Tag Archive for: nursing

Transcultural Perspective

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Transcultural Perspectives in the care of Older Adults.

Read chapter 7 of the class textbook and review the attached PowerPoint presentation.  Once done, read the following clinical case below and answer the questions;

Diabetes has been emerging as a major public health concern among Native American communities in the United States for the past 40 years. The Pima Indians in Arizona currently have the highest recorded prevalence of diabetes in the world. On average, American Indian and Alaska Native adults are 2.6 times more likely to have diabetes than non-Hispanic Whites of similar age. Diet is a key factor in controlling blood glucose levels and preventing serious cardiac, renal, peripheral vascular, and retinal complications such as heart attacks, renal failure, limb amputations, and blindness.

An Indian Health Service (IHS) nurse visits a patient in her mobile home, located on an Arizona Indian reservation. The patient is a 72-year-old, obese, female Pima Indian with a blood glucose level of 280. She is at risk for serious complications of type 2, or non–insulin-dependent, diabetes mellitus. With type 2 diabetes, the body either resists the effects of insulin or doesn’t produce enough insulin to maintain a normal blood glucose level. The patient lives with her adult daughter, two grandchildren, and five great-grandchildren. The nurse’s goals are to use culturally appropriate diet education to repattern the patient’s eating habits for the purpose of reducing the blood glucose level to normal (between 70 and 110 mg/dL); promoting steady sustained weight loss (5 pounds per week); encouraging increased exercise and activity. The nurse also asks the patient to participate in group sessions at the Pima Community Center focused on healthy food preparation and eating a balanced meal.

  1. If you were a nurse who just began doing home health care on the Pima Reservation, how would you learn about the specific cultural beliefs and practices related to nutrition and diet for this patient as a member of the Pima Indian Nation, versus stereotypes about the diet of Native Americans in general?
  2. Given that the patient’s family doesn’t own a vehicle, how will you encourage her to shop for healthy foods, prepare them, and actively participate in weight loss and exercise programs held free of charge at the Pima Community Center?
  3. How would you assess the patient’s eating habits, for example, type of food, method of preparation, amount eaten, etc.?
  4. Each of the patient’s children, grandchildren, and great-grandchildren is obese. How would you involve the patient’s family in the plan of care and motive them to lose weight as well?

APA format word document, Arial 12 font, A minimum of 700 words is required(excluding the first and reference page).

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a process of analysis 

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TASK INSTRUCTIONS:

You will need to describe the issues in your case study, and then undertake a process of analysis in order to generate a comprehensive nursing plan of care. Practising this process of analysis will help you to feel more confident in providing nursing care to an older person in the clinical setting.

Your case study must:

  1. Reflect      upon the impact that various stereotypes of older people may      have on the older person and their nursing care;
  2. Recommend the nursing requirements      for older people diagnosed with, or at risk of, complex health conditions      and/or cognitive decline; and
  3. Evaluate      the outcomes for nursing care of older people.

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Management Orientation Program Proposal

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Management Orientation Program Proposal

You have the opportunity to create a proposal to present to the leadership team for the orientation of new nurse managers. This project will include the creation of an orientation using leadership and management topics that will be selected to support the nurse manager as he or she transitions into the new role.  This project will compile specific topics, resources and facilitators to support a new nurse manager as they get acclimated to the organization or unit. APA citations expected.

Your proposal should include:

  • Introductory and concluding remarks
  • Identify 8 specific topics to support the new nurse manager
  • Learning objectives for the lesson(s)
  • Rationale for including each topic with a synthesis of professional literature
  • Recommendation of internal and or external materials for each topic
  • Recommendation of a facilitator for each topic

  • Management Orientation Program Proposal

  • Two or more scholarly resources to support the rationales

Support your discussion and opinions with facts, relevant examples from personal nursing practice.

All submissions must have a minimum of two scholarly references to support your work.

Examples of work to show mastery:

  • 10-12 slide PowerPoint presentation – APA format

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interprofessional stakeholders

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Prepare for interprofessional stakeholders a 10–12-slide presentation (not including title and reference pages) explaining how nurse leaders can use information technology to improve nursing practices that support and sustain positive patient outcomes. You do not need to actually present your assessment but be sure to include speaker’s notes for each slide.

The dissemination of evidence-based practice outcomes helps nurses build stakeholder engagement and support for the use of information system and technology for health care delivery.

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

· Competency 1: Describe the importance of effective scholarship and evidence-based information to advance the profession of nursing.

o Describe the basic differences between research (qualitative and quantitative) and evidence-based practice (EBP).

o Describe how nurse leaders use evidence-based practice to support and sustain patient-care outcomes.

o Describe how theory development and research exploration supports nursing practice changes that increase positive patient outcome.

· Competency 3: Explain the use of information management tools and technologies to monitor and improve health care delivery and patient outcomes.

o Identify a nursing practice that has recently changed in a specific health care setting.

o Describe how nurse leaders use communication to build interprofessional stakeholder engagements.

· Competency 4: Communicate in a manner that is consistent with expectations of a nursing professional.

o Write coherently to support a central idea in appropriate format with correct grammar, usage, and mechanics.

For this assessment, imagine a group of interprofessional stakeholders involved with patient care in your health care setting would like to increase positive patient outcomes. Nurse leaders have recommended changes in the practice that incorporate informatics and the application of new knowledge into your nursing practices.

You are asked to present a brief overview using PowerPoint (or some other presentation software) to a small group of student nurses. After the session has concluded, the training department would like to use your presentation as a training resource.

Preparation

Select a nursing practice in your own health care setting that has changed for the better since you first began nursing.

Directions

Use the tools in your presentation software to develop a creative and engaging presentation. Use the notes portion of PowerPoint to capture your narrative script for each slide. Include the following in your presentation:

· Describe briefly an example of a nursing practice that has changed in the last two years.

· Explain how theory development, research exploration, and information technology supports the changes you have described.

· Describe the basic differences between research (qualitative and quantitative) and evidence-based practice (EBP).

· Explain how nurse leaders use communication practices and technology to build interprofessional stakeholder engagements in support of the change you have identified.

· Describe how nurse leaders use evidence-based practice to support and sustain patient-care outcomes.

Additional Requirements

· Length: Submit a presentation of 10–12 slides (not including title and reference slides). Include both a title slide and a reference slide with 4–6 references to support your presentation information and ideas.

· Formatting Guidelines: Create streamlined slides with minimal information.

o Be precise.

o Keep bulleted content on one line.

o Use images instead of words when appropriate.

· Narrative Script: Use the notes portion to create a detailed narrative for each slide.

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 cause of the patient’s urticaria. 

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A 12-year-old boy is brought to the office for evaluation of hives. He has no significant past medical history and no history of allergies. He has just joined the middle school soccer team and noticed that he gets hives about 10 minutes into practice. The hives are itchy and consist of irregular blotches on his legs and trunk, about 10–20 cm in size, and they persist for about 30 minutes. He does not experience swelling of the lips or oropharynx and denies any wheezing or shortness of breath. His physical examination is normal without skin lesions or oral swelling at that moment, and his lungs are clear. After evaluation, he is diagnosed with urticaria.

  1. Discuss   A 12-year-old boy is brought to the office for evaluation of hives. He has no significant past medical history and no history of allergies. He has just joined the middle school soccer team and noticed that he gets hives about 10 minutes into practice. The hives are itchy and consist of irregular blotches on his legs and trunk, about 10–20 cm in size, and they persist for about 30 minutes. He does not experience swelling of the lips or oropharynx and denies any wheezing or shortness of breath. His physical examination is normal without skin lesions or oral swelling at that moment, and his lungs are clear. After evaluation, he is diagnosed with urticaria.
  2. Discuss the likely cause of the patient’s urticaria.
  3. Describe the cellular mechanism of urticaria and how it leads to the signs and symptoms experienced by the patient. 
  4. Describe the relationship between the patient’s symptoms and the concept of inflammation. 
  5. What pharmacological and non-pharmacologic treatment options are available?  
  6. Discuss the complications of urticaria. 
  7. What teaching would be appropriate to provide the parent and child about urticaria? 
  8. Support your response with at least one current evidence based resource the likely cause of the patient’s urticaria.
  9. Describe the cellular mechanism of urticaria and how it leads to the signs and symptoms experienced by the patient.  
  10. Describe the relationship between the patient’s symptoms and the concept of inflammation. 
  11. What pharmacological and  non-pharmacologic treatment options are available?  
  12. Discuss the complications of  urticaria.  
  13. What teaching would be appropriate to  provide the parent and child about urticaria? 
  14. Support  your response with at least one current evidence  based resource  and non-pharmacologic

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annual report

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The next step will require you to navigate to the website of Johnson & Johnson and locate the most recent annual reports. You will use the annual reports to create financial statements. These statements will become the reference statements for your case. Annual reports for JNJ can be found on the company’s website and are usually located in a section titled Investors/SEC filings.

  • Use the annual report to find the total current assets and total current liabilities.
  • Compute the current ratio for JNJ for previous two fiscal years
  • Review reports on data for the last two years.
    • Net Cash Flows from Operating Activities
    • Net Cash used by Investing Activities
    • Net Cash used by Financing Activities
    • Cash and Cash Equivalents at the end of the Years
  • Create a Balance Sheet or Statement of Cash Flows for most recent two years
  • Identify trends with an indication of if the financial statements show a positive or negative for the organization and investors.
    • Use Microsoft Excel to create at least three (3) graphical displays to show the trends (i.e., bar graph, pivot table, histogram, etc). You should include a copy of your graphs in the body of your report.
  • Discusses which year Johnson & Johnson appear to be in a stronger financial position and big differences between the 2 years (Keep in mind that dollar amounts in ( ) are negative or cash outflows).
  • Imagine that this information represents information for your project case. Incorporate or reference financial information in your case to support the report.

Summarize your responses in a report using titles from the assignment requirements (i.e., assets and liabilities, cash flows/balance sheet, trends, financial position). This document will serve as your Financial Statements section of your project.

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End of Life Decisions

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The practice of health care providers at all levels brings you into contact with people from a variety of faiths. This calls for knowledge and understanding of a diversity of faith expressions; for the purpose of this course, the focus will be on the Christian worldview.

Based on “Case Study: End of Life Decisions,” the Christian worldview, and the worldview questions presented in the required topic study materials you will complete an ethical analysis of George’s situation and his decision from the perspective of the Christian worldview.

Provide a 1,500-2,000-word ethical analysis while answering the following questions:

  1. How would George interpret his suffering in light of the Christian narrative, with an emphasis on the fallenness of the world?
  2. How would George interpret his suffering in light of the Christian narrative, with an emphasis on the hope of resurrection?
  3. As George contemplates life with amyotrophic lateral sclerosis (ALS), how would the Christian worldview inform his view about the value of his life as a person?
  4. What sorts of values and considerations would the Christian worldview focus on in deliberating about whether or not George should opt for euthanasia?
  5. Given the above, what options would be morally justified in the Christian worldview for George and why?
  6. Based on your worldview, what decision would you make if you were in George’s situation?

Remember to support your responses with the topic study materials.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is 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 LopesWrite.

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Florence Nightingale’s contributions

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Discuss the historical application of statistics in the field of health care. Describe an example, other than Florence Nightingale’s contributions, where statistical application has greatly influenced or changed health care operations or practice.

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appropriate nursing interventions

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In this discussion, you’ll describe a patient with a mood disorder and the appropriate nursing interventions. Please answer the following questions in your initial posting:

Describe a client from your clinical setting or previous experience who experienced depression or mania. Include a brief history and 3-5 most pertinent medications.

  • Identify one problem that was not resolved with the treatment regimen. What are the reasons it may not have been successful? Include nursing as well as other team members.
  • Identify one effective nursing intervention and why you feel it worked.
  • Overall, do you feel this client was kept safe? Why or why not?
  • Please provide supporting evidence for your answers.

Respond to at least to two other classmates and explain if you agree or disagree with how they would handle a client who was having those symptoms. If you do not agree, please provide how they could have approached the client differently.

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Outbreak Investigation

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Outbreak Investigation
As an epidemiologist investigating a Middle Eastern Respiratory Syndrome (MERS) outbreak, you have been tasked with developing an eight to ten item questionnaire to investigate the situation. You will also write a brief report that explains the questionnaire.

Your report should address the following:

An explanation of your questionnaire
Why you selected the questions you used on your questionnaire – in other words, why the questions are important to your investigation, and what information you hope to uncover
The target audience of the questionnaire (i.e., the respondents), and why you chose them
The location of the target audience
How you will distribute the questionnaire.
Be sure to include general and specific information you would need to know from those you are interviewing.
Your questionnaire and paper should meet the following structural requirements:

The questionnaire should consist of eight to ten questions.
The paper should be at least two pages in length, not including the cover sheet, reference page, and questionnaire pages.
Formatted according to writing standards.
Provide support for your statements with in-text citations from a minimum of four scholarly articles. Two of these sources may be from the class readings, textbook, or lectures, but two must be external.
No plagiarism.

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