Nursing  English

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1st postHello, my name is Grace and I currently work at the Sandusky Yacht Club as a server/bartender. I am currently pursuing a Bachelor of Science in Business Management. I hope to improve my basic English skills that are usually overlooked. I hope to learn better ways to communicate and use different learning tools to improve my knowledge in a number of different topics.English skills are important in any field since basic English skills are the foundation of communication. Understanding the best way to communicate and identify different contacts can help someone become more successful.In the restaurant business discourse is an important part of the day to day functions. Lack of discourse can create confusion, conflict, and misunderstanding. As a server, we are constantly communicating verbally, orally, and writing. Understanding someone’s tone and purpose is important when trying to get a point across or explain something. For example when my manager addresses in a meeting issues that are constantly occurring her tone might change from when she talks about the employee of the month or accomplishments we have achieved as a team. Tone can set the emotion the speaker wants the audience to have.Discourse plays a big role in social media since it has become the most common way people get news, network, and interact with the family. This type of discourse usually involves secondary discourses along with intercommunication. I personally use social media almost every day to get my news, school and communicate with family.ReferencesOllagnier-Beldame, M. (2017, September 26). The effects of social media on the dynamics of identity: Discourse,… Retrieved fromhttps://journals.openedition.org/alsic/3004?la2nd postI am Karen and I live in Island Lake, IL. I am attending Herzing University to complete my Bachelor’s in Nursing. I completed my LPN in 2019 and have been working in a skilled nursing facility in Lincolnshire, IL. I see myself applying what I learn in this class in my everyday work. The picture attached is of me and my husband these past holidays, and soon we will be joined by our little girl. Writing is a form of communication and nurses are part of an interdisciplinary team that needs to communicate in order to create a care plan for the patients.Discourse is described as an oral or written way of communication. With that being said, we use discourse in our day to day life to properly communicate with one another and share our emotions and feelings.Discourse is spread through social media in the form of various online webinars, chats on various sites like Facebook and Twitter. These websites have options of the host posting things public expanding their audience, or they can also privately message another person keeping the conversation private.The audience is an important part of discourse because if there is no discourse then there will be no one to listen and there will be no communication. The purpose in a discourse is also important there needs to be a reason or a point to get across during a conversation otherwise the conversation would not make sense. The tone affects the conversation because it affects how the host and audience interact.

 
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Nursing  Case Study 5 & 6

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Knee InjuryCase StudiesA 15-year-old gymnast has noted knee pain that has become progressively worse during the past several months of intensive training for a statewide meet. Her physical examination indicated swelling in and around the left knee. She had some decreased range of motion and a clicking sound on flexion of the knee. The knee was otherwise stable. Studies Results Routine laboratory values Within normal limits (WNL) Long bone (femur, fibula, and tibia) X-ray No fracture Arthrocentesis with synovial fluid analysis Appearance Bloody (normal: clear and straw-colored) Mucin clot Good (normal: good) Fibrin clot Small (normal: none) White blood cells (WBCs) <200 WBC/mm3 (normal: <200 WBC/mm3 ) Neutrophils <25% (WNL) Glucose 100 mg/dL (normal: within 10 mg/dL of serum glucose level) Magnetic resonance imaging (MRI) of the knee Blood in the joint space. Tear in the posterior aspect of the medial meniscus. No cruciate or other ligament tears Arthroscopy Tear in posterior aspect of medial meniscus Diagnostic Analysis The radiographic studies of the long bones eliminated any possibility of fracture. Arthrocentesis indicated a bloody effusion, which was probably a result of trauma. The fibrin clot was further evidence of bleeding within the joint. Arthrography indicated a tear of the medial meniscus of the knee, a common injury for gymnasts. Arthroscopy corroborated that finding. Transarthroscopic medial meniscectomy was performed. Her postoperative course was uneventful.Critical Thinking Questions1. One of the potential complications of arthroscopy is infection. What signs and symptoms of joint infection would you emphasize in your patient teaching?2. Why is glucose evaluated in the synovial fluid analysis?3. What are special tests used to differentiate type of Tendon tears in the knee ?Explain how they are performed (Always on boards)Testicular CancerCase StudiesA 21-year-old male noted pain in his right testicle while studying hard for his midterm college examinations. On self-examination, he noted a “grape sized” mass in the right testicle. This finding was corroborated by his healthcare provider. This young man had a history of delayed descent of his right testicle until the age of 1 year old. Studies Results Routine laboratory studies Within normal limits (WNL) Ultrasound the testicle Solid mass, right testicle associated with calcifications HCG (human chorionic gonadotropin) 550mIU/mL (normal: <5) CT scan of the abdomen Enlarged retroperitoneal lymph nodes CT scan of the chest Multiple pulmonary nodules Diagnostic Analysis At semester break, this young man underwent right orchiectomy. Pathology was compatible with embryonal cell carcinoma. CT directed biopsy of the most prominent pulmonary nodule indicated embryonal cell carcinoma, compatible with metastatic testicular carcinoma. During a leave of absence from college, and after banking his sperm, this young man underwent aggressive chemotherapy. Repeat testing 12 weeks after chemotherapy showed complete resolution of the pulmonary nodules and enlarged retroperitoneal lymph nodes.Critical Thinking Questions1. What impact did an undescended testicle have on this young man’s risk for developing testicular cancer?2. What might be the side effects of cytotoxic chemotherapy?3. What was the purpose of preserving his sperm before chemotherapy?4. Is this young man’s age typical for the development of testicular carcinoma?

 
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Nursing  Culture in nursing reflection

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Write a reflective article regarding the extent to which you feel you are now prepared to do the following in your career after taking the culture in nursing course. Explain how culture in nursing discusses and encompasses the following points:Assess health/illness beliefs, values, attitudes, and practices of individuals, families, groups, communities, and populations.Participate in clinical prevention and population ­focused interventions with attention to effectiveness,      efficiency, cost-effectiveness, and equity.Advocate for social justice, including a commitment to the health of vulnerable populations and the elimination of      health disparities.APA format is required with both a title page and reference page. Use the required components of the review as Level 1 headers (upper and lower case, centered):Note: Introduction – Write an introduction but do not use “Introduction” as a heading in accordance with the rules put forth in the Publication manual of the American Psychological Association (2010, p. 63). Course Reflection and Conclusion.Must be three to six pages long excluding the title and reference pages.

 
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Nursing  paper

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The theoretical foundations of qualitative and quantitative methods are very different, but many researchers believe both methods should be used in the research study to increase validity and reliability. What advantages or disadvantages do you see in using both types of methods in a nursing study? Support your answer with current evidence-based literature.

 
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Nursing  NUR505- REPLY TO DISCUSSION DANETTE

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Module 2 DiscussionThe importance of effective communications between healthcare provider and patient are to ensure that the best evidence-based practices are being utilized to assist in the curative or preventative manner in which the patient is seeking medical assistance. The best way to do incorporate this in a manner that promotes cultural competence requires education. Education on the part of the healthcare provider as well as the recipient patient.Effective communication between the participating parties would begin with acknowledging the differences in cultures that may be present, and giving due respect where those differences are concerned. Cultural differences can create barriers to providing and receiving quality, effective healthcare. With lack of knowledge of different cultures on the healthcare providers part, it can lend to a feeling of mistrust on the patient’s part. If an individual feels that their beliefs are not being respected and taken into consideration, it can add to any barriers and misconceptions felt on the patient’s part, and prevent the ability to participate in a trusting relationship between provider and patient (Purnell, 2013).An individual’s culture defines the way that they make sense of the world and influences how they view illnesses and the healthcare experience, and how they make their decisions about accepting and utilizing provided information (Brown et al, 2016).  Brown et al (2016) states that in spite of the importance of culture competence in the healthcare field, traditional medical training is lacking in educating the importance of cross-cultural communication. Policies to improve cultural competence knowledge and skills are required to communicate more effectively between patient and provider. Cross-cultural communication includes strategies that acknowledge the individual’s cultural traditions, beliefs or values, and also take into account one’s own beliefs, experiences, and values, without generalizing about the patient (Brown et al, 2016). When the healthcare provider is more knowledgeable in the diverse cultures that he or she may come in contact with in their career, it can help set the basis of a strong, successful working relationship. Communication is key in setting the stage for this new relationship between the participants, and can help the provider learn even more about the patient, their backgrounds, beliefs and goals. Communication between the healthcare practitioner and the patient, and their family and social support, is key to reaching mutually agreed upon healthcare goals (Brown et al, 2016).Cross-cultural communication can also be seen as a hinderance with lack of knowledge on how to communicate efficiently. Within cultural groups, people learn their rules: like who is allowed to communicate with whom; when, where and how something may be communicated; and what to communicate about. Sometimes, language and personal beliefs can get in the way of successful communication. When people use slang in context with people outside of their own group, effective communication often fails and creates misunderstanding and barriers between the participants (Center for Disease Control and Prevention, 2020). This is more often seen when healthcare workers and providers are trying to communicate with individuals who may have limited healthcare literacy (Center for Disease Control and Prevention, 2020).  Health literacy is defined as the degree to which an individual has the ability to obtain, process, and comprehend basic health information and the services needed to make appropriate, informed healthcare decisions (Purnell, 2013).By ensuring we are more open to the cultural differences of the patient in front of us, we can begin to be good stewards of the health they are entrusting us with. By showing respect for the multitude of cultures we will come in contact with in this career as advanced practice nurses, we can also earn the trust of those we seek to assist. Trust sets the basis for a more successful relationship, and should ideally lead to more positive healthcare compliance and outcomes.ReferencesBrown, E. A., Bekker, H. L., Davison, S. N., Koffman, J., & Schell, J. O. (2016). Supportive care: Communication strategies to improve cultural competence in shared decision making. Clinical Journal of the American Society of Nephrology, 11(10), 1902-1908. DOI: https://doi.org/10.2215/CJN.13661215Centers for Disease Control and Prevention. (2020). Culture & Health Literacy. Retrieved from https://www.cdc.gov/healthliteracy/culture.htmlPurnell, L. (2013). Transcultural Health Care: A Culturally Competent Approach (4th ed.). Philadephia, PA: F. A. Davis Co.

 
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Nursing  Nurse Educator Lesson Plan

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As you explored in Topic 2, there are many factors that drive the course design process. Course design outlines help instructors develop lesson plans that meet objectives outlined in the course design process. Effective lesson plans include opportunities for student engagement and should be learner centered. The purpose of this assignment is to create an effective lesson plan for the health care practice you selected in Topic 2 in a setting of your choice. You will develop course outcomes and learning objectives, select appropriate instructional strategies, determine how to assess the students, and align the lesson plan to professional standards and nurse educator competencies.Create a lesson plan that follows the example lesson plan in Chapter 10 in the Teaching in Nursing: A Guide for Faculty textbook. Your lesson plan should include all components from the sample lesson plan. For the evaluation strategies section, choose two assessment types. One of your assessment types must be an exam that you will develop in a later topic. In addition to the components on the sample lesson plan in Chapter 10, add another section to your lesson plan that explains the alignment of course outcomes to professional standards and nurse educator competencies.While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

 
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Nursing  MHC6306 Week 3 Lecture, Discussion, and Project Instructions

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Welcome to Week 3 of the course!In Week 2, you learned about the importance of human resource management (HRM) in healthcare organizations. The week also focused on HRM’s role in dealing with legal issues. In addition, you explored the major laws affecting healthcare and the legal responsibilities and ethics that impact the healthcare workplace.This week, you will learn about the role of HRM in dealing with job design, job analysis, and job descriptions. In addition, you will focus on performance management, employee relations, and the disciplinary process.Let’s begin this week by understanding the differences between a job design, a job analysis, and a job description.Your Learning Objectives for the Week:Evaluate the components of job analysis.Utilize critical thinking to analyze major HR challenges facing healthcare organizations and evaluate methods of minimizing the negative impact

 
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Nursing  Article Critique

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Find issues or disagreements with this article using the article itself not your personal feelings…2 FULL PagesYou can look at the sample write up attached

 
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Nursing  pico literature search

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Delegation:A unit employs RNs, LPN’s and PCTs (patient care techs) to provide direct care. The unit has had an issue with appropriate delegation. The PCTs and LPNs report that they are being asked to perform more than their “fair share”, and things they should not do. The RN’s state that they are the only ones who do anything, and every time they ask the LPNs and PCTs to do anything they are told the PCTs and LPNs are not allowed to perform the task. The Unit manager recognizes that efforts to improve delegation need to be made. Your task is to research an intervention to enhance the quality and practice of delegation on this unit.2:Decreasing wait times in ER or patient flow time to move from ED: A manager of an Emergency Department is concerned that patient satisfaction scores have dropped significantly for the department. The primary complaint is long wait times. Internal tracking of patient flow has shown patients are waiting up to 7 hours for transfers to patient care areas, or to hospital units. Your task is to research an intervention to decrease wait times with improved flow to the care areas.3:New grad nurse retention:The manager of a medical surgical unit that is expanding needs to hire additional staff. Over the last 3 years 90% of the new graduates hired have quit within the first year of hire. The current RN staff is comprised of 8 nurses with greater than 10 yrs experience, 6 nurses with 5-10 yrs experience and 7 nurses with less than 5 yrs experience on the unit. Six new graduates are hired for the expansion. They will start 3 months before the new beds open. Your task is to research an intervention to enhance retention of the new graduates.4:Reducing medication errors:A medical surgical unit manager has had a significant increase in medication administration errors over the last two months. The errors involve many staff members and are occurring on all shifts. The budget does not allow for the purchase of new administration system. Your task is to research an intervention to decrease medication administration errors from the nursing staff within these parameters.5:Patient family centered care:The manager of a medical surgical unit has experienced a significant drop in patient satisfaction with the primary complaints being a lack of communication to patients and their family members. Your task is to research an intervention to increase patient-family centered care environment that would address this issue.6:Evidence-based practice: A hospital is seeking Magnet Hospital status. The managers of the units are charged with enhancing the incorporation of evidenced based practice on a unit level. Your task is to research an intervention to enhance the exposure to and application of evidence-based practice among nurses on the medical surgical unit.7:Enhancing teamwork across care provider levels:The manager of a medical surgical unit has observed, and had complaints about, lack of teamwork between the RN’s and the patient care techs (PCT’s). Your task is to research an intervention to enhance teamwork on the unit.8:Call light response time:The manager of a medical surgical unit that employs RN’s and patient care techs (PCT’s) has had a significant increase in call light response time and decrease in patient satisfaction related to the answering of call lights. Your task is to research an intervention that addresses the answering of call light in a timely, respectful manner.9:Decreasing the incidence of DVT’s in post-op orthopedic patients: Quality assurance reports for an orthopedic surgery unit identify an increase in the incidence of DVT’s over the last 6 months. The unit uses a standard prevention plan of Lovenox subQ and sequential compression devices (SCD’s) for all appropriate post-op patients. A recent survey found that 64% of the patients did not have SCD’s on while in bed and 32% did not receive Lovenox with the notation “refused”. Your task is to research an intervention to increase the use of SCD’s and decrease the number of refused Lovenox doses.PICO Question :P:I:C:O:3 Keywords:1 Synonym:1 MeSH term:

 
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Nursing  Discussion 8 / 2

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Research potential IT tech teaching tools that you would like to see utilized on the LMS to deliver course content.What are the benefits of using the tool?How accessible is it for students?If possible, provide link to website.300 words

 
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