A

What are the strengths and weakness of transformational leadership theory and leader-member theory (LMX)? How might your knowledge of the LMX theory help you to become a better leader?

  

B

How would you apply the transformational theory leader-member theory (LMX) to improve an organization’s performance? Discuss in the context of your own organization, an organization you have belonged to in the past, or another existing organization that would benefit from significant organizational improvement.

Please provide references

  

Education is key here regardless of whether the mother wants to breastfeed or formula feed. I think helping the mother see the benefits of breastfeeding is important but also helping her know that she will be supported regardless is also important. Also, providing the mother with education on signs and symptoms of malnutrition such as the amount of wet diapers is important so that she knows what to look for and when to notify a provider should these symptoms start to occur. Situations like this can also cause a lot of stress on the mother and feelings of inadequacy can occur so assessing the mother carefully for any signs of post-partum depression or discouragement is also important as you mentioned. Helping the mother to know that there any many resources available to her is also important.

  

2-Because of the mother’s reluctance to breastfeed, the first assessment I would do immediately is to determine the status of the infant. Checking to ensure adequate hydration by asking about the number of wet diapers and checking the infant for lethargy or dry mucous membranes would be the first priority.

After determining the safety of the infant, I would utilize the rest of the information gained from the functional health assessment to determine the needs and decisions the mother would like to made.

In either case, I would be interested to know if she has adequate support systems in place, including child care and the nature of her employment because breastfeeding can be impacted by these situations both for timing of feeding, milk supply, and opportunities for pumping. If the mother has decided to breast feed, a lactation consultant might be a good resource for support and education. A website such as womenshealth.gov/breastfeeding could also be given as a resource if there is available access to the internet.

The newborn’s health will be a priority regardless of her decision. Education concerning development will be important, and it would be important to determine the level of understanding the mother has about feeding an infant and what her body requires to provide an adequate and healthy milk supply. Adequate nutrition and hydration through breastfeeding is determined by output and weight gain. Nutritional status of the mother is an important consideration. Referral to public assistance programs specifically geared towards the nutritional health of breastfeeding and pregnant women and children such as the Special Supplemental Nutrition Program for Women, Infant and Children (WIC) would be an important consideration if there is financial concern in the family. In a longitudinal study Sonchak determined that this program did not decrease breastfeeding initiation, and in fact increased breastfeeding (2017). The health benefits of breastfeeding for the infant should be discussed as being the best option for feeding the baby, but without pressure, blame, or shame if that is not a viable option for this mother or family.

For formula feeding, the developmental milestones and health status would be the same. The method of preparing the feeding would need evaluation to see if education is needed. In feeding formula, the type of formula and the method of preparation are two areas that frequently need education. Cow’s milk should not be an option until after the child is 1 year of age, and the proper concentration of formula must be emphasized in order to ensure the child is receiving the appropriate number of calories and nutrition. WIC will also help provide formula if the mother has a financial need, and dilution of the formula to save money would be less likely.

Finally, the emotional component should be assessed and addressed. Mothers frequently feel guilt, regardless of their choice of method to feed their baby. By providing education on what the baby’s needs are and what the signs and symptoms are for adequate nutrition as well as what to look for if there is a problem, the mother can alleviate guilt by providing the best nutritional plan for whichever method she chooses. By focusing on the health of the infant she will be able to clearly decide how to best meet the nutritional needs in a way that works for her, her budget, and her lifestyle.

References

Sonchak, L. (2017). The impact of WIC on breastfeeding initiation and gestational weight gain: Case study of South Carolina Medicaid mothers. Children And Youth Services Review, 79115-125.

U.S. Health and Human Services, (2018). Breastfeeding. [HTML] Retrieved from https://www.womenshealth.gov/breastfeeding 

  

3-If I found out that the mother of the newborn infant was reluctant to breastfeed her baby, I would get more information from the mother. I would ask the mother if she’s fearful, is it any religious beliefs, does she think it’s painful, or is it because she doesn’t have much information about breastfeeding. It’s important to assess her knowledge of breastfeeding prior to beginning any education to see what areas need further education. Assessing her ability and willingness to learn is also important. After understanding why, she is reluctant to breastfeed, I would educate her on the benefits of breastfeeding. It is easier for babies to digest breast milk than it is to digest formula. Breast milk contains antibodies that help the baby fight of viruses and bacteria later in life. It helps builds the infants immune system and infants tend to get sick less often. “Breast milk has all the nutrients an infant needs to grow. Breastfeeding lowers the infants risk for developing asthma and allergies” (WebMD, n.d.). Breastfeeding is a way that the mother and infant can bond.

It is during infancy that their nutrient requirements per pound of body weight are proportionally higher than any other time during their life cycle (United States Department of Agriculture, 2009). It is important to know if the baby is getting the proper amount of nutrients if the mother breastfeeds or bottle feeds. It is common for a mother who breastfeeds to worry about her infant getting enough because there is no way to measure the breast milk if the infant is drinking from the breast. Unfortunately, this will discourage mothers from breastfeeding. As nurses we can reassure the mother that there are ways to confirm that the baby is receiving enough nutrients needed. If the infant is gaining weight each visit or if the infant is soaking 6 diapers or more in a 24-hour period. If the infant stops eating, isn’t fussy, and seems satisfied than he/she is getting enough to eat. When infants are bottled fed, you can look for these signs to tell you if the infant is getting enough.

As a nurse, our main priority is to always show support with whatever decision our patients. Making sure the new mothers have all the resources available to them is important. As nurses, we can encourage our new mothers to breastfeed and it is important that we are readily available to them when and if they have any questions or concerns.

Department of Agriculture. (2009). Infant nutrition and feeding.

Retrieved 3/26/2018, from https://wicworks.fns.usda.gov/wicworks//Topics

/FG/Chapter1_NutritionalNeeds.pdf

DUE 3/30/18 7 P.M EST

APA FORMAT MIN 2 REFERENCES

 

Health Literacy

The government has defined health literacy as “The degree to which individuals have the capacity to obtain, process and understand basic health information and services needed to make appropriate health decisions” (Healthy People 2020, 2011). Scholars have demonstrated that health literacy skills are stronger predictors of health status than age, income, employment status, education level, and race or ethnicity. Individuals with inadequate health literacy often struggle with basic tasks when managing a chronic condition such as reading and comprehending prescription bottles, appointment slips, self-management instructions, and educational brochures. The problems are compounded when the individual has several conditions requiring different medications. Inadequate health literacy can be a barrier to controlling disease that can lead to medication errors, increased hospitalization, poor health outcomes, and greater health care costs.

Discussion:   

• *Provide an example that illustrates the difference between literacy and health literacy.
• *Describe one potential health-related consequence to low health literacy and a population at risk for this potential consequence, explaining why they are at risk.

Describe an issue that impacts distance-education learning. The selected issue can be a faculty issue, student issue, or administrative issue. Examine the issue and its significance to distance education.

Assume that you are in a leadership position for the development of either nursing or patient education. Propose strategies on how your organization can meet challenges posed by the issue you selected in order to continue providing quality distance-education learning. Support your proposal by incorporating evidence-based literature and relevant professional standards.

APA-formatted paper (1,000-1,250 words) 

In addition to the course materials, you are required to use a minimum of three current scholarly, evidence-based, peer-reviewed sources (less than 5 years old).

APA format is required for essays only. Solid academic writing is always expected. For all assignment delivery options, documentation of sources should be presented using APA formatting guidelines.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to Turnitin. 

 

The practice of health care providers at all levels brings you into contact with people from a variety of faiths. This calls for knowledge and acceptance of a diversity of faith expressions.

The purpose of this paper is to complete a comparative ethical analysis of George’s situation and decision from the perspective of two worldviews or religions: Christianity and a second religion of your choosing. For the second faith, choose a faith that is unfamiliar to you. Examples of faiths to choose from include Sikh, Baha’i, Buddhism, Shintoism, etc.

In your comparative analysis, address all of the worldview questions in detail for Christianity and your selected faith. Refer to Chapter 2 of Called to Care for the list of questions. Once you have outlined the worldview of each religion, begin your ethical analysis from each perspective.

In a minimum of 1,500-2,000 words, provide an ethical analysis based upon the different belief systems, reinforcing major themes with insights gained from your research, and answering the following questions based on the research:

1. How would each religion interpret the nature of George’s malady and suffering? Is there a “why” to his disease and suffering? (i.e., is there a reason for why George is ill, beyond the reality of physical malady?)
2. In George’s analysis of his own life, how would each religion think about the value of his life as a person, and value of his life with ALS?
3. What sorts of values and considerations would each religion focus on in deliberating about whether or not George should opt for euthanasia?
4. Given the above, what options would be morally justified under each religion for George and why?
5. Finally, present and defend your own view.

Support your position by referencing at least three academic resources (preferably from the GCU Library) in addition to the course readings, lectures, the Bible, and the textbooks for each religion. Each religion must have a primary source included. A total of six references are required according to the specifications listed above. Incorporate the research into your writing in an appropriate, scholarly manner.

Prepare this assignment according to the guidelines found in the APA Style Guide