...Holistic Family Care plan for Terminal Cancer Diagnosis Tonya Y. Chadi Western Governors University Holistic Family Care plan for Terminal Cancer Diagnosis A. Personal Perceptions This author’s personal perceptions concerning patients facing a lingering terminal illness, have been shaped by over 20 years of critical care nursing experience. Facing death and illness on a daily basis requires self-examination and a high degree of comfort with one’s own mortality, limits and values. Constant exposure to the fragility of life forces respect for the whole person and the people who love them. A general approach to patients who are actively dying is to allow them to define what they want and need during this time. The nurse’s role is to support what is important to the individual. Nursing care is tailored to support patient defined goals. The person who is actually experiencing the journey should be the one who defines suffering, and how their limited time will be spent. Nursing can teach both the patient and the practioner that knowing the end of life is coming can be a great blessing. This knowing that time is limited can allow healing and reconciliation not possible at any other time in a person’s life. The death of a loved one is not just about the loss of the individual, it is also about one’s own mortality. Nothing else can force surrender and acceptance like the illness and death of a close family member. B. Strategies to Improve Quality of life for Mr...
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...R.M Community Health Task 2 When caring for the terminally ill patient, one must examine their feeling in order to provide care. It is important for the nurse not to judge the patient or family for decisions made, only to support and advocate for the patient and family during this time. As a critical care nurse the author has participated in the care of numerous terminally ill and palliative care patients. Unfortunately every person that lives will eventually die and it is the responsibility of the nurse to help improve the quality of life for the patient and offer support to the family during this dying process. The nurse must respect and honor the patient. To improve the quality of life for Mrs. Thomas, education on disease process and end of life events is of the utmost importance. Hospice is a specialty offers support and services to the terminally ill (“What is hospice,”). Not only does hospice provide services, but also a wealth of education for the patient and family. Along with education, symptom management and spiritual support are also offered to improve Mrs. Thomas’s quality of life. Pain control and symptom management can also improve the quality of life in this case. After adequate education is received, Mrs. Thomas may not be as reluctant to receive pain medication. As pain relief is obtained, the patient may enjoy more of time with her husband and may even return to church for social interaction thus increasing her quality of life. The third...
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...Approach Practically speaking, what does it mean when we say that WGU’s programs are competency-based? Unlike traditional universities, WGU does not award degrees based on credit hours or on a certain set of required courses. Instead, you will earn your degree by demonstrating your skills, knowledge, and understanding of important concepts through a series of carefully designed courses. Progress through your degree program is governed not by classes but by satisfactory completion of the required courses that demonstrate your mastery of the competencies. Of course, you will need to engage in learning experiences as you brush up on competencies or develop knowledge and skills in areas in which you may be weak. For this learning and development, WGU has a rich array of learning resources in which you may engage under the direction of your student mentor. You will work closely with your mentor to schedule your program for completing the courses. You will also work closely with additional faculty members as you proceed through courses of study that are designed to lead you through the content you must master in order to pass the assessment(s) for each course. The benefit of this competency-based system is that it makes it possible for people who are knowledgeable about a particular subject to make accelerated progress toward completing a WGU degree, even if they lack college experience. You may have gained skills and knowledge of a subject while on the job,...
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...WGU AFT2 RAFT2 (Accreditation Audit) MBA Graduate Programe - Complete Course All 4 Tasks http://www.homeworkminutes.com/question/view/41054/AFT2-RAFT2-Accreditation-Audit-WGU-MBA-Graduate-Program-Complete-Course AFT2 Accreditation Audit Task 1 1. The purpose of this executive summary is to outline the current status of compliance of the organization for the priority focus area of communication, namely the standard UP.01.01.01 which is named the “Conduct a Pre-procedure Verification Process” as noted by the Joint Commission standards. A.2. The primary area of focus I chose to review was the communication aspect. I feel that communication is vital in any business, especially health care. Clear communication improves patient care and the quality of care. This is evident when time is taken to verify a patient or a procedure. When things go wrong due to misidentification of a patient, not only does that cost time and money for the patient as well as the extra burden of having that wrong fixed, but it also costs the hospitals too. Their costs are increased by trying to fix the issue and then legal issues to follow. The best way to avoid any mistake and/or injury is to adopt a more vigorous verification system. AFT2 Accreditation Audit Task 2 A.1. An unexpected occurrence that involves serious bodily or psychological harm including death or the risk leading to these is known as a sentinel event. (Sentinel event, 2013) A.2. Several people were...
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...Wgu Community Health Task 1 Community Health Assessment Szt Task 1 Community Description This city of Port Orange is located in Central Florida, in Volusia County. Dr Milton Hawks arrived during what was actually the second wave of settlers to explore what is now known as Port Orange. He is also credited with giving the settlement its name. It was incorporated April 26th of 1867. As of the U.S. census there were 56,048 residents of the growing city. The city’s total area is 28.7 square miles, of which 2.0 sq miles are made up of water and 26.6 sq miles are land. Port Orange is a beautiful city on the East Coast of Florida, home of the World’s most famous beach. With average temperatures in the 80-90s in the summer, many Port Orange residents enjoy the beaches, creeks and rivers with less than a fifteen minute drive to reach their favorite destination. Demographic Port Orange’s race makeup is predominately White at 91.3%. African Americans or Blacks make up 3.3%, Native Americans .03%, Asians 2.2%, Hispanic 4.5%, and 1.8% are of 2 or more races. Of the 56,048 Port Orange citizens, 21,831 or 47.6% are male and a higher female population of 23,992 or 52.4%. 44.6 is the average age, with an average income of around $43,419 (year 2012) (Census.gov). The population of Volusia residents, as a whole, living under poverty level is about 15%. Port Orange has seen a 19% increase of population since 2000. Port Orange is predominately a working class community with the leading...
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...Task 1 A. Describe your chosen organization by doing the following: 1. Describe the organization and its objective(s). Reflect * Think about the organization you have chosen to write about and describe its purpose. Why does it exist? What are its objectives? What are the vision and mission statements of the organization? Write * Write one paragraph describing the organization’s background, purpose, vision, and mission * Write one paragraph describing/listing the objectives of the organization A.1. Harrison Medical Center is a non-profit, community based hospital that serves four counties west of Seattle, Washington. The hospital was founded in 1918 as small community hospital and has grown into the primary care facility for nearly the entire north western quadrant of the state. The concept of a non-profit, community based hospital is that if a local resident needs a procedure or treatment; the funding will be located to provide the needed medical intervention (Charity Care). Their mission statement is “We make a positive difference in people's lives through exceptional healthcare.” Vision statement is “We will be the premier health system in the Pacific Northwest.” (Directors, 2016) citation but no foot note Harrison must stay medically relevant and financially competitive with other hospital systems to remain the dominate medical partner in the region. To accomplish this, they have to expand their services as well as continuing to provided top...
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...Kayla Redd, RN WGU VWT1 Student ID 339433 Task 2 The potential for global health crises is a real threat to community populations all over the world. Advancing technology and modes of travel allow populations that prior had no or little contact, now have the ability to interact. Despite the advances in technology, global health is still lacking in vaccinations and prevention of communicable diseases. Many diseases are preventable through vaccination. Vaccines, by definition, is a biological preparation that provides active acquired immunity to a particular disease . Vaccines typically are the most effective way to fight or eliminated infectious diseases. Vaccines have limitations due to various clinical factors like steroid use, chemotherapy, HIV, age or diabetes. For a vaccine to have optimal effect, a person needs to complete the scheduled vaccination regimen as well as obtain the appropriate boosters as scheduled. Vaccine efficacy is dependent on the disease, the vaccine strain, if the vaccination schedule has been adhered to, immune response to vaccination, and assorted factors such as ethnicity, age, or genetic predisposition. Some individuals are nonresponders to certain vaccines, meaning that they do not generate antibodies despite being vaccinated correctly. “If a vaccinated individual does develop the disease vaccinated against, the disease is likely to be less virulent than in unvaccinated victims.” (Préziosi, 2003). There are multiple types of vaccine: inactivated...
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...VWT Task 2 MB WGU 1.The measles is a very contagious viral illness. In 2002, USA announced that measles virus was eradicated in our country. Despite the fact, that the world has made enormous progress in the fight against measles in the last decade, this virus seems to be attacking and killing people again. The measles outbreak started in the Disneyland California in December of 2014. It is still unknown, who brought the virus to the “Happiest place on earth”, but according to the CDC, measles most likely was brought to the park by an infected foreign visitor (Centers For Disease Control and Prevention .Measles Cases and Outbreaks, 2015). The virus was first reported on December 28, 2014 in the case of a not immunized 11-year-old child. On January 5, 2015 four additional measles cases in California and two in Utah were linked to the Disneyland in Orange County. From December 28, 2014 to March 15, 2015 total of 125 people from several states including California, WA, AC, CO, NE, UA were reported to be infected with the same measles virus. After further virus examination, CDC determined that this virus is linked to measles genotype B3 2014 epidemic outbreak in Philippines. In the last six months, same measles virus was also reported in Mexico, Canada and 12 other countries around the globe( Centers For Disease Control and Prevention .Measles Outbreak — California, December 2014–February 2015). 2a. The measles virus remains in the infected person...
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...Management Western Governors University February 21, 2016 Regulation placed upon the healthcare system only seek to improve safety and security of the patients we care for. The enactment of the Health Insurance Portability and Accountability Act (HIPPA) and the enactment of Meaningful Use Act the United States government has set strict regulations on the security of health information and has allotted for stricter penalties for non-compliance. The advancement of electronic health record (EHR) systems has brought greater fluidity and compliance with healthcare but has also brought greater security risk of protected information. In order to ensure compliance with government standards organizations must adapt technologies such as CPOE and EHR. The use of such technologies also require organizations to develop policies and safeguards to protect both themselves but the community they serve. Team Members and Responsibilities To ensure success in the merger of the health care system, a team of highly trained and competent members will be needed. An implementation manager would be the leader of the team, responsible for keeping the project on schedule, keeping a list of practice issues that need to be resolved, scheduling go live dates, and also be responsible to delegate task to other members of the implementation team. A physician lead is another valuable member of the implementation team. Acting as a liaison between physicians and the implementation team, they serve as...
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...Community Health Nursing Karandeep Kalkat WGU ST Task 3 September 1, 2014 SARS, communicable disease outbreak SARS (Severe acute respiratory syndrome) as described by the CDC is “is a viral respiratory illness caused by a coronavirus” (Centers for Disease Control and Prevention [CDC], 2013). It was first reported in February 2003 in Asia and has noted to spread through international travel to 29 countries worldwideto North America, South America, and Europe (CDC, 2013). According to the World Health Organization website, SARS was responsible for a large worldwide outbreak that affected 8,098 people and killed 774 between November 2002 and July 2003 worldwide and noted to be “the first severe infectious disease to emerge in the twenty-first century”( World Health Organization [WHO], 2014). The CDC lists the signs and symptoms if SARS are as follows: having a high fever (temperature greater than 100.4°F [>38.0°C]), headache, an overall feeling of discomfort, and body aches (CDC, 2013). It also states “some people also have mild respiratory symptoms at the outset. About 10 percent to 20 percent of patients have diarrhea. After 2 to 7 days, SARS patients may develop a dry cough. Most patients develop pneumonia“(CDC, 2013). Epidemiological indicators/data of SARS SARS first appeared and was detected in the Guangdong province in November 2002 as an atypical pneumonia. In late February 2003, similar cases began appearing among staff at a hospital in Hanoi and within...
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...Organizational Management WGU JFT2 Task 1 June 4, 2014 Task 1A1 Adam’s equity theory stresses the importance of maintaining a balance between an employee’s inputs and outputs. Common inputs can include hard work, tolerance and enthusiasm and common outputs can be salary, benefits and recognition or rewards. The maintenance of this balance between inputs and outputs results in more productive, efficient and content workforce. A good way to look at this is that a worker will feel equal if he or she perceives that the reward received for their hard work is the same as that of an employee of the same level. If the reward received by the second employee ends up being greater or if the second employee receives the same reward for less work, the first employee may feel neglected and may even become less productive to match the second employee’s performance level. Looking at the merger scenario between the Utah Symphony and the Utah Opera we can see that Bill Bailey, the chairman of the board of the Utah Symphony organization should use the Adam’s equity theory to stress his opposition to the merger. Currently the opera is financially stable while the symphony is not. The opera has also been utilizing funds wisely, while the symphony has been acting to the contrary. If a merger should occur, the opera employees may perceive that this is an inequality and that the symphony will be making out since the merger will surely put the symphony in a better position financially...
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...TASK 1 Application of Community Health & Population-Focused Nursing AngelitoArguelles WGU Student No. 000476784 A. The community that I have chosen for the assigned community assessment is Broomfield county in the state of Colorado. This particular county is fairly new in its inception. According to the city and county of Broomfield website’s constitutional amendment section (n.d.), the city of Broomfield became the city and county of Broomfield on November 15, 2001. Before then, the city of Broomfield was in four different counties namely Adams, Boulder, Jefferson and Weld counties. Geographically, Broomfield is located about 17 miles north of the city of Denver and about 14 miles east of Boulder. There are no hospitals in the county due to its small land area, but multiple hospitals are close by within 10-15-minute drive anywhere in Broomfield. B. Using the population economic status assessment tool and using data from the US census bureau (2016), the population of Broomfield county on 2014 was 62,138. Population-wise, Caucasians make up about 78%, Hispanics 12%, Asians 6.3%. African-Americans 1.4%, and the rest below 1%. The median household income from 2010-2014 was $80,430; 6.3% of Broomfield residents were at or below the poverty line (United States Census Bureau, 2016). Broomfield's unemployment rate was at 3% far below the national average of 5.0% in the year 2015 (Economic Research Federal Reserve Bank of St. Louis, 2015). There are no homeless ...
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...RTT Task 1 WGU Nursing –Sensitive Indicators In the case of Mr. J, a 72-year-old retired rabbi with a diagnosis of mild dementia, the nursing sensitive indicators include restraint use, hospital acquired pressure ulcers, and patient-family satisfaction with nursing and overall care. Not understanding and identifying nursing-sensitive indicators contributed to adverse outcomes, which included the development of a pressure ulcer and the likely unnecessary use of restraints. Lastly, family dissatisfaction with care was evidenced when the daughter called the patient’s physician to complain that her father had not received the ordered kosher meals. If the hospital nursing staff had understood and identified nursing-sensitive indicators, the negative outcomes cited above may have been avoided. The nurses would know that through data collection, measurement, and evaluation of nursing practice it has been recognized that nursing care has a direct impact on specific patient outcomes. Because of this research, the profession has been able to elevate the quality of nursing care by developing and implementing evidence based practice, which has been demonstrated to improve patient outcomes (American Sentinel University, 2014). Quality Patient Care Collecting hospital data from each unit on specific nursing-sensitive indicators could advance quality patient care throughout the hospital. Staffing levels and the mix of nursing personnel (RN, LPN’s, and CNA’s) on a unit can have a...
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...The Social Problem of Substance Abuse Donna S. West WGU GLT1 Task 2 The Social Problem of Substance Abuse Substance abuse and addiction issues impact individuals, families, and communities in many ways and can be directly connected to costly social, physical, mental, and public health problems. In addition, substance abuse related issues have an overwhelming impact on the criminal justice system. Describe the social problem of Substance Abuse The way substance abuse is defined or understood can be interpreted in many ways, depending on the person or situation it may be related to. In simple terms, abuse is determined when there is a level of dysfunction related to the person's use of drugs or alcohol. One standard definition, according to the U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration [HHS/SAMHSA], 1994, describes abuse as "the use of a psychoactive drug to such an extent that its effects seriously interfere with health or occupational and social functioning." The American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) is standard in the medical and mental health fields for diagnosing both substance abuse and behavioral health disorders. According to the DSM-IV, substance abuse is "a maladaptive pattern of substance use leading to clinically significant impairment or distress, as manifested by" a variety of possible symptoms of impairment (American Psychiatric Association...
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...Community Health C229 1 ! ! ! ! ! ! CKA Task 1 Sharon Wiggins Western Governors University ! ! ! ! ! ! ! ! ! ! Community Health C229 ! ! Date Spent ! ! 6/19/15 ! 6/19/15 ! 6/19/15 ! 6/29-7/2 ! 7/11/15 1200-1700 ! 8/30/15 1100-1600 ! 9/4/15 1100-1200 ! ! 9/9-10/15 0800-1700 0800-1200 ! ! Fieldwork Study Activity Location and Contact Time Windshield Survey Dakota County, Minnesota 10 Cultural Survey Dakota County, Minnesota 5 Scavenger Hunt Dakota County, Minnesota 10 Childhood Obesity attended conference, interviewed other attendees and exhibitors 8757 Rio San Diego Dr, San Diego, CA 92108 (619)692-3800 30 Festival of Farms attended festival interview with community members and exhibitors Lakeside Prairie Farm 20503 180th Ave Barrett, MN 56311 320-492-2526 5 Minnesota State Fair attended & interviews and surveys 1265 Snelling Ave St Paul, MN 55108 (651) 288-4400 5 Dr Koch interviewed Dr. Koch Physician Fairview Ridges Clinic 303 E Nicollet Blvd # 160 Burnsville, MN 55337 (952) 460-4000 1 Communities for Health attended conference, interviewed other attendees, exhibitors Duluth Convention Center 350 Harbor Dr Duluth, MN 55802 (218) 722-5573 12 1 Community Health C229 ! 9/12/15 1200-1500 ! ! 9/18/15 0800-1200 ! 9/19/15 0800-1300 Farm Fest attended, interviewed ...
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