All posts by : chebby

 

his discussion is an opportunity to compare two different informative speeches.  Each has its pros and cons.  

In your initial post please explain – 

• What was the purpose of the speech (goal)?
• What type of organizational pattern did they each use? ( for Informative Speech Organizational Patterns).
  • Was it effective?
  • Why/why not? (If not, how could it be improved?)
• Which one did you like more?  Why?

Be sure to check out the rubric first so you fully understand the requirements necessary to earn a full-credit post. 

 

How does a nurse leader influence others to advance practice environments that embrace a culture shift away from hierarchal systems to shared governance centers? In this discussion we will explore your ideas for re-creating practice environments within health care organizations that illustrate innovation, authenticity, creativity, and empowerment.

• Present to your peers the kind of culture you would create and support as an innovator and authentic nurse leader within the organization’s healthcare delivery system that promotes healthy environments for its employees.
• Provide two exemplars and show how each incorporates one of the following within your discussion: innovations in today’s environment; empowerment within staff and inter-professional teams; inspirations to advance organizational vision and shared successes.
• Apply your text readings and one published article related to organizational culture, authenticity, and/or innovations in healthcare to support your responses to the discussion question noted above. Also, advance the discussions with reflective and thoughtful comments/feedback that addresses personal experiences, new understanding of innovations, and challenging traditions of work environments.

 

 

In nursing practice, accurate identification and application of research is essential to achieving successful outcomes. The ability to articulate research data and summarize relevant content supports the student’s ability to further develop and synthesize the assignments that constitute the components of the capstone project.

The assignment will be used to develop a written implementation plan.

For this assignment, provide a synopsis of the review of the research literature. Using the “Literature Evaluation Table,” determine the level and strength of the evidence for each of the eight research articles you have selected. The articles should be current (within the last 5 years) and closely relate to the PICOT question developed earlier in this course. The articles may include quantitative research, descriptive analyses, longitudinal studies, or meta-analysis articles. A systematic review may be used to provide background information for the purpose or problem identified in the proposed capstone project.

While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation 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 LopesWrite.

Attachments 

Instructions:

1. Write a 3 page paper on environmental health, the environmental factors that impact health, and your role with improving/ eliminating environmental barriers to health. 

Use the following organization:

1. Title page: Environmental Health and Health Effects on Environmental Change
2. Introduction: One paragraph (minimum of 4 to 5 sentences).
3. Synopsis: (include all pertinent information obtained in this lesson (Lesson 2).
4. Sub-Titles:
   • Environmental Factors that Impact Health
   • My role in Improving/ Eliminating Environmental Barriers to Health (give specific examples of how you can make a difference).
5. Summary and Conclusion: (minimum of one paragraph of 4 to 5 sentences). 
6. References: Must use a minimum of 3 reference besides the textbook that is 5 years or newer (2013-2018). 

Your paper should:

• be typed in a WORD document.
• be 3 or more pages (excluding the title page and reference page).  In other words, the body of your paper should be 2 to 3 pages long.
• include a Title page and a Reference page.
• Must use a minimum of 3 reference besides the textbook that is 5 years or newer (2013-2018). 
  • Use APA style: Running head, title page, citations, reference page 
  • Follow APA format according to the APA Style Guide
  • See NUR4667 – Library APA Citation Style web page for additional information.
• use factual information from the textbook and/or appropriate articles and websites.
• be original work, and will be checked for plagiarism.

i need a profile essay done

 Respond to your  colleagues .  Provide at least two additional treatment strategies that could be used  with this client and at least one additional cultural influence that you  think should be considered. Explain your responses. 

NOTE; (positive comment)

                                                     Main post

 

Gender Dysphoria

According  to the National Health Service, gender dysphoria describes anxiety,  unease, or dissatisfaction a person has between their assigned gender  and their gender identity. People who experience gender dysphoria may  suffer from low self-esteem, depression, anxiety, or feelings of  isolation. This can sometimes manifest in risk-taking behavior or  self-neglect. It is important to note that gender dysphoria in and of  itself is not a mental disorder, but may lead to more severe disorders  if left untreated. 

The  most effective means of treating gender dysphoria is seeing a clinician  who has specialized in gender studies and identity. These clinicians  can help a patient determine if they are experiencing gender dysphoria,  and what treatment options may be available to them. While some who  suffer from gender dysphoria may wish to change their appearance through  medical treatment, this is not universal, and speaking with a  specialized clinician may help a patient decide what course of action is  best for them. 

Treatment  options available for children and adolescents with gender dysphoria  may be more limited compared to adults. Many clinicians are hesitant to  prescribe medical treatment to younger patients with gender dysphoria  because the effects hormone therapy may have on a young person are still  not completely understood. Treatment for younger patients may include  talk therapy, or addressing the issues that may arise from gender  dysphoria, such as self-harm or depression. 

Diverse gender identities have been known in some cultures for some time, and some 

cultures  may be more accepting of those whose gender identity falls outside the  gender binary. Cultures who do not yet recognize other gender identities  may reject a person who has gender dysphoria, and this can have a  negative effect on the person.  

References

Overview -Gender dysphoria. (2020, May 28). Retrieved from 

https://www.nhs.uk/conditions/gender-dysphoria/

Parekh, R. (2016). What Is Gender Dysphoria? Retrieved from 

https://www.psychiatry.org/patients-families/gender-dysphoria/what-is-gender-dysphoria

 

Module 09 Written Assignment – Endocrine Disorders Guide

Competency

Evaluate responses to nursing interventions for clients with endocrine disorders.

Scenario

You are working as a nurse supervisor. You are finding a lot of new nurses are unfamiliar with certain endocrine disorders. You have decided to put together a guide for these nurses to educate them on different endocrine diseases and provide them with ways to provide quality multidimensional care.

Instructions

Compare and contrast two endocrine disorders within the guide. Include the following information:

• Identify and compare the causes and diagnostic tests.
• Identify and compare the signs and symptoms of the disorder.
• Describe the nurses’ role in caring for a patient that suffers from this disorder to include the multidimensional aspects of nursing care.
• Identify how you will evaluate responses to the interventions taken for each disorder.

No single word responses (at least 100+ words in each response)

Give the questions some thought and answer honestly

Give examples if you have them

Cite resources

Number your answers to correspond with the question

Worth 12 points / 5%

Scenario:

Mrs. Thomas is a 54, year old African American widow, mother and grandmother, who lives with her daughter and four grandchildren (ages 12, 10, 7 and 5) in a 4 story walk up apartment. She is an active member of her church community and friends, comments that she had so much energy that she exhausted all of them just being around her. At age 51, she was diagnosed with non-Hodgkin’s lymphoma. Busy with raising her grandchildren, a little more than 3 years went by before she sought attention for her symptoms and was diagnosed. Despite aggressive treatments with chemotherapy and radiation, her diseased progressed and she was considering undergoing a bone marrow transplant. Climbing the stairs to the apartment one afternoon she became very short of breath and collapsed. Her twelve, year old granddaughter called 911. At the hospital she was minimally responsive and in severe respiratory distress. She was intubated and transferred to the ICU. A family meeting with the oncology and ICU team was called to discuss Mrs. Thomas’s advanced condition, the fact that she would probably not survive further treatment of the lymphoma and to decide on goals of care. Fifteen family members arrived, including her daughter, pre-teen granddaughters and grandson, three nieces, four nephews, several friends from her church and the minister. On being asked that only the immediate family participate in the meeting, the family and friends became angry and insisted that all of them be involved in this discussion.

Discussion questions:

What is your impression regarding this scenario? What are some concerns you have with this case and what do you anticipate would happen? Support your answer.

Have you thought about what kind of care you would want if you could no longer speak for yourself at the End of Life? Give examples.

How would you handle all the family members and friends wanting to be included in the discussion?

SCENARIO2

• No single word responses (at least 100+ words in each response)
• Give the questions some thought and answer honestly.
• Give examples if you have them
• Cite resources
• Number your answers to correspond with the question
• Worth 12 points / 5%
• Questions:

1. Describe your response to the pain you have experienced. Explain and describe the pain you were experiencing. What were the effective methods used to deal with the pain? Describe pharmacological and non-pharmacological therapies used to relieve pain.
2. Did those around you understand the pain you were experiencing? Why or why not? How did their understanding or lack of understanding make you feel? 
3. How could this experience with pain impact your response to a patient with pain?

Considering the video and the earlier article you read on Bauerline, address following questions:

1. Do you find that this is the ‘Dumbest’ generation? Why or why not?
2. Do you believe generational attributes affect communication? Explain.
3. How do you see the advances and concentration on technology impacting you, as a professional nurse? Are there communication challenges you foresee when caring for patients and families?
4. How can nurses be efficient and compassionate communicators?

REPLY1

NIH means, National Institute of Health while CAM means, Complimentary and Alternative Medicine Complementary and alternative medicine (CAM) are health care approaches that are used outside the typical western practice. These two approaches are different, complementary is referred to when conventional medicine and another approach is used together, while alternative does not use conventional medicine. (NIH, 2017)Complementary practice includes the use of natural products and mind/body practices. Natural products that are used include herbs, probiotics, vitamins, and minerals. Mind and body practices include yoga, meditation, acupuncture, relaxation techniques chi, hypnotherapy, chiropractic, and osteopathic manipulation therapy. (NIH, 2017). The typical person who uses CAM balances their health through equalization of mind, body, and spirit. (Falvo, 2011). The users of CAM aim in preventing or treating illness and promoting health. Health care professionals who hold degrees in D.O. (doctor of osteopathy) or M.D. (medical doctors) with alliance with other professionals such as psychologists, registered nurses and physical therapists practices conventional medicine. CAM describes a wide range of ambiguous modalities such as herb, meditation which users can administer alone, such as massage, homeopathy and acupuncture that requires involving a practitioner.

CAM is used by people of all backgrounds according to NIH website. However, among adults’ women with higher incomes and level of education tend to use CAM more than men. High usage rates in female is due to nature of being more health conscious and are more likely to take part in preventive health care. Furthermore, in most families, women act as head of healthcare thus leading high usage rates of CAM among families. Majority of CAM users tend to be 35 years and above though its popular among all age groups. In most research studies, a positive association is observed between the CAM use, education and income as well. Einsberg study reported the CAM usage rate as 14% for those lacking high school educations, 37% for the high school graduates and 49% for college, degree and higher levels (Mackenzie et al., 2003).

References:

Falvo, D. R. (2011). Effective patient education: A guide to increased adherence (4th ed.). Sudbury (Massachusetts): Jones and Bartlett.

NIH. (2017). The Use of Complementary and Alternative Medicine in the United States. Retrieved from https://nccih.nih.gov/research/statistics/2007/camsurvey_fs1.htm

Mackenzie, E. R., Taylor, L., Bloom, B. S., Hufford, D. J., & Johnson, J. C. (2003). Ethnic minority use of complementary and alternative medicine (CAM): a national probability survey of CAM utilizers. Alternative therapies in health and medicine, 9(4), 50-57.

Wai Fan, K. (2005). National center for complementary and alternative medicine website. Journal of the Medical Library Association, 93(3), 410.

REPLY2

Complementary and alternative medicine (CAM) are health care approaches that are used outside the typical western practice. These two approaches are different, complementary is referred to when conventional medicine and another approach is used together, while alternative does not use conventional medicine. (NIH, 2017)Complementary practice includes the use of natural products and mind/body practices. Natural products that are used include herbs, probiotics, vitamins, and minerals. Mind and body practices include yoga, meditation, acupuncture, relaxation techniques chi, hypnotherapy, chiropractic, and osteopathic manipulation therapy. (NIH, 2017) The typical person who uses CAM balances their health through equalization of mind, body, and spirit. (Falvo, 2011)

According to, American nurse today, a study was conducted that found aromatherapy helpful in reducing nurse stress in the workplace. (Reynolds, 2018) Aromatherapy uses extracted aromatic essences from plants to balance, complement, and promote the health of body and mind. Nurses participated in a stress test in which stress levels were measured before, during and after diffusing essential oils. Stress was measured using a perceived stress scale(PSS), in which was tested 2 weeks before the intervention, and then over the next 4 weeks during (nebulized diffusers placed at the nurse’s station), and then after 4 weeks after the diffusers were removed. A reduction of stress levels was revealed compared to baseline to during and after aromatherapy. (Reynolds, 2018)

Falvo, D. R. (2011). Effective patient education: A guide to increased adherence (4th ed.). Sudbury (Massachusetts): Jones and Bartlett.

NIH. (2017). The Use of Complementary and Alternative Medicine in the United States. Retrieved from https://nccih.nih.gov/research/statistics/2007/camsurvey_fs1.htm

Reynolds, J. (2018). Using aromatherapy in the clinical setting: Making sense of scents. American Nurse Today, 13(6). Retrieved from https://www.americannursetoday.com/aromatherapy-clinical-setting/.