I just need to 2 responses to the Discussions, and about 100 words for each responses.    1. The Las Vegas incident was an infamous event that should have never happened. Although it was an unfortunate incident, public health programs can be provided and developed for future preventions. New programs can be developed in ways to prevent shootings to occur by giving resources and knowledge on how to protect themselves from these incidences.

 hi dear,

I just need to 2 responses to the Discussions, and about 100 words for each responses.

 

1. The Las Vegas incident was an infamous event that should have never happened. Although it was an unfortunate incident, public health programs can be provided and developed for future preventions. New programs can be developed in ways to prevent shootings to occur by giving resources and knowledge on how to protect themselves from these incidences. There have been way too many shooting incidents and this should start with the government rather than the public health programs. Once the government has made a move then public health programs should follow and begin to develop programs to help prevent future catastrophes. The type of injuries that can result from this incident are shot wounds, broken bones from running and tripping over themselves because people were in panic mode and had to run for their lives. First responders can be exposed to shot wounds and broken bones as well. Furthermore, each individual should take a stand in helping build and develop public health programs for those affected by catastrophes such as the Las Vegas shooting. It’s imperative that the government should take action in furthering protecting it’s citizens from horrific events because if no one takes action then more incidents like these will continue to occur.

2.  The checklist I chose came from Department of Transportation cite. I live in a rural part of Kentucky, where the average person who lives outside of city limits, lives miles away from a proper walkway/sidewalk. If I wanted to walk on a sidewalk I could have to drive into the city and find a place to start and then decide a place to stop. While most people would say go to the local park, I would not take my child there, because the small inadequate parks that are available are drug riddled and you do not know what kind of shady people will be there. Two things that can be done to improve my community are safer parks, so cleaning up the high drug areas would be important, but difficult. Secondly what sidewalks there are would need to be significantly repaired, as the current sidewalks are cracked and extremely difficult to push a stroller on. I have learned that within my community the only people who do walk and utilize are those with either no transportation (can’t drive for various reasons) or those that are begging on the side of the road (this is not uncommon, but it is however rare.) A second thing I have learned is that the sketchy parks are located near apartment complexes that have the cops called to on at least a weekly basis for various drug related circumstances. I believe this was done in order to help the children that live in those situations have a way to go and play outside, but it makes for an unsafe environment for those children and my own. Unfortunatel, I do not see any of this changing in the near future, so just getting up and going walking where I live currently has to be back in the field with no stroller, so I’ll have to wait until my baby is a little more capable.

Thanks,

 

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Which nursing theory do you feel will have the greatest impact on your practice and why. Is there an article that you particularly found most useful in utilizing theory in your area of practice?

Theory provides the basis of understanding the reality of nursing; it enables the nurse to understand why an event happens. Please share your thoughts about nursing theory.

Which nursing theory do you feel will have the greatest impact on your practice and why.

Is there an article that you particularly found most useful in utilizing theory in your area of practice?

Which of the units’ discussion questions did you find most challenging; discuss why you chose that one?

Which discussion did you find more useful to understand nursing theory and its application in your area of practice?

Supplement your discussion with personal and professional experiences.

Responses need to address all components of the question, demonstrate critical thinking and analysis, and include peer reviewed journal evidence to support the student’s position.

 

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Write a 1-2 page paper in APA format paper on the following topic.From the holistic therapies you are aware of, identify one that interests you. Could you integrate this holistic modality into your community project? Would it be applicable across variables such as age, culture and disability? If you are unfamiliar with any holistic therapies, please do a quick web-search! 

Write a 1-2 page paper in APA format paper on the following topic.From the holistic therapies you are aware of, identify one that interests you. Could you integrate this holistic modality into your community project? Would it be applicable across variables such as age, culture and disability? If you are unfamiliar with any holistic therapies, please do a quick web-search!

  • Reflect on the community needs you have identified, and identify a health promotion topic you select as the focus of the community program project.
  • Think about barriers within the community that might interfere with improving health behavior outcomes.
  • Consider whether there are community resources designed to address the community needs you identified and help patients overcome barriers and minimize risk behaviors (i.e., health promotion media, handouts, support groups, etc.).
  • If there are no resources available within this community, think about the resources that could be offered at clinics and other community locations.
 

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This week’s assignment will provide information regarding marketable objectives found within the strategic plan for your chosen HCO. The information can be applied to the Introduction portion of the marketing plan for your Final Project. After reading Chapter 7 and reviewing the strategic plan of your chosen healthcare organization, construct a three- to four-page paper in which you discuss the following:

Please have this done by 6pm EST tomorrow. My chosen HCO is Medical University of South Carolina in Charleston, S.C.

The Importance of Marketable Objectives

This week’s assignment will provide information regarding marketable objectives found within the strategic plan for your chosen HCO. The information can be applied to the Introduction portion of the marketing plan for your Final Project. After reading Chapter 7 and reviewing the strategic plan of your chosen healthcare organization, construct a three- to four-page paper in which you discuss the following:

  • The key marketing objectives found in your chosen HCO’s strategic plan
  • Why the objectives fit the role of the health care organization
  • What key marketing objectives a marketing director should focus on when developing a marketing plan (Explain your reasoning.)

The paper

  • Must be three to four double-spaced pages in length (not including the title page and references page) and formatted according to APA style
  • Must include a separate title page with the following:
    • Title of paper
    • Student’s name
    • Course name and number
    • Instructor’s name
    • Date submitted
  • Must use at least three scholarly sources in addition to the course text.
  • Must document all sources in APA style
  • Must include a separate references page that is formatted according to APA style
 

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Share an experience where you cared for a patient in the healthcare setting who was from a culture different from your own. How did you accommodate this patient’s needs? How would you apply the Purnell Model to future cultural encounters? Which one of the twelve domains of culture from the Purnell Model do you feel is most important? Why?

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Share an experience where you cared for a patient in the healthcare setting who was from a culture different from your own. How did you accommodate this patient’s needs? How would you apply the Purnell Model to future cultural encounters?
Which one of the twelve domains of culture from the Purnell Model do you feel is most important? Why?

Cultural accommodation is a priority in healthcare and daily life. Nursing professionals must willingly adapt to different cultures to provide excellent service. Cultural competence is a requirement that increases awareness of not only patients but also of the socioeconomic status. Paying special attention to the patient’s needs will also build rapport, reassure patient and provide a safe and comfortable environment.
A couple of Asian and Hispanic decent was accompanied to the inpatient rehab unit. The male patient of 86 years was the patient admitted with a left hemorrhagic stroke and right sided weakness. The husband was Spanish and could not follow simple commands in English. The wife was 83 years old and was of Asian descent but spoke fluent Spanish, but could not relate in English. This was proven to be a tough task during the admission process. However, I realized that by smiling and speaking slowly the husband/patient became more cooperative. The uncertainty of asking questions and receiving incomplete or no response was a major concern. Instead of panicking, the idea of utilizing the hospital policy for communication arose. The “blue” phone was the answer to the problem, so it was retrieved from storage and communication was in full effect. This communication device was used to call a medical interpreter instead of relying on a family member.
In addition, the nonverbal communication was a dominant component to displaying cultural competency. Smiling with the patient and wife was sufficient in gaining their trust. The Purnell model helped to certify how important competence, patience and cultural accommodation is. By initiating this model, the nurse will understand that patient population continues to change and become more diverse than once before. The most important domain in the Purnell model is communication because this transcends across all cultures. With proper communication, patients, family and clinical professionals may become more competent and culturally aware.

 

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What are your job responsibilities? A: As an on-call nurse, my main job is new patient intakes after business hours.  This includes going into the homes of patients who are admitted under hospice care.  During these intake assessments it is my job to record and take vital signs, educate families and patients on the disease, prognosis, treatments, and hospice care, and to ensure that families and patients understand and agree with the plan of care.  On routine visits it is my responsibility to again assess patients, record vital signs, as well as monitor any changes from previous visits and report changes to our providers on staff.

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Public health nursing involves working with communities and populations as equal partners, and focusing on primary prevention and health promotion (Kulbok, Thatcher, Park, Meszaros, 2012). There are many types of public health nurses in the area I live in including home health nurses, health department nurses, free clinic nurses, and home hospice nurses. Community based nursing involves collaboration and partnerships with communities and populations to address health and social conditions and problems.  The nurse I interviewed for this discussion, Jennifer, is a registered nurse who takes home call for Community Hospice, a locally owned hospice service in the Vidalia area.  I have dealt with this facility on a personal and professional level and there is no greater community centered facility in our area more so than Community Hospice.

Q: What are your job responsibilities?

A: As an on-call nurse, my main job is new patient intakes after business hours.  This includes going into the homes of patients who are admitted under hospice care.  During these intake assessments it is my job to record and take vital signs, educate families and patients on the disease, prognosis, treatments, and hospice care, and to ensure that families and patients understand and agree with the plan of care.  On routine visits it is my responsibility to again assess patients, record vital signs, as well as monitor any changes from previous visits and report changes to our providers on staff.

Q: Does a correlation exist between your job description and your practice?

A: Although she has a very clear job description laid out for her, she explains that her duties go far beyond the typical hands on patient care the typical nurse sees in the office or hospital setting.  She explains hospice is a special kind of job where you not only care for the patient but patient’s families as well.  She explains sometimes the care for the patient includes caring for them family and helping them cope with the prognosis of death.

Q: Are you involved in policy formulation that affects client services?

A: Jennifer describes her work environment and boss as exceptional.  All staff are seen as equals and their opinions valued to the fullest.  Each day they have a meeting where all staff who reports to the Hospice House that day go through reports as well as ideas to make their jobs successful.  She states having supportive staff members makes it easy to help policy implementation and change.

Q: Do you belong to a professional organization related to your current job position?

A: Currently Jennifer explains she is not involved in an organization related to hospice care. However there is an organization that several of her fellow employees are members of which is the National Hospice and Palliative Care Organization (NHPCO). This organization’s mission is the largest nonprofit membership organization representing hospice and palliative care programs and professionals in the United States. The organization is committed to improving end-of-life care and expanding access to hospice care with the goal of profoundly enhancing quality of life for people dying in America and their loved ones (NHPCO 2018). This organization helps support and update hospice based nurses on any advances in their area of nursing as well as provide support.

 

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Write a paper (2,000-2,500 words) in which you apply the concepts of epidemiology and nursing research to a communicable disease. Refer to “Communicable Disease Chain,” “Chain of Infection,” and the CDC website for assistance completing this assignment.

Write a paper (2,000-2,500 words) in which you apply the concepts of epidemiology and nursing research to a communicable disease. Refer to “Communicable Disease Chain,” “Chain of Infection,” and the CDC website for assistance completing this assignment.

Communicable Disease Selection

Choose one communicable disease from the following list:

  1. Chickenpox
  2. Tuberculosis
  3. Influenza
  4. Mononucleosis
  5. Hepatitis B
  6. HIV
  7. Ebola
  8. Measles
  9. Polio
  10. Influenza

Epidemiology Paper Requirements

Address the following:

  1. Describe the communicable disease (causes, symptoms, mode of transmission, complications, treatment) and the demographic of interest (mortality, morbidity, incidence, and prevalence). Is this a reportable disease? If so, provide details about reporting time, whom to report to, etc.
  2. Describe the determinants of health and explain how those factors contribute to the development of this disease.
  3. Discuss the epidemiologic triangle as it relates to the communicable disease you have selected. Include the host factors, agent factors (presence or absence), and environmental factors. (The textbook describes each element of the epidemiologic triangle). Are there any special considerations or notifications for the community, schools, or general population?
  4. Explain the role of the community health nurse (case finding, reporting, data collecting, data analysis, and follow-up).
  5. Identify at least one national agency or organization that addresses the communicable disease chosen and describe how the organization(s) contributes to resolving or reducing the impact of disease.
  6. Discuss a global implication of the disease. How is this addressed in other countries or cultures? Is this disease endemic to a particular area? Provide an example.

A minimum of three peer-reviewed or professional references is required.

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.

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

NRS427V-RS-CommunicableDiseaseChain.doc

 

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What clinical manifestations are present in Ms. G and what recommendations would you make for continued treatment? Provide rationale for your recommendations.

The case scenario provided will be used to answer the discussion questions that follow.

Case Scenario

Ms. G., a 23-year-old diabetic, is admitted to the hospital with a cellulitis of her left lower leg. She has been applying heating pads to the leg for the last 48 hours, but the leg has become more painful and she has developed chilling.

Subjective Data

  • Complains of pain and heaviness in her leg.
  • States she cannot bear weight on her leg and has been in bed for 3 days.
  • Lives alone and has not had anyone to help her with meals.

Objective Data

  • Round, yellow-red, 2 cm diameter, 1 cm deep, open wound above medial malleolus with moderate amount of thick yellow drainage
  • Left leg red from knee to ankle
  • Calf measurement on left 3 in > than right
  • Temperature: 38.9 degrees C
  • Height: 160 cm; Weight: 83.7 kg

Laboratory Results

  • WBC 18.3 x 10¹² / L; 80% neutrophils, 12% bands
  • Wound culture: Staphylococcus aureus

Critical Thinking Questions

  1. What clinical manifestations are present in Ms. G and what recommendations would you make for continued treatment? Provide rationale for your recommendations.
  2. Identify the muscle groups likely to be affected by Ms. G’s condition by referring to “ARC: Anatomy Resource Center.”
  3. What is the significance of the subjective and objective data provided with regard to follow-up diagnostic/laboratory testing, education, and future preventative care? Provide rationale for your answer.
  4. What factors are present in this situation that could delay wound healing, and what precautions are required to prevent delayed wound healing? Explain.
 

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Nurse practitioners can practice in many locations and can be a clinical practice as well as a consulting business, educational business. Read through the list and use it to develop your own business plan presentation. The presentation must have no more than 15 slides including the title and reference page and must have the following headings

Employment and Business entrepreneurship

Starting and managing a practice

Independent contactor.

 

Presentation

Business Ideas for Nurse Practitioner

Entrepreneur

 

Nurse practitioners can practice in many locations and can be a clinical practice as well as a consulting business, educational business. Read through the list and use it to develop your own business plan presentation. The presentation must have no more than 15 slides including the title and reference page and must have the following headings:

  1. Concept Statement: What are the benefits of your product or service? Presenting the practice idea, reason for selecting this area and summarizes the general plan.
  2. Marketing Plan: What is the target market and how will you penetrate it? Presents the need for the practice, who it will be marketed to and why that group. Present a sample of a marketing strategy (i.e. magazine, tv or radio ad)
  3. Development: How will you develop and produce the product or service? What are the risks of the venture and what can you do to reduce these risks?
  4. Finance & Accounting: What are the financial implications of the plan? What resources, including funding, are required to successfully create the business plan? Show how you will support the business (billing). Expenses, contracts, building space et.
  5. Legal Considerations: Identify any legal considerations the business team might foresee. Collaboration, protocols, state regulations, local regulation, licenses, certifications needed the business.

 

Clinical   Practice

Consulting

Educational

Retail

Other

A practice providing drug screening   (pre-employment, legal documentation, etc

Corporate Wellness Consultant

Continuing Education Provider – yourself as   the teacher, bring in other providers to do the teaching

Health and Beauty Spa providing aesthetic   skin care treatments and other services

Author

Aesthetics

Infection Control Consultant

Prep Courses for certificate and or   licensing exams

Nutritional and Herbal Supplements

Speaker

Corporate Practice o Wellness, Primary Care,   Occupational

Occupational Health Consultant

Training of nurses, NP’s (AED, PALS, ACLS,   EKGs, Specialty Procedures,, etc)

Health Food Retail Store

Radio Show Personality

Diabetes Specialty Practice

Case Manager – such as for Geriatrics, life   planning, estate planning

Public Health Education to the public

Fitness Facility/Spa

TV Show Personality

HIV/AIDS Specialty Care

Health Coach – shouldn’t this emerging   field belong to Nurses and Nurse Practitioners? o Wellness, Lifestyle   changes, Menopause, etc

 

Own a retail health clinic

Product Developer

Holistic/Alternative Health Care Practice

Staffing Agencies

 

 

Legal consultants

Holistic/Alternative Health Care Practice

Patient Care Navigator

 

 

Adult Day Care business

 

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