Category: Nursing

Consider how mental health roses to the presidential level. Which social determinant most affects this health issue? How did the two recent presidents handle the problem? What would you do differently?
Need at least 3 citations and paper in APA 7 format

Please respond to discussion below using current APA edition and 2 scholarly (Academic) references within 5 years or less. Must be 150 words atleast. The goal of prevention is to lower the hazards and dangers to health. There are three kinds of prevention that consist of primary prevention, secondary prevention, and tertiary prevention. Primary stops the infection before it happens, secondary prevention lessens the effect of a disease after it happens. Finally, tertiary prevention eases the impact of an ongoing illness such as the screening by J.R in the Chinese community.
Identify the different roles and responsibilities of the nurse.
One of the nurse’s responsibilities is to help patients with chronic diseases change their behavior and adjust their medications according to the guidelines written by practitioners. They lead teams that aim to improve the care given to patients who have high needs and costs and reduce the related expenses (Taylor et al., 2019). They also coordinate the care given to patients with chronic diseases between the nursing home and the rest of the health care system. Moreover, they strive to enhance the health of the population by working with local communities to create healthier environments where people can live, work, learn, and play. The nurse’s role is expanding as evidenced by improved communication with patients, involvement in care management, and autonomy in practice. Nurses also try to address important social factors that may affect the health and well-being of patients with the help of health coaches, care coordinators, and social workers (Taylor et al., 2019).
Challenges, weaknesses and strengths
One of the most challenging aspects of being a nurse practitioner is dealing with the legal and professional limitations that vary by state and country. There are restrictions on the scope of practice, or encounter negative attitudes from patients who doubt your competence compared to physicians (O’Brien et al., 2021). To overcome this challenge, one needs to be aware of the laws and regulations that govern practice in a particular location. You may also consider relocating to a state or country that allows more autonomy and independence for nurse practitioners. Another challenge is to balance the emotional demands of your work with your personal well-being. As a nurse practitioner, you are involved in the lives of your patients at their most vulnerable moments, and this can be stressful and exhausting (Ryder et al., 2019). One way to cope with this challenge is to do a self-check at the end of each workday and reflect on your feelings and experiences. You can also seek support from your colleagues, friends, or family when you need it. By taking care of yourself, you can also enhance your career opportunities (Ryder et al., 2019). My strength comes from my supervisor and coworkers, who encourage me to use my skills to the fullest extent possible within the law.
Patient population most likely to experience health disparities and why
Health disparities are closely linked with social or economic factors, such as race, ethnicity, gender, income, education, or geographic location, that create obstacles to maintaining good health. Therefore, the patient population that is most likely to experience health disparities is the one that faces multiple forms of social or economic disadvantage due to racism or discrimination and is underserved in health care. For example, racial and ethnic minority groups, people with lower socioeconomic status, underserved rural communities, and people with disabilities are some of the populations that experience health disparities in the United States. The reason why these populations experience health disparities is because they have less access to quality health care, education, healthy behaviors, and environmental resources that promote good health.

I have already started working on it, but I need help finishing it. I will upload a blank one and the one I have worked on so you can get an idea of the work that needs to be done. THE RATE OF PATIENT SATISFACTION IS 78%, AND I WANT TO LOOK AT THE MONTH OF JANUARY.
Step 1.
Choose a problem. Provide topic to NURS 4410 faculty as directed (by the end of Week 1).
The identified problem should be something your unit/area is struggling with and would like some help from you (the student) that is not part of your paid employee role. The Focus is on collecting additional data and literature and developing a plan to make improvements.
Step 2.
Meet with the nurse unit manager and/or mentor.
Week 1 & 2 Obtain some background data from the Unit Manager or similar type supervisor/mentor to further identify the problem (falls rates, current handoff process, infections, and why the problem exists).
See A3 Template as a guide.
Step 3.
Collect data. Week 1-3
Arrange with the Unit Nurse Manager or similar type supervisor/mentor access to unit staff and information to collect additional data on the current problem.
Step 4 (Due Week 3)
Access the A3 template with fishbone diagram (PowerPoint format) for this assignment. Type directly into the text boxes within the A3 template. Do not add additional text boxes and pay attention to formatting (stay within the box). Delete the wording already in the boxes (it is only there to guide your efforts in completing the template). It is okay to add/delete text boxes and arrows on your fishbone diagram in order to meet your project needs.
Review the A3 grading rubric for this assignment before beginning. Go ahead and schedule your presentation with Mentor and Nurse Educator which you will be giving during Week 7.
Complete the A3 document by filling out all areas on the template and the fishbone diagram. You will not implement the countermeasures on the unit. Additional resources can be found in the module for Week 2.

Please respond to discussion below using current APA edition and 2 Academic (Scholarly) references within 5 years or less. Must be at least 150 words.
Choose two or three areas of prenatal care that you would want to discuss with Mary, and then write brief notes about what you know and/or need to learn about Amish values to discuss perinatal care in a culturally congruent way.
Reproductive health is one of the culturally contextualized aspects of care. Many issues need to be addressed in this case. First, I would advise and educate Mary about reproductive health planning. Even though there is no specific number of children women are recommended to have, I would advise her to consider a family planning option. Even though Amish families do not practice birth control to limit family size, I can educate and sensitize her about family planning options to help her make decisions and control future childbearing. The knowledge and attitudes surrounding family planning might be shaped by culture. Thus, there is a need for cultural competence care that will address the health problem from a cultural perspective. The requirement for cultural competence is recognized by healthcare providers and health-associated institutions in the U.S. and globally by acknowledging that people deserve respect within their cultural framework and as individuals (Purnell & Fenkl, 2019). As a result, the family planning care for Mary would be implemented while respecting Amish cultural frameworks.
Secondly, it would be necessary to highlight and discuss the essence of healthcare services and follow-up. Amish families often have different perceptions of health and illness, with a mix of modern and traditional medicine, complementary or alternative medicine. I would openly discuss their values, preferences, and attitudes toward specific therapeutic options for managing the sick child. Baby Melvin has respiratory problems, and the physician has informed them that the baby will be hospitalized if he does not improve within two days. Amish people may not seek medical attention for minor illnesses. However, they are more apt to use folk remedies and herbal teas. Thus, in this case, while managing this child, it will be essential to consider the risk of the child not being presented to the hospital due to the potential use of alternative medicine. The mother and her family need to be sensitized about the essence of medical follow while, at the same time, considering Amish cultural values and beliefs regarding healthcare services.
Discuss three Amish values, beliefs, or practices to consider when preparing to do prenatal education classes with Amish patients.
The knowledge, beliefs, and practices linked to childbearing among Amish women or families remain the center of focus in their healthcare delivery. Amish childbearing health practices feature high-risk problems during the childbearing period, with a general mistrust of outsiders. In addition, it must be noted that Amish separateness is quite isolated from the larger society at large, thus, worsening cultural conflicts when it comes to the delivery of care. As a result, there is a growing misunderstanding that has contributed to challenges for care providers who are not conversant or practice the Amish culture. This cultural diversity calls for an in-depth examination of Amish culture so that culturally congruent care for this population. First, babies are considered a gift from God in the Amish culture, which makes fertility be a highly valued element. Thus, birth control is unwelcome practice because it counters fertility. In other words, Amish families may not use birth control to limit their family size.
Second, modern medical interventions such as therapeutic abortions, amniocentesis, and invasive prenatal diagnostic testing are not accepted by the Amish community. Families who have children with genetic conditions are expected to manage health care within the context of cultural communities. Amish families do have a significant rate of genetic conditions, but few studies have documented family management of such disorders, given their low acceptance of therapeutic abortions, amniocentesis, and invasive prenatal diagnostic testing (Kueny et al., 2021). Thus, it becomes challenging to address their reproductive ethical concerns and carry out diagnostic procedures for identifying fetal abnormalities. Third, prenatal care commences in the first trimester of a first pregnancy but with delays in the subsequent pregnancies so long as the mother has no health challenges. This cultural aspect should be considered when developing a prenatal care plan for Amish families.

RESPOND TO THESE TWO WITH CITATIONS AND REFERENCES 7-12 SENTENCES EACH
1. The Chernobyl disaster was a nuclear accident that happened on April 26, 1986, at the Chernobyl Nuclear Power Plant’s No. 4 reactor, close to the Ukrainian SSR city of Pripyat. Unit 4 of the nuclear power plant was destroyed by a rapid power surge that occurred during a reactor systems test. Massive amounts of radioactive material were released into the environment as a result of the accident and the ensuing fire.
In the first four months following the Chernobyl accident, 28 of the 600 employees at the plant perished due to the severe radiation impacts. Another 106 employees received radiation doses that were severe enough to make them sick. Concerns concerning radiation exposure to those who were evacuated from these places have been raised by organizations including the World Health Organization. In 1986, milk in the area was polluted with radioactive iodine, which exposed many kids and teenagers to significant thyroid dosages. (Backgrounder on chernobyl nuclear power plant accident, n.d)
A nurse plays an important role in disaster management. They assess and triage victims, administer first aid, advanced clinical treatment, and life-saving medications, distribute limited resources, and keep track of ongoing physical and mental health requirements. In the case of nuclear disaster, wound treatment, fluid management, infection control, the administration of medical countermeasures, community screening for radiation exposure and contamination, decontamination, and the provision of supportive emotional and mental health care are all included in nursing evaluation and intervention.
Resources
Backgrounder on chernobyl nuclear power plant accident. NRC Web. (n.d.). https://www.nrc.gov/reading-rm/doc-collections/fac… 2. Regardless of the nature of a disaster the common thread and cause for concern remains the significant threat to human health and safety. Natural disasters such as earthquakes can cause devastation in a region and overwhelm resources. However, in March of 2011, an earthquake in Fukushima Japan caused a Tsunami which subsequently disabled the AC units to the nuclear powerplant causing the overheating of the nuclear reactors 1 and 3 (Anzai et al., 2012). In addition to the AC failure the backup cooling method of water injection also failed to provide enough cooling power to the quickly overheating reactors (Anzai et al., 2012). In a final attempt to prevent a meltdown there was a manual release of pressure which proved inadequate in prevention of a meltdown (Anzai et al., 2012). The meltdown ultimately resulted in the release of nuclear material which poses both immediate and long-term health implications for the residents. The immediate concerns during nuclear accidents often focus on removing of human life from the area of nuclear impact quickly to prevent radiation sickness and death (Anzai et al., 2012). However, the management of disaster only begins with the immediate preservation of life, multiple complications such as loss of home, family, community, and emotional and psychological factors also effect a community experiencing a major disaster. In Fukushima one of the many impacts of this meltdown on the health care community and patients was the hasty transport of elderly and ill outside of the contamination zone (Hasergawa et al. 2012). Many lives were lost when continuous care was disrupted in transport and vulnerable populations suffered consequently (Hasergawa et al,.2012). In case of such disasters the role of nurses as expert healthcare workers and patient advocates reaches beyond providing medical care to those impacted by disaster. Nurses often work to provide information and education to the community in cases of mass casualty or disaster incidents. Nurses can have a huge impact on the psychological impacts of a disaster in the community by recognizing the emotional needs of the community and facilitating provision of appropriate teachings and resources to the community.
Anzai, K., Ban, N., Ozawa, T., & Tokonami, S. (2012). Fukushima Daiichi Nuclear Power Plant accident: facts, environmental contamination, possible biological effects, and countermeasures. Journal of clinical biochemistry and nutrition, 50(1), 2–8. https://doi.org/10.3164/jcbn.D-11-00021Links to an external site.
Hasegawa, A., Ohira, T., Maeda, M., Yasumura, S., & Tanigawa, K. (2016). Emergency responses and health consequences after the Fukushima accident; evacuation and relocation. Clinical Oncology, 28(4), 237–244. https://doi.org/10.1016/j.clon.2016.01.002
ANSWER THESE 2 DISCUSSION POSTS WITH CITATIONS AND REFERENCES 7-12 SENTENCES EACH
1. For this week’s discussion, view the Week 6 Resources and choose one of the websites to visit and explore. Choose a subject/topic that you find most interesting. Provide a link to the website and the source citation in your post.
Address all of the following:
Why did you select this resource/site? Why do you find the subject/topic interesting?
What is the one thing you want others to know about this subject/topic that is found on the website?
What information had the greatest impact on you? Explain.
In your peer replies, ask questions about the subject/topic that you are curious about and offer new resources.
Support your answers with evidence from the site that you visited and provide a citation for that website.
TDI/DSR Response After the Tornado of May 20th, 2013, Moore, Oklahoma (Video 5:01)
Click the following link(s) to explore web content related to this week’s topics.
Therapy Dogs International
Coping With a Disaster or Traumatic Event
International Critical Incident Stress Foundation, Inc.
National Wildland Fire and Aviation Critical Incident Management Website
Resources for Providers: Responding to Disaster and Mass Violence
Red Cross Mental Health Teams Help People Cope During Disaster
Click the following link(s) to explore documents related to this week’s topics.
Handouts From the Psychological First Aid Manual
THOSE ARE THE RESOURCES TO CHOOSE FROM 2. This week you will put together your 72-hour disaster home “go bag” and evaluate your preparedness.
Here are the steps for your initial post:
1. Use the lists available at the Ready.gov websiteLinks to an external site., FEMALinks to an external site., or the Red Cross websiteLinks to an external site. to gather items for your 72-hour home go bag. Add additional items that you think will be useful and essential for your family. (You are not required to purchase items, but you may if you choose.)
2. Post a picture of all of the items you have gathered for your go bag. Make sure your name is included somewhere in the picture (you can write your name on a piece of paper and include that in the picture, or add your student ID badge). For the sake of personal and family privacy, keep personal/private items out of the photograph; you may list them (e.g., prescription medications).
You must take and submit a picture of your own items! You may not post a picture from the internet or any other source.
Along with your photo, include the following information:
A discussion of the items in your home go bag – what is present and what is missing.
A brief explanation of the demographic considerations and potential disaster hazards in your area and why you included certain items.
Your family, pets, and living situation considerations and why you included certain items.
Are you prepared to help others in your community in the event of a disaster?
Support your answers with evidence from scholarly sources.
In your replies to peers, you may:
Make suggestions for items to add or additional go bag ideas for children, pets, etc.
Share ideas for cost-effective ways to add items.
Ask questions about why some items are included, if it was not explained in the post.
Share additional websites and preparedness lists.
Example: “I felt it was interesting that you chose to include a fishing pole. What else would you need to include to assure the proper use of this tool? This is a resource that may not be useful to everyone but in our area, we could benefit from this important tool. According to Veneema…”
Additional Resources
How to Pack an Emergency Kit for Any DisasterLinks to an external site.
How to Put Together a Family Emergency KitLinks to an external site.

Select a community organization or group that you feel would be interested in learning about ethical and policy issues that affect the coordination of care. Then, develop and record a 10-12-slide, 20-minute presentation, with audio, intended for that audience. Create a detailed narrative script or speakers notes for your presentation, 4-5 pages in length.IntroductionAs coordinators of care, nurses must be aware of the code of ethics for nurses and health policy issues that affect the coordination of care within the context of the community. To help patients navigate the continuum of care, nurses must be proficient at interpreting and applying the code of ethics for nurses and health policy, specifically, the Affordable Care Act (ACA). Being knowledgeable about ethical and policy issues helps ensure that care coordinators are upholding ethical standards and navigating policy issues that affect patient care.This assessment provides an opportunity for you to develop a presentation for a local community organization of your choice, which provides an overview of ethical standards and relevant policy issues that affect the coordination of care. Completing this assessment will strengthen your understanding of ethical issues and policies related to the coordination and continuum of care, and will empower you to be a stronger advocate and nursing professional.It would be an excellent choice to complete the Vila Health: Ethical Decision Making activity prior to developing the presentation. The activity provides a helpful update on the ethical principles that will help with success in this assessment.PreparationYour nurse manager at the community care center is well connected and frequently speaks to a variety of community organizations and groups. She has noticed the good work you are doing in your new care coordination role and respects your speaking and presentation skills. Consequently, she thought that an opportunity to speak publicly about contemporary issues in care coordination would be beneficial for your career and has suggested reaching out to a community organization or support group to gauge their interest in hearing from you, as a care center representative, on a topic of interest to both you and your prospective audience.You have agreed that this is a good idea and have decided to research a community organization or support group that might be interested in learning about ethical and policy issues related to the coordination of care. Your manager has suggested the following community organizations and support groups, but acknowledges that the choice is yours.Homeless shelters.
Local religious groups.
Nursing homes.
Local community organizations (Rotary Club or Kiwanis Club).
To prepare for this assessment, you may wish to:Research your selected community organization or support group.
Review the Code of Ethics for Nurses With Interpretive Statements and associated health policy issues, specifically, the ACA.
Review the assessment instructions and scoring guide to ensure you understand the work you will be asked to complete.
Allocate sufficient time to rehearse your presentation before recording the final version for submission.
Recording Equipment Setup and TestingCheck that your audio speaker and PowerPoint software are working properly. You can record audio directly to your slides, using PowerPoint or other presentation software.Note: Technical support about the use of PowerPoint, including voice recording and speaker notes, can be found on Campus’s Microsoft Office Software page.If using Kaltura, refer to the Using Kaltura tutorial for directions on recording and uploading your presentation in the courseroom.
Note: If you require the use of assistive technology or alternative communication methods to participate in this activity, please contact DisabilityServices@capella.edu to request accommodations.InstructionsFor this assessment:Choose the community organization or support group that you plan to address.
Develop a PowerPoint with typed speaker notes (the script for your voice recording) and audio voice-over recording, intended for that audience. Video is not required.
Note: PowerPoint has a feature to type the speaker notes directly into the presentation. You are encouraged to use that feature or you may choose to submit a separate document. See Microsoft Office Software for technical support about the use of PowerPoint, including voice recording and speaker notes.For this assessment, develop your presentation slides and speaker notes, then record your presentation. You are not required to deliver your presentation to an actual audience.Presentation Format and LengthYou may use PowerPoint (recommended) or other suitable presentation software to create your slides and add your voice over. If you elect to use an application other than PowerPoint, check with your faculty to avoid potential file compatibility issues.Be sure that your slide deck includes the following slides:Title slide. Presentation title.
Your name.
Date.
Course number and title.
References (at the end of your presentation).
Your slide deck should consist of 10–12 slides, not including a title and references slide with typed speaker notes and audio voice over. Your presentation should not exceed 20 minutes.Create a detailed narrative script for your presentation, approximately 4–5 pages in length.Supporting EvidenceCite 3–5 credible sources from peer-reviewed journals or professional industry publications to support your presentation. Include your source citations on a references page appended to your narrative script.Grading RequirementsThe requirements outlined below correspond to the grading criteria in the Ethical and Policy Factors in Care Coordination Scoring Guide, so be sure to address each point. Read the performance-level descriptions for each criterion to see how your work will be assessed.Explain how governmental policies related to the health and/or safety of the community affect the coordination of care. Provide examples of a specific policy affecting the organization or group.
Refer to the assessment resources for help in locating relevant policies.
Be sure influential policies include the Health Insurance Portability and Accountability Act (HIPPA).
Identify national, state, and local policy provisions that raise ethical questions or dilemmas for care coordination. What are the implications and consequences of specific policy provisions?
What evidence do you have to support your conclusions?
Assess the impact of the code of ethics for nurses on the coordination and continuum of care. Consider the factors that contribute to health, health disparities, and access to services.
Consider the social determinants of health identified in Healthy People 2020 as a framework for your assessment.
Provide evidence to support your conclusions.
Communicate key ethical and policy issues in a presentation affecting the coordination and continuum of care for a selected community organization or support group. Either speaker notes or audio voice-over are included for a proficient score; both speaker notes and the audio voice over are included for a distinguished score. Present a concise overview.
Support your main points and conclusions with relevant and credible evidence.
Additional RequirementsBefore submitting your assessment, proofread your presentation slides and speaker notes to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your presentation.Portfolio Prompt: Save your presentation to your ePortfolio. Submissions to the ePortfolio will be part of your final Capstone course.Competencies MeasuredBy successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:Competency 4: Defend decisions based on the code of ethics for nursing. Assess the impact of the code of ethics for nurses on the coordination and continuum of care.
Competency 5: Explain how health care policies affect patient-centered care. Explain how governmental policies related to the health and/or safety of a community affect the coordination of care.
Identify national, state, and local policy provisions that raise ethical questions or dilemmas for care coordination.
Competency 6: Apply professional, scholarly communication strategies to lead patient-centered care. Communicate key ethical and policy issues in a presentation affecting the coordination and continuum of care for a selected community organization or support group. Either speaker notes or audio voice-over are included.

The link for the video is: https://youtu.be/MtSbgUuXdaw
The reflection questions are attached below Answer each questions 2-3 sentences.

Describe the primary and secondary hemostasis.
Describe Iron deficiency anemia and B12 deficiency anemia
Describe DIC.

Select a disease or disorder (except Leukemia/Lymphoma) to research. You will write a paper on a pathophysiological disease or disorder of your choice that relates to either the adult or child population. This assignment is an opportunity for you to explore a particular disease of interest to you. This comprehensive paper will be 3-4 pages in length and should include the following components:
• Definition of the disease/disorder and the related epidemiology (20 points)
• Explanation of the pathophysiology of the disease/disorder (25 points)
• Description of the clinical manifestations and assessments (15 points)
• Identification of the diagnostic tests for the disease/disorder (15 points)
• Explanation of the clinical management and the effect on the pathophysiology of the disease/disorder (15 points)
• APA format (title page, headers, reference page) (10 points)
* use as many sources as needed to adequately complete the paper
This paper will count as 40% of your overall grade!

Sister Calista Roy – adaptation theory (TOPIC)
Include the
theory, mission, vision, and purpose. 3 to 5 pages not including the title page
and the reference page. Provide the primary purpose of the
theory in the profession of nursing. Relate
how can your chosen nursing theory help to improve practice and positively
influence the health and quality of life in patients. Minimum of two references
in APA format. If articles chosen, they must have been published
within last 3-5 years
Minimum of 1000 words or 4 pages not
including the title page and the reference page. No more than 15% of plagiarism