Discussion

Describe The Nurse's Role And Responsibility As Health Educator. What Strategies, Besides The Use Of Learning Styles, Can A Nurse Educator Consider When Developing Tailored Individual Care Plans, Or For Educational Programs In Health Promotion?","Describe The Nurse's Role And Responsibility As Health Educator. What Strategies, Besides The Use Of Learning Styles, Can A Nurse Educator Consider When Developing Tailored Individual Care Plans, Or For Educational Programs In Health Promotion

The Christian narrative of creation is essential to Christian theology

The Christis biblical narrative is the foundation that states God is the creator of everything that exists (Grand Canyon University, 2018). God described his act of creation as good, which means that it was valuable and everything in its original state was the way it was supposed to be (Grand Canyon University, 2018). Men and women are created in the image of God and whether in health or sickness all humans have intrinsic value.

Fall: The fall and separation from God broke homeostasis of creation itself, bringing upon disease, sickness, suffering and death. These are all effects of the fall and not part of God’s original design (Grand Canyon University, 2018).

Redemption: The brokenness of the fall is being restored through redemption. The resurrection has several implications on disease, healing and death such as a motive for Christian ethics which is primarily love (Grand Canyon University, 2018).

Restoration: A renewed world is the goal of the biblical narrative. The biblical view of restoration informs the Christian health care provider that while medical science is good, it is limited and imperfect (Grand Canyon University, 2018). Healing from illness requires spiritual and communal restoration (Grand Canyon University, 2018).

One could find comfort and hope in the light of illness according to the four parts of the Christian biblical narrative. Christians need a firm foundation to guide and sustain them and through the biblical narrative provides a rich and deep perspective for the many ethical issues encountered in the world (Grand Canyon University 2018). These frameworks provide wisdom and guidance for complex dilemmas (Grand Canyon University 2018).

  Using 200-300 words APA format with at least two references. Sources must be published within the last 5 years.

 What do the four parts of the Christian biblical narrative (i.e., creation, fall, redemption, and restoration) say about the nature of God and of reality in relation to the reality of sickness and disease? From where would one find comfort and hope in the light of illness according to this narrative? Explain in detail each part of the narrative above and analyze the implications.

Research and develop a mission and values statement for a facility

Part 1


 Summarize the follow concepts :

   

     Corrective actions

     Resolved a management problem with employees who are resistive to change

     Developing an org chart

   

 

  Research and develop a mission statement and values for a facility

 Describe what types of health care this facility will provide

   

     What is the purpose?

     What services are provides?

     What type of health care?

     # of staff

     Type of staff

     Size

     Departments

     Other important details

   

 


Part 2


  Develop 5 ethical standards to implement at your chosen facility

   

     Research 2 companies with ethical standards

     Develop you own standards in your own words (2 APA references in final draft are required)

   

 

 How would you present this info to staff during training/orientations?

   

     Describe the training

   

 

  Closing/Conclusion



 Submit a 3-5 page after outline is done not including title page and reference page using APA format."

Counseling Adolescents

The adolescent population is often referred to as “young adults,” but in some ways, this is a misrepresentation. Adolescents are not children, but they are not yet adults either. This transition from childhood to adulthood often poses many unique challenges to working with adolescent clients, particularly in terms of disruptive behavior. In your role, you must overcome these behaviors to effectively counsel clients. For this Discussion, as you examine the Disruptive Behaviors media in this week’s Learning Resources, consider how you might assess and treat adolescent clients presenting with disruptive behavior.

Learning Objectives                       

Students will:


 Assess clients presenting with disruptive behavior

 Analyze therapeutic approaches for treating clients presenting with disruptive behavior

 Evaluate outcomes for clients presenting with disruptive behavior


 Post an explanation of your observations of the client in the case study you selected, including behaviors that align to the 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.

Search Engines & Databases

What search engines or databases are you using to identify the articles for your Weekly Article Summary assignment? What key words are you using for your search? Have they been effective in finding articles that are relevant to your clinical practice? Include rationale. 


 

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.

Psychiatric

Watch the following video. Complete a critique by answering the following questions: 

1. What new perspective did you gain about this mental health condition? 

2. Describe the more common psychotropic meds used in its management? (List at least two medications). 

3. List at least 2 nursing teaching for the patient and /or family regarding the meds?

4. List two nursing interventions? 

5. Using NANDA, list two nursing diagnoses that could be used in creating a plan of care? 

 This is the link:

                                   

https://www.youtube.com/watch?v=MdYc-CAMeEY (Links to an external site.)

Individual reflection report

You will be writing a 2000‐word report in three parts, as follows:

Part 1: Analyse the scenario of the public health leader, presented in the Australian public health context using the Australian Health Leadership Framework [ 1000 words ]

(Australian Health Leadership Framework: https://www.aims.org.au/documents/item/352 ) Part 2: Undertake a self‐assessment using the Leadership self‐assessment tool [ 500 words ] NHSLeadership‐Framework SelfAssessmentTool.pdf .

Apply the tool to obtain your results. (The tool is not automatic – you need to apply it honestly) 

  Assessment

  Individual/Group

  Length

     Learning Outcomes

This assessment addresses the following learning outcomes:

1. Critique theories, styles, approaches and strategies of

leadership in public health

2. Analyse the influence of diversity on leadership

(gender, culture, professional discipline and

community)

3. Evaluate personal leadership strengths and areas for

improvement through analysis of public health leadership frameworks

  Submission

  Weighting

  Total Marks

       

 Part 3: Imagine yourself to be in the situation. Reflect on your leadership style, its strengths, and apply them to this scenario. How would you have responded to the situation based on the self‐evaluation in part 2? Where do you see the gaps in your profile? Prepare an action plan. [500 words

Discussion

100 word positive post with three references due 07/29/20 at noon,"The SDLC is crucial to the outcomes of the software and systems in use in a health care facility. The use of the software is dependent on its users and their preparedness, as well as their capabilities. Failing to involve nurses in the SDLC, yet they are the target end-users of the system amounts to a design and project management failure (McMurtrey, 2013). It leads to an increased level of user frustration, possible resistance in the adoption of the new system, and limited functionality due to the resulting distress.

Nurses are experts in the field of patient care, and if a technology is to have positive effects on patient care, then the technologists implementing it must involve nurses in the process of developing it (Kaipio et al., 2020). The reason for involving the nurses is to facilitate a smooth transition from the deployment to the training of users and eventually to the transformation of the organization because of the new system. Apart from increasing the buy-in for the new development, the approach will also allow nurses to have input into the development process. As with many projects, change requests that come early before the commencement of tasks that are critical to the project might be easier to incorporate. Failing to involve nurses would mean that the developers lack insights into the types of routines the nurses have in their patient, caring jobs (Restuccia et al., 2012). These routines and the philosophy behind them affect the manner of working with technology, the need for information, and the collaboration demands and opportunities in the workplace.

It is vital to map the work processes of the nurse in the legacy system and the technology-enhanced system. The mapping must happen in tandem with the designing process. The leading manager in the SDLC should ensure that the details of all users are the ones used for the design process (McLean et al., 2015). Getting firsthand information and possible trials in the real world make better data for decision making than projects that might rely on wrong assumptions. The involvement of nurses should improve organization learning during the implementation and when using the new program or system.

A specific example showing nurse involvement in the SDLC was in the introduction of the bar-code system in a midsized hospital where I worked. The first part of the implementation was to offer an overview of the system and its benefits to the organization. After that, the organization organized forums and allocated times for attendance for all staff, away from regular work. The forums worked like tutorials and question and answer sessions as well as discussion avenues about the new system. The implementing team learned of people’s fears, the problems with the current system, and the challenges users expected. They also learned of new concerns arising because of the design and the management expectations of the bar-coding infrastructure.

Being involved in the process to offer suggestions and to vote of features to include or leave out, as well as when to include them in the system, was an essential step in staff involvement. Most of the staff members ended up anticipating the completion of the project, and they were eager to try new features when they became live. The increased communication also leads to a faster turnaround for the challenges that emerged and were reported by the participating employees. It was also easy to prioritize the changes and the raised issues based on the earlier voted order of priority of user issues in the project.

                                                                                                                                                                                     

References

Kaipio, J., Kuusisto, A., Hyppönen, H., Heponiemi, T., & Lääveri, T. (2020). Physicians’ and nurses’ experiences on EHR usability: Comparison between the professional groups by the employment sector and system brand. International Journal of Medical Informatics, 134, 104018. https://doi.org/10.1016/j.ijmedinf.2019.104018

McLean, A., Frisch, N., & Roudsari, A. (2015). Nursing’s voice in healthcare IT acquisition decisions. Canadian Journal of Nursing Informatics, 10(3). http://cjni.net/journal/?p=4248

McMurtrey, M. (2013). A case study of the application of the systems development life cycle (SDLC) in 21st-century health care: Something old, something new? Journal of the Southern Association for Information Systems, 1(1). https://doi.org/10.3998/jsais.11880084.0001.103

Restuccia, J. D., Cohen, A. B., Horwitt, J. N., & Shwartz, M. (2012). Hospital implementation of health information technology and quality of care: are they related? BMC Medical Informatics and Decision Making, 12(1), 101–109. https://doi.org/10.1186/1472-6947-12-109

Discussion

Your chapter readings for this week include both four and five. These chapters will cover Quantitative and Qualitative research, additionally, you will read on Literature Review/Experimental Research Design.","Phase 1 is the planning stage of a research project; students are to prepare a 4-5 page paper identifying a specific topic that you would like to investigates and relates to transitional nursing. You will provide a brief introduction to the situation by utilizing published nursing research articles to support your statement. This paper will also include 

1- Introduction to the Problem

2- Clearly Identify the Problem

3- Significance of the problem to Nursing

4- Purpose of the research

5- Research questions

6- Master's Essentials that aligned with your topic

Discusssion

Patient Information:

Initials: C.M., Age: 70, Sex: Female, Race: White 

S.

CC (chief complaint): The patient presents with the condition of forgetfulness that makes her forget what she had gone to pick in the next room. 

HPI: C.M. is a 70-years old patient presents with case of forgetfulness that has lasted for a period of 1 year. The condition has been worsening with time and lately she indicates that she could go to the next room just to realize that she cannot remember what she went to do. The patient report though indicates that she was still able to carry out her normal choirs like performing driving herself and managing her finances. The patient’s family has noticed the situation. 

Location: head

Onset: 1 year ago

Character: Forgetfulness, short term forgetfulness that makes her forget short term activities. 

Associated signs and symptoms: nausea, vomiting, photophobia, phonophobia

Timing: This occurs continuously and seems to be worsening with time. 

Severity: 6/10 forgetfulness scale 

Current Medications: The patient has been using Rivastigmine drug for the last three months, 1.5 mg orally twice every day for the initial two weeks, then she continued with 3mg twice every day for the next two weeks and and she is currently using 4.5mg twice each day (Khachaturian, & Radebaugh, (Eds.), 2019). 

Allergies: No recorded allergic reactions to either food or any other substance. 

PMHx: The last tetanus immunization date was recorded to be 5th of January 2020. The patient indicates no known surgical procedure done to them in the last few years. She indicated that she was diagnosed with hypertension when she was 40 and she was able to manage the condition and by the age of 42 she was declared free from hypertension. She reports no mental diagnosis before the specific diagnosis for the prevailing condition. 

Soc Hx: Lifestyle is one of the most crucial contributing factors to the health of a patient (Dubois, et al. 2016). Considering the the patient presented is 70 years old, she has a higher prevalence to chronic health conditions. The development of specific measures that would be more effective in the control of the specific conditions. C.M. reports never smoking but reports that she used to drink between the age of 25 to 40 years old when she was diagnosed of high blood pressure when she stopped drinking. C.M. enjoys adventure and she used to go swimming every day before her husband passed away one and half years ago. She confirms that she found it difficult to live without him. She is a Christian and she seeks solace in the church when she feels lonely. Two of her children live within the city and one of them visits her frequently. She rarely talks with one of the children who lives in another state. 

Fam Hx: The identification of the patient health conditions contributes to better understanding of the possible present health condition (Li, et al. 2019). In the case of C.M. her father died ten years ago because of dementia after several years of suffering from hypertension and diabetes. Her mother died of a road accident when she was 30 years old. All her siblings are still alive. The eldest is 74 years old and has been diagnosed with mild dementia. The other two are younger than her and do not have any health condition. 

ROS: 

GENERAL: lost 5 pounds in the last five months, effective self-expression, remembers her date of birth, today’s date and month, she drove herself to the facility. Forgets some of the connective words and took time to recall the name of her younger sister’s name until her daughter reminds her. 

HEENT: Eyes: Blurred vision for longer regions. Ears: No hearing loss, Nose; No running nose nor sneezing. Throat: No sore throats and no congestions.  

SKIN: No visible rash and reported no itching. 

CARDIOVASCULAR: No visible edema on palpation, chest difficulties nor chest pain, chest 

RESPIRATORY: No sputum, no breathing difficulties and no sound abnormal sound produced during breathing. 

GASTROINTESTINAL: no diarrhea recorded and no vomiting, reported no nausea nor anorexia. No blood stains on the stool and no reported abdominal pain. 

GENITOURINARY: Burning on urination. Pregnancy. Last menstrual period, MM/DD/YYYY.

NEUROLOGICAL: difficulty following simple instructions, forgetting the contexts of the immediate previous conversation. No paralysis, no headache and no dizziness nor syncope. 

MUSCULOSKELETAL: Minor slowed muscle response when standing up from sitting position, Slight stiffness reported on the muscles, No back pain, joint pain 

HEMATOLOGIC: No anemia, bleeding or bruising.

LYMPHATICS: No enlarged nodes. No history of splenectomy.

PSYCHIATRIC: mild depression after losing her husband. 

ENDOCRINOLOGIC: No polyuria nor polydipsia, No reports of sweating, cold or heat intolerance.

ALLERGIES: No history of allergic reactions such as asthma. 

O.

Physical exam:

GENERAL: Physically upright and fit when she stands, effective self-expression, fluent speech, no reported pain in any part of the body, 64 kgs, 5’3 ft, effective eye sight for her age, remembers her date of birth, today’s date and month, she drove herself to the facility. Forgets some of the connective words and took time to recall the name of her younger sister’s name until her daughter reminds her. 

HEENT: Eyes: Blurred vision for longer distance objects.  

MUSCULOSKELETAL: Minor slowed muscle response when standing up from sitting position, Slight stiffness reported on the muscles, she also does not walk straight when walking across an open room.  

Diagnostic results: The diagnosis for mental conditions may be carried out by testing blood to determine rule out the possible cause of the condition. Blood tests indicate negative for vitamin deficiencies and thyroid disorder condition. 

A.

Differential Diagnoses 

Psychotic disorders: This condition is considered as one of the differential diagnosis considering that the patient indicates forgetfulness.

Anxiety disorder: This condition is also considered due to fact that the patient experiences forgetfulness for common terms and names of people and items. 

Alzheimer’s Disease: The poor vision, the poor gait when waking up and when walking across the open room also contribute to the selection of this condition as one of the possible differential diagnosis (Dubois, et al. 2016).

References

Dubois, B., Padovani, A., Scheltens, P., Rossi, A., & Dell’Agnello, G. (2016). Timely diagnosis for Alzheimer’s disease: a literature review on benefits and challenges. Journal of Alzheimer's disease, 49(3), 617-631.

Khachaturian, Z. S., & Radebaugh, T. S. (Eds.). (2019). Alzheimer's disease: cause (s), diagnosis, treatment, and care. CRC Press.

Li, M., Yue, L., Gong, X., Li, J., Ji, H., & Asoke, N. (2019). Hierarchical Feature Extraction for Early Alzheimer’s Disease Diagnosis.