KIMBERLY MORRIS SAID

When I first envisioned my project, I was more focused on the education of parents of children under the age of five. I had no intention of including pregnant women in my target audience. One of the things that led me to include this population was by the suggestion of Professor O’Brien. She stated that educating moms and dads on the dangers of lead through toys and other material items made in other countries is a need which should be addressed. After doing a little more research and thinking about it, I could not agree more.

The statement she made reminded me of a study I had looked at a few years ago and how certain food items and makeup which are bought into stores targeted to different cultures and ethnicities can contain foods high in lead. These foods and other items are being brought to the United States by people of other cultures and are being eaten or used. The lead contained within these products is high and, after doing a study to figure out why, they discovered where the contamination was coming from. Originally I was just going to target children between birth to five years but knowing how many parents plan for the birth of their baby by buying items prior to birth and utilizing the internet to find the cheapest deal, I took Professor O’Brien’s suggestion into consideration and decided to expand my target audience to include pregnant moms as well.

Reference:

Washington State Department of Health. (2016, May). A targeted approach to blood lead screening in

children, Washington State. Retrieved from https://www.doh.wa.gov/Portals/1/Documents/Pubs/334-

383.pdf

 Post  a creative  response (dance video, video, picture, song, poem, puzzle, etc.) demonstrating how you are adapting to  COVID -19 and its management ? student 1 – I’m adapting to the COVID-19 virus by spending more time on my phone. My brother is a missionary in Germany self quarantined for the last 5 days due to shortness of breath, chills, and cough with sputum. I communicate with him every morning to see how he is doing. He is starting to feel better, praise God! 

I also have a Chinese student that lives with my family back home and he sent me N95 masks that he got from his mom in China. 

Lastly my dad is a doctor and is recommending peptides for me to take to boost my immune system in all the craziness. I don’t usually take any kind of medication regularly so all of this is new to me.

student 2-  I have adapted to COVID-19 and its management by trying to be productive at home such as; organizing my desk for school and planning additions to my house with my husband. I’ve also rearranged our porch furniture so that I can enjoy the outside from there. I am an introverted person therefore I am not bothered by having to stay home. However, I do miss seeing my classmates. I hope everyone is healthy physically and mentally! The pieces of wood seen in my picture are representations of extended rooms for our house and trying to see a bigger picture of how  they would be set out. My husband and I were outside past dark trying to get a bigger picture of how we will see our home in the years to come! 

this is my classmate post related to the question above, can you please response to each of them in few sentence. thanks. 

minimum 300 words

2 references within 5 years

APA style

Case Study 

This case study documents an ongoing interaction between a wife and her husband who live in a spacious home in a gated community.

When Dan (now 80) and Jane (now 65) began dating more than 15 years ago, both were emotionally charged to begin their lives anew. Well-educated and financially secure, they had a lot in common. Dan was a protestant minister, and Jane’s deceased husband had been a protestant minister. Both had lost their spouses. Jane’s first husband had suffered a catastrophic cerebral aneurysm 2 years earlier. Dan had conducted the funeral service for Jane’s husband. Dan’s wife had died of terminal cancer a little over a year earlier. Dan’s first wife had been a school counselor; Jane was a school teacher. Both had children in college. They shared a love for travel. Dan was retired but continued part-time employment, and Jane planned to continue teaching to qualify for retirement. Both were in great health and had more than adequate health benefits. Within the year they were married. Summer vacations were spent snorkeling in Hawaii, mountain climbing in national parks, and boating with family. After 7 years, Dan experienced major health problems: a quadruple cardiac bypass surgery, followed by surgery for pancreatic cancer. Jane’s plans to continue working were dropped so she could assist Dan to recover and then continue to travel with him and enjoy their remaining time together. Dan did recover—only to begin to exhibit the early signs and symptoms of Alzheimer’s disease. One of the early signs appeared the previous Christmas as they were hanging outdoor lights. To Jane’s dismay, she noted that Dan could not follow the sequential directions she gave him. As time passed, other signs appeared, such as some memory loss and confusion, frequent repeating of favorite phrases, sudden outbursts of anger, and decreased social involvement. Assessments resulted in the diagnosis of early Alzheimer’s disease. Dan was prescribed Aricept, and Jane began to prepare herself to face this new stage of their married life. She read literature about Alzheimer’s disease avidly and organized their home for physical and psychological safety. A kitchen blackboard displayed phone numbers and the daily schedule. Car keys were appropriately stowed. It was noted that she began to savor her time with Dan. Just sitting together with him on the sofa brought gentle expressions to her face. They continued to attend church services and functions but stopped their regular swims at their exercise facility when Dan left the dressing room naked one day. Within the year, Jane’s retired sister and brother-in-law relocated to a home a short walk from Jane’s. Their intent was to be on call to assist Jane in caring for Dan. Dan and Jane’s children did not live nearby so could only assist occasionally. As Dan’s symptoms intensified, a neighbor friend, Helen, began to relieve Jane for a few hours each week. At this time, Jane is still the primary dependent-care agent. She prides herself in mastering a dual shower; she showers Dan in his shower chair first, and then, while she showers, he sits on the nearby toilet seat drying himself. Her girlfriends suggested that this was material for an entertaining home video! Although Jane is cautious in her care for Dan, she often drives a short distance to her neighborhood tennis court for brief games with friends or spends time tending the lovely gardens she and Dan planted. During these times, she locks the house doors and leaves Dan seated in front of the television with a glass of juice. She watches the time and returns home midway through the hour to check on Dan. On one occasion when she forgot to lock the door while she was gardening, Dan made his way to the street, lost his balance, reclined face-first in the flower bed, and was discovered by a neighbor. Jane has given up evenings out and increased her favorite pastime of reading. Her days are filled with assisting Dan in all of his activities of daily living. And, often, her sleep is interrupted by Dan’s wandering throughout their home. At times, when the phone rings, Dan answers and tells callers Jane is not there. Jane, only in the next room, informs him “Dan, I am Jane.” Friends are saddened by Dan’s decline and concerned with the burdens and limitations Jane has assumed as a result of Dan’s dependency.

Critical thinking activities

1. Examine this case study through the dependency cycle model (Fig. 14.3). The outer arrows show a progression through varying stages of dependency. The inner circle represents who can be involved in the dependency cycle. Where are Jane and Dan in this cycle?

2. Using the basic dependent-care system model (Fig. 14.4), assess Dan and Jane. Identify the basic conditioning factors (BCFs) for each. What is the effect of Dan’s BCFs on his self-care agency? Is he able to meet his therapeutic self-care demands? Continue on to diagnose Dan’s self-care deficit and resulting dependent-care deficit. Now assess Jane’s self-care system.

3. Design a nursing system that addresses Jane’s self-care system as she increases her role as dependent-care agent for Dan.

Image 1:  FIG. 14.3Dependency cycle. Source: (From Taylor, S. G., Renpenning, K. E., Geden, E. A., Neuman, B. M., & Hart, M. A. [2001]. The theory of dependent-care: A corollary to Orem’s theory of self-care. Nursing Science Quarterly, 14[1], 39–47.) 

Image 2:  FIG. 14.4Basic dependent-care system. BCF, Basic conditioning factors; DCA, dependent-care agency; DCD, dependent-care demand; SCA, self-care agency; SCDF, self-care deficit; SCS, self-care system; TSCD, therapeutic self-care demand. Source: (From Taylor, S. G., Renpenning, K. E., Geden, E. A., Neuman, B. M., & Hart, M. A. [2001]. The theory of dependent-care: A corollary to Orem’s theory of self-care. Nursing Science Quarterly, 14[1], 39–47.) 

 

Examine Your Barriers to Cultural Competence

1. Respond to the prompts below in full sentences.  Be sure to use standard English grammar and spelling:

• Assess your own barriers to cultural competence.
  • Have you overcome these?  If not, how do you plan to overcome them?
  • If you do not have barriers, why do you think you do not have them?

 

The Nurse Practice Act is enforced by the BON. Nurses must comply with the law and related rules in order to maintain their licenses. The law describes qualifications for licensure, nursing titles that are allowed to be used, scope of practice and actions that can or will happen if the nurse does not follow the nursing law.  These standards are important to our profession because they promote and guide our clinical practice.

Illinois RNs and LPNs are licensed by the Illinois Department of Financial & Professional Regulation. Although Illinois is not a Nurse Compact state, nurses may be licensed by examination or endorsement. Those who have taken the required exam elsewhere may be licensed by “acceptance of exam” even if they are not licensed in another jurisdiction. The state board of nursing is the owner of a nurse’s license, not the nurse.

The standards of practice influence how one should practice as a nurse. There are rules and regulations that must be followed. Working within your scope of practice allows to support patient safety. Violations of this may result in discipline as specified in Section 70-5 of the Act in Illinois.