Chapter 12 assignment

Chapter 12 assignment

T.J. is a 76-year-old man that recently lost his wife. He lives alone now in an ALF where he has some friends that he

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associates with. They are “good for his overall well-being” claims the administrators of the facility who befriended T.J. when he lost his wife six months ago. The facility that T.J. lives in is convenient for many aspects of his life, including entertainment and even some of the healthcare associates from neighboring clinics that have partnered with the facility to allow visits with the residents.

Over the years, the associates from the neighboring clinic have grown close to some residents and have followed them during some of their crisis, both emotional and physical. Christine, a nurse practitioner from a neighboring clinic, has followed T.J. for many years and is now assessing his fall risk through a tool called the “Hendrick Fall Risk Tool II” a popular means of assessing the fall risk that may exist for an elderly person.

An entry by the ARNP recently on T.J. demonstrated that there was enough information, recognizing previous and present knowledge to utilize the tool to give T.J. a score representing his fall risk. the entry reads: “T.J. is a 76-year-old that is evaluated today for his fall risk. He has a MedHx of BPH, COPD, seizures, eczema, and anxiety. He has been seen monthly and he described some episodes of nocturia that still persists. A list of his recent mediation includes Alprazolam, Phenytoin, Dutasteride, and ibuprofen prn. By administering the Get Up and Go Test, we find that he only had a brief episode of not being able to rise but he performed well after that completing it in 12 seconds. He demonstrates an improvement in his depression experienced in the past exhibited for several months after the loss of his spouse. His friends at the facility keep him busy and he is much improved in his outlook for the future.” C. Miller ARNP

Instructions:

Read the Fall Risk Assessment for Older Adults article.
Complete the Hendrich II Fall Risk Model tool form completely.
Assign the correct scores for the Fall Risk Tool.
Summarize the scores derived as per fall risk.
Develop a summary of the risks for T.J., so that the facility can respond to those risks and provide a safe environment.
Describe the level of safety that the facility should plan to give T.J.
Finally, explain whether you feel like the score from the Fall Risk Tool is accurate and if the tool is worth the effort to develop.
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. citation within 3 years
1 attachments

chapter 11 assignment

chapter 11 assignment

Read the Case Study 11-2: Go to the Hospital and Come Back with Four More Medications in Chapter 11 of the textbook below

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Mauk, K.. (2018). Gerontological Nursing: Competencies for Care. 4th ed. Jones & Bartlett Learning ISBN – 9781284104479
Once you have read the Case Study thoroughly, answer the following questions:
What does the administration of antibiotics have to do with a Clostridium difficile (C. diff infection) infection?
List all the inappropriate medications prescribed for K.L. and describe the reason why they are inappropriate.
What kind of treatment regimen is utilized for a patient with a C. diff infection?
Do any of these treatments regimens raise suspicion as being inappropriate for K.L.?
List the therapy and if contraindicated, give a reason why it is inappropriate.
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

APA style paper

APA style paper

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.

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Define the opposing arguments in attachment

Define the opposing arguments in attachment

Define the opposing arguments in the story of Twyla Roberts and Mary Louis on page 203-204 in the attachment.

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Windshield survey report of College Park City, Maryland

Windshield survey report of College Park City, Maryland

Windshield Survey 10%/Community Assessment Project 20% Instruction: Conduct a windshield survey of the clinical placement community (or a surrounding community). Use the following to write a 3-page report and include brief recommendations for any issues identified during the survey.

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1. Community vitality

 Are people visible in the community? What are they doing?

 Who are the people living in the neighborhood? What is their age range? What is the predominant age (e.g., elderly, preschoolers, young mothers, or school-aged children)?

 What ethnicity or race is most common?

 What is the general appearance of those you observed? Do they appear healthy? Do you notice any obvious disabilities such as those with walkers or wheelchairs, or those with mental or emotional disabilities? Where do they live?

 Do you notice residents who are well nourished or malnourished, thin or obese, vigorous or frail, unkempt or scantily dressed, or well dressed and clean?

 Do you notice tourists or visitors to the community?

 Do you observe any people who appear to be under the influence of drugs or alcohol?

 Do you see any pregnant women? Do you see women with strollers and dying children? 2. Indicators of social and economic

2. Indicators of social and economic conditions

 What is the general condition of the homes you observe? Are these single-family homes or multifamily structures? Is there any evidence of dilapidated housing or of areas undergoing urban renewal? What forms of transportation do people seem to be using? Is there public transit? Are there adequate bus stops with benches and shade? Is transportation to health care resources available?

 Is there public housing? What is its condition?

 Are there any indicators of the kinds of work available to residents? Are there job opportunities nearby, such as factories, small businesses, or military installations? Are there unemployed people visible, such as homeless people?

 Do you see men congregating in groups on the street? What do they look like, and what are they doing?

 Is this a rural area? Are there farms or agricultural businesses?

 Do you note any seasonal workers, such as migrant or day laborers?

 Do you see any women hanging out along the streets? What are they doing?

 Do you observe any children or adolescents out of school during the daytime?

 Do you observe any interest in political campaigns or issues such as campaign signs?

 Do you see any evidence of health education on billboards, advertisements, signs, radio stations, or television stations?

 Do these methods seem appropriate for the people you observed? What kinds of schools and day care centers are available?

3. Health resources

 Do you notice any hospitals? What kind are they? Where are they located?

 Are there any clinics? Whom do they serve? Are there any family planning services?

 Are there doctors’ and dentists’ offices? Are they specialists or generalists?

 Do you notice any nursing homes, rehabilitation centers, mental health clinics, alcohol or drug treatment centers, homeless or abused shelters, wellness clinics, health department facilities family planning services, or pharmacies/

 Are these resources appropriate and sufficient to address the kinds of problems that exist in this community?

4. Environmental conditions related to health

 Do you see evidence of anything that might make you suspicious of ground, water, or air pollutants?

 What is the sanitary condition of the housing? Is housing overcrowded, dirty, or in need of repair? Are windows screened?

 What is the condition of the roads? Are potholes present? Are drainage systems in place? Are there low water crossings, and do they have warning signals? Are there adequate traffic lights, signs, sidewalks, and curbs? Are railroad crossings fitted with warnings and barriers? Are streets and parking lots well lit? Is this a heavily trafficked area, or are roads hazardous?

 Is there handicapped access to buildings, sidewalks, and streets?

 Do you observe recreational facilities and playgrounds? Are they being used? Is there a YMCA or community center? Are there any day care facilities or preschools?

 Are children playing in the streets, alleys, yards, or parks?

 Do you see any restaurants?

 Is food sold on the streets? Are people eating in public places? Are there trash receptacles and places for people to sit? Are public restrooms available?

 What evidence of any nuisances such as ants, flies, mosquitoes, or rodents do you observe?

5. Social functioning

 Do you observe any families in the neighborhoods? Can you observe their structure or functioning? Who is caring for the children? What kind of supervision do they have? Is more than one generation present?

 Are there any identifiable subgroups related to each other either socially or geographically?

 What evidence of a sense of neighborliness can you observe?

 What evidence of community cohesiveness can you observe? Are there any group efforts in the neighborhood to improve the living conditions or the neighborhood? Is there a neighborhood watch? Do community groups post signs for neighborhood meetings?

 How many and what type of churches, synagogues, or places of worship are there?

 Can you observe anything that would make you suspicious of social problems such as gang activity, juvenile delinquency, drug or alcohol abuse, or adolescent pregnancy? 6. Attitude toward health and health.

6. Attitude toward health and health care

 Do you observe any evidence of folk medicine practice, such as a botanical or herbal medicine shop? Are there any alternative medicine practitioners?

 Do you observe that health resources are well utilized or underutilized?

 Is there evidence of preventive or wellness care?

 Do you observe any efforts to improve the neighborhood’s health? Do you notice any health fairs? Do you see advertisements for health-related events, clinics, or lectures?

Antimicrobial Agents

Antimicrobial Agents

Antimicrobial agents are essential components in the treatment of various bacterial infections as they help to kill or

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prevent the growth of microbes such as bacteria, fungi, and protozoans. Prior to the discovery of antimicrobial agents, treatment options for patients with bacterial infections were limited. For many patients, treatment often resulted in the amputation of limbs or even death. Today, treatment options for bacterial infections typically have a more positive prognosis. Due to the various types of infections presented in patients, it is essential to be able to identify the underlying cause of the infection—whether bacterial or viral—before recommending drug treatments. This will help you identify whether or not an antimicrobial agent would be appropriate and which specific agent would target the infection. In this Assignment, you consider the appropriate use of antimicrobial agents for infections.

To prepare:
Review this week’s media presentation on principles of antimicrobial therapy, as well as Chapter 8 of the Arcangelo and Peterson text.
Consider the categories of antimicrobial agents.
Think about differences between viral and bacterial infections.
Reflect on why proper identification of the infection is key to selecting the proper antimicrobial agent.
BY DAY 7
Write a 2- to 3- page paper that addresses the following:

Describe the categories of antimicrobial agents.
Describe differences between viral and bacterial infections.
Explain why proper identification of viral and bacterial infections is key to selecting the proper antimicrobial agent.

Reminder: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available at http://writingcenter.waldenu.edu/57.htm). All papers submitted must use this formatting.

Discussion board part 1 350-450 words

Discussion board part 1 350-450 words

Discussion Prompt

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Identify a disaster scenario, outline the disaster preparedness steps that should be used, and relate them to the nursing process.

Respond 1 Topic (Brooke Perrizo ) DQ1

Respond 1 Topic (Brooke Perrizo ) DQ1

Please respond to the following post with a paragraph Thank You !!!

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The process for developing nursing standards in each state includes developing a board of nursing (BON) “which further refines the statutes through the development of administrative rules, known as rules or rules and regulations” (Green, S. 2018). Basically, each state’s board of nursing is responsible for dictating the nursing standards specific to that state. Per the Kansas State Board of Nursing (pg 1., 2018), “The governor shall appoint a board consisting of 11 members of which six shall be registered professional nurses, two shall be licensed practical nurses, and three shall be members of the general public, which shall constitute a board of nursing, with the duties, power and authority set forth in this act.” But what happens before this?

The American Nurses’ Association (ANA) begins the process by creating the general scope of practice as well as basic standards that all nurses should follow. From there, specialty organizations take those general standards and develop and revise their own scope and standards of practice (Maloney, P. 2016).

The standards of practice influence the nursing process by defining what nurses can and cannot do in their respective state. They also align with the nursing process in that the Nurse Practice Act (NPA) for Kansas shows what tasks may be delegated to licensed nurses and also what occurrences are known as misconduct. There have been multiple revisions to the standards and scope of practice for the nursing community. In these cases, task forces are developed to revise the standards.

Resources

Green, S. (2018). Dynamics in Nursing: Art and Science of Professional Practice. Advancing Professional Standards. Retrieved from

https://lc.gcumedia.com/nrs430v/dynamics-in-nursin…

Kansas State Board of Nursing (2018). Nurse practice act statutes and administrative regulations.

Retrieved from https://ksbn.kansas.gov/wp-content/uploads/NPA/npa…

Maloney, P. (2016). Nursing professional development: Standards of professional practice. Journal for

Nurses in Professional Development, 32(6), 327-330.

nursing leadership and management

nursing leadership and management

Chapter 9 People and the Process of Change Copyright © 2015. F.A. Davis Company Change • A natural

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phenomenon • Macro- and micro-change Copyright © 2015. F.A. Davis Company The Process of Change • The comfort zone – Unfreezing – Change – Refreezing – Return to new comfort zone Copyright © 2015. F.A. Davis Company The Change Process Unfreezing Change Refreezing    Comfort → Discomfort → New zone zone zone Copyright © 2015. F.A. Davis Company Sources of Resistance to Change • Technical concerns • Psychosocial needs • Position and power Copyright © 2015. F.A. Davis Company Receptivity to Change • Recognize differences in preferences for certainty. • Speak to people’s feelings. • Stories and Drama vs. Statistics. Copyright © 2015. F.A. Davis Company Resistance • Recognizing resistance • Lowering resistance – Information dissemination – Disconfirmation of currently held beliefs – Psychological safety – Command Copyright © 2015. F.A. Davis Company Dictating Change • Effective in many situations • Communicates a sense of urgency • Change may be rapid but without a lasting commitment Copyright © 2015. F.A. Davis Company Active Resistance to Change • • • • Attacking the idea Refusal to change Arguing against change Organizing resistance of other people Copyright © 2015. F.A. Davis Company Passive Resistance to Change • • • • Avoiding discussion Ignoring the change Refusing to commit to the change Agreeing but not acting Copyright © 2015. F.A. Davis Company Strategies to Overcome Resistance • • • • Point out similarities. Express approval. Recognize competence and skill. Provide assurance. Copyright © 2015. F.A. Davis Company Strategies • Suggest new opportunities. • Express value of contributions. • Ensure involvement. Copyright © 2015. F.A. Davis Company Strategies (cont’d) • Provide opportunities for expression. • Allow time for practice. • Provide a climate of acceptance. Copyright © 2015. F.A. Davis Company Four Phases of Planned Change Design the change  Plan the implementation  Implement the change  Integrate the change Copyright © 2015. F.A. Davis Company Design the Change • • • • • What is the purpose? Is the change necessary? Is the change technically correct? Will this work? Is there a better way? Copyright © 2015. F.A. Davis Company Plan the Implementation • Why is there resistance? • Is the resistance justified? • What can be done to prevent or overcome resistance? Copyright © 2015. F.A. Davis Company Implement the Change • • • • What is the magnitude? What is the complexity? What is the pace? What is the current stress level? Copyright © 2015. F.A. Davis Company Integrate the Change • Is the change integrated into everyday operations? • Are people comfortable with it? • Is it well accepted? Copyright © 2015. F.A. Davis Company Conclusion • Your leadership will influence how change is handled. • Change presents an opportunity for professional growth and development. • View change in a positive way. Copyright © 2015. F.A. Davis Company
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Prewriting,Outline, Essay

Prewriting,Outline, Essay

EssayTopic: How To Keep children from dropping out of school.

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Prewriting and planning are essential to writing an effective essay, so for this week’s assignment, you will complete the prewriting and planning steps of the process for developing the Problem-Solution Essay. Additionally, you will also create and include a working references page, which includes a full APA Style reference for each source that you plan to use in the essay. To complete the prewriting assignment, you will submit one document (using the Problem-Solution Essay Prewriting and Planning Template )

that includes ALL of the following:

Answers to the prewriting questions (30 points).
A complete outline of your essay (60 points).
A working references page with a minimum of 4 sources (10 points).
DO NOT SUBMIT A ROUGH DRAFT OF THE ESSAY.

If you have any doubt about how to research and write a paper in APA Style, use the resources available in the Hondros College of Nursing Library:

APA Formatting Template
APA Style In-text Citations and References
In the Attachments area below, click the Choose File button and browse the files on your computer to locate the document you wish to attach. Select the document, and then click Open. To verify your attachment, scroll to the bottom of the page and view the file name in the Attachments area. Click the Remove link if you would like to attach a different file. When you are ready to submit the file, click the Submit button.

This assignment will be submitted through Turnitin, which checks the originality of your submission against other sources. Make sure to review your Originality Report to help ensure that you are not plagiarizing. Click the colored icon next to Turnitin Report toward the top of the assignment submission page to review your Turnitin report. It may take 10-15 minutes for your report to process. Remember that you can re-submit your assignment until the deadline passes. Additionally, some of your instructors may provide feedback through Turnitin; to view this feedback, open the Turnitin report, and click on the GradeMark button at the top of the page. For more information about Turnitin reports, read “Using Turnitin in Sakai and Reading Originality Reports.”