Must be original/ no plagiarism / scholarly resources / turnitin ready/ APA format

Write a  proposal discussing the culture you would like to present in class. The proposal should include:

  • 250-words minimum
  • The culture you are choosing ( Bahamian culture)
  • What you intend to learn and  disseminate about the culture
  • One part of the culture’s approach to healthcare you will be presenting.
  • A reference page with at least three scholarly references in APA format. You will use these references in your final version of your Culture Paper as well as the Culture Presentation.

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500 word apa format

Share your perceptions based on your current work environment: Is nursing perceived as a professional partner with other disciplines? 

Post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. 

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Wk 1 – Signature Assignment: Principles of Organizational Behavior

Create a 350- to 700-word handout, such as a chart or a fact sheet, you can give to students during your presentation. Address the following in your handout:  

  • Define organizational behavior.  
  • Describe how different components of organizational behavior are used within an organization.  
  • Identify how the use of organizational behavior can lead to the success and failure of an organization. 

Cite any reputable references. Reputable references include trade or industry publications; government or agency websites; scholarly works; your textbook, Organizational Behavior in Health Care (4th ed.); or other sources of similar quality. 

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Reply 1 HA

The goal of patient interviews is to develop a therapeutic relationship and make a diagnosis. A therapeutic relationship comprises the healthcare provider and patient feeling comfortable with each other. The patient comes to the interview to seek relief from an illness, while the healthcare provider understands the patient’s problems to provide a remedy.  They trust that the care provider will listen to the issues and offer them comfort and confidence (Dang et al., 2017). Diagnosis involves an evaluation of the patient’s signs and symptoms. The care practitioner obtains information on the patient’s signs and symptoms by asking specific questions. At the end of the interview, the practitioner comes up with a differential diagnosis to determine appropriate treatment options.

 The healthcare provider needs to follow specific interview guidelines.  For instance, the interview setting ought to be comfortable, free from disturbances, and discreet.  Besides, the questions should be open-ended, focused, and specific to allow patients to express themselves. Also, the care provider needs to ask the patient for clarification and make further explanations. Additionally, the healthcare practitioner ought to be emphatic and pay attention to the patient’s emotional responses.

 Healthcare providers are likely to make mistakes when providing care for students. I remember an incident where I used an improper technique to measure a patient’s blood pressure.  The patient was a teenager who had fainted at the school playground.  I put the sphygmomanometer on the patient’s arm without removing his sweater. Due to this mistake, the patient’s blood pressure measurements increased by 40 points. The overall high blood pressure points seemed odd since there was no history of blood pressure or anxiety. While retracing my steps, I identified that the patient had his sweater on, which explained the elevated pressure.  The incident made me learn that staying calm during emergencies is significant.

Medical history refers to a report that has the medical recollections and concerns of a patient. The critical components of a patient history are chief complaint (CC), history of present illness (HPI), review of systems (ROS), and past, family, and social history (PFSH). Chief complaint or concern refers to the patient’s primary reason for a visit, such as persistent headaches. HPI is the patient’s comprehensive details of the chief complaint and the symptom progression (Mathioudakis et al.,2016). For instance, constant headaches for one week, causing dizziness. The ROS involves a list of questions that seek to obtain further information on the patient’s additional symptoms or previous and current problems. Lastly, the PFSH comprises information on the patient’s previous illnesses, medications, and incidence among family members.

Healthcare providers should be culturally competent when providing care. Doing so will prevent misunderstandings and barriers from caring.  I have experienced a few obstacles in the process of patient assessment. For instance, one of my patients, a pregnant Muslim woman, did not seem pleased with being assessed by a male practitioner. She seemed very uncomfortable and could not answer my questions. I could not conduct an ultrasound since she was unwilling to remove her clothes. To ensure she received adequate care, I requested a female colleague from another department to do the assessment.  I later discovered that female Muslim patients prefer dealing with female healthcare providers and do not like to expose their bodies.

References

Dang, B. N., Westbrook, R. A., Njue, S. M., & Giordano, T. P. (2017). Building trust and rapport early in the new doctor-patient relationship: a longitudinal qualitative study. BMC Medical Education17(1), 32.

Mathioudakis, A., Rousalova, I., Gagnat, A. A., Saad, N., & Hardavella, G. (2016). How to keep good clinical records. Breathe12(4), 369-373.

REPLY 2

A patient interview can be defined as obtaining detailed information about a patient to give out the necessary information to a Medical Centre and the patient’s history to experts in pharmacists (Pariser, 2016). A patient interview’s major objectives are to determine whether the patient experiences problems after using therapeutic drugs, facilitate diagnosis of different diseases, and promote the therapeutic relationship between the patient and the physician.

One of the components of patient history is the history of present illness (HPI). It explains the current illness and how it developed with time. HPI is formatted and recorded about the location, symptoms, time, and severity of the illness. HPI can be classified as brief if it contains less than four elements or extended when the elements are more than four (Karp, 2019).

The second component of patient history is the chief complaint (CC): CC is the specific reason why the patient has visited the health care unit (Karp, 2019). CC is normally recorded, as stated by the client. In all the encounters, CC must be present, and it normally shows the specific condition or complaint from the patient. For instance, a patient might be complaining of breathing problems.

Review of systems (ROS). ROS refers to questions normally used to explain extra information when more symptoms, signs, or complications are observed by the patient on previous or current occasions. For example, complications experienced in body organs or systems. If ROS comments on one system are described as brief, if it contains two to nine systems are classified as expanded, and lastly, if it explains more than ten systems is categorized as complete (Karp,2019). In ROS, information can be recorded by anyone, including the patient. The physician can do a complete ROS documentation in two different ways. The first way is by documenting each system individually, for example, abdominal pain (kidneys), while the second way is by stating the positive findings and the negative ones concerning the CC.

The force of blood that pushes through the blood vessel at a particular time is called blood pressure (“American Heart Association”, 2017). The primary point for measuring blood pressure is at the branchial artery. On one occasion when newly graduated, I had not prepared myself for carrying out the operation, and the results were not quite good. I used the finger cuff method, which is least efficient though it is normally used on most occasions.  I made a mistake by placing my finger on the wrong vessel and ultimately placing the blood pressure cuff the wrong way. From this incident, I learned that before carrying out any test or sense of awareness is very important, and being ready to use the right method is significant.

My interview was with a patient suffering from osteoarthritis, a disease that causes pain in joints, especially in elderly people. My goal for this interview was hearing out the patient and listen carefully to all his concerns. Having different cultures with the patient there resulted in a barrier, especially in communication. Gathering the information had turned to be hard at the start, and this required the involvement of a family member to interpret the message for me.

References 

Karp, E. L., Freeman, R., Simpson, K. N., & Simpson, A. N. (2019). Changes in efficiency and quality of nursing electronic health record documentation after implementation of an admission patient history essential data set. CIN: Computers, Informatics, Nursing37(5), 260-265.

American Heart Association. (2017). What is high blood pressure? South Carolina State Documents Depository.

Pariser, D., Schenkel, B., Carter, C., Farahi, K., Brown, T. M., Ellis, C. N., & Psoriasis Patient Interview Study Group. (2016). A multicenter, non-interventional study to evaluate patient-reported experiences of living with psoriasis. Journal of Dermatological Treatment27(1), 19-26.

All replies must be constructive and use literature where possible.

Your assignment will be graded according to the grading rubric.

200 WORDS EACH REPLY

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Reply 1 EVID BASE

1.  Are there relationships between personal (hygiene, eating habits, wearing of masks) social (public gatherings, proximity to one another) demographic (age, gender, education, racial ethnicity), and economic (occupation, level of education, annual income, home environment) factors and the spread, severity, and mortality rates of COVID patients worldwide?

2.  Is there a difference in behaviour changes in people who have undergone cognitive behaviour therapy versus those who undergo pharmacologic intervention alone?

3.  What is the difference in infection rates, pain intensity, inflammation, and restoration of functionality in people who have received prophylactic antibiotics and those who do not receive the prophylactic antibiotics during endodontic surgery?

4.  What are nurses’ perceptions towards patients who are non-adherent to the prescribed medications and are always complaining of deteriorating health?

Question one: dependent and independent variables.

The dependent variables in the first question are hygiene eating habits, wearing masks, public gatherings, proximity to one another, occupation, level of education, annual income and home environment (variables), COVID patients (Population) and spread, severity, and mortality rates. (testability). The independent variables include age, gender, and race.

Why question 1?

The end of 2019 set the beginning of what would become a life-changing experience for virtually everyone worldwide in the following one year. When COVID-19 first struck in Wuhan China, nobody speculated that the disease would later spread across the globe, killing millions of people and negatively impacting the livelihood of the affected. Other than the deaths that the disease has brought upon innocent people, their governments across the nations have implemented stringent policies to help curb the spread, such as national lockdowns, closure of schools and other institutions, curfews, and other strict rules, all intended to prevent the infection rates. These government intervention measures had a huge economic, social, and personal impact on people and led to other problems, including but not limited to mental health. 

Surprisingly, the disease was affecting different nations on varying intensities. For example, back in March 2020 COVID deaths in Italy were ranging above 700 on a daily basis while during the same time, there were very few cases and deaths in Africa (Di Lorenzo & Di Trolio, 2020; Onder et al., 2020). There were speculations that upon reaching Africa, COVID would lead to very high infection and mortality rates due to the poor healthcare systems and the relatively low economic status of most African countries. However, this turned out to be wrong as to date, the developed countries such as the USA, UK, and other European countries have the largest numbers of COVID cases and deaths (Bamgboye et al., 2020). 

The relatively low numbers of new cases and deaths in Africa is intriguing. This calls for research to establish the relationship between the prevalence of COVID, race, sociodemographic, economic, and other factors that might be attributable to the difference in the disease prevalence between Africa and other continents. This research would be of significance in establishing the virulence and the infective characteristics of the disease; therefore aiding scientists and epidemiologists in designing effective control measures for disease spread and prevention.

Tables
References

Bamgboye, E. L., Omiye, J. A., Afolaranmi, O. J., Davids, M. R., Tannor, E. K., Wadee, S., Niang, A., Were, A., & Naicker, S. (2020). COVID-19 Pandemic: Is Africa Different? Journal of the National Medical Association. https://doi.org/10.1016/j.jnma.2020.10.001

Di Lorenzo, G., & Di Trolio, R. (2020). Coronavirus Disease (COVID-19) in Italy: Analysis of Risk Factors and Proposed Remedial Measures. Frontiers in Medicine7. https://doi.org/10.3389/fmed.2020.00140

Onder, G., Rezza, G., & Brusaferro, S. (2020). Case-Fatality Rate and Characteristics of Patients Dying in Relation to COVID-19 in Italy. JAMA. https://doi.org/10.1001/jama.2020.4683

REPLY 2

Part 1

Exploratory

To what extent do delayed screening and treatment of hypertension in children influence their health life in

their later stages of life, and from what age do the effects start to become severe?

Descriptive

How is the quality of primary learning institutions related to the children’s susceptibility to specific physical

injuries and health complications? 

Qualitative

How do interventions to promote the health and survival chances of pre-term babies differ in effectiveness

and efficiency?

Hypothesis-generating studies

Are children aged below 12 years and born prematurely likely to have a weaker immune system than term-

born babies?

Part 2

Research question: Are children aged below 12 years and born prematurely likely to have a weaker immune

system than term-born babies?

In this research, the independent variable is the immune system, described by the child’s susceptibility to

infections provided by their parents and hospital records. The dependent variable is whether they are born

maturely (having completed the gestation period) or prematurely. The population of the study comprises

children below age 12. This category has significantly low self-consciousness levels and is more likely to

expose themselves to infectious agents while they play. Also, parents are more observant of these children

and quickly notice a disorder and present them to the health practitioner for intervention. The relationship

between the independent and dependent variables can be established by determining how the child has

attended a hospital to receive medical care. Also, the study considers the condition type for which the child

was diagnosed. A child with many hospital visits has a weaker immune system, particularly those admitted for

immuno-compromising conditions such as bacterial or viral infections. Also, other health complications like

blood clotting ability and allergies are included.

I chose this question because I was born prematurely. My mother tells me that my childhood was difficult

because I would often get sick and delay me entering school. Notably, this susceptibility was attributed to me

playing in the dirt, after which I ended up being infected with disease-causing microorganisms. She adds that

my wounds would take longer to heal than my siblings. In other words, my body had immunity deficiency. As a

pediatric nurse, I have witnessed many cases of children born prematurely and the health complications they

experience while growing up. In particular, approximately 30 percent of pediatric ward admissions comprise

children that are immunocompromised, most of whom are born prematurely. According to Melville and Moss

(2013), 11 percent of the world births occur prematurely, and these children have “immature immune systems,

with reduced innate and adaptive immunity.” Requisite medical interventions to help these babies develop a

competent immune system are highly essential for their survival. However, the scholars add that these

interventions decrease the development and function of the inborn immunity (Davidson, Kehaya & Jones,

2016). Therefore, there is a need to address this situation. Otherwise, the hospitals will continue to

experience higher admissions of immunocompromised children. The impacts of such a situation include

inadequate space for admission of critical cases and healthcare staff to attend to them and overspending on

medical bills.

References

Davison, G., Kehaya, C., & Wyn Jones, A. (2016). Nutritional and physical activity interventions to improve

immunity. American journal of lifestyle medicine10(3), 152-169.

Melville, J. M., & Moss, T. J. (2013). The immune consequences of pre-term birth. Frontiers in neuroscience7,

79.

200 WORDS EACH.

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Community Nursing – Week 3 – Global Health: A Community Perspective

Please answer the question below:

1. What health factors can nurses address to work with young males of a community to improve overall health? (mention at least 3 health factors). What can you do as a nurse to improve those health factors and overall health in that community?

Follow the 3 x 3 rule: minimum three paragraphs per DQ, with a minimum of three sentences each paragraph.

All answers or discussions comments submitted must be in APA format according to Publication Manual American Psychological Association (APA) (6th ed.) 2009 ISBN: 978-1-4338-0561-5

Minimum of two references, not older than 2015.

Provide plagiarism report

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nursing Theory

 

You are caring for an 82-year-old woman who has been hospitalized for several weeks for burns that she sustained on her lower legs during a cooking accident. Before the time of her admission, she lived alone in a small apartment. The patient reported on admission that she has no surviving family. Her support system appears to be other elders who live in her neighborhood. Because of transportation difficulties, most of them are unable to visit frequently. One of her neighbors has reported that she is caring for the patient’s dog, a Yorkshire terrier. As you care for this woman, she begs you to let her friend bring her dog to the hospital. She says that none of the other nurses have listened to her about such a visit. As she asks you about this, she begins to cry and tells you that they have never been separated. You recall that the staff discussed their concern about this woman’s well-being during report that morning. They said that she has been eating very little and seems to be depressed.

1. Based on Nightingale’s work, identify specific interventions that you would provide in caring for this patient.

2. Describe what action, if any, you would take regarding the patient’s request to see her dog. Discuss the theoretical basis of your decision and action based on your understanding of Nightingale’s work.

3. Describe and discuss what nursing diagnoses you would make and what interventions you would initiate to address the patient’s nutritional status and emotional well-being.

4. As the patient’s primary nurse, identify and discuss the planning you would undertake regarding her discharge from the hospital. Identify members of the discharge team and their roles in this process. Describe how you would advocate for the patient based on Nightingale’s observations and descriptions of the role of the nurse.

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ARTICLE 1

Find and read a nursing scholarly article that relates to your clinical practice and is found in a peer-reviewed journal. Follow the instructions for the format in course textbook and write a 1-page summary.

Submission Instructions:

  • Must be a research article. Write a 1-page summary using an outline of the steps of the research process stated in the course textbook. Discuss the study type, purpose, and research question(s).
  • The summary is to be clear and concise and students will lose points for improper grammar, punctuation and misspelling.
  • The summary should be formatted per current APA and 1 page in length, excluding the title page and references page. No abstract needed.
  • Incorporate a minimum of 2 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work.
  • Your assignment will be graded according to the grading rubric.

NOTE; I added an example of the article as it should be.

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Community Nursing

Please answer the following questions below:

-What is the role of the Community/Public Health Nurse

-Nurses utilize the nursing process to take care of clients. Describe and explain how nurses conduct the nursing process in order to take care of Community/Population Health clients.

-Please go to www.health.gov and explain in one or more paragraph what Health People 2030 is all about, then select one goal that you would like to see accomplished by 2030 and explain why

Please use at least 2 reference. This must be written in proper apa 7th edition format. WWW.health.gov must be visited to gather information to answer some of the questions proposed.

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birth in US essay (instructions below)

   

Learning Objective:

Explain the ethical, cultural, economic, and social issues impacting the care women receive before, during, and after pregnancy. Understand how these issues can affect the health of women of childbearing age and their fetus in the United States.

Overview of Assignment:

Write a paper exploring the ethical, economic, cultural, and social issues that women of childbearing age face today in the United States. You can pick a topic that affects women in the childbearing stage of their lives and how it impacts the care received, their lives, their health, or the health of their fetus. Or you can explain each topic individually based on different topics. Overall, research how the ethical, economic, cultural, and social issues can impact women living in the United States. 

You MUST USE at least 6 scholarly sources to support your ideas, at least one for each consideration you are discussing.

Paper Requirements:

Length and Elements: The length of this essay should only be 3-4 written pages and should include:

1) Introduction with specific thesis statement (i.e. The purpose of this paper is to…Make sure to introduce the four issues you will be discussing in your paper)

2) Body of Paper: discuss each of the following considerations in separate sections with the following headings:

a. Ethical Issues—explore the ethical issues that surround and confront the childbearing women in the United States (DO NOT discuss informed consent as this is not the type of ethical issue I am looking for, look for issues related to abortion, IVF, genetic testing, ect.)

b. Economic Issues—consider the economic (money related) barriers women face, including such topics as: insurance coverage or lack thereof, WIC, money for food, Medicaid, rural access to childbearing services, etc.

c. Cultural Issues—discuss the various cultural norms that can be found among the different cultures of people and how these different cultural norms can impact the care received during pregnancy 

d. Social Issues—consider health disparities a person experiences due to their social environment such as women of poverty, women of color, Amish women, being an immigrant (legal or illegal), being rich, teenagers experiencing pregnancy, ect  in the United States. Relate these specific social considerations to childbearing women and how it affects maternal morbidity and mortality.

3) Conclusion: Summarize your findings; re-emphasize the thesis of the paper without simply repeating it; and do not introduce new ideas here

4) Use proper grammar, spelling, and APA 7th edition formatting including a title and reference page (the title and reference pages do not count toward the page total).

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