Nursing homework help

/in /by

Nursing homework help

RUBRIC

Deliver to the interprofessional team a 12 slide PowerPointwith 15 minutes worth of speaker notes that analyzes an existing workplace quality improvement initiative related to a specific disease, condition, or public health issue of interest. The presentation’s purpose is to inform and get buy-in from the interprofessional team Nursing homework help

PLEASE USE A MINIMUM OF 7 REFERENCES WITHIN THE PAST 5 YEARS BASED IN THE UNITED STATES

ORDER A PLAGIARISM FREE PAPER NOW

  1. Analyze a current quality improvement initiative in a health care or practice setting according to strategic organizational initiatives.
    • Explain the rationale behind the QI improvement initiative. What prompted the initiative?
    • Detail problems that were not addressed and any issues that arose from the initiative.
  2. Evaluate the success of a current quality improvement initiative according to recognized national benchmarks.
    • Analyze the benchmarks used to evaluate success. Which aspects of the initiative were most successful? What outcome measures are missing or could be added?
    • Incorporate one appropriate supporting visual (such as a graph or chart) that showcases the most critical aspect of this presentation.
  3. Incorporate interprofessional perspectives related to initiative functionality and outcomes.
  4. Integrate the perspectives of interprofessional team members involved in the initiative. Who did you talk to? What are their professions? How did their perspectives impact your analysis?
  5. Recommend additional indicators and protocols to improve and expand outcomes of a quality initiative.
    • Identify specific process or protocol changes as well as technologies that would improve quality outcomes. Nursing homework help

 

Care Plan Essay

/in /by

Care Plan Essay

Diversity/ The Nursing Process: Care Plan

Overview

This week you will learn how to plan care for patients while considering their diverse cultural backgrounds. This is a care plan, not an APA paper. However, you will still need to have references for the diagnoses, implementation and rationale sections. Be sure to format your citations and references in 7th ed. APA format. Care Plan Essay

ORDER A PLAGIARISM FREE PAPER NOW

For this assessment, first, read chapter 8 in your textbook, Transcultural Concepts in Nursing Care and Ludwig, G.B, et al. (2020). Nursing process, clinical reasoning, nursing diagnosis, and evidence-based nursing. In Nursing diagnosis handbook: An evidence-based guide to planning care. 12th ed. (pp. 1-15) Care Plan Essay

Follow the directions carefully.

  1. Select one (1) of the Case Studies found in Chapter 8:
  1. Case Study 8-1 (pg. 246)
  2. Case Study 8-2 (pg. 248)
  3. Case Study 8-3 (pg. 248)
  1. Click here to download the Care Plan template to document your assessment, diagnosis, planning goals, implementation, rationale and the evaluation of your goals.
  1. You must have two nursing diagnoses.  Be sure one of your nursing diagnoses deals with the culturally diverse needs.
  1. Put your 7th ed. APA formatted references on the second page of your care plan and be sure your citations are 7th ed. APA formatted.  Care Plan Essay

.

Due Date: Sun, April 10 by 11:59 p.m. Eastern Standard Time (EST) of the US

.

Point Value: 40

.

Instructions:

.

To be successful, complete the following steps in order:

.

.

STEP 1. Review the above overview.

.

STEP 2: Click here to download the rubric.

.

STEP 3: Save the document with the filename: “Lastname_Firstname_M3_A6” (Example: Smith_Jill_M3_A6.docx).

.

STEP 4. Submit the document by clicking the link on the left titled “M3 A6 WA: SUBMISSION AREA – NURSING PROCESS CARE PLAN”

.

.

Note: You will have three (3) attempts to submit a written assignment, only the final attempt will be graded. Kindly note, if a submission has been made for more than 48 hours without a re-submission, it will be considered final and will be subject to being graded. For each attempt you will receive a SafeAssign originality report. This will give you a chance to correct the assignment based on the SafeAssign score. Click here to view instructions on how to interpret your SafeAssign originality report.

 

Nursing homework help

/in /by

Nursing homework help

As you will learn throughout the program, the diagnosis of a variety of psychiatric illnesses is not always an easy or straightforward process. Multiple observations and assessment methods are often employed to reach a diagnosis. This approach can include the use of standardized assessment instruments.  This then aids you in defining a treatment plan and choosing specific treatment plans to use in the care of your clients.  Nursing homework help Nursing homework help

ORDER A PLAGIARISM FREE PAPER NOW

You are tasked with identifying a standardized assessment instrument/tool to measure the disorders listed for each week. You will keep these instruments in the form of a “portfolio” that you can use in your clinical practice to assess clients who present with a variety of symptoms.

Instructions:

Instrument/ Tool criteria:

For each assessment, you are tasked with selecting, you will identify an instrument and:

  1. List what DSM diagnosis the tool/instrument is used for.
  2. Identify an assessment/diagnosis instrument.
  3. Appraise a scholarly, peer-reviewed article that addresses the use of the instrument to support your choice as an evidence-based instrument for practice.
  4. Evaluate the instrument’s appropriateness for diagnosing the condition it is designed to assess or if the developers of the instrument reported that the instrument is only part of a comprehensive assessment for the disorder.
  5. Describe whether or not the instrument can be used to measure patient response to therapy/treatment or if it is strictly for assessment and diagnosis.
  6. Discuss the psychometrics/scoring of the instrument, including reliability and validity.
  7. Discuss any limitations associated with the use of the instrument.
  8. Include a link to view the assessment if possible. Nursing homework help

Student Example Anxiety and Related Disorders

Week 7

 

Instrument: Social Phobia Inventory (SPIN)

 

Article: Psychometric properties of the Social Phobia Inventory

 

Appropriateness for Dx: This tool is meant for screening of individuals with social phobia and assignment of a severity score (Connor et al., 2000). The tool was created in congruence with DSM-4 but is consistent with the DSM-5 diagnosis of social anxiety disorder, minus some minor changes (Substance Abuse and Mental Health Service Administration [SAMHSA], 2016). Although the study is outdated, Duke University School of Medicine (2020) acknowledges that the tool is still relevant and utilized by their Anxiety and Traumatic Stress Program. Nursing homework help

 

Response to Therapy/Treatment: The SPIN is appropriate for testing treatment response and through studies has proven sensitive to symptom changes over time. Changes in scores are able to determine treatment efficiency (Connor et al., 2000).

 

Psychometrics: The tool is self-administered and consists of 17 separate statements regarding problems a patient may exhibit if they have social phobia. The statement is then rated on how much it has bothered the individual in the last week, from ‘not at all’ (0) to ‘extremely’ (4). Any score over 21 is considered clinically significant. In the study, the assessment tool was able to effectively separate individuals with and without social phobia. Validity is strong in regard to detecting the severity of illness and is sensitive to symptom reductions during treatment. The scale shows significant correlation with the Liebowitz Social Anxiety Scale Test, The Brief Social Phobia Scale and The Fear Questionnaire social phobia subscale (Connor et al., 2000).

 

Limitations: Limitations exist in the tool’s alignment with DSM-4 instead of the more recent edition, although differences are very minor (SAMHSA, 2016). With a cutoff score of 19, sensitivity and specificity were good, but some individuals consider the cutoff score to be 15, in which these measures are weaker (Connor et al., 2000). Nursing homework help

 

References

 

Connor, K., Davidson, J., Churchill, E., Sherwood, A., Foa, E., & Wisler, R. (2000).

Psychometric properties of the Social Phobia Inventory. British Journal of Psychiatry, 176, 379-386.

 

Collaborative Committee Meeting Verification

/in /by

Attend a committee meeting in your health care organization. If you are not currently employed in a health care setting, you may elect to attend a committee meeting at another company, a community center, a local school, local chamber of commerce or other professional organization.

Observe the interactions between committee members and the process used by the committee to arrive at decisions.

In 500-750 words, describe the function of the committee and the roles of those in attendance. Describe your observations of the interactions between members of the committee and determine whether the process used to arrive at decisions is a form of shared governance.

A minimum of two academic references from credible sources are required for this assignment.

Submit the completed “Collaborative Committee Meeting Verification Form” with the assignment.

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. Only Word documents can be submitted to Turnitin.

ABDOMINAL ASSESSMENT Case Study SOAP Note

/in /by

ABDOMINAL ASSESSMENT Case Study SOAP Note

ABDOMINAL ASSESSMENT Case Study SOAP Note

 

Subjective:

  • CC: “My stomach hurts, I have diarrhea, and nothing seems to help.”
  • HPI: JR, 47 y/o WM, complains of having generalized abdominal pain that started 3 days ago. He has not taken any medications because he did not know what to take. He states the pain is a 5/10 today but has been as much as 9/10 when it first started. He has been able to eat, with some nausea afterwards.
  • PMH: HTN, Diabetes, hx of GI bleed 4 years ago
  • Medications: Lisinopril 10mg, Amlodipine 5 mg, Metformin 1000mg, Lantus 10 units QHS
  • Allergies: NKDA
  • FH: No hx of colon cancer, Father hx DMT2, HTN, Mother hx HTN, Hyperlipidemia, GERD
  • Social: Denies tobacco use; occasional ETOH married, 3 children (1 girl, 2 boys) ABDOMINAL ASSESSMENT Case Study SOAP Note

Objective:

  • VS: Temp 99.8; BP 160/86; RR 16; P 92; HT 5’10”; WT 248lbs
  • Heart: RRR, no murmurs
  • Lungs: CTA, chest wall symmetrical
  • Skin: Intact without lesions, no urticaria
  • Abd: soft, hyperactive bowel sounds, pos pain in the LLQ
  • Diagnostics: None

Assessment:

  • Left lower quadrant pain
  • Gastroenteritis

 

Additional Information that Should Be Included in the Documentation of Subjective Data

According to Ball et al. (2015), it is critical to obtain a detailed abstract history of the torment when treating a patient with generalized stomach or abdominal pain in order to narrow the range of possible differential diagnoses. The main complaint should be “stomach or abdominal pain.”More information about the patient’s historical background regarding the current condition (HPI) and overall wellbeing from a previous time is required in the subjection section of the SOAP note in this case, which could be accomplished by asking more engaged or focused questions. More information about the patient’s overall health, eating habits and history prior to this condition is required, which could be obtained by asking more engaged or focus questions. It is also necessary to provide additional information about any changes in appetite and defecation or bowel movement. The historical context of the current illness should include information such as the beginning or onset, duration, qualities or characteristics, intensifying or exacerbating, and mitigating or alleviating symptoms in the case of the abdominal pain. It is critical to retain information on the nature of the pain, such as whether it is transitory or confined, whether the severity is increasing or decreasing, and where it originates and ends. One of the most basic questions to ask before beginning the test is about the location of the pain (Ball,2015).The patient should also be asked what he was doing before the pain started. Identifying which parts of the abdomen that the pain is felt most as well as responding to questions posed during the ROS is missing. This information is critical in narrowing down to the absolute most likely diagnose. ABDOMINAL ASSESSMENT Case Study SOAP Note

ORDER A PLAGIARISM FREE PAPER NOW

Despite the patient’s mention of diarrhea, mote information about bowel and urinary habits should be included. This includes the length and frequency of diarrhea episodes in a day, relieving and aggravating factors, and other diarrhea related symptoms. Incontinence, hesitancy, dysuria, urgency, and increased frequency of urination should all be documented. Still on the subject of urinary habits, details about the odor, color, and discomfort felt after or during a bowel movement should be provided. It is critical to rule out any potential abdominal pain side effects such as nausea and vomiting. Clearly, the patient had a 4year history of GI bleeding. As a result, details such as the absence or presence of blood in the vomitus or stool, as well as color and smell should be included.

Patient reports of missing to take medications would be filed under meds the last time he took them, necessitating a distinction between the justification for each medicine and why it should be discontinued.Also, a differential conclusion thought to be a negative finding for colon malignant growth or cancer should be recorded in the Assessment section. Finally, the family history must return to three generations, of which two out of three is documented. This healthcare provider ROS appears to have been derailed, and he failed to take note of or complete the remainder of the PMHx.Inquiries about lifestyle and exercise for diabetes and hypertension are acceptable practice and require legitimate clinical documentation (Ball, Dains, Flynn, Solomon, and Stewart, 2019). CAGE testing can assist you in avoiding alcohol addiction. What exactly is meant by “intermittent or occasional” drinking? How many, how frequently, and what are the ramifications?

 

 

 

Additional Information that Should Be Included in the Documentation of Objective Data

In the objective a section of the SOAP note, the documentation actually requires more data on the patient’s outward appearance. This includes how quickly the patient responds to questions, whether all inquiries are addressed appropriately, whether the patient’s cleanliness or physical appearance is acceptable, and the patient’s disposition and stance.Despite the fact that an auscultation was performed, which revealed hyperactivity and pain in one lower quadrant on one foot, the outcome of the midsection inspection and percussion of the abdomen was not disclosed.The actual assessment is incorrect. To coordinate with head-to-toe evaluation or assessment, frameworks or systems are consistently documented in a specific request. This section is devoid of any sort of overall evaluation. Only certain discoveries and relevant negative discoveries are required for the objectivedata or section of the SOAP note. when using HEENT, the body systems are listed in a particular order, HEENT before Neck, Neck before chest etc. The SOAP for the contextual investigation would be VS General, Skin, Chest, Abdomen, and Genitourinary (Ball et al., 2019). These areas contain all of the organs that could be causing stomach pain. In two of the positive stomach or abdominal pain, this provider is expected to use palpation and a stethoscope. Negative results for palpation and auscultation must be documented for the remainder of the assessment.Finally, if JR has a history of GI drain, where are his CBC, skin pallor, and capillaryrefill data? Where are JR’s blood glucose and CMP levels if he is a diabetic with the runs? Since the patient is on hypertension and diabetes medication, it is necessary to include data for blood sugar level. What is the LLQ palpation discoveries’ persona? Either there will be a mass or there will not be a mass or rebound tenderness. Is it sharp or dull as it travels? The following Lab test are needed; CBC, CMP, HbA1C, Abdominal x-ray, Stool guaiac, and stool WBC. Given his high risk of colon cancer and history of GI bleed, a referral for EGD/colonoscopy is a good option (Sullivan, 2019). ABDOMINAL ASSESSMENT Case Study SOAP Note

 

Is the Assessment Supported by the Subjected or Objective Information

The assessment is partially supported and partially not supported by subjective and objective data. For example, the patient’s abdominal grumbling, which includes stomach pain, loose bowels, and sickness, supports the diagnosis of gastroenteritis.According to Martin, gastroenteritis symptoms include stomach pain, watery loose stools, fever, sickness, squeezing, and migraine or headache (2016). Despite the fact that the patient-specific information supported the gastroenteritis diagnosis, the objectivepart of the SOAP note is not taken into account in the assessment.The patient complained generalized pain, which differed significantly from the pain noted in the Objective data in the left lower quadrant (LLQ). However, the pain in the left lower quadrant may be an alluded or referred pain that needs to be investigated further because real illnesses can be concealed by GI side effects.

 

 

Diagnostic Tests

The most appropriate characteristic tests that would be used to determine or come up with a diagnose of the patient current presentation are a total blood count (CBC) and a liver function test (LFTs). Completing a tumor markers test is also important. A CBC would show a normochromic pallor, as well as sickliness or anemia and thrombocytosis, all of which are signs of pancreatic disease.Increased levels of bilirubin, basic phosphatase, serum amylase, and lipase on the LFTs indicate obstructive jaundice (Fazzalari et al., 2019). The sugar or carbohydrateantigen 19-9, which would be raised to levels of 100U/ml due to pancreatic malignant development from the common level of 33-37U/ML iscurrently the most incredible tumor marker test(Fazzalari et al., 2019).In this case, it is strongly advised to use Computed Tomography scan (CT scan) rather than Magnetic Resonance Imaging (MRI). A stomach CT scan can show the entire pelvis and mid-region. The presence of lower-thickness wounds on CT will aid in the confirmation of pancreatic malignant damage or growth.Examining the skin, stomach, or abdomen now revealed no obvious disclosures, such as the rigid concept of rigidity to propose a mass. Furthermore, there is no clinical, social, or familial history of pancreatitis or pancreatic malignancy.Regardless, the patient had abdominal and stomach pain, looseness of the bowels, and it was later revealed that, patient could eat despite some irrelevant squeamishness. Furthermore, due to the patient’s gastroenteritis condition, the pain was limited to the lower quadrant of the abdomen.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Accept or reject soap

I will refuse to accept the review due to the goal details of left lower quadrant torture. In the majority of cases, the abstract information points to gastroenteritis; the patient has a low mesh fever, loose bowels, sickness and heaving, and stomach pain. Three conditions that could be considered a differential finding for this patient are as follows:

 

Irritable bowel syndrome

When food is unable to pass through the large or small digestive tracts, this occurs. According to the Mayo Foundation for Medical Education and Research, symptoms of intestinal obstruction include stomach pains, cramps, heaving, clogging, and sickness (2015).

 

A gallstone is a type of gallstone.

Strong materials that structure the gallbladder in such a way that it becomes clogged are referred to as this. WebMD lists some of the symptoms as queasiness, retching, acid reflux, and stomach pain (2017).

 

The bacteria H. Pylori causes stomach ulcers.

This is a stomach disease caused by microbes. Symptoms include stomach pain, regurgitation, loss of appetite, bulging, and sickness, according to Colledge and Cafasso (2015).

 

Diverticulitis is a digestive disease.

The most well-known cause of left lower quadrant torment is diverticula aggravation, which is caused by a tear, contamination, or growth of the diverticula, which are small pockets caused by a shortcoming of the colon. Left lower midsection pain, fever, sickness, regurgitation, and stomach discomfort are among the symptoms.

 

 

 

 

Irritable bowel syndrome (UCS) is a form of colitis

This is a differential conclusion due to the patient’s history of GI drain. The signs and symptoms include loose bowels, stomach pain, weakness, fever, and the need to poop. The color of the stool isn’t recorded in the abstract information, so there may be a hint of blood, stomach torment, weakness, fever, and the need to poop.A positive feces white platelet test would rule out ulcerative colitis and alert us to any other problems.

Nursing homework help

/in /by

Nursing homework help

Week 7: Assignment: Reflection on Learning

Start Assignment

  • Due Apr 12 by 11:59pm

 

  • Points 100

 

  • Submitting a file upload Nursing homework help

Purpose

The purpose of this activity is to deepen learning through reflective inquiry. It will allow for expansion in self-awareness, identification of knowledge gaps, and assessment of learning goals. Nursing homework help

Course Outcomes

This assessment enables the student to meet the following course outcomes:

  • CO 1: Examine the role of the DNP-prepared nurse in leading financial planning and management across healthcare settings. (PO 2, 4, 9)
  • CO 2: Formulate a needs-based organizational assessment to inform strategic leadership decision-making (POs 3, 5, 7)
  • CO 3: Develop strategies to lead project planning, implementation, management, and evaluation to promote high value healthcare. (PO 3, 5, 7)

Due Date(s)

Submit your assignment by 11:59 p.m. MT Sunday at the end of Week 7. The late assignment policy applies to this assignment.

Total points possible: 100 points

Instructions

Follow these guidelines when completing this assignment. Contact your course faculty if you have questions.

Write a brief 1-2 paragraph weekly reflection addressing the questions posed in the Reflect section of each weekly module. Edit your Reflection to include each weekly reflection.

ORDER A PLAGIARISM FREE PAPER NOW

Include the following sections in your Reflection:

  • Week 1: Reflect upon your Week 1 learning journey in NR711 and address the following in 1-2 paragraphs:
    • As you assess your learning, provide one specific example of how you achieved one of the weekly objectives.
    • How will you promote collaborative, inter-professional relationships in a rapidly transforming healthcare environment?
    • What do you value the most about your learning this week? Nursing homework help

 

  • Week 2: Reflect upon your Week 2 learning journey in NR711 and address the following in 1-2 paragraphs:
    • As you assess your learning, provide one specific example of how you achieved one of the weekly objectives.
    • How might you use this week’s information to benefit your organization in the future as a DNP-prepared nurse?
    • What do you value most about your learning this week?

 

 

  • Week 3: Reflect upon your Week 3 learning journey in NR711 and address the following in 1-2 paragraphs:
    • As you assess your learning, provide one specific example of how you achieved one of the weekly objective
    • How might you use the learning this week with your own DNP Project planning?
    • What do you value most about your learning this week?
  • Week 4: As you reflect upon your Week 4 learning journey in NR711 and address the following in 1-2 paragraphs:
    • As you assess your learning, provide one specific example of how you achieved one of the weekly objectives.
    • How might you improve on your communication skills to be more effective as a project manager?
    • What do you value most about your learning this week?
  • Week 5: Reflect upon your Week 5 learning journey in NR711 and address the following in one or two paragraphs:
    • As you assess your learning, provide one specific example of how you achieved one of the weekly objectives.
    • How might the outcomes of your project influence nursing practice and/or patient care, and/or your organization?
    • What do you value most about your learning this week?
  • Week 6: Reflect upon your Week 6 learning journey in NR711 and address the following in one or two paragraphs:
    • As you assess your learning, provide one specific example of how you achieved one of the weekly objectives.
    • How might your knowledge about budgets and financial analysis contribute to providing cost-saving solutions to patient care while improving outcomes?
    • What do you value most about your learning this week? Nursing homework help

 

  • Week 7: Reflect upon your Week7 learning journey in NR711 and address the following in one or two paragraphs:
    • As you assess your learning, provide one specific example of how you achieved one of the weekly objectives.
    • How might your knowledge about current reimbursement trends be useful for you as a DNP-prepared nurse?
    • What do you value most about your learning this week?

 

Community Assessment

/in /by

Community Assessment

 

Community Assessment Part One: Community Core (Due in Assignment 2.3)

Data Collection Tool

Name:_________________________________ Community:_________City of Madisonville________________________

Instructions: Use this tool to document your assessment findings.  Include a succinct synopsis in paragraph form for each of the assessment categories below.  Remember to provide adequate depth and breadth for each category of the assessment.  Be sure to cite the sources to support your findings and include your reference list.

ORDER A PLAGIARISM FREE PAPER NOW

Assessment Category Findings
Historical overview of the community

Must Include:

·         When the community was settled

·         By whom

·         First Business

·         Important information about the community

 The city of Madisonville, Kentucky, was established in 1807 and was named for the then secretary of state, James Madison. The city was named the seat of Hopkins County in 1808 (Gamblin, 2018). It was formally incorporated in 1808. Farming was the primary occupation of the city’s residents, with tobacco as the leading crop. The first outcropping of coal was discovered in 1837, and the first coal mine was opened in 1869. In the early 20the century, the city of Madisonville was known for being a rail hub, coal-mining center, and a large tobacco market. Currently, it is labeled as “the best town on Earth” and serves as the leading manufacturing hub. Community Assessment
Demographic description of the community population

Must Include:

·         Birth rates

·         Death rates

·         Pertinent morbidity rates

·         Distribution of

Age

·         Sex

·         Race

·         Ancestry (i.e., German, Asian, Indian, etc.)

·         Marital status

·         Education status

·         Household types& size

 As of 2020, the city is estimated to have approximately 19,542 people making it the most populated city in Kentucky. Based on the 2019 demographic data, the city of Madisonville showed a birth rate of 23.7%. The death rate was estimated to be 1,048 per 100,000 people as of 2018. The median age in the city is 36.3 years, 41.9 years for females, and 32.8 years for males. Individuals between 18 and 64 years cover about 57% of the city’s total population; persons under 18 years cover approximately 26 %, while those above 64 years are about 17% (World Population Review, n.d.). According to US Census Bureau Statistics, females in the city make up about 50.8% while males are 449.2%. The percentage of whiles is 82.2%, African American 11.8%, American Indian and Alaska Native 0.4%, and Asian approximately 1.3%. Approximately 4,010 people (27.14% of the total population) in Madisonville are single, while about 7,100 individuals (47.75%) are married. Regarding education, the percentage of high school graduates or high is 87.6 %, while the percentage of persons with a Bachelor’s degree or higher is 20.8% (US Census Bureau, n.d.). The household types in the city include married, single female, single male, one-person, and those with children. Persons per household are estimated to be 2.40. Community Assessment
Values, beliefs, and perceptions within the community

Must Include:

·         Community’s values, beliefs, and perceptions of importance of religion

·         Degree of religious diversity in the community reflected in the faith groups

·         Cultural influences reflected in any significant ethnic or religious traditions

 Madisonville welcomes every faith. About 64.5% of the total population in the city value religion, with 53.1% Baptist, 4% Methodist, 1.1% Catholic, and 2.5% Pentecostal (City-Data, n.d.). The city offers places of worship for diverse religious backgrounds, including worship, fellowship, faith-based educational institutions, and ministries focused on helping other people. Faith community offers various church styles ranging from traditional to contemporary and Española services.
Physical Environment

·         Information will come from the windshield survey.  You should state this in your own words.

·         Provide dates of your survey.

  

The findings regarding the physical environment of the city of Madisonville will be provided once the windshield survey is completed. The survey will be conducted between March 14 and 17, 2022. Community Assessment
Economic

·         Financial status of people

o   Individuals

o   Households

·         Occupational categories in the community

·         Businesses/Industries

 Generally, about 22.4% of the total population lives below the poverty line. The city’s unemployment rate currently stands at 5.3%; however, the job Madisonville market has decreased by -1.1% during the past year. The feature job growth is predicted to be 28.4%. The average income of a city resident is $22,394 annually, while the median household income is $44,720 yearly (Census Reporter, n.d ). The percentage of persons in poverty is 22.4%. Females aged 25 to 34 are the largest demographic living in poverty, followed by those aged 35 to 44 and 6 to 11. Males in the city have an average income of 1.35 times higher than the average female income. The income inequality, measured using the Gini index, is 0.456. there are approximately 7880 people employed in the economy of Madisonville, KY, with the largest industries being Health Care and Social Assistance ( approximately 1500 people), Manufacturing (about 1000 people and Retail trade (900 people). The highest paying industries include Information ($74,890), mining, quarrying, Oil and Gas Extraction ($62,990), agriculture, fishing and mining, forestry, and mining ($62,470) (US Census Bureau, n.d.).
Transportation and Safety Types of transportation available

o   personal

o   public

·         Police protection

·         Crime statistics

·         Fire protection

·         Sanitation services

 Generally, 7,668 workers, 16 years and above, travel to work. More than 85% of the population uses personal cars (car, truck or van) while about 12% use public transport. The city has different kinds of security systems, including ADS security that serves the security needs of the residents. The average crime rate is estimated to be 13.20 per 1000 residents. There are 1.84 violent crimes per 1000 residents annually, while property crime is 11.36 per 1000 residents annually (City-Data, n.d.). There are various sanitation services available for residents of the city. These services include garbage collecting, industrial/hazardous waste management, disposal, and wastewater treatment.
Key Informant Interview

Key points from the interview with a key informant.

·

 Madisonville, KY, provides primary care and wellness services that form the backbone of employees’ and families’ best health outcomes. There is proper management of chronic disease and the cost for their treatment. Employees and their families have accessed virtual health, BlueMine, which provides online telemedicine and other related services. It has an acute and skilled care facility that emphasizes community outreach and training medical students in rural areas. Given its population, the city is directly accessible by air, rail, and highway.

 

 

References

Census Reporter. (n.d ). Census profile: Madisonville, KY. https://censusreporter.org/profiles/16000US2149368-madisonville-ky/

City-Data.(n.d.).Madisonville, Kentucky (KY 42431) profile: population, maps, real estate, averages, homes, statistics, relocation, travel, jobs, hospitals, schools, crime, moving, houses, news, sex offenders. https://www.city-data.com/city/Madisonville-Kentucky.html

Gamblin, K. (2018). Business, Life, and Bourbon: RP Drake of Madisonville, Kentucky (Doctoral dissertation, The Florida State University).

US Census Bureau.(n.d.).U.S. Census Bureau QuickFacts: Madisonville city, Kentucky. Census Bureau QuickFacts.https://www.census.gov/quickfacts/fact/table/madisonvillecitykentucky/SBO030212#SBO030212

World Population Review.(n.d.).Madisonville, Kentucky population 2022 (demographics, maps, graphs).https://worldpopulationreview.com/us-cities/madisonville-ky-population

 

 

 

 

 

 

 

 

 

 

 

 

Nursing homework help

/in /by

Nursing homework help

Assignment

 

(Note from me: you have already help with the main part of the assignment. The part that I want you to work on now is to help me responds to two post from to different colleagues. I have attached their post so read it and give a respond to their post. Just a page or less will be fine as long as it meets the discussion) Nursing homework help

 

ORDER A PLAGIARISM FREE PAPER NOW

COVID19 is our first Pandemic of the century.  This lethal global pandemic has led to health, societal, individual, familial, and economic changes.  Using the surveillance tools available on this ever-changing pandemic, track how this pandemic has changed within a state or country since the start of the pandemic.  Compare it to another state or country.  Grade  (A-F) the response and explain your answer with evidence. Post your answer to the discussion board Nursing homework help

 

  • Respond to at least (2) of your colleague’s postings over the course of the week to continue the dialogue.

 

 

 

 

 

 

 

 

 

DISCUSSION POSTER 1

 

I decided to compare COVID-19 data between the United States and Kazakhstan. According to Johns Hopkins University & Medicine (2022), Kazakhstan has 1,393,904 confirmed cases; 19,012 deaths; and 9,168,000 of its people fully vaccinated, which is approximately 49.52% of the population. Over the past month, there have been 2,091 new cases reported and 45 new deaths as a result of the virus (Johns Hopkins University & Medicine, 2022). In the United States, there are 80,155,397 confirmed cases; 982,565 deaths, and 66.38% of the population fully vaccinated (Johns Hopkins University & Medicine, 2022). Over the past month, there have been 902,685 new cases and 25,980 new deaths recorded (Johns Hopkins University & Medicine, 2022).  Nursing homework help

I think it is difficult to compare these two countries due to population differences. With a population of approximately 329.5 million in the U.S. and 18.75 million in Kazakhstan (Data Commons, 2020), I think there are many factors that could have affected COVID-19 responses by both of these countries. If I had to “grade” Kazakhstan’s response to the pandemic, I would give them a B. I think it is actually impressive that 49.52% of the population is vaccinated. Although Kazakhstan is a large country, majority of it is rural and the population is largely dispersed throughout its region. Geographically, there are a lot of transit opportunities between shared borders, which include both Russia and China, which is why I also think it is impressive that the number of new cases over the last month is not as high as I would otherwise expect it to be. I do think more of the population could be vaccinated, but I do not think access to vaccines are as readily available as they are in the United States.

I would grade the U.S.’s response to the pandemic as a C+. I think the response was heavily delayed initially, lots of information had to be pieced together and it was unclear whether or not the information was withheld or simply unknown given the circumstances; however, I do think more of the population can and should be vaccinated. I think for the majority, there are many opportunities for individuals to get vaccinated and even boosted, however, we are still seeing a good portion of the population protesting against vaccines and ignoring vital statistical data. I think I may be biased because I lived here and wish we could have led by example in this situation, but we are constantly battling other challenges as a society on top of this pandemic, which I why I think it is difficult to judge the overall response. There are just so many factors at play.

References

Data Commons. (2020). United States of America. Data Commons Place Explorer. https://datacommons.org/place/country/USA?utm_medium=explore&mprop=count&popt=Person&hl=en

Data Commons. (2020). Kazakhstan. Data Commons Place Explorer. https://datacommons.org/place/country/KAZ?utm_medium=explore&mprop=count&popt=Person&hl=en

John’s Hopkins University & Medicine. (2022). Kazakhstan. Coronavirus Resource Center. https://coronavirus.jhu.edu/region/kazakhstan

John’s Hopkins University & Medicine. (2022). United States. Coronavirus Resource Center. https://coronavirus.jhu.edu/region/united-sta

 

 

 

 

DISCUSSION POSTER 2

 

COVID-19 is a pandemic that will linger across countries for many years. It has had a generational impact on child development, mental health, healthcare, and community settings alike. It will take years to recover across the globe, and we can only hope moving forward, that in the future we are better equipped to handle such a treacherous pandemic. Comparing Italy to the United States, they are actually quite similar. The Italian prime minister was ridiculed for not taking the pandemic seriously. For instance, a state of emergency was declared January of 2020, yet allowed the normalcy of life to continue. That was a misconception that unfortunately cost countless lives. As February came about, it became clear that COVID-19 was not contained and red zone regulations were implemented within eleven cities. A failed tactic that shortly lead to a country wide lockdown. By March, it was chaos, yet they had finally secured mask mandates, travel restrictions, and physical distancing in times of essential travel. Information was scant and people yearned for knowledge on the spread, cases, hospitalization, and mortality rate within their cities.

 

Fulfilling the need for more information, Italian researchers collaborated and created, an interactive web tool to help citizens stay in the know. Italy has a universal health system interwoven between state and government officials. Healthcare workers were deemed the most likely to spread COVID-19 due to a lack of PPE. A crisis call sent out requesting help to address unsafe working conditions for doctors, nurses, and medics was met with complete silence. No grants. No funding. No help. To date, Italy continues to struggle with COVID. Statista is another tool that shows up to date positive cases within the Italian population. As of today there remains 1.2 million positive cases, with 487 individuals in the ICU and 9.5 thousand hospitalized. I give Italy a D for not taking it more seriously, not implementing lockdown precautions sooner for the safety of their communities, and failing to act in appropriate crisis management to equip healthcare workers with adequate PPE. They have yet to utilize survelliance tools to identify the ongoig spread and strategies to reduce it. By not addressing the lack of PPE they have only allowed COVID to remain fluent.

 

The U.S mimicked Italy at a much slower rate. From January until March of 2020 it was pure chaos. Not much information was known and dread gripped communities. It was not until March that all states began declaring a state of emergency allowing governors to execute policies such as: the closure of non-essential businesses, the introduction of mask mandates for all individuals, and school closures. (Bergquist et al,. 2020). Something that was done differently, was reduce the incarcerated population, execute no visitors policies in health care related facilities, and mandatory symptom monitoring. Similar to Italy, the United States had a travel policy for essential workers to flatten the curve and slow the spread. Financially, the U.S had a crisis management plan that allowed for distribution of money and allocated resources to the socioeconomic struggling families. A few examples being, the Coronavirus Preparedness and Response Supplemental Appropriations Act, Coronavirus Aid, Relief and Economic Security (CARES) Act,and Paycheck Protection Program to protect small businesses. At one point, it aided in making mortgage or rent payments. We also had accessibility to technology to, fast track testing strategies and generate a vaccine. Early on in the pandemic tracking apps helped mitigate exposure and positive cases.

 

Healthcare shifted slightly as telemedicine became more available to treat simple ailments and those with COVID were referred to the hospital for additional evaluation and treatment. The American healthcare system maintained PPE to the best of its ability, unlike Italy. We also had overwhelmed hospitals, ICU beds, and increased fatalities. I feel The United States got lucky in managing COVID-19. With a non-universal healthcare system, grants, and statewide influence from governors, COVID-19 was a trial by error scenario that after two years appeared to have been done well. I would give us a C. The reason being, the guidelines frequently shifted and with news outlets increasing confusion there needed to be better surveillance tools. Italy did not have enough and we had too many unofficial data tools reporting false or inaccurate epidemiological information. Also, in the future it truly needs to not be political. I feel it could have been managed much more efficiently had it been uninvolved in politics. Something I feel elongated the ability to find resolution.

 

Bergquist, S., Otten, T., &Sarich, N. (2020). COVID-19 pandemic in the United States. Health policy and technology, 9(4), 623–638. https://doi.org/10.1016/j.hlpt.2020.08.007

Covid‐19 in Italy: Modelling, communications, and collaborations. (2022). Significance, 19(2), 19–21. https://doi.org/10.1111/1740-9713.01629

Ortenzi, F., Albanese, E., &Fadda, M. (2020). A Transdisciplinary Analysis of COVID-19 in Italy: The Most Affected Country in Europe. International journal of environmental research and public health, 17(24), 9488. https://doi.org/10.3390/ijerph17249488

 

 

Research Review Essay

/in /by

Research Review Essay

N320 Research Review Part 1

This is the first assignment to introduce your PICO(T) , scope and nature of the problem, background information of the problem, details regarding your research review, and the EBP approach you have taken for your research. This is a “building assignment” as part 1 and part 2 will build to complete the Final Assignment in which you will have a comprehensive Research Review.You do not need to worry about self-plagiarism when continuing to part 2 and so on. You will have a minimum of seven articles or more for the final Research Review.

ORDER A PLAGIARISM FREE PAPER NOW

Assignment Part 1-75 possible points. – should include significant detail and synthesis of your research as it relates to your PICO.  See Assignment Part 1 Rubric and Example papers. Research Review Essay

Instructions:Follow APA 7th ed. format and follow Assignment Part 1 Rubric (refer to example paper part 1)

  1. Use APA 7th ed. Manual or recommend APA templatesites listed in content section to set up paper (Chapter 2, APA manual 7th ed.)
  2. Write in 12 font Times New Roman
  3. DO NOT write in first person. No I statements. This is a research reviewnot a study so refer to it as such in your work.
  4. Write about your topic in paragraph format
  5. Include a Tittle page (see APA 7th ed power point) (Do not use Assignment 1… as your title) The title should not be your entire PICO but should allow the reader to understand what your Research is about * see example papers in the course

You do not need to use a running head for your paper but include page # appropriately placed per APA (refer to Chapter 2 and Section 2.3 2.4.  Figure 2.2).

Example title: Comparison of pressure reduction boots versus repositioning to reduce pressure ulcers in the elderly

  1. Follow instructions for headings. Use the rubric headings for the headings in each section of your assignmentexcept “Introduction” the heading for the introduction.  In 7th ed. APA this is the restatement of your paper title( see APA 7th ed. Section 2.7)
  2. 8. Include data search table as a table labeled and referenced appropriately in your paper. (APA 7th Chapter 7, see example table 7.1)
  3. Include research model worksheet in paragraph format to describe your EBP model in your paper and include your simple diagram as a figure referenced appropriately in APA 7th ed. format in your paper.
  4. Include completed and corrected literature review tables as an Appendix labeled Appendix A and follow APA 7th ed. Instructions for correct placement of an appendix in your work ( after Reference section)
  5. References on a separate page following APA 7th ed format, Chapter 9-10.

 

 

 

 

Comparison of Silicone Foam Dressings Versus Pressure Reduction Techniques

Pressure injuries can have significant negative consequences for patients including infection, reduced quality of life, disability and even death (Campbell, et al., 2020). Pressure injuries are also very costly for patients and healthcare systems, estimated to average between $37,000-$70,000 per patient (Walker, et al. 2015). In patients who were both immobile and incontinent, Gray &Guiliano found the “prevalence of facility-acquired pressure injury in the sacral area remained statistically significant” compared to patients who were continent (2018, p. 65). Placing a silicone foam dressing over the sacrum is a commonpreventative practice in patients with stage 1 pressure injuries, but does research support this intervention when incontinence is involved? It is important to utilize evidence-based research to determine if this is the best practice to prevent skin breakdown in this population, as they have increased vulnerability to pressure injuries. Research Review Essay

Background

The first step toward preventing pressure injuries is thorough assessment. The Agency for Healthcare Research and Quality (AHRQ) recommends inspecting skin for the following: temperature, color, moisture, turgor and integrity. They advise utilization of assessment tools such as the Braden Scale to standardize skin assessments and determine patient risk for skin breakdown (Berlowitz, et al., 2014). There are two main types of skin breakdown in the pelvic area, pressure injuries and incontinence-associated dermatitis. Pressure injury is defined by Campbell et al., as “localized damage to the skin and/or underlying tissue, usually over a bony prominence” (2020, p. 30). When a patient is determined to be at risk for developing pressure injury through a Braden score or other scale, pressure reduction techniques are utilized to prevent breakdown. Pressure reduction techniques vary by hospital but typically include turning and repositioning, placing pillows to cushion bony prominences, and utilizing pressure-reducing mattresses. In contrast, incontinence-associated dermatitis (IAD) is defined by Gray &Guiliano as “erythema and edema of the surface of the skin, sometimes accompanied by serous exudate, erosion or secondary cutaneous infection” specifically found in patients who are incontinent of bowel and/or bladder (2018, p. 63). Though these two conditions are separate, incontinence is found to worsen the risk of developing pressure injuries. In their multivariate analysis on immobility, incontinence and pressure injury, Gray &Guiliano found that the presence of IAD significantly increased the likelihood of developing a pressure injury (2018.) Some of the prevention strategies overlap between these conditions, such as preventing moisture and pressure reduction techniques.

Research Problem Statement

            With this known link between IAD and pressure injury, it is important for clinicians to determine the best interventions to prevent skin breakdown in populations where both are present. This paper is comparing the use of silicone foam dressings in this population, versus pressure reduction techniques alone.

Research Purpose

The purpose of this paper is to determine whether silicone foam dressings prevent skin breakdown more effectively than pressure reduction techniques alone, in hospitalized patients who have stage 1 pressure injuries and incontinence. Research Review Essay

Research Question

            In individuals with both incontinence and stage 1 pressure injuries, how does a silicone foam dressing compared to pressure reduction techniques affect skin integrity within a hospital stay?

Research Utilization Model

The Johns Hopkins Nursing Evidenced-Based Practice Model (JHNEBP) is an appropriate research model to use for this research focus as it was developed to make incorporating evidence more manageable for nurses during clinical practice. This makes it well suited to research and implementation within a hospital system. Melnyk and Fineout-Overholt (2019) describe the three main steps: Practice Question, Evidence, and Translation. First, the question is developed and refined, a leader is determined, and an interdisciplinary team is formed. Then, evidence is screened, rated, and summarized. This phase ends with specific recommendations determined by the strength of the research. Recommendations can be one of four options such as changing the practice immediately because the evidence is strong, considering a pilot or research study, or if there is little evidence, continuing research or ending the project. Finally, the results of the study are integrated into practice (Melnyk & Fineout-Overholt, 2019, pp. 413-414).

While utilizing this model, the interdisciplinary team should be composed of bedside nurses, managers, WOC nurses and hospitalists. The research obtained will guide the interdisciplinary team in answering the research question and determining the best way to disseminate this research into clinical practice in the hospital setting. Figure 1 visually depicts the JHNEBP model utilized in this research project.

 

 

 

 

 

 

Figure 1

The Johns Hopkins Nursing Evidence-Based Practice Model

 

Search Criteria and Results

The research for this study was completed utilizing CINAHL, PubMed, Medline, and Cochrane, including 313 articles from 2015 to present. Table one notes the keywords used in these searches.

Table 1

Data Research Table

Keyword CINAHL PubMed Medline PsychInfo Cochrane
Pressure injury AND prevention AND incontinence

Full Text

2015-2020

 15 35     0
Pressure injury AND prevention AND silicone foam dressing

Full Text

2015-2020

 16 16      
Pressure injury AND silicone foam dressing

Full Text

2015-2020

 19 17 28   2
Incontinence AND silicone foam dressing

Full Text

2015-2020

 5 1      
Pressure injury AND prevention AND case study

Full Text

2015-2020

   159      

 

11 research articles were included in this research project: two systematic reviews, two randomized-controlled trials, one non-randomized controlled trial, one case study, one case study analysis, one follow-up analysis, one non-experimental analysis, and two clinical guides. Figure 2 illustrates the strength of evidence of this research visually with the Strength-of-evidencerating pyramid which was found in Melnyk & Fineout-Overholt (2019, p. 116, Figure 4.2).

Figure 2

Strength-of evidence rating pyramid.

 

 

 

 

 

 

Reflective Narratives

/in /by

Reflective Narratives

Students are required to submit weekly reflective narratives throughout the course that will culminate in a final, course-long reflective journal due in Topic 10. The narratives help students integrate leadership and inquiry into current practice. Reflective Narratives

ORDER A PLAGIARISM FREE PAPER NOW

This reflection journal also allows students to outline what they have discovered about their professional practice, personal strengths and weaknesses, and additional resources that could be introduced in a given situation to influence optimal outcomes. Each week students should also explain how they met a course competency or course objective(s). Reflective Narratives

In each week’s entry, students should reflect on the personal knowledge and skills gained throughout the course. Journal entries should address one or more of the areas stated below.  In the Topic 10 graded submission, each of the areas below should be addressed as part of the summary submission.

  1. New practice approaches
  2. Interprofessional collaboration
  3. Health care delivery and clinical systems
  4. Ethical considerations in health care
  5. Practices of culturally sensitive care
  6. Ensuring the integrity of human dignity in the care of all patients
  7. Population health concerns
  8. The role of technology in improving health care outcomes
  9. Health policy Reflective Narratives
  10. Leadership and economic models
  11. Health disparities

While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center. Reflective Narratives

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 not required to submit this assignment to LopesWrite. Reflective Narratives