Assessing Muscoskeletal Pain Discussion

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Assessing Muscoskeletal Pain Discussion

Assessing Muscoskeletal Pain Discussion

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The body is constantly sending signals about its health. One of the most easily recognized signals is pain. Musculoskeletal conditions comprise one of the leading causes of severe long-term pain in patients. The musculoskeletal system is an elaborate system of interconnected levers that provide the body with support and mobility. Because of the interconnectedness of the musculoskeletal system, identifying the causes of pain can be challenging. Accurately interpreting the cause of musculoskeletal pain requires an assessment process informed by patient history and physical exams.

Case 1: Back Pain

A 42-year-old male reports pain in his lower back for the past month. The pain sometimes radiates to his left leg. In determining the cause of the back pain, based on your knowledge of anatomy, what nerve roots might be involved? How would you test for each of them? What other symptoms need to be explored? What are your differential diagnoses for acute low back pain? Consider the possible origins using the Agency for Healthcare Research and Quality (AHRQ) guidelines as a framework. What physical examination will you perform? What special maneuvers will you perform?

A description of the health history you would need to collect from the patient in the case study to which you were assigned. Explain what physical exams and diagnostic tests would be appropriate and how the results would be used to make a diagnosis. List five different possible conditions for the patient’s differential diagnosis, and justify why you selected each. Include how the patient X-ray helped you to refine the differential diagnosis.Use the image attached as a guide.  Answer must be IN SOAP format.

usw1_nurs_6512_week08_spine.jpg
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Assignment: Community Windshield Survey

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Assignment: Community Windshield Survey

Assignment: Community Windshield Survey

Directions

Download the Community Windshield Survey (Links to an external site.)Links to an external site. form. You will type answers directly onto this Word document. Your form does not need to follow APA formatting; however, you are expected to use a professional writing style with complete sentences, accurate grammar, and correct spelling within the fill-in sections. References are not needed as this should be based on your observations.
You are required to use the linked form provided for this assignment. Assignments that do not follow the current guidelines or use the required form will be evaluated for evidence of an academic integrity violation.
After the due date, there will be no opportunity for revision or resubmission of assignments that have been uploaded to the submission area. It is your responsibility to submit the correct assignment to the correct submission area.
Watch the Windshield Survey tutorial found at the end of the Academic Integrity Reminder.
Save the file by clicking Save As and adding your last name to the file name; for example, NR443 Windshield Survey Form_Smith.

Guidelines

Below are the requirements needed for successful completion of the Windshield Survey Form.

Introduction to the Community: Identify the community you will be using for this assignment with the city and state, and provide a brief, one-paragraph description of the community. Your community should be the area where you live or the area surrounding your work setting. The community must include a residential area and be a large enough area to answer the survey questions. Do not include epidemiological or demographic data as this is based on what you observe.
Windshield Survey: Assess your community by doing a windshield survey. Information about the components of a windshield survey is located in your textbook, Nies and McEwen (2015). Drive through the area and report your observations by answering the questions on the form. Be sure to include what you observed related to each of these categories, and also include any significant items that are missing in your community because this may be equally important in identifying a community health problem.
Community vitality
Indicators of social and economic conditions
Health resources
Environmental conditions related to health
Social functioning
Attitude toward healthcare

Note: It is helpful to conduct this assessment at least two different times: during the day or evening, on a weekday, and/or on the weekend. If possible, plan on asking someone to drive during your survey so that you can take notes.
Vulnerable population: Identify the aggregate or vulnerable populations that you observed in your community during your drive through. What did you observe about this population?
Community problem: Based on your assessment in the survey above, identify and discuss one priority community health problem that a community health nurse could positively impact.

Example: If you observed teens who were pregnant or had young children during your survey and felt this was a priority problem in your community, the diagnosis could be

Risk of unintended pregnancy among adolescent girls in XXXX community as evidence by observation of pregnant teens and teens caring for young children during windshield survey.
Healthy People 2020 Objective:Go to the Healthy People topic areas at https://www.healthypeople.gov/2020/topics-objectives. Find a topic area that relates to one of the vulnerable populations you observed. Click on the topic area, and then click on the green Objectives tab. Review the objectives within that topic area to complete the relevant sections of the form. State the Healthy People 2020 objective number (not just a goal) that describes your problem.

Example: The topic area Family Planning would be relevant. You would click on Family Planning, and then click the green Objectives tab, and you might choose

FP-8.1 “Reduce pregnancies among adolescent females aged 15 to 17 years” (U.S. Department of Health and Human Services: Healthy People 2020, 2018, Objectives: Family Planning, para 8).
Summary: Complete the summary of learning section.
References: The purpose of this assignment is to document your observationsof your community. Outside sources other than Healthy People 2020 should not be used. We have included this reference on the Windshield Survey form for you.

Best Practices in Completing the Form

The following are best practices in preparing this project.

Make sure all elements of the form are included.
Review directions and grading rubric thoroughly.
Use a professional writing style with complete sentences in the fill-in sections.
Check for spelling and grammar errors prior to final submission.
Abide by the Chamberlain academic integrity policy.

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Discussion: Models of Grieving

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Discussion: Models of Grieving

Discussion: Models of Grieving

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The death of a loved one is a significant event that everyone experiences. An individual’s social environment, including societal and familial cultural factors, may influence how an individual approaches death or grieves the loss of someone else who dies. You can anticipate addressing grief in your social work practice and, therefore, should develop an understanding of the grieving process.

 

Two models of grieving—the Kubler-Ross and Westburg models—identify stages through which an individual progresses in response to the death of a loved one. Understanding the various ways individuals cope with grief helps you to anticipate their responses and to assist them in managing their grief. Select one model of grieving—the Kubler-Ross or Westburg model—to address in this assignment.

 

Addressing the needs of grieving family members can diminish your personal emotional, mental, and physical resources. In addition to developing strategies to assist grieving individuals in crisis, you must develop strategies that support self-care.

In this Assignment, you apply a grieving model to work with families in a hospice environment and suggest strategies for self-care.

 

Submit by SATURDAY 8PM NEW YORK TIME a 2- to 4-page paper in which you:

  • Explain how you, as a social worker, might apply the grieving model you selected to your work with families in a hospice environment.
  • Identify components of the grieving model that you think might be difficult to apply to your social work practice. Explain why you anticipate these challenges.
  • Identify strategies you might use for your own self care as a social worker dealing with grief counseling. Explain why these strategies might be effective.

 

References

Zastrow, C. H., & Kirst-Ashman, K. K. (2016). Understanding human behavior and the social environment (10th ed.)Boston, MA:  Cengage Learning.

 

 

 

Support your Assignment with specific references to the resources. Be sure to provide full APA citations for your references.

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Technology in Nursing Practice

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Technology in Nursing Practice

Technology in Nursing Practice

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Introduction

In the modern world, technology has become the tool towards effective service delivery and production of goods. While technology may seem to have initiated and tremendously change the nursing practice, it is significant to research on the impacts in this field thoroughly. In the recent few decades, some health practitioners had some negative views towards the implementation of Electronic Health Records. However, it is apparent that many organizations have embraced the technology, mainly because of the benefits the facilities are able to enjoy with the implementation of the Electronic Health Registers. It is apparent that nursing practice is somewhat the backbone of the health facilities from a broader perspective. Therefore, any improvement on the nursing practice dramatically improves the overall service delivery and image of the health facility. In nursing practice, technology has enhanced communication, nurse education, and research. What is the Impact of Technology in Nursing Practice?

Problem Statement

Most of the sectors and professionals across the world are leveraging on technology for cost-cutting, efficiency and overall performance among other benefits. It is important to note that the use of technology is capable of drastically reducing the cost of providing healthcare and improving the services by the nurse practitioners.  How are the nurse practitioners leveraging technology?

Purpose of the study

The primary purpose of this study is to examine the various ways the technology has changed the nurse practice. To establish this, this study examines the different areas that the nurse practitioners are engaging technology in their endeavors to providing high quality and timely healthcare to eradicate the health challenges facing the modern society (Elgin & Bergero, 2015). As such, this research proposal purposes to determine the help of various technological advancements towards assisting the nurse practitioners including the implementation of the Electronic Health Records, use of internet in research, big data and cloud computing for easy access of records and communication between the nurses and patients.

Research Question

For the realization of the above-stated purpose, this research proposal responds to the question of what are the impacts of technology in nursing practice. It is notable that nurse practitioners like other professionals are using technology. In this regard, this research proposal seeks to identify the various benefits technology has influenced in nurse practice or why the nurse practitioners should continue using technology?

The Significance of the Study

The study on the impacts of technology in the nurse practice field is very significant and in different ways. Firstly, this study shall determine the importance of leveraging technology in nurse practice towards minimizing or eradicating the common problem of burnouts among the nurse practitioners. It is also important to note that the study shall examine the various changes and benefits that the different technological improvements such as the Electronic Health Records have influenced in the nurse practice (Lavin, Harper & Barr, 2015). For instance, recent research finds that the use of EHRs has drastically reduced the cost of running healthcare facilities. Of importance, the Electronic health records have enabled ease of access of the patient records by the nurses.

The latter shows that the nurses are less likely to have the burnouts with the implementation of the EHRs. Traditionally, the nurses used to peruse through the manual documents to determine the patients’ records regardless of the length of the queues. With the EHRs, nurses are able to access the full details of the patients within seconds (Weaver, Delaney, Weber & Carr, 2016). Therefore, the technology that has brought HER has greatly benefited the nurses in record keeping a situation that influences efficiency in health care facilities thus promoting the image of facilities while ensuring the good health of the communities they serve. What is the Impact of Technology in Nursing Practice?

As observed, EHRs enables the nurse practitioners to meet their objectives at a lower cost and using less energy. In fact, the systems allows the nurse practitioners to serve more clients within a limited time (Piscotty, Kalisch & Gracey‐Thomas, 2015). However, as nurses are able to serve more clients, they need more storage space for the storage of the increasing number of the patients’ data. This study will also help to determine what procedures or technological strategies are the nurse practitioners employing to improve storage facilities to avoid system downtimes and eventual failures of the entire system. From this perspective, this research proposal endeavors to establish the extent to which the nurse practitioners are leveraging cloud computing to improve the storage of the patient’s data. The increased data stored provides a pool of information that nurse practitioners can use in their research to develop other interventions for different health problems.

Conclusion

This study proposal determines that the use of technology in the health care sector has great impacts on the nurse practice. Notably, the technology has influenced the proper and easier method of record keeping that permits improved service the people thus improved health in the community. Additionally, the technology has enhanced communication among the nurse practitioners and physicians for efficiency. Finally, the technology has greatly influenced research for the realization of different intervention strategies through the big data. What is the Impact of Technology in Nursing Practice?

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HLT 605 Grand Canyon Week 8 Discussions

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HLT 605 Grand Canyon Week 8 Discussions

HLT605

HLT 605 Grand Canyon Week 8 DQ 1

Explain the life cycle of public health partnerships. Why are collaborative partnerships important? What reasons or issues lead to the termination of partnerships?

HLT 605 Grand Canyon Week 8 DQ 2

What is the difference between intervention research and systems research? Provide an example of a public health advancement or accomplishment that represents each type of research. In addition, explain the role of systems research and the integration of systems theory for public health programs implemented within community-based organizations. Justify your rationale.

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Incidence of Opioid Abuse Assignment

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Incidence of Opioid Abuse Assignment

Incidence of Opioid Abuse Assignment

Incidence of Opioid Abuse Assignment

Week 7 discussion Discussion Part One As an Advanced Practice Nurse, you will care for patients who are at risk for opioid abuse or addiction. Please research and present the incidence of opioid abuse specific to your geographic area and provide evidence of risk, relative risk, and odds ratio in relation to opioid abuse, and if specific risks have been identified for a specific population(s). Discussion Part Two Please identify one local prevention or screening program tied specifically to opioid abuse / addiction and provide a brief overview of the purpose, program, and ongoing surveillance or evaluation of success. Discussion Part Three Please provide a summary of the case or information you have discussed this week and how you will incorporate these findings in your practice as an APRN.

Source: https://www.homeworkjoy.com/questions/health-care/577558-DeVry-nr503-full-course-latest-2017-october/
© homeworkjoy.comEvery day, more than 130 people in the United States die after overdosing on opioids.1 The misuse of and addiction to opioids—including prescription pain relievers, heroin, and synthetic opioids such as fentanyl—is a serious national crisis that affects public health as well as social and economic welfare. The Centers for Disease Control and Prevention estimates that the total “economic burden” of prescription opioid misuse alone in the United States is $78.5 billion a year, including the costs of healthcare, lost productivity, addiction treatment, and criminal justice involvement.2In the late 1990s, pharmaceutical companies reassured the medical community that patients would not become addicted to prescription opioid pain relievers, and healthcare providers began to prescribe them at greater rates. This subsequently led to widespread diversion and misuse of these medications before it became clear that these medications could indeed be highly addictive.3,4 Opioid overdose rates began to increase. In 2017, more than 47,000 Americans died as a result of an opioid overdose, including prescription opioids, heroin, and illicitly manufactured fentanyl, a powerful synthetic opioid.1That same year, an estimated 1.7 million people in the United States suffered from substance use disorders related to prescription opioid pain relievers, and 652,000 suffered from a heroin use disorder (not mutually exclusive).5

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Assignment: Patient Preferences And Decision Making

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Assignment: Patient Preferences And Decision Making

Changes in culture and technology have resulted in patient populations that are often well informed and educated, even before consulting or considering a healthcare need delivered by a health professional. Fueled by this, health professionals are increasingly involving patients in treatment decisions. However, this often comes with challenges, as illnesses and treatments can become complex.

What has your experience been with patient involvement in treatment or healthcare decisions?

In this Discussion, you will share your experiences and consider the impact of patient involvement (or lack of involvement). You will also consider the use of a patient decision aid to inform best practices for patient care and healthcare decision making.

To Prepare:

  • Review the Resources and reflect on a time when you experienced a patient being brought into (or not being brought into) a decision regarding their treatment plan.
  • Review the Ottawa Hospital Research Institute’s Decision Aids Inventory at https://decisionaid.ohri.ca/.
    • Choose “For Specific Conditions,” then Browse an alphabetical listing of decision aids by health topic.
  • NOTE: To ensure compliance with HIPAA rules, please DO NOT use the patient’s real name or any information that might identify the patient or organization/practice.
  •  Post a brief description of the situation you experienced and explain how incorporating or not incorporating patient preferences and values impacted the outcome of their treatment plan. Be specific and provide examples. Then, explain how including patient preferences and values might impact the trajectory of the situation and how these were reflected in the treatment plan. Finally, explain the value of the patient decision aid you selected and how it might contribute to effective decision making, both in general and in the experience you described. Describe how you might use this decision aid inventory in your professional practice or personal life.
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Assignment: Abnormal Behavior

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Assignment: Abnormal Behavior

Assignment: Abnormal Behavior

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Due Wednesday, January 22, 2014.

 

Your textbook lists seven criteria that psychologists use when labeling someone’s behavior as “disturbed” or “abnormal.”  to view the list from your textbook.

Psychologists may use a combination of these criteria for determining that behavior is disturbed or abnormal. Of the seven criteria for abnormal behavior, which two do you think are most valid? Which two are the least valid?

 

In the discussion, identify the two most valid criteria and the two leastvalid criteria. Provide an argument for your position, stating your rationale for your choices.

Please be sure you address each question, using terms and concepts from your text. A good initial discussion response should be at least 150–250 words in length.

Abnormality (or dysfunctional behavior) is a behavioral characteristic assigned to those with conditions regarded as rare or dysfunctional. Behavior is considered abnormal when it is atypical or out of the ordinary, consists of undesirable behavior, and results in impairment in the individual’s functioning. Abnormality is that which is considered from specific societal, cultural and ethical expectations. These expectations are broadly dependent on age, gender, traditional and societal categorizations. The definition of abnormal behavior is an often debated issue in  because of these subjective variables.

Abnormal behavior should not be confused with unusual behavior. Behavior that is out of the ordinary is not necessarily indicative of a mental or psychological disorder. Abnormal behavior, on the other hand, while not a mental disorder in itself, is often indicative of mental and psychological disorders. A psychological disorder is defined as an “ongoing dysfunctional pattern of thought, emotion, and behavior that causes significant distress, and is considered deviant in that person’s culture or society”. Important to note is that abnormal behavior, as it relates to psychological disorders, would be “ongoing” and a cause of “significant distress”. A  describes a patient who has a medical condition whereby the medical practitioner makes a judgement that the patient is exhibiting abnormal behavior based on the DSM-5 criteria. Thus, simply because a behavior is unusual does not make it abnormal; it is only considered abnormal if it meets these criteria.

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Discussion: Negative Stereotypes

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Discussion: Negative Stereotypes

Discussion: Negative Stereotypes

Discussion: Negative Stereotypes

Week 1 discussion Topic 1 The textbook and lectures discussed the professional characteristics important to nursing. Which one characteristic would you say is the most important and why? Support your answer with references from the readings or the South University Online Library. Topic 2 Examine the impact that negative stereotypes have had on the nurse and the profession. Describe efforts to build a more professional image for the nurse and the profession, as well as actions that can be taken to address negative stereotypes in the media. Week 2 discussion An Ethical Perspective Topic 1 Select an ethical theory or principle that is most congruent with your ethical views. Identify an ethical dilemma presented in your readings. Describe how you could utilize the selected theory to resolve the ethical dilemma. Explain if the selected ethical theory could continue to be upheld under the circumstances of the dilemma. Topic 2 Examine one of the two models of socialization discussed in your readings and place yourself in one of the stages. Give your rationale for that placement. If none of the models or stages fits your experience, create your own model (or stage) and share it with the class. Week 3 discussion Topic 1 To access the South University Online Library, go to Course Home > Academic Resources > Library > Launch Library. Search the database to identify a nursing research study that could make a difference in patient care. Present the study and discuss the potential impact on nursing practice and/or patient care. Topic 2 Identify the three phases of the nurse-patient relationship and discuss how the phases can be helpful in communicating effectively to patients, patients’ families, and other healthcare professionals. Citations should conform to APA guidelines. You may use this APA Citation Helper as a convenient reference for properly citing resources or connect to the APA Style website through the APA icon below. Week 4 discussion Topic 1 Interview someone from a different cultural background than your own to learn how he or she perceives illness, including the meaning, causes, treatment, and feelings associated with both acute and chronic illnesses. Determine how his or her culture tends to view nurses. In your discussion: Discuss how the perceptions of the interviewee influence his or her health behavior, including when he or she seeks help and the type of practitioner he or she consults. Describe how his or her perceptions differ from your own. Describe the strategies you could employ to promote the delivery of culturally competent care. Topic 2 Which philosophy/conceptual framework/theory/middle-range theory describes nursing in the way you think about it? Discuss how you could utilize the philosophy/conceptual framework/theory/middle-range theory to organize your thoughts for critical thinking and decision making in nursing practice. Week 5 discussion Topic 1 Interview someone from a different cultural background than your own to learn how he or she perceives illness, including the meaning, causes, treatment, and feelings associated with both acute and chronic illnesses. Determine how his or her culture tends to view nurses. In your discussion: Discuss how the perceptions of the interviewee influence his or her health behavior, including when he or she seeks help and the type of practitioner he or she consults. Describe how his or her perceptions differ from your own. Describe the strategies you could employ to promote the delivery of culturally competent care. Topic 2 Which philosophy/conceptual framework/theory/middle-range theory describes nursing in the way you think about it? Discuss how you could utilize the philosophy/conceptual framework/theory/middle-range theory to organize your thoughts for critical thinking and decision making in nursing practice.

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Assignment: Root Cause Analysis Topic Materials

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Assignment: Root Cause Analysis Topic Materials

Assignment: Root Cause Analysis Topic Materials

Review the Root Cause Analysis Topic Materials to learn more about conducting a root cause analysis. Using the “Root Cause Analysis Template,” conduct a root cause analysis of the “Root Cause Analysis Scenario.” Post a description of the problem and a summary of your root cause analysis, including recommendations for proposed action to eliminate the problem from reoccurring

the world” (p. 166). Whatever terminology is chosen, the process described in this chapter refers to the transformation of the layperson into a skilled nurse who is prepared to respond skillfully and respectfully to persons in need of nursing care, or, as described by Benner et al. (2010), “the lay student moves from acting like a nurse to being a nurse” (p. 177). This development of professional identity occurs initially through the formal educational process and culminates in the practice setting.

Professional Nursing Roles and Values What is it that professional nurses do? The scope of nursing practice describes the “who,” “what,” where,” “when,” “why,” and “how” of nursing practice (ANA, 2015b, p. 2). The standards of professional nursing practice are authoritative statements that describe the duties that all registered nurses are expected to competently perform. The standards of professional nursing practice are composed of standards of practice and standards of professional performance. The standards of practice describe competent nursing care as demonstrated by use of the nursing process. The standards of professional performance describe a competent level of behavior in the professional nursing role (ANA, 2015b).

According to the ANA (2010), there are seven essential features of nursing. These features include the provision of a caring relationship that facilitates health and healing, attention to the range of experiences and responses to health and illness within the physical and social environments, and integration of assessment data with knowledge gained from an appreciation of the patient or group. In addition, nursing includes the application of scientific knowledge to the processes of diagnosis and treatment through the use of judgment and critical thinking, advancement of professional nursing knowledge through scholarly inquiry, influence on social and public policy to promote social justice, and assurance of safe, high-quality, and evidence-based practice (ANA, 2010).

 

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