Tag Archive for: nursing

Culturally Diverse Patients

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This written assignment will consist of two parts. The first part will include a discussion on the understanding and importance of cultural diversity in the medical field and how to overcome possible cultural barriers to improve patient care and outcomes. The second part of the written assignment will provide you further practice at creating and formatting a patient letter summarizing clinical results.

Part 01: Interacting with Culturally Diverse Patients

Mrs. Abdul, a devoted Muslim, has recently emigrated from the Middle East to live with her daughter and son-in-law. The Abdul family are patients at the clinic you work at as a Medical Administrative Assistant for about 4 months now. In that time, you have noticed that Mrs. Abdul has arrived late for all of her appointments to date. She has arrived late for her appointment today and seemed reluctant to answer many of the questions that are being asked to her. Also, it is observed that Mrs. Abdul allows her daughter to speak for her most of the time. Based on some preliminary testing that was conducted, Dr. Jones is concerned that Mrs. Abdul may have cancer, but must do some further diagnostic testing to be sure.

Requirements

In 1-2 pages with the use of a minimum of two credible resources, discuss the importance of understanding cultural differences in the medical environment and how they can improve patient care and outcomes. Then discuss methods how to resolve the communication barrier between the doctor and Mrs. Abdul to allow for further diagnostic testing, importance of arriving on time for appointments, and highlight possible complications to overcome to ultimately improve patient care and outcomes for Mrs. Abdul.

Part 02: Writing Professional Correspondence

You will practice writing a professional correspondence to a patient summarizing the results of their recent visit and the doctor’s recommendations. The requirements of your letter are:

  • Block or modified block format
  • Indented paragraphs
  • 1-2 paragraphs in length
  • Include current date
  • Letter addressed to patient: Monica Peters
  • Letter signed by doctor: Julia D. Mallard, MD

Take the following data/information and format it into complete sentences summarizing the results of Mrs. Peters’ recent visit and her doctor’s recommendations in 1-2 paragraphs within your letter.

Make sure you include of the following data/information in your letter:

  • Clinical Data to include
    • Hemoglobin A1C results were within normal limits from recent visit
    • Test results of Hemoglobin A1C were 6.8%
    • Desired results would be a value less than 7.0%
  • Type II diabetes is under control
  • Current dosage of Glucotrol XL of 5mg/day is appropriate and should be continued
  • Glucotrol XL prescription is enclosed for continued use
  • Repeat Hemoglobin A1C test in 6 months
  • If any questions or changes occur, contact office

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Quality Improvement projects

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This post has 2 parts; both are required.

Part One: Student can learn from the Quality Improvement projects of other nurses. In light of what you previously learned in Evidence-based Practice, review this project in the published nursing literature:

( Promoting quiet article)

Comment on:

· the aim

· the methods

· the findings

· the clinical implications

· what you learned about project implementation

Part Two: Recall the Call to action from the IHI. Article

(Institute for Healthcare article)

Your clinical problems should be addressing one of these issues, as healthcare should be: SAFE, EFFECTIVE, PATIENT-CENTERED, TIMELY, EFFICIENT, & EQUITABLE.

Comment on the QI project you evaluated in part one- how did these authors address the IHI’s call to action for changing the U.S. healthcare system? Justify your answer.

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Food Safety

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Introduction

Food Safety

There are environmental risks related to what we eat and what we throw away; for example, the risks to the food supply caused by pests and pesticides. Pests are unwanted plants (weeds) or animals (vectors). The most common types of vectors are insects (arthropods) and rodents. Overpopulation, poverty, and lack of sanitation provide opportunities for vector-borne diseases to spread. Global warming and resistance make control of disease-carrying vectors difficult.

Pesticides are one way to control pests, but there is much controversy surrounding their use. While the benefits of pesticides include increased food supply, lower food prices, decreased spread of vector-borne disease, and pesticides can adversely affect birds, fish, and mammals. They can be harmful to those who apply the pesticides and those who are exposed to them, especially children. Although pesticides play an important role in our society, there are many natural alternatives to pesticides that are safer to use and very efficient, especially in and around the home.

Sanitation is one important way you can reduce the incidence of pests in your home. Sanitation is also important when it comes to food safety. The Centers for Disease Control estimates that each year roughly 1 in 6 Americans (or 48 million people) gets sick, 128,000 are hospitalized, and 3,000 die of foodborne diseases (n.d.). Thus, proper handling of food is vital. Other techniques used to decrease the risk of food-borne illnesses are pasteurization, inspection of meat and produce items, and food irradiation.

Most of the processed foods in stores contain genetically engineered crops. In genetic engineering, the DNA from one species is introduced to another—sometimes the same species, sometimes another. Although genetically engineered foods require fewer pesticides and herbicides, there are concerns about food allergies and safety for humans and wildlife. Foods with the highest toxicity indexes for pesticides include:

  • Fresh peaches.
  • Frozen and fresh winter squash.
  • Apples.
  • Grapes.
  • Spinach.
  • Pears.
  • Green beans.
  • Broccoli.
  • Orange juice.
  • Bananas.
  • Corn.

(Organic Trade Association, 2012).

Waste Disposal and Safe Living Environments

The disposal of waste is a looming problem in the country. Landfills are slowly filling up, chemicals from the breakdown of wastes have entered the soil and the water, and few steps have been taken to change the throw-away mentality of our society.

The average person generates 4.3 pounds of waste per day (Duke Center for Sustainability and Commerce, 2014). Further, waste disposal is one of the biggest expenses in city budgets. Improper disposal causes problems with vermin and insects and it pollutes surface as well as groundwater. Individuals are often unaware of the special programs for disposing of hazardous materials, so these too end up in landfills. The management of waste is a public health problem that must be addressed seriously, and soon.

As we look at how to deal with the waste generated, we must also look at the health of our homes and workplaces. According to the Environmental Protection Agency (2013), most North Americans spend ninety percent of their time indoors. Indoor air pollution is one of the top five environmental risks and can be 2–100 times higher than outdoor air pollution. Since the 1970s, buildings have been built airtight to conserve energy, which has led to an increase in health problem associated with indoor air pollution. Indoor air quality is a problem in both old and new construction, as well as in homes, business, and schools. Problems can be caused by mold and mildew, and the presence of certain construction materials such as toluene and vinyl chloride. Headaches, allergies, depression, and chronic respiratory problems are indicators of indoor pollution. Therefore, proper ventilation is essential to protect our health while we are indoors.

References

Centers for Disease Control and Prevention. (n.d.). CDC 2011 estimates: Findings. Retrieved from http://www.cdc.gov/foodborneburden/2011-foodborne-estimates.html

Duke Center for Sustainability and Commerce. (2014). How much do we waste daily? Retrieved from http://center.sustainability.duke.edu/resources/green-facts-consumers/how-much-do-we-waste-daily

Hilgenkamp, K. (2006). Environmental health: Ecological perspectives. Sudbury, MA: Jones and Bartlett.

Organic Trade Association. (2012). Nutritional considerations. Retrieved from http://www.theorganicpages.com/topo/organic/benefits/nutrition.html?fromOta=1&OtaImage=1&

United States Environmental Protection Agency. (2013). Questions about your community: Indoor air. Retrieved from http://www.epa.gov/region1/communities/indoorair.html

Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

  • Competency 3: Apply personal and professional decisions based upon an understanding of environmental risks.
    • Discuss specific ways to implement a local diet.
    • Supply several examples of local food sources.
    • Suggest ways to encourage others to eat locally.
    • Describe how to handle food waste in the home.
  • Competency 4: Communicate effectively in a variety of formats.
    • Write coherently to support a central idea in appropriate format with correct grammar, usage, and mechanics.

Preparation

Please review the resources and assessment instructions. No extra preparation is required for this assessment.

Instructions

In a 2–3-page report, make a case for eating locally. Address the following in your report:

  • Identify the benefits of implementing a local diet.
    • What are the benefits to the environment?
    • How does a local diet conserve natural resources?
    • What are the potential benefits to human health?
  • Discuss specific ways in which you could implement a local diet. How could you (or do you) integrate a local diet into your lifestyle?
    • Identify several examples of local food sources you have access to. Are there farmers’ markets in your area?
    • What is community supported agriculture (CSA)? What is the history of the CSA movement? Where is your nearest community supported agriculture farm (CSA)?
  • Identify sustainable methods for dealing with food waste in your home. How do you currently handle your family’s food waste?
  • Describe ways you could encourage others to eat locally.
Additional Requirements

Your report should follow a logical structure and be evidence based. Use the APA Paper Template (linked in Resources: Food and the Environment) as a resource for citations and formatting.

  • Written Communication: Written communication should be free of errors that detract from the overall message.
  • Length: The report should be 2–3 pages in content length. Include a separate title page and a separate references page.
  • Font and Font Size: Times New Roman, 12-point, double-spaced. Use Microsoft Word.
  • APA Formatting: Resources and in-text citations should be formatted according to the current APA style and formatting.
  • Number of Resources: You are required to cite a minimum of 2 scholarly resources. You may conduct independent research for resources and references to support your report. Provide a reference list and in-text citations for all your resources, using APA format. You may cite texts and authors from the Resources.

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Collaborative Learning Community

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This is a Collaborative Learning Community (CLC) assignment.

Nursing theories are tested and systematic ways to implement nursing practice. Select a nursing theory and its conceptual model. Prepare a 10-15 slide PowerPoint in which you describe the nursing theory and its conceptual model and demonstrate its application in nursing practice. Include the following:

Present an overview of the nursing theory. Provide evidence that demonstrates support for the model’s efficacy in nursing practice. Explain how the theory proves the conceptual model.
Explain how the nursing theory incorporates the four metaparadigm concepts.
Provide three evidence-based examples that demonstrate how the nursing theory supports nursing practice. Provide support and rationale for each.
Refer to the resource, “Creating Effective PowerPoint Presentations,” located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center. Since you will not actually be presenting to the class, well written, detailed speakers notes that include in-text citations are expected.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to

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Hypertension Case Study

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This Assignment will assess your ability to evaluate subjective and objective information in order to arrive at an appropriate diagnosis and treatment plan for the patient.

Hypertension Case Study

C.D is a 55-year-old African American male who presents to his primary care provider with a 2-day history of a headache and chest pressure.

PMH

Allergic Rhinitis

Depression

Hypothyroidism

Family History

Father died at age 49 from AMI: had HTN

Mother has DM and HTN

Brother died at age 20 from complications of CF

Two younger sisters are A&W

Social History

The patient has been married for 25 years and lives with his wife and two children. The patient is an air traffic controller at the local airport. He has smoked a pack of cigarettes a day for the past 15 years. He drinks several beers every evening after work to relax. He does not pay particular attention to sodium, fat, or carbohydrates in the foods he eats. He admits to “salting almost everything he eats, sometimes even before tasting it.” He denies ever having dieted or exercised.

Medications

Zyrtec 10 mg daily

Allergies

Penicillin

ROS

States that his overall health has been fair to good during the past year.

Weight has increased by approximately 30 pounds in the last 12 months.

States he has been having some occasional chest pressure and headaches for the past 2 days. Shortness of breath at rest, headaches, nocturia, nosebleeds, and hemoptysis.

Reports some shortness of breath with activity, especially when climbing stairs and that breathing difficulties are getting worse.

Denies any nausea, vomiting, diarrhea, or blood in stool.

Self treats for occasional right knee pain with OTC Ibuprofen.

Denies any genitourinary symptoms.

Vital Signs

B/P 190/120, HR 73, RR 18, T. 98.8 F., Ht 6’1”, Wt 240 lbs.

HEENT

TMs intact and clear throughout

No nasal drainage

No exudates or erythema in oropharynx

PERRLA

Funduscopy reveals mild arteriolar narrowing without nicking, hemorrhages, exudates, or papilledema

Neck

Supple without masses or bruits

Thyroid normal

No lymphadenopathy

Lungs

Mild basilar crackles bilaterally

No wheezes

Heart

RRR

No murmurs or rubs

Abdomen

Soft and non-distended

No masses, bruits, or organomegaly

Normal bowel sounds

Ext

Moves all extremities well

Neuro

No sensory or motor abnormalities

CN’s II-XII intact

DTR’s = 2+

Muscle tone=5/5 throughout

What you should do:

  • Develop an evidence-based management plan.
  • Include any pertinent diagnostics.
  • Describe the patient education plan.
  • Include cultural and lifespan considerations.
  • Provide information on health promotion or health care maintenance needs.
  • Describe the follow-up and referral for this patient.
  • Prepare a 3–5-page paper (not including the title page or reference page).

Your writing Assignment should:

  • follow the conventions of Standard English (correct grammar, punctuation, etc.);
  • be well ordered, logical, and unified, as well as original and insightful;
  • display superior content, organization, style, and mechanics; and
  • use APA 6th Edition format as outlined in the APA Progression Ladder.

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health care articles

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Search the GCU Library and find three different health care articles that use quantitative research. Do not use articles that appear in the Topic Materials or textbook. Complete an article analysis for each using the “Article Analysis 1” template.

Refer to the “Patient Preference and Satisfaction in Hospital-at-Home and Usual Hospital Care for COPD Exacerbations: Results of a Randomised Controlled Trial,” in conjunction with the “Article Analysis Example 1,” for an example of an article analysis.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

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factors that affect chronic illness

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Discussion Question

There are many factors that affect chronic illness—chronic pain, stigma, social isolation, altered mobility, or fatigue. Utilizing your learning from your readings and the South University Online Library resources, respond to one the following questions:

  • Based on the research, which of these factors have the greatest impact on a patient? Why? Contrast at least two ways the factors would affect a twelve-year-old with the way they would affect a seventy-five-year-old.
  • Consider the twelve-year-old and the seventy-five-year-old have a chronic illness. How does the chronically ill patient’s illness trajectory influence the plan of care?
  • Review Healthypeople.gov website. Discuss how you feel these goals will impact the health of the nation. Briefly discuss how you could incorporate these goals/objectives into your day-to-day nursing practice.

Citations should conform to APA guidelines.

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a health care organization

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Research a health care organization or a network that spans several states within the U.S. (Example: United Healthcare, Vanguard, Banner Healthcare, etc.).

Harvard Business Review Online and Hoover’s Company Records, found in the GCU Library, are useful sources. You may also find pertinent information on your organization’s webpage.

Review “Singapore Airlines Case Study.”

Prepare a 1,000-1250-word paper that focuses on the organization or network you have selected.

Your essay should assess the readiness of the health care organization or network in addressing the health care needs of citizens in the next decade, and include a strategic plan that addresses issues pertaining to network growth, nurse staffing, resource management, and patient satisfaction. Provide a comparison to the health care organization or network and the Singapore Airlines. Include any cultural issues that may influence the practices listed above.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

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nursing theory.

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The paper is to be a five (6) pages total (double-spaced, 12 font, 1 inch margins). Follow APA guidelines for a cover sheet, headers, pagination, references, etc. Use APA format and label each section using the evaluation outline below.

Analysis of basic components/concepts of the selected theory. • Discuss in detail A NURSING theory and its core concepts and/or components • Use a secondary source like your textbook or scholarly article that details the selected nursing theory.

Select two peerreviewed/practicebased articles in which the same theory has been applied to clinical patient care issues (i.e. multiple sclerosis, CHF, etc.). • Describe the key details of each article (purpose, sample size, methodology, interventions, results, future implications, strengths & limitations).

Critically analyze and summarize how the research results can be applied to primary care and improve care rendered by the family nurse practitioner.

REFERENCES MUST BE FROM 2012-2019

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Brand Stretch Spectrum

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Please respond to the following: “Brand Stretch Spectrum and Market Product Grid”

  • Assess the importance of evaluating newly developed health care products in order to determine whether the products should carry existing brand names or whether they should be assigned new brand names. Suggest realistic branding strategies needed for marketers to evaluate newly developed health care products or services. Provide support for your rationale.
  • Use the Internet to research the product offerings of a local health care organization. (Note:These offerings are often found on the health care organizations homepage.) Based on your knowledge of your local region, consider the potential markets for these products. With the grid, you should, at a minimum, analyze the resulting market-product combination. Determine whether or not the product offerings that you selected are consistent with the perceived selections of the given health care entity. Explain your rationale.

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