In this assignment I need a peer response for the main discussion, that show below.

The peer’s responses

Discussion Grading Criteria: Agreeing and disagreeing do not mean just voicing one’s opinion. The focus of the discussions should remain on the ideas posed in the readings. Agreeing and disagreeing mean making scholarly arguments from the literature that may support your own ideas. Faculty expects you to support your ideas from the readings or similar scholarly writing about the topic in nursing literature. Always cite your source(s) and reference in APA format.

Remember the post and responses should include scholarly writing about the topic in nursing literature.

Note por the professor:

Hello class,

Please refer to your APA format in your postings. The journal name and volume is italicized font. Ex.

…The American Nursing Journal,7(9),,,,

Please update your APA to reflect doi 

Discussion 4: William Rodriguez

What is your biggest Weakness?

One of my greatest weaknesses is getting upset when I realize people are not working as they are required. In the end, they end up delaying the work progress for the entire team and this I just feel is unacceptable. I tend not to get along with such workmates and thus I will just keep pushing them to work and perform their duties. Having worked as a general manager has helped me learn how to deal with such cases and help people get to put their best in their duty and also work as a team.

Describe how you resolved conflict with a co-worker or patient?

I was requested by my boss to provide an integration plan and this was to be done by cooperating with other departments in the health facility. The plan was to take two weeks but after talking to the partners, I realized it would take more than that. I told the boss about it and agreed I present the plan as soon as possible. Two weeks later, he called me and requested to have the plan as he had to show it during a meeting with the board. I reminded him of the extension to which he burst out saying I was an underachiever. I was angry at that moment by the harsh response but I maintained my cool. I engaged him on the progress and he remained cool and I promised to finalize on the plan and he would have it before the meeting commenced. He apologized for the outburst. I worked on the plan and delivered as promised and that was the point of change that led to me being given more responsibilities at the facility.

Tell me about yourself?

I am a licensed Nurse in the State of Florida for the last 8 years and also in an optician’s office for the last 20 years. I have a lot of nursing experiences and have a variety of skills that helps provide patient care and maintain patient safety. I am also loyal and a collaborative team player.

comment1

Diabetes mellitus is characterized by glucose intolerance, chronic hyperglycemia, and disturbances of carbohydrate, protein, and fat metabolism (Huether & Mccance, 2016). Generally, a diagnosis of diabetes mellitus is based on elevated plasma glucose concentrations and measurement of glycosylated hemoglobin (A1C). Genetic susceptibility in combination with other environmental risk factors such as obesity place someone at higher risk for DM II. Obesity contributes to metabolic syndrome, altered adipokines, increased fatty acids, inflammation, and hyperinsulinemia, increasing insulin resistance further (Huether & Mccance, 2016).

Acute complications such as diabetic ketoacidosis and hyperosmolar hyperglycemic nonketotic syndrome are life threatening (in the short term), but not as common as the long-term life-threatening chronic complications of diabetes mellitus. Most long-term complications related to hyperglycemia are sequelae of hyperglycemia on the micro and macro vasculature.

Identify a long-term complication of the vasculature (micro or macro) related to diabetes, the clinical manifestations, and other health concerns they may contribute to.

comment2

According to (Lewis, Bucher, Heitkemper, & Harding, 2017), angiopathy is the leading cause of end organ disease secondary to chronic hyperglycemia. There are several theories as to why these complications exist that include toxic byproducts of high glucose metabolism such as sorbitol, the collection of glucose molecules in the basement membranes of capillaries, and a derangement of red blood cell function (Lewis, Bucher, Heitkemper, & Harding, 2017).  The microvascular complications are related to the thickening of the capillary membranes that result in micro occlusions. The micro occlusions lead to small herniations with swelling that lead to ischemia and tissue damage most commonly to tissues like the retina and the glomeruli of the kidneys (Lewis, Bucher, Heitkemper, & Harding, 2017).

Maintaining patients’ skin integrity decreases hospital-acquired infection rates and reduces patients’ length of stay.

• Respond in one well-developed paragraph.
• Complete the Pieper Pressure Ulcer Knowledge Test.
• Check your answers against the answer key.
• Provide your score and, in no more than one paragraph, develop three to five objectives that will help you enhance your knowledge about providing safe care to patients who may have challenges to their skin integrity.
• Submit your score and objectives as an attachment in the assignment area.

PART1/an

With a society that is so diverse in its own nature, issues pertaining to cultural diversity are bound to occur in the process of team management and leadership. Using the South University Online Library or the Internet, research about cultural diversity. Based on your research and understanding, answer the following questions:

· How does having members of different cultures on a team affect the team’s performance?

· How would you incorporate a person from a culture of your choice into your team, keeping in mind communication differences within your and the chosen culture?

Part 2

Understanding cultural diversity is extremely important specially leaving in Florida. According to a research “As the United States population becomes more diverse and camps employ more international staff, the issue of communicating and interacting effectively with people from other cultures becomes more important” (American Camp Association, 2017). Nurses get to work with many different cultures so it is extremely important that we get learn about different cultures types so we can provide the best care possible.

· How does having members of different cultures on a team affect the team’s performance?

Nurses also get to work with people from other cultures backgrounds which can definitely make a big impact on team performance. The biggest problem in this case will be language barrier which can definitely reduce the effectiveness of communication between team members. I will like to add to the discussion that I am from a different cultural background and do I agree that language barrier can make a big impact on team performance. Several times during my career I had to experience how some team members encounter a hard time trying to understand what I said because of my hard accent. I know this is something that I must work on and I tried to do better every day in order to not to compromise my work or the safety of my patients.

· How would you incorporate a person from a culture of your choice into your team, keeping in mind communication differences within your and the chosen culture?

The biggest thing about incorporating someone from a different culture to the team is that we must understand that they must be treated the same, we must respect the choices and we must take the time to learn more about their cultures and we can positively make them feel welcome in their new environment.