...Diabetes Pathophysiology and Nursing Management of Clients Health – Disorders of the Digestive and Musculoskeletal System Grand Canyon University Identify a research or evidence-based article that focuses comprehensively on a specific intervention or new diagnostic tool for the treatment of diabetes in adults or children. In a paper of 750-1,000 words, summarize the main idea of the research findings for a specific patient population. Research must include clinical findings that are current, thorough, and relevant to diabetes and the nursing practice. Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. Use of New Technologies to Improve Self-Management Support in Diabetes Patients Name September 5, 2015 NRS-410 Grand Canyon University Instructor: Providing support and care with new technologies like text messages, cell phones and the internet can improve health outcomes that are clinically relevant to diabetes by increasing self-efficacy and knowledge to carry out actions of self-management. There has been a boost in the focus studies put on intervention and diagnostic methods for diabetes and, as a result, there are many materials available concerning how use of cell phones and the internet can improve self-management behaviors in different groups. The following paper will review one such study whose aim was to find out the best...
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...evidence-based practice. A clearly stated and answerable clinical question is a critical step when developing a research study. To assist in developing the question a PICO principle is used. This principle identifies four key elements to consider, which guide and structure the answerable clinical question. The elements are: Population, Intervention, Comparator and Outcome (Hastings & Fisher, 2014). PICO question development When treating the elderly (aged 65 and older) with symptoms of depression (P), does engaging in a complementary intervention such as music therapy (I), in comparison to anti-depressant medications (C), have a greater effect on decreasing the symptoms of depression (O)? Identifying the population determines the target patient or process of interest. In this case, geriatrics or older adults (aged 65 and older) with depression is specific and marks it achievable to locate information that is relevant to the clinical question. The intervention is a guide to the best practice to be assessed, for example, music therapy as being an effective alternative to improve symptoms of depression. A comparator is essential to review the most effective form of practice, for instance, reviewing anti-depressant medications as the most or least effective practice. Finally an outcome is provided to clearly understand the success of the clinical question. In this case, the success is to decrease the symptoms of depression. Searching for the evidence To ensure...
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...TO: Sarah May, Nurse FROM: Accountant DATE: November 9, 2011 RE: Deductible Educational Expenses FACTS: Sarah May graduated in 1988 from St. John Fisher College with a Bachelor of Science degree in nursing, and soon after became a registered nurse. From 1988-2004, Sarah held a couple nursing jobs, both of which were of a supervisor or manager position. In 2004, Sarah began her current position as a Quality Control Coordinator, which is a nonsupervisory position and did not require an MBA degree. In 2005, Sarah decided to enroll in an MBA program at St. John Fisher College, after feeling at a disposition with her educational background as a Quality Control Coordinator. Sarah’s peer group at work was more educated, many of whom were educated doctors. Sarah graduated in May 2009 with an MBA degree in Health Care Management. Sarah paid for her tuition during the course of the MBA program, and during the 2009 taxable year, she paid $6,500 in educational expenses. ISSUE: Did Sarah May meet the minimum educational requirements necessary to deduct the educational expenses she incurred in 2009, and are these expenses supportive of her desire to maintain or improve current job skills by not qualifying her for a new trade or business? LAW: Under IRC §162(a) a taxpayer may deduct all ordinary and necessary expenses paid or incurred during the taxable year in carrying on a trade or business. Further guidance is provided under Treasury Regulation §1.162-5(a) for...
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...This case study of Kodak has face several challenges in order to compete with other photographic film businesses. Besides, the tremendous growth in technology has intimidate the company's core business, producing photographic products. In this case study, Kodak has gone through a transition stage in the late 80s to 90s. The motive behind of this transition was due to the prologue of new technology where during those years, people are more likely to use digital photography instead of the old traditional photography films. Kodak were well-known in developing photographic products and the company has developed most of the components of digital photography, nevertheless the effort has lead to a severe impact on the company business. Question 1 What is your analysis of what has gone wrong so far? In the recent years, Kodak has undertaken a transformation from being the traditional film business to a new digital photography business but the effort was not acceptable which lead to sales decline in the United States ("TECHNOLOGY; Advice to Help Kodak" 2004). It is said that, by recruiting in two CEOs from different industries was not a good idea for Kodak (Rise and Fall 2014). Kodak thought that, the CEOs from a dissimilar industry would present in new ideas which might help Kodak to maintain its position in the industry and also to make profits (Rise and Fall 2014). Based on the case study, Kodak had borrowed some amount of money just to finance the purchase of Sterling Drug, Inc...
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...disease that affects thousands of women in the United States annually. This particular type of cancer forms within and/or on the tissue of the cervix. The cervix is part of the female reproductive tract, which connects the uterus to the vagina. Cervical cancer begins when surface level cells on the cervix divide uncontrollably causing cervical lesions, which if left untreated can progress into cancer. If not found in the early stages, cervical cancer can spread from the surface of the cervix, deep into the tissue of the cervix as well as the surrounding tissues within the vagina and uterus (Slaz, 2010). It is estimated that there is an incidence rate, or rate of new cases, of approximately twelve thousand women per year, with roughly four thousand of those women dying in the year 2010 alone (Fisher, 2009; Lindau, 2001). Research shows that while although all women are at risk for developing cervical cancer, the majority of women that actually die from the disease are low-income women and/or women of minority groups, such as African Americans and Hispanics. Due to various social, political, and cultural factors, as well as disparities in the healthcare system, such as access to resources and socioeconomic status, thousands of lowincome and primarily minority women die unnecessarily from cervical cancer. Several risk factors are involved when looking at various causes for cervical cancer. Some of these include, the HPV virus, smoking, a weak immune system, sexual...
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...Evaluating the Research Process There are many steps to the research process that a researcher must go through. From choosing the subject or a problem to writing the final report, steps are important to maintain a set of standards to the research process. Reviewing the appropriate literature and considering ethical decisions in data collection are also equally important. The types of data collected and how it was collected will help in drawing a conclusion to the significance of the project. With an appropriate amount of statistically sound data a determination can then be made as to whether the research project or study was effective. This paper will be using the article “Who Gives a Tweet: Assessing Patients’ Interest in the Use of Social Media for Health Care” for examples of how the research process is used to determine the effectiveness of a study the article. Research Process The research process begins with selecting a problem or question that a researcher seeks to find an answer to. The researcher will form a hypothesis based off their theory or other research. Third the literature is reviewed. Next, researcher will list all the measures that must be looked at and decide on the subjects for the project. The researcher will then need to decide upon and describe the design of the research as well as decide on the appropriate way to measure their variables. The last steps of the research process are then to analyze the data collected, draw their conclusion...
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...Introduction “Smoking is the leading preventable cause of death in the United States,” (“Health Effects of Cigarette Smoking”, 2014, para.2). Each year it is responsible for 480,000 deaths, which is more than Human Immunodeficiency Virus, illegal drug use, alcohol use, motor vehicle injuries, and fire arm related incidents combined. There have been ten times more premature deaths due to tobacco use than casualties during all noted American wars in United States history (“Health Effects of Cigarette Smoking”, 2014, para.2). Use of tobacco products causes cancer of the nose, mouth, larynx, trachea, esophagus, throat, lungs, liver, stomach, pancreas, kidneys, bladder, cervix, bone marrow, blood, colon, and rectum (“Health Effects of Cigarette Smoking”, 2014, para.6). “Globally, it is estimated that cervical cancer is responsible for 2.7 million years of lost life, and at least 75 percent of head and neck cancers are caused by tobacco and alcohol use.” (Lamb, Dawson, Gagan, & Peddie, 2013, p. 25; National Cancer Institute at the National Institutes of Health, 2013, para. 11). These are only two frightening cancer statistics caused by tobacco from the previously stated list. It is imperative to understand the repercussions of using tobacco products so patients do not become another one of these statistics, but it is more important to explain the positive results of abstaining from those products to encourage greater chances of successful cessation of tobacco use. In this research...
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...there is an interesting article by Vassallo et al. that discusses the fall risk factors in older patients with cognitive impairment. The issue addressed is almost identical title, which is “Fall Risk Factors in Elderly Patients with Cognitive Impairment on Rehabilitation Wards.” It is a clear and concise title, which states the population (the elderly) and major variables. (the mentally cognitive and the cognitively impaired). The researchers who conducted the study are qualified doctors who are familiar with both the risk factors affecting the elderly in a rehabilitation facility and/ or environment. The abstract discusses various components. First, the purpose of the study is to discover why cognitively impaired patients are more likely to have reoccurring falls, and how they differ from the cognitively intact. Second, the use of sample variable of all males over 80 with past history of falls, recurrent falls, medical records, and medication were taken into consideration during this study. Lastly, the study offers a methodology, yields results and discusses the...
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...Mexican cultural behaviors Mexican cultural behaviors Tara Fisher South University 11/22/10 Mexican cultural behaviors Each culture has certain beliefs and values that have strong influences on how they live their lives. In this case study, we will review the interactions between a nurse and a male Mexican patient. Case Study In caring for Mr. J.G. a man of Mexican descent, the female nurse enters the room to give discharge instructions. She enters the room and rapidly goes down her checklist of the things that Mr. J.G. must do after discharge. The nurse has had a long day and leans over the bed table to take some stress off her back. Ten minutes later Mr. J.G. calls and asks for the nurse-in-charge and complains about the rude nurse who was just in his room. Why did the patient consider the nurse's behavior rude? How would you as a professional nurse deal with such a situation? Review of the Nurses Behavior In the Mexican culture, family, respect and modesty are important values. In this scenario, the nurse provides the patient with educational information in a hurried manner while leaning over the bedside table. It does not appear that she had built a rapport with the patient. She did not include the patient’s family nor did she take the time to find out who would be involved in Mr. J.G. home care. Modesty is a highly valued belief in Mexican culture. When the nurse leaned over the bedside table, this may be viewed as a lack of modesty and respect...
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...Wolters Kluwer Health | Lippincott Williams & Wilkins Missed Nursing Care, Staffing, and Patient Falls Beatrice J. Kalisch, PhD, RN, FAAN; Dana Tschannen, PhD, RN; Kyung Hee Lee, MPH, RN Patient falls in hospitals continue to be a major and costly problem. This study tested the mediating effect of missed nursing care on the relationship of staffing levels (hours per patient day [HPPD]) and patient falls. The sample was 124 patient units in 11 hospitals. The HPPD was negatively associated with patient falls (r = − 0.36, P < .01), and missed nursing care was found to mediate the relationship between HPPD and patient falls. Key words: falls, missed nursing care, staffing P to 12% of hospitalized patients experience at least 1 fall during their hospital stay.1 A fall is defined as any event in which patients are found on the floor (observed or unobserved) or an unplanned lowering of the patient to the floor by staff or visitors.2 In 2008, and 2010, falls were identified as one of the top 10 sentinel event categories by the Joint Commission.3 Fall rates in hospitals range from 4 to 14 falls per 1000 patient days.4 With the adoption of the Centers of Medicare and Medicaid rule, which no longer reimburses hospitals at the higher diagnosis related group for the care and treatment associated with patient falls that occur during hospitalization, a clearer understanding of what factors U Author Affiliations: School of Nursing, University of Michigan, Ann Arbor, Michigan (Drs Kalisch and...
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...research reveals that there is a significant reduction and/or total remission of both of these co-morbidities that were often life long. Other benefits, such as quality of life, social standings, and healthcare cost reduction are examined and positively reported. Review of current data to include strengths and weaknesses, conceptual frameworks, and the current state of knowledge reveal that bariatric procedures have shown the efficacy and safety in the treatment of morbid obesity and have gained wider acceptance in the medical world. Synthesis of Bariatric Surgery and the Effects on Comorbidities For years people have turned to diets in an effort to lose weight and get healthier. At no time has that been more the case than in America today. People spend billions of dollars a year trying to lose weight and the numbers are not encouraging. The prevalence in obesity with related Type II Diabetes and Hypertension is growing at an alarming rate, calling for other alternatives such as crash diets and extreme exercise plans. People have now turned to a new method to lose weight. Bariatric surgery, in all its forms, offers and alternative to what people have been trying to do on their own (Arterburn et al., 2013). There has been an abundance of research on the subject, with...
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...20th century, comfort was the central goal of nursing and medicine. Comfort was the nurse's first consideration. A "good nurse" made patients comfortable. In the early 1900's, textbooks emphasized the role of a health care provider in assuring emotional and physical comfort and in adjusting the patient's environment. For example, in 1926, Harmer advocated that nursing care be concerned with providing an atmosphere of comfort. In the 1980's, a modern inquiry of comfort began. Comfort activities were observed. Meanings of comfort were explored. Comfort was conceptualized as multidimensional (emotional, physical, spiritual). Nurses provided comfort through environmental interventions. It was in this decade that Kolcaba began to develop a theory of comfort when she was a graduate student at Case Western Reserve in Cleveland, Ohio. She is currently a nursing professor at the University of Akron in Ohio. Kolcaba's (1992) theory was based on the work of earlier nurse theorists, including Orlando (1961), Benner, Henderson, Nightingale, Watson (1979), and Henderson and Paterson. Other non-nursing influences on Kolcaba's work included Murray (1938). The theory was developed using induction (from practice and experience), deduction (through logic), and from retroaction concepts (concepts from other theories). The basis of Kolcaba's theory is a taxonomic structure or grid that has 12 cells (Kolcaba, 1991; Kolcaba & Fisher, 1996). Three types of comfort are listed at...
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...Bullard Grand Canyon University Introduction to Nursing Research NRS433 Martha Schmidt October 07, 2012 Research Critique, Part 2 The purpose of this paper is to critique an article on the circumstances and characteristics of why patients fall in the hospital setting. The article being critiqued defines a fall as an unexpected drop from a sitting, standing, and lying position, which include an assisted fall (where someone helps guide them to the floor), slipping from a chair to the floor, and when a patient is found on the floor (Hitcho et al., 2008). This critique will discuss data collection, data management, analysis, and interpretation of the findings. The Washington University Institutional Review Board gave their approval for this study. Written consent was waived due to the fact that this study was part of a hospital-based project to improve quality. The study did not pose any risks to the patients as the patients were not put in any situation to induce a fall, and no precautions were taken away from patients that prevent falls. Several sources and a comprehensive fall data collection tool was used to collect data on the patients that fell during their hospitalization which included: the database of adverse events, the electronic medical record, the paper chart, and patient/ family interviews, where no objections to being interviewed were noted (Hitcho et al., 2008). The variables that were identified in the study were the patient’s information, details of the...
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...step back and reevaluate who is making these recommendations and for what reasons. The cost to vaccinate a child from birth to eighteen has risen from one hundred dollars in1986 to $2,192 (Rosenthal). Vaccine manufacturing is a huge business with a vested interest in mandating vaccines. The decision to vaccinate should be left to the patient and parents, not the government or vaccine manufacturers. Data shows that even before vaccines most of the diseases we vaccinate for were on the decline (Obomsawin). Childhood illness rates have been on a steady increase over the last few decades. As the childhood vaccination list grows, so does the steady increase in asthma, diabetes, juvenile rheumatoid arthritis, and autism (Fisher “In the Wake of”). In a retrospective study of children under the age of one, who had the DPT shot delayed by four months showed to have reduced the incidence of asthma by six percent on average (McDonald et al. 628). Parents and health care providers need to ask how much...
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...Health Promotion Elva Cantu 09/08/12 Health Promotion Health promotion is helping people take charge of their body in order to obtain the best health possible. It is learning to balance physical, social, emotional, intellectual and spiritual health. Lifestyle change is encouraged through awareness and through an environment that supports good health practices. The purpose of health promotion is to encourage good health behaviors and improve living and working conditions which will then enhance a better quality of life and reduce premature deaths. There are three levels of health promotion prevention which include primary, secondary, and tertiary prevention. Primary prevention is an action taken before there is any onset of disease and it removes the possibility that the disease will occur. Positive health is promoted and encouraged which in return, enables an individual to lead a productive life. Secondary prevention is an action taken to stop the progress of a disease at its beginning stage and prevent complications. It is in the domain of clinical medicine. It is less effective and more expensive than primary prevention. The third level is tertiary prevention which provides measures to reduce or limit disabilities and impairment caused by disease and bad health. It lessens suffering and helps patients adjust to the conditions. There are various theories on how to implement health promotion which targets behavior change. Elder et al....
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