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2023 Anne Kolsky 3 posts Re Topic 9 DQ 2 Potential Barriers to
by adminNursing 2023 DQ92 RESPONSE
Anne Kolsky 3 posts Re Topic 9 DQ 2 Potential Barriers to 2023 Assignment
Anne Kolsky 3 posts Re: Topic 9 DQ 2 Potential Barriers to Sustained Changes Population health improvements require action from multiple sources. People are complex and so are responses to changes. Everyone is accountable and delegation can only go so far. Our nation tends to see value in how much money is spent vs taking the sometimes-harder route of making actual changes. It is easier to “throw money” at the problem, then change the root of the problem. Pardon the pun, but we tend to put bandaids on the hemorrhages. We tend to see the problem from our own personal perspectives only. Contributions and partnerships must come from all areas of influence. Possible Solutions Multisectoral community health business partnership models maybe a key to making everyone a part of the bigger picture as well as the details. This is a different pathway that shows promise. As the article states, “It is time to move beyond grands and isolated efforts to partnerships with substantial structure, incentives, and financing,” (Kindig & Isham, 2014). Business, education, state and local governments, community developers, and philanthropic organizations must form partnerships to make changes sustainable. Developing a business model is one way to encourage this as the “bottom line” is always a motivating factor. If it can be done without making this the “only” factor and that everyone has a stake in the “business,” then it can work well. HealthPartners is an example of a consumer-driven nonprofit that works in partnership with entities that encourage a unique niche (Kindig & Isham, 2014). Kindig, D. A., & Isham, G. (2014). Population health improvement: A community health business model that engages partners in all sectors. Frontiers of Health Services Management, (4), 3. Retrieved from https://search-ebscohost-com.lopes.idm.oclc.org/login.aspx? direct=true&db=edsgih&AN=edsgcl.553965837&site=eds-live&scope=site
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2023 Carrie Smithson 1 posts Re Topic 9 DQ 2 Sustaining change can be difficult
by adminNursing 2023 DQ92 RESPONSE
Carrie Smithson 1 posts Re Topic 9 DQ 2 Sustaining change can be difficult 2023 Assignment
Carrie Smithson 1 posts Re: Topic 9 DQ 2 Sustaining change can be difficult, as there are many variables that can affect implementation. One critical component of Evidence Based Practice is to ensure that practice change is part of an organization’s culture so it will continue to impact outcomes over time. There are barriers that may prevent my Evidence Based Practice change proposal from continuing to obtain the same desired results six months to a year from now. My PICOT statement is, In adults with tobacco dependency (P), would providing teaching/research about tobacco cessation (I) compared to medications to assist in tobacco cessation (C) lead to a decrease in tobacco dependency and better health outcomes (O), after four weeks of intervention/quit date (T)? One barrier is new staff coming on board and not knowing the proper way to educate patients on tobacco cessation. The current staff will receive proper education on how to educate tobacco dependent patients. To assist new staff with the process change, we can create required computer based learning assignments (CBL’s) that have to be completed before coming out of orientation. This will allow all new nurses to be up-to-date on the education process. Another barrier is language. Not only is language a barrier in education, but other forms of communication as well. Upon communicating with a patient who does not speak English, the health care team must first decide what language the patient understands best, and in what way the patient learns best. Once the assessment is completed, the nurse can obtain an interpreter. At our facility, there are interpreters on wheels; this is an IPad that we bring to the patient and an interpreter comes on live to speak to the patient in their specific language. Not only can we use the interpreter, but provide written education in different languages as well. Throughout the education process, it is important to remember communication techniques. A few communication techniques are listening, asking open ended questions, and having an open posture (Elsheikh, 2018). Change initially can be a good thing and take off quickly. It is important to sustain new change through methods like I mentioned above. Reference Elsheikh, K. (2018, March 21). 7 Effective Communication Techniques That Will Make YouExcellent. Retrieved from https://medium.com/better-humans/7- effective-communication-techniques- that-will-make-you-excellent-89eb17e60b36
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2023 Similarity no more than 15 Global AIDS Alliance is the group provide Investigate
by adminNursing 2023 15-20 slide PowerPoint presentation that addresses all the key questions listed in the first section of this page. Presentation is to be done in APA format and to include both learning objectives and a reference page.
Similarity no more than 15 Global AIDS Alliance is the group provide Investigate 2023 Assignment
Similarity no more than 15%
Global AIDS Alliance is the group provide
Investigate the group’s key issues;
what is their mission;
what is their legislative agenda;
how is the agenda developed;
how is it communicated to members;
how is their agenda pushed and promoted (i.e., mechanisms used to engage/attract and influence policy makers);
what are the group’s current lobbying efforts; key partner coalitions; do their partnerships influence policies at the local,
state or national level; key obstacles; and spending allocations (consult the Center for Responsible Politics, www.opensecrets.org).
In addition to investigating the interest group’s website and reviewing position statements and testimony, students should consult media reports to obtain more information on the group’s current lobbying efforts. Students should summarize their findings in a 1-2-page, single-spaced memo
i need a summarize their findings in a 1-2-page, single-spaced memo
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2023 Read a selection of your colleagues responses and respond on two different
by adminNursing 2023 Post- Camille
Read a selection of your colleagues responses and respond on two different 2023 Assignment
Read a selection of your colleagues’ responses and respond on two different days who selected a different type of diabetes than you did. Provide recommendations for alternative drug treatments and patient education strategies for treatment and management.
Main Post
Type 1 diabetes which is sometimes called juvenile or insulin-independent is when the pancreas produces little to no insulin. It can be seen as an autoimmune disease because the immune system mistakenly attacks the insulin-producing beta cells of the pancreas (Diabetes UK The Global Diabetes Community, 2019). Since these patients are not producing enough insulin, they are insulin-dependent for the rest of their lives, and most patients wear an insulin pump (Mayo Clinic, 2018). Type 1 is normally diagnosed during pediatric years or people younger than the age of 30 (Diabetes UK The Global Diabetes Community, 2019).
Type 2 diabetes which is also called adult-onset or non–insulin-dependent diabetes, is different from type 1 because in type 2 the body loses the ability to respond to insulin (Thompson & Romito, 2018). This causes the body to become insulin resistant because the body is not using insulin in the right way (Thompson & Romito, 2018). The pancreas soon becomes overworked and makes less insulin leading to insulin deficiency. Type 2 diabetes can be treated with insulin and medications, it can also be prevented if caught early and by lifestyle modifications such as in food, diet, and behaviors. Type 1 diabetes is not preventable (Diabetes UK The Global Diabetes Community, 2019).
Gestational diabetes (GDM) occurs during pregnancy. A hormone made by the placenta in the womb keeps the body from using insulin the way it should (Cedars-Sinai, 2019). Glucose builds up in the body and is not absorbed by cells leading to this disorder. GDM normally goes away after the birth of a baby. Women who are overweight are more prone to developing this disorder, and their children are at an increased risk of developing type 2 diabetes (Cedars-Sinai, 2019). Making sure to get blood work done routinely, sticking to proper diet, exercise, medications, and insulin injections can control and prevent developing GDM (Cedars-Sinai, 2019).
I selected Aspart (Novolog) insulin pen as the drug of choice for GDM. To prepare this drug I would show the pregnant patient how to administer this drug. First, I would instruct the patient to check their blood sugar pre-meals. If the blood sugar is above 150, right before their meal then the patient should follow the range dose of insulin to give that is prescribed to the patient. If the patient plans of eating all of their food then the patient will be told to give the required dose 15 minutes before or after the meal (University of Iowa Hospitals & Clinics [UIHC], 2019). If the patient only eats half then wait till after the meal to administer insulin.
The patient will be told that in pregnancy the best place to administer insulin is in the abdomen because this is where insulin gets absorbed the fastest in the bloodstream (UIHC, 2019). It should be injected at least 2 inches away from the belly button. To use the pen I would instruct the patient to remove the cap of pen and clean with alcohol, apply needle, prime the pen by selecting 2 units making sure to see drops so you know its working right. After this, select the appropriate dose needed for the patient, point the pen towards the abdomen site and push down to inject (UIHC, 2019). The dietary considerations would consist of a balance of legumes, sweet potatoes, salmon, eggs, fruits, broccoli, green leafy vegetables, fish liver oil. Berries, whole wheat products, and lean cooked meats (Cedars-Sinai, 2019). The patient would be told to stay away from processed, sugary, and fried foods.
A short term effect that may not be talked about with GDM is the cost. On average women living with GDM spend up to two-thousand dollars more than women living without GDM (Xu et al., 2015). This is related to the cost of medications, frequent doctor visits, and symptoms of hyperglycemia that the patient experiences. This is why making sure to take insulin, following a proper diet, and exercise program can help decrease these cost and prevent developing type 2 diabetes in the long-term for patient and child. If the patient develops type 2 diabetes after pregnancy this can lead to obesity, stroke, and heart attack if not properly controlled (Diabetes UK The Global Diabetes Community, 2019). It is clear that following and living a balanced diet regardless of the type of diabetes diagnosed with can help control, and prevent detrimental effects on the body and allow to live a satisfying life.
References
Cedars-Sinai. (2019). Gestational Diabetes. Retrieved from https://www.cedars-sinai.org/health-library/diseases-and-conditions/g/gestational-diabetes.html
Diabetes UK The Global Diabetes Community. (2019). Differences Between Type 1 and Type 2. Retrieved from https://www.diabetes.co.uk/difference-between-type1-and-type2-diabetes.html
Mayo Clinic. (2018). Type 1 Diabetes. Retrieved from https://www.mayoclinic.org/diseases-conditions/type-1-diabetes/symptoms-causes/syc-20353011
Thompson, E., & Romito, K. (2018). Diabetes: Differences Between Type 1 and 2. Retrieved from https://www.mottchildren.org/health-library/uq1217abc
University of Iowa Hospitals & Clinics. (2019). Insulin use during pregnancy. Retrieved from https://uihc.org/health-topics/insulin-use-during-pregnancy
Xu, T., Danielli, L., Yu, K., Ma, L., Silva Zolezzi, I., Detzel, P., & Fang, H. (2015). The short-term health and economic burden of gestational diabetes mellitus in China: a modelling study []. BMJ Open, 7(12). Retrieved from https://bmjopen.bmj.com/content/7/12/e018893
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