Discussion: Anemia Research Paper

In clinical settings, advanced practice nurses often encounter patients with blood disorders such as anemia. Consider the case of a 17-year-old girl who is rushed to the emergency room after suddenly fainting. The girl’s mother reports that her daughter has had difficulty concentrating for the past week, frequently becomes dizzy, and has not been eating normally due to digestion problems. The mother also informs the nurse that their family has a history of anemia. With the family history of anemia, it appears that this is the likely diagnosis. However, in order to properly diagnose and treat the patient, not only must her symptoms and family history be considered, but also factors such as gender, ethnicity, age, and behavior. This poses the question: How do patient factors impact the incidence and prevalence of different types of anemia? Discussion: Anemia Research Paper

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To Prepare

• Review Chapter 21 in the Huether and McCance text. Reflect on the pathophysiological mechanisms of iron deficiency anemia.
• Select one of the following types of anemia: pernicious anemia, folate deficiency anemia, sideroblastic anemia, chronic inflammation anemia, or post-hemorrhagic anemia. Identify the pathophysiological mechanisms of the anemia you selected.
• Consider the similarities and differences between iron deficiency anemia and the type of anemia you selected.
• Reflect on how patient factors such as genetics, gender, ethnicity, age, and behavior might impact these anemic disorders.

Post an explanation of the pathophysiological mechanisms of iron deficiency anemia and the anemia you selected. Compare these two types of anemia, as well as their potential causes. Finally, explain how genetics, gender, ethnicity, age, and behavior might impact the anemic disorders you selected.

4 references

Discussion: Anemia Research Paper

Healthcare Information Technology Trends

Throughout history, technological advancements have appeared for one purpose before finding applications elsewhere that lead to spikes in its usage and development. The internet, for example, was originally developed to share research before becoming a staple of work and entertainment. But technology—new and repurposed—will undoubtedly continue to be a driver of healthcare information. Informaticists often stay tuned to trends to monitor what the next new technology will be or how the next new idea for applying existing technology can benefit outcomes. Healthcare Information Technology Trends

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In this Discussion, you will reflect on your healthcare organization’s use of technology and offer a technology trend you observe in your environment. Healthcare Information Technology Trends

To Prepare:

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

Post a brief description of general healthcare technology trends, particularly related to data/information you have observed in use in your healthcare organization or nursing practice. Describe any potential challenges or risks that may be inherent in the technologies associated with these trends you described. Then, describe at least one potential benefit and one potential risk associated with data safety, legislation, and patient care for the technologies you described. Next, explain which healthcare technology trends you believe are most promising for impacting healthcare technology in nursing practice and explain why. Describe whether this promise will contribute to improvements in patient care outcomes, efficiencies, or data management. Be specific and provide examples. Healthcare Information Technology Trends

Self-Assessment Of Leadership, Collaboration, And Ethics

Write a 3–4 page response to an employment questionnaire requiring a self-evaluation of your leadership and ethical experiences.

An understanding of one’s own approaches to leadership, motivation, collaboration and ethical situations is important to the evolution of an effective leader. An introspective lens can help emerging leaders better understand and hone these important skills. Self-Assessment Of Leadership, Collaboration, And Ethics

SHOW LESS

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

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• Competency 1: Apply qualities, skills and practices used by effective healthcare leaders.
  • Analyze one’s own leadership qualities and actions relative to a specific experience.
• Competency 2: Apply practices that facilitate effective interprofessional collaboration.
  • Analyzes one’s own leadership and motivational techniques used to foster collaboration among stakeholders.
• Competency 3: Apply ethical codes and diversity best practices in health care organizations.
  • Analyze actions taken in response to an ethical dilemma, using an ethical code.
• Competency 4: Produce clear, coherent, and professional written work, in accordance with Capella’s writing standards.
  • Conveys clear meaning in active voice, with minimal issues in grammar, usage, word choice, spelling, or mechanical errors.

ASSESSMENT INSTRUCTIONS

Preparation

Download and review the Western Medical Enterprises Questionnaire found in the Resources. Use it to complete this assessment.

Optional

Read Ethical decision-making in a caring environment: The four principles and LEADS if you chose this reference to complete your assignment. See the Western Medical Enterprises Questionnaire for details.

Scenario

Imagine that over the past few months you have participated in several organizational projects and met many new people.  The opportunities to collaborate and demonstrate your emerging skills as a leader prompted you to think about applying for a new position.  After exploring online job postings, you prepared a resume and submitted the application to Western Medical Enterprises. A few days later you received the following email: Self-Assessment Of Leadership, Collaboration, And Ethics

Dear Applicant,
Thank you for your interest in employment at Western Medical Enterprises. We have received your application packet. The next step for all potential employees is to provide a narrative response to the questions in the attached document. Please return your completed document to me by replying to this e-mail.
Once we receive your responses, we will review them and notify you of the next steps.
Good luck!
Sincerely,
Thomas Hardy
Human Resources Recruiter
Western Medical Enterprises

Instructions

Respond to the scenario by completing the Western Medical Enterprises Questionnaire found in the Resources.

Please refer to the scoring guide for details on how your assessment will be evaluated.

GRADING RUBRIC:

1-  Analyze one’s own leadership qualities and actions relative to a specific experience.

Passing Grade:  Analyzes one’s own leadership qualities and actions relative to a specific experience, against an accepted leadership model.  Self-Assessment Of Leadership, Collaboration, And Ethics

2-  Analyze one’s own leadership and motivational techniques used to foster collaboration among stakeholders.

Passing Grade:  Analyzes one’s own leadership and motivational techniques used to foster collaboration among stakeholders, comparing them to one or more proven techniques.

3-  Analyze actions taken in response to an ethical dilemma, using an ethical code.

Passing Grade:  Analyzes actions taken in response to an ethical dilemma in great detail that references specific elements of the code to help assess actions taken.

4-  Convey clear meaning in active voice, with minimal issues in grammar, usage, word choice, spelling, or mechanical errors.

Passing Grade:  Produces complex and concise text that conveys clear meaning, with strong grammar, usage, word choice, spelling, and mechanical decisions. Enhances flow and meaning of text by using strong active voice throughout. Self-Assessment Of Leadership, Collaboration, And Ethics

 

Dorothea Orem Theory Case Study

This case study documents an ongoing interaction between a wife and her husband who live in a spacious home in a gated community. Answer the questions posted below. 1 page.

When Dan (now 80) and Jane (now 65) began dating more than 15 years ago, both were emotionally charged to begin their lives anew. Well-educated and financially secure, they had a lot in common. Dan was a protestant minister, and Jane’s deceased husband had been a protestant minister. Both had lost their spouses. Jane’s first husband had suffered a catastrophic cerebral aneurysm 2 years earlier. Dan had conducted the funeral service for Jane’s husband. Dan’s wife had died of terminal cancer a little over a year earlier. Dan’s first wife had been a school counselor; Jane was a school teacher. Both had children in college. They shared a love for travel. Dan was retired but continued part-time employment, and Jane planned to continue teaching to qualify for retirement. Both were in great health and had more than adequate health benefits. Within the year they were married. Summer vacations were spent snorkeling in Hawaii, mountain climbing in national parks, and boating with family. After 7 years, Dan experienced major health problems: a quadruple cardiac bypass surgery, followed by surgery for pancreatic cancer. Jane’s plans to continue working were dropped so she could assist Dan to recover and then continue to travel with him and enjoy their remaining time together. Dan did recover—only to begin to exhibit the early signs and symptoms of Alzheimer’s disease. One of the early signs appeared the previous Christmas as they were hanging outdoor lights. To Jane’s dismay, she noted that Dan could not follow the sequential directions she gave him. Dorothea Orem Theory Case Study

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As time passed, other signs appeared, such as some memory loss and confusion, frequent repeating of favorite phrases, sudden outbursts of anger, and decreased social involvement. Assessments resulted in the diagnosis of early Alzheimer’s disease. Dan was prescribed Aricept, and Jane began to prepare herself to face this new stage of their married life. She read literature about Alzheimer’s disease avidly and organized their home for physical and psychological safety. A kitchen blackboard displayed phone numbers and the daily schedule. Car keys were appropriately stowed. It was noted that she began to savor her time with Dan. Just sitting together with him on the sofa brought gentle expressions to her face. They continued to attend church services and functions but stopped their regular swims at their exercise facility when Dan left the dressing room naked one day. Within the year, Jane’s retired sister and brother-in-law relocated to a home a short walk from Jane’s. Their intent was to be on call to assist Jane in caring for Dan. Dan and Jane’s children did not live nearby so could only assist occasionally. As Dan’s symptoms intensified, a neighbor friend, Helen, began to relieve Jane for a few hours each week. At this time, Jane is still the primary dependent-care agent. She prides herself in mastering a dual shower; she showers Dan in his shower chair first, and then, while she showers, he sits on the nearby toilet seat drying himself. Her girlfriends suggested that this was material for an entertaining home video! Although Jane is cautious in her care for Dan, she often drives a short distance to her neighborhood tennis court for brief games with friends or spends time tending the lovely gardens she and Dan planted. During these times, she locks the house doors and leaves Dan seated in front of the television with a glass of juice. She watches the time and returns home midway through the hour to check on Dan. On one occasion when she forgot to lock the door while she was gardening, Dan made his way to the street, lost his balance, reclined face-first in the flower bed, and was discovered by a neighbor. Jane has given up evenings out and increased her favorite pastime of reading. Her days are filled with assisting Dan in all of his activities of daily living. And, often, her sleep is interrupted by Dan’s wandering throughout their home. At times, when the phone rings, Dan answers and tells callers Jane is not there. Jane, only in the next room, informs him “Dan, I am Jane.” Friends are saddened by Dan’s decline and concerned with the burdens and limitations Jane has assumed as a result of Dan’s dependency. Dorothea Orem Theory Case Study

Critical thinking activities

1. Examine this case study through the dependency cycle model. The outer arrows show a progression through varying stages of dependency. The inner circle represents who can be involved in the dependency cycle. Where are Jane and Dan in this cycle?

2. Using the basic dependent-care system model, assess Dan and Jane. Identify the basic conditioning factors (BCFs) for each. What is the effect of Dan’s BCFs on his self-care agency? Is he able to meet his therapeutic self-care demands? Continue on to diagnose Dan’s self-care deficit and resulting dependent-care deficit. Now assess Jane’s self-care system.

3. Design a nursing system that addresses Jane’s self-care system as she increases her role as dependent-care agent for Dan.

Dorothea Orem Theory Case Study