This is a end of life (HPRS- 1303) issues class and this is due april 1, 2018

1. What did you learn from this video?  What are your thoughts?  Support your answer through the use of peer reviewed scholarly sources from MedLine, Ebsco, Proquest, and/or Google Scholar.  You must provide at least three additional sources to the video.  

Please write a 300 to 500 word essay adhering to APA 6th Edition formatting guidelines ..Please watch this video links before doing the assignment here

Please also visit:  www.nhpco.org/about/hospice-care (Links to an external site.)Links to an external site. and watch the embedded video as well.   (Links to an external site.)Links to an external site.

This is a two part answer discussion posts please read the instruction on each and list the references on each

2. MedScape Article Discussion. this is also due April 1, 2018 before 11:59 pm 

Report on article of your choice from www.medscape.com/hospice (Links to an external site.)Links to an external site.

What did you learn from this article?  What are your thoughts?  Support your answer through the use of peer reviewed scholarly sources from MedLine, Ebsco, Proquest, and/or Google Scholar.  You must provide at least three additional sources to the video.  

Please write a 300 to 500 word essay adhering to APA 6th Edition formatting guidelines 

COMMENT 1

primary intervention in disaster planning is the planning prior to the disaster (Davis, et al., 2010). In the case of the Haiti earthquake the disaster was present prior to the actual earthquake. The country was already stricken by poverty. This national poverty lead to infrastructure problems that were difficult for disaster response to overcome. 

Managing the problem of impoverished nations infrastructure prior to a disaster would slow the progression of disease after disaster strikes. The healthcare needs of Haiti were not being met prior to the disaster. Hospitals were underfunded and when disaster struck the hospitals and medical facilities that were not built to be earthquake resistant were severely damaged. Funding of proper facilities and education of disaster planning of healthcare workers and the community would have gone a long way in easing the extent of the Haiti disaster. 

Tertiary interventions directed at managing this disaster would be funding of programs to improve the economy and lessen the impact of poverty for Haiti. Once immediate healthcare needs are met, the process of rebuilding with a focus on overall improvement of economy so that it is sustainable for the future is needed. 

There are many organization and charitable foundations involved in improving the economies and infrastructures of countries to lessen the overall impact of poverty. International Action is a charitable foundation that currently has a focus on bringing clean water to Haiti. They are building sustainable supply of clean water. The organization is working the local population to provide affordable clean water. I would choose to work with this organization because they are making an improvement in an infrastructure that improves health and safety of a basic necessity, clean water. 

COMMENT 2

Primary prevention with patients who experienced the 2010 earthquake in Haiti, would focus on preventing disease from occurring. For Instance, the community health nurse could attempt to prevent patients from breathing in dust, and air contaminants by having them, and staff wear masks. Medical staffing was somewhat scarce, however staff available are to make sure to use universal precautions to ensure that patients are not exposed to illness, and disease, from other patients, by staff who did not take their time to wash their hands properly, and Don gown, and gloves when necessary.

An example of a Secondary Prevention, would be to require staff keep all patient wounds covered and clean. Patients that may have suffered injury, or loss of a limb would need proper wound care.  Although, water supplies were limited, making sure that patient wounds are cleaned with peroxide, or betadine, and keeping the wound covered with clean bandages so that patient’s wounds wont’s become infected. Also, if patients skin has been exposed to foreign objects (such a wood or nails) if the patient is not up to date on their shots they may need a tetanus shot or booster. Tertiary intervention would focus on reducing complications of disease. Patients that were suffering from Sepsis would need to be monitored closely, and treated with antibiotics or Patients with fever would be treated with antipyretics.

All three of the proposed interventions listed above fall under the Post Impact Phase. “The post impact phase has to parts, the emergency phase, and the recovery phase” (Mauer, & Smith, 2009 All the above listed interventions happened during the Post Impact Phase. The disaster had already occurred, and these are the steps to be taken after. In a disaster situation, I would work with organizations such as FEMA. FEMA’s (or the Federal Emergency Management Agency) “mission is to help people before, during, and after disasters” (FEMA, 2018)

MSN degree APA format 3 peer review references from Walden University Library 

 

Discussion: Respiratory Disorders

In clinical settings, patients often present with various respiratory symptoms, such as congestion, coughing, and wheezing. While identifying a symptom’s underlying illness can be challenging, it is essential because even basic symptoms, such as persistent coughing, can be a sign of a more severe disorder. Advanced practice nurses must be able to differentiate between moderate and severe respiratory disorders, as well as to properly assist physicians in the diagnosis and prescription of drug treatments for patients. For this reason, it is necessary for you to have an understanding of the pathophysiology of respiratory disorders and patient factors that impact drug treatment.

To prepare:

• Review this week’s mid course review.
• Review Chapter 27 of the Huether and McCance text and Chapter 26 and Chapter 27 of the Arcangelo text.
• Select and research one of the following respiratory disorders: the common cold, pneumonia, or a chronic obstructive pulmonary disease (COPD), such as emphysema or chronic bronchitis. Consider the pathophysiology, as well as the types of drugs that would be prescribed to patients to treat this disorder.
• Select one of the following factors: genetics, gender, ethnicity, age, or behavior. Consider how your selected factor might impact the pathophysiology of the disorder and effects of prescribed drugs.
• Think about how you would facilitate the care of the patient with the patient’s care team. Remember that the care team might include physicians, advanced practice nurses, nurses, nursing assistants, home health aides, social workers, family members, etc.

By Day 3

Post a description of the respiratory disorder you selected, including its pathophysiology and types of drugs that would be prescribed to treat patients. Then, explain how the factor you selected might impact the pathophysiology of the disorder as well as the effects of prescribed drugs. Finally, explain how you would facilitate the care of the patient with the patient’s care team.

Read a selection of your colleagues’ responses.

  

Discuss Topic 1

This is a discussion post, ABOUT 250 WORDS, tittle page not require In- text citation is required original work please, scholarly references are required for this assignment, website source strongly preferred.

QUESTION 1

After discussion with your mentor, name one financial aspect, one quality aspect, and one clinical aspect that need to be taken into account for developing the evidence-based practice project. Explain how your proposal will directly and indirectly impact each of the aspects.

A

Explain, in your own words, the difference between the three paradigms: human needs, interactive, and unitary process. Which of these best fits your philosophy of nursing?

B

Select one of the grand or middle-range nursing theories. How does the theory demonstrate evidence of the utilization of social, behavioral, or bioscience theories?

C

All nursing theories are developed in space and time, and are not value free. Select one nursing theorist and explain the factors that influenced development of the theory (history, scientific paradigm, and personal experiences–mentoring, education, practice, other). Provide reference(s) for your response.

D

Select three theories and compare the definition of person/human being. Comment regarding which definition best fits with your own thinking. 

E

Choose one of the middle-range theories. How could you use this theory to direct care in a nursing unit if you were the manager? Share your results.

F

Choose one of the middle-range theories. What impact would this theory most likely have on your individual practice? Give specific examples.