Nursing homework help

Nursing homework help

Nurse Practitioner student

 

1.This reflection post provides a forum for you to reflect on meeting the program outcomes and competencies from your program of study.

Reflect and give at least two (2) examples on how you think you have met the program student learning outcome: Nursing homework help

Analyze current scientific research for application of findings to initiate change and to improve practice. 

Post your reflection in 100 to 150 words. No references required.

 

 

2.This reflection post provides a forum for you to reflect on meeting the program outcomes and competencies from your program of study.

Reflect and give at least two (2) examples on how you think you have met the program student learning outcome:

Create comprehensive plans of action that address the health promotion and disease prevention needs of individual, family, and community populations. 

 

 

3.This reflection post provides a forum for you to reflect on meeting the program outcomes and competencies from your program of study.

Reflect and give at least two (2) examples on how you think you have met the program student learning outcome:

Formulate a plan for ongoing contributions to improvement of healthcare delivery and development of health policy in a cost-effective manner. 

Post your reflection in 100 to 150 words. No references required.

 

 

4.This reflection post provides a forum for you to reflect on meeting the program outcomes and competencies from your program of study.

Reflect and give at least two (2) examples on how you think you have met the program student learning outcome:

Apply an ethical decision-making process in professional practice and an analysis of systems of healthcare. 

Post your reflection in 100 to 150 words. No references required.

 

5.This reflection post provides a forum for you to reflect on meeting the program outcomes and competencies from your program of study.

Reflect and give at least two (2) examples on how you think you have met the program student learning outcome:

Model a professional leadership role that fosters improvement of healthcare and advocates scholarly activities to advance self and profession. 

Post your reflection in 100 to 150 words. No references required.

 

 

6.This reflection post provides a forum for you to reflect on meeting the program outcomes and competencies from your program of study.

Reflect and give at least two (2) examples on how you think you have met the program student learning outcome:

Employ informatics and technology in various aspects of the advanced nursing leadership role. 

Post your reflection in 100 to 150 words. No references required.

 

7.This reflection post provides a forum for you to reflect on meeting the program outcomes and competencies from your program of study.

Reflect and give at least two (2) examples on how you think you have met the program student learning outcome:

Practice within ethical-legal guidelines, professional policies and regulations, and standards of practice associated with a specialty area of advanced nursing practice.

Post your reflection in 100 to 150 words. No references required.

 

8.This reflection post provides a forum for you to reflect on meeting the program outcomes and competencies from your program of study.

Reflect and give at least two (2) examples of each on how you think you have met three (3) of your role specialization competencies or standards.

**See competencies by MSN specialization below**

Post your reflection in 150 to 200 words. No references required.

Post your reflection in 150 to 200 words. No references required.

NONPF Competencies for MSN FNP & AGPCNP:

  • Competency 1 – Scientific Foundations Competencies
  • Competency 2 – Leadership Competencies
  • Competency 3 – Quality Competencies
  • Competency 4 – Practice Inquiry Competencies
  • Competency 5 – Technology and Information Literacy Competencies
  • Competency 6 – Policy Competencies
  • Competency 7 – Health Delivery Systems Competencies
  • Competency 8 – Ethics Competencies
  • Competency 9 – Independent Practice Competencies

AONE Competencies for MSN Nursing Administration

  • Competency 1 – Communication & Relationship Building
  • Competency 2 – Knowledge of Healthcare environment
  • Competency 3 – Leadership
  • Competency 4 – Professionalism
  • Competency 5 – Business Skills

NLN Competencies for MSN Nursing Education

  • Facilitate Learning
  • Facilitate Learner Development and Socialization
  • Use Assessment and Evaluation Strategies
  • Participate in Curriculum Design and Evaluation of Program Outcomes
  • Function as a Change Agent and Leader
  • Pursue Continuous Quality Improvement in the Nurse Educator Role
  • Engage in Scholarship Function within the Educational Environment

ANA Scope and Standards of Practice for MSN Nursing Informatics

  • Standard 1. Assessment
  • Standard 2. Diagnosis, Problems, and Issues Identification
  • Standard 3. Outcomes Identification
  • Standard 4. Planning
  • Standard 5. Implementation
  • Standard 6. Evaluation
  • Standard 7. Ethics
  • Standard 8. Education
  • Standard 9. Evidence-Based Practice and Research
  • Standard 10. Quality of Practice
  • Standard 11. Communication
  • Standard 12. Leadership
  • Standard 13. Collaboration
  • Standard 14. Professional Practice Evaluation
  • Standard 15. Resource Utilization
  • Standard 16. Environmental Health

 

 

Information Technology

Information Technology

PICOT Question:

In adult oncology patients at an infusion Center at Queens Hospital Center, does the implementation of a music therapy program compared to current practice, impact pain scores during chemotherapy over 8-10 weeks?

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Please discuss the importance of IT in the planning, implementation, and evaluation of your DNP Project. How important will IT competencies be to the role/position that you aspire to after completing your DNP degree? 

Information technology has a crucial role in improving the productivity of an organization. In the context of value-based care and globalization, organizations are focussing on innovative projects to increase productivity. Information technology is heavily used in all projects but with mixed results. IT has a significant role in project planning, coordination, and facilitating the implementation process. Big projects may require sophisticated software technologies to manage the documents and data. ( Bardhan et al., 2007).

Health information technology is highly significant in improving healthcare quality and safety( Feldman et al., 2018). The DNP student deeply felt the demand for heightened awareness, advanced skills, and knowledge to use various technology platforms to implement the project successfully. Data auditing and analyzing EHR reports are integral to any QI project. Data analysis is the key to identifying pressing issues and finding solutions. Health IT is essential for quality improvement efforts (Medpro Group Inc,2018).

The DNP student worked with a hospital financial specialist and Informatics personnel to run statistical reports to support the significance of the selected problem. Project and practicum classes, writing proposals and manuscripts necessitated advanced computer skills to complete various assignments. Getting acquainted with different online teaching technologies such as zoom and Webex also augmented the learning experience. Learned the need to be skilled in using communications platforms such as Twitter, Instagram to serve as a leader and advocate for the profession. Designed flyers and educational sheets to communicate the details of the project to the stakeholders and participants.

My foremost ambition is to teach nursing graduate students and be willing to take on challenging opportunities as a nurse leader. The position that best fits my abilities will be system coordinator for change projects /quality improvement. Whether in teaching or administrative positions, the demand for IT competency is high.

What IT skills do you need to develop? Share your plan for professional development to develop these skills.

I am pleased that this online DNP program provided an excellent opportunity to become familiar with many different technologies that I had never used or known before. I need to develop technical skills in managing more extensive and more complex data, digital marketing/advertisement and looking forward to learning more about publishing articles and writing blogs.

Provide your instructor and student colleagues with an update on your implementation plans for your DNP Project. Share any successes, challenges, or barriers you experienced this week.

I meet with involved stakeholders and preceptors closely to plan the implementation process. I visited the unit and reassessed the resources. Scheduled meetings with registered nurses and informed the plan for the educational session at the beginning of the implementation phase.

References

Bardhan, I., Krishnan, V. V., & Lin, S. (2007). Project Performance and the Enabling Role of Information Technology: An Exploratory Study on the Role of Alignment. Manufacturing & Service Operations Management9(4), 579–595. https://doi.org/10.1287/msom.1070.0163Links to an external site.

Feldman, S.S., Buchalter, S., & Hayes, L.W. (2018). Health information technology in healthcare quality and patient safety: A literature reviewLinks to an external site..JMIR Med Inform, 6(2)e10264. https://doi.org/10.2196/10264Links to an external site.

I NEED A COMMENT WITH AT LEAST 2 PARAGRAPHS AND USE 3 SOURCES NO LATER THAN 5 YEARS

Medpro Group Inc. (2018). Guideline: Using an EHR system as a quality improvement tool in your healthcare practiceLinks to an external site..https://www.medpro.com/documents/10502/2837997/Guideline_Using+an+EHR+as+a+Quality+Improvement+Tool.pdf

Nursing homework help

Nursing homework help

Nursing homework help

Episodic/Focused SOAP Note Exemplar

Focused SOAP Note for a patient with chest pain

S.
CC: “Chest pain” 

HPI: The patient is a 65 year old AA male who developed sudden onset of chest pain, which began early this morning.  The pain is described as “crushing” and is rated nine out of 10 in terms of intensity. The pain is located in the middle of the chest and is accompanied by shortness of breath. The patient reports feeling nauseous. The patient tried an antacid with minimal relief of his symptoms.

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Medications: Lisinopril 10mg, Omeprazole 20mg, Norvasc 5mg

PMH: Positive history of GERD and hypertension is controlled

FH: Mother died at 78 of breast cancer; Father at 75 of CVA.  No history of premature cardiovascular disease in first degree relatives.

SH : Negative for tobacco abuse, currently or previously; consumes moderate alcohol; married for 39 years 

 

Allergies: PCN-rash; food-none; environmental- none

 

Immunizations: UTD on immunizations, covid vaccine #1 1/23/2021 Moderna; Covid vaccine #2 2/23/2021 Moderna

Nursing homework help

ROS   
General–Negative for fevers, chills, fatigue
Cardiovascular–Negative for orthopnea, PND, positive for intermittent lower extremity edema 
Gastrointestinal–Positive for nausea without vomiting; negative for diarrhea, abdominal pain
Pulmonary–Positive for intermittent dyspnea on exertion, negative for cough or hemoptysis  

O.

VS: BP 186/102; P 94; R 22; T 97.8; 02 96% Wt 235lbs; Ht 70”

 

General–Pt appears diaphoretic and anxious

Cardiovascular–PMI is in the 5th inter-costal space at the mid clavicular line. A grade 2/6 systolic decrescendo murmur is heard best at the

second right inter-costal space which radiates to the neck.

A third heard sound is heard at the apex. No fourth heart sound or rub are heard. No cyanosis, clubbing, noted, positive for bilateral 2+ LE edema is noted.

Gastrointestinal–The abdomen is symmetrical without distention; bowel

sounds are normal in quality and intensity in all areas; a

bruit is heard in the right para-umbilical area. No masses or

splenomegaly are noted. Positive for mid-epigastric tenderness with deep palpation.

Pulmonary— Lungs are clear to auscultation and percussion bilaterally

 

Diagnostic results: EKG, CXR, CK-MB (support with evidenced and guidelines)

 

 

 

 

 

A.

Differential Diagnosis:

1) Myocardial Infarction (provide supportive documentation with evidence based guidelines).

2) Angina (provide supportive documentation with evidence based guidelines).

3) Costochondritis (provide supportive documentation with evidence based guidelines).

 

Primary Diagnosis/Presumptive Diagnosis: Myocardial Infarction

 

 

 

 

A.

Differential Diagnosis:

1) Myocardial Infarction (provide supportive documentation with evidence based guidelines).

2) Angina (provide supportive documentation with evidence based guidelines).

3) Costochondritis (provide supportive documentation with evidence based guidelines).

 

Primary Diagnosis/Presumptive Diagnosis: Myocardial Infarction

 

 

 

  1. This section is not required for the assignments in this course (NURS 6512) but will be required for future courses.

 

 

 

Episodic/Focused SOAP Note Template

 

Patient Information:

Initials, Age, Sex, Race

S.

CC (chief complaint) a BRIEF statement identifying why the patient is here – in the patient’s own words – for instance “headache”, NOT “bad headache for 3 days”.

HPI: This is the symptom analysis section of your note. Thorough documentation in this section is essential for patient care, coding, and billing analysis. Paint a picture of what is wrong with the patient. Use LOCATES Mnemonic to complete your HPI. You need to start EVERY HPI with age, race, and gender (e.g., 34-year-old AA male). You must include the seven attributes of each principal symptom in paragraph form not a list. If the CC was “headache”, the LOCATES for the HPI might look like the following example:

Location: head

Onset: 3 days ago

Character: pounding, pressure around the eyes and temples

Associated signs and symptoms: nausea, vomiting, photophobia, phonophobia

Timing: after being on the computer all day at work

Exacerbating/ relieving factors: light bothers eyes, Aleve makes it tolerable but not completely better

Severity: 7/10 pain scale

Current Medications: include dosage, frequency, length of time used and reason for use; also include OTC or homeopathic products.

Allergies: include medication, food, and environmental allergies separately (a description of what the allergy is ie angioedema, anaphylaxis, etc. This will help determine a true reaction vs intolerance).

PMHx: include immunization status (note date of last tetanus for all adults), past major illnesses and surgeries. Depending on the CC, more info is sometimes needed

Soc Hx: include occupation and major hobbies, family status, tobacco & alcohol use (previous and current use), any other pertinent data. Always add some health promo question here – such as whether they use seat belts all the time or whether they have working smoke detectors in the house, living environment, text/cell phone use while driving, and support system.

Fam Hx: illnesses with possible genetic predisposition, contagious or chronic illnesses. Reason for death of any deceased first degree relatives should be included. Include parents, grandparents, siblings, and children. Include grandchildren if pertinent.

ROS: cover all body systems that may help you include or rule out a differential diagnosis You should list each system as follows: General: Head: EENT: etc. You should list these in bullet format and document the systems in order from head to toe.

Example of Complete ROS:

GENERAL:  Denies weight loss, fever, chills, weakness or fatigue.

HEENT:  Eyes: Denies visual loss, blurred vision, double vision or yellow sclerae. Ears, Nose, Throat:  Denies hearing loss, sneezing, congestion, runny nose or sore throat.

SKIN:  Denies rash or itching.

CARDIOVASCULAR:  Denies chest pain, chest pressure or chest discomfort. No palpitations or edema.

RESPIRATORY:  Denies shortness of breath, cough or sputum.

GASTROINTESTINAL:  Denies anorexia, nausea, vomiting or diarrhea. No abdominal pain or blood.

GENITOURINARY:  Burning on urination. Pregnancy. Last menstrual period, MM/DD/YYYY.

NEUROLOGICAL:  Denies headache, dizziness, syncope, paralysis, ataxia, numbness or tingling in the extremities. No change in bowel or bladder control.

MUSCULOSKELETAL:  Denies muscle, back pain, joint pain or stiffness.

HEMATOLOGIC:  Denies anemia, bleeding or bruising.

LYMPHATICS:  Denies enlarged nodes. No history of splenectomy.

PSYCHIATRIC:  Denies history of depression or anxiety.

ENDOCRINOLOGIC:  Denies reports of sweating, cold or heat intolerance. No polyuria or polydipsia.

ALLERGIES:  Denies history of asthma, hives, eczema or rhinitis.

O.

Physical exam: From head-to-toe, include what you see, hear, and feel when doing your physical exam. You only need to examine the systems that are pertinent to the CC, HPI, and History. Do not use “WNL” or “normal.” You must describe what you see. Always document in head to toe format i.e. General: Head: EENT: etc.

Diagnostic results: Include any labs, x-rays, or other diagnostics that are needed to develop the differential diagnoses (support with evidenced and guidelines)

A.

Differential Diagnoses (list a minimum of 3 differential diagnoses).Your primary or presumptive diagnosis should be at the top of the list. For each diagnosis, provide supportive documentation with evidence based guidelines.

This section is not required for the assignments in this course (NURS 6512) but will be required for future courses.

References

You are required to include at least three evidence based peer-reviewed journal articles or evidenced based guidelines which relates to this case to support your diagnostics and differentials diagnoses. Be sure to use correct APA 7th edition formatting.

 

Nursing homework help

Nursing homework help

Big Data has been a growing part of the healthcare field, which has its challenges and benefits.  While allowing easier and more accessible data collection, monitoring, and treatment; Big Data has certainly made its impact in healthcare.  With the potential to grow, even more, it is important to understand the challenges that also come with it.

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            While medical technology is advancing every day, with robots assisting our surgeons in the OR and connecting patients’ heart monitors to nurses’ smartphones (Glassman, 2017), new technology has also been developed to help protect the general population as well.  Studies have found that one in five Americans wear a smartwatch/fitness tracker every day (Vogels, 2020).   With Americans utilizing these products, technology has been created to add even more health benefits.   A provider may be able to avoid having a patient experiencing tachycardia come into the office or hospital if they can use a personal device to monitor their heart rate.  Apple watches now come with a fall detection feature that utilizes gyroscope technology to detect when someone experiences an accidental fall (Wang et al, 2020).  When the fall occurs, the smartwatch will notify EMS and can also notify the individual’s emergency contacts.  This technology has the potential to save lives and also has the capabilities to detect heart attacks through EKG and heart rate detection features.  I have a personal connection to this type of technology as a colleague of mine was notified while at work that her father was experiencing a heart attack while on a run.  The technology notified EMS of his exact location and he was picked up within minutes.  Sadly, he passed away, but she was able to see him before he did because of the notification feature, allowing her to get to the hospital as quickly as possible.  Technology like this is already in practice for all to use, not just in the clinical setting.  With advances like this, healthcare can be more accessible and less expensive to all.  Nursing homework help

An increase in technology use does come with concerns.  With data available to patients, varying from healthcare system apps to personal devices, privacy may be breached.  Healthcare facilities that utilize Big Data must ensure that they are enforcing privacy regulations and requirements before uploading any data.  Wang et al (2018) states: “Particularly in healthcare industry, it is essential to implement rigorous data rules and control mechanisms for highly sensitive clinical data to prevent security breaches and protect patient privacy. By adopting suitable policies, standards, and compliance requirements to restrict users’ permissions will ensure the new system satisfies healthcare regulations and creates a safe environment for the proper use of patient information”.  To ensure that our data is protected, healthcare facilities will need to take these appropriate measures before the big data implementation has started.  Lastly, educating patients on how to protect their personal data will also be important.  I have personally worked with a number of patients who have required assistance with accessing their electronic health record.  By ensuring that our patients are equipped with the knowledge of how to protect their EHR, privacy will be maintained.

References

Glassman, K.S. (2017). Using data in nursing practice. American Nurse Today, 12(11), 45-47.

Vogels, E. A. (2020, August 14). About one-in-five Americans use a smartwatch or fitness tracker. Pew Research Center.

Wang, Y., Kung, L., & Byrd, T. A. (2018). Big data analytics: Understanding its capabilities and potential benefits for healthcare organizations. Technological Forecasting and Social Change, 126(1), 3-13.

Wang, Z., Ramamoorthy, V., Gal, U., & Guez, A. (2020, July 19). Possible life saver: A review on Human Fall Detection Technology. MDPI.

Nursing homework help

Nursing homework help

Big data is the vast collection of multiple data outlets combined into a singular, massive storage space of data (Thew, 2016). As part of a clinical system, big data is beneficial for many reasons, but the largest—and most important reason—may simply be the benefit of improving patient care. Specifically, big data can improve patient care through pattern recognition after thorough analysis of all data collected (Wang, Kung, & Byrd, 2018). The reason that this would be beneficial to improve patient care is because if patterns are recognized based off data collection, this can then aid in targeting the necessary changes needed to be made to medications, treatment, or other decisions of care. An example would be with cancer patients because, being that cancer is a disease specific to the cellular level within patients, the attainment of multiple data outlets and synthesis of it all could result in a uniquely developed treatment plan for each patient (Pastorino et al., 2019). Nursing homework help

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However, an issue with big data in general is that it is typically difficult to track everything accurately and effectively synthesize it all into the most necessary information. It’s very difficult and time consuming to efficiently analyze vast quantities of data, especially if you are trying to access them all from multiple outlets (Pastorino et al., 2019). One strategy I have observed is through the utilization of all the technology within hospitals and clinics these days. The use of technology greatly diminishes the challenge of trying to accurately gather big data because it simplifies the acquisition and storage of data electronically. An example would be with electronic, portable devices. Nurses often have smart phones given to them by their employer to help track and store the data of their patients (Glassman, 2017). This smartphone technology can often be linked to other electronic devices and maintains the nurses more easily connected to their patients’ progress.

Another example is the usage of technology worn by patients—such as monitors for diabetics. These are often connected to smartphone technology to monitor blood glucose levels remotely. The collection of all this data—from the constant fluctuations of glucose levels to the carbohydrate and insulin intakes, to everything else in between—is all able to easily be tracked and accurately documented via the same shared electronic devices. This easily facilitates the process and makes data collection, analyzation, and pattern recognition all much more achievable. Thus, the ultimate goal of improved patient care is more attainable because you are being able to create more accurate and quality results from the data collected.

References

Glassman, K. S. (2017). Using data in nursing practice. American Nurse Today, 12(11), 45–47. Retrieved from https://www.americannursetoday.com/wp-content/uploads/2017/11/ant11-Data-1030.pdf

Pastorino, R., De Vito, C., Migliara, G., Glocker, K., Binenbaum, I., Ricciardi, W., & Boccia, S. (2019). Benefits and challenges of Big Data in healthcare: an overview of the European initiatives. European journal of public health29(Supplement_3), 23–27. https://doi.org/10.1093/eurpub/ckz168

Thew, J. (2016, April 19). Big data means big potential, challenges for nurse execs. Retrieved from https://www.healthleadersmedia.com/nursing/big-data-means-big-potential-challenges-nurse-execs

Wang, Y., Kung, L., & Byrd, T. A. (2018). Big data analytics: Understanding its capabilities and potential benefits for healthcare organizations. Technological Forecasting and Social Change, 126(1), 3–13.

Nursing homework help

Nursing homework help

Before prescribing an OCP regiment, it would be important to conduct cardiovascular examination. This is because the risk of cardiovascular disease increases with the use of contraception in women. Since the patient’s father had two heart attacks, with the second one that killed him, it would be important to assess for heart disease (Abarbanell et al., 2019). This would include blood test for lipids, as well as echocardiogram, and stress test.  Nursing homework help

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Some contraceptive regimens that could be chosen for the patient would include levonorgesterol, which prevents 95% of the pregnancies when it is taken within twenty-four hours of intercourse. This is available in pharmacies without any prescriptions. Other than that, Yuzpe regimen can also be used, which is 77% effective (Matyanga&Dzingirai, 2018). A third regimen would be combined hormonal contraceptives.

Some of the side effects that would be expected would include vomiting, nausea, stomach cramps, diarrhea, constipation, as well as increased weight (Leelakanok&Methaneethorn, 2020). Some of the side effects for which J.L. should seek immediate medical care would include severe headache, severe vomiting, speech problems, dizziness or faintness, weakness or numbness of an arm or leg, and crushing chest pain or chest heaviness, as that could be indicative of heart problems.  Nursing homework help

 

References

Abarbanell, G., Tepper, N. K., & Farr, S. L. (2019). Safety of contraceptive use among

women with congenital heart disease: a systematic review. Congenital heart disease14(3), 331-340.

Leelakanok, N., &Methaneethorn, J. (2020). A systematic review and meta-analysis of

the adverse effects of levonorgestrel emergency oral contraceptive. Clinical Drug Investigation40(5), 395-420.

Matyanga, C. M., &Dzingirai, B. (2018). Clinical pharmacology of hormonal emergency

contraceptive pills. International journal of reproductive medicine2018.

 

 

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Laura Rosa Alonso Salido

17 hours ago, at 5:52 AM

 

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The female’s health history and a blood pressure test are the most fundamental prerequisites prior to the prescription of Oral Contraceptive Pills. Most OCPs contain estrogen, which may raise the patient’s blood pressure, increasing the risk of cardiovascular complications (Guillebaud, 2019). Because the health history of J.L. is already known, a blood pressure test is required prior to the prescription of OCPs. To be sure she’s not pregnant, she’ll need to take a pregnancy test.

A combination tablet, progestin, and prolonged/continuous usage are three of the regimens accessible for this patient. Estrogen and progestin hormones are packaged in 21- or 28-day packets in a combo tablet. In a 28-day pack, progestin contains just the hormone progesterone, but the continuous pill contains only the active hormones estrogen and progestin and is taken over a lengthy period of time, generally three months. All three forms of OCP are highly successful in preventing pregnancy and have no impact on sexual intercourse. However, because a combination tablet minimizes heavy menstruation, it is preferable to a progestogen-only pill.

The three birth control alternatives each have their own set of adverse effects. Bleeding between periods, intense period pain, large flows, and a significant risk of ectopic pregnancy if the IUD fails by accident are all negative effects of IUD insertions (NallN, 2018). Minipill is also linked to irregular menstruation, acne, and a lack of sexual desire. Barrier measures such as diaphragms, sponges, and vaginal caps may cause vaginal burning and irritation as a result of spermicide usage. Allergic responses to diaphragms and vaginal caps can cause intense vaginal scents. The use of these barrier measures may potentially raise the risk of UTIs.

 

References

Cooper, D. B., Patel, P., &Mahdy, H. (2022). Oral contraceptive pills. In StatPearls. StatPearlsPublishing.https://www.ncbi.nlm.nih.gov/books/NBK430882/

NallN, R. (2018). IUD side effects: What they are and how to manage them. Retrieved from https://www.medicalnewstoday.com/articles/322655

Guillebaud, J. (2019). Contraception today. CRC Press.

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Vianet Blanco

3/29/22, 10:57 AM

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Advance Pharmacology

  1. Before prescribing an OCP regimen, what tests or examinations would you like to perform?

It’s critical to assess J. L’s blood pressure as well as medical records before recommending the Oral Contraceptive Pills (OCP) regimen. In addition to familiarizing with the patient’s sex life and sexual history, doing a pelvic examination is essential. As J.L.’s caregiver, I would seek data on the birth control methods she previously employed. A Pap test is used to perform the pelvic exam, which is only necessary for teenagers but is not always required when giving an OCP regimen. In addition, as J. L’s caregiver, I would find out if she ever experienced blood clots and ask her if she smokes anything currently (Turrini, 2021). When recommending an OCP regimen, significant risk factors like hypertension, smoking, and blood clots must be considered.

  1. Identify three different contraceptive regimens that could be chosen for J.L. Note their differences and why you chose them.

OCP had a 91 percent success rate and OCP has non-contraceptive advantages such as dysmenorrhea, menorrhagia therapy. Because J.L has menstruation-related difficulties, such as menorrhagia, the extended-cycle or continuous OCP regimens are a good fit for her. Taking into account J. L’s family medical background of cardiovascular illness, the best OCP regimens to administer will be progestin-only regimens that help sustain normal blood pressure (Monterrosa-Castro et al., 2021). In addition, given J.L.’s multivitamins and calcium carbonate 500mg, it that means injectable medroxyprogesterone acetate is not a suitable technique because its adverse effects result in decreased bone mineral density.

  1. Identify the potential side effects that need to be relayed to J.L. Note especially those side effects for which J.L. should seek immediate medical care.

Some common adverse effects of OCP regimens include irregular and frequent bleeding produced by progestin-only tablets. Nonetheless, vomiting and nausea have been identified as typical side effects in patients using OCPs with high estrogen levels (Cooper et al., 2022). Other adverse effects include breast soreness, headaches, bloating, and mood swings. If J.L. experiences abrupt menstrual bleeding accompanied by dizziness and stomach pain, she should seek medical attention because this indicates a serious health problem requiring instant medical assistance.

 

 

 

References

Cooper, D. B., Patel, P., &Mahdy, H. (2022). Oral Contraceptive Pills. In StatPearls [Internet]. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK430882/

Monterrosa-Castro, A., Redondo-Mendoza, V., &Monterrosa-Blanco, A. (2021). Current Knowledge of Progestin-Only Pills. Electronic Journal of General Medicine18(6).

Turrini, M., &Bourgain, C. (2021). Appraising screening, making risk in/visible. The medical debate over Non‐Rare Thrombophilia (NRT) testing before prescribing the pill. Sociology of Health & Illness43(7), 1627-1642.

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JEAN OMEGA FLEURGIN

3/29/22, 4:35 AM

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Student :Jean omega Fleurgin

 

1-. Before prescribing an OCP regimen, what tests or examinations would you like to perform?

Before getting birth control pills, patient may have done a pelvic exam with a Pap test. Patient should get a complete medical history before giving a prescription for birth control pills.

Based on the patient age and health history. Patient should have pelvic exams and Pap tests. But Patient does not need an exam or Pap test just to get a prescription for birth control pills.

Before getting birth control pills, patient should always have done a basic medical exam and:

  • Check blood pressure.
  • Ask if ever had blood clots history.
  • Ask if smoking.

2 Identify three different contraceptive regimens that could be chosen for J.L. Note their differences and why you chose them.

The Oral Contraceptive Pill

It’s the little tablet taken once a day. The oral contraceptive pill is the most commonly reported method of contraception used by Australian women. There are a few different types of pill to choose from, so it’s about finding the one that’s right for you. The combined pill contains estrogen and progestin and mini pill contains only one hormone, a progestin. The pill can have many benefits, however remembering to take it on time is a must.

Intrauterine Device (IUD)

This small, T-shaped device is made from made of material containing progesterone hormone or plastic and copper and is fitted inside a woman’s uterus by a trained healthcare provider. It’s a long-acting and reversible method of contraception, which can stay in place for three to 10 years, depending on the type.

Some IUDs contain hormones that are gradually released to prevent pregnancy. The IUD can also be an effective emergency contraception if fitted by a healthcare professional within five days (120 hours) of having unprotected sex.

IUDs containing coppers are 99% effective and the ones containing hormones are 99.8% effective, so you’re about as protected as you possibly can be by a contraceptive method.

The Contraceptive Implant

In this method, a small, flexible rod is placed under the skin in a woman’s upper arm, releasing a form of the hormone progesterone. The hormone stops the ovary releasing the egg and thickens the cervical mucus making it difficult for sperm to enter the womb. The implant requires a small procedure using local anesthetic to fit and remove the rod and needs to be replaced after three years.

3- Identify the potential side effects that need to be relayed to J.L. Note especially those side effects for which J.L. should seek immediate medical care.

OCP may cause dizziness, headache, lightheadedness, stomach upset, bloating, or nausea. If these effects persist or worsen, contact your doctor. Notify doctor if experience: severe depression, groin or calf pain, sudden severe headache, chest pain shortness of breath, lumps in the breast, weakness or tingling in the arms or legs, yellowing of the eyes or skin. If you notice other effects not listed above, contact your doctor or pharmacist.

 

Reference

Curtis KM, Tepper NK, Jatlaoui TC, et al. U.S. medical eligibility criteria for contraceptive use, 2016. MMWR Recomm Rep 2016;65(No. RR-3).

 

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Dania Morejon Torres

3/28/22, 6:22 PM

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Test before OCP Regimens Prescription

The basic requirements prior to prescription of Oral Contraceptive Pills are the female’s health history and blood pressure test. Most OCPs contain estrogen, which could increase the patient’s blood pressure resulting in further risk factors such as stroke and myocardial infarction (Guillebaud, 2019). According to the J.L’s case, her health history is already known, a blood pressure test is, therefore, necessary before OCPs prescription. A pregnancy test is also necessary to ascertain that she is not pregnant.

Alternative Contraception Regimens

Majority of contraception methods have associated risks either from their chemical compositions, method of use, or depending on the female’s body compatibility to the method. Considering myocardial infarction is significant in J.L’s family health history, it is safer to opt for a non-hormonal method that will not attract the risk of a heart attack in the future. Therefore, she could opt to use an IUD, especially a hormone-free copper. She could also choose OCPs that do not contain estrogen, such as the minipill, to lower the risk of high blood pressure. The minipill is a safer choice as it only contains progestin (Glisic et. al., 2018). Additionally, barrier methods such as insertion devices like a diaphragm, sponge, or cervical cap used alongside a spermicide could be viable options for J.L.

Potential Side Effects

Certain side effects are associated with the three birth control options. The side effects associated with IUD insertions are bleeding in between periods, severe period pain, heavy flows, and high chances of ectopic pregnancy if the IUD fails by any chance (NallN, 2018). Minipill is also associated with irregular menstruation, acne, and reduced sex drive. In using barrier methods, diaphragms, sponges, and vaginal caps could bring about vaginal burning and irritation resulting from the use of spermicides. Diaphragms and vaginal caps may also result in allergic reactions causing strong vaginal odors. Using these barrier methods may also increase the chances of contracting UTIs.

 References

Glisic, M., Shahzad, S., Tsoli, S., Chadni, M., Asllanaj, E., Rojas, L. Z., … & Franco, O. H. (2018). Association between progestin-only contraceptive use and cardiometabolic outcomes: a systematic review and meta-analysis. European journal of preventive cardiology25(10), 1042-1052.

Guillebaud, J. (2019). Contraception today. CRC Press.

Henly Rojas

3/28/22, 5:33 PM

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Tests and Examinations

 

When it comes to prescribing an OCP regimen for such a patient, the most important tests, and exams to consider are the Pap smear and the pelvic exam. The Pap smear is done as a routine test to screen for precancers or abnormal cell changes in the cervix so that early interventions can be made. The pelvic exam is highly regarded in determining the patient’s overall sexual and reproductive health. It also helps determine the presence or absence of life-threatening conditions, such as infections and cancers. It is vitally important to maintain control of blood pressure and the presence of blood clots in this patient based on the family history of cardiovascular disease. It is vitally important to keep in mind that birth control pills are not a good option for patients with risk factors for cardiovascular disease.

 

Contraceptive Regimen

 

Among the regimens available for this patient, there are three that are a combined pill, progestin and prolonged/continuous use. A combination pill comprises estrogen and progestin hormones contained in 21- or 28-day packs. Progestin is made up of the hormone progesterone only in a 28-day pack, while the continuous pill consists of the active hormones estrogen and progestin only that is taken over a long period of time, usually 3 months. All three types of OCP do not affect sexual intercourse and are very effective in preventing pregnancy. However, keep in mind that a combined pill is better than the progestogen-only pill because it reduces heavy menstruation.

Potential Side Effects

 

Combined pill and progestin contraceptives have few complications that such a patient should consider. Such side effects include irregular and heavy bleeding, breast tenderness, headaches, nausea, and high blood pressure. The patient should be aware of any side effects and report episodes of irregular bleeding and high blood pressure, as these can become life-threatening in a short period of time. It is of vital importance that the patient immediately informs the doctor of any type of incident mentioned above.

 

 

 

 

 

 

References

 

Cooper, D. B., Patel, P., &Mahdy, H. (2022). Oral contraceptive pills. In StatPearls. StatPearlsPublishing.https://www.ncbi.nlm.nih.gov/books/NBK430882/

 

Elwan, D., &Raidoo, S. (2020). Reproductive autonomy and choice of contraceptive method. Fertility and Sterility, 114(3), e174. https://doi.org/10.1016/j.fertnstert.2020.08.496

 

Farley, N. R. (2018). Combined oral contraceptives, smoking, and cardiovascular risk. Journal of Epidemiology and Community Health, 52(12), 775–785.

 

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AnilemysPaneca

3/28/22, 4:23 PM

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Nursing homework help

Nursing homework help

Maria Lazarte

Private and public organizations can work together with the purpose of achieving mutual interest in healthcare via forming collaborative private-public partnerships. Given the limited nature of resources, collaborative private-public partnerships provide a way in which both private and public organizations can work together and achieve their targeted common goal. The roles of public health organizations are evolving from simply direct provision of care services to the need for forming partnerships that would enable involved organizations to improve community health via proper planning and actions of community health programs (Howard et al., 2018).

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In addition, public and private organizations are working together by expanding their links with community organizations and other health agencies. Such efforts have seen to it that there has been the formation of alliances that share common interests such as a health promotion program or interventions targeting to prevent a certain disease in a targeted community (Marković&Brković, 2020). The establishment of delivery networks and the formation of local coalitions are crucial to ensuring that targeted shared goals are achieved and a joint forum is created where the health needs of a given community can be assessed and all stakeholders held accountable.

Public and private organizations can also work together on the formation of a collaborative agreement. Such an agreement specifies the nature of collaboration and the roles of each partner (Marana et al., 2018). The dimensions of the collaborative activities are clearly defined. This enables both organizations to understand the resources they will be bringing to the table in terms of finance, technology, and people. It also enables assessing risks and clarifying how will bear the risks and to what extent the risks will be shared. The formation of collaborative teams between the organizations can also help the organizations work together in achieving mutual interests in healthcare. Nursing homework help

References

Howard, S. C., Zaidi, A., Cao, X., Weil, O., Bey, P., Patte, C., Samudio, A., Haddad, L., Lam, C. G., Moreira, C., Pereira, A., Harif, M., Hessissen, L., Choudhury, S., Fu, L., Caniza, M. A., Lecciones, J., Traore, F., Ribeiro, R. C., &Gagnepain-Lacheteau, A. (2018). The My Child Matters programme: effect of public–private partnerships on paediatric cancer care in low-income and middle-income countries. The Lancet Oncology, 19(5), e252–e266. https://doi.org/10.1016/s1470-2045(18)30123-2

Marana, P., Labaka, L., &Sarriegi, J. M. (2018). A framework for public-private-people partnerships in the city resilience-building process. Safety Science, 110, 39–50. https://doi.org/10.1016/j.ssci.2017.12.011

Marković, V., &Brković, R. (2020). PUBLIC-PRIVATE PARTNERSHIP IN FIELD OF HEALTHCARE IN THE REPUBLIC OF SERBIA. CULTURE of POLIS – Journal for Nurturing of Democratic Political Culture, 17(41), 637–652. https://kpolisa.com/index.php/kp/article/view/151

 

Mayelin Ruiz

 

The healthcare sector is served by both public and private organizations, all of which must work together to achieve better outcomes. The public health sector, for example, has a goal of ensuring that customer satisfaction is attained in the long run by serving the patients well. However, the delivery of services depends on the ability of the patients to pay for the said services. The insurance companies are examples of the private sector that can work together to ensure better outcomes for the stakeholders (Javed et al., 2019). In a middle-income economy, the employees remit money to the insurance company. The healthcare organization requires the insurance companies to remit money to the hospitals for the patients to be treated effectively. There are some cases where the insurance company cannot afford the care provided by the hospital, which will require the patient to take care of part of the bill or relocate to hospitals where they can afford the care.

When the money remitted in the healthcare insurance is not enough to cover the patient’s needs, both the insurance company and the hospital fail to fulfill their goals of customer satisfaction (Akopova et al., 2020). The two groups should therefore work together to determine what is required to maintain the patient’s health status. When the patients are about to register for health insurance, the determination of the amount of remittance depends on the risk factors. If a patient with a higher risk takes a different insurance cover and remits a tiny amount, the money remitted may not cover the healthcare benefit. Before the insurance company determines the amount of money to be remitted for the insurance cover, they must consult a medical practitioner to check the patient’s age and the risk factors associated with the disease for a better outcome in the long run (World Health Organization. 2021). The healthcare personnel will determine the health status and the person’s age and advise the insurance company on the premiums to charge the patient. Nursing homework help

References

Akopova, E. S., Borzenko, K. V., Przhedetsky, Y. V., &Przhedetskaya, N. V. (2020). Marketing of healthcare organizations: technologies of public-private partnership. IAP.

Javed, S. A., Liu, S., Mahmoudi, A., & Nawaz, M. (2019). Patients’ satisfaction and public and private sectors’ health care service quality in Pakistan: Application of grey decision analysis approach. The International Journal of health planning and management34(1), e168-e182. https://doi.org/10.1002/hpm.2629

World Health Organization. (2021). More robust collaboration for an equitable and resilient recovery towards the health-related sustainable development goals: 2021 progress report on the global action plan for healthy lives and well-being for all. https://apps.who.int/iris/handle/10665/341411

 

Yanet Garrido

an hour ago, at 9:27 PM

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Cultural diversity is a problem for community nurses, and it can cause a slew of issues in terms of providing high-quality nursing care and achieving optimal health and wellness outcomes. Seven enabling concepts are recognized, along with their application to various groups. These include willingness to acknowledge professional family members’ skills and knowledge, acknowledging one’s own and other nurses’ stamina and weaknesses, requiring time to develop rapport and acceptance, assessing influences on health and health care, providing culturally appropriate treatment, developing culturally experienced methods, and supporting CLD appropriate resources and know-how (Chatterji, Joo, &Lahiri, 2019).

 

Cultural competency, as well as race, gendered, and ethnic differences, are constant problems in today’s medical care model. Many factors outside of traditional health treatment play a role in determining one’s well-being (Like, 2018). These social components of health and wellness (SDH) include, but are not limited to, education and learning, high-quality real estate, and access to nutritious foods. It has even been suggested that racial and ethnic minorities have low SDH, which relates to their lack of access to healthcare. Furthermore, when compared to White women, African American, Hispanic, and also Eastern women are less likely to get breast cosmetic surgery following a mastectomy (Like, 2018). Cultural, sex, and ethnic diversity are underrepresented in the healthcare field, both in terms of training and management. To meet the needs of a diverse population, the healthcare system must take steps to improve social proficiency as well as racial and ethnic diversity.

 

Cultural competency is the capacity to work well with people from other cultures, and it improves both healthcare experiences and outcomes. Steps to promote cultural competency and ethnic diversity will aid in reducing healthcare disparities and improving health care outcomes for these client communities. Efforts to draw certified minorities and females to the area must begin early in the pipeline (Horvat, et al., 2018). The writers are not advocating for diversity for the sake of diversity at the expense of benefit or qualification; rather, these programs must evolve not only to attract, but also to retain and promote highly motivated and skilled women and minorities.

 

References

Chatterji, P., Joo, H., &Lahiri, K. (2019). Beware of being unaware: racial/ethnic disparities in chronic illness in the USA. Health Economics, 21(9), 1040-1060.

 

Like, R. C. (2018). Educating clinicians about cultural competence and disparities in health and health care. Journal of Continuing Education in the Health Professions, 31(3), 196-206.

 

Maria Lazarte

4 hours ago, at 6:35 PM

 

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One of the major challenges in implementing a health promotion strategy in multicultural communities is the language barrier. With the language barrier comes communication challenges (Gao & Lee, 2019). Communication affects the health promotional messages developed and how multicultural communities will receive the health promotional messages. The existence of a language barrier implies that communities won’t be able to understand the message hence might not benefit from the health promotional strategy. A second challenge is keeping such communities motivated enough to be receptive to the health promotion strategy. Lack of motivation implies the communities won’t be receptive to the health promotional strategies implemented (O’Reilly et al., 2018). This is more of a problem especially in multicultural communities as such communities have different beliefs, cultures, values, and needs which necessitated different levels of motivation.

In addressing the communication challenge it is crucial to use appropriate communication methods. This may involve the use of multiple languages and channels to ensure that the community understands targeted health promotion strategies. This may necessitate assessing the community prior to the implementation to fully understand the dynamics of the targeted population their language preference and the best mode of communication before moving forward. In keeping the community motivated it would crucial to conduct an education and outreach program in order to improve awareness about the problem and motivate community members to try and achieve better health outcomes(O’Reilly et al., 2018).

Addressing cultural characteristics necessitates developing cultural competencies in order to avoid cultural misfits (Walters et al., 2018). Examining the history of a given community enables an individual to obtain enough background information and families with the beliefs and values of a given community. Addressing history can be achieved by conducting an investigation of the history of the community. Specific needs can be addressed by first conducting a community needs assessment to identify the specific needs of the community.

References

Gao, Z., & Lee, J. E. (2019). Emerging Technology in Promoting Physical Activity and Health: Challenges and Opportunities. Journal of Clinical Medicine, 8(11), 1830. https://doi.org/10.3390/jcm8111830

O’Reilly, M., Svirydzenka, N., Adams, S., & Dogra, N. (2018). Review of mental health promotion interventions in schools. Social Psychiatry and Psychiatric Epidemiology, 53(7), 647–662. https://doi.org/10.1007/s00127-018-1530-1

Walters, K. L., Johnson-Jennings, M., Stroud, S., Rasmus, S., Charles, B., John, S., Allen, J., Kaholokula, J. K., Look, M. A., de

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Manuel Garcia Periu

 

Public and private organizations can partner to promote mutual interests through contracts. Al-Hanawi et al. (2020) state that public institutions can subcontract their private counterparts to offer some services on their behalf at a negotiated fee. The implication is that there can be friendly and business relations between public and private hospitals. Through these exchanges, the former lacks the appropriate capacity, for example, technology and human resources. It can outsource from the private entities, for example, through contracts for some specialized services, such as complicated health tests. Furthermore, private hospitals that may lack technology that is available in public hospitals can outsource some necessary services, such as referring patients or requesting human resource support. Through these relationships, healthcare organizations in both sectors can help each other address the challenges relating to resource constraints. Therefore, both parties would promote mutual benefits from such exchanges as it would be easy to overcome the related constraints.

The private and public sectors can also cooperate to assist each other with relevant technology and skills. Nash et al. (2015) state that benchmarking is an important aspect that can help an organization enhance its services by learning from its peers. Despite the notion that private hospitals are always the best, this might not be the case. Therefore, for both public and private institutions to enhance their efficiency, they need to learn from each other. An example can be through benchmarking visits and exchanging staff so that both parties can learn what they are not doing best, thus promoting ways of making improvements. Besides, the two parties can also host joint workshops to educate each other on the best practices and deliberate on navigating through the various issues that hinder their effective operations. With such efforts in place, private and public organizations can effectively work together by uplifting each other.

References 

Al-Hanawi, M.K., Almubark, S., Qattan, A.M.N., et al. (2020). Barriers to the implementation of public-private partnerships in the healthcare sector in the Kingdom of Saudi Arabia. PLoS ONE 15(6): e0233802. https://doi.org/10.1371/journal.pone.0233802

Nash, D., Skoufalos, A., Fabius, R., et al. (2015). Population health: Creating a culture of wellness. Burlington, MA: Jones and Bartlett Learning.

 

 

 

 

 

 

 

 

 

 

 

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Maria Lazarte

Private and public organizations can work together with the purpose of achieving mutual interest in healthcare via forming collaborative private-public partnerships. Given the limited nature of resources, collaborative private-public partnerships provide a way in which both private and public organizations can work together and achieve their targeted common goal. The roles of public health organizations are evolving from simply direct provision of care services to the need for forming partnerships that would enable involved organizations to improve community health via proper planning and actions of community health programs (Howard et al., 2018).

In addition, public and private organizations are working together by expanding their links with community organizations and other health agencies. Such efforts have seen to it that there has been the formation of alliances that share common interests such as a health promotion program or interventions targeting to prevent a certain disease in a targeted community (Marković&Brković, 2020). The establishment of delivery networks and the formation of local coalitions are crucial to ensuring that targeted shared goals are achieved and a joint forum is created where the health needs of a given community can be assessed and all stakeholders held accountable.

Public and private organizations can also work together on the formation of a collaborative agreement. Such an agreement specifies the nature of collaboration and the roles of each partner (Marana et al., 2018). The dimensions of the collaborative activities are clearly defined. This enables both organizations to understand the resources they will be bringing to the table in terms of finance, technology, and people. It also enables assessing risks and clarifying how will bear the risks and to what extent the risks will be shared. The formation of collaborative teams between the organizations can also help the organizations work together in achieving mutual interests in healthcare.

References

Howard, S. C., Zaidi, A., Cao, X., Weil, O., Bey, P., Patte, C., Samudio, A., Haddad, L., Lam, C. G., Moreira, C., Pereira, A., Harif, M., Hessissen, L., Choudhury, S., Fu, L., Caniza, M. A., Lecciones, J., Traore, F., Ribeiro, R. C., &Gagnepain-Lacheteau, A. (2018). The My Child Matters programme: effect of public–private partnerships on paediatric cancer care in low-income and middle-income countries. The Lancet Oncology, 19(5), e252–e266. https://doi.org/10.1016/s1470-2045(18)30123-2

Marana, P., Labaka, L., &Sarriegi, J. M. (2018). A framework for public-private-people partnerships in the city resilience-building process. Safety Science, 110, 39–50. https://doi.org/10.1016/j.ssci.2017.12.011

Marković, V., &Brković, R. (2020). PUBLIC-PRIVATE PARTNERSHIP IN FIELD OF HEALTHCARE IN THE REPUBLIC OF SERBIA. CULTURE of POLIS – Journal for Nurturing of Democratic Political Culture, 17(41), 637–652. https://kpolisa.com/index.php/kp/article/view/151

 

 

 

 

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Nursing homework help

Nursing homework help

Manuel Garcia Periu

 

Nursing informatics has integrated information and knowledge to support learning in my APRN education. McGonigle & Mastrian (2018) state that nursing informatics facilitates learning. This idea is accurate because, in my experience, I have had a learning experience using nursing informatics. Specifically, I have used the virtual simulation whereby there was the use of non-existent patients on the online platform to learn various aspects such as diagnosis, treatment, and the other elements of patient management. Therefore, technology played an excellent role by eliminating the need for having practical experience in the patient units. Besides, it also reduced the adverse risk of having students learn using actual patients, as the possibility of errors and other mistakes is high. The advantage is that it made learning logistics easy, thus enhancing the class experience. Nursing homework help

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In my APRN education, learning informatics was not only a means of studying but an end in itself. Harerimana et al. (2021) state that nursing informatics is a competence that medical care workers must have as part of their qualifications. A nurse without the skills may appear less qualified. Therefore, in my APRN education, the skills for using information technology in practice were a significant consideration and part of the syllabus. Specifically, we learned how to operate the system that comprises tablets, and wearable technology, among others. Consequently, we learned how to use informatics and even did some tests on it to evaluate our competence. Furthermore, during our practical lessons in the hospital setting, informatics was applied in a real hospital context when we treated patients with the aid of that technology. Apart from the in-class education, I also consider my work and practice an opportunity for continuous learning and education. Therefore, since I worked full time as I studied, I used this technology in the hospital setting, and the knowledge I gained there was to be part of individual or personal studies. Through this learning and testing, informatics is primarily applied in education. Nursing homework help

References

Harerimana, A., Wicking, K., Biedermann, N., et al. (2021). Integrating nursing informatics into undergraduate nursing education in Africa: A scoping review. International Nursing Review68(3), 420–433. https://doi.org/10.1111/inr.12618

McGonigle, D., & Mastrian K.G. (2018). Nursing Informatics and the Foundation of Knowledge (4th e.d). Jones & Bartlett Learning, LLC.

 

 

 

Ivon Hernandez

 

According to Iyengar et al. (2018), healthcare informatics is the integration of healthcare science with other analytical and information disciplines to acquire, store, share, and manage data, knowledge, and information that is applicable in healthcare. It encompasses various components, including information management systems, use of the Internet, and online networking (McGonigle & Mastrian, 2021). Healthcare Informatics has been applied in my Advanced Practice Registered Nurse (APRN) education through computer-mediated communication (CMC), computer-assisted instructions (CAI), and interdisciplinary collaboration.

CMC entails different forms of human communication aided by the computer network. Some of the components that have been used in the program include telephone conversations, audio, videos, and electronic mail. Also, coursework and other study materials have been made available through various electronic and digital mechanisms such as web links and e-mails. Besides sharing educative YouTube videos, the instructors have also organized and invited APRNs to attend video conferences. The discipline of computer science is largely incorporated to aid the learning process.

CAI is a technique in which instructional materials are presented in electronic form. The APRN program has incorporated online chats, electronic mailing list groups, instant messaging, and discussion forums through which instructions are presented. A platform for learners has been created through which they can share their thoughts, ideas, and experiences on different healthcare topics. Direct messaging and online chats are also used among peers as well as with the instructors to seek clarifications. Instructors also use online tutorials to guide students on how to complete certain assignments or activities. The program implements a blended instructional method.

The modules have applied a holistic approach to healthcare. Faculty and instructors, partner and collaborate with other institutions and experts to help APRNs learn different skills such as analytical, critical thinking, and research that are essential in the modern healthcare sector. For example, the IT department welcomes the opportunity to help APRNs understand the use of various systems and software, such as electronic health records, when providing telemedicine or telehealth.

Reference

Iyengar, A., Kundu, A., &Pallis, G. (2018). Healthcare Informatics and Privacy. IEEE Internet Computing22(2), 29–31. https://doi.org/10.1109/mic.2018.022021660

McGonigle, D., & Mastrian, K. (2021). Nursing informatics and the foundation of knowledge. Jones & Bartlett Publishers.

 

Cira Perez Miranda

28 minutes ago, at 9:40 PM

 

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Diabetes is a common and most prevalent non-communicable chronic condition associated with increased mortality, morbidity, and economic burden. The disease is costly to treat and manage, posing a tremendous financial burden on healthcare systems and affected people due to associated severe micro and macro-vascular complications and longevity of the disease. According to the CDC, type 2 diabetes is avoidable with lifestyle modifications, such as physical activity and weight control (CDC, 2021).

Three main challenges could hinder preventive intervention for diabetes, including family and friends, economic factors, and limited knowledge. Friends and family can become facilitating factors and barriers to preventative intervention. At times, family and friends could act supportively towards diabetes promotion or obstruct it. Diabetes preventive interventions require dietary habits that members or friends might not be willing to change. If the family decides to stick to family traditions in preparing meals, it might hinder the effectiveness of the promotion being (Breuing et al., 2020).

Economic barriers are associated with preventive initiatives, such as travel or fitness costs and nutrition changes. Likewise, lack of insurance cover constitutes financial barriers, hindering access to quality care. Limited knowledge could delay the effective implementation of diabetes health promotion, particularly in implementing information, such as diet guidelines that require knowledge on cooking and food to improve well-being (Breuing et al., 2020).

Effective intervention requires comprehensive prediabetic management, particularly intervention that focuses on lifestyle interventions of exercise and diet. Therefore effective navigation of these challenges, such as friends and family, limited knowledge, and economic factors to achieve lifestyle modifications, is required. Effective implementation of diabetes promotion requires cultural competencies in the targeted population. Involving diverse interprofessional teams in diabetes health promotion can improve an organization’s cultural competence, enhancing patient outcomes. Likewise, creating awareness among the patients, families, and friends to embrace healthy living through community mobilization could reduce challenges to diabetes health promotion.

References

Breuing, J., Pieper, D., Neuhaus, A. L., Heß, S., Lütkemeier, L., Haas, F., … & Graf, C. (2020). Barriers and facilitating factors in the prevention of diabetes type 2 and gestational diabetes in vulnerable groups: a scoping review. PloS one, 15(5), e0232250. https://doi.org/10.1371/journal.pone.0232250

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Mayra Oliva Rivero

43 minutes ago, at 9:25 PM

 

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Health promotion is the cornerstone in the public health sector from how it facilitates improved quality of life and overall reduction of premature deaths. At the same time, diabetes is a chronic disease listed among the leading burdens in public health, and this calls for a need for health promotion. According to Heath (2020), health promotion is a complex and challenging healthcare approach, especially when the issue addressed affects large numbers of people. This research explores challenges associated with the implementation of health promotion for cases of diabetes.

Challenges of diabetes health promotion

The world is characterized by multiculturalism. The population comprises people from different socioeconomic statuses, ages, cultural diversity, and education. In understanding diabetes epidemiology, the health issue is a nationwide issue and a burden for the United States and the world as a whole. For this case, therefore, the issue affects all people regardless of their needs and demographic characteristics. In understanding the concept of multiculturalism, major challenges affecting health promotion practices are; language barriers, religious issues, especially in strategizing diet plans, and unfamiliarity with the concept, especially from illiterate people.

Another key challenge is the varying patient needs, making it hard to address all needs through health promotion. According to Leyns et al. (2021), type 2 diabetes affects people differently, and among the issues associated are mental, social, and physical needs, all of which need to be addressed. Meeting these needs across millions of people globally is a costly and near-impossible approach. This extensiveness of disease pattern and association with commodity makes the disease complex to be understood. The population regarding disease patterns is also shaped by environmental, social, and economic factors whose extensiveness makes understanding diabetes complex (Galea, 2017). War, insecurity issues, and economic fluctuations are also historical issues that may affect health promotion’s effectiveness and successful implementation.

Diabetes is one of the common chronic health issues affecting millions of people across the globe. The fact that it is a disease burden associated with the high cost of healthcare to management and comorbidity is enough to mandate the implementation of health promotion approaches. The process is, however, complex and demanding. High cost of care, cultural barriers such as communication, historical issues like was wars, and economic fluctuations are some of the challenges preventing this health promotion process from taking place and should thus be considered during planning.

 

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Ivon Hernandez

an hour ago, at 9:08 PM

 

 

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Whether public or private, every organization is interested in the well-being of its workforce. A healthy workforce is more productive and poses minimal health burdens to the organization. However, effective management requires a holistic approach that addresses the health concerns at the grassroots or community level (Nash et al., 2016). In this regard, multi-sector partnerships and collaborations are essential to increase the capacity of the community to shape outcomes. Public and private organizations can work together better to achieve goals of mutual interest in healthcare through shared goals, joint community healthcare programs, and setting common healthcare policies and standards.

Public and private entities can establish shared healthcare values, objectives, policies, and standards to attain goals of mutual interest in healthcare. According to Nash et al. (2016), an organization should go beyond the international and national healthcare policies to address the specific healthcare concerns of its staff and the community they serve. Therefore, both public and private companies can set the same internal policies and put in place measures to address healthcare needs and demands.

Public and private organizations can plan and implement joint community programs aimed at promoting healthy living. Instead of each sector organizing its initiative, the sectors can collaborate to advance similar programs. Furthermore, these organizations can mobilize funds and other resources to oversee community or population-based health initiatives. The arrangement enables the entities to reach out to many people and save on resources.

Partnership and collaboration between public and private entities can be facilitated through ongoing, structured communication. Sharing information across sectors allows interested organizations to create a mutual understanding regarding the capacity of each entity (Nash et al., 2016). Through collaboration, each firm can focus on a specific area of concern depending on its strengths, thereby avoiding duplication of healthcare services or programs in a community.

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Taymir Torres

Transformative change is taking place in the government’s health sector. As a result of the public healthcare society’s adoption of a “health in all measures” strategy, several different technologies and projects are emerging across the country. Aggregation of insurance firms into massive corporations, value-based payment solutions, and a rising merging of inpatient and outpatient services into huge hospital systems, both charitable and shareholder, are just a few of the key changes occurring in healthcare provision and funding (Protasov&Morozova, 2021). One of the most encouraging aspects of this shift is the growing recognition of the importance of improved communication and increased public-private cooperation.

A large number of innovative and promising cross-sectoral efforts are now underway. Nevertheless, there is still a lot of work to be done. Cooperation between public health agencies and non-profit health care providers, and other community representatives are often lacking across the country (Filho, 2019). We need to disseminate the knowledge we’ve gleaned through effective cooperative partnerships. If you’re a healthcare, clinical, or public health group at the state and national level and you’re interested in providing training, government initiatives, and practical assistance to current and prospective public-private partnerships, there’s a lot of potentials there.

With the help of groups like the IOM, Academy Health, foundations with an interest in promoting public health, and universities—along with institutions such as these—the effectiveness of public-private partnership on the healthcare system and costs may be studied in a methodical manner (Collyer, 2019). Future public-private collaborations will benefit greatly from clearer documentation of the success or failure of current collaborations in terms of both economic and non-economic outcomes.

References.

Collyer, F. (2019). Chapter thirteen: Navigating private and public healthcare. Navigating Private and Public Healthcare, 271-294. https://doi.org/10.1007/978-981-32-9208-6_13

Filho, P. O. (2019). Social organizations in health. Advances in Healthcare Information Systems and Administration, 228-246. https://doi.org/10.4018/978-1-5225-6133-0.ch011

Protasov, M., &Morozova, T. (2021). Risk accounting in a public-private partnership for the creation of infrastructure facilities for healthcare organizations. Buhuchet v zdravoohranenii (Accounting in Healthcare), (6), 40-46. https://doi.org/10.33920/med-17-2106-04

 

 

 

Synthesis of the Literature

Synthesis of the Literature

Synthesis of the Literature

Synthesize your final primary quantitative research studies and/or systematic reviews; do not include summary articles such as a review of the literature, a clinical article, or a clinical practice guidelines. This section is all about the scientific evidence rather than someone else’s opinion of the evidence. Refer the reader to your evidence table(s).  See Table 1 and 2. Do not use secondary sources; you need to get the article, read it, and make your own decision about quality and applicability to your question even if you did find out about the study in a review of the literature. The studies that you cite in this section must relate directly to your PICOT question. This is a synthesis(Table 3) rather than a study-by-study review. Address the similarities, differences, and controversies in the body of evidence.

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Practice Recommendations

So. . . using available best evidence, what is the answer to your question? This section is for you to summarize the strength of the body of evidence (quality, quantity, and consistency), make a synthesis statement, and, based on your conclusions drawn from your review of the body of evidence related to your clinical question, give a recommendation for practice change. This would logically be the intervention of your PICOT question. You might want to design an algorithm and include it in as a figure. Perhaps you found substantiation for usual practice, and you recommend reinforcement and education regarding this best practice.Using Johns Hopkins, identify whether this recommendation be graded A, B, or C based on the strength of the evidence. Synthesis of the Literature

 

References

Remember that this is a reference list rather than a bibliography. A bibliography is everything you read to prepare the paper but a reference list is only what you cited. If there is not a citation for a reference, it should not be here. PLEASE make sure that your references and your citations throughout the paper are in APA format. You can go from an A paper to a B paper on APA errors alone. Take the time to make sure that they are correct. We have already formatted the paper for you with this template.

 

Table 1

Primary Quantitative Research Evidence (this table may be single space and 10-point font; ONLY primary quantitative research articles should be in this table)Example provided. Synthesis of the Literature

Source Study design

 

JH Level of Evidence

Population/

Sample

 

Age
Race/ Ethnicity

Setting/
Location

% dropout

Intervention (IV)

 

Details

Action

Duration
Fidelity

Comparison/ Control (IV)

Details

Action

Duration

Fidelity

Outcome (DV) &Time

Intervention vs comparison

(statistical test, value, p value)

 

 

Grading of evidence

JH Quality Rating

Author’s conclusions

———–

Other outcomes of interest

Your Conclusions

Limitations

Fit/Useful
Abel, 2020 RCT

 

Level I

 

196  inter-city

Age 36.4 (8.9) [Range 24 – 49]

55% Male,

40% Black,

62% Latino

 

73% Medicaid, annual income <$25,000

Setting: Outpatient

Location: Boston, MA

Baseline pain score 6.4 avg on both groups

Dropout: 15/200, 7.5%

Weekly chiropractic adjustment

Assessed &tx

10 weeks

100% of visits over 10weeks

Average total 180 mins

 

Massage

Medical massage

50 min/wk

100% for 10 weeks

 

 

At 10 weeks,

avg pain score

 

Tx = 3.6

Control = 5.2

(X2 = 7.3; p<.05):

 

 

Latino males

Tx = 2.8

Control = 5.7

(X2 = 8.3; p<.001):

 

 

Latino women

Tx =6.0

C = 2.8

(X2 = 9.2; p<.001):

 

 

 

 

 Quality A

 

 

Pain scores

30% lower w/ wkly chiro compared to 50 mins/wk medical massage

 

Tx more effective in Latino males

 

C more effective in Latino women

———

Massage would cost 30% more out of pocket

Tx. Better than control

 

Chiropractic adjustments effective in general and in Latino males but not in Latino women

 

Limitations =

-not equal time in tx

-not include high income

 

Yes/Yes but only if cost covered by Medicaid in my state
                   
                   
                   
                   

 

Legend:(all abbreviations and acronyms used in the table should be listed here such as: )

 

Table 2

Evidence Summaries (this table may be single space and 10 point font; ONLY systematic reviews should be in this table)(Example provided)

 

Source Study design

 

JH Level of Evidence

Population/

Sample

 

Search strategy

Inclusion

Exclusion

 

N articles addressing your PICOT

 

Other descriptions

 

Intervention (IV)

 

Details

Action

Duration
Fidelity

Comparison/  Control (IV)

Details

Action

Duration

Fidelity

Outcome (DV)

& Time

 

Mean differences

Intervention vs comparison

Effect size

Heterogeneity

 

(statistical test, value, p value)

 

 

Grading of evidence

JH Quality Rating

Author’s conclusions

 

 

——

Other outcomes of interest

Your Conclusions

Limitations

Fit/Useful
Brown, 2018 Meta-analysis

 

Level I

 

Medline

OVID

CINAHL

2000-2017

 

RCTs, conducted in the US, high-quality (>21/25 points on CONSORT), comparing regular chiropractic adjustment vs regular medical massage for chronic pain measured using a 0-10 scale

10 RCTs of low back pain

Exclusions

Studies of phantom pain

 

Total participants N=867

Avg age 59 (6)

Avg baseline pain scores 3.2 (3.4)

Avg Dropout:

8% (4)  Only completers included in this analysis

Chiropractic adjustment in office

 

Most weekly

(2/10 allowed 2x wk)

 

Fidelity

All  > 80%

 

 

Massage

45-60 mins

 

 

Most weekly

(2/10 allowed 2x wk)

 

Fidelity

All >86%

 

 

At 8 weeks

N=4

 

Tx = 3.6

Control = 5.2

(RR for 2 point pain reduction= 1.6 (1.1-2.3); p=.04):

 

I2= 10%

 

At 12 weeks

N=6

 

 Tx = 3.2

Control = 4.8

(RR for 2 point pain reduction= 1.7 (1.4-2.4); p=.04):

 

I2= 13%

 

 

 

Quality B due to no ITT

 

 

wkly chiropractic adjustment was more effective than weekly massage for reducing chronic pain based on the data from these studies

—none

 

Tx. Better than control

 

High dropout rate and not analyzed with ITT

Partially- my population is much younger on average

Partially- my population has a variety of pain sources

Useful- yes

Add more                  
                   
                   
 

 

 

 

                 

 

Legend:(all abbreviations and acronyms used in the table should be listed here)

 

 

Table 3.

Synthesis Matrix(identify the trends; this table may be single space and 10 point font; ONLY primary quantitative research articles or systematic reviews should be in this table; use only the highest level and quality of evidence; if the evidence is of mixed level or mixed quality, sort the trends using the Johns Hopkins Appendix H; trends must be related to the outcome) (example provided regarding effective pain management which may or may not be within your scope of practice- make sure your PICOT is within your scope of practice.)

 

Main ideas Albright (2020) Reference 2 Reference 3 Reference 4 Reference 5 Add columns as necessary
Weekly chiropractic adjustment equally effective as weekly massage            
Biweekly chiropractic adjustment associated with 30% lower pain scores compared to weekly massage in those with back pain            
In those with a mean age under 50, weekly massage associated with 20% lower pain scores compare to chiropractic adjustments            
Add more as needed            

 

Figure 1

Results of Search for Research

Use http://prisma.thetacollaborative.ca/ to generate a diagram describing the results of your search. Paste it here.

 

 

 

 

 

 

 

 

Obesity In Children

 

 

Obesity in Children

An apple does not fall far from the tree. A saying that has beenreferenced in conversations involving children who have acquired specific traits from their parents. Among these traits is obesity, both genetic and lifestyle-related obesity. A child is classified as obese when his or her weight is well above the normal for their age and height (CDC, 2021).

One of the tools widely used to gauge obesity is the body mass index(BMI). The BMI needs to be compared against age and sex growth charts as children gain weight and muscle a different rate with age. Normal BMI for boy’sranges from 13.8 to 16.8 at five years, 14.2 to 19.4 at ten years, and 16.5 to 23.4 at fifteen years. Normal BMI for girls ranges from 13.6 to 16.7 at five years, 14.0 to 19.5 at ten years and 163 to 24.0 at fifteen years(CDC, 2021). Discussed in this paper is the relation of parent health patterns and their probability of affecting their children’s weight.

Significance of the Practice Problem

            BMI values that lie above the higher percentiles very likely indicate obesity. Obesity puts the child at a higher risk of chronic lifestyle diseases such as hypertension, diabetes, and cardiovascular diseases (Henderson, 2021). Not only does it affect their physical well-being, but it also exposes them to psychological issues including low self-esteem issues, bullying, eating disorders and depression (Angawi, &Gaissi, 2021).

PICOT Question

In adolescent patients under the age of 12 who have obese parents (P) what is the effect of a dietitian and exercise program (I) compared to children who did not have a dietitian and exercise program (C) on preventing the adolescent from having a BMI over the 85th percentile range (O) within one year (T)?This is our main question of concern throughout this article. A child’s health and well-being are fostered by a home environment with engaged and skillful parenting that models, values, and encourages sensible eating habits and a physically active lifestyle. Parents can have a great influence on their children that is marked when they serve as role modelswho promote specific values and reinforce or punish certain behaviors. It is no surprise that sedentary behaviors and their resultant diseases tend to trail within families. Not to ignore that some of these risk factors rise from genetic components, but most are strongly influenced by behavioral aspects. The family is thus an appropriate and important target for interventions designed to prevent obesity in children through increasing physical activity levels and promoting healthful eating behaviors(Kraak, Liverman, &Koplan, 2005).

Population/Problem

The population of interest was mainly lower to middle class households where one or more of the parents is diagnosed as obese. The variables in this case were BMI values (to assess obesity), type of food eaten (fast food or home cooked meals), exercise patterns of the family members, education level of the parents and age of both the parents and children. By the end of the study, parents should be able to identify their role in encouraging healthy lifestyles in their children, combat childhood obesity, and understand the significance of teaching children healthy diet and exercise habits.

 

Intervention

            The above families were monitored for six weeks to assess their daily nutrition-exercise pattern. During the first meet-up of the parents and research assistants, the parents were given evaluator questionnaires to fill out to determine their household structure and lifestyle patterns. After the first six weeks elapsed, the families were provided with diet plans and exercise routines to follow through the next twelve weeks to help rate whether there would be a difference in the weight status of the family members, including the children. Following the 12 weeks, the familial progression was assessed. Each family met with the dietitian to review progress and measure the success of current goals. At the conclusion of this meeting, new goals were set for the next 34 weeks, and a final meeting at the one-year conclusion of the intervention was scheduled.

Do not skip this space

Comparison

The level of adherence of parents and children in this program was compared toparents and children who did not have a dietitian and exercise program in place. A comparison was also done between the households that switched to the healthier meal and exercise options and those that chose to stick to their usual routine.

Outcome

The study outcome will mainly focus on weight changes in the obese children at the end of the year. It is anticipated that the parents will cooperate and stick to the plan of action during the study period. Both the parents’ and children’s weights and height will be measured at the beginning and BMI will be calculated to determine how obese they are. These same parameters will again be measured at the end of the study to determine whether there will be any significant changes.

Timing

The study is timed at fifty-two weeks or one year. The first six to assess the sample household lifestyles while the following forty-six will focus on replacing the unhealthy lifestyles with healthier choices and assess the results. A twelve-week check-in will be scheduled to make any necessary adjustments.

Search Strategy and Results

The inclusion criteria included obese adults with children as well as non-obese adults with obese children. Parents working more than eight hours a day who leave their children under minimal supervision while they’re at work were also considered for the study. Parents with a higher level of education (those that completed their tertiary training) have greater adherence to providing healthier meal options to their families at least twice every day, compared to those that dropped out in high school. Previously obese members from households that embraced the healthier meal options and exercise plans showed a significant reduction in weight compared to those from the households that chose to stick to their routine unhealthy diet options and non-exercising lifestyle.

Do not skip this space

Conclusion

In summary, it is evident that parental diet and exercise habits are greatly reflected in their children’s weight gain patterns. Genetic obesity aside, adults who became obese because of their carefree lifestyle choices are highly likely to have obese children. As seen in the paper, they do not take the initiative to train their children through sensibly healthy eating habits and physical exercise since they themselves have not been through these choices.

 

References

Angawi, K., &Gaissi, A. (2021). Systematic Review of Setting-Based Interventions for

Preventing Childhood Obesity. BioMed Research International, 1–10. https://doi.org/10.1155/2021/4477534

Center for Disease Control and Prevention. (2021). Healthy Weight, Nutrition, and Physical

Activity. Retrieved from:

https://www.cdc.gov/healthyweight/assessing/bmi/childrens_bmi/about_childrens_bmi.html

 

Henderson, N. N. (2021). Childhood Obesity: Improving Outcomes Through Primary Care-

Based Interventions. Pediatric Nursing47(6), 267–300.

Kraak, V. A., Liverman, C. T., &Koplan, J. P. (Eds.). (2005). Preventing childhood obesity:

health in the balance.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Nursing homework help

Nursing homework help

Article

The grounded theory looks to analyze how people understand and interact with other people in their world and interpret the socially shared meanings which influence human behaviors. In practice, nurses can use grounded theory to assess health patterns in population groups and communities and predict health patterns and care concerns in nursing practice (Singh & Estefan, 2018). For example, grounded theory analyzes the causes of altered mental status among patients in the nursing home and the hazards of falls and unstable gait. Nursing homework help

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Ethnographic research analyzes people in their environment through observation and face-to-face participant interviewing (Lambert et al., 2011).

Ethnography in nursing means obtaining access to ethnicity or culture’s health beliefs and practices, for example, observing stress levels in the medical personnel in a high-volume hospital (Robertson & Boyle 1984)

Grounded theory and ethnographic research are used in qualitative studies in numerous social science fields. They are both based on inductive and systematic methods of exploring cultural aspects such as beliefs, values, behaviors, language. The particular group of the population has lived together over an extended period of time, have similar attitude, beliefs, attitudes, habits. The difference between them is that a grounded theory describes the pattern of the research aspects, the ethnographic represents the cultural interpretation of the research aspects in a particular culture.

References

Lambert et al. (2011). Employing an ethnographic approach: key characteristics. 19(1):17-24. https://doi.org/10.7748/nr2011.10.19.1.17.c8767

Robertson, M. H., Boyle, J.S. (1984). Ethnography: contributions to nursing research. Leading Global Nursing Research.  https://doi.org/10.1111/j.1365-2648.1984.tb00342.x

Singh, S., Estefan, A. (2018). Selecting a Grounded Theory Approach for Nursing Research. Global Qualitative Nursing Research. https://doi.org/10.1177/2333393618799571

(Please write a response to the article above using 200-300 words APA format with at least two references. Sources must be published within the last 5 years. There should be a mix between research and your reflections. Add critical thinking in the posts along with research. Apply the material in a substantial way.)