Tag: Clinical-Nursing

Pathophysiology of Fibromyalgia, Alzheimer’s disease and Spinal Trauma Essay

Select two of the following discussion questions for your discussion response. Indicate which questions you have chosen using the format displayed in the “Discussion Forum Sample.”

1: From a pathophysiological perspective, describe the disease mechanism of spinal trauma. Discuss complications associated with spinal trauma based upon time of injury.

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2: What are some the recent discoveries surrounding the pathophysiology of Alzheimer’s disease, and how could these discoveries lead to new treatments? Include  your resources in your response.

3: What are some of the leading theories that attempt to descrive the pathophysiology underlying fibromyalgia? Which ones are best supported? Include your resources in your response.

Atleast 250 words with references no older than 5 years and intext citation.

Children’s Functional Health Pattern Assessment Essay Assignment

In this assignment, you will be exploring actual and potential health problems in the childhood years using a functional health assessment and Erickson’s Stages of Child Development. To complete this assignment, do the following:

Using the textbook, complete the “Children’s Functional Health Pattern Assessment.” Follow the instructions in the resource for completing the assignment.

Cite and reference any outside sources used in your answers. Include in your assessment a thorough discussion of Erickson’s Stages of Child Development as it pertains to the development age of the child.

While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation

COMMENT AND REFERENCE ON THE FOLLOWING;

Code of Ethics for Nurses and Scope and Standards of Practice

One of the most significant roles of nurses, besides direct care giver, is that of an advocate both for patients and for fellow nurses. What is advocacy? Advocacy can be defined as, “…using one’s position to support, protect, or speak out for the rights and interests of another” (Speak to be heard, 2014). So important is the role of advocacy in the nursing profession that the American Nursing Association emphasizes the responsibility that nurses have to advocate for their patient’s well-being in their 
Code of Ethics for Nurses and Scope and Standards of Practice
. Ultimately, patients’ safety is dependent upon nurse advocacy, and with nurses being at the front lines of patient care they are in the best position to ensure patient safety.

The most prevalent advocacy strategy that can be used by nurses is that of education and knowledge. What I mean by this is first, educating ourselves to the full extent of our ability for the area in which we practice, and secondly, by knowing and understanding the laws and regulations for practice that govern our practice in our area. The more knowledge that we have as nurses, the more efficient our practice will be. Another advocacy strategy that is paramount to patient safety is simply nurses speaking up when they feel a patient’s well-being is in danger. This is not as simple for nurses in some places due to fear of repercussions; however, that culture is changing as the health care community is making strides to shift the nation’s priority towards that of prevention and well-being, bringing safety to the forefront. Lastly, an essential advocacy strategy for nurses is utilize effective communication skills with all colleagues and members of the healthcare team.  Clear and effective communication between nurses and other members of the interdisciplinary care team is paramount to patient safety and overall patient outcomes. Most facilities, including the one in which I work, implement a standardized protocol of communication and team building (How Nurses, n.d.). In my facility we implement SBAR (situation, background, assessment, recommendation) and also S.T.A.R. (stop, think, act, review) as a method to guide nursing actions, and prevent medical error when it comes to patient care.

Violation of Pharmacist Guideline Essay

“Most Medicare Prescription Drug Plans have a  coverage  gap (which is also called the “donut hole”). This means there  is a  temporary limit on what the drug plan will cover for drugs.” 
Click  here
 to review and analyze additional information on coverage gap.

Now, analyze the following scenario.

A pharmacist  submits Medicare claims for  brand name medication instead of following the  guidelines to provide  the patients with the less expensive, generic  medicines.

Respond to the  following:

Which  law, if any, is violated by the pharmacist?

By  using the Internet, research and provide a similar real-life example.

Justify your answers  with appropriate  research and reasoning by using examples and references from  textbooks,  the South University Online Library, and other acceptable  references.  Cite sources in the APA format. Further, comment on the postings  of at  least two peers.

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Part II: Breach of Contract

A  contract consists of a voluntary  agreement that two parties enter into with  the intent of benefitting  each other (Fremgen, 2012). Something of value,  which is termed  consideration, is part of the agreement (Fremgen, 2012). A  contract can  be either expressed or implied. An express contract is an  agreement  that clearly states all the terms. It can be entered into orally or  in  writing (Fremgen, 2012).

A  breach of contract occurs when either  party fails to comply with the terms of  the agreement (Fremgen, 2012).  For example, if a physician refuses to perform  a medical procedure he  or she had agreed to perform, the physician has  breached the contract  (Fremgen, 2012). If a patient does not pay an  agreed-upon fee, then the  patient breached the contract with the physician  (Fremgen, 2012).

Now,  respond to the following questions:

Find out your state’s current court  decisions for  breach of contract and provide an example of breach of contract   affecting a hospital.

Review and describe the state’s methodology  for addressing issues pertaining to such a breach of contract.

Describe how legal procedures have evolved  over time to help reduce such occurrences.

Describe how the breach of contract you  identified could have been avoided.

Justify your  answers with appropriate  research and reasoning by using examples and  references from textbooks,  the South University Online Library, and other  acceptable references.  Cite sources in the APA format. Further, comment on  the postings of at  least two peers.

Source: 

Fremgen, B.  (2012). 
Medical law and ethics.
 (4th  ed.). Boston, MA: Prentice Hall

Nightingale Theory Essay

1. A brief overview of Nightingale theory

2. Explanation of how Nightingale theory incorporates the four metaparadigm concepts.

3. Explain at least three specific ways in which Nightingale theory could be used to improve nursing practice. Elaborate, explain, or defend each point mentioned.

4. Provide current reliable sources to establish credibility for the presentation.

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

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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.

Planning For Data Collection in Nursing Research

Data collection is an important part of both quantitative and qualitative research. Although the actual approach to gathering information may vary, for either research design, researchers need to plan in advance how the data will be gathered, reported, and stored, and they need to ensure that their methods are both reliable and valid. As nurses review research when considering a new evidence-based practice, it is important to be familiar with sound collection practices in order to ascertain the credibility of the data presented.

Consider the following scenario:

Nurses and other health care professionals are often interested in assessing patient satisfaction with health care services. Imagine that you are a nurse working in a suburban primary care setting that serves 10,000 patients annually. Your organization is very interested in understanding the patient’s point of view to help determine areas of care that can be improved. With this focus in mind, consider how you would create a survey to assess patient satisfaction with the services your organization provides. You may wish to consider variables such as the ease of accessing care, patient wait time, friendliness of the staff, or the likelihood that a patient would recommend your organization to others.

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For this Discussion, you generate questions and an overall plan for data collection that would be appropriate for a patient satisfaction survey in relation to the above scenario.

To prepare:

Review and formulate at least five questions that you could use to evaluate patient satisfaction.

Reflect on the different methods or instruments that can be used for gathering (Google this please).

Which methods or instruments would work well for the scenario? Determine an appropriate sample size for the scenario.

Question:

Post
 the questions that you created for gathering information about patient satisfaction based on the above scenario. Explain which method or instrument you would use to gather data. Describe the sample size appropriate for the population and how you would select participants. Provide a rationale for your choices, and explain how you can ensure high standard of reliability and validity.

Give a Leadership roles and management functions in nursing essay response

Effective Communication

When I first started working in my current role as an educator, leadership determined there was a patient safety concern related to the moderate sedation practices in the gastrointestinal (GI) lab. Leadership wanted to send the message to the caregivers that the current sedation practices were not compliant with policy and patients were receiving large doses of sedation, which they worried would eventually lead to patient harm or even patient death. The director of surgical services asked me to communicate the change in practice via a power point presentation at the GI caregivers meeting.  According to Gifu, Dima, & Teodorescu (2014), “communication requires a sender, a message, a medium and a recipient” (p. 47). In this scenario nurse management is the sender, the message is the need to change moderate sedation practices, the medium is the power point presentation, and the recipients are the GI lab caregivers.

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Caregivers Perceptions

While the message seemed like it was a simple message, management did not take into account the external climate when they chose to address the sedation issues. Management asked me to deliver the message during a transition time where caregivers were upset with the changes taking place in the department. The GI caregivers were also worried about their jobs during this time because they heard rumors about the meeting with leadership and understood the purpose of the meeting was to scold the nurses for not following policy and possibly fire policy offenders.  Marquis & Huston reported that “perception of the message is altered greatly depending on the climate that exists at the time the message was sent or received” (p. 439).

During the sedation talks, caregivers were visibly upset and even verbally raised concerns of being fired for not following policy or working outside their scope of practice. I took the feedback from the meeting to nursing leadership and follow-up meetings were scheduled to communicate to caregivers that the only reason for the change was to be compliant with policy and create a safe environment for the patients. While the message was clear, management did not choose a great time to deliver the message. “Effective communication requires paying attention to an entire process, not only the content of the message” (Benjamin, 2016, para 3). Management did not pay close attention to the current climate in the GI lab when deciding when to deliver the message to the caregivers.

Making Communication More Effective

There are two things I think that could have made the initial delivery of the message better. The first is management should have delivered the message or been present at the staff meeting to answer questions and reassure the purpose of the message. I also think management should have been more aware of the climate in the GI lab and not presented the changes to current practice during the time caregivers were already upset with other issues within the department.

References

Benjamin, D. R. (2016). Developing Effective Communication Skills – An Important Aspect for Engineers & Doctors. Language In India, 16(3), 194-201. Retrieved from http://eds.a.ebscohost.com.ezp.waldenulibrary.org/eds/detail/detail?vid=0&sid=f46e44d5-e74a-47bf-9c7c-f1e2a79b33df%40sessionmgr4008&bdata=JnNpdGU9ZWRzLWxpdmUmc2NvcGU9c2l0ZQ%3d%3d#db=ufh&AN=114267132

Gifu, D., Dima, I. C., & Teodorescu, M. (2014). New communication approaches vs. traditional communication. International Letters of Social and Humanistic Sciences, (20), 46–55. Retrieved from file:///C:/Users/atmil/Downloads/ILSHS.31.46.pdf

Marquis, B. L., & Huston, C. J. (2015). Leadership roles and management functions in nursing: Theory and application (8th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins

Write a short paper addressing the following:  research problem is “what are the effects of stress on health?”

What research methods have been used to address your research problem? Were these methods appropriate? What data collection methods have you noted in your review of literature? Evaluate the appropriateness of statistical analyses used. What gaps and inconsistencies in the literature have you noted?

Requirements:

Two- to three-page Microsoft Word document with double spacing, 12-point Times New Roman font, one-inch margins, and at least three sources cited in APA format.

Choose a topic below.

Occupational fraud and abuse including conflict of interest and healthcare fraud. 2. Disloyalty. 3. inefficiency 4. Failing to cooperate with others 5. failing to take responsibility for  injuries practices

Create a presentation of 10-15 slides or screens 
excluding
 the title and references.

Your slides/screen should include titles, main ideas, bullet points, and relevant images, charts, graphs, etc.

3. In your presentation:

Describe an ethical situation, based on the chosen topic, that can get in the nurse’s way of practicing ethically. Describe the situation clearly and concisely.

Identify how this situation relates to one provision within the Code of Ethics for Nurses.

Identify two ethical principles that may arise when facing this situation.

Discuss how a nurse might lessen the impact of the situation on the nurse’s practice.

In addition to the course texts, cite and reference a minimum of two (2) additional scholarly sources to support your work.

Close with a summary of your topic, and APA formatted reference slide(s).