Author: admin

Submit in APA format, a 3-4 page Measles Case Study.

Introduction

Link to and Review the CDC statement on the 2018-2019 Measles outbreak:

https://www.cdc.gov/media/releases/2019/s0424-highest-measles-cases-since-elimination.html

QUESTION:
Define and discuss primary prevention and its importance to public health. Provide an overview of the role immunizations play. How do global immunization rates impact the US public health? Briefly describe the current measles outbreak in New York City.

BUY A PLAGIARISM-FREE PAPER HERE

Cultural Considerations: 

Link here for popular science article on cultural considerations in the current measles outbreak.(Links to an external site.)Links to an external site.

https://www.popsci.com/current-measles-outbreaks-information-update

 

SEE ATTACHED PDF for 2019 Lancet article, 
Measles resurgence in the USA: how international travel compounds vaccine resistance

QUESTION
: Explain the cultural and philosophical aspects of the current outbreak. How do these ideological beliefs set in motion a measles disease outbreak?

Synthesize the two (2) main causes of the current U.S. Measles outbreak.  How is this a global health problem?

 

Current US measles rates

The HP 2020 goal is to increase immunization rates and reduce preventable infectious diseases.  Link here and review the 
Health People 2020 objective of Immunizations and Infectious Diseases (IID).

https://www.healthypeople.gov/2020/topics-objectives

 

Find the > IID Objectives > IID 1.4. > HP2020 target number of measles cases/year.

Link here for CDC’s latest number of measles count.

https://www.cdc.gov/measles/cases-outbreaks.html

 

QUESTION:
What is HP 2020 target number of measles cases?  How does the HP 2020 target number (from above HP 2020 link) compare to the current US cases reported by CDC? Contrast and compare your findings Measles Case Study.

 

Link and find the HP 2020 > IID Objective > lIID 7.4 > 19-35 mo old children with MMR 1-dose Vaccine coverage level > target % coverage.

https://www.healthypeople.gov/2020/topics-objectives/topic/immunization-and-infectious-diseases/objectives

 

Link on the following for American Academy of Pediatrics U.S.  interactive map (also for 19-35 mo old children with MMR 1-dose vaccine coverage) and click on NY state:

https://www.aap.org/en-us/advocacy-and-policy/aap-health-initiatives/immunizations/Pages/Across-America.aspx

 

QUESTION:
What is HP 2020 target % 19-35 month-old children for 1-dose of MMR vaccine coverage?  How does that compare to NY State? Contrast and compare your findings. Measles Case Study.

Conclusion:

Find a well-sourced video or website (i.e., .gov., .org., no .com)  that could be used for health education for the NYC community. Who is/are the sponsors for this video or website? Write a concluding paragraph that summarizes your case study.

 

Follow APA format requirements with a title page, paragraph organization, good sentence structure, grammar and spelling.  Include a reference page Measles Case Study.

Nursing Clinical Packet Patient Assessment and Care Plan

Instructions to student:

BUY A PLAGIARISM-FREE PAPER HERE

1)            Bring one copy of this packet with you to clinical each week.

2)            Your instructor will inform you of the number of packets and the dates each packet is due.  They may have you complete only portions of or all of the packet.

3)            Read the rubric! Each packet is Pass/Fail. You must meet the requirements listed to receive a Pass.  Your instructor may ask you to resubmit packets that are incomplete or incorrect.

4)            If your instructor asks you to submit the packet electronically, then please record your answers in bold or in a colored or lower case font.  This helps us identify your answers more quickly. Nursing Clinical Packet Patient Assessment and Care Plan.

 

PATIENT ASSESSMENT FORM

STUDENT NAME:

DATE:

                                                                                                 

CLIENT INITIALS:

ROOM #

DOB:

AGE

GENDER:

ADMISSION DATE:

CODE STATUS:

ALLERGIES:

MARITAL STATUS:

OCCUPATION (FORMER):

MEDICAL DX:

CHIEF COMPLAINT:

PAST HISTORY (SURGERY/PROCEDURES) WITH DATES

ORDERS

RATIONALE (Why is this ordered for this client???)

EXAMPLE:

  DIET

2 g Sodium diet with nectar thick liquids only

Sodium is restricted due to edema in the bilateral lower extremities and nectar thick liquids due to dysphagia from a past stroke.

DIET

ACTIVITY

I/O

VS

BGM

FOLEY

NG

PEG/PEJ TUBE

WOUND CARE

RESPIRATORY TREATMENT

Nursing Clinical Packet Patient Assessment and Care Plan

TRACHEOSTOMY

SUCTIONING

CHEST TUBE

SPECIAL EQUIPMENT

LAB ORDERS

OTHER

REHAB SERVICES

ACTIVITY OR TREATMENT PLAN & SCHEDULE

RATIONALE

PHYSICAL THERAPY

SPEECH THERAPY

OCCUPATIONAL THERAPY

 

 

      / 5 pts

 

IVs

IV FLUID AND RATE:

SITE LOCATION AND CONDITION:

LAST DRESSING CHANGE:

LAST TUBING CHANGE:

GAUGE:

REASON FOR IV ACCESS:

 

DIAGNOSTIC TESTS: 

DATE

RESULTS

REASON FOR TESTING AND IMPLICATIONS FOR NURSING CARE

 

LAB TEST

DATE

RESULTS

NORMS REFERENCE RANGES

IMPLICATIONS FOR NURSING CARE (WHAT S&S I SHOULD BE AWARE OF AND WHAT YOU CAN DO TO HELP IMPROVE AN ABNORMAL RESULT?)

 

GROWTH and DEVELOPMENT:  (
see pages 378-379 Taylor, Lillis and White) or (Erikson’s Stages of Development)

CLIENT’S DEVELOPMENTAL STAGE ACCORDING TO HAVIGHUSRT

TASKS OF THIS STAGE:

 

 

 

ASSESSMENT OF CLIENT’S SUCESSFUL ACHIEVEMENT OF TASKS

 

 

 

 

      / 5 pts

 

MEDICATIONS

If your client has more than 12 medications, select the 12 medications that are most important, most frequently given or those that pertain to the client’s most significant medical problems.  See the example below. Nursing Clinical Packet Patient Assessment and Care Plan.

 

Brand Name and Generic Name

Normal Dosage Ranges

Contraindications

Coreg (carvedilol)

 

3.125 mg – 50 mg BID

Asthma, heart block

Pharmacotherapeutic Class

Dosage, Route & Frequency

Adverse Reactions

β-adrenergic blocker

 

6.25 mg p.o. BID

Bradycardia, CHF, thrombocytopenia, hyperglycemia, bronchospasm

Why this Patient Receives this Med

Effects of the Med on the Client

Nursing Considerations and Teaching

He has a history of hypertension but has been taking Coreg for 2 years to control his hypertension

 

BP’s for past 3 days have been 128/78, 132/72, 138/80

 

How is this medication impacting your client??B/P readings, lab results, pain management, etc……..

Do not discontinue abruptly or before surgery

Caution with Upper airway dysfunction Nursing Clinical Packet Patient Assessment and Care Plan

Rise slowly to minimize orthostatic hypotension, check B/P and heart rate prior to administration

Take before meals

 

 

#1 Brand Name and Generic Name

Normal Dosage Ranges

Contraindications

 

 

Pharmacotherapeutic Class

Dosage, Route & Frequency

Adverse Reactions

 

 

Why this Patient Receives this Med

Effects of the Med on the Client

Nursing Considerations and Teaching

 

 

 

 

#2 Brand Name and Generic Name

Normal Dosage Ranges

Contraindications

 

 

#3 Pharmacotherapeutic Class

Dosage, Route and Frequency

Adverse Reactions

 

 

Why this Patient Receives this Med

Effects of the Med on the Client

Nursing Considerations and Teaching

 

 

 

#4 Brand Name and Generic Name

Normal Dosage Ranges

Contraindications

 

 

Pharmacotherapeutic Class

Dosage, Route and Frequency

Adverse Reactions

 

 

Why this Patient Receives this Med

Effects of the Med on the Client

Nursing Considerations and Teaching

 

 

 

#5 Brand Name and Generic Name

Normal Dosage Ranges

Contraindications

 

 

Pharmacotherapeutic Class

Dosage, Route and Frequency

Adverse Reactions

 

 

Why this Patient Receives this Med

Effects of the Med on the Client

Nursing Considerations and Teaching

 

 

 

# 6 Brand Name and Generic Name

Normal Dosage Ranges

Contraindications

 

 

Pharmacotherapeutic Class

Dosage, Route and Frequency

Adverse Reactions

 

 

Why this Patient Receives this Med

Effects of the Med on the Client

Nursing Considerations and Teaching

 

 

 

#7 Brand Name and Generic Name

Normal Dosage Ranges

Contraindications

 

 

Pharmacotherapeutic Class

Dosage, Route and Frequency

Adverse Reactions

 

 

Why this Patient Receives this Med

Effects of the Med on the Client

Nursing Considerations and Teaching

 

 

 

#8 Brand Name and Generic Name

Normal Dosage Ranges

Contraindications

 

 

Pharmacotherapeutic Class

Dosage, Route and Frequency

Adverse Reactions

 

 

Why this Patient Receives this Med

Effects of the Med on the Client

Nursing Considerations and Teaching

 

 

 

#9 Brand Name and Generic Name

Normal Dosage Ranges

Contraindications

 

 

Pharmacotherapeutic Class

Dosage, Route and Frequency

Adverse Reactions

 

 

Why this Patient Receives this Med

Effects of the Med on the Client

Nursing Considerations and Teaching

 

 

 

#10 Brand Name and Generic Name

Normal Dosage Ranges

Contraindications

 

 

Pharmacotherapeutic Class

Dosage, Route and Frequency

Adverse Reactions

 

 

Why this Patient Receives this Med

Effects of the Med on the Client

Nursing Considerations and Teaching

 

 

 

#11 Brand Name and Generic Name

Normal Dosage Ranges

Contraindications

 

 

Pharmacotherapeutic Class

Dosage, Route and Frequency

Adverse Reactions

 

 

Why this Patient Receives this Med

Effects of the Med on the Client

Nursing Considerations and Teaching

 

 

 

#12 Brand Name and Generic Name

Normal Dosage Ranges

Contraindications

 

 

Pharmacotherapeutic Class

Dosage, Route and Frequency

Adverse Reactions

 

 

Why this Patient Receives this Med

Effects of the Med on the Client

Nursing Considerations and Teaching

 

 

 

 

      / 20 pts

 

 

 

 

 

NURSES NOTES FOR CLINICAL

For this clinical, we are having you write out your assessment findings in the form of a narrative nurse’s note.  We have provided some samples of assessments. We have also provided a worksheet that you may use to take into a patient’s room to take notes during your assessment. Record your vital signs and type your physical assessment findings. This form will expand to fit your typing.  A sample of charting for a long term care resident follows below.

TEMP:

APICAL HR:

RESP:

BP:

HT:

WT:

 

DATE / TIME

(TYPE HERE)

 

 

Sample Narrative Note
— Head to Toe format

 

Temp: 98.6

Apical HR: 72

Resp: 16

BP  128/62

Ht: 5’10”

Wt:  145

 

12/22/2010         1400

Resident in semi-fowlers position in bed.  Pressure reduction mattress in place.  Alert and oriented x 3. Appropriate mood and affect. Well groomed.  Recent and remote memory intact. Facial symmetry noted. Pupils are equal, reactive to light and accommodation.  Oral mucosa moist, pink.  Frequent oral care rendered with sponge toothette and toothbrush. Dentition intact.  Hearing intact. Oropharynx clear without erythema or exudate. No chewing or swallowing difficulties. 75% of general diet taken at breakfast. Skin pink, warm, dry, free of lesions with elastic turgor.  Hair and nails unremarkable.  Carotid and radial pulses present and equal. Motor and sensory functions grossly intact. No weakness or paralysis.  Upper extremities equal strength bilaterally, full ROM w/ capillary refill < 3 sec. Fine resting tremor in the left hand” No involuntary movement or abnormal posture.   Lungs clear bilaterally to auscultation. Tracheostomy dressing clean, dry, and intact. Connected to ventilator with settings: TV-550, Fio2-40%, Rate 10, and PEEP-5cm. Sao2-92%. Suctioned for moderate amount of white, thin secretion. Apical pulse regular (rate) and rhythm. Double lumen picc line note to left antecubital space. Tegaderm dressing is clean, dry, and intact. Last dressing change on 11/28/16. Chlorhexadine caps intact to all lumens.  Bowel sounds active x 4.  Abdomen soft, non-distended, non-tender. Last bowel movement this morning, passed a large, soft- formed brown stool and a moderate amount of clear yellow urine. Bilateral lower extremities, no tenderness, swelling or joint deformities noted.  Denies numbness or tingling to extremities. Toe nails thick and yellowed w/ capillary refill < 3 sec.  No peripheral edema noted, pedal pulses palpable and equal bilaterally.   PHYSICAL ASSESSMENT WORKSHEET ( Use this sheet for jotting down your assessment findings.) ROUTINE FINDINGS PATIENT VARIATIONS/ABNORMALS COGNITION/NEUROLOGICAL (SAMPLE)   Alert and oriented x3, recent and remote memory intact. Denies any numbness or tingling to extremities” (SAMPLE) “Fine resting tremor of left hand    SKIN       SENSORY Wound measurements and complete description if available at the very least Document dressing including the type of dressing and description of condition! BREASTS – DEFERRED. RESPIRATORY – (Include ventilator settings as indicated in narrative note)     CARDIOVASCULAR Include any vascular access device, IV lines, AV fistulas, perma -cath lines, etc.     ABDOMEN – . Include any enteral feedings here and route   BOWEL CONTINENCE?    LAST BM?  BOWEL PLAN? MUSCULOSKELETAL –       GENITOURINARY – URINARY CONTINENCE?  TOILETING PLAN?     PELVIC – DEFERRED.   RECTAL – DEFERRED.         / 10 pts   NURSING CARE PLAN Begin your NCP by listing ALL your clients individual problems (at least 10) and then identify an appropriate nursing diagnosis that you can think of that would apply to your client.  Determine which 3 problems/nursing diagnoses are of greatest priority and then add a #1, #2, and #3 to indicate which of the two have highest priority Nursing Clinical Packet Patient Assessment and Care Plan.  Risks would not be priority 1, 2, or 3!!!!! Expectation is to have at least 10 nursing diagnosis listed! #    List the Client problem An appropriate Nursing Diagnosis stem (REFER TO YOUR NURSING DIAGNOSIS LIST) Related to part of the statement  (This is individual to your client) As evidenced by part of the statement (This is individual to your client) REMEMEBR THIS IS NOT USED IN A “Risk For” diagnosis 1 SAMPLE: Reports severe pain in the right hip. “Acute Pain” “related to” fractured right hip “as evidenced by” verbal report of pain rated at an 8 on a scale of 0 –to 10. 2 SAMPLE: Complete bed rest “Risk for Impaired skin integrity” “related to “ immobility NONE it is a “Risk for” diagnosis so there is no evidence statement From the list above your faculty member will give you direction regarding how many and which diagnoses they want you to develop for either a Nursing Care Plan and/or a Concept Map. Nursing Clinical Packet Patient Assessment and Care Plan.   SAMPLE NCP NANDA DIAGNOSIS STATEMENT /RELATED TO STATEMENT/AS EVIDENCED BY STATEMENT:  Acute Pain related to right hip fracture as evidenced by a verbal report of pain rated 8 on a scale of 0 -10.    ASSESSMENT (Data that directly pertains to the above nursing diagnosis) OUTCOME STATEMENT (Patient centered, realistic, specific, measurable, target time) INTERVENTIONS (Individualized, specific, frequency) Minimum of 4-5 interventions per plan SCIENTIFIC RATIONALE (Supporting statement from text or other source, cite source)   EVALUATION OF OUTCOME (Met, partially met, unmet, unknown by target time) SUBJECTIVE DATA:  “My right hip hurts me so much every time I move.  I am so afraid to start physical therapy” SHORT TERM:  Client will report pain level rated at a 3 or lower 30 minutes after pain medication taken 1. Educate the client on the importance of pain relief to enhance her rehabilitation efforts and include education on various types of methods to relieve pain.     2. Encourage client to express any questions or concerns she may have regarding pain management methods to alleviate anxiety and fears.       3.  Educate the client on her responsibility to honestly report pain when it occurs as well as reporting if the current pain management is effective or ineffective for providing her pain relief   4. Provide for alternative/complementary measures of pain relief, such as, reduce lighting and noise, soothing music, pet therapy, massage, and hot/cold packs according to client preferences. 1. “There are many ways to manage pain.  In addition to pharmacologic and non-pharmacologic measures, simple nursing interventions can alter patients’ pain experience and speed their recovery.” Taylor, Lillis and White pg. 1168.   2.   “Common fears include a loss of control and embarrassment by being unable to deal with pain maturely… The patient may view the need of for medication as a sign of weakness or may fear addiction or loss of effectiveness at a later date.” Taylor, Lillis and White pg. 1169.     3. “As a patient advocate, ensure that a strong emphasis on the need for aggressive, individualized strategies that can minimize or eliminate acute pain and improve patient outcomes.  Preventing pain is easier then treating it once after it occurs.”  Taylor, Lillis and White pg. 1178.   4. Alternative/complementary measures will provide an added benefit of distraction from pain experience and augment analgesic effect. Cold/hot therapy can provide constriction and or dilation which will reduce pain inflammation in each specific circumstance Daniels. Pg 378 Short Term Goal: Met; pain was rated at a 2 on a scale of 0 to 10 after administration of Vicodin.           Long Term Goal.  In progress OBJECTIVE DATA: Alert and oriented 70 year old widowed female.  Lives in an apartment independently. 2 daughter live nearby and visit often. History of a fall while out shopping 1 ½ weeks ago.  Right hip surgically repaired 7 days ago.  Surgical dressing to right hip is clean, dry and intact. Circulation, motion and sensation intact to right lower extremity. Afebrile; BP 124/80; R-18 AP 84 and regular. 5 foot 7 inches weighs 142 pounds. No hearing deficits; wears eye glasses Medical history positive for osteoarthritis and osteoporosis Non weight bearing to right leg and to use a walker for ambulation To start physical therapy for gait and strength training BID times 7 days and occupational therapy to develop upper body strength once daily times 7 days Reports pain level is at 8 on a scale of 0 to 10. Has Vicodin 5mg/325 mg po 2 tabs every 4 hours prn for severe pain Ibuprofen 400 mg every 6 hours prn for moderate pain. LONG TERM:  Client will report pain level of 2 or less using ibuprofen with alternative pain control methods by discharge. Nursing Clinical Packet Patient Assessment and Care Plan Short term outcome:  An outcome that can be accomplished by the end of the student clinical day. Interventions:  Each nursing intervention must come from a reliable nursing reference or source.  Please note:  do not use nursing care planning book exclusively.  Not more than one intervention can come from a source outside your textbooks. Rationales:  Cite a reliable source for each intervention (name of text, author, page number, internet site and date retrieved (reliable sites: .gov or .edu. or .org) Nursing Clinical Packet Patient Assessment and Care Plan. NANDA DIAGNOSIS STATEMENT /RELATED TO STATEMENT/AS EVIDENCED BY STATEMENT:   ASSESSMENT (Data that directly pertains to the above nursing diagnosis) OUTCOME STATEMENT (Patient centered, realistic, specific, measurable, target time) INTERVENTIONS (Individualized, specific, frequency) SCIENTIFIC RATIONALE (Supporting statement from text or other source, cite source)   EVALUATION OF OUTCOME (Met, partially met, unmet, unknown by target time) SUBJECTIVE DATA: SHORT TERM: OBJECTIVE DATA: LONG TERM: Short term outcome:  An outcome that can be accomplished by the end of the student clinical day. Interventions:  Each nursing intervention must come from a reliable nursing reference or source.  Please note:  do not use nursing care planning book exclusively.  Not more than one intervention can come from a source outside your textbooks. Rationales:  Cite a reliable source for each intervention (name of text, author, page number, internet site and date retrieved (reliable sites: .gov or .edu. or .org) Nursing Clinical Packet Patient Assessment and Care Plan.         /30   NANDA DIAGNOSIS STATEMENT /RELATED TO STATEMENT/AS EVIDENCED BY STATEMENT:   ASSESSMENT (Data that directly pertains to the above nursing diagnosis) OUTCOME STATEMENT (Patient centered, realistic, specific, measurable, target time) INTERVENTIONS (Individualized, specific, frequency) SCIENTIFIC RATIONALE (Supporting statement from text or other source, cite source)   EVALUATION OF OUTCOME (Met, partially met, unmet, unknown by target time) SUBJECTIVE DATA: SHORT TERM: OBJECTIVE DATA: LONG TERM: Short term outcome:  An outcome that can be accomplished by the end of the student clinical day. Interventions:  Each nursing intervention must come from a reliable nursing reference or source.  .  Please note:  do not use nursing care planning book exclusively.  Not more than one intervention can come from a source outside your textbooks. Rationales:  Cite a reliable source for each intervention (name of text, author, page number, internet site and date retrieved (reliable sites: .gov or .edu. or .org) Nursing Clinical Packet Patient Assessment and Care Plan.         /30     NANDA DIAGNOSIS STATEMENT /RELATED TO STATEMENT/AS EVIDENCED BY STATEMENT:   ASSESSMENT (Data that directly pertains to the above nursing diagnosis) OUTCOME STATEMENT (Patient centered, realistic, specific, measurable, target time) INTERVENTIONS (Individualized, specific, frequency) SCIENTIFIC RATIONALE (Supporting statement from text or other source, cite source)   EVALUATION OF OUTCOME (Met, partially met, unmet, unknown by target time) SUBJECTIVE DATA: SHORT TERM: OBJECTIVE DATA: LONG TERM: Short term outcome:  An outcome that can be accomplished by the end of the student clinical day. Interventions:  Each nursing intervention must come from a reliable nursing reference or source.  .  Please note:  do not use nursing care planning book exclusively.  Not more than one intervention can come from a source outside your textbooks. Rationales:  Cite a reliable source for each intervention (name of text, author, page number, internet site and date retrieved (reliable sites: .gov or .edu. or .org)         /30   3   Key Problem:   Impaired urinary elimination Data: Intake=3800  Output=3200 Polyuria 3+ glucose in urine AEB:  Polydipsia and polyuria Outcomes: Pt. will have urine output of 1000 – 2000 ml/24 hours. Interventions: Monitor I & O q shift. Monitor BGM a.c. and h.s. Monitor kidney function tests Administer antihyperglycemics as ordered. Key Problem:   Knowledge deficit Data:   Pt verbalizes confusion about diagnosis, new meds, diet, exercise routine AEB:  Verbal statements and questions. Nursing Clinical Packet Patient Assessment and Care Plan. Outcomes: Pt will verbalize understanding of ADA diet and administer insulin using appropriate technique by discharge. Interventions: Assess level of knowledge regarding diabetes/ treatment and client’s preferred learning style. Provide information q shift according to teaching plan recorded in EMR and document pt’s response. Reassess level of knowledge daily. Provide written information. Provide educational resources available in the community. 4 Medical Problems (Pathophysiology)/Surgical Procedures: Newly diagnosed diabetic         Key Assessments: S/S of hyper and hypoglycemia, good intake, I/O, glucose level, vitals   Tests: FBS, hemoglobin A1C “I don’t know how this fits” Recent widow Kids live out of state ? support system   1 Key Problem : Acute anxiety Data : Restless, verbally states she is anxious. AEB: Pt states “I don’t know what I will do with diabetes, this is too much.” Outcomes: Pt. will verbalize under-standing of resources available by discharge. Interventions: Provide pt. with an opportunity each shift to verbalize anxiety by asking open ended questions. Demonstrate progressive relaxation exercises and have pt. return demonstrate. Nursing Clinical Packet Patient Assessment and Care Plan. Provide pt. with a list of community resources for newly diagnosed diabetics. Identify client’s perception of anxiety Utilize empathy.   2 Past Medical History:   Hypertension x 20 years; appendectomy at age 9. Risk Factors: Mother had Type 2 diabetes; hypertension; Native American descent; sedentary lifestyle; 290 pounds, age 52 Key Problem: Imbalanced nutrition, more than Data: BMI: 35.0–39.9; Ht: 5”9; Wt: 290 lbs AEB: Anthropometric measurements. Outcomes: Client will verbalize a realistic weight loss goal and three strategies to reach it prior to discharge. Nursing Clinical Packet Patient Assessment and Care Plan. Interventions: Assess client’s knowledge of nutrition and its relationship to diabetes. Arrange for dietary consultation. Reinforce teaching  by dietician. Encourage physical activity as a weight loss strategy. Provide pt with community resources that can assist her with weight loss goal.   “I DON’T KNOW HOW THIS FITS” PAST MEDICAL HISTORY     RISK FACTORS MEDICAL PROBLEMS (PATHOPHYSIOLOGY)/SURGICAL PROCEDURES:   KEY ASSESSMENTS: Key Assessments: Tests: KEY PROBLEM: DATA: AEB: OUTCOMES: INTERVENTIONS: KEY PROBLEM: DATA: AEB: OUTCOMES: INTERVENTIONS:           /60pts KEY PROBLEM: DATA: AEB: OUTCOMES: INTERVENTIONS: KEY PROBLEM: DATA: AEB: OUTCOMES: INTERVENTIONS: RUBRIC for Grading Packets Student Name: Clinical Date: Site:   Section Grading Criteria Satisfactory  Or  Unsatisfactory Comments, Kudos, Things to Improve for Next Time 10 points Patient Demographics, Diagnoses, Surgeries, Orders, Rehab, IV, Imaging and Lab Page 1 fully  and correctly completed                                                   5 pts Page 2 fully and correctly completed                                                    5 pts   _/5___ _/5___   20 points Medications     Medication Trade Name                                                                          2 pts Medication Generic Name                                                                      2 pts Pharmacological Classification                                                               2 pts Normal Dosage Range                                                                              2 pts Dose ordered                                                                                             2 pts Route and Frequency                                                                               2 pts Contraindications                                                                                      2 pts Adverse Effects/Reactions                                                                       2 pts Nursing Considerations & Teaching                                                       2 pts (Legible or typed)                                                                                      2 pts    / 2    / 2    / 2    / 2    / 2    / 2    / 2    / 2    / 2    / 2   _/20__ 10 points Narrative Notes Head-to-Toe Assessment Narrative note is in Head to Toe order Head-to-toe assessment documented   Abnormal results noted     10 pts     ___/10_ 60 points  (either a Concept Map or a Patient Care Plan) Concept Map Correct Medical Diagnosis                                                                       15 pts Pathophysiology                                                                                        15 pts Key Assessments                                                                                       15 pts At least 3 problems identified                                                                15 pts   ____/60   OR 60 points (either a Concept Map or a Patient Care Plan) Patient Care Plan   3 nursing diagnoses Related to”  “As evidenced by”                           18 pts 2 Outcomes specific, measurable, timed                                               8 pts 4-5 Interventions are logical, appropriate                                             15 pts 4-5 Scientific Rationales supporting each intervention                       15 pts                                          2 Evaluations                                                                                               4 pts   ____/60 Nursing Clinical Packet Patient Assessment and Care Plan

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 when completing   this Epidemiologic Essay assignment.

Communicable Disease Selection

BUY A PLAGIARISM-FREE PAPER HERE

Choose one communicable disease from the options below.

Chickenpox

Tuberculosis

Influenza

Mononucleosis

Hepatitis B

HIV

Ebola

Measles

Polio

Influenza

Epidemiology Paper Requirements

Address the following:

Describe the chosen communicable disease, including 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. Epidemiologic Essay.

Describe the     social determinants of health and explain how those factors     contribute to the development of this disease.

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. Are there any special     considerations or notifications for the community, schools, or     general population?

Explain the role of the community     health nurse (case finding, reporting, data collection, data     analysis, and follow-up) and why demographic data are necessary to     the health of the community.

Identify at least one national     agency or organization that addresses the communicable disease     chosen and describe how the organizations contribute to resolving or     reducing the impact of disease.

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 Epidemiologic Essay.

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 Epidemiologic Essay assignment to become familiar with the

Emergency Plan For The Older Adult Assignment Description

Emergency Plan for the Older Adult

Locate the American Red Cross in your area:
http://www.redcross.org/
or in person.

Identify what is necessary for emergency supplies to have on hand for a healthy older adult. Consider visiting with an older family member or friend to identify specific needs for this older adult (reasonable for this person)

Assist the older adult (OA) in creating their Personal Emergency Plan and contacts

Describe what the OA was surprised to need or what they seemed to predict on their own

Why is this important for OA singles or couples who live independently without services?

Complete at least two slides for each bullet point with a total of 10 slides

BUY A PLAGIARISM-FREE PAPER HERE

Assignment Expectations:

Length: Minimum of 10 content slides

Structure: Include a title slide, objective slide, content slides, and reference slide in APA format. The title/objective/reference slides do not count towards the minimum slide count for this assignment. lots of pictures to compliments.

References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of two (2) scholarly sources are required for this Emergency Plan For The Older Adult assignment.

Your written Fluid Imbalances Essay assignment for this module should be a 1-2 page paper (not including title page and reference page) that describes the following:

Describe what a fluid and electrolyte imbalance is and how this is important to the function of the body?

Pick a fluid or electrolyte imbalance and describe how the patient would present, in addition to the treatment (nursing and expected medical)?

You should include a minimum of 3 scholarly references. Include a title page, in-text citations, and a reference page in APA format.

BUY A PLAGIARISM-FREE PAPER HERE

Module 08 – Fluid Imbalances

Scoring Rubric:

Criteria

Points

Describe what a fluid and electrolyte imbalance and how this is important to the function of the body? Fluid Imbalances Essay.

3

Pick a fluid or electrolyte imbalance and describe how the patient would present, in addition to the treatment (nursing and expected medical)? Fluid Imbalances Essay.

5

Grammar, APA and Organization

2

Total

10

Improving Nurse Staffing to improve Care Quality Essay – IOM Future of Nursing report

The IOM Future of Nursing report calls for an increase in leadership from nurses at all levels. One way nurses demonstrate their role as a leader, is through public policy change.  A leader does not always carry an official title or position, but demonstrates leadership through the work and the stance the leader takes to make a change for the good of others. Nurses have been noted by the Gallop poll year after year as the most trusted professionals.

BUY A PLAGIARISM-FREE PAPER HERE

This assignment requires thought about a public policy that is needed or needs to be changed that relates to nursing, health care, or the public.  Policy changes can occur by working with members of your legislature, and state or national nurses associations, to introduce a new bill and/or change to a current law in your state or federal government.

Examples of public policy includes any component of the current legislation governing health care, Medicare Part D, Medicaid, nursing regulation, medication technicians, etc
. Improving Nurse Staffing to improve Care Quality Essay – IOM Future of Nursing report.

In 750-1,000 words, propose a health policy change (that is currently a bill, a law, or may not exist at all) at the state or federal level that you believe needs to change and why.

The policy must 
not
 be a clinical care policy for individual care. The policy involved may include public or community health, legislative or regulatory, professional organization (nursing-oriented), advanced nursing practice, health plan, or hospital plan.

Include a specific section for the exact wording for the bill or change in wording of the law.

Include the plan for the implementation of your policy development, to lobbying for passage, to next steps after passage.

Discuss who would be the champion for the bill/law change from your state advocates (legislators, federal legislators, local or national state nursing organizations). Are these individuals also influential in making changes occur? Did you vote for the individual in office that you want to help you make this change?

Resources:

Review different pieces of legislation for ideas on wording.

Visit your state’s legislative governmental affairs website site to understand the process your policy change could take if you wanted to introduce to into legislation.

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. Improving Nurse Staffing to improve Care Quality Essay – IOM Future of Nursing report.

 

 

 

Benchmark Assignment – Nursing Leadership Health Policy Paper 

 

1

Unsatisfactory

0.00%

2

Less than Satisfactory

80.00%

3

Satisfactory

88.00%

4

Good

92.00%

5

Excellent

100.00%

75.0 %Content

 

10.0 %Rationale/purpose/overall presentation addresses an analysis of a public policy. Description of a health policy change (that is currently a bill, a law, or may not exist at all) at the state or federal level that student believes needs to be changed and why.

Rationale/purpose lacks any discernible overall purpose or organizing claim, and does not adequately address the policy process that is actually conducted for a public health policy. Rationale for topic selection, purpose, and objectives of presentation is not described. Ideas are not focused.

Rationale/purpose is insufficiently developed and/or vague; purpose is not clear. Rationale for topic selection, purpose, and objectives of presentation is minimally delineated.

Rationale/purpose is appropriate. Rationale for topic selection, purpose, and objectives of presentation is partially delineated. Improving Nurse Staffing to improve Care Quality Essay – IOM Future of Nursing report

Rationale/purpose is clear, descriptive, and reflective of the arguments and appropriate to the purpose. There are few inconsistencies

Rationale/purpose is comprehensive, supports the purpose of policy process that is actually conducted for a public health policy, and clearly shows logical progression of how development took place. Purpose and objectives of presentation are clearly delineated. At least three learner objectives are stated in behavioral terms.

20.0 %Paper includes a specific section for the exact wording for the bill or change in wording of the law.

Paper lacks the ability to communicate wording for the proposed health policy change.

Paper insufficiently addresses the wording for the proposed health policy change.

Paper appropriately addresses the wording for the proposed health policy change.

Paper is clear and successfully addresses the wording for the proposed health policy change.

Paper completely addresses the beginning wording for the proposed health policy change.

15.0 %Presentation of the legislative process for state to propose new legislation.

Paper lacks the ability to communicate the process.

Paper insufficiently addresses the legislative process.

Paper is appropriate. Minimal information is presented on the legislative process.

Paper is clear and presents substantial information on the legislative process.

Paper completely addresses the key legislative process.

15.0 %Paper implementation plan including who would be the champion for the bill/law change from state legislators/federal legislators/local or national state nursing organizations. Are these individuals also influential in making changes occur?

Paper lacks the ability to communicate the implementation plan.

Paper insufficiently addresses the implementation plan. Improving Nurse Staffing to improve Care Quality Essay – IOM Future of Nursing report

Paper is appropriate. Minimal information is presented in the implementation plan.

Paper is clear and presents substantial information addressing the implementation plan.

Paper completely addresses the implementation plan Presentation is specific and easily understood.

15.0 %Style

Paper lacks unity and coherence. No connections are apparent between slides. Transitions are inappropriate to purpose and scope. Organization is disjointed.

Some paragraphs may lack logical progression of ideas, unity, coherence, and/or cohesiveness. Some degree of organization is evident.

The paper is generally competent, but ideas may show some inconsistency in organization and/or in their relationships to each other.

A logical progression of ideas between the paragraphs is apparent. The paper exhibits a unity, coherence, and cohesiveness.

There is a sophisticated construction of the presentation paper. Ideas universally progress and relate to each other.

10.0 %Organization and Effectiveness

 

5.0 %Mechanics of Writing (includes spelling, punctuation, and grammar)

Paper errors are pervasive enough that they impede communication of meaning.

Frequent and repetitive mechanical errors that distract the reader.

Some mechanical errors or typos are present, but are not overly distracting to the reader.

Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech.

Writer is clearly in control of standard, written American English.

10.0 %Organization and Effectiveness

 

5.0 %Language Use and Audience Awareness (includes sentence construction, word choice, etc.)

Inappropriate word choice, lack of variety in language use. Writer appears to be unaware of audience. Use of ?primer prose? indicates writer either does not apply figures of speech or uses them inappropriately.

Some distracting inconsistencies in language choice (register) and/or word choice are present. The writer exhibits some lack of control in using figures of speech appropriately.

Language is appropriate to the targeted audience for the most part.

The writer is clearly aware of audience; uses a variety of appropriate vocabulary for the target audience, and uses figures of speech to communicate clearly.

The writer uses a variety of sentence constructions, figures of speech, and word choice in unique and creative ways that are appropriate to purpose, discipline, and scope.

15.0 %APA and Documentation

 

15.0 %valuating and Documenting Sources (includes use of appropriate style, correct citation format in-text and in Reference section related to APA format)

Paper has no title page, no References section, and no correctly cited references within the body of the paper and no reference page. APA format not used.

Title page is incomplete or inaccurate. References section includes sources, but many citation errors. Citations within the body of the paper are included, but with many citation errors including major issues on References section.

Title page has major errors. References section includes sources, but they are not consistently cited correctly. Citations are included within the body of the paper, but References section includes with major errors.

Title page has minor errors. References section includes sources, but they are not consistently cited correctly. Citations are included within the body of the paper, but with some citation errors. References section is mostly free of errors.

Title page is complete. References section includes correctly cited sources. Citations within the body of the paper and in the Reference section are included and correctly cited.

100 %Total Weightage

 

REFERENCES

H.R.2392 – Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2017

 

https://www.congress.gov/bill/115th-congress/house-bill/2392?r=9

Improving Nurse Staffing to Improve Care QualityCongress has enacted many amends in the medical care section to boost the admission to healthcare facilities for the citizens in the United States. The Affordable Care Act introduced these changes and has made the number of patients currently seeking health care to increase drastically. For instance, the increase in the number of patients demands for many nurses and physicians who will handle the influx of patients in the system. Such changes aggravate the problem that already exists and that is the insufficient number of direct health care registered nurses present in the hospital staff. According to Dellefield, research has proven that more direct care registered nurses in the hospital staff makes medical and medication errors to reduce (2015).  Dellefield adds that an increased number of direct care nurses on staff causes the mortality rate to decrease, improves the working environment which in turn enhances the patients’ outcome. However, with the reason best known to them, a number of hospitals ignore scholarly consent, and they do not have sufficient nurse patient ration. As a matter of fact, if a bill can be enacted and passed into a law which demands that all hospitals to employ satisfactory staffing to efficiently care for patients and minimize the impacts of having lower nurse patient ratios then their states will have many health facilities which will comply to such evidence. Improving Nurse Staffing to improve Care Quality Essay – IOM Future of Nursing report.

Current Legislation

The current legislation is the Patient Protection and Affordable Care Act (P.L. 111-148) which mandates the hospitals to have sufficient staffing levels and constitute a language that is indistinct. The provision allows for loopholes which the hospitals exploit. According to the American Nurses Association (2016), such gaps formulate mechanisms so that the hospitals can avoid having hospital staff levels that are unsafe. Just to mention, at the state level are only fourteen states which have enacted staffing nurse laws. ANA (2016) indicates the states with the nurse staffing laws which are WA, VT, OH, OR, RI, TX, NY, MN, NV, NJ, CT, MA, CA, and IL. While the step as mentioned earlier may be appealing and a step to the right direction, contrarily, only two states out of the stated fourteen states mentioned herein which have specifically addressed the levels of nurse staffing and have put all the hospital requirements in place. Conversely, California has formulated strict policies over having sufficient RNs on its staff in varied settings and Massachusetts which has constituted several ICU RNs who are on duty. Sadly, there are forty-eight states which require much legislation that can oversee more RNs on hospital staff to deliver best quality care services to patients. Improving Nurse Staffing to improve Care Quality Essay – IOM Future of Nursing report.

Change to the Current Legislation

One of the congresswomen Schakowsky Jan supported and sponsored a motion which requires the instigation of a nationwide task for increasing the figures for direct health care nurses registered on duty in any United States’ healthcare institutions which obtain funding from central government and recommends the least number of nurses who should be on duty (ANA, 2016). The enacted bill has a selection of initiatives which serves as an incentive for any healthcare care facility to conform to the new law. The bill also outlines rules which help in subsidizing the hiring of new nursing staff, ensuring long-term return on investments through creating retention programs as well as sponsoring learning progression for nurses who are on staff. Improving Nurse Staffing to improve Care Quality Essay – IOM Future of Nursing report.

 

The New Law

The new law which has been passed by the United States of America’s Congress is the H.R 1602 bill: “Improving Nurse Staffing to Improve Quality of Care for Patients Act.” For instance, title XXIV of the Act concerns with direct care nurse staffing ration who are registered. The enacted bill involves The Sovereign Authority; Bill H, R 1602 Improving Nurse Staffing to Improve the Quality of Care for Patients Act. Improving Nurse Staffing to improve Care Quality Essay – IOM Future of Nursing report. Despite the federal and political subdivisions of the country, the United States of America has successfully constituted a law which requires all healthcare institutions and facilities to have a bare minimum figure of registered nurses to patient ration for the for direct care. The minimum number of nurses on staff will raise the value of health care for the patients, enhance the patient’s contentment as well as improve the working environment for the nurses. The new bill includes:

None of the hospital unit shall function if they do not meet the minimum threshold of direct care registered nurses on their staff.

Hospitals ought to execute their plans of staffing which lessens the burnout and decrease errors. In increased quantity units like intensive healthcare, the direct care registered nurse patient ratio must be 1:2 or 1:1. Improving Nurse Staffing to improve Care Quality Essay – IOM Future of Nursing report.

Ensure the patients are assured of receiving high-quality conscription practice who is well outfitted with a way to give feedback about insufficient enrollment strategies.

Whistleblower safeties for healthcare professionals who notice contravention yet operate in the traditions of contentment. The bill safeguards the position of nurses which calls for interest in the violations of guiding principle from reprisal.

 
Implementation Plan

Many resources are required to undertake the massive program of the implementation magnitude successfully. Mainly, it indicates that there will be a time frame for the healthcare institutions to comply with the fresh legislation (Knight, 2016). The time frame is meant to be used for the preparation of enacting and putting into practice measures to attain conformity with the health institutions. However, the American Nurses Association will help the stakeholders understand what the new law means with the lobbying endeavors for the change in the nursing practice. There ought to be proper utilization of dailies, local and state news, social media and blogs to spread the news about the new law. The pre and post measures of implementation will assist in gauging the attitude of the change in the Health Act. Improving Nurse Staffing to improve Care Quality Essay – IOM Future of Nursing report.

The champion from my State

The United States of America requires this law urgently. The congresswoman Schakowsky Jan is the key pillar in championing this new legislation in the Congress. Delegate Jan trusts that every patient deserve nothing but the high quality health care. Increasing direct health care nurses on duty raise the health status of the population which Jan believes that it will be the outcome of the new law. Improving Nurse Staffing to improve Care Quality Essay – IOM Future of Nursing report.

References

American Nurses Association. (2016). State Legislative Agenda. Online. August 2016. From http://www.nursingworld.org/MainMenuCategories/Policy-Advocacy/State/Legislative-Agenda-Reports/State-StaffingPlansRatios

Dellefield, M. E., Castle, N. G., McGilton, K. S., &Spilsbury, K. (2015). The relationship between registered nurses and nursing home quality: An integrative review (2008-2014).
Nursing Economics
,
33
(2), 95.

Knight, L. D. (2016). Staffing Ratios and Patient Outcomes: Looking Beyond Nurses, Doctors, and Survival at ICU Discharge.
Critical care medicine
,
44
(2), e107-e108. Improving Nurse Staffing to improve Care Quality Essay – IOM Future of Nursing report.

Critiquing a Change Effort Sample Essay

To prepare:

Review Chapters 7 and 8 in the course text. Focus on the strategies for planning and implementing change in an organization, as well as the roles of nurses, managers, and other health care professionals throughout this process.

Reflect on a specific change that has recently occurred in your organization or one in which you have worked previously. What was the catalyst or purpose of the change?

How did the change affect your job and responsibilities? Critiquing a Change Effort Sample Essay.

Consider the results of the change and whether or not the intended outcomes have been achieved.

Was the change managed skillfully? Why or why not? How might the process have been improved?

BUY A PLAGIARISM-FREE PAPER HERE

Post a summary of a specific change within an organization and describe the impact of this change on your role and responsibilities. Explain the rationale for the change, and whether or not the intended outcomes have been met. Assess the management of the change, and propose suggestions for how the process could have been improved.

Please references should be within the last five years, all in text citation should have page or paragraph number. please there should be and introduction and summary.

Post (1) a summary of a specific change within an organization and describe the impact of this change on your role and responsibilities. (2) Explain the rationale for the change, and whether or not the intended outcomes have been met. (3) Assess the management of the change, and propose suggestions for how the process could have been improved.

Readings

Marquis, B. L., & Huston, C. J. (2015). Leadership roles and management functions in nursing: Theory and application(8th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.

Review Chapter 7, “Strategic and Operational Planning”

Chapter 8, “Planned Change”

This chapter explores methods for facilitating change and the theoretical underpinnings of implementing effective change

McAlearney, A., Terris, D., Hardacre, J., Spurgeon, P. Brown, C., Baumgart, A., Nyström, M. (2014). Organizational coherence in health care organizations: Conceptual guidance to facilitate quality improvement and organizational change. Quality Management in Health Care, 23(4), 254-267 doi: 10.1097/QMH.0b013e31828bc37d Critiquing a Change Effort Sample Essay.

An international group of investigators explored the issues of organizational culture and Quality Improvement (QI) in different health care contexts and settings. The aim of the research was to examine if a core set of organizational cultural attributes are associated with successful QI systems.

Mitchell, G. (2013). Selecting the best theory to implement planned change. Nursing Management – UK, 20(1), 32-37. doi: 10.7748/nm2013.04.20.1.32.e1013

Abstract: Planned change in nursing practice is necessary for a wide range of reasons, but it can be challenging to implement. Understanding and using a change theory framework can help managers or other change agents to increase the likelihood of success. This article considers three change theories and discusses how one in particular can be used in practice. Critiquing a Change Effort Sample Essay.

Shirey, M. R. (2013). Lewin’s Theory of Planned Change as a strategic resource. The Journal of Nursing Administration, 43(2), 69-72. doi:10.1097/NNA.0b013e31827f20a9

Abstract: This department [manuscript] highlights change management strategies that may be successful in strategically planning and executing organizational change initiatives. With the goal of presenting practical approaches helpful to nurse leaders advancing organizational change, content includes evidence-based projects, tools, and resources that mobilize and sustain organizational change initiatives. In this article, the author explores the use of the Lewin’s Theory of Planned Change as a strategic resource to mobilize the people side of change. An overview of the theory is provided along with a discussion of its strengths, limitations, and targeted application.

Media

Laureate Education, Inc. (Executive Producer). (2012g). Organizational dynamics: Planned change and project planning. Baltimore, MD: Author.

Note: The approximate length of this media piece is 9 minutes.

In this week’s media presentation, experts discuss how today’s health care organizations can capitalize on the strengths of nurse leaders to plan for and navigate change effectively.

Critiquing a Change Effort

One of the largest changes that I have seen over the years of working in the emergency department (ED) is that of triage. First it was triage up front then bring to a room, then it was to bring a patient to any available bed and triage at the bedside, and now it is pull until full rules and triage has been left up to the primary nurse. They even went as far as to drop the triage nurse from the schedule as an “unnecessary expense.” Critiquing a Change Effort Sample Essay. Now that worked all well and good until someone finally died in the front lobby and there was no nurse to find or a room to put the patient in, because the nurses were all in the full rooms that seemed like such a good idea at the time, according to management. Yes, this was an actual scenario from the hospital I was previously working at about ten years ago. The reason it failed? There was zero input from the nursing staff who actually worked in the environment, and management refused to listen.

Impact of Change on Roles and Responsibilities

According to Marquis and Huston (2015), the change agent can make the difference between a successful implementation and a failure when it comes to a change effort. This is where the process failed in my opinion, because there was no input, just a bunch of brash decisions being made by a governing party that had no idea of the process and the way they worked. The process of triage is to manage patient flow, and that responsibility fell to the triage nurse and then the charge nurse to decide what level a patient was designated based off subjective and objective data, and which was the most appropriate plan of action for the patient at that time (Ovens, 2016). Critiquing a Change Effort Sample Essay.

Due to the changes made and removing the triage nurse the duty of triage fell to the charge nurse, which was fine until the department became busy. This new method of pulling patients to an open room and triaging them at the bedside became an overwhelming nightmare, because it left everything full, no crash bed available, and the main ED congested with level four and five patients while level two and three patients were waiting in the now overcrowded ED waiting area. This made it difficult for the charge nurse to manage flow, maintain order, and balance the work load of the nurses, which were all responsibilities that went by the way side because the charge nurse was also the triage nurse now, too.

Change as a Necessity

Change, especially in the ever advancing world of medicine, is expected and needed in order for facilities to survive. As outlined in The Institute of Medicine and the Robert Wood Johnson Foundation iconic 2011 report (Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine, 2011), changes in healthcare are needed and most of them immediately. So the idea of change is not a new one and has recognized importance that anyone can see.

The idea of changing the triage process was to cut out the time lag from door to doctor. As Dr. Oven presented in his posting, triage has become viewed as a waste of time (Ovens, 2016). To patients, it may feel this way, but with due respect to medical necessity and limited space, the nursing staff may feel differently. With this change, due to poor implementation and planning overall, the outcomes were not met. In fact, the triage numbers became much worse and the process actually slowed through times and increased the number of patients who left without treatment. Since that time the process has been changed back and the triage nurse added back to the scheduled nurses for each shift. Critiquing a Change Effort Sample Essay.

Assessment and Propositions

Management did a very poor job of implementing this change when it comes down to it. They rushed in, without proper planning, input, preparation, or implementation strategies in place. Because of this gung-ho approach the idea, which could have worked and has in other facilities now, the plan failed and patient care ultimately suffered because of it. Now it was noted earlier that a change agent can make or break these types of efforts. This is where a strong nurse manager would come in to play. With good leadership and commanding presence, the ideas set forth by administration could have still been implemented but in a manner that would not have strangled the process to dysfunction and death.

At the time the nurse manager blindly went along with these changes with immediate implementation and zero thought process. When it failed, who do you think administration blamed? You guessed it, the nurse manager, when in reality it was their own faults as well. Now ideally, the way this should have been handled is through using a model for change like what was outlined in Marquis and Huston (2015, p167), and used the adapted Lewin’s Model of Change. This is a five step outline starting with precontemplation, then contemplation, preparation, action, and finally maintenance Critiquing a Change Effort Sample Essay.

The idea to change could have been considered in precontemplation, then heavily discussed in the contemplation stage to avoid any possible scenario in which a problem might arise. The plan could then be prepared for and change could come on a time table versus immediate change, allowing for adjustments or any concerns to be voiced and considered prior to implementation. Action is of course the start day and can be used to evaluate the process and changed as needed to allow for a better function. Critiquing a Change Effort Sample Essay. Once all has been ironed out and a working process is in place, all one would have to do is maintain it, and avoid any return to old methods.

 

References

Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine. (2011). Chapter 7: Recommendations and Research Priorities. In
The Future of Nursing: Leading Change, Advancing Health
(pp. 269-284). http://dx.doi.org/10.17226/12956

Marquis, B. L., & Huston, C. J. (2015). Chapter 8: Planned Change. In
Leadership roles and management functions in nursing theory and application
(8th ed., pp. 162-180). Philadelphia, PA: Wolters Kluwer Health. Critiquing a Change Effort Sample Essay.

Ovens, H. (2016, April 12). Is triage obsolete [Blog post]. Retrieved from https://emergencymedicinecases.com/is-triage-obsolete/

 

Week 4 Main Discussion Post

Critiquing a Change Effort

“Planned change is the deliberate application of knowledge and skills by a leader to bring about a change” (Marquis & Huston, 2015). Management must be knowledgeable in change theories to be able to apply such methods appropriately. Leaders must be able to identify where change is needed within the facility and be flexible in adjusting to the change they initiated.  Kurt Lewin developed the change theory that includes three phases for planned change: unfreezing, movement, and refreezing (Marquis & Huston, 2015). Unfreezing occurs when change is needed, movement takes place when change is initiated, and refreezing happens when equilibrium is established (Mitchell, 2013). Critiquing a Change Effort Sample Essay.

Recent Change

A recent change that was implemented throughout the facility where I work is bedside shift report on all patients. The purpose of bedside shift report is to create accountability between both nurses, to keep the patient informed and educated on their care, increase patient safety, and improve patient and family satisfaction scores. “The benefits of bedside reporting are numerous and include increased patient involvement and understanding of care, decreased patient and family anxiety, decreased feelings of “abandonment” at shift changes, increased accountability of nurses, increased teamwork and relationships among nurses, and decreased potential for mistakes” (Rush, 2012).

Effect on Job

In the intensive care unit, the charge nurse gives a brief report to oncoming nurses about all the patients in the unit. The oncoming charge nurse will then divide up the patients based on acuity, drips, ventilator, etc. Once the charge nurse has assigned the patients, the oncoming nurse and the departing nurse will go to the bedside and give a detailed report on their visit. This has affected my job positively and negatively in some instances. It is great to keep patients involved in their care, but it’s a lengthy process, and sometimes you don’t want to disclose certain information in front of a patient or their family. For instance, I was caring for a suicide attempt patient the other day, and he was very depressed and tearful when his situation was brought up, so giving bedside report made him very agitated and eventually combative because he did not want us talking about what happened. He said it was a violation of his privacy because everyone could hear what we were talking about, even though we were behind closed doors. The patient’s family was asked to leave the room while we gave report, but the patient was still upset because he said it “seemed suspicious.” Although it keeps patients involved in their care, report often gets interrupted with questions, causing report to take a lot longer than before.

Intended Outcome

This change was implemented within the past three weeks, so it’s hard to say whether we’ve reached the intended outcome or not. So far, the feedback has been positive, for the most part, from patients and nursing staff. Critiquing a Change Effort Sample Essay. I have seen a change in how nurses, patients, and family members interact throughout the day. Multiple patients have verbalized their appreciation for being kept up-to-date on procedure results and feeling like they’re involved in their care.

Management of the Change

This change was initiated through a democratic leadership style. “Democratic leadership is useful when co-operation and co-ordination between groups are necessary, so it is therefore a more appropriate style for implementing change” (Mitchell, 2013). I believe the staff was provided with the proper education to apply this change efficiently and the managers are frequently giving us feedback from patient and family members. The staff was given plenty of notice before the change was implemented, and although some nurses were resistant at first, it seems like everyone is participating in the process.

References

Marquis, B. L., & Huston, C. J. (2015).
Leadership Roles and Management Functions in Nursing
(Eighth ed.). Philadelphia, PA: Wolters Kluwer Health.

Mitchell, G. (2013). Selecting the best theory to implement planned change.
Nursing Management- UK, 20
(1), 32-37. Critiquing a Change Effort Sample Essay.

Rush, S. K. (2012). Bedside reporting: Dynamic dialouge.
Nursing Management, 43
(1), 40-44. Retrieved from http://journals.lww.com/nursingmanagement/fulltext/2012/01000/Bedside_reporting__Dynamic_dialogue.11.aspx Critiquing a Change Effort Sample Essay

Health Issue Analysis Sample Essay.

In your Collaborative Learning Community, write a paper of 500-1,000 words and include the following:

Assess the past and present impact nurses, including advanced professional/advanced practice nurses, have made in addressing diabetes type II

Describe how nurses can become more broadly involved with influencing health policy related to diabetes type II. Include resources available.

Hypothesize how nurses can positively impact future outcomes related to the provision of care for persons affected by diabetes type II.

BUY A PLAGIARISM-FREE PAPER HERE

Health Issue Analysis: Diabetes Type II

Diabetes type II alias diabetes mellitus is increasingly becoming an alarming issue in the contemporary world.  In fact, the United States’ Pre-diabetes, Diabetes Rates fuels the National Health Crisis article reports that about 12.3% of Americans who are aged between twenty years and above have diabetes either undiagnosed or diagnosed. However, the health stakeholders and the government are trying to address the issue to their capacity. This paper is scientifically correct about the impact which nurses and other health professionals have made to address diabetes type II health issue, how they can influence diabetes type II health policies as well as how they can impact the future outcome of persons affected with this disease positively Health Issue Analysis Sample Essay.

Mainly, nurses and other advanced health professionals interventions have made diabetes care to improve. For instance, the improved care effect has been achieved through well-structured interventions such as care delivery systems, the use of chronic care model among other intervention put forward to address the diabetes type II issue. Equally important, nurses’ tireless commitments through educating the diabetic patients as well as their family results to the development of diabetes clinical nurse specialist which, among other services, boosts the patients’ hope through counseling and nursing hence promoting diabetes care. On the positive side, when proper care for this chronic disease rises, the chances of people living a diabetes-free life increases. Following the above evidence, we can boldly state that nurses create a positive impact when they address the issue. Health Issue Analysis Sample Essay.

Consequently, nurses’ measure to address the problem has led to diabetes type II patients staying safe with minimal complications. According to Kahn, Cooper, and Del (2014), the nurses’ interventions reduced drastically the patients diagnosed with diabetes type II complications, and many of them are living a healthy life. With this in mind, advanced health professionals encourage the people living with diabetes to maintain delicate balance between diet, exercise and insulin injections to keep the blood sugar at a normal level (Blumenthal, & Collins, 2014). Since this maintenance needs a great deal of attention, the nurses often become conscious of their patient’s sugar level hence giving them the necessary support. By so doing, the patient can live a less complicated life even if they are diagnosed with the disease hence a positive impact of nurses’ interventions. Health Issue Analysis Sample Essay.

Considerably, nurses have become more broadly involved themselves with influencing diabetes type II related health policies. Most compelling evidence, nurses actively participate in evaluating the impact of Affordable Care Act (ACA) and particularly expands the Medicaid with the interest of diabetes identification and treatment Health Issue Analysis Sample Essay. Blumenthal and Sarah mention that Diabetes Care issue creates one of the first reports on the impact of expanding Medicaid on diabetes diagnosis hence nurses need to ensure that they influence health policies to achieve this (2014). Expanding Medicaid unravels more opportunities for the diagnosis of diabetes type II.

By the same token, nurses’ influence on diabetes type II related health policies is their ability to influence decisions and affairs which relates to healthcare through using their practical communication skills, collaboration with other health professionals and legislators and through their political knowledge which results in improved and proper diabetes type II related health Acts. Frean, Gruber, and Sommers (2017)argue that nurses can also influence the health policies relating to diabetes through overseeing the implementation of Affordable Care Act and other related Acts. Nurses are obligated to ensure that the Affordable Care Act which was signed into law five years ago is implemented to improve the quality and lower health costs of diagnosing diabetes type II problem Health Issue Analysis Sample Essay.

On the other hand, there are hypotheses of how nurses can positively impact the future outcome relating to the provision care to individuals diagnosed with diabetes type II. According to American Diabetes Association, patients with diabetes type II require psychological make-up (2015). For instance, nurses and other health professionals should formulate future strategies to offer best mental support to individuals affected by this chronic disease. Advanced health professionals play a central role in the behavior management thus they need hypothesize well-formulated therapies to help the affected persons decrease diabetes-related complications Health Issue Analysis Sample Essay Health Issue Analysis Sample Essay. Untreated psychological disorders often lead to cardiovascular complications, physical symptoms and aggravate vicious cycles of healthcare abilities thus I propose that nurses should form proper therapies to help such patients in future.

Additionally, I hypothesize that nurses should form primary care services to assist patients affected with diabetes type II. Primary care has been overlooked in the United States, yet it is a cornerstone of a robust healthcare system. Primary care can address diabetes type II problem at any stage of the patient’s cycle (Association, 2015).  Additionally, primary care will lead to coordinated care which will ensure that the information and health services provided meet the needs of the patient. Given these points, the nurses will create a positive impact on the future outcome if they try out the proposed measures herein. Diabetes type II is a chronic disease in which Medicare services should be advanced so that people can be diagnosed efficiently Health Issue Analysis Sample Essay.

References

American Diabetes Association. (2015). Standards of medical care in diabetes—2015 abridged for primary care providers. 
Clinical diabetes: a publication of the American Diabetes Association
, 
33
(2), 97. Health Issue Analysis Sample Essay.

Blumenthal, D., & Collins, S. R. (2014). Health care coverage under the Affordable Care Act—a progress report.

Frean, M., Gruber, J., & Sommers, B. D. (2017). Premium subsidies, the mandate, and Medicaid expansion: Coverage effects of the Affordable Care Act. 
Journal of Health Economics
, 
53
, 72-86.

Kahn, S. E., Cooper, M. E., & Del Prato, S. (2014). Pathophysiology and treatment of type 2 diabetes: perspectives on the past, present, and future. 
The Lancet
, 
383
(9922), 1068-1083 Health Issue Analysis Sample Essay.

CLC Health Issue Analysis: Part 1

Details:

This is a CLC assignment.

In your Collaborative Learning Community, write a paper of 750-1,000 words that describes the history of the identified health issue. Include the following:

1- Influences such as determinants of health and socioeconomic status

2- Past and present initiatives to address the issue

3- Outcome indicators that have been developed and utilized to measure progress on the issue

4- The current status of the issue based on measured outcomes

Refer to “CLC Health Issue Analysis Overview.”

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract and conclusion are not required Health Issue Analysis Sample Essay.

This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center Health Issue Analysis Sample Essay.

NUR 508 Grand Canyon Week 4 Assignment

CLC Health Issue Analysis: Part 2

Details:

This is a CLC assignment.

In your Collaborative Learning Community, write a paper of 500-1,000 words that describes the national and international implications of the selected health issue. Include the following:

1- Scope and depth of the problem

2- Countries that are faring better or worse than others

3- How the United States ranks on this issue in relation to other countries

4- Efforts of the World Health Organization and other agencies on this issue

5- Existing disparities (include race, age, and gender, as appropriate) in relation to the issue – describe the populations that have emerged as being disadvantaged and why.

Refer to “CLC Health Issue Analysis Overview.”

This assignment uses a grading rubric that can be viewed at the assignment’s drop box. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment Health Issue Analysis Sample Essay.

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

You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center.

NUR 508 Grand Canyon Week 5 Assignment 1

Health Issue Analysis Part 3

Details:

This is a CLC assignment.

In your Collaborative Learning Community, write a paper of 500-1,000 words that includes the following in addressing the health issue:

Discuss past and present funding for initiatives that address the health issue. Include both public and private sources.

Analyze past and present quality initiatives that address the health issue. Include both public and private sources.

Differentiate how being insured versus uninsured impacts health outcomes relative to this issue.

Compare health outcomes for the issue between the United States and a country with universal health coverage Health Issue Analysis Sample Essay.

Refer to “CLC Health Issue Analysis Overview.”

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 grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center Health Issue Analysis Sample Essay.

NUR 508 Grand Canyon Week 6 Assignment CLC

Health Issue Analysis: Part 4

Details:

This is a CLC assignment.

In your Collaborative Learning Community, write a formal paper of 500-1,000 words that examines the previously addressed aspects of health policies, finance, global/ national prevention, and/or treatment initiatives related to the health issue by identifying applicable ethics principles.

Differentiate how application of the identified ethics principles to the health issue has resulted in population disparities Health Issue Analysis Sample Essay.

Hypothesize how existing disparities might be eliminated using alternate ethics principles.

Critique whether the applicable ethics principles are consistent with the ANA’s Code of Ethics for Nurses.

Refer to “CLC Health Issue Analysis Overview.”

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

This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment Health Issue Analysis Sample Essay.

You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center.

NUR 508 Grand Canyon Week 7 Assignment 2

Health Issue Analysis Part 5

Details:

This is a CLC assignment.

In your Collaborative Learning Community, write a paper of 500-1,000 words and include the following:

Discuss cultural beliefs and influences relative to the health issue.

NUR 508 Grand Canyon Week 3 Discussion 1

Debate the various social factors associated with the situation of the “underinsured.” Respond to two other classmates’ answers with solid reasoning and support your opinions with appropriate reference citations.

NUR 508 Grand Canyon Week 3 Discussion 2

Review the Agency for Healthcare Research and Quality (AHRQ) report “Priority Populations”:

http://www.ahrq.gov/health-care-information/priority-populations/index.html

Select one of the “priority populations” and explain the disparities this population faces. What strategies have been implemented to combat these disparities on the local and national levels? Have they been successful? Include reference citations where appropriate.

NUR 508 Grand Canyon Week 4 Discussion 1

Debate the efficacies of public versus private-based quality initiatives. What roles do each play in the quality of U.S. health care? How would the elimination of one aspect affect the other? Respond to two other classmates and counter their answer, citing references as appropriate.

NUR 508 Grand Canyon Week 4 Discussion 2

After reading the Kaiser Family Foundation summary on the Patient Protection and Affordable Care Act, state why or why not you believe the act should remain in law, or which pieces should be reversed. Then describe two pieces of the act that you were unaware was part of the act and how that may affect you as a citizen.

NUR 508 Grand Canyon Week 5 Discussion 1

What are the eligibility requirements and coverage of Medicaid for the categories of low-income adults, pregnant women, and the aging/blind/disabled in the state where you live? Do you consider the eligibility requirements reasonable or restrictive? Do you consider the coverage reasonable or liberal? What are the benefits and drawbacks to keeping these populations insured through Medicaid? Consider both direct and indirect factors Health Issue Analysis Sample Essay.

NUR 508 Grand Canyon Week 6 Discussion 1

Debate the question: “Is health care a basic right in the United States?” Answer this question through the lens of your role as RN Health Issue Analysis Sample Essay. Support your response utilizing ethical theories and principles. Respond to two other classmates using respectful communication and solid reasoning. Support your response with appropriate references.

NUR 508 Grand Canyon Week 6 Discussion 2

Select an ethical dilemma related to health policy from the categories of moral values, professional regulation, health of individuals in society, or distributive justice. What are the controversies surrounding this issue? What are the opposing ethical principles? How has past or current health policy addressed this dilemma? Support your reasoning with reference citations Health Issue Analysis Sample Essay.

Is Child Obesity a Reflection of Parental Negligence Essay

1. Introduction

Explain the issue you are examining and why it is significant.

2. Review of the Literature

A description of what has already known about this area and short discussion of why the background studies are not sufficient.

BUY A PLAGIARISM-FREE PAPER HERE

3. Rationale

A description of the questions you are examining and an exploration of the claims.

4. Method and Design

A description of how you would go about collecting data and test the questions your are examining. Method: How would you collect the data and why? Is Child Obesity a Reflection of Parental Negligence Essay

Analysis

• How will you analyze the results?

• What kind of results would confirm your hypothesis?

• What kind of results would disconfirm your hypothesis

5. Significance and Conclusion

Discuss, in general, how your proposed research would lead to a significant improvement over the original studies, and how it would benefit the field. (In other words, why should someone care? If you were applying for money to do this, why would someone fund you? If you wanted to publish your results, why would they be interesting?) Is Child Obesity a Reflection of Parental Negligence Essay

6. References

Include all references in APA style.

 

Is Child Obesity a Reflection of Parental Negligence?

Introduction

Childhood obesity is a growing trend that has become a source of concern since these children may not live as long as their parents (Patel, 2005). That is because obesity is not only a problem for the child’s health, but is also a risk factor for other problems that include suicidal ideation, psychological distress, poor quality of life, low self-esteem, impaired health, and stigmatization. Although incidence of obesity and weight gain have been linked with a range of factors, a distressing aspect is that although some of these factors are outside immediate control (inborn factors that include genetics and hormones), there are those that are within the realm of control to include physical activity and diet. The implication is that although there are some incidence of obesity that cannot be absolutely controlled, there are those that can be controlled by moderating environmental factors in the form of presenting the child with a healthy diet and ensuring that there is adequate physical activity. Given that children are impressionable dependents who are easily influenced by their guardians and careers in whether or not to adopt healthy lifestyles, then it stands to reason that adequate parental supervision with focus on healthy lifestyle (to include a healthy diet and adequate physical activity) will ensure that the child maintains a healthy weight and reduces the incidence of obesity unless inborn factors come into play (Knutson et al., 2009). In this respect, it is hypothesized that sufficient parental supervision with a focus on a healthy diet and adequate physical activity will reduce the incidence of obesity among children. Is Child Obesity a Reflection of Parental Negligence Essay.

Review of the Literature

It is undeniable that there is a correlation between parents’ involvement in children’s life and the learning outcomes. In fact, Knutson et al. (2009) mentions that incidence of obesity among children are either resultant of environment or inborn factors. While little control can be exerted over the inborn factors, the same cannot be said about the environmental factors. That is because children are impressionable dependents who are overly reliant on their parents and guardians to direct their every activity from waking, sleeping, eating, dressing, schoolings and so on. This means that every decision that a child makes is actually one that the parent makes and the child lives with. The implication is that parents can guide their children to adopt healthy lifestyles, or neglect the children and allow them to develop unhealthy diet and physical activity habits that result in obesity (Knutson et al., 2009). Rhee et al. (2015) expresses similar sentiments by noting that there is a relationship between general parenting and childhood obesity. In this case, parents who are investment in the emotional and behavioral dimensions of parenting tended to have children with healthy weight since the parent intentionally guided the child on how to achieve a healthy weight (Rhee et al., 2015). Allen and Fost (2012) are more concise in noting that it is not enough for parent to offer advice and guidance to ensure that the children achieve health weights. Rather, the parent must be assertive in determining what the child can eat and how to exercise to achieve health weights. This means that every food request that the child makes must be evaluated weight gain and loss before being accepted into the diet (Haroldson, Cordell & Halderman, 2015). Patel (2005) similarly acknowledges that obesity among children is best managed by having the parents make healthy environmental decisions for the children, their involvement is limited by the reality that children must attend other social events (such as school) that keep them away from their parents. This means that the parents’ involvement may not be far reaching, and may be limited by the realities of work and school that keep the children and parents apart. Also, the article goes on to adopt a radical approach by suggesting obese children should be withdrawn from their parents since the obesity is an indication that the parents failed in offering the child advice on how to maintain a healthy lifestyle despite having the responsibility of offering care and advice (Parent, 2005). Is Child Obesity a Reflection of Parental Negligence Essay. Based on the discussed literature, it is plausible that parents can be targeted as tools for reducing obesity incidence among children, although their influence could be limited by the modern realities of social engagements that include work and school. As such, there is a need to explore the position that parents can play in reducing the incidence of obesity among children.

Rationale

As earlier indicated, childhood obesity is a source of concern. That is because it predisposes the child to social and health complications. In fact, Patel (2005) observes that children with obesity are unlikely to live for as long as their parents. As such, there is a need to develop an effective strategy for preventing its incidence. Although there are a range of strategies that could offer some relative success in reducing childhood obesity incidence, parents are explored because of their position in the child’s life. The reality is that children are dependent whose dependency only reduces as they advance in age such that they are only able to become independent upon reaching the age of majority (typically 18 years). This means that a child will depend on the parents to make decisions from birth until the child reaches the age of majority. The implication is that the parents can make decisions on how the child lives his or her life, what food is eaten and whether there is adequate physical activity to achieve health weight. Based on this awareness, the present study postulates that parental negligence will allow the child to develop an unhealthy lifestyle and become obese since there will not be any advice on what constitutes health diet and how to achieve healthy weight. Is Child Obesity a Reflection of Parental Negligence Essay. In this respect, the present study intends to answer the question: is child obesity a reflection of parental negligence?, while approving or disapproving the hypothesis: Parental negligence increases the incidence of obesity among children.

Method and Design

This paper proposes the adoption of quantitative research design to conduct the research with the focus being on numerical data. The quantitative research design proposed for this research will involve the use of pre-structured questionnaires as tools for collecting primary data. The questionnaires will evaluate the children’s weight based on body mass index (BMI) criteria and the parenting style applied with focus on whether it is negligent or attentive. The primary data, once collected, will then be subjected to statistical analysis that highlights emerging themes. The results of the statistical analysis will be compared to the literature review. The decision to use a questionnaire is based on the need maintain control over the research process, have flexibility and accuracy, working within the timetable and budget, and collect accurate and definitive data. Questionnaires save on cost and time, have good control and flexibility, but reduce the accuracy and detail of the collected data (Treiman, 2014). A correlation between parental negligence and increased incidence of childhood obesity will answer the research question while confirming the research hypothesis that parental negligence increases the incidence of obesity among children. On the other hand, the absence of a correlation between parental negligence and increased incidence of childhood obesity will answer the research question while disconfirming the research hypothesis that parental negligence increases the incidence of obesity among children. Is Child Obesity a Reflection of Parental Negligence Essay.

Significance and Conclusion 

The significance of the present study is that it evaluates the position that parental supervision and advice can play in reducing the incidence of obesity among children. This considers the fact that childhood obesity is a source of concern since it is a health risk factor. As such, there is a need to preempt childhood obesity incidence. Additionally, children are impressionable dependents who rely on their parents to guide them. Thus, parents are well positioned to influence their children to adopt healthy lifestyles that preempt them from developing obesity. The implication is that engaging parents to actively implement healthy lifestyle changes for their children could reduce the incidence of childhood obesity. In essence, this project anticipates that parental negligence (failing to introduce healthy lifestyle changes to children) will increase the incidence of childhood obesity with the reverse being equally true. Is Child Obesity a Reflection of Parental Negligence Essay.
 

 

References

Allen, D. & Fost, N. (2012). Obesity and neglect; it’s about the child.
The Journal of Pediatrics
, 160(6), 898-899.

Haroldson, A., Cordell, Z. & Halderman, L. (2015). Analysis of child food requests and maternal compliance in low-income Hispanic and non-Hispanic families.
Family and Consumer Sciences Research Journal
, 44(1), 37-50.

Knutson, J. F., Taber, S. M., Murray, A. J., Valles, N. & Koeppl, G. (2009). The role of care neglect and supervisory neglect in childhood obesity in a disadvantaged sample.
Journal of Pediatric Psychology
, 35(5), 523-532.

Patel, D. (2005). Super-sized kids: using the law to combat morbid obesity in children.
Family Court Review
, 43(1), 164-177.

Rhee, K. E., Dickstein, S., Jelalian, E., Boutelle, K., Seifer, R. & Wing, R. (2015). Development of the general parenting observational scale to assess parenting during family meals.
International Journal of Behavioral Nutrition and Physical Activity
, 12(49), 1-15.

Treiman, D. J. (2014). 
Quantitative data analysis: doing social research to test ideas
. Hoboken NJ: John Wiley & Sons. Is Child Obesity a Reflection of Parental Negligence Essay.

Child Abuse Case Study Essay

Introduction on child abuse

What strategies would you employ to assess the patient for abuse? Explain why you selected these strategies.

How might exposure to the media and/or social media affect the patient?

What type of mandatory reporting (if any) is required in this case? Why? Child Abuse Case Study Essay.

Conclusion

Please address each sentence separately

BUY A PLAGIARISM-FREE PAPER HERE

Child Abuse Case Study

NURS 6660: Psychiatric Mental Health Nurse Practitioner Role I: Child

and Adolescent

Morgan, a 19-year-old male comes to your office to discuss his current mood and

symptoms. This is his first visit to a mental health clinic. “I’ve had 26 jobs in the last 2

years; I finally have a job that I like and I want to make it work.” As you begin to get to

know him, he tells you that his mood is down and that he also has times where he has

“more energy and motivation”: “That’s when I am able to get a new job.” He says that he

has difficulty interacting with coworkers. “I feel like I can’t talk to them.” If it wasn’t for

his supportive girlfriend, he wouldn’t be able to function. “She understands me and

accepts me; she knows what I have been through.” Child Abuse Case Study Essay.

As the PMHNP listens to the client and explores what he means by some of his

statements, you try to put together his story. He mentions that he has been having

nightmares and is not sleeping well. He says he startles easily. He becomes withdrawn

when he begins to talk about the reason for the nightmares.

“This all started a few weeks ago when a cousin of mine got out of jail.” He haltingly tells

the story of his parents’ mental illness and how he had to live with various relatives.

“One cousin who I stayed with a lot took advantage of me. He molested me.” They

found out he also molested other children and he went to jail. “It gives me the creeps

that he is out of jail. I have to face what he did to me.”

Morgan asks about his diagnosis. The PMHNP tells him that he has some symptoms

that sound like depression and anxiety, and that when a child has a traumatic

experience, it can reoccur and stay with a person for many years. He acknowledges

that he thought about PTSD but wasn’t sure what the symptoms look like.

As you think about Morgan’s story, consider the following questions: Where did he fall

between the cracks? Are there agencies who advocate for children like him?

There are thousands of children like Morgan. They were in a vulnerable family situation

and the “responsible” adult was not able to care for the child. Sometimes it takes years

for clients to remember and disclose the abuse. Child Abuse Case Study Essay.

Child Abuse Essay

Introduction on child abuse

Child abuse refers to the actual maltreatment of a child or potential for harm through psychological, sexual or physical approaches. It is notable that the agent of the abuse is the child’s parent, caregiver or guardian who is supposed to be responsible for protecting the child but either fails to protect the child or perpetrates the abuse (Gelles & Perlman, 2012). As a result, child abuse refers to a situation where the child is psychologically, sexually or physically harmed Child Abuse Case Study Essay.

What strategies would you employ to assess the patient for abuse? Explain why you selected these strategies.

Four strategies are available for assessing a child for abuse. The first strategy collects information from the child at risk of being abused on whether he or she is being abused. The second strategy interviews the parents, guardians and caretakers who are likely to be abusing the child. The third strategy collects information from the child’s environment to include neighbors and friends who may have witnessed the child being abused. The fourth strategy uses clinician-completed assessments. The final strategy entails conducting a physical examination on the child (Gilbert, Parton & Skiveness, 2011).

How might exposure to the media and/or social media affect the patient?

Exposure to the media is likely to have a negative effect on the patient by taking a toll on their development. In fact, it places the child under pressure resulting in an increased risk for emotional behavioral problems that would be exhibited as fear, problems with academics, depression and anxiety. In addition, it could prevent the child from recovery and even forgetting about the abuse by always acting as a reminder of what happened (Pecora et al., 2010). Child Abuse Case Study Essay.

What type of mandatory reporting (if any) is required in this case? Why?

Legal provisions designate a group of persons who are obligated to report all suspected and confirmed cases of child abuse. These groups include law enforcement officers, coroners, medical personnel, child care providers, mental health professionals (such as therapists and counsellors), medical professional (such as nurses and physicians), school personnel, and social workers. These individuals are identified for mandatory reporting because they have regular or frequent contact with children and their professional experiences allow them to identify cases of abuse. As such, they can act as credible sources of information on child abuse (Gilbert, Parton & Skiveness, 2011).

Conclusion

One must accept that child abuse is a worrying since it exposes vulnerable children to indefensible harm or failure to protect from a parent, caregiver or guardian who is supposed to protect the child. Still, there is a need to confirm a case of abuse using assessment strategies. Additionally, the information on an abuse case should not be exposed to the media since it increases the risk for the child experiencing emotional behavioral problems. Besides that, professions that have frequent contact with children should proactively fight child abuse by reporting all suspected cases. In this respect, child abuse refers to a situation where the child is psychologically, sexually or physically harmed. Child Abuse Case Study Essay.

 

References

Gelles, R. & Perlman, S. (2012).
Total Estimated Cost of Child Abuse and Neglect in the United States
. Chicago, IL: Prevent Child Abuse America.

Gilbert, N., Parton, N. & Skiveness, M. (2011).
Child protection systems: international trends and orientations
. New York, NY: Oxford University Press.

Pecora, P., Whittaker, J., Maluccio, A., Barth, R., DePanfilis, D. & Plotnick, R. (2010).
The child welfare challenge: policy, practice, and research
(3
rd
ed.). New Brunswick, NJ: Transaction Publishers. Child Abuse Case Study Essay.