2 3 Page Executive Summary
APA double spaced
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2 2 Final Project Milestone One Topic Selection And Rationale
For the final project in this course, you will develop a patient safety presentation that evaluates an information management strategy in place (ideally in your workplace) to determine if it improves patient safety and patient outcomes. To help you develop this presentation, you will submit three milestones throughout the course.
For this first milestone, choose your information technology and management topic. Describe your chosen topic and give your rationale for choosing this topic (i.e., why it is important to your workplace, how it improves patient safety, etc.). Submit your topic selection for feedback and approval from your instructor.
TOPIC – PYXIS MACHINE
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2 2 19347619
Topic – Nursing shortage and the need for more nurses
Facility – Mary Manning Walsh Nursing Home (New York)
2-2 Milestone 1: Use these prompts as headers –
Organization:
Analyze the organization to determine the key characteristics (including organizational values if applicable) important for consideration when developing plans for change and implementation of quality indicator proposals.
So – tell me about your facility/organization! Is it a hospital, clinic, nursing home, etc? How many beds? What services does it provide? What type of setting is it in (rural/city)? What is its mission/vision? Hierarchy of leadership? Etc.
Improvement Opportunity:
What is the issue(s) involving patient safety and financial considerations within the organization that needs to be addressed?
Explain the connection between patient safety and financial state of the organization in terms of opportunity presented.
Purpose:
Articulate the overall purpose of your proposal/proposed initiative for improving quality of care within your organization. In other words, what is your intended initiative for addressing the issue(s)/improvement opportunity identified?
Proposal Initiative:
Detail the initiative you are proposing in terms of its application to your organization. In other words, what is it that you are proposing, and why is it relevant for your organization?
Leadership:
Articulate the role leadership plays in the current situation/environment that needs to be addressed. In other words, in presenting your proposal to leadership, you will need to articulate the overall role they play in the current environment, such as whether leadership is attempting to address the issue, is unintentionally furthering the issue, or has not yet identified your concerns as an organizational issue.
Please follow rubric attached below for further instructions and 2 sources or more neessary.
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2 Assignments 400words And
400 words (1.5 pages reflection to the topic, use ch26/27 and 3 other references)
3 pages assignment attached
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2 Art
The 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:
- Who created each structure? Who commissioned its creation?
- What was the function of the structure?
- What historical events or social or cultural influences affected the creation of each structure?
- How do the visual characteristics of each structure contribute to or enhance its message or meaning?
- How do the reasons these structures were created compare with those of a more modern example of monumental art work, such as Mount Rushmore, the 9/11 Memorial, etc.?
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 Answer This Question With No Less Than 250 Words
Today’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 3 Study Types And Statistical Tests
2.3
2.
instructions
- Review the weekly videos, PPTs, and files as listed in the Resources above.
- Complete the assigned textbook reading. Be sure and follow any hyperlinks to the additional material, but only as pertinent to the workshop content.
- Download and complete the assignment.
- When you’ve completed your assignment, save a copy for yourself and submit a copy to your instructor using the Dropbox 3 Study Types and Statistical Types and Statistical Tests
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2 3 Pg Paper
i need an ethical delimna paper written by someone who has went to nursing school or Nurse
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2 Comments References And Citation Each One 150 Words
Comment (1) 150 words references and citation
Health Issues of Middle Age that Exercise can Prevent
Prevalence of the Problem in the US
Health promotion measures you would introduce/ physical exercise you would suggest/ Approach to gain cooperation
Obesity- Obesity is defined by the CDC as having a body mass index of 30 or more. Those with a body mass index of 25.0 to <30 are considered overweight and at-risk for obesity (CDC, 2019).
42.8% of middle-aged adults in the U.S. are obese.
For patients who are already obese, the likelihood that they are getting enough physical activity is low. When developing a health promotion plan, the nurse should include the patient in formulating that plan. Activities should be based upon patient’s current level of fitness. It is not realistic that someone who is already obese would be able to go out and run a mile every day. The Physical Activity Guidelines for Americans recommends starting with low expectations and slowly increasing physical activity as tolerance is built (Department of Health and Human Services, 2018). Activities such as swimming, biking, walking, playing sports and even gardening are good ways to start. If someone’s current health state or physical fitness does not allow for much exercise, it is important to remind them that any activity is better than none. They can start as low as they need to, once their small goals are attained, they move on to bigger ones. They should continue doing this until they can meet the recommendations for physical activity. 150 minutes per week of moderate-intensity aerobic activity is the recommended amount of physical activity for adults (CDC, 2020). Moderate-intensity aerobic activity is any activity that causes an increase in heart rate. Allowing for patient to slowly increase activity over time is a good approach to increase their cooperation.
Diabetes Mellitus Type II- Diabetes is a chronic disease in which your body either does not produce enough insulin which is Type I, or your body’s cells have become resistant to insulin which is Type II. The most common form of Diabetes is Type II. 90-95% of Diabetics are Type II (CDC, 2019).
9.4% of people in the U.S. have Diabetes, 33.9% have prediabetes.
One of the leading risk factors for Type II Diabetes is Obesity. Given that, recommendations the nurse should make for activity to prevent Diabetes Type II are the same as those to someone who is obese. One difference would be the education needed regarding blood sugars. Patient’s with diabetes need to be educated on the effects exercise can have on blood sugar levels and the need to monitor levels more closely when increasing activity levels in order to prevent hypoglycemic episodes. This is extremely important if the patient is utilizing insulin. They may need to plan to exercise during specific times of day depending on how it effects their blood sugar levels (Colberg, 2008).
References
Centers for Disease Control (CDC). (2019, December 23). Diabetes. Retrieved from Centers for Disease Control and Prevention: https://www.cdc.gov/diabetes/index.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fdiabetes%2Findex.htm
Centers for Disease Control and Prevention (CDC). (2019, November 21). Overweight and Obesity. Retrieved from Centers for Disease Control and Prevention: https://www.cdc.gov/obesity/index.html
Centers for Disease Control and Prevention (CDC). (2020, January 9). Physical Activity. Retrieved from Centers for Disease Control and Prevention: https://www.cdc.gov/physicalactivity/basics/adults/index.htm
Colberg, S. (2008, December 30). Timing of Exercise and Your Insulin Levels. Retrieved from Diabetes in Control: http://www.diabetesincontrol.com/timing-of-exercise-and-your-insulin-levels/
Department of Health and Human Services. (2018). Physical Activity Guidelines for Americans. Retrieved from Department of Health and Human Services: https://health.gov/paguidelines/second-edition/pdf/Physical_Activity_Guidelines_2nd_edition.pdf
comment (2) 150 words references citation
Health Issues of Middle Age that Exercise can Prevent
Prevalence of the Problem in the US
Health promotion measures you would introduce/ physical exercise you would suggest/ Approach to gain cooperation
Type 2 Diabetes Diabetes have increased as well. In 2017, the CDC reported that more than 100 million Americans have diabetes (CDC, 2017d).
Type 2 diabetes can be reversed with weight loss and diet modification.
Develop a healthy eating and activity plan
Drinking more water and fewer sugary drinks
Eating more fruits and vegetables
Making favorite foods healthier
Making physical activity more fun
Hypertension (HTN)Per centre of disease control the prevalence of hypertension has been increased in middle age from 18 to 39 from 7.2% to 33.2%, also the report says that 74 millian people is suffering from hypertension (2020), it is overall 54% that means 1 out of 3 adult does hav HTN
For health promotion and prevention of hypertension i will suggesst my patient that High blood pressure increases your risk for heart disease and stroke, two leading causes of death in the United States. No matter your age, you can take steps each day to keep your blood pressure in a healthy range.
By living a healthy lifestyle, you can help keep your blood pressure in a healthy range and lower your risk for heart disease and stroke. A healthy lifestyle includes:
Eating a healthy diet.
Maintaining a healthy weight.
Getting enough physical activity.
Not smoking.
Limiting alcohol use.
As an example of health eating habit considers prevent salt on top of the food, try to follow ‘ B ‘ diet that mean baked, boiled, broiled, Also help to eucatate the patient by adding green vegetable, fruit, fibers,in regular basis
we sould encourage patients to maintain healthy weight by having a healthy choice in eating, early habits of eating, avoid junk food, soda, sweets, oily food.
I would also introduce to manage or prevent HTN is 30-60 minutes of aerobic activity, specifically a brisk walk, 3-4 times a week with a long-term goal of 60 minutes, four time a week.start going to the gym do cardio exercise, running.
quit smoking is also very healpfull in decreasing hypertension rate
Referance
Centers for Disease Control and Prevention. (2017d). New CDC report: More than 100 million Americans have diabetes or prediabetes. Retrieved from https://www.cdc.gov/media/releases/2017/p0718-diabetes-report.html
center of disease contro and prevention(october 2018) nach data
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2 Comments 150 Words Each One Citation Reference No Plagio
DQ2 (COMMENT 1). REFERENCES CITATION NO PLAGIO 150 WORDS
Comparison the physical assessment of a child to that of an adult
(focus should be on what you learned on completing childrens health assessments)
Similarities: Past medical history, current medications, chief complaint, signs and symptoms (OLDCARTS), assessment of systems (neuro, HEENT, respiratory, cardiac, GI, GU, integumentary, musculoskeletal, pain, etc).
Differences: Pain scales are very different, as adults generally use a 0-10 pain scale but children will benefit from a FACES scale or looking at behavioral or physical indicators of pain: grimacing, inconsolability, elevated heart rate, guarding (Andersen et al., 2019).
For an accurate health history, parents will need to be included in the process; without surprise, generally this history will be much shorter than an adult history, unless the child was sickly. Parents may also need to be involved for supplemental information; in our simulation, the child could tell me the cough medicine was a certain color but it was his caregiver that told me what the actual medication was.
Explanation of how the nurse would offer instruction (to children) during the assessment
Children might not respond to the nurse instructing them during the assessment so a doll to puppet to show them what to expect might be helpful (Klossner & Hatfield, 2010). For example, listening to a doll with a stethoscope allows the child to see the stethoscope in use, where it will be touching on their body, and what the nurse will ask them to do while they listen; it might be helpful to let the child touch the stethoscope and listen to the nurse’s chest. With children, some instruction might have to come from the parents or parts of the assessment completed in the arms of the parents so the child feels secure.
Adaption of communication for children of different ages
Infants are easy, nurses will communicate mostly with the parent aside from some baby talk and smiling at the infant. With young children, communication should always be done at eye level, whether that is with the child on the exam table or the nurse sitting at the same level as the child, communication should be slow, clear, calm, and in terms that a child would understand (Klossner & Hatfield, 2010). As children get older, the nurse needs to explain exactly what they will be doing in the assessment, when they are doing it, what to expect and, allowing for questions and answers.
Strategies to encourage children during the assessment
As previously mentioned, a strategy to encourage children during an assessment would include a doll or via puppet might be helpful when communicating with a young child. Always allow children to ask questions and not rush them, they might ask “why” or “what” and require frequent answers and support (Klossner & Hatfield, 2010). Nielson and Reeves make recommendations for nursing care to include, “role-play, simulation, and drama” (2019). Role play would allow the child to wear the stethoscope and listen to the nurse’s or parent’s lungs; simulation would allow the child to see the assessment on the doll (or parent) first; and drama would be puppetry, having a puppet do the assessment or the teaching to the child.
Andersen, R.D., Nakstad, B., Jylli, L., Campbell-Yeo, M., & Anderzen-Carlsson, A. (2019). The complexities of nurses’ pain assessment in hospitalized preverbal children. Pain Management Nursing, 20(4), 337-334. Retrieved from https://www-sciencedirect-com.lopes.idm.oclc.org/science/article/pii/S1524904218301747?via%3Dihub
Klossner, N.J., & Hatfield, N.T. (2010). Introductory Maternity & Pediatric Nursing. PA: Lippincott Williams & Wilkins.
Neilson, S.J., & Reeves, A. (2019). The use of a theatre workshop in developing effective communication in paediatric end of life care, Nurse Education in Practice, 36, 7-12. Retrieved from https://www-sciencedirect-com.lopes.idm.oclc.org/science/article/pii/S1471595318300763?via%3Dihub
DQ2. (COMMENT 2) NO PLAGIO CITATION REFERENCES AND 150 WORDS
There are significant physical and developmental differences between children and adults. Ideally, a physical assessment begins with subjective and objective data where observations and asking of questions are done in the adult population to fulfill the assessment part but in pediatric population, the care giver or parent is the historian in extraction of the required information. This applies to the toddlers and some preschoolers who are still afraid of strangers.
In pediatrics, a nurse could have different patients of entirely different ages. As a nurse this means different reasoning strategies to convince them to take medications, different physical skills based on motor development, different coping abilities to painful or traumatic procedures, different cognitive abilities, different lab values and vital signs normal ranges and so on. This is the most challenging part of dealing with pediatrics – such a wide variety in developmental stages. When dealing with the adult population, majority of them fall within very consistently expected cognitive, physical, emotional and clinical data ranges.
When approaching the pediatrics for explanation about a procedure that is to be done, then a nurse must have caution and use character play to convince them and make them understand. Pictures and diagrams come in handy in getting them to understand. One must take time to win their trust for them to accept and listen to you. This is like learning a different language all together. When discussing a procedure or diagnosis with an adult patient, the nurse uses logical explanations in helping to understand what they expect. This is where the family and relatives come in handy to help the patient understand because they are in distress and there learning capabilities are low.
Dealing with both populations have its own pros and cons, there are tough moments where a nurse caring for adults may encounter temper tantrums, teenage mood swing, uncooperative adult patients and even abusive too and children ever crying until it becomes hard to handle them.
Adults would always have more complicated medical histories unlike children. Quite several ailments may have interconnectedness hence need for a thorough history taking. This comes with histories of allergies and coming with a cocktail of different kinds of medications unlike pediatrics who have fewer or even none. Pediatrics while on care would always crash very easily because they have less reserves and can compensate normal vitals for extended periods before a sudden decline.
Pediatrics won’t talk and this then calls for thorough and keen assessment skills and reliance on intuition. Children would always code starting with respiratory arrest unlike adults who in most cases start with cardiac arrest. Its easier discussing living will and medical decisions with an adult patient unlike in pediatrics where you discuss with the parents who are legally responsible. This can cause ethical dilemmas for nurses at times if a child disagrees with the treatment the guardian consents to.
References.
How are Children Different from Adults? | CDC (2019) retrieved from
https://www.cdc.gov/childrenindisasters/differences.html
Falkner, A. (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
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