2023 Read section on Commercials answer and submit questions on p 126

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Nursing 2023 Effective communication mid term

Read section on Commercials answer and submit questions on p 126 2023 Assignment

 

Read section on “Commercials” & answer and submit questions on p. 126 #1, 2 in no less than 500 words.

1. what fallacious arguments are evidence in these commercials? Are some forms of fallacious arguments more prevalent than others?

2. Can a picture or a vidoe on an image be “fallacious” or is it an example of associating produces with images in a way that encourages people to make fallacious inferences? (if you buy a car,” for example,”you will have fast and inttractive  life surrounding by lots of rich attractive people

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2023 To prepare for this Discussion research current environmental forces i e physician shortage that may impact the

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Nursing 2023 Human Resource Challenges in the Health Care Setting

To prepare for this Discussion research current environmental forces i e physician shortage that may impact the 2023 Assignment

 

To prepare for this Discussion, research current environmental forces (i.e., physician shortage) that may impact the role of the human resource manager. Based on your research, select an environmental issue related to regulation, policy, politics, economics, or patient demographics that impacts the role of the human resource manager in a health care setting of your choice.

By Day 4

Post a comprehensive response to the following:

Provide a brief explanation of your selected issue and then describe a strategy to enhance two of the following in your selected healthcare setting:

  1. Workforce planning
  2. Employee recruitment
  3. Employee retention

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2023 week 1 discussion Research is used in my facility The type of research

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Nursing 2023 nursing

week 1 discussion Research is used in my facility The type of research 2023 Assignment

week 1 discussion 

 Research is used in my facility. The type of research used in my facility is mainly is clinical trials. This is different from other nursing roles in that the nurses like myself focus on taking care of patients using the knowledge and skills that we have gained through college and on the job training, etc. And we use evidence-based practice to administer care for the best proven outcomes. On the other hand, “A clinical trial is a controlled research study that evaluates the safety and benefits of new medications or medical devices” (Mangel, 2017).

         My hospital’s healthcare system has a research institute which is the centralized research facility serving all the five hospitals in the Wellstar health System. The institute offers progressive top of the line therapies to patients and contributes to the advancement of medical science. It is beneficial to patients, physicians, the community and society as a whole. The institute supports doctors and others who conduct the research, as well as patients who receive new drugs, devices and procedures through clinical trials. According to Mangel (2017), “Some drugs and therapies being studied have not yet been approved by the U.S. Food and Drug Administration. But they have been approved for human trial and are believed to be better, more effective or result in fewer side effects than existing treatments.” All research performed at WellStar is approved by an Institutional Review Board for oversight of all trials. 

        Research is an important component of clinical practice because it provides a foundation for clinical decision-making. It gives nursing care has a scientific base, and helps to save cost for interventions.  Evidence based practice proves that there is professional accountability for the work that we take on, and the knowledge gained from research can be put to practice for better health outcomes

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2023 Comment1 A problem in nursing that still needs to studied is the prevention of blood and body fluid BBF exposures

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Nursing 2023 Comment

Comment1 A problem in nursing that still needs to studied is the prevention of blood and body fluid BBF exposures 2023 Assignment

Comment1

A problem in nursing that still needs to studied is the prevention of blood and body fluid (BBF) exposures. An article in American Nurse Today by (Mitchell & Parker, 2015) reveals that 49% of all BBF exposures happen to nurses with 48.6% of these occurring at bedside or in the patient’s room. The ICU and ED were second and third. The BBF accounted for did not just come from the patient but also IV leaking tubing/bags, feeding and ventilator tubing breaking or spilling, indwelling catheters, wound irrigations and even broken gloves. The most prevalent exposure was urine at 90.2%. Blood 67.9%, other fluids 18.6% and sputum 12.4% followed respectively. The eyes had the highest exposure at 62.4% followed by intact skin at 39.9% and non-intact skin at 13.5%. So, with all these statistics, with high numbers, I find it very alarming that BBF prevention is still not getting much attention. Sure, accidents happen but the least the hospitals can do is implement the use of better quality gloves and eye shields and masks should be stocked in all rooms and not just the contact carts. Perhaps better medical devices that are resistant to penetration would suffice as well.

If I am wrong, please share your thoughts. Although I know there may be hospitals that are already implementing better BBP prevention methods.

Comment2.

Nursing research is used to study both dilemmas and problems. A dilemma that is frequently seen is staff to patient ratios that are not equal to work load and that can turn a nurses response to be overworked leading to compassion fatigue. Nurses may experience compassion fatigue, which is the combination of burnout, psychological and physiological responses to prolonged chronic emotional and interpersonal stressors and secondary traumatic stress (STS), which is health care workers’ responses to vicarious exposure to trauma arising from treating patients who have directly experienced traumatic or extremely stressful events (Kelly & Todd, 2017). High intensity environments with poor staffing are seen in the area I work in. Right now we are offering incentive pay to pick up extra shifts. Due to the stress and poor staffing ratios, no one seems eager to pick up. The motivation behind the lack of effort is due to stress, not getting breaks, insufficient support and lack of patient empathy.

I believe compassion fatigue should be studied more in the health care setting because it can have major consequences for nurses, the healthcare organizations itself and the outcomes of the patients healing process with teaching and care.      We have a large turnover on our floor due to it is a hard unit to work on. Being a surgery floor it is constant admits and discharges and we at times have the support staff of a admit nurse on duty to help out. Labor is stretch with nurses having five to six patients at times which is a real concern in my opinion for safety.  Healthier work environments have relatively better communication, collaboration, safety, and patient satisfaction. I believe that more research into compassion fatigue could help not only with patient satisfaction but helping nurses feel like they are helping others and want to continue with the practice they are in.

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2023 Application of Health Literacy Motivational Interviewing Concepts to Promote Wellness Health literacy is not simply the ability to read

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Nursing 2023 Nursing Discussion

Application of Health Literacy Motivational Interviewing Concepts to Promote Wellness Health literacy is not simply the ability to read 2023 Assignment

Application of Health Literacy & Motivational Interviewing Concepts to Promote Wellness

Health literacy is not simply the ability to read health information. The National Institutes of Health defines health literacy as the ability to read, comprehend, and analyze information; decode instructions, symbols, charts, and diagrams; weigh risks and benefits; and ultimately make decisions and take action.

After the reading the following HRSA guideline https://www.hrsa.gov/advisorycommittees/bhpradvisory/actpcmd/Reports/twelfthreport.pdf

Discuss how shared decision making , motivational interviewing, and best practices of models of care can improve the health literacy of a especial popualtion ( children ,elderly, veterans).

Posting should be a minimum of one short paragraph and a maximum of two paragraphs.  Word totals for each post should be in the 100-200 words range. 

APA 6th edition format for references as well as in-text citations is expected.

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2023 Comment 1 One of the greatest ways to improve patient s outcomes is to establish continuity of care

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Nursing 2023 Please Do A Comment Base In This Answers. Write At Least 140 Words In Each Answer, Take Reference From (2013-2018) If Is Possible, Academic References Please Because The Teacher Check It Out One By One. SUSTANTIVE POST NEEDED.

Comment 1 One of the greatest ways to improve patient s outcomes is to establish continuity of care 2023 Assignment

Comment 1

One of the greatest ways to improve patient’s outcomes is to establish continuity of care after discharge. With shorter hospitals stays it is crucial that patients are not left alone and have professional supervision and health maintenance in outpatient and home settings.  It seems to be a huge problem when patients get discharged from the hospital and do not get follow up care. Social workers and case managers solely responsibility is to ensure that patient’s have a smooth transition from acute hospital care to home based healthcare. Many hospitals and nursing homes collaborate with home care agencies and make sure that patients receive all necessary nursing care, physical and occupational therapy and assistance with ADLs if needed. That approach ensures that patient’s outcomes will only improve and reduce hospital admission and re-admission rates. According to the article, “ the 2010 Affordable Care Act launched in the United States included financial incentives for providers to continue making a positive contribution to patient outcomes beyond the day of discharge. For instance, Medicare reduces provider compensation if patients are readmitted within 30 days of discharge.” ( Health Management , 2017) It has been evident that socioeconomic factors, such as low-income, poor education, public housing increase the rates of hospital re-admission rates. Patients who live in those environments require more supervision and support in order to increase their positive health outcomes. Community health nurses, social workers are responsible to ensure that people who have these disadvantages receive quality healthcare, support and education to ensure that all their health needs are met. 

Comment 2( Answer the teacher for my post, now I need to answer to him)

I agree that nurse staffing has been an issue. I recommend that you do some research regarding the California staffing levels and the outcomes of implementing that system. You may find that there is not a lot of information on the subject. Have you ever wondered why all stated did create mandatory staffing ratios? Food for thought. Thanks for your post

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2023 Please respond to this classmate post with a minimum of 250 words cite sources minimum two NO PLAGIARISM APA

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Nursing 2023 Answer Week_1.

Please respond to this classmate post with a minimum of 250 words cite sources minimum two NO PLAGIARISM APA 2023 Assignment

Please respond to this classmate post with a minimum of 250 words, cite sources (minimum two), NO PLAGIARISM, APA Style. Should you have any question, please dont hesitate to contact me. 

____________________________________________________________________________________________________

Shared decision making, motivational interviewing and best practices of Models of care can help improve the children’s health literacy

Children generally are relatively poor at decision making and relatively not very much aware of the best medical practices so apparently the best way that can be used to get these kids in line is going through the parents and the people they are closely related to. In many occasions children tend to be good at embracing what they have learnt and practice it so this means that if the right practice is inculcated in them it will promote or rather improve the health literacy among them. Children are normally in that age that the brain is still very open and are willing to accommodate new teachings so there are high chances that they will embrace the motivation and the decision making issue that have been shared with them (Kaphingst, Weaver, Wray, Brown, Buskirk & Kreuter, 2014).

References

Kaphingst, K. A., Weaver, N. L., Wray, R. J., Brown, M. L., Buskirk, T., & Kreuter, M. W. (2014). Effects of patient health literacy, patient engagement and a system-level health literacy attribute on patient-reported outcomes: a representative statewide survey. BMC health services research, 14(1), 475.

Muller, I., Rowsell, A., Stuart, B., Hayter, V., Little, P., Ganahl, K., … & Nutbeam, D. (2017). Effects on engagement and health literacy outcomes of web-based materials promoting physical activity in people with diabetes: an international randomized trial. Journal of medical Internet research, 19(1).

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2023 Discussion post should be a minimum of one short paragraph and a maximum of two paragraphs Word totals for each

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Nursing 2023 Week _3 Discussion.

Discussion post should be a minimum of one short paragraph and a maximum of two paragraphs Word totals for each 2023 Assignment

Discussion post should be a minimum of one short paragraph and a maximum of two paragraphs.  Word totals for each post should be in the 100-200 words range.  Whether you agree or disagree explain why with supporting evidence and concepts from the readings or a related experience.  Include a reference, link, or citation when appropriate. APA 6th edition format for references as well as in-text citations is expected.

____________________________________________________________________________________________________

The U.S. Department of Health & Human Services released a comprehensive Clinical Practice Guideline for Treating Tobacco Use and Dependence–2008 Update

https://www.ahrq.gov/professionals/clinicians-providers/guidelines-recommendations/tobacco/clinicians/update/index.html 

The goal of these recommendations is that clinicians strongly recommend the use of effective tobacco dependence counseling and medication treatments to their patients who use tobacco, and that health systems, insurers, and purchasers assist clinicians in making such effective treatments available.

After reading these recommendations answer the following questions.

1. what are the clinical interventions for patients unwilling to quit cigarette smoking?

2. According to the best practices what are the best strategies to help your clients quit smoking?

3. are there any specific smoking cessation recommendations for especial populations such as teenagers or the elderly?

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2023 search the article All of Us Embracing Diversity in Healthcare Based on your research summarize your thoughts and provide

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Nursing 2023 Week one assignment one

search the article All of Us Embracing Diversity in Healthcare Based on your research summarize your thoughts and provide 2023 Assignment

 

search the article, “All of Us: Embracing Diversity in Healthcare.”

Based on your research, summarize your thoughts and provide answers or comments to the following questions:

  • Discuss diversity in healthcare with examples and support from your research.
  • Summarize any cited special characteristics and problems in the workplace regarding diversity.

Read The Cultural Integration and Workforce Diversity Scenario and answer the following questions:

  • As you begin to develop your plan of action, what important  considerations will you address to improve the communication and  collaborative effort among the group?
  • What perceived or real barriers do you anticipate based on the wide  diversity of the staff and patients? For example, do seasoned and newly  graduated staff members develop team cohesiveness immediately? How can  language barriers between the team impede proper communication across  department lines?
  • What potential conflicts can arise when you do not understand or accept cultural, gender, ethnic, or age diversity?
  • Develop four important steps for how you will implement your plan to  improve communication and acceptance of various cultures and diverse  workers for each of the perceived or real barriers for staff and  patients.

Cultural Integration and Workforce Diversity 

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2023 APA format 1 and half pages long 4 peer review references 2

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Nursing 2023 Need response to below post

APA format 1 and half pages long 4 peer review references 2 2023 Assignment

APA format 1 and half pages long 4 peer review references 2 from walden university library

 

Prostate Cancer

            Prostate cancer is one of the most common forms of cancer diagnosed in men, second to skin cancer. Although causative factors are still being studied and explored, prostate cancer is thought to be dependent upon hormones, with links found between advanced age and androgens. It has been found that increased estrogen and decreased dihydrotestosterone (DHT) related to age have strong correlations with prostate cancer. It is the increase in estrogen that creates the problem, as testosterone is known to cause prostate hypertrophy but not malignancy. Other theories describe repeated injury to the prostate’s epithelium by means of carcinogens, toxins, autoimmune diseases, and inflammation. This repeated injury causes a hyper prolific state that can translate to cancer (Huether & McCance, 2017).

            Early screening is preferred because symptoms usually do not occur until advanced disease. Screening is performed by digital rectal exam and serum PSA levels. Prostate cancer will metastasize to the pelvis, bowel, lymph, rectum, and spine (Arcangelo, Peterson, Wilbur, & Reinhold, 2017).

Treatment

            Treatment can include surgical prostatectomy, pharmacotherapy, chemotherapy, radiation, or a combination, dependent upon stage and type (Arcangelo, Peterson, Wilbur, & Reinhold, 2017). Since prostate cancer needs androgens to grow, androgen deprivation therapy (ADT) is the first line of treatment. These medications can prevent the cancer cells from receiving testosterone or reduce the amount of testosterone made altogether and ultimately slow down and/or reduce the size of the tumor. It is not a cure and many side effects can be unpleasant, including hot flashes, erectile dysfunction, osteopenia, increase in adipose tissue and weight gain (Drugs.com, 2012). Eventually, the cancer will become “castration resistant” and treatment options will need to change, mostly including novel androgen receptor targeting

agents and chemotherapy (Shiota & Eto, 2016). Patients should be educated on the need for long term treatment, medication side effects, and medication importance in order to increase compliance.

References

Arcangelo, V. P., Peterson, A. M., Wilbur, V. &  Reinhold, J. A.  (Eds.). (2017). Pharmacotherapeutics for advanced practice: A practical approach (4th ed.). Ambler, PA:  Lippincott Williams & Wilkins

Drugs.com. (2012). Prostate Cancer. Retrieved from https://www.drugs.com/mcd/prostate-cancer.

Huether, S. E., & McCance, K. L. (2017). Understanding  pathophysiology (6th ed.). St. Louis, MO: Mosby.

Shiota, M., & Eto, M. (2016). Current status of primary pharmacotherapy and future perspectives toward upfront therapy for metastatic hormone-sensitive prostate cancer. International Journal of Urology, 23(5), 360-369. doi:10.1111/iju.13091

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