...assessment tool used in community nursing that helps the community nurse become familiar with a certain area. This identifies the health needs of a particular community focusing on the exclusive needs of a certain community. This involves driving and walking through the targeted community to observe the communities characteristics. The observed neighborhood was the Bronx, district 11 of Morris Park. Morris Park borders Pelham Parkway at the north and on the east and south borders is Amtrak railroad tracks. To the east is the Hutchinson Parkway. Morris Park is comprised of both commercial and residential buildings. The residential buildings are mostly found on the smaller streets. The commercial buildings are on the outskirts of the neighborhood. Housing and Zoning The zoning regulations are a mixture of commercial and residential properties mostly made up of medium to low density occupancy. The residential area is mainly three family houses which accounts for approximately 90% of the buildings. These units are detached, semi-detached and attached houses. Some of the houses are as old as 70 years old with some as young as 10 years old. Most are kept in good condition. All of the homes are equipped with plumbing, heating and some with air conditioners. Open Space While evaluating the community it was found not to have a lot of green or open spaces. On the outskirts of Morris Park there are some beautiful open green spaces. Off Pelham Parkway there is a street called “Greenstreets”...
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...Online research: 1. Who is Chris Christe? What state is he governor of? Where is that state? * Christopher James “Chris” Christe. * Born September 6th, 1962 in Newark, New Jersey. * New Jersey is a state in the Northeastern and Middle Atlantic regions of the US. It is bordered on the north and east by New York State, on the southeast and south by the Atlantic Ocean, on the west by Pennsylvania, and on the southwest by Delaware. New Jersey is the fourth-least extensive, but the 11th-most populous and the most densely populated of the 50 United States. New Jersey lies entirely within the sprawling combined statistical areas of New York City and Philadelphia. * An American attorney & politician. * The 55th Governor of New Jersey. * A leading member of the Republician Party. 2. What is the Bridgegate scandal? * Also known as The Fort Lee Lane. * Is a US political scandal in which staff members and political appointees of NJ Governor Chris Christie conspired to create traffic jam in Fort Lee, NJ, starting at an entrance to the George Washington Bridge. * The problems began on September 9, 2013, after two toll lanes (at one of the toll plaza entryways) were closed to local traffic from Fort Lee and surrounding communities and used for traffic from state and interstate expressways instead, resulting in massive back-ups in Fort Lee. * Christie's advisers and staff, including the governor's deputy chief of staff, press secretary, and...
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...Corleone Pasta and Pizza 15 Main Street New Rochelle, NY 10801 The proprietors of this new restaurant plan to take advantage of their market research, which indicates there is a great interest and very little competition in a specific area of New Rochelle for a pasta and pizza restaurant. EXECUTIVE SUMMARY Corleone Pasta and Pizza will be an eat-in, carry-out restaurant, specializing in evening and weekend leisure dining. New Rochelle is a multicultural city with a lot of Italian descendants. The downtown, where Corleone Pasta and Pizza will be located, is a commercial area with lots of businesses, and a great spot to entertain. What makes Corleone Pasta and Pizza different as a business proposition? New restaurant openings are known to be risky. What have we done to neutralize these risks and assure success? First, we have identified and unfulfilled market through some surveys, and marketing study in the area of New Rochelle, and close cities like Pelham, and Larchmont. Our research has demonstrated that 87% of the sample population that we used for our research are very interested in our business proposal. Through this research, we have learned that people are unhappy with the quality of food and service offered by other related businesses, and they would be happy to patronage a good pasta and pizza restaurant with an excellent customer service. The research of the population demographics of this area, also revealed that people tend to go out to eat as frequently as...
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...“Map out your future - but do it in pencil. The road ahead is as long as you make it. Make it worth the trip.” -Jon Bon Jovi (http://www.brainyquote.com/) Bon Jovi a native New Jerseyan said this and he is not wrong. When looking at the future, it is not always clear or concise and the case is definitely the same with the future of New Jersey, from high levels of migration out of the state coupled with very little migration in the state, combined with high property taxes as well as a high cost of living and finally with a quickly dwindling revenue; New Jersey's future is not assured, but then again no future is. New Jersey though apparent in its vast history, a history filled with settlement, colonization, changing the face of transportation, as well as making starting progress in many other movements, never one to be outdone; New Jersey finds itself in the midst of a new movement. Many New Jerseyans are moving out of the state they once called home. The rate of migration is actually very startling, statistics show that in the recent years there has been an increase in the number of people moving out of the state versus the numbers of people moving into the state. According to an article posted by NJ.com; 2 out of 3 families in the year 2015 have been moving out of New Jersey after only recently moving there the previous year, this marks one of the highest migration rates in the country according to United Van Lines a moving company. “New Jersey had the greatest percentage...
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...passes through a major shopping area consisting of numerous malls, Hackensack, Englewood, and Fort Lee. West of Route 208, the route is a surface arterial lined that runs through commercial areas. Route 4 intersects many important roads, including Route 208 in Fair Lawn and the Garden State Parkway and Route 17 in Paramus. The highway is officially named the Mackay Highway,[2] but is rarely referred to as such. Route 4 was legislated in 1927 to run from Cape May to the George Washington Bridge. This route replaced pre-1927 Route 14 between Cape May and Seaville, what was planned as pre-1927 Route 19 between Seaville and Absecon, pre-1927 Route 4 between Absecon and Lakewood and South Amboy and Rahway, and a spur of pre-1927 Route 7 between Lakewood and Freehold, with the rest of the route to be built on a new alignment. The present-day routing of U.S. Route 9 between Cape May and South Amboy and Route 35 between South Amboy and Rahway bore the Route 4 designation prior to 1953, when the route was defined onto its current alignment. Several spurs of Route 4 existed before 1953 and the Garden State Parkway was originally planned as a bypass of Route 4 that was to be designated Route 4 Parkway. Today's stretch of the route was...
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...Early in the morning, the sun shone trough my bedroom window just as I woke up. I looked out my window and noticed that My Aunt's Car wasn't there In the Parking Lot. I asked the Maid what happned and she told me that my Aunt was out. As I felt bored, so I decided to call my uncle to ask him what to do. My Uncle answered the call and said that I Could come to his house and disscus what to do in his house. Once I reached his house, he told me that we could go cycling. As it was a school holiday, the beach was packed with people. The sky was clear blue. Occasionaly, we could hear the airplanes soaring above our heads. The Airplanes made white lines around the sky, filling the sky with beautiful patterns made by the white lines. As we started walking to our right, the hustle and bustle of a Bicycle Rental Shop could be heard. Smells of the aroma of mouth watering food could be smelt from a distance. When we entered the shop we were greeted by sales assistants standing by the door. One of the sales assisstants took us to the mountain bike section. As I entered the section, I was amazed by the sight. From head to toe were colourful bikes lining agaiinst the walls. Small bikes, medium bikes and large bikes were piled against the wall. I chosed a ruby red bike and my Uncle chose a blue bike. As we had a day rental, we decided to cycle to Changi Beach and East Point. I hopped on my bike and started to cycle. along the way we passed many shops selling food, drinks, children playing...
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...Stress Stress is the adverse reaction people have to excessive pressure places on them from extraordinary demands, constraints, or opportunities. (Robbins, Decenzo & Coulter) Stressors Task Demands Task demands are factors related to an employee’s job. (Robbins, Decenzo & Coulter). Management in parkway is more concern about the quantity of patients in the nursing home. There is high increase of injuries rate in Parkway every year except for Year 2009, workers often end up with aches all over their body and back strains after work due to lifting of patients and need to be excused from work for a long period of time. Combining the two observations, workers feel stressed when they are required to oversee so many patients and get injured from time to time. Role Demands Role demands are pressures placed on an employee as a function of the particular role he or she plays in the organization. (Robbins, Decenzo & Coulter). Workers experiences role ambiguity when they need to communicate information across shifts. They do not have sufficient time to check on what happened in the previous shift. Interpersonal Demands Interpersonal demands are pressures created by other employees. (Robbins, Decenzo & Coulter). As mentioned previously, workers do not have sufficient time to check on previous shift. Younger caregivers prefer to document patient outcomes electronically because they can type faster whereas the older caregivers are more committed to paper-based process...
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...weaknesses of the particular community. According to Harkness and DeMarco, (2012), the basis of a windshield survey is to acquire knowledge about a client’s community by conducting an appraisal of the environment in pursuance of comprehending more about where the client lives, their health obstacles, and health resources. The objective for a nurse to assess a community is to establish both positive and negative factors that affect the health of the people and generate health promotion strategies (Anderson and McFarlane, 2014). Landmark Crest is a small community of about a square mile in the western part of the City of Alexandria in Virgina. It has physical peripheries with highway 395 to the north, Farrington Ave to the south, Holmes Run Parkway and Stultz road to the east and west respectively. The community is officially listed as part of Landmark/Vandorn area by the City of Alexandria. The area consist of relatively old detached houses mostly built in the early 1970’s and ten high rise buildings with different architectural styles. Most of the houses have spaces in front and back with bicycles parked in the balconies of the apartments. Most of the buildings are affordable housing built specifically for low income families. There are five buildings in the area specifically for businesses such as physician offices and banks, and are separate from the residential buildings. There is a strip mall located on the southern part of the area and contains grocery shops, bars, restaurants...
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... 9 - 10 9. Conclusions 10 10. References 10 - 11 1. Introduction Management is guiding human and human physical resources into dynamic organization units that attain their objective to the satisfaction of those served and with a high degree of morale and sense of attainment on the part of those rendering the service. 2. Purpose of Plan This swot aims to review the management problem faced by Parkway Nursing Care and recommend possible solutions. The objectives of this swot are: * To categorize through various theories the issues faced by the management. * To recommend ways to improve the management system. 3. Background Information Parkway Nursing Care, founded in 1972 in Phoenix, Arizona is a nursing home that was very successful in the 1980s with its skilled nursing services. However, due to its rapid expanding company, the service and management have been beleaguered by patient abuse and billing fraud. As aging population increases, the demand of beds and services from the nursing home increases. 4. Management Environment The management environment is a high-level view of your...
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...some people, but it can also be highly stressful. In the following scenario, consider how a company in the nursing care industry is responding to the challenges of the new environment. Major Topic Areas * Stress * Organizational change * Emotions * Leadership The Scenario Parkway Nursing Care is an organization facing a massive change. The company was founded in 1972 with just two nursing homes in Phoenix, Arizona. The company was very successful, and throughout the 1980s it continued to turn a consistent profit while slowly acquiring or building 30 more units. This low-profile approach changed forever in 1993 when venture capitalist Robert Quine decided to make a major investment in expanding Parkway in return for a portion of its profits over the coming years. The number of nursing homes exploded, and Parkway was operating 180 homes by the year 2000. The company now has 220 facilities in the southwestern United States, with an average of 115 beds per facility and a total of nearly 30,000 employees. In addition to health care facilities, it also provides skilled in-home nursing care. Parkway is seen as one of the best care facilities in the region, and it has won numerous awards for its achievements in the field. As members of the baby boom generation become senior citizens, the need for skilled care will only increase. Parkway wants to make sure it is in a good position to meet this growing need. This means the company must continue...
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...Family Health Risk Assessment Athena Farella RN, CVN NURS 3200 Professional Nursing Practice: Health Promotion in the Community Kean UniversityProfessor Denise Van Sandt – Smith MSN, RN Professor Ruth Gorrell MSN, RN Professor Keddi Koovits, MSN, RN Abstract The B family lives in Marlboro, New Jersey. They are a family of four leading a very busy daily routine. Through changes in family structure, work routines along with an increase in daily activities of the children Mr. and Mrs. B family express concerns about finding ways to incorporate nutrition, health and exercise into their daily routines. They are meeting with a nurse through in home visits to learn ways to promote a healthy diet and lifestyle. The B family, through education, health promoting behaviors and following proper nutrition guidelines have begun to reduce their risk of heart disease and obesity. Family Health Risk Assessment Identifying Data The B family is a middle class nuclear family living. Their family was a traditional nuclear family after the births of their children with Mr. B working and Mrs. B staying home with the children, but is considered slightly less than traditional as Mrs. B has returned to work. The B family is a dual-parent family living in a middle class suburban neighborhood in Marlboro, N.J. Both parents work full time outside of the home with Mr. B traveling frequently for work. Both children attend public schools and are bussed to and from school daily. Mrs...
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...Safe Lifting and Movement of Nursing Home Residents 1 Safe Lifting and Movement of Nursing Home Residents 2 Safe Lifting and Movement of Nursing Home Residents Safe Lifting and Movement of Nursing Home Residents by: James W. Collins, PhD, MSME Associate Director for Science Division of Safety Research National Institute for Occupational Safety and Health Centers for Disease Control and Prevention Morgantown, West Virginia Audrey Nelson, PhD, RN, FAAN Director Patient Safety Center for Inquiry James A. Haley Veteran’s Administration Hospital Tampa, Florida Virginia Sublet, PhD, RPh Senior Toxicologist Oak Ridge Institute for Science and Education Windermere, Florida DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention National Institute for Occupational Safety and Health i 3 Safe Lifting and Movement of Nursing Home Residents This document is in the public domain and may be freely copied or reprinted. Disclaimer Mention of any company or product does not constitute endorsement by the National Institute for Occupational Safety and Health (NIOSH). In addition, citations to Web sites external to NIOSH do not constitute NIOSH endorsement of the sponsoring organizations or their programs or products. Furthermore, NIOSH is not responsible for the content of these Web sites. Ordering Information To receive documents or other information about occupational safety and health topics, contact NIOSH at: NIOSH-Publications Dissemination...
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...Running head: MY NURSING PHILOSOPHY My Nursing Philosophy and How Nursing Impacts My Life Liza Guillen Broward College My Nursing Philosophy and How Nursing Impacts My Life In order to fully understand my personal nursing philosophy I had to first begin to research the meaning of the word philosophy. Philosophy: the rational investigation of truths and principals of being, knowledge or conduct (http://dictionary.reference.com/browse/philosophy). Nursing can be defined differently by each individual. The word nursing comes from the Latin word nutricius, which means “nourishing.”(Nursing Today). To nourish is to provide any type of care necessary to promote; maintain life and growth. But what does care really mean? Well caring is defined as “feeling and exhibit concern and empathy for other” (the free dictionary). A nurse incorporates all of these meanings into not only patient care but to a way of life in order to truly believe and live by his or her own philosophy of nursing. Dr, Jean Watson’s caring theory incorporates three main elements of caring into her theory which are carative factors, the transpersonal caring relationship, and the caring occasion/caring moment (Watson, 2001). These elements describe the trusting relationship a nurse must create with the patient, the time and space to do so, and the how a nurse extend beyond their own sense of self to understand and care for others as unique beings. I believe these elements guide nurses to serve...
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...University: NRS-430V November 10, 2013 There was a time when a being Registered Nurse (RN) was sufficient and society did not express concerns on how an education was obtained. The baccalaureate nursing program is considered to be the beginning level of professional nursing. The nursing profession is often confusing mainly because of the various entry levels into the nursing field (Creasia & Reid, 2011 p 25). The ways it can be received are from a hospital diploma program, community college or four-year university. Nursing is a wonderful and humbling profession and it is often a self-disciplined one. No longer is it mainly focused on direct patient care and clinical skills, but one of more complexity that requires advanced skills, assessments, critical thinking, leadership, clinical decision making, case management, health promotion, and collaboration with other discipline of healthcare (Rosseter 2012). There are two types of RN’s, an Associate Degree Registered Nurse (ADN) and a Baccalaureate of Science Degree Nurse (BSN). Both of these types of graduates sit for the same examination to become licensed which is called the NCLEX-RN. However, there are differences in competencies between the two. In relation to nursing, competencies are defined by education and skills for each nursing titles (Hardy, 2013). The ADN is usually comprised of being a two or three year program and is found in community colleges or junior colleges. The programs are more directed to patient care,...
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...Why RN TO BSN The Need for Highly-Educated Nurses In the 21st century, the health challenges facing the nation have shifted dramatically. The American population is older—Americans 65 and older will be nearly 20 percent of the population by 2030—as well as more diverse with respect not only to race and ethnicity but also other cultural and socioeconomic factors. In addition to shifts in the nation’s demographics, there also have been shifts in that nation’s health care needs. Most health care today relates to chronic conditions, such as diabetes, hypertension, arthritis, cardiovascular disease, and mental health conditions, due in part to the nation’s aging population and compounded by increasing obesity levels. While chronic conditions account for most of the care needed today, the U.S. health care system was primarily built around treating acute illnesses and injuries, the predominant health challenges of the early 20th century. The ways in which nurses were educated during the 20th century are no longer adequate for dealing with the realities of health care in the 21st century. As patient needs and care environments have become more complex, nurses need to attain requisite competencies to deliver high-quality care. These competencies include leadership, health policy, system improvement, research and evidence-based practice, and teamwork and collaboration, as well as competency in specific content areas such as community and public health and geriatrics. Nurses also...
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