Grand Canyon University Nursing Practice Theories Essay
Select two different nursing theories and describe how they relate to patient care. How could you use them for inciting behavioral changes? Discuss the pros and cons of applying each theory and how they could be integrated into your future practice. Are there any particular ethical issues related to the integration of these theories that should be considered?
University of Tampa STD/STIs Chart
Create your own chart based on the STD/STI’s covered in chapter 11.
Make sure to include the following diseases attached below for all required points.
However for testing purposes, you may wish to add Yeast infections for example for your own notes or add diseases such as Molluscum Contagiosum as it is covered in your notes. Naming the specific causative agent like the bacterium “Treponema pallidum” for Syphillis, but just bacteria is fine for the assignment. The more specific agent is again optional, as well as covering extra diseases, but these could be important later in your academic and/or health profession.
The required ones are again listed below:
Identify the causative agent, How one acquires it, symptoms, diagnosis/test, and treatment for the following diseases: trichomoniasis, chlamydia, gonorrhea, syphilis, genital herpes 1 and 2, genital warts, pubic lice, scabies, and HIV/AIDS.
You may use your powerpoint as your source or other sources, but you must list your main source in APA format. I personally would recommend using your powerpoint as that is the source that is being tested.
I have included a chart for an example.
https://smartsexresource.com/sites/default/files/SmartSexResource_Comparison%20Chart_2019.pdf
HU Motion and Overprodution Lean Six Sigma Research Paper
IDIS 302 UOB World Citizenship & Globalization the Globalized Society in The US Essay
Assignment Format: Papers should be written in an essay format (introduction, body, and conclusion), double- spaced, and 12 point Times New Roman font. Use the standard margins for assignments (1 inch margins). All assignments should include a cover sheet that includes your name, my name, the class number and the date the assignment is due. If there is no cover sheet, I will automatically deduct 5 percentage points. If the page or word count requirement is not met additional points will be subtracted. The amount of points will be left to my discretion. Also, all assignments should be proofread for spelling and grammatical errors; if not points will be deducted as well.
Word Requirement: At least 600 or more words; not counting the cover sheet.
Assignment Instructions:
As you read the required readings; “Costs and Benefits of Globalization” and Marshall McLuhan Foresees “The Global Village”, summarize the effects that globalization has on our country. Also, how do the two readings come into play with what we are experiencing today with the COVID-19 pandemic?
Costs and Benefits of Globalization- Tejvan Pettinger
Globalization is a complex and controversial issue. This is a look at some of the main benefits and costs associated with the greater globalization of the world economy.
Definition of Globalization – the process of increased integration and co-operation of different national economies. It involves national economies becoming increasingly inter-related and integrated.
Globalization involves:
1. Free Trade Free trade is a way for countries to exchange goods and resources. This means countries can specialize in producing goods where they have a comparative advantage (this means they can produce goods at a lower opportunity cost). When countries specialize there will be several gains from trade:
2. Free Movement of Labour
Increased labour migration gives advantages to both workers and recipient countries. If a country experiences high unemployment, there are increased opportunities to look for work elsewhere. This process of labour migration also helps reduce geographical inequality. This has been quite effective in the EU, with many Eastern European workers migrating west.
Also, it helps countries with labour shortages fill important posts. For example, the UK needed to recruit nurses from the Far East to fill shortages.
However, this issue is also quite controversial. Some are concerned that free movement of labour can cause excess pressure on housing and social services in some countries. Countries like the US have responded to this process by actively trying to prevent migrants from other countries.
3. Increased Economies of Scale.
Production is increasingly specialized. Globalization enables goods to be produced in different parts of the world. This greater specialization enables lower average costs and lower prices for consumers.
4. Greater Competition
Domestic monopolies used to be protected by lack of competition. However, globalization means that firms face greater competition from foreign firms.
5. Increased Investment
Globalization has also enabled increased levels of investment. It has made it easier for countries to attract short term and long term investment. Investment by multinational companies can play a big role in improving the economies of developing countries.
1. Free Trade can Harm Developing Economies.
Developing countries often struggle to compete with developed countries; therefore it is argued free trade benefits developed countries more. There is an infant industry argument which says industries in developing countries need protection from free trade to be able to develop. However, developing countries are often harmed by tariff protection Western economies have on agriculture. Paradox of Free Trade
2. Environmental Costs
One problem of globalization is that it has increased the use of non renewable resources. It has also contributed to increased pollution and global warming. Firms can also outsource production to where environmental standards are less strict. However, arguably the problem is not so much globalization as a failure to set satisfactory environmental standards.
3. Labour Drain
Globalization enables workers to move more freely. Therefore, some countries find it difficult to hold onto their best skilled workers, who are attracted by higher wages elsewhere.
4. Less Cultural Diversity
Globalization has led to increased economic and cultural hegemony. With globalization there is arguably less cultural diversity, however it is also led to more options for some people.
5. Tax Competition and Tax avoidance.
Multinational companies like Amazon and Google, can set up offices in countries like Bermuda and Luxembourg with very low rates of corporation tax and then funnel their profits through these subsidiaries. This means they pay very little tax in the countries where they do most of their business. This means governments have to increase taxes on VAT and income tax. It is also seen as unfair competition for domestic firms who don’t use same tax avoidance measures.
The greater mobility of capital means that countries have sought to encourage inward investment by offering the lowest corporation tax. (e.g. Ireland offers very low tax rate). This has encouraged lower corporation tax, which leads to higher forms of other tax.
Marshall McLuhan Foresees “The Global Village”
Today, after more than a century of electric technology, we have extended our central nervous system itself in a global embrace, abolishing both space and time as far as our planet is concerned.– Marshall McLuhan, Understanding Media, 1964. http://www.livinginternet.com/i/ii_mcluhan.htm
Marshall McLuhan’s insights made the concept of a global village, interconnected by an electronic nervous system, part of our popular culture well before it actually happened.
Marshall McLuhan was the first person to popularize the concept of a global village and to consider its social effects. His insights were revolutionary at the time, and fundamentally changed how everyone has thought about media, technology, and communications ever since. McLuhan chose the insightful phrase “global village” to highlight his observation that an electronic nervous system (the media) was rapidly integrating the planet — events in one part of the world could be experienced from other parts in real-time, which is what human experience was like when we lived in small villages.
While McLuhan popularized this concept, he was not the first to think about the unifying effects of communication technology. One of the earliest thinkers along this line was Nicolas Tesla, who in an interview with Colliers magazine in 1926 stated: “When wireless is perfectly applied the whole earth will be converted into a huge brain, which in fact it is, all things being particles of a real and rhythmic whole. We shall be able to communicate with one another instantly, irrespective of distance. Not only this, but through television and telephony we shall see and hear one another as perfectly as though we were face to face, despite intervening distances of thousands of miles; and the instruments through which we shall be able to do his will be amazingly simple compared with our present telephone. A man will be able to carry one in his vest pocket.“
Like Norbert Wiener and J.C.R. Licklider, McLuhan made a study of the extrapolation of current trends in technology, and specialized in the effects on human communications. He generally felt that the developments he described would be positive, but particularly worried about the potential for very sophisticated, manipulative advertising.
McLuhan’s ideas have permeated the way we in the global village think about technology and media to such an extent that we are generally no longer aware of the revolutionary effect his concepts had when they were first introduced. McLuhan made the idea of an integrated planetary nervous system a part of our popular culture, so that when the Internet finally arrived in the global village it seemed no less amazing, but still somehow in the natural order of things.
NSG 6005 SU WK 6 Management of Hypertension & GERD in Pregnancy Discussion
Guidelines: Respond to 2 peers. Support your responses with scholarly academic references using APA style format. Assigned course reading and online library resources are preferred. Weekly lecture notes are designed as overviews to the topic for the respective week and should not serve as a citation or reference. In your discussion question response, provide a substantive response that illustrates a well-reasoned and thoughtful response; is factually correct with relevant scholarly citations, references, and examples; demonstrates a clear connection to the readings In your participation responses to your peers, comments must demonstrate thorough analysis of postings and extend meaningful discussion by building on previous postings.
Peer 1 Amy Weber
Ms. BD is a 33-year-old G2P1 African-American female who presents to your clinic today complaining of unusual fatigue, nausea, and vomiting for the last five days. She has a medical history of chronic hypertension (HTN) that was diagnosed shortly after her first pregnancy two years ago and GERD. MS. BD’s blood pressure is controlled on Lisinopril-Hydrochlorothiazide 20/12.5mg by mouth twice a day, and GERD controlled on Bismuth Subsalicylate 262mg by mouth every 6 hours as needed. During the interview, you learn that she is single, sexually active, has one partner and that her menses is ten days late. She performed a home pregnancy the three days after missing her menstrual cycle, and the results were inconclusive. She states she feels terrible and needs relief. She has no other medical problems, symptoms, or concerns.
Assessment: Physical examination is unremarkable. BP128/68, HR is 74, Urine human chorionic gonadotropin (HCG) positive, beta HCG sent, potassium 4.2, blood
urea nitrogen (BUN) 14, creatinine is 0.6, Alanine aminotransferase (ALT) 29, White blood cells (WBCs) 6.5, hemoglobin (Hgb) 12.8, hematocrit (Hct) 39, and platelets 330,000.
Frequency and number of episodes of vomiting to help determine hydration status.
Anyone else in the household sick with similar symptoms? To rule out gastroenteritis as the cause of her symptoms.
PO intake to assess for hydration status and potential hypoglycemia.
Description of emesis to assess for any blood or bile in the vomit.
Lisinopril-hydrochlorothiazide is a combination drug that includes an angiotensin-converting enzyme (ACE) inhibitor and a diuretic that is prescribed for control of the patient’s hypertension. ACE inhibitors should not be used during pregnancy due to potential fetal abnormalities including the risk of death (Woo & Robinson, 2020). Diuretics may be used in pregnancy if prescribed prior to gestation.
Bismuth subsalicylate is an anti-diarrheal medication. This is a pregnancy category C medication, which means that there has been shown to be a negative affect on the fetus during animal studies, but adequate studies have not been done on humans (https://drugs.com). The safety of this medication has not been established for the use in pregnant women.
Assessing lab values when prescribing medications is important because medications are either metabolized in the liver or the kidneys. If the patient has poor hepatic or renal function, this could change the way the drug is metabolized. In the case that is presented, the patient’s lab values are within normal limits. If the patient were to continue the bismuth subsalicylate, monitoring of her liver and kidney function would be necessary, as this medication is metabolized in the liver and excreted in the kidneys (Woo & Robinson, 2020). Liver and kidney function studies would also be important to monitor with the use of the ACE inhibitor. Obtaining electrolytes, checking for hyponatremia and hyperkalemia, prior to initiating ACE inhibitors is indicated. “Hyperkalemia contraindicates use because reduced aldosterone secretion may worsen this electrolyte imbalance” (Woo & Robinson, 2020, p. 273).
I would stop her lisinopril-hydrochlorothiazide as the ACE inhibitor is contraindicated in pregnancy. Hydrochlorothiazide alone is a pregnancy category B medication, so could be continued in pregnancy. In the case of using antihypertensive medication in pregnancy, it is important to evaluate the risk versus benefits of medication use and the severity of hypertension. According to the Journal of the American Heart Association (2019), calcium channel blockers have been the most widely used antihypertensive medication during pregnancy over the past 30 years (Malha & August, 2019). The medication recommended is nifedipine XL. Nifedipine is “widely accepted as safe in pregnancy, based on many years of experience (Malha & August, 2019, p. 2). The mechanism of action of nifedipine is a calcium-channel blocker, which causes relaxation of the smooth muscle vasculature. The route is oral (PO). Half-life of nifedipine is 2-5 hours. Calcium-channel blockers are metabolized in the liver, nifedipine is excreted 60-80% in the urine, and 15% in feces (Woo & Robinson, 2020). A contraindication would be an ejection fraction less than 40%. There are no black box warnings for nifedipine that I can find.
Bismuth subsalicylate is a pregnancy category C medication, so I would change it to a pregnancy category B medication for the safety of the fetus. Loperamide is one of the pregnancy category B medications that can be used. Loperamide slows gastric motility by binding to the opiate receptors in the intestines. Loperamide is given orally. The average half-life is 10.8 hours. “Loperamide is partially metabolized by the liver and enters enterohepatic recirculation” (Woo & Robinson, 2020, p. 486). Excretion is mainly in feces, with a small portion eliminated in the urine. Loperamide should be used cautiously in patients with irritable bowel syndrome (IBS) due to the risk of toxic megacolon (Woo & Robinson, 2020). There are no black box warnings that I can find with the use of loperamide.
Ethnopharmacology applies to this patient because she is African-American. “In general, the African American population has lower renin activity, and so the RAAS is not thought to play a major role” in hypertension (Woo & Robinson, 2020, p. 1210). With this in mind, ACE inhibitors would not be the best choice for antihypertensive medication therapy. It is also noted that salt sensitivity is the pathophysiology related to hypertension in many African Americans. Therefore, limitation of salt intake and possibly diuretic therapy would be considered in the treatment regimen.
The health maintenance education for this patient would be to limit salt intake, maintain a healthy weight, and exercise regularly. For her nausea/vomiting complaint I would educate the patient regarding staying hydrated and signs and symptoms of dehydration.
Given the fact that the patient is pregnant, I would refer her to an OB/GYN specialist to follow her pregnancy and ensure proper medication management while pregnant and during lactation after delivery.
References
FDA pregnancy risk information. (n.d.). https://www.drugs.com/pregnancy-categories.html
Malha, L., & August, P. (2019). Safety of antihypertensive medications in pregnancy: Living with uncertainty. Journal of the American Heart Association (8)15. https://www.ahajournals.org/doi/10.1161/JAHA.119.0…
Woo, T.M., & Robinson, M.V. (2020). Pharmacotherapeutics for advanced practice nurse prescribers (5th ed.). F.A. Davis.
Peer 2Haley White
Additional information that would be important from Ms. BD would be any known allergies, her social history, if she partakes in any alcohol consumption, tobacco products or any recreational drugs. I would also ask if she has any other pertinent medical problems that are not already known. Asking Ms. BD about her sexual and gynecology history is also very important since we know she is pregnant. It would be important to ask if Ms. BD has had any recent or past expose to sexually transmitted infections. I would also ask if Ms. BD had any complications during her last pregnancies such as hypertension or preeclampsia and what medicine was she prescribed if so.
Lisinopril-hydrochlorothiazide is an angiotensin-converterting enzyme inhibitor (ACEI) and an angiotensin II receptor antagonist (ARB) combination. ACEIs and ARBs are contraindicated in pregnancy. Lisinopril-hydrochlorothiazide is not a safe drug choice for Ms. BD since she is pregnant and should be discontinued right away. ACEIs and ARBs can cause fetal and neonatal morbidity and mortality, they are both classified as Pregnancy category C in the first trimester of pregnancy. Bismuth subsalicylate should also be avoided in pregnancy (Woo and Robinson, 2020).
Since lisinopril-hydrochlorothiazide as well as bismuth subsalicylate are both contraindicated in pregnancy, I would definitely change Ms. BD’s medication regimen. Acceptable hypertensive medications for pregnant women are beta blockers or calcium channel blockers. There are inconsistent reports of increased risks of preterm birth, fetal growth restriction and congenital malformations with beta blockers (UpToDate). I would look at prescribing a calcium channel blocker such as Nifedipine. Nifedipine is one of the most widely used calcium channel blockers in pregnant women. Nifedipine is an antihypertensive calcium channel blocker which inhibits the calcium ion which allows relaxation of the coronary vascular smooth muscle and coronary vasodilation, it also reduces peripheral vascular resistance which produces a reduction in arterial blood pressure. Nifedipine has a half-life of 2 to 5 hours in healthy adults, it is metabolized by the liver and excreted in the urine. Nifedipine is administered by oral route. Contraindications include hypersensitivity to nifedipine, severe hypotension, moderate or severe hepatic impairment, and severe gastrointestinal obstructive disorders. I would inform Ms. BD to discontinue the bismuth subsalicylate and instead I would recommend she take an over the counter antacids like tums or Maalox.
Along with the correct medication, physical activity as well as maintaining a proper diet is very important for pregnant women, especially Ms. BD who has a diagnosis hypertension prior to pregnancy. I would recommend that Ms. BD follow an anti-reflux diet. To help relieve Ms. BD’s GERD symptoms I would recommend that she avoid lying down within 3 hours pf eating, avoid wearing tight-fitting clothing. I would also recommend she avoid food that make symptoms worse such as coffee, cola, tea, citrus, chocolate, and fatty foods.
I would refer Ms. BD to her obstetrician. It is important that Ms. BD have access to proper prenatal care and having her blood pressure monitored during her pregnancy is critical to her health as well as the health of her baby.
August, P., Lockwood, C., Bakris, G. (2021). Treatment of hypertension in pregnant and
postpartum women. UpToDate. https://www.uptodate.com/contents/treatment-of-hyp…
UpToDate (2021). Patient education: acid reflux (gastroesophageal reflux disease) during pregnancy (The Basics). https://www.uptodate.com/contents/acid-reflux-
gastroesophageal-reflux-disease-during-pregnancy-the-
basics?search=gerd%20in%20pregnancy&source=search_result&selectedTitle=3~150&usage_type=default&display_rank=2
Woo, T., Robinson, M. (2020). Pharmacotherapeutics for Advanced Practice Nurse Prescribers (5th ed.). Philadelphia, PA: F.A. Davis
Capella University Valley City Disaster Recovery Plan Presentation
Develop a disaster recovery plan to lessen health disparities and improve access to community services after a disaster. Then, develop and record a 10-12 slide presentation (please refer to the PowerPoint tutorial) of the plan with audio and speaker notes for the Vila Health system, city officials, and the disaster relief team.
As you begin to prepare this assessment, you are encouraged to complete the Disaster Preparedness and Management activity. The information gained from completing this activity will help you succeed with the assessment as you think through key issues in disaster preparedness and management in the community or workplace. Completing activities is also a way to demonstrate engagement.
Nurses perform a variety of roles and their responsibilities as health care providers extend to the community. The decisions we make daily and in times of crisis often involve the balancing of human rights with medical necessities, equitable access to services, legal and ethical mandates, and financial constraints. In the event of a major accident or natural disaster, many issues can complicate decisions concerning the needs of an individual or group, including understanding and upholding rights and desires, mediating conflict, and applying established ethical and legal standards of nursing care. As a nurse, you must be knowledgeable about disaster preparedness and recovery to safeguard those in your care. As an advocate, you are also accountable for promoting equitable services and quality care for the diverse community.
Nurses work alongside first responders, other professionals, volunteers, and the health department to safeguard the community. Some concerns during a disaster and recovery period include the possibility of death and infectious disease due to debris and/or contamination of the water, air, food supply, or environment. Various degrees of injury may also occur during disasters, terrorism, and violent conflicts.
To maximize survival, first responders must use a triage system to assign victims according to the severity of their condition/prognosis in order to allocate equitable resources and provide treatment. During infectious disease outbreaks, triage does not take the place of routine clinical triage.
Trace-mapping becomes an important step to interrupting the spread of all infectious diseases to prevent or curtail morbidity and mortality in the community. A vital step in trace-mapping is the identification of the infectious individual or group and isolating or quarantining them. During the trace-mapping process, these individuals are interviewed to identify those who have had close contact with them. Contacts are notified of their potential exposure, testing referrals become paramount, and individuals are connected with appropriate services they might need during the self-quarantine period (CDC, 2020).
An example of such disaster is the COVID-19 pandemic of 2020. People who had contact with someone who were in contact with the COVID-19 virus were encouraged to stay home and maintain social distance (at least 6 feet) from others until 14 days after their last exposure to a person with COVID-19. Contacts were required to monitor themselves by checking their temperature twice daily and watching for symptoms of COVID-19 (CDC, 2020). Local, state, and health department guidelines were essential in establishing the recovery phase. Triage Standard Operating Procedure (SOP) in the case of COVID-19 focused on inpatient and outpatient health care facilities that would be receiving, or preparing to receive, suspected, or confirmed COVID- 19 victims. Controlling droplet transmission through hand washing, social distancing, self-quarantine, PPE, installing barriers, education, and standardized triage algorithm/questionnaires became essential to the triage system (CDC, 2020; WHO, 2020).
This assessment provides an opportunity for you to apply the concepts of emergency preparedness, public health assessment, triage, management, and surveillance after a disaster. You will also focus on evacuation, extended displacement periods, and contact tracing based on the disaster scenario provided.
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
Note: Complete the assessments in this course in the order in which they are presented.
When disaster strikes, community members must be protected. A comprehensive recovery plan, guided by the MAP-IT (Mobilize, Assess, Plan, Implement, Track) framework, is essential to help ensure everyone’s safety. The unique needs of residents must be assessed to lessen health disparities and improve access to equitable services after a disaster. Recovery efforts depend on the appropriateness of the plan, the extent to which key stakeholders have been prepared, the quality of the trace-mapping, and the allocation of available resources. In a time of cost containment, when personnel and resources may be limited, the needs of residents must be weighed carefully against available resources.
In this assessment, you are a community task force member responsible for developing a disaster recovery plan for the Vila Health community using MAP-IT and trace-mapping, which you will present to city officials and the disaster relief team.
To prepare for the assessment, complete the Vila Health: Disaster Recovery Scenario simulation.
In addition, you are encouraged to complete the Disaster Preparedness and Management activity. The information gained from completing this activity will help you succeed with the assessment as you think through key issues in disaster preparedness and management in the community or workplace. Completing activities is also a way to demonstrate engagement.
Begin thinking about:
You may also wish to:
Note: Remember that you can submit all, or a portion of, your draft recovery plan to Smarthinking Tutoring for feedback, before you submit the final version for this assessment. If you plan on using this free service, be mindful of the turnaround time of 24–48 hours for receiving feedback.
Note: If you require the use of assistive technology or alternative communication methods to participate in this activity, please contact DisabilityServices@capella.edu to request accommodations.
Every 10 years, The U.S. Department of Health and Human Services and the Office of Disease Prevention and Health Promotion release information on health indicators, public health issues, and current trends. At the end of 2020, Healthy People 2030 was released to provide information for the next 10 years. Healthy People 2030 provides the most updated content when it comes to prioritizing public health issues; however, there are historical contents that offer a better understanding of some topics. Disaster preparedness is addressed in Healthy People 2030, but a more robust understanding of MAP-IT, triage, and recovery efforts is found in Healthy People 2020. For this reason, you will find references to both Healthy People 2020 and Healthy People 2030 in this course.
Complete the following:
You may use Microsoft PowerPoint (preferred) or other suitable presentation software to create your slides and add your voice-over along with speaker notes. If you elect to use an application other than PowerPoint, check with your instructor to avoid potential file compatibility issues.
Be sure that your slide deck includes the following slides:
Your slide deck should consist of 10–12 content slides plus title and references slides. Use the speaker’s notes section of each slide to develop your talking points and cite your sources as appropriate. The speaker notes should match your recorded voice-over. Make sure to review the Microsoft PowerPoint tutorial for directions for inserting your speaker notes.
The following resources will help you create and deliver an effective presentation:
Cite at least three credible sources from peer-reviewed journals or professional industry publications within the past 5 years to support your plan.
The requirements outlined below correspond to the grading criteria in the scoring guide, so be sure to address each point:
IITM Benefits and Opportunities for BSN Prepared Nurses Discussion
I’m working on a health & medical discussion question and need an explanation to help me study.
Discuss the direct influence the IOM report has on nursing education and nursing leadership. Describe the benefits and opportunities for BSN-prepared nurses.
IITM Nurses Advocate for Vulnerable Populations Discussion
I’m working on a health & medical discussion question and need an explanation to help me learn.
How do nurses advocate for vulnerable populations that depend on medical aid from a health policy perspective.
NSG 468 UoP Wk 3 Nurse Sensitive Indicators Diabetes Presentation
This assignment is designed to illustrate the importance of nurse-sensitive indicators in relationship to patient outcomes. USE THE NURSING PROCESS
Select a condition or disease.
Identify the nurse-sensitive indicators that relate to your selection, and indicate if they are structural, process, or outcome in nature.
Create a plan of care showing how you would employ the indicators to improve the outcome.
Format your plan of care and summary of the disease and nurse-sensitive indicator outcomes as one of the following:
