...RTT1 Task 1 Nursing-sensitive indicators reflect the structure, process and outcomes of nursing care. These are measurable indicators of the quality of care provided to patients. Quality and/or quantity of nursing care can and does affect patient outcomes and the understanding of these measurements can assist in the planning and implementation of nursing care so that appropriate, quality health care with positive outcomes can be achieved. Poor performance on these indicators means not only is the quality of the care provided not good enough, but also they lead to longer, much more expensive hospital stays with poorer outcomes for the patient. Use of restraints for safety is, unfortunately, sometimes necessary. Options to explore first should be: Is there a family member that can come and sit with the patient to keep calm and safe? Does the hospital itself provide sitters in the room for safety? Can the patient be moved to a room closer to the nurse’s station so they can be monitored by staff? Does the hospital have a “niche” cart to keep their confused patients busy? When restraints are used, it is of utmost importance to release the restraints every hour for range of motion exercise and to turn the patient hourly to prevent pressure ulcer and DVT occurrence. More importantly, if a pressure ulcer is starting to form, it must be documented per institution protocol and the patient must be turned and kept off the site so the pressure ulcer does not progress. Although not addressed...
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...Outline I: Family Assessment Summary findings of the family Assessment Watson’s Theory of human caring-Influences clinical thought and action in community and public health nursing II: Diagnosis according to the Family Assessment results Nutritional guidelines-Overweight, Blood pressure and diabetes Link each diagnosis to a Healthy People 2020 LHI. Conducting a comprehensive and holistic assessment of participant family with consideration of the windshield Survey and Current research & develop a plan for the family & determine diagnosis. 3-5Legal and ethical considerations with the potential solutions/actions III: Nursing plan Describe how you plan to advocate for the family within their community and involve the family members in becoming partners in their own health. Explain how the family’s health may be affected by family structure and roles. Identify family values that may be different from your own values and how this may affect the interventions. Educational tools and the benefits Compile a list of topics and resources for the family’s health education needs, and explain why these resources were chosen Additional attachments IV: V: Clinical Log for time spent conducting the Family Assessment Completed Family Assessment including survey questions and family answers Works Cited Appendixes VI: VII Currently in the health care industry, Nurses are dealing with biomedical and ethical dilemmas constantly arisen. It is clear that...
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...YOGA: A PATH TO HEALING AND RECOVERY 1 Yoga: A Path to Healing and Recovery Leonel H. Herrera WGU 5/23/13 YOGA: A PATH TO HEALING AND RECOVERY 2 Yoga: A Path to Healing and Recovery In the introduction to Horton’s book 21st Century Yoga Culture, Politics, and Practice it illustrates how in the past 15 years yoga has gone from a cultural eccentricity to a $27 billion industry and is taught everywhere from spas to prisons (Horton, 2012). According to WEBMD Yoga has been practiced for more than 5 thousand years and 11 million Americans are experiencing improved health, strength, and flexibility from its practice (The Health Benefits of Yoga, 2012). Nevertheless, is yoga everything it promises? Are people healthier physically and mentally? Are there dangers to practicing yoga? Is it safe? (Bee, 2012) Research suggests that yoga is a highly therapeutic means of exercise because it provides beneficial physical results, leads to positive psychological effects and poses few risks. Physical Benefits of Yoga Yoga bestows several physical health benefits such as lowering blood pressure, lowering heart rate, decreasing blood glucose levels, and mitigating the effects of stress. Cade’s study found that adding yoga reduced resting blood pressure by 4 points compared with the control group (Cade, et al., 2010). McCaffrey and Hatthakit’s study found systolic and diastolic blood pressure as well as heart rate all significantly declined over an 8-week yoga intervention (McCaffrey & Hatthakit...
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...Chapter 1 Nursing Images throughout History 1) The angle of mercy 2) The handmaiden 3) The battle-ax 4) The naughty nurse 5) The military image A. Nurses on the battlefield * Hospitalers – specialized soldiers who at the end of battle returned to the outposts to care for the sick and injured * Army nursing service – organize nurses and hospitals and coordinate supplies for the soldiers during the Civil War * Clara Barton a. Provided care in tents set up close to the fighting b. Did not discriminate c. Establishment of the American Red Cross * Harriet Tubman – helped slaves escape to freedom on the underground railroad * Walt Whitman – a poet * Louisa May Alcott – an author * Dorothea Dix – union’s superintendent of female nurses during the Civil War B. Nurses fighting diseases * Florence Nightingale d. Epidemiology – the study of the distribution and origins of disease e. Air, light, nutrition, and adequate ventilation and space assist the patient to recuperate * Lillian Wald & Mary Brewster f. Founded the Henry Street Settlement in NY to improve the health and social conditions of poor immigrants g. Improve health and prevent illness by promoting safe drinking water, adequate sewage facilities, and proper sanitation Florence Nightingale (1820-1910) ...
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...of disease, preventable illnesses and disability and morbidity rates compared with non-minority groups ("Centers for Disease Control and Prevention," 2014). In this paper, the author will compare and contrast the health status for the minority group of Hispanic/ Latinos to the national average, describe how health promotion is defined and what barriers and disparities exist for this minority population, and will describe three levels of health promotion prevention and which would be optimal for teaching the Hispanic/Latino people. The Current Health Status of Hispanics The Hispanic /Latino minority group is our nation’s largest ethnic or race minority. According to U.S Census Bureau’s studies, as of July 1, 2013, there are approximately 54 million Hispanics living in the United States which represent 17 percent of the nation’s total population. The estimated Hispanic population for the year 2060 is...
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...Effects of Exercise on Diabetes Exercise in the Treatment and Prevention of Diabetes Western Governors University Abstract Article Larose J; Sigal RJ; Khandwala F; Prud'homme D; Boulé NG; Kenny GP. (2011 January). Associations between Physical Fitness and Glucosylated Hemoglobin in Type 2 Diabetes Mellitus. Diabetologia, 54(1), 93-102. Retrieved May 17, 2012, from MEDLINE database. 20953579 Background Information Exercise and physical activity has shown to be a significant factor in the management and treatment of diabetes. What is unknown is how benefits from physical activity directly correlate to glucose control as manifested in low glucosylated hemoglobin (HbA1c) levels in diabetic people. The study aims to prove that the decrease in HbA1c is a result of greater aerobic fitness and strength in patients that are performing aerobic or anaerobic exercise. Secondly, it is related to the changes in strength and aerobic fitness that are performing cardiovascular exercise and resistance training. Review of Literature The purpose of the article is to assess the correlation of reduced HbA1c to physical activity. It is hypothesized that this reduction is related to the changes and increase in aerobic fitness and strength in diabetic people who are engaged in aerobic and anaerobic exercise. The result from the study showed that the link between the changes in glucose control during exercise training is not that high nevertheless; physical activity...
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...1. Personality Type: My personality type was ISTJ, which stands for Introverted Sensing with Thinking. I feel that this describes me exceptionally. First, I definitely am introverted. I consider myself to be a hard working and independent individual, despite being rather quiet and reserved. During stressful situations, I often appear calm and collected on the outside, although there are probably hundreds of things going through my mind. I feel that I am careful with particulars and procedures, and I usually do my best to stick to tried and tested procedures as much as possible. I felt that the sensing aspect of my personality type was accurate. When performing tasks and making decisions, I tend to compile and use facts and logic, more than emotions. I like to create several set ways to solve certain types of problems, and then do these types of problems the same way every time. In other words, I look for solutions to present problems in the successes of the past. I use my own perceptions of other people in order to form opinions and judgments about them. Finally, the last part of personality put me in the thinking category. I also agree with this. I use thinking to make decisions about inanimate objects or personal matters. I like directions to be stated clearly, and if I see something that needs to be completed, I take initiative in getting it done. I sometimes have problems with imagination and intuition, since my inner logic and reasoning may make me question something my...
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...quality nursing services by providing leadership to the nursing profession in self-regulation. OuR vISIOn is excellence in nursing practice everywhere in Ontario. Infection Prevention and Control ISBN 1-897074-32-8 Pub. No. 41002 Copyright © College of Nurses of Ontario, 2009. Commercial or for-profit redistribution of this document in part or in whole is prohibited except with the written consent of CNO. This document may be reproduced in part or in whole for personal or educational use without permission, provided that: • Due diligence is exercised in ensuring the accuracy of the materials reproduced; • CNO is identified as the source; and • The reproduction is not represented as an official version of the materials reproduced, nor as having been made in affiliation with, or with the endorsement of, CNO. First published February 1996 as Infection Control Guidelines (ISBN 1-894557-33-6) Reprinted January 2000, October 2000, revised for Web June 2003, reprinted January 2004 as Infection Control (ISBN 1-894557-44-1) Revised June 2004, December 2005. Reprinted May 2008 (ISBN 1-897074-32-8). Updated in June 2009. Additional copies of this document may be obtained by contacting CNO’s Customer Service Centre at 416 928-0900 or toll-free in Ontario at 1 800 387-5526. College of Nurses of Ontario 101 Davenport Rd. Toronto, ON M5R 3P1 www.cno.org Ce fascicule existe en français sous le titre : La prévention des infections, n° 51002 PR ACTICE STAndARd 3 Nursing standards...
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...A CASE STUDY ON EXPLORATORY LAPAROTOMY WITH ADHESOLIYSIS, RIGHT HEMICOLECTOMY WITH PRIMARY END-TO-END ANASTOMOSIS ________________________________ In Partial Fulfillment of the Course Requirement In Surgical Nursing ________________________________ Presented to: The Faculty of Cebu Doctors’ University College of Nursing _____________________________ Submitted by: xxxxxxxxxxxxxxxxxxxxxxx Phi 2nd generation Class 2009 30 September 2008 TABLE OF CONTENTS I. Introduction ……………………………………………………………………. 3 II. Objectives ……………………………………………………………………... 5 III. Nursing Assessment……………………………………………………………. 8 A. Personal History Patient’s Profile Family and Individual Information Level of Growth and Development Normal Development at Particular Stage The Ill Person at Particular Stage of Patient B. Diagnostic Results…………………………………………………... 16 C. Present Profile of Functional Health Patterns ……………………. 17 Health Perception / Health Management Pattern Nutritional – Metabolic Pattern Elimination Pattern Activity / Exercise Pattern Cognitive / Perceptual Pattern Rest / Sleep Pattern Self – perception Pattern Role Relationship Pattern Sexuality – Reproductive Pattern Coping – Stress Tolerance Pattern Value –...
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...Nursing Lab Values Cheat Sheet permalink ________________________________________ Lab Values: Cheat Sheet Red Blood Cells (RBC): - Normal: male = 4.6- 6.2 female = 4.2- 5.2 - Actual count of red corpuscles Hemoglobin: - Normal: male = 14-18 g/dl female = 12-16 g/dl - A direct measure of oxygen carrying capacity of the blood Hematocrit : - Normal: males = 39- 49% female = 35- 45% - = the percentage of blood that is composed of erythrocytes Mean Cell Volume (MCV): - Normal: male = 80- 96 female = 82- 98 - Mean Cell Hemoglobin (MCH): - Normal: 27- 33 - = % volume of hemoglobin per RBC * Increase: indicates folate deficiency * Decrease: indicates iron deficiency Mean Cell Hemoglobin Concentration): - Normal: 31- 35 Reticulocyte Count: - Normal: 0.5-2.5% of RBC - An indirect measure of RBC production Red Blood Cell Distribution Width (RDW): - Normal: 11-16% - Indicates variation in red cell volume * Increase: indicates iron deficiency anemia or mixed anemia - Note: increase in RDW occurs earlier than decrease in MCV therefore RDW is used for early detection of iron deficiency anemia Platelet Count: - Normal: 140,000 - 440,000 * Low: worry patient will bleed * High: not clinically significant White Blood Cell (WBC): - Normal: 3.4 – 10 * Increase: occur during infections and physiologic stress * Decreases: marrow suppression and chemotherapy Sodium (Na): - Normal: 136- 145 - Major contributory to cell osmolality...
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...Incorporating Mindfulness into Practice Staci Dobson WGU Professional Presence Healthcare requires many attributes to excel as a caregiver. Historically caring for the physical body has been our focus. Research has shown humans require care of the body, mind, and spirit to obtain optimal wellbeing. As a caregiver to be able to provide for the needs of the patient, we need to grow in our self-awareness and increase the mindfulness in our practice. Models of Health and Healing. We have seen many advances in medicine over the last decade. Over the last century, technology has improved rapidly. With the technological advances made the importance of the awareness of the interconnectivity of the mind, body, and spirit for a person’s wellbeing. Dr. Larry Dossey describes three eras and how medicine has progressed. He referred to the first era as the “mechanical medicine” era, only ailments of the physical body were recognized and treated. The second era recognized how emotion and feelings can influence the body’s functions. The third and most progressive era includes our consciousness. Dr. Dossey states that consciousness is not confined to just the individual, but is boundless. (Dossey, n.d.) The main difference between era two and three is the realization that caring for a patient’s spirituality is equally as important as caring for their physical body and their psychosocial well-being. The discovery in era two of psychosomatic illnesses and the inclusion of treating...
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...of Nursing In partial fulfillment of the requirements of N5327 Analysis of Theories in Nursing Ronda Mintz-Binder, RN, MN, DNP June 4, 2012 Management of Diabetes in Adults Age 65 and Older: An Evolving Concept Analysis Managing chronic illnesses like diabetes is becoming progressively essential in high-risk groups. The concept of managing diabetes in persons 65 and older, carry much responsibility by those who provide care and those receiving care. With marvel surrounding the first set of baby boomers who turned age 65 in January of 2011; it became evident that this country would embark upon its greatest challenge yet in managing the care of older adults. With this in mind, the management of chronic illnesses like diabetes and its associated complications is expected to become even more complex and difficult, with the realization that much is to be considered in preparation to care for this age group. In this analysis using the term management, as it relates to the older adult, implies direct guidance to treatment that is both accessible and practical. Review of Literature To better understand management of diabetes as a concept in adults age 65 and older, a review of disciplines is necessary to offer clarity in obtaining a greater sense of knowledge of the burden this disease places on the patient. In examining this concept a review of literature from the disciplines of nursing, medicine and social science were selected to define the concept. Nursing Discipline ...
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...* Auxilary Area. * Entrance to the ICU. * Ancillary Area. 1.ENTRANCE TO THE ICU: 2.PATIENT CARE AREA: 3.AUXILLARY AREA: 4.ANCILLARY AREA: LEVELS OF ICU: There are five different types and levels of ICU defined according to three main criteria: the nature of the facility, the care process and the clinical standards and staffing requirements. All levels and types of ICU must be separate and self-contained facilities in hospitals and.The five types of ICU are briefly described below: * Adult intensive care unit, level 3: must be capable of providing complex, multisystem life support for an indefinite period; be a tertiary referral centre for patients in need of intensive care services and have extensive backup laboratory and clinical service facilities to support the tertiary referral role. It must be capable of providing mechanical ventilation, extracorporeal renal support services and invasive cardiovascular monitoring for an indefinite period; or care of a similar nature. * Adult intensive care unit, level 2: must be capable of providing complex, multisystem life support and be capable of providing mechanical ventilation, extracorporeal renal support services and invasive cardiovascular monitoring for a period of at least several days, or for longer periods in remote areas or care of a similar nature (see ACHS guidelines). * Adult intensive care unit, level 1: must be capable of providing basic multisystem life support usually...
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...San Diego County Community Health Rhonda Mohler Western Governors University Community Health and Population Focused Nursing C228 Marc Gayol June 30, 2014 San Diego County Community Health San Diego California shares a border with Mexico and has an estimated population of 3,211,252. It is a diverse and multicultural population comprised of 32.7% Hispanics, 47.6% Whites, 11.6% Asians, and 5.6% are Blacks (State & County QuickFacts, n.d.). San Diego has a long history with the US Military; it has six Bases and one US Coast Guard Station ("San Diego Military Bases," n.d.). San Diego is the second largest city in California, is rapidly growing, and is known for its temperate year-round climate and sandy beaches. It has many parks with open space, lakes and reservoirs, recreation activities, senior citizens services, and community safety services. San Diego also has multiple public services, excellent public schools, state of the art hospitals and clinics, and public transportation which include trains and trolleys (Community Services, n.d.). Sam Diegans can go to a museum, an opera, and attend an NFL game all in the same day. San Diego is an amazing place to live and has a lot to offer its citizens, but steps need to be taken to identify and evaluate disease in the community in order to promote optimal health and ensure the well-being of all San Diegans. Epidemiology is the study of disease in the community and then evaluating the reasons why the disease or condition...
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...PN MENTAL HEALTH NURSING EDITION . CO NT ASTERY SERI ES TM N E R EV MOD IE W LE U PN Mental Health Nursing Review Module Edition 9.0 CONtriButOrs Sheryl Sommer, PhD, RN, CNE VP Nursing Education & Strategy Janean Johnson, MSN, RN Nursing Education Strategist Sherry L. Roper, PhD, RN Nursing Education Strategist Karin Roberts, PhD, MSN, RN, CNE Nursing Education Coordinator Mendy G. McMichael, DNP, RN Nursing Education Specialist and Content Project Coordinator Marsha S. Barlow, MSN, RN Nursing Education Specialist Norma Jean Henry, MSN/Ed, RN Nursing Education Specialist eDitOrial aND PuBlisHiNg Derek Prater Spring Lenox Michelle Renner Mandy Tallmadge Kelly Von Lunen CONsultaNts Deb Johnson-Schuh, RN, MSN, CNE Loraine White, RN, BSN, MA PN MeNtal HealtH NursiNg i PN MeNtal HealtH NursiNg review Module editioN 9.0 intellectual Property Notice ATI Nursing is a division of Assessment Technologies Institute®, LLC Copyright © 2014 Assessment Technologies Institute, LLC. All rights reserved. The reproduction of this work in any electronic, mechanical or other means, now known or hereafter invented, is forbidden without the written permission of Assessment Technologies Institute, LLC. All of the content in this publication, including, for example, the cover, all of the page headers, images, illustrations, graphics, and text, are subject to trademark, service mark, trade dress, copyright, and/or other intellectual property rights or licenses...
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