Spiritual care for patients Essay

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Spiritual care for patients Essay

Paragraph 5

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

As nurses we work with a diverse population. We work with people who are similar or completely different from us. In the end, it is important to make sure everyone is getting fair treatment and respect. I have few strengths and weaknesses when it comes to facilitating spiritual care for patients with worldviews different from my own. My strengths are active listening and asking question. This actually helps me build great rapport with my patients. One of my weaknesses is that I do not know much about different cultures and religions. I ask my patients about their needs but sometimes I have a hard time actually understanding the patients because they are using terms or concepts I am not familiar with. After talking to the patients I sometimes use search engines so I can actually understand the patients. This way the next time I come back I am more familiar with the patient and their spiritual needs.

If I was the patient then I would want to have the final say in terms of ethical decision-making and intervention in the event of a difficult situation. It is my life, and I have my rights. I want to make decisions for myself since at the end of the day I would be the one dealing with that decision.

Reference:

Ferwerda, J. (2016). How To Care For Patients From Different Cultures. Retrieved January 16, 2019, from https://nurse.org/articles/how-to-deal-with-patien…

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​Paragraph 6

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​Paragraph 6

Paragraph 6

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

My strengths when it comes to facilitating spiritual care for patients with a different world view that is different from my own would be to engage and encourage discussion about their beliefs and needs. I do not have a problem putting by personal beliefs aside to incorporate and respect the patient’s spiritual care.

My weakness would be lack of knowledge of all the different world views to facilitate spiritual care. However, I would inform the patient I am not familiar and I would ask them questions to gain knowledge as well as speak with the provider and do my own research.

If I was the patient my husband and mother would have the final say in terms of ethical decision-making and interventions in the event of a difficult situation that I was not able to do so for myself. I have shared my wishes with both of them, but I do have to admit that I do not have a living will as I should and as I recommend to my patients.

 

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NSG451 UOPX Professional nursing leadership

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NSG451 UOPX Professional nursing leadership

Leadership Theories in Practice NSG/451 Version 2 University of Phoenix Material Leadership Theories in Practice Review the leadership theories on pages 9-11 and Gardner’s Tasks of Leading/Managing on pages 14-15 in Leading and Managing in Nursing. Complete the table below: • • • Summarize the main points of the theory in your own words in the Summary Definition column. Provide an example where you witnessed the theory in practice or suggest a situation where it could be applicable in the Practice Example column. Do not restate the Application to Practice column in the textbook; provide a unique example or suggest a possible scenario. Correlate at least one of Gardner’s task to the theory and practice example in the last column. Use at least five in-text citations in the table to support your summaries, practice examples, or application of Gardner’s Tasks. In the References section below the table, create an APA-formatted list to cite each resource. Theory Name Summary Definition Practice Example Trait Theories Style Theories SituationalContingency Theories Transformational Theories Hierarchy of Needs Two-Factor Theory Expectancy Theory Copyright © 2016, 2018 by University of Phoenix. All rights reserved. Application of Gardner’s Tasks 1 Leadership Theories in Practice NSG/451 Version 2 Organizational Behavior Modification References Copyright © 2016, 2018 by University of Phoenix. All rights reserved. 2
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Research Foundations

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Research Foundations

Research Topic, Problem, and Question Complete this worksheet to develop your research focus for this course. To help you better understand the main parts of research, this topic will be the basis for other assignments in the course. Identify a Research Topic Grove, Gray, and Polit (2015) define a research topic as “a concept or broad issue that is important to nursing, such as acute pain, chronic pain management, coping with illness, or health promotion” (p. 131). Define your broad research topic in one to two sentences. Identify your Research Problem Grove, Gray, and Polit (2015) explain that a research problem “is an area in which there is a gap in the knowledge needed for nursing practice” (p.131). Write your research problem and explain the significance and background in a 175- to 260-word narrative. Develop your Research Question Research questions should be short, probing, and take variables into account (Grove, Gray & Polit, 2015). Although the PICOS format is not required, your question should address patient, intervention, comparisons, outcomes for practice, and study design. Develop a one-sentence research question. Copyright © 2016, 2018 by University of Phoenix. All rights reserved.
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Nursing care Health assessment

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Nursing care Health assessment

Think about a recent patient that you have provided nursing care. How can the health history relate to clinical prevention for that specific patient? How can you as the nurse advocate for your patient to receive effective, efficient, cost-effective and equitable care?

(make up a patient and a scenario)

200 word minimum. APA format. 2 references

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The Difference Between Leadership and Management

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The Difference Between Leadership and Management

hange is vital in the healthcare system of the United States because of its fragmented and its disorganized nature (Arroliga, Huber, Myers, Dieckert, & Wesson, 2014). Creating change in the system is, therefore, necessary to advance health care services, thus, providing quality care and safety to all the patients. Therefore, it is necessary to integrate leadership and management in health care services to be able to transform the health care system (Laureate Education, Inc., 2012c). According to the Wall Street Journal (2014), leadership and management must go hand in hand together. Both are complementing each other to set the right direction for a change (Wall Street Journal, 2014).

The Difference Between Leadership and Management

According to Laureate Education, Inc. (2012c), leadership is about creating change, aligning people towards a set direction for change, establishing direction with people through proper communication and good interpersonal relationships. This has been supported by Marquis and Huston (2017) when they emphasized that leadership is dynamic and leaders are the front-runners for changes, often times do not have delegated authority yet able to obtain power through peer influence, have a wider variety of roles, more into teamwork and team building emphasizing good interpersonal relationships.

Management according to Marquis and Huston (2017) is the process of leading and directing an organization through manipulation of resources by planning, budgeting, and establishing goals for the organization or department. Management is associated with position and power due to legitimate authority which emphasizes control and manipulation of subordinates in the process of decision making, analysis, and setting of goals. Managers understand the complexity and order of an organization and manipulate the resources, but does not lead to change (Laureate Education, Inc., 2012c).

Integrating Leadership and Management

In order to transform and facilitate changes in the health care system, it is empirical that nurse should take its lead and role as leaders in the health care changes. Changes will continue in nursing and the health care industry and therefore it is vital that nurses develop the skills and competencies in both leadership and management functions (Marquis & Huston, 2017). The integration of both leadership and management is necessary if we want to see transformation of our health care system. Changes based on evidence-based practice is vital if we want to see a real transformation in our health care system.

New Product/System Implemented in Peritoneal Dialysis Unit

In response to the advancement of technological innovation, Baxter Company (the main supplier of our peritoneal dialysis supplies) came up with a new innovative peritoneal dialysis machine (cycler) that uses the Sharesource Connectivity Platform utilizing the ‘cloud system’. This will allow the clinicians to monitor PD patients’ treatments at home in the PD center, change prescription online and send the changes to patients’ machine using a modem, and order patients’ supplies online using the Sharesource Portal.

Baxter company introduced this innovative advancement June 2017 and required our PD unit to shift patients from CAPD to APD using this new machine (AMIA Machine) in response to evidence-based recommendation saying that automated peritoneal dialysis is more effective and efficient compared to the continuous ambulatory peritoneal dialysis. Our unit responded positively to this recommendation and came up with a goal to shift ‘ALL’ our patients to APD. Currently, our ratio of patients on APD compared to CAPD is 60% APD and 40% CAPD with a total number of 70 PD patient.

Our nurse manager utilized an organized leadership strategy by allowing a Baxter representative person to initially present the product. It was presented to the nurses first, and then to our three Nephrologists. The presentation was very informative and based on evidence. Secondly, training for the nurse was organized started with our nurse manager first and then followed by the rest of the training nurses. Our nurse manager showed us a great example by being the first to take on the responsibility. When she came back, she encouraged everyone to be trained as well (including the doctors). Our administrator was very supportive and sent us all for the training. As soon as we came back from our training, we immediately started training our patients with the new product. The Baxter company was so supportive that they sent a PD educator to support our unit while we were still learning the new machine.

Advance training and education is one strategy that is very effective in this endeavor. Collaboration with the rest of the multidisciplinary team is another factor why the end result of the change was effective. The attitude of our nurse manager really was the most important factor for success. She took on the lead first and showed us the real example of a real leader who leads the group for a change. She communicated the updates of the changes every meeting to the rest of the team. She presented the vision and goal and lead the group to follow her.

While she was leading the group for the change, she integrated both her leadership and management skills. She requested an additional staff nurse to facilitate the growing PD program. The management is so supportive to the vision and added one more PD nurse to help the program. Currently, our unit is expanding and is successful in this endeavor. Our nurse manager, as a leader and manager, has a vision and goal and is leading the group. And as a manager, she plans well, manipulating her resources (staffing and allocation), she establishes goals for the unit, she involves others in the decision making, and help her staff nurses develop their potentials.

Reflection on Leadership Competencies Required for Success

In my pursuit of leadership and management, I realized that I am a leader and I am an advocate for changes. Leadership is not limited to a position but is dependent on developing a good interpersonal relationship. To become a good leader, I must learn how to lead by having a vision and goal, need to learn how to listen to my subordinates, needs to be developed personally and professionally by educational advancement (EBP), develop others, and learn how to collaborate with the rest of the members of the team.

References

Arroliga, A.C., Huber, C., Myers, J.D., Dieckert, J.P., & Wesson, D. (2014). Leadership in Health Care for the 21 st Century: Challenges and Opportunities. The American Journal of Medicine, 127 (3), 246-249.

Laureate Education, Inc. (Executive Producer). (2012c). Integrating leadership and management competencies. Baltimore, MD: Author.

Marquis, B.L., & Huston, C.J. (2017). Leadership roles and management functions in nursing: Theory and application (9th ed.). Philadelphia, PA: Lippincott.

Wall Street Journal (2014). What is the difference between management and leadership?

Retrieved from http://guides.wsj.com/management/developing-a-lead…

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Developing Health Care Perspective Applying Ethical Principles

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Developing Health Care Perspective Applying Ethical Principles

OLD SCHOOL OR OUT OF TOUCH? 1 Old School or Out of Touch? Sarai Artires Capella University Developing a

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Health Care Perspective Applying Ethical Principles January 2019 OLD SCHOOL OR OUT OF TOUCH? 2 Old School or Out of Touch? As the years have gone by, evidence-based practice has progressed how we treat patients. New concepts have been demonstrated to avoid complications, previously caused by medical errors, medication administration, and steps in procedures. Meanwhile, everyone in the health care field must adapt and learn any revision. However, “Age is often associated with a decline in cognitive abilities that are important for maintaining functional independence, such as learning new skills.” (Clark R, Freedberg M, Hazeltine E, Voss MW, 2015). With that being said, we understand that, as we get older, the capability of learning new approaches becomes uneasy after having the experience for so many years. In this short story “Old School or Out of Touch?” Dr. Lacey has practiced many years treating all his patients with symptomatic SOB with the same treatment (Lasix). Evidence-based practice has proved that those interventions must be changed to ensure the life of the patients better. The approach of treatment for shortness of breath is not always Lasix unless it has been ruled out any cardiac congestion. The conflict in this short story involves the decision making of Dr. Corey Davidson as the new Emergency Department Director to take away the privileges of Dr. Lacey that has been practicing medicine longer than the hospital even existed. Director of Nursing, Margaret Truman had acknowledged the need for an ethical decision regarding the common issue of medication administration for SOB by Dr. Lacey. Once this ethical dilemma was recognized and processed, including moral rights, cost-benefit, fairness or justice, a judgment of right or wrong was analyzed to reach the ethical decision making this situation required certainly. OLD SCHOOL OR OUT OF TOUCH? 3 Utilitarianism is among the most widely debated moral theories, in which the happiness of the greatest number of people in society is considered the greatest good. Actions are considered morally right if it brings the greatest good to the greatest amount. In this case, Corey Davidson has three choices; converse with Dr. Lacey about better methods of dealing with the condition, talk to him about retirement, and omitting to act. Davidson’s main aim is to ensure that patients are not put under any harm because of Dr. Lacey’s insistence to traditional methods. Dr. Lacey is used to his old methods, and at her age, it would be hard for him to learn new methods. He feels comfortable using her old method which is not bad, but it is harming the patients — getting him to realize that he needs to won’t be easy. He may also feel like he is being undermined if he is told that his methods don’t work and there is need for him to upgrade. Retirement is the best option because it is easy and benefits a lot of people which includes the patients that Dr. Lacey would have been handling and the nurses who would have had to recheck Dr. Lacey’s treatment options to see whether they are up to standard. When talking to Dr. Lacey, Davidson should not make Dr. Lacey feel incompetent but rather talk about changes that have happened and the need for him to take a break from the profession. Retirement will help the hospital because they will bring in a doctor who will treat patients with modern methodologies which are more effective. It will also help Dr. Lacey because he won’t have to deal with the pressure that comes with being a doctor and will have the chance to relax and enjoy old age. Omitting to act in a situation like this will eventually bring more readmissions due to the failure of patient treatment goal and even high mortality percent rate of the hospital. When trying to decide, based on most patients in comparison to staff, the right choice is to remove the authority position from the hospital. A doctor can be immediately replaceable, but OLD SCHOOL OR OUT OF TOUCH? 4 a life cannot be brought back. It’s morally correct to take this action and discontinue the privileges to cause harm by Dr. Lacey potentially. An approach like this needs to be assertive, in a one to one discussion and respect the rights of an employee. “Understanding and appreciating professional roles and responsibilities and communicating effectively emerged as the two perceived core competencies for patient-centered collaborative practice.” (Suter, E. Role understanding and effective communication as core competencies for collaborative practice, 2009). Code of conduct, laws, and regulations need to be applied when confronting this situation. This outcome will bring beneficence to most of our incoming patients. This will be bringing confidence to patients regarding their stay at Crosby Community Hospital, as well as security to other medical staff including nurses that won’t need to be supervising Dr. Lacey for mistakes. When talking to Dr. Lacey about his decision, Davidson should not make Dr. Lacey feel incompetent. He should listen to him and try to understand his reasons for sticking with the traditional methods. Afterward, he will talk to him about the advancements that have been done in the field and why there is a need to change with the changing times. He will then introduce the idea of retirement. He should appeal to his emotions and make him feel that the retirement was his idea. The matter is a sensitive one, and there is a need to protect Dr. Lacey’s feelings from hurt. In conclusion, in the health care field, ethics is the most basic and important subject. Health care professionals, encounter situations daily in which ethical judgment must be made and actions must be taken. But with the four main principles of autonomy, beneficence, nonmaleficence, and justice, patients will be honored by their rights, and we can ensure a positive outcome for our patients. OLD SCHOOL OR OUT OF TOUCH? 5 References Clark, Rachel. (2015). PLOS. Are There Age-Related Differences in the Ability to Learn Configural Responses. Retrieved from http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0137260. Vermont Ethics Network. (2011). Health care ethics: Overview of the basics. Retrieved from http://www.vtethicsnetwork.org/ethics. Suter, Esther. (2009). Journal of Interprofessional Care. Role understanding and Effective communication as core competencies for collaborative practice. Retrieved from https://www.tandfonline.com/doi/abs. Trevino, L. K., Nelson, K. A. (2007). Business ethics: Straight talk about how to do it right.
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health assessment

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health assessment

Refer back to the interview and evaluation you conducted in the Topic 2 Family Health Assessment assignment. Identify the social determinates of health (SDOH) contributing to the family’s health status. In a 750-1,000-word paper, create a plan of action to incorporate health promotion strategies for this family. Include the following:

  1. Describe the SDOH that affect the family health status. What is the impact of these SDOH on the family? Discuss why these factors are prevalent for this family.
  2. Based on the information gathered through the family health assessment, recommend age-appropriate screenings for each family member. Provide support and rationale for your suggestions.
  3. Choose a health model to assist in creating a plan of action. Describe the model selected. Discuss the reasons why this health model is the best choice for this family. Provide rationale for your reasoning.
  4. Using the model, outline the steps for a family-centered health promotion. Include strategies for communication.

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.

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.

 

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Biography correction

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Biography correction

Please correct and fix for me my Biography with an update and correction words. Thanks

My name is Lorena Hernandez, I’m a Registered Nurse with an Associate degree in Science of Nursing. I’ve been 3 years in Florida National University, it was a good experience for me because I made a great effort to obtain good results. It was 3 years of dedication every single day. I’m currently working in a Hospital as a Registered Nurse . I love my job because I feel realized helping patients who need me. I would love to continue my education with a Bachelor’s degree because one of my biggest dreams is to become a Nurse Practitioner. In my free time I love to do community hours in an agency for patients with Disabilities. I like Adventures movies as well books. I lived in Cuba for 16 years of my life. I came to the United States and I could learn new experiences to growth as a better person. I decided to attend to Grand Canyon University because is licensed by the Arizona State Board for Private Postsecondary Education. Grand Canyon University is both regionally and nationally accredited. Also, is an Online Degree Program with online courses that offer the flexibility I need to get ahead, providing a quality education to help thrive in today’s complex business world. Obtaining My Bachelor’s degree, I’ll be able to continue my education working on the Master’s degree to become a Nurse Practitioner.

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Tags: nursing Biography please help correct words

Clinical Manifestation Discussion Question

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Clinical Manifestation Discussion Question

The case scenario provided will be used to answer the discussion questions that follow. Please Posts of less than 75 words will rarely be marked substantive. Share your thoughts and ideas and do not be stingy with your words.

Case Scenario

Ms. G., a 23-year-old diabetic, is admitted to the hospital with a cellulitis of her left lower leg. She has been applying heating pads to the leg for the last 48 hours, but the leg has become more painful and she has developed chilling.

Subjective Data

  • Complains of pain and heaviness in her leg.
  • States she cannot bear weight on her leg and has been in bed for 3 days.
  • Lives alone and has not had anyone to help her with meals.

Objective Data

  • Round, yellow-red, 2 cm diameter, 1 cm deep, open wound above medial malleolus with moderate amount of thick yellow drainage
  • Left leg red from knee to ankle
  • Calf measurement on left 3 in > than right
  • Temperature: 38.9 degrees C
  • Height: 160 cm; Weight: 83.7 kg

Laboratory Results

  • WBC 18.3 x 10¹² / L; 80% neutrophils, 12% bands
  • Wound culture: Staphylococcus aureus

Critical Thinking Questions

  1. What clinical manifestations are present in Ms. G and what recommendations would you make for continued treatment? Provide rationale for your recommendations.
  2. Identify the muscle groups likely to be affected by Ms. G’s condition by referring to “ARC: Anatomy Resource Center.”
  3. What is the significance of the subjective and objective data provided with regard to follow-up diagnostic/laboratory testing, education, and future preventative care? Provide rationale for your answer.
  4. What factors are present in this situation that could delay wound healing, and what precautions are required to prevent delayed wound healing? Explain.

Case Scenario

Ms. G., a 23-year-old diabetic, is admitted to the hospital with a cellulitis of her left lower leg. She has been applying heating pads to the leg for the last 48 hours, but the leg has become more painful and she has developed chilling.

Subjective Data

  • Complains of pain and heaviness in her leg.
  • States she cannot bear weight on her leg and has been in bed for 3 days.
  • Lives alone and has not had anyone to help her with meals.

Objective Data

  • Round, yellow-red, 2 cm diameter, 1 cm deep, open wound above medial malleolus with moderate amount of thick yellow drainage
  • Left leg red from knee to ankle
  • Calf measurement on left 3 in > than right
  • Temperature: 38.9 degrees C
  • Height: 160 cm; Weight: 83.7 kg

Laboratory Results

  • WBC 18.3 x 10¹² / L; 80% neutrophils, 12% bands
  • Wound culture: Staphylococcus aureus

Critical Thinking Questions

  1. What clinical manifestations are present in Ms. G and what recommendations would you make for continued treatment? Provide rationale for your recommendations.
  2. Identify the muscle groups likely to be affected by Ms. G’s condition by referring to “ARC: Anatomy Resource Center.”
  3. What is the significance of the subjective and objective data provided with regard to follow-up diagnostic/laboratory testing, education, and future preventative care? Provide rationale for your answer.
  4. What factors are present in this situation that could delay wound healing, and what precautions are required to prevent delayed wound healing? Explain.

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Tags: nursing case scenario please help See details