Posts in category: Uncategorized

Scenarios:

A researcher wants to know why individuals in Community A have a higher rate of a rare form of cancer when compared to those living in Community B. To find out the reasons for the differences in cancer rates in these two communities, the investigator surveyed residents about their lifestyle, noted the types of businesses that were present in the community and searched medical records. The researcher found that the headquarters for the Toxico Chemical Plant is located in Community A, there is a higher rate of cigarette smoking in this community and residents tended to delay or skip going to the doctor for an annual checkup. In Community B, the largest employer was a department store and on average, residents did not smoke as much as residents from Community A. However, like individuals from Community A, Community B residents tended to delay or skip their annual checkups with their doctor.   

Retrieved from http://ori.hhs.gov/education/products/sdsu/eg_desc.htm

Instructions:

1. Read the scenario above and answer the following questions:
   1. What makes this a descriptive study?
   2. What type of data collection method was used in this scenario?  What type of collection methods are usually used in descriptive studies?
   3. Why did the researcher collect information about the lifestyle of community residents? What about the type of businesses present in each community? Medical records?
   4. Can the investigator establish that the chemical plant and cigarette smoking are the cause for the higher rate of cancer among those in Community A?
   5. Can the investigator establish that lower smoking rates and the absence of a chemical factory explain the lower rate of cancer among those in Community B?

Video Transcript:

KARI (on phone): This is Kari the nurse from the Emergency Department. I’m calling to give you a transfer report on Ms. Janet Lieberman. Janet is a 36-year-old woman who came because she felt weak and dizzy. She has a history of Crohn’s disease with intermittent gastritis and six months ago she had surgery and an ileostomy. Traces of serosanguineous effluent were present in her ostomy bag upon arrival. Her Blood type is A-. She is typed and cross-matched for two units of packed RBCs, so please administer as soon as they are available. She started on Infliximab IV six months ago and the last dose was given seven weeks ago. Her vital signs were temperature 98.8, pulse 114, respiration 22, blood pressure 100/60, and oxygen saturation 95%. Her hemoglobin is seven milligrams per deciliter and her hematocrit is 21%. She has an IV of 0.9% sodium chloride 1000- milliliters infusing at 150-milliliters per hour, and has 700-milliliters remaining in the bag. We started an IV while she was in ED. Her skin has been pale, warm, and dry to the touch. She voided 500-milliliters at 1500 in the ED. A hemoccult of her stool was sent to the lab. Esther: Were the coagulation tests within normal range? KARI: Yes, her pro time is 12.2, her PT is 21 seconds, and her INR is 0.7. Esther: Okay, thanks for the report. KARI: You’re welcome. I’ll bring her up to your unit in a few minutes. Esther: Thanks. KARI: Hi Esther, this is Janet Lieberman. Esther: Hi Ms. Lieberman, my name’s Esther. I’ll be taking care of you this evening. KARI: I gave you a transfer report a couple minutes ago. Ms. Lieberman needs the two units of packed RBCs as soon as possible. Esther: Okay. Ms. Lieberman, I need to take a quick look at your ostomy bag. MS. LIEBERMAN: Sure, okay. Esther: Thank you. Do you have any family here? MS. LIEBERMAN: No, I came alone to the emergency room today, but I have a sister who’s on her way to the hospital. KARI: Do you have any questions before I leave? Esther: No, thanks for the report. I can take it from here. KARI: I am going back to the Emergency Department now. Esther’s going to be taking care of you. I hope you feel better soon. MS. LIEBERMAN: Thanks so much for taking such good care of me. Esther: Ms. Lieberman, I need to ask you some questions. MS. LIEBERMAN: Okay, what else do you need to know? Esther: I need to review your abdominal status. Are you having abdominal pain? MS. LIEBERMAN: Oh yes, it’s very sore and crampy. Esther: On a scale of 0 to 10, with 0 being no pain, and 10 being unbearable, how do you rate your pain now? MS. LIEBERMAN: I would say a 6. Esther: When did the pain begin? MS. LIEBERMAN: Uh, after I got up this morning. Esther: Can I ask you where the pain is? MS. LIEBERMAN: Yes, it’s here in the top of my stomach. Esther: Okay, Have you noticed anything that brings on the pain or makes it worse? MS. LIEBERMAN: I’m pretty sure stress makes it worse. Esther: Okay. MS. LIEBERMAN: When I get stressed I don’t eat healthy foods and then I get headaches and take Ibuprofen. Esther: Okay, when you’re feeling a little bit better I’d like to review some ways to manage your stress. For now, I need to take a listen to your bowel sounds. MS. LIEBERMAN: Sure, Okay

Based on your reading in chapter 60, why do you think the issues presented in this chapter persist in today’s workforce culture?

Submission Instructions:

• Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. 

Choose one of the following case study descriptions and answer the following questions:

Case study 1: Adult female (26) with high blood pressure

Case study 2: Adult male (40) with high cholesterol

Case study 3: Elderly (65) Spanish speaking person with atrial fibrillation

1. Present a summary of the patient’s condition (Description, causes, risk factors, etc).

2. What evidence-based practice health promotion nursing interventions (strategies) would you suggest for this patient?

3. What resources and/or technology applications could be provided to guide the patient in self-management of his condition or in maintaining health and preventing disease? Be specific by providing an actual, usable app or website.

1. If you      were in charge of implementing a sweeping reorganization of the CDC, what      management relationship behaviors would you use? Who would you target with      these behaviors?
2. If you      are a female, is there a need to act differently when you manage the      relationships in an all-male leadership group?
3. If you      are a male, is there a reason for a woman to act differently if she is in      a relationship with you.
4. Based      on the case example in chapter 9 does the fact that Dr. Gerberding has      expressed her own experience with discrimination make it more or less      likely that she did not manage her relationship with the all-male      management team well?

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 Must use the sample template for your soap note, 

 Use APA format and must include minimum of 2 Scholarly Citations. 

 Turn it in Score must be less than 15% or will not be accepted for credit, must be your own work and in your own words.

  The use of tempates is ok with regards of Turn it in, but the Patient History, CC, HPI, The Assessment and Plan should be of your own work and individualized to your made up patient. 

Please answer the discussion questions. I have attached the description

Just the intro and support is needed at this time. Please read instructions and pick one of the topics provided for this.  Will need also 3 responses to students as well 

1) Minimum 7 full pages (Follow the 3 x 3 rule: minimum three paragraphs per part)

              Part 1: Minimum 1 page

              Part 2: minimum 1 page

              Part 3: minimum 1 page

              Part 4: minimum 1 page 

              Part 5: Minimum 1 page

              Part 6: minimum 1 page

              Part 7: minimum 1 page

Submit 1 document per part

2)¨******APA norms, please use headers

          All paragraphs must be narrative and cited in the text- each paragraphs

          Bulleted responses are not accepted

          Dont write in the first person 

          Dont copy and pase the questions.

          Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

         Submit 1 document per part

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks) 

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 3 references per part not older than 5 years

5) Identify your answer with the numbers, according to the question.

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

6) You must name the files according to the part you are answering: 

Example:

Part 1.doc 

Part 2.doc 

__________________________________________________________________________________

Part 1:

1. What are social determinants of health?  

2. Explain how social determinants of health contribute to the development of disease.  

3. Describe the fundamental idea that the communicable disease chain model is designed to represent. Give an example of the steps a nurse can take to break the link within the communicable disease chain.

Part 2:

1. Select a global health issue affecting the international health community. 

2. Briefly describe the global health issue and its impact on the larger public health care systems (i.e., continents, regions, countries, states, and health departments). 

3. Discuss how health care delivery systems work collaboratively to address global health concerns and some of the stakeholders that work on these issues. 

Part 3:

Issue: Infection Control and Prevention 

Topics: Cleaning and disinfection; Standards precaution and Cross-contamination

Place:  University Plaza Nursing and Rehabilitation cente

1. Describe one internal and one external method for the dissemination of your evidence-based change proposal. For example, an internal method may be the hospital board, and an external method may be a professional nursing organization. 

2. Discuss why it is important to report your change proposal to both of these groups. How will your communication strategies change for each group?

Part 4:

Issue: Infection Control and Prevention 

Topics: Cleaning and disinfection; Standards precaution and Cross-contamination

Place:  University Plaza Nursing and Rehabilitation center

In order to evaluate an evidence-based practice project, it is important to be able to determine the effectiveness of your change. 

1. Discuss one way you will be able to evaluate whether your project made a difference in practice.

Part 5:

Darlene, age 32 years, has been having back pain for a number of years, ever since suffering a compressed L2 disc as the result of a motor vehicle accident that led to surgery and extensive physiotherapy. Now she is missing time from work as a secretary because of constant pain. Darlene has been referred to you for chronic pain.

1. As the nurse practitioner working with Darlene, what aspects of disorders of pain are important to understand?

2. How would you effectively manage Darlene’s pain at this time?

Part 6:

Next, identify ineffective teaching–learning strategies presented in the video, and discuss effective strategies the instructor could have implemented instead to avoid learning difficulties and promote critical thinking and active learning.

Incivility and bullying occur in the classroom as well as the clinical environment in a number of ways:

1) Student to student

2) Student to faculty

3) Faculty to faculty

4) Faculty to student

Incivility and bullying not only affect the well-being of the people involved, but it also puts patient safety at risk. Post your thoughts on some of the causes of incivility and bullying in the classroom and clinical environments, and suggest approaches that can be used to avoid this type of behavior.

Part 7:

After viewing the video on classroom management, discuss the student behavior issues that were presented. 

1. How could the instructor have managed those issues and the classroom environment in a way that would positively contribute to learning and proactively respond to student misconduct?