use this article an do what i need in the attachment paper
Bae, S. H., & Fabry, D. (2014). Assessing the relationships between nurse work hours/overtime and nurse and patient outcomes: systematic literature review. Nursing outlook, 62(2), 138-156.
Will anyone write an essay for me over radiation exposure to pregnant women?
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Students are expected to initially address the discussion question by Wednesday of each week. Participation in the discussion forums is expected with a minimum total of three (3) substantive postings (this includes your initial posting and posting to two peers) on three (3) different days per week. Substantive means that you add something new to the discussion, you aren’t just agreeing. This is also a time to ask questions or offer information surrounding the topic addressed by your peers. Personal experience is appropriate for a substantive discussion and should be correlated to the literature.All discussion boards will be evaluated utilizing rubric criterion inclusive of content, analysis, collaboration, writing and APA. If you fail to post an initial discussion you will not receive these points, you may however post to your peers for partial credit following the guidelines above. Due to the nature of this type of assignment and the need for timely responses for initial posts and posting to peers, the Make-Up Coursework Policy (effective July 2017) does not apply to Discussion Board Participation.Discussion Prompt [Due Wednesday]A 50-year-old woman with rheumatoid arthritis (RA) presents to the office with what she describes as a “flare up”. How do you proceed with the work-up? Include a history and review of systems, diagnostic testing, treatment options for exacerbated RA, and patient education.
i need to write reflection paper about Hospice and follow the rubric
Hospice is relationships with end of life patients.
During my time
I went last week to hospice and at the early morning I attended to nursing meeting they are discussed the patients health care and how are they doing after that I went with my nurse to visit two small town near to my city. we visited nursing home there are two patient in each home assignment for my nurse the nurse take their vital signs and ask the nursing home about their health and how they feels one of the patient was very sick and he has difficult breathing his extremity cold and pale he is at the end of his life. and he has GI bleeding and rectal bleeding the nurse hospice nurse ask the home nurse to keep him NPO also we went to the home health nursing in Clyde city to visit the patient he was sleeping and the nurse assessed him. also I saw one patient pass away and their family called the nurse while we are in the way and the nurse responded fast and Changed her direction to see this patient first he was diagnosed with end stage of cancer and he has history of COPD and DM and Hypertension and I observed how the nurse did the assessment and support the family of death patient. after that she called the funeral home to take the die patient
the diseases like end stage of renal disease, lung cancer, alzahimer,demintia,….
in the hospice there are interdisplary staff are nurses social worker, aid service, volunteer, chapel faith, pharmacy,
the visit according to patient’s health status some of them need three days on the week some one day
the nurse took the medications for the patient from hospice before she leave. like pain medication and she took dressing
that what happen with me during my rotation you can read more about hospice in Abilene tx and write two pages reflection paper cover all the points in rubric. thank you.
and don’t forget APA format.
Check attached form
Check attached form
(Commentr 1 ). reference, citation, 150 words
Two external stressors that are unique to adolescents are moving/changing school and too of high of expectations from parents. Moving schools is exceptionally difficult for adolescents, as they have to leave the security of their well-known school, their routine, friends they have known since the beginning, and sometimes, the city they were raised in. I have some experience with this, as I transitioned from Private Education to Public in high school and it was pretty rough. I remember the most stressful part being my initial lack of friends and lack of support from my peers. Another external stressor that I knew all too well were high expectations from my parents. My parents expected me to achieve exceptional grades, participate in orchestra and sports, while maintaining a high school job, an experience that is likely more common than I felt at the time.
Several studies have pointed to adolescent stress leading to impulsivity, stating that low-levels of stress allow adolescents to think, plan, absorb and remember but when stress is high, the brain interprets this as a life-threat and decisions are no longer thoughtful, but hasty (Duckworht, Kim, & Tsukayama, 2013). Impulsive, hasty decisions lead to risk-taking behaviors such as: alcohol and drug use, unsafe sex leading to teen pregnancy, or even suicide. When reflecting back on my transition to Public Education, it was really easy to make friends with my peers that were already smoking cigarettes, smoking pot, drinking, having sex, and several of them were cutters. I wasn’t always the best at resisting those activities but I was able to break into a “higher” level of social standing with athletics and those friends, who were mostly just drinkers at parties on the weekend. Another study on adolescent substance abuse demonstrates a link between adolescent substance use as a predictor of adult substance use, I would agree with their findings in reference to a large number of my graduating class that appear to suffer from alcoholism (Charles, Mathias, Acheson, & Dougherty, 2017).
When it comes to support and coping for adolescents, I feel this is high variable. For instance, adolescents who don’t play sports might benefit from sports as a coping mechanism but for an adolescent who has too much on their plate, eliminating a sport or activity might be best to reduce stress. Tutoring services might be helpful to help an adolescent cope by helping them with their studies, keeping them on track and helping them retain information. Lastly, psychiatric services like seeing a psychiatrist or therapist might also be helpful for the adolescent but also helpful for parents placing too much pressure and too high of expectations on their kids. Lastly, providing secondary prevention services is valuable, these being information on crisis resources like call or text crisis lines to prevent suicide (Falkner, 2018).
Charles, N.E., Mathias, C.W., Acheson, A., & Dougherty, D.M. (2017). Preadolescent sensation sensation seeking and early adolescent stress related to at-risk adolescents’ substance use by age 15. Addictive Behaviors, 69(6), 1/7. Retrieved from https://www-sciencedirect-com.lopes.idm.oclc.org/science/article/pii/S0306460317300060?via%3Dihub
Duckworth, A.L., Kim, B., & Tsulayama, E. (2013). Life stress impairs self-control in early adolescence. Frontiers in Psychology, 3, 1-12. Retrieved from https://www.frontiersin.org/articles/10.3389/fpsyg.2012.00608/full
Falkner, A. (2018). Health Assessment, Foundations for Effective Practice. Grand Canyon University. Retrieved from https://lc.gcumedia.com/nrs434vn/health-assessment-foundations-for-effective-practice/v1.1/#/chapter/3
(Comment2 ). 150 WORDS CITATION, REFERENCE, NO PLAGIO
External Stressors unique to teens
Two external stressors that are unique to adolescents are coping with parents getting divorced, and moving to different cities not by choice. I have been in the situation where parents getting divorced can raise all new obstacles for a teen. When parents split up, the child may have to move into a new home, bounce back and forth between parents with shared custodies, adjust to a single-parent home where the parent may be constantly working and even struggle financially. Teens who don’t know how to cope with their parent’s divorce can take part in risk-taking behavior and may act out, perform poorer in school, and have behavior changes. I have worked with adolescents who have begun cutting, burning, or other self-harm methods to draw attention from both parents in attempts to see them together. When teens must adjust to moving cities it can be incredibly hard to leave behind lifelong friends, childhood home, schools, teams, and relatives. Risk-taking behaviors for these teens include engaging in potentially dangerous activities to get acceptance by new peers like drinking, partying, sex, or even drug use. Teens could try and run away and hitchhike to travel back to their friends or families in their home city which can be dangerous.
Risk taking behavior related to stressors
Teens who don’t know how to cope with their parent’s divorce can take part in risk taking behavior and may act out, perform poorer in school, and have behavior changes. I have worked with adolescents who have begun cutting, burning, or other self-harm methods to draw attention from both parents in attempts to see them together. . Risk taking behaviors for teens who move to different cities include engaging in potentially dangerous activities to get acceptance by new peers like drinking, partying, sex, or even drug use. Teens could try and run away and hitchhike to travel back to their friends or families in their home city which can be dangerous.
Coping Mechanisms and Support
Coping methods and support for children adapting to newly divorced parents include learning relaxation and distraction techniques, journaling, seeking peer support, maintaining communication with both parents, creating a routine (Boring, J. L.,2015). For adolescents adjusting to a new city and living environment soping methods include the use journaling, family-centered activities (bowling, game-nights, dinners, etc.), enrollment in sports or extracurricular activities to help build relationships, and keeping in touch with old friends through the use of cell phones, social media, or video chats (Elsevier October 2019).
References
Boring, J. L. (2015). Children of divorce–coping with divorce: A randomized control trial of an online prevention program for youth experiencing parental divorce. Retrieved from https://eds-b-ebscohost-com.lopes.idm.oclc.org/eds/detail/detail?vid=18&sid=15cf096a-da95-4c5c-b526-eb12753c87d8%40sessionmgr103&bdata=JnNpdGU9ZWRzLWxpdmUmc2NvcGU9c2l0ZQ%3d%3d#AN=2015-33904-001&db=pdh
Elsevier. (October 2019). Purpose and Coping with Adversity. Journal of Adolescence. Retrieved from https://www-sciencedirect-com.lopes.idm.oclc.org/science/article/pii/S0140197119301290
( Reply 1). 150 words, citaton, reference, no plagio
Risk Factors
Several factors put teenagers in the United States at higher risk of pregnancy. Among these factors are socioeconomic in nature like the education or poverty level (Faulkner, A. 2018). This includes limited access to health and sex education. Other health disparities that contribute include “few opportunities in a teen’s community for positive youth involvement, neighborhood racial segregation, and neighborhood physical disorder (e.g., graffiti, abandoned vehicles, litter, alcohol containers, cigarette butts, glass on the ground)” (CDC, 2019).
Impacts of Pregnancy
According to Faulkner, if a child is born to a teen mother, they in turn have a higher chance of becoming a teen parent themselves. They are also at higher risk of “poor performance in school, including increased dropout rates, health problems, incarceration, or unemployment” (Faulkner, A. 2018). At birth these infants are more likely to be born with health issues and low birth weights.
Society at large is effected by this issue. Teenage mothers are less likely to seek medical care during the pregnancy, increasing chances for complications to the mother and child. This, in turn, contributed to the 9.4 billion dollars paid by taxpayers to support care through services like Medicare (Southeastern Idaho Public Health, 2019). Unfortunately, other services like the U.S. foster care system are utilized in part to care for the infants born to teenage mothers.
Teenage mothers themselves are often negatively affected by this issue. Roughly fifty percent of teen moms drop out of school and do not re-enroll (Southeastern Idaho Public Health, 2019). Teenage mothers often incur life-long socioeconomic struggles due to a lack to access to education and the expenses of raising a child.
Community Resources (2)
In the state of Idaho, there are resources that are publicly funded that help to prevent teen pregnancy as well as offer assistance to pregnant teenage child. One of these is The Idaho Department of Health and Welfare. This organization works to inform and educate the public about health issues like teen pregnancy, birth control options, and sexually transmitted infections (Idaho Department of Health & Welfare, 2019). Another resource in Idaho the Panhandle Health District. This organization has clinics as well as online resources and classes for public high school students.
Idaho STATS
According to the CDC, although the state is ranked 25th for teen pregnancy, the live birth rate of babies born to teenage mothers is decreasing. 2017 saw 18.6 per 1,000 live births to teenage mothers aged fifteen to nineteen years old (CDC, 2019). This is a 39% decreased from the teen pregnancy rate recorded in 2007 (Panhandle Health District, 2019).
Reasons for change
This decrease is attributed to better access to health care for the teenage population and better health education in Idaho’s public schools. Recent data also shows that Idaho’s teens who self-report are waiting longer to have sex and higher rates of sexually active teenagers are using birth control in the form of condoms and oral contraceptives( Southeastern Idaho Public Health, 2019).
References
Centers for Disease Control & Prevention. (2019). Stats of the State of Idaho . Retrieved from https://www.cdc.gov/nchs/pressroom/states/idaho/idaho.htm
Faulkner, A. (2018). Adolencent Assessment. In Health Assessment: Foundations for Effect Practice. Retrieved from https://lc.gcumedia.com/nrs434vn/health-assessment-foundations-for-effective-practice/v1.1/#/chapter/3
Idaho Department of Health and Welfare. (2019). Sexual Health . Retrieved from https://idahoteenpregnancy.com/sexual-health/
Panhandle Health District. (2019). Teen Pregnancy Prevention . Retrieved from http://panhandlehealthdistrict.org/teen-pregnancy-prevention/
Southeastern Idaho Public Health . (2019). Impacts of teen preganancy . Retrieved from https://www.siphidaho.org/rephealth/app_impacts.php
(Reply2 ) 150 words reference, citation, no plagio
Precursors/risk factors for teen pregnancy
The adolescence phase of development can be a rollercoaster of emotion. They have an underdeveloped capacity for decision making and a lack of emotional maturity. As a result of poor decisions and an increase in at-risk behaviors that may lead to teen pregnancy (Falkner, 2018). There are several reasons associated with teen pregnancy, including socioeconomic factors such as poverty level and education. Less favorable socioeconomic conditions, such as low education and low-income levels of a teen’s family, may contribute to high teen birth rates. It is also evident that teens in child welfare systems are at higher risk of teen pregnancy and birth than other groups. For example, young women living in foster care are more than twice as likely to become pregnant than those not in foster care. Children born to teenage mothers are also at risk for teenage pregnancy (CDC, 2019).
Risk/impact of teen pregnancy for Mom, baby society
Pregnancy and birth are significant contributors to high school dropout rates among girls. The children of teenage mothers are more likely to have lower school achievement, and to drop out of high school, have more health problems, be incarcerated at some time during adolescence. Possibly the newborn will have low birth weight or premature birth, and it is highly possible that they give birth as a teenager and face unemployment as a young adult (CDC, 2019)
Community or State Resources for teen pregnancy
Sutter Medical Center, Sacramento’s Sutter Teen Programs reach out to Sacramento County teens who are pregnant or parenting. Teens work with a case manager who provides guidance and resources when they are pregnant or parenting. The center also shares information on the education and medical rights of pregnant and parenting teens currently in school. The resource also offers information on where teen parents can access support resources such as finding child care, finding support groups, financial benefits, and recommendations to stay healthy. Address to reach out is Sutter Teen Programs, 1625 Stockton Blvd., Suite 210, Sacramento, CA 95816, (916) 887-4031 (Sutter Health, 2019).
Statistical data- Discuss teen pregnancy rates in the area over the last ten years, whether they have risen or fallen IN YOUR State and possible reasons for the change
Overall, the U.S. teen pregnancy rate is substantially higher than in other western industrialized nations. According to the latest data from the California Department of Public Health, California’s teen birth rate is a record low of 15.7 births per 1,000 females between ages 15 -19, That’s an 11 percent decline between 2015 and 2016 and a 66 percent drop since 2000.
In California in 2016, 15,800 children were born to mothers ages 18-19; 5,622 were born to mothers ages 15 -17; and an additional 195 were born to mothers under age 15 (California Healthline, 2018). The reason for the drop is successful efforts to provide information about sex education and birth control, availability of contraceptives, education to parents to talk to children about sex education, behavior, and safety (California Healthline, 2018).
Reference.
California Healthline (2018).Teen Birth Rate In California. Retrieved from https://californiahealthline.org/multimedia/teen-birth-rate-in-california/
Centers of Disease Control and Prevention [CDC] (2019). About Teen Pregnancy. Retrieved from https://www.cdc.gov/teenpregnancy/about/index.htm
Falkner, A. (2018) Adolescent Assessment. In Grand 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/3
Sutter Health (2019). Sutter Teen Programs. Retrieved from https://www.sutterhealth.org/services/pregnancy-childbirth/teen-smcs
Reflection Journal: Roles of Leadership
Analyze strategies that nurse leaders can implement to mitigate risk in the healthcare setting. What demonstrable behaviors should be role-modeled by the healthcare administrator?
Reflect on two strategies that you use, or could use, as a professional nurse to be proactive in protecting your license and delivering quality patient care.
Journal assignments require you to use a minimum of two references from evidence-based sources that are relevant and current to the topic (i.e., published within five years). You are also required to use correct APA format for reference citations and in-text citations.
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