The growth, development, and learned behaviors that occur during the first year of infancy have a direct effect on the individual throughout a lifetime. For this assignment, research an environmental factor that poses a threat to the health or safety of infants and develop a health promotion that can be presented to caregivers.

Take into consideration the health care literacy level of your target audience, as well as the demographic of the caregiver/patient (socioeconomic level, language, culture, and any other relevant characteristic of the caregiver) for which the presentation is tailored.

1. Describe the selected environmental factor. Explain how the environmental factor you selected can potentially affect the health or safety of infants.
2. A health promotion plan that can be presented to caregivers to address the environmental factor and improve the overall health and well-being of infants.
3. Offer recommendations on accident prevention and safety promotion as they relate to the selected environmental factor and the health or safety of infants.
4. Offer examples, interventions, and suggestions from evidence-based research. At least three scholarly resources are required. Two of the three resources must be peer-reviewed and no more than 6 years old.
5. Provide readers with two community resources, a national resource, and a Web-based resource. Include a brief description and contact information for each resource.

Refer to the resource, “Creating Effective PowerPoint Presentations,” located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style.

(Answer the questions the way it is written   thank you). 

Reply 1

Child abuse and maltreatment is not limited to a particular age—it can occur in the infant, toddler, preschool, and school-age years. Choose one of the four age groups and outline the types of abuse most commonly seen among children of that age.

Child abuse can occur from infancy to age 18. Child abuse in the school-age child is important for caregivers, friends, teachers, or others to report as soon as possible. Four types of common abuse mechanisms include physical, sexual, emotional, and neglect. (CDC Centers for Disease Control and Prevention, 2020) The first is physical abuse, “this occurs when someone such as a child parents or day care provider hits or otherwise hurts a child.” (The Whole Child, 2018 ) The second is sexual, “this happens when someone performs a sexual act on the child or forces a child to perform one on them. (The Whole Child, 2018 ) Emotional abuse, “this occurs when a parent treats a child in ways that make the child feel unwanted, or like a bad person so much that the child’s normal development, learning or behavior suffers.” (The Whole Child, 2018 ) Lastly, neglect, “is the failure to meet a child’s basic physical and emotional needs. These needs include housing, food, clothing, education, and access to medical care.” (CDC Centers for Disease Control and Prevention, 2020)

Describe warning signs and physical and emotional assessment findings the nurse may see that could indicate child abuse.

Warning signs for abuse include disturbance in sleep patterns, extreme fears, mood swings, fear of being left alone with certain people, sexual activities with toys, loss of appetite, and pain in stomach or genital area. (The Whole Child, 2018 ) Physical symptoms such as unexplained bruises, bleeding, or redness on the child’s body and/or genital area are all signs of abuse. (The Whole Child, 2018 )

Discuss cultural variations of health practices that can be misidentified as child abuse.

There are many cultural health practices that can be misidentified as abuse and here are a few. “Coining or caogio, is an example of an ancient healing practice still being practiced, today. This dermabrasion therapy, which involves intense rubbing of the skin, is used by Vietnamese, Cambodians, and Laotians to treat a variety of illnesses.” (Killion, 2017) Another type of health practice similar to coining is cupping, which many ethnic groups use to “remove toxins.” (Killion, 2017)

Describe the reporting mechanism in your state and nurse responsibilities related to the reporting of suspected child abuse.

Any person can report child abuse but some are mandated to report abuse. I live in the state of Wisconsin and the Wisconsin Department of Children and Families has all the guidelines on reporting child abuse. Any person can contact their local Child Protective Services (CPS) agency. Mandated reporters are bound by the law to report suspected child abuse. “ Wisconsin law (48.981(2)) requires that any mandated reporter who has reasonable cause to suspect that a child seen by the person in the course of professional duties has been abused or neglected, or who has reason to believe that a child seen by the person in the course of professional duties has been threatened with abuse or neglect and that abuse or neglect of the child will occur, make a report to county CPS or law enforcement.” (Wisconin Department of Children and Families, n.d.) The list of mandated professional is long and nurses are included in this list. The nurse would report the suspected abuse to the county in which the child resides. The nurse is immune from criminal or civil liability if making the report in good faith, the nurse will be informed by the county what action was taken, and the nurse that intentionally fails to report child abuse could be fined up to $1000 or imprisoned no more than six months or both. (Wisconin Department of Children and Families, n.d.) As nurses, we must be diligent in our assessments and reporting of suspected issues.

References

CDC Centers for Disease Control and Prevention. (2020, March 5). Retrieved from Child Abuse and Neglect Prevention: https://www.cdc.gov/violenceprevention/childabuseandneglect/index.html

Killion, C. M. (2017, August 21). Cultural Healing Practices that Mimic Child Abuse. Cleveland , Ohio, USA.

The Whole Child. (2018 , November 24). Retrieved from How to Identify Child Abuse Ages 6-12: https://www.thewholechild.org/parent-resources/age-6-12/how-to-identify-child-abuse-ages-6-12/

Wisconin Department of Children and Families. (n.d.). Retrieved August 2, 2020, from Mandated Child Abuse and Neglect Reporters: https://dcf.wisconsin.gov/cps/reportabuse

Reply 2

Child abuse can occur at any age in a child’s life and it is important for one to be observant to take note of it. It could happen to anyone even without the caregiver knowing that the child is abused at that point in time. it is a pattern of behavior involving regular physical attacks or acts of deprivation or molestation. Child abuse in the toddler 0-5years is serious because of their vulnerability and dependence on others and the processes involved in neurocognitive and psychosocial development at this age and the type of abuse experienced are physical, sexual, emotional, neglect and shaken baby syndrome.

According to (The whole child 2018) physical abuse “occurs when someone such as a child parents or day care provider hits or otherwise hurts a child.” sexual abuse “occurs when someone performs a sexual act on the child or forces a child to perform one on them, emotional abuse, occurs when a parent treats a child in ways that make the child feel unwanted, or speaks harshly to them causing the child’s normal development, learning or behavior to suffers.”. The need for housing, food, clothing, education, and good medical care is important, if not met leads to deprivation (Centers for Disease Control and Prevention, 2020).

Common signs are unexplained bruises, black eyes, or broken bones, drastic changes in their normal behavior, or appearing to be frightened around certain people, withdraw from situations, imitating sexual behaviors with toys, or refusing to talk about a “secret” with another adult, also underwear stained with blood or has abnormal walking step.

cultural healing practice done in Africa, a child with nail puncture, mum immediately uses some herbal leave juice on site after washing, puts stone on burning fire after which it is applied to the site when red hot. This leaves a big scar, but it works, aim is to prevent tetanus in the child.

Reports of Abuse, Neglect and Exploitation of an Adult or Child may be made to the Kansas Protection Report Center by calling 1-800-922-5330. As nurses, we must be diligent in our assessments and reporting of suspected issues I would have to report it to my charge nurse, house coordinator, nurse manager, physician assistance. I would also have to fill out a detailed incident report within 12hours of admission and the police on site would be called to make an investigation.

References

CDC Centers for Disease Control and Prevention. (2020, March 5). Retrieved from Child Abuse and Neglect Prevention: https://www.cdc.gov/violenceprevention/childabuseandneglect/index.html

Kansas department for children and families(n.d.). Prevention and protection services. Retrieved fromhttp://www.dcf.ks.gov/services/pps/pages/reportchildabuseandneglect.aspx

The Whole Child. (2018, November 24). Retrieved from How to Identify Child Abuse Ages 0-https://www.thewholechild.org/parent-resources/age-0-5/how-to-identify-child-abuse-ages-0-5/

Assignment: Global Healthcare Comparison Matrix and Narrative Statement

Note: This Assignment is due on Day 5 of Week 11.

If you talk about a possible poor health outcome, do you believe that outcome will occur? Do you believe eye contact and personal contact should be avoided?

You would have a difficult time practicing as a nurse if you believed these to be true. But they are very real beliefs in some cultures.

Differences in cultural beliefs, subcultures, religion, ethnic customs, dietary customs, language, and a host of other factors contribute to the complex environment that surrounds global healthcare issues. Failure to understand and account for these differences can create a gulf between practitioners and the public they serve.

In this Assignment, you will examine a global health issue and consider the approach to this issue by the United States and by one other country.

To Prepare:

• Review the World Health Organization’s (WHO) global health agenda and select one global health issue to focus on for this Assignment.
• Select at least one additional country to compare to the U.S. for this Assignment.
• Reflect on how the global health issue you selected is approached in the U.S. and in the additional country you selected.
• Review and download the Global Health Comparison Matrix provided in the Resources.

The Assignment: (1- to 2-page Global Health Comparison Matrix; 1-page Plan for Social Change)

Part 1: Global Health Comparison Matrix

Focusing on the country you selected and the U.S., complete the Global Health Comparison Matrix. Be sure to address the following:

• Consider the U.S. national/federal health policies that have been adapted for the global health issue you selected from the WHO global health agenda. Compare these policies to the additional country you selected for study.
• Explain the strengths and weaknesses of each policy.
• Explain how the social determinants of health may impact the global health issue you selected. Be specific and provide examples.
• Using the WHO’s Organization’s global health agenda as well as the results of your own research, analyze how each country’s government addresses cost, quality, and access to the global health issue selected.
• Explain how the health policy you selected might impact the health of the global population. Be specific and provide examples.
• Explain how the health policy you selected might impact the role of the nurse in each country.
• Explain how global health issues impact local healthcare organizations and policies in both countries. Be specific and provide examples.

Part 2: A Plan for Social Change

Reflect on the global health policy comparison and analysis you conducted in Part 1 of the Assignment and the impact that global health issues may have on the world, the U.S., your community, as well as your practice as a nurse leader.

In a 1-page response, create a plan for social change that incorporates a global perspective or lens into your local practice and role as a nurse leader.

• Explain how you would advocate for the incorporation of a global perspective or lens into your local practice and role as a nurse leader.
• Explain how the incorporation of a global perspective or lens might impact your local practice and role as a nurse leader.
• Explain how the incorporation of a global perspective or lens into your local practice as a nurse leader represents and contributes to social change. Be specific and provide examples.

Learning Resources

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Required Readings

Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Burlington, MA: Jones & Bartlett Learning.
Chapter 11, “The Impact of Globalization: Nurses Influencing Global Health Policy” (pp. 194–208)

Corless, I. B., Nardi, D., Milstead, J. A., Larson, E., Nokes, K. M., Orsega, S., Kurth, A. E., … Woith, W. (2018). Expanding nursing’s role in responding to global pandemics. Nursing Outlook, 66(4), 412–415. doi:10.1016/j.outlook.2018.06.003
Note: You will access this article from the Walden Library databases.

Donkin, A., Goldblatt, P., Allen, J., Nathanson, V., & Marmot, M. (2017). Global action on the social determinants of health. BMJ Global Health, 3(1). doi:10.1136/bmjgh-2017-000603
Note: You will access this article from the Walden Library databases.

Sandoval-Almazana, R., & Gil-Garcia, J. R. (2011). Are government internet portals evolving towards more interaction, participation, and collaboration? Revisiting the rhetoric of e-government among municipalities. Government Information Quarterly, 29(Suppl. 1), S72–S81. doi:10.1016/j.giq.2011.09.004
Note: You will access this article from the Walden Library databases.

World Health Organization (WHO). (n.d.). Global health agenda. Retrieved September 20, 2018, from http://www.who.int/about/vision/global_health_agenda/en/ 

Document: Global Health Comparison Matrix (Word document)

Required Media

Laureate Education (Producer). (2018). Global Healthcare Issues [Video file]. Baltimore, MD: Author.

Accessible player –Downloads–Download Video w/CCDownload AudioDownload Transcript

Laureate Education (Producer). (2018). Final Thoughts [Video file]. Baltimore, MD: Author.

Accessible player –Downloads–Download Video w/CCDownload AudioDownload Transcript

Assignments

1. Answer to Discussion question two.
2. DQ replies to 3 DQs.

Instructions for  Answer to Question

1. After Each DQ (question), write down references
2. 300 minimum words for every DQ, you can go up to 700 words but answer should be complete.
3. 2-3 references for each question
4. References should be within 5 years
5. I am in acute care nurse practitioner program.
6. The response to the DQ is expected to be a minimum of 300 words. A minimum of two resources are expected. These need to be appropriate for a clinical professional to guide decisions about patient care. If a textbook is used for one of these responses, the other needs to be journal or professional-level website. The references need to be correctly formatted, as do the citations for those references.  “ Question words” don’t count towards 300 minimum count”

Instructions for  DQ Replies to 3 DQS

DO NOT JUST REPEAT SAME INFORMATION, DO NOT JUST SAY I AGREE OR THINGS LIKE THAT. YOU NEED TO ADD NEW INFORMATION TO DISCUSSION.

1. Each reply should be at least 200 words.
2. Minimum One scholarly reference ( NO MAYO CLINIC/ AHA)
3. APA 6th edition style needs to be followed.
4. Each response should have reference at the end of each reply
5. Reference should be within last 5 years

 

Select two clients you observed or counseled this week during a group therapy session. Note: The two clients you select must have attended the same group session.

Then, in your Practicum Journal, address the following:

• Using the Group Therapy Progress Note in this week’s Learning Resources, document the group session.
• Describe each client (without violating HIPAA regulations), and identify any pertinent history or medical information, including prescribed medications.
• Using the DSM-5, explain and justify your diagnosis for each client.
• Explain whether cognitive behavioral therapy would be effective with this group. Include expected outcomes based on this therapeutic approach.
• Explain any legal and/or ethical implications related to counseling each client.
• Support your approach with evidence-based literature.