T5 DQ2 BY 2/20

250 WORDS CITATION AND REFERENCES 

What characteristics would lead a provider to suspect domestic violence, child abuse, or elder abuse is taking place within a family? Discuss your facility’s procedure for reporting these types of abuse.

REFERENCES

Read “The Health-Systems Response to Violence Against Women,” by Garcia-Moreno, Hegarty, d’Oliveira, Koziol-McLain, Columbini, and Feder, from The Lancet (2015).

URL:https://www-sciencedirect-com.lopes.idm.oclc.org/science/article/pii/S0140673614618377

Read “CDC Grand Rounds: A Public Health Approach to Prevention of Intimate Partner Violence,” by Spivak, Jenkins, VanAudenhove, Lee, Kelly, and Iskander, from Morbidity and Mortality Weekly Report (MMWR, 2014), located on the Centers for Disease Control and Prevention (CDC) website.

URL:https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6302a4.htm?s_cid%3Dmm6302a4_x

Read “Violence Against Women,” by the American College of Nurse-Midwives (ACNM, 2013), located on the ACNM website.

URL:http://midwife.org/ACNM/files/ACNMLibraryData/UPLOADFILENAME/000000000091/Violence-Against-Women-Sept-2013.pdf

Read “Breaking the Links in Intergenerational Violence: An Emotional Regulation Perspective,” by Siegel, from Family Process (2013).

URL:https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=88229114&site=ehost-live&scope=site

Read “Breaking the Links in Intergenerational Violence: An Emotional Regulation Perspective,” by Siegel, from Family Process (2013).

URL:https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=88229114&site=ehost-live&scope=site

Read “Children and Domestic Violence: Emotional Competencies in Embodied and Relational Contexts,” by Callaghan, Fellin, Alexander, Mavrou, and Papathanasiou, from Psychology of Violence (2017).

URL:https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=pdh&AN=2017-12249-001&site=ehost-live&scope=site

Read “Barriers to Effective Screening for Domestic Violence by Registered Nurses in the Emergency Department,” by Ellis, from Critical Care Nursing Quarterly (1999).

URL:https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107192463&site=eds-live&scope=site

Read “Domestic Violence: The Challenge for Nursing,” by Draucker, from Online Journal of Issues in Nursing (2002).

URL:https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106927295&site=eds-live&scope=site

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1000-3 An Analysis of Gender Socialization

  • Develop a 4-5 page analysis of your experience with gender socialization. In doing so, analyze how gender is created by society, specifically looking at children’s toys and/or clothing.
    Culture is the glue that holds a society together—it is what encourages the members of that society to cooperate with each other as much as possible. We learn culture through socialization, the lifelong social experience. From birth we are taught how to be members of our society.
    The most common agents of socialization are our family, peers, school, and media. The family, for example, influences a child’s development by such things as the way the parents hold the baby, look at it, talk to it, and respond to its needs. We take on typical gender roles from the beginning as girls are given pink clothes while boys are given blue. Family socialization is reinforced or modified by experiences at school and with peers, by the mass media, and by interaction with others. Socialization, the lifelong social experience through which we learn culture, is vital to becoming members of a society.
    In this assessment, we look at the sociological concepts of culture and socialization and how they impact our behavior and attitudes.
    Demonstration of Proficiency
    By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

    • Competency 1: Examine how theory and sociological concepts apply to everyday life. 
      • Identify gender-specific childhood clothing and/or toys.
    • Competency 2: Explain the basic tools of sociological inquiry. 
      • Summarize gender socialization sources. 
      • Explain the validity and helpfulness of gender socialization sources.
    • Competency 4: Analyze the influence of culture on both the individual and society. 
      • Describe the impact of gender-specific messages towards one’s self.
      • Analyze how gender-specific messages of childhood clothing and/or toys reflect larger societal expectations.
    • Competency 6: Compose text that articulates meaning relevant to its purpose and audience. 
      • Develop text using organization, structure, and transitions that demonstrate understanding of cohesion between main and subtopics. 
    • For this assessment, you analyze how gender is created by society, specifically looking at children’s toys and/or clothing. The purpose of this assessment is twofold: 
    • It helps you to start thinking about the impact of socialization on your life as a starting point.
    • This first analysis will be used again for Assessment 6.
    • It also requires you to locate and evaluate resources on socialization and these resources may be used in Assessment 6.
      Deliverable
      Write an essay in which you complete all of the following:
      PART 1
      Examine the toys and clothing you had as a child.
    • Describe the clothing and toys from your childhood and identify which were gender-specific.
    • PART 2  
      Examine your experience with gender socialization.
    • Describe the message your toys and clothing sent you about gender. ​​​​​​
    • Analyze how gender-specific messages that arise from childhood clothing and toys reflect larger societal expectations.
    • Reflect on the impact these messages had on you. Describe how you feel about your experience with gender socialization.
    • PART 3
      Analyze and then include outside sources.
    • Your analysis should also include information from two additional outside resources regarding gender socialization—one from a popular source and one from a scholarly source. A critical component of this assessment involves evaluating these outside resources.
    • Summarize your outside articles (one scholarly and one popular) and explain how they helped you better understand your experience with gender socialization.
    • Explain the validity (quality) of each source and how helpful each was. What conclusions can you draw about the difference in these types of sources (popular versus scholarly)?
    • Additional Requirements  
    • Written communication: Develop text using organization, structure, and transitions that demonstrate understanding of cohesion between main and subtopics. Written communication needs to be free of errors that detract from the overall message. Write in a professional style using references and correct grammar, usage, and mechanics.
    • Sources: Cite at least three scholarly sources.
    • Length: 4–5 pages, not including title and reference pages.
    • Format: Include a title page and reference page. Use in-text citations to cite your sources. [Example: Writing becomes better as the child matures (Britton, Thomas, & Miller, 1996).]
    • Font and size: Times New Roman, 12-point.

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Milestone Two Guidelines and Rubric

Overview: Not-for-profit organizations need inspirational leadership to assist them in achieving their missions and reaching their altruistic goals. In addition, good communication practices promote positive public relations and attract supporters. 

Prompt: Analyze the leadership strategies and communication practices of the not-for-profit organization on which you will perform your strategic analysis.

The nonprofit organization for this assignment is the Ronald McDonald House located in Macon Georgia. 

Attached is the Rubric for the assignment. 

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Discussion Replay, Similarities Less 5%, APA 6th, 2 References

Advanced Pharmacology

            The epidemiology of allergies is known as what happens when the immune system reacts to something that’s usually harmless. Those triggers, which doctors call “allergens,” can include pollen, mold, and animal dander, certain foods, or things that irritate your skin.  Allergies are very common. At least 1 in 5 Americans has one (Nag, Samaddar, Kant & Mahanty, 2017).

            Pharmacoeconomic treatment drugs depend on the type of allergy.  For example, steroids can help reduce inflammation in the nasal passages, lungs, and skin. Steroid use can cause a wide range of side effects and needs to be closely monitored by the doctor. Prednisone is a corticosteroid, or man-made form of the steroid that the body produces to fight illnesses and injuries. It is prescribed alone or in combination with other medication to treat severe allergic reactions and many other conditions. It is given in liquid or tablet form.

            Most antihistamines possess some sedative properties at some point in the dose ranges investigated. Many antihistamines have a “dose window” in which they are nonsedating, but administration at higher doses has a negative impact on cognitive and psychomotor ability. For example, the second-generation drugs loratadine and cetirizine induce negligible sedation at their prescribed clinical dose of 10 mg, yet higher doses have resulted in impairment.

            Patient education includes teaching the patient about symptoms, triggers, how to use the medication properly, and teach about the importance of following up with the doctor (Nag, Samaddar, Kant & Mahanty, 2017).  The nurse should teach about side effects — The side effects of nasal steroids, for example, are mild and may include a slightly unpleasant smell or taste or drying of the nasal lining. In some people, nasal steroids cause irritation, crusting, and bleeding of the nasal septum, especially during the winter. You can minimize these problems by reducing the dose of your nasal steroid, applying a moisturizing nasal gel or spray to the septum before using the spray, or switching to a water-based (rather than an alcohol-based) spray.

References

Karl, K. (2017).  Medication Allergy. Harvard Medical School Health Topics A-Z. Retrieved from https://www.thecampuscommon.com/library/ezproxy/ticketdemocs.asp?sch=suo&turl=https://search-ebscohost-com.southuniversity.libproxy.edmc.edu/login.aspx?direct=true&db=edscrc&AN=edscrc.24213350&site=eds-live

Nag, D. S., Samaddar, D. P., Kant, S., & Mahanty, P. R. (2017). Clinical Information: Perianesthetic refractory anaphylactic shock with cefuroxime in a patient with history of penicillin allergy on multiple antihypertensive medications. Brazilian Journal of Anesthesiology (English Edition), 67, 217–220. https://doi.org/10.1016/j.bjane.2014.08.001

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Long Term Care

 

Evolution of Long-Term Care Systems

During the 1800s, and well into the 1900s, families took care of their own members whenever possible. Several generations lived together, with the younger generation taking care of the older and vice versa. Post 1900s, the joint family system started disintegrating.

Interview at least five people of varying ages from different families to know their perspective on disintegration of joint family system. Based on your interview findings and learning from your readings, respond to the following questions:

  • What factors led to disintegration of the joint family system?
  • What has been the impact of this disintegration on aging people and long-term care?
  • Did disintegration have any benefits for health service organizations? Why or why not?

At the same time this shift occurred in the family structure, health care organizations were experiencing continuous changes in their operating styles. The long-term care system took some time to catch up with the changing nature of businesses. In the 1990s and early 2000s, long-term care was seen to experience several turbulent changes, particularly related to its operations, management, and structure. Research the South University Online Library and the Internet to find information on the changes in the long-term care system in the United States and respond to the following questions:

  • How have the operations, management, and structural changes of the 1990s and early 2000s impacted the long-term care system today?
  • What are the strengths and weaknesses of the present long-term care system in the United States?

To support your work, use your course and textbook readings and also use the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.

Your initial posting should be addressed at 150-300 words. Post your response to the Discussion Area by the due date assigned. Respond to at least two posts by the end of the week. Be sure to cite your sources using APA format.

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na Fernandez

Professor instructions

 reply to two other students and include a reference that justifies your post.  Your reply must be at least 3 paragraphs. 

Student post 

Nursing Profession

Views on nursing as a career or a job and my professional objectives related to nursing.

The unique roles of nurses comprise of caring for patients and assessing their reactions to health status. I believe this helps the sick in the performance of various activities that enhance their recovery. Within the nursing care environment, nurses with other healthcare workers share their functions of planning, implementing, and assessment to ensure adequate health systems that promote health, caring for the ill, and prevents illness (Masters, 2018).

Nurses should always work with an intention that is beyond just getting a salary because all this task requires a lot of commitments and determination that is voluntary.Nursing is, therefore, more of a career than a job because it is a sequence of connected service opportunities. Continuing professional advancement is an expectation and expression need for the nurses in all the career stages (Barber Rioja, & Rosenfeld, 2018). It is with this regard that I aim to uphold my character of integrity and honesty. This is through ensuring that I do not copy professional evaluations and ensuring that I aspire for high levels of professional and personal conduct.

Again, my professional goal is to work together with other medical professionals, and through this, I believe that I will develop my skills every day in nursing. I also aim to treat every patient individually, putting in mind that the individuals have diverse beliefs, values, and needs. I believe in the fact that in nursing, care is a priority where communication is core. I aim to provide advice and information precisely so that patients can understand and make informed decisions for the best interest of the customers. I believe that all this set of values will elevate the quality of nursing care as a way of improving the methods, judgments, and standards that direct nursing practices every day. Working in professional environments enhances skills developments that are of great significance at any stage of the career (Price & Reichert, 2017). 

Steps to take in preparation for an interview

I believe that any skills and potential possessed by one does not mean anything without conquering a nursing interview. It becomes difficult for an individual to go to the next stage of his career, and this can be very devastating. I believe that evaluating myself is one way to ace an interview. Before the actual interview, I will formulate a list of questions and try to answer them in front of a mirror or even ask help from friends or relatives. Through this, I can find the answers to the questions I expect in the interview panel.

Also, I will research the specific institution where I am to avail myself of the interview through their websites or visiting before the day of the interview. I believe this is the best way to check if my own professional and personal values rhyme with theirs, and this will put me ahead of the competition in an interview.

Moreover, I will prepare my documents before the time comes. This is core because it will enable help me make sure that I do not miss out on anything that can be of help in the interview. On the day of the interview, I will ensure that I look professional. It means that I will glue to dressing modestly and avoid dresses that are flashy. Planning my day is another thing that I believe to be core. I will check the weather forecast the night before the interviews to enable me to pick appropriate attire. I will also check on the institutions’ locations and plan for the best mode of transportation that will ensure I get to the interview before time. I will also ensure that I get enough sleep before the day of the interview to ensure the optimal cognitive presentation

References

Price, S., & Reichert, C. (2017). The importance of continuing professional development to career satisfaction and patient care: meeting the needs of novice to mid-to late-career nurses throughout their career span. Administrative Sciences7(2), 17.

Barber Rioja, V., & Rosenfeld, B. (2018). Addressing linguistic and cultural differences in the forensic interview. International Journal of Forensic Mental Health17(4), 377-386.

Masters, K. (2018). Role development in professional nursing practice. Jones & Bartlett Learning.

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nursing assignment bsn 2 pages

in 2 pages, write about electronic medical record advantages and disadvantages in the medical field especially nurses

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Physical assessment Discussion reply Danger Gonzalez

 Below is the post of another student please reply . 

Vascular supply to the breast is primarily through branches of which two arteries? Thoracoacromial artery and internal mammary artery.

What is thelarche? The onset of secondary breast development. (during puberty).

The upper arm drains into which area of lymph nodes? Begins in the hand and runs upwards in the axillary direction, reaching the cubital nodes.

 what changes occur when axillary lymph nodes are removed. Lymphedema can happen any time after lymph nodes are removed.

The mother of a girl at Tanner stage 2 asks whether her daughter will start menses early. What is the correct response to give this mother? This would be a normal finding to start early. The menstrual cycle normally appears or happens during stage III.

 Name the three methods commonly used for ensuring palpation of the entire breast. Chest wall palpation, lymph node palpation and bimanual digital palpation.

What do retractions and dimpling signify? Dimpling of the breast tissue can be a sign of a serious form of cancer known as inflammatory breast cancer. (i.e.) Carcinoma. Dimpling as a sign of breast cancer tends to occur in only one breast. If dimpling affects both breasts, the person probably does not have breast cancer. 

A patient who is in her first trimester of pregnancy asks you what changes she should expect in her breasts. What information and important instructions should you give to this patient? Surging hormones and a shift in breast structure mean your nipples and breasts may feel sensitive and tender from as early as three or four weeks.

Describe the appearance of the breasts in postmenopausal women. Three is significant change in size and shape. Low level of estrogen makes the breast tissue to begin to become less elastic and dry.

C reate a chart that compares and contrasts the following conditions:

  1. Fibrocystic disease
  2. Fibroadenoma
  3. Malignant breast tumor
  • Name the disease of the breast that is a surface manifestation of underlying ductal carcinoma.  Paget’s disease of the breast.   What is the peak incidence of breast malignancy?  During the premenopausal years.      4  Fibrocystic disease 5  Fibroadenoma 6  Malignant breast tumor7  Non-cancerous condition. Occurs in breast. Breast have tendency to feel lumpy. 8  Non-cancerous condition. Occurs in breast. Results in benign tumors, usually found in younger women. (i.e.) 15-35 yrs. 9  Cancerous condition. Occurs in breast. Results in lumps in breast as well as bloody nipple discharge. Change of shape & texture of breast.Explain the kidneys’ role in fluid and electrolyte homeostasis. They help maintain electrolyte concentrations by filtering electrolytes and water from blood, returning some to the blood, and excreting any excess into the urine. Maintains balance.

    How soon after birth bowel sounds should be heard. 1-2 hours after birth.

    What is the function of the alimentary tract? To nourish the body. Ingestion and digestion.
    Which organ plays an important role in the metabolism of carbohydrates, fats, and proteins? The liver.
    Generate a list of relevant data to gather when assessing abdominal pain. Vital signs, location of palpation, tenderness, murphy sign, mcburney and psoas. Assessment and evaluation of present bowel sounds.
    How do you would assess for masses in the abdomen and how they would document such findings. Inspection, auscultation and palpation are the techniques used to locate any masses present. Patient position is supine on the examination table.
    Name the sign that appears as a bluish peri-umbilical discoloration and suggests intra-abdominal bleeding. Cullen’s sign.

    What could a single umbilical artery alert you to in a newborn? Risk of congenital malformations, especially genitourinary malformations and chromosomal anomalies.

    Which type of hernia is common in infants? Umbilical hernias. These hernias are common in newborns and babies younger than 6 months.

     Define Crohn’s disease. Crohn’s disease is an inflammatory bowel disease (IBD). ) It causes inflammation of your digestive tract, which can lead to abdominal pain, severe diarrhea, fatigue, weight loss and malnutrition. 

     If a sudden onset of severe epigastric pain is continuous, unrelieved, and radiating to the groin and back, what problem should be considered? This is a classic sign of a renal calculi.
    MB is a 44-year-old white female patient. She is obese, with a past medical history of hypertension, hyperlipidemia, and diabetes. She admits that she does not exercise. She is being evaluated today for right upper quadrant abdominal pain.
    1- Differentiate between the three types of cholecystitis. Acute cholecystitis is inflammation in the gallbladder which accompanies nausea fever and abdominal pain. Chronic cholecystitis is chronic inflammation in the gallbladder is less severe than AC, less lasting. Acute cholescystitis with formation of renal calculi stone.

    2- Describe the method for palpating the gallbladder. Gently place the palpating hand below the right lower rib margin at the mid-clavicular line and ask the patient to exhale as much as possible. As the patient exhales, slowly push your hand deeper. Then ask the patient to inhale deeply. A positive Murphy sign is the sudden cessation of inspiration with pain

  • 3- Differentiate between the common symptoms of cholecystitis pain and the associated symptoms. Severe pain in your upper right or center abdomen. Pain that spreads to your right shoulder or back. Tenderness over your abdomen when it’s touched.
  • References
  • Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2015). Seidels guide to physical examination (p. 351-415) St. Louis, MI: Elsevier Mosby
     

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PICOT 3 PAGES, MASTER LEVEL VOCABULARY AND WRITING SKILLS

 Problem Identification and Description Using PICOT Format: Identify and describe the problem in clear and concise language. Describe the significance of the evidence-based project that can be implemented in the selected setting to the nursing profession. Give a clear and explicit statement of the problem and target population as well the background of the specific problem relative to the clinic or hospital setting. 

*****CHG BATH IN THE HOSPITALIZED PATIENT WITH CENTRAL LINES IN THE ICU REDUCES INCIDENTS IN CLABSIS****

 

PICOT stands for:

Population/Patient Problem: Who is your patient?

Intervention: What do you plan to do for the patient?

Comparison: What is the alternative to your plan?

Outcome: What outcome do you seek?

Time: What is the time frame?
The paper should be at least three pages in length, not including the cover or reference pages.

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discussion 2 response

 

can you response to my class mate : 

Based off of previous experience and further research, I believe the nurse-patient ratio is very beneficial to nursing practice. This law requires that a nurse must care for no more than six patients in a psychiatric unit, five patients in a medical-surgical unit, four pediatric patients, three patients in a labor and delivery unit, and two patients in intensive care units (Yoder-Wise, 2019). Appropriate nurse staffing helps achieve clinical and economic improvements in patient care, including a reduction in medication errors, patient mortality, hospital readmissions, and length of stay. It has also been shown to reduce nurse fatigue and burnout. Currently, California is the only state to have adopted a mandatory nurse-patient ratio, but comparing the pre-post differences in occupational illness and injury rates between California and the rest of the United States, it was found that implementation of nurse-patient ratio standards were associated with a statistically significant reduction in injury rates among both registered nurses and licensed practical nurses (Leigh et al., 2014). By placing a limit as to how many patients a nurse can care for on a particular unit, nurses are able to focus on the individual needs of their patients and provide patient-specific care without feeling unable to perform certain nursing tasks due to time restraints and other demands. 

References

Leigh, J., Markis, C., Iosif, A.-M., & Romano, P. (2015). California’s Nurse-to-Patient Ratio Law and Occupational Injury. International Archives of Occupational & Environmental Health, 88(4), 477–484. https://doi-org.ezproxy.hsutx.edu:4443/10.1007/s00420-014-0977-y (Links to an external site.) 

Yoder-Wise, P. S. (2019). Leading and Managing in Nursing (7th ed.). St. Louis , MO: Elsevier.

Edited by Lexie Kramber on Feb 19 at 5:30pmCalifornia’s Nurse-To-Patient Ratio Law and Occupational Injury.pdf 

the question was 

 Staffing is such an integral part of leading and managing in nursing.  There are many factors to consider when deciding how many nurses are needed to provide safe patient care.  Look at the models in your reading in Chapter 13.  Find an article supporting a model’s staffing efficacy and discuss key points of how that model takes patient safety into consideration.   

the response should be 

 150 words minimum. Discussion posts must meet required criteria to receive a passing score. you should  AND should contain at least one scholarly reference in addition to textbook citations (in APA format).  my book is leading and manging in nursing 7 th edition 

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