comment nelly

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  I NEED A POSITIVE COMMENT BASED IN THIS ARGUMENT..BETWEEN 150-200 WORDS

 

It’s been 17 years since Haiti was hit with a 7.0 magnitude earthquake. This earthquake took the life’s of more than 220,000 people and injured approximately 330,000 others. Many individuals lost their life, loved ones, limbs, job, home, and tranquility. Haiti being one of the poorest and undeveloped countries predisposed its occupants to a great risk. Many individuals believe that the many catastrophic effects could have been lessened or prevented.

 

To start off, primary prevention measures should have been taken. This consist of earthquake awareness and preparedness. According to Jones, (2010) Haiti did not have a seismologist. A seismologist is one that studies the seismic waves, energy waves caused by rocks suddenly breaking apart within the earth or the slipping of tectonic plates. Seismologist use graphs and computers equipment to collect and analyze data on seismic events. They predict earthquakes and tsunamis. It was after the earthquake that they incorporated the use of seismologists, improvements of seismic hazard maps were done, and earthquake awareness campaign took place.

 

Secondary prevention could consist of emergency equipment on hand. Emergency equipment can be the use of bottled water, antibiotics, first aid equipment, and tetanus immunizations. This could help prevent the outbreak of cholera and tetanus. Due to the large amount of injuries caused by debris and unsanitary conditions, individuals are prone to developing tetanus and other illnesses.

 

Tertiary prevention can be the use of medical counselors/therapists to help individuals cope with the aftermath of these disasters. Experiencing a catastrophic event can lead to much pain, suffering, anxiety, insomnia, and many other problems. Individuals need to be able to be heard, express their feelings and concerns. Receiving therapy can help alleviate these symptoms and help individuals cope with their losses.

 

I believe that all these interventions can be proposed during the primary prevention phase. There has to be a plan ahead of time that will incorporate all important things needed. Looking out for individuals as a whole is very important and beneficial to their wellbeing. One can discuss these things with organizations as the Red Cross, CDC, and UNICEF. These organizations offer much help in disasters and prevention of illnesses.

 

References

Jones, N. 2010. Haiti to improve quake preparedness. Retrieved from http://www.nature.com/news/2010/101213/full/news-2010.670.html

 

 

Post@6

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  • Hello i need a good and positive comment related with this argument .A paragraph  with no more  90 words.

  •  Deactivated

    Tammy Wagner 

    2 posts

    Re:Topic 3 DQ 2
    The community health nurse needs to be open to different cultures.  We have all heard this statement, “They are in the U.S. and so they should learn to conform”.  In our interactions with people, their health is of upmost importance.  To be able to provide care, the nurse must be able to provide culturally consistent, suitable, and meaningful nursing and health care.  This will help to eliminate misunderstandings and miscommunications (Maurer & Smith, 2013, p. 268).  We will not know everything about all cultures, however, over time we will add more and more to our cultural competence suitcase.

     

    Cultural preservation maintains the importance of the specific culture.  In the Native American culture, the placenta is often saved and used in ritual planting of a tree.  In looking at the placenta, you can see the symbolic tree of life in the veins and arteries of the placenta.  By asking about this preservation ritual before throwing the placenta away, you show a cultural competence and respect for the patient’s culture.  

    Cultural accommodation is including aspects of culture into western practice if it is not harmful.  In the Gypsy culture, childbirth is viewed as unclean.  Many of their women will receive prenatal care through their midwives in their village and only go to the hospital for the birth so as not to make their home unclean.  They believe in the support of the village.  When we had a patient come in to give birth, she arrived with no less than 15 people to attend the birth.  The OB was not happy with this and tried to empty the room until the nurse took charge.  The number of people was reduced but the majority remained with an understanding that if an emergency came up they would need to exit the room.  Once the OB understood the cultural relevance, he could take a step back and allow for this ritual. 

    Cultural repatterning is changing a harmful health practice while still respecting the culture.  In L&D, we see the practice of female genital cutting.  This is practiced in 28 African countries as well as other areas.  Genital cutting is the excision of part or all the female external genitalia for non-medical reasons.  This takes place around the age of 14.  The negative outcomes are many.  Women’s groups and human rights activist have placed this as a high priority to stop this harmful practice.  Community education is key to increase public awareness.  Harmful traditions seem impossible to change.  Through policy makers, community leaders, and education the message will get out there (Hersh, 1998).

    Cultural brokering is the intervening for the patient, providing the appropriate care.  An example of this would be the young Hispanic girl that comes to the hospital to have a baby, her family refuses to sign for the epidural.  They believe that the epidural could have negative long lasting effects on her back.  They also believed that this young girl needed to be taught a lesson, through the pain, maybe she would not have sex again before marriage.  This type of withholding medication is not allowed, the patient could sign for her own epidural even though she was a minor.   We could provide the best care for her.  The barrier is the families wishes were not observed. 

comment patricia

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  I NEED A POSITIVE COMMENT BASED IN THIS ARGUMENT. BETWEEN 150-200 WORDS

 

A geopolitical community is defined by Maurer & Smith
(2013, pg 396)  as “a spatial
designation, a geographical or geopolitical area or place. It can either be
formed by manmade boundaries such as a street, bridges, highway, or by natural
boundaries like mountains.

 

I live in Philadelphia, PA and my boundaries are set by the
Bensalem area. Phenomenological community is where I liv. I live in a middle
class working neighborhood with stores and  twin houses. The families have children
ranging from newborns to teenagers. 
Neighbors are to themselves, quiet suburban area.. My neighborhood is a
bit diverse with plenty whites, Asians, Indians, blacks and hispanics. A
phenomenological community exists because the people in it have a common
interest. All of us live in a geopolitical community and many of us are part of
a phenomenological community (Maurer & Smith, 2013). For instance, my job
is where I work, I have friends as well as coworkers there and we all have one
common goal, to take care of our patients.

 

Challenges for nurses may arise when dealing with a
community that has a high crime rate, cultural differences, language barrier
and other issues as opposed to another community. The nurse need to gather data
and use theory such as community as Partner model and energy model.  Which is used to conduct community
assessment. Both views see the community as a network (Maurer & Smith
2013).  If the nurse utilize these
models, it will address certain issues and concerns in the community. Looking
at the community with these models are able to determine where the needs are.
It’s important to understand customs, beliefs and use community strength when
planning an intervention for community.

 

Reference:

 

Maurer & Smith (2013). Community/Public Health Nursing
Practice, 5th Edition. Pg 396- 399.Retrieved from
https://online.vitalsource.com/#/books/978-1-4557-0762-1/content/element/32167?locs[]=316-7&locs[]=324-11&q=spatial+designation+

COMMENT ALISSA

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 I NEED A POSITIVE COMMENT BASED IN THIS ARGUMENT. BETWEEN 150-200 WORDS

 

The comprehensive health assessment of a geriatric patient should be a clear, organized, and understandable document covering physical assessment findings, the client’s health history, and the client’s family background (Grand Canyon University [GCU], 2012). 

While assessing geriatric patients, nurses should pay attention to hearing and vision loss, as these are two things expected to diminish as clients age (GCU, 2012).  Sometimes loss of hearing or vision may be misinterpreted as loss of cognition, so it is important to be able to tell the difference.  Loss of cognition is not a normal part of the aging process; if it is noted during the assessment, this may be an indication of delirium, dementia, or depression (GCU, 2012). 

Physical changes that may be noted when assessing geriatric patients are: decrease of subcutaneous fat and muscle tone, altered gait, decreased height, and decreased mobility (GCU, 2012).  All of these may also indicate lack of proper nutrition, and since elderly clients are at higher risk for inadequate nutrition it is important to assess the client’s intake.  Caloric needs decrease as clients age, but it is an important assessment finding and nurses should do their best to ensure elderly clients are eating enough.

Skin should be assessed for breakdown, changes in texture, color, rashes, itching, and lesions, bruising, moles, and birthmarks.  Skin diseases are common in geriatric patients (GCU, 2012).  Remember to use the ABCD acronym when assessing moles (Asymmetry, Border, Color, Diameter) as these can be the first indication of skin cancers (GCU, 2012).  While skin loses its elasticity, it may become wrinkled and a little saggy.  Check mucous membranes for signs of dehydration. 

It is normal for hair to be thin and gray or white in color.  Nails should be flat or slightly curved; clubbed nails may indicate heart or pulmonary disease (GCU, 2012). 

Another important aspect of the geriatric assessment is to look at all the patient’s medications.  This is something that may be difficult for many older clients.  It is very important to review their medications with them and be sure they know how and when to take each one.  Many older patients are on several medications, and when seeing more than one provider ptients can easily be prescribed similar medications at once, or be prescribed medications that may interact with each other.  Patients should bring all of their medications to their appointments and go over each one with their provider.

Reference

Grand Canyon University. (2012). Health assessment of the older adult. Retrieved from https://lcugrad1.gcu.edu/learningPlatform/user/users.html?operation=loggedIn#/learningPlatform/loudBooks/loudbooks.html?viewPage=current&operation=innerPage¤tTopicname=Health Assessment of the Older Adult&topicMaterialId=11e92c9f-854b-4580-aecb-831f4476212b&contentId=d43a7a2f-d11b-46c1-a5a1-55d7459eaa28&

 

Post#6

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Hello i need a good and positive comment related with this argument .A paragraph  with no more  90 words.

 

 

Nelly Jacobo  

 

Re:Topic 5 DQ 2

 

Decades ago people died at home. Due to the advances in medicine, people are living longer than they used to. This has changed individuals desire to keep fighting to keep their loved ones alive. This has also affected the communication with their loved ones regarding their end of life wishes. A majority of individuals are not prepared for the death of their love ones. They have turn to medical facilities in the hopes to care for their loved ones.

 

According to Ahmad & Caims, 2011, 90% of people would like to die at home, while 10% would like to die at a hospital or nursing facility. Families often feel unprepared and overwhelmed when trying to make decisions regarding the death of a loved one. There are options such as palliative care and hospice care available to provide medical care and support for patients and families during an expected death. Families often prefer to have love ones taken care of by medical staff because they feel that they are more knowledgeable and competent. Taking care of a person in their last days can be very overwhelming and emotional for families. Families often fear that they wouldn’t be able to care for their love ones sufficiently. Many patients don’t have families or friends available to take on this role. Families often lack education regarding options and support available.

 

As medical staff, it is our responsibility to talk to our patients and families to acquire about their wishes. We need to provide support and education regarding end of life issues. Our goal is to be able to meet patients needs. If a patient is demanding to die at home, nurses need to involve social services and other support available to help meet patients needs. Patient wishes should be respected and all efforts should be taken. Unfortunately families support is required when patients want to die at home. Obtaining help at home can be expensive. Family members might not want to take on this role.

 

Individuals are living longer than before because of medical treatments available. Not everyone is prepared for death nor have they made their wishes known. Their are available services that can be utilized when faced with a terminal illness. Patients wishes should be respected and proper referrals should be made to help meet patients needs and wishes.

 

 

 

 

 

POST@1

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Hello i need a good and positive comment related with this argument .A paragraph  with no more  90 words.

 

Tammy Wagner 

 

1 posts

 

Re: Topic 4 DQ 1
We have a large population of uninsured people, growth of personal bankruptcy due to medical costs, increasing health care cost, huge profits for health care corporations, and a growing national debt and deficit.  On the website for Obamacare Facts, it stated that the top executive’s for-profit health insurance companies made nearly $200 million in total compensation for 2009 (Obamacare Facts website, n.d.).  The government does not regulate the cost of health care, however, personally speaking, I don’t see the government doing much better with their financial responsibilities.  We all know the premiums would continue to rise and that was not sustainable for the average American family. 

 

The United States placed dead last in the quality of health-care when compared with 10 other western, industrialized nations in 2014.  Not only is it dead last in quality, it is first in spending more per capita ($8,508) on health care than Norway ($5,669), which has the second most expensive system.  This data was collected before the Affordable Care Act went into full effect.  Among its deficiencies, are a relative shortage of primary care physicians; lack of access to primary care, especially for the poor; many low-income residents who skip recommended care, do not get needed tests, or do not fill prescriptions due to cost; high infant mortality; inordinate levels of mortality from conditions that could have been controlled, such as high blood pressure; and lower healthy life expectancy at age 60 (Bernstein, 2014).

 

Disparities in health care affect individuals and society.  Some barriers to accessing health care include:  lack of availability, high cost, and lack of insurance coverage.  The over haul of health care came due to the disparities, access to health care is regarded as unreliable; many people do not receive the appropriate care they need.  Increasing the number of people with health insurance is a start, however, the system must also be looked at.

 

Maintaining and protecting the health of the public is vital, the 3-major driver of health care expenditures are cancer, diabetes, and heart disease.  These have modifiable risks that can influence outcome.  Education is key, reform of the individual would go a long way.  Sustainability of the system as it is now will be in jeopardy due to the older Americans that will become fewer wage-earners paying taxes to fund Medicare.  While medical care can prolong survival, more important for the health of the population are the social and economic conditions that make people ill and in need of medical care in the first place.  Poor social and economic circumstances affect health throughout life.  People further down the social ladder usually run at least twice the risk of serious illness and premature death as those near the top (Kemp, 2012).   Talk about a complex issue, health care is that issue

 

Post#6

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Hello i need a good and positive comment related with this argument .A paragraph  with no more 100 words.

 

 Deactivated

 

Jack Lavoie 

 

3 posts

 

Re:Topic 3 DQ 1

 

 Along with many other afflictions, depression is on the rise in adolescence.  By the age of 18, around 11% of adolescence will be effected by depression, and of those, the majority of them are female (Edelman, C., Kudzma, E., Mandle, C., 2014).  Depression is defined as an overwhelming sadness that may or may not include an irritable, angry mood, a loss of interest in the things that used to bring joy (Edelman, C., et. al, 2014).

 

            As healthcare professionals, nurses need to be away of the sometimes-subtle hints that adolescence may use.  The use of certain word should grab your attention, such as: low, sad, blue, worried, stressed, or bored.  Some other signs and symptoms of depression include: change in weight or loss of appetite, fatigue, malaise, insomnia or hypersomnia, a decline in school performance, difficulty with concentration and a loss of interest in things that they used to enjoy (Edelman, C., et. al, 2014).  Some contributing factors of depression in adolescence may be: biological chemistry imbalance, hormone imbalance, inherited traits, childhood trauma’s or abuse, and learned patterns of negative self-talk (Jarvis, 2012).

 

            There are three different approaches of intervention or prevention that can be taken with adolescent depression, Primary, secondary, and tertiary interventions.  In the primary level, the focus of intervention of depression should be building on foundational strengths and encouraging, informing and educating the adolescent through this difficult stage of their lives (“Children’s Mental Health Project.”, n.d.).  In the secondary stage, the problems of depression are starting to show and behaviors are starting to change.  The level of prevention in the secondary stage may require more outside influence to help.  The tertiary level of treatment is when treatment of the depression is necessary and will usually require professional help.  In some cases, the legal system or the state must step in when it comes to safety of the adolescent (“Children’s Mental Health Project.”, n.d.).

 

            A nursing intervention that I have done before with an adolescent that was too depressed and questionably suicidal, was to get our social worker involved.  I felt that the patient was too acute to discharge home and I felt that she would not be safe.  I notified he Dr. and he put in an order for a mental health consult with our psychiatric nurse.  That nurse also felt that the patient would not be safe and notified the doctor who promptly put the patient on a 24-hour hold.  The police were then dispatched so that they could do the appropriate paperwork that starts the legal process.

 

            A couple of the few resources that Idaho has is the 2-1-1 CareLine (http://211.idaho.gov/) and the Idaho Department of Health and Welfare (http://healthandwelfare.idaho.gov/).  There are a couple local shelters but they would not be of much assistance.  There are only two local psychiatric hospitals in the area and they are continuously full.  Idaho is lacking extremely far behind in mental health resources, unless you have good insurance, your chances of getting the help you need is slim.

 

Resources

 

“Children’s Mental Health Project.” Graduate Modules | Children’s Mental Health Project | University of Calgary. University of Calgary, n.d. Web. 16 Jan. 2017.

 

Edelman, C., Kudzma, E., Mandle, C. (2014). Health Promotion Throughout the Life Span ( 8th Edition). St. Louis, MO: Mosby Elsevier.

 

Jarvis, C. (2012). Physical examination and health assessment (7th ed.). Philadelphia: W. B. Saunders

 

HCS 465 Week 2 Applying the Background and Methodology of the Research Process to Problems in Health Care

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Choose an article from your annotated bibliography. Obtain faculty approval for your article to ensure that it is a peer-reviewed research article.

Read the following:

  • Background: The background statement answers the following questions: How do you know a real problem, situation, or opportunity will be studied? Does evidence indicate you have chosen an important problem, situation, or opportunity that deserves more attention? What evidence indicates that the problem, situation, or opportunity relates to an organizational management issue or clinical concern?
  • Methodology: This part of a research study provides an overview of the scope of the study or how large, long, and comprehensive the study was. This is a brief overview explaining the gathering of the qualitative and quantitative data and where the data may be found. Implicit in this overview is the recognition by the researcher that both secondary data—document-based data, organizational material, library books, and journals—and primary data—empirical, qualitative, and quantitative data incorporated by a survey, experiment, and so on in a real-time fashion—was gathered to make the study comprehensive, fully researched, and as rigorous as a project must be within the scientific method of data planning, gathering, and analysis.

Respond to the following questions in a 700- to 1,050-word paper:

  • Definition of the problem
    • What is the problem the study was conducted to resolve?
    • Why is the problem important for health care administrators to study?
  • Study purpose: What is the purpose of the study?
  • Research question
    • What is the main research question?
    • If it is not stated, what would you say the research question is?
  • Hypothesis or hypotheses
    • What is the study hypothesis?
    • If it is not stated, what would you say the hypothesis is?
    • It there is more than one study hypothesis, state the hypothesis or hypotheses.
  • Study variables: What are the independent and dependent study variables?
  • Conceptual model or theoretical framework: In what way was a conceptual model or theoretical framework used to guide this study?
  • Review of related literature: In what ways does the literature review support the need for this study?
  • Study design
    • What study design is used?
    • How many subjects were studied?
    • Where are the subjects found?
    • What organization was studied?
    • How long did the study take?

Format your paper consistent with APA guidelines.

EXPERT_RESEARCHER

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DUE TUESDAY JANURAY 24 —->ADVANCE NR PRACTICE I

 

Assignment 2: Comprehensive Plan of Care and Paper

Overview/Description:

You have been provided with case studies in Week 4 that focused on genitourinary and musculoskeletal disorders. You will pick one of these cases to analyze and create a comprehensive plan of care for acute/chronic care, disease prevention, and health promotion for that patient and disorder. Your care plan should be based on current best practices and supported with citations from current literature, such as systematic reviews, published practice guidelines, standards of care from specialty organizations, and other research based resources. In addition, you will provide a detailed scientific rationale that justifies the inclusion of this evidence in your plan. Your paper should adhere to APA format for title page, headings, citations, and references. The paper should be no more than 3 pages typed excluding title page and references.

Criteria:

  • SOAP note
  • Evaluation of priority diagnosis
  • Facilitators and barriers to disorder management

Submit your document to the W4 Assignment 2 Dropbox by Tuesday, January 24, 2017.

Assignment 2 Grading Criteria
Maximum Points

Introduction

The submission included a general introduction to the priority diagnosis.
10

Subjective Data

The submission included the patient’s interpretation of current medical problem. It included chief complaint, history of present illness, current medications and reason prescribed, past medical history, family history, and review of systems.
15

Objective Data

The submission included the measurements and observations obtained by the nurse practitioner. It included head to toe physical examination as well as laboratory and diagnostic testing results.
15

Assessment

The submission included at least three priority diagnoses. Each diagnosis was supported by documentation in subjective and objective notes and free of essential omissions. All diagnoses were documented using acceptable terminologies and current ICD-10 codes.
20

Plan of Care

Plan included diagnostic and therapeutic (pharmacologic and non-pharmacologic) management as well as education and counseling provided. The plan was supported by evidence/guidelines, and the follow-up plans were noted.
25

Evaluation of Priority Diagnosis

The plan chose the priority diagnosis for the patient and differentiated the disorder from normal development. Discussed the physical and psychological demands the disorder places on the patient and family and key concepts to discuss with them. Identified key interdisciplinary team personnel needed and how this team will provide care to achieve optimal disorder management and outcomes.
25

Facilitators and Barriers

The submission interpreted facilitators and barriers to optimal disorder management and outcomes and strategies to overcome the identified barriers.
20

Conclusion

The submission included what should be taken away from this assignment.
10

APA/Style/Format

The submission was free of grammatical, spelling, or punctuation errors. Citations and references were written in correct APA Style.
Utilized proper format with coversheet, header.
10
Total
150

 

POST#5

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Hello i need a good and positive comment related with this argument .A paragraph  with no more 100 words.

 

 

Tammy Wagner  

 

Re:Topic 4 DQ 2

 

“I’m not as young as I used to be”, a common complaint in a middle-aged person with an inactive lifestyle.    While this is true, physical activity is something that must become a priority in achieving optimal health.    Regular exercise has been shown to decrease risks associated with  coronary heart disease and stroke .    Heart disease remains the number one cause of death for men and women.    Some risk factors for Heart disease is obesity, physical inactivity, smoking, hypertension, and genetics.    We all know the benefits of  reduction of type 2 diabetes  with regular exercise.    When you exercise, your cells become more sensitive to insulin so it can work more efficiently. Your cells remove glucose from the blood when you exercise using a mechanism totally separate from insulin.    Exercising consistently can lower the A1C  (“Blood glucose,” 2013) .      It has also shown that exercise can reduce the risk of certain types of  cancers .    Research has shown that cycling or walking half hour a day can reduce cancer risks.    Increased physical activity is correlated with reduced colon cancers in both sexes.    It has been shown that increased physical activity after cancer diagnosis can aid recovery and improve  outcomes .    Healthy adults should aim for 30 minutes a day for 5 days a week of moderate intensity physical activity.    Physical inactivity leads to widespread pathophysiological changes to the body (Wiley & Blackwell, 2010).

 

Utilizing Gordon’s Functional Health Patterns, the nurse can examine habits that have been in place for years.    The nurse can help this person to see the damaging effects of a lifestyle and educate on the positive change that can come through health promotion.    Some aspects of health promotion are the acceptance of aging, the need to exercise, and the importance of weight control.    The goal of increasing heart rate and blood pressure through exercise is taught.    Suggested activities are brisk walking, jogging, swimming, bicycling, and skipping rope.    A focus on skill and coordination are best for the middle-aged  person.    The goal is to help the person improve their quality of life by eliminating risks factors.    Providing self-help information and describing available resources will be beneficial (Edelman, Kudzma, & Mandle, 2014, p. 571-572) .