Prioritize nursing care strategies for clients with cardiovascular disorders.

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Competency

Prioritize nursing care strategies for clients with cardiovascular disorders.

Scenario

Cardiac disease a one of the leading causes of death in the United States. Since it is so prevalent, you want to ensure your co-workers are fully prepared to care for patients. You are hosting a lunch to provide a refresher on heart disease and how to care for patients. During the lunch, you will present a PowerPoint Presentation to your co-workers.

Instructions

Choose one of the cardiac diseases that we covered in the last two modules. Within your presentation include:

  • Provide a detailed overview of the disease process
  • Diagnosis
  • Treatment
  • Multidimensional care including risk reduction, health promotion, and nursing interventions specific to the disease process

Case Discussion on Psychosis:

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Case Discussion on Psychosis:

There are several antipsychotics available for patients with psychotic disorders:

  1. Select an antipsychotic medication from your readings and discuss its use, potential side effects, dosing, mechanism of action, and the receptors it affects in the brain.
  2. Compare and contrast the following conditions: Tardive Dyskinesia, Acute Dystonia, Athetosis, and Tics.

You are seeing a 15-year-old female patient for a gynecological exam and to explore birth control options. The patient’s mother scheduled the appointment after learning that her daughter has become sexually active.

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You are seeing a 15-year-old female patient for a gynecological exam and to explore birth control options. The patient’s mother scheduled the appointment after learning that her daughter has become sexually active. The patient is current with all immunizations, including Gardasil, and has no significant health history that would contraindicate the use of birth control.

1. This is the patient’s first gynecological exam, and she expresses feeling nervous and embarrassed that her mother has shared her sexual experience with strangers. Taking this into account, how would you begin the patient encounter?

2. As you begin asking questions to determine the patient’s gynecological history, the patient appears frustrated and embarrassed and reminds you that she has only had sex one time. What should the patient understand about the importance of reviewing gynecological history?

3. What are the most popular birth control methods prescribed in the United States? What determines the success or failure of a birth control method?

4. The patient expresses a desire for the most effective form of birth control but is concerned about weight gain and other side effects. How should you respond to her concerns?

5. The patient seems unsure about the best option for birth control and asks if she can take some time to think about the choices. As the use of birth control is ultimately the patient’s choice, you offer to answer any questions and agree to a follow-up visit or call. The patient asks whether using a condom is okay if she decides to have sexual intercourse before selecting a method of birth control. What should you tell her?

6.  post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources

Case Discussion on Psychosis:

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Case Discussion on Psychosis:

There are several antipsychotics available for patients with psychotic disorders:

  1. Select an antipsychotic medication from your readings and discuss its use, potential side effects, dosing, mechanism of action, and the receptors it affects in the brain.
  2. Compare and contrast the following conditions: Tardive Dyskinesia, Acute Dystonia, Athetosis, and Tics.

Ethics are important in any area but particularly in healthcare.

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Directions:

Ethics are important in any area but particularly in healthcare. Every patient population has their own specific ethical considerations. Post a brief description of your population and the plan idea you have for addressing their health needs. This time also describe the ethical issues involved in serving your population.

Comment on another student’s post. Offer insight and suggestions about potential ethical considerations for their proposed plan.

An 8-year-old girl comes to your ambulatory care clinic with complaints of left ear pain for the past 3 days. She had respiratory infection a week ago.

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An 8-year-old girl comes to your ambulatory care clinic with complaints of left ear pain for the past 3 days. She had respiratory infection a week ago. On physical examination, the tympanic membrane is bulging.

Answer the following questions:

  1. What else should you ask the client?
  2. What teaching would you reinforce to prevent the recurrence of otitis media?
  3. What expected outcomes would be specific to this situation?

Review the case study and answer the following questions.

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Review the case study and answer the following questions.

Case Study: Jimmy, ten years old, was admitted to the pediatric intensive care unit after a fall from the second-story townhome were sustained a fractured left femur and mild head injury. Currently, Jimmy is two days post open reduction internal fixation of the left femur. Orders were updated to transfer Jimmy out of Intensive Care Unit (ICU) after being cleared by the neurologist. He has a long leg cast, indwelling foley catheter and will require neuro checks every two hours.

  • What are two priority nursing diagnoses for this child?
  • What are the priority nursing interventions for this patient after being transferred from the ICU?
  • What are the risks of foley catheter placement?
  • Does the patient still require an indwelling foley catheter? Provide a rationale to support your answer.

Healthcare Economics: Social Determinants of Health

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Healthcare Economics: Social Determinants of Health

 

 

 

Miatta Teasley

 

Capella University

 

NHS-FPX6008

Economics and Decision Making in Health Care

 

Professor Georgena Wiley

 

February 20,2023

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Social Determinants of Health

The economic aspects predominantly affect individual and collective health. The health economic issue I will discuss in detail is social determinants of health. Many social determinants of health include education levels, income rates, race, housing, nutrition, environment, and sanitation (Artiga & Hinton, 2019). These factors can positively or negatively contribute to the health of individuals. The specific social determinant of health the report will focus on is poverty. In 2021, 698 million people, or 9% of the world’s population, are expected to be living in extreme poverty, which is defined as earning less than $1.90 per day ( Development Initiatives, 2021). More than two-thirds of the world’s population (3,293 million people) and more than one-fifth (1,803 million people), respectively, lives on less than $5.50 per day ( Development Initiatives, 2021). In the United States, a report from the US Census in 2021 shows that approximately 37.9 million Americans, which is approximately 9% of the total population live in poverty. Therefore, poverty is a significant local and global social determinant of health.

In the United States, poverty is mainly concentrated among minority groups. Data shows that the number of African Americans and Hispanics living in poverty is higher than whites, despite their population being small. Approximately 19.5% Africans Americans are poor while only 8.1% non-Hispanic Whites live in poverty ( Federal Safety Net, 2023). The ethnic and racial variation in poverty is best explained through the accumulated systemic disadvantages towards peripheral ethnic groups for decades. With high poverty rates, the ethnic minority groups are predisposed to poor health outcomes and most of them can hardly afford treatment or insurance coverage.

One reason I have selected to focus on social determinants of health is that solving these issues can address the social and economic gaps in different communities. For instance, poverty patterns are associated with social and economic gaps. People living in overcrowded and poor house structures are from lower economic classes, while those living in furnished houses are from upper economic classes. The second reason for focusing on poverty is that it is both a global and local issue. The impacts of poverty on healthcare system are felt across the globe. Therefore, mediating the impacts of poverty on health of population can improve healthcare outcomes globally health (Artiga & Hinton, 2019). Offering job opportunities can eradicate poverty, create an equal society and allow many people to afford health services. In other words, the disparities in healthcare are first manifested in social and economic settings.

The poverty impacts the population of every community in varying degrees. I come from a low-income community where utilization for health services is very low (Cui & Chang, 2021). Most people in this community are uninsured because they cannot pay monthly insurance premiums. Consequently, they rarely go to hospitals for treatment. In the workplace, some employees who earn low salaries also face the same nightmare, as they cannot comfortably access the services they need and have to settle for low-quality care. The gaps that contribute to these issues include academic levels, employment, income, and housing, to mention but a few. If these gaps are removed, every person will have the same opportunity to access health services. Children from poor families have low academic achievement. Low academic attainment in adulthood augments inaccessibility to healthcare. Therefore, addressing poverty can solve other issues like poor housing, sanitation and illiteracy.

 

 

 

 

References

Artiga, S., & Hinton, E. (2019, July 9).  Beyond health care: The role of social determinants in promoting health and health equity. KFF. https://www.kff.org/racial-equity-and-health-policy/issue-brief/beyond-health-care-the-role-of-social-determinants-in-promoting-health-and-health-equity/#:~:text=Determinants%20of%20Health%3F-,Social%20determinants%20of%20health%20are%20the%20conditions%20in%20which%20people,health%20care%20(Figure%201)

Cui, X., & Chang, C. (2021). How income influences health: Decomposition based on absolute income and relative income effects.  International Journal of Environmental Research and Public Health,  18(20), 10738. https://doi.org/10.3390/ijerph182010738

Poverty trends: Global, regional and national. Development Initiatives. (2021, November 10). Retrieved February 17, 2023, from https://devinit.org/resources/poverty-trends-global-regional-and-national/#:~:text=In%202021%20an%20estimated%20698,live%20below%20%245.50%20a%20day

U.S. Poverty Statistics. Federal Safety Net. (2023, Janu

identify some of the social, ethical, and economic reasons for addressing immigration policy reform.

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identify some of the social, ethical, and economic reasons for addressing immigration policy reform.

The discussion must address the topic.

Rationale must be provided

Spiritual nursing is instrumental to the provision of holistic care. One of the tools that can be used to evaluate spirituality is AMEN (Affirm, Meet, Educate, No Matter What).

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Spiritual nursing is instrumental to the provision of holistic care. One of the tools that can be used to evaluate spirituality is AMEN (Affirm, Meet, Educate, No Matter What). This tool is instrumental in helping patients navigate a poor prognosis. Nurses can use AMEN to engage their patients and families in difficult conversations about the religious beliefs of the patient during such scenarios. This way, the patient preserves their hope and faith since their belief has been affirmed despite the nature of the prognosis (Cosentino et al., 2020). It also allows nurses to confirm that they are supportive to the patients no matter what happens to them in the course of their treatment. Another tool that can be used to evaluate spirituality is Brief Serenity Scale. This tool is mostly effective for patients with organ failure. It can also be used for individuals with chronic illnesses. Using this scale to evaluate a patient’s spirituality allows them to have inner peace regardless of their situation (Cosentino et al., 2020). This way, the patient and their family members become content with the prognosis.

Another tool that can be used to evaluate spirituality is the level of cultural competence among the nurses. Hu et al. (2019) note that cultural and religious differences may affect the ability of nurses to extend spiritual care. However, if the nurses are culturally competent, they will understand the essence of finding a person who can offer spiritual care to their patients (Hu et al., 2019). The frequency at which spiritual care is extended is also an important evaluation tool for spirituality. This means that nurses must recognize patient cues in regards to receive spiritual care (Hu et al., 2019). Nurses must also be willing to support patients in meeting the specifics of spiritual care. This way, they will have advanced spirituality in nursing practice and towards their patients.

One of the student learning outcomes that have been achieved through this discussion is the evaluation of nursing models which focus on the spiritual wellbeing of patients. The evaluation of such models demonstrates that there is more to nursing care beyond the medical and physical care offered to patients. The discussion demonstrates that patients who are spiritual tend to have lesser suicidal or depressive thoughts. Understanding that aspect of healthcare is important since it challenges nurses to offer more than physical healing and focus on the spiritual and emotional wellbeing of their patients. Thus, this discussion allows one to understand the essence of spirituality in nursing care.

 

200 words and one scholarly reference