1. Why is the subject of workplace health and safety of concern to nurses? 

How are these concepts related to patient safety and patient outcomes? 

2. What action is suggested when you are faced with an angry or hostile coworker?

3. Why is substance misuse among nurses a serious concern? What is the most appropriate way to handle a suspicion that a coworker may be involved in serious substance misuse?

4. What is the most common physical injury experienced by LPNs and nursing assistants? How can a nurse manager help staff avoid physical injury at work? 

5. Describe several examples of sexual harassment in the workplace. Discuss methods of dealing with these instances.

6. Review the policies and procedures on the following safety issues in your current clinical rotation. Compare with other students in the class. What are the similarities and differences? What might this mean in terms of workplace safety? 

• Latex allergies

• Needlestick injuries

• Violence 

3. Go to the ANA website and explore the sections on workplace and patient safety under the heading “Professional Nursing Practice.” 

Which concepts discussed in these sections are particularly important to the beginning RN? Why? 

4. Interview one of the staff nurses on your unit. Explore his or her feelings and concerns related to the following topics. Based on the comments, develop strategies to address the concerns.

• Substance abuse among nurses

• Emergency preparation 

• Quality of work life within the organization

Identify and discuss the following:

• dependent variable(s) and the instrument(s) used to measure them.
• Were the measurement instruments reliable and valid?  Why or why not? 

Due: Sunday night at 11:59pm Mountain Time

In this assignment, you will create a presentation that reflects on your proposed problem of interest and evaluates sampling techniques that would create a meaningful study pertaining to this problem.

Step 1: Reflect on your proposed research question or problem of interest.

Step 2: Consider different sampling techniques.

Think about how you would compare and contrast the following sampling techniques:

• Simple Random Sample
• Stratified Random Sample
• Cluster Random Sample
• Systematic Random Sample

Consider which of these sampling techniques you might employ for your research study. What are the advantages and disadvantages of each?

Step 3: Consider who your audience might be if you were to deliver your presentation in person.

• What would you want them to know about this topic?
• What would you expect them to already know?

Step 4: Create a 10- to 12-slide presentation that that evaluates and briefly summarizes the various sampling techniques listed in Step 2. Describe the sampling technique(s) you will use in your research and explain how your choice of sampling technique(s) will help you to create a meaningful study cohort.

Address the following questions in your presentation:

• Who/what will your proposed sample consist of?
• How will subjects be recruited?
• Are there any special considerations about your population of interest that might pose barriers to obtaining a sample?
• What are the advantages and disadvantages of the sampling method(s) you plan to use?
• What potentials for error and bias related to sampling exist?

Step 5: Review your presentation to ensure that you are using best practices for formatting slides.

• Include a title screen and summary screen.
• Avoid making slides too text heavy or dense with text. As a guideline, limit text on each slide to five bullet points of six words each.
• If using graphics, be sure that they are professional, reinforce your points, and are not used merely for decoration.
• Be sure to add what you would say if delivering the presentation to a live audience in the notes section of each slide.

Make sure that the format of your presentation is professional and visually attractive. Cite any sources in APA format.

reply1

My father is African and while he grew up very differently than most of his culture, he still portrays some of the traits of the African culture, especially when it comes to health care.

Language: It is important with the African culture to assess and be sure of the language they speak. There are many different languages spoken within the African population including many different dialects. If unsure always use a translator as this will make the difference in patient education.

Family: Family is the center of importance in the African culture. The family model is an extended one including immediate family and relatives, and loyalty to the family is expected. It is also expected that children abide by their parent’s rules and live up to their expectations. In healthcare settings, Africans may be unwilling to acknowledge strong emotion, grief, or pain due to their family and cultural values. Western medical professionals often find the stoic demeanors of African people difficult to interpret. In my practice as a nurse I have been a part of many situations where the family did not want the patient to know about the diagnosis until they have had time to talk it over with the family. This obviously brings up ethical issues within the patient care and it is important to know whether the patient wants the family involved in the care.

Cultural Differences: Within this culture it is particularly important to ask whether the patient takes any herbal medication and traditional treatments as this is an important practice in their culture. Most people of the African culture still only report to western medicine only if their traditional methods are failing. In turn, this means most patients will not seek out preventative measures, diagnostic testing, and treatment.

Methods of communication: Within this culture, communication can be very misinterpreted. The African culture believes in harmony and avoids conflict, therefore they may agree with a healthcare provider but have no intentions on following through with the teaching. Also, they do not ask for help because they do not want to be bothersome and will often dismiss their needs and pain. It is important to anticipate their needs and ask several times. There are also several nonverbal things Africans find unacceptable such as pointing, and eye contact.

Falvo, D. R. (2011). Effective Patient Education, A guide to Increased Inherence. Fourth Edition https://viewer.gcu.edu/RQBKXW

Schyve PM. Language differences as a barrier to quality and safety in health care: the Joint Commission perspective. J Gen Intern Med. 2007;22(Suppl 2):360–361.

reply2

Recently, I had to care for a patient of Hispanic culture from Mexico who immigrated few years ago into the country. The patient was obese with diabetes and hypertension that was becoming difficult to manage. Upon investigation, it was clear that the patient did not have enough knowledge of how to control and manage his condition. During the interaction, language was a barrier because he has only learnt it recently when he got into the country. The previous doctors he saw had given him information in pamphlets written in English. The patient was finding a difficult time understanding the information. When presenting the education, a nurse could use videos instead of pamphlets and have someone to translate the difficult words that the patient does not understand. Also, with advanced technology, a health professional can use videos with Hispanic subtitles or language. This can help the patient understand the information.

Family is a very important aspect of the Hispanic culture and plays a vital role when it comes to health (Falvo, 2011). Family is very important, and each member has a role to play with gender having different roles. Hispanic families are organized into large groups that include extended family members such as cousins and aunts. Within health care, members may tend to avoid undertaking expensive treatment when it can take a toll on the family and prefer to visit a hospital only when it is necessary (Juckett, 2013). This affects preventive care especially if the family is not well-off enough to afford insurance.

One of the biggest cultural differences of Hispanic culture comes from organized parties where large proportions of food are served. One of the biggest health issues in this culture is obesity, with a prevalence of 43% compared to 33% in Caucasian people (Juckett, 2013). These organized mealtimes bring the family together, which makes it difficult for a member to miss because he or she can be seen as not wanting to be part of the family. There is a need to involve the family in patient education so that they can understand why the patient cannot eat the same meals or normal proportions as before.

The best method of communication would be verbal communication. Because the patient has been in the country for a few years, there is a need to involve family members who have lived longer in the country to help with acculturation as well as understanding the information provided. The best approach should involve an interpersonal communication that goeas both ways. While many professionals only inform, there is a need to listen to the patient as well, get to understand his issues, perception, and level of understanding of the content. This can only be achieved through a two-dimensional communication (Falvo, 2011).

References

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

Juckett, G. (2013). Caring for Latino patients. American Family Physician, 87(1), 48-54.

this is an individual written assignment , , about the pandemic of this century: the covid-19 its causative agent; as you know is : sars-cov-2, you should review the statistic facts, the clinical presentation of covid-19, and mainly the pharmacological management of this pandemic.

elaborate a 3 pages Assignment, APA, 5 references .

 Assignment:This week students will be addressing the following essay questions. Insure all aspects of the questions are addressed. Submission needs to be in APA format. Use a Level 1 heading to separate your sections (Page 62 of the APA Publication Manual).

1. Discuss the various ways that ICD-10-CM coding is used throughout the United States. Why is accuracy in coding so important?
2. Explain the difference between ICD-10-CM and ICD-10-PCS. When are they used?
3. What impact does the ICM-10-CM manual have on healthcare and medicine in today’s world?
4. What are the ten steps for accurate ICD-10-CM coding? State and explain each step in paragraph form
5. In your own words, what is the difference between V, W, X, or Y code and a Z code?
6. Explain when the following would be used and give an example of: Hyphen usage, checkmark, placeholders, and punctuation

For the following, provide the ICD-10-CM codes (some might require more than 1 code). There is a free website listed at the end of the Chapter on page 127 that will help you with coding. Here is another website that might help: http://www.icd10data.com/

1. Weight loss
2. Hypothyroidism
3. gastroesophageal reflux disease
4. acute bronchitis with COPD
5. urinary infection due to E. coli
6. concussion, loss of consciousness 40 min
7. cancer of bladder
8. Physical, child for school
9. DTP vaccination
10. Heel injury (wound) due to broken glass

• This assignment must be in APA format: Times Roman 12 font, double spaced, and include title and reference page. 
• Complete answers will essays will require at least 1000 words, approximately 4 pages (250 words = about 1 page). Title and reference pages do not count toward the total word or page count. 
• Alignment of ICD codes should be completed after the essay questions and before the reference page.
• Title page and reference page do not count towards word count.
• Ensure sources are referenced and cited in the paper

Write a 175- to 265-word response to the following questions (minimum length is 4-5 substantive sentences – a standard paragraph). Include a minimum of one peer-reviewed reference to support your post (must be cited per APA guidelines):

• Why is it important for health care leaders to have a strong and positive mentor? Provide specific examples.
• Do you have a mentor? If so, share your experiences. If not, how might you find one?

Nursing is a very highly regulated profession. There are over 100 boards of nursing and national nursing associations throughout the United States and its territories. Their existence helps regulate, inform, and promote the nursing profession. With such numbers, it can be difficult to distinguish between BONs and nursing associations, and overwhelming to consider various benefits and options offered by each.

Both boards of nursing and national nursing associations have significant impacts on the nurse practitioner profession and scope of practice. Understanding these differences helps lend credence to your expertise as a professional. In this Assignment, you will practice the application of such expertise by communicating a comparison of boards of nursing and professional nurse associations. You will also share an analysis of your state board of nursing.

To Prepare:

• Assume that you are leading a staff development meeting on regulation for nursing practice at your healthcare organization or agency.
• Review the NCSBN and ANA websites to prepare for your presentation.

The Assignment: (8- to 9-slide PowerPoint presentation)

Develop a 8- to 9-slide PowerPoint Presentation that addresses the following:

• Describe the differences between a board of nursing and a professional nurse association.
• Describe the board for your specific region/area.
  • Who is on the board?
  • How does one become a member of the board?
• Describe at least one state regulation related to general nurse scope of practice.
  • How does this regulation influence the nurse’s role?
  • How does this regulation influence delivery, cost, and access to healthcare?
• Describe at least one state regulation related to Advanced Practice Registered Nurses (APRNs).
  • How does this regulation influence the nurse’s role?
  • How does this regulation influence delivery, cost, and access to healthcare?
• Include Speaker Notes on Each Slide (except on the title page and reference page)

IS COVID 19 AN ACT OF BIOTERRORISM?

  I NEED A RESPONSE FOR THE 2 SOAP NOTES (1 IS BELOW THE OTHER ONE IS ATTACHED). It is not another soap note, it is a response to the peer who did the soap note

PATIENT INFORMATION

Name: Mrs.: M.B.

Age: 44-year-old

Sex: Female

Source: Patient

Allergies: None

Current Medications: Ibuprofen 400 mg, I tab when feels pain

PMH: Denies any disease.

Immunizations: Influenza this September 2019

Surgical History: None

Family History: Father- alive 66 years old, healthy

Mother-alive, 67 years old, Asthma

Daughter-alive, 15 years old, healthy

Social Hx: Smoking history, 2 packs a day, occasional alcoholic beverage consumption on social celebrations.

SUBJECTIVE:

Chief complain: “I have painful periods and pain following sexual intercourse”.

Symptom analysis/HPI:

The patient is 44 years old female hispanic, who complaining of painful periods and she also refers pain following sexual intercourse. She experiences occasional heavy menstrual periods and bleeding between periods. The symptoms starting 4 months ago, now are worse. The patient denies chest pain, palpitation, shortness of breath, nausea or vomiting. Denies any past medical condition.

ROS:

CONSTITUTIONAL: Denies fever or chills. Denies weakness or weight loss.

HEENT: HEAD: Denies any head injury or change in LOC. Eyes: Denies any changes in

vision, diplopia or blurred vision. Ear: Denies pain in the ears. Denies loss of hearing or

drainage. Nose: Denies nasal drainage, congestion. THROAT: Denies throat or neck pain,

hoarseness, difficulty swallowing.

Respiratory: Patient denies shortness of breath, cough or hemoptysis.

Cardiovascular: No chest pain, tachycardia. No orthopnea or paroxysmal nocturnal

dyspnea.

Gastrointestinal: Denies abdominal pain or discomfort. Denies flatulence, nausea,

vomiting or diarrhea.

Genitourinary: Denies hematuria, dysuria or change in urinary frequency. Denies

difficulty starting/stopping stream of urine or incontinence.

MUSCULOSKELETAL: Denies falls or pain. Denies hearing a clicking or snapping

sound.

Skin: No change of coloration such as cyanosis or jaundice, no rashes or pruritus.

NEUROLOGIC: Denies headache, dizziness or changes in LOC. Denies history of

tremors or seizures.

Objective Data

CONSTITUTIONAL:

Vital signs:

Temperature: 97 °F,

Pulse: 66 x min.

BP: 130/80 mmhg.

RR 18 x min.

PO2-98 % on room air.

Ht- 5’5”

Wt 162 pns

BMI 22.5 m2.

Report pain 0/10.

General appearance: The patient is alert and oriented x 3. No acute distress noted.

HEENT: Head: Normocephalic, atraumatic, symmetric, non-tender. Maxillary sinuses no

tenderness. Eyes: No conjunctival injection, no icterus, visual acuity and extraocular eye

movements intact. No nystagmus noted. Ears: Bilateral canals patent without erythema, edema,

or exudate. Bilateral tympanic membranes intact, pearly gray with sharp cone of light. Maxillary

sinuses no tenderness. Nasal mucosa moist without bleeding. Oral mucosa moist without lesions.

Lids non-remarkable and appropriate for race.

Neck: supple without cervical lymphadenopathy, no jugular vein distention, no thyroid

swelling or masses.

Cardiovascular: S1S2, regular rate and rhythm, no murmur or gallop noted. Capillary

refill < 2 sec.

Respiratory: No dyspnea or use of accessory muscles observed. No egophony, whispered

pectoriloquy or tactile fremitus on palpation. Breath sounds presents and clear bilaterally on

auscultation.

Gastrointestinal: No mass or hernia observed. Upon auscultation, bowel sounds present in

all four quadrants, no bruits over renal and aorta arteries. Abdomen soft non-tender, no guarding,

no rebound no distention or organomegaly noted on palpation

Musculoskeletal: No pain to palpation. Active and passive ROM within normal limits, no

stiffness.

Integumentary: intact, no lesions or rashes, no cyanosis or jaundice.

Gynecologic exam: During a pelvic exam, no abnormalities such as cysts in the

reproductive organs or scars behind the uterus were found.

NEUROLOGIC: Alert, CNII-XII grossly intact, oriented to person, place, and time.

Sensation intact to bilateral upper and lower extremities. Bilateral UE/LE strength 5/5.

Assessment:

ICD 10: N80.9; Endometriosis based in the patient’s symptoms. I order some tests to rule

out other conditions. Chronic inflammatory condition defined by endometrial stroma and glands

found outside of the uterine cavity. The most common sites affected are the pelvic peritoneum

and ovaries. May present incidentally in asymptomatic patients, or more commonly in women of

reproductive age who complain of chronic pelvic pain and/or subfertility. Clinical suspicion is

generally sufficient to initiate therapy, but the diagnosis can only be confirmed by direct

visualization and focused biopsies during laparoscopy.

ICD 10: Z12.4; Encounter for screening for malignant neoplasm of cervix.

Differential diagnosis:

ICD 10: N80.0; Adenomyosis; Symptoms may be identical to those of endometriosis.

Preoperative MRI findings may show diffuse or focal widening of the junctional zone (inner

myometrium), islands of endometrial tissue or cystic dilation of glands or hemorrhage, linear

striations radiating out from the endometrium into the myometrium, mass within the

myometrium (adenomyoma). Laparoscopy may reveal a normal pelvis or concurrent

endometriosis. Histopathologic evaluation of the uterus after hysterectomy shows endometrial

glands/stroma in the myometrium.

ICD 10: N30.10; Interstitial cystitis; Symptoms primarily localized to the bladder, such as

urinary frequency and urgency. Patients complain of pain with a full bladder that is relieved upon

voiding. Diffuse chronic pain and dyspareunia are common and often indistinguishable from

endometriosis.

ICD 10: Ovarian cyst (benign); May be asymptomatic with an incidental pelvic mass or

present with acute rather than chronic pain, such as in the case of hemorrhagic cysts.

Plan

Laboratory Exam:

Ultrasound. To identify cysts associated with endometriosis (endometriomas).

Magnetic resonance imaging (MRI). To obtain a detailed information about the location

and size of endometrial implants.

Pharmacological treatment:

Ibuprofen (500 mg) 1 tablet 4 times a day if you feel pain

Elagolix (Orilissa) – 1 tablet taken twice daily

Non-Pharmacologic treatment:

If the pain persists you can try measures at home to relieve the discomfort taking warm

baths and a heating pad, helping relax pelvic muscles and reducing cramping and pain.

Follow-ups/Referrals

Follow up: in 2 weeks to evaluate current treatment.

Referrals No needed at this time.