Community Health Paper

Write a paper that addresses the following: What is the role of a community health nurse? How does the community health nurse assist the families of patients in their home settings? What are some of the barriers related to the initiation of home care services in communities? How does living in an urban area versus a rural area affect home care services? Your paper must be three to four pages in length, in APA format, typed in Times New Roman with 12-point font, and double-spaced with 1” margins. Include a minimum of three references.

The Inclusion of Leader Nurses in the Systems Development Life Cycle SDLC and the development of a new health information technology system

PLS SEE ALL UPLOADED ARTICLES AND DISCUSSION DETAILED INSTRUCTION DOCS Introduction Nurse have an important role in the Systems Development Life Cycle (SDLC). With a focus on patient care and outcomes, nurses may not always see themselves as contributors to the development of new systems. However, as you may have observed in your own experience, exclusion of nurse contributions when implementing systems can have dire consequences. In this Discussion, consider the role that nurses might play in systems development and the ramifications of not being an active participant in systems development. Review the steps of the Systems Development Life Cycle (SDLC) as presented in the Required Media from YouTube Louis, I. (2011, August 17). Systems development life cycle (SDLC) [Video file]. Retrieved from https://www.youtube.com/watch?v=xtpyjPrpyX8 and the attached uploaded research articles and any other relevant peered-reviewed resources of your choice and write a 2 page discussion APA style on the following 1. Reflect on your own healthcare organization (a large nursing home facility) and consider any steps your healthcare organization goes through when purchasing and implementing a new health information technology system (ie A Mobile Phone App for Bedside Nursing Care). 2. Examples of Potential Issues at Each Stage of SDLC and How Incorporation of Nurses May Assist In Addressing the Various Issues 3. Consider what a nurse might contribute to decisions made at each stage of the SDLC when planning for new health information technology (ie A Mobile Phone App for Bedside Nursing Care). 4. Provide specific examples of potential issues at each stage of the SDLC and explain how the inclusion of nurses may help address these issues 5. A description of what you believe to be the Consequences of a healthcare organization of not Involving Nurses in Every SDLC Stage Especially When purchasing and implementing a new information technology (IT) System. 6. Then, explain whether you had any input in the Selection, Design, planning and Application of new health information technology systems (such as A Mobile Phone App for Bedside Nursing Care) in your nursing practice or healthcare organization and explain potential impacts of being included or not in the decision-making process. Be specific and provide examples.

Biomedial Sciences in Nursing Theories

Biomedial Sciences in Nursing Theories from the biomedical sciences have shaped nursing practice, as well as research, throughout the years.

In order to engage in the highest level of practice and aid in addressing current and future issues in health care, it is important for nurses to become more cognizant of these theories. For this Discussion, you will differentiate among theories within the basic, or pure, sciences, and consider how they may be applied to improve outcomes in health care.

To prepare: • Review the concepts and principles of the various biomedical theories and models presented in this week’s Learning Resources, and consider how they influence clinical practice. Which biomedical theories and models are used most frequently in health care? How do they relate to improved health outcomes? Reflect on your specific practice area and identify at least one biomedical theory or model that is utilized. Resources McEwin, M., & Wills, E. M. (2019). Theoretical basis for nursing. (5th ed.) Philadelphia, PA: Wolters Kluwer Health. • Chapter 15, “Theories From the Biomedical Sciences” Frazier, L., Wung, S., Sparks, E., & Eastwood, C. (2009). Cardiovascular nursing on human genomics: What do cardiovascular nurses need to know about congestive heart failure? Progress in Cardiovascular Nursing, 24(3), 80–85. Yao, L., & Algase, D. (2008). Emotional intervention strategies for dementia-related behavior: A theory synthesis. The Journal Of Neuroscience Nursing, 40(2), 106–115.

Events that have contributed or will continue to contribute to the nursing shortage

Discuss the events that have contributed (or will continue to contribute) to the nursing shortage, or that contribute to a shortage in a region or specialty. Discuss at least one way that the nursing profession is currently working toward a resolution of this problem. In replies to peers, offer three different examples of how the nursing shortage has been addressed in your state, community, or specialty area.

Matching Theory to Client Intervention Paper

Matching Theory to Client Intervention Paper:

Paper details Matching Theory Case Study Unsettling Transition Mrs. Elizabeth Cuthbert is an 81 year old Caucasian woman. She has been diagnosed with syncope (fainting spells), hypertension, and chronic obstructive pulmonary disease. For the last four months she has resided in a nursing facility and receives skilled nursing services. Mrs. Cuthbert’s move to the facility occurred as a result of repeated syncope and falls. Her condition has been exacerbated by the recent development of a foot drop, a weakening of the structures in her ankle that allows the foot to dangle when walking. This ailment has increased her risk of falling. Mrs.Cuthbert has been fitted with an ankle foot orthosis (AFO) and provided with a walker, but she claims these aids make her feel “weak.” Mrs. Cuthburt receives physical therapy for her balance and occupational therapy for her tasks of daily living. Her discharge plan involves placement in an assisted living apartment once she has developed the safety and ambulation skills that will allow her to live without constant monitoring. Mrs.Cuthbert’s medications for the last six months include therapeutic aspirin, blood pressure medication,and Tylenol for pain relief from her fall and osteoarthritis.

She is compliant with her medications. Mrs.Cuthbert was widowed 20 years ago and has lived alone in her home of 35 years since that time. Her immediate family includes two adult children, who live in the area, and three grandchildren, who visit and send her letters. Family members visit frequently, at least twice a week. Mrs.Cuthbert Expresses a negative attitude toward the aged in comments during unrelated discussions. For instance, when the social worker intern first met her, she cast aspersions on an“old dog” who lived in the unit, and then went on to make negative comments about her own appearance, saying she looked like “an old hag.” She received the social workers supportive comments positively, but the change in attitude appears transitory. The results of a mini-mental status examination conducted on Mrs.Cuthbert indicated that she was aware of person, time, and place. Mrs.Cuthbert was also evaluated using a mood scale to determine her risk for depression. She scored 7 out of 15 (a score higher than 5 is indicative of depression). Her response to the mood-scale questions revealed feelings of worthlessness, low energy, insomnia, and diminished interest in pleasurable activities. Mrs. Cuthbert evidences no symptoms of mania. Mrs.Cuthbert is undergoing significant change in her social support system as a result of her move to the nursing facility. She no longer has the neighbors whom she visited each day as she went about retrieving her newspaper, checking on her garden, and watering her outdoor plants. She has lost the use of her car and feels that she should give up driving permanently to prevent possible accidents. She also no longer has the option of walking to her place of worship because of her current condition. An additional problem for Mrs.Cuthbert is her reluctance to make safety changes that will allow her to move to an assisted living apartment in a nearby community where several lifelong friends reside. She has been very reluctant to adopt the walker or the AFO and has been refusing the majority of her physical and occupational therapy treatments because she is “tired.” During her care plan meeting, Mrs. Cuthbert expressed surprise that the entire interdisciplinary team had gathered to discuss her case with her and her family. She asked, “Why are all of you interested in me?” She stated that she wanted to move to assisted living because she would be able to visit with her friends there once she did so. When told that she could not move until she addressed the safety and ambulation deficits she is experiencing, she expressed interest in cooperating with the various therapists and counselors. According to Mrs. Cuthbert’s daughter, Barbara, until her current health problems and the move to the nursing facility, her mother was a relatively contented person. She crocheted,enjoyed crossword puzzles, called on friends, assisted two shut-ins whom she has known for years, and had her grandchildren over for weekend visits. Since her admission to the nursing home, it has become difficult for Mrs. Cuthbert to accomplish several of her old activities, and simply not feasible to continue others. However, she has also discontinued the activities that were appropriate for her while at the nursing home, except for doing crossword puzzles. Barbara noted that her mother was not interested in going out for meals as she had been before fall. Her daughter speculated that her mother might not want to be seen in public with the AFO and walker, but noted that she also refused take-out meals offered as well. When asked, Barbara was unaware of any history of mood disorders or other mental illness in her mother’s background, but said that her mother wouldn’t typically speak of such things anyway. Mrs. Cuthbert financial situation is sound. She owns her own house and collects pensions from both her own employment as a secretary and her husband’s work.

What is the effect of Calm application on by measuring initially and finally their %SpO2 SYS DIA & PRbpm

Topic: What is the effect of ”Calm” application on by measuring initially and finally their %SpO2, SYS, DIA & PRbpm

 

Paper details:

LAB REPORT – BIOLOGY *Introduction *Hypothesis *Raw Data *Background information Heart Heart Rate Heart Structure Beats per Minute Veins anteries Blood Vessels (elements) Reaction onf the application that increased the heart rate *Research Question *Variables Independent Variables: Depended Variables: Controlled VariablesP *Materials in step and Methodology in steps *Results Quantitative Data Collection *Analysis *Proccessed data *Presentation of results *mean standard deviation *Discussion *Evaluation *bibliography

Benchmark – Patient’s Spiritual Needs: Case Analysis

Use the chart you completed and questions you answered in the Topic 3 about “Case Study: Healing and Autonomy” as the basis for your responses in this assignment. Answer the following questions about a patient’s spiritual needs in light of the Christian worldview. In 200-250 words, respond to the following: Should the physician allow Mike to continue making decisions that seem to him to be irrational and harmful to James, or would that mean a disrespect of a patient’s autonomy? Explain your rationale. In 400-500 words, respond to the following: How ought the Christian think about sickness and health? How should a Christian think about medical intervention? What should Mike as a Christian do? How should he reason about trusting God and treating James in relation to what is truly honoring the principles of beneficence and nonmaleficence in James’s care? In 200-250 words, respond to the following: How would a spiritual needs assessment help the physician assist Mike determine appropriate interventions for James and for his family or others involved in his care?

Case Study – Systemic Lupus Erythematosus

Case Study – Systemic Lupus Erythematosus

Michelle is a 40-year-old teacher who was recently diagnosed with Lupus Erythematosus.

The disease has attached her GI tract. One week ago she endured a bowel resection and ostomy placement after high doses of steroids failed to control her autoimmune response. She is presently crying because she hates the ostomy, hates the steroid effects, is afraid of losing her job, and she just doesn’t feel well. She is nauseated and has cold symptoms. This morning her glucose level was 324, her white count was 15,000, her temperature is 100.8, and her incision is “red and sore.” Her medications include: • Solu-Medrol IV 40mg BID • Hydroxychloroquine PO 150 mg twice a day • Vicodin ES PO 1 tablet every six hours for moderate pain PRN • Acetaminophen PO 650mg every 4 hours PRN for mild pain or temp > 100.5 Assignment: 1. Name three nursing priorities, and why? 2. List a short-term (during shift) and a long-term (within one week) SMART goal for the patient? 3. What are the classification, action, and therapeutic effects (reason) for solu-medrol, hydroxychloroquine, and acetaminophen? 4. List drug interactions or contraindications to be concerned about for solu-medrol, hydroxychloroquine, and acetaminophen? 5. What adverse effects/side effects does the nurse need to monitor for solu-medrol, hydroxychloroquine, and acetaminophen? 6. Because of the temperature of 100.8, you administer 650mg of acetaminophen. Two hours later Michelle asks for a Vicodin, how would you respond? 7. Michelle asks if you can stop giving her the solu-medrol, why is this not an ideal course of action?

PICOT Question In hospitalized adult patients is hand washing with soap and water

PICOT Question In hospitalized adult patients is hand washing with soap and water
Topic: PICOT question: In hospitalized adult patients is hand washing with soap and water or the use of alcohol-based hand sanitizer more effective in preventing Hospital Acquired Infection HAI compared to no hand washing at all during their course of hospital

 

Paper details:

Critically appraise a minimum of 14 peer-reviewed articles meeting your PICOT question search strategy. Complete the appraisal using an appropriate critical appraisal checklist. Submit your completed checklists to Canvas’ assignment manager. Sources should be between 2015-2019

Spinal Cord Injury Patients

Article: Fehlings, M. G., Tetreault, L. A., Wilson, J. R., Kwon, B. K., Burns, A. S., Martin, A. R., … & Harrop, J. S. (2017).

Spinal Cord Injury Patients

A clinical practice guideline for the management of acute spinal cord injury: Introduction, rationale, and scope [PDF]. Reference the rubric for grading details. To complete the assignment: Answer the following two questions on the chosen population of patients: What are the best practices in caring for this patient population? Summarize the guidelines. ( Note you must use one of the three articles listed above.) Chose three interventions from the guideline and examine the level of evidence( for example, is this expert opinion or is it a randomized case study)? Does the level of evidence impact the likelihood of use in practice? Each answer must be a minimum of 300-400 words using APA in-text citation. ( Total 600-800 words excluding references and citations) No images or tables are counted into the word count. If an image or table is used there must be permission from the publisher to use.

Create an APA title page and follow APA format for in-text citations and reference list. In-text citations must be used. No more than one direct quote within the submission.

Paraphrase and cite the source. Use at least 5 references that are current for the last 3 years. Answer each question completely with correct word count Points Range: 0 (0.00%) – 60 (60.00%) 30 Points each APA in text citations, number of reference, reference page,, references within the last 3 years Points Range: 0 (0.00%) – 20 (20.00%) Style and grammar, Title page and uses no more than one direct quotation in the entire submission. Points Range: 0 (0.00%) – 10 (10.00%) Uses one of the three supplied clinical practice guidelines. Includes a definition of a clinical practice guideline within the narrative.