3 .Using the American nurses association position statement, recommendations for improvement in end of life management focuses on practice, education, research and administration. Listed below are steps that nurses can take to overcome barriers in healthcare practice.
Practice
1. Strive to attain a standard of primary palliative care so that all health care providers have basic knowledge of palliative nursing to improve the care of patients and families.
2. All nurses will have basic skills in recognizing and managing symptoms, including pain, dyspnea, nausea, constipation, and others.
3. Nurses will be comfortable having discussions about death, and will collaborate with the care teams to ensure that patients and families have current and accurate information about the possibility or probability of a patient’s impending death.
4. Encourage patient and family participation in health care decision-making, including the use of advance directives in which both patient preferences and surrogates are identified.
Education
1. Those who practice in secondary or tertiary palliative care will have specialist education and certification.
2. Institutions and schools of nursing will integrate precepts of primary palliative care into curricula.
3. Basic and specialist End-of-Life Nursing Education Consortium (ELNEC) resources will be available.
4. Advocate for additional education in academic programs and work settings related to palliative care, including symptom management, supported decision-making, and end-of-life care, focusing on patients and families.
Research
1. Increase the integration of evidence-based care across the dimensions of end-of-life care.
2. Develop best practices for quality care across the dimensions of end-of-life care, including the physical, psychological, spiritual, and interpersonal.
3. Support the use of evidence-based and ethical care, and support decision-making for care at the end of life.
4. Develop best practices to measure the quality and effectiveness of the counseling and interdisciplinary care patients and families receive regarding end-of-life decision-making and treatments.
5. Support research that examines the relationship of patient and family satisfaction and their utilization of health care resources in end-of-life care choices.
Administration
1. Promote work environments in which the standards for excellent care extend through the patient’s death and into post-death care for families.
2. Encourage facilities and institutions to support the clinical competence and professional development that will help nurses provide excellent, dignified, and compassionate end-of-life care.
3. Work toward a standard of palliative care available to patients and families from the time of diagnosis of a serious illness or an injury.
4. Support the development and integration of palliative care services for all in- and outpatients and their families.
Discussion Board Question 2: End of Life Care.
Choose 1 focal point from each subcategory of practice, education, research and administration and describe how the APRN can provide effective care in end of life management.
https://www.nursingworld.org/~4af078/globalassets/docs/ana/ethics /endoflife-positionstatement.pdf
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Population Presentation
/in Uncategorized /by developerPopulation Presentation.
Prepare a PowerPoint presentation. Preparation for the presentation will include synthesizing the information from assigned readings, the scientific literature, Internet resources, and other sources.
This presentation should address the following: History, values and worldview, language and communication patterns, art and other expressive forms, norms and rules, lifestyle characteristics, relationship patterns, rituals, degree of assimilation or marginalization from mainstream society, and health behaviors and practices. In addition to describing the these characteristics, the presentation must include (a) a comparative and contrast analysis of common characteristics and distinguishing traits between the groups,(and (b) a discussion of differential approaches needed by health care professionals. Grades will also be based on overall quality of the professional presentation including handouts and references. Power Point presentation must have 11 slides minimun.
Topic of the presentation : People of African American Heritage. The Amish.
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Porfolio
/in Uncategorized /by developer3 .Using the American nurses association position statement, recommendations for improvement in end of life management focuses on practice, education, research and administration. Listed below are steps that nurses can take to overcome barriers in healthcare practice.
Practice
1. Strive to attain a standard of primary palliative care so that all health care providers have basic knowledge of palliative nursing to improve the care of patients and families.
2. All nurses will have basic skills in recognizing and managing symptoms, including pain, dyspnea, nausea, constipation, and others.
3. Nurses will be comfortable having discussions about death, and will collaborate with the care teams to ensure that patients and families have current and accurate information about the possibility or probability of a patient’s impending death.
4. Encourage patient and family participation in health care decision-making, including the use of advance directives in which both patient preferences and surrogates are identified.
Education
1. Those who practice in secondary or tertiary palliative care will have specialist education and certification.
2. Institutions and schools of nursing will integrate precepts of primary palliative care into curricula.
3. Basic and specialist End-of-Life Nursing Education Consortium (ELNEC) resources will be available.
4. Advocate for additional education in academic programs and work settings related to palliative care, including symptom management, supported decision-making, and end-of-life care, focusing on patients and families.
Research
1. Increase the integration of evidence-based care across the dimensions of end-of-life care.
2. Develop best practices for quality care across the dimensions of end-of-life care, including the physical, psychological, spiritual, and interpersonal.
3. Support the use of evidence-based and ethical care, and support decision-making for care at the end of life.
4. Develop best practices to measure the quality and effectiveness of the counseling and interdisciplinary care patients and families receive regarding end-of-life decision-making and treatments.
5. Support research that examines the relationship of patient and family satisfaction and their utilization of health care resources in end-of-life care choices.
Administration
1. Promote work environments in which the standards for excellent care extend through the patient’s death and into post-death care for families.
2. Encourage facilities and institutions to support the clinical competence and professional development that will help nurses provide excellent, dignified, and compassionate end-of-life care.
3. Work toward a standard of palliative care available to patients and families from the time of diagnosis of a serious illness or an injury.
4. Support the development and integration of palliative care services for all in- and outpatients and their families.
Discussion Board Question 2: End of Life Care.
Choose 1 focal point from each subcategory of practice, education, research and administration and describe how the APRN can provide effective care in end of life management.
https://www.nursingworld.org/~4af078/globalassets/docs/ana/ethics /endoflife-positionstatement.pdf
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Portfolio 18954267
/in Uncategorized /by developerAssignment-Professional Portfolio
Details:
The purpose of this assignment is for the nursing education student to have a forum to showcase personal achievements and to demonstrate current qualifications in preparation for certification as a nurse educator or in seeking a position as a nurse educator.
There is no one right way to submit a portfolio. Organizations that utilize this format for clinical advancement and/or peer review may have a standard format that is to be followed for submission. Organizations may also require a portfolio as part of a job application. These may or may not have specific formatting guidelines. For the purposes of this assignment, the portfolio must contain the following pieces:
1. Introduction that includes a professional goal(s) statement2. Current license and credentials3. Reference list comprising of at least three references4. Two letters of reference5. Integration of the Boyer’s model for scholarship and the National League for Nursing (NLN) eight competencies for nurse educators, outlining your accomplishments in each of the eight areas6.
While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
NUR-665E-ProfessionalNursingPortfolioTemplate.docx
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Portfolio 19230569
/in Uncategorized /by developer1. ) The first part of the portfolio:
I.) Cover letter also known as professional letter
II. ) Your Nursing Philosophy
III.) Curriculum Vitae(CV) or Resume (include your license and certifications which are also part of the portfolio)
What is a portfolio?
A professional portfolio is a collection of materials that document the nurse’s competencies and illustrate the nurse expertise.
Why is the portfolio important?
A portfolio is a presentation of you as a professional APRN. Portfolio development at postgraduate level emphasizes linking theory and practice and stresses the importance of reflection on practice. The portfolio can also be used by nurses to develop their clinical career pathways and encourage personal development planning (Joyce, 2005)
Reference
Joyce, P. (2005). A framework for portfolio development in postgraduate nursing practice. Journal of Clinical Nursing, 14(4), 456-463.doi: https://doi.org/10.1111/j.1365-2702.2004.01075
__________________________________________________________________________________________
IT IS IMPERATIVE THAT PROPER GRAMMAR AND CITATION BE NOTED OR POINTS ARE DEDUCTED.
As in all APA textbook. Citations must include the doi or the website where your article was retrieved from, the journal name is on italics.
Example:
Goodhue, C. J., Burke, R. V., Ferrer, R. R., Chokshi, N. K., Dorey, F., & Upperman, J. S. (2012). Willingness to respond in a disaster: a pediatric nurse practitioner national survey. Journal of Pediatric Health Care, 26(4), e7-e20. doi: https://doi.org/10.1016/j.pedhc.2010.11.003
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Portofolio Part 1
/in Uncategorized /by developerSubmit Part One Portfolio
3 .Using the American nurses association position statement, recommendations for improvement in end of life management focuses on practice, education, research and administration. Listed below are steps that nurses can take to overcome barriers in healthcare practice.
Practice
1. Strive to attain a standard of primary palliative care so that all health care providers have basic knowledge of palliative nursing to improve the care of patients and families.
2. All nurses will have basic skills in recognizing and managing symptoms, including pain, dyspnea, nausea, constipation, and others.
3. Nurses will be comfortable having discussions about death, and will collaborate with the care teams to ensure that patients and families have current and accurate information about the possibility or probability of a patient’s impending death.
4. Encourage patient and family participation in health care decision-making, including the use of advance directives in which both patient preferences and surrogates are identified.
Education
1. Those who practice in secondary or tertiary palliative care will have specialist education and certification.
2. Institutions and schools of nursing will integrate precepts of primary palliative care into curricula.
3. Basic and specialist End-of-Life Nursing Education Consortium (ELNEC) resources will be available.
4. Advocate for additional education in academic programs and work settings related to palliative care, including symptom management, supported decision-making, and end-of-life care, focusing on patients and families.
Research
1. Increase the integration of evidence-based care across the dimensions of end-of-life care.
2. Develop best practices for quality care across the dimensions of end-of-life care, including the physical, psychological, spiritual, and interpersonal.
3. Support the use of evidence-based and ethical care, and support decision-making for care at the end of life.
4. Develop best practices to measure the quality and effectiveness of the counseling and interdisciplinary care patients and families receive regarding end-of-life decision-making and treatments.
5. Support research that examines the relationship of patient and family satisfaction and their utilization of health care resources in end-of-life care choices.
Administration
1. Promote work environments in which the standards for excellent care extend through the patient’s death and into post-death care for families.
2. Encourage facilities and institutions to support the clinical competence and professional development that will help nurses provide excellent, dignified, and compassionate end-of-life care.
3. Work toward a standard of palliative care available to patients and families from the time of diagnosis of a serious illness or an injury.
4. Support the development and integration of palliative care services for all in- and outpatients and their families.
Discussion Board Question 2: End of Life Care.
Choose 1 focal point from each subcategory of practice, education, research and administration and describe how the APRN can provide effective care in end of life management.
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Position Paper 19424003
/in Uncategorized /by developer4-6 page APA nursing position paper
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Position Paper 19474953
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Positional Paper On Plant Based Diet
/in Uncategorized /by developerCommunication is used to inform, to persuade and to analyze. In this assignment, you will persuade the reader of your point of view by supporting a thesis with objective facts and credible evidence.
In the week 2 forum, you selected your topic for this paper. You will take a stance on this issue and support your stance with credible evidence in your body paragraphs.
For this assignment, you have traditional and creative options. Choose what will challenge your writing and what would be appropriate for your topic and field:
Guidelines:
In order to persuade the audience to accept the position you are advocating in this paper, you will use different kinds of appeals:
A good persuasive argument uses credible sources, objective evidence, and emotional “hooks” to make use of logos, ethos, and pathos respectively.
Be sure your thesis statement is very clear. It should be a single complete sentence, including both a subject and a predicate, that combine to make claim. Example: “The USA should be more competitive in establishing a presence on Mars.”
Your introduction paragraph should include a “hook” to grab the reader’s attention. The thesis statement is typically seen in the first paragraph. Your body paragraphs will support the thesis. You should use credible sources and cite them according to the style of your discipline. Your conclusion should reiterate the strongest points from your paper and give the audience something to consider, moving forward.
Requirements:
Use only third person (he/she/they) for a more professional tone. Avoid first person (I, my, us, we) and second person (you and your) in your essay.
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Positive Reply To Post 150 Words With References Due October 20 At 1000 Am 18617379
/in Uncategorized /by developerVulnerable population is a group or groups that are more likely to develop health-related problems, have more difficulty accessing health care to address those health problems, and are more likely to experience a poor outcome or shorter life span because of those health conditions. There are a number of characteristics, traits, or circumstances that enhance the potential for poor health. Healthy People 2020 (U.S. Department of Health and Human Services [USDHHS], 2010) has identified certain groups as more vulnerable to health risks, including the poor, the homeless, the disabled, the severely mentally ill, the very young, and the very old (Maurer & Smith, 2013). The most important factor associated with health status is economic status. Poverty drastically increases a person’s or group’s vulnerability to poor health status.
Not all people who are at risk for poor health would be considered vulnerable. To be considered vulnerable, a person or group generally has aggravating factors that place them at greater risk for ongoing poor health status than other at-risk persons. For example, a middle-aged obese man with a sedentary lifestyle and hypertension would be considered at risk for cardiac problems. If that man also had an income below the poverty level, no health insurance, and stressors related to living conditions, he would be more likely to be vulnerable to ongoing poor health status than a man with similar risk factors but with an adequate income and health insurance (Maurer & Smith, 2013).
Children, pregnant women, elderly people, malnourished people, and people who are ill or immunocompromised, are particularly vulnerable. Poverty – and its common consequences such as malnutrition, homelessness, poor housing and destitution – is a major contributor to vulnerability (WHO, 2017). Vulnerability may arise from individual, community, or larger population challenges and requires different types of policy interventions—from social and economic development of neighborhoods and communities, and educational and income policies, to individual medical interventions (Health Affairs).
Children and the elderly must have someone to advocate for them and as I nurse I am honored to be able to stand in the gap to assist this population of my community. For both groups due to the lack of knowledge when it comes to medical termination, procedures, and making sense of the medical language, we as nurses need to make sure that the families of these individual have the full picture of what is going on in terms of their health care. Break down information in laymen’s terms to where individuals can understand so that they can make informed decisions about their health care.
I would advocate for more affordable health care and easier access to health care for children and the elderly to help reduce the co-morbidity and mortality rates. Because it has shown that early access to quality medical care can help reduce an individual’s susceptibility illness, which will in turn reduce the mortality rate. For example, children one of our more vulnerable populations, providing early vaccination and screening for children can reduce and or prevent certain illnesses.
References
Health Affairs. Vulnerable People, Groups, And Populations: Societal View. (October 18, 2017). http://content.healthaffairs.org/content/26/5/1220.full
Maurer, F.A. & Smith, C.M. (2013). Community/public health nursing practice (5th ed.). St. Louis, MO: Elsevier Saunders.
World Health Organization. (October 18, 2017). http://www.who.int/environmental_health_emergencies/vulnerable_groups/en/
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Positive Reposnse To This Post 150 Words With Reference Due October 18 At 1000 Am
/in Uncategorized /by developerYouth suicide is the third leading cause of death for persons between 15-24 years of age, and almost 4,600 youth deaths each year are the result of suicide for a person 10-24 years of age (Smischney, Chrisler, & Villarruel, 2014). Learning of these numbers is very discouraging considering that suicide can be prevented by recognition and implication of interventions. Adolescents may present to family, friends, or teacher’s signs of suicidal behavior such as talk of suicide, threat of suicide, or risky behavior. Sometimes the adolescent may not display warning signs before committing suicide. It is important to identify risk factors that can lead to suicide. Risk factors that contribute to suicidal ideation are biological, environmental, and psychological factors (Smischney et al., 2014).
Biological risk factors include gender, ethnicity, and sexual orientation. The male gender is 4 times greater to attempt suicide that results in death, whereas female adolescents experience higher rates of depression. Native American or Alaska Natives that are between the ages of 15-24 are at a 2.4 percent higher rate than the national average. Suicidal ideation is higher amongst gay and bisexual male adolescents than heterosexual male adolescents. This may due to the adolescent’s parents or friends lack of approval or support (Smischney et al., 2014).
Environmental risk factors that contribute to suicide include family stress and conflict such as divorce, death of a loved one, academic failure, and abuse. During adolescence, peer relationships greatly contribute to suicide. Adolescents who suffer from poor social skills, low self-esteem, and lack support from their peers are at greater risk for suicidal ideation (Smischney et al., 2014).
Psychological risk factors contributing to adolescent suicide include mental health problems, psychiatric disorders, poor coping skills, and substance abuse. Mental health disorders include anxiety, depression, post-traumatic stress disorder, and schizophrenia. Alcohol is often experienced with by adolescents. Female adolescents are 3 times more likely to attempt suicide and male adolescents are 17 times more likely to attempt suicide when alcohol is involved (Smischney et al., 2014).
Primary, secondary, and tertiary heath prevention measures can be taken to prevent suicide. Primary prevention can be implemented by addressing the topic of suicide with adolescents, identifying risk factors of suicide, and talking about ways to avoid risk factors that can lead to suicide. Secondary prevention can be done by addressing risk factors that the adolescent is experiencing and implementing healthy and effective interventions. This will help to reduce the chance of the adolescent following through with the act of suicide. Tertiary prevention should include providing support and resources to the adolescent, as well ensuring safety. Measures should be taken to prevent the adolescent from attempting and succeeding at suicide.
The Suicide Prevention Resource Center is a resource that provides contact information and suicide prevention plans specific for each state. This information can be accessed through the website http://www.sprc.org/states. Adolescents can also contact the National Suicide Prevention Lifeline 24/7 by calling 1-800-273-8255, or going online to https://suicidepreventionlifeline.org/. Both of these resources offer support to those who are experiencing a suicidal crisis. As a nurse if you suspect a depressed adolescent is in immediate danger of harming themselves, immediate intervention should be implemented such as ensuring the safety of the adolescent. If the nurse is physically present at the adolescent’s side, taking the adolescent to a safe environment and informing a physician is important to prevent harm or injury. If the nurse is talking with the adolescent over the phone and the adolescent is posing immediate danger to themselves, proper authorities should be notified and full detail of the adolescent’s location and situation should be provided.
References
National Suicide Prevention Lifeline, (n.d.). Get help. Retrieved from https://suicidepreventionlifeline.org/
Smischney, T. M., Chrisler, A., & Villarruel, F. A., (2014). Risk factors for adolescent suicide: Research brief. Retrieved from https://reachmilitaryfamilies.umn.edu/sites/default/files/rdoc/Adolescent%20Suicide.pdf
Suicide Prevention Resource Center, (2017). Organizations: States. Retrieved from http://www.sprc.org/states
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