Nursing Home Clinical Reflections

Nursing Home Clinical Reflections

(Nursing Home Clinical Reflections)

During my clinical rotation at a nursing home, I gained invaluable insights into geriatric care. Each resident presented unique challenges, from chronic illnesses to cognitive impairments, which required tailored care plans. A poignant moment was assisting a resident with dementia during a particularly agitated episode. Through gentle communication and a calm demeanor, I was able to soothe her, reinforcing the importance of empathy and patience in nursing.

Interacting with multidisciplinary teams highlighted the necessity of collaboration. Nurses, doctors, physical therapists, and social workers all contributed to holistic care. I observed the significance of detailed documentation and clear communication in preventing medication errors and ensuring continuity of care.

Moreover, I learned the emotional aspects of nursing. Forming bonds with residents who often lacked family support underscored the role of nurses in providing not just medical, but emotional and social support. Witnessing end-of-life care and the dignified handling of palliative care broadened my understanding of compassionate care.

This experience emphasized the need for adaptability, empathy, and strong communication skills in nursing. It solidified my commitment to the profession and deepened my appreciation for the complexities of geriatric care, ultimately shaping me into a more compassionate and competent future nurse.

I need one page only. NO APA format. About nursing homes.

  1. What are your upcoming week’s specific learning goals and objectives?
  2. Were there any placement items/issues that occurred this week that you feel your instructor should be aware of that are private in nature and are more appropriately shared here than in the discussion board with your classmates?
  3. Give a brief description of an objective you worked on this week. Make sure to cite at least one reference showing how your objective relates to the public health knowledge you’ve studied during this course or the public health course. You may choose to reference your e-text, journal articles, or videos you’ve studied during these courses or you may find an outside reference on your own to further enhance your public health knowledge and practices.

This was last week. Write about the experience at the clinical site.

Remember, your journal entries are an important aspect of clinical learning as they serve to help you reflect upon and get the most out of your community practice experience. Therefore, your journal entry should include the who, what, where, and when of your community practice experience. Remember, this should simulate a dialogue that would normally take place face-to-face with your community practice experience instructor.

 
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Enhancing Patient Safety Measures

Enhancing Patient Safety Measures

(Enhancing Patient Safety Measures)

ensure patient safety and patient falls, health and medicine homework help

Question description

Please do a paragraph about this post with this instruction .

post most have  4 or more  sentences .

you also have to have a high quality post from a content perspective. This means it also needs to do more than agree with or praise a class mate. If you agree with a classmate, explain why, give an example, share what you learned in the readings

Evidence based practice, patient safety, standards of care, and patient satisfaction are the hot topics in healthcare today. Nurses have the responsibility to ensure patient safety and patient falls are recognized as a quality indicator that can be improved upon (Hicks, 2015). Hourly rounding was initiated at the hospital I work at to help decrease patient falls. Hourly rounding is the process of intentionally checking patients at regular intervals through the day with the purpose of meeting the patient’s needs. The main components of hourly rounding include addressing the four “P’s”, pain, potty, position, and proximity of possessions. Nurses are also to check the room for safety issues and inform the patient when staff will return (Timothy, 2015). A study was completed using an integrative review method summarizing independent studies to draw conclusions on this subject. It showed patient falls were reduced by 50% (Hicks, 2015). By implementing this procedure in the hospital there has been a reduction in patient falls, along with a decrease in call bell usage which also decreases interruptions in nursing care, and increased patient satisfaction scores due to patients feeling they now get constant attention.

Another area of improvement recognized was bedside shift report to improve patient safety through good communication. One of the Joint Commissions National patient safety goals is improving upon the effectiveness of communication (Sand-Jecklin, & Sherman, 2014). In a study done at a large University Hospital, seven medical-surgical units implemented a blend of recorded and bedside nursing report. This study showed many benefits which included patients feeling more informed about their care, an increase in patient satisfaction surveys, an increase in patient involvement in their own care, and a decrease in patient falls at shift change (Sand-Jecklin, & Sherman, 2014). The benefits for the nurses was improved teamwork, an increase in accountability, and communication improvement. When it was first implemented at the hospital I work at nursing was very reluctant about talking in front of the patients but after seeing positive results from patients and for nursing staff it has gotten much easier. In the study one negative outcome was nursing felt report was taking longer and overtime would be accrued. The study showed no increase in overtime (Sand-Jecklin, & Sherman, 2014). I personally feel that report goes much faster and smoother most of the time, and with the patient involvement nothing is forgotten. It has greatly improved our nursing and patient communication.

 
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Fed’s Aggressive Liquidity Measures

Fed’s Aggressive Liquidity Measures

(Fed’s Aggressive Liquidity Measures)

Question description

Summarize the increasingly aggressive steps the Fed Res employed to increase liquidity

PLEASE READ THROUGH DETAILS AND FOLLOW ALL REQUIREMENTS

Summarize the increasingly aggressive steps the Federal Reserve employed beginning in the summer of 2008 to increase liquidity in the U.S. economy. The deliverables should cover the following points:

1. Circumstances that prompted intervention,

2. Actions taken,

3. Objective and economic rationale,

4. Process including how the Fed paid for the financial assets it purchased, and

5. Effect on the monetary base, money supply and interest rates.

Include graphic illustrations of the monetary base, M2 money supply and short term interest rates over a suitable period of time to provide a visual historical perspective. Conclude with a short analysis of the Fed’s actions. Given the tools available at the time, was the Fed successful in meeting its objectives? Finally, discuss the possible dangers that lie ahead in the wake of the Fed’s actions since 2008 and recommend how it might gradually reduce its heightened intervention in the U.S. economy.

Thousands of articles and commentary have been published on the Fed’s response to the Great Recession. While you are welcome to use any resource, your primary source should be the Fed’s own statements. Short monetary policy statements are published after each meeting of the Federal Open Market Committee. Other important statements were published as joint statements with other Federal agencies. All are included in the collection of Press Releases. Unfortunately, it does take some browsing to find the ones of interest. Go to the Board of Governors of the Federal Reserve System, then to News & Events on the menu. Next, click on Press Releases and then Monetary Policy from the expanded menu. Select 2008 from the drop down menu and look for “FOMC statement,” the first was issued on January 22, 2008. Following this procedure, review the statements from 2008 through 2010 to obtain a chronology of Fed actions. While it is worthwhile to review all of the statements – they are short – the dates of Press Releases announcing a significant change in Fed policy or economic assessment are listed at the bottom of this assignment guidance. Most are policy statements, but a few are joint statements.

The Federal Reserve Bank of St. Louis publishes data and charts of the money supply and interest rates. To gain an appreciation for what is available, go to its website and select Publications/Research and Data/Monetary Trends/Current Issue and review the wealth of monetary charts. While it is acceptable to use screen shots of charts from this resource, the preferred method is to customize the desired charts. The St. Louis Bank makes this easy. From the Federal Reserve Bank of St. Louis homepage, search for FRED (Federal Reserve Economic Data). Browse FRED and you’ll find that it’s easy to produce and download customized charts.

Your paper should be in APA format and include a title page, running head, page numbers, appropriate headings, citations of sources, a references listing and any appendices. The paper should not be longer than four pages not including the title page, reference listing, and appendices. Book length analyses of been published on this general topic, so keep the paper narrowly focused, concisely written, and in your own words (a series of quotations from the Fed press releases does not demonstrate an understanding of the Fed’s policies).

FOMC statements of particular interest:

1/22/08; 3/11/08; 9/16/08; 10/8/08; 10/14/08 (Joint Statement by Treasury, Federal Reserve, and FDIC); 10/29/08; 11/25/08 (2 statements); 12/16/08; 3/23/09 (Joint Statement); 6/24/09; 12/16/09; 1/27/10; 11/3/10; 12/14/10

 
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Ethical Dilemma In Psychology

Ethical Dilemma In Psychology

(Ethical Dilemma In Psychology)

References included must be from:

Fisher, C. B. (20120904). Decoding the Ethics Code: A Practical Guide for Psychologists, 3rd Edition.  Also 3 references from the 3 articles chosen from the library to support your topic. Please follow the Rubric attached. A minimum of 4 references.

In a 3-5 page scholarly paper, integrate information from multiple sources regarding an ethical topic of your choice. You will also explore how personal beliefs, values, and biases can impact ethical decision making and how you will apply the Ethics Code in I/O Psychology. The majority of the paper will focus on the synthesis of information from your sources. The exploration of personal beliefs, values, and biases should be no more than 1 page.

Use the readings from Units 1, 2, and 3 to guide your topic selection using the APA Ethics Code. Once you select a topic, find and incorporate at least three articles from the Kaplan Library pertaining to your topic.

In this paper, you will synthesize the readings from the textbook along with the articles you chose. Consider the following:

  • What is the main issue the author is addressing?
  • What is the author’s central point?
  • What are the strengths and weaknesses of the article?
  • What makes the article interesting and important?
  • How will this synthesis of what the author has to say help you apply what you are learning to your own work in the profession?

After synthesizing the ideas from the readings (articles and textbook), reflect on your personal background (biases, beliefs, values, etc.) and discuss how this could influence your ethical decision making. How will you balance your personal influences with the guidelines you find in the Ethics Code? How will you apply the Ethics Code in your career?

The paper should:

  • Follow Assignment directions (review grading rubric for best results).
  • Use correct APA formatting per the APA Publication Manual, 6th Edition.
  • Demonstrate college-level communication through the composition of original materials in Standard American English.
  • Be written in Standard American English and be clear, specific, and error-free. If needed, be sure to use the Kaplan University Writing Center for help.

Your paper should include:

  • Title Page
  • Abstract
  • Main Body of the paper (3- to 5-pages)
  • Reference Page
 
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Microbial Transmission and Adaptation

Microbial Transmission and Adaptation

(Microbial Transmission and Adaptation)

Microbial transmission refers to the process by which microorganisms spread from one host to another, enabling their survival and adaptation in diverse environments. This phenomenon is crucial for understanding infectious diseases and the evolution of microbial communities.

Transmission occurs through various routes, including direct contact (e.g., person-to-person), indirect contact (e.g., contaminated surfaces), airborne transmission (e.g., respiratory droplets), and vector-borne transmission (e.g., mosquitoes). Each route presents unique challenges and opportunities for microbes to adapt.

Upon transmission to a new host or environment, microbes face selective pressures that drive adaptation. Genetic mutations, horizontal gene transfer, and phenotypic changes facilitate survival and proliferation in different niches. For instance, antibiotic-resistant bacteria evolve in response to selective pressure from antimicrobial drugs.

Microbial adaptation involves changes in virulence, metabolism, and resistance mechanisms, often mediated by genetic variability within populations. This adaptability contributes to the emergence of new diseases, shifts in disease patterns, and challenges in disease control and treatment.

Understanding microbial transmission and adaptation is crucial for public health strategies, including infection prevention, surveillance, and the development of antimicrobial therapies. By elucidating these processes, researchers can better anticipate and respond to microbial threats, ultimately improving global health outcomes.

Answer Critical Thinking Questions 1-4 for Chapter 26 on page 771. Answers should be submitted in a word document with any associated references used. 

1) The tropical skin disease called yams is transmitted by direct contact. It causative agent, Treponema pallidum pertenue , is indistinguishable  from T. Pallidum. Syphilis epidemics in Europe coincided with the return of Columbus from the New World. How might T. Pallidum pertenue have evolved into T. Pallidum in the temperature climate of Europe?

2) Why can frequent douching be a predisposing factor to bacterial vaginosis, Vulvovaginal candidiasis or trichomoniasis?

3) Neisseria is cultured on Thayer-Martin media consisting of chocolate agar and nystatin incubated in a 5% CO2 environment. How is this selective for Neisseria?

4) The list below is a key selected microorganism that cause genitourinary infections. Complete this by listing genera discussed in this chapter in the blanks that correspond to their respective characteristics

Gram-negative bacterial Spirochete Aerobic

Anaerobic Coccus

Oxidase positive

Bacillus nonmotile

Gram positive wall

Obligate intracellular parasite

Lacking cell wall

Urease-negative

Fungus

Pseudohypae Protozoa

Flagella

No organism observed/cultured from patient

 
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Hispanic Family Health Assessment

Hispanic Family Health Assessment

(Hispanic Family Health Assessment)

After you have read chapter 29 and 30 choose a family in your community and conduct a family health assessment using the following questions below.

1. Family composition.

Type of family, age, gender and racial/ethnic composition of the family. ( preferable Hispanic family)

2.  Roles of each family member.  Who is the leader in the family?  Who is the primary provider?  Is there any other provider?

3.  Do family members have any existing physical or psychological conditions that are affecting family function?

4.  Home (physical condition) and external environment; living situation (this must include financial information).  How the family suppo For example; working parents, children or any other member

5.  How adequately have individual family members accomplished age-appropriate developmental tasks?

6.   Do individual family member’s developmental states create stress in the family?

7.  What developmental stage is the family in?  How well has the family achieve the task of this and previous developmental stages?

8.  Any family history of genetic predisposition to disease?

9.  Immunization status of the family?

10.  Any child or adolescent experiencing problems

11.  Hospital admission of any family member and how it is handle by the other members?

12.  What are the typical modes of family communication?  It is affective?  Why? 13.  How are decision make in the family?

14.  Is there evidence of violence within the family?  What forms of discipline are use?

15.  How well the family deals with crisis?

16.  What cultural and religious factors influence the family health and social status?

17.  What are the family goals?

18.  Identify any external or internal sources of support that are available?

19.  Is there evidence of role conflict?  Role overload?

20.  Does the family have an emergency plan to deal with family crisis, disasters?

Identify 3 nursing diagnosis and develop a short plan of care using the nursing process.

Please present a summary of your assessment in an APA format on a 12 Arial font, word document attached to the forum in the discussion tab of the blackboard title “family assessment” Please use at least 3 scholarly evidence-based practice references besides the class textbook to sustain your assessment.  A minimum of 1000 words are required, excluding the first and reference page (Websites can be used but will not count toward grading).  2 replies to any of your peer’s assessment are required sustained by the proper references.   .

 
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Evolution of Theoretical Frameworks

Evolution of Theoretical Frameworks

(Evolution of Theoretical Frameworks)

Question description

Explore how a theorist explicates his or her philosophy and thoughts behind a theoretical field.

Where Did the Theory Come From ** I chose theorist Dorethea E. Orem**

This Assignment addresses this course outcome:

MN502-2: Explain how theoretical frameworks influence advance.

Purpose

The purpose of this Assignment is to explore how a theorist explicates his or her philosophy and thoughts behind a theoretical field. As in other fields of study, nursing has a plethora of theorists and theories. These theorists have developed their paradigm over time enriching it with research and dialogue with other theorists.

Directions

You are going to explore how a theorist of your choice created his or her theory. Did it develop as an acorn becoming a mighty oak over the decades? Did it arrive as a burst of light like the big bang as some believe created our universe? Was it developed from a blueprint like a spaceship where thousands of scholars worked together to create a rocket to the moon? In point of fact, how is a theory developed? This is what we are exploring.

You will pick a theorist who interests you, it does not have to be a nurse theorist. You may also choose from other disciplines such as: behavioral, leadership, business, education, technology.

You will become the theorist immersing yourself in the writings from the earliest mentioned to the most current.

As you read, look at how you (taking on the persona of the theorist) developed the theory.

In the first stage, theorizing occurs. This is where you, as the theorist, identify the concepts of what nursing is and is not. Perhaps you questioned what concepts were guiding those in nursing practice and then started to question your role. You started asking yourself, “Where am I in nursing, and where the profession is going? Is there some overarching concept that guides the professional in his or her practice?” This is where you recognize that a theory is needed.

In the second stage, syntax is developed. This is where you will define the terms. Look for changing definitions of terms. Consider, for example, Jean Watson. She starts by defining the word “caring.” Within the last ten years she has refined her terminology changing the term caring to caritas. This demonstrates a growth and maturation from decades of research she and other scholars did to produce the theory of caring.

The third stage is theory testing. Defined as the phenomena behind the theory that are exposed through research. The definitions of terms are refined. The theorists and other researchers consider whether this theory helps answer questions that arise in practice. This is where your theory is used in by a widening group of researchers. For example, graduate nursing students request the tool you developed while testing your theory.

The fourth and last stage is evaluation. This is where philosophical debate occurs as the concepts are applied through evidenced based practice in the act of providing nursing care.

Assignment Details

For this Assignment, you are going to write an article for a nursing journal explaining how you developed your theory through the four stages (theorizing, syntax, theory testing, and evaluation). Your paper must be 3 to 5 pages, not including the title and reference pages.

 
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Family Dynamics and Health

Family Dynamics and Health

Family dynamics(F.V)play a crucial role in shaping individual health outcomes. Positive dynamics, such as strong emotional support, effective communication, and mutual respect, contribute to better physical and mental well-being. When families provide a nurturing environment, individuals are more likely to adopt healthy habits like regular exercise, balanced nutrition, and stress management.

Conversely, negative family dynamics, such as conflict, neglect, or abuse, can have detrimental effects on health. Chronic stress from dysfunctional relationships can lead to increased risk of conditions like heart disease, depression, and anxiety disorders.

Furthermore, F,D  influence health behaviors through role modeling and social norms. Children often emulate their parents’ behaviors, including dietary choices and exercise routines, which can persist into adulthood. Thus, healthy family dynamics can establish a foundation for lifelong health, promoting resilience and a sense of security that buffers against life’s stressors.

In conclusion, fostering positive family dynamics is essential for promoting health and well-being across generations. By nurturing supportive relationships and fostering open communication, families can contribute significantly to the physical, emotional, and social health of their members.

Caring For Family In Health & Illness.

1.  In your own words and using the proper references to sustain your response define family and discuss the different types of family.

2.  Discuss the community health issues/illnesses in your community that affect the family.

3.  Discuss traditional health beliefs & practices that have been passed down in your family. Are these cultural or regional beliefs? Do you continue practicing any of them? Why or why not? Give an example.

4.  Do you think that your values differs from the values of your parents and grandparents?  Why or why not? Give an example.

APA format, word document, Arial 12 font title “week 9 discussion questions”.

A minimum of 500 words excluding the first and reference page are required.

 
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Observational and Motor Learning

Observational and Motor Learning

(Observational and Motor Learning)

During the period of early childhood, mastering fine motor skills is a very important process needed for physical and cognitive development. However, for a number of different reasons, there are some children who do not develop at the same pace as an average child. It is important for parents and physicians to recognize children who are not on track developmentally because the earlier the cause of the delay can be determined, the earlier parents can start working with the child to correct or minimize these deficits. Often, the earlier children begin to work on their developmental deficits, the greater the advancements they can make.

By the age of three, a child should be able to do the following:

  • Use a spoon by themselves
  • Draw a vertical and horizontal line
  • String large beads
  • Snip paper with scissors
  • Roll clay or play dough into a “snake”

Conduct an Internet search using the two phrases listed below. Your results will help you better understand the kind of milestones that are used to assess the development of fine motor skills in young children.

  • Fine motor skills milestones
  • Child development milestones

Using the module readings, the Argosy University online library resources, and the Internet, research observational and motor learning and activities that can be used to help develop motor skills. Then, address the following:

  • Describe in detail how a young child’s fine motor skills are developed—making sure to include the theory of motor-skill learning that best fits this situation.
  • Explain whether any motor tasks or skills can be accomplished via observational learning. Justify your response.
  • Now, consider a situation in which a young child (3–4 years old) is developmentally delayed in fine motor skill development. Create a strategy which would help the child strengthen his or her fine motor skills.
  • You can find a number of activities online which purport to help develop these skills. From a theoretical viewpoint, be sure to explain how these activities will aid a child’s fine motor skill development. Make sure that you reference at least onepeer-reviewed article in addition to any Web sites you find and describe these activities as part of your development strategy.

Write a 3–4-page paper in Word format. It should be double-spaced and in 12 point, Times New Roman font with regular one-inch margins and free of typographical and grammatical errors. Apply APA standards to citation of sources. Be sure to include a title page with a running head and reference page.

 
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Healthcare Facility Management Plan

Healthcare Facility Management Plan

(Healthcare Facility Management Plan)

Question description

Health care law, ethics, policies, organization and management of a health care facility

Click the link above to submit your assignment.

Students, please view the “Submit a Clickable Rubric Assignment” in the Student Center.
Instructors, training on how to grade is within the Instructor Center.

Assignment 2: Organization and Management of a Health Care Facility
Due Week 7 and worth 200 points

Your duties at 21st Century Solutions Health Care Hospital require you to interface with many different professionals, including physicians, nurses, and allied professionals in various areas of health care. The facility also has a new information technology management center, which handles all professional staffing solutions within the hospital. As part of the management protocols, the hospital has tasked you with tracking professional certifications, tracking legal issues within the hospital, and providing detailed monthly reports on the general functionality of the health administration department.

Note: You may create and / or make all necessary assumptions needed for the completion of this assignment.

Write a six to eight (6-8) page paper in which you:

  1. Provide a detailed summary of your hospital’s organizational structure. Include a tabulated description of the levels of professionals within the organization. Describe the duties of each major head within the organization.
  2. Provide a detailed hypothetical mission and value statement for the hospital. Provide a rationale for the development of your particular mission and value statement.
  3. Outline a detailed feasibility plan for the hiring of nurses, physicians, and allied professionals. Provide a rationale for the chosen plan, and explain the main reasons why the plan in question would be suitable for use with different health care professionals.
  4. Justify the use of information technology to increase patient services. Provide a summative table of some pros and cons of using information technology in an era of networking and security breaches.
  5. Use at least five (5) quality academic resources in this assignment. Note: Wikipedia and other Websites do not quality as academic resources.

Your assignment must follow these formatting requirements:

  • Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.
  • Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.

The specific course learning outcomes associated with this assignment are:

  • Identify managerial issues related to the health care industry.
  • Identify a plan that addresses legal and ethical issues in a health care policy.
  • Use technology and information resources to research issues in health care policy, law, and ethics.
  • Write clearly and concisely about health care policy, law, and ethics using proper writing mechanics.

Click here to view the grading rubric for this assignment.

 
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