Determinants for Health in Young Children
Introduction
It is estimated “that about 6.3 million children under 5 years of age die in the world each year” (Skolnik, 2021, p. 296). These deaths primarily occur in low and middle-income countries. In this discussion board assignment, you will have the opportunity to explore how a mother’s education level impacts the health of her child and you will also have the opportunity to consider the impact of other determinants of health on children in low-income countries.
Discuss how the health of young children in low-income countries vary with the mother’s level of education.
Explain the multi-directional links between health, social, and economic factors.
Directions
In response to each topic or prompt provided by the instructor please do the following:
Provide a thoughtful and complete initial response that is a minimum of two to three paragraphs
Textbook : Global Health 101
4th Edition
Author: Richard Skolnik
Publisher: Jones and Bartlett Learning
Year: 2019
PowerPoint Presentation
10 slide. APA Format 7th Edition,"PowerPoint Presentation
Description
The purpose of this assignment is for the student to create a PowerPoint presentation. Board to share with their peers. The student will organize content about their value/viewpoint of the professional image of a nurse. There is no right or wrong to the content. You are to identify what you perceive as the professional image and provide at least 1 source to support your opinion. Must be 10 slide.
NOTE: See PowerPoint presentation Rubric is attached. APA Format 7th Edition. Zero plagiarism
Discussion
Discuss the importance of effective communication in the personal relationship, the therapeutic relationship, and the relationship within the interprofessional health-care team.
The importance of communication in the personal aspect is that creating individual relationship is important and effective communication is essential to achieve this. In addition, when a patient has an important relationship with the care provider, then the assistant will feel that the association is important and will try as much as possible to help such a person, (Macken, 2017). With that being said, when it comes to the therapeutic relationship, the individuals involved in this case will feel that the patients feel that their care providers are the people that are within the framework required for offering them the care they need. Health professionals use therapeutic relationships to help patients and provide them with factual information, so effective communication is crucial. Interprofessional relationships involve the transfer of information and communication between two or more individuals working together. This type of relationship requires for all of the health care members to actively engage and effectively communicate in order to provide adequate patient care and complete tasks accurately.
What similarities and differences can you identify among the above interactions?
The essential similarity that is involved in the among interactions is that effective communication is required amongst the types of relationships mentioned in order for the relationship to function properly. However, the differences involved include the professionalism required in each type of relationship mentioned. For example, interprofessional relationships are more formal than personal relationships.
Explain the concept of congruence between verbal and nonverbal communication.
The concept of the congruence between the verbal and the non-verbal communication is incredibly important. The congruence is that the verbal and the non-verbal congruence has a great association in that verbal situation reveals the information that is communicated via spoken words that the patient may share. Non-verbal communication entails information communicated through facial expressions and gestures. The congruence between these two forms of communication is that they provide health care workers information about the patient’s feelings. Additionally, the nurse may even compare what the patient says, meaning verbal communication, to what the patient portrays, in this case non-verbal communication, and find any resemblance.
There are many pitfalls to electronic communication. Identify a situation in which an electronic form of communication may result in a miscommunication. What other method of communication would have been more effective?
Although electronic communication may provide individuals with any benefits, many pitfalls exists with electronic communication. A situation in which electronic communication may result in a miscommunication may be if, for example, an email was not delivered or was delivered late. This miscommunication could have been prevented if a personal meeting or conversation would have been used instead.
How have you seen ISBAR used during your clinical experiences?
In my experience, I have seen ISBAR being used for communication among health care providers. I have experienced that, first, the health care professional introduces himself or herself and gives the reason for calling (I). Then, the situation is explained, including age and gender of the patient and the status (S). The patient’s background is then explained including clinical history and current presenting problems (B). The health care provider then describes the assessment conducted on the patient including their current condition, risks, and results (A). Lastly, the provider calling may make any recommendations of what he or she thinks should best benefit the patient (R).
Develop a hand-off report for yourself.Include items that you believe are pertinent for safe and effective nursing care. Refer to the information in the chapter for creating this report form.Using the information from the chapter, determine the effectiveness of the system currently in use on your unit for communicating shift-to-shift reports.
Maria Rodriguez, 68, female, admitted to emergency department. Presented with right-lower abdominal pain and mild fever. Reported severe pain. Patient is stable but continues to report pain. Patient was admitted September 28, 2020 with a past medical history of asthma. Patient was diagnosed with appendicitis. Assessment revealed elevated blood pressure and rapid respirations. Pain assessment revealed an 8 out of a 0-10 scale. Patient was taken in for an appendectomy and is currently stable and in recovery. Recommendations for this patient include further pain assessment. Surgical wound incision should be monitored for any deterioration. Vital signs should be taken regularly.
Dr. Roberts comes into the nurses’station demanding, “Where are Mr. Adams’s lab reports? I ordered these stat,and they’re not here! Who’s responsible for this patient?” How would you, as the nurse, respond?
As a nurse, I would refer to any personnel and staff member with respect. My initial response would be to talk respectfully to Dr. Roberts and assure him that I will conduct the labs stat. I would further apologize for the delay and explain to the doctor the situation which caused the setback in the labs. For example, I would inform the doctor if my patient had coded or if any accident had previously occurred.
Explain the concept of accountability in delegation. What are the legal ramifications of accountability in delegation?
The concept of accountability means that every person will be responsible for the practices or the conclusions that the person might make in the involved organization. In this delegation, the ramification is that when a person fails to deliver the goals that a person promised or was responsible to deliver, then the person will be held responsible for such a failure in delegation.
Dennie and Elias arrive in the unit for the 7:00 p.m. to 7:00 a.m. shift. Both nurses completed orientation 4 weeks ago. They find that they will be the only two RNs on the floor that night.There is a census of 48 clients. The remaining staff consists of two NAPs/UAPs and one LPN. What are the responsibilities of the RN, NAP/UAP, and LPN? Can Dennie and Elias effectively delegate client care tasks and care safely for all 48 clients? Use the Delegation Tree to make your decisions.
Using the delegation tree, the nurse must begin by assessing the needs of the patient in order to decide what can be delegated or what has to be done by his or her own (""Ana's Principles for Delegation,"" 2013). The responsibilities of the RN would include severe cases, sterile procedures, IV meal administration, assessment, teaching, and evaluation of patient care. On the other hand, the responsibilities of the LPN might include caring for stable clients and performing routine procedures. Lastly, unlike the responsibilities of the RN and LPN, those that would pertain to NAP/UAPs might involve activities of daily living, for instance, bathing and dressing patients. Furthermore, according to the delegation tree, in order for delegation to occur, a registered nurse must be present to supervise. If this is not possible, the task cannot be delegated.
Discuss the differences between direct delegation and indirect delegation.
A notable difference exists between a direct delegation and an indirect delegation. A direct delegation means that a nurse specifically assigns or delegates a task to another health care worker to perform according to his or her scope of practice. However, in the case of an indirect delegation, a listing of approved activities and tasks is given to the health care provider that were previously established by the agency based on policies of the facility.
You have to observe delegation procedures in your assigned unit:
What considerations does the RN take into account when delegating patient care?
Whenever delegating procedures into the assigned unit, an individual has to make key considerations. Before delegating any task, a nurse must assure that it involves the right person, right task, right circumstances, right directions and communication, and right supervision and evaluation (""Assignment, delegation and supervision: NCLEX-RN,"" 2016). What this means is that the right person must be assigned for the right job under adequate circumstances. The nurse delegating the task must provide the other health care provider with the right directions and communications to perform such tasks accordingly. Lastly, the nurse must provide the right supervision and must evaluate the completed task in order to determine the effectiveness of the task and better improve any skills, if needed.
You have to look at the unit census and prioritize the patient care:
Give the rationale for your choices.
As far as looking at the unit census and prioritizing the care of the patient is concerned, the rationale for the choices is that different patients require different care and protection. As an example, some require immediate attention while the others might require care that may be not be so urgent. Therefore, in this case, the patients that require immediate attention will be given a priority while those that do not require immediate attention will be given second priority. The rationale of the choices is that care will be given according to the condition of the patients in that the critical patients will be given a priority while the least affected will be cared for after.
Answer the following questions during your clinical experiences:
What specific tasks did your patients require that you might have been able to delegate?
Patient needs should be evaluated prior to delegating a task and the job should be within the scope of practice of the other health professional in order to provide safety and well-being, keeping in mind the possibility of causing any harm to the patient (Whitehead, Weiss, & Tappen, 2009).The ideal tasks that my patients required that I might have been able to delegate included giving the patient a bed bath and assisting the patient with dressing changes and activities of daily living.
How effective was your nurse/preceptor in delegating tasks to others?
The nurse/preceptor I observed was highly effective in delegating duties to others. The reason is that the nurse would delegate any task that was under the scope of practice of the other health professional. For instance, she did not delegate any assessment, education, or evaluation of any patients, which falls under the RN’s scope of practice.
How did your nurse/preceptor ensure that the tasks were completed safely and appropriately?
The appropriate way that the nurse made sure that tasks were finished appropriately and safely especially after delegating them was by evaluating the task and revising the work done after being completed. Additionally, after delegating a task, the nurse would still supervise the assigned health professional and would allow him or her to ask any question or clarification in case a need arose.
References
Ana's Principles for Delegation. (2013). ANA Enterprise | American Nurses Association. https://www.nursingworld.org/~4af4f2/globalassets/docs/ana/ethics/principlesofdelegation.pdf
Assignment, delegation and supervision: NCLEX-RN. (2016) https://www.registerednursing.org/nclex/assignment-delegation-supervision/
Macken, R. (2017). The elements of interpersonal communication.
Whitehead, D. K., Weiss, S. A., & Tappen, R. M. (2009). Essentials of nursing leadership and management. F A Davis Company
Nursing Assignment
Every two weeks, you will submit a reflective journal to the discussion forum for review by course faculty and your classmates. All are expected to engage and support one another by sharing these experiences in a supportive, constructive, and professional environment. Journaling is an active learning technique that is meant to enhance reflective practice (Blake, 2005). Reflective practice involves looking back over what has happened in the practice setting in an effort to improve performance or to encourage professional growth (Ruth-Sahd, 2003).
Your Weekly Practicum Journal is:
A personal, introspective subjective account of your practicum experience and how your practicum experience relates to Healthy People 2020 and course objectives. Include events that occurred in your practicum experience, and be sure to describe your thoughts and feelings about those events. How did your perceptions change? What did you learn that was unexpected? Describe your thinking about your thoughts and feelings regarding the new learning you experienced.
Connected to South University’s College of Nursing Conceptual Framework Pillars (Caring, Communication, Critical Thinking, Professionalism, and Holism).
Connected to prior coursework and experiences through reflective analysis.
Written in a scholarly, academic style using APA style format. Two or three sentences are not sufficient nor are daily logs/reports of activities.
As in all assignments, cite your sources in your work and provide references for the citations in APA format. Support your work, using your course lectures and textbook readings. Helpful APA guides and resources are available in the South University Online Library. Below are guides that are located in the library and can be accessed and downloaded via the South University Online Citation Resources: APA Style page. The American Psychological Association website also provides detailed guidance on formatting, citations, and references at APA Style.
• APA Citation Helper
• APA Citations Quick Sheet
• APA-Style Formatting Guidelines for a Written Essay
• Basic Essay Template
References:
Blake, T. K. (2005). Journaling; An active learning technique. International Journal of Nursing Education Scholarship, 2 (1), Article 7. doi: 10.2202/1548-923X.1116
Ruth-Sahd, L. (2003). Reflective practice: A critical analysis of data based studies and implications for nursing education. Journal of Nursing Education, 23(11), 488–497.
United States Department of Health and Human Services, Healthy People 2020. (2011). Retrieved from http://www.healthypeople.gov/2020/topicsobjectives2020/overview.aspx?topicid=8
Policy and Ethics
Healthcare Quality,design health policies that address local and global population health issues
PTSD
Post an explanation of your observations of the client William in Thompson Family Case Study, including behaviors that align to the PTSD criteria in DSM-5. Then, explain therapeutic approaches you might use with this client, including psychotropic medications if appropriate. Finally, explain expected outcomes for the client based on these therapeutic approaches. Support your approach with evidence-based literature. Some of the resources this week are applicable to William as a veteran.
Laureate Education (Producer). (2012a). Academic year in residence: Thompson family case study [Multimedia file]. Baltimore, MD: Author.
Ochberg, F. (2012). Psychotherapy for chronic PTSD [Video file]. Mill Valley, CA: Psychotherapy.net.
I care paper
Introduction: (No heading needed here in APA) Explain the type of work setting you are discussing and whether interprofessional teams are currently present. If interprofessional teams are present, indicate a team function that could be improved. If interprofessional teams are NOT present, indicate what type of team you think might be possible in the setting.
Describe a nursing action item for each component below that could contribute to: interprofessional team support; how this might impact the culture of your unit or organization; and possible impact on patient outcomes.
Compassion
Advocacy
Resilience
Evidence-Based Practice
Summary: Include a summary statement of how iCARE components can support interprofessional teams and patient outcomes. Address how you may be able to influence this process of support for interprofessional teams overall in your unit or organization.
References: List any references used in APA format
Information System Application for Decision Making
Identify the process for decision making regarding technology. Discuss nursing role in identifying appropriate technology for practice.
Your paper should include the following:
1. One technology application used in health care to facilitate decision making.
2. The application’s impact on quality of decision making.
3. The process for selecting and implementing the application.
4. The costs associated with the application.
5. Nurses’ role(s) in selecting and evaluating the application.
Your assignment will be graded according to the grading rubric.
Final Essay/Paper RubricCriteriaRatingsPoints
Identification of Main Issues/Problems
10 points
Distinguished
Identify and demonstrate a sophisticated understanding of the issues/problems.
8 points
Excellent
Identifies and demonstrate an accomplished understanding of most of issues/problems.
6 points
Fair
Identifies and demonstrate an acceptable understanding of most of issues/problems.
4 points
Poor
Identifies and demonstrate an unacceptable understanding of most of issues/problems.
10 points
Analysis and Evaluation of Issues/Problems
10 points
Distinguished
Presents an insightful, thorough analysis and evaluation of issues/problems.
8 points
Excellent
Presents a thorough analysis and evaluation of most of the issues/problems.
6 points
Fair
Presents a superficial or incomplete analysis and evaluation of issues/problems.
4 points
Poor
Presents unacceptable analysis and evaluation of issues/problems.
10 points
Demonstrates a Conceptual Understanding
10 points
Distinguished
Provides a thorough, competent and interpretive responses to all issues/problems, and shows a high level of conceptual understanding.
8 points
Excellent
Provides a competent and interpretive responses to all issues/problems, and shows a moderate level of conceptual understanding.
6 points
Fair
Provides a competent responses to all issues/problems, but lacks interpretation and a moderate level of conceptual understanding.
4 points
Poor
Provides an unacceptable response to all issues/problems, and lacks interpretation and a moderate level of conceptual understanding.
10 points
Use of Citations to Course Readings and Additional Research/Literature
10 points
Distinguished
Effectively uses the literature and other resources to inform their work. Exceptional use of citations and extended referencing.
8 points
Excellent
Effectively uses the literature and other resources to inform their work. Moderate use of citations and extended referencing.
6 points
Fair
Ineffectively uses the literature and other resources to inform their work. Moderate use of citations and extended referencing.
4 points
Poor
Ineffectively uses the literature and other resources to inform their work. An unacceptable use of citations and extended referencing.
10 points
Writing Mechanics and APA Formatting Guidelines
10 points
Distinguished
Demonstrate a high level of clarity, precision, and attention to detail. APA style is correct and writing is free of grammar and spelling errors.
8 points
Excellent
Demonstrate a high level of clarity. APA style and writing mechanics need more precision and attention to detail.
6 points
Fair
Demonstrate a moderate level of clarity. APA style and writing mechanics need more precision and attention to detail.
4 points
Poor
Demonstrates issues in writing and communicating clearly. APA style and writing mechanics need serious attention.
10 points
Organizational Leadership and Management Skills for Quality of Care and Patient Safety Considerations in APN and Specialty Nurse Practitioner Practice
Requirements:
You are a family nurse practitioner working in an outpatient primary care office of a large hospital system. The practice has been operating for over 15 years, and many of the administrative and clinical staff were hired when the practice opened. You have been in the practice for less than 3 months. In that short amount of time, you have witnessed several of the clinical staff engaging in heated arguments with each other, sometimes in patient areas. You overhear an argument occurring today between two staff. You pick up a patient's chart and notice a very low blood pressure that the medical assistant failed to notify you about. When you confront the MA, she states that she was going to report the vital signs to you when she became engaged in the heated argument you overheard and forgot to notify you.
Unfortunately, this pattern of behavior is not unusual in this practice. Working with staff who cannot cooperate effectively can negatively influence your ability to spend time with patients, can impede the flow of patients through the office, and could impact patient safety.
Case Study Responses:
Analyze the case study for potential issues for members of the healthcare team from office conflict. Contrast the potential effects for each member of the healthcare team based upon the required readings from the week. Discuss the potential ethical and legal implications for each of the following practice members:
Medical assistant
Nurse Practitioner
Medical Director
Practice
What strategies would you implement to prevent further episodes of potentially dangerous patient outcomes?
What leadership qualities would you apply to effect positive change in the practice? Focus on the culture of the practice.
Letz, K. (2017). The NP guide: Essential knowledge for nurse practitioner practice. (3rd ed.). American College of Nurse Practitioner Faculty.
Chapter 10 Corporate Compliance/ Legal Ease
Buppert, C. (2017). Nurse practitioner's business practice & legal guide (6th ed.). Jones & Bartlett Publishers.
Chapter 8 Risk Management
Treatment of Psychiatric Emergencies in Children Versus Adults
Learning Resources
Required Readings
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.
“Bipolar and Related Disorders”
Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014). Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Philadelphia, PA: Wolters Kluwer.
Chapter 23, “Emergency Psychiatric Medicine” (pp. 785–790)
Chapter 31, “Child Psychiatry” (pp. 1226–1253)
Stahl, S. M. (2014). Prescriber’s Guide: Stahl’s Essential Psychopharmacology (5th ed.). New York, NY: Cambridge University Press.
Note: All Stahl resources can be accessed through the Walden Library using the link. This link will take you to a login page for the Walden Library. Once you log in to the library, the Stahl website will appear.
To access information on the following medications, click on The Prescriber’s Guide, 5th Ed. tab on the Stahl Online website and select the appropriate medication.
Learning Objectives
Students will:
Compare treatment of adult psychiatric emergency clients to child or adolescent psychiatric emergency clients
Analyze legal and ethical issues concerning treatment of child or adolescent psychiatric emergency clients
To Prepare:
Review the Learning Resources concerning emergency psychiatric medicine.
Consider a case where an adult client had a psychiatric emergency. If you have not had a personal experience with an adult client who had a psychiatric emergency, you can conduct an internet or library search to identify one.
Post:
Briefly describe the case you selected.
Explain how you would treat the client differently if he or she were a child or adolescent.
Explain any legal or ethical issues you would have to consider when working with a child or adolescent emergency case.
Provide a minimum of three academic references no more than five years old .
Support your approach with evidence-based literature in APA Format and proper citation, including introduction and conclusion.
