Response to Clarissa Rojas

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Response to Clarissa Rojas

How does abuse affect toddlers? According to Amanda Perkins MSN, RN, “In the United States, there are four

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recognized types of child abuse: physical, sexual, psychological/emotional, and neglect. Out of these four types, neglect is the most common, followed by physical abuse.” Child abuse occurs in all ages although infants/children are the most common. When a child is abuse, usually some social development difficulties and mental health problems precede the incident lasting their entire lives. Toddlers are 12-36 months of age and are one of the most common age group to be abused, especially since they are not able to communicate as well. Toddlers may display psychological and physical symptoms, or a combination of both. Examples of physical abuse seen in toddlers are: burns, bruising in different stages, lacerations, fractures, dislocation, injuries that mirror the shape of an object, welts, fear of going home, and wariness of adults/caregivers. Possible signs of sexual abuse recurrent urinary tract infections, STDs, enur e sis, redness/swelling of genitalia, and inappropriate interest in sexuality beyond the child’s developmental level. Behavioral changes can include poor hygiene, developmental delays, lack of supervision, apathy, depression, hostility, and difficulty concentrating.

There are some cultures that have healing methods used that causes petechiae or bruising. These methods can be misconstrued as child abuse or maltreatment, and often get reported to CPS. Examples of these healing methods include “coining”, “cupping”, and “spooning”, which produce symmetrical markings on the skin. These healing methods are used in traditional Chinese culture. As nurse we are obligated to report any sign or suspicions of abuse, which is mandated in all 50 states. The failure to report any sign of abuse is, a crime itself. When an abused kid comes into our hospital/clinic we are supposed to notify Child Protective Services (CPS) and local Police departments in severe cases, where the child is separated from the parent. Children are precious gifts from God, for which our jobs are to advocate and protect them from any possible abuse.

Reference:

Perkins. A. (2018). Nursing Center: The red flags of child abuse. Volume 16 (2), p 34 – 41. Retrieved from: https://www.nursingcenter.com/cearticle?an=00152258-201803000-00008&Journal_ID=417221&Issue_ID=4524655

****** please response to discussion above with a paragraph add citation and references 😉 ********

Child abuse and maltreatment Discussion Post

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Child abuse and maltreatment Discussion Post

Child abuse and maltreatment are not limited to a particular age—it can occur in the infant, toddler, preschool, and

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school-age years. Infants are at serious risk of maltreatment because of their vulnerability and dependence on others and the processes involved in neurocognitive and psychosocial development. Maltreatment is exhibited through physical abuse, neglect, emotional abuse, sexual abuse, and medical abuse.

Am going to choose infant group because they are the ones more vulnerable age group because of the immaturity and capacity to talk and ask for help.We have different types of abuse like for example, physical abuse which is non-accidental infliction of physical injury to a child, emotional abuse which is the rejecting, ignoring, criticizing, isolating, or terrorizing of children. Also sexual abuse as any activity with a child, before the age of legal consent, that allows sexual gratification of an adult or a significantly older child. Another one is neglect which is the failure to satisfy a child’s basic needs, can assume many forms as not providing hygiene, basic nutrition or adequate shelter.In an infant, the most common abuse is physical abuse , like head injuries, broken bones at different stages of healing, skin injuries, and sexual abuse . The shaken infant is intracranial hemorrhages, retinal hemorrhages and small ‘‘chip’’ fractures at the major joints of the child’s extremities can result from very rapid shaking of an infant this one is very common . Sexual abuse symptoms may include infection, genital injury, abdominal pain, constipation, chronic or recurrent urinary tract infections or behavioral problems. Neglect in an infant is non-compliance with health care recommendations as vaccination and routine doctor appointments, not enough food resulting in hunger, and the failure of a child physically to thrive, exposure of children to drugs and inadequate protection from environmental dangers, not supervising and poor hygiene . Culture influences in the way we see child abuse, sometimes skin injuries is not abuse is a type of ritual to cure the infant of fever or devils . As nurses, we need to identify any type of abuse and reported to abuse hotline or children and families.

http://www.healthofchildren.com/C/Child-Abuse.html…
https://www.who.int/violence_injury_prevention/vio…

 

****** please respond to the discussion above, add citation and references 🙂 *******

Healthcare Nursing Response to Anna Valdez Discussion 1

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Healthcare Nursing Response to Anna Valdez Discussion 1

In the school age years, there are several characteristics that would lead a provider to suspect child abuse, or

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maltreatment. Those indicators or warning signs of abuse could be obvious or subtle, requiring careful observation. In all cases it is really important to investigate and rule out abuse as the cause of those signs. Child abuse include physical abuse, sexual abuse, emotional abuse, medical abuse and neglect. There are different indicators or signs of abuse. Examples of physical signs of abuse are bruises (old and new, clustered on one part of body, or on both upper arms), eye injuries (black eyes or detached retinas), abrasions or scrapes, vaginal or rectal pain, broken bones, missing teeth, spotty balding (from pulled hair) among others. Behavioral changes includes suddenly fears of being touched, changes in sleep patterns; difficulty sleeping, depression, withdrawal from friends or usual activities, changes in behavior , changes in school performance, rebellious or defiant behavior, and self-harm or attempts at suicide. Sexual abuse signs include blood in child’s underwear, inappropriate sexual contact with other children, and pregnancy or a sexually transmitted infection. Neglect signs include a sudden or gradual change in appearance or behavior, lack of clothing or supplies to meet physical needs, poor record of school attendance, and lack of appropriate attention for medical, dental or psychological problems. In some cultures the use of coining or cupping to treat illness produce marks on the skin that can be misunderstood as abuse. In my state once abuse is confirmed, we report it immediately to our supervisor and the social worker. We need to fill an incident report and contact the police and welfare authorities.

Reference

Falkner, A. (2018). Age-appropriate approach to pediatric health care assessment. Grand Canyon University. Retrieved from https://lc.gcumedia.com/nrs434vn/health-assessment-foundations-for-effective-practice/v1.1/#/chapter/2

The Issue of Child Abuse (n.d.). Retrieved on February 11, 2019 from https://www.childhelp.org/child-abuse/

Killion, C., (2017). Cultural Healing Practices that Mimic Child Abuse. Ann Forensic Res Anal 4(2). Retrieved from https://www.jscimedcentral.com/Forensic/forensic-4-1042.pdf

 

Response to Michelle Tellier DQ2

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Response to Michelle Tellier DQ2

Nursing assessments and how we obtain them vary greatly between pediatric patient’s vs adult patients. With

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children, you are mostly getting the history and background of illness from the parent or caretaker, where in adults, you are able to ask the patient directly to tell you what is wrong. Vitals differ between the pediatric patient vs the adult patient. The vitals of a pediatric patient are different from when they are infant’s vs when they are school aged and the nurse must be able to tell the difference. When trying to obtain assessments with pediatric patients, nurses need to able to adjust the way they interact with the child. Pediatric nurses have to explain procedures and diagnosis to parents in one way, then again explain in it a way the child will understand; with adult patients, you can give logical answers and explanations and they will usually understand (Hamstra, 2018). Play is used more often with pediatric patients than adults to explain procedures and diagnosis (Hamstra, 2018). When I work with pediatric patients, one example I always give them for the Spo2 monitor, is that I need to give their finger a hug with my finger hugging device. I always use it on myself or their parent first, and then try with them. I also am not afraid to use bribery with stickers for rewards and distraction to complete tasks. In my clinic, we use play tactics often to get the assessments we need so we can make them feel better as soon as possible. It is important to consider the developmental stages children are in because the way you assess one pediatric patient who is 3, is definitely not the same as assessing as an 11 year old (Hamstra, 2018)

Hamstra, J. (June, 2018). Four major differences between pediatrics and adult nurses. In Nurse.org. Retrieved from https://nurse.org/articles/differences-between-ped…

 

 

*******Please respond to the discussion above add citation and references :}********

Tags: nursing references citation nurse

Healthcare Nursing Response To Amanda Brummel Discussion 2

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Healthcare Nursing Response To Amanda Brummel Discussion 2

When it comes to a physical assessment of a child versus adult, there will be many things the same and many things

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different. When performing an assessment, nurses receive subjective and objective data. From infancy to toddlers and preschoolers to school-aged children to adolescents and adulthood, vital signs will vary for objective data. Average range of vital signs for a preschoolers can be SBP 95-110, DBP 60-75, HR 65-110, RR 20-25, (Rudd & Kocisko, 2014). For adults, average range of vital signs can be SBP less than 120, DBP less than 80, HR 60-100, RR 12-20, (JohnsHopkinsMedicine, 2019). When taking blood pressure on a child, the nurse may ask what arm the child wants to be used to involve them in the care. For more objective data, when it comes to performing the physical assessment, most things should be the same. Breath sounds should all clear in all lobes, child or adult. S1 and S2 should be noted with no adventitious sounds for both child and adult. Both child and adult should should have regular bowel movements and urine output appropriate for their ages. Systems within the body should have no defects or abnormalities. For subjective data, for adults the information will come from them with understanding and little explanations of the questions. For children, most of the time the adults will know the answers and the nurse can receive information from them. When questioning the child, it may be a little more complicated and depends on the child. When it comes to explaining and offering instructions during the assessment, adults can be spoken to logically. Depending on the age, the explaining of the assessment shall vary. If the child is school-aged, they may be cooperative in the care. Nurses should talk directly to the child and provide rationales with their actions. For child, strategies to use to encourage engagement for children may be smiling and being friendly to earn their trust. For younger children, I learned that using items such as puppets, and first performing the procedure on them may make the experience less scary for the child. Nurses should be aware of the developmental theories by Erikson, Piaget, and Kohlberg when learning about children, (Rudd & Kocisko, 2014).

JohnsHopkinsMedicine. (2019). Vital signs (body temperature, pulse rate, respiration rate, blood pressure). Retrieved from https://www.hopkinsmedicine.org/healthlibrary/conditions/cardiovascular_diseases/vital_signs_body_temperature_pulse_rate

_respiration_rate_blood_pressure_85,p00866

Rudd, K. & Kocisko, D.M. (2014). Pediatric nursing: The critical components of nursing care. Philadelphia, F.A. Davis Company.

 

******** please respond to the discussion above with a paragraph add citation and refrences :)*

Chinese and African American Heritage Presentation

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Chinese and African American Heritage Presentation

Prepare a PowerPoint presentation about Chinese and African American Heritages. Preparation for the presentation will include synthesizing the information from readings, scientific literature, Internet resources and other sources. This presentation should address the following:

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History, values, and worldview, language and communication patterns, art and other expressive forms, norms and rules, lifestyle characteristics, relationship patterns, rituals, the degree of assimilation or marginalization from mainstream society, and health behavior and practices of the two heritages (. Chinese and African American) In addition to describing these characteristics, the presentation must include:

a) a comparative and contrast analysis of common characteristics and distinguishing traits between the groups

b) a discussion of differential approaches needed by health care professionals

This is the only special assignment in this course and as I stated above it is due at the end of week 8. The assignment will be posted in Turnitin for grading and verify originality, no similarity accepted. The assignment must be presented in an APA format, PowerPoint, Times New Roman 12 font. The Power Point has to have 20 slides and one of them for references.

Concept Analysis Paper On Stress In Nursing

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Concept Analysis Paper On Stress In Nursing

Articles for Concept analysis Axley, L. (2008). Competency: A concept analysis. Nursing Forum, 43(4), 214-222.

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doi:10.1111/j.1744-6198.2008.00115.x Barnes, H. (2015). Nurse practitioner role transition: A concept analysis. Nursing Forum, 50(3), 137-146. doi:10.1111/nuf.12078 Bissonnette, J. M. (2008). Adherence: A concept analysis. Journal of Advanced Nursing, 63(6), 634-643. doi:10.1111/j.1365-2648.2008.04745.x Brennaman, L., & Lobo, M. L. (2011). Recovery from serious mental illness: A concept analysis. Issues in Mental Health Nursing, 32(10), 654-663. doi:10.3109/01612840.2011.588372 Evans, E. C. (2016). Exploring the nuances of nurse-patient interaction through concept analysis: Impact on patient satisfaction. Nurs Sci Q, 29(1), 62-70. doi:10.1177/0894318415614904 Gallant, M. H., Beaulieu, M. C., & Carnevale, F. A. (2002). Partnership: An analysis of the concept within the nurse–client relationship. Journal of Advanced Nursing, 40(2), 149157. doi:10.1046/j.1365-2648.2002.02357.x Glaister, J. A. (2001). Healing: Analysis of the concept. International Journal of Nursing Practice, 7(2), 63-68. doi:10.1046/j.1440-172X.2001.00255.x Hebdon, M., Foli, K., & McComb, S. (2015). Survivor in the cancer context: A concept analysis. Journal of Advanced Nursing, 71(8), 1774-1786. doi:10.1111/jan.12646 Jacelon, C. S., Connelly, T. W., Brown, R., Proulx, K., & Vo, T. (2004). A concept analysis of dignity for older adults. Journal of Advanced Nursing, 48(1), 76-83. doi:10.1111/j.13652648.2004.03170.x Kulju, K., Stolt, M., Suhonen, R., & Leino-Kilpi, H. (2016). Ethical competence: A concept analysis. Nurs Ethics, 23(4), 401-412. doi:10.1177/0969733014567025 Lee, S. (2015). A concept analysis of ‘Meaning in work’ and its implications for nursing. Journal of Advanced Nursing, 71(10), 2258-2267. doi:10.1111/jan.12695 Lynch, S. H., & Lobo, M. L. (2012). Compassion fatigue in family caregivers: A Wilsonian concept analysis. Journal of Advanced Nursing, 68(9), 2125-2134. doi:10.1111/j.13652648.2012.05985.x Mestdagh, E., Van Rompaey, B., Beeckman, K., Bogaerts, A., & Timmermans, O. (2016). A concept analysis of proactive behaviour in midwifery. Journal of Advanced Nursing, 72(6), 1236-1250. doi:10.1111/jan.12952 Murphy Tighe, S., & Lalor, J. G. (2016). Concealed pregnancy: A concept analysis. Journal of Advanced Nursing, 72(1), 50-61. doi:10.1111/jan.12769 Rhoten, B. A. (2016). Body image disturbance in adults treated for cancer – a concept analysis. Journal of Advanced Nursing, 72(5), 1001-1011. doi:10.1111/jan.12892 Schroeder, K., & Smaldone, A. (2015). Food insecurity: A concept analysis. Nursing Forum, 50(4), 274-284. doi:10.1111/nuf.12118 Swiger, P. A., Vance, D. E., & Patrician, P. A. (2016). Nursing workload in the acute-care setting: A concept analysis of nursing workload doi:https://doi.org/10.1016/j.outlook.2016.01.003 Thompson, H. J. (2005). Fever: A concept analysis. Journal of Advanced Nursing, 51(5), 484492. doi:10.1111/j.1365-2648.2005.03520.x Title of Paper (same as on cover) Start typing your introduction Definition of the Concept Define concept and cite at least one source of the definition. Criteria of the Concept Uses of the Concept The concept of insert the concept selected for the analysis is used by health care professionals as patients/clients are assessed. Continue to discuss how the concept is used in nursing practice. Attributes of the Concept These are the defining characteristics. Antecedents and Consequences Theoretical Perspectives to Nursing Practice In this section discuss a theory or theoretical perspective in which the selected concept is used. Be sure to cite sources. Significance to Nursing Practice Discuss example which applies the selected concept (Model case from nursing clinical rotations). Conclusion Concept Analysis Diagram – Comfort Nursing Care  Directed toward what contributes to a normal concept and is thereby related to all factors involved in or with the concept. Not always needed to have a normal outcome. Attributes  Defining characteristics of the concept  What must occur for the concept to exist Antecedents  What precedes the concept for it to exist  Events or incidents that must happen before the concept Consequences  Untoward events or outcomes that occur due to malfunction within the concept  Positive events or outcomes that occur due to proper functioning within the concept Interrelated Concept  Concepts which can affect change in the other  Concepts which work together to ensure a normal process  Concepts which if depleted or impaired can cause a negative consequence in the other Sub- Concept  Critical components of major concept Nursing Care Attributes: Mobility • Vital signs within the normal limits for baseline Indicates pain scale zero Relaxed body posture Interrelated Concepts • Antecedent Effective circulatory system Able to discern from comfort to discomfort Without noxious stimuli Intact neurological/ sensory system Comfort: State of physical ease Consequences (Outcomes) F a t i g u e F u n c t i o n a l Sensory Perception Mood and Affect Functional Ability Shock Tissue Damage Perform ADL‘s a b i l i t y M o o d Adapt to stressors a n d Negative Chronic & Acute Pain Sub Concepts Social Interactions • Positive Neuropathic Pain Theory of Pain Control Nociceptive Pain Mixed Pain Syndromes Giddens, Jean. for Nursing Practice. Mosby, 2013. 3.5.13 TexasConcepts Calm demeanor a f f e c t Limited Movement Hyperventilation Increased heart rate Increased Blood Pressure
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NSG 302 UOP Senior Administrative Team Presentation

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NSG 302 UOP Senior Administrative Team Presentation

***You are making a presentation to the Senior Administrative Team regarding nursing care priorities at your workplace.

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Research quality indicators at your workplace (or another of your choice –many have websites which offer this information).

Quality Indicators are developed by the Agency for Healthcare Research & Quality (AHRQ) to evaluate performance in healthcare. They are ‘measures of quality’. For example, pressure ulcer occurrence, falls, hourly rounding for communication with pts & families… On what nursing care issues does your organization collect data? You can get information from your Manager or QI dept — & they can give you a % of compliance based on the national norm. Or you can get the info online

If you dont work at a hospital or med center, not to worry. Data is required to be shared publicly, as we know, by CMS.

Here’s an example of data available online at a major medical center. Use this if you wish.

Go to “www.partners.org” (the Mass General Hospital, Boston, MA website).

At top you will see a link ‘for patients’.

Then on left, you will see a link for QUALITY.

In this area, there are multiple clinical conditions for which data is shared. It will show you their own numbers, compared to the Massachusetts-state data.

Create a PPT presentation.

Provide examples of how the Organization is improving care in the form of changes in care, governance, staff training, interdisciplinary communication, and/or clinical partnerships.

Create a 6-7 slide presentation with your findings / include speaker notes

NOTE: Each presentation has a Title Slide, an Introductory slide, a Conclusion slide, and a Reference List as the final slide. The title and the reference list slides are not in the slide count**

Include a 150-word executive summary(a 3-5 sentence paragraph)– (5 points) DO NOT EXCEED WORD COUNT

Tags: university of phoenix nursing quality indicators nursing care

read and review

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read and review

read and review the article self contamination in healthcare work?the risk is real(barclay,2015)

http://www.medscape.org/reviewarticle/853794

write 1 to 2 pico (T) questionfrom this article. from the information you read how can you formulate this

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Nursing Literature Review Assignment

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Nursing Literature Review Assignment

Literature Review Assignment: Save Link Assignment Literature Review View Rubric Due Date: Mar 10, 2018 Max Points: 100 Details:

While the implementation plan prepares students to apply their research to the problem or issue they have identified for their capstone change proposal project, the literature review enables students to map out and move into the active planning and development stages of the project.

A literature review analyzes how current research supports the PICOT, as well as identifies what is known and what is not known in the evidence. Students will use the information from the earlier PICOT Statement Paper and Literature Evaluation Table assignments to develop a 750-1,000 word review that includes the following sections: Nursing Literature Review Assignment.

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1-Title page

2-Introduction section

3-A comparison of research questions

4-A comparison of sample populations

5-A comparison of the limitations of the study

6-A conclusion section, incorporating recommendations for further research

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 Turnitin. Please refer to the directions in the Student Success Center. Nursing Literature Review Assignment.

Apply Literature Review Assignment Rubrics

Literature Review 1 Unsatisfactory 0.00% 2 Less than Satisfactory 75.00% 3 Satisfactory 79.00% 4 Good 89.00% 5 Excellent 100.00% 80.0 % Content 10.0 % Introduction An introduction is not present. An introduction is present, but it does not relate to the body of the paper. An introduction is present, and it relates to the body of the paper. There is nothing in the introduction to entice the reader to continue reading. An introduction is present, and it relates to the body of the paper. Information presented in the introduction provides incentive for the reader to continue reading. An introduction is present, and it relates to the body of the paper. Information presented in the introduction is intriguing and encourages the reader to continue reading. 20.0 % Comparison of Research Questions No comparison of research questions is presented. A comparison of research questions is presented, but it is not valid. A cursory though valid comparison of research questions is presented. A moderately thorough and valid comparison of research questions is presented. A reflective and insightful comparison of research questions is presented. 20.0 % Comparison of Sample Populations No comparison of sample populations is presented. A comparison of sample populations is presented, but it is not valid. A cursory though valid comparison of sample populations is presented Nursing Literature Review Assignment. A moderately thorough and valid comparison of sample populations is presented. A reflective and insightful comparison of sample populations is presented. 20.0 % Comparison of the Limitations of the Study No comparison of the limitations of the study is presented. A comparison of the limitations of the study is presented, but it is not valid. A cursory though valid comparison of the limitations of the study is presented. Nursing Literature Review Assignment.  A moderately thorough and valid comparison of the limitations of the study is presented. A reflective and insightful comparison of the limitations of the study is presented. 10.0 % Conclusion and Recommendations for Further Research No conclusion and recommendations for further research are presented. A conclusion and recommendations for further research are presented, but they are not valid. A conclusion and recommendations for further research are valid, but they are cursory. A conclusion and recommendations for further research are valid and moderately thorough. A conclusion and recommendations for further research are reflective and insightful. 15.0 % Organization and Effectiveness 5.0 % Thesis Development and Purpose Paper lacks any discernible overall purpose or organizing claim. Thesis is insufficiently developed or vague. Purpose is not clear. Thesis is apparent and appropriate to purpose. Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose. Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear. 5.0 % Argument Logic and Construction Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources. Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility. Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis. Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative. Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative. 5.0 % Mechanics of Writing (includes spelling, punctuation, grammar, language use) Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used. Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, or word choice are present. Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used. Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used. Writer is clearly in command of standard, written, academic English. 5.0 % Format 2.0 % Paper Format (use of appropriate style for the major and assignment) Template is not used appropriately or documentation format is rarely followed correctly. Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent. Template is used, and formatting is correct, although some minor errors may be present. Template is fully used; There are virtually no errors in formatting style. All format elements are correct. 3.0 % Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style) Sources are not documented. Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors. Sources are documented, as appropriate to assignment and style, although some formatting errors may be present. Sources are documented, as appropriate to assignment and style, and format is mostly correct. Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error. 100 % Total Weightage Nursing Literature Review Assignment