...Aim of the Study: This study aims to assess the effect of an Intervention program about Health Care Waste Management for Nurses working in Maternal and Child Health Care Centers At kalyubia Governorate on their knowledge and practice level, through Determining the knowledge level of nurses regarding health care waste management before and after implementing the intervention program. Assessing practice of nurses before and after implementing the intervention program. Research Hypothesis: The implementation of the intervention program will improve the nurse's knowledge and practice about waste management in MCH centers. Material and Methods: Research Design: A quasi-experimental design used in this study. Research Settings: The...
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...Hand Washing Nursing school/intervention August 3, 2011 To eliminate and prevent infection there are several precautions that one needs to follow no matter what your job is, in any healthcare facility. In order to prevent infection the following elements are important standard precaution factors; hand washing, gloves, masks, gowns, appropriate device handling and laundry. The standard precautions means that you must treat all patients as potentially infectious, which apply to all human blood, body fluids, secretions and excretions, non-intact skin and mucous membranes. The most effective, least expensive and simplest way to prevent the spread of infection is by washing your hands. A good reason to wash your hands is the growth and reproduction of bacteria. Bacteria reproduce by a process known as “binary fission.” Each cell of bacteria grows to its maximum size and then divides in the middle to form two new cells of bacteria. “The time required for this growth will take place amount to about 15 to 30 minutes. In only 8 hours, one bacteria cell can multiply to more than 3 billion cells in size, but more importantly, we aren't dealing with just one cell, there are many bacteria cells. Unclean hands alone can be responsible for 500 to 1000 bacteria’s.”(Infection Control Orientation) This is why so much emphasis is placed on good frequent hand washing. Hand washing should be done after interacting with all patients whether or not gloves are worn. You should always...
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...Running head: NURSING INTERVENTIONS AND EVALUATION Caring For Populations Part 3-Nursing Interventions and Evaluation Alexis Hunter Chamberlain College of Nursing NR443 Community Health Nursing Summer Semester 2010 Nursing Interventions and Evaluation: Human Immunodeficiency Virus: (HIV) HIV infection remains a significant problem in Duval County, Florida. This disease significantly affects many communities and Duval County shares one of the highest HIV rates in America. One reason why Duval County faces higher rates of infection is because of the high minority population. Also, high levels of poverty and unemployment can make it difficult for a person to maintain health insurance to access their primary care provider and get the necessary treatment for HIV. Social stigma also plays a part in and negative attitudes of the community can prevent a person from seeking treatment or even testing for HIV. In this paper, three community health interventions that will address the main factors that contribute to HIV infection will be discussed. The best defense against HIV is educating the public about the disease. Regular testing for HIV is very important as well. The first intervention would to be involved in a local testing center and be able to test individuals as well as educate them on the disease. The majority of people at risk for HIV are located in the downtown area. There is a large homeless population and most lack insurance...
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...There is a popular slogan that states, “Nurses save lives.” Indeed, nursing is a crucial element in improving any patient’s condition. The overall goal of nursing is to provide safe and effective patient centered care in efforts to improve patient condition. Nursing professionals must to be careful when completing interventions, because those interventions could either have a positive or negative effect on the patient condition. Research is a way nurses can validate effectiveness of everyday nursing practices and provide reasoning for the interventions done (Fain, 2015). For example, a bedbound patient needs frequent rotating in an effort to maintain skin integrity and prevent pressure ulcer development. This intervention did not always exist; research findings proposed this intervention. Also, research studies are vital in nursing practices, because it brings the ineffective practices to the forefront and introduce more effective practices (Fain, 2015). In the 1900’s, safety needles, needle boxes, red bags, etc. did not exist. However, these safety techniques have been implemented in today’s nursing practice to ensure patient and nurse safety. The development and progression of nursing practice has been successful thus far due to research....
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...Nursing Interventions for Patient Safety Nursing Interventions for Patient Safety The evolution of nursing is one that is rich in history and clinical practices and has existed for hundreds of years for health care issues. This author has work experiences from 1978 to 1996 as a nurse and nursing consultant in long term care and has a personal interest in how the use of restraints has evolved to a patient focused and caring approach that has reduced the rates of restraint use and patient injuries. Nursing evidence based practices for patient safety evolves from current technological advances, research and nursing theory. The purpose of this paper is to address how nursing clinical practices evolved for the use of patient restraints in health care facilities. Identification and Discussion of Health Care Issue The Centers for Medicare & Medicaid Services (CMS) defines a physical restraint as “any manual method or physical or mechanical device, material, or equipment attached or adjacent to the resident’s body that the individual cannot remove easily which restricts freedom of movement or normal access to one’s body” (U.S. Department of Health and Human Services, 2001). Physical force can be human, mechanical devices, or a combination. Some Items that can be used to physically restrain people include bed side rails, waist belts, vests or jackets, hand mitts, arm and leg restraints. This author has witnessed wheel chairs being tied to hallways handrails; patients...
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...Nurses are a key members of your child’s multidisplinary team. The nurse’s role may vary depending on the medical setting and the type of care your child is receiving. The responsibilities of the nurse may include: giving a physical examination; giving chemotherapy and other medications; Identifying patient needs; coordinating care with the other members of the oncology team; educating and counseling patients and families; performing research as part of a clinical trial. Below are some common nursing inventions the nurse will perform on your child. Nursing Interventions Pain Management - The nurse's goal is to alleviate pain to a level that is comfortable for your child. Ensuring your child is comfortable is an important part of the...
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...Nursing Diagnosis: Activity Intolerance Weakness; Deconditioned; Sedentary NOC Outcomes (Nursing Outcomes Classification) Suggested NOC Labels • Activity Tolerance • Energy Conservation • Knowledge: Treatment Regimen NIC Interventions (Nursing Interventions Classification) Suggested NIC Labels • Energy Management • Teaching: Prescribed Activity/Exercise NANDA Definition: Insufficient physiological or psychological energy to endure or complete required or desired daily activities Most activity intolerance is related to generalized weakness and debilitation secondary to acute or chronic illness and disease. This is especially apparent in elderly patients with a history of orthopedic, cardiopulmonary, diabetic, or pulmonary- related problems. The aging process itself causes reduction in muscle strength and function, which can impair the ability to maintain activity. Activity intolerance may also be related to factors such as obesity, malnourishment, side effects of medications (e.g., [pic]-blockers), or emotional states such as depression or lack of confidence to exert one's self. Nursing goals are to reduce the effects of inactivity, promote optimal physical activity, and assist the patient to maintain a satisfactory lifestyle. Defining Characteristics: • Verbal report of fatigue or weakness • Inability to begin or perform activity • Abnormal heart rate or blood pressure (BP) response to activity • Exertional...
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...Nursing care plans for Diabetes Mellitus Submitted by lifenurses on Monday, 4 January 2010 2 Comments Nursing care plans for Diabetes Mellitus, Diabetes mellitus is a disorder in which the level of blood glucose is persistently raised above the normal range. Diabetes mellitus is a syndrome with disordered metabolism and inappropriate hyperglycemia due to either a deficiency of insulin secretion or to a combination of insulin resistance and inadequate insulin secretion to compensate. Diabetes mellitus occurs in two primary forms: type 1, characterized by absolute insufficiency, and the more prevalent type 2, characterized by insulin resistance with varying degrees of insulin secretory defects. Diabetes mellitus is a group of metabolic diseases characterized by elevated levels of glucose in the blood (hyperglycemia) resulting from defects in insulin secretion, insulin action, or both (ADA], Expert Committee on the Diagnosis and Classification of Diabetes Mellitus, 2003. Causes for Diabetes Mellitus The cause of both type 1 and type 2 diabetes remains unknown, although genetic factors may play a role. Diabetes mellitus results from insulin deficiency or resistance. Insulin transports glucose into the cell for use as energy and storage as glycogen. It also stimulates protein synthesis and free fatty acid storage. Insulin deficiency or resistance compromises the body tissues’ access to essential nutrients for fuel and storage. The resulting hyperglycemia can damage many of the...
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...focus of treatment. Indications to intervene 1. The intervention has the potential to increase the child’s comfort level (or decrease their discomfort). 2. The purpose of intervening can be clearly identified. 3. Reduction of parental anxiety could arise from the intervention. 4. Any harm that might result from intervening (e.g. increased discomfort or risk of liver damage) has been balanced against the expected benefits. 5. Symptoms associated with fever which may respond to nursing intervention include: • Flushing of the skin • Skin feels warm to touch • Thirst • Sweating • Headache • Weakness and aching of body parts • Irritability or restlessness • Dehydration associated with vomiting and or diarrhoea 6. In the case of high temperatures disorientation and convulsions may also be observed PROCEDURE To enable the effectiveness of interventions to be assessed, a baseline temperature should be taken before implementing any care. 1. Assess the need to intervene Interventions should be directed toward reducing the child’s discomfort, not the fever. Interventions should always be assessed in terms of potential risks. 2. In the first instance: • • • Remove excess clothing or wrappings. Light clothing an bedding is preferred Ensure air can circulate around the child. Do not use fans or direct air conditioner on to the child. Encourage fluids - 1/24 during the day If the child shivers, cover until shivering ceases These interventions support the body’s physiological response to infection...
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...Charting / Documentation Guide Nursing documentation should be clear, timely, accurate, reflective of observations, permanent and legible. This is a guide and not a complete list. Always follow policies in place at your facility. Medicare Documentation • Must reflect need/reason for skilled care • Must reflect Standard of Care • Describe intervention(s) • Describe resident’s response to intervention(s) • Daily evaluation of progress or lack of progress • Resident response to skilled therapy • ADL function • Changes in condition • Change Care Plan ASAP after change in condition • Notification to MD and family Respiratory/Pneumonia Medicare Documentation • Must reflect need/reason for skilled care • Daily vital signs • Daily and PRN O2 sat level • Daily and PRN lung sounds • SOB with exertion, when sitting at rest or when lying flat • Resident’s response to interventions and skilled therapy • Progress or lack of progress • Change in condition • Change Care Plan ASAP after condition change • Notification to MD and family Bladder and Bowel • Indicate status: always continent, occasionally incontinent, frequent- ly incontinent, always incontinent • Indicate if has catheter (indwell- ing or condom, intermittent), uri- nary ostomy, or no urine output • Toileting program in progress or attempted and outcome • Constipation? Which interventions used, and results? Anticoagulant Therapy Medicare Documentation...
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...Summative Essay Is human intervention an ideological cover for the pursuit of other objectives? We all know what genocide is. We also heard of Holocaust and its Anne Frank diary. Such inhumane killings should not repeat in the modern history due to its immorality, and that is why we saw humanitarian interventions in Rwanda and Somalia in 1990s. However, it is questionable of what was the real purpose. I believe that humanitarian cause is necessary but not an adequate condition for any act of intervention, which can be shown by case studies. In order, I will discuss the meaning of intervention and its presumed ideologies. I will also list out the possible diplomatic objectives hid behind these actions and their significance compared to the original motives. Intervention and its ideologies: Failure from core objectives Interventions are defined as a use of threats or forces upon another nation to prevent or end violations of human rights occurred within its territory, ‘without the permission of the state within whose territory force is applied’ (Holzgrefe and Keohane, 2003: 18), implying an inevitable breach of sovereignty. We also have the non-violent resolutions such as humanitarian aids and economic sanctions, but the main focus here is on intervention involving armaments. Interventions are rooted from its core ideology: to save people. It is a ‘Responsibility to Protect’ (R2P) individuals from being deprived from basic needs, including food, shelter...
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...Running head: PYRAMID Pyramid of Intervention Gregory Boston Grand Canyon University: EDA-561 April 23, 2012 Pyramid of Intervention Ideally, each scholar should be given an equivalent opportunity for education that will lend the appropriate amount of supports that is needed to reach their educational goals and to provide for their academic needs. This right references an individual’s constitutional entitlement and it is the right of each scholar. It is the basis of their right to receive the same free and appropriate instruction as their peers. When scholars are having difficulties accomplishing their academic goals and are not achieving as excepted, adequate supports are to be provided that will promote the integration of the pupil. The Pyramid of Intervention (POI) allows for a process that supports the scholars that continue to struggle to reach designated goals. Pyramid of Intervention is a term that is assigned to apply to systems of support. Such supports collectively collaboratively make available the needed supports for the student that has difficulties using traditional strategies. The mentioned supports and accommodations that may be able to generate a significant difference in the progression of educational achievements of the struggling learner. The author of this essay will attempt to elaborate on the definition and the purpose of the Pyramid of Intervention. It also elaborates on the use of the POI, and the process of creating one for a given district...
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...provided: * Randomized Controlled Trials – An RCT is a study that measures interventions effect by randomly assigning a person or persons to intervene into a program environment where non-intervened groups can be observed as well. * Direct Controlled Trials – Environment factors can be directly controlled to test effectiveness of a weapon system or new technology expected to operate in the environments that are created and directly controlled. * Quasi-Experimental or Comparison Group Studies – those with compared to those without intervention. * Non-Experimental Direct Analysis – may be used to analyze why a program is so effective. More detailed descriptions of these basic assessment methodologies are provided by the author, who goes on to introduce one of the central challenges to developing strong evidence of a program’s effectiveness – VALID measurement of the outcome or impact of a program compared to VALID measurement of what outcomes would have been in the absence of the program. This probably leads to another supported white paper for modeling and simulation. This article goes on to support the RCT and the unique advantage it has to allow for the evaluation of the intervention itself, as opposed to other factors, that cause the observed outcomes. With large enough numbers in the intervention group, there can be no doubt that the observed differences are attributable to the intervention RCT. The random selection is...
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...My intervention would be a qualitative case study done with a county in each region of Appalachia. Case studies are great for investigating an on-going, research based, phenomenon in a specific context. I think this fits our situation well and would allow for ongoing support and adjustment as needed on an individual basis. I would treat each region as its own control by comparing their base line to their results after one year of the intervention. Phase one in each county is to identify community leaders. I value programs being built within the community by the community, so I would designate a trusted leader to help us. I thought this was a valuable aspect of the first study referenced above. As has been seen in other studies, church pastors have been shown to be reliable and respected leaders in their community, so we would do our best to include as many as possible (Schoenberg, Bundy, Baeker, Studts, Shelton, & Field, 2015). We would be to interview community leaders to determine what they identify as the most prominent issue facing their community, substance misuse or not. We know that church leaders in 26 different counties identified substance abuse as their community’s top problem in 2015 so we would provide...
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...As nurses we need to explain the outcome of not getting surgery what can and will happen, which give us the three interventions one is Patient Advocate, Beneficence and Fidelity. (Hinkle, 2014). To support these three we need to one understand the patient’s beliefs, and try and meet their needs related to their religious beliefs. Offering education on the diagnosis and making sure they understand the outcome. For the nurse we need to respect human dignity, the right to self-determination. “Use clear and specific dialogue, absent of innuendo, metaphor, slang, and ambiguity; speak in a normal volume but more slowly. Pay attention to concerns about space, time, modesty, touch, and clothing, and honor preferences for male or female providers. Use professional medical interpreters with all limited English proficiency patients. Even if patients are familiar with...
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