Comment 1

Knowing scientific management theory as defined as supervising by way of focusing on task accomplishments rather than interpersonal relationships (Huber 2014). Some routines in health care that seem to be inefficient in regards to scientific management are the overwhelming focus on tasks, the evaluations based on tasks accomplished, and the pressure to join committees to add more tasks to nurses’ duties. A lot of times nurses have trouble tending to the needs of their patients because they are so focused on getting the tasks done so as to not get in trouble. Many times tasks are added to the nurses’ workload making it hard to complete everything on time. This causes incidental overtime which is also greatly frowned upon. Finally, the committees are supposed to be a good thing, allowing nurses to participate in shared governance. The issue arises when the requirements for the committees capitalize on the time the nurse should be working or decompressing from the stress of daily work. Some examples of participative decision-making at the hospital that I work at are unit forums and shared governance council. The unit forums allow for nurses and aides in the unit to meet and discuss issues to resolve amongst themselves. Shared governance councils allow for nurses to meet with administration to discuss issues at the bedside that can only be fixed by administration.

Comment 2

The scientific management theory states that humans are motivated by money, and there should be a separation between managers and workers. The expected result is a dramatic increase in productivity of the workers and profits for the organization. Some of the routines in the health care setting that are inefficient is nurse-to-patient ratio and staff retention. I feel the nurse-to-patient ratios are unsafe as it overloads the nurse and nursing assistants in carrying for high acuity patients with a higher prevalence of medical errors and oversight. When staffing is is done according to census instead of census it creates an unsafe environment for the patients and the staff. Without adequate staffing, patient care is inadequate and the patients suffer. Which in turns causes patient surveys to report negative feedback giving the hospital low numbers.Staff retention is important to ensure there is adequate staff to meet the demands of an aging population with numerous chronic illnesses. When facilities ignore the concerns of staff or do not provide attempt to implement change that benefits the staff and the patients, morale falls and staff leave. When nurses feel their safety and license are in jeopardy, they will seek out a better work environment they feel safe in. The facility I work for currently does annual retention surveys that allow its employees to voice any concerns and share what they feel the facility is doing well or could improve on. The nurses are asked various questions in regards to the leaders and managers they work directly under and whether their needs are being addressed. The facility offers committees that focus on allowing staff to have voice. Some include unit base council for each unit of the facility, committee for staffing concerns and safety committees that focus on sentinel events. 

The Child Abuse and Neglect Reporting Act (CANRA) pursuant to Penal Codes 11164 through 11174.3 is a body of California laws designed to protect children from suffering harm. Under this law, all individuals are required to report any suspected child abuse. Child abuse or neglect can be assessed by a physical injury or a bruise, sexual exploitation, negligent and mal treatment, willful harming and cruel, inhuman behavior with children are considered as child abuse.

To report a child abuse, one does not require to have an absolute proof of the abuse, rather any suspected signs and symptoms which can be seen in a child can be reported to law enforcement. The warning signs of an abuse could be inappropriate behavior of children, no love or attachment towards parents or care giver, inappropriate or extreme behavior. One does not have to disclose their identity to report abuse.

“An appropriate law enforcement agency may be one of the following:

• A Police or Sheriff’s Department (not including a school district police department or school security department).
• A County Probation Department, if designated by the county to receive child abuse reports.
• A County Welfare Department/County Child Protective Services.”

Professionals who are considered as mandated reporters are: school teachers, administrators, medical professional, day care facility employees, social workers etc.

Case Scenario: During home health visits to see an 80-y old bed ridden patient, a 5 year old grand daughter found performing minor household chores with inappropriate clothing and bruises on arms and slight redness on face. Step mother of the 5-year-old often seems very rude to the girl. Girl appeared dehydrated, unhygienic with same clothes on during each home health visits.

References:

https://www.wklaw.com/what-are-mandatory-reporting-laws

https://www.cde.ca.gov/ls/ss/ap/childabusereportingguide.asp

Condition of Mrs Allen and Treatment

            Mrs Allen is a 68-year-old African American whose age is a factor that exposes her to many diseases. The old comes with many challenges one of them been able to follow the doctor’s prescription correctively. Additionally, the patient has been experiencing shortness of breath for the past three. The condition is also called dyspnea which is caused by asthma, anxiety and heart failure condition. Even though there is no single drug that has been listed for shortness of breath, as a medical provider, I recommend Mrs Allen to  Aliskiren is an orally active nonpeptide drug with a half-life of about 24 hours, and is dosed once per day.  It is metabolized by the liver and excreted by the kidneys. Based on the ACC/AHA, If the target blood pressure is not reached within one month after initiating therapy, the dosage of the initial medication should be increased or a second medication should be added (thiazide diuretic, calcium channel blocker, ACE inhibitor, or ARB)

            The patient has also experienced lower leg edema pitting 1+, which started two weeks ago. The condition has been diagnosed through a physical examination of Mrs Allen’s medical history. Magnetic resonance imaging and ultrasound exams were further used to diagnosis the disease. In case the patient is suffering from mild edema, the facility can raise the limb in question higher above the heart. Additionally, the diuretics can be used to expel excess fluid in the body. Based on the fact that Mrs Allen cannot afford most of the medications, I recommend her to be taking regular exercises mostly in the morning.

            Mrs Allen needs medication given her MI condition. The history of on myocardial Infarction MI for the past one year is evidence that the patient requires medication. If the condition is reduced before it goes high will be one element of saving her life. In efforts to suppress the pain that Mrs Allen is going through, she should take aspirin 81 mg daily.

Reference

https://www.cvpharmacology.com/vasodilator/renin

https://www.aafp.org/afp/2014/1001/p503.pdf

hello dear,

Can you help me to finish this assignments with the good quality and be on time please?

  1. Compare and contrast health education and health promotion. What is its purpose? Why is it important to you? 

Submit 1-3 formal paragraphs  about 2 pages in response to the topic above. Provide at least one academic or credible source for an in-text citation and reference. Use APA 6th edition in-text citations and references.