Tag: Clinical-Nursing

  • Medical Definitions

    Leadership
    : is a procedure that is carried out through several people to gain authority over others in order to execute the goals.

    Laissez-faire:
     is a lider o manager as passive, nondirective, and inactive approach and relinquishes part or all the responsibilities to the members of the group.

    Autocratic Leader:
     the person is focused and maintains strong control, make decisions, and address all problem.

    Democratic-leader:
     this also called participative management. It based on the belief that every group member should have input into problem solving and the development of goals.

    Bureaucratic- leader: 
    the leader believes that individuals are motivated by external forces. Relies on organizational polices and procedure for decision making.

    Delegation:
     is a process of transferring performance of a selected nursing task in a situation to an individual who is competent to perform that specific task.

    Illness:
     Abnormal process in which any aspect of a person’s functioning is diminished or impaired compared with his or her previous condition.

    Wellness: 
    Dynamic state of health in which and individual progresses toward a higher level of functioning, achieving an optimum balance between internal and external environments.

    Leader: 
    A person or thing that holds a dominant or superior position within its field, and is able to exercise a high degree of control or influence over others.

    Health Belief Model:
     helps you understand factors influencing patient’s perceptions, belief, and behavior to plan care that will most effectively assist patient in maintaining or restoring health and preventing illness.

    Maslow’s hierarchy of needs:
     is a model that the nurse use to understand the interrelationships of basic human needs.

    Primary prevention:
     is true prevention; it precedes disease or dysfunction and is applied to patient considered physically and emotional healthy.

    Secondary prevention:
     is focuses on individual who are experiencing health problem or illnesses and are at risk for developing complications or worsening conditions.

    Tertiary prevention: 
    occur when a defect or disability is permanent and irreversible. It involves minimizing the effects of long-term disease or disability by intervention directed at preventing complications and deterioration.

    Risk factor reduction:
     is any situation, habit, social or environmental condition, physiological or psychological condition, developmental or intellectual condition, spiritual condition, or other variable that increases the vulnerability of an individual or group to an illness or accident.

    Acute illness
    : is usually reversible, has a short duration, and is often severe.

    Chronic illness: persists, usually longer than 6 months, is irreversible, and affects functioning in one or more systems.

    Health promotion:
     help patient maintain or enhance their present levels of health.

    Integrity:
     is being honest even when no one else is looking, is doing the right thing even when no one is around to see you do it, and doing things the way they should be done, when no one is looking, instead of doing shortcuts. Integrity is being upright, and true to ones beliefs.

    Preventive action:
     nursing actions directed toward preventing illness and promoting health to avoid the need for primary, secondary. Or tertiary health care.

    Self-concept:
     depends in part on body imagen and roles but also includes other aspects of psychology and spirituality. Is important in relationship with other family members.

    Self-efficacy:
     a concept include in social learning theory, refers to a person’s perceived ability to cessfully complete a task and many health promotions theories because it often is a strong predictor of healthy behaviors.

    Self-actualization:
     is a process of emotional and moral development that contributes to the more-being and well-being of each individual. The self-actualizing nurse is one who is engaged in the process of becoming true to herself and those with whom she goes through life’s experiences.

    Formal leadership:
     is a person exercising authority conferred upon him by the organization pursuant to the individual’s position in the organization. An example of formal leadership is the ability of a company president to exert control over employees, which is based upon his status as president of the company.

    Informal leadership:
     are individuals without formal title or authority who serve as advocates for the group, and heighten the contributions of others as well as their own, primarily through influence, relationship-building, knowledge and expertise.

    Supervision:
     is an activity that brings skilled supervisors and practitioners together in order to reflect upon their practice. It is a time for you, as a nurse or midwife, to think about your knowledge and skills and how they may be developed to improve care.

    Transactional leader:
     focuses on results, conforms to the existing structure of an organization and measures success according to that organization’s system of rewards and penalties. Transactional leaders have formal authority and positions of responsibility in an organization. This type of leader is responsible for maintaining routine by managing individual performance and facilitating group performance.

    Transformational leader:
     are sometimes call quiet leaders. They are the ones that lead by example. Their style tends to use rapport, inspiration, or empathy to engage followers. They are known to possess courage, confidence, and the willingness to make sacrifices for the greater good.

    Management: 
    is a person responsible for supervising and motivating employees and for directing the progress of an organization.

    Openness:
     the ability to listen to other points of view without prejudging or discouraging them.

  • Central Line Associated Blood stream infection

    Read an article published recently(less than 5 years) on a topic of your interest. Provide the citation and a written summary of your answers to the following questions: What is the research problem? What is the purpose statement? What were the initial hypotheses for this study? What was the study design? Where the hypotheses rejected or accepted? What was the overall conclusion of this paper?

    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4703118/
     My chosen topic is CLABSI Central Line Associated Blood stream infection

  • Screening For Breast Cancer

    A 50 year female who’s family history unknown has a history of smoking 1ppd for 15 years quit 3 years ago. Consumes 3-4 alcohol drinks a week performs moderate excercise 3-4 times a week and has a past medical history of hypertenson controlled on Lisinopril.

  • Evidence-based practice researchable problems

    Discussion Question

    For this discussion, you are asked to review the student learning outcomes for this course and discuss how you met these outcomes. The intention here is to provide you an opportunity to “reflect” on the learning achieved during this term and how you successfully met these learning outcomes. If you do not feel you successfully met the objective, discuss your plans to successfully complete the objective in the future.

    Upon completion of this course, the student should be able to:

    Critically analyze current practice to formulate researchable problems.

    Evaluate research as the basis for decision-making to improve outcomes through translation into evidence-based practice.

    Synthesize an understanding of the research process through development of a proposal to address a nursing problem or focus area identified in nursing practice.

    Investigate ethical issues related to the conduct of scientific research, including informed consent, data management, data analysis, and protection of human subjects.

    Explore national and international initiatives and research priorities.

  • Affordable Care Act and Electronic Health Record (EHR)

    Complete as directed by the facilitator.

     

    By Saturday, September 23, 2017, go to the Discussion Area and post responses to one discussion question as assigned by the facilitator. All responses should be posted to the appropriate topic in this Discussion Area. It is important to support what you say with relevant citations from both the course materials and outside resources. Include the South University Online Library in your research activities utilizing not only the nursing resource database, but also those pertaining to education, business, and human resources.

     

    Discussion Questions:

     

    Review the Centers for Medicare and Medicaid Innovation. Identfiy the massive innovation funded by the Affordable Care Act and discuss a model that relies on technology to promote optimal patient centered outcomes.

    Review the National Quality Forum measures that can be accessed and used in the Electronic Health Record (EHR) to ensure quality metrics from an EHR endorsed by the Centers for Medicare and Medicaid Services.

    By Wednesday, September 27, 2017, comment on at least two of your peers’ responses. You can ask technical questions or respond generally to the overall experience of attempting the question. Be objective, clear, and concise. Always use constructive language. All comments should be posted to the appropriate topic in this Discussion Area.

  • Hypertension in African Americans Research Proposal

    Hypertension in African Americans Research Proposal

    Background

    The racial differences in hypertension and the related complications for decades are recognized with African Americans having the highest risk compared to other ethnicities. Blood pressure readings have been consistently higher in African Americans with an early onset of hypertension. Despite awareness and treatment attempts, the problem of high blood pressure has continued to rise among the African American population. For this matter, various complications are associated with hypertension among this racial group (Allison, et al, 2014). Complications include end-stage renal failure, stroke, and congestive heart failure. In this case, research is focused and highly committed to determine factors associated with racial disparities in hypertension and addressing the essential need to the existing gaps. The purpose of this study, therefore, is to identify the high risk factors of hypertension and todetermine if providing health education and developments of community programs are effective in reducing hypertension in the African American community.

    Statement of problem and purpose

    The major problem of discussion of this study is the high prevalence of hypertension in African Americans than other ethnicities. It is important to explore the norm, behavioral, and the disease control beliefs of the African American population in relationship to maintaining self-care behaviors that are essential in controlling and mitigating blood pressure and preventing hypertension. This would act as the first phase of studies aimed at developing clinical tools that can be utilized by the health professionals to design or develop more effective interventions aimed at reducing the disparities and prevalence of hypertension (Allison, et al, 2014).

    Research question

    This research is seeking to answer a specific research question concerning hypertension. In this case, the research questions would be, does the development of community programs and providing health education reduce disparities and factors associated with hypertension in predominately African American communities versus a more diverse community?

    Hypothesis

    The puzzle of the high risk of hypertension among African Americans has triggered various hypotheses both research and the null hypothesis. For instance, it is hypothesized that there are some genetically determined and modified physiologic differences that exist between the African Americans and whites. In this case, the Creatinine Kinase found in AfricanAmerican’s muscles has greater amounts than the Caucasians. Creatinine Kinase tends to influence blood pressure. It is also hypothesized that the environmental factors such as psychosocial and lifestyle factors are important in the development of hypertension. It is hypothesized that the African American individuals tend to have high rates of obesity. Body mass affects blood pressure and the anthropometric measurements as it relates to the risk of high blood pressure.

    Study variables

    Study variables are defined as those factors or things that have quantity or quality that varies or changes. In this case, there exist both dependent and independent study barriers. The variables of this study include salt sensitivity, environmental factors such as psychosocial, socioeconomic, and lifestyle factors, genetics, and the body mass index.

    Operational definition of variables

    Salt sensitivity

    While salt sensitivity should affect blood pressure in many populations across the world, there are racial differences that exist in the intake as well as the handling of the sodium and potassium. While the prevalence of salt sensitivity in African Americans and the Caucasians remains similar, the degree of blood pressure increase and changes shows disparities (Allison, et al, 2014).

    Body mass

    The racial disparities in the body mass index have been recognized and suggestive of differences in blood pressure and the prevalent levels. In this case, African Americans have been associated with high chances of overweight and obesity in various age groups. However, this body mass affects blood pressure and hence the high disparities found in such individuals (Weaver et al, 2017).

    Lifestyle

    Hypertension can be categorized as a lifestyle disease. Research shows that African Americans, are not associated with high rates of exercise and hence they have high chances of hypertension. On the other hand, the whites take part in exercise and this helps to reduce the excessive fat in the body and hence prevention of atherosclerosis that may lead to increased blood pressure (Sessoms et al, 2015). Meeting guidelines by adhering to lifestyle modifications through the success of the DASH diet, alcohol consumption and weight loss helps to reduce hypertension in African Americans (Sessom et al, 2015).

    Psychosocial factors

    Research demonstrates that the psychosocial factors play a role in the development of hypertension. These factors may include occupational stress, personality, housing instability, sleep quality, and support and remain essential factors in the development of hypertension.

    Socioeconomic

    According to Weaver (2017), it was identified that socioeconomic factors also correlates with the blood pressure. Residential distance may be an indicator of systolic dysfunction in the African American community. Living closer to primary highways are associated with cardiac remodeling in an understudied African American population. Primary highways with limited access are typically busier and have more air pollution that can lead to heart failure.  Those also closest to primary roads were found to have less education, lower socioeconomic and government assisted insurance (Weaver et al, 2017). African Americans who live in the United States usually suffer disproportionately high chances of hypertension when compared to other ethnic groups (Chor et al, 2015).

     

     

     

     

     

     

     

     

    References

    Allison, D. B., Edlen-Nezin, L., & Clay-Williams, G. (2014). „Obesity among African-American Women. Prevalence, Consequences, Causes, and Developing Research.“.
    Womens Health
    , 243-274.

    Chor, D., Ribeiro, A. L. P., Carvalho, M. S., Duncan, B. B., Lotufo, P. A., Nobre, A. A., … & Barreto, S. M. (2015). Prevalence, awareness, treatment and influence of socioeconomic variables on control of high blood pressure: results of the ELSA-Brasil Study.
    PLOS one
    ,
    10
    (6), e0127382.

    Sessoms, J., Reid, K., Williams, I., & Hinton, I. (2015). Provider Adherence to National Guidelines for Managing Hypertension in African Americans. 
    International Journal Of Hypertension
    , 
    2015
    1-7. doi:10.1155/2015/498074

    Weaver, A. M., Wellenius, G. A., Wen-Chih, W., Hickson, D. A., Kamalesh, M., & Yi, W. (2017). Residential distance to major roadways and cardiac structure in African Americans: cross-sectional results from the Jackson Heart Study. 
    Environmental Health: A Global Access Science Source
    , 
    16
    1. doi:10.1186/s12940-017-0226-4

  • Hypertension In African Americans Literature Review

    You will submit the Literature Review section of your Hypertension In African Americans Literature Review proposal. Each week you have been adding to your growing body of evidence to support your problem and proposed innovation to address the problem. The review of literature is a critical, analytical summary and synthesis of the current knowledge of your research topic. Thus it should compare and relate different theories, findings, etc., rather than just summarize them individually.

    The following resources will help guide you (in addition to our course textbooks):

    http://writing.wisc.edu/Handbook/ReviewofLiterature.html

    http://www.duluth.umn.edu/~hrallis/guides/researching/litreview.html

    http://writingcenter.unc.edu/handouts/literature-reviews/

    Writing the Literature Review: Step-by-Step Tutorial for Graduate Students: 

    Writing the Literature Review (Part Two): Step-by-Step Tutorial for Graduate Students: 

    Submit your assignment to the 
    W4: Assignment 2 Dropbox
     by 
    Week 4, Day 5
    .

    Assignment 2 Grading CriteriaMaximum Points

    Literature reviewed represents current scholarly literature.5

    Literature reviewed represents a comprehensive review of the research topic.5

    Review of the literature is a critical, analytical summary. 5

    Review of the literature illustrates a synthesis of the current knowledge of research topic.10

    Followed APA guidelines for writing style, spelling and grammar, and citation of sources for your Hypertension In African Americans Literature Review.5

  • Applying epidemiology and nursing research to communicable diseases

    In a written paper of 1,200-1,500 words, apply the concepts of epidemiology and nursing research to a communicable disease.

    Communicable Disease Selection

    Choose one communicable disease from the following list:

    Chickenpox Tuberculosis Influenza Mononucleosis Hepatitis B HIV Epidemiology Paper Requirements

    Include the following in your assignment:

    Description of the communicable disease (causes, symptoms, mode of transmission, complications, treatment) and the demographic of interest (mortality, morbidity, incidence, and prevalence). Describe the determinants of health and explain how those factors contribute to the development of this disease. Discuss the epidemiologic triangle as it relates to the communicable disease you have selected. Include the host factors, agent factors (presence or absence), and environmental factors. (The textbook describes each element of the epidemiologic triangle). Explain the role of the community health nurse (case finding, reporting, data collecting, data analysis, and follow-up). Identify at least one national agency or organization that addresses the communicable disease chosen and describe how the organization(s) contributes to resolving or reducing the impact of disease.

    A minimum of three references is required. Refer to “Communicable Disease Chain” and “Chain of Infection” for assistance completing this assignment. 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. Please refer to the directions in the Student Success Center. NRS427V-RS-CommunicableDiseaseChain.doc

  • diagnoses for clients receiving psychotherapy

    Learning Objectives

    Students will:

    · Develop diagnoses for clients receiving psychotherapy*

    · Evaluate the efficacy of cognitive behavioral therapy for clients*

    · Analyze legal and ethical implications of counseling clients with psychiatric disorders*

    Select a client whom you observed or counseled this week. Then, address the following in your Practicum Journal:

    · Describe the client (without violating HIPAA regulations) and identify any pertinent history or medical information, including prescribed medications.

    · Using the 
    Diagnostic and Statistical Manual of Mental Health Disorders
    , 5th edition (DSM-5), explain and justify your diagnosis for this client.

    · Explain whether cognitive behavioral therapy would be effective with this client. Include expected outcomes based on this therapeutic approach. Support your approach with evidence-based literature.

    · Explain any legal and/or ethical implications related to counseling this client.

  • health indicator rates of countries

    This week we will examine important health indicator rates of countries.  You will use the World Bank Data found here:  
    http://data.worldbank.org/indicator#topic-8
    .

    Scroll down to the topic “Health” and choose one (1) of the following indicators:

    Adolescent fertility rate (births per 1,000 women ages 15-19)
     https://data.worldbank.org/indicator/SP.ADO.TFRT

    Maternal mortality ratio (modeled estimate, per 100,000 live births)
     https://data.worldbank.org/indicator/SH.STA.MMRT

    Mortality rate, infant (per 1,000 live births)
     https://data.worldbank.org/indicator/SP.DYN.IMRT.IN

    Mortality rate, under-5 (per 1,000 live births)
     https://data.worldbank.org/indicator/SH.DYN.MORT

    Immunization, measles (% of children ages 12-23 months)
     https://data.worldbank.org/indicator/SH.IMM.MEAS

    When you click on the health indicator of your choice, you will see a table with a list of 247 countries in the first column and dates in the top row.  Look at the most recent year data and choose one (1) country to compare to the U.S.

    State the year, rates of the indicator you chose for both the U.S. and the country you chose, as well as the name of the country.  Include the units for the rates (ex. 6 deaths per 100,000 women) and discuss what it means and how they were calculated. Discuss the similarity/difference in these rates and why you believe the similarity/difference occurs?

    Your post title should include the health indicator you chose and the country you chose to compare to the U.S. Do not repeat indicator/country combinations as there are plenty to choose from.

    *************************************************************

    ALL FORUMS

    Initial Response
    : Initial responses should be no less than 
    200 words
     in length 
    not 
    including your reference(s) and 
    supported by at least two references (aside from the textbook)
    .