Discuss the aetiology and pathophysiology of the patient’s presenting condition.Susan Summers is a 40 year old female who has 3 children under the age of 10yrs. Susan has casual employment stacking shelves in a supermarket at night.

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Discuss the aetiology and pathophysiology of the patient’s presenting condition.Susan Summers is a 40 year old female who has 3 children under the age of 10yrs. Susan has casual employment stacking shelves in a supermarket at night.

Susan Summers is a 40 year old female who has 3 children under the age of 10yrs. Susan has casual employment stacking shelves in a supermarket at night. Susan is obese at 90kg (BMI 35kg/m2) and has been diagnosed with type 2 diabetes. Susan admits to drinking a bottle of wine or more per night after work to help her cope with her life. Susan was admitted to hospital for surgery following changes in her appearance due to Cushing’s syndrome caused by a benign tumour of her right adrenal gland. Susan is admitted to hospital for a laparoscopic right adrenalectomy under general-anaesthesia.
After 2 hours in the post-anaesthetic recovery room (PARU) and an uneventful recovery, Susan
was transferred to the ward, where you have been allocated to her care.
PRESENTATION TO THE WARD:
On return to the ward Susan’s observations are as follows:
• Respirations 30 breaths per minute ?
• BP 160/90mmHg ?
• Pulse 128bpm ?
• Temperature 35.0oC ?
• Pain score 0/10 ?
• Indwelling urinary catheter (IDC) 5mls in the last hour ?It is planned for Susan to be discharged after two days on the ward.

QUESTIONS TO BE ANSWERED In relation to Susan Summers:

Q1. Discuss the aetiology and pathophysiology of the patient’s presenting condition
?Q2. Critically discuss the underlying pathophysiology of the patient’s post-operative deterioration. Prioritize, outline and justify the appropriate nursing management of the patient during this time

?Q3. Identify three (3) members of the interdisciplinary healthcare team, apart from the primary medical and nursing team, who you would involve in the care of the patient before their discharge and provide justification for their involvement.
?
I have identified 3 member of interdisciplinary team –

1. Dietician
2. Drug and alcohol counsellor
3. diabetic educator

 

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Who are the immigrants in your community?

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Prompt: Lincoln, Ch. 3 & 4;
Ch. 3 Who lives here…works here…?

  • What is the demographic make-up of your community?
  • Is this a change from ten or twenty years ago?
  • Do you have an immigrant or refugee population?

Immigrants in your community

  • Who are the immigrants in your community?
  • What ways does it challenge you to care for this population?
  • What resources are available…for you…for your patients?
  • Has your organization provided you with continuing education programs about caring for diverse populations?

Ch. 4
List your first positive and negative thoughts after reading each one:

  • African American- college- male- dreadlocks
  • Asian- math- herbs- driving
  • White- pregnant- poverty- alone
  • Native American- overweight- casino- pride
  • Woman- executive- African American- new
  • Elderly- new hire- thrifty- organized

On the scale of 1-5…where are you on the river…?

  • In the clinical setting:       1   2   3   4   5
  • In the staff meeting:          1   2   3   4   5
  • At the supermarket:          1   2   3   4   5
  • At the family gathering:   1   2   3   4   5

Directions: Complete the Reflective Journal questions presented in your Lincoln (Weeks 1-6) and Dayer-Berenson (Weeks 6-8) text as defined in the course outline.  Post the responses to the questions in the D2L dropbox.

 
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Describe solutions that have been found to promoting adoption of E Hrs and to overcoming barriers.

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Describe solutions that have been found to promoting adoption of E Hrs and to overcoming barriers.

Describe solutions that have been found to promoting adoption of E Hrs and to overcoming barriers. Include specific examples, and be sure to address technological as well as human factors.
Application: Adoption of Electronic Health Records

E Hrs are an important focus of the HITCH Act. To comply with this legislation and to make the best use of their organization’s resources, health care managers should develop a clear understanding of the nature of E Hrs and of factors that promote or mitigate against their adoption.

Prepare for this Application Assignment as follows:

Select a particular functional area within a health care setting. This must be an area that makes use of the types of patient data found in E Hrs. Examples include: a hospital’s admissions department, emergency room, pharmacy, or nursing unit; or the billing department or outpatient treatment department at a clinic or physicians’ office.
Review this week’s Learning Resources and conduct a literature search to determine factors that promote and hinder adoption of an HER system across this type of organization and within this area in particular. Look not only for technological, but also human factors that impact the adoption of E Hrs.
Then write a 2- to 3-page paper that addresses the following:

What are key problems related to the adoption of E Hrs in your selected functional area?
What factors promote the adoption of E Hrs in this particular setting?
Describe solutions that have been found to promoting adoption of E Hrs and to overcoming barriers. Include specific examples, and be sure to address technological as well as human factors.
What are specific steps management can take to facilitate the adoption of E Hrs?

 

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Evolving Practice of Nursing and Patient Care Delivery Models.These experiences come in the form of direct and indirect care experiences in which licensed nursing students engage in learning within the context of their hospital organization, their specific care discipline, and their local communities.

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Evolving Practice of Nursing and Patient Care Delivery Models.These experiences come in the form of direct and indirect care experiences in which licensed nursing students engage in learning within the context of their hospital organization, their specific care discipline, and their local communities.

Evolving Practice of Nursing and Patient Care Delivery Models Order DescriptionThe RN to BSN program at Grand Canyon University meets the requirements for clinical competencies…

Evolving Practice of Nursing and Patient Care Delivery Models
Order DescriptionThe RN to BSN program at Grand Canyon University meets the requirements for clinical competencies as defined by CCNE and AACN using nontraditional experiences for practicing nurses. These experiences come in the form of direct and indirect care experiences in which licensed nursing students engage in learning within the context of their hospital organization, their specific care discipline, and their local communities.
As the country focuses on the restructuring of the U.S. health care delivery system, nurses will continue to play an important role. It is expected that more and more nursing jobs will become available out in the community, and fewer will be available in acute care hospitals.
Write an informal presentation (500-700 words) to educate nurses about how the practice of nursing is expected to grow and change. Include the concepts of continuity or continuum of care, accountable care organizations (ACO), medical homes, and nurse-managed health clinics.
Share your presentation with nurse colleagues on your unit or department and ask them to offer their impressions of the anticipated changes to health care delivery and the new role of nurses in hospital settings, communities, clinics, and medical homes.
In 800-1,000 words summarize the feedback shared by three nurse colleagues and discuss whether their impressions are consistent with what you have researched about health reform.
A minimum of three scholarly references are required for this assignment.
In addition to submitting this assignment in the LoudCloud dropbox, email a copy of your submission to RNBSNclientcare@gcu.edu.

 

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Referent power

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Nursing leadership

The three most important power sources for a nurse leader, in my opinion, are referent power, expert and reward power. Referent power is important for a nurse leader because if a nurse leader is hardworking, responsible and sets an example for the team, the team will follow their example which will benefit the organization. Expert power can be a needed benefit in leadership role, this gives employee’s and team members confidence in their leader and they will feel as the leader can mentor them as the leader has a high level of knowledge and skills. Expert power and leadership can be a great asset to an organization with new employees and new nurses. Finally reward power can be used as a tool to motivate staff to reach their full potential by using rewards as an incentive.

Leaders create a culture of ownership and investment in the collective action of work, helping to build a community around the purposes of work and deepening the understanding of the relationship among individual work activities, the collective convergence of that effort, and its power to make a difference (Porter-O’Grady, 2016). Using referent power leaders must first gain the trust of the followers or team members by leading by example. After the leader’s trust, honesty and respect are gained by the team members, they will model the leader’s behavior. Expert power is best used by teaching staff new techniques new evidence-based practice, and new policies and procedures. If staff know their leader as an expert, they will be more likely to absorb the new information.  Reward power can be used to increase performance, and rewards can incentivize the benefits of doing a good job.

Expert power is a frequently used source of power in my work. On our unit we have a manager, assistant manager and a clinical nurse leader. With these three leaders available it allows the nurse of the floor to feel confident that they can go to one of the three managers/ leaders to obtain information if they are unsure of a policy, procedure and or if they just need some advice. I know personally having this type of support empowers me to be a better nurse because I know we have a support system to back us up.

 
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Discuss the similarities and differences between complementary and alternative medicine (CAM) and western medicine

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Discuss the similarities and differences between complementary and alternative medicine (CAM) and western medicine

Write a 3 pages scholarly paper explaining the following topics using APA format:
Discuss the principles of holistic care and the four principles of the holistic caring proces
Discuss the similarities and differences between complementary and alternative medicine (CAM) and western medicine
Describe the role of nutrition and exercise in complementary and alternative medicine
Discuss at least 4 therapeutic effects of humor and music therapy.
Discuss three main barriers to changing our current healthcare system to a more integrative system of care
Discuss how your nursing practice might be affected by complementary and alternative medicine.

 

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Disadvantaged children often do not have health insurance and do not receive the preventive care

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IDENTIFY AND SELECT A HEALTH PROBLEM IN THE US HEALTH CARE SECTOR FROM THE LIST BELOW

Identify and select a health problem in the US Health Care sector from the list below.  Prepare a summary document using the required table format shown below. The table should be single spaced and a maximum of three (3) pages. Also include a cover page and a reference page in APA Format (these do not count toward the page limit). Reference the bolded formatting instructions in the Class Guidelines area of the syllabus.  The topics is as follows

Disadvantaged children often do not have health insurance and do not receive the preventive care (such as vaccines and well-baby check-ups) that can help avoid long-term health problems

 

Health Problem: Describe and provide details about the health problem.  Indicate in detail who is most impacted by this health problem. This section must include how the problem impacts patients, health care providers and/or professionals, health organizations, and government. Note the human and financial costs. Use in-text citations for all statistical references. 
Healthy People 2020: Summarize the health problem as recognized by Healthy People 2020. Note how the health problem you identified fits within the Healthy People 2020 framework. Use in-text citations as needed. 

If the issue is not identified in Healthy People 2020, research and assess if another governmental document identifies and describes the problem. If yes, indicate the source. Hypothesize about why this specific societal health problem might have been excluded from Healthy People 2020. 
Official Title and Citation of the Legislation: Indicate the government’s response to the health problem you selected. Select one piece of legislation. In this section, include the title, bill number or citation from the statute.
Status: As of the date of submission, what is the status of the legislation in the health policy cycle?
Analysis of the public policy response: Describe the scope of the legislation and the anticipated impact.
Conclusion: In your opinion, does the health policy adequately addresses the health problem you identified? Why or why not?
Resources for Updates: What resource would a health organization use to check for updates on this policy or legislation?
 
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Mrs. Siegal has two alternative activities to help relieve herbackache. In the first, she can visit a physiotherapist. The totaltime for a physiotherapist visit, including travel and waiting, istwo hours. Mrs. Siegal earns a wage of $20 an hour.

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Mrs. Siegal has two alternative activities to help relieve herbackache. In the first, she can visit a physiotherapist. The totaltime for a physiotherapist visit, including travel and waiting, istwo hours. Mrs. Siegal earns a wage of $20 an hour.

 

Mrs. Siegal has two alternative activities to help relieve herbackache. In the first, she can visit a physiotherapist. The totaltime for a physiotherapist visit, including travel and waiting, istwo hours. Mrs. Siegal earns a wage of $20 an hour.Physiotherapists charge $50 per visit, and Mrs. Siegal does nothave any health insurance. As a second alternative, Mrs. Siegal cantake pain killers. Each pill costs 50 cents, and Mrs. Siegal needsto take 30 pills per month. The two treatments are not equallyeffective. The physiotherapy visits yield 10 additional healthydays per month, while the pills yield 6 healthy days.

 

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Formulate questions that ensure an appropriate understanding of the disorder. T

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Per the Course Project Overview outlined in Module 1, you have selected a mental disorder to be the focus of your efforts.  As part of your course project, you will conduct field research on the practice related to your selected disorder. In your field research, you will interview a mental health professional to learn about the practice related to diagnosing and treating the disorder. In this assignment, you will prepare for the interview.

  • Provide a brief introductory paragraph identifying and discussing the DSM disorder you have selected (furnish appropriate APA citations and References).
  • Write ten interview questions that will bring out the information you need.
  • Formulate questions that ensure an appropriate understanding of the disorder. These questions should assist in differentiating the chosen disorder from those found within and outside its parent category.

Tips for approaching your future Interview with a Mental Health Professional
Ideally, you will select a mental health professional in your local area whom you can interview in person. However, if this is not possible, you may choose to select a mental health professional who is located in another city or state. Some students who live in remote areas may choose to contact state or national mental health-related organizations to find potential interviewees. Such organizations include:

  • The National Alliance on Mental Illness (NAMI): https://www.nami.org/
  • Mental Health Treatment Facility Locator (SAMHSA-sponsored):http://findtreatment.samhsa.gov/MHTreatmentLocator/faces/addressSearch.jspx
  • Veterans Administration Hospitals Locator (U.S. Department of Veterans Affairs): http://www.va.gov/directory/guide/home.asp?isflash=1
  • The Salvation Army’s Harbor Light Centers Locator: http://www.salvationarmyusa.org/usn/harbor-light

In that case, you would conduct a phone interview.
Ensure that the person you interview has a background in the disorder you are studying.

 
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Create an ethical legal decision-making dilemma involving an advanced practice nurse in the field of education, informatics, administration, or a nurse practitioner.

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Choose an ethical-legal dilemma that would cause the advanced practice nurse moral distress. The dilemma could be one you have faced in your practice. Write at least the introductory paragraphs for the Unit 4 Assignment. Be specific about the dilemma — something you may have experienced in your practice. Outline the topics that will be discussed in the Unit 4 Assignment using level one APA headings.
Unit 4 assignment:

  • Create an ethical legal decision-making dilemma involving an advanced practice nurse in the field of education, informatics, administration, or a nurse practitioner. Apply relevant codes of conduct that apply to the practice of nursing and your chosen field.
  • Include one ethical principle and one law that could be violated and whether the violation would constitute a civil or criminal act based on facts.
  • Construct a decision that demonstrates integrity and that would prevent violation of the ethical principle and prevent the law from being violated.
  • Describe the legal principles and laws that apply to the ethical dilemma.
  • Support the legal issues with prior legal cases or state or federal statutes.
  • Analyze the differences between ethical and legal reasoning and apply an ethical-legal reasoning model in the case study to create a basis for a solution to the ethical-legal dilemma.
  • List three recommendations that will resolve advanced practice nurses’ moral distress in the dilemma you have presented.
  • Based on the issue you presented and the rules of the law, apply the laws to your case and come up with a conclusion

(It is not necessary to do the unit 4 assignment. This is only for reference.)
For each Discussion Topic:
Initial posts for each discussion topic must also include a minimum of three peer-reviewed citations.Citations must include outside sources. Additionally, comments should also include a citation to support assertions. While the discussion board tool limits the ability to use APA formatting (e.g., hanging indents), posts must include the required elements of an APA in-text citation and list of references.

 
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