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Discussion – Week 9 

REPLY:to another student-one page/three references

COLLAPSE

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     MAIN POSTING 6050

     Evaluation is an invaluable component of all policy programs.  It provides data, commentary, and critical evidence for ongoing improvement, enhancement, and effectiveness of programs. It helps policymakers, administrators, clinicians, financial stakeholders, and the public understand what works and what needs to change to improve the health and well-being of individuals and communities (Milstead & Short, 2019).

     There are some opportunities that exists for RN and APRNs to actively participate in policy review.  One of such opportunity is by joining a professional organization, these organizations often have lobbyists that bring nursing issues to Capitol Hill.  An example of such an organization is the American Nurses Association (ANA) which helps the RNs and the APRNs to understand how they can engage in policy review.  Nurses can participate in policy review on local, state, and federal levels (American Nurses Association, 2020).

     Another opportunity for RNs and APRNs to participate in policy review is through the workplace. The nurses are professionals who have the responsibility and capacity to influence the existing healthcare delivery programs.  A major role of the RNs and APRNs is to promote quality health and this can be achieved by participating in policy review.  Nonetheless, these opportunities have their challenges.  Some nurses do not want to belong to professional organizations due to financial obligations and time constraints.  In the workplace, nurses are not even aware of the policies that need to be reviewed.

     Strategies to better advocate for or communicate the existence of these opportunities to participate in policy review is to create awareness of the benefits of professional organizations to nurses. Nursing schools need to include healthcare policy education as part of their curriculum as well as encourage some form of political involvement.  Employers need to provide nurses with the time and resources to help them participate in policy review.  According to Laureate Education (2018), policy evaluation helps us to know if we are achieving our goals, if we are off the mark, and how we can improve.

1) Complications of Cancer

Class the paper due this week focuses on cancer and asks you to discuss complications of cancer and the side effects of treatment. It is important that you differentiate between the two. Complications are caused by the cancer and not related to medication or treatment. Side effects are a result of treatment. To earn credit for one substantial reply, provide an example of a general complication caused by cancer and discuss the pathophysiology why it occurs. I do not want an essay on cancer. To earn credit provide only the information requested and share your source. Hint our pathophysiology text should be used to answer this question and complete your paper not the American Cancer Society. We introduce the ACS site as a source you would share with your patients.

One   common complication of Cancer

Related   pathophysiology (why It occurs)

Current   scholarly source designed for health care professionals

Reference

2) Our readings discuss that cancer has modifiable (behavior, social, environment) and unmodifiable risk factors (genetic, age, gender). In your paper you will need to include both modifiable and non modifiable factors.

Research a type of cancer and share two causes of the cancer,state if they are modifiable or non modifiable  Please do not post “smoking causes lung cancer”, do research and learn something beyond what the consumer knows. If you want to cover lung cancer research which types of lung cancer are related to smoking. This will be a great thread to get ideas for the paper.

Type   of Cancer

Cause   of the type of cancer

cause   of the cancer

Reference

Optional CAT #3 interventions for side effects caused by Cancer treatment

Class there are several types of treatments from cancer including surgery, radiation, various chemotherapies, immune therapy. Each has side effects, some for which the patient can apply interventions and some which require nursing or medical interventions. Choose a treatment for cancer, list one major complication and provide two nursing or medical interventions to prevent, lesson  or treat the side effect. Use the table below to earn credit.

Your source should be a pathophysiology text, med surg text or other source designed for health care professionals.

Cancer Treatment

Side Effect of Treatment

Nursing/ medical intervention to prevent or treat it.

1

2

 Reference

see attahed

The patient’s mother expressed her cultural and spiritual practices in her daughter’s room singing as she entered the room, sprinkled tobacco around the patient’s bed, and decorating a hospital room with eagle feathers and crystals. The mother also performed a cultural ritual by moving her hands back and forth above her daughter. Another issue is the patient’s nurse behaving terse, dismissive, and disrespectful of the mother’s actions.

A culturally competent action in this case would have notify the patient’s mother of hospital’s visiting hours ending, letting her know the earliest she can arrive the next day when visiting hours open, and if any of the items the mother laid in her daughter’s room are valuable. The patient’s nurse should also communicate to the mother a chance to collect the items she’s distributed in the hospital room because the tobacco, feathers, and crystals create obstacles for the health care providers to treat her daughter.

The patient’s mother practiced a combination of holistic, aromatherapy, and energy therapies. The eagle feather and crystal employed holistic and natural therapy by unblocking, focusing, and directing energy. Forming a circle of tobacco around the patient supposedly creates an energy allowing the healer to connect with the patient. Singing and hand movements to and fro the girl’s body is another form of energy therapy.

As a future nurse, communicating to the patient’s mother for any spiritual preferences the nurse could accommodate for the patient. I would provide what I can to accommodate both the mother and her daughter, within the healthcare facility’s abilities. I’d offer the mother if there were any religious group or leader that would be helpful to the patient. I would lean on building a safe, respectful relationship aiming to accomplish high expectations and respect for equality and diversity as my guiding principles in this situation.

Brandenberger, Julia, et al. “A Systematic Literature Review of Reported Challenges in Health Care Delivery to Migrants and Refugees in High-Income Countries – the 3C Model.” BMC Public Health, vol. 19, no. 1, 14 June 2019, bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-019-7049-x, 10.1186/s12889-019-7049-x. Accessed 11 Nov. 2020.

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 Find a scholarly, peer-reviewed article no more than four years old that discusses an ethical health promotion-related issue. Use the WCU library databases to search for appropriate articles.

In your paper:

• Briefly summarize the presented issue.
• Describe your thoughts on the role health care professionals should play in resolving the ethical issue.
• Provide specific theories and refer to specific ethical codes to support your position.

Your paper should be 2–3 pages long. Use APA to cite and reference the article and any other optional sources you use. Adhere to APA formatting throughout your paper.

Due: Sunday, 11:59 p.m.  (Pacific time)

Points: 100

 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 

Describe an interview, or interview question, that you found to be difficult. How did you handle it at the time and, in retrospect, what might you have done differently? PLEASE INCLUDE IN-TEXT CITATION AND REFERENCE. THIS IS NOT AN ESSAY, JUST NEED AN ANSWER

Attention Wizard Kim: Capstone Practicum

  Week 10 Discussion: Professional Development Certification 2 pages 

Week 9 Assignment : Professional Portfolio 3 Pages ( APA format 7th ed) 

State is California

Summarize the law in your state regarding the medical emancipation of a minor in 2 paragraphs 600 or more words.