Category: Nursing

Discussion: write half page on this topic: Research and identify one recent legislation (within the last 7 years) that has affected nursing and nurses, the nursing profession, or nursing associations. Identify at least 3 key elements from the legislation you’ve identified. How do you think this will or has impacted the nursing profession?
Case study assignment: answer questions in the attachment.

• Week 6 – Discussion 1
You are caring for a 68-year-old Akio Kim in the emergency department for rule-out Cerebrovascular Accident (CVA). Mr. Kim’s daughter reported that he woke up that morning with left-sided weakness and slurred speech.
Based on this information, your prior knowledge of this client (refer to medical card from the Collins-Kim family tree interactive), and your knowledge of the pathophysiology of Cerebrovascular Accident (CVA), respond to the following prompts:
• Thoroughly explain the pathophysiology of Cerebrovascular Accident (CVA). Use
a scholarly or authoritative source to support your answer.
• Examine each of the following three factors related to this disease process. Support all three with a scholarly source.
o cultural o financial
o environmental implications
• Identify 3-5 priority nursing interventions for the client while in the emergency department.

Galen College of Nursing – NSG 3300 Syllabus – Version 9.0v3
• Describe labs and diagnostic testing you would want to include in client’s plan of care and why. What are critical indicators? Support with a scholarly source.
• What members of the interdisciplinary team need to be included for holistic patient-centered care? Provide a rationale and support with a scholarly source.

Show us both sides of a debate about an issue (see below for issue). However, it must align in one of the following areas.
-Explore the impact of structural and cultural influences on nursing’s professional identity.
-Advocate for the nursing profession in a manner that is consistent, positive, relevant, accurate, and distinctive.
-Advocate for policies/practices that promote social justice and health equity.
-Advocate for polices that enable nurses to practice to the full extent of their education.
-Evaluate the effect of legal and regulatory policies on nursing practice and healthcare outcomes.
-Analyze efforts to change legal and regulatory policies that improve nursing practice and health outcomes.
Please include one or more of the above. Essay topic is :
Doctors’ Opposition to Expanding Nurse Practitioner Roles
In 2019, Medicare proposed an executive order for expanding the scope of nurse practitioners’ practice that would allow advanced practice nurses to perform certain tasks without supervision from a physician, such as certifying when patients need home health care. Medicare proposed this order with the goal of improving access and removing barriers to patient care, especially among the elderly.
However, the American Medical Association (AMA), a physicians’ professional association and lobbying group, continues to oppose the expansion of nurse practitioner and physician assistant roles, arguing that such expansion poses a threat to patient safety. The association, for instance, has worked with state and federal lawmakers to keep nurse practitioners from practicing independently of physicians. The AMA has also awarded over $2 million in grants to advocates of this cause.

Reply to at least two other student posts with a reflection of their response. Please make sure to provide citations and references (in APA, 7th ed. format) for your work.
1- Yaimi Quintana Marrero
Bullying has turned out to be one of the quickly rising epidemics in schools, and it has detrimental impacts on the affected if not adequately mitigated. Perceived cases of bullying are unethical and have dire health consequences on the victims, particularly in mental health issues and the future socialization process of the affected children. In extreme cases, bullying has resulted in suicide or suicidal thoughts among the victims depending on the magnitude of the vice. However, several strategies can be used to prevent bullying and equally help those already bullied overcome the trauma. These strategies center on children, parents or guardians, teachers, and even the general public.
The first strategy is to recognize and report cases or acts of bullying. Learners can be the first to stop bullying before it happens (Peng et al., 2022). Recognizing indecent acts perpetrated by other students or a student to a colleague requires an immediate report of the vice for swift action to be taken against the culprits. It will help to raise awareness about the vice and thus create safe learning environments. It affirms that learners are aware of the impact that bullying can have on them, and thus, by reporting for immediate action, they will create a safe learning environment free from bullying.
Parents also have a detrimental role in preventing and supporting already bullied children. A parent has to ensure that they talk to their children about making safe and responsible decisions (Stives et al., 2021). For instance, a parent has to be aware of what the child does on a computer, the type of games played on these computers, and even the general friends that these kids might be interacting with online. At times it might not necessarily be infringing on their privacy, but it is a concern as a parent to enhance your child’s safety (Stives et al., 2021). Some of the video games might be violent and thus might result in aggressive behaviors by a child, an ultimate factor in bullying. However, if parents can monitor and talk to their children about informed decision-making, such cases can quickly reduce. Besides, parents have to show love and support to already bullied victims. Some children might decide to keep to themselves, which might adversely affect their health and, to an extreme result, into suicide. Therefore, parents need to show support, love, and encouragement to the already bullied children to integrate themselves back into society.
Teachers are at the center of the learning instruction and thus encounter cases of bullying more frequently than any other person. Therefore, they require specific resources to prevent and help those already bullied. It is necessary to implement a school-based bullying prevention program (De Luca et al., 2019). It is an initiative that will create awareness among the relevant stakeholders on the impacts of bullying. Anti-bullying policies can be part of such programs, and thus, teachers will be required to work closely with the school administrators to ensure that their policies succeed. There is also a school climate improved resource package that can effectively help students feel safe, supported, challenged, and accepted. Those who have already experienced bullying can also get help from teachers through programs facilitated by the school climate improved resource package.
The general public also has a role in preventing and helping those bullied. Communities can focus on the available evidence on bullying as an issue. It can be done through campaigns against youth violence and other strategies that fit within the spectrum (Le Menestrel, 2020). There has to be bullying prevention and resource that can aid the community wide-efforts in mitigating the vice.
References
De Luca, L., Nocentini, A., & Menesini, E. (2019). The teacher’s role in preventing bullying. Frontiers in Psychology, 10. https://doi.org/10.3389/fpsyg.2019.01830
Le Menestrel, S. (2020). Preventing bullying: Consequences, prevention, and intervention. Journal of Youth Development, 15(3), 8–26. https://doi.org/10.5195/jyd.2020.945
Peng, Z., Li, L., Su, X., & Lu, Y. (2022). A pilot intervention study on bullying prevention among junior high school students in Shantou, China. BMC Public Health, 22(1). https://doi.org/10.1186/s12889-022-12669-0
Stives, K. L., May, D. C., Mack, M., & Bethel, C. L. (2021). Understanding responses to bullying from the parent’s perspective. Frontiers in Education, 6. https://doi.org/10.3389/feduc.2021.642367 by
2- Yamila Perez Perez –
Number of replies: 0When it comes to preventing bullying and supporting children who have been bullied, various resources and strategies are available. One notable resource is StopBullying.gov, a website managed by the U.S. Department of Health and Human Services. StopBullying.gov provides valuable information, guidance, and tools to prevent bullying and foster safe environments in schools and communities.
One essential resource offered by StopBullying.gov is its Prevention section, which provides educators, parents, and community members with strategies and intervention techniques to address bullying effectively. This section includes information on creating a positive school climate, implementing evidence-based prevention programs, promoting social-emotional skills, and developing comprehensive policies and procedures. These resources aim to empower individuals and communities to take proactive measures in preventing bullying. StopBullying.gov also offers resources specifically designed to assist children who have been bullied. The website provides guidance on how to identify signs of bullying, advice on talking to children about bullying, and steps to take when a child is being bullied. It emphasizes the importance of creating a supportive and safe environment for victims of bullying, encouraging open communication, and involving parents, teachers, and other relevant individuals in addressing the issue. By offering guidance on how to support and assist children who have been bullied, StopBullying.gov contributes to the overall well-being and resilience of these young individuals. Olweus, D. (1993).
A frequent type of bullying is Cyberbullying, prevention requires a multifaceted approach involving education, awareness, and intervention strategies. An effective prevention method is to promote digital literacy and responsible online behavior among children and adolescents. This involves teaching them about the potential consequences of their actions online, the importance of empathy and respect for others, and how to safely navigate social media platforms. In addition, fostering open communication between parents, educators, and youth is essential to ensure that they feel comfortable reporting incidents of cyberbullying and seeking support. Implementing comprehensive school policies and engaging community organizations to address cyberbullying can also contribute to prevention efforts. By taking a proactive approach that combines education, communication, and policy development, we can strive to create a safer and more respectful online environment for all. Hinduja, S., & Patchin, J. W. (2018).
Also the schools play a crucial role in preventing bullying by creating a safe and inclusive environment for all students. One effective approach is implementing comprehensive anti-bullying policies and procedures. These policies should clearly define bullying, outline consequences for perpetrators, and establish protocols for reporting and addressing incidents. Training programs for school staff, including teachers, administrators, and support personnel, are also essential. Such training should focus on recognizing and responding to bullying, promoting positive behavior, and fostering a culture of respect and empathy. In addition, schools can develop prevention programs that educate students about the negative impact of bullying, teach social-emotional skills, and encourage bystander intervention. By adopting a comprehensive approach that involves policy implementation, staff training, and prevention programs, schools can create a supportive environment that actively combats bullying. Espelage, D. L., & Swearer, S. M. (2011).
In the United States, there are several federal laws and policies in place to address bullying and create safer school environments. One important federal law is the Individuals with Disabilities Education Act (IDEA). Under IDEA, students with disabilities are entitled to a free appropriate public education in the least restrictive environment. This includes protection from bullying, harassment, and discrimination. Schools are required to take steps to prevent and address bullying of students with disabilities and ensure their safety and well-being. U.S. Department of Education. (2018).
Reference:
Hinduja, S., & Patchin, J. W. (2018). Preventing Cyberbullying: Research and Strategies. Routledge.
Olweus, D. (1993). Bullying at School: What We Know and What We Can Do. Wiley
Espelage, D. L., & Swearer, S. M. (2011). Bullying in American schools: A social-ecological perspective on prevention and intervention. Routledge.
U.S. Department of Education. (2018). Protecting students with disabilities: Frequently asked questions about Section 504 and the Education of Children with Disabilities. Retrieved from https://www2.ed.gov/about/offices/list/ocr/docs/dcl-faq-201612-504-disability.pdf

For Down syndrome
Find local (Miami), state (Florida), and national resources for your selected disability, including such things as:Frequently asked questions (FAQ)
National/local support groups for parents
National/local support groups for siblings
Online support groups (Facebook groups, for instance)
Conferences
Medical resources
Financial resources
Disability caseworker/agency
Caregiver support (such as respite)
Camps, summer, life enrichment, and after school programs
Create a digital resource packet that you could share with parents or guardians. Your resource packet should consist of a Microsoft Word document that includes your FAQ, links (written as linked text, not as URLs) with descriptions, and scans or photos of any non-digital material you acquire. You should use headings for sections but are not required to use APA formatting.

May 2012, Alice Randall wrote an article for The New York Times on the cultural factors that encouraged black women to maintain a weight above what is considered healthy. Randall explained—from her observations and her personal experience as a black woman—that many African-American communities and cultures consider women who are overweight to be more beautiful and desirable than women at a healthier weight. As she put it, “Many black women are fat because we want to be” (Randall, 2012).
Randall’s statements sparked a great deal of controversy and debate; however, they emphasize an underlying reality in the healthcare field: different populations, cultures, and groups have diverse beliefs and practices that impact their health. Nurses and healthcare professionals should be aware of this reality and adapt their health assessment techniques and recommendations to accommodate diversity.
In this Discussion, you will consider different socioeconomic, spiritual, lifestyle, and other cultural factors that should be taken into considerations when building a health history for patients with diverse backgrounds. Your Instructor will assign a case study to you for this Discussion.
To prepare:
Reflect on your experiences as a nurse and on the information provided in this week’s Learning Resources on diversity issues in health assessments.
By Day 1 of this week, you will be assigned a case study by your Instructor. Note: Please see the “Course Announcements” section of the classroom for your case study assignment.
Reflect on the specific socioeconomic, spiritual, lifestyle, and other cultural factors related to the health of the patient assigned to you.
Consider how you would build a health history for the patient. What questions would you ask, and how would you frame them to be sensitive to the patient’s background, lifestyle, and culture? Develop five targeted questions you would ask the patient to build his or her health history and to assess his or her health risks.
Think about the challenges associated with communicating with patients from a variety of specific populations. What strategies can you as a nurse employ to be sensitive to different cultural factors while gathering the pertinent information?CASE STUDY 3Paloma Hernandez, 26 year-old, Spanish speaking patient who presents to the clinic for the last 2 days in a row complaining of abdominal pain that is getting worse. The first visit the staff relied on her younger bilingual daughter to translate. She was treated with Omeprazole and encouraged to take OTC medication. Today she presents with the same problem. Her daughter states it is the same problem but worse today.

Compare and contrast the growth and developmental patterns of two toddlers of different ages using Gordon’s functional health patterns. Describe and apply the components of Gordon’s functional health patterns as it applies to toddlers. Instructions: Post your discussion to the Moodle Discussion Forum. Initial post must be made by Day #3. Word limit 500 words. Please make sure to provide citations and references less than 5 years old (in APA, 7th ed. format) for your work.

Assessment Description
Planning is the key to successful completion of this course and program-related objectives. The Individual Success Plan (ISP) assignment requires early collaboration with the course faculty and your course preceptor. Students must establish a plan for successful completion of
The required 50 community direct clinical practice experience hours, 50 leadership direct clinical practice hours, and 25 indirect clinical experience hours.
Completion of work associated with program competencies.
Work associated with completion of the student’s capstone project change proposal.
Students will use the “Individual Success Plan” to develop an individual plan for completing practice hours and course objectives. As a part of this process, students will identify the number of hours set aside to meet course goals.
Student expectations and instructions for completing the ISP document are provided in the “NRS-493 Individual Success Plan” resource, located in the topic Resources and in the assignment instructions.
The “Individual Success Plan” is a clinical document that is necessary to meet clinical requirements for this course. Therefore, the form should be submitted with the preceptor’s hand-written signature. A typed electronic signature will not be accepted.
Students should apply concepts from prior courses to critically examine and improve their current practice. Students are expected to integrate scholarly readings to develop case reports that demonstrate increasingly complex and proficient practice.
After the ISP has been developed by the student and approved by the course faculty, students will initiate a preconference with the faculty and preceptor to review the ISP.

Transformational leaders influence those around them and therefore have the potential to alter the culture of a unit or organization. Effective nurse leaders consider continuing education and development an essential part of professional nursing. Please address the following topics:
What professional nursing organizations are you interested in or currently participate in?
What nursing certifications or continuing education (graduate degree) might fit into your future plans?
Regarding your own transformational leadership skills, what aspect of the TEACH values discussed in the lesson do you think would most benefit your work environment if adopted? As a transformational leader, what action could you take to incorporate this chosen TEACH value into the work environment?

Uses relevant scholarly information to explain a health care problem or issue, including the reasons that the chosen information helps to explain a health care problem or issue.
Analyzes the problem or issue including definition, who is involved, and causes of the problem or issue.
Discusses potential solutions for the problem or issue, including potential consequences for ignoring the issue.
Explains the ethical principles if potential solution was implemented and enriches the analysis with examples from the readings. Produces text free of grammatical, usage, spelling, and mechanical errors.
Integrates into text appropriate use of scholarly sources, evidence, and citation style without errors and uses current reference sources.