...The community health nurse has a primary role to assess the relationship of variables in the community with how they relate to patients and health. Cultural, religious, ethnic, and personal upbringings are variables that are considered to gain a basic understanding of the community framework. The purpose of this paper is to discuss three nursing diagnoses related to AL and his family living in a suburban community in Staten Island, New York. Interventions and outcomes will be expected for each diagnosis and will be integrated into the care plan and educational program specially designed for the chosen family. Family Assessment AL is a 65 year old man with an Italian ethnic background. He is a smoker who has been recently diagnosed with Type II Diabetes Mellitus, mild obesity, and a history of coronary artery disease with one stent last year. His physician stated he is borderline diabetic that could be managed through diet and lifestyle modifications, and could not advance if he is compliant with suggested regimens. He lives in a two-family residence with his wife, and his father who lives in the side apartment downstairs. He has two adult children who live within close range and visit several times a week. Jean Watson’s Theory of Human Caring When caring for a special population group within a community, the nurse must integrate clinical thought to assimilate specifically designed interventions for patients. Nurses must be conscious of their responses and actions that...
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...Family Nursing Diagnoses NUR/405 Family Nursing Diagnoses Community Nursing The community health nurse has a primary role to assess the relationship of variables in the community with how they relate to patients and health. Cultural, religious, ethnic, and personal upbringings are variables that are considered to gain a basic understanding of the community framework. The purpose of this paper is to discuss three nursing diagnoses related to AL and his family living in a suburban community in Staten Island, New York. Interventions and outcomes will be expected for each diagnosis and will be integrated into the care plan and educational program specially designed for the chosen family. Family Assessment AL is a 65 year old man with an Italian ethnic background. He is a smoker who has been recently diagnosed with Type II Diabetes Mellitus, mild obesity, and a history of coronary artery disease with one stent last year. His physician stated he is borderline diabetic that could be managed through diet and lifestyle modifications, and could not advance if he is compliant with suggested regimens. He lives in a two-family residence with his wife, and his father who lives in the side apartment downstairs. He has two adult children who live within close range and visit several times a week. Jean Watson’s Theory of Human Caring When caring for a special population group within a community, the nurse must integrate clinical thought to assimilate specifically designed...
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...communication that classifies diagnosis, applies interventions, and expected patient outcomes. In order to unify nursing communication and support nursing practice, standardized terminology has been developed. This paper will introduce three forms of standardized terminologies in nursing which are the North American Nursing Diagnosis Association (NANDA), Nursing Outcome Classification (NOC), and Nursing Intervention Classification (NIC). The purpose of this paper is to define the three standardized terminologies, processes developed, and to provide and example of their useful application in patients at risk for or diagnosed with pressure ulcers. The NANDA was established with the goal of enhancing all aspects of nursing practice by refining and promoting terminology to accurately reflect the clinical judgment of nurses (Azzolin et al., 2013). The mission of NANDA if to facilitate the refinement, dissemination, and development, and utilization of nursing standard terminology (Peres et al., 2015). Their main focus is to utilize this communication to promote evidence based practice and care, thereby improving care for everyone. NANDA promotes their missions and goals by publishing the world leading evidence based nursing diagnosis, funding research, establishing a global nursing network, and integrating evidence based terminology (Peres et al., 2015). The establishment of evidence-based terminology has assisted in unifying clinical judgment and communication for nurses. Another...
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...This resource is good for improving patient care and to supply the patient with the best care plan possible. If NANDA was not accessible, the care given may be different and given improperly. NANDA helps provide an effective and safe care plan (NANDA-I, 2012). An important skill needed during the nursing process is critical thinking. The nursing process is a set of steps to assist with providing proper care. Critical thinking is intended to be about a subject, or problem and improving the quality by inspecting, determining, and recreating. Nurses review data to consider potential outcomes instead of making a decision right away. Both critical thinking and the nursing process have similarities but also differences. It takes skill, experience and knowledge to continue the steps in the nursing process. The nursing process and critical thinking are both disciplined processes with specific characteristics that make the two...
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...July 11, 2012 Introduction According to The American Heritage Dictionary of the English Language similarity is the (a) “equivalence,” (b) “resemblance” and (c) corresponding “features” or characteristics” (2009). There are various ways of defining similarity the most common term shared is comparison. Accuracy and consistency are essential when providing patient care and it should be displayed within nursing practice, communication, and documentation. Institute of Medicine reports that there are over 98,000 deaths caused by preventable errors (1999). The purpose of this paper is to respond to a peer reviewed concept analysis article, describing the method of analysis, the steps of the process, results for each step and to apply the concept to a practice situation. Concept Analysis The Electronic Health Record (EHR) improves the exchange of patient data, accuracy, and quality of patient care. Poor communication and technology can impede a positive outcome for the patient. A core competence of nursing is documentation of patient’s response to nursing interventions and effectively communicating the care given. In the article Concept Analysis of Similarity Applied to Nursing Diagnoses: Implications for Educators the author uses the Walker and Avant concept analysis of similarity. In nursing, concept analysis clarifies unclear concepts and gives a mean to common understanding within nursing practice. “The purpose of a concept analysis is to describe the concept well...
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...hospital. ICNP has led to a large database that validates nursing specific diagnoses, interventions and outcomes. It is cross-referenced with different nursing classification systems to compile common information across the continuum. A nurse in the medical unit is able to utilize a care plan that is formulated based on information compiled and translated into best evidenced based practice. “Information gathered is also useful in the educational setting expands nursing knowledge of interventions, outcomes and languages” (Rutherford, 2008). The nurse would choose a nursing diagnosis based on the assessment and collection of patient information. ICNP can be utilized incorporating other systems of classification such as Omaha System, NANDA, NIC, and HHCC (Hynn & Park, 2002). A nursing diagnosis is formulated and a recognized set of interventions would be initiated. With the added benefit of an electronic format at the bedside, the nurse is able to document at the bedside with more precision and timeliness, improving the accuracy of documentation. For example, a patient admitted with the diagnosis of COPD, the nurse could use the nursing diagnosis of impaired gas exchange. A care plan would be created with appropriate interventions and outcome criteria. Care would be more precise based on standardized interventions and outcomes derived from ICNP. A study in 2005 to assess the “expressiveness” of an ICNP based computerized nursing record system. The study discovered that...
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...MARICOPA COUNTY COMMUNITY COLLEGE DISTRICT PATIENT PRIVACY GUIDELINES For MCCCD Health Care Integrated Educational System The Maricopa County Community College District has cooperative agreements with over 500 agencies for the clinical training of its students enrolled in all health-care fields and programs. To ensure that MCCCD students, faculty, and staff involved in those programs understand the patient privacy requirements of those clinical sites and of applicable law, including the Health Insurance Portability and Accountability Act of 1996, MCCCD offers this guidance for those persons to ensure compliance with those requirements. Note that the discussions, uses or disclosures discussed below encompass written, verbal, or electronic communications. |DO’S |DON’T’S | | | | |Do sign the MCCCD Faculty/Staff/Student Confidentiality Agreement before |Don’t discuss, use or disclose any patient information while in the | |any involvement in a clinical program. |clinical setting unless it is part of your clinical assignment. | |Do attend MCCCD training or in-classroom clinical instruction on |Don’t remove any record from the...
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...NURSING DIAGNOSIS NANDA Nursing Diagnosis (Problem/Human Response): Impaired physical mobility Related To (Etiology): compromised ability to move purposefully within the environment and reluctance to move secondary to pain As Evidence By (Supporting Evidence from your Assessment): unsteady gait, difficulty maneuvering effectively and pt stating pain at “6/10” SHORT TERM OUTCOME: (Patient will….by….) Evaluation Pt will verbalize understanding of the benefits of participating in PT and staying active, by end of shift. Pt will verbalize increased comfort, by end of shift. Met: increased comfort “5/10”; pt verbalized benefits of activity and PT. Unmet: In Progress: NURSING INTERVENTIONS (Nurse will) RATIONALE FOR NURSING INTERVENTION (cite ref). Effectiveness of Intervention 1. Pain medications as ordered, on time 2. Use pain assessment scale to identify intensity of pain. 3. Educate pt on benefits of therapeutic exercises and frequent physical activity. 1. Analgesic agents are more effective when administered early in the pain cycle. (Smeltzer, p.260) 2. Provides baseline for assessing changes in pain level and evaluating interventions. (Smeltzer, p.259, 260) 3. PT exercises assists in maintaining and building muscle strength, joint function, developing endurance, stimulating circulation and promoting relaxation. (Smeltzer, p.177) 1. Pt reported increased comfort rating pain at “5/10”, previously rated at “6/10” (I would...
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...Prime Minister Narendra Modi launched his nationwide cleanliness campaign, the 'Swachh Bharat Mission' or 'Clean India Campaign' from the Valmiki Basti in New Delhi on Thursday. Addressing the nation at the launch, Modi asked India's 1.25 billion people to join the 'Swachh Bharat Mission' and promote it to everyone. After paying tribute at the memorials of Mahatma Gandhi and former Prime Minister Lal Bahadur Shastri on their birth anniversaries, Modi himself swept a pavement at Valmiki Basti, a colony of sanitation workers before the formal launch of the 'Clean India' drive at Rajpath. While launching the mission at Mandir Marg, he also made a surprise visit at the local police station to check on its cleanliness. Modi said, "Today is the birth anniversary of Mahatma Gandhiji and Lal Bahadur Shastriji. We have gained freedom under leadership of Gandhiji, but his dream of clean India is still unfulfilled." He added, "Swachh Bharat Campaign logo is not just a logo, through it Gandhiji is watching us and we all should clean India. I am not claiming that the newly elected government is doing everything. Be it temples, mosques, gurudwaras or any place, we must take efforts to clean our surroundings. Cleanliness is not only the responsibility of the 'safaai kaamgar', it is the responsibility of 125 crore Indians. If Indians can reach Mars at a cheap cost, can we not clean our neighbourhoods?" Giving credit to previous governments, Modi said, "I do not make any claim that...
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...Page No. 2 Index Swachh Bharat Mission FEB & MARCH, 2015 AUGUST, 2012 Page No. 4 Insurance Sector In India Page No. 5 Bharat Ratna Award Designed by: Chandan Kumar “Raja” For Advertisement Contact at : 9958790414 Join us at Facebook: https://www.facebook.com/iasexamportal Follow us at Twitter: https://twitter.com/iasexamportal CURRENT AFFAIRS National Issues International Issues India & the World Economy Science and Technology Sports Awards & Prizes In The News 6 14 20 23 39 51 58 64 Disclaimer: Editor and Publisher are not responsible for any view, data, figure etc. expressed in the articles by the author(s). Maps are notational . All Disputes are subject to the exclusive jurisdiction of competent courts and fourms in Delhi/New Delhi only. Selected Articles from Various Newspapers & Journals Page No. 67 91 Cyberspace Page No. 93 Regional Rural Banks The Mauryan Empire Model Paper G.S. Paper I 94 117 Join Online Coaching For IAS Pre & Mains Exams http://iasexamportal.com/civilservices/courses Project Mausam and Maritime Silk Route SWACHH BHARAT MISSION Throughout the world around 2.5 billion people do not have toilets to use, out of those 250 crore people 65 crore live in India alone. In order to solve this big challenge government of India has launched “Swachh Bharat Mission” on the birth anniversary of Mahatma Gandhi and former Prime Minister Lal Bahadur Shastri...
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...Prime Minister Narendra Modi launched his nationwide cleanliness campaign, the 'Swachh Bharat Mission' or 'Clean India Campaign' from the Valmiki Basti in New Delhi on Thursday. Addressing the nation at the launch, Modi asked India's 1.25 billion people to join the 'Swachh Bharat Mission' and promote it to everyone. After paying tribute at the memorials of Mahatma Gandhi and former Prime Minister Lal Bahadur Shastri on their birth anniversaries, Modi himself swept a pavement at Valmiki Basti, a colony of sanitation workers before the formal launch of the 'Clean India' drive at Rajpath. While launching the mission at Mandir Marg, he also made a surprise visit at the local police station to check on its cleanliness. Modi said, "Today is the birth anniversary of Mahatma Gandhiji and Lal Bahadur Shastriji. We have gained freedom under leadership of Gandhiji, but his dream of clean India is still unfulfilled." He added, "Swachh Bharat Campaign logo is not just a logo, through it Gandhiji is watching us and we all should clean India. I am not claiming that the newly elected government is doing everything. Be it temples, mosques, gurudwaras or any place, we must take efforts to clean our surroundings. Cleanliness is not only the responsibility of the 'safaai kaamgar', it is the responsibility of 125 crore Indians. If Indians can reach Mars at a cheap cost, can we not clean our neighbourhoods?" Giving credit to previous governments, Modi said, "I do not make any claim that only the...
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...Nursing science and knowledge evolves rapidly, as does all other disciplines. What is known in research today will change and evolve into new knowledge and understanding tomorrow or next year, creating new nursing diagnoses. These diagnoses developed by nurses emanates from NANDA-I, also known as, North American Nursing Diagnoses Association International with the goal of establishing and developing the initial terminology and the related taxonomic structure. NANDA-I is comprised of many volunteer nursing professionals and other organizations functioning collectively with the goal of developing and investigating the terminology and standards required in defining the nursing diagnoses that produce verified outcomes enabling a higher level of care and optimal health. A nursing diagnosis utilizes critical...
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...Anthropology 03 Readings- Nanda and Warms: Chapters 1-3,5 Bodley: Chapters 1-2 Lee: entire book (including Appendix A and B) Videos: “First Contact” “Bushmen of the Kalahari” “N!ai” Topics: Concept of culture- The learned, symbolic, at least partially adaptive and ever-changing patterns of behavior and meaning shared by members of a group. - Almost all behavior is learned - Cultural norms and values are shared by people - All Cultures change Pidgin English- A simplified language that develops as a means of communication between two or more groups of people that do not have a language in common. (Masta- John Marshall, Bird- Airplane) - Pidgins develop when people who speak different languages come together. Sapir-Whorf Hypothesis- The language we speak affects the way we think. It plays a critical role in determining the way people understand the world. - We perceive the world differently because we talk about the world differently Culture shock- The feelings of alienation, loneliness, and isolation common to a person who has been placed in a new culture - Overcoming culture shock is a process of learning (language, customs, and social organization). Ethnocentrism- Is the belief that one’s own culture is superior to any other. Cultural relativism- Anthropologists must believe that all cultures are of equal value and need to study them from a neutral point of view in order to understand how cultural practices developed, how they work in...
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...Nanda was multi tasking. She was eating a chocolate, chatting with her friends, and working on documentation for her next project at the same time. She was sitting alone in her office cubicle on a Sunday night. The cubicle had four computers in four corners. On weekdays rest of the three seats were occupied by three other software engineers. Nanda had some pending work, so she had to come on a weekend and except for a colleague of hers, Jack, the floor was deserted. Nanda had always hated Jack because of his arrogant and egotistical attitude. He really got on her nerves. Nanda finished her documentation. The time was 8:28 pm. She started checking her mailbox before she called it a day. There were a couple of unread mails but one caught her eyes. It was from an unknown sender with a red exclamation mark signifying importance. Nanda opened the mail a little unsure whether the thing carried some virus. The content of the mail was in little black letters. "Death is a game. Game chooses many random lives everyday. Today it has chosen you. If you don't get out of this cubicle in an hour , you will die. Find a way to get out and you will live. Time is now 8:32. The game starts, the moment you finish reading this. Best of luck" The moment Nanda read the mail, it got deleted automatically from her inbox. She knew it was a prank from Jack. She checked her watch, it was 8:32. She switched off the computer and got up from her seat. She took her bag and slid it across her shoulder...
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... 2007 The Start-up: Nanda Home The Founder: Gauri Nanda Rochester Hills, Michigan The business proposition: Part iRobot (NASDAQ:IRBT) and part Kate Spade, Nanda Home creates cute, clever products that are intended, in the words of its founder, to "humanize technology." The company already has one hit: Consumers have snapped up more than 9,000 units of a $50 plastic alarm clock. Set the alarm for 6 a.m. When the time comes, the clock wheels itself off your bedside table and rolls around the room, emitting R2D2-like squeaks. Dubbed Clocky, the little robot is manufactured in China and sold online and in design boutiques. The company also has a line of handbags designed to accommodate laptops. The founder: Gauri Nanda designed Clocky as a graduate student in MIT's Media Lab. The daughter of entrepreneurs--her parents recently sold their small weekly newspaper in Detroit--she aspired to become a designer at a large technology company. "I was opposed to the idea of starting a company," says Nanda. "I saw the hours my parents worked." After presenting Clocky to her class in the fall of 2004, she threw it in the back of her closet. She'd almost forgotten about it until the next spring, when several tech bloggers stumbled upon a photo of her invention online. Suddenly, Nanda was getting contacted by reporters and TV producers. Good Morning America called. She scrambled to fix the buggy prototype in time for its debut on network TV. Nanda, now 27, left MIT with a...
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