Identify a current nursing practice example where Orem’s theory would be relevant

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Part one:

Discussion Question:

Henderson believed nurses have the responsibility to assess the needs of the individual patient, help individuals meet their health needs, and provide an environment in which the individual can perform activities unaided. What is an opportunity in your nursing practice that would benefit from application of Henderson’s theory? How does this align with the ANA’s definition of nursing? Provide at least one evidenced-based research article to support this recommendation.

Your initial posting should be at least 400 words in length and utilize at least one scholarly source other than the textbook. Please reply to at least two classmates. Replies to classmates should be at least 200 words in length.

Part two:

Assignment:

This week you will create a two-part Power Point to discuss the following:

Part one:

Peplau was the first nursing theorist to identify the nurse–patient relationship as being central to all nursing care. Peplau valued knowledge, believing that the nurse must possess extensive knowledge about the potential problems that emerge during a nurse–patient interaction. Peplau’s theoretical work on the nurse–patient relationship continues to be essential to nursing practice.

  • Describe the phases of the Nurse-Patient relationship as defined by Peplau. Align your presentation regarding the use of Peplau’s theory with a current practice example.

Part two:

Provide a discussion of Orem’s Self-Care Deficit Theory. Identify and explain the three related parts? Identify a current nursing practice example where Orem’s theory would be relevant. Use at least one evidenced-based research article to support your practice example. The PowerPoint should include at least 3 outside references and the textbook. It should include title and reference slides and be 14-20 slides.

What is the difference between a group “at risk” for poor health and a group considered a “vulnerable” population?

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What is the difference between a group “at risk” for poor health and a group considered a “vulnerable” population? Provide an example of an “at risk” or “vulnerable population” group in the United States and one in another country (or immigrants within the United States).

  1. Explain why members of these groups cannot advocate for themselves or why advocating for these groups would be beneficial.
  2. What would you advocate for?
  3. Identify ethical issues that need to be addressed when working with these individuals.
  4. Provide information about the selected “at risk” group. How many individuals fall into this group and what are some issues they face.

how are state health departments structured?

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State and local health agencies are not the only governmental organizations working to reduce the burden of disease and ill health in society. Federal, state, and local government all play important roles through agencies that are better known for other responsibilities, such as law enforcement and transportation. The complexities of government and its various agencies add an essential, but not necessarily the most important, dimension to public health practice. The prevention of motor vehicle-related injuries is a prime example of a situation in which multiple agencies, and not just those that are health related, have a shared responsibility.

Using the readings for the week, the South University online library, and the Internet, write a 3–5-page paper.

Cover the following:

  • For the prevention of motor vehicle-related injuries, provide an analysis of how responsibilities are assigned or delegated among the following:
    • The three levels of government: federal, state, and local
    • Various agencies of those levels of government

    Write a 3-5 page paper discussing how the public health system is set-up in the U.S.  Include a discussion on: the main public health functions of state health departments, how are state health departments structured, how are state health departments structured

Submission Details:

  • Support your responses with examples.
  • Cite any sources in APA format.

How can nurses working in the community form partnerships with parish nurses and faith communities?

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Topic 1: Faith-Based Nursing

Review Healthy People 2020. Identify objectives that are amenable to parish nurse intervention.

  • Describe how faith communities can contribute to the accomplishment of these national health objectives and accomplish the goal of improving the health of the public.

Faith communities play an essential role in accomplishing the goal of improving the health of the public. “From a socioecological perspective, churches can influence individual behaviors at multiple levels. The existence of social networks and social support through churches provides a context for health promotion programming. Health interventions that incorporate spiritual and cultural contextualization are effective to create change” (King, 2014). Faith communities provide many activities that promote a healthy lifestyle. Due to the strong beliefs in a faith communities make the people of those communities want to follow everything that is promoted by the activities. “Health messages may be perceived as more important and have a more lasting effect on individual behavioral change by making the link between healthy behavior and taking care of God’s child” (King, 2014).

  • How can nurses working in the community form partnerships with parish nurses and faith communities?

It is important for nurses to work with parish nurses and faith communities because they have many free resources that you can provide to a patient in need. “In addition to participating in group and population activities, the FCN meets regularly with the pastoral staff and coordinates with other community leaders. Together, they identify individuals who may require further assessment or support; become aware of issues that need to be clarified, supported, or addressed; and identify individuals, groups, or issues that have not yet become a part of the congregational wellness program” (King, 2014). Working with these nurses will provide our patient with more resources to better their health.

  • How would such partnerships be beneficial?

The partnership between parish nurses and other nurses play an important role in accomplishing the national health objectives. There partnership creates a better opportunity to increase awareness and provide valuable resources to those that need it.

What specific roles and activities can health educators undertake and in what settings? 

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  • What specific roles and activities can health educators undertake and in what settings?
  • Identify the main organizations and institutions that address the health problem and describe their primary initiatives.What specific additional work (services, research, education etc.) needs to be done to address this health problem?
  • What specific role or activities you can take differently to address this health problem?
  • Using APA format, create a reference list citing all the sources used in writing your paper.
  • Use data from credible sources to support your discussion.
  • Interpret and include at least one graph or table that relates to the content of your paper. You will discuss the graph or table as part of your narrative and include the graph or table in an Appendix at the end of your paper. Cite the source for the tables or graphs below each one and in the reference list using APA format.

HIV-AIDS… INCLUDE APPENDIX WITH GRAPH AS WELL AS REFERENCE PAGE.

BELOW IS AN ATTACHED EXAMPLE… PLEASE LOOK AT EXAMPLE

  • attachment

    EXAMPLEPAPERFocuspape

why is it important that each health care facility have written health information standards?

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What are health information standards, and why is it important that each health care facility have written health information standards? (Please Note:  Please read and understand the definition of health information standards, are these are not written health policies/standards, but data standards)

•What could be one (1) negative outcome if the standards are not upheld?  Why?

Discuss implications of professional nursing integrity and academic integrity.

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After you have completed your self-assessment, answer the following questions:

  1. Describe the relationship between the AACN Essentials and your new-found knowledge about Patient Centered Care. Are there opportunities for you to improve?
  2. Essential VIII: Professionalism and Professional Values discusses professional standards of moral, ethical, and legal conduct. Review the Professional Integrity Module-Academics and Practice at the beginning of the course (the first module). Then reflect on your own beliefs and values as they relate to professional nursing practice.
  3. Discuss implications of professional nursing integrity and academic integrity.

   In shortening the length of stay for patients in almost every venue, this process can save a substantial amount of money for the government, but at what cost for many patients?

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PLEASE RESPOND TO THIS DISCUSSION APPROPRIATELY  

The average length of stay (ALOS) in hospitals, Long Term Acute Care Hospitals (LTACHs), and rehab hospitals is trending shorter and shorter.  Medicare (MCR) along with insurance companies (managed care) that contract with MCR has set their sites on shorter stays to decrease spending.  They have, in essence, created a grading rubric that ALOS is 85% of the grade. This leaves all providers and clinicians with little say as to whether the patient discharges at the appropriate time. The days of sending a patient to a rehabilitation hospital where they can receive aggressive therapy while also being medically taken care of are going away (“Length-of-Hospital”, 2017).

In mandating short stays in hospitals and not approving LTACHs and rehabilitation hospitals, one might presume that this is good for skilled nursing facilities (SNF), but that would be wrong because they have now demanded short stays in SNFs as well.  One insurance company has now mandated that a SNF has to have a patient on their service out in 17 days. In dealing with these issues daily this seems to be a trend that will be long-standing as more and more insurance companies are making these demands.

LTACHs are great places for patients to go that are in need of acute care, but for a longer length of time. Originally, LTACHs were seen as the better choice than keeping a patient in an acute hospital due to lower reimbursement. However, MCR has now changed their reimbursement for LTACHs in that the shorter the stay the more reimbursement they can receive (Kim, et al., 2015).

In shortening the length of stay for patients in almost every venue, this process can save a substantial amount of money for the government, but at what cost for many patients? Due to the rules on short stays, nurses and doctors witness patients being discharged sooner than their conditions warrants. The positive side is that SNFs have to increase their skill-set because many patients who would have went to an LTACH or rehabilitation hospital are now being denied by companies, but approved for SNF stays. This puts SNFs in a position because scope of practice laws in each state can limit what can be done in a SNF due to the fact that most nurses in SNFs are Licensed Practical Nurses and very few Registered Nurses. Even though a SNF may see a small increase in census, they are not seeing a raise in reimbursement which makes it difficult to have Registered Nurses in the facility.

There are so many aspects to these changes that many people do not know or understand, but the bottom line is the outcome of patients while trying to keep costs manageable.

How do the sampling methods and sample sizes vary for the different types of quantitative and qualitative research?

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 RELATED TO NURSING/HEALTHCARE ISSUES.

How do the sampling methods and sample sizes vary for the different types of quantitative and qualitative research? Using your research questions (qualitative and quantitative), what sampling method would you use to conduct your study? Why? How would you determine the sample type and size?