Gastrointestinal Tract: Disorders Of Motility

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To Prepare

· Review Chapter 35 in the Huether and McCance text. Identify the normal pathophysiology of gastric acid stimulation and production.

· Review Chapter 37 in the Huether and McCance text. Consider the pathophysiology of gastroesophageal reflux disease (GERD), peptic ulcer disease (PUD), and gastritis. Think about how these disorders are similar and different.

· Select a patient factor different from the one you selected in this week’s Discussion: genetics, gender, ethnicity, age, or behavior. Consider how the factor you selected might impact the pathophysiology of GERD, PUD, and gastritis. Reflect on how you would diagnose and prescribe treatment of these disorders for a patient based on this factor.

· Review the “Mind Maps—Dementia, Endocarditis, and Gastro-oesophageal Reflux Disease (GERD)” media in the Week 2 Learning Resources. Use the examples in the media as a guide to construct a mind map for gastritis.

To Complete

Write a 2- to 3-page paper that addresses the following:

  • –  Describe the normal pathophysiology of gastric acid stimulation and production. Explain the changes that occur to gastric acid stimulation and production with GERD, PUD, and gastritis disorders.
  • – Explain how the factor you selected might impact the pathophysiology of GERD, PUD, and gastritis. Describe how you would diagnose and prescribe treatment of these disorders for a patient based on the factor you selected.
  • – Construct a mind map for gastritis. Include the epidemiology, pathophysiology, and clinical presentation, as well as the diagnosis and treatment you explained in your paper.

· This paper should have at least 4 current references (Year 2013 and up)

· At least 2 references should be from the class Learning Resources below

The following Resources are not acceptable:

· 1. Wikipedia

· 2. Cdc.gov- nonhealthcare professionals section

· 3. Webmd.com

· 4. Mayoclinic.com

LEARNING RESOURCES

**Huether, S. E., & McCance, K. L. (2017). Understanding pathophysiology (6th ed.). St. Louis, MO: Mosby.

  • Chapter 35, “Structure and      Function of the Digestive System”

This chapter provides information relating to the structure and function of the digestive system. It covers the gastrointestinal tract and accessory organs of digestion.

  • Chapter 36, “Alterations of      Digestive Function”

This chapter presents information relating to disorders of the gastrointestinal tract and accessory organs of digestion. It also covers the pathogenesis, clinical manifestations, evaluation, and treatment of gastroesophageal reflux disease, gastritis, peptic ulcer disease, inflammatory bowel disease, and irritable bowel syndrome.

  • Chapter 37, “Alterations of      Digestive Function in Children”

This chapter presents information relating to disorders of the gastrointestinal tract and liver that affect children. It focuses on congenital impairment, inflammatory disorders, metabolic disorders, as well as the impairment of digestion, absorption, and nutrition.

**Hammer, G. G., & McPhee, S. (2014). Pathophysiology of disease: An introduction to clinical medicine. (7th ed.) New York, NY: McGraw-Hill Education.

  • Chapter 13,      “Gastrointestinal Disease”

This chapter provides a foundation for exploring gastrointestinal disorders by reviewing the structure and function of the GI tract. It also describes mechanisms of regulation of GI tract disorders such as acid-peptic disease, inflammatory bowel disease, and irritable bowel syndrome.

**de Bortoli, N., Martinucci, I., Bellini, M., Savarino, E., Savarino, V., Blandizzi, C., & Marchi, S. (2013). Overlap of functional heartburn and gastroesophageal reflux disease with irritable bowel syndrome. World Journal of Gastroenterology, 19(35), 5787-5797. doi:10.3748/wjg.v19.i35.5787

**National Digestive Diseases Information Clearinghouse. (2016). Retrieved from http://digestive.niddk.nih.gov/index.aspx

PEDIATRIC CASE STUDIES

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CASE STUDIES

I- Case Study: Care of the Child in Inpatient and Outpatient Settings

Jordan is 9-year-old male who is a direct admit for observation. He has a history of vomiting and diarrhea for 48 hours.

Subjective Data

· Nausea and vomiting for 24 hours

· Has not voided today

· Unable to tolerate oral fluids

Objective Data

· Vital signs: T 37.8° C, P 120, R24, BP 110/60

· Weight: 34 kg

· Hyperactive bowel sounds to auscultation

Question 1

When should the discharge teaching begin for Jordan and his family?

Question 2

What is the best way to approach Jordan regarding the IV that has been ordered.

Question 3

What would be good distractions for a child of Jordan’s age?

II- Case Study: Pediatric Cancer

Mario is a 7-year-old male who presents with a 1-week history of body aches and pallor. He has a 2-day history of fever to 103° F and a 1-day history of bruising and lethargy.

Subjective Data

· Complains of hurting all over

· States he feels very tired

· States he feels dizzy when he stands up

Objective Data

· Weight 26.1 kg

· Vital signs: T 38.9° C, P 140, R 40, BP 108/54, O2 sat 100%

· Purpural rash on extremities

· WBC 0.7

· HGB 3.1

· Hct 8.5

· Plt .08

· ANC 0.1

Question 1

Which of Mario’s presenting symptoms must be treated and stabilized before chemotherapy induction?

Question 2

What testing is required for a definitive diagnosis of meningitis?

Question 3

What should the nurse do in this clinical situation? Prioritize actions.

III- Case Study: Pediatric Respiratory System

Will is a 4-month-old infant born at 34 weeks of gestation. Will’s mother states that he has not been able to go to day care because he has been coughing with a fever for the past 3 days. She states today he is unable to feed well from the bottle because of nasal secretions.

Subjective Data

· Mother complains that infant has had cough for 3 days

· Mother states that infant is having trouble sleeping

· Not voided in past 6 hours

Objective Data

· Birth Weight: 1.9 kg

· Today’s Weight: 5.5 kg

· Vital Signs: T 38° C, P 186, R 60, BP 90/52, Pulse Oximetry 93%

· Thick yellow nasal secretions

· Nasal flaring with moderate intercostal retractions

· Breath sounds decreased with crackles bilaterally to auscultation

Question 1

What risk factors does Will have for contracting bronchiolitis?

Question 2

What is the first priority for Will’s treatment?

Question 3

What should the nurse do in this clinical situation? Prioritize actions.

IV- Case Study: Pediatric Gastrointestinal System

Lucy is a 44-day-old formula-fed infant who presents with a 4-day history of vomiting.

Subjective Data

1. Mother states infant has been vomiting undigested formula after feedings

2. Mother states that infant has not had fever or diarrhea

3. Mother states that infant has had 8 wet diapers in the past 24 hours

Objective Data

1. Weight 4.8 kg (birth weight 3.5 kg)

2. Vital signs: T 37.1° C (rectal), P 130, R 30, BP 92/52

3. Mucous membranes moist, anterior fontanel flat and soft

4. Awake and alert, lusty cry

5. Good muscle tone

6. Olive-sized mass palpated at epigastrium

Question 1

What test will be used to diagnose pyloric stenosis?

Question 2

What should the nurse do in this clinical situation? Using the case study above, the first prioritization step the nurse would take is ____.

Question 3

The second prioritization step the nurse would take is ____.

Question 4

The third prioritization step the nurse would take is ____.

Question 5

The fourth prioritization step the nurse would take is ____.

Question 6

The fifth prioritization step the nurse would take is ____.

Question 7

The sixth prioritization step the nurse would take is ____.

Question 8

The seventh prioritization step the nurse would take is ____.

Question 9

The eighth prioritization step the nurse would take is ____.

V- Case Study: Pediatric Cardiovascular System

Michael is a 7-week-old breastfed infant who presents with a 2-day history of irritability and poor feeding.

Subjective Data

· Mom states patient has been “fussy” for past 2 days

· Only feeds for a “few” minutes at a time

· Breathing heavily and fast for 2 days

Objective Data

· Weight: 4.8 kg

· Vital Signs: T 36.8° C, P 250, R 65, BP 84/58

· Breath sounds clear to auscultation

· Oxygen Saturation 95%

· Central capillary refill 4 sec

Question 1

What is the treatment for an unstable patient with SVT?

Question 2

Decreased cardiac output from prolonged SVT will produce what complication?

Question 3

In this clinical situation what should the nurse do? Prioritize actions.

VI- Case Study: Hematologic System

Liam is an 8-year-old male with a history of hemophilia. Liam presents today with a 1-day history of right elbow pain.

Subjective Data

· Right elbow pain for 1 day

· Patient states he hit his right elbow on desk yesterday

· Patient complains that he cannot move his elbow

·

Objective Data

· Weight 31.6 kg

· Vital sighs: T 37.4° C, P 82, R 20, BP 108/68

· Rates pain 6 on scale of 10

Question 1

How should the nurse respond when Liam’s father explains that they watched and waited to see if Liam needed treatment after his injury?

Question 2

Why are neuro checks an important part of Liam’s physical exam?

Question 3

What should the nurse do in this clinical situation? Prioritize actions.

VII- Case Study: Common Disorders of the Red Blood Cells

Susan is a 26-year-old G1P0 at 6 weeks of gestation with type 2 diabetes. Her BMI is 32. Her hemoglobin A1C is 9. She uses glyburide 10 mg PO daily. The physician has switched her to insulin at this time.

0. Question 1

What is the nursing priority at this time?

Question 2

What should Susan be taught about insulin needs during pregnancy?

Question 3

What additional risk factor does Susan have?

Question 4

How should Susan be counseled regarding weight gain in pregnancy?

Question 5

What advice can be given to Susan regarding exercise?

VIII- Case Study: Pediatric Genitourinary System

Lilly is a 3-year-old female who presents with complaints of abdominal pain and fever since yesterday.

Subjective Data

· Complains of lower abdominal pain

· Fever for 24 hours

· Lilly has ‘wet her pants’ despite being recently potty trained

Objective Data

· Vital signs: T38.5° C, P 114, R 32, BP 104/62

· Urine positive for WBCs, nitrites, blood

Question 1

What risk factors does Lilly have for UTI?

Question 2

What might prevent Lilly from a recurring UTI?

Question 3

What should the nurse do in this situation? Prioritize actions.

IX- Case Study: Pediatric Neurologic System

Abby is a 1-year-old female who presents after a reported seizure at day care.

Subjective Data

· Fever for 1 hour

· Eating and drinking normally per mother

Objective Data

· Vital signs: T 40° C, HR 160, R 44, BP 104/68

· Awake and alert

· Skin hot to touch, otherwise normal physical examination

Question 1

How should the nurse respond to Abby’s mother when she asks if Abby has epilepsy?

Question 2

How should the nurse respond to Abby’s mothers question about brain damage?

Question 3

In this clinical situation what should the nurse do?

ADVOCACY IN HEALTH

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First Steps on Becoming a Grassroots Lobbyist/Advocate for Health Care Policy

This assignment has two parts, numbered below. Write each question as a new topic area, then follow with a paragraph or two to answer the question. You may find it necessary to search for answers to the questions outside of the assigned reading. Be sure to use APA guidelines for writing style, spelling and grammar, and citation of sources.

Tasks:

  1. Imagine that you are going to make a visit to your representative in Congress. Develop a one-page document that supports your position on the AHCA that you would leave with your representative or his or her aide when you make your visit. This one-pager, also called a “leave behind,” should state your position clearly in bullet points and give your reasons why your position is preferred. This “leave behind” should have 1 inch margins and utilize 14-point font throughout. If you were making this visit in person, you would present your “leave behind” to the person with whom you speak during your visit. Include a second page that describes your rationale for the position in your “leave behind” page supported by at least two journal articles.
  2. Write a two-page brief to describe the scenario surrounding your legislative visit. Understanding the political affiliation of your representative, include answers to the following: 
    • Was your member in support or in opposition to the AHCA?
    • State three points that you would cover in support or opposition to your representative’s position.
    • How does your nursing experience influence the advocacy position that you take on the AHCA?

Submission Details:

  • Submit your response in a 4-page Microsoft Word document.
  • Name your document SU_NSG4068_W3_Project_LastName_FirstInitial.doc.
  • Submit your document to the Submissions Area by the due date assigned.
  • Cite sources in the APA format on a separate page.

Discussion: Cardiovascular Disorders

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Veins and arteries are vital elements of the cardiovascular system. They carry the blood supply through the body and are essential for proper function. Sometimes veins and arteries malfunction, resulting in cardiovascular disorders. Malfunctions of arteries and veins are similar to malfunctions of a water hose. Consider the structure and function of a hose. A tap releases water, which then travels through the hose and comes out the other end. If the hose has been dormant for several months, dirt and rusty particles might build up inside, resulting in a restricted flow of water. Similarly, buildup of plaque inside the coronary arteries restricts blood flow and leads to disorders such as coronary heart disease. This disease is one of the most common cardiovascular disorders, and according to the National Heart, Lung and Blood Institute (2011), is the leading cause of death for men and women in the United States. In this Discussion, you examine the pathophysiology of cardiovascular disorders such as coronary heart disease.

To Prepare

· Review this week’s media presentation on alterations of cardiovascular functions, as well as Chapter 24 in the Huether and McCance text. Identify the pathophysiology of cardiovascular disorders.

· Select one patient factor: genetics, gender, ethnicity, age, or behavior. Consider how the factor you selected might impact the pathophysiology of cardiovascular disorders.

· Select one of the following alterations of cardiovascular disorders: peripheral arterial disease, myocardial infarction, coronary artery disease, congestive heart failure, or dysrhythmia. Think about how hypertension or dyslipidemia can lead to the alteration you selected. 

Post a description of the pathophysiology of cardiovascular disorders, including how the factor you selected might impact the pathophysiology. Then, explain how hypertension or dyslipidemia can lead to the alteration you selected for patients with the factor you identified.

Required Readings

** Huether, S. E., & McCance, K. L. (2017). Understanding pathophysiology (6th ed.). St. Louis, MO: Mosby.

  • Chapter 23, “Structure and      Function of the Cardiovascular and Lymphatic Systems”

This chapter examines the circulatory system, heart, systemic circulation, and lymphatic system to establish a foundation for normal cardiovascular function. It focuses on the structure and function of various parts of the circulatory system to illustrate normal blood flow.

  • Chapter 24, “Alterations of      Cardiovascular Function”

This chapter presents the pathophysiology, clinical manifestations, evaluation, and treatment of various cardiovascular disorders. It focuses on diseases of the veins and arteries, disorders of the heart wall, heart disease, and shock.

  • Chapter 25, “Alterations of      Cardiovascular Function in Children”

This chapter examines cardiovascular disorders that affect children. It distinguishes congenital heart disease from acquired cardiovascular disorders.

** Hammer, G. G. , & McPhee, S. (2014). Pathophysiology of disease: An introduction to clinical medicine. (7th ed.) New York, NY: McGraw-Hill Education.

  • Chapter 11, “Cardiovascular      Disorders: Vascular Disease”

This chapter begins with an overview of the vascular component of the cardiovascular system and how the cardiovascular system is normally regulated. It then describes three common vascular disorders: atherosclerosis, hypertension, and shock.

**American Heart Association. (2012). Retrieved from http://www.heart.org/HEARTORG/ 

**Million Hearts. (2012). Retrieved from http://millionhearts.hhs.gov/index.html 

National Heart, Lung, and Blood Institute. (2012). Retrieved from http://www.nhlbi.nih.gov/

Instructor Requirements

As advanced practice nurses, we are scholars, nurse researchers and scientists. As such, please use Peer-Reviewed scholarly articles and websites designed for health professionals (not designed for patients) for your references. Students should be using the original citation in Up to Date and go to that literature as a reference. The following are examples (not all inclusive) of resources/websites deemed inadmissible for scholarly reference:

  1. Up      to Date (must use original articles from Up to Date as a resource)
  2. Wikipedia
  3. Cdc.gov-      non healthcare professionals section
  4. Webmd.com
  5. Mayoclinic.com

ART OF THE AMERICAS

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Question 1: Art of the Americas

This week, we studied a vast array of cultural objects produced in North, South, and Central America prior to 1492. Select one object from each of the following cultures: Aztec, Inca, and North (Native) American.

First, identify each object, including its name, date, medium, and location/geographical region of origin.

Then, in a minimum of 2 well-developed paragraphs, address the following questions for each object:

  1. What are the unique and specific visual characteristics of the object? How are these visual characteristics typical of the time and place in which the object was created?
  2. How does meaning or function of the object reflect the culture in which it was produced?

Question 2: Neoclassicism, Romanticism, and Realism

Beginning in the 19th century, artistic movements carry the suffix “-ism” to their name. Originally derived from Ancient Greek, “-isms” is appended to a word that then reflects a philosophical concept. In the case of art, it comes to mean the philosophy or approach to art that binds a group of artists together.

Select one representative example from each of the following “-isms” studied this week: Neoclassicism, Romanticism, and Realism. In 3 well-developed paragraphs, discuss:

  1. What is the philosophy or approach to art that is defined by the –ism.
  2. What are the specific visual characteristics of your example that are representative of the overall style of the –ism?
  3. How does the specific subject of your selected work reflect the philosophy of the –ism?

Be sure to explain your ideas clearly and support them by discussing specific works of art that you have read about this week, talking about how they illustrate and support your ideas.

Discussion: Diagnosis And Management Of Hematologic And Metabolic Disorders

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In clinical settings, pediatric patients often present with hematologic and metabolic disorders such as anemia and diabetes. Many of these disorders are manageable with drug therapy and lifestyle changes, but they can pose serious complications for patients if left untreated. In your role as the advanced practice nurse, you must identify patients at risk of hematologic and metabolic disorders and provide the appropriate education for them and their families. Consider potential treatment, management, and education strategies for the patients in the following case studies.

Case Study 1

You see a 1-week-old Asian infant for a weight check. The infant is back to his birth weight and is breastfeeding for 10 minutes every 2 hours with one 3-hour stretch a day. He is alert, has bowel movements with each feeding, and wets 8–10 diapers a day. His blood type is A+ and his mother’s blood type is A+. Coombs’ testing at birth was negative. You note slight scleral and skin jaundice.

Case Study 2

Jimmy is a 3-year-old “picky” eater according to his mother. He refuses to eat anything but waffles for breakfast and macaroni and cheese or chicken nuggets for lunch and dinner. He will eat apples and bananas but refuses all vegetables except corn. After a normal physical examination, you obtained blood testing that revealed the hemoglobin is 11.4 mg/dl and his hematocrit is 30% (both obtained by venipuncture). The CBC revealed microcytic hypochromic RBCs.

Case Study 3

Melissa is a 13-year-old who presents to your office for a well-child check. Physical examination reveals a thin child who is short of stature. Breast Tanner stage is II and pubic hair development is Tanner I. Neurologic, skin, heart, lung, abdominal, and HEENT examinations are normal.

To prepare:

  • Review “Endocrine and Metabolic Disorders” and “Hematologic Disorders” in the Burns et al. text.
  • Review and select one of the three provided case studies. Analyze the patient information.
  • Consider a differential diagnosis for the patient in the case study you selected. Think about the most likely diagnosis for the patient.
  • Think about a treatment and management plan for the patient. Be sure to consider appropriate dosages for any recommended pharmacologic and/or non-pharmacologic treatments.
  • Consider strategies for educating patients and families on the treatment and management of the hematologic or metabolic disorder.

Post an explanation of the differential diagnosis for the patient in the case study you selected. Explain which is the most likely diagnosis for the patient and why. Include an explanation of unique characteristics of the disorder you identified as the primary diagnosis. Then, explain a treatment and management plan for the patient, including appropriate dosages for any recommended treatments. Finally, explain strategies for educating patients and families on the treatment and management of the hematologic or metabolic disorder.

Legislation Testimony/Advocacy Statement)

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The Assignment: (1- to 2-page Comparison Grid; 1- to 2-page Legislation Testimony/Advocacy Statement)

Part 1: Legislation Comparison Grid

Based on the health-related bill you selected, complete the Legislation Comparison Grid Template. Be sure to address the following:

  • Determine the legislative intent of the bill you have reviewed.
  • Identify the proponents/opponents of the bill.
  • Identify the target populations addressed by the bill.
  • Where in the process is the bill currently? Is it in hearings or committees?
  • Is it receiving press coverage?

Part 2: Legislation Testimony/Advocacy Statement

Based on the health-related bill you selected, develop a 1- to 2-page Legislation Testimony/Advocacy Statement that addresses the following:

  • Advocate a position for the bill you selected and write testimony in support of your position.
  • Describe how you would address the opponent to your position. Be specific and provide examples.
  • Recommend at least one amendment to the bill in support of your position.

Legislation Comparison Grid Template

Use this document to complete Part 1 of the Module 2 Assessment Legislation Comparison Grid and Testimony/Advocacy Statement

Health-related Bill NameH.R. 647: Palliative Care and Hospice Education and Training Act
DescriptionThis bill came to fruition as the tool to amend the Public Health Service Act to increase the number of permanent faculty in palliative care at accredited allopathic and osteopathic medical schools, nursing schools, social work schools, and other programs, including physician assistant education programs, to promote education and research in palliative care and hospice, and to support the development of faculty careers in academic palliative medicine (H.R. 647). (2019, January 17).
Federal or State?Federal
Legislative IntentThe Secretary, acting as a liaison of the Director of the National Institutes of Health, shall embark on a strategy to be applied across the institutes and centers of the National Institutes of Health to expand and augment national research programs in palliative care in order to address the quality of care and quality of life for the rapidly growing population of patients in the United States with serious or life-threatening illnesses, including cancer; heart, kidney, liver, lung, and infectious diseases; as well as neurodegenerative diseases such as dementia, Parkinson’s disease, or amyotrophic lateral sclerosis (H.R. 647). (2019, January 17).
Target PopulationThose who have entered a graduate medical education program
Status of the bill (Is it in hearings or committees? Is it receiving press coverage?)The aforementioned bill has entered the first phase in the legislative process. On January 17, 2019 the proposed bill was introduced to congress.
General Notes/CommentsHealth professions schools with programs in psychology, pharmacy, nursing, social work, physician assistant education, chaplaincy, or other health disciplines, as approved by the Secretary. Such a fellowship shall be open to current faculty, and appropriately credentialed volunteer faculty and practitioners, who do not have formal training in palliative care, to upgrade their knowledge and clinical skills for the care of individuals with serious or life-threatening illness and to enhance their interdisciplinary and interprofessional teaching skills.

Reference

Palliative Care and Hospice Education and Training Act (H.R. 647). (2019, January 17). Retrieved March 18, 2019, from https://www.govtrack.us/congress/bills/116/hr647

Legislation Comparison Grid Template

Transitioning From Closed to Open Systems

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How do effective nurse leaders and others approach problem solving and decision making in organizations? As suggested in this week’s Learning Resources, systems theory provides a valuable way to assess situations and prepare to address problems.

For this week’s Discussion, you identify an issue or process that could be improved and apply knowledge and strategies related to systems theory.

Note: You may find it helpful to view the Assignment instructions and use the same problem for this Discussion.

To prepare:

  • Review the information presented in this week’s Learning Resources on systems theory and the difference between open and closed systems.
  • Reflect on the practices and processes with which you are familiar in your organization. Identify one problematic issue or process that could be improved.
  • Consider the problem from a closed-system perspective. Then think about how the issue or process you selected could be addressed by viewing it from an open-system perspective. How would the transition from a closed- to an open-system view help you and others to address the problem and improve outcomes?

Post (1) a description of the problem that you identified in your selected organization. (2) Explain the problem from a closed-system perspective. Then, (3) describe how the problem could be addressed by viewing it from an open-system perspective, and (4) explain how this modification would help you and others improve health care outcomes.

Required Resources

.

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”

      See especially Figure 7.1 on page 147.
    • Chapter 8, “Planned Change”
      • Organizational Change Associated With Nonlinear Dynamics (pp. 172–176)

        Read this section of Chapter 8 on planned change. Consider the role of leaders in effectively managing planned change.
    • Chapter 12, “Organizational Structure”
      • “Organizational Culture” (pp. 274–276)

        There are many structures organizations take, and these structures influence how the organization functions. This chapter discusses many different organizational structures and provides insights into how these structures influence the change process, as well as leadership and management.
  • Johnson, J. K., Miller, S. H., & Horowitz, S. D. (2008). Systems-based practice: Improving the safety and quality of patient care by recognizing and improving the systems in which we work. Retrieved from http://www.ahrq.gov/downloads/pub/advances2/vol2/Advances-Johnson_90.pdf

    This article addresses the importance of systems-based practice (SBP) in health care workplaces. The authors state that SBP knowledge is one of six core competencies that physicians have to know in order to provide safe and proper care for their patients.
  • Manley, K., O’Keefe, H., Jackson, C., Pearce, J., & Smith, S. (2014). A shared purpose framework to deliver person-centred, safe and effective care: Organisational transformation using practice development methodology. FoNS 2014 International Practice Development Journal 4 (1) [2].

    Except from Abstract: A shared purpose is an essential part of developing effective workplace cultures and one of the founding principles of practice development in establishing person-centred, safe and effective practices that enables everyone to flourish. When units within health care organizations recognize their interdependence, they can create an interdisciplinary practice through systems integration.
  • Meyer, R. M., & O’Brien-Pallas, L. L. (2010). Nursing services delivery theory: An open system approach. Journal of Advanced Nursing, 66(12), 2828–2838.
    Retrieved from the Walden Library databases.

    In this article, the authors examine the effects of nursing services delivery theory in large-scale organizations. Among other benefits, this theory supports multilevel phenomena and cross-level studies, and it can guide future research and the management of nursing services.

Optional Resources

  • Glennister, D. (2011, July). Towards a general systems theory of nursing: A literature review. Paper presented at the 55th Annual Meeting of the International Society for the System Sciences, Hull, United Kingdom. Retrieved from http://journals.isss.org/index.php/proceedings55th/article/viewFile/1717/569
  • Hayajneh, Y. (2007). Management for health care professionals series: Systems & systems theory. Retrieved from http://www.hayajneh.org/a/readings/Systems-Theory.pdf 

Environmental Factors And Health Promotion:

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Accident Prevention And Safety Promotion For Parents And Caregivers Of Infants

The growth, development, and learned behaviors that occur during the   first year of infancy have a direct effect on the individual   throughout a lifetime. For this assignment, research an environmental   factor that poses a threat to the health or safety of infants and   develop a health promotion that can be presented to caregivers.

Create a 10-12 slide PowerPoint health promotion, with speaker   notes, that outlines a teaching plan. For the presentation of your   PowerPoint, use Loom to create a voice over or a video. Include an   additional slide for the Loom link at the beginning, and an additional   slide for references at the end.

Include the following in your presentation:

  1. Describe the selected environmental factor. Explain how the     environmental factor you selected can potentially affect the health     or safety of infants.
  2. Create a health promotion plan that     can be presented to caregivers to address the environmental factor     and improve the overall health and well-being of infants.
  3. Offer recommendations on accident prevention and safety     promotion as they relate to the selected environmental factor and     the health or safety of infants.
  4. Offer examples,     interventions, and suggestions from evidence-based research. At     least three scholarly resources are required. Two of the three     resources must be peer-reviewed and no more than 6 years old.
  5. Provide readers with two community resources, a national     resource, and a Web-based resource. Include a brief description and     contact information for each resource.
  6. In developing your     PowerPoint, take into consideration the health care literacy level     of your target audience, as well as the demographic of the     caregiver/patient (socioeconomic level, language, culture, and any     other relevant characteristic of the caregiver) for which the     presentation is tailored

Pharmacology And Diverse Populations

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Write for your organization a 3–5-page impact report regarding the health concerns of a new immigrant population. Describe the population’s health concerns and issues, explain current pharmacological treatments, and explain how culture and traditional practices may affect use of pharmacology. Identify evidence-based strategies for the organization and nursing staff to use to educate the population and promote health and wellness.

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

  • Competency 1: Apply practice guidelines and standards of evidence-based practice related to pharmacology for safe and effective nursing practice.       
    • (IMPORTANT) -Describe current pharmacological treatment regimens for the health concerns and issues of a population.
  • Competency 2: Explain the relationship between quality patient outcomes, patient safety, and the appropriate use of pharmacology and psychopharmacology.       
    • (IMPORTANT) -Explain traditional beliefs and practices of a population with regard to health concerns and issues.
    • (IMPORTANT) -Explain how the cultural values and traditional practices of a population affect the acceptance and use of pharmacology.
  • Competency 3: Apply the principles and practices of cultural competence with regard to pharmacological interventions.       
    • (IMPORTANT) -Identify evidence-based, culturally sensitive strategies an organization can use to educate a population about the appropriate use of pharmacology.
    • (IMPORTANT) -Identify evidence-based, culturally sensitive strategies nurses can use with a population to promote health and wellness.
  • Competency 4: Communicate in a manner that is scholarly, professional, and consistent with expectations of a nursing professional.       
    • (IMPORTANT) -Describe the health concerns and issues for a specific population.
    • (IMPORTANT) -Write content clearly and logically with correct use of grammar, punctuation, and mechanics.
    • (IMPORTANT) -Correctly format citations and references using current APA style. 

Assessment Instructions 

Imagine the county health department notifies your organization that a large number of immigrants are expected to be resettled in your area. The organization, wanting to be prepared to handle any health concerns of the population, tasks each department with readying for the influx of immigrants. Your supervisor asks you to prepare an impact report on the pharmacological needs of the population that can be shared with other departments.

Preparation

Complete the following as you prepare for your impact report:

  1. Choose one of the global areas below as the area from which the population will be coming.      
    • Sub-Saharan Africa.
    • India.
    • China.
    • Dominican Republic.
    • Guatemala.
    • Jamaica.
    • Bangladesh.
    • Saudi Arabia.
    • Pakistan.
    • Mexico.
  2. Research the most common health concerns and issues for immigrants from your chosen global area, the pharmacological treatments that will likely be prescribed, and any cultural values or traditional practices that may impact patient outcomes.

Requirements

Once you have identified the population you will be using for this assessment, include the following in your impact report:

  • Describe the health concerns and issues for the population.
  • Describe current pharmacological treatment regimens for the main health concerns and issues.
  • Explain any traditional beliefs and practices associated with the health concerns and issues. Does the population engage in culturally based methods of treating the health concern?
  • Explain how cultural values and traditional practices might affect acceptance and use of prescribed pharmacological treatments. Be sure to consider the relationship between quality patient outcomes, patient safety, and the appropriate use of pharmacology.
  • Identify evidence-based, culturally sensitive strategies the organization can use to educate the population about the correct use of the pharmacology treatments.
  • Identify evidence-based, culturally sensitive strategies the nursing staff can employ with the population to promote health and wellness.

Write this assessment as an impact report formatted as other reports of a similar nature in your organization or an organization with which you are familiar. Include a title page and reference page and follow APA guidelines for your in-text citations and references.

Additional Requirements

  • Number of pages: 3–5
  • At least 3 current scholarly or professional resources.
  • Times New Roman font, 12 point, double-spaced font