Paragraph 2- Respond to the following post

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Paragraph 2- Respond to the following post

I currently work in a Level II Neonatal Intensive Care Unit in Wisconsin, and rarely see death or dying on my unit.

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There have been a few fetal demises on the Labor and Delivery unit, but we do not deal with any of those cases. However, in Colorado I worked at several jobs where I dealt with death daily. I started out my career in nursing homes where I cared for many elderly people that were dying from a multitude of conditions like cancer, and heart disease just to name a few. I also worked in two inpatient Hospice units that I really enjoyed. It was hard to see these individuals and families go through the pain they dealt with for so long. Many did not have family nearby, so they were alone left with the caregivers or nurses to provide them with strength and hope. I cared for these people for many years and felt that it was where I was needed at that time. Some nurses expressed that they hated death and did not last long at that job. I believe that it takes someone special to deal with death, someone that is open-minded and has a warm heart to accept that life can end as many of the patients are scared and need that support. I feel it is important that the best compassionate care is given as the mood is kept lighthearted so that they can reminiscence about the good and bad times. I think this helps the family to understand the process without being overwhelmed and to help them accept what is happening. Many had religious views or requests when they died, and I did all I could do to respect their wishes. Examples were to have a Chaplain at the bedside when they died, or have a prayer read by staff when they passed on. I felt comfortable being at the bedside and felt at peace knowing that these individuals would no longer suffer from the pain of their disease. The staff members would go through the grieving process just as the family would so counseling was offered. Watching these people die made me respect the fact of life is short and nothing should be taken for granted. Today I feel that I can handle the death of an adult better than an infant or child. I know I would feel comfortable to cry with the family as emotion is normal during the process. Death is a fact of life in my opinion, when it is your time to go, it is your time. Fighting death can only make the experience harder for the individual. Because of the experiences I have had as a nurse, I feel that I accept death better than my coworkers. With the loses I have had in my life, I also go through some of the grieving process intermittently, only it does get easier year after year. I live my life every day to the fullest giving myself time to be happy, sad, mad, but grateful for what I have.

Shelly, J., & Miller, A. (2006) Called to Care: A Christian Worldview for Nursing. Downers Grove, IL: InterVarsity Press.

Tags: nursing paragraph please help citations and references

Paragraph 4

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Paragraph 4

Please write a paragraph responding to the discussion bellow. Add citations and references in alphabetical order.

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Euthanasia is the act of deliberate ending of a patient’s life at his or her request or following the request of their families. In healthcare services the term is often referred as mercy killing as it purposes to hastening death of a patient who is suffering with chronic diseases and requesting relief of that pain (McLeod-Sordjan, R., 2014). In preaching of Roman Catholics, the sin of suicide or euthanasia is condemned as a murder and therefore it is described as mortal sin. It is based on the belief that God has supreme power over his creation and human put into suffering because of some purposes. However, Protestant gives different opinion. For instance, it is not the duty of a common man to limit life of an individual and the man should stop playing with God. On the other hand, others consider euthanasia as an acceptable thing as they consider pain and sufferings as purposeless, demoralizing and degradation of individual (Nair, U., 2012). In one of the survey conducted in Australia, it has been observed that 70% of the people support euthanasia. They believe that euthanasia is a compassionate and sensible act allowing doctors to deliberately terminate the life of patient at their request. Being a nurse, I am agreeing with this thought of deliberate termination of death of chronic patients. It is because of the fact I have seen many individuals’ sufferings with chronic diseases and do not have facilities of quality healthcare services. At that stage they seem helpless and gone through tremendous pain and sufferings. For these patients I can suppose this way of ending life.

McLeod-Sordjan, R. (2014). Death preparedness: a concept analysis. J Adv Nurs , 70 (5), 1008–19.

Nair, U. (2012). Where Must The Christian Stand On Abortion And Euthanasia? Church of Christ, 1-5.

Vicarious Liability.

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Vicarious Liability.

Explain Vicarious Liability. Also, if an agency nurse is working in a hospital, as a contractor, and they make an error, who is liable?

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CLC – Health Issue Analysis: Part 5

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CLC – Health Issue Analysis: Part 5

In your Collaborative Learning Community, write a paper of 350 words and include the following:

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Compare differences in ideologies related to the issue across political party lines, geographic regions, and countries of the world.
Refer to “CLC Health Issue Analysis Overview.”

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract, introduction, and conclusion are 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.

The topic is opioid epidemic in america.

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

 

20.0 %Compare differences in ideologies related to the issue across political party lines, geographic regions, and countries of the world.

Does not address differences in ideologies related to the issue across political party lines, geographic regions, or countries of the world.

Identifies ideologies related to the issue with respect to one of the three criteria: political party lines, geographic regions, or countries of the world, but does not compare differences.

Identifies ideologies related to the issue across political party lines, geographic regions, and countries of the world, but does not compare them.

Compares differences in ideologies related to the issue across political party lines, geographic regions, and countries of the world. Minimal use of examples, supporting details, or references.

Clearly and systematically critiques political platforms utilizing references, examples, and supporting details. Includes both public and private sources and distinguishes them as such. There are no inconsistencies.

contemporary nursing practice

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contemporary nursing practice

The field of nursing has changed over time. In a 750-1,000 word paper, discuss nursing practice today by addressing the following:

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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.

material that school give https://www.gcumedia.com/digital-resources/grand-canyon-university/2018/dynamics-in-nursing_art-and-science-of-professional-practice_1e.php

 

http://www.aacnnursing.org/News-Information/Fact-S…

 

 

http://survey.gcu.edu/initial_course_survey/initia…

 

 

https://www.nursingworld.org/practice-policy/scope…

 

 

 

http://www.aacnnursing.org/News-Information/Fact-S…

 

 

https://www.nursingworld.org/practice-policy/work

 

http://www.aacnnursing.org/News-Information/Fact-S…

 

http://survey.gcu.edu/initial_course_survey/initia…

 

 

https://www.nursingworld.org/practice-policy/scope…

 

 

Please respond to the following post.

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Please respond to the following post.

Description
Please respond to the following post with a long paragraph, please add citations and references.

What characteristics would lead a provider to suspect domestic violence, child abuse, or elder abuse is taking place within a family? Discuss your facility’s procedure for reporting these types of abuse.

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Elder Abuse and Neglect

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Elder Abuse and Neglect

You are a charge nurse in the emergency department. An elderly woman arrives with bruises all over the upper torso

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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 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.
Tags: nursing Fundamentals of Gerontology

Respond to these two discussions

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Respond to these two discussions

Please I need you to respond to these two discussions written by my peers and please remember to add intext references

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1) Written By Cicely

A great number of pregnancies in the U.S. are unintentional. Unintentional pregnancies increase the risks of adverse effects for mother and baby. Contraceptive counseling is an important strategy to prevent unintentional pregnancies. It is important for the provider to develop a trusting relationship that includes a shared-decision making approach to help meet the patient’s contraceptives needs and preferences (Dehlendorf, Krajewski, & Borrero, 2014). Contraception counseling uses strategies to inform, promote continuation and adherence, and optimize women’s use of contraception (Dehlendorf, Krajewski, & Borrero, 2014).

Medical Eligibility

Karen is a 33-year old who has a history of migraines. It is unknown whether the migraines are with or without aura. She also smokes a ½ a pack of cigarettes per day. Her father has a history of DVT and cardiac disease. Her mother has a history of cervical cancer. Karen’s BP is 138/76 and her pelvic exam is normal. According to the medical eligibility chart Karen is eligible for combination hormonal contraception (CHC), copper-containing IUD, Depo Provera, levonorgestrel-releasing IUD, progestin-implant, and progestin only pills. Even though Karen is a smoker it would be appropriate to prescribe CHC to her. Her age and the number of cigarettes she smokes put her at a category 2 meaning the benefit of the method outweighs the risk (CDC, 2017). Karen having a first degree relative with history of DVT is also a category 2. If Karen’s migraines are with an aura, then she would not be medically eligible for CHCs as this is a category 4 which is an unacceptable health risk.

Recommended Contraception Method

The contraceptive method that I would recommend for Karen is the levonorgestrel-releasing IUD such as the Mirena. It is a highly effective form of long-acting reversible birth contraceptive (LARC). ACOG recommends that IUDs be used as a first-line method for contraceptive (Schuiling, 2017). IUD’s such as the Mirena would give Karen at least 5 years of pregnancy prevention. LARC’s such as the Mirena have a high satisfaction and continuation rate (Schuiling, 2017). Karen suffers with dysmenorrhea and heavy bleeding lasting 7-8 days. The Mirena is approved by the FDA to help treat heavy menstrual bleeding and maybe helpful for treating dysmenorrhea (Schuiling, 2017). There is also a benefit of reduced risks of cervical and endometrial cancer with IUD use (Schuiling, 2017).

Contraceptive Method Not Recommended

Because of Karen’s history of heavy menstrual bleeding and dysmenorrhea, I would not recommend the copper IUD. The most common side effects of copper IUD are heavy bleeding and dysmenorrhea. There is a 50% increase in blood loss and potential for an increase in duration with the copper IUD (Schuiling, 2017).

Dehlendorf, C., Krajewski, C., & Borrero, S. (2014). Contraceptive counseling: best practices to ensure quality communication and enable effective contraceptive use. Clinical obstetrics and gynecology, 57(4), 659. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC42166…

Schuiling, Kerri D. Women’s Gynecologic Health, 3rd Edition. Jones & Bartlett Learning, 2017. [South University].

Summary chart of U.S. medical eligibility criteria for contraceptive use. (2017). Centers for Disease Control and Prevention [CDC]. Retrieved from https://www.cdc.gov/reproductivehealth/contracepti…

 

 

2) Written By Mary

There are multiple contraceptive options available for women that can be chosen based on efficacy, effectiveness, convenience, cost, and safety. Contraception counseling is an important part of reproductive planning and should be driven based on the patient’s preferences when no medical contraindications exist (Schuling & Likis, 2017). The following sections will cover contraceptive methods that are appropriate for the patient in this case study as they pertain to her reproductive goals and medical, social, and family history.

Eligible Contraceptive Methods

History of Migraines

According to the case study, the patient has a known history of migraines for which she takes Imitrex as needed. It is unknown from the information provided if Karen’s migraines are with or without aura; this would affect the selection of contraception in this case. To err on the side of caution, Karen would be advised against combined hormone contraception (pills, patches, or rings) as the CDC has classified them as unacceptable for use in patients with migraine with aura (2017). Intrauterine devices (IUD) with and without hormones, progestin-only pills and implants, and depo injections are the remaining options available to this patient.

Heavy, painful menses

Heavy and painful menses are reported in this case study. According to the CDC (2017), patients with heavy menses and severe dysmenorrhea may use all types of contraception as advantages of each type outweigh the theoretical or proven risks. There are no absolute contraindications for any type of contraception with heavy, painful menses.

Smoking History

The patient’s age and number of cigarettes they smoke are both factors that determine eligibility of contraception use for women. There are no restrictions to contraceptive methods in patients who smoke and are under the age 35, except for combined hormone contraception (CHC) in which case the advantages still outweigh risks and can be taken. However, in patients aged 35 and up in combination with higher amounts of cigarettes smoked, combined hormone contraception is proven to be more risky than beneficial and is not recommended for use (CDC, 2017).

Family History of DVT and Cervical Cancer

Karen has a positive family history of DVT which does not limit her eligibility for contraception; even with use of CHCs the benefits outweigh the risks. A personal diagnosis of cervical cancer would make Karen ineligible for some contraceptive methods. A positive first-degree family history places Karen at higher risk of cervical cancer but does not impact her choice of contraception at this time (CDC, 2017).

Blood Pressure

Karen’s blood pressure reading of 138/76 is concerning for undiagnosed pre-hypertension. High blood pressure would affect her choices for contraception if she were interested in depo injections or CHC (CDC, 2017).

Most Beneficial Contraceptive Method

Considering the factors presented in the case study, the best method of contraception for Karen would be the levonorgestrel (LNG) IUD. There are no absolute contraindications for this form of contraception based on her known factors such as history of migraines, blood pressure reading, smoking history, and family history of DVT and cervical cancer. Also, initiation of LNG-IUD has been shown to improve symptoms of menorrhagia and dysmenorrhea without any adverse effects (Curtis et al., 2016). LNG-IUD are a long-acting reversible contraception method and would be available in three- or five-year options for Karen to choose from since she doesn’t want more children in the near future.

Methods of Contraception Not Recommended for Patient

Based on the factors discussed in the sections above, CHC would not be recommended for this patient. Migraines, smoking, and hypertension all are contraindications for taking CHC. While we don’t know if the patient has migraine with aura it is better to err on the side of caution when advising the patient about available methods. We also don’t have a diagnosis of hypertension from the facts stated in the case study, and her blood pressure reading may be a fluke. However, as a precaution, CHC should be avoided until a definitive measurement of blood pressure is made. Based on Karen’s age, her smoking status still allows her to take CHC, but unless she quits before she turns 35, it will then no longer be recommended as a safe contraceptive method.

References

Curtis, K. M., Tepper, N. K., Jatlaoui, T. C., Berry-Bibee, E. …& Whiteman, M. K. (2016). U. S. medical eligibility criteria for contraceptive use, 2016. Morbidity and Mortality Weekly Report, 65(3). Retrieved from https://www.cdc.gov/mmwr/volumes/65/rr/pdfs/rr6503…

Centers for Disease Control and Prevention. (2017). Summary chart of U. S. medical eligibility criteria for contraceptive use. Retrieved from https://www.cdc.gov/reproductivehealth/contracepti…

Schuling, K. D. & Likis, F. E. (2017). Women’s Gynecologic Health, 3rd ed. Burlington, MA: Jones & Bartlett Learning

Respond with a paragraph, citations and references

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Respond with a paragraph, citations and references

Why is the concept of family health important? Consider the various strategies for health promotion. How does a nurse determine which strategy would best enable the targeted individuals to gain more control over, and improve, their health?

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APA style paper

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APA style paper

Develop an interview questionnaire to be used in a family-focused functional assessment. The questionnaire must

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include three open-ended, family-focused questions to assess functional health patterns for each of the following:

Values/Health Perception
Nutrition
Sleep/Rest
Elimination
Activity/Exercise
Cognitive
Sensory-Perception
Self-Perception
Role Relationship
Sexuality
Coping
Select a family, other than your own, and seek permission from the family to conduct an interview. Utilize the interview questions complied in your interview questionnaire to conduct a family-focused functional assessment. Document the responses as you conduct the interview.

Upon completion of the interview, write a 750-1,000-word paper. Analyze your assessment findings. Submit your questionnaire as an appendix with your assignment.

Include the following in your paper:

Describe the family structure. Include individuals and any relevant attributes defining the family composition, race/ethnicity, social class, spirituality, and environment.
Summarize the overall health behaviors of the family. Describe the current health of the family.
Based on your findings, describe at least two of the functional health pattern strengths noted in the findings. Discuss three areas in which health problems or barriers to health were identified.
Describe how family systems theory can be applied to solicit changes in family members that, in turn, initiate positive changes to the overall family functions over time.
Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria.