Tag: Clinical-Nursing

Comment on the following vulnerable groups paper post;

At-risk groups include groups of individuals that have high chances of contracting diseases or illnesses. An example of this would be adolescents and young adults. These groups are less likely to use protection with sexual activity. They are also at increased risk for using drugs and alcohol due to peer pressure. More at-risk groups include drug addicts, persons with multiple sex partners, and prostitutes (Smith 198). These groups become vulnerable in their community and then become at-risk because of the situation they are in.

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“Vulnerable” groups

Vulnerable groups include the elderly, infants, disabled, ill, and poor people (Smith 6). These groups of people are vulnerable to disease and illness and can’t help

themselves from debilitations in health.

Both groups have trouble advocating for themselves. Adolescents and young adults tend to shy away from healthcare whether it’s because of embarrassment, poor access, or oblivion. Infants cannot speak for themselves and may have caretakers that are able/willing to speak for them. The elderly often get “lost” in the system and have poor access to healthcare (much like infants). Disabled, ill, and the poor often don’t have access to healthcare as well or they have no one to help them.

 

I would advocate for healthcare for all communities. I would make access to health facilities more available for those in poorer communities. I would encourage free/low-cost preventative healthcare to poorer communities. I would also encourage access to sexual health for adolescents and young adults through schools and community clinics. I work with the elderly and always make sure they are well taken care of and if they are having trouble accessing the appropriate information, I am sure to get in touch with someone

that can help.

 

Everyone deserves access to their health.

 

Smith, Maurer a. Community/Public Health Nursing Practice: Health for Families and Populations, 4th    Edition. W.B. Saunders Company, 102008. VitalBook file.

Tragic reaction to stressful life situations essay:

Suicide is the taking of own life which is a “tragic reaction to stressful life situations (Suicide and suicidal thoughts, 2015).” The national institute of health reported ages 10-24 year olds in 2014 was the second leading cause of death with a total count of 5,504 deaths in the US (Advancing research to prevent youth,n.d.).  Erickson’s stages of development for the adolescent shows the teen must successfully concur the two stages of development – identity vs. identity confusion and intimacy vs isolation (Miller, 2017).  Teens who are struggling with the first and second stage will become socially isolated (Miller,2017). Erikson’s theory predicts “when adolescents are unable to successfully answer the questions of identity during this stage of development, they may experience feelings of inadequacy and despair, which can eventually lead to depression (Miller,2017).  Depression left untreated can lead to suicide.

Health professionals can utilize primary, secondary, and tertiary methods to help with health prevention of suicide.  “ Primary suicide prevention aims to reduce the number of new cases of suicide in the general population. Secondary prevention aims to decrease the likelihood of a suicide attempt in high-risk patients and Tertiary suicide prevention occurs in response to completed suicides and attempts to diminish suicide contagion (Ganz, n.d.).”

 

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In general, if a true emergency is occurring 9-1-1 should always be the first line to call for help.  When teens are struggling through thoughts of despair and potential suicide the communities do have resources to reach out to.  As followed are some of the resources: Transitional Age youth support- Mental health services: (360)918-7860; Crisis Line: (360)586-2800; National Suicide Prevention Lifeline: (800)273-Talk (community youth services, n.d.).

As the nurse it is our duty to obtain a precise assessment of the teen through thorough questions and observations.  The nurse should be mindful of some risk factors which place this age group at higher risk are as followed: a previous suicide attempt, mental disorders- schizophrenia/social anxiety, substance abuse, abused or mistreated, history found in family, hopelessness, lack of social support, access to means or methods for suicide (Preventing Teen Suicide, n.d.).  A main nursing intervention in assisting a suspected depressed teen is to show active listening and presence.

 

Advancing Research to Prevent Youth Suicide. (n.d.). Retrieved October 17, 2017, from https://prevention.nih.gov/programs-events/pathways-to-prevention/workshops/suicide-prevention

 

Ganz, D., Braquehais, M. D., & Sher, L. (n.d.). Secondary Prevention of Suicide. Retrieved October 17, 2017, from http://journals.plos.org/plosmedicine/article?id=10.1371%2Fjournal.pmed.1000271

 

(n.d.). Retrieved October 17, 2017, from http://www.communityyouthservices.org/p_suicide_prevention.shtml

 

Miller, R. (2017, June 13). Erik Erikson’s Theory About Adolescent Depression. Retrieved October 17, 2017, from https://www.livestrong.com/article/560899-erik-eriksons-theory-about-adolescent-depression

 

Preventing Teen Suicide. (n.d.). Retrieved October 17, 2017, from https://teens.webmd.com/preventing-teen-suicide#1

 

Suicide and suicidal thoughts: Take action to prevent a tragedy. (2015, August 28). Retrieved October 17, 2017, from http://www.mayoclinic.org/diseases-conditions/suicide/basics/definition/con-20033954

Tragic reaction to stressful life situations essay

Comment on the following vulnerable population assignment post;

Vulnerable population is a group or groups that are more likely to develop health-related problems, have more difficulty accessing health care to address those health problems, and are more likely to experience a poor outcome or shorter life span because of those health conditions. There are a number of characteristics, traits, or circumstances that enhance the potential for poor health. Healthy People 2020 (U.S. Department of Health and Human Services [USDHHS], 2010) has identified certain groups as more vulnerable to health risks, including the poor, the homeless, the disabled, the severely mentally ill, the very young, and the very old (Maurer & Smith, 2013). The most important factor associated with health status is economic status. Poverty drastically increases a person’s or group’s vulnerability to poor health status.

Not all people who are at risk for poor health would be considered vulnerable. To be considered vulnerable, a person or group generally has aggravating factors that place them at greater risk for ongoing poor health status than other at-risk persons. For example, a middle-aged obese man with a sedentary lifestyle and hypertension would be considered at risk for cardiac problems. If that man also had an income below the poverty level, no health insurance, and stressors related to living conditions, he would be more likely to be vulnerable to ongoing poor health status than a man with similar risk factors but with an adequate income and health insurance (Maurer & Smith, 2013).

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     Children, pregnant women, elderly people, malnourished people, and people who are ill or immunocompromised, are particularly vulnerable.  Poverty – and its common consequences such as malnutrition, homelessness, poor housing and destitution – is a major contributor to vulnerability (WHO, 2017). Vulnerability may arise from individual, community, or larger population challenges and requires different types of policy interventions—from social and economic development of neighborhoods and communities, and educational and income policies, to individual medical interventions (Health Affairs).

Children and the elderly must have someone to advocate for them and as I nurse I am honored to be able to stand in the gap to assist this population of my community. For both groups due to the lack of knowledge when it comes to medical termination, procedures, and making sense of the medical language, we as nurses need to make sure that the families of these individual have the full picture of what is going on in terms of their health care. Break down information in laymen’s terms to where individuals can understand so that they can make informed decisions about their health care.

I would advocate for more affordable health care and easier access to health care for children and the elderly to help reduce the co-morbidity and mortality rates. Because it has shown that early access to quality medical care can help reduce an individual’s susceptibility illness, which will in turn reduce the mortality rate. For example, children one of our more vulnerable populations, providing early vaccination and screening for children can reduce and or prevent certain illnesses.

 

References

Health Affairs. Vulnerable People, Groups, And Populations: Societal View. (October 18, 2017). http://content.healthaffairs.org/content/26/5/1220.full

 

Maurer, F.A. & Smith, C.M.  (2013). Community/public health nursing practice (5th ed.). St. Louis, MO: Elsevier Saunders.

 

World Health Organization. (October 18, 2017). http://www.who.int/environmental_health_emergencies/vulnerable_groups/en/

Culture in Nursing Essay Assignment

1.  Discuss the cultural beliefs related to delivery of health care from the Haitian and Iranian population.

2.  Discuss any differences and/or similarities in the delivery of health care in both culture.

3.  How religious beliefs influence the delivery of health care in both.  Give at least one example.

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As stated in the syllabus and instructed here, please present the assignment in a 
word document Arial 12 font attached to the threat in the discussion tab of the blackboard under week 8. 
 A minimum of 2 evidence based references and 2 replies to any of your peers sustained with the proper references are required.  Please follow the example of the APA page that was sent via email and posted in the announcement tab of the blackboard at the beginning of the course.  A minimum of 500 words excluding the first and references page are required.  If you are unable to present the assignment in the due date please let me know at least 2 days before the due date.  Time after the due date have passed will not be granted.

Compare two ethical principles that apply to ethical decision-making and how each one fits your own personal belief system and the role of the advanced practice nurse

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Nursing Leaders as Ethical-Legal Change Agents in Health Care

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In the course, you will research ethical decision-making and legal issues that influence your role as a nursing leader. Please take this opportunity to introduce yourself and explain how you see your role as a nursing leader making ethical-legal and moral decisions. Include what actions you plan to take to solve moral distress caused by ethical dilemmas and the values that support your actions.

Introduction and Policy Involvement and Skills for Agenda Setting
 Things to remember:

Discussion post is at least 200 words.

Answers all questions with opinions/ideas creatively and clearly. Supports post using several outside, peer-reviewed sources.

3 References, try to find resources that are 5 years or less

No errors with APA format 6thEdition

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To Discuss:

 
Introduction and Policy Involvement

Please introduce yourself and describe how you, as an advance practice nurse, could be involved in the political system. Describe any involvement that you have had. If you have not had any involvement, describe an area in which you would like to see public policy changed.

 

Skills for Agenda Setting

Assume that you have been invited to your state board of nursing or state nurses’ association meeting to brainstorm health policy issues. Identify an issue that you would bring before this meeting. What resources would you use? What communication techniques would you use? What agenda would you put forth? What skills are required of you as an advance practice nurse at this meeting?

Comment on the following teens suicide post;

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Adolescents may feel many different emotions as they start to go through puberty. Because their bodies are starting to become more developed and their hormones may be changing, puberty can be a difficult time for the teen and their families. Not only that, but as teens start high school, bullying becomes one of the issues that some may have to deal with. There are many different things that can lead to depression in the adolescent’s life, so it is important to help them through the difficult time to prevent suicide. Suicide amongst teens is an ongoing problem that many families and friends of the individual may have to go through. It is the “3rd leading cause [of death] among those ages 15-24 years” (Jarvis, 2015). Some signs and symptoms that may be seen in those who are having suicidal thoughts are “prior suicide attempts, depression, hopelessness, firearms in the home, family history of suicide, family violence, self-mutilation, anorexia, verbal suicide messages, death themes in art, jokes, writing, behaviors, [and] saying goodbye (giving away prized possessions),” according to Jarvis (2015). It is important as nurses to assess for these behaviors and also perform the suicide assessment tool. Now according to the Institute for Work and Health (IWH) (2015), “primary prevention aims to prevent disease or injury before it ever occurs.” With suicide, this means that interventions should be performed to assess for the risk of suicide and to remove any harmful items within the individual’s environment. If something already happened, then secondary prevention would need to take place. To do this, the nurse may help with family and friends of the individual who committed suicide, to offer resources to the family and friends and help wherever. If the suicide hasn’t taken place, the nurse should continue to assess for suicidal thoughts and regularly screen them. Tertiary can be done with education of the population of teens and providing resources. In the Los Angeles (LA) County there are many hotlines that are available as resources for those debating on suicide. While the state of California offers the Suicide Prevention Resource Center. An organization is NAMI California. This organization “is a grassroots organization of families and individuals whose lives have been affected by serious mental illness” (NAMI, n.d.).

 

References

County of Los Angeles Public Health. (n.d.). Suicide-Hotlines. Retrieved from http://publichealth.lacounty.gov/ivpp/injury_topics/Suicide/suicide_hotlines.htm

Jarvis, C. (2015). Physical Examination and Health Assessment. Retrieved from https://pageburstls.elsevier.com/#/books/9781455728107/cfi/6/2!/4/6@0.00:0.00

NAMI California. (n.d.). Mission. Retrieved from http://namica.org/about-us/nami-california-mission/

Influences of socioeconomic factors on health patterns and outcomes

Obstacles to the chances to live a healthy life may be unjustly focused among certain populations, such as minorities, low-income populations and the less educated. The influences of socioeconomic factors on health patterns and outcomes are often intertwined and manifested in the result of health disparities. These influences also place people in certain populations at “risk” or “vulnerable” to health disparities. A at risk group tend to be those who are identified with common risk factors or exposure that presents as a threat to health. For example, the town I recently move to would be considered a high risk group for cardiovascular disease. A good portion of the society are overweight and hypertensive. Their diets are consumed with high fat, fried food and many of them are smokers. All populations have some risk, but risks for multiple illness conditions and premature death are much higher for specific populations (Maurer and Smith, 2013). However, not everyone in a high risk group will succumb to the risk.

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  According to content.healthaffairs.org (2017) Vulnerability is “the susceptibility to harm, results from an interaction between the resources available to individuals and communities and the life challenges they face.”  A vulnerable population would be one that may not necessarily have a disease, but have social or personal conditions that lowers their ability to deal with a disease. They have difficulty accessing health care to address health concerns, and are more likely to experience poor outcome. For example, a person living below the poverty line and homeless is considered “vulnerable” if this person becomes ill he has no resources to buy medications or a place to recover once discharged from the hospital.

Explain why members of these groups cannot advocate for themselves or why advocating for these groups would be beneficial. What would you advocate for?

The people in these groups are unable to advocate for themselves because of many reasons. Some of these reasons are low economic resources, time and knowledge.  Typically, these groups have decrease knowledge in regards to options, treatments, and available resources or lack thereof. The community health nurse can advocate on their behalf by addressing organizations, governments, and community leaders concerning the issues and the needs of these groups. The nurse advocating for these groups is beneficial to society as a whole.  Advocacy can narrow the gap between fair treatments of these group in the health care setting and decrease health disparities. By doing so the nurse would strengthen the community as a whole. I would advocate for fair treatments amongst minorities and immigrants in the healthcare setting. I notice in these population groups treatments are not explained in full detail in comparison to other highly educated groups.  Patients sign consent without full understanding. I have notice lack of use in translation phones by doctors and nurses which would have help patients understand more.

Content Health Affairs (2017) Vulnerable People, Groups, and Populations: Societal View Retrieved from

http://content.healthaffairs.org/content/26/5/1220.full#sec-2

Maurer, Frances & Claudia Smith (2013). Communicable Diseases. In Maurer, Frances & Claudia Smith Community/Public Health Nursing Practice, 5th Edition. (pp.399). Retrieved from Saunders, 102012. VitalBook file

Legal issues in health care include  violation of patient privacy  laws and regulations, such as the Health  Insurance Portability and Accountability Act (HIPAA);  issues related to  Medicare and Medicaid reimbursement requirements;  negligence or  malpractice issues; and violation of the employment law for  medical  staff, independent contractors, and others.

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Review the following:

The health care law and you.  (n.d.). 
HealthCare
. Retrieved from 
www.healthcare.gov/law

Review the legal guidelines and principles  for your state. Explain  the changes the Affordable Care Act will make  to HIPAA, Medicare, and  Medicaid reimbursement requirements.  By  conducting adequate research, describe the  overall impact the law will  have on your state.

Compile your responses in a 6-to-10-page legal issues in health care essay.