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unnecessary testing, and unexplained lab results; emotional abuse is probably harder to assess for, infants might be withdrawn or fearful of adults, delayed, and the parent might simply act as though they reject the child (Green, 2019).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 To Write One Page From Artical
/in Uncategorized /by developerCRCS-3110 CURRENT TRENDS IN RESPIRATORY CARE
WRITING ASSIGNMENT INSTRUCTIONS
Read the four articles found under this module and write a one page reflection
paper
Brain Dead pregnant woman to be laid to rest after being disconnected
from life support. –
In your (4) reflection papers, answer/address the following:
1. Discuss the ethical dilemmas in the case.
2. Discuss the ethics policy or clinical guideline.
3. Discuss the issues, legal and ethical in the case or guideline.
4. Discuss how you would have handled this dilemma ethically and/or legally.
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I Need Two Comment Each One 150 Words
/in Uncategorized /by developerFirst comment 150 words no plagio
DQ 1
The effects that low birth weight babies can be short term or long term, these effects may include health and developmental problems, according to The National Academic Press, n.d. They further continued that these babies are prone to developing complications such as acute respiration, gastrointestinal, immunological, central nervous system, hearing and vision problems. The vision and hearing problems may go on to be long term, in addition they may have cognitive, behavioral, social, emotional, disabilities, health and growth problems.
This can prove to be stressful on the family, mentally, emotionally and financially. It may also have implications on the community as it relates to the insurance companies. The hospital cost for a baby born with low birth weight is more expensive than for a baby who was not a low birth weight baby. According to the American Public Health Association, 2016, low birth babies are at a risk of dying within the first year of life. Hence parents tend to be overprotective and tends to get anxious when the become ill. Children who ends up with disability may cause additional expense as they will require special treatments example special schooling.
The number of low birth weight babies is influenced by racial, social and ethnic disparities. According to the National Academic Press, n.d., the highest rates are is found among the Hispanic-African American and the lowest among the Asian and Pacific Islanders women. They further went on to say that there are some factors such as environmental exposures, medical conditions, infertility treatment, some of which are present among women of lower socioeconomic or minority status, are more prone to having low birth weight babies.
Some comorbidities associated with low birth weight babies include cardiovascular disease, type 2 diabetes and hypertension, National Academic Press, n.d.
A support group is the Parent Partnered for Preemies. This group involve parents of premature babies who have transitioned from the hospital to home, these parents’ partners with other parent whose babies were recently admitted to the hospital. They offer the new parents emotional support and share their experiences with them with the hope of alleviating some of their anxieties.
http://www.northside.com/medical_services/maternity_support_ppp.aspx
Reference
American Public Health Association, (2016). Reducing Racial/Ethnic and Socioeconomic Disparities in Preterm and Low Birthweight Babies. Retrieved from https://www.apha.org/policies-and-advocacy/public-health-policy-statements/policy
National Academic Press, (n.d.), Preterm Birth: Causes, Consequences and Prevention. Retrieved from https://www.nap.edu/read/11622/chapter/2
SECOND COMMENT 150 WORDS NO PLAGIO
DQ 1
With the current technological evolution, there is an expressive increase of survival rate among very low birth weight newborns with birth weights less than 1500g. This later brings up the long-term neuropsychomotor development issues especially during school integration period. Compared with the normal birth weight babies, very low birth weight babies face a 2-3-fold greater risk for visual and hearing impairment, speech delays and attention disorders. They may have poor feeding and growth, respiratory complications, and face neurocognitive difficulties.
In the US, nearly 500,000 infants, or 11.7%of all live births, are born preterm (<37 weeks gestation) each year. Preterm usually have prolonged hospital stay and this eventually leads to family stress financially and in terms of time wastage.
Parents to the low birth weight babies must take more unpaid hours at work to take care of the infant. This in turn affects the family’s source of income which also reflects later in family upkeep, which keeps dwindling with time. When parents are unable to meet their financial requirements, they end up borrowing heavily to take care of the family and the more expenses that come up with the low birth weight babies who have extra needs.
Increased debt brings about unsafe home environment and social isolation. This is because parents stay away from the peers, other family members and even friends to avoid stigmatization and transfer of own burdens to other people. The involved parents end up in constant depression which affects their health eventually.
Extremely low birth weight babies usually associated with many comorbidities. Almost 40,000 infants in the United States are affected by respiratory distress syndrome (RDS). Common complications associated with RDS and its therapy include air leak syndromes, chronic lung disease or bronchopulmonary dysplasia (BPD) and retinopathy of prematurity (ROP). Necrotizing syndrome, hypoglycemia, hypothermia, prone to infections.
SSI Benefits for infants, disability benefits for premature babies or low birth weight called “presumptive disability”. Payments are based on the severity of the condition and the evidence available; this is not based on one’s financial need. Parents with very low birth weight babies need great financial support because of their huge financial needs and the costs involved. Grahams foundation support program helps families meet their unique needs while in Nicu and transitioning at their homes once discharged, they also have trained preemie parent mentors available 24/7 via phone and email.
References
Green, s. (2018) Health Assessment: Foundations for Effective Practice retrieved from
https://www.gcumedia.com/digital-resources/grand-canyon-university/2018/health-assessment_foundations-for-effective-practice_1e.php
Graham’s Foundation: Supporting Parents of Preemies retrieved from
https://grahamsfoundation.org
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I Need Two Comments No Plagio 150 Words
/in Uncategorized /by developerFIRST COMMENT
FIRST COMENT
Socioeconomic-The more premature an infant is at birth, the greater the cost to care for the infant both on the family and on the healthcare system, as these infants require longer hospital stays and more extensive testing, medications and procedures. (Bowers, 2013, p. 29) Quite often the parents or other caregivers are forced to resort to becoming full-time caregivers and leave gainful employment. This places additional stress and financial burden on the families of these ELBW babies. Maternal stress is likely to increase as the mother may feel a sense of failure having given birth to an ELBW infant, leading to higher risk of postpartum depression and additional stress on the whole family.
Ongoing care- Need for ongoing early intervention services throughout childhood also contributes to the cost of raising a child born ELBW. Prematurity and low birth weight also increases the risk of readmission early in life, raising the overall cost to the family and increasing risks of hospital-acquired infections. Payment for routine and specialized care may be a challenge if the parent who carries insurance coverage for the child is unable to work and therefore loses employer-based health coverage.
Comorbidities-ELBW babies are at increased risk of fetal and neonatal death as well as long-term complications in adulthood like obesity, hypertension, diabetes and impaired fertility. (Bowers, 2013, p. 30) Short -term risks in ELBW infants include difficulties regulating temperature and blood sugar, risk for infection, renal failure and bleeding disorders. Many infants later demonstrate delays in motor development, speech delays and hearing impairment.
Ethnic and cultural disparities related to low birth weight babies- According to Bowers (2013), Non-Hispanic Black women are more likely to have a premature/LBW baby than a Non-Hispanic White woman, and while risk factors may include social stress, ethnicity alone, infection, inflammation, and genetic factors, the one factor most indicative of preterm delivery of a LBW infant is a previous preterm delivery.
One segment of our text pointed out that some cultures or ethnicities have varying views on infant death or death at any age, so the approach to care may differ greatly in those cultures and not have a direct association with the economic status of the family or culture or resources available to care for the ELBW infant. (Bowers, 2013, p. 29)
Support service from my community & Link and its effectiveness-
“WIC promotes the birth of healthy infants by preventing low birth weight, the leading cause of infant death and disability. The program provides prescribed supplemental foods, nutrition education and counseling, and referral to health care and other needed services for persons at nutritional risk. Eligibility includes: pregnant and nursing women and infants and children up to age 5.” (“Maternal and child health services | Schenectady County,” 2019)
https://www.fns.usda.gov/wic
Effectiveness- I chose to highlight the WIC program because it aims at prevention. A big part of addressing ELBW means looking at prenatal factors that may contribute to the risk of a low birth weight infant. Pregnant women are provided with appropriate nutrition through payment vouchers, while meeting with peer counselors and staff to learn about proper nutrition, prenatal care, breastfeeding preparation and many other services. Once a mother delivers her baby, the support continues through supplemental nutrition for the mother and child, help purchasing formula or breastfeeding support including breast pumps and peer counseling. The WIC program may be effective at reducing the risk of ELBW babies if the cause of low birth weight was related to the availability of proper nutrition for the mother while pregnant, or due to the lack of proper regular prenatal care. Once an ELBW infant is born, WIC may be effective at assisting the family already facing financial challenges with obtaining proper nutrition for the infant (then child up to age 5) as needed to ensure adequate growth and development.
References
Bowers, B. (2013). Prenatal, intrapartal, and postpartal risk factors. In C. Kenner & J. Lott (Eds.), Comprehensive neonatal nursing care (5th ed., pp. 28-30). Retrieved from https://ebookcentral-proquest-com.lopes.idm.oclc.org
Maternal and child health services | Schenectady County. (2019). Retrieved from https://www.schenectadycounty.com/node/413
SECOND COMMENT
It is very unfortunate that low birth babies affect the family and community. Personally, as a nurse, infants, and babies are my weakness, not my focus of study, and something I do not enjoy. Not to sound harsh, but we all have our preferences as individuals. There are many short and long term impacts, socioeconomic implications, and of course the need for ongoing care. The more premature an infant is at birth will determine the costliness to care for them. Medications, special treatments, and the amount of time spent in the hospital alone can deter the entire family’s road to recovery and the happiness which should be shared when having a newborn. These infants need ongoing care and many times family members end up being their caretakers full time and not working anymore and money can become sparse and the child can then be looked at as a burden. Several comorbidities include hypertension, diabetes mellitus, and increased risk of obesity. (Bowers, 2013) The at-risk group includes black women due to lifestyle and economic factors. The ethnic group opposite of that are Hispanic women. These 2 groups I am very familiar with, however, when it comes to children, I am uneducated. Hopefully, this course will make me more aware.
I am using FAN as my community resource. FAN is committed to providing free (which is of utmost importance) high-quality resources for supporting parents and the family. There is actually a woman who is part of the Family Advisory Staff who give here email. [email protected] This website is so important and easy for all to access, get educated, donate, sponsor, and be a part of this wonderful organization.
(nationalperinatal.org)
Effectiveness is very well received. You can become a member of this group, make donations for families in need, and there are many more ways to simply get involved. You can actually become a sponsor to help other families see and feel what you went through and help all along the way.
REFERENCE:
Bowers, B. (2013). Prenatal, intrapartal, and postpartal risk factors.
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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 Put 4 Comment Here Because In This Class The Teacher Ask For 4 Comments Only No 6 As In The Previous Class You Can Write 75 Words In Each And If You Know About The Theme Or Comment And You Have Substantive Answer L
/in Uncategorized /by developercomment1
Understanding the health care system at the local level is important when planning an EBP implementation because the health care systems may differ depending on the location. One must take into account the demographics, such as region, population, access to resources, etc. One must also take into account the socioeconomic status of the population being treated. For example, some places may have more access to resources to other places, such as urban areas compared to rural areas. In regards to population one must take into account the age groups, their ethnicity, culture and spiritual beliefs, and values. All of those factors play a significant role in determining if the EBP implementation is effective or not.
comment2
Health care systems in various countries have different accountabilities. One cannot just bring change by implementing any Evidence-Based Research Project directly without having understood the implications of the health care system. It is imperative to carry thorough studies to gain knowledge about the extent to which health care systems have developed and what level of changes and advancements that are needed in this regard. For proper implementation of evidence-based practice, it is essential to examine care related to individuals and how the local staff is performing from monetary and technological resources provided to the organization (Stokke, 2017). The flow of information at the hospital also has to be analyzed depending upon which are a more considerable part of the practical implementation. The medical caretakers have the heavy responsibility of implementing and devising strategies to eliminate healthcare-associated risks, answer the clinical inquiries and work on them if they are needed for the betterment of the healthcare system. One should focus on giving knowledge on the importance of EBP to the whole staff and make them aware of evidence-based practices. All individuals including medical attendants should be taught to take an essential role in the implementation.
comment3
The two most essential change theories, in my opinion, are Lewin’s model and Social Learning theory. Lewin’s model has remained very useful in explaining the role of power in advancement or no advancement and implication of change. Change can only take place if the joined quality of one constraint becomes noteworthy than the consolidated quality of the restricting arrangement of powers. The social cognitive theory which was initially known as social learning theory considers that the change in behavior has been primarily impacted by individual variables and some properties of behavior. In comparison to both models, Lewin is more valid and reasonable. It disregards all components related to individuals that affect change. In contrast to this, the social cognitive theory is more influenced by what flows are drawn naturally and focuses on individual components. Lewin model is also more preferred because it takes into consideration, the outer and inner ecological conditions (Moses, 2015).
comment4
The two most commonly recognized change theories are Lewin’s and Lippitt’s change models. The two are both very similar to one another in that they both look to evaluate when change in needed, initiated, and ultimately evaluated. The differences with each are how the creator ultimately expands further with these three stages.
Lewin’s Model consists of three stages: unfreezing, moving, and refreezing. The unfreezing stage ultimately looks at status quo, and increase driving forces for change; moving stage is the action stage in which the changes are implemented and involve people; and the final stage refreezing establishes the change as the new way of doing things with the reward of desired outcomes (Mitchell, 2013). Though Lewin’s model is simple and straight forward, as we all know now, change does not just happen as simple, st raight to the point stages. This is where Lippitt’s change model may work better not only for changes but changes to be done within the nursing field.
Lippitt’s model directly reflects change in a way nurses already know how. This is true because the language used to establish the model mimics that of the nursing process (Mitchell, 2013). Lippitt’s model is broken down into 7 phases, as follows: diagnose the problem (phase 1), a ssess motivation and capacity for change ( phase 2), assess change agent’s motivation and resources (phase 3), select progressive change objective (phase 4), choose appropriate role of the change agent (phase 5), maintain change (phase 6), and terminate the helping relationship (phase 7) (Mitchell, 2013). Use of Lippitt’s model though it may not be as direct can help create a clearer and outlined way of implementing change within the health care system. This is primarily why I would more likely use Lippitt’s model because it acknowledges more specific areas where change can either be a halted because oversight.
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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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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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