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Health Analysis of Mr. M

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Health Analysis of Mr. M

Health History and Medical Information

Health History

Mr. M., a 70-year-old male, has been living at the assisted living facility where you work. He has no know allergies. He is a nonsmoker and does not use alcohol. Limited physical activity related to difficulty ambulating and unsteady gait. Medical history includes hypertension controlled with ACE inhibitors, hypercholesterolemia, status post appendectomy, and tibial fracture status postsurgical repair with no obvious signs of complications. Current medications include Lisinopril 20mg daily, Lipitor 40mg daily, Ambien 10mg PRN, Xanax 0.5 mg PRN, and ibuprofen 400mg PRN.

Case Scenario

Over the past 2 months, Mr. M. seems to be deteriorating quickly. He is having trouble recalling the names of his family members, remembering his room number, and even repeating what he has just read. He is becoming agitated and aggressive quickly. He appears to be afraid and fearful when he gets aggressive. He has been found wandering at night and will frequently become lost, needing help to get back to his room. Mr. M has become dependent with many ADLs, whereas a few months ago he was fully able to dress, bathe, and feed himself. The assisted living facility is concerned with his rapid decline and has decided to order testing.

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Objective Data

  1. Temperature: 37.1 degrees C
  2. BP 123/78 HR 93 RR 22 Pox 99%
  3. Denies pain
  4. Height: 69.5 inches; Weight 87 kg

Laboratory Results

  1. WBC: 19.2 (1,000/uL)
  2. Lymphocytes 6700 (cells/uL)
  3. CT Head shows no changes since previous scan
  4. Urinalysis positive for moderate amount of leukocytes and cloudy
  5. Protein: 7.1 g/dL; AST: 32 U/L; ALT 29 U/L

Critical Thinking Essay

In 750-1,000 words, critically evaluate Mr. M.’s situation. Include the following:

  1. Describe the clinical manifestations present in Mr. M.
  2. Based on the information presented in the case scenario, discuss what primary and secondary medical diagnoses should be considered for Mr. M. Explain why these should be considered and what data is provided for support.
  3. When performing your nursing assessment, discuss what abnormalities would you expect to find and why.
  4. Describe the physical, psychological, and emotional effects Mr. M.’s current health status may have on him. Discuss the impact it can have on his family.
  5. Discuss what interventions can be put into place to support Mr. M. and his family.
  6. Given Mr. M.’s current condition, discuss at least four actual or potential problems he faces. Provide rationale for each.

Health Analysis of Mr. M

You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

 

SAMPLE ANSWER

Health Analysis of Mr. M

Introduction

Critical thinking requires a practitioner to apply a suitable intellectual process in evaluating a situation and developing appropriate decisions. It is very important for practitioner to have critical thinking skills to enhance their accuracy in practice. One of the areas where this concept is needed is in the analysis of a patient’s history and making decisions basing on cases provided (Cazzell & Anderson, 2016). The paper tries to develop a review of a case involving a 70-year-old patient by the name Mr. M. His past medical history associates him with hypertension while the case scenario depicts that he is experiencing memory loss.

Clinical Manifestation

The subjective information depicts that Mr. M. is linked to a hypertensive condition which is being controlled by some drugs. While use of alcohol and cigarettes is denied, the patient shows that he has a low level of physical activities. The data also reveals that the patient is experiencing memory losses and tends to be aggressive and agitated easily. His condition has made him to depend on assistance in doing simple activities. The objective data shows that Mr. M. has a normal body temperature. However, his blood pressure is revealed to be above normal (Cazzell & Anderson, 2016).

Primary and Secondary Diagnoses

The primary diagnosis for the client’s condition is likely to be hypertension. This condition is revealed in the subjective data as the objective data. For instance, his medical history shows that he has been trying to control the problem. Also, results from the practitioner show that he has blood pressure that is above normal. His usage of various different drugs to control the condition shows that it is his major problem.  Mr. P can also be revealed to have sleep problem due to his usage of Ambien. In addition, he may be having anxiety issues due to his usage of Xanax (Cazzell & Anderson, 2016).

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Expected Abnormalities

While assessing the patient, it may be found that the subjective data is incorrect. Basing on the client’s memory loss, he may not disclose the right information. From another perspective, his anxiety and agitation may make it easier for the practitioner to overrule other underlying problems and focus only on hypertension and anxiety issues. This feature may make it difficult for the practitioner to diagnose the patient with the right health problem. As a result, the medication given to the patient may be irrelevant (Cazzell & Anderson, 2016).

Physical, Psychological, and Emotional Effects

Mr. P’s current health problem may lead to other physical health issues. For instance, his hypertension may lead to heart disease. This problem is fatal as it may limit his physical abilities and even cause death. Moreover, problems in his endocrine system may lead to development of rare tumors which may deteriorate his health further. The diseases may also affect his appearance, which may affect his emotions. From a psychological perspective, knowledge of his diagnosis may make Mr. M. to develop anxiety. This condition may affect his cognition and general activities. This would make him to be more dependent on his family.  Moreover, he may have more stress due to his conditions. This issue may occur due to his inability to cope up with the situation (Pandey et al., 2017).

Health Analysis of Mr. M

Mr. M is prone to get negative emotions from his conditions. He is bound to continue being aggressive and agitated because of his health since the problems have only developed in a short time. This is because he is not used to the new condition. Therefore, his relationship with people around him will deteriorate due to his emotional issues (Prabhakaran, Jeemon, & Roy, 2016).

Required Support Interventions

An essential support intervention for the patient is the learning and conditioning framework. This intervention is aimed at providing education for the patient and his family to understand various ways of improving Mr. M.’s condition. It will also involve health-related techniques such as reinforcement and modeling of response relationship between the family and the patient. In addition, cognitive social learning is also viewed to be an important technique for supporting Mr. M. This aspect   will ensure that the client learns to change his perspective of the diseases basing on observations of other patients with similar problems (Prabhakaran, Jeemon, & Roy, 2016).

Health Analysis of Mr. M

Mr. M’s Problems

From his current situation, Mr. P. faces memory loss. His condition is affecting with his recall to the extent that he cannot remember his family members. This problem may also affect his decision-making abilities. The client also faces a high risk of threatening his family system. The illness may lead to his family feeling hopeless and distressed, especially when his condition deteriorates. Therefore, he faces the potential of affecting his family negatively. In addition, due to his age, the client may also suffer severe effects of the drugs to his body system. This is because at his age, his body is sensitive to drugs. Lastly, his memory loss may also affect his intake of drugs as he may forget the appropriate times to take the medicines. This issue may deteriorate his problems (Pandey et al., 2017).

 

References

Cazzell, M., & Anderson, M. (2016). The impact of critical thinking on clinical judgment during

simulation with senior nursing students. Nursing Education Perspectives, 37(2), 83-90.

Pandey, A., LaMonte, M., Klein, L., Ayers, C., Psaty, B. M., Eaton, C. B., … & Berry, J. D.

(2017). Relationship between physical activity, body mass index, and risk of heart failure. Journal of the American College of Cardiology, 69(9), 1129-1142.

Prabhakaran, D., Jeemon, P., & Roy, A. (2016). Cardiovascular diseases in India: current

epidemiology and future directions. Circulation, 133(16), 1605-1620.

 

 

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Critical Review of Mrs. J.’s Nursing Intervention

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Critical Review of Mrs. J.’s Nursing Intervention

Health History and Medical Information

Health History

Mrs. J. is a 63-year-old married woman who has a history of hypertension, chronic heart failure, and chronic obstructive pulmonary disease (COPD). Despite requiring 2L of oxygen/nasal cannula at home during activity, she continues to smoke two packs of cigarettes a day and has done so for 40 years. Three days ago, she had sudden onset of flu-like symptoms including fever, productive cough, nausea, and malaise. Over the past 3 days, she has been unable to perform ADLs and has required assistance in walking short distances. She has not taken her antihypertensive medications or medications to control her heart failure for 3 days. Today, she has been admitted to the hospital ICU with acute decompensated heart failure and acute exacerbation of COPD.

Subjective Data

  1. Is very anxious and asks whether she is going to die.
  2. Denies pain but says she feels like she cannot get enough air.
  3. Says her heart feels like it is “running away.”
  4. Reports that she is exhausted and cannot eat or drink by herself.

Objective Data

  1. Height 175 cm; Weight 95.5kg.
  2. Vital signs: T 37.6C, HR 118 and irregular, RR 34, BP 90/58.
  3. Cardiovascular: Distant S1, S2, S3 present; PMI at sixth ICS and faint: all peripheral pulses are 1+; bilateral jugular vein distention; initial cardiac monitoring indicates a ventricular rate of 132 and atrial fibrillation.
  4. Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82%.
  5. Gastrointestinal: BS present: hepatomegaly 4cm below costal margin.

Intervention

The following medications administered through drug therapy control her symptoms:

  1. IV furosemide (Lasix)
  2. Enalapril (Vasotec)
  3. Metoprolol (Lopressor)
  4. IV morphine sulphate (Morphine)
  5. Inhaled short-acting bronchodilator (ProAir HFA)
  6. Inhaled corticosteroid (Flovent HFA)
  7. Oxygen delivered at 2L/ NC

Critical Thinking Essay

In 750-1,000 words, critically evaluate Mrs. J.’s situation. Include the following:

  1. Describe the clinical manifestations present in Mrs. J.
  2. Discuss whether the nursing interventions at the time of her admissions were appropriate for Mrs. J. and explain the rationale for each of the medications listed.
  3. Describe four cardiovascular conditions that may lead to heart failure and what can be done in the form of medical/nursing interventions to prevent the development of heart failure in each condition.
  4. Taking into consideration the fact that most mature adults take at least six prescription medications, discuss four nursing interventions that can help prevent problems caused by multiple drug interactions in older patients. Provide a rationale for each of the interventions you recommend.
  5. Provide a health promotion and restoration teaching plan for Mrs. J., including multidisciplinary resources for rehabilitation and any modifications that may be needed. Explain how the rehabilitation resources and modifications will assist the patients’ transition to independence.
  6. Describe a method for providing education for Mrs. J. regarding medications that need to be maintained to prevent future hospital admission. Provide rationale.
  7. Outline COPD triggers that can increase exacerbation frequency, resulting in return visits. Considering Mrs. J.’s current and long-term tobacco use, discuss what options for smoking cessation should be offered.

You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

 

SAMPLE ANSWER

Critical Review of Mrs. J.’s Nursing Intervention

Introduction

In healthcare, critical thinking involves an intellectual process of synthesizing, analyzing, reasoning, and reflecting as guidance towards decision making. This process is essential as it helps practitioners to develop accurate and relevant decisions in difficult scenarios. The paper uses critical thinking to analyze a situation involving a 63 year old patient by the name Mrs. J. She has a health history of cardiovascular diseases and portrays symptoms of heart failure.

Clinical Manifestations

The subjective data reveals that the patient is anxious about her condition. Also, she does not feel pain and has a running heart. She feels exhausted and is unable to drink by herself. This data aligns with the practitioner’s findings about the disease. For instance, the objective data shows irregular heart rate. From another perspective, respiratory problems caused by pulmonary crackle may lead to complications.

Critical Review of Mrs. J.’s Nursing Intervention

Appropriateness of the Interventions

During admission, a patient with heart failure needs to undergo proper assessment. Other important symptoms need to be evaluated. The practitioner needs to increase the patient’s oxygen availability. Application of diuretics, ACE inhibitors, and beta blockers is essential in the control of the disease. In the scenario, the treatment upon admission includes the above measures. Therefore, it can be observed to be appropriate (Komajda et al., 2016).

Rationale for the Medication

IV furosemide is a diuretic. The drug is used to control overflow of fluid. It is also used to minimize heart workload, thereby reducing ventricular filling pressure and improvement in a patient’s condition. Enalapril is an ACE inhibitor. In the scenario, the drug is provided for vascular dilation, which results in improved blood flow and oxygenation of blood to the heart. It is also used to improve heart, kidney and nerve functioning in patients with diabetes type 1. Metrolol is a beta blocker which is applied in reducing a patient’s heart rate (Komajda et al., 2016).

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Morphine sulphate is an analgesic that is used for treating pain. It is also essential in improving vasodilation and relaxing the respiratory system. Inhaled short-acting bronchodilator is used for treatment of lung conditions and controlling effects of respiratory diseases such as chronic obstructive pulmonary disease. Inhaled corticosteroid is used for controlling respiratory conditions such as asthma. Lastly oxygen treatment is used to improve oxygen availability (Komajda et al., 2016).

Conditions Leading to Heart Failure

Arteriosclerosis: This condition involves hardening and narrowing of a body’s blood vessels. It is usually caused by conditions such as diabetes, smoking, and diet high in cholesterol. The condition can lead to poor blood flow to one’s heart, thereby overworking the heart. This feature may cause heart failure. Reduction of cholesterol intake and management of weight can reduce risk of attaining heart failure. Sleep apnea is a condition that involves breathing pauses during one’s sleep. Its obstructive version is associated with obesity Severe sleep apnea may lead to cardiovascular problems such as heart failure.  Sleep apnea can be controlled by being more active (Prabhakaran, Jeemon, & Roy, 2016).

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Hypertension is a condition where an individual experiences high blood pressure. It leads to increased risk of heart diseases due to increased pressure against the walls heading to the heart. This disease can be controlled by engaging in exercises and reducing weight. Coronary artery disease is a condition which entails formation of plaque inside an individual’s coronary arteries. The condition limits the blood flow to the heart. This condition can be controlled by engaging in exercises and reducing salt intake (Prabhakaran, Jeemon, & Roy, 2016).

Interventions in Multiple Drug Interactions

To eliminate issues caused by drug-drug interactions, a practitioner needs to review, the types of medications taken by the patient. By considering factors such as frequency, dosage, and reason for intake, a practitioner develops a proper way to control challenges caused by the interactions. Moreover, the practitioner may need to maintain an effective communication to ensure that the patient takes the right level of dosage. In addition, the practitioner may offer a warning to the patient to use the drug according to the recommendations. Creating a medication plan is also important. This strategy ensures that the drugs are kept in a safe place (Komajda et al., 2016).

Critical Review of Mrs. J.’s Nursing Intervention

Health Promotion Plan

Self-care education will be suitable in providing knowledge for the patient in both pharmacological and non-pharmacological measures. The plan needs to provide information on early planning of the hospital leave, reinforcement, improvement, and analysis of self-care abilities. Weight monitoring devices, medication monitoring devices will be essential in guiding the patient to get an effective control of her condition (Pandey et al., 2017).

Educational Method

When educating the patient, Abraham Marslow’s ABC’s theory would be applied. This method is essential in helping the patient group her needs depending on the necessity. For instance, teaching about self-care will focus much on taking medication more than engaging in exercise. The main objective of this approach is to ensure that the patient has an effective way of controlling the problem (Pandey et al., 2017).

COPD Risk and Management

Smoking and air pollution present the most common causes of COPD exuberating.  The patient needs to attend stop-smoking groups to get the motivation to reduce smoking. She should also avoid individuals who are smoking to ensure that she does not get tempted to smoke (Pandey et al., 2017).

 

References

Komajda, M., Anker, S. D., Cowie, M. R., Filippatos, G. S., Mengelle, B., Ponikowski, P., … &

QUALIFY Investigators. (2016). Physicians’ adherence to guideline‐recommended medications in heart failure with reduced ejection fraction: data from the QUALIFY global survey. European Journal of Heart Failure, 18(5), 514-522.

Pandey, A., LaMonte, M., Klein, L., Ayers, C., Psaty, B. M., Eaton, C. B., … & Berry, J. D.

(2017). Relationship between physical activity, body mass index, and risk of heart failure. Journal of the American College of Cardiology, 69(9), 1129-1142.

Prabhakaran, D., Jeemon, P., & Roy, A. (2016). Cardiovascular diseases in India: current

epidemiology and future directions. Circulation, 133(16), 1605-1620.

 

 

 

 

 

 

 

 

 

 

 

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Cultural Assessment – Chinese culture

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Cultural Assessment – Chinese culture

The student will select a culture other than their own and design a paper using evidence based resources to address challenges

Use headings to help guide your reader through the sections of this paper.

  • An introductory paragraph where you define the topic. Be sure the purpose of the paper clearly stated.
  • Remember- in APA format the word “Introduction” is not a heading for the introductory paragraph.
  • Define the chosen culture. What are the characteristics of the culture- health beliefs, food preferences, and religious guidelines?
  • Significance of the topic – Provide examples of appropriate communication, how would the RN interact if there are language barriers, resources that would be included?
  • Discuss two significant health issues that are prevalent within the chosen culture and what the priorities for health maintenance or promotion that need to be addressed.
  • Summary paragraph will briefly recap the main points you raised.
  • Be sure to cite your references.
  • I am an African, any other culture will be fine
  • I will also require an abstract.

 

SAMPLE ANSWER

Abstract

The Chinese culture is one of the most ancient, diverse and sophisticated cultures of the world. The modern-day culture in China is an integration of the westernized lifestyle and old-world traditions, which co-exist in a balanced formula. The culture is ethically ambiguous with various minority groups including the Han, Manchus, Mongols, and Hezhen. The diversity in their languages, cuisines, celebrations, and artistic practices makes the culture different from the western culture. Health practices are constructed against an environment of regular social interactions and negotiations where allegiance to social identity, norms, and cultural traditions play a significant role. Major health conditions affecting this community include respiratory disorders, cancer and dental diseases.

 

Cultural Assessment

Different cultures vary in their systems of health beliefs and values concerning illness and methods of treatment. Western societies such as America view disease as natural scientific phenomena and therefore advocate for medical treatment that fights microorganisms. Other societies, like the Chinese, believe that illness is a result of supernatural phenomena that can be treated through spiritual intervention or using cultural herbs. Some are therefore reluctant to accept a diagnosis of various diseases such as mental retardation. For most Chinese, going for health counseling involves self-disclosure, and this goes against their values. Moreover, cultural values influence patients’ role in managing their health and the decision-making process concerning treatment.

Characteristics of the Chinese culture

Various cultural influences guide the health behaviors of the Chinese community. Health practices are constructed against an environment of regular social interactions and negotiations where allegiance to social identity, norms, and cultural traditions play a significant role. Therefore, beliefs regarding health express psychological factors that shape the choices made about health-related behavior and practices. Chinese beliefs on illness and health are based on a theory of balance and energy flow.  Diet, for example, plays a crucial role in treating illnesses and, sometimes, various dietary prescriptions are used as self-medication. Pregnant women, for instance, should not eat cold fruits such as bananas, to avoid miscarriage. Some take herbal drinks that protect the pregnancy and remove toxins from the womb and ensure a healthy baby.

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The doctors use various traditional Chinese medicines such as herbs, acupuncture, meditation, Tui Na massage, and food to recover and sustain health. Herbs are used in regulating natural body balance and health restoration. The herbs come in the form of powders, pills, or balms for external use. Acupuncture, on the other hand, involves inserting needles into the skin, subcutaneous tissue, and muscles at particular acupuncture points and manipulating them. Tui Na is used for treating chronic pain musculoskeletal conditions. Also, the Chinese nutrition is considered the first line of defense in health matters. A balanced diet includes the five tastes – sour, spicy, sweet, bitter, and salty. The tastes are necessary for providing strength, cooling and warming the body.

Cultural Assessment – Chinese culture

Barriers to receiving quality care

Most health care professionals expect that patients will conform to mainstream values and this has created barriers for cultural groups such as Chinese to receive healthcare.  The various barriers include; “face-saving,” use of cultural herbs and lack of trust for healthcare providers.  Face-Saving is a strong concept in the Chinese culture. Patients avoid looking weak or foolish and they, therefore, avoid being vocal with healthcare providers concerning their health issues. Also, Most of them prefer using alternative and complementary medicine such as herbs, acupuncture, and massage. Moreover, some patients do not fully trust nurses and the with hold relevant information concerning their health.  Chinese also believe in karma, and according to them, it is bad luck to talk about death or illness.

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Chinese residents in New York encounter countless socioeconomic problems and are faced with high disease dominance and poor health standards. Respiratory disorders, cancer and dental diseases are prevalent among the Chinese community. Structural factors, such as, affordability, accessibility, and service availability including health insurance, lack of finances, and cultural factors such as health beliefs and proficiency of the English language cause healthcare disparities. Additionally, barriers in the health system may prevent Chinese population from obtaining appropriate health care.

Cultural Assessment – Chinese culture

Summary

Healthcare providers should be aware of the important Chinese cultural beliefs. A poor understanding of cultural differences may lead to adverse clinical outcomes such as the use of harmful remedies, delayed immunization, non-compliance and reduced participation. Due to this, health disparities among members of this group are evident. The firm belief in traditional healing practices prevents the Chinese from seeking further medication. Some of the curing approaches used by this community, such as massage, may be too expensive. Patients, especially those not covered by insurance, suffer from an easily curable disease due to inadequate knowledge on alternative and affordable medical care. The lack of understanding has led to high mortality and morbidity rate. Nurses should combine cultural information with clinical assessment of the patient to provide culturally sensitive care.

 

References

Ch’en, J. (2018). China and the West: society and culture, 1815-1937. Routledge.

Wang, Y. K. (2010). Harmony and war: Confucian culture and Chinese power politics.

Columbia University Press.

 

 

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Week 6: Short Answers

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Week 6: Short Answers

Please answer the following questions in regards to the attached article.  Note: no title page needed only the answers for the questions.

IMPORTANT:

  • 100 – 150 words required for each question answer, including each question within each question. (example two questions within a question = 200-300 words required total)
  • Question #2: requires 200-word count

 

1- What primary appeal (ethos. Pathos, logos) is the author using? Do you believe use of the appeal is convincing to his intended audience?  Provide an example from the text to support and explain your answer.  Also do you see any rhetorical fallacies the author is using?

2- What is your response (in 200 words) to the author’s position. Agree or disagree? Explain.

 

SAMPLE ANSWER

Week 6: Short Answers

  1. What primary appeal (ethos, Pathos, logos) is the author using? Do you believe use of the appeal is convincing to his intended audience?

The primary appeal that the author uses is the logos. Logos is also called the appeal to logic. It is where an author persuades the audience or readers using concrete reasons, facts or even figures. The author thus, looks at what the audience or readers can take as making sense and uses that to build his or her argument. The author does not make blanket statement but uses evidence rather than emotions. The writer presents the evidence is a way that the audience or the writer will understand well. In the reading, the author makes use of evidence in presenting his argument.

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I believe that the use of logos in the essay makes it more convincing to the readers although the author could have used credible sources in the essay. The author makes use of the logos appeal to persuade the audience to acknowledge that mass shootings are rare and consequently, it is irrational to live in fear of them. He seeks to encourage the audience that phobia of mass shootings is perpetrated by the media who should instead focus on other things that can cause death such as chocking. However, the appeal is not convincing because the sources cited are not credible. For instance, the author cites “according to a commonly cited chart” instead of providing credible sources that will support the argument.

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The author makes use of a number of rhetorical fallacies in the essay. For instance, the author claims that “You are three times as likely to die of choking on food than be in a mass shooting”. The author does not make sound reasoning in such an argument among many others. He just makes such argument in order to appeal to the audience. All over the paper, the author makes several arguments that are meant to appeal to the reader while they may not be supported by credible facts. The author does not give room to the reader to make their own minds about an argument but rather seems to convince them to accept his own view.

Week 6: Short Answers

  1. What is your response (in 200 words) to the author’s position? Agree or disagree? Explain.

I disagree with the author that people should not be afraid of mass shootings because there are many other reasons to die. Apart from chocking, there are several other accidents that can take place, which is true but should not prevent someone from having a phobia of something because it is rare. Mass shootings are a major issue and the biggest problem is that one can be caught up at any point. Also, although they are rare, mass shootings result in the death of several people at the same time hence it is normal for an individual to have the phobia of mass shootings. Also, it is appropriate for individuals to be aware of the issue so that they can have information on how best they can save themselves from the situation. This is because there are first aid principles that would be applicable in case one has an issue such as choking. The same can be applied in a mass shooting situation and people, who feel like they have the phobia, can have a strategy and gain a better understanding of how to save their lives. Therefore, the individuals are justified to fear mass shootings, contrary to what the author brings up. Secondly, the media can focus on it, even as it focuses on other issues.

 

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Community Health Promotion

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Community Health Promotion

A two-page (500-word) paper that summarizes the resources that are available in your community and recommendations for future programs

 

a. Write a paper that focuses on resources.

 

Address the following prompts in your paper:

 

· Describe the resources that promote health promotion that are available in your community.

o Include the level of community participation.

o Explain the specific health promotion resources that are available across the lifespan.

o Include the level of participation for and any particular characteristics of the populations that use the resources.

 

· Recommend a health promotion idea or ideas that may be developed into a health promotion program or programs in your community.

Identify the targeted populations with rationale to support the choice.

 

SAMPLE ANSWER

Community Health Promotion

Health promotion is the process through which the well-being of individuals within a community is improved and protected. Health is regarded as a resource that is essential for everyday living. As a result, the emphasis on increasing control and enhancing the concept of health is not only the responsibility of the health sector but also the people of a given community. Comprehensive achievement of physical, social, and mental well-being requires the individuals in the community to understand and evaluate their health needs, and how they can be satisfied. Community participation forms the basis of successful health promotion. It reduces the vulnerability to disasters and promotes a quick response as well as improved planning in preparedness for calamities. The paper focuses on the community in Florida, which is highly regarded as the gateway city to Latin America.

The community has various resources that facilitate public participation in health promotion. They include the Dade Area Health Education Center (HEC), children’s homes societies, services for the elderly, and mental health programs, among others. The AHEC facility promotes easy access to affordable healthcare services, important health education to the residents, and recruitment and training of healthcare providers for the community. The facility mainly focuses on marginalized groups like the uninsured, economically undeserving, and patients with critical illnesses to provide them with improved access to comprehensive care (El-Amin et Al., 2016). AHEC also offers a wide range of academic programs to the students from within and outside the community to incorporate health-enhancing behaviors, achieving health literacy, and promoting the health of others.

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The Catholic Charities of the Archdiocese also assists in health promotion within the community. The program is involved in providing adult day care services to the elderly. The program accepts adults diagnosed with medical, mental, or psychological disabilities, and provides them with an environment where they can interact with their loved ones and other patients with similar conditions. The program provides them with food, local field trips, and professional nursing care accompanied by counseling. The patients are engaged in activities like games and exercises to help in stimulating their mental functionality (Barrueco et Al., 2016). To be enrolled in Catholic Charities, one has to be a disabled adult of about 60 years or older and probably demonstrating signs of mild stages of Alzheimer’s. The eligibility is not dependent on a patient’s nationality, gender, religion, or political beliefs.

The Douglas Gardens Community Mental Health Center is another resource that aids in health promotion. The center offers extensive behavioral healthcare programs and services to people with mental illness. The resource has medical professionals with the necessary skills to handle individuals struggling with substance abuse and assist them in their management and recovery journey. The treatment processes in the center use assessment tools and Evidence-Based Practice (EBP) modules to manage the symptoms and help the patients to live comfortably within the community (Graham et Al., 2018). Interestingly, most of the services within the center are covered by private insurance, Medicare, and Medicaid.

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One of the recommendations that can be offered to the community would be to include smoking sensation programs detailing the adverse side effects of smoking. The plans may revolve around quit activities and brief interventions through written and audio-visual resources. The program would be of tremendous help because smoking of tobacco products is one of the leading causes of premature deaths globally. The targeted population for the program will mostly be high school students (who constitute 10% of the smoking population) and adults between 45-65 years old (who form 18% of the smoking population).

 

References

Barrueco, S., Wall, S. M., Mayer, L. M., & Blinka, M. (2016). Addressing the Needs of Young Children and Families: Early Childhood Education and Services in Catholic Schools and Catholic Charities. Journal of Catholic Education, 20(1), n1. Doi:10.2337/dc13-2195

El-Amin, S., Suther, S., Kiros, G. E., &Zaw, K. (2016). Practice Patterns for Sexual History-taking among Florida Nurses. Florida Public Health Review, 13(1), 17. Doi: 10.7748/nm.21.6.13.s14

Graham, R., Hodgetts, D., Stolte, O., & Chamberlain, K. (2018). Community meal provision and mental well-being. The Handbook of Mental Health and Space: Community and Clinical Applications. 10(E26). Doi: 10.5888/pcd10.120180

 

 

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Strengths and Barriers to Health Behavior Change

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Strengths and Barriers to Health Behavior Change

1. A three-page (750-word) paper that summarizes the identified assessment data and the positive strengths and identified barriers for that data

 

a. Select a volunteer.

 

Select a volunteer from your friends. Identify the client by initials and age.

 

b. Identify the client’s desired behavior change.

 

Assess and describe the characteristics of the life span stage, including physical and psychosocial attributes identified in the selected client that support the desired behavior change.

 

c. Write a paper that analyzes the client’s data.

 

In your paper, respond to the following prompts:

· Identify the strengths of the client that will contribute to a successful health behavior change. Describe these characteristics of the client and the social support system.

· Identify and explore the barriers of the client that will impact successful achievement of the desired behavior change. Describe the underlying cause of the barriers.

· Describe methods to overcome the barriers in achieving the desired outcome.

 

SAMPLE ANSWER

Strengths and Barriers to Health Behavior Change

Introduction

Behavior refers to the way individuals conduct themselves or towards something. In healthcare, behavior is considered a major factor that determines one’s health. Research shows that individuals who engage in positive health behaviors tend to be healthy. Therefore, it is essential for a person to engage in positive health behavior change (Samdal et al., 2017). The paper analyzes the strengths and barriers associated with a volunteer. It also describes ways of overcoming barrier to achieve positive health outcomes. The volunteer’s name is, BN, and he is 20 years old. He needs to develop a positive change of behavior in order to control diabetes type 2.

BN’s Strengths

BN has a strong willpower. This feature makes him to be more determined in anything he engages in. Therefore, he can initiate behavioral change and practice his new ways for a long time. In addition, BN has a positive perception towards life. This character is prone to make him aware of his positive needs. It is also suitable in helping him understand positive behaviors that other people engage in and be able to emulate them without a problem (Samdal et al., 2017).

BN is also observed to have suitable abilities for positive change. For instance, he has suitable strength and coordination for enhancing physical activities. Therefore, he is able to improve on his exercises to improve his health. Moreover, he has a high intellectual ability. This feature is prone to make him to analyze his current behavior and make appropriate changes that can enhance a healthy lifestyle. It also can help him to evaluate different educational methods to enhance behavior change (Vandelanotte et al., 2016).

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Moreover, BN has positive emotions towards behavior change. He feels proud of developing a healthy lifestyle as it can help him pursue sports to a higher level. This factor can enable him to participate in behavior change without fear, thereby leading to positive outcomes.  The issue may also elevate his consistency in behavior change. From another perspective, gender favors him. It is depicted that males have a stronger will to change than females. Therefore, BN has a higher chance of making positive decisions that suit his health needs (De Leeuw et al., 2015).

BN’s Barriers

One of the barriers to BN’s behavioral change is his family. He reveals that his family members do not focus on a healthy lifestyle. His efforts to change his dietary habits are usually affected by his family members who view that it is a waste of time. Moreover, BN has some anxiety issues. He fears that if he does not achieve his goals, his preparations would be a waste of time. This feature makes it difficult for him to start making behavioral change plans (Vandelanotte et al., 2016).

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Environmental constraints are also seen to affect the individual. For instance, there are no suitable fields where he can engage in exercises. Also coming from a poor background, it is difficult for BN to engage in a suitable dietary change. In addition, the nature of the disease may make it difficult for BN to achieve a desired outcome. Diabetes type 2 is viewed to be chronic to patients. While change of behavior is desirable, it may not be effective in eliminating the insulin resistance that is experienced by the body. Therefore, behavioral change needs to be accompanied by other measures (Vandelanotte et al., 2016).

 

Overcoming the Barriers

Motivating BN is a suitable way in which he can overcome his barriers. This approach would make it easier for him to see the benefits of changing his health behaviors. BN can be motivated by showing him cases of people who have overcome similar behavioral barriers to health change. Moreover, the individual may be taught to develop and focus on his values rather than those of people around him. This method will make it easier for him to overcome challenges emanating from his family’s values towards health. To achieve this, a suitable theoretical framework such as Self-efficacy theory may be applied (De Leeuw et al., 2015).

Strengths and Barriers to Health Behavior Change

Provision of resources may enable BN to overcome his financial constraints. Therefore, he will be able to have a stronger control over his behaviors as long as he aligns his change with the resources. In addition, relapse prevention is considered a suitable measure to control high-risk scenarios. This technique is important in enabling BN to cope up with insulin resistance during chronic conditions. Lastly, exposure to people with similar condition will enable BN to reduce his anxiety towards achieving his target. Instead, he will be in a better position to develop rational behavior plans to facilitate his health behavior change (De Leeuw et al., 2015).

 

References

De Leeuw, A., Valois, P., Ajzen, I., & Schmidt, P. (2015). Using the theory of planned behavior

to identify key beliefs underlying pro-environmental behavior in high-school students: Implications for educational interventions. Journal of Environmental Psychology, 42, 128-138.

Samdal, G. B., Eide, G. E., Barth, T., Williams, G., & Meland, E. (2017). Effective behaviour

change techniques for physical activity and healthy eating in overweight and obese adults; systematic review and meta-regression analyses. International Journal of Behavioral Nutrition and Physical Activity, 14(1), 42.

Vandelanotte, C., Müller, A. M., Short, C. E., Hingle, M., Nathan, N., Williams, S. L., … &

Maher, C. A. (2016). Past, present, and future of eHealth and mHealth research to improve physical activity and dietary behaviors. Journal of Nutrition e

Education and Behavior, 48(3), 219-228.

 

 

 

 

 

 

 

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Evidence-Based Practice Change

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Evidence-Based Practice Change

Basically, the paper involves revising and merging the previous papers into one, and doing the conclusion part. Please check the previous papers you did attached

 

Prepare this assignment as a 1,500-1,750 word paper using the instructor feedback from the previous course assignments and the guidelines below.

PICOT Question 

Revise the PICOT question you wrote in the Topic 1 assignment using the feedback you received from your instructor.

The final PICOT question will provide a framework for your capstone project (the project students must complete during their final course in the RN-BSN program of study).

Research Critiques

In the Topic 2 and Topic 3 assignments, you completed a qualitative and quantitative research critique on two articles for each type of study (4 articles total). Use the feedback you received from your instructor on these assignments to finalize the critical analysis of each study by making appropriate revisions.

The completed analysis should connect to your identified practice problem of interest that is the basis for your PICOT question.

Refer to “Research Critiques and PICOT Guidelines – Final Draft.” Questions under each heading should be addressed as a narrative in the structure of a formal paper.

Proposed Evidence-Based Practice Change

Discuss the link between the PICOT question, the research articles, and the nursing practice problem you identified. Include relevant details and supporting explanation and use that information to propose evidence-based practice changes.

General Requirements

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

 

SAMPLE ANSWER

Evidence-Based Practice Change

Central Line-Associated Blood Stream Infection

Central Line-Associated Blood Stream Infection (CLABSI) is a bloodstream infection that causes increased mortality, morbidity, and length of stay in the Intensive Care Units (ICU), escalating health care costs. About 260,000 central line-associated bloodstream infections are reported in hospitals in the United States (Cleves et al., 2018). Also, approximately 29,000 death cases related to the central line-associated bloodstream infections are reported every year (Savage et al., 2018). Nearly 29,000 US dollars are spent on treating each patient, which creates a burden of about 2.4 billion dollars on the US healthcare system every year (Noto et al. 2015).  Multidrug-resistant organisms (MDROs) such as vancomycin-resistant enterococcus (VRE) and methicillin-resistant Staphylococcus aureus (MRSA) are the most endemic pathogens that cause CLABSI and other bloodstream related infections (Cleves et al., 2018). These pathogens are endemic in most acute and long term care areas, and their resistance makes it difficult to treat because of the decreasing armamentarium of active antimicrobials. Significant efforts are put to prevent and reduce the rate of infections through health practices designed to decrease the transmission of pathogens. Such methods include care of devices, bundles for insertion, isolation of multidrug-resistant organism’s patients, and hand hygiene (Noto et al. 2015). Chlorhexidine can be used as one of the interventions in reducing bacterial burden, thus decreasing the rate of infections.

PICOT Statement

In patients in the Intensive Care Unit (ICU) (P), how does daily chlorhexidine baths (I) compare to baths with soap and water (C) in decrease the rate of central line-associated bloodstream infections (CLABSI) (O) after one year of the intervention (T)?

Evidence-Based Practice Change

The utilization of antiseptic chlorhexidine gluconate (CHG) can be used as the primary intervention to fight bacterial load both in the central lines and central venous catheters. CHG daily baths are imperative compared to regular baths using soap and water in the ICU unit. Chlorhexidine has a broad-spectrum topical antibacterial agent, which decreases the bacterial burden, thus reducing the rate of infections when used daily during baths (Noto et al. 2015). The antibacterial activity is also essential in reducing microbes and pathogens in patient’s skin thereby preventing both primary and secondary infections. Therefore, daily baths with chlorhexidine wipes in traditional bathing procedures in the Intensive Care Unit should be considered as a significant intervention in the prevention of Central Line-Associated Bloodstream Infections.

Evidence-Based Practice Change

Many studies have also shown the efficacy of CHG in intensive care patients, and support is increasing in caring for non-ICU patients. Daily baths with Chlorhexidine are associated with reduced skin colonization with organisms that have multidrug resistance, reduced clostridium difficile infections, and reduced bloodstream infection rates (Savage et al., 2018).  Therefore, nurses should consider the use of Chlorhexidine as a primary intervention in the prevention and reduction of Central Line Bloodstream Infections in hospitalized patients.

A study by Holder and Zellinger (2009) used a research design where nurses came up with a bathing procedure, which included bating frequency, technique, contraindications, required documentation, and bathing technique. The study method was controlled by advanced nurses and nursing leaders that ensured the accuracy of the findings. The results of the study on Daily Bathing with Chlorhexidine in the ICU to Prevent Central Line-Associated Bloodstream Infections showed that the Bloodstream Infections reduced from 3.6 per 1000 patients to 1 per 1000 patients after six months of chlorhexidine bath procedure implementation. The study findings indicated that the use of chlorhexidine baths reduces the rates of Central Line-Associated Bloodstream Infections and resistant organism’s acquisition rates in patients admitted in the Intensive Care Units.

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Johnson et al. (2019) developed an observational study to determine the relationship between Chlorhexidine baths and Central Line-Associated Bloodstream infection prevention. The groin and arm skin bacterial growth were observed in non exposed patients, and 40 Chlorhexidine exposed patients in the Neonatal Intensive Care Unit. The exposed patients were given 2 % Chlorhexidine baths for Central Line-Associated Bloodstream infection prevention. The study showed that the bacterial burden reduced after the patients took the first bath. However, the bacterial load returned to baseline after 72 hours. The concentration of residual CHG on the skin reduced with time as the bacterial burden increased. The bathing with Chlorhexidine decreases the bacterial burden on the skin. Nurses should be aware that CHG bathing twice a week may reduce the risk of CLABSI associated with using central lines and central nervous catheters. Thus, the study has shown the efficacy of chlorhexidine gluconate in intensive care patients, and support is increasing in caring for non-ICU patients.

Evidence-Based Practice Change

The study by Savage et al. (2018) applied a retrospective time series to examine the effectiveness of various prevention bundles that were developed by nurses in infection control in neonatal and pediatric intensive care units in 2006-2014. The research was subdivided in to post, peri, pre, and second peri-intervention periods depending on each bundle’s implementation status. The study showed there was a significant reduction in unit Central Line-Associated Bloodstream Infection rates where all units were less than the corresponding National Healthcare Safety Network Central Line-Associated Bloodstream Infection rates after the study. Prevention bundle for centralized Central Line-Associated Bloodstream Infection can be useful in universalizing central line care, improve and control the quality of care to help maintain low CLABSI rates in the hospital. Thus, the study showed the efficacy of chlorhexidine gluconate daily baths in reducing the risk of CLABSI associated with the use of central lines and central nervous catheters in intensive care patients.

Conclusion and Recommendations

The suffering experienced by families and patients due to the central line-associated bloodstream infections acquired in the hospitals is immeasurable. Therefore, there is a need for nurses to focus on the prevention strategies for bloodstream infections in hospitals, especially in the Intensive Care Unit. Antiseptic chlorhexidine gluconate is one of the primary measures that can be used to reduce bacterial infections in the central nervous and central line catheters. Nurses should consider the use of antiseptic chlorhexidine gluconate in the ICU since it is effective in preventing bacterial infections in patients as compared to regular soap and water bathing. Therefore, chlorhexidine gluconate daily baths are imperative compared to regular baths using soap and water in the ICU unit.

It is recommended that four strategies can be used to help implement the use of CHG daily baths for patients in the surgical or medical units to reduce CLABS rates. The strategies include increased awareness and accountability, resource availability, leadership support, and staff education (Noto et al. 2015). Therefore, targeted interventions in the ICU can reduce the risk of CLABSI associated with the use of central lines and central nervous catheters. Hospitals need to commit developing strategies to minimize the cases of central line-associated bloodstream infections, which are the primary source of high costs of care by both patients and health institutions.

 

References

Cleves, D., Pino, J., Patiño, J. A., Rosso, F., Vélez, J. D., & Pérez, P. (2018). Effect of

chlorhexidine baths on central-line-associated bloodstream infections in a neonatal intensive care unit in a developing country. Journal of Hospital Infection, 100(3), e196-e199.Doi: 10.1016/j.jhin.2018.03.022

Holder, C., &Zellinger, M. (2009). Daily Bathing with Chlorhexidine in the ICU to Prevent

Central Line-Associated Bloodstream Infections. JCOM, 16(11), 509-13. Retrieved from https://pdfs.semanticscholar.org/ace2/d11dfa4fab260bb5639c782b9baa0a1addad.pdf

Johnson, J., Suwantarat, N., Colantuoni, E., Ross, T. L., Aucott, S. W., Carroll, K. C.,

&Milstone, A. M. (2019). The impact of chlorhexidine gluconate bathing on skin bacterial burden of neonates admitted to the Neonatal Intensive Care Unit. Journal of Perinatology, 39(1), 63. Retrieved from https://www.nature.com/articles/s41372-018-0231-7

Savage, T., Hodge, D. E., Pickard, K., Myers, P., Powell, K., & Cayce, J. M. (2018). Sustained

reduction and prevention of neonatal and pediatric central line-associated bloodstream infection following a nurse-driven quality improvement initiative in a pediatric facility. Journal of the Association for Vascular Access, 23(1), 30-41. Doi: 10.1016/j.java.2017.11.002

 

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Organizational development

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Organizational development

Respond to at least two of your colleagues’ postings and continue the Discussion through Day 7. Expand on this Discussion by providing additional insights or alternative perspectives to colleagues who were assigned different scenarios than you. For example, if you were assigned Scenario 1, respond to colleagues who were assigned Scenario 2 and Scenario 3.

 

SAMPLE ANSWER

Discussion Peer Responses

Organizational development is focused on improving the efficiency and effectiveness of a workplace. As part of this process, strategic planning professionals often work with leadership teams to develop strategies for short-term and long-term organizational development, including workforce planning and succession planning. This helps ensure that health care organizations recruit, train, and retain employees that are capable of meeting strategic objectives. For this Discussion, examine the following scenarios and suggest strategies for organizational development, workforce planning, and succession planning.

Scenario 1: Park Post-Acute Care Services has been providing quality nursing home and home health services for 70 years in rural Texas. It is a family-owned business that has been passed down through the generations to family members eager to provide service to citizens in the community. About three years ago, the leadership team created a five-year strategic plan in anticipation of some members of the leadership team retiring after fully accomplishing the plan. The remaining members committed to serving as chief executives of larger health care organizations. However, the strategic plan failed to include a succession plan for identifying talented professionals who will be able to lead the organization after the long-standing leadership team of 15 years vacate their positions in two years.

 

Week 6: Scenario 1/Abigail

An acute care services providing care in rural Texas is family-owned and recently, the some of the senior leadership is preparing for retirement.  The rest of the senior leadership is prepared to continue with their administrative duties, but there are currently no plans for succession once the other administrators retire.

There are strategies for the short and long-term organizational development and succession planning for this Texas acute care service.  The short-term strategy for the administrators is to list the responsibilities of those retiring.  Perhaps a sub-committee can be formed to create a more formalized job description.  For example, if one of the retiring administrators has been responsible with finances, then the specific tasks can also be listed such as preparation of annual budget, management of supply and demands of the facility while maintaining the budget, etc (Harvard Business Publishing, 2009).

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The long-term strategy to assist with this issue is to either use the same sub-committee or a different sub-committee to initiate recruitment.  Advertising and marketing of the positions is vital to attract the appropriate people in the roles.  Recruitment can take months to years to complete, especially for administrative roles (Rahardjo, S., 2014).

Having short and long-term strategy plans are necessary to achieve goals.  It also takes significant amount of meetings to ensure that all key players are engaged are aware of the same goals.

Rahardjo, S. (2014). New roles of human resources in facing the changing challenge of business environment. International Journal of Management Research and Reviews, 4(4), 464-470.

Harvard Business Publishing (Producer). (2009). Be strategic with your workforce [Video file]. Retrieved from http://www.youtube.com/watch?v=Yny-PWy64li4

 

RESPONSE

Leadership succession planning is imperative to any organization for the continuity of the vision set by the management. It is therefore important to ensure leadership development among the new generations that would take over the management. Leadership development is the main component of training and preparing individuals to managerial positions (Ellinger et al, 2014). Succession planning should begin with a review of the organizational’ s strategic plan. This would enable the management to create a career ladder and identify key positions that would require succession plans. In addition, before making plans for external recruitments, it is important to consider the existing employees. Therefore, the employee profiles including their education and talents should be identified. The goals of the identified employees should align with the short term and long-term goals of the organization.

Reference

Ellinger, L., Trapskin, P., Black, R., Kotis, D., & Alexander, E. (2014). Leadership and Effective Succession Planning in Health-System Pharmacy Departments. Hospital Pharmacy, 49(4), 369-375. doi: 10.1310/hpj4904-369

Organizational development

 

Scenario 2: Whitesville Medical Center has been providing quality patient care in Louisiana for over 100 years. However, during the last five years, the organization has experienced significant turnover in middle management positions in the Housekeeping Department. In fact, the average tenure of a middle manager is only six months, and there is a current vacancy in the day and evening shifts. Because of the unstable management team, no one has been able to hold supervisors accountable for facilitating appropriate orientation of new staff, ongoing training of the seasoned employees, and routine audits of the employees’ performance. Unfortunately, the breakdown in management oversight has led to a lack of employee training in cleaning and sanitizing patient rooms, surgical suites, and public areas including the restrooms and waiting areas. The lack of cleanliness and sanitation has led to an outbreak of nosocomial infections impacting several patients and causing them to remain in the hospital for a longer period of time. The Centers for Medicare & Medicaid Services and the Joint Commission have received anonymous tips about this outbreak and have sent survey teams to conduct unannounced visits at the facility, which could lead to fines until the issue is fully resolved by the medical center.

 

Wk6 Discussion/ Jacquelyne Atakora 

Whitesville Medical Center has been providing patient care in Louisiana for over 100 years, but in the past five years they have had serious problems with management and has experienced significant turnover. Management is the foundation of any medical center, and because of the breakdown in management has led to lack of training in employees. The lack of cleanliness has led to an outbreak of nosocomial infections, causing longer patient stays and unannounced visits to the facility.  One-way productivity of quality care could be measure is through employee and patients’ surveys. Patients could be asked to fill out surveys at the end of their visits online or at the office to see what they thought about their physician. Employees could fill out self-assessments on how they personally felt their visits with patients are going. This could help with productivity by giving operations insight on how they could better train incoming employees and on what patients want from their physicians. Adding accounts on sites like yelp and google by allowing patients to leave reviews could also help evaluate productivity. Since patient satisfaction is a main goal, why not let patients tell you what they need from their provider. Six Sigma was developed in the 1980s and has been used to define quality strategies for many organizations. General Electric is one of the many companies who have gained much success using the Six Sigma methodology. The focus us on “eliminating defects through removal of variance in business systems” (McLaughlin & Olsen, 2017). The Six Sigma is an infrastructure that is hierarchical with all employees as the foundation. Using this system could create some organization and a better foundation for new employees. If the system is organized, employees will be more satisfied in their positions, thus decreasing turnover rates. Using benchmarking or “comparison of internal data to those of outside organizations for purposes of evaluating an organization’s performance”, will allow Whitesville to look within their organization as compared to others and see what tactics other organizations are using to gain success.

Reference:

McLaughlin, D. B., & Olson, J. R. (2017). Health care operations management (3rd ed.). Chicago, IL: Health Administration Press.

Measuring healthcare productivity – from unit to system level. (2016). International Journal of Health Care Quality Assurance, (3), 288. https://doi-org.ezp.waldenulibrary.org/10.1108/IJHCQA-04-2015-0050

Walston, S. L. (2018). Strategic healthcare management: Planning and execution (2nd ed.). Chicago, IL: Health Administration.

 

RESPONSE

High healthcare employee turnover is a major challenge in the healthcare sector. Rising healthcare employee turnover not only impacts healthcare provider, but it also impacts on the patient outcomes (Collini, Guidroz & Perez, 2015). Hospitals require a skilled, reliable and stable workforce to provide effective and continuous patient care. Healthcare organizations should address the main drivers of healthcare employee turnover to ensure their operations and patient outcomes are not negatively impacted employees leaving the organization. Managers at healthcare organizations should understand the needs of their employees to prevent voluntary turnover. Conducting regular performance recognition and feedback discussions in addition to annual performance evaluations are key to ensure employee retention. Receiving employee feedback is also critical to lowering turnover rates. Managers should understand how employees receive and perceive feedback. Employees should have communication channels available to provide suggestions regarding the organization, their individual jobs, and how their decisions impact their work.

Reference

Collini, S., Guidroz, A., & Perez, L. (2015). Turnover in health care: the mediating effects of employee engagement. Journal Of Nursing Management, 23(2), 169-178. doi: 10.1111/jonm.12109

 

 

 

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Healthcare Information Technology Trends-Data

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Healthcare Information Technology Trends-Data

  • Reflect on the Resources related to digital information tools and technologies.
  • Consider your healthcare organization’s use of healthcare technologies to manage and distribute information.
  • Reflect on current and potential future trends, such as use of social media and mobile applications/telehealth, Internet of Things (IoT)-enabled asset tracking, or expert systems/artificial intelligence, and how they may impact nursing practice and healthcare delivery.

Post: Please follow This instructions.

  •       This is a discussion
  •       No tittle pages.
  •       No running heads.
  •       This is a Masters level class
  •       APA Format with intext citation
  •       Required to use the reading resources AT LEAST TWO. Outside resources should be peer review Articles.

Tittle : ( Healthcare Information Technology Trends )

Short Introduction with purpose statement

 

Headings:

Ø  Description of general healthcare technology trends, particularly related to data/information you have observed in use in your healthcare organization or nursing practice.

Ø  Describe any potential challenges or risks that may be inherent in the technologies associated with these trends you described.

Ø  Describe at least one potential benefit and one potential risk associated with data safety, legislation, and patient care for the technologies you described.

Ø  Explain which healthcare technology trends you believe are most promising for impacting healthcare technology in nursing practice and explain why.

Ø  Describe whether this promise will contribute to improvements in patient care outcomes, efficiencies, or data management.

Ø  Be specific and provide examples.

Conclusion/ Summary

Reference list in (APA FORMAT)

 

SAMPLE ANSWER

Healthcare Information Technology Trends

            Information and data are becoming increasingly important in the medical field. Collection, storage, and data analysis is becoming an integral part in the healthcare sector with the objective of enhancing the quality of healthcare services (Madon & Krishna, 2018). This discussion will explore some of the emerging trends in healthcare information technology, describe the potential benefits and risks, and explain the healthcare technology that is most promising, particularly in nursing practice.

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A general healthcare trend related to information technology is interoperability. This technology is changing how the organization that I work for works. With the technology, data is shareable and transferable between different stakeholders (Madon & Krishna, 2018). For instance, the healthcare facility is able to share data with patients since they have computer systems or programs that are interoperable. However, various challenges and risks exist in relation to this technology, one of the most notable being cyber security (McGonigle, & Mastrian, 2017). As interconnectivity increases, the risk of cyber security has become a major risk since healthcare facilities have become targets of high-profile attacks (Madon & Krishna, 2018). Interoperability can result in a single attack originating from one device spreading to the other devices connected to a system.

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A potential benefit associated with data safety, legislation, and patient care is increased access to information, which in return enhances quality of care and patient outcomes. Information is critical in the healthcare field, thus enhancing the speed at ease at which the right people can access it enhances quality of care (Carvalho et al., 2019). However, one of the risks is data breaches, which can comprise confidential patient information (Madon & Krishna, 2018). Furthermore, the healthcare information trends that I believe are the most promising for impacting healthcare technology include internet of things and augmented and virtual reality. These technologies will improve patient outcomes, data management, and efficiencies. They can be employed in different areas including consultation, physician training, and pre-surgical planning.

Healthcare Information Technology Trends-Data

Therefore, information technology has had a major impact in the healthcare sector. In my healthcare organization, interoperability is the most impactful technology. However, cyber security poses a major threat to the use of this technology. Potential benefits associated with use of healthcare information technology include ease of access to information and data, while challenges include data breaches (Rao-Gupta et al., 2018). Besides, the most promising technologies include Internet of Things, which is the interconnectivity of computing devices via the internet, and augmented reality, which enables a user to have an interactive experience of a real-world environment through computer generated display (McGonigle, & Mastrian, 2017).

 

References

Carvalho, J. V., Rocha, Á., van de Wetering, R., & Abreu, A. (2019). A Maturity model for hospital information systems. Journal of Business Research, 94, 388-399.

Madon, S., & Krishna, S. (2018). The Digital Challenge: Information Technology in the Development Context: Information Technology in the Development Context. Routledge.

McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.

Rao-Gupta, S., Kruger, D. Leak, L. D., Tieman, L. A., & Manworren, R. C. B. (2018). Leveraging interactive patient care technology to Improve pain management engagement. Pain Management Nursing, 19(3), 212–221. doi:10.1016/j.pmn.2017.11.002

 

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Group Therapy Progress Note

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Group Therapy Progress Note

Learning Objectives

Students will:

  • Develop effective documentation skills for family therapy sessions *
  • Develop diagnoses for clients receiving family psychotherapy *
  • Evaluate the efficacy of solution-focused therapy and cognitive behavioral therapy for families *
  • Analyze legal and ethical implications of counseling clients with psychiatric disorders *

Select two clientsyou observed or counseled this week during a family therapy session. Note: The two clients you select must have attended the same family session. Do not select the same family you selected for Week 2.

Nursing Paper Help

Then, address in your Practicum Journal the following:

  • Using the Group Therapy Progress Note in this week’s Learning Resources, document the family session.
  • Describe each client (without violating HIPAA regulations) and identify any pertinent history or medical information, including prescribed medications.
  • Using the DSM-5, explain and justify your diagnosis for each client.
  • Explain whether solution-focused or cognitive behavioral therapy would be more effective with this family. Include expected outcomes based on these therapeutic approaches.
  • Explain any legal and/or ethical implications related to counseling each client.
  • Support your approach with evidence-based literature.
  • BLANK NOTES INCLUDED THAT NEED TO BE FILLED OUT

 

SAMPLE ANSWER

Group Therapy Progress Note American Psychological Association

Client: James Henry Date:  October 5th , 2019 Group name: Henrys Minutes: 40 minutes Group session # 5 Meeting attended is #: 5 for this client. Number present in group 2 of 2. Scheduled Start time: 10.40 am End time: 11.20am.

Assessment of client  1. Participation level: ❑ Active/eager ❑ Variable ❑ Only responsive ❑ Minimal ❑ Withdrawn

  1. Participation quality: ❑ Expected ❑ Supportive ❑ Sharing ❑ Attentive ❑ Intrusive ❑ Monopolizing ❑ Resistant ❑ Other: _____________________________________
  2. Mood: ❑ Normal ❑ Anxious ❑ Depressed ❑ Angry ❑ Euphoric ❑ Other: _______________
  3. Affect: ❑ Normal ❑ Intense ❑ Blunted ❑ Inappropriate ❑ Labile ❑Other:_______________
  4. Mental status: ❑ Normal ❑ Lack awareness ❑ Memory problems ❑ Disoriented ❑ Confused ❑ Disorganized ❑ Vigilant ❑ Delusions ❑ Hallucinations ❑Other:__________________
  5. Suicide/violence risk: ❑ Almost none ❑ Ideation ❑ Threat ❑ Rehearsal ❑ Gesture ❑ Attempt
  6. Change in stressors: ❑ Less severe/fewer ❑ Different stressors ❑ More/more severe ❑ Chronic
  7. Change in coping ability/skills: ❑ No change ❑ Improved ❑ Less able ❑ Much less able
  8. Change in symptoms: ❑ Same ❑ Less severe ❑ Resolved ❑ More severe ❑ Much worse 10.

Other observations/evaluations:

 

The patient shows normal physical health

In-session procedures:

 

The session used cognitive behavioral therapy as a technique for enhancing counseling.

 

Homework: 1. 2. 3.

Other Comments:

The client is stabilizing  from his depression.

 

Group Therapy Progress Note American Psychological Association

Client: Adelide Henry Date:  October 5th , 2019 Group name: Henrys Minutes: 40 minutes Group session # 5 Meeting attended is #: 5 for this client. Number present in group 2 of 2. Scheduled Start time: 10.40 am End time: 11.20am.

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Assessment of client  1. Participation level: ❑ Active/eager ❑ Variable ❑ Only responsive ❑ Minimal ❑ Withdrawn

  1. Participation quality: ❑ Expected ❑ Supportive ❑ Sharing ❑ Attentive ❑ Intrusive ❑ Monopolizing ❑ Resistant ❑ Other: _____________________________________
  2. Mood: ❑ Normal ❑ Anxious ❑ Depressed ❑ Angry ❑ Euphoric ❑ Other: _______________
  3. Affect: ❑ Normal ❑ Intense ❑ Blunted ❑ Inappropriate ❑ Labile ❑Other:_______________
  4. Mental status: ❑ Normal ❑ Lack awareness ❑ Memory problems ❑ Disoriented ❑ Confused ❑ Disorganized ❑ Vigilant ❑ Delusions ❑ Hallucinations ❑Other:__________________
  5. Suicide/violence risk: ❑ Almost none ❑ Ideation ❑ Threat ❑ Rehearsal ❑ Gesture ❑ Attempt
  6. Change in stressors: ❑ Less severe/fewer ❑ Different stressors ❑ More/more severe ❑ Chronic
  7. Change in coping ability/skills: ❑ No change ❑ Improved ❑ Less able ❑ Much less able
  8. Change in symptoms: ❑ Same ❑ Less severe ❑ Resolved ❑ More severe ❑ Much worse 10.

Other observations/evaluations:

 

The patient shows coherence in communication with a stable mental orientation

In-session procedures:

The session used cognitive behavioral therapy.

Homework: 1. 2. 3.

Other Comments:

The client depicts some anxiety symptoms.

 

 

 

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