COMMENT 1 (150 words)
To start, in Wisconsin, all nurses are lawfully-bound Mandated Reporters and must report neglect and/or abuse (Wisconsin Department of Children and Families, 2019). The reporting mechanism can depend on where you work but a rule of thumb is, if you find signs of abuse, you personally report it. In my county, we dial 920-236-4615 and speak to an intake worker, answer all pertinent questions, and let them make recommendations and take over the case (Winnebago County, 2019).
In my opinion, infants are the most vulnerable age of child when it comes to child abuse, as they are completely dependent, cannot verbalize abuse, and spend most of their days sleeping, masking signs of some kinds of abuse. Neglect is abuse in which the child is not receiving adequate nutrition, shelter, supervision, etc.; neglect might be the most obvious form of abuse. Typically these children are dirty, not dressed for the weather, have diaper rash, and have not had appropriate medical attention: immunizations, checkups, etc. (Green, 2018). Neglected children might rank poorly on growth charts or even regress from previous assessments, parents might appear to lack interest in the child, act under the influence, or be just as unkept (Green, 2018).
Physical abuse can also be quite obvious, as evidenced by bruises, cuts, broke bones, scars, abrasions, burns, and bite marks (Archana & Don, 2019). The infant might appear fearful of the parent or any adults due to their poor visual acuity; the parents might have conflicting or inconsistent stories related to the injuries, refer to the infant as evil or in negative ways, report physically disciplining the infant (CDC, 2019). Shaken Baby Syndrome (SBS) is another form of physical abuse, in which the infant is shaken, causing the brain to slosh around in the head, causing brain damage and death. Signs of SBS are lethargy, which can be easy to ignore as infants sleep a majority of the day, colic, seizures, posturing, bulging fontanels, nystagmus, unequal pupils (Green, 2019).
Less common forms of abuse of infants are sexual, medical and emotional abuse. Sexual abuse would be evident by oral, vaginal, or anal trauma, or blood in the diaper; medical abuse evident if the parent appears happy with their sick infant and attention paid by health care workers, unnecessary testing, and unexplained lab results; emotional abuse is probably harder to assess for, infants might be withdrawn or fearful of adults, delayed, and the parent might simply act as though they reject the child (Green, 2019).
Several cultural practices from Eastern (Asian) medicine that can be mistaken for child abuse, two of those practices are Gua Sha and cupping, both of which I have actually used a therapy for back pain. Both practices will be evident by bruising in the area of activity, usually the back, with Gua Sha resulting in longitudinal bruising following the spine and ribcage from rubbing the back with a spoon-like tool; cupping results in many circular bruises on the upper and mid back from glass cups suctioning to the back (Killion, 2017). These practices are believed to draw out toxins, provide pain relief, reduce inflammation, and increase blood flow, resulting in healing (Killion, 2017). These practices are not child abuse, just Eastern treatments that are not well known or prescribed.
Archana, K., and Don, K.R. (2019) Physical signs of child abuse. Drug Invention Today, 11(1), 189-192.
Centers for Disease Control and Prevention. (2019). Violence prevention: preventing child abuse & neglect. Retrieved from https://www.cdc.gov/violenceprevention/childabuseandneglect/fastfact.html
Killion, C. M., (2017). Cultural healing practices that mimic child abuse. Annals of Forensic Research and Analysis, (4)2, 1-4.
Green, S.Z. (2018). Health assessment of the infant. Health Assessment Foundations for Effective Practice. Retrieved from https://lc.gcumedia.com/nrs434vn/health-assessment-foundations-for-effective-practice/v1.1/#/bios
Winnebago County. (2019). Child abuse and neglect reporting. Retrieved from https://www.co.winnebago.wi.us/human-services/divisions/child-welfare/child-abuse-and-neglect-reporting
Wisconsin Department of Children and Families. (2019). Mandated child abuse and neglect reporters. Retrieved from https://dcf.wisconsin.gov/cps/mandatedreporters
COMMENT 2 (150 words)
Children are prone to abuse at any age, but I chose the infant group to discuss abuse. Infants are the most vulnerable and dependent age group who cannot verbalize anything happening to them. They are more prone to neglect, which could be evident by diaper rash, malnutrition, failure to thrive, ranking poor on the growth chart, not being dressed up according to weather, not keeping him up-to-date on immunization and medical checkups. Physical abuse can be evident by broken bones, cuts, and burns (CDC, 2019).
Another form of abuse is the shaken baby syndrome, which is primarily seen in infants and children younger than age two. It usually occurs when a parent or other caregiver shakes a baby out of anger or frustration, often because the baby will not stop crying. Severe shaking causes the baby’s head to move violently back and forth, resulting in serious and sometimes fatal brain injury. The symptoms and physical findings include altered level of consciousness, irritability, drowsiness, vomiting, seizures, dilated pupils not respond to light, closed head injury bleeding, chest and abdominal injuring, and fracture to the skull (AANS, 2019).
Some cultural practices could be confused as child abuse. According to Hansen (1998), cupping and coining are the cultural practices that could be misinterpreted as child abuse. Cupping is a type of alternative therapy from China. It involves placing cups on the skin to create suction to blood flow and healing. The cupping leaves marks on the skin, which could be interpreted as a sign of abuse.
A registered nurse in the State of California is categorized as a mandatory reporter of abuse. As a mandated reporter, a nurse must report abuse or neglect when she sees as a physical or psychological sign of abuse or neglect or if she is reported by the patient or family. She reports to hospital authorities that further report to social service or the protective services following guidelines. Then protective services will take over from there. Meanwhile, she has to make sure the patient is safe (Board of Registered Nursing, 2010).
Reference
American Association of Neurological Surgeons (AANS) (2019). Shaken Baby Syndrome. Retrieved from https://www.aans.org/en/Patients/Neurosurgical-Conditions-and- Treatments/Shaken-Baby-Syndrome
Board of Registered Nursing (2010) Abuse Reporting Requirements. Retrieved November 28, 2019, from https://www.rn.ca.gov/pdfs/regulations/npr-i-23.pdf.
Centers for Disease Control and Prevention (CDC) (2019). Violence prevention: preventing child abuse & neglect. Retrieved from https://www.cdc.gov/violenceprevention/childabuseandneglect/fastfact.html
Falkner, Angel (2018). Age-Appropriate Approach to Pediatric Health Care Assessment. In Grant Canyon University (Ed.), Health Assessment: Foundations for Effective Practice. Retrieved from https://lc.gcumedia.com/nrs434vn/health-assessment-foundations-for- effective-practice/v1.1/#/chapter/2
Hansen, Karen Kirhofer (1998). Folk Remedies and Child Abuse: A Review with Emphasis on Caida de Mollera and Its Relationship to Shaken Baby Syndrome. Child Abuse & Neglect: The International Journal, 22(2) p117-27. Retrieved from https://www-sciencedirect- com.lopes.idm.oclc.org/science/article/pii/S014521349700135X
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I Need Two Different Responses Per Each Discussion Total 6 Responses Attached Are The Discussions Please Follow Them Posts Will Be A Minimum Of 75 100 Words Apa Format
/in Uncategorized /by developerI need two different responses per each discussion total 6 responses. Attached are the discussions please follow them. Posts will be a minimum of 75-100 words, APA format.
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I Need Two Replies 150 Each One Words No Plagio Citation And Reference
/in Uncategorized /by developerCOMMENT 1 (150 words)
To start, in Wisconsin, all nurses are lawfully-bound Mandated Reporters and must report neglect and/or abuse (Wisconsin Department of Children and Families, 2019). The reporting mechanism can depend on where you work but a rule of thumb is, if you find signs of abuse, you personally report it. In my county, we dial 920-236-4615 and speak to an intake worker, answer all pertinent questions, and let them make recommendations and take over the case (Winnebago County, 2019).
In my opinion, infants are the most vulnerable age of child when it comes to child abuse, as they are completely dependent, cannot verbalize abuse, and spend most of their days sleeping, masking signs of some kinds of abuse. Neglect is abuse in which the child is not receiving adequate nutrition, shelter, supervision, etc.; neglect might be the most obvious form of abuse. Typically these children are dirty, not dressed for the weather, have diaper rash, and have not had appropriate medical attention: immunizations, checkups, etc. (Green, 2018). Neglected children might rank poorly on growth charts or even regress from previous assessments, parents might appear to lack interest in the child, act under the influence, or be just as unkept (Green, 2018).
Physical abuse can also be quite obvious, as evidenced by bruises, cuts, broke bones, scars, abrasions, burns, and bite marks (Archana & Don, 2019). The infant might appear fearful of the parent or any adults due to their poor visual acuity; the parents might have conflicting or inconsistent stories related to the injuries, refer to the infant as evil or in negative ways, report physically disciplining the infant (CDC, 2019). Shaken Baby Syndrome (SBS) is another form of physical abuse, in which the infant is shaken, causing the brain to slosh around in the head, causing brain damage and death. Signs of SBS are lethargy, which can be easy to ignore as infants sleep a majority of the day, colic, seizures, posturing, bulging fontanels, nystagmus, unequal pupils (Green, 2019).
Less common forms of abuse of infants are sexual, medical and emotional abuse. Sexual abuse would be evident by oral, vaginal, or anal trauma, or blood in the diaper; medical abuse evident if the parent appears happy with their sick infant and attention paid by health care workers, unnecessary testing, and unexplained lab results; emotional abuse is probably harder to assess for, infants might be withdrawn or fearful of adults, delayed, and the parent might simply act as though they reject the child (Green, 2019).
Several cultural practices from Eastern (Asian) medicine that can be mistaken for child abuse, two of those practices are Gua Sha and cupping, both of which I have actually used a therapy for back pain. Both practices will be evident by bruising in the area of activity, usually the back, with Gua Sha resulting in longitudinal bruising following the spine and ribcage from rubbing the back with a spoon-like tool; cupping results in many circular bruises on the upper and mid back from glass cups suctioning to the back (Killion, 2017). These practices are believed to draw out toxins, provide pain relief, reduce inflammation, and increase blood flow, resulting in healing (Killion, 2017). These practices are not child abuse, just Eastern treatments that are not well known or prescribed.
Archana, K., and Don, K.R. (2019) Physical signs of child abuse. Drug Invention Today, 11(1), 189-192.
Centers for Disease Control and Prevention. (2019). Violence prevention: preventing child abuse & neglect. Retrieved from https://www.cdc.gov/violenceprevention/childabuseandneglect/fastfact.html
Killion, C. M., (2017). Cultural healing practices that mimic child abuse. Annals of Forensic Research and Analysis, (4)2, 1-4.
Green, S.Z. (2018). Health assessment of the infant. Health Assessment Foundations for Effective Practice. Retrieved from https://lc.gcumedia.com/nrs434vn/health-assessment-foundations-for-effective-practice/v1.1/#/bios
Winnebago County. (2019). Child abuse and neglect reporting. Retrieved from https://www.co.winnebago.wi.us/human-services/divisions/child-welfare/child-abuse-and-neglect-reporting
Wisconsin Department of Children and Families. (2019). Mandated child abuse and neglect reporters. Retrieved from https://dcf.wisconsin.gov/cps/mandatedreporters
COMMENT 2 (150 words)
Children are prone to abuse at any age, but I chose the infant group to discuss abuse. Infants are the most vulnerable and dependent age group who cannot verbalize anything happening to them. They are more prone to neglect, which could be evident by diaper rash, malnutrition, failure to thrive, ranking poor on the growth chart, not being dressed up according to weather, not keeping him up-to-date on immunization and medical checkups. Physical abuse can be evident by broken bones, cuts, and burns (CDC, 2019).
Another form of abuse is the shaken baby syndrome, which is primarily seen in infants and children younger than age two. It usually occurs when a parent or other caregiver shakes a baby out of anger or frustration, often because the baby will not stop crying. Severe shaking causes the baby’s head to move violently back and forth, resulting in serious and sometimes fatal brain injury. The symptoms and physical findings include altered level of consciousness, irritability, drowsiness, vomiting, seizures, dilated pupils not respond to light, closed head injury bleeding, chest and abdominal injuring, and fracture to the skull (AANS, 2019).
Some cultural practices could be confused as child abuse. According to Hansen (1998), cupping and coining are the cultural practices that could be misinterpreted as child abuse. Cupping is a type of alternative therapy from China. It involves placing cups on the skin to create suction to blood flow and healing. The cupping leaves marks on the skin, which could be interpreted as a sign of abuse.
A registered nurse in the State of California is categorized as a mandatory reporter of abuse. As a mandated reporter, a nurse must report abuse or neglect when she sees as a physical or psychological sign of abuse or neglect or if she is reported by the patient or family. She reports to hospital authorities that further report to social service or the protective services following guidelines. Then protective services will take over from there. Meanwhile, she has to make sure the patient is safe (Board of Registered Nursing, 2010).
Reference
American Association of Neurological Surgeons (AANS) (2019). Shaken Baby Syndrome. Retrieved from https://www.aans.org/en/Patients/Neurosurgical-Conditions-and- Treatments/Shaken-Baby-Syndrome
Board of Registered Nursing (2010) Abuse Reporting Requirements. Retrieved November 28, 2019, from https://www.rn.ca.gov/pdfs/regulations/npr-i-23.pdf.
Centers for Disease Control and Prevention (CDC) (2019). Violence prevention: preventing child abuse & neglect. Retrieved from https://www.cdc.gov/violenceprevention/childabuseandneglect/fastfact.html
Falkner, Angel (2018). Age-Appropriate Approach to Pediatric Health Care Assessment. In Grant Canyon University (Ed.), Health Assessment: Foundations for Effective Practice. Retrieved from https://lc.gcumedia.com/nrs434vn/health-assessment-foundations-for- effective-practice/v1.1/#/chapter/2
Hansen, Karen Kirhofer (1998). Folk Remedies and Child Abuse: A Review with Emphasis on Caida de Mollera and Its Relationship to Shaken Baby Syndrome. Child Abuse & Neglect: The International Journal, 22(2) p117-27. Retrieved from https://www-sciencedirect- com.lopes.idm.oclc.org/science/article/pii/S014521349700135X
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I Need Two Responses For Attached Discussion Please Follow Them Posts Will Be A Minimum Of 100 Words Apa Format 19229157
/in Uncategorized /by developerI Need Two Responses For Attached Discussion Please Follow Them. Posts Will Be A Minimum Of 100 Words, APA Format
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I Need Two Responses Per Each Discussion Total 6 Responses Attached Are The Discussions Please Follow Them Posts Will Be A Minimum Of 100 Words Apa Format
/in Uncategorized /by developerI need two responses per each discussion total 6 responses. Attached are the discussions please follow them. Posts will be a minimum of 100 words, APA format.
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I Want The Answers To Have The Same Meaning But Written Differently 18893209
/in Uncategorized /by developer1.Question
What demographic variables were measured at the nominal level of measurement in the Oh et al.(2014)study?
Answer:The demographic variabless measured at the nominal level include non-smoker,non-drinker,history of fracture,regular exercise and are considered nominal because can be describe by precentages, and mode.
2.Question
What statistic were calculated to describe body mass index(MBI) in this study?Were these appropiate?
Answer:Mean and standard deviation were the statistic used to calculated BMI.Because BMI is an interval-ratio variable,mean and stadard deviation are appropiate.
3.Question
Were the distributions of scores for BMI similar for the intervention and control groups?
Answer:The distribution of scores for BMI was similar for intervention and control groups because the mean and standard deviation were very similar.
4.Question
Was there a significant difference in BMI between the intervention and control groups?
Answer:There was not a significant difference in BMI between the intervention group and the control group.
5.Question
Bssed on the sample size of N=41,what frequency and percentage of the sample smoked?What frequency and percentage of the sample were non-drinkers(alcohol)?Show your calculations and round to the nearest whole percent.
Answer:
Frequency of participants who smoked=0+0=0
Percentage of participants who smoked=0%
Frequency of participants who were non-drinkers=20+20=40
6.Question
What measurement method was used to measure the bone mineral density(BMD) for the study participants?Discuss the quality of this measurement method and document your response.
Answer:The bone mineral density (BMD) was measurement by ratio/interval level.The mean and standard deviation equal central location and dispersion gives us the shape of the graph.
7.Question
What statics was calculated to determine differences between the intervention and control groups for the lumbar and femur neck BMDs?Were the groups significantly different for BMDs?
Answer:The statistic used to to determined the difference between the intervention and control groups for the lumbar and femur neck BMDs was the mean.The value between lumbar and femur neck does not show us a significant difference.
8.Question
The researchers stated that there were no significant differences in the baseline characteristics of the intervention and control groups(see Table 2).Are these groups heterogeneous or homogeneous at the beginning of the study?Why is this important in testing the effectiveness of the therapeutic lifestyle modification(TLM)program?
Answer: These groups are homogeneous,homogeneous scores are similar,and heterogeneous scores are diferent having a wide variation.This was a key factor because if the groups were heterogeneous the the data results would have been broader and more detailed.I feel as if if we compared the groups with similarities in the beggining, then this allows the results to be more profound when all is concluded.
9.Question
Oh ET AL.(2014,P.296)stared that adherence rate to the TLM program was 99.6%.Discuss the importance of intervention adherence,and document your response.
Answer:The adherence rate was almost at 100% during the 2 week time period.If the adherence rate would have ben less then the significance and importance of the results would have declined significantlly.I would not put in question the data results as they 99.6% for adherence and the group showed increase.I believe the TLM program is effective.
10.Question
Was the sample for this study adequately described?
Answer:Yes, the sample was adequate, the group showed that the program worked, the program consisted of a mix of individuals and even though it functioned well, I believe if the study was done with more individuals and done at longer intervals, then it would indicate and show more accurate results.
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Ibr
/in Uncategorized /by developerComplete form using the research proposal
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Icare Paper 19440739
/in Uncategorized /by developerPurpose
The purpose of the iCARE Paper assignment is to explore the concept of interprofessional teams and patient outcomes. Nursing supportive actions of compassion, advocacy, resilience, and evidence-based practice will serve as a way to apply care concepts.
Course Outcomes
This assignment enables the student to meet the following course outcomes:
CO1: Applies principles of nursing, theories, and the care philosophies to self, colleagues, individuals, families, aggregates and communities throughout the healthcare system. (PO#1)
CO6: Plans clinical practice activities that integrate professional nursing standards in accordance with the Nursing Code of Ethics and the American Nurses’ Association (ANA) standards of practice. (PO#6)
Directions
Getting Started: Interprofessional teams are part of practice trends we see developing in all aspects of care delivery. Consider you own work environment (or recent clinical setting).
C ompassion
A dvocacy
R esilience
E vidence-Based Practice (EBP)
Download the assignment template here: iCare Assignment Template (Links to an external site.)
A short tutorial with tips for completing this assignment may be viewed here: https://lms.courselearn.net/lms/video/player.html?video=1_2fwdpaeq
Elements of iCARE paper
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.
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Icare Paper 19443007
/in Uncategorized /by developerI Need help with my nursing icare paper attached is the template that needs to be used as well as the directions.
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Icare Paper
/in Uncategorized /by developerPurpose
The purpose of the iCARE Paper assignment is to explore the concept of interprofessional teams and patient outcomes. Nursing supportive actions of compassion, advocacy, resilience, and evidence-based practice will serve as a way to apply care concepts.
Directions
Getting Started: Interprofessional teams are part of practice trends we see developing in all aspects of care delivery. Consider you own work environment (or recent clinical setting).
· For this assignment, consider the concept of interprofessional teamwork and patient outcomes.
· Look to your current workplace as an example. (If you are not currently employed, look to a past workplace or clinical practice area.)
· Apply the components of the iCARE concept to interprofessional teams in a short paper. (Body of the paper to be 3 pages, excluding the title page and references page)
· iCARE components are:
C ompassion
A dvocacy
R esilience
E vidence-Based Practice (EBP)
· How could you contribute to an interprofessional team and patient outcomes through nursing actions of: compassion, advocacy, resilience, and evidence-based practice?
· Select one scholarly nursing article from CINAHL as a resource for your paper. Additional scholarly sources can be used but are optional.
· Use APA format throughout, particularly in citations and on the References page.
· Please paraphrase throughout. One short quote is permitted.
· The prepared paper template is RECOMMENDED for this assignment.
·
Elements of iCARE paper
· Title page
· Below are the headings to be used for this assignment.
· 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 page: List any references used in APA format.
Textbook:
· American Nurses Association. (2015). Nursing: Scope and standards of practice. (3rd ed.). Silver Spring, MD: Author.
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Identification Of A Population In Your Community
/in Uncategorized /by developerOverview: As a community of practice, your task for this week is to collaborate with professionals across the health care system. With your community of practice, in the Discussion, find a gap in care or social determinant that often results in poor health care outcomes. You will begin to take the lead in advocating for and collaborating with others to improve the health care outcomes for populations at risk.
Practicum Discussion: During this week, you will identify a population at risk in your community. This population will be the basis for your Practicum Discussions and your individual presentations over the next 6 weeks, as well as the focus of your final PowerPoint presentation in Week 6. To review, a population is a group of individuals who share a common environmental or personal characteristic, such as obese individuals who are at risk for diabetes or cardiovascular disease (populations at risk) or those individuals who are otherwise healthy and could stay healthy if they do not develop risky behaviors (populations of interest). An example of this is teenagers who don’t yet smoke but might consider it due to peer pressure (Stanhope & Lancaster, 2016). Some of the topics you might consider are vaccination compliance, obesity rates among children and adults, teenage pregnancy, or infectious diseases such as Norwalk virus, genital warts, or sexually transmitted diseases/infections. You might look also at emerging public health problems such as Chagas or the Zika virus. Some of the places you might consider looking for information to substantiate and support your ideas about populations at risk in your communities are your local health department, the CDC, and the many evidence-based websites that the CDC supports, such as the CDC Wonder (http://wonder.cdc.gov/). You may also review the work of other community groups that focus on improving health care outcomes for your community. You should begin to support your selection of population and ideas about their health care problems through the use of health data and scholarly literature.
Please address the following points in your Practicum Discussion:
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