Teacher_Answer

Please reply to this professor’s question with a minimum of two paragraphs, cited with two references not older than 5yrs old. No plagiarism. First is my initial post and underneath the line is the professor’s response. 

– An infectious diseases consist of various conditions that result from germs which include fungi, bacteria, viruses, and parasites. Infectious diseases can be contracted through breathing, touching, drinking or eating something that has been exposed to germs or that which contains it. HIV and AIDS are one of the infectious diseases and it is caused by a virus. Antiretroviral drugs are critical to those who have been infected with the virus and it has both advantages and disadvantages as discussed in this paper.  

The use of antiretroviral drugs allows the infected person to stay healthy for a long period because of reduced viral loads. It suppresses HIV and minimizes the chances of being affected by other diseases due to the weak immune system. The drug does not completely get rid of the virus from an individual but minimizes the effects that it causes to the body as a result of a weak immune system (U.S. Centers for Disease Control and Prevention , 2014). The drug, therefore, acts as a booster to the immunity of the body because it makes it healthy and strong. As much as antiretroviral drugs are advantageous they are also characterized by side effects which are unpleasant to the body. Some of the side effects that are associated with antiretroviral drugs include tingling or numbness of body parts, nausea, diarrhea, headache, abdominal pain, kidney stones as well as anemia. The drug may cause the development of diabetes mellitus in some patients while enhancing fat deposits which change the configuration of the body in other patients. In a nutshell, the side effects of the drug can be detrimental to the patient due to cardiovascular disease, stroke as well as hypertension.  

Reference:

U.S. Centers for Disease Control and Prevention (2014). Preexposure prophylaxis for HIV prevention in the United States – 2014: 

A clinical practice guideline. U.S. Centers for Disease Control and Prevention. http://www.cdc.gov/hiv/pdf/prepguidelines2014.pdf. Accessed July 27, 2014.

__________________________________________________________________________________________

Please let me know of an example of a commonly used Antiretroviral therapy that you would use for your patient ?

Thank you.

NURT

 

Discussion 1: Evaluating Nutrition Information

For this discussion, conduct an internet search for a nutrition question that interests you.  It could be about a particular food or a diet or how food might be beneficial for certain conditions.  Choose an article from your “search”.  Then evaluate the article based on the following criteria:

  • On what kind of website does the information appear?  (.gov, .com, .net, .edu, etc)
  • Is the author listed?  If not, can you determine who might have written it?  If so, is there any evidence that the author has some authority in the field of nutrition or health?  (qualifications, credentials [RD/RDN, MD, PhD, MS, etc]
  • Who is the intended audience for this information?  General public or scholarly?  If scholarly, does it provide a bibliography or reference list?
  • Are there any clues that the author might be biased?  (selling or promoting a product?  taking a personal stand based on social or political issues? other?)  If so, describe how the article is biased, if not, provide evidence that it is unbiased (ex. they offer both pros/cons; you can find related information from credible sources agreeing with the author, etc).

In your discussion post provide the question you asked in your search, the title of the article you chose, the link to the article, and a brief summary and explanation of your perception of the validity and credibility of the information you found.  Your response should be at least 250 words. 

After posting your response, read the responses of your classmates and respond to at least one in 150 words.

Yani_Res

Please respond to this classmates post with a minimum of two paragraphs, cited and app style. Two references no more than 5yrs old. 

Post: Urinary tract infections (UTIs) are among the most common infectious diseases occurring in either the community or healthcare setting. Uncomplicated UTIs typically occur in the healthy adult non-pregnant woman, while complicated UTIs (cUTIs) may occur in all sexes and age groups and are frequently associated with either structural or functional urinary tract abnormalities. Examples include foreign bodies such as calculi (stones), indwelling catheters or other drainage devices, obstruction, immunosuppression, renal failure, renal transplantation and pregnancy. UTI in the elderly is almost always complicated in men with prostatic hypertrophy and in post-menopausal women who may have an increased post-void residual volume.

A urinary tract infection is an infection anywhere in the urinary tract. These often cause inflammation of the urethra (urethritis), bladder (cystitis), or kidneys (pyelonephritis).The symptoms depend on the area affected. Typical symptoms of a lower UTI include frequency and dysuria without fever, chills or back pain whereas upper UTI usually presents with symptoms of pyelonephritis such as loin pain, flank tenderness, fever or other signs of a systemic inflammatory response.

Urinary tract infection is diagnosed by examination of a urine culture. Further investigations using intravenous urography or ultrasound scanning may be necessary. Most urinary tract infections are treated with antibiotic drugs. Increasing fluid intake and taking preparations such as potassium citrate that make the urine less acidic can relieve the symptoms.

Trimethoprim/ sulfamethoxazole (Bactrim)

Antibiotics—trimethoprim/ sulfamethoxazole (Bactrim) remains the first choice for community-acquired UTI in most areas. Complicated UTI is caused by a wider spectrum of organisms, and recommendations for treatment differ. Guidelines on specific antibiotic treatment and duration of treatment are available, but with increasing antibiotic resistance (including of E. coli to Trimethoprim), local microbiological advice should be taken into account when choosing antibiotic treatment.

Advantages: Cheap, Well tolerated, high concentrations in vaginal and peri-urethral fluid. Possible reduced risk of emergence of resistant strains.

Disadvantages: Increasing rates of resistance, adverse reactions (e.g. rash) to sulphonamide component.

The efficacy of antibiotics is not fully predictable from in vitro sensitivity testing, which is probably part of the reason why trimethoprim (with or without sulphamethoxazole) remains the first-line choice in many areas, despite an upward trend in resistance rates.

 References:

Scottish Intercollegiate Guidelines Network (2016). SIGN 88: Management of suspected bacterial urinary tract infections in adults.

Dai B, et al. (2013). Long-term antibiotics for the prevention of recurrent urinary tract infection in children: a systematic review and meta-analysis. Arch Dis Child, 95, 499–508.

Wagenlehner FM, Naber KG, (2016). Treatment of bacterial urinary tract infections: presence and future. Eur Urol, 49, 235–44.[CrossRef] [Web of Science] [Medline]

Define in your own words

  

Leadership: is a procedure that is carried out through several people to gain authority over others in order to execute the goals.

Laissez-faire: is a lider o manager as passive, nondirective, and inactive approach and relinquishes part or all the responsibilities to the members of the group.

Autocratic Leader: the person is focused and maintains strong control, make decisions, and address all problem.

Democratic-leader: this also called participative management. It based on the belief that every group member should have input into problem solving and the development of goals.

Bureaucratic- leader: the leader believes that individuals are motivated by external forces. Relies on organizational polices and procedure for decision making.

Delegation: is a process of transferring performance of a selected nursing task in a situation to an individual who is competent to perform that specific task. 

Illness: Abnormal process in which any aspect of a person’s functioning is diminished or impaired compared with his or her previous condition.

Wellness: Dynamic state of health in which and individual progresses toward a higher level of functioning, achieving an optimum balance between internal and external environments.

Leader: A person or thing that holds a dominant or superior position within its field, and is able to exercise a high degree of control or influence over others. 

Health Belief Model: helps you understand factors influencing patient’s perceptions, belief, and behavior to plan care that will most effectively assist patient in maintaining or restoring health and preventing illness.

Maslow’s hierarchy of needs: is a model that the nurse use to understand the interrelationships of basic human needs.

Primary prevention: is true prevention; it precedes disease or dysfunction and is applied to patient considered physically and emotional healthy.

Secondary prevention: is focuses on individual who are experiencing health problem or illnesses and are at risk for developing complications or worsening conditions.

Tertiary prevention: occur when a defect or disability is permanent and irreversible. It involves minimizing the effects of long-term disease or disability by intervention directed at preventing complications and deterioration.

Risk factor reduction: is any situation, habit, social or environmental condition, physiological or psychological condition, developmental or intellectual condition, spiritual condition, or other variable that increases the vulnerability of an individual or group to an illness or accident.

Acute illness: is usually reversible, has a short duration, and is often severe.

Chronic illness: persists, usually longer than 6 months, is irreversible, and affects functioning in one or more systems.

Health promotion: help patient maintain or enhance their present levels of health.

Integrity: is being honest even when no one else is looking, is doing the right thing even when no one is around to see you do it, and doing things the way they should be done, when no one is looking, instead of doing shortcuts. Integrity is being upright, and true to ones beliefs.

Preventive action: nursing actions directed toward preventing illness and promoting health to avoid the need for primary, secondary. Or tertiary health care.

Self-concept: depends in part on body imagen and roles but also includes other aspects of psychology and spirituality. Is important in relationship with other family members.

Self-efficacy: a concept include in social learning theory, refers to a person’s perceived ability to cessfully complete a task and many health promotions theories because it often is a strong predictor of healthy behaviors.

Self-actualization: is a process of emotional and moral development that contributes to the more-being and well-being of each individual. The self-actualizing nurse is one who is engaged in the process of becoming true to herself and those with whom she goes through life’s experiences.

Formal leadership: is a person exercising authority conferred upon him by the organization pursuant to the individual’s position in the organization. An example of formal leadership is the ability of a company president to exert control over employees, which is based upon his status as president of the company.

Informal leadership: are individuals without formal title or authority who serve as advocates for the group, and heighten the contributions of others as well as their own, primarily through influence, relationship-building, knowledge and expertise.

Supervision: is an activity that brings skilled supervisors and practitioners together in order to reflect upon their practice. It is a time for you, as a nurse or midwife, to think about your knowledge and skills and how they may be developed to improve care.

Transactional leader: focuses on results, conforms to the existing structure of an organization and measures success according to that organization’s system of rewards and penalties. Transactional leaders have formal authority and positions of responsibility in an organization. This type of leader is responsible for maintaining routine by managing individual performance and facilitating group performance.

Transformational leader: are sometimes call quiet leaders. They are the ones that lead by example. Their style tends to use rapport, inspiration, or empathy to engage followers. They are known to possess courage, confidence, and the willingness to make sacrifices for the greater good.

Management: is a person responsible for supervising and motivating employees and for directing the progress of an organization. 

Openness: the ability to listen to other points of view without prejudging or discouraging them.

P5

Hello i need a Good and Positive Comment related with this argument .A paragraph  with no more  100 words.

Stephanie Veach 

 

  In regards to the Advanced Practice Registered Nurses (APRNs) provision, where they are proven providers of high quality and cost effective primary care (Health Care, 2010). This provision has and will continue to impact my current practice of nursing by having APRN available within the hospital or a phone call away to collaborate and assist with getting the necessary treatments needed for a patient. In surgery, our main cardiovascular surgeon, has a APRN that rounds on all his patients, initially sees consults in the hospital that are called into him, and then relays the status of the patient to him, and if surgery is needed, she makes sure the appropriate orders are placed, which in turn helps us in surgery immensely. She is available if we have questions regarding one of the patients or we see a particular test isn’t done, she can check on it or verify it. Having a dedicated and capable APRN in this case, allows for the surgeon to be able to devote more of his time with surgery and other duties necessary and relieves some of the burden from him, which in the long run, benefits the patient. 

The second provision outlined by the ANA, which will impact my current practice, is the nurse education, practice, and retention provision. The section 5309, added 2 new grant programs specifically aimed at nurse retention. The first grant program would award grants to accredited nursing schools or health facilities to promote career advancement among nurses (Health Care, 2010). And the second grant program would award nursing schools and health facilities for exhibiting enhanced collaboration and communication among nurses and other health care professionals (Health Care, 2010). I think this provision would impact my nursing practice by first encouraging career advancement among nurses provides nurses with a goal or a commitment and gives them purpose. I think up until now in my practice I felt that I really had no purpose, with incentives to promote nurses and make them a vital part of the health care team provides worth to the health facility’s staff, therefore they strive to be the best they can be. I think this also contributes to nurse retention, as well, which in the long run helps with staffing and also helps the hospital to save money. And secondly, by encouraging enhanced collaboration and communication among nurses and other health care professions helps to provide quality continuum of care to patients and supports a team-approach to patient care, and a valued member of the health profession.   

Reference: 

Health Care Reform, Key Provisions Related to Nursing. (2010). Retrieved September 11, 2017, from http://www.rnaction.org/site/DocServer/KeyProvisions_Nursing-PublicLaw.pdf?docID=1241&verID=1

Nuclear Cardiology images

Write an APA style (min 600 work) APA style essay detailing “The technologist’s role in acheiving Safe and the highest of Quality, Nuclear Cardiology images”.

here is an example for you 

 

Technologist’s Role in Safe and High-Quality Nuclear Cardiology Images

We as technologists play a very crucial role in safe and high-quality nuclear cardiology images because we are the experts. We are performing tests and images on the heart, which is a very vital and complex muscle within the human body so it only makes sense that our job is to safely perform nuclear cardiology tests on patients while providing accurate and good quality images. Patient safety should always come before quality images, because the patient care should be the technologist’s top priority always. As technologists it is important to focus on the ALARA (as low as reasonably achievable) philosophy and monitoring patient dose. With the combination of both principles there should be a balance between dose and image quality (Watson & Odle, 2013). Therefore, you are considering the patient’s safety in the amount of radiation that they are receiving while also being mindful of what dose will also better serve for a good enough image quality. While maintaining the ALARA philosophy for both the technologist and patient, it is important to explain the entire procedure to the patient and ask them if they have any questions to ensure they fully understood what scan they are about to be taken in for(Watson & Odle, 2013). It is crucial that the technologists inform the patient that their heart will be put under a lot of stress, but there are precautions that are considered beforehand to ensure the risks outweigh the benefits. It is also important to inform them that they have the chance of crashing, but there will always be a crash cart near by and monitored the entire time during the whole study. 

Another thing to keep in mind as a technologist for patient safety is to constantly meet their needs. A lot of patients coming into the cardiology department do not have good hearts, and that is why we perform our studies to further gather more information on their heart related problems. If a patient does not want to have the study done, the technologist can not force the patient to undergo the study. However, it is strongly encouraged to ensure the patient that the study would be in their best interest in the long run to enable an accurate diagnosis and possible treatment due to the images that were taken. Once safety concerns are addressed, it is important to ensure good imaging protocols to ensure the best diagnosis. To ensure the most accurate protocol is performed, it is important to have close communication between the referring physician and all technologists who are performing the test (DiPuey et al., 2012). All tests are patient specific, so obtaining and understanding the patient’s medical history can be important when deciding what is best for the patient. For example, and exercise stress test is preferred rather than administering a pharmacological stressor but sometimes a patient is physically unable to perform exercise. However, it has been found that pharmacological stressors can enhance nuclear cardiology by providing a more flexible and broader accessibility for SPECT procedures. With the pharmacological stress agents, it is important to know the contraindications of all also, as we the technologist are responsible for that. It is clearly indicative that a patient centered approach will improve the overall diagnostic and prognostic performance of MPI (DePuey et al., 2012). It is super important to understand what the patient is experiencing to ensure they receive the correct protocol that is given or considered. Through good radiation safety practice, strong communication, and a good understanding of medical history the technologist should always be pristine all the way around when it comes to patient safety. Quality patient care leads to quality images because it is all patient specific when dealing with the heart, and within nuclear cardiology. 

References

DePuey, G., Mahmarian, J., Miller, T., Einstein, A., Hansen, C., Holly , T., . . . Wann, S. (2012).  Patient-Centered Imaging. ASNC Practice Statement, 1-31.

Watson , L., & Odle, T. (2013). Patient Safety and Quality in Medical Imaging: The Radiologic    Technologist’s Role. Retrieved from American Society of Radiologic Technologists :  https://www.asrt.org/docs/default  source/research/whitepapers/asrt13_patientsafetyqltywhitepaper.pdf?sfvrsn=a119f22f_12

I need a comment for this post of 150 words for tomorrow early please

A nursing conceptual model is an abstract way of showing the way concepts interrelate which include the 4 basic nursing concepts which are; nursing, person, health, and environment (Cherry and Jacob, 2017). These concepts are defined differently by various theorist, resulting in varying theories due to the different perspectives of how these concepts relate to one another (Cherry and Jacob, 2017). It is from the conceptual model that a hypothesis is created (Cherry and Jacob, 2017) Through research and testing, a nursing theories validity is strengthened (Mock et al., 2007). According to McKenna, Pajnkihar, and Murphy, “Theory exists at different stages of development and a conceptual model is a stage of development on the way to becoming a theory” (2014, p.106). The purpose of nursing theory application is to improve nursing practice (Whitney, 2018).

Richard Lazarus’ theory of stress, coping, and adaptation addresses the psychological coping mechanisms that are due to stress (Whitney,2018). “Psychological stress is a particular relationship between the person and the environment that is appraised by the person as taxing or exceeding his or her resources and endangering his or her well-being” (Lazarus & Folkman, 1984, p. 19). Coping is defined by Lazarus and Folkman “as constantly changing cognitive and behavioral efforts to manage specific external and/or internal demands that are appraised as taxing or exceeding the resources of the person” (1984, p. 179).

This theory can be used in practice with every client admitted to the hospital or any client that encounters a healthcare professional. Simply going to receive a physical can induce a stress response and elevate the blood pressure in a phenomenon known as white coat syndrome. On the other end of the spectrum there is the stress responses from illness or trauma that have effects on the body such as elevated blood glucose levels, elevated cortisol levels, heart rate, and so on. Additionally, the psychological responses clients use for coping such as becoming withdrawn, angry, needy, aggressive, passive aggressive, depressed, afraid, nervous, and so on. By being cognizant about these coping mechanisms related to the stressors the client is facing, as nurses, we can assess, identify the problem, and seek necessary resources if needed, in order to intervene so that the client can cope more effectively or so that the initial stress can be removed. For example, if a client is afraid of having to go spend the night in the hospital, and is coping by yelling out on the unit, the nurse can intervene by addressing the stressor (fear of sleeping in hospital), and by resolving the stressor, the negative coping mechanism will resolve as well.

Change Management Roles

Instructions

Organizational change initiatives  are a team effort. It is the job of the leadership team to ensure that transition is a success. To do so, the right leaders must be put in place,  and each must hold a thorough understanding of their roles and responsibilities.

Examine the Delta Pacific Case Study, then analyze the following:

  • What are the challenges facing Delta Pacific?
  • What change initiative would be most effective to implement within this organization? (Use the Rasmussen Resource Library if you need assistance with identifying change models.)
  • What type of change leaders need to be put in place? (Ex.: Change Lead, Change Managers, Change Analyst, etc.) 
  • What departments, areas, and stakeholders will each leader be responsible for?
  • Where will each change leader be most effective?
  • What roles will each change leader need to play at their level of influence?

Leadership Structure Plan

Utilizing the above information, create a Leadership Structure Plan that includes the following:

  • At least three change leader positions to be put in place for the change initiative.
  • Description of each change leader’s roles and responsibilities.
  • Account of departments they will lead.
  • A short description of how each position will effectively aid in the success of the initiative.

Note: When creating  your plan, think in terms of a job description and job analysis, and the detail used to specifically identify the roles and responsibilities of each particular job assignment. Â While this particular project does not have a page requirement, keep in mind that a thorough plan  should be no less than 3 pages in length.

The paper should include an APA formatted cover page and reference page.

MUST INCLUDE 

1.Provides the required three change leadership roles including a detailed explanation of their roles and effectiveness towards initiative success.

2.Provides a detailed description of at least three change leadership roles and 

responsibilities.

Provides detailed account of areas of departmental leadership responsibility.

Cultural Diversity week Final Paper

 

Autobiographical Essay: Who Am I?

 A typed, 6-10 page paper (no longer than 10 pages, 12 pt. font, 1 inch margin, excluding title and reference pages), based on the following points:

 Proof read carefully. Your grade will be significantly lowered if your paper has numerous spelling/grammatical errors.

 In as much detail as possible, discuss your background, in terms of the following dimensions of diversity. Discuss all 7 points below and number each one.

1. Environment: the kind(s) of community(ies) in which you grew up and currently live (i.e. large city, suburb, small town, rural area; neighborhood)

2. Social Class Background: your social class as you grew up. Explain. Describe the kinds of jobs held and level of education of those who raised you. What were the social class levels of your neighbors? Did you and your family experience upward and/or downward social mobility? Explain. And finally, how have your experiences in the U.S. influenced your ideas about the “American dream?”

3. Social Heritage: your racial, ethnic, and religious background (not everyone will identify with all three). How important were these aspects of your identity to you as you grew up? How have they shaped your values and goals? Explain.

4. Social and Economic Opportunities: advantages and disadvantages you have experienced in society due to your wealth, gender, and cultural background. How have these advantages and disadvantages affected you at school, at work, and/or in the larger community?

5. Cultural Encapsulation: ways in which your upbringing has limited your exposure to other people from other cultures and races. Also, how has your cultural encapsulation shaped your cultural lens?

6. Diversity Consciousness: ways in which your family background, life experiences, and education have influenced your diversity consciousness. What do you think will be your most difficult challenge as you work on developing your own diversity consciousness?

7. Sphere of Influence: what is your “sphere of influence?” In other words, whom do you “touch” or influence at the present, and whom will you influence in the future? Be as specific as possible.

 You will be graded on a number of criteria (clarity, development, each question answered thoroughly, creativity, understanding of the concepts).

(1) I need a comment of this 150 words no plagio references and citation

Nursing organizations are the backbone of the profession. They advocate, and lobby to political leaders for change in policies and push for financial resources to carry out various plans and research. Most nursing organizations are specialized to a specific field, but they all have the common goal of promotion of wellness and providing healthcare to those in need when they need it. Speaking to my current role of a Medical Surgical nurse the organization of Academy of Medical surgical Nurses primary goal is to “focus on workplace advocacy; evidence-based practice, research and knowledge; professional development; national leadership and influence; and organizational health.” (AMSN Overview, 2019) Their vision is to have Medical-surgical nurses use their powerful voice and focused action to continuously improve patient care, and believe patients receive better care when medical-surgical nurses engage in ongoing professional development, use evidence-based practices, speak with a unified voice, serve as leaders on healthcare teams, have the necessary resources to deliver excellent care, and practice in a healthy practice environment. (AMSN Overview, 2019)

Nursing organizations have evolved to extensive levels of membership and with more than 3 million nurses these organizations have a massive resource for initiating change, with the largest organization being the American Nurses Association. “These organizations provide the opportunity for nursing as a profession to influence nursing practice, nursing education, health policy, and healthcare standards.” (Halstead, 2018) All nursing organizations advocate for patient care safety, continued education for nurses, allocating resources for those in need, and research with development of new policy.

 

References

AMSN Overview. (2019). Retrieved November 25, 2019, from Academy of Madical Surgical Nurses: https://www.amsn.org/about-amsn/amsn-overview

Halstead, J. A. (2018). Professional Nursing Associations. In G. Roux, & J. A. Halstead, Issues and Trends in Nursing (p. 12).