Palliative Care and Compassion Fatigue Essay

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Palliative Care and Compassion Fatigue Essay

The palliative care unit where you work has been exceptionally busy over the past six months and you have nursed more than the usual number of people who have died. Many of them have been very young people, and some of their families still come by the ward to visit you. You feel tired and run-down and you know you have not been your usual happy self at work.

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Write a Palliative Care and Compassion Fatigue Essay explaining how you feel, and plan three strategies you are going to implement to avoid compassion fatigue and burnout, in the future.

Change Management in Dynamic Health Care Systems Essay

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Change Management in Dynamic Health Care Systems Essay

Task:  You have been asked to oversee a major change management process in your organization (fact or fictional). Write an essay of about 3000 words outlining how you would manage this change.  In your essay you must address the following key points:

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  • Outline the change that is going to take place;
  • What approach you will take in managing the change;
  • What are the key elements that you will have to manage during the change process?
  • What approaches will you use to measure the success of the change process?
  • What will be your approach to incorporating the learnings from the change process into future change management activities?

Australian Healthcare System Essay

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Australian Healthcare System Essay

  1. Part of your education includes experiences in different types of healthcare settingsa)a)Explain the philosophy of primary health care and the principles of wellness. (100 words) b)What is the difference between primary health and acute health settings? (50 words) Australian Healthcare System Essay

 2. Mr Alexopoulos, is an 88 year-old man who has migrated from Greece and lives alone. He speaks very basic English only. In the past year he has fallen twice at home, once by tripping over a rug and once when he got up to go to the bathroom at night. He has become increasingly afraid of falling again and tends to restrict his activities in the home. He goes out only when accompanied by his son

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  • Using the information provided above, outline the biopsychosocial and cultural health care considerations that indicate that Mr Alexopoulos should not live alone in the house. (50 words)
  • What aspects of Mr Alexopoulos’ environment need to be assessed (include internal and external factors)? (100 words)
  • Explain specific interventions you would design to ensure Mr Alexopoulos’ safety in his home (100 words)
  • What allied health and community services referrals would you suggest to assist Mr Alexopoulos to maintain his independence? (50 words)

3. Choose one of the theories listed below and explain how it would apply in one of the following different healthcare settings: Aged Care; Palliative Care; Mental Health or Acute Hospitals

  • Peplau’s theory
  • Systems theory
  • Basic human needs theory
  • Developmental theory
  • Psychosocial theory

4. Many countries suffer health inequalities, including Australia – specifically within the Aboriginal and Torres Strait Islander (ATSI) community. In Western societies social issues continue to emerge as the gap between those with and those without economic resources grows. Australian Healthcare System Essay

  • In what ways does an individual’s financial status affect their ability to access health resources?  (150 words)
  • List the social determinants that disadvantage people and create health inequalities. In your answer include the common health inequalities for the ATSI community (50 words). Australian Healthcare System Essay

5. Discuss the following features of the Australian health care system in a Australian Healthcare System Essay:

  • State vs Federal Government allocation of health funds (i.e. what does the State Government fund and what does the Federal Government fund) (150 words)
  • Outline and compare Medicare vs Private Health Insurance (100 words)
  • Aged Care – including which tier of Government is responsible for this area and the allocation of funds.  Include in your answer the accreditation process (200 words).
  • Pharmaceutical Benefits Scheme (PBS) (50 words

Australian Healthcare System Essay

Standards and Regulation for Healthcare Administrators Essay

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Standards and Regulation for Healthcare Administrators Essay

Read three scholarly peer-reviewed articles on the standards and regulation for healthcare administrators such as medical privacy, HIPAA, HITECH, MMA, medical staff credentialing and privileges. Write a 3-4 page paper providing a brief summary of the key points in each article from a legal and ethical perspective, then compare and contrast the findings and recommendations from the perspective of a healthcare administrator or chief of medical staff.

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Your paper should meet the following requirements:

  • Be 3-4 pages in length, not including the cover or reference pages.
  • Be formatted according to the APA referencing
  • Provide full APA citations for articles under review.
  • Utilize headings to organize the content in your work.

Client /Patient-Centred and/or Family-Centred Approach

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Client /Patient-Centred and/or Family-Centred Approach

For this assignment, you are required to choose one (1) client scenario from the two options given below and address the following criteria:

  1. Provide an overview of the chosen client’s chronic condition/illness;
  2. Describe two (2) actual and/or potential health concerns for the client;

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  3. Identify two (2) appropriate topics for client education (one topic for each health concern). Explain how each topic addresses the actual and/or potential health concern for the client and how each topic will assist the client to self-manage their chronic condition and optimise their health;
  4. Describe two (2) specific, appropriate client education strategies that the Registered Nurse would use to teach the chosen education topics (one strategy for each topic). Include details of how the education will be structured and delivered (i.e. method/tool used, setting for education, participants to be involved, etc).
  5. Justify your choice of education strategies for this particular client.

NOTE:

  • ●  Ensure you use a client /patient-centred and/or family-centred approach that optimises individual self-management and promotes active participation of the individual and family in illness management.
  • ●  You must support all sections of your essay with scholarly literature from the past 10 years.

 

 

Evidence-Based Practice Proposal – Bedside Nursing

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Evidence-Based Practice Proposal – Bedside Nursing

Details:

To begin, work through the reference list that was created in the “Section B: Problem Description” assignment in Topic 2. Appraise each resource using the “Rapid Critical Appraisal Checklists,” available in the textbook appendix. The specific checklist you use will be determined by the type of evidence within the resource.

Develop a research table to organize and summarize the research studies. Using a summary table allows you to be more concise in your narrative description. Only research studies used to support your intervention are summarized in this table. Refer to the “Evaluation Table Template,” available in the textbook appendix. Use the “Evaluation Table Template” as an adaptable template. Evidence-Based Practice Proposal – Bedside Nursing

Write a narrative of 750-1,000 words (not including the title page and references) that presents the research support for the projects problem and proposed solution. Make sure to do the following:

  1. Include a description of the search method (e.g., databases, keywords, criteria for inclusion and exclusion, and number of studies that fit your criteria).
  2. Summarize all of the research studies used as evidence. The essential components of each study need to be described so that readers can evaluate its scientific merit, including study strengths and limitations.
  3. Incorporate a description of the validity of the internal and external research.

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It is essential to make sure that the research support for the proposed solution is sufficient, compelling, relevant, and from peer-reviewed professional journal articles.

Although you will not be submitting the checklist information or the evaluation table you design in Topic 3 with the narrative, the checklist information and evaluation table should be placed in the appendices for the final paper.

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

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

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

Upon receiving feedback from the instructor, refine “Section C: Literature Support” for your final submission. This will be a continuous process throughout the course for each section. Evidence-Based Practice Proposal – Bedside Nursing

Nursing Research and Informatics Course Competencies

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Nursing Research and Informatics Course Competencies

  • Identify the way health informatics and new technologies have impacted and improved patient outcomes.
  • Evaluate the safeguards and ethical standards needed to promote and support data security, patient confidentiality and regulatory requirements.

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  • Explore the effective use of patient care technologies, communication systems, and information systems across the health-illness continuum.
  • Examine ethics in nursing research and scholarship and the relationships between theory, research, and behavior in the application of evidence-based nursing practice.

Assessment, Communication, and Collaboration Course Competencies

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Assessment, Communication, and Collaboration Course Competencies

This course will give you the opportunity to demonstrate and increase your knowledge and understanding of individual- and community-health assessment strategies.

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In this course, you will…

  • Analyze effective health assessment methods, communication strategies, and interdisciplinary collaboration techniques used in a variety of health care settings.
  • Conduct comprehensive, evidence-based health assessments that encompass environmental, genetic, cultural, ethnic, and socioeconomic factors.
  • Consider the skills needed by the members of collaborative interdisciplinary teams in order to promote evidence-based quality care for individuals, groups, communities, and diverse populations.
  • Examine ways of adapting your communication style to meet the specific needs of your audience.

Orientation to Baccalaureate Nursing

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Orientation to Baccalaureate Nursing

This course is the beginning of your BSN learning program. To successfully complete this course, you will be expected to:

  1. Articulate how the nurse functions as an evolving scholar.

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  2. Analyze the role and expectations of the professional nurse leader within the global health care delivery system.

  3. Explain ways to promote safe, quality, evidence-based care to populations and communities in health care environments.
  4. Discuss the use of information management principles, techniques, and systems to manage knowledge, mitigate error, and support decision making.
  5. Communicate in a manner that is consistent with expectations of nursing professionals.

Chronic Care Management Sample Essay

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Chronic Care Management Sample Essay

After an initial examination of the medication list, I try to envision Mrs. X based on the SPICES assessment and my own 30 years of geriatric experience.  This is an 80-year-old female who has lived her entire life eating rich foods high in cholesterol and fat.  She is probably short and plump.  She has not been sleeping and likely exhibits physical behaviors which have been labeled as “psychotic” in nature.  She hasn’t been eating well and has had a significant weight loss, despite her plump appearance.  She has tremors in her hands which make it hard to hold utensils and cups, but she has lost weight because she has had anorexia, not due to the tremors.  She is incontinent and has constipation.  She is confused, usually agitated, and she probably cries inappropriately.  She is ambulatory, but she is weak. She will have some bruises and skin tears on her arms and legs due to the falls, but she doesn’t have any pressure wounds, yet. Chronic Care Management Sample Essay.

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Although Mrs. X is very ill, there is no question that some of her current ailments are related to her polypharmacy.  There are 21 medications on Mrs. X’s medication list.  Unfortunately, the use of more than five medications daily (polypharmacy) is commonly seen in elderly patients (Masnoon, Shakib, Kalisch-Elliot, & Caughey, 2017).  At first glance, it is notable that many of the medications on Mrs. X’s list work in similar ways and place Mrs. X at higher risk for side effects or adverse reactions.  Also, some of these medications have the same ingredients as others, increasing the risk of overdose. Chronic Care Management Essay Some of the listed medications are even contraindicated for elderly patients (Maher, Hanton, & Hajjar, 2014).

A plan of care is needed that should include medication reconciliation, education regarding her medications, review by a pharmacy consultant, and initiation of gradual dose reductions.  Medication education should include a description of the each medication currently taken.  Altace is an ACE (angiotensin-converting-enzyme) inhibitor and is used to treat high blood pressure (Hypertension) and heart failure (Wolters, 2011).  Adalat is a calcium channel blocker and is used to treat high blood pressure (Wolters, 2011).  Cardizem LA is also a calcium channel blocker and is used to treat high blood pressure (Wolters, 2011). Chronic Care Management Essay Lasix is a diuretic used to treat fluid retention caused by heart failure (Wolters, 2011).  Hydrochlorothiazide is also a diuretic and is used to treat fluid retention and hypertension (Wolters, 2011).  Baby aspirin is a blood thinner, as well as a nonsteroidal anti-inflammatory, and is used to reduce the risk of heart attack by thinning the blood (Wolters, 2011).  Lipitor is a statin drug and is used to treat high cholesterol and triglyceride levels (Wolters, 2011).  Synthroid is a hormone used to treat hypothyroidism (Wolters, 2011).  Tylenol is an analgesic used to treat minor aches and pains (Wolters, 2011).  Benadryl is an antihistamine with a sedating effect that is used to treat seasonal allergies (Wolters, 2011).  Aleve is a nonsteroidal anti-inflammatory drug used to treat arthritis pain (Wolters, 2011).  Amrix is a muscle relaxant used to treat pain and stiffness caused by muscle spasms (Wolters, 2011). Chronic Care Management Essay Glucosamine is an amino sugar and is used to treat arthritis pain.  Amitriptyline is an antidepressant and is used to treat sleeplessness associated with depression (Wolters, 2011).  Paxil is a selective serotonin reuptake inhibitor and is used to treat depression (Wolters, 2011).  Oxazepam is a sedative and is used to treat insomnia associated with depression (Wolters, 2011).  Tylenol PM is a combination drug that contains both Benadryl and Tylenol.  Prilosec is a proton pump inhibitor used to treat gastroesophageal reflux disease (GERD) (Wolters, 2011).  Fiber laxative is a bulk-forming laxative used to treat constipation by increasing the bulk of the stool causing movement in the intestine.  It also increases the amount of water in the stool making the stool softer (Wolters, 2011).  Colace is a sulfonic acid which is also used to increase the amount of water in the stool making it softer and easier to pass (Wolters, 2011).  Multivitamins are prepared with multiple dietary minerals and nutritional elements and are used as dietary supplements and often stimulate the appetite. Chronic Care Management Sample Essay.

Independently medications such as Benadryl, Paxil, Tylenol PM, and others are contraindicated for use in the elderly because they have adverse side effects such as increased delirium, behavioral problems, and increased risk for stroke.  Medications such as Prilosec can cause bone loss, fractures and even bowel infections such as Clostridium Difficile.  Nonsteroidal anti-inflammatory medications such as Aleve and baby aspirin could potentially promote fluid retention and exacerbate heart failure. Chronic Care Management Essay In addition to the side-effects/ adverse reactions that some medications can cause, there is also the potential for medications that work in a similar manner to increase other risks (Beers, 2015).  Antidepressant medications can lower blood pressure and if a patient also receives a fluid pill (diuretic), then this adds to the potential for extremely low blood pressure, which could cause falls or even be fatal.  Muscle relaxants and sedatives both cause increased sleepiness and are poorly tolerated by older adults.  Over-sedation and falls are a huge risk.  Even though CHF causes an excess of fluid, there is still a very real risk of dehydration (Haq, et.al., 2014).  Lasix, hydrochlorothiazide, bulk fiber laxative, and Colace all pull fluid out of the body for elimination either by urine or feces. A person can have edema when fluid is in all the wrong places, but still be dehydrated because the fluid is not in the right places (Haq, et.al., 2014).

It is important that medications are taken strictly as ordered and unnecessary medications should be discontinued (Masnoon, et.al., 2017).  Although there may be some adjustment with medication timing to meet a patient’s individual preferences, it is important that the medication regimen have a structured routine.  A pharmacist should be consulted to review medications monthly or as indicated to ensure that the lowest possible therapeutic dosages are given.  Laboratory monitoring will be critical in assessment of the status of medication levels and their effects on the body.  Other tests may also be needed such as an electrocardiogram, chest x-ray, or arterial doppler studies.  Physical, occupational, and speech therapies – as well as restorative nursing – will be needed to improve physical tolerance and endurance.  Nutrition will also be important.  Calorie intake, salt intake, and other vitamins and minerals will need to be monitored closely.  Daily weights and edema checks will be needed to monitor fluid gains and/ or losses (Haq, et.al., 2014).  Involvement in activities of daily living, social activities, and therapy activities, as well as a regular waking and sleeping routine, will be necessary to improve sleep patterns.  One of the more important interventions needed is the monitoring frequently for adverse reactions, side effects, and/or increased behaviors.  Regular assessments will be needed. Chronic Care Management Sample Essay.

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References

Masnoon, N., Shakib, S., Kalisch-Ellett, L., & Caughey, G.  (2017, October 10).  What is polypharmacy? A systematic review of definitions.  Biomed central geriatrics, 17, 230.  Retrieved from  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5635569/

Wolters K. (Firm).  (2011). Nursing 2011 drug handbook.  Philedephia – Baltimore – New York – London.  Chris Burghardt Chronic Care Management Essay

Beers Criteria Update Expert Panel.  (2015). American geriatrics society 2015 updated Beers criteria for potentially inappropriate medication use in older adults.  Clinical Investigations.  Retrieved from  https://www.sigot.org/allegato_docs/1057_Beers-Criteria.pdf

Maher, Jr, R., Hanlon, J., Hajjar, E.  (2014). Clinical consequences of polypharmacy in elderly.  Expert opin drug saf.  Retrieved from  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3864987/

Haq, M., Wong, C., Mutha, V., Anavekar, N., Lim, K., Barlis, P., & Hare, D.  (2014). Therapeutic interventions for heart failure with preserved ejection fraction:  A summary of current evidence.  World journal of cardiology, 6(2), 67-76.  Doi:  10.4330/wjc.v6.i2.67 Chronic Care Management Sample Essay.