Response To Discussion Nr 3

 Please, write a response for the following discussion and use one peer-reviewed Nursing Journal not older than 5 years, APA format is required.

Nursing Theory Necessity

 In the nursing field, nursing theories have proven to help improve the nurse and patient’s environment. They have helped in improving our patients lives by promoting infection control and advocating for their health and safety. It is important for nurses to be aware that theory and practice are not to be separated, but in fact combined. The purpose of the theory is to be put in practice. Just like our textbook demonstrates via the circular graph, stating theory, research and practice individually help to validate, modify or invalidate the theory in question (George, 2011). For a theory to be acknowledged, there must be research that proves the theory correct. Lastly, the theory must be placed into practice. Theories are important in the field of nursing, many institutions base their care models on specific theorists. According to Power (2016), the theory is important in the nursing field, but one must not forget about compassion. Compassion meaning not forgetting that in room 203 there is a human being with feelings and needs and their care should involve them. Many institutions are following the patient centered care approach because research has shown that when the patient is involved in making informed decision they will continue to improve their health once discharged.

 
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Response To Discussion 2

Please, respond to the following discussion in one  paragraph, using only one reference from peer-reviewed Nursing Journal not older than  years. APA format required, no need for cover page.

Changes in Eyes Due to Certain Medical Conditions and Ear Changes Caused by Aging Process

The eyes are our windows to the word. Different medical conditions can cause changes to the eyes. In this discussion I will write about Cataracts, Glaucoma, Diabetes Mellitus, and Chronic Hypertension.

Cataracts is when protein clumps up and clouds the lens, this reduces the light that reaches the retina. The easiest symptom to see objectively is clouded eyes. The patient complains of sensitivity to light and glares. Difficulty with night vision and halos around lights is also a complaint. Blurred vision is reported due to seeing thru clouded eyes.

Glaucoma causes damage to the optic nerve and gets worse over time. It can cause vision loss and blindness overtime. Early treatment can protect from vision loss. Symptoms can be hazy or blurred vision, rainbow colored circles around bright lights, severe eye and head pain, nausea and vomiting with eye pain and sudden eye loss.

Diabetes Mellitus can lead to Diabetic Retinopathy which affects vessels in the light sensitive tissue called the retina. This is the leading cause of blindness among the working age. Symptoms can be wavy vision, color changes, spots or floaters, trouble with night vision. Increase in sugar level causes the lens of the eye to swell which affects vision. Decrease in sugar level causes blurriness and double vision.

Chronic Hypertension can cause damage to the blood vessels in the retina, the area at the back of the eye where images focus, this is known as hypertensive retinopathy. This can lead to blindness. Symptoms can be fluid oozing from blood vessels, double vision, blurred vision, swelling of the optic nerve or macula, and spots on retina known as cotton wool spots.

These conditions can be managed and prevented in some cases if not most with proper attention and education.

There are changes to the ears due to the aging process. Older adults should be asked about hearing loss, vertigo, ringing in the ears ( tinnitus), and even dizziness.

Otoslerosis is a possibility especially in older adults. Otoslerosis happens due to slow fusion of ossicles in the middle ear, this obstructs sound waves. This can cause difficulty with distinguishing sounds when it is noisy. Mumbled speech can also be a symptom.

Presbycusis happens over time and it is a natural sensor neural loss. The hair cells in the cochlea become less flexible. Hearing deficiency is a symptom.

During Review of Systems these conditions should be asked about. Sometimes patients are not even aware of these changes and need to be educated so they can seek help.

 
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Response To D4

please, provide a response to the following discussion in one or two paragraphs.

  

The response requires one reference from a peer-reviewed NURSING journal less than 5 y/o.  (not from the internet but from Database).Professional, governmental, or educational organizations (.org, .gov, or .edu) may be used as supplemental references.

APA format required. 

Money rules everything is one of the quotes that some companies stand by.  There is evidence to suggest that money does change decisions, and lots of money does alter the future for these companies. However, companies try to incorporate decisions not only using money but also using customer feedback. Some of that customer feedback can ultimately aid in gaming more money. Companies’ goals are to try to make money to provide more for the customers and pay employees. In the healthcare system hospitals, doctors offices, and pharmacies all have to make money to pay employees and keep providing customers/ patient with excellent service. Some of these institutions are for-profit and some are nonprofit. These institutions still need to have some sort of cash flow in order to work. The biggest economic impact on these healthcare institutions are insurance companies. Insurance companies are the driving force of how these institutions get paid for the most part. However, with insurances there is a huge disparity on who has insurance and who can afford insurance. That is why universal healthcare is at the forefront of all economic conversations specifically here in the United States of America. Universal healthcare can allow all citizens of the US to be seen by a doctor and thus maintaining or bettering their health. Nevertheless, universal healthcare comes at a great economic cost. With the longer life span of Americans and the constant spending on health promoting products the United States spends almost 3 trillion dollars yearly on healthcare (Blais & Hayes, 2015). If universal healthcare were to be provided then the United States economy would be affected. That is why it is such hot and heavy economic and social issue. Most healthcare workers take oath to providing some sort of betterment two societies health overall. It is important that healthcare be delivered to everyone no matter the circumstances so that the oath can be upheld. With this in mind economics cannot be separated. Currently almost half of healthcare spending is used to just treat 5% of the population in the United States (Boudreau, 2017). In addition, healthcare costs are rising almost 2% every year (Boudreau, 2017).  All things considered, it is important to start planned out the future of healthcare and healthcare economics. Universal Health Care is definitely an option on the table that can allow the US population and its citizens to receive healthcare no matter what. A plan however needs to be in place so that economic disaster does not overwhelmed the country. Additionally to the economics of universal healthcare, the delivery of healthcare to all the newfound people is another hurdle (Blais & Hayes, 2015). Hospitals and other facilities need to be prepared to deal with the vast influx of people seeking healthcare treatment once universal healthcare is adapted. By hundreds of thousands of people gaining healthcare and them coming into the system it can bombard and potentially crippled the healthcare system. Regardless of the new influx of individuals within the system the type of health received should always be universal. No matter what economic factors might come into play the delivery of the services should never be questioned. Every patient should get the same attention, treatment and procedures no matter what is in place.

 
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Response To D4 19120535

 

Hide Assignment InformationInstructions

Unit 5 Class Participation: Polit and Beck (2018), Chapter 6 pp. 92 – 96

Please, use this textbook for reference.

Polit, D. E., & Beck, C. T. (2018). Essentials of nursing research: Appraising evidence for nursing practice (9th ed.). Philadelphia, PA: Wolters Kluwer.
 

Due Sunday, 2/10 at 11:59 PM.

1. The highest potential points for in-class participation are 5-points. Please use these guidelines for online  participation.

  1. To earn points for weekly class participation, you must submit a one paragraph (100-125 words) summary of one of the required Polit and Beck (2018) readings from each unit.
  2. APA format is not required, but the material must be paraphrased, cited, and referenced. The citation and reference will always be Polit and Beck (2018). Include the page number(s) you found the material on in your citation.
  3. Put your name, date, and unit number at the top of the paper, immediately followed by the summary and then the reference.
  4. All of the above should be submitted on one page
 
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Response To D4 18987457

 Please, provide one paragraph response for the discussion below, which requires one reference from peer-reviewed nursing journal from database not the internet not older than 5 years old. APA format required.

Autonomy is something that should be respected. When a person is going to get any invasive medical procedure or treatment done it is the responsibility of the healthcare provider to explain and make sure the patient is aware of the risks of the procedure. The healthcare provider should answer any questions that patient may have. Once there has been understanding of the procedure including the pros and cons, the patient is to sign an informed consent. When the patient signs the consent they are giving authority to accept medical treatment (Rock & Hoebeke, 2014).

            There may be barriers that can interfere with the rights of a patient when it comes to informed consents. If a patient does not speak English it can interfere with understanding of the procedures and they may not fully comprehend why they are signing a consent (Chesnay & Anderson, 2016). When situations like these arise, hospitals can provide a professional translator to assist. There can also be cultural barriers where patient’s culture or beliefs does not allow them to go forth with a procedure that may improve their quality of life. However, the healthcare provide should respect that patient’s culture and beliefs. It is crucial that consents are understood and signed by the patient before any treatment is given or else the healthcare provider can be charged with assault. Physicians need to explain the treatments and nurses should be able to confirm the patient understands. It is very important to protect the right of the patient which is the right of self-determination. That is why the patient should have full understanding of what treatments consists of, the pros and cons, and the risks of not doing the treatment. Once that is done they need to sign a consent to confirm that they understood and made a conscious decision to accept treatment.

 
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Response To Peers 19397907

Peer 1 

Nurses influence through engaging in activism act as a drive to health care policy changes enhancing improvement of the quality of care by increasing accessibility of the necessary resources as well as opportunities. Political activism skills are considered essential for the nurses as it enables them to protect the nursing profession as well as their practice (Buck-McFadyen & MacDonnell, 2017). Nurses can serve in elected positions within the state or the national levels to present the broad healthcare aspects of concern and ensure they are integrated within the healthcare policies.  

          Unionization of nurses is considered to be pertinent as the union offers the nurses the strength and power to bargain on the enforceable contracts such as the acceptable ratio of nurse to patient, their specific roles in maintaining quality of care as well as nurses overtime working hours and pay scale. Besides, joining nursing union provides an opportunity for the nurses to engage in political activism by lobbying private bodies and the government to advocate for policy changes that enhance improved patient care as well as participating in campaigns to create awareness on the importance of nurses thereby improving patient outcome (Ulrich & Kear, 2014). Nursing unions incorporate strategies that not only increase the nurse’s voice in advocating for improved care practices but also encourages nurses’ effective involvement in patient care through making informed decisions thereby creating a workforce culture of safety. One of the Masters of Science in nursing essential is the ability of the nurses to positively influence health policy and advocacy. The masters nursing program ensures that the nurses can effectively integrate nursing concepts at the system level to not only participate in the policy development process but also utilize advocacy strategies to impact change in health care policies.   

Vivianka  

Peer 2 

Unionized nurses refer to nurses who belong in labor organizations that are meant to protect the nurses’ welfare and advocate for the improvement of the healthcare system. Nurses should be provided with the opportunity to join work environment unions at will. Work environment unions range from large national unions to smaller organizations created to address specific issues in specific healthcare facilities (Dube, Kaplan, & Thompson, 2014). 

Nurses’ organizations come with the benefits of coming together to address matters relating to healthcare and welfare of nurses such as proper wages, job security, benefits, staffing ratios, and patient rights (Dube, Kaplan, & Thompson, 2014). Nurses account for a significant proportion of any health facility’s budget, which makes them an easy target especially during the economic restructuring. Large budget for nurses often creates workforce shortages and unconventional staffing ratios. Unions can also advocate for motivational benefits such as medical and dental insurance, educational leave, sick pay and vacation. We can, therefore, argue that unions are an essential tool in enhancing the safety of nurses through negotiating for better wages, worker protection benefits, against unfair laying offs and terminations and proper amount of workload for the nurses (Higgins, 2016).  

Similar to the nurses’ welfare, unions can be instrumental in advocating for a proper health system that enhances patient care (Giovanetto, 2017).  Advocating for proper staffing ratios, for example, advances the interest of patients. Proper staffing ratio is key improving patient outcome because nurses can make proper follow up on patients even after discharge. Benefits such as educational leave also facilitate lifelong learning which is key in strengthening the skills possessed by nurses and hence the quality of healthcare and safety of patients. Nurses’ unions can also engage in advocacy relating patient safety by seeking change in management practices that relate to health care equipment, patient diet, hygiene, and patient rights such as privacy and informed consent (Higgins, 2016).  In conclusion, unions provide nurses with enhanced strength in numbers that can be used to advocate for nurses and patient safety. 

Response must be minimum 150 words each, doble space, APA(6th) no more than 5 years. 

Bellow is the original activity if you needed: 

As an advanced practice nurse, one can engage in activism in order to achieve desired policy change at various levels including their own organization. Examine the following questions, should nurses be unionized and how does being unionized impact a workforce culture of safety? Be sure to include one MSN Essential in your discussion that relates to this topic. 

 
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Response To Peer

Peer 1 

Participation in the elections, namely, in the voting process is “contribution” in shaping the future of the country. A willingness to participate in the election process is an indicator of belonging to a political life that affects our daily work and family life. Everyone has a particular political position. The same applies to the health care system, because it is constantly evolving and nurses must constantly keep up with the times and offer the best options for improving the quality of life. 

           Policies, strategies and plans in health care are not the ultimate goal. The target of this action is to create a circumstance in which all people everywhere might have accession to high-quality health services and expect a long and healthy life (Toofany S, 2015). Health workers play an important role in social and political life of citizens (Akram Arabi, Forougj Rafii & Shahrzad Ghiyasvandian, 2014). And they understand the importance of the development of the health system and the need to comply with the new trends in the development of medicine. The reason that may force them to lobby Congress and get involved on political campaigns – sharp social and political issues that are directly related to the medical field (American Nurse Association, 2012). For example, a law that prohibits representatives of the LGBT community to be blood donors.  

           This political decree violate human rights and reduce the likelihood of getting the needed blood to people who need it. Because of this, nurses can join in a political campaign, which opposes such a ban. Also, as the cause of accession can serve an increase of investment in different medical programs, or funding programs associated with LGBT adolescents, who need medical care or funds to improve the quality of sexual education among adolescents. Among the strategies we can identify several: the first one is civic engagement with the help of mass-media, also they can hand out flyers to people in order to make them know about the existence of such a question. And probably the most radical method is to hold meetings (American Nurse Association, 2012). 

           In conclusion, it should be noted that the political life of society is inseparably connected with the medical field. Some social or political issues can attract nurses to make them a part of a political campaign. Such a decision may lead to improving the quality of life of the population, as health care providers primarily operate for the benefit of society. 

Peer 2 

The role that the electoral process and government plays in one’s daily work and family life is evident in many ways.  Many issues that affect daily life, such as family planning, is often structured through policies set by the government; an example includes funding and defunding of Planned Parenthood. 

Nurses make up the largest portion of the health care workforce. Nurses also represent a significant proportion of staff at health facilities, schools, community practices and other clinical settings focused on health (Martin, 2018).  Nurses offer a multitude of experience and unique expertise that bring perspective to the electoral process and processes in the government (Martin, 2018).  An important aspect of health policy advocacy is in establishing networks and developing relationships that allow the nurse advocate to learn from others and share what she/he knows (Mason, Gardner, Outlaw & O’Grady, 2016). 

           Some of the policy issues that might drive nurses to lobby Congress that directly affect the patient, family, and community relate to advocating to combat childhood obesity and fighting the opioid epidemic.  Nurses can influence policy at both the national and local levels by becoming part of the agenda of action for health promotion.  Another pressing issue affecting my community right now is insuring the uninsured and expanding services to vulnerable populations.  Many development projects and programs have succeeded because of the strategies developed by nurse advocates and the relationships cultivated both within and outside government with key decision-makers and people of influence.   

Response must be minimum 150 words each, doble space APA(6th) 

Bellow is the original activity if you needed: 

Reflect on the role that the electoral process and government plays in one’s daily work and family life. As nurses, health policy can influence both arenas of our lives. What policy issues might drive nurses to lobby Congress and/or get involved in campaign politics? What strategies might nurses use to have their voices heard? 

 
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Response To Peer Discussion Nr 2 4667

 Please, respond to the following discussion by using one reference from a peer-reviewed Nursing Journal not older than 5 years not from internet but from database.

Discussion 2

Charla Clervil

                                                         NUR4667

Problem/Issues related to health

There are a lot health related issues with population all over the world but the one we will talk about the American Indians health issues. There is a cultural barrier, geographic isolation, low income. Some of the diseases that causes death are heart disease, cancer, injuries, diabetes and stroke.

            A little history about the American Indians, a long history of underfunding of the Indian Health service has led to significant challenges (Warne & Bane Frizzell,2014). According to the journal American Indian and Alaska Native tribes have had a unique history with the united states, that is mixed with conflict, warfare, cooperation and partnership. They have a life expectancy that is 5 years less than the average Americans. Due to them having low funds it is hard to get all the care or the best care. Research shows that we need to identify dimensions of American Indians community capacity in relation to the funding application process. We need to look at the need of the community, networks, resources and community leadership (Pedersen & Brown, B. 2016).  By doing so we could improve health priorities by focusing on them. Education, raising awareness and understanding about the diseases, the resources to get help. They will benefit a lot in community teaching. Teaching how prevent diseases and live a healthy life. (Blais, 2016)

            In conclusion, American Indians have many barriers stopping them from improving their healthcare. The culture, funding not counting predispose genetics to certain disease and eating lifestyle. In effort to help improve nurses and researchers and scientist should play their part in community teaching, studies on where to find resources to get funding and help.

 
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Response To Peer D4 4165

respond to this discussion in one paragraph using one peer-reviewed Nursing Journal not older than 5 years old as a reference, APA needed,no cover page.

 

Literature is a way to convey information to the people that are providing health care to the community. Research and clinical articles are shared with the health care providers, but before it reaches the public eye these articles undergo peer reviews which is to make sure that the information being shared is current, accurate and that it relates to the readers that will be reading the journals (Connelly, 2017). Generally, there are two or more peer reviewers that look over the articles that were submitted. It is important to have a double-blinder review process which means that the reviewer and the author do not know each other. This is done so the review is unbiased. To be a reviewer, nurses can take courses to help them gain knowledge on how to evaluate the quality of the evidence that was provided in the articles (Polit & Beck, 2018). The peer review process is necessary because it helps look for information that is useful from the study, what research methods were used, the ethical conduct that was applied, how thorough and accurate the study was (Connelly, 2017). Along, with the previously mentioned tasks, it is important that the reviewer also look at that statics were used to get values and any figure examples that were used in the study to show data. Reviewing literature is important because once it has been reviewed then the article can be send to editing and later published where it can be read by other nurses for evidence and research.

 
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Response To Peer D2 3167

 Please, write a response to the following discussion by using one reference from an English titled, peer reviewed NURSING journal less than 5 y/o.

When you do research you are looking for answers. The reason for this discussion is to write about what the strength of research study is. With most nursing research the patient is the main focus. Evidence-based practices (EBP) were constructed because nurses started asking questions about the standard methods of care that were originally introduced. Along with the EBP, scholars have written articles with studies that have provided others with data that has made an effect on a population. Literature has been published or shared regarding studies and their results.

From the information I gathered, the strength of a research study is the ability to documentation data that was collected upon completion of the study. With the literature that is gathered it is then available to other nurses and providers that may have questions. Research is done to solve problems and show proof with the evidence obtained (Polit & Beck, 2018). By using explanations of the methods being used to conduct the study, the people that are reading can get an in-depth understanding of what theory was used, the subjects in the study, the reason why the study was conducted, and the end results to determine if the study answered any questions that could improve the quality of care of the subjects.

Through research many ideas can be made. With any information collected through studies, that can help providers comes up with care plans to have the patient have better outcomes. The goals of research is to focus on getting the best outcomes and results possible. Research studies are read by peers and later published by nursing databases like CINAHL. That database can help nurses that may want to start a research study by providing articles written done be other nurse researchers. If nurses plan to get into research there are programs that can help you with the resources to gather your information and start documenting about findings to help the future nurses. They even provide a research mentor (Walton, Sankey, & Jensen, 2017).

 
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