Choose 1 of the following questions to answer by day 3 (Wednesday) and include 2 references (in APA format). Your post should be at least 250 words. Please remember to answer to 2 of your classmates’ discussions (on 2 separate days) by Saturday. The reply to your classmates should be at least 100 words each. The references are not included in the word count!
DQ 1
Differentiate among sterilization, disinfection, and sanitization
As you think about EBP, why is it important to integrate patient values and preferences into evidence-based practice?
I need a answer for this question with 2 paragraphs and use at least 2 sources no later than 5 years.
Thans
I need a paper done.
Why is there increasing emphasis on nutrition and exercise for middle aged and aging families? Why is it more significant than 30 years ago?
Your initial posting should be at least 400 words in length and utilize at least one scholarly source other than the textbook.
Required Resources
Read/review the following resources for this activity:
Instructions
For the final outline, continue conducting research for your presentation, locating specific scholarly sources to include on your references page.
Include and submit the following components:
Presentation Note: Do not copy and paste your table of contents, final outline, or visuals description plan into your PowerPoint slides. Your speech slides must be created as a meaningful presentation.
Any questions about this assignment may be discussed in the Course Q & A Forum.
Optional: Team Editing
This is not required or graded. Complete the following steps for team support on your outline. This is not a group project:
Writing Requirements (APA format)
Grading
This activity will be graded based on W5 Presentation Outline Grading Rubric.
Course Outcomes (CO): 3
Due Date: By 11:59 p.m. MT on Sunday
Mrs. Smith was a 73-year-old widow who lived alone with no significant social support. She had been suffering from emphysema for several years and had had frequent hospitalizations for respiratory problems. On the last hospital admission, her pneumonia quickly progressed to organ failure. Death appeared to be imminent, and she went in and out of consciousness, alone in her hospital room. The medical-surgical nursing staff and the nurse manager focused on making Mrs. Smith’s end-of-life period as comfortable as possible. Upon consultation with the vice president for nursing, the nurse manager and the unit staff nurses decided against moving Mrs. Smith to the palliative care unit, although considered more economical, because of the need to protect and nurture her because she was already experiencing signs and symptoms of the dying process. Nurses were prompted by an article they read on human caring as the “language of nursing practice” (Turkel, Ray, & Kornblatt, 2012) in their weekly caring practice meetings.
The nurse manager reorganized patient assignments. She felt that the newly assigned clinical nurse leader who was working between both the medical and surgical units could provide direct nurse caring and coordination at the point of care (Sherman, 2012). Over the next few hours, the clinical nurse leader and a staff member who had volunteered her assistance provided personal care for Mrs. Smith. The clinical nurse leader asked the nurse manager whether there was a possibility that Mrs. Smith had any close friends who could “be there” for her in her final moments. One friend was discovered and came to say goodbye to Mrs. Smith. With help from her team, the clinical nurse leader turned, bathed, and suctioned Mrs. Smith. She spoke quietly, prayed, and sang hymns softly in Mrs. Smith’s room, creating a peaceful environment that expressed compassion and a deep sense of caring for her. The nurse manager and nursing unit staff were calmed and their “hearts awakened” by the personal caring that the clinical nurse leader and the volunteer nurse provided. Mrs. Smith died with caring persons at her bedside, and all members of the unit staff felt comforted that she had not died alone.
Davidson, Ray, and Turkel (2011) note that caring is complex, and caring science includes the art of practice, “an aesthetic which illuminates the beauty of the dynamic nurse-patient relationship, that makes possible authentic spiritual-ethical choices for transformation—healing, health, well-being, and a peaceful death” (p. xxiv). As the clinical nurse leader and the nursing staff in this situation engaged in caring practice that focused on the well-being of the patient, they simultaneously created a caring-healing environment that contributed to the well-being of the whole—the emotional atmosphere of the unit, the ability of the clinical nurse leader and staff nurses to practice caringly and competently, and the quality of care the staff were able to provide to other patients. The bureaucratic nature of the hospital included leadership and management systems that conferred power, authority, and control to the nurse manager, the clinical nurse leader, and the nursing staff in partnership with the vice president for nursing. The actions of the nursing administration, clinical nurse leader, and staff reflected values and beliefs, attitudes, and behaviors about the nursing care they would provide, how they would use technology, and how they would deal with human relationships. The ethical and spiritual choice making of the whole staff and the way they communicated their values both reflected and created a caring community in the workplace culture of the hospital unit.
Critical thinking activities
Based on this case study, consider the following questions.
1. What caring behaviors prompted the nurse manager to assign the clinical nurse leader to engage in direct caring for Mrs. Smith? Describe the clinical nurse leader role established by the American Association of Colleges of Nursing in 2004.
2. What issues (ethical, spiritual, legal, social-cultural, economic, and physical) from the structure of the theory of bureaucratic caring influenced this situation? Discuss end-of-life issues in relation to the theory.
3. How did the nurse manager balance these issues? What considerations went into her decision making? Discuss the role and the value of the clinical nurse leader on nursing units. What is the difference between the nurse manager and the clinical nurse leader in terms of caring practice in complex hospital care settings? How does a clinical nurse leader fit into the theory of bureaucratic caring for implementation of a caring practice?
4. What interrelationships are evident between persons in this environment—that is, how were the vice president for nursing, nurse manager, clinical nurse leader, staff, and patient connected in this situation? Compare and contrast the traditional nursing process with Turkel, Ray, and Kornblatt’s (2012) language of caring practice within the theory of bureaucratic caring
Document your clinical practice hours using the Lopes Activity Tracker (LAT) in your student portal. Once you have opened the app, click on the link for your class to record your hours. Clinical practice hours should be documented and submitted within 48 hours of the clinical experience. After the hours have been submitted, the preceptor will verify the hours, which are then reviewed by the faculty.
Download the electronic summary of your practicum experience from the Lopes Activity Tracker. Save the file and submit it through the assignment dropbox for faculty approval.
This report is to be submitted in every topic.
Write a 5 page research paper about the benefits of a healthy diet. Include:
– Introduction.
– Benefits.
– Recommendations.
– Conclusion.
– References (at least 5 within the last 5 years)
561 class 4 replies
495 class 2 replies
340 class 2 replies
Mr. Russell is a 73-year-old Caucasian male who presents to your clinic with complaints palpitations and intermittent light-headedness for approximately 1 month. He is currently being treated for hypertension and is taking HCTZ 25mg daily. He also is complaining of heartburn and belching after eating a large meal.
Vital Signs: B/P 159/95 (right arm), B/P 162/96 (left arm), HR 88, Resp. 22, Weight 99 kilograms (previous weight at last appointment 2 months ago was 95kg
Physical Exam:
Constitutional: Alert & oriented, well-developed.
Neck: No carotid bruit or JVD.
Heart: Regular rate without murmur or gallop.
Lungs: Slight crackles in RLL but otherwise clear to auscultation.
Abdomen: Soft, non-tender with + BS.
Legs: Left leg with moderate 3+ edema on RLE and leg 2+ edema on LLE.
Labs: NA 143mEq/L, CL 99 mmol/L BUN 18mg/dL, Hbg 15, TC 234 mg/dL, LDL 137 mg/dL, HDL 35 mg/dL, triglycerides 241mg/dL,
