...Critique Nursing Journal Article Kendra Duran Excelsior College Abstract Complications from, and economic costs associated with diabetes are on the rise. The concern is that this global health epidemic is only expected to worsen in the coming decades. One quantitative research study aims to improve patient outcomes specifically related to proper control of blood glucose level, by linking patient outcomes with health literacy and patient trust. A quantitative study consisting of a convenience sample of 102 subjects from two urban health care centers was used. Patient demographics, socioeconomic status, and diabetes related knowledge, and depression were measured. The results of this study are mixed in supporting the hypothesis that lower health literacy directly impacts glycemic control. The 2010 journal article titled, “Impact of health literacy and patient trust on glycemic control in urban USA population” from Nursing Health and Sciences, hypothesizes a direct relationship between a patient’s overall health literacy and the ability to maintain glycemic control. The study’s intent is to examine questions related to health literacy and a patient’s trust in their healthcare provider to make a connection to how well the subjects managed glycemic control. Questions related to potential depression are also relevant. Author, Josephine M. Mancuso, PhD, ANP-BC from Marquette University, has published articles in the following nursing journals: Journal Of Nursing Care Quality...
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...Complementary and Alternative Medicine in Today’s Nursing Practice Complementary and Alternative Medicine in Today’s Nursing Practice Complementary and Alternative Medicine is becoming more and more prevalent in the healthcare world as an acceptable treatment modality. Due to increase in patient demand for these treatments, it is important for the nurses to be able to implement various CAM into their nursing practice to provide holistic care for their patients. It is also important for nurses to be knowledgeable about the various forms of therapy and its benefits. CAM is meeting the needs of many consumers due to various reasons. The increase in healthcare cost has encouraged many consumers to research alternative methods to help cope with various medical conditions as opposed to turning to the pharmacological methods that were typically accepted years ago. Consumers also have more access to new trials and studies in regards to CAM because of increased access to the internet and media. Because of this, patients are more involved in their own healthcare and treatment decisions than in the previous years. According to the National Center of Complementary and Alternative Medicine, 1 in 4 adults from various backgrounds are currently using CAM therapies. (“The use of, 2011) Some of the most common medical reasons patients decide to try CAM therapies are problems with anxiety and depression, reoccurring nausea and pain related to cancer, and symptom management related to...
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...Quantitative Study Critique February 21, 2013 Quantitative Study Critique Nursing practice has advanced to more than just the clinical part of caring for patients. Nursing has evolved into a profession that demands accountability through continued research and implementation of evidence based practice in efforts to consistently provide the best care for growing populations. Nurses must be able to utilize research provided and critique this information with a degree of understanding that allows the nurse to interpret the knowledge gained in regards to the studied populations. Furthermore, the credibility and relevance of the study is equally important in the decision to trust its application in current best practice issues. This study states trust and depression are issues that cause difficulties with glycemic control. The purpose of this paper is to critique the quantitative study and offer a critical synopsis of the research presented. PICO (Patient, Intervention, Comparison, and Outcomes) is a type of model used to aid in framing questions for the research study. It helps to define questions that will support the specific population being studied and aids the reviewers in finding relevant information and evidence within the literature (Board of Trustees of the University of Illinois [UIC], 2012). The population studied was uninsured patients with diabetes. In considering the intervention and comparison, the goal of the study was to link health...
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...Crystal Castro BSHS/325 September 29, 2014 Maria Perrotta Later Adulthood Development Report Hello and welcome to our nursing home I know that this can be a hard transition to make for you and your loved one. Let me just say that I believe you will find that this is the right place for your loved one and we want to thank you for entrusting your loved ones care to us. While we know this is hard we would like to go over a few key concepts that will make their transition into nursing home living easier. These concepts include the role changes and social position your loved one will experience. The different types of accommodations available to your family, as we want you to make an informed decision when placing your loved one in a nursing home. How to successfully make the adjustment and transition into retirement. The changes your loved one may experience in relationships. Finally the social policies that will affect you elderly loved one. Role changes and social position Making the transition from living independently or with a family member to a nursing home. This transition will be a time of adjustment. The move may bring the fact that your loved ones health is declining and they may feel that they are losing there independence. This is because residents living in a nursing home do not have the same freedoms that they previously did. Nursing homes have to stay within mandated regulations and have schedules in place making it easy for residents to lead productive days...
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...50 years old until now? Betsy, nutrition is a very important aspect for you because it immensely affects your aging process. This is because when you were 50 years old you had greater metabolism and more physical activity but now at 79 years you have less functional status, decreased bone mass, less cognitive function, impaired muscle function, and poor wound healing ability. This means that your body has become less capable of being able to absorb nutrients on its own. 2. Based on Betsy’s scenario, what are at least two physiologic and at least two non-physiologic factors that are impacting her nutritional and health status? Betsy at your age, your appetite level and energy expenditure is reduced because of lesser biological and physiological functions. These include changes in the levels of cytokine, lesser body mass, changes in hormonal levels, greater delays in gastric emptying, and also you may experience a diminishing sense of taste and smell. Other non-physiological factors impacting on your health are those which are biological in nature such as reduction in secretions of gastric juices which help your body to absorb minerals and vitamins from the food you eat. There is also the issue of structural changes of the pancreases with old age. 3. Based on Betsy’s scenario, what are at least two socioeconomic factors that are impacting her nutritional and health status? Loneliness is the main reasons as to why have you lost interest in doing things that you once...
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...Spirituality in Nursing: Where Do I Fit In? Abstract Spirituality has many definitions. For some it is a belief in a greater power, a sense of being connected with all living things, or the development of values. For others it is the way to find peace and comfort for their lives. Spirituality is an important component of the care provided to patients by health care providers. Before spiritual care can be given the provider must understand the patient’s spiritual needs. However, this is not always possible due to barriers that arise. Spirituality in Nursing: Where Do I Fit In? Spirituality has many definitions. For some it is a belief in a greater power, a sense of being connected with all living things, and the development of values. For others it is the way to find peace and comfort for their lives. Spirituality is often associated with religion, and some say they develop their spirituality through music, art, or by connecting with nature. Others say they find spirituality through acts of compassion and selflessness. One’s religion is different than spirituality (Munoz-Garcia, 2008). Religion is beliefs and behaviors based on religious traditions or denominations. If a nurse does not understand the difference, the patient’s spiritual needs may be neglected. History Spirituality in healthcare dates back to the earliest of times. Some of the earliest images date back to approximately 7,000 years ago. These images portrayed the nourishment and protection...
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...Paper 3 - Victims of Bullying, Mental Health, and Nursing Victims of bullying are at a high risk of developing various types of mental illnesses, and the evidence on this topic in the research literature can be used to inform psychiatric nursing practice. The available studies on mental health and its connection to bullying victims shows that preventing mental illness and promoting mental health involves a comprehensive approach, using combination of techniques that must be implemented by many stakeholders. The information that comes from these studies suggests that psychiatric nursing must take research findings into account. It also suggests that nurses have a definite role to play in terms of providing direct patient care, referring the patient to other helpful medical and community resources, offering education to the patient and family, and providing follow-up care. Specific interventions based on this evidence could also be adopted by Registered Nurses (RNs) after they graduate. Literature Review There is a wealth of literature available on the subject of bullying. This literature demonstrates that there is a clear link between bullying victimization and many types of mental health issues. However, it also suggests ways that mental health could be promoted among this population, and how rehabilitation could be administered. Studies have shown that bullying victims are at a higher risk for certain types of mental illness, and that issues of symptom severity, compared...
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...about clinical depression? What are the implications for treatment? Shvawn Christensen Psych 435 Athabasca University What does research indicate about clinical depression and what are the implications for treatment? The purpose of this paper is to logically provide a review about the biological and situational aspects of depression and the various forms of treatment. I will define what depression is, evaluate who depression affects and why, then proceed with the description of the most widely used methods of treatment, behavioral therapy and prescribed medication. I What is Depression? When it is referred to as your mood no one is exempt from some imbalance from time to time. This would be considered as normal day to day stress and living. However a diagnosis of depression is arrived at after a person has had or displayed a long struggle with feelings of sadness and hopelessness. As well if these feelings continue to affect and interfere with the person’s daily life. Unipolar and Bipolar are two types of mood disorders that can affect anyone of us. [People only troubled by depression would be diagnosed with “unipolar disorder” as this emotional disorder only affects one end of the mood continuum. However “bipolar disorder” affects both emotional ends of the mood continuum. People with this disorder will experience periods of both depression and mania] (Weiten & McCainn, 2007, p. 591) Depression has a negative effect...
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...on Traumatic Mental Stress in 2012 to help encourage healthy work environments, which brought together representatives of many professions, including nursing (Traber 2014). It is known that nursing is a profession that can be physically...
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...relationship with our patients we can use our assessment tool analysis to better know them. Becks depression inventory, dysfunctional attitude scale and social support questionnaire are the assessments that I have chosen to look deeper at the depressed population and community function. These tools should take me deeper on how this population might have gotten to where they are and why they are a vulnerable population. Created by Dr. Aaron T. Beck, the Beck Depression Inventory is an assessment tool design to determine the presence and the severity of symptoms of depression. Composed of 21 multiple choice questions it aims to assess the symptoms and attitudes specifically seen on depressed patients. To interpret Becks Depression inventory, the score have to be tallied and added. According to ( ) a person that scored 1-10 are considered normal, 11-16 has mild mood disturbance, 17-20 borderline clinical depression, 21-30 moderate depression, 31-40 severe depression, and anything over 40 is considered to have extreme depression. This tool can be use in many of our vulnerable population, but we are going to concentrate on the teens and young adults to explore the correlation between depression and obesity. According to the Centers for Disease Control obesity is the most common chronic illness in America at this moment and according to the American Psychologist Association depression is the most common psychological condition. Research states that obesity leads to other illnesses...
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...Reason for Admission On 4/12/11 A.G., a 16 year old Hispanic American female voluntarily admitted herself to Aurora Behavioral Health Care (ABHC) due worsening depression and suicidal ideation. Pt stated that she had been feeling depressed for the last six months but felt as if her depression was worse now than ever. Upon admission pt was thinking seriously of acting on her thoughts of suicide by overdoing on sleeping pills or by cutting herself. For the past few months the patient had been seeing a therapist and psychiatrist but feels like they cannot fix her depression. Major stressors upon admission include lack of support from family and friends, and doing poorly in school. For the past six months A.G. had been taking 100 mg of Zoloft and 2.5 mg of Abilify for depression. A.G.’s diagnostic and statistical manual of mental disorders (DSM) was Axis I: Major Depression, single episode, and severe, Axis II: deferred, Axis III: No diagnosis, Axis IV: Moderate, And Axis V: 30/60. Summary of Mental Status Exam During the time of assessment A.G. appearance was neat and her attitude was cooperative but she seemed depressed during the initial assessment. The patient’s speech was normal and she had a calm demeanor. She reported feelings of being anxious ever since she was admitted to Aurora because she felt as if her depression was “not getting any better”, and that she was afraid that her medications were not working. She reported having a panic attack one month ago due to stress from...
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...Where Are Nurses In the Nursing Homes and Assisted Living Facilities? Assisted living facilities, one of the fastest growing housing options for older adults, represents a potentially new employment option for RN’s. When most people think of nursing homes, they think about nurses being responsible for the patients. However, most nursing homes and assisted living facilities in the United States do not have any RN’s employed. Most assisted living facilities have LPN’s, medical technicians, and certified nursing assistants. Why are there no nurses in nursing homes/ assisted living facilities? “Slightly fewer than 1 million people age 65 or older live in an estimated 33,000 assisted living facilities, private or shared units.”(Kovner) All assisted living facilities provide congregated meals, laundry and housekeeping services, and some social activities; all assisted living facilities provide health monitoring and assistance with activities of daily living (ADL’s). “Approximately 60% of residents need assistance with one to three ADLs; 75% need assistance with medications.”(Kovner) “Current estimates suggest that 50% of residents in assisted living have Alzheimer’s or Dementia, and the number is expected to grow.”(Kovner) Many assisted living facilities have a special locked down unit for residents with Alzheimer’s or Dementia. On average a nursing assistant will have 14-30 residents to tend to. This means making sure everyone is checked on every hour, changed, and making sure...
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...evident not only within the demographic regions of metropolitan and rural cities and towns of Australia but also among other countries in the world. It is with this discrepancy that presents such a large challenge within the population and from a health perspective. This essay will explore the social, cultural and psychological health related issues linked with growth in the aging population and will focus on the baby boomer generation and the co-morbidities that are notably prevalent in the elderly. This essay will also consider the future role of the nurse and how their profession will be impacted in response to these trends. WHY DO WE FACE AN AGING CRISIS? As fertility rates decline and longevity increases we are coming to face a shift in population distribution with a greater proportion of older adults (Anderson and Hussey, 2013). It is important to note that this increase is due particularly to the Baby Boomer generation growing older and associated aging co-morbidities on the rise. The Baby Boomer generation consists of those born from the years 1945-1964 (Berman et al., 2012). As this generation grows older the world is faced with a huge increase in older adults, greater than any generation before them. Because the population is living longer they are faced with a number of co-morbidities that are particularly prevalent in older adults. The elderly will experience physical deterioration more commonly than the younger to middle aged population. Changes in the...
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...Personal Definition of Nursing April Vialpando Ms. Penne McPherson in partial fulfillment of NR444 Professional Role Development Regis University January 22, 2013 Personal Definition of Nursing The definition of nursing has many different meanings depending on whom you ask. To some a nurse is simply the person who brings you your medication and takes your vital signs. To others, including myself, it is someone who keeps you safe and watches over you while you are in a healthcare setting. A nurse along side a physician with the patients best interest in mind to care for them not only physically but emotionally and mentally. A nurse must have the knowledge of that exact medication you are receiving. I must know the signs and symptoms of an adverse reaction and be able to inform my patients why the medication is beneficial. I must also show compassion for a sick patient or a family member who is saying good-bye to a loved one. In this paper through examples and personal experiences I hope to define what nursing means to me. Description of Terms Health “An individual’s physical, mental, spiritual, and social well-being; a continuum, not a constant state” (Chitty & Black, 2011, p. 413). I believe that without all four of these components a person truly is not in a state of health. If a patient is at an ideal weight and is in a state of depression there is a lack of pure health. I had a patient recently that on the outside seemed to be “the picture of health”...
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...HOSPICE NETTAH NDUNGU Texas Tech University Health Science Center School of Nursing Hospice Hospice is a comprehensive, medically directed, team oriented program of care that emphasizes pain control and symptom management rather than curative treatment. It directs acceptance of death as a natural part of life and addresses the psychological and spiritual needs of the patient and family. This paper will outline the history of hospice, the effect it has on healthcare today, why it is important to nursing, how nursing is impacted by the availability of hospice services, and finally, what nursing has done to affect change related to hospice. History of Hospice Hospice was first applied to specialized care for dying patients by Dr. Dame Cicely Saunders, who started working with the terminally ill in 1948 (NHCPO, 2015). Dr. Saunders later created the first modern hospice – St. Christopher’s Hospice in a residential suburb in London. Her approach was later introduced to healthcare professionals and chaplains in the U.S in 1963 during a lecture at Yale University. In 1969 Elizabeth Kubler-Ross contributed to the idea of hospice centered care in her book: On Death and Dying which highlighted the five stages of dying and a plea for home care as opposed to treatment in an institutional setting. In 1978, the United States’ Department of Health, Education and Welfare Task Force acknowledged the hospice concept as a means of providing more humane care for America’s terminally...
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