wk3 discussion/Pf

part 1

 

What does it mean to be a change agent?

A change agent is a person who implements or promotes the changes in a group or an organization.in business it is usually someone who supports the new ways of doing things within an organization.

Give two examples of when you were a change agent or witnessed another nurse as a change agent

Leaders as change agent:

A leader can act as a change agent by supervising his subordinates (nurses) and by reviewing and regarding their progress, he can suggest the other ways of doing the thing and this way he can promote it in a better way and can increase the leading skills of nurses that can help the organization to transform and work more effectively.

HR manager as a change agent:

In order to bring change or to transform, a change agent should have a vast treasure of broad knowledge and the update regarding the new technology. And being the manager of HR, you can predict the potential difficulties in system or staff (nurses) and can bring a change accordingly by guiding them and increasing their potential by giving them a proper guidance in the eras where they are lacking their leadership skills.

What happened and how did the change occur?

The change usually occurs when there is some lacking either in the system or in the staff that is managing the system. Nurse leaders can bring a change by analyzing the current potential and the lacking points. It can also be done by encouraging the nurses to decide the best option to get the better outcome. Change can only occur if you share the knowledge effectively that will eventually help in enhancing their skills and will also bring a change in their attitude and behavior with other nurses. The major effective pillar in bringing the change was the cooperation with other nurse that gives rise to the remarkable leadership skills.

part 2

 Have you worked to change anything on your unit? Have you seen other nurses change patient care or other functions in your organization? Please describe how the change was accomplished. 

          

 

AP

Select an infectious disease and research the CDC website for information about the disease, its natural history, presenting symptoms, and outbreak characteristics. Identify an occurrence of the disease by searching the Internet for recent reports of this disease and compare that episode or occurrence with information from the CDC website.

Acute flaccid myelitis (AFM) is a rare infectious disease that affects the nervous system. The disease cause inflammation to spinal cord predominantly the gray matter, which cause the muscles and reflexes in the body to become weak. According to CDC, there are several probable causes of AFM such as, viruses like  poliovirus and non-polio enteroviruses, West Nile virus, and adenoviruses environmental toxins and genetic disorders.

The symptoms present with sudden onset of upper and lower extremities weakness, loss of muscle tone and reflexes. Some people will also experience facial drooping, ptosis, difficulty moving the eyes, slurred speech, difficulty swallowing, pain in the extremities, and inability to urinate. The most severe affect is respiratory failure.

According to CDC, from August 2014 through September 2018 there’s been a total of 386 confirmed cases, mostly cases involve children. Currently for 2018 with presenting onset of symptoms for September to October 16,2018; there are 62 confirmed cases in 22 state in the U.S.The patients’ symptoms have been most similar to complications of infection with certain viruses, including poliovirus, non-polio enteroviruses, adenoviruses, and West Nile virus. The diagnostic test ran all AFM cases have tested negative for poliovirus. “The increase in AFM cases in 2014 coincided with a national outbreak of severe respiratory illness among people caused by enterovirus D68 (EV-D68). Among the people confirmed with AFM, CDC did not consistently detect EV-D68 in every patient (Acute Flaccid Myelitis, 2018).

Please attach a typed 1/2 page to 1 page Word document (double spaced) that contains the following information:

1. What fitness activities are you currently participating in?
2. After reading chapter 2, what did you discover that you were NOT doing correctly (keep the FITT principles in mind).
3. What fitness Myths did you believe?  (if none – explain how you learned about proper fitness principles)

Don’t have time to exercise? Well here is an article with some good ideas for finding little ways to exercise during a busy day (eh hem, or life). http://www.medicinenet.com/script/main/art.asp?articlekey=43497

Why do you need to work out?

There are many reasons why it is important to work out but I will focus on the main reasons.

To Delay Death – This may sound morbid but all of us will die. There is no escaping it. . . the death statistics are 100%. The goal is to have the highest quality of life for the longest period of time. By living a healthy and safe lifestyle in a healthy environment we can increase are chances of extending our lifespans and our abilities to be mobile and active through the entirety of our lives. A healthy lifestyle should include exercise to experience the highest level of physical health.

To Avoid Disease & Lower the Risks of Health Problems – To have a high quality of life we ,obviously, would like to avoid diseases. Engaging in many forms of physical activity can have a direct correlation to deterring certain diseases and health problems such as coronary heart disease, hypertension (high blood pressure), diabetes, strokes, heart attacks, osteoporosis, lower back problems, cholesterol level problems and even stress.

To Feel Good About Yourself – Exercise can have a positive effect on your mental outlook and your emotional well-being. When engaging in cardiovascular exercise, chemicals called endorphins are released in the body that create a “feel good” mood and can help to make a person feel less stressed and more relaxed. Exercise can help you sleep better and can even be helpful in treating mild to moderate depression and other mental disorders.

To Control Weight – Exercise can help to “burn” unneeded/excess calories. Excess calories are stored in our bodies as fat cells. In order to take off a pound of fat, your body has to burn 3,500 calories more than the number of calories you are consuming. Aerobic exercise can be used to increase metabolism and burn calories to help reduce weight over time. Even after an aerobic workout session your metabolism stays elevated for several hours, burning more calories. Aerobic exercise also suppresses appetite, so you aren’t as tempted to eat.

Exercise Basics.

Benefits of Exercising, Regularly…

Medical Questionaire

This is for YOUR INFORMATION ONLY – you do not have to turn this in, it is NOT graded… but it is to help you understand if you are MEDICALLY ready to participate in exercise activities.

Please Read and Answer the following questions:

The Physical Activity Readiness Questionnaire (PAR-Q) Being physically active is very safe for most people. Some people, however, should check with their doctors before they increase their current level of activity. The PAR-Q has been designed to identify the small number of adults for whom physical activity may be inappropriate or those who should have medical advice concerning the type of activity most suitable for them.

Answer yes or no to the following questions:

1. Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor?
2. Do you feel pain in your chest when you do physical activity?
3. In the past month, have you had chest pain when you were not doing physical activity?
4. Do you lose your balance because of dizziness or do you ever lose consciousness?
5. Do you have a bone or joint problem that could be made worse by a change in your physical activity?
6. Is your doctor currently prescribing drugs (for example, water pills) for your blood pressure or heart condition?
7. Do you know of any other reason why you should not do physical activity?

If you answered yes: If you answered yes to one or more questions, are older than age 40 and have been inactive or are concerned about your health, consult a physician before taking a fitness test or substantially increasing your physical activity. You should ask for a medical clearance along with information about specific exercise limitations you may have.

In most cases, you will still be able to do any type of activity you want as long as you adhere to some guidelines.

If you answered no: If you answered no to all the PAR-Q questions, you can be reasonably sure that you can exercise safely and have low risk of having any medical complications from exercise. It is still important to start slowing and increase gradually. It may also be helpful to have a fitness assessment with a personal trainer or coach in order to determine where to begin.

When to delay the start of an exercise program:

• If you are not feeling well because of a temporary illness, such as a cold or a fever, wait until you feel better to begin exercising.
• If you are or may be pregnant, talk with your doctor before you start becoming more active.

use the following link to access the online assessment: Jung Typology Test ( use this for assessment)

Based on your research and understanding, write a 3- to 4-page Microsoft Word document that:

• Integrates how your specific personality type can enhance or hinder effective leadership in the health care environment.
• Explains all four aspects of your personality gleaned from the assessment.
• Includes 2- to 3-journal article references.
• Use this APA Citation Helper as a convenient reference for properly citing resources

 TIF

Share an experience where you cared for a patient in the healthcare setting who was from a culture different from your own. How did you accommodate this patient’s needs? How would you apply the Purnell Model to future cultural encounters?
Which one of the twelve domains of culture from the Purnell Model do you feel is most important? Why?

Cultural accommodation is a priority in healthcare and daily life. Nursing professionals must willingly adapt to different cultures to provide excellent service. Cultural competence is a requirement that increases awareness of not only patients but also of the socioeconomic status. Paying special attention to the patient’s needs will also build rapport, reassure patient and provide a safe and comfortable environment.
A couple of Asian and Hispanic decent was accompanied to the inpatient rehab unit. The male patient of 86 years was the patient admitted with a left hemorrhagic stroke and right sided weakness. The husband was Spanish and could not follow simple commands in English. The wife was 83 years old and was of Asian descent but spoke fluent Spanish, but could not relate in English. This was proven to be a tough task during the admission process. However, I realized that by smiling and speaking slowly the husband/patient became more cooperative. The uncertainty of asking questions and receiving incomplete or no response was a major concern. Instead of panicking, the idea of utilizing the hospital policy for communication arose. The “blue” phone was the answer to the problem, so it was retrieved from storage and communication was in full effect. This communication device was used to call a medical interpreter instead of relying on a family member.
In addition, the nonverbal communication was a dominant component to displaying cultural competency. Smiling with the patient and wife was sufficient in gaining their trust. The Purnell model helped to certify how important competence, patience and cultural accommodation is. By initiating this model, the nurse will understand that patient population continues to change and become more diverse than once before. The most important domain in the Purnell model is communication because this transcends across all cultures. With proper communication, patients, family and clinical professionals may become more competent and culturally aware.