All posts by : chebby

Topic 3:  Healthy People 2020 set a goal that 80% of the people in the U.S. have an optimal amount of fluoridated water available in their community’s water. Today, about 72% of Americans have access to optimally fluoridated water.  Do you know if your community water supply is fluoridated? To find the answer, check with your local water department.  Is the water naturally rich in fluoride, or is this mineral added to the water supply? What amount of fluoride is in the drinking water? If it is added to the water supply, how long has this procedure been in operation? If the water does not provide fluoride, how can you obtain sufficient fluoride?

must be at least 250 words and two references 

Social media plays a significant role in the lives of nurses in both their professional and personal lives. Additionally, social media is now considered a mainstream part of the process for recruiting and hiring candidates. Inappropriate or unethical conduct on social media can create legal problems for nurses as well as the field of nursing.

Login to all social media sites in which you engage. Review your profile, pictures and posts. Based on the professional standards of nursing, identify items that would be considered unprofessional and potentially detrimental to your career and that negatively impact the reputation of the nursing field.

In 500-750 words, summarize the findings of your review. Include the following:

1. Describe the posts or conversations in which you have engaged that might be considered inappropriate based on the professional standards of nursing.
2. Discuss why nurses have a responsibility to uphold a standard of conduct consistent with the standards governing the profession of nursing at work and in their personal lives. Include discussion of how personal conduct can violate HIPAA or be considered unethical or unprofessional. Provide an example of each to support your answer.
3. Based on the analysis of your social media, discuss what areas of your social media activity reflect Christian values as they relate to respecting human value and dignity for all individuals. Describe areas of your social media activity that could be improved.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

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 required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

As an advanced registered nurse, you will serve as a leader within your organization. Part of this role will entail being a change agent, and spurring positive change on behalf of patients, colleagues, and the industry.

Consider a situation you experienced previously where change did not go as planned in your health care organization. Create a 10-15-slide PowerPoint presentation in which you will assess the situation and the steps that should have been taken to successfully implement change.

1. Describe the background of the situation, including the rationale for and goal(s) of the change.
2. Identify the key interprofessional stakeholders (both internal and external) that should be involved in change efforts.
3. Discuss an appropriate change theory or model that could be used to achieve results.
4. Outline how you would initiate the change.
5. Describe the impact to the organization if the change initiative is unsuccessful again, and potential steps the interprofessional team could take if the change is unsuccessful.

Make sure to include slide notes of 100-250 words for each slide.

You are required to cite three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting 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.

Please answer the 5 questions below for attendance credit. Submit your answers to the proper assignment folder. Please do not share work.

1. What is hypopituitarism and how is it managed?
2. Compare and contrast the pathophysiology of Syndrome of Inappropriate Antidiuretic Hormone (SIADH) and Diabetes Insipidus (DI)
3. Discuss the pathophysiology of Graves disease and include signs and symptoms associated with this disorder.
4. Discuss the pathophysiology of congenital hypothyroidism and the therapeutic management
5. Discuss the therapeutic management of diabetic ketoacidosis (DKA)

You mention the ways of searching and importance of finding peer reviewed, scholarly articles.  How do you best determine what search engines to use to find these articles?  Is google.com a good way to search?  Why or why not?

Searching for evidence that can improve nursing outcomes

Improving nursing outcomes is essential in nursing practice. Setting up the levels of care provision helps in improving the quality of nursing care delivered and patient’s outcomes. Nursing outcomes, however, can be enhanced through theoretical viewpoints. The theoretical approach can offer adequate information that nurses require to enhance their practice skills and knowledge. Searching for evidence is often not easy; it is quite a challenging task that requires good skill sets. I will search for articles that are up to date and peer-reviewed. However, the most critical aspect is to ensure that the article has adequate information that can be used to enhance nursing practice decisions and skill set. The chosen article explains how nurses can incorporate evidence into a newly designed unit to improve patient’s outcomes. 

Concerning evidence integration, the article elaborates the need to incorporate well-understood ideas form research into practice. In aspects of nursing, education and science, the impact of evidence-based practices (EBP) resonated. The call for improved care and clinical improvement based on evidence underscores the need for safe, healthy and productive care redesign. In line with the numerous guidelines of national experts, initiatives have been implemented which maximize significant contributions which the caregiver should, should and will make in order to fulfil the EBP commitments fully. These initiatives include the introduction of realistic programs and curricula for training and reform, the theoretical models and innovations and the creation of a national research improvement network for research in new areas of technology and science. 

The chosen article was prepared by Tafelmeyer, Wicks, Brant, & Smith (2017). It is a recent article that approves the integration of evidence into clinical nursing practice. The article targets nurses who are situated in newly built nursing departments. However, it can be generalized under nursing practice as its information addresses all aspects of nursing practice. It expresses its point clearly and concisely through which all nurses can well understand and object to implement into their actual nursing practice. Sources used to cite the article appear very credible and citable. When sharing evidence, I can think of creating posters, presentations and paper distributions. I can put up stickers like reminders that I can put on the work fridge, on walls containing information and reminders as to what nurses are supposed to implement but in a concise manner.

Moreover, I can prepare presentations and give them in the form of fliers and magazines that individuals can read in their own free time. Besides, I can choose to share the information on social media where most of my colleagues are found. I can also create a website where all required information on improving nursing outcomes can be found and also where my colleagues can also post as well as retrieve necessary documents. Finally, I can seize an opportunity during nurse team meetings to present my ideas on how to enhance nursing practice for better and improved patient outcomes.

Signs and  symptoms of Encopresis 

Encopresis parents referral 

(NOTE: Cite References)

 Please answer the following questions:

• What can happen with the implementation of a new process if a workflow has not been planned? 
• How can a workflow diagram help to train new staff members, or help seasoned staff members with a change in their job?

No specific formatting necessary. 300 word minimum (total).

reply1

The Haitian culture is a mixture of African, Spanish, and French influence from the colonization of Haiti and the transport of African slaves to the Caribbean island. Many Haitians sought asylum in the US in the 1970s when large-scale refugees migrated to the US in an attempt to escape Jean-Claude Duvalier’s dictatorship and the economic hardships that resulted. (Girault,2020). Many Haitians have settled in the United States blending in the cacophony of American life; many occupying jobs in varying positions of life including leadership positions in Healthcare, industry, and journalism. I have worked with many Haitian health care providers and have interacted with many of them as patients. Their culture is fascinating with the majority practicing Catholics with a mixture of spiritism called Voodoo a religious cult with roots from West African religions. (Girault, 2020). The major language spoken is French Creole and although the younger Haitians endeavor to learn English and get an education in this country, many of their elderly parents retain their unique traditions. Many individuals who migrate to the United States from other countries cling tenaciously to their traditional cultural practices and languages resulting in a phenomenon called multiculturalism. (Catalano, 2006).

Effective communication with the Haitian patient means assessing the patient’s ability to communicate fluently in English and may require using a professional interpreter preferably a health professional. I remember trying to teach an elderly Haitian woman deep breathing exercises to relieve stress because she was demonstrating symptoms of anxiety that were exacerbating her Chronic obstructive Pulmonary Disease (COPD) and although I used an interpreter she refused to follow the instructions. After speaking extensively with one of her family members I realized that the patient believed that her anxiety and depression was caused by an evil spirit that she thought could not be treated by modern medicine and her condition could only be improved with the help of a voodoo priest. A family member was allowed to bring a voodoo priest and the nursing staff gave them the privacy to carry out their rituals. Family is very important to the Haitian Culture and should be a part of the decision making process. As clinicians, we need to be sensitive to the root causes of health problems from the patient’s and family’s perspective and accommodate their religious beliefs as long as it does not interfere with medical treatment or cause harm to the patient. What was surprising to me and the other nurses was that she appeared calm a long time post ritual and did not appear to need her prn anxiety medications. Instead, she had several sacred items positioned around her bed which appear to provide her with comfort.

Lack of knowledge or understanding of cultural differences or unwillingness to accept the patient’s alternative beliefs, values or attitudes can lead to the inability to empathize or to respect the patient’s point of view and can jeopardize the nurse-patient relationship. Falvo, 2011). Open communication with the patient and the family members can cue the health professional to potential barriers to learning and assist in developing appropriate strategies to deal with them. For the elderly patient, health teaching materials should be in large print, colorful, and written in the patient’s language in simple layman’s terms.

References

Cataldo, J. (2006). Nursing now! Today’s issues, tomorrow’s trends. Philadelphia PA: FA Davis Company.

Falvo, D. (2011). Effective patient education. A guide to increased adherence. https://viewer.gcu.edu/RQBKXW

Girault, C. (2020). Haiti. Retrieved from. https://britannica.com.com/place/Haiti

reply2

I have personal experience with being a part of a culture that has specific values and beliefs. I am Russian and Armenian and can speak fluent Russian. I always took pride in that, however, it was difficult to balance the “American culture” and staying true to my roots. During nursing school, I had the experience of caring for a Russian patient and witnessed the importance of acknowledging the patients culture, values ad beliefs while caring for them. Russians highly respect and trust health care professionals. Health care professionals can present patient education by making direct eye contact, being firm and respectful and using “Mr.”, “Mrs.”, or “Ms.”. Russians are very big on respect, so there must be mutual respect from the patient and the health care professionals. One thing to remember is that Russian patients tend to have a high pain threshold and can present stoic regarding pain and care. Health care professionals can address this by using any evidence that presents the patient is in pain and reminding them the importance of staying comfortable during their stay. The Russian language, from an outside perspective, can sound very harsh and loud, so health care professionals should remember that this doesn’t necessarily mean that the patient is not happy or in distress, it is just a part of the Russian language. Lastly, Russian culture is all about family. Health care professionals should involve family members in the patients care and all patient education.

When I had the Russian patient, we were able to communicate very well because I happened to speak Russian and practice the culture. My preceptor, however, did not have the same experience. I think it was difficult for my preceptor to understand the culture at first because the patient heavily relied on her daughter for everything during her hospitalization. As well as not eating the hospital food and solely eating the food her daughter brought her. My preceptor made a comment how the patient was “harsh and rude”. It was a good learning experience for her because I explained the Russian culture to her. I reminded her that children are expected to care for their elderly parents, which is why the patient was so heavily dependent on her daughter for everything. Elderly Russian women are very stuck in their ways and are not good with change, which is why she requested meals from home. Lastly, I reassured my preceptor that her tone may seem harsh and rude, but that is just the culture and the accent. After giving my preceptor insight on the Russian culture, it made her day much easier because she had more understanding of why the patient was the way she was. Ultimately, as nurses we must remember culture defines an individual and working in health care we are responsible caring for all types of individuals, which is why assessing our patient thoroughly and educating ourselves are essential in treatment.

1.  Mention and discuss the role of nursing in occupational health

2.  Describe and discuss the four types of exposures and hazards in the work place

INSTRUCTIONS

APA format with in-text citations and references..

A minimum of 3 evidence-based references no older than 5 years must be used. 

A minimum of 800 words not to exceed 1,000 are required without counting the first and last page.  

 You did a nice job of articulating the different stages of Prochaska and DiClementi’s stages of change. Can you describe the Transtheoretical model and its application to Prochaska and DiClementi’s change theory? 

How the transtheoretical model applies to a nursing problem?  

Instructions:

Use an APA style and a minimum of 150 words. Provide support from a minimum of at least three (3) scholarly sources. The scholarly source needs to be: 1) evidence-based, 2) scholarly in nature, 3) Sources should be no more than five years old (published within the last 5 years), and 4) an in-text citation. citations and references are included when information is summarized/synthesized and/or direct quotes are used, in which APA style standards apply. 

• Textbooks are not considered scholarly sources. 

• Wikipedia, Wikis, .com website or blogs should not be used.