Please answer the question APA style. References And less than 20 % similarity.

Chapter 45

A cruise ship has asked for emergency entry to a local seaport with access to a hospital facility. They are reporting that that 100 of their passengers, ages 75 to 90, are complaining of the following symptoms: nausea, vomiting, stomach cramping, and watery diarrhea lasting for 1 to 3 days.

a.            The community nurse at the seaport authority believes this is an outbreak of “Norwalk virus.” Why does the nurse believe it is the “Norwalk virus”?

b.            What are some areas of concern that the nurse should be cognizant of?

I need a comment for each paragraph

Paragraph 1

 

Defined of Domestic violence are physical, sexual, or emotional/psychological abuse directed toward men, women, children, or elders occurring in current or past familial or intimate relations whether the individuals are cohabiting or not and including violence directed toward dating partners (Draucker, 2002). When the people lose or no ability to care for themselves, especially with elderly adults and child. There are many signs for healthcare providers to watch it. Some of them are bruises, black, red, or purple marks everywhere on their bodies. May torsional fracture injuries on arms or legs that look like they came from punching, twisting, or being thrown down, but victims will make excuses like tripping or being accident-prone or clumsy. Often the seriousness of the injury does not match up with the explanation. And also, some of the victims of domestic violence will attempt to hide bruises with makeup, clothing, or sunglasses. In my working place, any person is required to report a suspicion of mistreatment. Call the police or 9-1-1 immediately if someone is in immediate life-threatening danger. If someone, not a direct life-threatening danger who suspects that abuse has occurred or is occurring, we have to report to the supervision. The supervisor will relay our concerns to the local adult protective services (age 18 and older), long-term care ombudsman, or the police. If anyone suspects that a child is being abused or neglected, should report their concern to the New York State Central Register of Child Abuse and Maltreatment (SCR) at 800-342-3720— open 24-hours a day to take your call.

Paragraph 2

 

Domestic violence occurs when a person is being abused by their former or current spouse and cohabitating or romantic partner. Partner abuse does not happen in a single act of assault, but a series of progressive and cyclic violent acts against an individual to exert control over them. The most apparent characteristics of domestic violence within a family are injuries or physical repercussions of battering. They range from minor injuries to disfigurement, permanent disability, and death. A nurse or healthcare provider can look for contusions, neurological problems, anal or vaginal tears, lacerations, and musculoskeletal damages (Wilson et al., 2016). Stress-related consequences are also products of domestic violence, including chronic pain, eating disorders, persistent headaches, and irritable bowel syndrome. Some bruises may appear as they came from choking, being thrown down, or punching. The patient could have purple or red marks on their neck, black eyes, and sprained wrists. Many victims will attempt to hide the true nature of their bruises using makeup, sunglasses, or clothing. They may also create excuses that do not match the seriousness of their situation, such as being clumsy or accident-prone. Sexual violence may result in sexual dysfunction, urinary tract infections, sexually transmitted illnesses, pelvic pain, and bladder infections. Battering during pregnancy is also a standard indicator and may lead to placental separation, low birth weight infants, miscarriages, uterus ruptures, antepartum hemorrhage, and fetal fracture (Ali et al., 2016). Mental health symptoms are, at times, linked to violence, such as suicidality, depressive symptoms, substance abuse, and post-traumatic stress disorder. The procedure in our facility for dealing with or reporting abuse is known as RADAR. The practitioner must routinely (R) examine or screen their patient. They should ask (A) questions directly, non-judgmentally, and politely, including whether it is safe for them to go back home and to reassure them that it is not their fault. The provider should document (D) everything that they have gathered during the interview so that the patient can have a legal record, and future practitioners are up to speed with the case. They should assess (A) the safety of the patient. If the victim expresses concerns about going back home, the practitioner should review (R) the options available for reporting and provide referrals (Davies et al., 2017). The nurse must inform the police immediately and offer the patient a haven, such as an organization that deals with domestic violence, in situations where they do not have a place to go. They should also conduct follow-ups and assist the individual in getting in touch with professionals who can assist in dealing with the consequences of abuse.

 Discussions are not just opinion to obtain full points, postings must be based on supported fact, not simply opinion. Posting should be a minimum of one short paragraph and a maximum of two paragraphs.  Word totals for each post should be in the 100-200 words range.  Whether you agree or disagree explain why with supporting evidence and concepts from the readings or a related experience.  Include a reference, link, or citation when appropriate. APA 6th edition format for references as well as in-text citations is expected. Application of Health Literacy & Motivational Interviewing Concepts to Promote WellnessHealth literacy is not simply the ability to read health information. The National Institutes of Health defines health literacy as the ability to read, comprehend, and analyze information; decode instructions, symbols, charts, and diagrams; weigh risks and benefits; and ultimately make decisions and take action.After the reading the following HRSA guideline https://www.hrsa.gov/advisorycommittees/bhpradvisory/actpcmd/Reports/twelfthreport.pdfDiscuss how shared decision making , motivational interviewing, and best practices of models of care can improve the health literacy of a especial popualtion ( children ,elderly, veterans) 

Is there a difference between “common practice” and “best practice”?

When you first went to work for your current organization, experienced colleagues may have shared with you details about processes and procedures. Perhaps you even attended an orientation session to brief you on these matters. As a “rookie,” you likely kept the nature of your questions to those with answers that would best help you perform your new role.

Over time and with experience, perhaps you recognized aspects of these processes and procedures that you wanted to question further. This is the realm of clinical inquiry.

Clinical inquiry is the practice of asking questions about clinical practice. To continuously improve patient care, all nurses should consistently use clinical inquiry to question why they are doing something the way they are doing it. Do they know why it is done this way, or is it just because we have always done it this way? Is it a common practice or a best practice?

In this Assignment, you will identify clinical areas of interest and inquiry and practice searching for research in support of maintaining or changing these practices. You will also analyze this research to compare research methodologies employed.

To Prepare:

• Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.
• Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least four different databases in the Walden Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest. You should not be using systematic reviews for this assignment, select original research articles.
• Review the results of your peer-reviewed research and reflect on the process of using an unfiltered database to search for peer-reviewed research.
• Reflect on the types of research methodologies contained in the four relevant peer-reviewed articles you selected.

Part 1: An Introduction to Clinical Inquiry

Create a 4- to 5-slide PowerPoint presentation in which you do the following:

• Identify and briefly describe your chosen clinical issue of interest.
• Describe how you used keywords to search on your chosen clinical issue of interest.
• Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected.
• Provide APA citations of the four peer-reviewed articles you selected.

Part 2: Identifying Research Methodologies

After reading each of the four peer-reviewed articles you selected, use the Matrix Worksheet template to analyze the methodologies applied in each of the four peer-reviewed articles. Your analysis should include the following:

• The full citation of each peer-reviewed article in APA format.
• A brief (1-paragraph) statement explaining why you chose this peer-reviewed article and/or how it relates to your clinical issue of interest, including a brief explanation of the ethics of research related to your clinical issue of interest. 
• A brief (1-2 paragraph) description of the aims of the research of each peer-reviewed article.
• A brief (1-2 paragraph) description of the research methodology used. Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific.
• A brief (1- to 2-paragraph) description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected.