Archive for category: My Nursing Writer

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There are many factors that affect chronic illness—chronic pain, stigma, social isolation, altered mobility, or fatigue. Utilizing your learning from your readings and the South University Online Library resources, respond to one the following questions:

Based on the research, which of these factors have the greatest impact on a patient? Why? Contrast at least two ways the factors would affect a twelve-year-old with the way they would affect a seventy-five-year-old.

Consider the twelve-year-old and the seventy-five-year-old have a chronic illness. How does the chronically ill patient’s illness trajectory influence the plan of care?

Review Healthypeople.gov website. Discuss how you feel these goals will impact the health of the nation. Briefly discuss how you could incorporate these goals/objectives into your day-to-day nursing practice.

Based on the research of chronic illness, the greatest impact I would say for a patient would be chronic pain and altered mobility. I have chosen these two because I put myself in this situation. If I was suffering from a chronic illness, I do not think I can overcome chronic pain or altered mobility. Not being able to move my upper and or lower extremities and enjoying the things I now take for granted such as walking, self-cares such as bathing, toileting, and feeding myself will be unbearable to think about. Having to depend on someone else or even worse not having family will be difficult as well. I think I can manage the social isolation but to be in excruciating pain day and night with no relief from pain meds will drive me to suicidal ideations. Dealing with chronic pain your body may grow accustom to pain meds and the relief may be temporary or may not be 100% effective or I may become addictive. Altered mobility of not being able to transfer or roll side to side or turning myself will send me down a road of depression.

A 12-year-old dealing with chronic pain or altered mobility will show more compliance because at this age they are going through a stage of independence and acceptance from peers. Research showed thatthere was a significant positive correlation between adolescents-valuing involvement in medical decisions and perception of actual involvement. Adolescents who perceived themselves as more involved in their care reported less decisional conflict (David, Lo, & Langer, 2018) A 75-year-old dealing with chronic pain and altered mobility may have a different outlook because at this age they may feel like they have lived their life and chooses to die as a result or they may feel as if this is a punishment from a bad deed they did in their past. They may be prescribed multiple medications and may have multiple medical problem leading to poor medication adherence and poor compliance (Shruthi, 2016).

Consider the twelve-year-old and the seventy-five-year-old have a chronic illness. How does the chronically ill patient’s illness trajectory influence the plan of care? The chronically ill patient for a 12-year-old and or a 75-year-old illness trajectory are imperative for a patient plan of care because this creates a road map for them to sequentially follow to progress healing and management. Our lecture brings out that this is a sick care system there are billions of dollars spent to treat an illness not realizing how cost-efficient it would be to promote a healthy lifestyle and having health insurance. This may help reduce out of pocket cost such as medications, hospital or doctor visits, and any personal health equipment needed such as wheel chair and at home hospital beds. Another illness trajectories action that may manage the course would be to know your family history, some illness due to lifestyle modification may be prevented whereas other illness may not. Some illness has genetic traits and knowing your family medical history ahead of time may be a future benefit. Eventualities often catch patients by surprise and affects their mental health negatively. On my maternal side majority of my aunts and mother have high blood pressure and diabetes and the men usually get tested for prostate cancer. Knowing this information ahead of time may prevent chronic illness if it is caught and treated early.

Review Healthypeople.gov website. Discuss how you feel these goals will impact the health of the nation. Briefly discuss how you could incorporate these goals/objectives into your day-to-day nursing practice.

Researched from the healthy people website, I feel that knowing your family history and staying abreast of your health and taking it seriously will provide the necessary fear to promote a health change to prevention rather than maintenance of a chronic illnesses. I can incorporate this goal through surveys or questionnaires that asks important questions such as how the patient rates their health overall, to what extent are you able to carry out your everyday physical activities such as walking, climbing stairs, carrying groceries, or moving a chair? Or within the last week how many times did they feel fatigue or have any type of pain. The National Institutes of Health (NIH) began tracking health-related quality of life in the U.S. population through the National Health Interview Survey (NHIS) in 2010. I would incorporate this in my nursing practice to encourage other nurses as well as patients to promote quality health care through simple questioning. to patients. This may promote patients to keep track and paying attention to their health. Keeping a daily or weekly journal and subconsciously noticing health changes may impact positively on the health of nation. The NHIS will include a generic instrument periodically to support assessment of health-related quality of life in physical, mental, and social domains of life. (Healthy people, 2010).

Providing healthcare services to residents in rural areas has presented increased challenges that include access and cost. For your Capstone Project, you will be using a case study that focuses on Pocahontas Memorial Hospital located in Pocahontas County, West Virginia.

Pocahontas Memorial Hospital (PMH) would like to offer a comprehensive satellite health clinic within Pocahontas County. You have been contracted to prepare a report for the PMH Board of Directors to guide them in determining the feasibility of opening a satellite clinic as part of a strategic initiative for their annual strategic management planning process.

Your report should be organized according to the following structure and contain the elements described:

Introduction: This is where you introduce your audience to what this report will cover.

Description of PMH and potential project

Discussion of whether the organization’s mission, vision, and goals support the project

Assessment: This is your evaluation of various factors that affect the feasibility and development of the project.

Internal and external stakeholders involved and their buy-in for this project

Internal and external environmental challenges (e.g., access for consumers, medical equipment, technology, community involvement required)

A market analysis

A SWOT analysis

Recommendations and Implementation: This is where you detail your recommendations and strategies for implementation. Your recommendations should be based directly on what you outlined in your assessment.

Strategies for attracting healthcare professionals and staff

Feasibility for development of a satellite clinic

Value-adding support and resources (e.g., equipment, technology, etc.)

Develop strategic initiatives

Short- and long-terms plans for implementation of strategic initiatives

Brief discussion of how you will evaluate and benchmark this project

Conclusion: This brief summary should pull together your assessment and recommendations and leave the audience with a clear sense of what can be done.

Your well-written report should meet the following requirements:

Be 12–15 pages in length, not including the cover or reference pages or appendices.

Include the strategic thinking maps and content you created for the earlier module assignments. They may be added in addition to/or as a part of the 12-15 pages of content or moved to the Appendix section.

Be formatted according to APA Requirements.

Provide support for your statements with full APA in-text citations from a minimum of ten (10) scholarly references—five of these references must be from outside sources and five may be from course readings, lectures, and textbooks.

Include full market analysis and SWOT analysis diagrams in the Appendix, but present your narrative discussion of each in the Assessment section of your report.

Discussion Assignment

The discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered.

Post your initial response to the Discussion Area by the due date assigned. To support your work, use your course text readings and also use outside sources. As with all assignments, cite your sources and provide references in APA format.

Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates. Participate in the discussion by providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Complete your participation for this assignment by the due date assigned.

Discussion:

Your first patient has a musculoskeletal complaint. Using the chart of musculoskeletal medical word elements from your textbook, construct 10 medical terms that would reasonably be involved in a complaint dealing with the muscles and/or bones. Each term should include its meaning in parentheses. Then list 3 tests or procedures that would reasonably be involved in evaluating a patient like this.

Your second patient has a gastrointestinal complaint. Using the chart of digestive medical word elements from your textbook, construct 10 medical terms that would reasonably be involved in a complaint dealing with the digestive tract. Each term should include its meaning in parentheses. Then list 3 tests or procedures that would reasonably be involved in evaluating a patient like this.

Your final patient has a respiratory problem, so something having to do with her breathing or lungs needs to be described. Again, use at least 10 terms from the reading, especially using the respiratory medical word elements from your textbook. Also, you need to include 3 tests or procedures that will help you to discover what the problem with your patient is.

Start a New Thread

In this assignment, you will be exploring actual and potential health problems in the childhood years using a functional health assessment and Erickson’s Stages of Child Development. To complete this assignment, do the following:

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Using the textbook, complete the “Children’s Functional Health Pattern Assessment.” Follow the instructions in the resource for completing the assignment.

Cite and reference any outside sources used in your answers. Include in your assessment a thorough discussion of Erickson’s Stages of Child Development as it pertains to the development age of the child.

While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are not required to submit this assignment to Turnitin.

NRS-434VN-R-Childrens-functional-health-pattern-assessment-Student.docx

The Influence of Regulatory Agencies in Healthcare

There are many regulatory bodies (both internal and external to an organization) that influence policy, standards and guidelines, and the scope of practice. For this discussion, consider the following:Discuss two regulatory entities that directly influence care delivery on your unit or at your organization.How can organizations stay abreast of current changes in regulations, standards, scope of practice, and so on? How should this information be communicated to the healthcare team?Analyze nursing leadership’s role in maintaining compliance with current standards.How will you apply your knowledge of regulatory agency compliance to your professional practice?Be sure to support your discussion with references to the literature as appropriate.

must be at least 150 word with at least one APA formatted reference throughout the post and as a reference at the end