Journal writing provides a nonthreatening way to explore different thoughts, ideas, and topics without being concerned about audience presentation. The process of writing can facilitate reflection and allow you to express your feelings regarding your educational experiences as well as clarify your thinking.

Dementia impacts a person’s capacity to make informed decisions. When we consider a person with dementia with regard to engaging in sexual or intimate situations, the person must be able to have the capacity to make informed decisions. Imagine you are the director of a skilled nursing facility and you have two patients who are married. One resident is cognitively impaired, and the other is not and chooses to engage in sexual and intimate acts with their spouse as they have always done. How do you respond? What is your role in protecting the person with cognitive impairment? Does it matter that they are married and have engaged in these sexual and intimate acts all of their life? What ethical factors related to decision-making and engaging in sexual relationships should be considered? 

Your journal entry should be 250 to 400 words long. No outside research is expected and, therefore, no references are needed.

In this writing assignment, you will explain the role of the nurse with respect to informatics.

Step 1 Read each of the following scenarios:

• Scenario 1: Helen has recently graduated from nursing school and passed her boards. Last week, she completed her orientation period on the medical nursing unit at Good Samaritan General Hospital.
• Scenario 2: Paul is a registered nurse in the neurosurgery unit at Good Samaritan General Hospital. He has been a staff nurse for ten years and provides direct patient care. In addition, Paul chairs the unit’s nursing council to improve patient care.
• Scenario 3: Lisa is a nurse manager and leads the medical intensive care unit and surgical intensive care unit at Good Samaritan General Hospital. She is responsible for the day-to-day operations, staff adherence to policies and procedures, staffing, and payroll.

Step 2 Explain the role of the nurse with respect to informatics in each scenario. Write a one- to two-page paper in which you discuss the role of each nurse in informatics. Use the following questions as guidelines:

• How does the nurse in each scenario use informatics in his or her work?
• What is the nurse in each scenario responsible for as it pertains to informatics?

Cite any sources in APA format.

Diabetes Mellitus

Diabetes Mellitus is a disease is a disease that results in high amounts of sugar in the blood. This disease prevents the human body from adequately using energy which is generated by the food on takes. The causes of this disease have not yet been found. Diabetes mellitus symptoms include high levels of thirst and hunger, dry mouth, and frequent urination, among others. Diabetes Mellitus is a severe medical condition whose impact on nurses and stakeholders is to be discussed, and a solution for solving this problem be determined as soon as possible.

Diabetes impacts nurses by making them educate patients or other healthcare personnel on diabetes; it also makes the nurse deliver direct care to their patients. This leads to a reduction of inpatient care and complications as well as reduced patient length in the hospital.  Its impact on nursing care has led to strict and all-time supervision of patients who have this condition. The nursing care department has made it crucial to provide the necessary and required care to patients. It has also led to the nursing department to promote self-care management plan to these patients(“American Diabetes Association”, 2015). The condition’s impact on health care organizations has been tremendous in terms of costs that have been used or research and finding the cure for this condition. It has also led to increased medicare costs for organizations that offered free treatment to diabetic patients. However, this does not mean the quality of the care provided has decreased, but rather it has improved drastically over the past few years, ensuring diabetic patients get the required medical attention.

Local stakeholders of this disease are the patients who are affected by this disease, their family members, and the local healthcare providers. The patients are the people who are affected by diabetes Mellitus. These people need adequate healthcare and the best possible treatment or care which they can get. Family members are people of the same kin as the patient. These are the people who are immediately affected by the impact of the disease on the affected individual. They are usually involved either financially or emotionally. Usually, they help the person deal with the burden of medical expenses. The healthcare providers are the people who provide the required help to the affected individuals. They usually comprise of diabetes specialist nurses, doctors, and psychologists.

The cure for diabetes has not been discovered yet, but research is being carried out. In my local community, the issues of diabetes have been addressed through creating awareness of some of the causes of this disease. Seminars have been designed, and diabetes specialists are invited to explain more about this condition and means of avoiding getting it(Harries et al.,2016). These specialists also took the initiative of visiting different schools to create awareness of this disease. The intervention that would be implemented locally address this issue is banning the use of processed food or take away foods. This foods usually lead to obesity which is one of the significant causes of diabetes Mellitus. If the foods cannot be banned, then the purchases made by these people should be governed by setting limits on the amount of processed food one purchases.

Diabetes Mellitus is a medical condition which affects both the patient, stakeholders and nursing care in different ways. It is so common that it has led to an increase in the research cost to find the cure. Every person has a responsibility to live a healthy life to reduce the prevalence of this condition.

References

American Diabetes Association. (, 2015). 13. diabetes care in the hospital, nursing home, and skilled nursing facility. Diabetes Care, 38(Supplement 1), S80-S85.

Harries, A. D., Kumar, A. M., Satyanarayana, S., Lin, Y., Zachariah, R., Lönnroth, K., & Kapur, A. (2016). Addressing diabetes mellitus as part of the strategy for ending TB. Transactions of the Royal Society of Tropical Medicine and Hygiene, 110(3), 173-179.

1-Nice job identifying the local stakeholders.  You live in Miami. what is the prevalence of diabetes in Miami?  What is the outcome you are looking to improve?  Are barriers to improving outcome clinical, learning, or operational. Why is this distinction a foundational step in addressing the local problem?

  Similarity no more than 10 %

The APRN will be assigned a conflict case scenario by faculty (one scenario per group) where the nurse practitioner’s student must assess and implement an action plan for management. The APRN student will work in a clinical group, discuss how to initiate a plan of action in resolving the clinical issue and present a PowerPoint presentation. No more than 10 slides 

     Please see the Attachments about PowerPoint and rubric

The following website might help yo to understand conflict:

https://www.ahrq.gov/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/conflict_resolution-slides/conflictresslides.html#slide17