2023 3 One area of nursing that seems to be an ongoing problem is nurse to patient ratio I feel like when

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Nursing 2023 Please answer based on these answers as they are listed, each one must be answered in APAform and not less than 150 words

3 One area of nursing that seems to be an ongoing problem is nurse to patient ratio I feel like when 2023 Assignment

  

3-One area of nursing that seems to be an ongoing problem is nurse to patient ratio. I feel like when this subject is brought up to those in charge of staffing, they want to roll their eyes at me or whoever is asking about it. I understand that nurses have been wanting less patients for as long as I can recall. The problem is more than just floor nurses complaining. With the advancements in technology and medicine, patients are able to have their cares at home or surgeries on an outpatient basis. Those “walkie talkie” patients are becoming fewer and fewer in the hospital. The patients that we take care of on a daily basis are sick. And I mean they are sick. These patients that may have been ICU patients in the past are now on acute care floors and are being cared for by a nurse that has four other very sick patients. If they had been admitted to the ICU, their nurse may have only one more patient. Floor nurses are being pulled very thin which also leads to nurses feeling burnt out and can have those nurses looking for a different job, which leads to the nursing shortage (Garretson, 2004). We have continued to have the same nurse to patient ratio for years now even though the patients being seen are getting sicker. If nurses had less patients to care for, closer attention can be given to their patients and the risk of mortality can be decreased (Shekelle, 2013)

Garretson, S. (2004). Nurse to patient ratios in American health care. Nursing Standard, 19(14), 33-37. Retrieved 8 29,

 2018, from 

      https://ncbi.nlm.nih.gov/pubmed/15633873

Shekelle, P. G. (2013). Nurse–Patient Ratios as a Patient Safety Strategy: A Systematic Review. Annals of Internal

  

5-I like your post. Of course Nurses play an important customer service role for hospitals, doctors offices and other medical facilities. Nurses are the ones with the most frequent, direct patient interaction. I just want to share  the best way to provide excellent customer services .

Be personable and connect with patients:

  • Listen
  • Use      touch when appropriate
  • Make      eye contact
  • Do      not rush interactions with patients
  • Acknowledge      that you are understanding the patients desires and concerns by      summarizing and stating them back to the patient and verifying that you      both are on the same page.

Use appropriate language:

  • Discuss      medical information in language that patients can understand

For example: If a patient has a fourth grade reading level do not use every big word and medical term possible when discussing medical information

Show that you care:

  • Ask      patients if they have any questions or concerns
  • Take      the time to listen to any questions or concerns that the patient may have
  • Show      empathy and acknowledge their issues
  • Address      their issues and keep them informed on actions being taken

Involve patients in their care:

  • Give      patients choices whenever possible
  • Take      their preferences into consideration and formulate a plan together
  • Be      knowledgable and considerate of the cultural, social or economic factors      that influence their care, decision making, and interation with the      healthcare team

  

6-Medication errors are one of the most common causes of unintended harm to patients. Med errors can lead to patient disability or even death. The problem is many nurses are in a hurry or don’t even realize they have administered the wrong medication. This can not only lead to possible further harm but does nothing to correct the error as it goes unnoticed. A patient returns from surgery, anxious and in pain, with several I.V. lines and intracranial pressure (ICP), monitor in place. The I.V. tubing used in the operating room differs from the tubing used in the intensive care unit (ICU). In her haste, the ICU nurse prepares to inject morphine into the patient’s ICP drain, which she has mistaken for the central line. She stops just in time when she realizes she is about to make a severe mistake.  The nurse did not complete her five rights before administration leading to a med error. With the new mandated law of electronic charting, we are required to scan our meds which may cut back on the number of errors, but I do not believe it will eliminate them. Technology is growing in hospitals and helping nurses to go right path and prevent medication errors, but unfortunately, med error still exists. Nurses can help further eliminate medication errors by following five rights and completing the appropriate checks before administering any medications. A possible benefit to help reduce medication errors may be to extend new grads internships as well. Education is the key to prevent the medication error. Medication administration is a complicated multistep process that encompasses prescribing, transcribing, dispensing, and administering drugs and monitoring patient response. An error can happen at any step. Although many errors arise at the prescribing stage, some are intercepted by pharmacists, nurses, or other staff.

References

American Nurses today-ANA:https://www.americannursetoday.com/medication-errors-best-practices/

Nurse Perceptions of Medication Errors: What We Need to Know for Patient Safety: https://www.nursingcenter.com/journalarticle?Article_ID=514523

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2023 APA format 2pages with 3 peer review references Due Friday 8 31 2018 at 7pm EST Will pay 15 dollars Collecting

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Nursing 2023 Need response to below discussion

APA format 2pages with 3 peer review references Due Friday 8 31 2018 at 7pm EST Will pay 15 dollars Collecting 2023 Assignment

APA format 2pages with 3 peer review references Due Friday 8/31/2018 at 7pm EST  Will pay 15 dollars

 

Collecting Comprehensive Health Assessment

            The United states census Bureau’s 2009 data revealed that 37% of individuals age 65 and older have disabilities. This includes adults with disabilities who developed in old age and those who lived with disability from birth or have acquired disability in younger or middle years (Hahn, Aronow, Rosario, & Guenther, 2013). According to Ball, Dains, Flynn, Solomon & Stewart, 2014 the primary objective of the clinician when conducting an interview and physical assessment on a patient, is to discover the details about a patient’s concern, explore expectations, identify underlying worries, and believing them which optimizes your ability to help them. It is important to adapt to the needs of all patients of any age with disabling physical or emotional states (Ball et al., 2015).

Selected Patient for Face-to-Face Interview and Assessment

As a clinician building a health history on a 76-year-old Black/African American male with disabilities living in an urban setting. It is important to be sensitive to cultural differences that may exist between you and the patient that can help avoid miscommunication. To build health history based on ethnicity and to avoid stereotype, when necessary clinicians should modify their habits to foster effective communication, because your first meeting with the patient set the tone for success. Also, the clinician should be honest, flexible and have a desire to help (Ball et al, 2015).  When you first enter the patient’s, space be respectful by greeting the patient, introduce yourself and state the reason for your visit. Acquire written or verbal consent from the patient to collect health history and to conduct an interview. If possible conduct the interview in an uncluttered quiet area. Have the patients’ health record available and utilize all healthcare professionals involved in this patient’s care. Because the patient may lack the ability to give accurate history, having a family member present with the patient’s permission during the interview helps the patient to be more comfortable to provide needed information (Ball et al., 2015). It is important to sit in front of the patient at eye level, speak slowly, clearly and enunciate each word in the patients view for patients with hearing and visual disability (Ball et al., 2015). To conduct the interview, it is important to have written open-ended questions that are short, uncomplicated and pertinent to the patient to avoid overwhelming and confusion. History on the elderly can be more complex so guiding techniques can be used to obtain important information (Kahn et al., 2013).

Health Related Risk

Frailty is increasingly common among our aging population. Assessing level of frailty is very important, because it has a significant impact on individuals and society with increased risk of dependency, disability, hospitalization, institutional placement, and mortality (Harttgen, Kowal, Strulik, Chatterji, & Vollmer 2013). Frailty is characterized by weakness weight loss and low activity. It is considered an at-risk state caused by age –associated accumulation of deficits (Ball et al., 2015). Functional impairment must be assessed.

Functional Mobility Assessment Screening Tool

Functional assessment must be address for the disabled patient by assessing their health risk. Assessing the patient’s ability to perform activities of daily living (ADL), and cognitive, psychological social and sexual limitation should be completed on all older adults or a disabled patient (Ball et al., 2015). Does the patient has difficulty walking standard distance (0 feet or 2 to 3 blocks), difficulty climbing stairs (up and down), difficulty holding and opening small objects, needs assistance with house-keeping, shopping, money management, meal preparation and assistant eating. Interviewer must keep in mind that the patients will hide or overstate their abilities (Ball et al., 2015).

Conclusion

            To build a health history as it relates to ethnicity, information about personal and social history is important to address cultural background, practices, home environment as a youth, education, occupation, current health habits, health coverage and concern about healthcare cost should be collected to avoid the stereotype as they influence the health problem on the patient’s life (Ball et al., 2015). Understanding a person’s life and daily routine can help you to understand how your patient’s lifestyle might affects his healthcare. Also understanding an older patient usual level of functioning and knowing about any recent significant changes are important to providing appropriate healthcare (Paula, Krzysztof, & Ewa, 2018).

References

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2015). Seidel’s guide to

physical examination (8th ed.). St. Louis, MO: Elsevier Mosby.

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2023 Ethical and Legal Implications of Prescribing Drugs What type of drug should you prescribe based

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Nursing 2023 Ethical and Legal Implications of Prescribing Drugs

Ethical and Legal Implications of Prescribing Drugs What type of drug should you prescribe based 2023 Assignment

  

Ethical and Legal Implications of Prescribing Drugs

What type of drug should you prescribe based on your patient’s diagnosis? How much of the drug should the patient receive? How often should the drug be administered? When should the drug not be prescribed? Are there individual patient factors that could create complications when taking the drug? Should you be prescribing drugs to thispatient?

These are some of the questions you might consider when selecting a treatment plan for a patient. As an advanced practice nurse prescribing drugs, you are held accountable for people’s lives on a daily basis. Patients and their families will often place trust in you because of your position. With this trust comes power and responsibility, as well as an ethical and legal obligation to “do no harm.” It is important that you are aware of current professional, legal, and ethical standards for advanced practice nurses with prescriptive authority. In this paper, you explore ethical and legal implications of the following scenario and consider how to appropriately respond.

Scenario:

You see another nurse practitioner writing a prescription for her husband who is not a patient of the nurse practitioner. The prescription is for a narcotic. You can’t decide whether or not to report the incident.

To prepare:

· Review  the following: 

·  

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.

  • Chapter 1, “Issues for the Practitioner in Drug      Therapy” (pp. 3–14)
         This chapter introduces issues relating to drug therapy such as adverse      drug events and medication adherence. It also explores drug safety, the      practitioner’s role and responsibilities in prescribing, and prescription      writing.
  • Chapter 59, “The Economics of Pharmacotherapeutics”      (pp. 1009-1018)
         This chapter analyzes the costs of drug therapy to health care systems and      society and explores practice guideline compliance and current issues in      medical care.
  • Chapter 60, “Integrative Approaches to      Pharmacotherapy—A Look at Complex Cases” (pp. 1021-1036)
         This chapter examines issues in individual patient cases. It explores      concepts relating to evaluation, drug selection, patient education, and      alternative treatment options.

As well as:

Drug Enforcement Administration. (n.d.). Code of federal regulations. Retrieved August 23, 2012, from http://www.deadiversion.usdoj.gov/21cfr/cfr/1300/1300_01.htm

Anderson, P., & Townsend, T. (2010). Medication errors: Don’t let them happen to you. American Nurse Today, 5(3), 23–28. Retrieved from https://americannursetoday.com/medication-errors-dont-let-them-happen-to-you/

· Consider the ethical and legal implications of the scenario for all stakeholders involved such as the prescriber, pharmacist, patient, and the patient’s family.

· Think about two strategies that you, as an advanced practice nurse, would use to guide your ethically and legally responsible decision-making in this scenario.

With these thoughts in mind:

Post an explanation of the ethical and legal implications of the scenario you selected on all stakeholders involved such as the prescriber, pharmacist, patient, and the patient’s family. Describe two strategies that you, as an advanced practice nurse, would use to guide your decision making in this scenario.

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2023 APA format 1 page 3 References peer review and for Nursing MSN class Building a Health

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Nursing 2023 Need Response to below discussion

APA format 1 page 3 References peer review and for Nursing MSN class Building a Health 2023 Assignment

APA format 1 page 3 References (peer review) and for Nursing MSN class

 

Building a Health History

            As a nurse practitioner, it is important to understand that many considerations have been considered when assessing patients as no two individuals are the same. Therefore, consideration should be given to the differences in the patient. These differences are not limited to race, culture, age, gender, and socio-economic background. Per Donnelly & Martin (2016) in obtaining a proper assessment of a patient leads to proper treatment of the patient.

Considering Each Case History

            In building a health history, consideration should be like each of the demographic population. Different interviewing and assessment techniques that will allow them to be comfortable and willing to share the necessary information that will build their health history.  For instance, when assessing a seventy-six-year-old black male with disabilities living in an urban setting, these factors should be noted, age, demographic, cognitive awareness, and lifestyle, the same can be said for all the other case history. The seventy-six-year-old male will require the nurse practitioner to be focused on then when speaking. They should speak slowly and with clarity, and properly pronouncing words, as the patient may have a problem processing conversation quickly. According to Ball, Dains, Flynn, Solomon & Stewart (2015), the adolescent boy may need time to open, so the interview and assessment process should not be rushed. The fifty-five-year-old Asian female living in a high-density poverty complex will need to be addressed with respect. The nurse practitioner should understand that the pre-school age white female living in a rural community may need communication through play to alleviate their fears.  The sixteen-year-old teenager living in an inner-city neighborhood will need reassurance and non-judgmental evaluation.  Understanding age, gender, ethnicity, and environment will allow the practitioner to know how to approach each patient case.

Risk assessment Instruments

            There are many risk assessment instruments that can be used for screening. These are important in building the foundational health history as it can show the progression of patient development as well as decline.  In the evaluation of the patient who is seventy-six-year-old male is, a fall risk assessment would be appropriate, questions regarding last fall if any, and type of medications. An STD screening would be appropriate for the adolescent Hispanic/ Latino boy asking a question regarding sexual activity and how many sexual partners. A TB and pneumonia screening should be done for the Asian female asking question relating to exposure and symptoms. For the pre-school age white female would benefit from a developmental screening, parents involvement is usually necessary as answers to the question relating to achievement of the milestone is gained through them; and, the pregnant sixteen-year-old could do a prenatal and nutrition screening, questions relating to nutrition, supplements, feelings regarding pregnancy.

Pregnant at Sixteen in the Inner-city

            According to According to Ball, Dains, Flynn, Solomon & Stewart (2015), using effective tools is helpful in gaining the most information necessary information to build not only a positive relationship; but, also necessary heal history. One of the screening that could be used for the 16-year-old white pregnant teenager living in an inner-city neighborhood would be HEEADSSS (home environment, education, eating, activities, drugs, sexuality, suicide/depression, safety from injury and violence). This instrument is appropriate for this patient for many reasons, given that at this age and stage of development and background patient may be having an identity crisis, unsure about her pregnancy, and uncertain home environment as well as any or all the other issues in the screen tool. The risk assessment instrument could include an HIV risk assessment as at this teenager was likely engaging in an unprotected sexual activity. As there may be limited knowledge about the potential father, doing an HIV risk assessment can help to protect the fetus from possible infection. Proper screening is important as highlighted by Duberstein and Jerant (2014) journal article regarding suicide prevention; whereby the lack of proper screening as let to a steady incline of suicide rates.

Five Targeted Questions

  1. What are your expectations regarding your visit today?
  2. Was the sex consensual?
  3. When was your menstrual period?
  4. How do you feel about your pregnancy?
  5. Who you parents and or partner able to provide support?

            Asking targeted question will allow the provider the capability to expand the interaction, promoting follow-up questions and gaining more information.

References

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2015). Seidel’s guide to physical examination (8th ed.). St. Louis, MO: Elsevier Mosby.

Donnelly, M., & Martin, D. (2016). History taking and physical assessment in holistic palliative care. British Journal of Nursing, 25(22), 1250.

Duberstein, P., & Jerant, A. (2014). Suicide Prevention in Primary Care: Optimistic Humanism Imagined and Engineered. JGIM: Journal of General Internal Medicine, 29(6), 827. doi:10.1007/s11606-014-2839-4

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2023 Assignment 1 Health Care Human Resources Management Due Week 3 Imagine that you have

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Nursing 2023 HSA 530 ASS1

Assignment 1 Health Care Human Resources Management Due Week 3 Imagine that you have 2023 Assignment

 

Assignment 1: Health Care Human Resources Management

Due Week 3

Imagine that you have applied for the position of Manager of Human Resources at an acute care hospital in your community. The hospital is planning to expand its services to meet the needs of a growing community. As part of the application screening process, you have been asked to write a document that outlines the steps you would take, as the manager of HR, to improve the effectiveness of HRM in this organization.

Write a three to four (3-4) page paper in which you:

1. 1.     Analyze two (2) current trends in health care that are affecting human resources management that may likely impact your hiring decision as HR manager. Provide support for your analysis.

2. 2.    Suggest a significant opportunity for HR to become more of a strategic partner within an organization. Justify your response.

3. 3.    Recommend a model of human resources management that would be the most appropriate for this organization in question. Provide support for your recommendation.

4. 4.    Recommend a strategy that HR could implement in order to develop more effective relationships between Human Resources and the organization’s managers and senior executives, indicating how each strategy will achieve the desired goal.

5. 5.    Determine a specific employment law that may affect the hiring and selection process at the acute hospital in your community. Provide support for your rationale.

6. 6.    Use at least three (3) quality academic resources in this assignment. Note: Wikipedia and other Websites do not qualify as academic resources. 

Your assignment must follow these formatting requirements:

• Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.

• Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.

The specific course learning outcomes associated with this assignment are:

• Analyze the unique aspects of managing human resources (HR) in health care organizations.

• Evaluate the effects of major employment laws on HR functions in health care organizations.

• Evaluate the competencies necessary for effective health care human resources management.

• Use technology and information resources to research issues in health services human resource management.

• Write clearly and concisely about health services human resource management using proper writing mechanics.

Grading for this assignment will be based on answer quality, logic / organization of the paper, and language and writing skills, using the following rubric.

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2023 Discussion Question Respond to the following question There are several vulnerable populations that have a chronic illness

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Nursing 2023 nursing illness and disease/wk4/dicussion

Discussion Question Respond to the following question There are several vulnerable populations that have a chronic illness 2023 Assignment

  

Discussion Question

Respond to the following question:

 
 

.There are several vulnerable populations that have a chronic illness (older; homeless; and lesbian, gay, bisexual, and transgender populations) that face challenges when it comes to care. Choose one vulnerable population and discuss what can be done to help alleviate these challenges.

 
 

To support your work, use your course and text readings and also use outside sources. As in all assignments, cite your sources in your work and provide references for the citations in APA format. 

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2023 Week 4 Project Locating Resources Locate a minimum of three community or national resources for your illness

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Nursing 2023 nursing illness and disease/wk4/project

Week 4 Project Locating Resources Locate a minimum of three community or national resources for your illness 2023 Assignment

  

Week 4 Project

Locating Resources

Locate a minimum of three community or national resources for your illness group chosen in Week 1( see attached), preferably in your community. Study these resources and write a report about them in a 4- to 5-page Microsoft Word document. Include in your response all the information the patient should know about them (the specific services they offer, fee schedules, if and when appropriate, criteria for eligibility, and any other important information). Discuss potential advantages and disadvantages for vulnerable populations in seeking these resources.

Support your responses with examples.

On a separate references page, cite all sources using APA format.

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2023 COMMENT 1 TEACHER S QUESTION Welcome to week 2 DQ As you re answering this DQ reflect on the medical advances

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Nursing 2023 PLEASE ANSWER ACCORDING THE ANSWER. WRITE AT LEAST 130 WORDS. REFERENCE (2013-2018). THANKS

COMMENT 1 TEACHER S QUESTION Welcome to week 2 DQ As you re answering this DQ reflect on the medical advances 2023 Assignment

COMMENT 1 TEACHER’S QUESTION

Welcome to week 2 DQ.  As you’re answering this DQ, reflect on the medical advances for cancer treatments and outcomes.  Is cancer terminal?  Why or why not?

COMMENT 2 

I really like your ideas about incorporating diet and exercise interventions. As you have stated that it is a very cost effective and easy way to improve your health. Many people are unaware of the immediately positive effects of diet and exercise on their body. Also, educating our patients on the the importance of these components is crucial as preventives measures against other co-morbidities. Obesity has become an epidemic in America and has been causing many problems in American’s bodies (Hruby and Hu, 2015). Through education and support we can help our communities learn the importance of living an active and healthy lifestyle. 

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2023 Analyze the impact of intimate partner violence on the individual client A

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Nursing 2023 domestic violence

Analyze the impact of intimate partner violence on the individual client A 2023 Assignment

Analyze the impact of intimate partner violence on the individual client.

  • A minimum of 5 appropriate references are used. Nursing journals, Periodicals, Medical journals, Nursing reference books, governmental web sites, etc. (No sites such as Wikipedia).
  • Proper grammar, punctuation, spelling, sentence structure and word usage. The entire paper shows detail to the topic, and the sentences flow well from one thought to the next. 
  • The topic is related to domestic violence identification, prevention, and assisting the victim with recovery. 
  • The topic is clearly introduced in the introductory paragraph.
  • The prevalence of the problem is clearly and correctly outlined.
  • Risk factors or preventative measures related to the topic are included.
  • Nursing care and referral to appropriate resources is clearly and correctly outlined.
  • The topic is clearly summarized in the closing paragraph.
  • The paper is 3 – 5 pages (excluding the cover sheet and reference page(s).

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2023 Complementary and alternative therapies are often used in combination with traditional medical practices to provide enhanced treatment

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Nursing 2023 Complimentary and Alternative Treatments

Complementary and alternative therapies are often used in combination with traditional medical practices to provide enhanced treatment 2023 Assignment

Complementary and alternative therapies are often used in combination with traditional medical practices to provide enhanced treatment. This is known as Integrative Medicine. Other times these therapies are used alone in place of traditional medicine. Choose a complementary or alternative therapy that interests you and research how it is used alone or in combination with traditional medicine.

Write a 1-2 page paper (not including title page and reference page) that describes following:

  1. Describe the complementary/alternative therapy and how it is used in practice.
  2. Discuss your personal and professional opinion about this therapy and how it will influence your care for a client using this therapy. 

You should include a minimum of 3 references. Include a title page, in-text citations, and a reference page in APA format.

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