week 7 discussion
200-300 word
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To prepare for this week’s discussion, review the assigned resources. Next, imagine you are assigned to work in rural clinic serving a diverse population of patients. Describe at least two problems encountered when providing nursing care to a person who does not speak English as their primary language. Next, describe at least two communication approaches that the nurse can use to give culturally appropriate care.
Essay Rough Draft
Homeless Children 1200 words
You must post a copy of your completed Profile Essay draft. The rough draft should be as close to a final version as
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possible, meeting all requirements, so you get the best possible feedback. Remember, the outline (week 7 Prewriting/Planning assignment) is the skeleton of your essay and the first step in the Writing Process. This week you are moving onto the next step in the Writing Process: drafting and getting feedback.
Tags: english nursing
Benchmark Assignment – Spiritual Needs Assessment and Reflection
Details:
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This assignment requires you to interview one person and requires an analysis of your interview experience.
Part I: Interview
Select a patient, a family member, or a friend to interview. Be sure to focus on the interviewee’s experience as a patient, regardless of whom you choose to interview.
Review The Joint Commission resource found in topic materials, which provides some guidelines for creating spiritual assessment tools for evaluating the spiritual needs of patients. Using this resource and any other guidelines/examples that you can find, create your own tool for assessing the spiritual needs of patients.
https://www.jointcommission.org/standards_information/jcfaqdetails.aspx?StandardsFaqId=1492&ProgramId=46
Your spiritual needs assessment survey must include a minimum of five questions that can be answered during the interview. During the interview, document the interviewee’s responses.
The transcript should include the questions asked and the answers provided. Be sure to record the responses during the interview by taking detailed notes. Omit specific names and other personal information through which the interviewee can be determined.
Part II: Analysis
Write a 500-750 word analysis of your interview experience. Be sure to exclude specific names and other personal information from the interview. Instead, provide demographics such as sex, age, ethnicity, and religion. Include the following in your response:
What went well?
Were there any barriers or challenges that inhibited your ability to complete the assessment tool? How would you address these in the future or change your assessment to better address these challenges?
How can this tool assist you in providing appropriate interventions to meet the needs of your patient?
Did you discover that illness and stress amplified the spiritual concern and needs of your interviewee? Explain your answer with examples.
Submit both the transcript of the interview and the analysis of your results. This should be submitted as one document. The interview transcript does not figure into the word count.
Prepare this assignment according to the guidelines found in the APA Style Guide.
This benchmark assignment assesses the following competencies:
CONHCP Program Competencies for the RN-BSN:
5.2: Assess for the spiritual needs and provide appropriate interventions for individuals, families, and gr
Chapter 20 – Assignment
Ms. B was told that she had a brain aneurysm. She made an advance statement of wishes saying that she did not
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want surgery if the aneurysm burst. However, shortly after she made this statement of wishes, the aneurysm burst and a team of surgeons took her to surgery believing that if not treated with surgery she would surely die. The hospital (Hospital #1) backed the decision of the surgeons thinking if there was no intervention the hospital would be liable for her death. This all happened as the family were alerted to the emergency and were making travel arrangements as they were all from out-of-town.
Unfortunately, the outcome of the surgery was that she became ventilator-dependent paralyzed from the neck down and needing 24-hour care. Once the family was in the hospital, they held a family conference agreeing that Ms. B would not want to continue on in this state, and they petitioned the hospital to remove her from the ventilator. The hospital refused still believing the potential for legal ramifications. The family was distraught; but eventually, with the guidance of a lawyer they retained, they were able to have her transferred to another facility (Hospital #2) that was willing to take her off the ventilator knowing that the chances of her making it were slim. The felt that they were honoring her wishes along with her families’ wishes.
A day later Ms. B was taken off the ventilator and she expired within the hour. The family felt like they had done the right thing and they retained the lawyer to sue the initial hospital stating that they had not honored the wishes of their loved ones. In the trial, the hospital claimed that there was not enough evidence that Ms. B wished to not be placed on machines as the family claimed, even though it was witnessed by a nurse that the anesthesiologist for the care engaged her in a conversation about this very topic before her aneurysm burst. The hospital maintained that without documentation to that claim, they could not honor her wishes.
In a surprising turn of events, the family filed suit in the Court of Appeals and won. The appellate court agreed with the family stating that any conversation, whether it be personal or professional could be used to reach a conclusion about one’s desire about the nature of their own death.
Instructions:
Read the Ms. B’s case study above.
Answer the following questions:
Do you agree with the original court or the court of appeals? Why?
What kind of ethical theories was hospital #1 acting upon (beneficence, malfeasance, etc.)?
What kind of ethical theories was hospital #2 acting upon (beneficence, malfeasance, etc.)?
How did the family act in this ethical realm?
Did you find that the result of this case was fair to Mrs. B and her family?
Why is it so important that one put in writing their exact wishes to the nature of their death and how they envision it should be?
Your paper should be:
One (1) page or more.
Use factual information from the textbook and/or appropriate articles and websites.
Cite your sources – type references according to the APA Style Guide.
At least three references not older than three years.
Tags: nursing NUR3289 – Fundamentals of Gerontology
M4.D1 – Discussion
nstructions:
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Choose one of topic below and post your response.
Give your own definition of health promotion and provide examples of health promotion from your clinical settings.
Devise a health promotion plan for a specified population at risk for chronic diseases such as asthma, heart disease, cancer, or target adolescent smoking at a local high school. Summarize your plan.
Your response should be 50 – 100 words.
Case Study on Biomedical Ethics in the Christian Narrative
Case Study: Healing and Autonomy Mike and Joanne are the parents of James and Samuel, identical twins born eight
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years ago. James is currently suffering from acute glomerulonephritis, kidney failure. James was originally brought into the hospital for complications associated with a strep throat infection. The spread of the A streptococcus infection led to the subsequent kidney failure. James’ condition was acute enough to warrant immediate treatment. Usually cases of acute glomerulonephritis caused by strep infection tend to improve on their own, or with an antibiotic. However, James also had elevated blood pressure and enough fluid buildup that required temporary dialysis to relieve. The attending physician suggested immediate dialysis. After some time of discussion with Joanne, Mike informs the physician that they are going to forego the dialysis and place their faith in God. Mike and Joanne had been moved by a sermon their pastor had given a week ago, and also had witnessed a close friend regain mobility when she was prayed over at a healing service after a serious stroke. They thought it more prudent to take James immediately to a faith healing service instead of putting James through multiple rounds of dialysis. Yet Mike and Joanne agreed to return to the hospital after the faith healing services later in the week, and in hopes that James would be healed by then. Two days later the family returned, and was forced to place James on dialysis, as his condition had deteriorated. Mike felt perplexed and tormented by his decision to not treat James earlier. Had he not enough faith? Was God punishing him or James? To make matters worse, James kidneys had deteriorated such that his dialysis was now not a temporary matter, and was in need of a kidney transplant. Crushed and desperate, Mike and Joanne immediately offered to donate one of their own kidneys to James, but they were not compatible donors. Over the next few weeks, amidst daily rounds of dialysis, some of their close friends and church members also offered to donate a kidney to James. However, none of them were tissue matches. James’ nephrologist called to schedule a private appointment with Mike and Joanne. James was stable, given the regular dialysis, but would require a kidney transplant within the year. Given the desperate situation, the nephrologist informed Mike and Joanne of a donor that was an ideal tissue match, but as of yet had not been considered—James’ brother Samuel. Mike vacillates and struggles to decide whether he should have his other son Samuel lose a kidney, or perhaps wait for God to do a miracle this time around. Perhaps this is where the real testing of his faith will come in? “This time around, it is a matter of life and death, what could require greater faith than that?” Mike reasons. © 2015. Grand Canyon University. All Rights Reserved.
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Evaluating quality patient outcome
How can data provide information to evaluate quality patient outcomes? Give an example of data that can reflect poor quality in care. How can quality improvement be a daily task in patient care? Why does continuous quality improvement need to be associated with change?
Chapter 24 assignment
Elder Abuse and Neglect
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You are a charge nurse in the emergency department. An elderly woman arrives with bruises all over the upper torso of her body and down her left arm. She was brought in by her grandson who resides with her, and the grandson shares that he brought her in to be checked out because he thinks she may have fractured her wrist when she fell on the last step going down in the cellar to do laundry. He appears extremely stressed and states that his grandmother suffers from Alzheimer disease. When you put the patient’s name and demographic information into the electronic medical record it indicates that this patient was in 2 weeks prior with a concussion.
Instructions:
Read the scenario above and answer the following question:
How would you assess the situation?
What nursing interventions would you utilize to help both the elderly woman and the grandson?
Your paper should be: One (1) page
Use factual information from the textbook and/or appropriate articles and websites.
Cite your sources – type references according to the APA Style Guide.
Tags: nursing gerontology
Please make an APA Format to the assigment below.
Details:
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The field of nursing has changed over time. In a 750-1,000 word paper, discuss nursing practice today by addressing the following:
Explain how nursing practice has changed over time and how this evolution has changed the scope of practice and the approach to treating the individual.
Compare and contrast the differentiated practice competencies between an associate and baccalaureate education in nursing. Explain how scope of practice changes between an associate and baccalaureate nurse.
Identify a patient care situation and describe how nursing care, or approaches to decision-making, differ between the BSN-prepared nurse and the ADN nurse.
Discuss the significance of applying evidence-based practice to nursing care and explain how the academic preparation of the RN-BSN nurse supports its application.
Discuss how nurses today communicate and collaborate with interdisciplinary teams and how this supports safer and more effective patient outcomes.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.
***** please make an APAformat add citation and references. Thanks for your hepl 🙂 *****
Paragraph 1- Respond to the following post
Please write a paragraph responding to the discussion bellow. Add citations and references in alphabetical order.
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Part of working in the emergency room is to have to engage in many cardiac/respiratory arrests. My reaction to death has differed depending on the situation. There has been a time when an elderly adult has been brought in to the ED in cardiac distress with no family bedside and quickly deteriorated and eventually coded. After working the code and time of death had been determined, I have easily moved on and went back to my section of rooms and picked up where I left off with my other patients with no real feelings about the situation. There has been other times where I received a patient with their whole family was bedside screaming and crying due to the patients decompensation. After the time of death, having to see each family member go in and out of the room crying clearing suffering from their loss, has gotten me sad, but overall, I have gone home at the end of the day not really dwelling on the situation much. However, there was one code that I still remember that did not sit well with me and affected me for about a week after. It involved a 2-year-old child who was very sick upon arrival and ended up seizing with foam in the mouth and dying from aspiration. What made it so sad was that it did not seem that the infant had a fair chance at life. He was too young to die in my eyes. His mom, dad, two siblings and even grandmother were there yelling in disbelief. I wanted so much to have saved the child but with all of our best efforts, we just couldn’t. It made me question my nursing skills and the fact that I would be able to save my own children if ever in respiratory distress. The truth was, we did everything we could to save this child but it was out of our hands. A higher power had a different plan for the youngest and we, the living were stuck dealing with it. Since that situation, I haven’t had another pediatric code but im sure that they will always be unsettling to me no matter how many I do. As mentioned in (HealGrief, n.d.), everyone person experiences death differently, grief is personal and individual. We all have our own coping mechanisms and life experiences that will determine how the loss will affect us.
Reference
College Students. Understanding Grief. (n.d.). Retrieved from https://healgrief.org/understanding-grief/
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