...Change Paper Nursing 427 By Jennefer Grady Table of Contents Introduction………………………………………………………………..3 Lewin’s Theory……………………………………………………………..4 Problem Statement………………………………………………………….5 Proposed Solution…………………………………………………………..6 Moving Forces………………………………………………………………7 Restraining Forces…………………………………………………………...8 Change Integration…………………………………………………………..8 Refreezing Process…………………………………………………………..9 Introduction On patients requiring bipap masks, what is the effect of applying duoderm to bridge of nose compared to not using any barrier to prevent skin breakdown while in the hospital? This paper is about a problem that has been identified in the nursing field and the change process. Patients who need to wear a bipap mask for better oxygenation are having complications with the mask causing a pressure ulcer on the bridge of the nose. This is not only painful to the patient but also increases health cost. This paper is about Lewin’s change theory and how to implement this new change and overcome resistance. It will talk about the freezing, moving and refreezing process, changes that need to be made and how to implement this plan. As well as what is necessary to enforce this change so that it becomes status quo. Lewin’s Theory Kurt Lewin was born in Germany and immigrated to the US in August of 1933, after Hitler came to power. He had originally been involved with schools of behavioral psychology before changing directions and going into research. He is well...
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...The purpose of this paper is to perform a holistic assessment of the older adult using the SPICES tool. What is SPICES? The acronym SPICES stands for Sleeping disorder, Problems with eating and feeding, Incontinence, Confusion, Evidence of falls, and Skin breakdown (Fulmer & Wallace, n.d.). Each area of the tool is important to assess in order to address problems and develop interventions or solutions to the problems to ultimately provide quality patient care. Sleep is important not only for promoting healing, but also for the overall well-being of the individual. When there are problems with the sleeping pattern, it impacts the overall health and safety of the older adult. The person will not have enough rest and too tired to perform...
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...Abstract As life expectancy increases the number of older adults requiring long-term care of some kind increases. These adults have varying needs, but most adults have problems with skin integrity, muscle weakness, and emotional issues in long-term care facilities. Interventions to meet these needs focus on preventing skin break down, improving muscle strength to prevent falls, and settings that promote usefulness and a feeling of not being alone. Current options available to older adults may not meet all of their needs, and creativity is needed in devising interventions to meet these needs. Structuring long-term care settings to encourage activity in older adults and connecting with other generations can help prevent feelings of loneliness and uselessness, and help older adults live meaningful and productive lives in long-term care settings. Long-Term Healthcare Needs of the Elderly As adults age many will require long-term health care. The evolving needs of the older adult population will require creative and new ways to meet their health care needs. This paper will look at the needs older adults have, and options that are currently available to meet these long-term care needs. This paper will also present new options that have been proposed for long-term health care settings, how these options compare with current interventions, and what outcomes can be expected if these new options are implemented. The Problem As life expectancies increase the older adult population...
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...Amanda Phillips Research Paper Professor Perry Fundamentals of Human Nutrition April 2, 2013 Vitamin B Complex is made up of several B vitamins. They are essential for the bodies normal functions. B vitamins can be referenced by many different names such as vitamins B1, B2, B3, B5, B6, B7, B9, and B12. There are also their scientific names: thiamin (B1), riboflavin (B2), niacin, nicotinamide or nicotinic acide amide (B3), pantothenic acid (B5), pyridoxine (B6), biotin (B7), folic acid or folate (B9), and cobalamin (B12). Each vitamin B has its role in our health and is important for a healthy body. For example Vitamin B1, thiamin, plays many key roles in the body: metabolic cycle for generating energy, aids in the digestion of carbohydrates, essential for the normal functioning of the nervous system, muscles and heart; stabilizes the appetite; promotes growth and good muscle tone. Having a B1 deficiency may lead to mental depression and constipation; weakness and feeling tired; nervous irritability; insomnia; the loss of appetite; paralysis and loss of weight; or even heart and gastrointestinal problems. Vitamin B2, riboflavin, is necessary for carbohydrate, fat and protein metabolism; aids in the formation of antibodies and red blood cells; maintains cell respiration; necessary for the maintenance of good vision, skin, nails, and hair; alleviates eye fatigue, promotes general health. Having a deficiency of B2 may result...
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...problem, it is a liver infection that can cause serious complications and is potentially life threatening arising from the Hepatitis B virus (HBV). This paper will provide an overview of hepatitis B, including demographic information, determinants of health, the epidemiological triangle, the role of the community health nurse and a national organization that addresses the communicable disease. Hepatitis B is an infection of the liver caused by HBV; the infection can be classified as acute or chronic (Daniel, 2014). An individual with acute hepatitis infection may not exhibit symptoms and are unaware they may be carrying the HBV. During this time, individuals infected with the virus may pass the virus on to others, symptoms do not persist longer than two to three weeks, it is considered short term. Normal liver function returns in four to six months. Symptoms include loss of appetite, nausea and vomiting, low-grade fever, tenderness to right upper quadrant, jaundice, fatigue, muscle and joint aches and pain (Daniel, 2014). Tests performed will be positive for the hepatitis B virus, which are HBsAg+, HBc-IgM and HBe-antigen. The HBV is transmitted when the virus enters the bloodstream through breaks in the skin, the mouth and genitalia areas. Examples include unprotected sex, exposure to needle sticks, skin punctures (skin piercing, tattoos, acupuncture) and sharing personal items that are contaminated (www.cdc.gov). Healthy adults with a strong immune response are likely...
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...Advanced Information Management and the Application of Technology C156/WTT Task 1 Teresa Miller Student id: 000273119 Proposal Our one hundred bed hospital is in need of updating from paper charting to computerized health records. In doing this, we will meet our goal of compliance with meaningful use legislation. We assembled a team of members to assist with this task and together we have narrowed the search to two health care systems. Those two systems are EPIC and Meditech and we will now discuss the advantages and disadvantages of each, with a final recommendation for our new healthcare system. Identification and Roles of Team Members/Expertise The first person on this team is the acute care nurse manager. The acute care nurse manager is a bachelor prepared nurse and is beneficial to this team because of her close relationship with staff nurses. She will have input from floor nurses and be able to contribute important information about charting from the nursing standpoint. The nurse manager will be able to assist with questions that staff nurses may have during implementation and training. This member is able to discuss what the nursing staff needs for adequate charting. She will be able to look at each computerized system and contribute a nurses point of view. The second team member will be the chief medical officer. The physician has the input from other doctors and will be able to answer questions for other...
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...that will give identify specific marketing strategies for achieving those objectives and goals such as, Product Strategies, Distribution Strategies, Promotion Strategies, and Pricing Strategies. After reading this information you will fully understand the marketing plan for the cancer treatment center at Lanier Hospital. Demographic profile As of the 2010 census the population of Valley is 9,524. The racial breakdown is whites 64.0%, Blacks 33.0%, American Indian and Alaska Native 33.0% Asian 0.1%, Native Hawaiian and Other Pacific Islander 1.2%, people reporting more than one race 0.1%, Hispanic or Latino origin 1.1%, and white not Hispanic 1.7%. When it comes to the percentage of education it is listed as High school graduates falls at 74.1%. The people amount with a bachelor’s degree or higher is10.9% (QuickFacts from the US Census Bureau, 2012). Below you will find charts that will help you to better understand the gender, age and race breakdown of Valley, Alabama. Gender chart which shows the gender being 47% Male and 53% Female The age breakdown chart states that the largest age group of people is 35 to 44 with 13.7% of the...
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...Running Head: Research Critique Part 1 1 Research Critique Part 1 CLABSI in the Pediatric Oncology Population Cathy Frederick Grand Canyon University NRS-433V Introduction to Nursing Research October 11, 2015 Research Critique Part 1 2 Purpose of the Research This paper will perform a research critique on a qualitative research study published in the Infection Control and Hospital Epidemiology, March 2013, Vol. 34, No.3. The study was presented with contributions from multiple individuals, Dr. A. Gaur, Dr. D, Bundy, C. Gao, PhD, Dr. E. Werner, Dr. A. Billett, Dr. J. Hord, Dr. J. Siegel, Dr. D. Dickens, C. Winkle, RN., and Dr. M. Miller. The research was to identify the host and organism characteristics of the hospital-acquired condition, central line-associated bloodstream infections (CLABSIs) in pediatric hematology/oncology patients. Problem Statement CLABSIs increase the risk for increased mortality and morbidity, extended hospital stays, and raises the overall cost of healthcare. Children’s Hospital Association Hematology-Oncology Quality Transformation Collaborative Project (CHAHQTCP), was a qualitative research project that began on November 1, 2009 and ended July 31, 2011. This project was initiated to identify the contributing factors to blood stream infections (BSI) in pediatric hematology patients. The goal of this research was to reduce CLABSIs by 50%. To be included, the CLABSI needed occur 48 hours after being hospitalized or...
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...Evidence Based Nursing Practice Morise Oluwole Walden University Nurs 4000- Research and Scholarship for Evidence -Based Practice September 6, 2015 PRESSURE ULCERS An essential part of nursing care of hospitalized patients is skin integrity maintenance. As markers of the values or products of care most affected by the assessment and interventions delivered by nurses, the rate of PUs is being screened thoroughly now than ever before (Manning, 2015). Pressure ulcers (PUs) are preventable, but PU rates persist to increase disturbingly fast, according to an article by Gary and Hampton published in 2015, the incidence of PUs has increased in the US between 1995 and 2008. The purpose of this paper is to review the incidence of PUs and how to prevent its occurrence and nurses’ responsibility. Practice Setting Problem Pressure ulcer occurs when part of the skin and the tissues underneath are impaired as a result of being placed under enough pressure to impair blood supply. Immobility-related pressure ulcers are defined as localized areas of tissue damage that develops when soft tissue is compressed between a bony prominence and an external surface for a prolonged time. The most common sites were the sacrum, the heel, the ischium and the trochanter. Pressure is where the weight of the body squeezes the tissues between a bony prominence (such as heel, elbow, sacrum or ischials etc) and a hard surface (such as bed, chair or, in the case of heels, the floor). There are four...
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...USED IN ANIMAL TESTING? Thesis statement: This paper discusses research on how animal testing brings more medical advancement and less human-based experiments and sees if there are any alternatives to the use of animals in research since it is a practice of animal cruelty. Introduction Animal Testing refers to strategies done on living creatures for reasons of exploration into fundamental science and ailments, surveying the adequacy of new drugs, and examining the human health. The processes involved in this testing, even those that are seen to have no significant effect, still cause the animals bodily as well as mental pain and suffering. Often these processes cause a great deal of distress. Some animals are re-used in the succeeding experiments while others are killed at the end of the experiment. Approximately 115 million animals are estimated to be used every year in the world for laboratory experiments (Dawkins, 2012). However, only a few countries assemble and publish the data about the use of animal in testing and research. For instance, about 90 percent of the animals are used in laboratories in the United States. This statistics excludes species, for example, mice and birds, fish, reptiles and invertebrates, thus these figures presented by the U.S, Department of Agriculture is considerably underestimated. Countries in Europe such as France, United Kingdom, and Germany are among those using animals highly in their research with over 12million animals used every year (Kadambi...
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...Infectious Disease/Viruses As of September 7, 2012 there has been a total of 95 cases of West Nile and 5 deaths in the state of Michigan alone. Out of the 44 states that were involved in a breakdown of statewide reported infections, there were a total of 1,992 cases and 87 deaths reported. The Centers for Disease Control and Prevention (CDC) stated that there is a fatality rate that ranges from 3 to 15% and the first case reported of human infection was in 1999. The topics will discuss history, transmission, treatment, and prevention of the virus. West Nile Virus (WNV) is a virus that is normally seen in the Middle East, Africa, and West Asia through a patient located in Uganda (Henley, 2003). WNV can infect dogs, birds, horses, squirrels, mosquitos, humans, and other mammals. It was thought to have evolved from Israel, and has spread swiftly throughout the United States. The numbers of cases reported were from 20 to 60 per year, until in 2002 when the number rose to above 4,000 (Henley, 2003). The virus exhibits in various ways such as asymptomatic, mild, and severe infections that demonstrate specific outcomes. When the individual is asymptomatic there are no signs or symptoms of the virus. Mild infection or West Nile Fever carries symptoms of nausea and emesis, rash, muscle pain, enlarged lymph nodes, headaches, anorexia, and discomfort (Google, 2012). According to the Journal of Family Practice approximately 20% of individuals that are infected show these symptoms...
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...(NSIs) are characterized by measures that are in the realm of nurses to improve and control. According to the website www.nursingworld.org , in 1998, the National Database of Nursing Quality Indicators was established by the ANA so that nurses would have a national benchmark to reach they can compare the outcomes. This has given the profession of nursing a solid core of benchmark capital nursing sensitive indicators that are totally nursing care dependent. This database provides benchmark performance with which the individual healthcare institution can compare its performance to similar institutions across the nation. These nursing sensitive indicators result in patient outcomes that are influenced by nursing care decisions and actions. Research has indicated that patient outcomes improve, complications and mortality are reduced, costs can be reduced, and patient and professional nurse satisfaction can be enhanced with strong performance on nursing-sensitive indicators. These patient outcomes may not because the nursing but is associated with the nursing. In various situations, "nursing" might be the individual nurse, nurses as a working group, the approach to nursing practice, the nursing unit, or the institution that determines number of nurses salaries, educational level of nurses, assignments of nurses, workload of nurses, management of nurses, and policies...
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...Hourly Rounds Reduces Patients’ Frequent Call Lights and Improves Safety. Christian Oyibe NURS 8103 Evidence Based Practice. Governors State University Professor Somi Nagaraj, MSN, DNP. June 5, 2013. Introduction The nurse call light is an important tool in which patients used to get the attention of nurses during hospitalization. It is one of the many means by which patients can exercise control of their health care. It is done to seek the nurses’ attention for help during inpatient hospitalization. The ideal situation is that when the patient pushes the call light, the nurse or the staff will be there to find out what assistance the patient needs. However, when these calls are made by patients, and there were delays in response time, this will in turn lead to frustration in most cases, and the patient will attempt activities that threatened their safety, thereby leading to falls and other safety issues. In most inpatient hospital or other health care facilities, call lights are made by residents or patients who need bathroom or bedpan assistance. The problem associated...
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...Pantothenic Acid, Vitamin B5 for Acne Virtually everyone remembers the frustrating experience of acne with small inflamed dots called pimples or blackheads. For the young woman concerned about self-image, skin complexion is important. One or two strategically placed pimples can be intolerable. For some, acne can progress, leading to scarring and disfigurement, with pitting and nodularity called Acne Vulgaris. While some are spared this chronic ordeal, others endure many years of ineffective treatments by a succession of dermatologists. Although some treatments such as Accutane™ may offer success, there is a price in terms of serious adverse side effects. What Causes Acne? Acne is caused by excess oil called sebum which originates in the sebaceous glands at the root of the hair follicles. This oily build may occlude the duct in the skin causing blockage and infection. "Popping the pimple” is a home remedy which forces the occluding plug to pop out of the pore, providing drainage and temporary relief. Common Causes of Acne Acne is a common adverse side effect of synthetic birth control pills which mimic testosterone. Elevated testosterone levels in males and females are associated with increased oil production in the skin resulting in acne. A common genetic mutation called atypical CAH (congenital adrenal hyperplasia) causes increased testosterone in females resulting in acne. PCOS (polycystic ovary syndrome) syndrome is associated with increased testosterone...
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...Joseph Rotondi Mikhoel Siyanov Maria Santos Verdiner Wolf Abram Zavulunov Group 6: HPV as a leading cause of Cancer Human papillomavirus (HPV) was founded in the 1950s as a virus infection that is associated to many cancers. It is primarily transmitted through sexual contact and less intimate skin-to-skin contact. Preventions have been implemented to raise awareness of the virus. The first vaccine for HPV approved as a widespread use in the US was in 2006. The virus acts to infect the keratinocytes in the skin and mucosal membrane. Other areas the HPV acts as a carcinogen are the cervix, anus, penis, vulva, vagina, oropharynx, benign genital and cutaneous warts, respiratory papillomatosis, and nasal or oral papilloma. Some researchers have concluded that the HPV infection which is more common during the active period of age is directly related to certain cancers. Researchers have found that HPV is associated with certain types of cancers and also have found that HPV can have no association with certain cancers. The research we did will explain the various cancers associated with HPV and attempt to answer the question “is HPV the leading cause of cancer?” In the United Stated and around the world, cancer is and continues to be a very serious disease that affects millions of people. Head and neck cancers are “the sixth most common cancer in the world” (Lajer et al. 2012). While the link between HPV and cervical cancer has been established; it is still unclear to researchers...
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