Disorders of the Bladder and Lower Urinary Tract

Alvita is a frail 89-year-old woman residing in a nursing home. She is able to move slowly around the residence with the use of a walker, but appreciates when her daughter is there to hold her arm and walk alongside her. When one of the health care staff changes Alvita, her daughter helps. Alvita’s incontinence has progressed, particularly over the last six years since she has resided in the nursing home. Alvita can smile at her lack of bladder control, however, and says that her incontinence really began when she was a young woman, just after the birth of her second daughter.

1. Alvita’s mobility is limited. How does this affect continence in the elderly?
2. Shortly after the birth of her second daughter, Alvita experienced mild incontinence, particularly after laughing or coughing. What was she experiencing? What is the pathophysiology behind this type of incontinence?

Assignment Requirements:

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• be sure to read the Assignment description carefully (as displayed above);
• consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary; and
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• Your writing Assignment should:
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How to Submit:

Submit your Assignment to the unit Dropbox before midnight on the last day of the unit.

Make sure all parts are covered. make sure we put 3 peers reviews citations less than 5 years old. thank you

 

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“The nursing profession is the largest segment of the US healthcare workforce with more than 3 million members (Ross, Fitzpatrick, Click, Krouse, & Clavelle, 2014).” This means that today, the need to develop nurse leadership skills have never been greater (Marquis & Huston, 2017). Nurse leaders should be integrated as managers. Six characteristics to make a good leader-manager is they think longer term, the look toward the larger organization, they are good influencers, they are politically astute, and they think in terms of change and renewal. (Marquis & Huston, 2017)

“Nurse Managers are an essential contributor to excellence in nursing practice, staff nurse engagement, and patient satisfaction, and are responsible for creating and supporting an environment to develop staff nurses into leaders (Keys, 2014).” Some leaders struggle with being a leader and being a manager. I once had a manager that all she wanted to do was manage and not be a leader. She had a tone, and people were afraid to go to her to talk about any issues they had because they were afraid of getting in trouble. I had another nurse, who is a charge nurse, who all he wanted to do was move up the latter and continue being everyone’s friend. He would not have those conversations that some nurses need to have. He would not manage his team and that caused issues with upper management because then they had to pick up his slack.

There has to be a balance between the leader and manager style. Effective leaders should be able to have great communication with all staff, be knowledgeable, and approachable. They can manage a unit, and still be friendly but there needs to be a line between leader and friend.You cannot be one without the other, but too much of one can cause more harm than good. Leadership characteristics should be integrated into every step on the management process to help nurses with the transition. (Marquis & Huston, 2017)

 

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Question Description

Please write a paragraph with your opinion based on the text bellow. Please include citations and references in case you need to used for the question.

One way we can learn how to appreciate what role nursing organizations have is by exploring the many benefits they have to offer when you acquire membership. For example, some join to learn what’s going on and stay current in their field or specialty. Others want to network or enjoy the peer recognition that comes from being an active member of a major organization. You can attend educational conventions and meet nurses of the same or even different specialties. You can pick their brain and listen to different ways of how others are handling some of the same issues you face. Most importantly, nursing organizations also play a role in the legislative process; just not as much as we would like it to. Which is why it is essential that nurses become involved. The healthcare system is in need of change, it is important now more than ever that nurses step out of their comfort setting and lobby and advocate in the realm of policy, law and politics. The problem is that nurses most likely don’t feel prepared in this area. Successful policy advocacy depends on having the power, the will, the time, and the energy, along with the political skills needed to ‘play the game’ in the legislative arena (Abood, 2007). Nurses are the frontline providers of care, who better than to develop these policies and laws that are directly impacting patients and their care.

References:

Abood, S. (2007). Influencing Healthcare in the Legislative Arena. Retrieved on June 4, 2018 from http://ojin.nursingworld.org

 

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Please do a paragraph about this post with this instruction .

post most have 4 or more sentences .

you also have to have a high quality post from a content perspective. This means it also needs to do more than agree with or praise a class mate. If you agree with a classmate, explain why, give an example, share what you learned in the reading

Considering the heightened importance of evidence-based practice in healthcare settings, incorporating evidence-based practice into the nursing curriculum, especially in baccalaureate programs is essential because this is a first step to prepare students for their professional role as an RN, and the undergraduate nursing students are the ones who will spend the most time with patients at their bedside providing direct care” (Martin, 2011). Another essential component of EBP integration into practice is that new graduates are more passionate and interested in changing or improving current practice skills and techniques and have fresh eyes to see what is not working or what could be improved upon. Older nurses who have been working for a while may have seen changes already and do not want to develop new ideas. Perhaps they felt in the past that the changes did not affect patient outcome and so decided to go back to the old ways. Perhaps the older nurse is too job tried to accept new changes and are not comfortable with the new way of doing things. As a new graduate, it is our responsibility and role to implement these changes if the evidence points to patient benefits and lower cost reduction to the health care facility. There are many ways of facilitating changes but testing out the culture and climate of the unit is very important and making sure the majority of the staff will buy into the changes. You can present all the evidence in the world but if you staff is not willing or nervous about the changes, the EBP project will not go far.

 

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