Paragraph 4

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Paragraph 4

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

There are some concerns that PPIs may be overprescribed and may predispose patients to GI infections because of the reduction of the normal acid-mediated antimicrobial protection (Lilley, Collins, Harrington, & Snyder, 2011). New concerns have arisen over the potential for long-term users of PPIs to develop osteoporosis, due to the inhibition of stomach acid and the speculation that PPIs speed up bone mineral loss (Lilley et al., 2011).

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Reference

Lilley, L. L., Collins, S. R., Harrington, S., & Snyder, J. S. (2011). Pharmacology and the nursing process (6th ed.). St. Louis, MO: Mosby Elsevier)

Long- and Short-term Goals: Nursing Presentation

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Long- and Short-term Goals: Nursing Presentation

This week, you will submit your long- and short-term goals presentation.

 

Follow these assignment parameters in your presentation:

  • Identify 3 short-term goals and 3 long-term goals related to your professional aspirations. You may also include a 5-year plan. These goals should be reasonable within the time frames presented.
  • Describe how you plan to meet your professional goals:
    • What steps will you take?
    • What milestones will you set? (How will you know you are making progress?)
    • How will you use your strengths to meet your goals?
    • What challenges do you foresee, and how will you overcome them to succeed in meeting your goals?
    • Include opportunities to leverage your ePortfolio and other resources to meet your goals.
  • Explain how this nursing program and specific courses or assignments within it impacted your goals (goals met and goals still to achieve).

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    • Identify specific achievements during your program (e.g., a goal GPA, an attendance goal, certificates, improved writing skills)
    • Self-evaluate your success at meeting the program outcomes and essentials.
  • Identify memorable assignments or courses, epiphanies, or moments when your course work directly impacted your professional work.
  • Describe your current nursing philosophy and reflect on how it supports your goals and aspirations.
  • Be sure to include an introduction (introduce yourself briefly) and a conclusion to your presentation.
  • Your presentation should be between 7 and 12 minutes long.

Teenage Smoking as a Health Crisis

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Teenage Smoking as a Health Crisis

SO YOU ARE COMPILING TOGETHER A POWERPOINT PRESENTATION 15-20 SLIDES ON TEENAGE SMOKING AS A HEALTH CRISIS. I HAVE A DRAFT POWERPOINT. YOU ARE TO ADD TO WHAT I HAVE WITH MORE CONTENT AND MORE REFERENCES. PLEASE INCLUDE ALL THE MATERIAL I WILL GIVE YOU. YOU ARE DOING THE POWERPOINT AND SLIDES AND I WILL RECORD AUDIO MYSELF.

  1. Select a topic and get instructor approval to move forward with it.
  2. Select your target community group that you will focus on educating. It should consist of approximately 10 individuals. A minimum of two different teaching sessions should be presented to the same group at least one week apart.
  3. Once your topic is approved and a teaching group is chosen, you will create a teaching plan, hold your teaching sessions, and then evaluate the implementation.
  4. The final product you submit will be a presentation that details the entire process: your chosen topic, the teaching style you used, and an evaluation of your actual teaching. (See categories below for details to include.)
  5. Prepare a 15- to 20-slide presentation that is a minimum of 20 minutes in duration. You should have APA formatted in-text citations within your slides for any outside sources used and your final slide should be a reference slide that lists all resources used for the assignment.

 

Items to Include in Presentation:

  1. Provide a comprehensive statement of the problem using the epidemiological process including the distribution, determinants, and deterrents.
  2. Incorporate at least four current literature review findings as a theoretical base for your project/paper.
  3. Describe community resources available to meet the need of the specific community in this problem area. Summarize the resources available and describe their effectiveness for the community.
  4. Describe your selected group. Identify and summarize the learner needs of your selected group. What are the needs? Why does this group need to be educated on your chosen topic?

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  5. Identify and describe developmental and teaching/learning theory/theories used and why they are appropriate to the learners you targeted.
  6. Describe in behavioral terms your specific planning process for your project and overall teaching goal for your participants.
  7. Evaluate your teaching experience. Reflect on the following questions. What went well? What did not? What would you change if you were teaching this topic to a similar group at a later date and why?

Morbid Obesity Helathcare Nursing Issue Case Study

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Morbid Obesity Helathcare Nursing Issue Case Study

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

Mr. C. is a young, single man suffering from morbid obesity and its health consequences, including cardiovascular disease, hyperlipidemia, metabolic syndrome, sleep apnea, peptic ulcer disease, and elevated fasting glucose. Mr. C. has struggled with obesity since childhood and his present BMI of 45 ( > 40 BMI = morbid obesity) is indicative of familial predisposition, poor dietary habits, lack of exercise, and a sedentary lifestyle.

Upon physical examination and interpretation of laboratory results, Mr. C. presents with hypertension and tachypnea, and while he states other medical evaluations have not indicated metabolic syndrome, he meets all the criteria. Mr. C.’s fasting glucose is elevated (normal values 100-125), his total cholesterol is 250mg/dl (>240 mg/dl is high), his triglyceride level is elevated (<150mg/dl = normal), his HDL is low (<40 = risk for heart disease), and his blood pressure is elevated according to Copstead and Banasik, (2013).

Findings regarding Mr. C.’s functional health patterns include a poor health perception and ineffective health maintenance as evidenced by his obesity, lab values, and sedentary lifestyle. His nutritional metabolic pattern reveals imbalanced nutrition (more than body requirements) and its consequences with the resulting hyperlipidemia, poor glycemic control, and peptic ulcer disease from a diet high in carbohydrates and saturated fat. Mr. C.’s elimination pattern would indicate constipation due to his sedentary job and general lifestyle. His activity exercise pattern shows activity intolerance and fatigue due to his morbid obesity and sedentary lifestyle. His sleep rest pattern includes insomnia and sleep deprivation from sleep apnea again due to his morbid obesity. His cognitive perceptual pattern shows unilateral neglect of self. His self-perception-self-concept pattern reveals chronic low self-esteem and disturbed body image evidenced by his desire for bariatric surgery. Mr. C. must suffer from impaired social interaction due to his single status and obesity. His sexuality-reproductive pattern is ineffective due again to his morbid obesity. Mr. C.’s coping-stress tolerance pattern reveals defensive coping through habits of over eating. No information is provided regarding his value-belief pattern.

A therapeutic and acceptable medication schedule will help Mr. C. develop healthy health maintenance routines.

6 a.m. Sucralfate suspension

10 a.m. Mylanta 15 ml po

11 a.m. Sucralfate suspension

3 p.m. Mylanta 15 ml po

5 p.m. Sucralfate suspension

9 p.m. Mylanta, Ranitidine, and Sucralfate

Mr. C. should plan to set his cell phone for the above times for success with this schedule.

Mr. C. is interested in bariatric surgery. This surgical procedure will assist him in his long-term weight loss goal and decrease his risks associated with diabetes, hypertension, and sleep apnea. While Mr. C. is at risk for undergoing anesthesia due to his morbid obesity, “subtotal gastrectomy with Billroth II anastomosis (SGBIIA) is still recommended in targeting peptic ulcer disease” (Chen, Hsu, Lin, Chou & Jeng, 2016). Studies showed this procedure lowered patients’ diabetes risk along with the comorbidities of hypertension, hyperlipidemia and coronary artery disease. Mr. C. will need close dietary counseling and evaluation to ensure optimal nutrition and to avoid overeating which could cause surgical complications.

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Chen, C.-H., Hsu, C.-M., Lin, C.-L., Chou, A.-K., & Jeng, L.-B. (2016). The Development of Diabetes after Subtotal Gastrectomy with Billroth II Anastomosis for Peptic Ulcer Disease. PLoS ONE, (11). https://doi-

Fluid and Electrolyte Imbalance Discussion

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Fluid and Electrolyte Imbalance Discussion

Your written assignment for this module should be a 1-2 page paper (not including title page and reference page) that describes the following:

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  • Describe what a fluid and electrolyte imbalance is and how this is important to the function of the body?
  • Pick a fluid or electrolyte imbalance and describe how the patient would present, in addition to the treatment (nursing and expected medical)?

You should include a minimum of 3 scholarly references. Include a title page, in-text citations, and a reference page in APA format.

CAPELLA Evidence-based Strategies For Interdisciplinary Collaboration

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CAPELLA Evidence-based Strategies For Interdisciplinary Collaboration

Running head: INTERDISCIPLINARY COLLABORATION Interdisciplinary Collaboration Sarai Artires Capella University February 2019 1 INTERDISCIPLINARY COLLABORATION 2 Interdisciplinary Collaboration The concept of collaboration in the healthcare industry is purely grounded at providing holistic and all-inclusive service care to the many people who seek health care from health institutions. The value of healthcare is derived from its ability to cater for the many existing and emerging healthcare issues while at the same time ensuring care, efficiency, and accountability by those caregivers involved. As such, each discipline must strive to form collaboration with other disciplines as a way of ensuring that patients are addressed efficiently, effectively, and professionally, while at the same time ensure the industry does not suffer from a lack of intuitive collaboration. The fact that health is versatile in provision, its maintenance, and its sustenance demands that healthcare providers form a network that allows individual disciplines to function together (Susilaningsih, Mediani & Kurniawan, 2018). Therefore, collaboration in healthcare is essential in ensuring the provision of care is done professionally, and that individual disciplines (within the healthcare system) know and understand their role in such a way that ensures efficiency while at the same time it is cost-effective. There are specific characteristics that define an effective interdisciplinary collaboration within any field, and they include: Communication For any collaboration to happen, there must be a clear line of communication that allows individuals within these individual disciplines to collaborate with each other. Communication forms an essential part of the collaboration effort, as each discipline is unique and different in its way. The lack of communication allows for confusion that may result in a conflict of interest between these groups. As such, each of these disciplines must be able to communicate its interests, problems, challenges, and needs to the other groups involved to create order. The INTERDISCIPLINARY COLLABORATION 3 process of collaboration is heavily reliant on effective communication that allows every team to effect and play its role as it is meant to. Leadership and Management For collaboration to happen, each interdisciplinary must have the right leadership that guides its members to incorporate other disciplines within its function. The value of collaboration is to ease the function of each discipline. This can only be affected through leadership that ensures that every team member understands and values their role in ensuring effectiveness. Leadership, in turn, ensures management in performance as a way of ensuring that there are no gaps left by individual members of each group. As a result, each team can play its role effectively without interfering with the others (Schmitt et al., 2011). Appropriate Skill Mix Collaboration is about a mixture of skills that allows for a collective improved function between the collaborating groups. Collaboration cannot be done between individuals or disciplines that possess the same kind of skills set. The versatility of skills within a group or disciplines accords the collaboration the value and importance that allows for each team to find a need to collaborate. More so, these skills must be appropriate to allow the collaboration to have importance and significance in the role it is meant to fulfill. Communication is the backbone upon which interdisciplinary collaboration functions upon. Therefore, individual teams must strive to create a clear line of communication that allows for an effective movement of information from one point to another with ease. The failure to have a clear line of communication makes collaboration extremely difficult, this because teams fail to find the balance needed to ensure effective collaboration and as a result, the intention of the collaboration is lost (Susilaningsih, Mediani & Kurniawan, 2018). INTERDISCIPLINARY COLLABORATION 4 Usually, each discipline has its philosophy that allows it to fulfill its goals And Ensure its function. These philosophies may differ per individual group, hence when diverse groups come together; these philosophies may collide. As a result, this may bring about differences that may hinder the collaboration effort that was meant to allow these groups are disrupted. It is usually difficult to enjoin individual philosophies into a cohesive function as each discipline is hinged on ensuring it attains its goals. This may hinder the collaboration effort and its intended function and goal (Schmitt et al., 2011). Usually collaboration is about sharing the available resources, however, this usually very difficult. This especially when one discipline has a lot of resources while another one has little resources. This creates a problem in effective collaboration as individual disciplines find it difficult to share fully and usually resentment develops leading to a failure in communication. As a result, the collaboration effort is blinded and affected by the indifference between these groups. Therefore, individual groups must have a balance of resources that allows individuals within each group to find a reason to share whatever resources they have at their disposal (Petri, 2010). The best way to overcome barriers to effective interdisciplinary collaboration is to have a realistic plan that provides the group with the needed guideline to interact with these other disciplines. Such a plan provides the group with the needed guideline that allows for the effective implementation of individual goals. It also defines the terms of collaboration in such a manner that ensures each group understands their role and plays such a role effectively. The function of collaboration is based on effective communication that allows each team to protect itself while at the same time ensures the fulfillment of the goal. Therefore, if the communication channels are open, then the barriers to communication can be easily be avoided INTERDISCIPLINARY COLLABORATION 5 since each discipline can know its role and fulfills it (Susilaningsih, Mediani & Kurniawan, 2018). Within every society, there are individual factors that affect, and influence health choices adopted within such a society. These factors play a crucial role in defining how healthcare workers implement their care plan, especially regarding emerging medical problems. These factors include cultural values, traditional beliefs, social biases and stereotypes, and economic factors. These factors influence the attitude individuals within the society adopt in term of health and their health-conscious behavior. as a result, they play a very important role in determining how implementation of healthcare initiatives is achieved as it affects even the way healthcare workers choose to implement their goals. Collaboration is purely based on the improvement of value within the workplace. As a result, the outlined goals for each group are achieved easily, faster, and with an improved value. When collaboration is done effectively, healthcare functions such as treatment, admission, or even interventions are done better, faster, and less costly. It is therefore important that when collaboration is done, each group understands its role, the value of such collaboration and is ready to fulfill their objective. This benefits the entire system and ensures improved function. Collaboration is usually done to allow each group to maximize on its resources by reducing the workload previously born by each group. More so, collaboration allows each group to maximize its function in such a manner that removes the previous hindrances that affected each of these groups. Through collaboration, existing hindrances are removed, as each team is not alone in fulfilling its set roles and objectives. As a result, there is an improved way of doing things, which INTERDISCIPLINARY COLLABORATION enables each team to function fluidly. Collaboration is very crucial in creating efficacy and effectiveness within the workplace (Schmitt et al., 2011). 6 INTERDISCIPLINARY COLLABORATION 7 References Petri, L. (2010). Concept Analysis of Interdisciplinary Collaboration. Nursing Forum, 45, 73-82. Schmitt, M., Blue, A., Aschenbrener, C., & Viggiano, T. (2011). Core Competencies for Interprofessional Collaborative Practice: Reforming Health Care by Transforming Health Professionals’ Education. Academic Medicine: Journal of the

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Association of American Medical Colleges. 86. 1351. Susilaningsih, F., Mediani, H., & Kurniawan, T. (2018). Development of Team Cohesiveness Measurement Instruments in Interprofessional Collaborative Practice in Health Care. Jurnal Keperawatan Padjadjaran, 6.
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Tags: Capella University BSN

High Risks in Adolescent Pregnancies discussion

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High Risks in Adolescent Pregnancies discussion

question : Adolescent pregnancy is viewed as a high-risk situation because it poses serious health risks for the mother and the baby. Describe various risk factors or precursors to adolescent pregnancy. Research community and state resources devoted in adolescent pregnancy and describe at least two of these resources. Research the teen pregnancy rates for the last 10 years for your state and community. Has this rate increased or decreased? Discuss possible reasons for an increase or decrease.

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……..please do discussion 250 words ……

Discussion week 7

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Discussion week 7

Running head: FRENCH CANADIAN AND GERMAN HERITAGE Dilsy Ricardo Florida National University Nursing Department BSN Program NUR 4636 02/07/2019 Prof. Cassandre Milien, RN MSN 1 FRENCH CANADIAN AND GERMAN HERITAGE 2 1. Describe the health care beliefs of the German and French-Canadian heritages and mention the influence in the delivery of evidence-based health care. All home health duties are traditionally believed to lie with the mother in German culture. These include home remedies as well as arrangements for check-ups. The Germans believe in prevention as opposed to treatment. They are also inclined toward seeking over the counter treatment before delving into professional inquiries (Mossailos & Sarnak, 2016). They highly value natural

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medications such as herbs, roots and so on. Due to their high esteem, physical and mental disabilities are a hard pill to swallow for them (Osborn & Sarnak, 2015). They are, however, not opposed to any modern health care advancement as long as it does not contradict a religious belief. German beliefs often negatively influence the delivery of evidence-based health care. For instance, genetically acquired disabilities are seen as an untreatable shame in society and often left unattended to. When it comes to the French Canadians, they ensure unrestricted accessibility to healthcare upon admission into the system (Best & Miller, 2015). A class system determines health care. This is with higher economic status having personal physicians. Those on the lower side opt to wait for a life and death situation before seeking the necessary care. For the French Canadians, the language barrier proves to be a challenge. Their health care culture is greatly influenced by their Catholic faith. Blood and organ donations are a personal decision with little to no constructive interference. There is a split influence on evidence-based health care delivery due to social stratification. 2. Discuss if there is any similarity in the health care beliefs and practices of the German and French-Canadian heritage with the health care beliefs of your culture. FRENCH CANADIAN AND GERMAN HERITAGE 3 There are several similarities to be seen with my heritage beliefs and the two systems. When it comes to a comparison with the French Canadians, the first meeting point is the socioeconomic factor. In the two, health care accessibility is highly influenced by social stratification. There is also a similarity in pain expression (Rash, 2017). The immigrants record different levels of pain expression as opposed to inherent inhabitants. There is also a similarity to be viewed with a high level of OTC utilization. There is a huge number of individuals recorded to make use of over the counter drugs in both cases. There are also similarities to be identified with the German culture. For instance, there is the use of traditional and indigenous medication. This is a common ground for both cultures. There’s a considerable preference for naturally acquired medication such as herbs, spices, and the likes. They are also alike in terms of home care provision. This is in terms of the family member who is responsible for taking care of the family health care issue. The mother of the home is left with the duty of taking care of all health-related concerns in the household. There is also the fact that health care coverage is one’s prerogative. This is in contrast to the Canadian Universal Coverage plan which is made available to all individuals recorded into the system. 3. If you have to change your health care beliefs for any of one study this week, which one will you choose and why? If I were to change any of the above health care beliefs, I would choose to go with the German Health care culture. This is owing to many reasons. First off, they are high believers in the notion that prevention is better than cure. Therefore, from the onset of birth children are subjected to a preemptive sort of medication. This is such as through immunizations, daily intake of vitamins and so on. There is also the fact that the nutritional values of Germany lean toward a healthy side. This is such as the fact that they keep high-calorie diets to a minimum intake. This FRENCH CANADIAN AND GERMAN HERITAGE 4 ensures that lifestyle diseases caused by inadequate nutrition as well as malnutrition are kept at bay. Furthermore, I am inclined to the use of natural remedies. This is because they are less harmful as opposed to modern medications which are often filled with chemical toxins. This would also apply to home remedies. Putting OTC as a first priority is also a pull factor. This is because it is often a lifesaver in a fiscal sense. German culture does not contain a lot of restrictions when it comes to health care advancement. This is in a sense there is not much opposition to the use of new and developed health care innovations. The only limitation for most is often upon superimposition with the religious beliefs. However, decisions are often left to an individual’s preferences and desires. FRENCH CANADIAN AND GERMAN HERITAGE 5 References Best, K. L., Routhier, F., & Miller, W. C. (2015). A description of manual wheelchair skills training: current practices in Canadian rehabilitation centers. Disability and Rehabilitation: Assistive Technology, 10(5), 393-400. Mossialos, E., Wenzl, M., Osborn, R., & Sarnak, D. (2016). 2015 international profiles of health care systems. Canadian Agency for Drugs and Technologies in Health. Osborn, R., Moulds, D., Schneider, E. C., Doty, M. M., Squires, D., & Sarnak, D. O. (2015). Primary care physicians in ten countries report challenges caring for patients with complex health needs. Health Affairs, 34(12), 2104-2112. Rash, J. (2017). Towards the rapid assessment of pain expression: The Index of Facial Pain Expression (IFPE) (Doctoral dissertation, University of Calgary). Running head: PEOPLE OF FRENCH CANADIAN AND GERMAN HERITAGE People of French-Canadian and German Heritage Karen Echenique Florida National University Culture in Nursing Prof. Cassandre Milien, MSN 1 PEOPLE OF FRENCH CANADIAN AND GERMAN HERITAGE 2 People of French Canadian and German Heritage The first wave of German immigrants came to America for religious freedom. There are over 50 million Americans from German descendants. Although, today, communities continue to use their customs, specifically those who use healthcare. Usually in German families, the mother is the person in charge of the children receiving check-ups, immunizations, and ensuring the intake of supplements. In traditional families, women in the families are often the main overseer of home remedies and treatments. Roots, soups, camphor, peppermint, ammonia, herbs, and poultices are among the most common ingredients for natural remedies. Over the counter medications are also widely used by German Americans because they often believe that each individual is responsible for their own health. Physical disabilities caused by injuries are more accepted than that of innate disabilities. Mental disabilities are lacked in acceptance and are view as a mistake. Germany is among the leading countries in the world who developed both the National and Biomedical insurance in Europe. Biomedical care is general for all of its citizens and is said to be of high quality. Germans have an advantage in medical technology because of their economy and they are able to have many hospitals and doctors per say. In 1997, there was an outbreak of heart disease and cancer which accounted to about 48% of all deaths in eastern and western Germany. Thanks to their advancement in medicine, Germans, were able to help and save many people at the time. As a tradition, Germans, also believe in “naturopathic medicine” which includes water cures of several types. Most members of the German Biomedical corporation have opposed naturopathic medicine but are still used to some length. Most German-Americans demand straight-forward verbal communication about diagnoses and treatments. Moreover, these individuals are always promptly on time and strictly PEOPLE OF FRENCH CANADIAN AND GERMAN HERITAGE 3 believe on being punctual especially when it deals with health. Health care providers and their team should ensure to meet these patients on time and on schedule along with their medication. (Betancourt, Green, Carrillo, & Owusu Ananeh-Firempong, 2016). The use of contraceptives is highly frowned upon in strict German Catholics. Additionally, female patients prefer consulting with the same sex health care personnel but have no problem with receiving treatment from either gender. Conclusively, they have no problem or limitations on blood transfusions or transplantations of any sort. Alcoholism and cigarette smoking are prevalent health behaviors for this specific group of people. Therefore, there are higher chances for cardiac and respiratory diseases. Residing in America, there are about 2.2 million individuals who are French-Canadian. The two main languages are French and English, and less than half of the population uses French as their native language. French-Canadians inherited most of their customs from the first French settlers. Canada has free, general health coverage for all of its residents. Moreover, people in the upper socioeconomic class have family doctors rather than seeking medical care from local community centers or hospitals. Health care providers hold a promising status for FrenchCanadians, especially geriatrics. The health insurance system in Canada is attentive to patients who are practicing folk remedies outside of the law or government issued care. Most FrenchCanadians also use over the counter medications on the regular and have no problem receiving donations, transplantations or blood transfusions. The decision to donate or receive an organ is based on the individual’s personal decision and based on family or cultural influence. Some of their natural cultural beliefs play a significant role in evidence-based compentent care. They strongly believe in natural childbirth and its benefits. Moreover, in the delivery room, men are usually allowed depending on the mother’s choice. Respect from health care personnel PEOPLE OF FRENCH CANADIAN AND GERMAN HERITAGE 4 is expected, especially in older adults. Their heritage expects the expression of one’s feeling and therefore will be open with the provider during the assessment and procedures. In addition, women rarely use contraception that is inserted vaginally but are fine with using other forms of contraception’s as in pills and tubal ligation. French-Canadians and Germans share some similarities with my heritage including accepting blood transfusions, transplantations and donations. As seen in both cultures, the mother is the alpha of the family. She is in charge of all the health care related issues such as immunization and medication regimens. Prayers are usually connected with giving the patient strength and faith as they recover from their illnesses. Conclusively, most often, oral contraceptives are accepted as the most common form of birth control. Most geriatric patients prefer a same sex provider for consultations and admissions but don’t mind different genders for treatments. If I were to change to my health care beliefs to any of the cultures mentioned above, I would probably change to German health culture. Initially, Germans are high believers in preventing any illnesses before you have to cure them, and critically, I think it is a smart idea. I am a big believer in natural remedies as well, they are less harmful contrasting to medications used today. Additionally, from birth, children receive immunizations to prevent many diseases and intake of supplements and vitamins. Germans also value nutrition and believe in high calorie diets, which is a factor I need to learn to improve my diet. German heritage also does not limit the use of health care technology, expect those who impose due to religious beliefs, which is only a small percentage of individuals. PEOPLE OF FRENCH CANADIAN AND GERMAN HERITAGE 5 References Best, K. L., Routhier, F., & Miller, W. C. (2015). A description of manual wheelchair skills training: current practices in Canadian rehabilitation centers. Disability and Rehabilitation: Assistive Technology, 10(5), 393-400. Mossialos, E., Wenzl, M., Osborn, R., & Sarnak, D. (2016). 2015 international profiles of health care systems. Canadian Agency for Drugs and Technologies in Health. Betancourt, J. R., Green, A. R., Carrillo, J. E., & Owusu Ananeh-Firempong, I. I. (2016). Defining cultural competence: a practical framework for addressing racial/ethnic disparities in health and health care. Public health reports. Zimmermann, Kim Ann. (2018). German Culture: Facts, Customs and Traditions. Retrieved from: https://www.livescience.com/44007-german-culture.html
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Contemporary Nursing Practice Discussion

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Contemporary Nursing Practice Discussion

Assignment Week 2 | Scope of Practice and Differentiated Pra… CurrentAll Save Link Assignment Contemporary Nursing Practice View Rubric Due Date: Feb 24, 2019 23:59:59 Max Points: 150 Details: The field of nursing has changed over time. In a 750-1,000 word paper, discuss nursing practice today by addressing the following: 1. 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. 2. 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. 3. Identify a patient care situation and describe how nursing care, or approaches to

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decisionmaking, differ between the BSN-prepared nurse and the ADN nurse. 4. 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. 1. Discuss how nurses today communicate and collaborate with interdisciplinary teams and how this supports safer and more effective patient outcomes. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center. Please Note: Assignment will not be submitted to the faculty member until the “Submit” button under “Final Submission” is clicked. New Attempt Title Attached Documents Citation Report Similarity Index Final Submission Click ‘New Attempt’ to start assignment or attach documents Apply Rubrics Contemporary Nursing Practice 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 %Evolution Explanation of Explanation of how A general An explanation of A thorough of Nursing how nursing nursing practice explanation of how how nursing explanation of how Practice Over practice has has changed over nursing practice practice has nursing practice Time and changed over time is has changed over changed over time has changed over Resulting Changes time and how this incomplete. A time is presented. is presented. How time is presented. to Scope of evolution has partial summary of How scope of scope of practice How scope of Practice and changed the how scope of practice and and approach to practice and Approach to scope of practice practice and approach to treating the approach to Patient Care and the approach approach to treating the individual have treating the to treating the treating the individual have changed over time individual have individual is not individual have changed over time is discussed. Minor changed over time presented. changed over time is summarized. detail is needed is discussed in is presented. There are some for clarity. The detail. An There are major minor inaccuracies. explanation is insightful account inaccuracies. More Some information accurate and of the evolution of information is is needed for captures all nursing practice needed. clarity. significant and its influence aspects. on scope of practice and patient care is presented. 15.0 The An incomplete A general A comparison of A comparison of %Comparison of differentiated comparison of the comparison of the the differentiated the differentiated Differentiated practice differentiated differentiated practice practice Practice competencies of practice practice competencies of competencies of Competencies of the ADN and BSN competencies of competencies of the ADN and BSN is the ADN and BSN is ADN and BSN are not the ADN and BSN is the ADN and BSN is nursing is clearly presented. compared. presented. presented. presented. Differences Differences Differences Differences between ADN and between ADN and between ADN and between ADN and BSN scope of BSN scope of BSN scope of BSN scope of practice are practice is unclear. practice are practice are described in detail. There are summarized. Some described. Minor The narrative significant information is detail or rationale demonstrates a inaccuracies. More needed for clarity is needed for strong information is or support. clarity or support. understanding of needed. differentiated competencies and scope of practice for the ADN and BSN. 20.0 %Use of A patient care Summary of Summary of Relevant patient Relevant patient Patient Care situation patient care relevant patient care situation is care situation is Situation to illustrating the situation is care situation is described, thoroughly Describe difference incomplete or is presented. including described. The Differences in between ADN and not relevant to Differences in differences in differences in Approach to BSN in decision illustrating the decision making decision making approach to Nursing Care making and differences in and approach to and approach to nursing care and Based Upon ADN approaches to decision making or nursing care based nursing care based scope of practice and BSN patient care is approach to upon ADN and BSN upon ADN and BSN based upon ADN Education not presented. nursing care based education are education. and BSN education upon ADN and BSN generally Difference are described in education. described. between ADN and detail. Narrative Difference BSN scope of demonstrates between ADN and practice is insight into patient BSN scope of described. Minor care, decision practice is detail is needed making, and summarized. More for clarity. differing detail is needed for approaches clarity and between ADN and support. BSN. 20.0 %Application Significance of The significance of A summary of the A discussion on the A discussion of the of Evidenceevidence-based evidence-based significance of significance of significance of Based Practice practice to practice to nursing evidence-based evidence-based evidence-based and RN-BSN nursing care and care and how the practice to nursing practice to nursing practice to nursing Education in how the BSN BSN supports the care and how the care and how the care and how the Nursing Care supports its application of BSN supports the BSN supports the BSN supports the application is not evidence-based application of application of application of discussed. practice is evidence-based evidence-based evidence-based partially discussed. practice is practice is practice is The discussion presented. The presented. Some thoroughly contains significant discussion contains evidence or presented. 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Please write a paragraph responding to the discussion bellow. Add citations and references in alphabetical order.

Based on the objective data presented, apparently Mr. C. is undergoing various medical health risk condition correlate with his excessive gaining weight (obesity) which warrant him to seek medical intervention for possible bariatric surgery. However, according to National Institute of Health (NIH, n. d), sequel to his elevated body mass index (BMI) of 47.8, with his height of 68inches (5feet 6inhces) and weight 134.5kg (296lbs), basically surgery is an option for his weight loss. However, obesity can constitute a complex progressively or exacerbate a wide spectrum of co-morbidities, including type 2 diabetes mellitus (T2DM), hypertension, dyslipidemia, cardiovascular disease (CVD), liver dysfunction, respiratory and musculoskeletal disorders, sub-fertility, psychosocial problems, and certain types of cancer (American Heart Association, 2017).

Upon careful assessment and evaluation of the below data:

  1. High blood pressure elevated: 172/96,(120/80)
  2. Diabetes with elevated Fasting blood Glucose: 146mg/dlL (<100mg/dL) 5.6mmol/l
  3. High Cholesterol (Fatty Liver): elevated 250mg/dL (<200mg/dL)
  4. Hyperlipemia with Triglycerides elevated 312mg/dL (<150mg/dL)
  5. sleep apnea. Rapid respiration of 26

Metabolic disorder is not factor for Mr. C to gain weight, maybe he has genetical impact/leptin resistance/certain food habits or sedentary life style caused sudden recent weight gain about 100pounds in last 2-3years as reflected in the data.

Obesity is an abnormal accumulation of fat, it is one of the biggest health problems in the world. It correlates or associated with diverse or various other diseases, which combined kill millions of people per year.In another contemporary, Obesity constitutes a worldwide epidemic with prevalence rates which are increasing in most Western societies and in the developing world. According toWorld Health Organization (WHO) declared obesity a global epidemic,

Bariatric surgery should be a last priority after trying conventional therapies such as consuming fewer calories, increasing exercise, commercial weight-loss programs, etc. His BMI is 47.9 along with other comorbidities he has and may leads to further health impediment or problems so, he has to lose weight by taking aggressive approach (National Institute of Health n. d). Mr. C can undergo gastric bypass surgery if conventional therapies are not helping in losing weight. Gastric bypass is surgery that helps you lose weight by changing how your stomach and small intestine handle the food you eat(American Society for Metabolic and Bariatric Surgery).

For his Peptic ulcer disease Mr. C Should follow the below drug administration chart

Magnesium hydroxide/aluminum hydroxide (Mylanta) 15 mL 10AM (3hrs after breakfast) 4PM (3hrs after Lunch) 9PM (3hrs after Dinner) 10.30PM (At bed time)
Ranitidine (Zantac) 300 mg PO at bedtime. 10.30 10.30 PM (At bed time)
Sucralfate/Carafate 1 g or 10ml suspension (500mg / 5mL) 6AM (1hr before Breakfast) 12PM (1hr before Lunch) 5pm (1hr before dinner) 10.30 PM (At bed time)

ANS 1:

Assessment of Mr. C. functional health patterns:

  • Health perception/ health management-Mr. C. may be depressed because of his weight so he needs medication and diet compliance and also will need regular exercises and regular annual checkups.
  • Nutritional metabolic pattern – his pattern of food consumption and fluid intake will have to be moderated so that it can reduce his weight also help in his metabolism
  • Sexuality-reproductive activity– may be affected with low libido and dissatisfaction due to his weight and also could also affect his sexual relationships
  • Coping/ stress tolerance-Mr. C. may not be able to tolerate lots of stress because of his body image and thoughts of his weight so he may need available support systems to help him to cope
  • Value-belief-Mr. C. may have problems with his value beliefs and spiritual goals so he may need guidance and spiritual support as his values or beliefs may conflict with his health issues and special religious practices.
  • Elimination-his patterns of excretory patterns may be affected especially bowel movement by the medications he is taking, and there may be frequency or pain in urination and appearance of urine and stool secondary to the disease process and medications.
  • Activity/ Exercise-his patterns of activity will be affected by his weight with problems to exercise or have leisure times and also due to respiratory mobility and may affect his activities of daily living
  • Cognitive perception-he may have sensory problems following his disease especially if he suffers from diabetes (neuropathy). His vision may be affected, taste sensory, and may have problems to manage his condition and decision making
  • Sleep/ Rest pattern-Mr. C., may have problems with sleep and rest as he is already having sleep apnea, his quality of sleep will be affected, and he may need sleeping aids
  • Self-perception/self -concept– his self-perception can be affected especially as a father figure or husband and may not provide family satisfaction as the head and bread winner and also with social interactions (Gordon’s 11 functional health patterns).

ANS 2:

The identified Actual or potential health problems:

1. Type2 Diabetes with Rationale : It may be that being overweight causes cells to change, making them resistant to the hormone insulin. Insulin carries sugar from blood to the cells, where it is used for energy. When a person is insulin resistant, blood sugar cannot be taken up by the cells, resulting in high blood sugar.

2. High Blood Pressure with Rationale: Having a large body size may increase blood pressure because your heart needs to pump harder to supply blood to all your cells. Excess fat may also damage your kidneys, which help regulate blood pressure.

3. Heart disease with Rationale: People who are overweight or obese often have health problems that may increase the risk for heart disease. Excess weight may cause changes to your heart that make it work harder to send blood to all the cells in your body.

4. Sleep Apnea with Rationale: A person who is overweight may have more fat stored around his or her neck. This may make the airway smaller. A smaller airway can make breathing difficult or loud (because of snoring), or breathing may stop altogether for short periods of time. In addition, fat stored in the neck and throughout the body may produce substances that cause inflammation. Inflammation in the neck is a risk factor for sleep apnea.

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5. Osteoarthritis with Rationale: Extra weight may place extra pressure on joints and cartilage (the hard but slippery tissue that covers the ends of your bones at a joint), causing them to wear away. In addition, people with more body fat may have higher blood levels of substances that cause inflammation. Inflamed joints may raise the risk for osteoarthritis.

Reference:

American Society for Metabolic and Bariatric Surgery Integrated Health Nutritional Guidelines for the Surgical Weight Loss Patient 2016. Retrieved from: https://asmbs.org/app/uploads/2008/09/ASMBS-Nutritional-Guidelines-2016-