Hearing & Eye Age-Related Diseases
Define presbycusis, name signs and symptoms, etiology and differential diagnosis.
· Create 3 interventions-education measures with a patient with Presbycusis.
· List, define and elaborate on three different retinal and macular diseases age-related.
Submission Instructions:
· Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources
Advocacy Letter
Purpose:
The purpose of this assignment is to provide an opportunity for students to apply and disseminate information based on the status of public health policies and practices designed to address important public health problems, concerns, and implications for nursing practice.
Requirements:
Through this assignment, the student will write a letter to their legislator (House of Representatives or Senator) on a public health topic. The student will state relevant statistics in the area, indicate how this issue is affecting nursing practice, and describe the action the student would like the legislator to take in regards to a current bill, or in support of the issue. Please see the attached document for full instructions. See the sample letter for a template to use.
NR442_Faculty Assignment_Advocacy Letter (1).docx
sampleletter (1).pdf
Rubric
Advocacy Letter RubricAdvocacy Letter RubricCriteriaRatingsPtsThis criterion is linked to a Learning OutcomePurpose and IdentityPurpose and Identify (includes correct identification of the legislator based on address)15.0 pts
This criterion is linked to a Learning OutcomeBackgroundIncludes:
Two statistics
Affected population20.0 pts
This criterion is linked to a Learning OutcomeRequest of legislator:• Solution identified and is realistic10.0 pts
This criterion is linked to a Learning OutcomeGrammar and Construction• Proper grammar and mechanics
• Correct spelling
• Websites or resources for statistics
• Word count5.0 pts
Total Points: 50.0PreviousNext
Professional associations membership
Examine the importance of professional associations in nursing. Choose a professional nursing organization that relates to your specialty area, or a specialty area in which you are interested. In a 750‐1,000 word paper, provide a detailed overview the organization and its advantages for members. Include the following:
Describe the organization and its significance to nurses in the specialty area. Include its purpose, mission, and vision. Describe the overall benefits, or ""perks,"" of being a member.
Explain why it is important for a nurse in this specialty field to network. Discuss how this organization creates networking opportunities for nurses.
Discuss how the organization keeps its members informed of health care changes and changes to practice that affect the specialty area.
Discuss opportunities for continuing education and professional development.
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.
Nurse Tech
As a professional nurse, you are expected to apply your expertise to patient care. On occasion, you will also be expected to share that expertise.
With evolving technology and continuous changes to regulations designed to keep up these changes, there is usually a need to share information and expertise to inform colleagues, leadership, patients, and other stakeholders.
In this Assignment, you will study a recent nursing informatics-related healthcare policy, and you will share the relevant details via a fact sheet designed to inform and educate.
To Prepare:
Review the Resources on healthcare policy and regulatory/legislative topics related to health and nursing informatics.
Consider the role of the nurse informaticist in relation to a healthcare organization’s compliance with various policies and regulations, such as the Medicare Access and CHIP Reauthorization Act (MACRA).
Research and select one health or nursing informatics policy (within the past 5 years) or regulation for further study.
The Assignment: (1-2 page)
Create a 1-2 page fact sheet that your healthcare organization could hypothetically use to explain the health or nursing informatics policy/regulation you selected. Your fact sheet should address the following:
Briefly and generally explain the policy or regulation you selected.
Address the impact of the policy or regulation you selected on system implementation.
Address the impact of the policy or regulation you selected on clinical care, patient/provider interactions, and workflow.
Highlight organizational policies and procedures that are/will be in place at your healthcare organization to address the policy or regulation you selected. Be specific.
Ethical Considerations
· What are the potential benefits and harms related to your selected practice problem when considering a research-based intervention for your practice change project?
· Are there competing personal or professional values related to this research-based intervention that might impact the implementation of this intervention in your practice setting?
· What types of objections might be raised? How will you explain your decision to key stakeholders to address these objections?
In the past weeks, I have discussed the prevalence of obesity in the country and at the local level. Obesity is a growing epidemic especially in the United States and many other countries around the world. According to Dai, et al. (2020), in the years between 1990 and 2017, the obesity-related deaths and disability-adjusted life years have vastly increased for both men and women, globally. It is our job as DNPs to look into the various practice problems and, through research evaluation, ascertain the information needed to create research-based intervention and decrease the burden of disease.
I consider obese persons to be part of a vulnerable population. This conclusion is apparent in that: 1) there is a social stigma associated with personal appearance; 2) ridicule toward obese people is real; 3) personal appearance plays a large role in self-worth; and 4) because most obese people are desperate to lose weight, they can easily be taken advantage of. And of course, being pregnant also adds to the vulnerability of this subpopulation. Because of all this, it is important to remember that we must remain ethical when considering a research-based intervention. There are benefits and harms associated with almost all interventions; it is important to remember that risks must be minimalized. Respect for persons, beneficence, and justice are important ethical ideals when performing the research, and they must also carry over to the implementation of the findings (Favaretto, et al., 2020). The plan for my change project includes two steps. The first is to incorporate education of diet and exercise, including healthy eating choices and preparation demonstrations. The second part involves the patient tracking their exercise on a fitness tracker given to them at their first prenatal visit. They will be shown how to log their daily meals and exercise. Then at every prenatal visit, they can bring in their log so as to discuss their progress. We must remember to congratulate even the smallest improvement and encourage future improvement.
When introducing intervention for the pregnant, obese population, the benefits could be great. These include having a healthier pregnancy and baby, avoiding complications of pregnancy such as gestational diabetes and hypertension/preeclampsia, living a healthier lifestyle that can be carried over past the postpartum period, and lowering the risks of future weight-related problems such as cardiac disease and diabetes. But we must be careful about how we approach the patient so as to avoid harm. Obese patient care, especially when pregnant, can harbor great embarrassment and low self-esteem. Because of this, discussing weight is something that needs to be ethical and humane. One of the worst things that can happen in this situation is that the patient may be so embarrassed and upset that she may not return for prenatal care. That can have grave implications for both mother and fetus. This can also lead to depression and self-isolation, which as obstetrical providers, we know that this can lead to suicide ideations.
There are some personal and professional values that conflict when putting an intervention into place to help pregnant women with weight loss. As a professional nurse-midwife, I want my patients to be at the peak of health. I look past the pregnancy and down the lifespan of my patient. I truly care about each and every patient’s well-being just as if they were family or friends. And so, therefore, I want to push through with interventions on weight loss. But there is that part of me that makes me ambivalent about upsetting or hurting the feelings of my patients by bringing up sensitive issues like their weight. Of course, these women know they have weight problems, but I can be a source of embarrassment as many of these women are not happy with their appearance or are depressed because of it. In the end, it is important to address this sensitive issue with tact and empathy so that we can minimize the harms of this type of intervention.
I am anticipating that many questions would be raised especially by the organization administration including the chief financial officer, as well as the mesosystem of managers. One of the most important objections I anticipate is over the cost of implementing the program. Who will pay for the fitness trackers? What are the costs associated with teaching about sound dietary choices and demonstrations of healthy cooking? I would recommend a cost/savings analysis be performed. In addition, emphasis will be placed on the benefits of a healthier population, such as shorter hospital lengths of stay, fewer complications with procedures or surgery, improved patient satisfaction, and an increase in payments from third-party payors. We should also see a drop in readmissions of women with postpartum preeclampsia. In addition, the nursing load would be lighter with a healthier population. I would explain that as an option, we can involve the local health departments and ask for assistance with the healthier eating and cooking portion of the intervention as they have specialists that work with WIC programs and others of the like. In the end, the organization would be making money. We have an obligation as health care providers to help improve the health of the patients, community, and world. It is projected that by 2025, 20.5 million Americans will be morbidly obese and as this number increases, so does the expenditures. (Cecchini, 2018).
Cecchini, M. (2018). Use of healthcare services and expenditure in the US in 2025: The effect of obesity and morbid obesity. PLoS ONE, 13(11), 1-14: e0206703. https://doi.org/10.1371/journalpone.0206703
Dai, H., Aisalhe, T., Chalghaf, N., Ricco, M., Bragazzi, N., & Wu, J. (2020). The global burden of disease attributable to high body mass index in 195 countries and territories, 1990-2017: An analysis of the Global Burden of Disease Study. PLOS Medicine, 17(7), 1-19: e1003198. https://doi.org/10.1371/jounal.pmed.1003198 (Links to an external site.)
Favaretto, M., Clercq, E., Gaab, J., & Elger, B. (2020). First do no harm: An exploration of researchers’ ethics of conduct in Big Data behavioral studies. PLoS ONE, 15(11), 1-23: e0241865. https://doi.org/10.371/journal.pone (Links to an external site.).0241865
I NEED A COMMENT FOR THIS POST WITH AT LEAST TWO-THREE PARAGRAPH AND TWO SOURCES NO LATER THAN FIVE YEARS
Discussion
Mr. Russell is a 73-year-old Caucasian male who presents to your clinic with complaints palpitations and intermittent light-headedness for approximately 1 month. He is currently being treated for hypertension and is taking HCTZ 25mg daily. He also is complaining of heartburn and belching after eating a large meal.
Vital Signs: B/P 159/95 (right arm), B/P 162/96 (left arm), HR 88, Resp. 22, Weight 99 kilograms (previous weight at last appointment 2 months ago was 95kg
Physical Exam:
Constitutional: Alert & oriented, well-developed.
Neck: No carotid bruit or JVD.
Heart: Regular rate without murmur or gallop.
Lungs: Slight crackles in RLL but otherwise clear to auscultation.
Abdomen: Soft, non-tender with + BS.
Legs: Left leg with moderate 3+ edema on RLE and leg 2+ edema on LLE.
Labs: NA 143mEq/L, CL 99 mmol/L BUN 18mg/dL, Hbg 15, TC 234 mg/dL, LDL 137 mg/dL, HDL 35 mg/dL, triglycerides 241mg/dL,
What are your treatment goals for Mr. Russell today?
What is your pharmacologic plan and rationale? (cite with appropriate clinical practice guidelines or scholarly, peer-reviewed journals)
What are five key patient education points based on your plan?
How would your plan change if your patient is African American?
Environmental Factors and Health Promotion Presentation
Accident Prevention and Safety Promotion for Parents and Caregivers of Infants,"The growth, development, and learned behaviors that occur during the first year of infancy have a direct effect on the individual throughout a lifetime. For this assignment, research an environmental factor that poses a threat to the health or safety of infants and develop a health promotion that can be presented to caregivers.
Create a 10-12 slide PowerPoint health promotion, with speaker notes, that outlines a teaching plan. For the presentation of your PowerPoint, use Loom to create a voice over or a video. Include an additional slide for the Loom link at the beginning, and an additional slide for references at the end.
In developing your PowerPoint, take into consideration the health care literacy level of your target audience, as well as the demographic of the caregiver/patient (socioeconomic level, language, culture, and any other relevant characteristic of the caregiver) for which the presentation is tailored.
Include the following in your presentation:
Describe the selected environmental factor. Explain how the environmental factor you selected can potentially affect the health or safety of infants.
Create a health promotion plan that can be presented to caregivers to address the environmental factor and improve the overall health and well-being of infants.
Offer recommendations on accident prevention and safety promotion as they relate to the selected environmental factor and the health or safety of infants.
Offer examples, interventions, and suggestions from evidence-based research. At least three scholarly resources are required. Two of the three resources must be peer-reviewed and no more than 6 years old.
Provide readers with two community resources, a national resource, and a Web-based resource. Include a brief description and contact information for each resource.
Refer to the resource, ""Creating Effective PowerPoint Presentations,"" located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style.
Refer to the resource, ""Loom,"" located in the Student Success Center, for additional guidance on recording your presentation.
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.
Discussion
Reflect on the analysis of the sin of suicide and, thus, euthanasia from the topic readings. Do you agree? Why or why not? Refer to the lecture and topic readings in your response.
Professional Capstone and Practicum Reflective Journal
1000 TO 1250 WORDS
Students maintained and submitted weekly reflective narratives throughout the course to explore the personal knowledge and skills gained throughout this course. This assignment combines those entries into one course-long reflective journal that integrates leadership and inquiry into current practice as it applies to the Professional Capstone and Practicum course.
This final submission should also outline what students have discovered about their professional practice, personal strengths and weaknesses that surfaced during the process, additional resources and abilities that could be introduced to a given situation to influence optimal outcomes, and, finally, how the student met the competencies aligned to this course.
The final journal should address a variable combination of the following, while incorporating your specific clinical practice experiences:
New practice approaches
Interprofessional collaboration
Health care delivery and clinical systems
Ethical considerations in health care
Practices of culturally sensitive care
Ensuring the integrity of human dignity in the care of all patients
Population health concerns
The role of technology in improving health care outcomes
Health policy
Leadership and economic models
Health disparities
While APA style 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 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 required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.
MY TOPIC IS FALL IN HOSPITAL
Ethical values and principles as defined by the Code of Federal Regulations (CFR)
Reflect upon your selected practice problem and the eventual research-based intervention you select for your practice change project and address the following.,"Translation of a research-based intervention to practice involves a critical review of numerous published research studies to discern if individuals - research subjects - were treated according to the ethical values and principles as defined by the Code of Federal Regulations (CFR). Reflect upon your selected practice problem and the eventual research-based intervention you select for your practice change project and address the following.
What are the potential benefits and harms related to your selected practice problem when considering a research-based intervention for your practice change project?
Are there competing personal or professional values related to this research-based intervention that might impact the implementation of this intervention in your practice setting?
What types of objections might be raised? How will you explain your decision to key stakeholders to address these objections?
