Tag: Health Medical

***Comment this***
The New York State legislation is trying to pass Assembly Bill A2954. This bill incorporates the Safe Staffing for Quality Care Act (New York State Senate, 2019). This Act is sponsored by Gunther. This proposal has bipartisan support in the state legislature and support of New York State Nurses Association (NYSNA). The purpose is to have enough staff at healthcare facilities which will help provide quality care to the clients in a safe manner. The legislation will set nurse to patient ratios which will vary on specific units and nursing homes will have a set minimum care hours for each resident per day. In addition, healthcare facilities cannot count assistive personnel toward nurse to patient ratios. When nurses are to float on other units the nurse must receive orientation and demonstrate competence in that area before floating to that unit (NYSNA,2020). With research it is evident that having a specific nurse to patient ratio will create safe and quality care for both the patient and the staff. This will decrease the number of errors in occurring. In addition, this will allow the nurses to work properly without being burned out.

The nurse practitioner has asked you to teach a 16-year-old boy about examining his testicles. What will be your approach? What information is important to teach this patient?

A customer relationship model attempts to enhance the relationship between the organization and the customer. The goal is to improve customer loyalty while identifying any potential opportunities.

In this week’s assignment, please find a local healthcare organization that specializes in treating specific patients (ex: cancer, pediatrics, catastrophic injuries) or illnesses. Research the organization, and build a Customer Relationship Model for the organization.

Step 1: 1. Complete the Virtual Clinical Learning Experience “Leadership to use systemsthinking” at www.leadrnme.com Florida National University NUR4827 NUR4827 Virtual Clinical Learning Experience.docx May 2021 2 Step 2: Develop a written paper, 4-5 pages maximum (not including cover and references page) using the following as headings and subheadings when applicable: 2. Define transformational leadership 3. Identify specific methods of transformational leadership and how they were used to solve a problem. 4. Describe one patient safety issue from the VCL experience. 5. How did the healthcare team seek to reduce risks, provided specific examples or description and supportive rationale? 6. Describe a way the nurse leader used a transformational leadership principle. 7. Describe how one-way systems thinking was used in the VCL 8. Reflections on the experience a. Describe one specific way you have or use principles of systems thinking to enhance outcomes, using supportive peer-reviewed citations. b. Describe one specific way you have or could use principles of transformational leadership to enhance outcomes, using supportive peer-reviewed citations. c. Please provide supportive peer-reviewed rationale using information taken from at least one course resource (textbook may be used). Your understanding will be demonstrated as you explain transformational leadership and systems thinking key concepts in your own words and apply them to your reflections, providing peer-reviewed supportive rationale for your decisions. PLEASE REVIEW ATTACHMENT

This week you are being introduced to healthcare informatics and health technology.

For this assignment, you will locate an article, report, or credible webpage that provides information or statistics on one of the topics listed below. You will then use this article/report/webpage to thoughtfully respond to the questions in the worksheet. You may retrieve your resource using the Galen Library databases, or you may find something on the web. However, your source must be credible. As far as healthcare informatics goes, here are some sites that may provide a good starting point:WEEK 11 ASSIGNMENT – HEALTHCARE INFORMATICS EXPLORATION

WORKSHEET

1. Which topic within Healthcare Informatics did you choose to focus on
2. Where did you locate the resource (e.g., which Galen Library database or which website)
3. If the source was found on the web, provide a direct link to the webpage. If the source was found in the Galen Library databases, provide the permalink.
4. Who wrote the article, report, or webpage you selected? What are their qualifications?
5. Why did you choose this source? What about it caught your interest?
6. Provide a summary of the source (write at least 100 words). What information did you find?
7. Reflect on what you read (write at least 100 words). How could this information impact you as a nurse?

these are the questions to answer based on whatever article you decide to pick

Hello, I am Isabella. I am 72 years old and a recent widow after the death of my husband Ben, 6 months ago. I have to tell you, things have not been easy for me in this life. But I have always believed you have to take care of yourself.

Even when times get rough, I do as much as I can. I might be a little unorganized sometimes so don’t ask me what day it is!

Back when Ben got
really sick, we decided it was best for me to stop working so I could
take care of him. I loved my job at Sears. I had worked there more than
20 years, ever since Sandra my daughter was in high school. I loved
being with people and helping them find just exactly what they were
looking for.

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At first, Ben could
still do things for himself. He had his little daily routine of things
to do. He would get up and read the paper, walk down to the little
breakfast diner to have some coffee and talk to all his friends there.
In the afternoon we would go to doctor’s appointments and do the
shopping and other errands. He was still real handy around the house. As
time went on, Ben got a little sicker everyday, to the point where in
the last year I was doing everything for him. I have to tell you, I was
getting so tired and run down, never being able to sleep the night
through or have a restful meal.

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Our daughter Sandra,
as busy as she was with her own life—it being a mess and all—would
still try to help out as much as she could. Usually, she would come over
with a meal once a week, and stay with her Daddy while I went to mass
or had a cup of tea with a friend. Her daughters would come and read
stories to their “pa-pop” and sit near him. The smile on his face during
those visits made the whole day better.

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Ben’s medications
and equipment were really, really expensive. Now, since he worked for
the Railroad he had a pretty good pension and health benefits in
retirement, but they would not cover the cost of everything, even after
he got Medicare when he retired. Pretty soon we were nearly completely
out of money. Outside of the house, we owned an old car.

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One day, one of the
neighbors told me about a program which was helping one of her sisters
in another state, PACE. She said they did wonderful things for both the
patient and wife. Well, I asked Sandra about it, and she looked on the
computer at the library and found out that PACE had a program here,
Total Longterm Care. Well, Ben called TLC and someone came out to the
house to talk with us about it. We filled out the form to see if we were
eligible, and we were! Everyone there was so helpful!

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They told us that
TLC would take care of Ben’s medication and equipment, his doctors would
even give him a place to go visit and spend a few hours when he wanted.
To top it off, they would come pick him up for visits or doctor’s
appointments and bring him home. The social worker, Cindy, also told me
that they would send someone to help clean up the house a little and
take care of some of his needs on days he was at home. They helped out
so much let me tell you!

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But now I’m back to
watching every penny since Ben’s death. Just my arthritis medication is
over a hundred dollars a month. I try to stay with the pills. But if I
bought them all like the doctor says, I’d be broke. So I break them in
half or skip a day here and there to help stretch them out. Sandra has
told me I should get Part D insurance for my medications, but it is just
too confusing and overwhelming to me.

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See, since my Ben
died, Sandra has been helping me. I never even wrote a check before
because Ben always did that. But now that he is gone, there just isn’t
enough money for food and medicine and taxes and everything. I think
Sandra is stealing from me though because I think I should have enough
money. But since I don’t know much about the bank account, I can’t argue
much and have to do what she says.

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Sandra and the girls
moved in just last week. But now I think Sandra is stealing from me.
She came home from shopping or work or something, I don’t remember for
sure right now. Well it must have been shopping because she was going to
get her shopping bags out of the trunk. I came to the door to see what
she was doing. I noticed the mail was in the box by the front door. I
opened one bill and it said over $100 was due! How could it be $100? She
must not be paying the bills. So when she was buying more stuff but not
paying my bills, I just had to tell her off.

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See, she keeps
telling me lies. I just can’t take it anymore. She is just getting too
big for her britches I tell you because she told me if I didn’t like it I
could leave. Right then and there I told her she needed a good
spanking. Oh the neighbors heard it alright. And they called the police
for me too. They know. I bet one of their children is stealing from them
too. But Sandra got to talk to the police first. And get this, they
arrested me! How humiliating!

I spent the night in
jail. I was so mad and scared. My sister, Rosella, came and got me from
jail —which was Sandra’s fault in the first place—and then Sandra made
it so I couldn’t go into my own house! That was the last straw. I
fainted and was taken to the emergency room. They said I had a panic
attack this morning. Somebody from social services came while I was at
the jail, but I said I’d rather live with my sister than to go with
them. Now my sister’s husband won’t let me stay there. The only thing I
could think to do was call Cindy, the woman at TLC who was so helpful
with Ben. She is going to meet with me and Sandra at the house this
afternoon.

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Instructions:

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Your paper should be:

• One (1) page or more.

1. Read the scenario above, and then answer the following questions:
   1. What problems are specifically Alison’s as far as her caregiving role?
   2. What describes the health prevention/promotion interventions that Alison needs to consider for her mother?
   3. What specific assessments should Alison consider that she can find on Hartford Institute for Geriatric Nursing (name and describe at least six)
   4. Should Alison
      try to make any adjustments to repair her relationship with her mother?
      How will this help to fulfill her role as a caretaker for her mother?

There are 2 parts to this assignment – instructions and resources are below.

PART 1:

Discussion 1: Improving Interpersonal Interactions

How we handle conflict can impact the growth, or dissolution, of a relationship. Learning effective strategies to handle conflict can help us manage in ways that lead to improvement in our interactions. In this Discussion, you will consider a relationship in which conflict was not resolved. You will consider the context and what led to the outcome.

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Using our reading resources, you will then consider “I” statements that could be used effectively to assert your point of view while not blaming someone else or making them defensive. Learning to think about your responses before you experience conflict in the future can help make you a more effective business communicator.

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To prepare for this Discussion:

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• Read the Communication Program Discussion Guidelines.
• Read “6.2 Conflict and Interpersonal Communication” in this week’s Learning Resources.
• Read “Are “I” Statements Better Than “You” Statements?” in this week’s Learning Resources.
• Read “‘I’ Message” in this week’s Learning Resources.
• Choose a relationship that you have discussed in this course and a time in that relationship when conflict was not resolved in a good manner.

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By Day 4

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Post a response that addresses the following:

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• Provide a description of the relationship and its context (personal, family, or workplace, for example).
• Describe a conflict that has taken place that did not have a good outcome.
• Tell us how you could use “I” statements, clarifying questions, and effective nonverbal communication to bring about a more positive outcome. Give specific examples of each.
• Evaluate the effectiveness of “I” statements within the scenario.

PART 2:

Discussion 2: Your Soft Skills

Communication skills are learned over time through interactions with others. In this course, you have had several opportunities to learn about yourself and others. This course has offered a general Communication Skills Assessment, a Listening Skills Assessment, an Emotional Intelligence Assessment, and a Conflict Management Assessment. Each assessment provided you with results on strengths and opportunities for improvement.

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In this Discussion, you will examine those four assessments as you bring it all together and consider how they relate to your current and/or future communication goals.

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To prepare for this Discussion:

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• Read the Communication Program Discussion Guidelines.
• Take the Soft Skill Conflict Style Assessment.
• Review the previous assessments you have taken in this course for soft skills. This includes the Week 1 Interpersonal Communication Skills Assessment, the Week 4 Listening Skill Assessment, and the Week 4 Emotional Intelligence Assessment.
• Think about the skills you scored well on and those on which you could use improvement.

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By Day 4

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Post a response that addresses the following:

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• Describe two soft skills on which you have room for improvement.
• Tell us how you plan to develop each of the skills that you chose.
• Explain how each of your chosen skills will help you in either your personal or professional life?

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Refer to the Week 6 Discussion 2 Rubric for specific grading elements and criteria. Your Instructor will use this grading rubric to assess your work.

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RESOURCES:

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https://www.goodtherapy.org/blog/psychpedia/i-mess…

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https://www.psychologytoday.com/us/blog/cui-bono/2…

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https://open.lib.umn.edu/communication/chapter/6-2…

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https://www.usip.org/public-education/students/con…

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https://www.ted.com/talks/luvvie_ajayi_get_comfort…

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Working with Families: Applying the Nursing Process
The student nurses are reviewing key concepts about working with families in the community and how to best the steps of the nursing process. The student nurses are quizzing each other about these important concepts for the topic. The student nurses quickly acknowledged that the family unit is the focus of service in community health nursing.
1. It is important for the nurse to understand healthy family characteristics and to use a variety of tools so that family assessments are thorough. What six important characteristics do healthy families demonstrate?
2. The six characteristics of a healthy family provide one assessment framework that community health nurses can use. What three key things must be present in order to assess a family’s health systematically?
3. What are the 12 main categories of family dynamics for which the nurse must collect data?
4. Community health nurses enhance their practices with families by observing five principles. What are the five key principles that enhance their practices with families?

question 2:

Epidemiology in Community Health Care
The community health nurse is reviewing several epidemiologic research studies with student nurses that are beginning a 6-month community health rotation. Epidemiology offers community health nurses a specific methodology for assessing the health of aggregates. The nurse has requested that the student participate in a semester long epidemiologic research study
1. Why is it important that community health nurses review epidemiologic research?
2. What are the seven steps that student nurses must consider when participating with the community health nurse in the epidemiologic research study?
3. The goals of epidemiologic investigation are to identify the causal mechanisms of health and illness states and to develop measures for preventing illness and promoting health. Epidemiologists employ an investigative process that involves a sequence of three approaches that build on one another. What are the three investigate approaches?
4. The community health nurse has been requested to figure out the prevalence rate and the incidence rate of influenza for a 1-month period of time. There were 1,000 students who reported flu-like symptoms during 1 month in a population of 5,000 students at the local community college, and during the same month, 500 individuals developed influenza. What is the prevalence rate and incidence rate?

***Comment this ***
Today’s Advanced Practice Registered Nurses (APRNs) have three key priorities in advocating for equitable population health services and policies. The first aim is to provide better care to the population/community, which leads to the second goal of improved patient, population, and community health. (Poghosyan et al., 2017) Thirdly, lower healthcare costs such that all patient groups have equal access to treatment in order to reduce health disparities. According to the Institute of Medicine (IOM), APRNs should be advocates by caring for communities within diverse healthcare environments and be able to practice to the full extent of their education and training, but we all know that there are limitations that APRNs are currently working to change for that reason alone.