Tag Archive for: nursing

disability culture

For this assignment you are required to develop a portfolio that showcases your experience through a disability culture plunge (You can find a list of activity and event options on Blackboard). A culture plunge can be defined as exposure to a culture that is different from our own and in this class specifically, the culture of disability. For some of you, you may already identify as being familiar with disability culture. If so, you will need to explore an arena of disability culture that you are not as familiar with. For many of you though, this may be your first time interacting or being involved with the disability community, and we are very excited to read about your experience!  It is normal for you to feel nervous, intimidated, and fearful about this assignment, but we hope that this assignment is a valuable and memorable experience that transcends beyond your time at university.

What is required for this portfolio?

1. Student Self-Scored Checklist

2. About the Organization/Activity/Event/Person

This portion of the assignment includes background information about the Organization:

a. Name, Location, Date of Culture Plunge, website (if applicable)

b. Contact information (i.e., website, email, and name of contact person if applicable)

c. A brief 300-word description of what you did during your time and the types of disabilities that were represented at the event.

3. Photos of the event/activity. Please include a caption with each photo.

4. Reflection:

Please answer all 4 reflection questions to receive full 10 points. No less than one page, double spaced, 12 pt. font response. Indicate A, B, C or D for each part of this response.

a. What were some assumptions you had before participating in your disability culture plunge activity? Your assumptions can be positive, negative or both.

b. What was something new you learned during your culture plunge?

c. How did this experience change your views about people with disabilities?

d. How might you see yourself contributing to the lives of people with disabilities in the future?

National Cancer Institute Data

There is often the requirement to evaluate descriptive statistics for data within the organization or for health care information. Every year the National Cancer Institute collects and publishes data based on patient demographics. Understanding differences between the groups based upon the collected data often informs health care professionals towards research, treatment options, or patient education.

Using the data on the “National Cancer Institute Data” Excel spreadsheet, calculate the descriptive statistics indicated below for each of the Race/Ethnicity groups. Refer to your textbook and the Topic Materials, as needed, for assistance in with creating Excel formulas.

Provide the following descriptive statistics:

  1. Measures of Central Tendency: Mean, Median, and Mode
  2. Measures of Variation: Variance, Standard Deviation, and Range (a formula is not needed for Range).
  3. Once the data is calculated, provide a 150-250 word analysis of the descriptive statistics on the spreadsheet. This should include differences and health outcomes between groups.

APA style is not required, but solid academic writing is expected.

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

Collaborative Learning Community

Max Points: 200
Details:

This is a Collaborative Learning Community (CLC) assignment.

It is important to promote the professional role of the nurse to provide health promotion and disease preventive care. Collaborating with other health care professionals and consumer groups in the community in redesigning health care can help meet the goals for Healthy People 2020.

Refer to http://www.healthypeople.gov/ to open the Healthy People 2020 home page.

  1. Select      the”Topics & Objectives” tab to access the 2020 Topics &      Objectives – Objectives A-Z page.
  2. Select      one of the Healthy People “Topic Areas” for improving health.
  3. Submit      the proposed area to the instructor for approval. No group may work on the      same focus area as another group.

Develop a PowerPoint presentation (15-20 slides) with accompanying speaker’s notes and citations.

For help designing PowerPoint slides, refer to the “Create Your First Presentation” PowerPoint tutorial, located on the Microsoft website:

https://support.office.com/en-us/article/Create-your-first-presentation-ac88d138-a7a0-402c-b5a5-812641e59c8e?ui=en-US&rs=en-US&ad=US

In the presentation, address the following:

  1. State      the objective of the presentation.
  2. State      the Healthy People 2020 focus area your group has selected and the      rationale for selection of the specific focus area.
  3. Collaborative Learning Community
  4. Identify      ways to enhance or optimize health in the selected focus area using      evidence-based research. A minimum of three peer-reviewed articles must be      utilized.
  5. Address      the health disparity among different segments of the population for the      selected focus area.
  6. Provide      a brief description of at least two community resources and at least two      website resources for professionals and clients.
  7. Provide      a brief profile of at least one health-related organization for the      selected focus area.

APA format is required for essays only. Solid academic writing is always expected. For all assignment delivery options, 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.

You are not required to submit this assignment to Turnitin.

health care rationing

PART A

In the following case, identify the ideals, or ideals and obligations, that are in conflict. Examine the action taken or proposed and decide whether it achieves the greater good (or lesser harm).

2. The issue of health care rationing was an important factor in the debate over the health care bill that President Obama signed into law in 2010.
Whether such rationing will occur remains to be seen.  If it does, though, it will undoubtedly have the greatest effect on the elderly — that is, some government administrator or health care panel may decide that certain expensive medical procedures will not be approved for people above a certain age.
Similar decisions could also be made about the level of care given in assisted living facilities and nursing homes.

PART B

Select ONE of the inquiries below to answer.

For the one you select to respond, identify the conflicting obligations and decide whether the action taken is morally right.  Be sure to consider the requirement of proportion.

13. A very competent druggist, well versed in the latest pharmacological studies, receives a prescription from a physician and recognizes that it is for a dangerous, highly addictive, and largely discredited medication.  She calls the physician and is told curtly to mind her own business.  As the customer waits in the front of the store, the druggist ponders the situation. “Should I refuse to fill it? Should I tell the customer I am certain the doctor has made a mistake?  Should I call the medical board and report the incident?”  She decides to fill the prescription.

OR

15. A doctor on duty in a hospital emergency room one Halloween night treats a 15-year-old boy whose eye was injured by an exploding firecracker.  He notices the boy is drunk.  Because the extent of the injury is not certain, he has the boy admitted to the hospital and notifies his parents.  When they arrive, the boy is under sedation, so his drunken condition escapes their detection.  Nevertheless, the doctor informs them that their son had been drinking.

OR

16. A psychiatrist is treating a very disturbed and potentially violent man. One day the man tells her that he has recurring thoughts of killing a stranger, whom he will choose at random.  He details exactly how he will carry out the crime.  A few days later the psychiatrist reads in the newspaper that the very same crime her patient described has been committed.  She has no doubt that her patient committed it; every detail is identical.  The psychiatrist would like to inform the police, but she decides not to.

You should have a total of TWO answers for this activity.  Submit your answers for Part A and Part B in a Word Document. 

specific minority group

Analyze the health status of a specific minority group. Select a  minority group that is represented in the United States (examples  include American Indian/Alaskan Native, Asian American, Black or African  American, Hispanic or Latino, Native Hawaiian, or Pacific Islander).

In  an essay of 750-1,000 words, compare and contrast the health status of  the minority group you have selected to the national average. Consider  the cultural, socioeconomic, and sociopolitical barriers to health. How  do race, ethnicity, socioeconomic status, and education influence health  for the minority group you have selected? Address the following in your  essay:

  1. What is the current health status of this minority group?
  2. How is health promotion defined by this group?
  3. What health disparities exist for this group?
  4. Describe  at least one approach using the three levels of health promotion  prevention (primary, secondary, and tertiary) that is likely to be the  most effective given the unique needs of the minority group you have  selected. Provide an explanation of why it might be the most effective  choice.

Cite a minimum of three references in the paper.

You  will find important health information regarding minority groups by  exploring the following Centers for Disease Control and Prevention (CDC)  links:

  1. Minority Health: http://www.cdc.gov/minorityhealth/index.html
  2. Racial and Ethnic Approaches to Community Health (REACH): http://www.cdc.gov/chronicdisease/resources/publications/aag/reach.htm
  3. Racial and Ethnic Minority Populations: http://www.samhsa.gov/specific-populations/racial-ethnic-minority

Prepare  this assignment according to the guidelines found in the APA Style  Guide, located in the Student Success Center. An abstract is not  required.

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 Turnitin. Please refer to the directions in the Student Success Center.

Tickler System

1. Lab Assignment: Tickler System (For Medical Coding and Billing)

Research tickler systems online. Create a 5-slide presentation, using Power Point, describing a tickler system and showing some system examples.

2. Lab Assignment: Healthcare Cash Flow

Below are some articles introduced in this lesson that provide tips and techniques for managing a medical office’s revenue and collections. Look through the articles, then write a 4-paragraph paper that summarizes the following:

Today you are the manager of ABC Clinic. You are facing issues in your collection department and need a solution to help increase your revenue. What are some ways it might do this?

Feel free to make assumptions about how ABC Clinic operates. Enter your ideas into a Word document labeled “CashFlow”

Helpful links:

3. Lab Assignment: Financial Report Worksheet

Look at the financial statements for Middlesex Hospital,Preview the document then answer the questions in the Finance Statement Worksheet.Preview the document  or download it below.

midline in the epigastrium.

Walden NURS6501 Week 8 Quiz latest 2017

Question 1

A 40-year-old female presents complaining of pain near the midline in the epigastrium. Assuming the pain is caused by a stimulus acting on an abdominal organ, the pain felt is classified as:

a. Visceral
b. Somatic
c. Parietal
d. Referred

Question 2

An 8-week-old male was recently diagnosed with cystic fibrosis. Which of the following digestive alterations would be expected?

a. Insufficient bile production
b. Gastric atrophy
c. Hypersecretion of stomach acid
d. Nutrient malabsorption

Question 3

In alcoholic cirrhosis, hepatocellular damage is caused by:

a. acetaldehyde accumulation.
b. bile toxicity.
c. acidosis.
d. fatty infiltrations.

Question 4

Where does the nurse expect the obstruction to be in a patient with extrahepatic portal hypertension?

a. Sinusoids
b. Bile ducts
c. Hepatic portal vein
d. Hepatic artery

Question 5

Kwashiorkor is a severe dietary deficiency of:

a. fat-soluble vitamins.
b. carbohydrates.
c. protein.
d. calcium and magnesium.

Question 6

A 27-year-old male presents with fever, GI bleeding, hepatomegaly, and transient joint pain. He reports that as a child he received blood transfusions following a motor vehicle accident. He also indicates he was vaccinated against hepatitis B. Which of the following types of hepatitis does the clinician think he most likely has?

a. A
b. B
c. C
d. D

Question 7

Prolonged diarrhea is more serious in children than adults because:

a. children have lower adipose reserves.
b. fluid reserves are lower in children.
c. children have a lower metabolic rate.
d. children are more resistant to antimicrobial therapy.

Question 8

A 40-year-old male develops an intestinal obstruction related to protrusion of the intestine through the inguinal ring. This condition is referred to as:

a. Intussusception
b. A volvulus
c. A hernia
d. Adhesions

Question 9

A 60-year-old male presents with GI bleeding and abdominal pain. He reports that he takes NSAIDs daily to prevent heart attack. Tests reveal that he has a peptic ulcer. The most likely cause of this disease is:

a. Increasing subepithelial bicarbonate production
b. Accelerating the H+ (proton) pump in parietal cells
c. Inhibiting mucosal prostaglandin synthesis
d. Stimulating a shunt of mucosal blood flow

Question 10

Acute pancreatitis often manifests with pain to which of the following regions?

a. Right lower quadrant
b. Right upper quadrant
c. Epigastric
d. Suprapubic

Question 11

A 60-year-old male is diagnosed with cancer of the esophagus. Which of the following factors most likely contributed to his disease?

a. Reflux esophagitis
b. Intestinal parasites
c. Ingestion of salty foods
d. Frequent use of antacids

Question 12

The primary complication of enterocolitis associated with Hirschsprung disease is related to which finding?

a. Fecal impaction
b. Pancreatic insufficiency
c. Hyperactive peristalsis
d. Ileal atresia

Question 13

The most common cause of chronic vascular insufficiency among the elderly is:

a. Anemia
b. Aneurysm
c. Lack of nutrition in gut lumen
d. Atherosclerosis

Question 14

The most common clinical manifestation of portal hypertension is _____ bleeding.

a. rectal
b. duodenal
c. esophageal
d. intestinal

Question 15

A 54-year-old male is diagnosed with peptic ulcer disease.This condition is most likely caused by:

a. Hereditary hormonal imbalances with high gastrin levels
b. Breaks in the mucosa and presence of corrosive secretions
c. Decreased vagal activity and vascular engorgement
d. Gastric erosions related to high ammonia levels and bile reflux

Question 16

The cardinal sign of pyloric stenosis caused by ulceration or tumors is:

a. Constipation
b. Diarrhea
c. Vomiting
d. Heartburn

Question 17

A 55-year-old male died in a motor vehicle accident. Autopsy revealed an enlarged liver caused by fatty infiltration, testicular atrophy, and mild jaundice secondary to cirrhosis. The most likely cause of his condition is:

a. Bacterial infection
b. Viral infection
c. Alcoholism
d. Drug overdose

Question 18

Manifestations associated with hepatic encephalopathy from chronic liver disease are the result of:

a. hyperbilirubinemia and jaundice.
b. fluid and electrolyte imbalances.
c. impaired ammonia metabolism.
d. decreased cerebral blood flow.

Question 19

The most common disorder associated with upper GI bleeding is:

a. diverticulosis.
b. hemorrhoids.
c. esophageal varices.
d. cancer.

Question 20

A 3-month-old female develops colicky pain, abdominal distention, and diarrhea after drinking cow’s milk. The best explanation for her symptoms is:

a. Deficiency of bile that stimulates digestive secretions and bowel motility
b. Excess of amylase, which increases the breakdown of starch and causes an osmotic diarrhea
c. Overgrowth of bacteria from undigested fat molecules, which leads to gas formation and de creased bowel motility
d. Excess of undigested lactose in her digestive tract, resulting in increased fluid movement into the digestive lumen and increased bowel motility

Question 21

A 55-year-old female has general symptoms of gallstones but is also jaundiced. IV cholangiography would most likely reveal that the gallstones are obstructing the:

a. Intrahepatic bile canaliculi
b. Gallbladder
c. Cystic duct
d. Common bile duct

Question 22

A 1-week-old female is brought to her pediatrician for abdominal distention and unstable temperature. Physical examination reveals bradycardia and apnea. Tests reveal hypoxic injury to the bowel resulting in bacterial invasion and perforation. This condition is referred to as:

a. Infective enteropathy
b. Necrotizing enterocolitis (NEC)
c. Mucoviscidosis
d. Ileus

Question 23

For the patient experiencing esophageal reflux, the nurse would expect which sphincter to be malfunctioning?

a. Pyloric
b. Lower esophageal
c. Upper esophageal
d. Gastric

Question 24

Cholecystitis is inflammation of the gallbladder wall usually caused by:

a. accumulation of bile in the hepatic duct.
b. obstruction of the cystic duct by a gall-stone.
c. accumulation of fat in the wall of the gallbladder.
d. viral infection of the gallbladder.

Question 25

A 6-month-old male infant is brought to the ER after the sudden development of abdominal pain, irritability, and vomiting followed by passing of “currant jelly” stool. Ultrasound reveals intestinal obstruction in which the ileum collapsed through the ileocecal valve and invaginated into the large intestine. This type of obstruction is referred to as:

a. Prolapse
b. Pyloric stenosis
c. Intussusception
d. Imperforation

Question 26

A 22-year-old male underwent brain surgery to remove a tumor. Following surgery, he experienced a peptic ulcer. His ulcer is referred to as a(n) _____ ulcer.

a. Infectious
b. Cushing
c. Ischemic
d. Curling

Question 27

Chronic gastritis is classified according to the:

a. severity.
b. location of lesions.
c. patient’s age.
d. signs and symptoms.

Question 28

Reflux esophagitis is defined as a(n):

a. Immune response to gastroesophageal reflux
b. Inflammatory response to gastroesophageal reflux
c. Congenital anomaly
d. Secretory response to hiatal hernia

Question 29

The cardinal signs of small bowel obstruction are:

a. Vomiting and distention
b. Diarrhea and excessive thirst
c. Dehydration and epigastric pain
d. Abdominal pain and rectal bleeding

Question 30

The nurse assessing the patient with biliary atresia would expect to find which primary clinical manifestation?

a. Anemia
b. Jaundice
c. Hypobilirubinemia
d. Ascites

Question 31

A 20-year-old male was recently diagnosed with lactose intolerance. He eats an ice cream cone and develops diarrhea. His diarrhea can be classified as _____ diarrhea.

a. Motility
b. Hypotonic
c. Secretory
d. Osmotic

Question 32

Which of the following symptoms would help a health care provider distinguish between ulcerative colitis and Crohn disease?

a. Pattern of remission/exacerbations
b. Abdominal pain
c. Malabsorption
d. Diarrhea

Question 33

A 45-year-old male complains of heartburn after eating and difficulty swallowing. He probably has:

a. Pyloric stenosis
b. Hiatal hernia
c. Gastric cancer
d. Achalasia

Question 34

The exocrine portion of the pancreas contains:

a. alpha cells.
b. beta cells.
c. acinar cells.
d. islets of Langerhans.

Question 35

Outbreaks of hepatitis _____ often occur in young children attending day care centers and can be attributed to poor hand washing.

a. A
b. B
c. C
d. D

Stages‐of‐Life

Write a 500‐750‐word essay on the Stages‐of‐Life and the influence of age in health care from a patient’s perspective. Interview a friend or family member about that person’s experiences with the health care system. You may develop your own list of questions.

Suggested questions:

  1. Do you feel that your stage‐of‐life had any effect on your interaction with health care professionals?
  2. Which areas of the hospital or clinic were most concerned with your well‐being and feelings?
  3. Was your family with you during this hospital stay or outpatient visit?
  4. Was your family included in your treatment, such as post‐procedure instructions?

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

late-stage Alzheimer’s disease

An older client was recently discharged from the hospital for evaluation of seizure activity. His history reveals that he has late-stage Alzheimer’s disease, Parkinson’s disease, hypertension, and type II diabetes mellitus, which is controlled by diet. He lives at home, where his wife and daughter take care of him. His discharge medications include phenytoin (Dilantin), 100 mg BID; hydrochlorothiazide (HydroDIURIL), 50 mg QD; levodopa (Sinemet), 25/100 TID; and haloperidol (Haldol), 1 mg before bed. The client has been referred for home care nursing follow-up.

Questions:

  1. On the initial home visit by the nurse, what assessments should be made?
  2. The wife and daughter need teaching about his antiepileptic medication. What teaching should be included?
  3. During the initial home visit, the client experiences a generalized seizure. What action should the nurse take?
  4. During the initial home visit, the client experiences a generalized seizure. What action should the nurse take?
  5. 2-3 pages. Include in-text citation with 3-4 references

Regulation for Nursing Practice Staff Development Meeting

Assignment: Regulation for Nursing Practice Staff Development Meeting

Nursing is a very highly regulated profession. There are over 100 boards of nursing and national nursing associations throughout the United States and its territories. Their existence helps regulate, inform, and promote the nursing profession. With such numbers, it can be difficult to distinguish between BONs and nursing associations, and overwhelming to consider various benefits and options offered by each.

Both boards of nursing and national nursing associations have significant impacts on the nurse practitioner profession and scope of practice. Understanding these differences helps lend credence to your expertise as a professional.

In this Assignment, you will practice the application of such expertise by communicating a comparison of boards of nursing and professional nurse associations. You will also share an analysis of your state board of nursing.

To Prepare:

  • Assume that you are leading a staff development meeting on regulation for nursing practice at your healthcare organization or agency.
  • Review the NCSBN and ANA websites to prepare for your presentation.

The Assignment: (9- to 10-slide PowerPoint presentation)

Develop a 9- to 10-slide Voice-Over PowerPoint Presentation that addresses the following:

  • Describe the differences between a board of nursing and a professional nurse association.
  • Describe the geographic distribution, academic credentials, practice positions, and licensure status of members of the board for your specific region/area.
    • Who is on the board?
    • How does one become a member of the board?
  • Describe at least one federal regulation for healthcare.
    • How does this regulation influence delivery, cost, and access to healthcare (e.g., CMS, OSHA, and EPA)?
    • Has there been any change to the regulation within the past 5 years? Explain.
  • Describe at least one state regulation related to general nurse scope of practice.
    • How does this regulation influence the nurse’s role?
    • How does this regulation influence delivery, cost, and access to healthcare?
  • Describe at least one state regulation related to Advanced Practice Registered Nurses (APRNs).
    • How does this regulation influence the nurse’s role?
    • How does this regulation influence delivery, cost, and access to healthcare?