2023 For the middle aged adult exercise can reduce the risk of various health problems Choose two

Nursing 2023 Topic 4 DQ 2

For the middle aged adult exercise can reduce the risk of various health problems Choose two 2023 Assignment

 For the middle-aged adult, exercise can reduce the risk of various health problems. Choose two at-risk health issues that regular physical exercise and activity can help prevent and manage. Discuss the prevalence of each of these health problems in society today. Describe measures that you would take as a nurse to assist clients with health promotion measures to incorporate exercise and physical activity into their lives. Include the kind of activities you would recommend, the amount of exercise, and the approach you would use to gain cooperation from the client. Support your response with evidence-based literature. 

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2023 PG Research Design PG Research Design Argument Analysis Excellent critique of key research material resulting in clear original

Nursing 2023 Research

PG Research Design PG Research Design Argument Analysis Excellent critique of key research material resulting in clear original 2023 Assignment

  

PG Research Design

PG Research Design

  

Argument/Analysis: 

}Excellent critique of key research material resulting in clear, original and illuminating conclusions. }Demonstrates insightful, creative thinking solutions to complex problems }Produces excellent work that makes a contribution to the development of knowledge and understanding in the subject area.  

  

Relevance:

}Directly relevant to title/brief.  }Expertly addresses the assumptions of the title and/or the requirements of the brief. 

Knowledge: 

}Demonstrates an excellent knowledge of theory and practice for this level. }Expertly interprets appropriate concepts and theoretical models.  }Demonstrates originality in conceptual understanding.   

  

Presentation: 

}Excellent presentational style & layout, appropriate to the type of assignment. }Effective inclusion of figures, tables, plates (FTP). 

Structure

}Coherently articulated and logically structured. }An appropriate format is used.   

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2023 Marcia Stapleton 4 posts Re Topic 1 DQ 2 Another cultural

Nursing 2023 DQ1 2 RESPONSE

Marcia Stapleton 4 posts Re Topic 1 DQ 2 Another cultural 2023 Assignment

Marcia Stapleton    4 posts   Re: Topic 1 DQ 2  Another “cultural” type barrier to EBP in clinical settings is our preference for humans  as our information source. When working in a clinical setting and there are more experienced nurses around us, most nurses default to asking the more experience nurse what to do in a clinical situation.  The more experienced nurse might have experience with the situation, but is it evidence-based?  Even when textual information was accessible in a clinical situation, it was shown that nurses preferred other nurses as a resource over the textual resource (Thompson, 2004).  This is seen over and over in the patient care setting.  When we are wondering how to deal with a situation, we just ask a nurse we think has dealt with the situation, and consider them the expert or the evidence-based research.  As a clinical nurse leader, I field many questions each day.  In order to move towards an evidence based practice, I must direct the nursing staff to the research related to the question.  Reference:  Thompson, C. (2004). Nurses, information use, and clinical decision making–the real world potential for  evidence-based decisions in nursing. Evidence-Based Nursing. Retrieved from  https://ebn.bmj.com/content/7/3/68

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2023 Marcia Stapleton 4 posts Re Topic 1 DQ 2 Another cultural type barrier to EBP in clinical settings is

Nursing 2023 DQ1 RESPONSE

Marcia Stapleton 4 posts Re Topic 1 DQ 2 Another cultural type barrier to EBP in clinical settings is 2023 Assignment

Marcia Stapleton    4 posts   Re: Topic 1 DQ 2  Another “cultural” type barrier to EBP in clinical settings is our preference for humans  as our information source. When working in a clinical setting and there are more experienced nurses around us, most nurses default to asking the more experience nurse what to do in a clinical situation.  The more experienced nurse might have experience with the situation, but is it evidence-based?  Even when textual information was accessible in a clinical situation, it was shown that nurses preferred other nurses as a resource over the textual resource (Thompson, 2004).  This is seen over and over in the patient care setting.  When we are wondering how to deal with a situation, we just ask a nurse we think has dealt with the situation, and consider them the expert or the evidence-based research.  As a clinical nurse leader, I field many questions each day.  In order to move towards an evidence based practice, I must direct the nursing staff to the research related to the question.  Reference:  Thompson, C. (2004). Nurses, information use, and clinical decision making–the real world potential for  evidence-based decisions in nursing. Evidence-Based Nursing. Retrieved from  https://ebn.bmj.com/content/7/3/68.PLEASE WORK ON THIS AND PROVIDE INTEX CITATION AND APA RERENCE MUST INCLUDE DOI OR RETRIEVED FROM 

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2023 respond The ability to communicate effectively is a critical skill for nurse leaders Roussel Thomas

Nursing 2023 week 51.1.2 NR 521

respond The ability to communicate effectively is a critical skill for nurse leaders Roussel Thomas 2023 Assignment

respond 

 

The ability to communicate effectively is a critical skill for nurse leaders (Roussel, Thomas & Harris, 2016). In the healthcare setting such as a hospital, nurses work various shifts, and communication can be challenging. Nurse leaders will need to utilize fundamental communication skills to achieve organizational goals (Roussel et al.,2016).  There are various traditional ways that leaders can communicate with their staff, such as through emails, text, or even instant messaging (Roussel et al., 2016). Leaders are also finding creative ways to connect with every team members, so the message remains consistent.

One strategy that I would use as a leader to improve communication and empower the members of my team working various shifts is to restructure team huddles. The huddle is a quick meeting given while standing that last approximately fifteen minutes (Johnson, 2018). The huddles can also occur at any time of the day (Johnson, 2018). Providing huddles at various times of the day will allow effective communication with members of the team that works on various days and shifts.

Also, because everyone is assembled, it allows staff to participate in a discussion and give feedback on the information shared. Another way to share information about the magnet designations is to have it displayed as screen savers on the computers nurses use to document. The messaging on the computer screen is a strategy that is used at my workplace to update the employees on new initiatives, and it is useful.

Another strategy is establishing a bulletin board where the staff spends time, such as the break room, nurse’s station, or even restrooms. Ensuring the messaging reaches everyone helps make each member feel part of the team. Another strategy would include leadership rounding. The leader could visit and meet with staff members and provide updates and share information on the magnet designation. 

 References

Johnson, I. (2018). Communication Huddles: The Secret of Team Success. Journal Of Continuing Education In Nursing,49(10), 451–453. https://doi-org.chamberlainuniversity.idm.oclc.org/10.3928/00220124-20180918-04 (Links to an external site.)

Roussel, L., Thomas, P., & Harris, J. (2016). Management and leadership for nurse administrators. (7th ed.). Burlington, MA: Jones & Bartlett Learning.

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2023 As nurses we will be faced with dilemmas and problem solving on a daily basis Our own personal

Nursing 2023 Catherine Owens

As nurses we will be faced with dilemmas and problem solving on a daily basis Our own personal 2023 Assignment

 

As nurses we will be faced with dilemmas and problem solving on a daily basis. Our own personal beliefs can also affect how we may treat or even care for a patient. It shouldn’t but it could possibly happen. If you see that happening, ask the nurse manager to switch with another nurse as that patient deserves proper care without judgment.  If you were against a certain vaccination and you had to provide that vaccination and patient education to a patient, you must provide them with accurate information, side effects, statistics all while you put your beliefs behind.

I personally experienced an ethical dilemma at work when I was scheduled to give a patient an injection. This patient had his blood work drawn and saw the doctor and was waiting for me to give him the injection. In the chart, the doctor had approved the treatment however based on the orders and the guidelines this patient was to not get the injection. I went looking for the doctor in the clinic and of course, he is with the next patient which can take about 20 minutes. So while waiting I asked one of our experienced RN’s what she feels I should do and to look into the chart more closely just in case I missed something. She reviews it and says to give it but upon asking why she said the doctor-approved it so it’s fine. I knew that something didn’t seem right so I had to continue to wait and explain to the patient that I was waiting for the doctor to review the treatment again. Once the doctor was available, I had him review the medication order and guidelines per the drug as I felt he had made an error. Turns out that the doctor was wrong and that the patient indeed did not need the treatment that day.  Our textbook states that we as nurses in a health care setting must work closely with physicians, pharmacist and other clinic staff. I believe that I utilized my resources as an LPN and made the right choice by getting a second opinion even though I still did not agree with her response. As a nurse, it is acceptable to not agree with someone but you need to explain your reasoning for something as the other nurse did not provide an acceptable reason for me.

Reference

Catalano, J. (2015). Nursing Now! Today’s Issues, Tomorrow’s Trends. Philadelphia. F.A Davis Company

Please respond to the discussion above.

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2023 Indeed today s nursing environment has exposed nurses to many reasons to be conflicted For

Nursing 2023 Catherine Owens

Indeed today s nursing environment has exposed nurses to many reasons to be conflicted For 2023 Assignment

 

Indeed, today’s nursing environment has exposed nurses to many reasons to be conflicted.  For instance, some patients declare wishes to be permitted to die with dignity and request that their wishes are respected. Others may wish that their life support is terminated. It can also involve actions like nurses taking two tablets of oxycodone as ordered but keeping one for herself. From a biblical point of view, I feel it is wrong to help a patient die with dignity. However, from a professional point of view, nurses must advocate and support the patients’ decision including one to make their own decisions.  Making decisions in such a situation can cause ethical dilemmas. Having not come across such a situation, I can comment that it is essential for nurses to familiarize themselves with legal and moral issues surrounding the issue (Smith et al., 2016).

Also, in these cases, nurses should possess a basic understanding of the scope of practice and standard of care. Also, they should refer to the code of ethics for nurses with interpretive terms like beneficence, justice, and autonomy. For example, the law permits it and a person (an adult) has the right to be assisted to die at his or her request especially they are terminally ailing and in unmanageable pain. Also, sometimes life-sustaining therapies may prolong suffering at the cost of decreasing the patient’s quality of life. Besides, nurses caring for the patient at the end of life have a professional and moral obligation to follow guidelines depicted in ethical and professional standards (Dahlqvist et al., 2016). Most importantly, nurses should advocate ascertaining the goals of their patients are met while following principles.

Please respond to the discussion above

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2023 Inflammatory Bowel Disease Case Study The patient is an 11 year old girl who has been complaining of

Nursing 2023 Inflammatory Bowel Disease

Inflammatory Bowel Disease Case Study The patient is an 11 year old girl who has been complaining of 2023 Assignment

  

Inflammatory Bowel Disease

Case Study

The patient is an 11-year-old girl who has been complaining of intermittent right lower

quadrant pain and diarrhea for the past year. She is small for her age. Her physical

examination indicates some mild right lower quadrant tenderness and fullness.

Studies Results

Hemoglobin (Hgb), 8.6 g/dL (normal: >12 g/dL)

Hematocrit (Hct), 28% (normal: 31%-43%)

Vitamin B12 level, 68 pg/mL (normal: 100-700 pg/mL)

Meckel scan, No evidence of Meckel diverticulum

D-Xylose absorption, 60 min: 8 mg/dL (normal: >15-20 mg/dL)

120 min: 6 mg/dL (normal: >20 mg/dL)

Lactose tolerance, No change in glucose level (normal: >20 mg/dL rise in

glucose)

Small bowel series, Constriction of multiple segments of the small intestine

Diagnostic Analysis

The child’s small bowel series is compatible with Crohn disease of the small intestine.

Intestinal absorption is diminished, as indicated by the abnormal D-xylose and lactose

tolerance tests. Absorption is so bad that she cannot absorb vitamin B12. As a result, she has

vitamin B12 deficiency anemia. She was placed on an aggressive immunosuppressive

regimen, and her condition improved significantly. Unfortunately, 2 years later she

experienced unremitting obstructive symptoms and required surgery. One year after surgery,

her gastrointestinal function was normal, and her anemia had resolved. Her growth status

matched her age group. Her absorption tests were normal, as were her B12 levels. Her

immunosuppressive drugs were discontinued, and she is doing well.

Critical Thinking Questions

1. Why was this patient placed on immunosuppressive therapy?

2. Why was the Meckel scan ordered for this patient?

3. What are the clinical differences and treatment options for Ulcerative Colitis and Crohn’s

Disease? (always on boards)

4. What is prognosis for patients with IBD and what are the follow up recommendations for

managing disease?

note:
reference at least two updated, and APA format, with plagiarism rate 0%, if possible attach% 

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2023 Urinary Obstruction Case Studies The 57 year old patient noted urinary hesitancy and a decrease in the force of his urinary

Nursing 2023 Urinary Obstruction

Urinary Obstruction Case Studies The 57 year old patient noted urinary hesitancy and a decrease in the force of his urinary 2023 Assignment

  

Urinary Obstruction

Case Studies

The 57-year-old patient noted urinary hesitancy and a decrease in the force of his urinary

stream for several months. Both had progressively become worse. His physical examination

was essentially negative except for an enlarged prostate, which was bulky and soft.

Studies Results

Routine laboratory studies Within normal limits (WNL)

Intravenous pyelogram (IVP) Mild indentation of the interior aspect of the bladder,

indicating an enlarged prostate

Uroflowmetry with total voided

flow of 225 mL

8 mL/sec (normal: >12 mL/sec)

Cystometry Resting bladder pressure: 35 cm H2O (normal: <40 cm H2O)

Peak bladder pressure: 50 cm H2O (normal: 40-90 cm H2O)

Electromyography of the pelvic

sphincter muscle

Normal resting bladder with a positive tonus limb

Cystoscopy Benign prostatic hypertrophy (BPH)

Prostatic acid phosphatase

(PAP)

0.5 units/L (normal: 0.11-0.60 units/L)

Prostate specific antigen (PSA) 1.0 ng/mL (normal: <4 ng/mL)

Prostate ultrasound Diffusely enlarged prostate; no localized tumor

Diagnostic Analysis

Because of the patient’s symptoms, bladder outlet obstruction was highly suspected. Physical

examination indicated an enlarged prostate. IVP studies corroborated that finding. The

reduced urine flow rate indicated an obstruction distal to the urinary bladder. Because the

patient was found to have a normal total voided volume, one could not say that the reduced

flow rate was the result of an inadequately distended bladder. Rather, the bladder was

appropriately distended, yet the flow rate was decreased. This indicated outlet obstruction.

The cystogram indicated that the bladder was capable of mounting an effective pressure and

was not an atonic bladder compatible with neurologic disease. The tonus limb again

indicated the bladder was able to contract. The peak bladder pressure of 50 cm H2O was

normal, again indicating appropriate muscular function of the bladder. Based on these

studies, the patient was diagnosed with a urinary outlet obstruction. The PAP and PSA

indicated benign prostatic hypertrophy (BPH). The ultrasound supported that diagnosis.

Cystoscopy documented that finding, and the patient was appropriately treated by

transurethral resection of the prostate (TURP). This patient did well postoperatively and had

no major problems.

Critical Thinking Questions

1. Does BPH predispose this patient to cancer?

2. Why are patients with BPH at increased risk for urinary tract infections?

3. What would you expect the patient’s PSA level to be after surgery?

4. What is the recommended screening guidelines and treatment for BPH?

5. What are some alternative treatments / natural homeopathic options for treatment? 

 
NOTE:reference at least two updated, and APA format, with plagiarism rate 0%, if possible attach% 

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2023 Response for classmate 1 and 2 200 words for each Working in the healthcare settings we come

Nursing 2023 Responding

Response for classmate 1 and 2 200 words for each Working in the healthcare settings we come 2023 Assignment

 Response for classmate 1 and 2. 200 words for each

Working in the healthcare settings, we come across many different people from different backgrounds, races, and living situation. The philosophy of any public space is the equality and standard way of thinking and feeling about others, but in reality, these differences could often cause tension and/or stress during the interaction of two people. When I come across a patient around my age group, I find that I speak to them as if they were a friend, often using slang and other gestures as I would with friends outside of the workplace. In contrast, with older adults I tend to speak a bit slower and professional due to the age difference. Being a 27-year-old Intensive Care RN, often times older patients initially feel as if my age will affect their care in a negative way because they relate young with inexperienced, therefore the tone and word choice are changed in order to instill confidence thru proper communication. The difference in gender can also have its changes of personality during a patient interaction. Being a male, I tend to talk to the guys a bit more straight forward and not so much emphasis on emotion, while with females, I tend to be more compassionate and understanding of their situation. As for the other factors that make a difference in people, race, sextual preference, living situation, that does not play a factor during patient communication as those are not important to me, instead I may feel the urge to ask more questions to get to know them and their culture or preferences if their difference interest me. 

             While growing up, the Latin culture has great respect for older adults. A young family member is always expected to take care of their older family members, especially the older females. Grandma’s, Aunt’s, and Mom are always the first to have priority in any situation, starting with the eldest one. The older males in the Latin culture are not left out behind, but typically are carefree to many situations, just wanting everyone to be happy regardless of where they stand. When I was about 5 years old in 1997, the respect for adults was already instilled in me. Always making sure that adults are respected and listened to what they asked of me. In 2007 I was 16, and things started changing, I would be able to challenge adults’ questions and figure out why things are the way that they are; this was a rebellious stage, but I was just trying to figure out why. Fast forward from the rebellious stage, 2011 I was 20 years old, and now had the knowledge as to why adults did what they did, and I understood the meaning behind it. The older adults in the family would now see me as an adult, and although the respect continued as such, I was now an adult as well with my own opinion and choice, regardless of their input. 

            The way we act and treat others is highly influenced by the upbringing that we have experienced as children, in my opinion, and therefore it is especially important for me to continue what I have been taught as a child, in the workplace, and continue the line of respect with those that surround me. In 2017, my niece was born, and now I find myself also educating her in what is acceptable and not acceptable in our eyes, to continue the same respect and behavior towards other, with her. For us, it doesn’t matter what color you are, which gender you like, where you live, which car you drive, which gender you are, what matters to us is the quality of person you are in the world and how you treat those that surround you.  

2. 

find myself to be most comfortable working with older adults between the ages of 70-85. As a nurse I have really only worked with the geriatric population. I work at a hospital in Arizona that is close to many different retirement communities. Our hospital’s average patient age is 74. This makes working with younger patients little more uncomfortable for me. I wonder if it is because younger patients are generally not as used to being in the hospital and I worry about not being able to calm their fears.

Cultures that are very different than mine also make me a little uncomfortable to communicate with them. I worry that I will offend the patient with something like eye contact. I work with a lot of Navajo patients. At first, I was nervous to work with Navajo patients because I did not know a whole lot about their culture, but as I have learned and worked with the Navajo, I have felt more comfortable being able to effectively communicate with them.

I had a patient from India and was nervous to be working with them for the same reason. This patient was one of the most kind hearted people I have ever met. By the time she was ready to be discharged I had learned a lot about her culture and enjoyed getting to know her.

            I do not feel uncomfortable communicating with other races, I feel more uncomfortable communicating with cultures that are different than mine. I think it is more that I am worried about possibly offending someone because of my own culture’s customs, and I can be unaware of other culture’s customs.  

            Communicating with someone of a different living situation is generally pretty easy for me as well. I have lived in communities that have a lot of diversity and that has helped me to understand the different living situations that people have.

            One thing I have recognized is that as a nurse, we work with so many different people. Everyone at some point in their life is going to need medical attention, and a nurse will be there to take care of them. As nurses we have to learn how to communicate with people who are very different from us and learn to adapt to the many different cultures and personalities we work with.

            When I was growing up, many of my experiences with how older adults are treated is mostly with respect. However, I also felt like older adults were seen as to be a burden on the family. I grew up learning that it may be best for older adults to be in an assisted living place. It has been found that many adult children are around the age of 60 or 70 when they are taking care of their 90-year-old parent (Graham, 2018, p. 1).  According to Graham (2018) Caregiving at the age of 60 or 70 can be very hard on the body and adds extra mental and physical stress (p. 1). I am not sure if having older adults in an assisted living is the best place for older adults, but I am interested in learning more about this topic this week.

Reference:

Graham, J. (2018, August 23). A late-life surprise: Taking care of frail, aging parents. Retrieved

from https://khn.org/news/a-late-life-surprise-taking-care-of-frail-aging-parents/.

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