Please follow the instruction below
Zero plagiarism
5 references
When you wake in the morning, you may reach for your cell phone to reply to a few text or email messages that you missed overnight. On your drive to work, you may stop to refuel your car. Upon your arrival, you might swipe a key card at the door to gain entrance to the facility. And before finally reaching your workstation, you may stop by the cafeteria to purchase a coffee.
From the moment you wake, you are in fact a data-generation machine. Each use of your phone, every transaction you make using a debit or credit card, even your entrance to your place of work, creates data. It begs the question: How much data do you generate each day? Many studies have been conducted on this, and the numbers are staggering: Estimates suggest that nearly 1 million bytes of data are generated every second for every person on earth.
As the volume of data increases, information professionals have looked for ways to use big data—large, complex sets of data that require specialized approaches to use effectively. Big data has the potential for significant rewards—and significant risks—to healthcare. In this Discussion, you will consider these risks and rewards.
To Prepare:
Review the Resources and reflect on the web article Big Data Means Big Potential, Challenges for Nurse Execs.
Reflect on your own experience with complex health information access and management and consider potential challenges and risks you may have experienced or observed.
By Day 3 of Week 5
Post a description of at least one potential benefit of using big data as part of a clinical system and explain why. Then, describe at least one potential challenge or risk of using big data as part of a clinical system and explain why. Propose at least one strategy you have experienced, observed, or researched that may effectively mitigate the challenges or risks of using big data you described. Be specific and provide examples.
NOTE!!!!!!!!!!!!!!
For 7th edition APA – which is what we are using – one of the big changes is in the use of et al – you have to use it now if you have MORE than two authors. Previously it was more than five
In general, scholarly sources have clear authors and dates. So try to avoid sources with no apparent author and no date. Usually this is a problem for web site materials – not so much for sources in the library. Rule of thumb – use the library most of the time. Remember if there is no author noted, the website owner is the author – so the American Nurses Association is considered the author of the Code of Ethics, for example.
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Creating the Logical Model from an Event-Driven IT Application essay help websites: essay help websites
ACCT-361: Assignment #2 Business Process Modeling:
Fall 2020
Creating the Logical Model from an Event-Driven IT Application Required:
From the solution provided for Assignment 1 (REA Model), create the Logical Model. Be sure to show all tables required by the conceptual model – complete with key attributes of primary keys, foreign keys, and non-key attributes as appropriate. Use proper notation as described in class. Must be typewritten.
Submit with a Cover page including full name, class and Assignment title; a page with your Logical Model – not handwritten. Professional presentation counts.
Give yourself enough time to complete this assignment. In order to do well on the midterm, you must think this through on your own.
ACC361Assignment1Solutionto.pdf
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Birth in the United States Research Paper writing an essay help
Birth in the United States Research Paper (90 points)
Learning Objective:
Explain the ethical, cultural, economic, and social issues impacting the care women receive before, during, and after pregnancy. Understand how these issues can affect the health of women of childbearing age and their fetus in the United States.
Overview of Assignment:
Write a paper exploring the ethical, economic, cultural, and social issues that women of childbearing age face today in the United States. You can pick a topic that affects women in the childbearing stage of their lives and how it impacts the care received, their lives, their health, or the health of their fetus. Or you can explain each topic individually based on different topics. Overall, research how the ethical, economic, cultural, and social issues can impact women living in the United States.
You may use your text and the scholarly, however, you MUST USE at least 4 scholarly sources to support your ideas, at least one for each consideration you are discussing.
Paper Requirements:
Length and Elements: The length of this essay should only be 3-4 written pages and should include:
1) Introduction with specific thesis statement (i.e. The purpose of this paper is to…Make sure to introduce the four issues you will be discussing in your paper)
2) Body of Paper: discuss each of the following considerations in separate sections with the following headings:
a. Ethical Issues—explore the ethical issues that surround and confront the childbearing women in the United States (DO NOT discuss informed consent as this is not the type of ethical issue I am looking for, look for issues related to abortion, IVF, genetic testing, ect.)
b. Economic Issues—consider the economic (money related) barriers women face, including such topics as: insurance coverage or lack thereof, WIC, money for food, Medicaid, rural access to childbearing services, etc.
c. Cultural Issues—discuss the various cultural norms that can be found among the different cultures of people in Minnesota and how these different cultural norms can impact the care received during pregnancy
d. Social Issues—consider health disparities a person experiences due to their social environment such as women of poverty, women of color, Amish women, being an immigrant (legal or illegal), being rich, teenagers experiencing pregnancy, ect in the United States. Relate these specific social considerations to childbearing women and how it affects maternal morbidity and mortality.
3) Conclusion: Summarize your findings; re-emphasize the thesis of the paper without simply repeating it; and do not introduce new ideas here
4) Use proper grammar, spelling, and APA 6th edition formatting including a title and reference page (the title and reference pages do not count toward the page total).
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Environmental Health and Health Effects of Environmental Change essay help websites: essay help websites
Environmental Health and Health Effects of Environmental Change
Lesson 2 – Assignment
Instructions:
Write a 2-3 page paper on environmental health, the environmental factors that impact health, and your role with improving/ eliminating environmental barriers to health. Use the following organization:
Title page: Environmental Health and Health Effects on Environmental Change
Introduction: One paragraph (minimum of 4 to 5 sentences).
Synopsis: (include all pertinent information obtained in this lesson (Lesson 2).
Sub-Titles:
Environmental Factors that Impact Health
My role in Improving/ Eliminating Environmental Barriers to Health (give specific examples of how you can make a difference).
Summary and Conclusion: (minimum of one paragraph of 4 to 5 sentences).
References: Must use a minimum of 3 reference besides the textbook that is 5 years or newer (2013-2018).
Your paper should:
be typed in a WORD document.
be 2-3 or more pages (excluding the title page and reference page). In other words, the body of your paper should be 2 to 3 pages long.
include a Title page and a Reference page.
Must use a minimum of 3 reference besides the textbook that is 5 years or newer (2013-2018).
Use APA style: Running head, title page, citations, reference page
Follow APA format according to the APA Style Guide
See NUR4667 – Library APA Citation Style web page for additional information.
use factual information from the textbook and/or appropriate articles and websites.
be original work, and will be checked for plagiarism.
Upload your file by clicking “Browse My Computer” for Attach File.
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Gastrointestinal Case Study get essay help
Gastrointestinal Case Study
CF is a 48-year-old man who presents for evaluation of heartburn. He denies current tobacco use but has a history of one ppd for 15 years. He consumes a glass of wine nightly, more on the weekends. He has a sedentary job.
He reports a burning feeling in his chest after eating. It is worse when he eats spicy foods or tomato sauce. He is sometimes awakened at night with these symptoms. He has tried over-the-counter antacids and histamine H2 receptor antagonists (H2RAs) with partial relief. He is on no regular medications. His examination today is normal. An upper gastrointestinal (GI) X-ray series reveals gastroesophageal reflux.
1. What lifestyle modifications do you recommend for CF?
2. Describe a rational drug choice for this patient. Be specific regarding what factors you would consider. Include pharmacokinetic and dynamic considerations for the pharmacological choices made. Also consider interactions and side effects.
3. What counseling points about this medication do you give CF?
POST # 1 AYME
The case of CF (48 y/o man) represents a positive diagnosis of Gastroesophageal Reflux Disease (GERD). In his case, it seems that the GERD has been persistent and there are various aggravators of the condition that feature. For instance, his history of smoking might be blamed for the aggravation of the condition in its early stages. Nevertheless, various factors within his current lifestyle have been associated with the exacerbation of the GERD. These include the use of alcohol, eating spicy foods, and having a sedentary lifestyle (Sethi & Richter, 2017). The management of GERD requires the use of both lifestyle modifications and medications. In this regard, this paper delves deeper into CF’s treatment in light of this diagnosis.
1. What lifestyle modifications do you recommend for CF?
Lifestyle aspects such as a sedentary lifestyle increase the risk of overweight and obesity which are among the risk factors of GERD. Besides, eating spicy foods as well as alcohol use is part of lifestyle factors that exacerbate acid reflux. Therefore, the lifestyle recommendations for this patient include alcohol cessation, avoiding spicy foods, and increased uptake of physical activities, weight management as well as avoiding other foods or drinks that trigger the acid reflux. Acidic beverages and drinks such as coffee worsen the GERD, therefore, accentuating the need to advise the patient on the right beverages or drinks that do not worsen the reflux. These lifestyle modifications have been associated with the suppression of the acid reflux as well as subduing some of the pathophysiological mechanisms linked to the progression or exacerbation of the condition (Sethi & Richter, 2017). Even though the patient denies any current smoking, it is important to emphasize the necessity of desisting from tobacco smoking. Finally, lifestyle recommendations should insist on the need to take small amounts of foods as well as enhancing self-stress-management and coping skills since stress can worsen the condition.
2. Describe a rational drug choice for this patient. Be specific regarding what factors you would consider. Include pharmacokinetic and dynamic considerations for the pharmacological choices made. Also, consider interactions and side effects.
This case represents a scenario of persistent GERD that has resisted the common OTC medications. In this regard, it is important to up-scale his treatment to include the use of proton-pump-inhibitors and Baclofen. Proton pump inhibitors suppress the parietal production of acids that worsen acid reflux. Baclofen, on the other hand, helps in reducing the frequency of the gastroesophageal sphincter. These medications are largely tolerated and do not cause serious side-effects and if at all, the side-effects are always mild and tolerable. Nevertheless, as a major consideration, it is important to acknowledge that prolonged or long-term use of proton pump inhibitors has been associated with kidney problems (Sethi & Richter, 2017). In this regard, it is important to monitor the patient’s progress throughout the treatment to offer interventional measures in the event of these adverse effects.
3. What counseling points about this medication do you give CF?
The use of proton pump inhibitors together with other medications can lead to undesired drug interactions. Notably, this effect of proton pump inhibitors of the gut’s acidity levels can affect the efficacy of medications such as protease inhibitors, isoniazids, and ketoconazole (Nehra, Alexander, Loftus & Nehra, 2018). Therefore, medical counseling for this patient should include the need to only use these medications following medical advice or only take them at the end of the proton pump inhibitors dosage interval. Other counseling should focus on the importance of medication adherence as well as reporting any abnormal effects.
References
Nehra, A. K., Alexander, J. A., Loftus, C. G., & Nehra, V. (2018, February). Proton pump inhibitors: review of emerging concerns. In Mayo Clinic Proceedings (Vol. 93, No. 2, pp. 240-246). Elsevier.
Sethi, S., & Richter, J. E. (2017). Diet and gastroesophageal reflux disease: role in pathogenesis and management. Current opinion in gastroenterology, 33(2), 107-111.
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Lack of Affordable Housing a Public Health homework essay help
Lack of Affordable Housing a Public Health
Would a preventable approach to Affordable Housing Reduce Chronic illness in child development in the Bay Area?
· What is the history and cause
· What are some specific questions you have concerning the final argument paper?
· What is your time–management plan for compiling and editing your final paper?
· What parts of your final paper do you anticipate will take the most time and attention? For example:
. Incorporating instructor feedback in your perspective papers
. Reworking the perspective papers into one cohesive paper
. Writing the introduction, conclusion, or abstract
. APA formatting
. Revising for grammar, spelling, and punctuation
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Application of Concepts from Caring Science easy essay help: easy essay help
summary: A theory can be used to guide practice. This assignment is an exercise in supporting a clinical practice with theory and evidence.Directions: Identify an outcome of nursing practice in your area of practice that can be improved. For example, if you work in home health, you may identify that throw rug use by fall risk patients is too prevalent. You may be able to use the problem that inspired the theory concepts that you developed in week two. Identify the concept in Watson’s Theory of Caring that could represent or include the outcome. In our example, the outcome would be the changes in self through the change in the patient’s floor covering practice. Identify a practice that can be changed or implemented that may influence the outcome. Identify the concept in Watson’s Theory of Caring that includes the practice. In our example, the practice could be to improve the understanding of fall hazards through the engagement in a teaching-learning experience, one of Watson’s Caritas Processes. Identify exactly how these two concepts will be measured with their operational definitions. Develop a proposition between the two. Present your outcome in an APA formatted paper meeting the University’s standards for a written assignment.Expectations
Length: 5 to 7 pages including title and reference pages
References: 3 to 10. There should be enough to support the links between the concepts of the problem and the concepts of Watson’s Theory of Caring.
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Physical assessments among school-aged children mba essay help
In a 500-750-word paper, examine the needs of a school-aged child between the ages of 5 and 12 years old and discuss the following:
Compare the physical assessments among school-aged children. Describe how you would modify assessment techniques to match the age and developmental stage of the child.
Choose a child between the ages of 5 and 12 years old. Identify the age of the child and describe the typical developmental stages of children that age.
Applying developmental theory based on Erickson, Piaget, or Kohlberg, explain how you would developmentally assess the child. Include how you would offer explanations during the assessment, strategies you would use to gain cooperation, and potential findings from the assessment.
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Health screening interventions nursing essay help: nursing essay help
Complete your Week 3 replies 4
APA and References need it.
Discussion Prompt #1
How should you use Gordon’s Functional Health Patterns to assess individual health? What health screening interventions do you regularly participate in?
Reply 1 Ingrid
Gordon’s functional health patterns provides the groundwork for the development of the NANDA-I nursing diagnosis nomenclature. The Functional Health Patterns should be utilized in a manner that through the assessment and collection of data will lead to identifying the problem or diagnostic statement (Mandle, 2013). To have an effective health assessment, physiological parameters must be considered along with how the patient interacts with their surroundings and environment. The Functional Health Patterns is utilized by obtaining the following data:
· Objective data: observations of nurse, physical examination findings, information from health record, results of clinical testing.
· Function data: description of person’s health status.
· Structure data: Organization of interdependent parts describing health, function, patterns of behavior that reflect whole individual and environment.
· Process: Interview, observation, and examination
· Format: Systematic but flexible, individualized to each person, nurse, and situation.
· Goal: Nursing diagnosis or problem identification (Mandle, 2013).
Health screening interventions I participate in is when a patient is a patient is seeking treatment regarding drug addiction. At my place of employment, patients who seek drug addiction treatment are provided with the medication Suboxone which is a combination medication of buprenorphine and naloxone. The medication has the potential to slow or stop breathing and has the tendency to cause addiction, overdose, and death (n.d.). Patients interested in participating in this treatment program are often screened for last alcohol use, last smoking, and last drug use. They are also questioned regarding preferred drug of choice and are subjected to a urine toxicology screening every 3 weeks.
Reply 2 Kristine
Gorden’s functional health pattern was deployed by Marjorie Gordon. This functional health framework provides a sequence of repeated behavior from different patterns that consists of health perception and management, elimination, nutritional-metabolic pattern, activity-exercise, sleep-rest, cognitive perceptual and role-relationship and stress tolerance patterns. Gordon’s health pattern is considered ideal to evaluate an individual’s health because it includes all those factors that put influence on the person’s health such as biological, development, cultural, social and spiritual factors. By considering all these factors in Gordon’s health patterns, healthcare professionals do a complete evaluation of an individual’s health. In this evaluation, some interventions are confronted by practitioners like other health pattern frameworks. Basically, in this framework, data is collected in subjective form and it is possible that some data can be manipulated by an individual about his or her health. This depicts an inaccurate assessment of his or her health. Hence, it is suggesting to use objective information about a person during this health’s assessment to obtain an accurate health assessment (NursingAnswers.net, 2020).
Discussion Prompt #2
What family characteristics may contribute to potential or actual dysfunctional health patterns?
Reply 1 Valery
Culture and environment can contribute greatly to health patterns. Family is the main component of many patients environment especially when socio economics is considered. In my position one of the assessments we complete is home environment and family history. Just by questioning patients regarding their family and living situation we gain lots of insight. For example, I had a patient that always complained of cough and chest pain but reported no smoking or tobacco use. When I asked about her family history she mentioned that her mom recently was diagnosed with lung cancer due to smoking. I remembered that she told me they lived together so I investigated further asking if the mother smoked in the house. She said yes and I was able to let the physician know all of the details. Orders for pulmonary function tests and chest xrays were processed with a diagnosis code of family history of lung cancer, and contact with and (suspected) exposure to environmental tobacco smoke (acute) (chronic). This helps insurance understand the reasoning for request for the further diagnostic tests.
Reply 2 Kristopher
Family history, roles-relationship patterns, and lifestyle can influence some probable dysfunctional health patterns. Family history encompasses health-related patterns of values, goals, or beliefs through which people make choices or decisions. In essence, this takes into account quality of life, expectations, what is perceived to be important, and any perceived conflicts in the values and beliefs a person holds.
Family structure and functions occur at different stages and pose varied risk factors that contribute to health complications. Socioeconomic status, whether measured by income, education or occupational status, and lack of safety can lead to illness, child abuse, injuries, accidents, and sudden infant death syndrome. Also literacy, educational level, cultural beliefs and habits may contribute to dysfunctional health pattersn such as noncompliance with medical treatment.
Families with school-aged children may also influence health patterns due to poverty, abuse or neglect, poor nutrition, and repeated infections, accidents, or hospitalization (Mandle, 2013).
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The best tools that nurses can use to advancing the nursing field ccusa autobiographical essay help: ccusa autobiographical essay help
Advocacy is one of the best tools that nurses can use to advancing the nursing field. Improve the nursing field means better patient outcomes. therefore, nurses must advocate in their workplaces and particularly in actively participating in government actions that change the health platform. Those actions include healthcare reforms that look for a better quality of care, access the healthcare, and healthcare cost-effective. The American Nurse Association provide tools to nurses that allow them to integrate advocacy committee to be able to work with the legislative branch of federal level as well as the state level (ANA, n.d.). in taking advantage of the advocacy committees, nurses can take many actions to improve healthcare trough legislation at both states and federal level.
Through the political action committee provided by the American Nurse Association, nurses can present themselves as candidates to represent the healthcare professional in capitol hill and other legislative activities at the state level. In doing so, nurse leaders will have the opportunity to raise their voices in policymaking, particularly within the legislative and regulatory arenas. They will bring their concerns about the nursing workforce and health disparities, which are examples of policies established in law. Their interventions are very important because health care policy is constantly changing; and nurses must always be part of the change analyst team to advocate not only their scope of practice but also the patient right to have access to health care and to receive excellent quality of care (Schaeffer & Haebler, 2019).
Nurses may use their researches and communicate with their concerns to their local government. As an example, a bill was taken in the state of Florida that authorizes qualified providers to collect medicine that was available in hospitals and other healthcare facilities. Still, those who had the prescription could not use it. Those medicines were ordered to serve homeless and other uninsured patients who cannot afford their medicine cost. Even though the senate’s health committee introduced the bill, nurses had to analyze the proposition and look if the patient’s right was considered and the consequences on patient outcomes.
In summary, there are many ways a nurse can intervene to advocate for better quality and access to healthcare. The patient center care should be the primary concern of the health care professional. Nurses may use the Association of American Nurses’ possibilities to get to federal and state legislators to bring their voices to health committees. Their concern must be affordable health care, improve healthcare access, improve quality of care, and improve the regulation of their scope of practice. When nurses are working closer to the governments, they can advocate for patient care and establish better means for improving the health care system. Nurse leaders should always think of how to make s difference in the quality of care that all patients deserve. That is why I plan to advocate not only in searching for issues that are raised in workplaces but also those that are in the laws to make a difference in patient care outcomes.
References
American Nurses Association. (n.d.). Advocacy, retrieved from https://www.nursingworld.org/practice-policy/advocacy/
Schaeffer, R., Haebler, J. (2019) Nurse Leaders: extending your policy influence. Retrieved from https://www.sciencedirect.com/science/article/abs/pii/S1541461219301491
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The healthcare industry melbourne essay help
Module 5 Discussion
Healthcare has been one of the most complicated and political issues in the United States of America. Nurses continue to play important roles in the healthcare system. Nurses were among healthcare providers that supported the affordable care act because it is very beneficial for the healthcare systems and patients who did not have health insurance. The United States is one of the greatest countries in the world and there are many opportunities in this country. Healthcare should not be an issue for the citizens of this country, but sadly people continue to suffer and die because of lack of health insurance. I believe that many advocacy actions need to be taken to improve healthcare through the state and federal level, but I will talk about one of the most important actions. The advocacy action I might take to improve health care through legislation at the federal level is to decrease the cost of prescription drugs. The reason I chose that action is because private prescription drug companies continue to increase drugs prices on patients who needs the prescription drugs but not able to afford them due to low incomes.
The healthcare industry is a money machine industry. It costs lots of money to cure diseases and to buy prescription drugs. Most prescription drugs companies care more about making money and competition than their patients. I believe that congress and the senate must pass a legislation or a law that prevents prescription drugs company from increasing drugs prices on consumers. Recently, President Donald Trump took an historic action to deliver lower prescription drug prices to American patients. The president signed four Executive Orders on drug pricing directing the Secretary of Health and Huma Services to take several steps to deliver for American patients lower costs on prescription drugs, including insulin and epinephrine, and ensure Americans are getting the lowest price possible for their drugs. As a registered independent leaning more toward Democrats, I think the Trump administration is on the right path to help decrease prescription drugs prices in this country. According to Socal and Anderson (2019), as congress considers various approaches to address rising costs, one of the options is to allow Medicare to negotiate prices directly with drug manufactures on behalf of Part D beneficiaries, the challenges of this policy is the potential need for Medicare to impose a restrictive formulary to negotiate effectively with drug companies. This showed that the Trump administration and congress are trying to come up with a solution to decrease prescription drugs prices, but the private drug companies will continue to fight because it will not be beneficial for them if their drug prices lowered.
According to Fein (2019), some prescription drugs company offer multiple discounts to patients, which gives them the opportunity to purchase their medications. The article also stated that the companies provided those discounts because they want their products or invention to get on the market for advertisement purposes. Prescription drug companies have lots of powers in the political system, which makes it difficult for congress and senate to pass laws that are beneficial to the patients or consumers rather than the big prescription drug companies.
References
Socal, M. P., & Anderson, G. F. (2020). Older Americans’ Preferences Between Lower Drug Prices and Prescription Drug Plan Choice, 2019. American Journal of Public Health, 110(3), 354-356. https://doi.org/10.2105/AJPH.2019.305483 (Links to an external site.)
Fein, A. J. (2019). Don’t Blame Drug Prices on Big Pharma. Journal of Oncology Navigation & Survivorship, 10(4), 161-162.
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Breastfeeding process discussion essay help online: essay help online
Module 5 Case Study 3
Breastfeeding is a process in which the mother feeds the baby milk directly from the breast. Some factors need to be considered when breastfeeding and this includes the nutritional value of breast milk to the infant, the HIV status of the mother, history of certain medications among other things. When explaining this to the young mothers, the health promoter should educate them on the importance of breastmilk to the baby which includes the nutrients and the immune factors. When educating them, the nurse should also inform them of the importance of exclusive breastfeeding especially for those mothers who are HIV positive and are breastfeeding (Rouw, von Gartzen & Weissenborn, 2018). They also need to be informed of the effects of some drugs when breastfeeding and whether or not it should be stopped. To increase the duration and active participation of these clients the health promoter should consider a better teaching strategy since the clients may not be comfortable with the current learning style. A better learning style for this group could be a multimodal strategy (Yang et al., 2020). By having a combination of all these styles the students will have more information with an enjoyable session especially with the inclusion of videos showing how to breastfeed and to take care of the baby.
There is a relationship between culture and growth and development. Culture is simply the peoples’ way of life which may include what the consume and what they don’t. Therefore in a culture where there’s prohibited consumption of certain nutrients will cause a delayed milestone. It is important to assess children’s milestones irrespective of their culture (Clerk, 2020). This is because there is no difference in growth, all milestones are the same and this will help in the identification of any alterations in case there are any.
The teaching objective is to educate parents on how to prevent injury during infancy. These parents will learn through an interactive session of asking and answering questions and also by a demonstration of how this prevention will be done. The sessions will be three in a day each lasting for 2hours and a break of 1hour in between each session (Fujii, 2019). After each session, learners are supposed to answer some questions to gauge their understanding. After the program, the parents will be provided with guidelines on further care of infants.
References
Clark, R. (2020). Assessing Relative Importance of Clinical Milestones on Adherence to Recovery Pathway and Discharge Readiness in Patients Undergoing Pulmonary Lobectomy. In A70. ADVANCES IN LUNG CANCER THERAPEUTICS (pp. A2468-A2468). American Thoracic Society. Retrieved fromhttps://www.atsjournals.org/doi/pdf/10.1164/ajrccm-conference.2020.201.1_MeetingAbstracts.A2468 (Links to an external site.)
Fujii, T. (2019). Designing and adapting tasks in lesson planning: A critical process of lesson study. In Theory and Practice of Lesson Study in Mathematics (pp. 681-704). Springer, Cham. Retrieved fromhttps://link.springer.com/chapter/10.1007/978-3-030-04031-4_33 (Links to an external site.)
Rouw, E., von Gartzen, A., & Weissenborn, A. (2018). The importance of breastfeeding for the infant. Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz, 61(8), 945-951. Retrieved fromhttps://europepmc.org/article/med/29943259 (Links to an external site.)
Yang, X., Zhao, X., Tian, X., & Xing, B. (2020). Effects of environment and posture on the concentration and achievement of students in mobile learning. Interactive Learning Environments, 1-14. Retrieved fromhttps://www.tandfonline.com/doi/abs/10.1080/10494820.2019.1707692
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Critical thinking activities essay help websites
Mrs. Smith was a 73-year-old widow who lived alone with no significant social support. She had been suffering from emphysema for several years and had had frequent hospitalizations for respiratory problems. On the last hospital admission, her pneumonia quickly progressed to organ failure. Death appeared to be imminent, and she went in and out of consciousness, alone in her hospital room. The medical-surgical nursing staff and the nurse manager focused on making Mrs. Smith’s end-of-life period as comfortable as possible. Upon consultation with the vice president for nursing, the nurse manager and the unit staff nurses decided against moving Mrs. Smith to the palliative care unit, although considered more economical, because of the need to protect and nurture her because she was already experiencing signs and symptoms of the dying process. Nurses were prompted by an article they read on human caring as the “language of nursing practice” (Turkel, Ray, & Kornblatt, 2012) in their weekly caring practice meetings.
The nurse manager reorganized patient assignments. She felt that the newly assigned clinical nurse leader who was working between both the medical and surgical units could provide direct nurse caring and coordination at the point of care (Sherman, 2012). Over the next few hours, the clinical nurse leader and a staff member who had volunteered her assistance provided personal care for Mrs. Smith. The clinical nurse leader asked the nurse manager whether there was a possibility that Mrs. Smith had any close friends who could “be there” for her in her final moments. One friend was discovered and came to say goodbye to Mrs. Smith. With help from her team, the clinical nurse leader turned, bathed, and suctioned Mrs. Smith. She spoke quietly, prayed, and sang hymns softly in Mrs. Smith’s room, creating a peaceful environment that expressed compassion and a deep sense of caring for her. The nurse manager and nursing unit staff were calmed and their “hearts awakened” by the personal caring that the clinical nurse leader and the volunteer nurse provided. Mrs. Smith died with caring persons at her bedside, and all members of the unit staff felt comforted that she had not died alone.
Davidson, Ray, and Turkel (2011) note that caring is complex, and caring science includes the art of practice, “an aesthetic which illuminates the beauty of the dynamic nurse-patient relationship, that makes possible authentic spiritual-ethical choices for transformation—healing, health, well-being, and a peaceful death” (p. xxiv). As the clinical nurse leader and the nursing staff in this situation engaged in caring practice that focused on the well-being of the patient, they simultaneously created a caring-healing environment that contributed to the well-being of the whole—the emotional atmosphere of the unit, the ability of the clinical nurse leader and staff nurses to practice caringly and competently, and the quality of care the staff were able to provide to other patients. The bureaucratic nature of the hospital included leadership and management systems that conferred power, authority, and control to the nurse manager, the clinical nurse leader, and the nursing staff in partnership with the vice president for nursing. The actions of the nursing administration, clinical nurse leader, and staff reflected values and beliefs, attitudes, and behaviors about the nursing care they would provide, how they would use technology, and how they would deal with human relationships. The ethical and spiritual choice making of the whole staff and the way they communicated their values both reflected and created a caring community in the workplace culture of the hospital unit.
Critical thinking activities
Based on this case study, consider the following questions.
1. What caring behaviors prompted the nurse manager to assign the clinical nurse leader to engage in direct caring for Mrs. Smith? Describe the clinical nurse leader role established by the American Association of Colleges of Nursing in 2004.
2. What issues (ethical, spiritual, legal, social-cultural, economic, and physical) from the structure of the theory of bureaucratic caring influenced this situation? Discuss end-of-life issues in relation to the theory.
3. How did the nurse manager balance these issues? What considerations went into her decision making? Discuss the role and the value of the clinical nurse leader on nursing units. What is the difference between the nurse manager and the clinical nurse leader in terms of caring practice in complex hospital care settings? How does a clinical nurse leader fit into the theory of bureaucratic caring for implementation of a caring practice?
4. What interrelationships are evident between persons in this environment—that is, how were the vice president for nursing, nurse manager, clinical nurse leader, staff, and patient connected in this situation? Compare and contrast the traditional nursing process with Turkel, Ray, and Kornblatt’s (2012) language of caring practice within the theory of bureaucratic caring
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