Category: Nursing

My Nursing Ethic

After reading the Topic 1 materials, complete the questionnaire titled, “My Nursing Ethic.”

Using the reading and the questionnaire, write a paper of 750-1,000 words in which you describe your professional moral compass. As you write your paper, include the following: 1.What personal, cultural, and spiritual values contribute to your worldview and philosophy of nursing? How do these values shape or influence your nursing practice? 2.Define values, morals, and ethics in the context of your obligation to nursing practice. Explain how your personal values, philosophy, and worldview may conflict with your obligation to practice, creating an ethical dilemma. 3.Reflect and share your own personal thoughts regarding the morals and ethical dilemmas you may face in the health care field. How do your personal views affect your behavior and your decision making?

Do not be concerned with the use of ethical terminology for this paper.

Prepare this assignment according to the APA 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 Turnitin.

Bariatric Surgery Essay

The case scenario provided will be used to answer the discussion questions that follow on Bariatric Surgery Essay.

Bariatric Surgery Essay Case Scenario

Mr. C., a 32-year-old single man, is seeking information at the outpatient center regarding possible bariatric surgery for his obesity. He reports that he has always been heavy, even as a small child, but he has gained about 100 pounds in the last 2–3 years. Previous medical evaluations have not indicated any metabolic diseases, but he says he has high blood pressure, which he tries to control with sodium restriction and sleep apnea. He current works at a catalog telephone center.

Objective Data

Height: 68 inches; Weight 134.5 kg BP: 172/96, HR 88, RR 26 Fasting Blood Glucose: 146/mg/dL Total Cholesterol: 250mg/dL Triglycerides: 312 mg/dL HDL: 30 mg/dL Critical Thinking Questions

What health risks associated with obesity does Mr. C. have? Is bariatric surgery an appropriate intervention? Why or why not? Mr. C. has been diagnosed with peptic ulcer disease and the following medications have been ordered: (a) Magnesium hydroxide/aluminum hydroxide (Mylanta) 15 mL PO 1 hour before bedtime and 3 hours after mealtime and at bedtime; (b) Ranitidine (Zantac) 300 mg PO at bedtime; and (c) Sucralfate / Carafate 1 g or 10ml suspension (500mg / 5mL) 1 hour before meals and at bedtime. The patient reports eating meals at 7 a.m., noon, and 6 p.m., and a bedtime snack at 10 p.m. Plan an administration schedule that will be most therapeutic and acceptable to the patient.

Assess each of Mr. C.’s functional health patterns using the information given (Hint: Functional health patterns include health-perception – health management, nutritional – metabolic, elimination, activity-exercise, sleep-rest, cognitive-perceptual, self-perception – self-concept, role-relationship, sexuality – reproductive, coping – stress tolerance). What actual or potential problems can you identify? Describe at least five problems and provide the rationale for each. Remember you need at least 3 references.

Healthcare Research Theories

You are to discuss in a professional paper the definition of a theory and how theory impacts or is used in healthcare and research. You must cite a minimum of 4 references. Included in the paper is to create a visual display showing the parts of a theory. Every assignment in this course must have references, citations, and a title page. All must follow APA format and completed in a Word document. Any narrative sections are to follow APA format including running heads and page numbers. (visiual display showing the parts of a theory should be included)

Developing a Community Teaching Proposal Design

Applying what you have learned thus far, develop a community teaching proposal designed to address the needs of 
your
 community.

Select one of the following as the focus for the teaching plan:

Primary Prevention/Health Promotion

Secondary Prevention/Screenings for a Vulnerable Population

Bioterrorism/Disaster

Environmental Issues

Complete the “Community Teaching Work Plan Proposal.” This will help you organize your plan and create an outline for the written assignment.

After completing the teaching proposal, review the teaching plan with a community health and public health provider in your local community.

Request feedback (strengths and opportunities for improvement) from the provider.

Complete the “Community Teaching Experience” form.

APA format is required for essays only. Solid academic writing is always expected. For all assignment delivery options, 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 Turnitin.

Community Teaching Work Plan Proposal

Directions:
Develop an educational series proposal for your community using one of the following four topics:

Bioterrorism/Disaster

Environmental Issues

Primary Prevention/Health Promotion

Secondary Prevention/Screenings for a Vulnerable Population

Planning Before Teaching:

Name and Credentials of Teacher:

 

Estimated Time Teaching Will Last:

Location of Teaching:

 

Supplies, Material, Equipment Needed:

Estimated Cost:

 

Community and Target Aggregate:

 

Topic:

 

 

Epidemiological Rationale for Topic
(statistics related to topic):

 

 

 

 

 

Nursing Diagnosis
:

 

 

 

Readiness for Learning:
Identify the factors that would indicate the readiness to learn for the target aggregate. Include emotional and experiential readiness to learn.

 

 

 

 

 

 

Goal:
Healthy People 2020 (HP2020) objective(s) utilized as the goal for the teaching. Include the appropriate objective number and rationale for using the selected HP2020 objective (use at least one objective from one of the 24 focus areas). If an HP2020 objective does not support your teaching, explain how your teaching applies to one of the two overarching HP2020 goals.

 

 

 

 

 

How Does This HP2020 Objective Relate to Alma Ata’s
Health for All
Global Initiatives
(See page 116 in the textbook)?

 

 

 

Develop Behavioral Objectives (Including Domains), Content, and Strategies/Methods
:

Behavioral Objective

and Domain

Example – Third-grade students will name one healthy food choice in each of the five food groups by the end of the presentation. (Cognitive Domain)

Content

(be specific)

Example – The Food Pyramid has five food groups which are….

Healthy foods from each group are….

Unhealthy foods containing a lot of sugar or fat are….

Strategies/Methods

(label and describe)

Example – Interactive poster presentation of the Food  Pyramid. After an explanation of the poster and each food category, allow students to place pictures of foods on the correct spot on the pyramid. Also, have the class analyze what a child had for lunch by putting names of foods on the poster and discussing what food group still needs to be eaten throughout day.

1.

 

 

 

1.

1.

2.

 

 

 

2.

2.

3.

 

 

 

3.

3.

4.

 

 

 

4.

4.

 

 

Creativity
: How was creativity applied in the teaching methods/strategies?

 

 

 

 

 

Planned Evaluation of Objectives
(Outcome Evaluation): Describe what you will measure for each objective and how.

1)

 

 

 

2)

 

 

 

3)

 

 

 

4)

 

Planned Evaluation of Goal
:  Describe how and when you could evaluate the overall effectiveness of your teaching plan.

 

 

 

 

Planned Evaluation of Lesson and Teacher
(Process Evaluation):

 

 

 

 

Barriers:
What are potential barriers that may arise during teaching and how will those be handled?

 

 

 

 

Communication
: How will you begin your presentation (hook them in)? How will you end your presentation (go out with a bang)? What nonverbal communication techniques will you employ?

Communicable Disease Chain

Infectious Agent

Microbes – All Types

Pathogenicity

Invasiveness

Virulence

Infective Dose

Resistance

 

Susceptible Host

Defense Mechanisms

Immunity

Natural

Artificial

 

Reservoirs
 

Humans

Animals

Plant/Soil

 

Portal of Re-entry
 

Same as Exit

 

Portal of Exit
 

Respiratory

Integumentary

Blood

GI

Sexual

 

Means of Transmission

Direct

Indirect

Community Teaching Experience Paper

The RN to BSN program meets the requirements for clinical competencies as defined by the Commission on Collegiate Nursing Education (CCNE) and the American Association of Colleges of Nursing (AACN), using nontraditional experiences for practicing nurses. These experiences come in the form of direct and indirect care experiences in which licensed nursing students engage in learning within the context of their hospital organization, specific care discipline, and local communities.

 

Note: This is an individual assignment. In 1,500-2,000 words, describe the teaching experience and discuss your observations. The written portion of this assignment should include:

 

1.Summary of teaching plan

2.Epidemiological rationale for topic

3.Evaluation of teaching experience

4.Community response to teaching

5.Areas of strengths and areas of improvement

 

Prepare this Community Teaching Experience Paper according to the APA 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 Turnitin. Please refer to the directions in the Student Success Center.

Health History Essay

In this assignment, you will be completing a health assessment on an older adult. To complete this assignment, do the following:

1.Perform a health history on an older adult. Students who do not work in an acute setting may “practice” these skills with a patient, community member, neighbor, friend, colleague, or loved one. (If an older individual is not available, you may choose a younger individual). 2.Complete a physical examination of the client using the “Individual Health History and Examination Assignment” resource. Use the “Functional Health Pattern Assessment” resource as a guideline to assist you in completing the template. 3.Document findings of complete physical examination in Situation-Background-Assessment-Recommendation (SBAR) format. Refer to the sample SBAR Template located on the National Nurse Leadership Council website at 
https://www.ihs.gov/nnlc/includes/themes/newihstheme/display_objects/documents/resources/SBARTEMPLATE.pdf
 as a guide. 4.Document the findings of the physical examination in the assessment worksheet. 5.Using the “Individual Health History and Examination Assignment” resource, provide the physical examination findings summary with planned interventions for the client. Include any community services in the interventions. APA format is not required, but solid academic writing is expected.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Credible and Non-Credible Sources

Perform a quick Internet search, using Google or another major search engine. Select a search term related to nutrition science (for example, 
diet, organic, sodium
) and see what kind of results you receive. When considering a term to select, think about single words rather than phrases. In some cases your search term may contain two words (for example, 
unsaturated fat
). Avoid phrases like “which diet will help me lose weight the fastest” or “top 10 foods to make me healthy.”

Write a short essay (at least 250 words), using complete paragraphs and appropriate organization. Avoid incomplete sentences or bulleted lists (except for your search term and how many results were obtained). Check your spelling and grammar before submitting. References are required in APA format.

Please provide the following information (listed in bulleted form):

your search term

how many results you obtained

Then review some of these sources, going no further than three pages into the search result. Critically evaluate the websites you have selected. Find one website that you consider a reliable/credible source and one that you consider false, misleading, or non-factual. 
Keep in mind that when searching for credible sources you should also determine if your source would be appropriate to use as a scholarly reference (to support your discussions and homework assignments)
. Please provide the following for BOTH the credible and non-credible choices:

the name of the website and the link

the author or group providing this information

Is this a reliable/credible source? If so, how do you know? 
OR
 Is this a non-credible source? If so, how do you know?

What was the hardest part about sifting through nutrition information?

criteria

 

Selection of Search Term : Student selects an appropriate search term and conducts search in an academic manner.

 

Critically Evaluate Internet Resources: Student able to critically evaluate websites found in a search.  Correctly identify Credible and Non-Credible Sources.  Supports this determination using critical thinking skills and cites evidence for this.

Telehealth Legal Issues

TELEHEALTH LEGAL ISSUES QUESTION 1)

Identify one law or policy (local, state, or national) that relates to or affects healthcare.

Review the law or policy and answer the following questions:

 

What is the main purpose of this law or policy?

Who is the main population affected by this law or policy?

What concerns do you have regarding the law or policy?

 

 

 

TELEHEALTH LEGAL ISSUES QUESTION 2)

 

What do you see as potential legal issues with the use of telehealth and telenursing? How might nurses who work in telehealth lessen their liability for some of the major issues?

 

 

 

TELEHEALTH LEGAL ISSUES QUESTION 3)

I am assuming you are referring to the different state nurse practice acts. Do nurses need to have a license if they are providing telehealth in a different state?

 

 

 

TELEHEALTH LEGAL ISSUES QUESTION 4)

As nurses, it is our responsibility to protect the confidentiality of patient records and data. With the transmission of record via computer and other electronic, the nurses and other health care providers involve must make sure to handle with care and use a secure transmitting sources for patient records. Password must be a secure one that cannot be tampered with or guess. Telenurse must work in a secure place with locks on cabinet and no family access to the computer use for work.

 

 

How is this different than using computer documentation in the hospital setting? Is there a greater risk in telehealth?

 

 

 

 

 

TELEHEALTH LEGAL ISSUES QUESTION 5)

 

My agency uses different bracelets to identify different conditions. For example, there are DNR bracelets, fall risk bracelets and allergy bracelets, but as Amanda stated, it is not always easy to see the bracelets. What interventions has your committee found to be the most effective?

 

 

 

TELEHEALTH LEGAL ISSUES QUESTION 6)

 

In cases where the doctor was notified but failed to act on the changes, the nurse is also liable.

How could the nurse lessen his or her liability in situations like you described?

 

 

 

 

TELEHEALTH LEGAL ISSUES QUESTION 7)

 

I believe the main reason we have so many falls is because comfort rounds are not done and when they are, they are not done correctly. If the 4 P’s would be asked every hour, it would cut down on falls and several other issues we see. Another issue is, not answering the call light or bed alarms within an appropriate time frame.

 

I agree that hourly rounding does decrease falls. But as you stated all falls cannot be prevented. Based on the interventions that your hospital has in place, has your fall incidence decreased?

 

 

 

 

TELEHEALTH LEGAL ISSUES QUESTION 8)

 

Do you think there is a legal issue when patients are not placed in the appropriate skilled area?