(1) 150 words citation references
Nola Pender’s health promotion model is used to promote health behaviors by observing the family dynamics and promoting interventions that affect the family unit. The model has three main concepts. The first is that people are basically a sum of their parts, their individual biological makeup and their past experiences. Second, they have developed beliefs and characteristics based upon their interpersonal environment. The final concept is the goal, which is health promotion. The nurse is a part of the interpersonal experience, as well as the family. The individual’s perception of self-efficacy can be based on emotions related to past success or failures, the presence or absence of positive role models, and the presence of health disparities that can compete with the behavior change (Nursing Theories, 2011).
Pender’s model can help in teaching behavioral change, because it considers the multitude of dynamic forces at work in an individual’s life. According to the theorist, when a person’s interpersonal environment becomes supportive and positive, there is a greater chance of patient compliance. For incidence, if the person is a new onset diabetic and their family is not supportive with diet changes and do not modify the family meals, the patient is less likely to be compliant with their new diet.
Disparities such as age, socioeconomic status, educational level, disability, race, culture, or religious beliefs can affect a patient’ ability to learn. These factors can compete with the patient’s ability to participate in health promoting behaviors or limit access to health promotion resources. For instance, a person with limited English speaking ability may not have health promotion resources available in their native language (Whitney, 2018).
According to the transtheoretical model, change is based upon a person working through six stages. Change occurs when a person has had time to contemplate and make up their mind to take action (Whitney, 2018). People can be unwilling to change for many reasons. They might not be cognitively capable, physically ready, or psychologically ready (Ashton & Oermann, 2014). For example, newly diagnosed patients are often in denial or have not accepted the diagnosis, so they may not be willing to intitally learn about their condition or their care. Another example, is when a parent of a child with a TBI is still grieving and may leave the room when their child needs to be cathed, toileted, or connected to a feeding pump. In this case, patient teaching that includes the parent’s active participation in their child’s care is not the focus.
Ashton, K., & Oermann, M.(2014). Patient education in home care: strategies for success. Home Healthcare Now,32(5),288-294. Retrieved from https://www.nursingcenter.com/journalarticle?Article_ID=2460148&Journal_ID=2695880&Issue_ID=2460020
Nursing Theories. (2011). Health promotion model. Retrieved from http://currentnursing.com/nursing_theory/health_promotion_model.html
Whitney, S. (2018) Teaching and learning styles. In Grand Canyon University (Eds.), Health promotion: health & wellness across the continuum. Retrieved from https://lc.gcumedia.com/nrs429vn/health-promotion-health-and-wellness-across-the-continuum/v1.1/#/chapter/1
(2) citation references 150 words
Bandura’s Self efficiency theory of behavior change is a health promotion model that was made the model by Albert Bandura. This model focused on the feelings of self-efficacy can lead to competency (Whitney, 2018). Bandura believed that patients/individuals have the power to bring their own outcomes to fruition. Its stated that there are three factors influence self-efficacy which are behaviors, environment, and personal/cognitive factors. The theory focuses on “…how learning is influenced by repetition, reinforcement, and symbolic modeling.” (Whitney, 2018). This model helps by giving power to the patient in changing their outcomes and behaviors.
Some barriers that effect a patient’s ability to earn and language, environment, socioeconomic status, illness and the patient’s readiness to learn. Language is an obvious barrier to learning, if a patients first language isn’t English and the nurse who is caring for said patient only speaks English there is going to be an inability to teach/learn. In this situation the use of translators and informational and educational packets/ videos in the patients preferred language are helpful and overcoming this barrier. The environment in which learning or teaching is done is also very important. If the environmental is full of distraction, loud noises, family members and nurses in and out or even a roommate it can cause the patient to ot focused on the teaching that is taking place. Nurse must ensure that before teaching is done that the environment is prepared. This involves elimination of all distractions, turning of the tv, having family members and staff exit the room and so on.
If a patient isn’t ready to learn or change the teaching is useless. Attitude and behaviors are one of the biggest factors in not just healing but learning as well. When patients aren’t ready or willing, the information they receive won’t be absorbed or it will be ignored which will lead to possible worsening of the patient’s illness and negative outcome. A Nurse has to ensure the patient is in the right mindset to learn, receive information and change. This can be done be a simple readiness to learn assessment by the nurse.
References
Whitney, S. (2018) Health Promotion: Health & Wellness Across the Continuum. Grand Canyon University. https://lc.gcumedia.com/nrs429vn/health-promotion-health-and-wellness-across-the-continuum/v1.1/#/chapter/1
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2 3 Pages Case Study Hist410n
/in Uncategorized /by developerRequired Resources
Read/review the following resources for this activity:
See additional required resources within the option instructions.
Instructions
For this assignment, select one of the following options:
Option 1: Imperialism
The exploitation of colonial resources and indigenous labor was one of the key elements in the success of imperialism. Such exploitation was a result of the prevalent ethnocentrism of the time and was justified by the unscientific concept of social Darwinism, which praised the characteristics of white Europeans and inaccurately ascribed negative characteristics to indigenous peoples. A famous poem of the time by Rudyard Kipling, “White Man’s Burden,” called on imperial powers, and particularly the U.S., at whom the poem was directed, to take up the mission of civilizing these “savage” peoples.
Read the poem at the following link:
After reading the poem, address the following in a case study analysis:
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2 3 Study Types And Statistical Tests
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2.
instructions
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2 Answer This Question With No Less Than 250 Words
/in Uncategorized /by developerToday’s workforce is diverse and has multiple conflicting priorities. As a nurse leader, you would like to see your hospital implement an outreach program that will benefit needy members of the community. What are some methodologies of communication you would use to develop a shared vision with your stakeholders? How would you apply strategic management to make your visions for the outreach program become reality?
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2 Art
/in Uncategorized /by developerThe civilizations studied this week created impressive works of sculpture, with varying purposes and meanings. Carefully examine the following sculptures, and read about each one in your textbook, course and video lectures, and through reliable internet resources:
Stele of Naram-Sin, c. 2254-2218 BCE
Palette of Narmer, c. 3150-3125 BCE
Akhenaten and His Family, 1348-1336 BCE
Then, in a well-developed paragraph of at least 5-7 sentences, describe the composition of each sculpture, including the representation of figures, objects, and space. Consider whether the figures fit into the space around them, whether their movements seem believable, and/or whether their clothes fit their bodies properly. What does the way the figure and objects are represented tell us about the time and place in which the sculpture was created? What similarities or differences do you observe in the compositions of the three works?
Next, in a second paragraph of at least 5-7 sentences, describe the overall subject matter of each sculpture; the meaning of some of the objects in the painting; and any social, historical, political, and/or religious factors that are important to understanding the painting. Explain what the subject of the sculpture tells us about the society and culture in which it was created. Be sure to provide citations for any outside sources you reference in this part of your response.
Question 2: Monumental Architecture
The cultures we studied this week produced grand architectural structures. Carefully examine the following structures, and read about each one in your textbook, course and video lectures, and through reliable internet resources:
Nanna Ziggurat, Ur, c. 2100-2050 BCE
Great Pyramids, Giza, c. 2601-2515 BCE
Lion Gate, Mycenae, c. 1250 BCE
Then, in a minimum of 3 well-developed paragraphs, answer the following questions about each structure:
Be sure to provide citations for any outside sources you reference in this part of your response.
Respond to both questions as thoroughly as possible, making sure to use information from this week’s readings, lectures, and additional resources. All responses should be in complete sentence form, using proper spelling and grammar.
As soon as possible, review and comment on the work of two of your peers. In your comments, consider areas you would suggest for expansion or clarification.
Submission Details:
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2 Assessments
/in Uncategorized /by developer1- 8 page paper apa format not including cover page and reference sheet
1- 4 page paper apa format not including cover page and reference sheet
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2 Assignment 18892753
/in Uncategorized /by developer1. 2 pages FAQ focument
2. 2 pages concept map
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2 Case Studies And Handout With 2 Patients Nursing Related
/in Uncategorized /by developerANSWER EACH QUESTION WITH ATLEAST 2-3 sentences
CASE STUDY: Respiratory
#1 Patient Profile:
A 62-year-old female client with a history of COPD has been admitted to the hospital with acute exacerbation and left-sided pneumonia.
The nurse observes increased anterior-posterior diameter of the chest, reddish-blue skin tone, and prolonged expiratory phase when breathing.
Admission vital signs: temperature 101.5 F (oral), blood pressure 154/92, heart rate 110, and respiratory rate 26 breaths/minute.
Critical Thinking Questions:
Answer each question thoroughly and with details
1) What nursing diagnosis is the priority for this patient and why?
2) During the initial physical assessment of the patient, the patient exhibits a frequent cough with copious purulent secretions expectorated.
This assessment finding is compatible with which etiology of pneumonia?
What type of nursing care would you then provide?
3) What should the nutritional plan for this patient include? Explain why?
Case Study: Burn/Trauma
You are caring for Mr. Stevenson a 26 year male patient who is an employee in a chemical plant on the assembly line. There was a unusual event and two explosive chemicals combined and caused a chemical explosion in the plant. Mr. Stevenson was near to the explosion and sustained severe burns from the accident.
He is now a patient in the Burn/Trauma ICU receiving life saving care. Mr. Stevenson received 3rd degree burns to his entire chest and back and his entire right leg front and back. He sustained second degree burns to his entire face. He is intubated, sedated and on a ventilator at the moment.
Please answer the following questions.
1) According to the Rule of Nines, what percentage of his body received burns? Please explain your answer in details.
2) Explain in details what is meant by treating the ABCDE’s of Burn Injuries?
3) What would be his fluid resuscitation goals for the first 24 hours? How about after that?
4) According to the American Burn Association, name at last 5 findings that would necessitate a referral to a burn center?
5) Explain the process of skin grafting for burn management.
GI CASE STUDY:
#1 Patient Profile: A 56-year-ld male patient tells you that he has been having abdominal pain about 3 hours after he eats. It feels like burning and is mostly in the upper abdomen. He gets some relief with over-the-counter antacids.
Critical Thinking Questions: Answer each question completely and thoroughly.
1) What is the differential diagnosis?
2) An endoscopy is ordered on this patient, and he is found to have multiple scattered duodenal ulcers. Now what do you think?
3) Suppose the serum gastrin is high. How can a diagnosis of Zollinger-Ellison syndrome be confirmed?
4) What are the signs and symptoms of Zollinger-Ellison and how would you educate your patient?
#2 Patient Profile:
A 46-year-old patient tells you he’s been vomiting blood, but he does not bring any in for you to see.
Critical Thinking Questions: Answer each question completely and thoroughly.
1) What is the differential diagnosis and what priority question should you ask?
2) What lab tests would you expect the physician to order?
3) What is an appropriate nursing diagnosis and what education would you provide?
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2 Coments Each One 150 Words Citation And Reference 19491453
/in Uncategorized /by developer(1) 150 words citation references
Nola Pender’s health promotion model is used to promote health behaviors by observing the family dynamics and promoting interventions that affect the family unit. The model has three main concepts. The first is that people are basically a sum of their parts, their individual biological makeup and their past experiences. Second, they have developed beliefs and characteristics based upon their interpersonal environment. The final concept is the goal, which is health promotion. The nurse is a part of the interpersonal experience, as well as the family. The individual’s perception of self-efficacy can be based on emotions related to past success or failures, the presence or absence of positive role models, and the presence of health disparities that can compete with the behavior change (Nursing Theories, 2011).
Pender’s model can help in teaching behavioral change, because it considers the multitude of dynamic forces at work in an individual’s life. According to the theorist, when a person’s interpersonal environment becomes supportive and positive, there is a greater chance of patient compliance. For incidence, if the person is a new onset diabetic and their family is not supportive with diet changes and do not modify the family meals, the patient is less likely to be compliant with their new diet.
Disparities such as age, socioeconomic status, educational level, disability, race, culture, or religious beliefs can affect a patient’ ability to learn. These factors can compete with the patient’s ability to participate in health promoting behaviors or limit access to health promotion resources. For instance, a person with limited English speaking ability may not have health promotion resources available in their native language (Whitney, 2018).
According to the transtheoretical model, change is based upon a person working through six stages. Change occurs when a person has had time to contemplate and make up their mind to take action (Whitney, 2018). People can be unwilling to change for many reasons. They might not be cognitively capable, physically ready, or psychologically ready (Ashton & Oermann, 2014). For example, newly diagnosed patients are often in denial or have not accepted the diagnosis, so they may not be willing to intitally learn about their condition or their care. Another example, is when a parent of a child with a TBI is still grieving and may leave the room when their child needs to be cathed, toileted, or connected to a feeding pump. In this case, patient teaching that includes the parent’s active participation in their child’s care is not the focus.
Ashton, K., & Oermann, M.(2014). Patient education in home care: strategies for success. Home Healthcare Now,32(5),288-294. Retrieved from https://www.nursingcenter.com/journalarticle?Article_ID=2460148&Journal_ID=2695880&Issue_ID=2460020
Nursing Theories. (2011). Health promotion model. Retrieved from http://currentnursing.com/nursing_theory/health_promotion_model.html
Whitney, S. (2018) Teaching and learning styles. In Grand Canyon University (Eds.), Health promotion: health & wellness across the continuum. Retrieved from https://lc.gcumedia.com/nrs429vn/health-promotion-health-and-wellness-across-the-continuum/v1.1/#/chapter/1
(2) citation references 150 words
Bandura’s Self efficiency theory of behavior change is a health promotion model that was made the model by Albert Bandura. This model focused on the feelings of self-efficacy can lead to competency (Whitney, 2018). Bandura believed that patients/individuals have the power to bring their own outcomes to fruition. Its stated that there are three factors influence self-efficacy which are behaviors, environment, and personal/cognitive factors. The theory focuses on “…how learning is influenced by repetition, reinforcement, and symbolic modeling.” (Whitney, 2018). This model helps by giving power to the patient in changing their outcomes and behaviors.
Some barriers that effect a patient’s ability to earn and language, environment, socioeconomic status, illness and the patient’s readiness to learn. Language is an obvious barrier to learning, if a patients first language isn’t English and the nurse who is caring for said patient only speaks English there is going to be an inability to teach/learn. In this situation the use of translators and informational and educational packets/ videos in the patients preferred language are helpful and overcoming this barrier. The environment in which learning or teaching is done is also very important. If the environmental is full of distraction, loud noises, family members and nurses in and out or even a roommate it can cause the patient to ot focused on the teaching that is taking place. Nurse must ensure that before teaching is done that the environment is prepared. This involves elimination of all distractions, turning of the tv, having family members and staff exit the room and so on.
If a patient isn’t ready to learn or change the teaching is useless. Attitude and behaviors are one of the biggest factors in not just healing but learning as well. When patients aren’t ready or willing, the information they receive won’t be absorbed or it will be ignored which will lead to possible worsening of the patient’s illness and negative outcome. A Nurse has to ensure the patient is in the right mindset to learn, receive information and change. This can be done be a simple readiness to learn assessment by the nurse.
References
Whitney, S. (2018) Health Promotion: Health & Wellness Across the Continuum. Grand Canyon University. https://lc.gcumedia.com/nrs429vn/health-promotion-health-and-wellness-across-the-continuum/v1.1/#/chapter/1
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2 Coments Each One 150 Words Citation And Reference 19492927
/in Uncategorized /by developer1 reply 150 words citation reference
The aim of health promotion is to improve the health of not only individuals but also populations through health education. One among other models that ensures health promotion is the Ponder’s health promotion model. This model was developed when Nola Pender noticed that health care professionals only paid attention to treating diseases but didn’t recognize the need for promotion of healthy lifestyles. In 1982 therefore, this model came into existence to provide a framework that helps to understand health promotion behaviors by recognizing the family as the unit of assessment and intervention. Through identification of available resources and fostering resilience among individual family members this theory encouraged behavioral changes that led to promotion of health among family members. The other components of this model that influences behavioral change include; recognizing experiences and characteristics of individuals, understanding behavior-specific cognition and affect and implementing behavioral outcomes (Kwong & Kwan, 2007)
As important as health teaching seems, nurses should also be aware of other variables that are likely to affects patient’s ability to learn. Such variables include; race, ethnicity, disability, sex, sex orientation, environmental threats, poverty levels, access to health care and lack of education. Other factors such as cultural, socio-economic and socio-political influences affect the patient’s experiences while other components like stereotype, biases and other forms of discrimination can limit the healthcare providers’ ability to share relevant health information. Being able to self-analyze and analyze their target populations, health providers can effectively eliminate these barriers to safeguard health promotion strategies (Whitney, 2018)
Through the transtheoretical model, health providers are able to assess the patient’s readiness to change. The different stages involved include; precontemplation, contemplation, planning, action, maintenance and termination. As the providers work with patients through this model, they are able to note any positiveness or unwillingness depending on their participation. If patients turn out to be positive, they are more actively involved in the decision making of their specific tailored care plans and this ultimately leads to effective learning outcomes as they continue in healthy living behaviors (Whitney, 2018)
References.
Whitney, S. (2018) Health Promotion: Health & Wellness Across the Continuum. Grand Canyon University. Retrieved from https://lc.gcumedia.com/nrs429vn/health-promotion-health-and-wellness-across-the-continuum/v1.1/#/chapter/1
Kwong, E. W., & Kwan, A. Y. (2007). Participation in health-promoting behavior: Influences on community-dwelling older Chinese people. Journal of Advanced Nursing, 57(5), 522-534.
2 reply 150 words citation references
Bandura’s self-efficacy theory of behavior change is a model developed by Albert Bandura that is used to initiate behavioral changes. Whitney (2018) states “He believed that feelings of self-efficacy can lead to competency; in other words, he believed that individuals have the ability to bring about their own outcomes” (Whitney, 2018, para. 30). This model emphasizes the importance of the patient feeling that he/she is capable of making changes that will lead to the desired outcomes. The patient must feel confident in their own abilities to bring about postive outcomes.
Bandura’s model helps in teaching behavioral changes by giving the patients the knowledge needed so that they can feel confident in themselves. Whitney (2018) states “This conceptual theory explains how learning is influenced by repetition, reinforcement, and symbolic modeling.learning” (Whitney, 2018, para. 30). When patients are in doubt of their own capabilities it makes it hard for them to believe that they are capable of attaining the outcome that is desired for them. However, when patients are taught through repetition and reinforcement, they gain confidence in their own abilities and that is what is needed to bring about the desired outcome.
There are many barriers that may affect a patient’s ability to learn. According to Whitney (2018) “Patients’ physical condition, including limited vision and auditory function, mobility, alertness, mental capacity, or high levels of physical pain, may impede learning capability” (Whitney, 2018, para. 18). All of these physical conditions can negatively affect the patient’s ability to learn. There are other barriers, such as language barriers, that can make it a difficult for a patient to learn, so it is imperative that there is a translator available when needed to be certain that the patient understands what is being taught.
It is important for the nurse to assess the patient to identify their readiness to learn. If a patient is not willing and ready to learn or willing to make the needed changes then the learning outcomes will be negatively affected. The learning outcomes will be positively affected by the patient that is ready and willing to make changes. The patient must be ready to learn and change for the teaching to be successful.
Reference
Whitney, S. (2018). Grand Canyon University (Ed). Health promotion: Health & wellness across the continuum. Retrieved from https://lc.gcumedia.com/nrs429vn/health-promotion-health-and-wellness-across-the-continuum/v1.1/#/chapter/1
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2 Coments Each One 150 Words Citation And Reference By122
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