Disaster Management and the Role of the Community Health Nurse

Learning Materials

  • Clark, M. J. (2015). Population and community health      nursing (6th ed.). Boston, MA: Pearson Chapter 25

http://www.redcross.org/get-help/prepare-for-emergencies/be-red-cross-ready

Assignment:

· Create a power point with the intended audience to be a community health department.

· Focus on a real or fictional disaster that has or could affect your area. For example, if you live on the Florida coast you might choose potential hurricane.

· Discuss the role of the Community Health Nurse in each stage of disaster. You should include a few slides on each stage of disaster: preparedness, response, recovery with specific activities and resources that the public health nurse would use in each stage.

· Identify other agencies that might be involved.

The assignment should be submitted in Power Point format, with at least 15 content slides (in addition to a title slide and reference slide) and include at least 3 scholarly sources(less than 5 years old)  other than provided materials. Disaster Management and the Role of the Community Health Nurse

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Quality Improvement Initiative Evaluation

  •   Deliver a 5–7-page analysis of an existing quality improvement  initiative at your workplace. The QI initiative you choose to analyze  should be related to specific disease, condition, or public health issue  of personal or professional interest to you.
    Too often, discussions about quality health care, care costs, and  outcome measures take place in isolation—each group talking among  themselves about results and enhancements. Because nurses are critical  to the delivery of high-quality, efficient health care, it is essential  that they develop the proficiency to review, evaluate performance  reports, and be able to effectively communicate outcome measures related  to quality initiatives. The nursing staff’s perspective and the need to  collaborate on quality care initiatives are fundamental to patient  safety and positive institutional health care outcomes.
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  • Toggle Drawer  Context
    The purpose of the report is to assess whether specific quality  indicators point to improved patient safety, quality of care, cost and  efficiency goals, and other desired metrics. Nurses and other health  professionals with specializations and/or interest in the condition,  disease, or the selected issue are your target audience.
  • Toggle Drawer  Questions to Consider
    As you prepare to complete this assessment, you may want to think  about other related issues to deepen your understanding or broaden your  viewpoint. You are encouraged to consider the questions below and  discuss them with a fellow learner, a work associate, an interested  friend, or a member of your professional community. Note that these  questions are for your own development and exploration and do not need  to be completed or submitted as part of your assessment.
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  • Toggle Drawer  Resources
    Suggested Resources
    The resources provided here are optional. You may use other  resources of your choice to prepare for this assessment; however, you  will need to ensure that they are appropriate, credible, and valid. The Nursing Masters (MSN) Research Guide  can help direct your research, and the Supplemental Resources and  Research Resources, both linked from the left navigation menu in your  courseroom, provide additional resources to help support you.
    Capella Resources
    Capella provides a thorough selection of online resources to help you understand APA style and use it effectively.
  • APA Module.
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  •  Assessment Instructions
    Preparation
    You have been asked to prepare and deliver an analysis of an  existing quality improvement initiative at your workplace. The QI  initiative you choose to analyze should be related to a specific  disease, condition, or public health issue of personal or professional  interest to you. The purpose of the report is to assess whether specific  quality indicators point to improved patient safety, quality of care,  cost and efficiency goals, and other desired metrics.
    Your target audience consists of nurses and other health  professionals with specializations or interest in your selected  condition, disease, or issue. In your report, you will define the  disease, analyze how the condition is managed, identify the core  performance measurements used to treat or manage the condition, and  evaluate the impact of the quality indicators on the health care  facility:
    Note: Remember, you can submit all, or a portion  of, your draft to Smarthinking for feedback, before you submit the final  version of your analysis for this assessment. However, be mindful of  the turnaround time for receiving feedback, if you plan on using this  free service.
    The numbered points below correspond to grading criteria in the  scoring guide. The bullets below each grading criterion further  delineate tasks to fulfill the assessment requirements. Be sure that  your Quality Improvement Initiative Evaluation addresses all of the  content below. You may also want to read the scoring guide to better  understand the performance levels that relate to each grading criterion.
  1. Analyze a current quality improvement initiative in a health care setting.
    • Evaluate a QI initiative and explain what prompted the  implementation. Detail problems that were not addressed and any issues  that arose from the initiative.
  2. Evaluate the success of a current quality improvement initiative through recognized benchmarks and outcome measures.
    • Analyze the benchmarks that were used to evaluate success.  Detail what was the most successful, as well as what outcome measures  are missing or could be added.
  3. Incorporate interprofessional perspectives related to initiative functionality and outcomes.
    • Integrate the perspectives of interprofessional team members  involved in the initiative. Detail who you talked to, their professions,  and the impact of their perspectives on your analysis.
  4. Recommend additional indicators and protocols to improve and expand quality outcomes of a quality initiative.
    • Recommend specific process or protocol changes as well as added technologies that would improve quality outcomes.
  5. Communicate evaluation and analysis in a professional and  effective manner, writing content clearly and logically with correct use  of grammar, punctuation, and spelling.
  6. Integrate relevant sources to support arguments, correctly formatting citations and references using current APA style.
  7. Submission Requirements
  • Length of submission: A minimum of five but no more than seven double-spaced, typed pages.
  • Number of references: Cite a minimum of four sources (no older  than seven years, unless seminal work) of scholarly peer reviewed or  professional evidence that support your interpretation and analysis.
  • APA formatting: Resources and citations are formatted according to current APA style and formatting.
  • Assessment 2 Example

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Literature Evaluation Table

In nursing practice, accurate identification and application of   research is essential to achieving successful outcomes. Being able to   articulate the information and successfully summarize relevant   peer-reviewed articles in a scholarly fashion helps to support the   student’s ability and confidence to further develop and synthesize the   progressively more complex assignments that constitute the components   of the course change proposal capstone project.

For this assignment, the student will provide a synopsis of eight   peer-reviewed articles from nursing journals using an evaluation table   that determines the level and strength of evidence for each of the   eight articles. The articles should be current within the last 5 years   and closely relate to the PICOT statement developed earlier in this   course. The articles may include quantitative research, descriptive   analyses, longitudinal studies, or meta-analysis articles. A   systematic review may be used to provide background information for   the purpose or problem identified in the proposed capstone project.   Use the “Literature Evaluation Table” resource to complete   this assignment.

While APA style is not required for the body of this assignment,   solid academic writing is expected, and in-text citations and   references should be presented using APA documentation guidelines,   which can be found in the APA Style Guide, located in the Student   Success Center.

This assignment uses a rubric. Please review the rubric prior to   beginning the assignment to become familiar with the expectations for   successful completion.

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Nursing homework help

Please read the instructions

You are admitting a 19-year old female college student to the hospital for fevers. Using the patient information provided, choose a culture unfamiliar to you and describe what would be important to remember while you interview this patient. Discuss the health care support systems available in your community for someone of this culture. If no support systems are available in your community, identify a national resource.

Remember the cultural related characteristics would be related to communication in the culture, since we are conducting an interview, spacial distance, eye contact, level of openness, taboo subjects, who you should address etc. should be considered. Research cultural communication considerations prior to answering. The AHRQ tool kit is a great source for learning more about culture and providing culturally competent care. Here is the link, https://www.ahrq.gov/health-literacy/quality-resources/tools/literacy-toolkit/healthlittoolkit2-tool10.html

Any sources used should be scholarly and current (within the last five years ideally , expand your search only if there is no current information).

Grading Rubric

States chosen culture +0.5

Describes nursing considerations for the interview related to culture +3.5

Discusses health support systems for the culture in your community +3.5

Writing +0.5

Table you may use:

Culture

 

Considerations

 

Resources

 

References

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Nursing homework help

Grading Rubric Hints and Sample Table for this Discussion Question

Grading Rubric Advice and Sample Table for This Discussion Question

Class after completing all the assigned readings answer the following question:

For the middle-aged adult, exercise can reduce the risk of various health problems. Choose two at-risk health issues that regular physical exercise and activity can help prevent and manage. Discuss the prevalence of each of these health problems in society today. Describe measures that you would take as a nurse to assist clients with health promotion measures to incorporate exercise and physical activity into their lives. Include the kind of activities you would recommend, the amount of exercise, and the approach you would use to gain cooperation from the client. Support your response with evidence-based literature.

Your post should illustrate that you completed the readings and be well related to the unit’s objectives. Please do not use consumer web sites like Mayo.org as the information is summarized and simplified for the consumer. Your post should illustrate knowledge much deeper than a consumer.

Grading Rubric

States two health issues that physical exercise could help prevent and manage in the middle-aged adult +1

Provides prevalence of the problems in society today (current statistics) +2

Lists/ discusses health promotion measures for prevention/ management of each problem +2

Includes examples of activities/ exercises +2

Supports response with evidence-based literature. +0.5

Writing / APA reference and citation +0.5

Table for your Answers

Health Issues of Middle Age that Exercise can Prevent

Prevalence of the Problem in the US

Health promotion measures you would introduce/ physical exercise you would suggest/ Approach to gain cooperation

 

 

Evidence Based Literature used:

 

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pharmacology

Psychological disorders, such as depression, bipolar, and anxiety disorders can present several complications for patients of all ages. These disorders affect patients physically and emotionally, potentially impacting judgment, school and/or job performance, and relationships with family and friends. Since these disorders have many drastic effects on patients’ lives, it is important for advanced practice nurses to effectively manage patient care. With patient factors and medical history in mind, it is the advanced practice nurse’s responsibility to ensure the safe and effective diagnosis, treatment, and education of patients with psychological disorders.

For this Discussion, you will select an interactive media piece to practice decision making when treating patients with psychological disorders. You will recommend the most effective pharmacotherapeutic to treat the psychological disorder presented and examine potential impacts of pharmacotherapeutics on a patient’s pathophysiology.

· Review this week’s interactive media pieces and select one to focus on for this Discussion.

·

· Reflect on the decision steps in the interactive media pieces, and consider the potential impacts from the administration of the associated pharmacotherapeutics on the patient’s pathophysiology.

Post a brief explanation of the psychological disorder presented and the decision steps you applied in completing the interactive media piece for the psychological disorder you selected. Then, explain how the administration of the associated pharmacotherapeutics you recommended may impact the patient’s pathophysiology. How might these potential impacts inform how you would suggest treatment plans for this patient? Be specific and provide examples.

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response

The Role of Advanced Practice Nursing in Safe Prescribing

The s. 893.03 Florida Statutes mandate the APRNs to prescribe controlled substances in line with the supervisory standards. The professionals have to engage in three-hour training sessions on safe prescribing and the effective implementation of the related strategies (Florida Board of Nursing, 2016). The APRNs have to evaluate and define the patients’ health issues to offer the right prescriptions. They should also equip patients with relevant information about warnings as well as how one should take the prescribed drugs (Pigman et al., 2016). Additionally, the practitioners monitor the patients regularly to make sure they receive the intended benefits of the prescriptions at hand. According to the state requirements, the APRN practitioners have to meet the same prescription standards as physicians.

Prescribing Barriers for APRNs

Various barriers limit the APRN practitioners from undertaking their prescription roles effectively. First, state licensure restricts the APRNs from engaging in full practice in line with their educational qualifications. The practitioners can only engage in one of the NP roles based on collaborative agreements. Secondly, APRN training programs may fail to equip learners with advanced skills for delivering high-quality health care services. Negative perceptions of the existing working conditions and inadequate knowledge also limit the practitioners from performing their prescription roles effectively (Jun, Kovner, & Stimpfel, 2016). Additionally, certain payer policies deter the APRN from engaging in health care delivery activities to the full extent of their training as well as licensure. For instance, some scope-of-practice policies restrict practitioners to specific roles. Job satisfaction issues also hinder practitioners from undertaking their prescription roles in a way that impacts significantly on patient outcomes. Some practitioners experience unfavorable working conditions, which reduce their productivity.

Peer 2

ARNPs have in their hands a high level of responsibility when prescribing medications. The degree of responsibility depends on whether they can or not prescribe medicines that rely on the state’s laws related to the prescriptive authority given to APRNs. There are twenty-one states that are fully independent prescribing by nurse practitioners (Teri, & Marylou, 2015). The responsibility for the final decision on which drug to use and how to use it depends on the APRN prescriber. To be a safer prescriber, it is important that APRN assume the higher level of legal responsibility that is required. Also, the knowledge of medicine, pharmacology, determine the diagnose for which the drug will be ordered, prescribe the appropriate drug, monitor the outcome, and educate the patient about the medication and possible adverse effects.

Despite many positive expansions to the APRN role that include caring for ethnically diverse, underserved populations within an aging society and across many healthcare settings, there are a lot of barriers requiring attention. Prescribing medications is one of the main components of the APRN role and essential to his/her practice. One of the barriers is the restrictions on prescriptive authority that limit the ability of NPs to provide comprehensive health care services. AANP recommends that NP prescribing authority be solely regulated by state boards of nursing and in accordance with the NP role, education and certification. This process of license and regulation exclusively by the nursing board promotes public safety and competent practice (Hain, D., & Fleck, L., 2014).

The Florida Board of Nursing states that ARNP may only prescribe or dispense a controlled substance as defined in s. 893.03 Florida Statutes if the ARNP graduated from a program with a master’s or doctoral degree in a clinical nursing specialty area with training in specialized practitioner skills. However, all ARNPs and PAs are required to complete at least three hours of continuing education on the safe and effective prescribing of controlled substances. Also, Under the new law, an ARNP’s prescribing privileges for controlled substances listed in Schedule II are limited to a seven-day supply and do not include the prescribing of psychotropic medications for children under 18 years of age, unless prescribed by an ARNP who is a Psychiatric Nurse. The bill also clarifies that only allopathic physicians licensed under chapter 458, Florida Statutes, or osteopathic physicians licensed under chapter 459 Florida Statutes may dispense medications or prescribe controlled substances in a registered pain management clinic (Florida Board of Nursing, 2016).In addition, every person who prescribe controlled substances must register and obtain a registration number with the US Drug Enforcement Administration. Also, they have to maintain and keep on file for a minimum of 2 years accurate records of controlled drugs they purchase, distribute, administer, and dispense.  (Teri, & Marylou, 2015).

This is the original assignment if you needed:

Discuss the role of advanced practice nursing in safe prescribing and 3  prescribing barriers for APRNs.

https://www.flsenate.gov/Committees/BillSummaries/2016/html/1424

http://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-19-2014/No2-May-2014/Barriers-to-NP-Practice.html

https://floridasnursing.gov/new-legislation-impacting-your-profession/

https://www.aanp.org/advocacy/advocacy-resource/position-statements/nurse-practitioner-prescriptive-privilege

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Nutrition

Linking Diabetes and Nutrition.pdfPreview the document

Questions

  1. What are the findings of the twin studies?
  2. What did they confirm from the studies about the Dutch Famine?
  3. Define the following terms:
    • Anemia
    • Intrauterine
    • Gluconeogenesis
    • Beta cells
    • Cardiomyocytes
    • Vasculogenesis
    • Angiogenesis

Opinion

  1. Using the definitions above, describe Figure 1.

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Discussion

herbal supplements

The practice of using herbal supplements dates back thousands of years. Today, there is a renewal in the use of herbal supplements among American consumers. However, herbal supplements are not for everyone. In fact, some herbal products may cause problems for people treatments for chronic ailments. Because they are not subject to scrutiny by the FDA or other governing agencies, the use of herbal supplements is controversial.

Herbal supplements are products made from plants for use in the treatment and management of certain diseases and medical conditions. Many prescription drugs and over-the-counter medicines are also made from plant derivatives. These products contain only purified ingredients and, unlike herbal supplements, are closely regulated by the FDA. Herbal supplements may contain entire plants or plant parts. Herbal supplements come in all forms: dried, chopped, powdered, capsule, or liquid, and can be used in various ways. Please address the followings:

1.     Discuss advantages and disadvantages of dietary supplements, including adverse reactions, drug-drug interactions, drug-food interactions, and specific laboratory issues that may arise from using these products.

2.     Discuss the position of the FDA and other governmental agencies on over the counter herbal supplements. Support your post with at least 3 evidenced-based guidelines published within the last 5 years.

All posts must be referenced as mentioned above and written in APA 6th edition format.

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Case Study – Mobilizing the Masses

Required Resources
Read/review the following resources for this activity:

  • Textbook: Chapter 4, 5
  • Lesson
  • Minimum of 2 scholarly sources (in addition to the textbook)

Instructions
For this assignment, select one of the following options.

  • Option 1: Chronicle Adolf Hitler’s rise from failed art student to political speaker to eventually gain control over Germany.
  • Option 2: Describe Benito Mussolini’s revival of European Imperialism in North Africa and how he came to be Adolf Hitler’s ally.
  • Option 3: Chronicle the rise of extreme militarism in Japan and how it led them to conquer huge chunks of land in Asia and so many islands in the western Pacific basin, and how this led to their conflict with Great Britain and the United States
  • Option 4: Describe Joseph Stalin’s rise to total power in the USSR and how his paranoia and desire for total control led to the terrible purges of the 1930s.

Writing Requirements (APA format)

  • Length: 2-3 pages (not including title page or references page)
  • 1-inch margins
  • Double spaced
  • 12-point Times New Roman font
  • Title page
  • References page

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