All posts by : chebby

Due Date

• Answer post due by Wednesday 11:59 PM MT in Week 7
• Two replies to classmates and/or instructor due by Sunday 11:59 PM MT at the end of Week 7

Directions

• Discussions are designed to promote dialogue between faculty and students, and students and their peers. In discussions students:
  • Demonstrate understanding of concepts for the week
  • Integrate scholarly resources
  • Engage in meaningful dialogue with classmates
  • Express opinions clearly and logically, in a professional manner
• Use the rubric on this page as you compose your answers.

Discussion Question

This week, we will discuss personal communication devices and their use in healthcare. As we focus on this topic, please address the questions below in the discussion.

• How can the use of the nurse’s personal communication device(s) impact patient care positively and/or negatively?
• What are the ethical and legal implications of the use of personal devices?
• What does the professional literature say about how communication devices can support safe nursing practice?

 In a 500-750-word paper, examine the needs of a school-aged child between the ages of 5 and 12 years old and discuss the following:

Compare the physical assessments among school-aged children. Describe how you would modify assessment techniques to match the age and developmental stage of the child.

Choose a child between the ages of 5 and 12 years old. Identify the age of the child and describe the typical developmental stages of children that age.

Applying developmental theory based on Erickson, Piaget, or Kohlberg, explain how you would developmentally assess the child. Include how you would offer explanations during the assessment, strategies you would use to gain cooperation, and potential findings from the assessment.

Resource: Ch. 18 to 19 of The Spirit Catches You and You Fall Down.

Write a 175- to 265-word response to the following:

• Was Lia’s life ruined by cross-cultural misunderstandings? Explain your thoughts.

Prochaska and Diclemente’s model of change behavior is one of the examples of organizational theories. The selected change model I chose is Prochaska and Diclemente’s change theory specifically designed for smoking patients focused on smoking cessation for the first time. This theory has 5 stages which are pre-contemplation, contemplation, preparation, action, and maintenance. Pre-contemplation is where the individuals are not yet ready to accept the change and have very little knowledge of the change and outcome. The contemplation stage is where the individual becomes conscious of the problem yet not ready for the change. In preparation, the individual is focused and take necessary action to address the behavior. Action is the stage where the individual puts all efforts to modify the change and use multiple processes. Maintenance is the final stage that helps to replace the new outcome produced by the change and therefore will maintain the new behavior and this stage takes up to 6 months to bring better clarity and a quality patient outcome (Fidanci, I, et al,. 2017). What makes me choose this model is “change in behavior for anyone is not easy” and that is a true statement, saying that this model helps to evaluate after each stage and keeps motivating to move forward to the next stage to achieve the goal.

Prior to the third stage, it is difficult for patients to stay focused on the change. Therefore, the patients here will choose different strategies to stay in the action plan. Doing another activity with the same hand when they smoke helps to divert the patients, offering a reward at the end of the day, someone to talk to when the patients feel like smoking, to remove any obstacles from their environment that reminds them of smoking, staying strong in their commitment. All these approaches have brought a change in the behavior of patients therefore provided evidence for this model (Fidanci, I, et al,. 2017).

During all phases of this change model, getting input from the stakeholders will help in research and narrow down the actions necessary for this change. The patients in the initial stages need adequate motivation and education on why the change takes place, appointing clinical educators could help the patient to understand the pros of quitting the behavior. The patients when they reach the third stage require someone to talk to and to guide the actions since they started to put the effort into it. Screening centers for example Smoking Cessation at Lung Examination (SCALE) Collaboration can help to screen the patient’s risk for lung cancer (Kathuria, H, et al,. 2017). Nurses should use their critical thinking to identify the decision-making changes by the patient during the third stage because the patients could easily quit the action plan. Family support and community support during the fourth stage is extremely important as this will increase motivation for the patient. The action plan needs a lot of commitment and energy and it should be a collaboration between the patient, health care team, family members, and community. Since this is a cyclic model, the maintenance stage will refer to the screening centers to evaluate the patient’s change in behavior and overall health (Park, E. R. et al,. 2020).

Each stage provides patient evaluation which helps to identify the barriers and do necessary changes in the stages. This would require honesty, encouragement, commitment to keep the process moving on to attain the goal. Patients’ lack of knowledge, not showing interest, lack of motivation to complete the task signifies that the change model is not on a positive attempt. Identifying the needs of the patient at all the stages is important to know the effectiveness and therefore it is the team’s response to address the barrier and provide adequate support for the patient to achieve the behavioral change.  

I need a comment for this post at least 2 paragraphs and 2 sources no later than 5 years. 

1. Try taking a different route to class the next time it meets. Before you do this, think about how many changes, large and small, you will have to make to do this.

a-Will you have to leave earlier to be in class on time? 

b-Will you meet different people on your way to class?

c-See different sights?

d-Would you change your route to class on the day of the final exam? 

e-Why or why not? Summarize the positives and negatives of this small change. Relate your responses to this change to the way staff nurses feel when an administrator makes what he or she thinks is a “minor” change. 

2. Think about a change that has occurred in your life. Some examples may be a change of role, a move, a marriage, a birth, a divorce, or a death. 

a-How did you react to the change? 

b-Would you have reacted differently if you had had more information?

c-Using Lewin’s model, describe the basic elements in the situation and how you eventually achieved a comfortable outcome. 

Discussion 1

Tom, a 26-year-old runner, came into the office today complaining of constant pain in the right ankle. While running his usual route, he accidentally stepped on a branch lying in his path, twisting his ankle inward. He denies hearing a “pop.” He was able to walk, or limp, the remaining ¼ mile back to his home, where he immediately elevated and iced the ankle for 30 minutes. He took two acetaminophen 325 mg, showered and dressed for work, and drove to his place of employment. He continued to experience significant pain in the ankle, worse when walking. His foot became swollen. Since his job in a sporting goods store requires that he be on his feet most of the day, he was unable to continue his normal workday, and made a same-day appointment to be seen. He has no chronic diseases, takes no medication, and denies recent use of NSAIDs, as aspirin and ibuprofen cause him to have gastritis. He sprained the ankle last year, but was able to manage that injury at home.

Assessment

A 26-year-old, otherwise healthy male presents limping into the examination room, holding his right shoe in his hand. He grimaces with partial weight-bearing of the affected foot. He has local ecchymosis and 1+ edema over the anterolateral ligaments of the right ankle. Capillary refill, pulses, and sensation of the foot and toes are intact. There is no lateral or anterior instability of the joint or tendons. X-ray of the ankle and foot are negative for fracture or dislocation. He has a grade I lateral ankle sprain.

1. What pain relieving medications would you prescribe? Defend your choice.
2. How would you prescribe them?
3. What side effects should you educate the patient about?
4. Does the age of the patient influence what your choice?

Discussion Question 2

What organs are damaged mostly by taking NSAIDS? What patient education would you provide to someone taking NSAIDS? What organ is damaged by taking too much aspirin? What patient education should you provide to a patient taking Aspirin? List 3 diagnosis for which you would administer NSAIDS. List 3 diagnosis for which you would administer Aspirin. What labs or diagnostic tests would you perform for a patient who has consumed too much Aspirin and NSAIDS. Your response should be at least 350 words.

 IT IS A REPLY TO THE BELOW STATEMENT-ONE PAGE ONE REFERENCE:

Nurses have been considered to have lower engagement in policy making. However, there are some opportunities that if the RNs and APRNs consider, they may improve their activeness in policy making processes within the healthcare organizations. One of these opportunities include the existence of professional nursing organizations. As conferred by Milstead & Short (2019), professional organizations such as American Nursing Association can help the RNs and APRNs to help them understand how they can actively engage in various policy making. Such organizations help nurses to determine whether a given policy being implemented is effective and efficient in addressing some of the major challenges that may be affecting a given population or the nurses themselves. Another opportunity available to the nurses is their roles and responsibilities within the workplace. Considering the major role of RNs and APRNs, which is promotion of quality healthcare, nurses can utilize this opportunity to ensure that they engage in policy making processes as supported by Milstead & Short (2019).

Soap Note 1 Acute Conditions

Follow the MRU Soap Note Rubric as a guide:

Use APA format and must include minimum of 2 Scholarly Citations.

Assignment as been attached.

Journal 

Discussion board