Total 18 minutes PowerPoint presentation. 5 Minutes on below each topic with a presentation script. 1- Discuss and forecast how innovation will impact Marketing function over the next 15 yrs 2- What

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Total 18 minutes PowerPoint presentation. 5 Minutes on below each topic with a presentation script.

1- Discuss and forecast how innovation will impact Marketing function over the next 15 yrs?

2- What we want to know is how will that function evolve to influence the work we will be doing in the future?

3- How will marketing influence the value chain and competitiveness?

4- Why must we evolve (skills, leadership, tools, etc.) to manage that process?

Presentation on Urinary Tract Infection (UTI) Reflection

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INTRODUCTION

As a part of my Overseas Nursing Programme, I had to conduct a seminar presentation on any topic of my interest in front of students. I was given the date of presentation. Knowledge expands through communication and presentation is a means of communication and best applicable when delivering knowledge to a group. Presentation means ”A speech or talk in which a new product, idea, or piece of work is shown and explained to an audience” (Oxford dictionaries. 2014). The aim of any presentation is to motivate, to communicate, to persuade to inform, to teach or to help you express your ideas and get others to understand it(Bradbury, 2007). The content of your presentation have its own aim or purpose, normally it’s related to the outcomes you desire from the presentation’s communication. Before presenting ensure that you understand what your task is and the time available (Bradbury, 2007). During the presentation the speaker may use various aids of communication such as the audio visual aids like power point, graphs, various recordings. diagrams, flowcharts or models (Theobald, 2013).

Reflective practices enables the health professional to bridge that gap between the theory and practice. Reflective practice is a process by which you stop and think about your practice, consciously analyse your decision making and draw on theory and relate it to what you do in practice (Jasper, 2003). Therefore I chose Gibbs model of reflection (1988) to reflect on my presentation. Gibbs model of reflection include six different steps which are Description, Feeling, Evaluation, Analysis, Conclusion and Action Plan (Gibbs, 1988).


DESCRIPTION

As a part of our Overseas Nursing Programme, we had to conduct a seminar presentation in the class in front of our batch mates. Presentation is a means of communication which can be used at various situations including a formal meeting, talk in a group or team briefing. (SkillsYouNeed (2014)). Seminar is a group meeting in which there is information or training given on a topic. Thus a seminar presentation is a method of communicating information on a topic.

Selecting the topic was the toughest part. With the short time of presentation and considering the effective delivery of information, the topic of presentation had to be brief and simple. I chose Urinary Tract Infection as my topic of presentation as it was one of the most common condition seen in my area of practice. I did an extensive literature review for the topic to obtain wide data for my presentation. Aliterature review is the data obtained from scholarly paper, which consists of the most recent information including essential findings as well as methodological and theoretical contribution to a specific topic of interest (Baker, 2000). In my presentation, I included a brief description of UTI and stated that it is a type of infection which involves various parts of the urinary tract which includes the urethra, the bladder, the ureters and the kidneys (Amdekar, Singh and Singh, 2011). Urinary tract infections occur more commonly in women than men. It’s estimated half of all women in the UK will have a UTI at least once in their life (Colgan and Williams, 2011). UTI diagnosis can be done via urine dip test and urine culture. Antibiotic treatment is necessary to clear the infection. Prevention being better than cure, good fluid intake and good personal hygiene can help reduce chances of getting urinary tract infection (Juthani-Mehta, et al. 2009). I also included in the content, how their behaviour was affected by this condition. I combined those with the practice and guidelines followed in the diagnosis and treatment in the UK and prepared the slides. I used power point technology to perform my presentation using texts, pictures and graphs. I used simple language and included only the main points. As the group for which the seminar was aimed at was educated in medical field and knew almost as much as I knew regarding the topic, discussion method was used.


FEELING

Initially, I was a bit anxious and nervous as I had to present in front of a gathering. Stage fright was bit of a concern. But regardless of that, I was able to present my topic well as there was a positive environment to support me. Great reflection also results from the positive environment offered to the presenter (

Brookfield

,1995). I felt more and more confident as the discussion started and I was able to answer all the doubts. My assessor also helped me. At the end of the seminar I felt satisfied with my work and happy that I was able to complete the task given to me.


EVALUATION

Even though with all the hassles, I was able to provide a brief description of the topic. It covered most of the areas and provided a clear picture regarding Urinary Tract Infection to the people gathered. Interactive secessions were carried out providing group involvement thus making the secession interesting. The various queries were dealt with proper explanation providing the accurate knowledge.


ANALYSIS

I got positive feedback from my assessor. By conducting the presentation, I was able to offer a brief description about the Urinary Tract Infection, its definition, occurrence, epidemiology, types, pathophysiology, its symptoms and management. I got good support from my assessor and audience who prompted me to do the presentation well. They were able to acquire knowledge regarding UTI and for some it offered a boost to their knowledge.


CONCLUSION

This presentation offered me an opportunity to develop my talent and skills in presentation. The group was able to understand and comprehend the information offered to them. Experiences were shared which brought in new information and made the discussion and thus the seminar more interesting. The assessors offered a positive feedback for my presentation. This experience helped me overcome my fears and gave me confidence to perform more presentation in my work place or future carrier pathway.


ACTION PLAN

After performing the reflective presentation, I came up with the following action plan. Firstly

  • Expand my knowledge regarding various presentation methods and new trends in nursing.
  • I will attend training and perform self motivated studies to update my knowledge regarding Urinary Tract Infection and its latest managements.
  • Practice the information acquired for the safe management of UTI in my place of work.
  • I will also do similar presentations in my area of work to expand the knowledge to my co workers and boost my skills in presentations as well.


REFERENCE

  • Amdekar, S; Singh, V, Singh, DD (2011). “Probiotic therapy: immunomodulating approach toward urinary tract infection.”.Current microbiology63(5): 484–90.
  • Atkins, S. and Murphy, K. (1994).

    Reflective Practice, Nursing Standards

    , 8(39)49-56
  • Baker, P. (2000). “Writing a Literature Review.”

    The Marketing Review

    1(2) 219-47.
  • Bradbury, A (2007)

    Successful Presentation Skills.

    3rd Edition, MPG Books Ltd; 4:60-68
  • Brookfield, S (1995),

    Developing critical thinkers: challenging adults to explore alternative ways of thinking and acting

    . Milton Keynes: Open University Press
  • Colgan, R and Williams, M (2011). “Diagnosis and treatment of acute uncomplicated cystitis.” Family physician84(7): 771–6.
  • Gibbs G (1988),

    Learning by doing: A guide to teaching and learning methods,

    5:30-40
  • Jasper, M (2003)

    Beginning Reflective Practices,

    Foundation in nursing and health care. Nelson Thornes Publishers, 1-6
  • Johns, C. and Grahanm, J. (1996). Using

    a Reflective Model of Nursing and Guided Reflection, Nursing Standards

    11(2) 34-38
  • Juthani-Mehta M, et al. (2009

    ). Clinical features to identify urinary tract infections in nursing home residents

    : a Cohort study.J Am Geriatr Soc;57:963–970.
  • NHS CHOICES. (2014)

    Urinary Tract Infection in Adults

    [Online] July 2014. Available from:

    http://www.nhs.uk/Conditions/Urinary-tract-infection-adults/Pages/Introduction.aspx

    . [ Accessed : 22 july 2014]
  • Oxford dictionaries. 2014

    Definition of presentation.

    Avaliable from:

    http://www.oxforddictionaries.com/definition/english/presentation.html

    . (Accessed on 19/08/14)
  • Theobald, T (2013)

    Develop Your Presentation Skills

    2nd Edition, Kogan Page Publishers, 161-168.
  • SKILLS YOU NEED. (2014)

    Presentation Skills

    [Online] 2014 Available from :

    http://www.skillsyouneed.com/present/what-is-a-presentation.html

    . [ Accessed : 22 july 2014]
  • Smyth J (1989):

    Developing and sustaining critical reflection in teacher education. Journal of Teacher Education

    40(2)2-9

Analyze a financial and economic issue in the health care industry.Choose a current financial or economic issue in the health care industry. Consider the following:

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Analyze a financial and economic issue in the health care industry.Choose a current financial or economic issue in the health care industry. Consider the following:

What are the economic trends of the health care payment system?
What are the supply and demand challenges for health care services?
Why are costs increasing in the health care system?
What regulatory issues are affecting, or will affect, the health care industry?
Analyze the issue and its financial impact on the health care industry.
Provide recommendations for improving the issue. Consider current strategies being used or presented for improving the issue.
Include what you believe would be the outcome of these recommendations if implemented.

what causes that sensation of pain in our bodies, why it happens and how to manage it in cases where it becomes too much to bear.

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what causes that sensation of pain in our bodies, why it happens and how to manage it in cases where it becomes too much to bear.

 

Pain is a biologically useful and highly motivating, though generally unwanted type of sensation. It can be reduced through the power of belief and faith to some extent. In tpaper, we will learn what pain is, what causes that sensation of pain in our bodies, why it happens and how to manage it in cases where it becomes too much to bear. Pain has an immense impact on the general well being of an individual or the society as a whole. We will look at the various methods of relieving pain in our bodies, some which may be scientific and others which may be unorthodox in the views of many in our society. Pain should not be feared but embraced. It is through fear that a man can truly appreciate the world before him. It is a motivator, and a danger mechanism which acts as an alarm to alert of an impending inadequacy in the human body.Pain is a feeling that brings discomfort to the human body. It can be caused by physical elements such as the tearing or damaging of the skin, the breakage of bones, the lodging of objects or projectiles in one?s body. It arises from all forms of physical contact with the body that are uncomfortable and usually make the body feel out of place. Mentally and emotionally, pain can be caused by a dispute in a relationship be it marital, or platonic. Pain can also result from an issue which cannot be solved without much mental energy, which can irritate and disturb a person?s inner peace thus bringing pain.Pain is a human condition which acts as a safety feature so that we do not injure or harm ourselves further than we already have (Stephen, Renan, & Michael, 2011, p.1350). In some cases, it helps us prevent harm at all to our bodies as well as imprint a memory which will ensure that in the future, we do not repeat that which harms us, and we do not indulge in those activities which will end up in tdiscomfort. Pain will subside once the cause has been dealt with, but not right away. It gradually fades away, but sometimes it stays even long after the issue has been resolved. Pain is uncontrollable sometimes and one can have it without seeing the reason bringing it about.For one to have pain, it means that something in the body system is wrong. Tis what prompts many to visit a medical practitioner. Pain can cause discomfort which will disrupt a person?s ability to carry out daily functions necessary for or her livelihood. Pain needs to be dealt with as soon as it arises, and avoided if the cause of it is a pre conceived activity or act (Lance, Sophie, 2010, p.142). There are three classes of pain (Pain Management, 2010, para. 1).: Ttype of pain may be caused by stimulation of peripheral nerve fibers that respond only to stimuli approaching or exceeding harmful intensity (nociceptors), and may be classified according to the mode of noxious stimulation; the most common categories being thermal (heat or cold), mechanical (crushing, tearing, etc.) and chemical (iodine in a cut, chili powder in the eyes) (Crawford, Armstrong, Boardman, & Coulthard, 2010, p.35): Ttype of pain is associated with tissue damage and the infiltration of immune cells.Tis a disease state caused by damage to the nervous system (neuropathic pain, see hereunder) or by its abnormal function (dysfunctional pain, like in fibromyalgia, irritable bowel syndrome, tension type headache, etc.) (Pain Management, 2010, para. 1).Pain is inevitable in our day to day life. It is woven in our lives and cannot be evaded, or ignored. It is what makes us feel like living beings, creatuwho have a purpose, a reason. Without pain, the human race and the entire life population of tdear planet we call our own, would otherwise be obsolete, nonexistent and extinct. Pain is like a force of nature, which Mother Nature uses to wean out the weak from the strong in the life cycle. So the question still begs, can pain be reduced through belief and faith?There have been different and divergent views on the subject matter with different sides having different view. Some would argue that it is impossible to alleviate pain through the simple belief that it is not there or simply having faith that it will reduce or even having faith that it is not there, that what they are experiencing is nothing but a trick being played on them by their minds (Brian, Colleen, Sandra, & Kenneth, 2010, p.1002). Alas, pain is real and some of it can be reduced through faith and belief.First of all, there are monasteries which have monks and priests who are believed to have the power to train the human brain to have control over the body it drives. Tcontrol will in turn lead to full power over pain (Russell, 1997, p.357). One has to be trained to withstand harsh conditions and realities to the body, so that they can learn how to separate the mind from the body. They believe that if the mind is separated from the body, one cannot feel the pain that the body is enduring and as such, one can maintain tlevel of disconnection with the body until it heals and recovers fully. The mind simply wonders off into a somewhat different reality if you will, enabling it detach from the body until such pain that has resulted in the detachment is dealt with.For the mind to be trained on this, one has to undergo a series of painful tasks which cannot even begin to be conceived by the mind. They can cause huge trauma both physically and psychologically (Christine, Anna, Lindsay, & McMurtry, 2009. p.80). Tasks such as walking on bare broken glass, red hot coal burning the soles of one?s feet, and being battered by heavy objects to the abdomen legs and arms to force your mind to create a ?bubble? if you will, where it detaches from the body. Tbrings about a state where the brain receives signals from the body, but chooses not to interpret them as signals reflecting pain and trauma.Another way of reducing pain is through the use of placebos. Thare simulated or otherwise medically ineffectual treatments for a disease or other medical condition intended to deceive the recipient (Jinseok, Younghoon, Youngsoo & Woonyi, 2009, p.353). Sometimes patients given a placebo treatment will have an improvement in a medical condition, and tis commonly known as the placebo effect. It can also be a substance or procedure that is objectively without specific activity for the condition being treated. People use placebos all the time without even realizing it. They think that they are actually getting treated for some discomfort or pain and believe that the medicine (placebos) are taking effect in their bodies and making a difference. They are actually taking harmless pills or undergoing proceduthat have no medical effect whatsoever to their bodies. They simply believe tmiraculous cure not knowing that their bodies are actually healing themselves and dealing with the pain themselves. They believe in the medicine and have faith that it will cure them, while all along, it is their own mental and psychological state that is contributing to their well being and relief from pain.Placebos have been used countless times by medics in cases where they feel that the patient is simply being fussy about an issue or an ailment that is all in the patient?s mind. One simply believes that the medicine is taking effect, while tis not the case. They believe in an alternative that is fictional (John, & Mario, 2011, p.94). The fact of the matter is that, through faith and belief that something is alleviating their pain, they actually are able to reduce the pain they are undergoing, thus one can reduce pain by simple belief and faith.Another way is by use of hypnosis. Hypnosis is a trance state characterized by extreme suggestibility, relaxation and heightened imagination. (Alison & Leonard, 2011, p.1022) It is a mental state (according to state theory) or imaginative role-enactment (according to non-state theory). It is usually done by a process called hypnosis, which commonly comprises of long sets of instructions. Hypnotic suggestions may be delivered by a hypnotist in the presence of the subject, or may be self-administered (self-suggestion or autosuggestion). The use of hypnotism for therapeutic purposes is referred to as hypnotherapy, while its use as a form of entertainment for an audience is known as stage hypnosis(Christine, Anna, Lindsay, & McMurtry, 2009. p.82).One can use hypnosis and get rid of pain. You need to have supervision or simply conduct hypnosis on yourself. The latter needs a considerable amount of technique, thus you would be better off having a professional do it.When you become hypnotized, you enter a different mind from the one you had previously. You can reduce pain using ttechnique. You simply have a session and ask the hypnotist to change your emotions, feelings, perceptions, or attitudes towards a certain aspect in your life. If you have a chronic pain which can never seem to subside through the use of conventional medicine or treatments, then you can try hypnosis. It puts you ?the patient? in a trance state, where the hypnotist asks you to elaborate the pain which you feel, then alters the way the mind perceives that pain. After one recovers from the trance state, one believes that they have been cured or at least feel some form of relief after the session. They believe that the pain has reduced. Their faith and belief is slightly altered and thus it becomes possible to imagine that the pain has reduced or has been eliminated. So hypnosis can help reduce or eliminate pain.Yoga can be used as another tool of reducing pain. It involves one following the teachings of discipline both physical and mental (Paul, Edzar, Rohini, & Myeong Soo, 2011, p.5). It originated from India. It strives to bring one to a state of harmony with oneself.The goals of yoga are varied and range from improving health to achieving moksha (liberation from all worldly suffering and the cycle of birth and death). As yoga is used for various ideologies, one would be using it in reducing suffering ergo pain (Alison & Leonard, 2011, p.1023) .A person needs to realize that healing is a process. You need to come to terms with the fact that a body in pain will heal if treated the right way. So one needs simply to bear with the pain for a while, and take the necessary steps to heal and replenish the system, so as to rid it of the pain. No one wants pain or even yearn for it and for one to feel that they need pain is a sign that a mental or psychological issue is disturbing him or her. Pain is inevitable so one has to train the body to adjust to it and train the mind. Twill reduce the discomfort.One needs to relax and exercise. Yoga helps one relax and achieve a level of peace in the mind. Tpeace translates to feeling like you are rejuvenated; hence one believes that the body has reduced levels of stress and pain. You meditate and focus on peace and calm. The mind registers the calm in the system and translates tas meaning that the body has undergone a slight transformation and has reduction in the pain levels. One believes that they are feeling much better than before they did before.Pain is a part of the natural human cycle. It can be managed. There are ways of doing this, be they conventional or unorthodox. The results are achieved in the end. Pain can be reduced by simple belief and faith, it depends on the perception one decides to employ.Alison S. L., & Leonard S. M. (2011). The efficacy of as an intervention for labor and delivery : A comprehensive methodological review . In . (6):1022-1031.Brian B. D., Colleen F. M., Sandra E. W.,& Kenneth M. P. (2010). racial disparities in treatment: The role of empathy and perspective-taking. ,152(5):1001-1006.Christine T. C., Anna, T., Lindsay S. U., & McMurtry, M. (2009). Psychological interventions for and distress during routine childhood immunizations: A systematic review . In , , 31:S77-S103.Crawford, F.J., Armstrong, D., Boardman, C., & Coulthard, P. (2010). postoperative by changing the process In .DOI: 10.1016/j.bjoms.2010.07.012Jinseok. Y., Younghoon, J., Youngsoo K., & Woonyi, B. (2009). Comparison of effect of premixed lidocaine in propofol with or without ketorolac pretreatment with on on injection of propofol: A prospective, randomized, double-blind, placebo-controlled study in adult Korean surgical patients ,(5):351-358.John, W. B. & Mario, M. (2011). Psychosocial factors appear to predict postoperative Interesting, but how can such information be used to reduce risk? In , , 15(3):90-99.Lance M. M., Sophie C. V. (2010). flexibility in adults with chronic : A study of acceptance, mindfulness, and values-based action in primary care. In , 148(1):141-147.Pain Management (2010).Classification of pain. Retrieved from: https://projects.hsl.wisc.edu/GME/PainManagement/session2.4.htmlPaul, P., Edzar,d E., Rohini, T., & Myeong Soo, L. (2011). Review: Is effective for ? A systematic review of randomized clinical trials. In .DOI: 10.1016/j.ctim.2011.07.004Russell, C. G. (1997). Pain management. ETC: A Review of General Semantics(3), p356- 362.Stephen, T.W., Renan C. C., & Michael, J. B. (2011). distress mediates the effect of on function In , 152(6):1349-1357.

Nursing care plan for a male client with bipolar I disorder

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Nursing care plan for a male client with bipolar I disorder

A nursing care plan for a male client with bipolar I disorder should include:

A nursing care plan for a male client with bipolar I disorder should include:

A. Providing a structured environment
B. Designing activities that will require the client to maintain contact with reality
C. Engaging the client in conversing about current affairs
D. Touching the client provide assurance

Screening Initiative for the Prevention of Diabetes

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Diabetic Initiative

A significant diabetic disparity exist for racial and ethnic minorities in the United States. Since minorites bear a disproportionate burden of the diabetes epidemic, they have higher prevalence rates, worse diabetes control, and higher rates of complications (Spanakis & Golden, 2013). Diabetes is also a public health burden globally. The estimated mortality from diabetes between ages 20-79 is 4.6 million globally. Proper nutrition is a central component in preventing and managing diabetes. Obesity represents the strongest contributor for the development of Type 2 Diabetes. According to the World Health Organization (WHO), it was estimated 500 million individuals worldwide were obese (Spanakis & Golden, 2013).

Theoretical Model

Ecological model recognizes the influence of social and environmental factors on risk of disease. In minority neighborhoods, good nutrition are often limited. For example African-American in urban neighborhoods are reported to have only 41% of the chain supermarkets found in comparable with white neighborhoods (Leonard, Nkenge, & Sandra, 2012). Ecological model assumes  each individual health status is determined by multiple levels of factors such as environment and social support. Therefore the role of the environment as a social determinant include the physical such as restaurants serving healthy foods, walking trails, and safe neighborhoods as well as the social which includes families, workplaces, and social support. All these factors contribute to cultural norms and the views and perspectives of individuals.

Screening

North Carolina has one of the highest diabetic burdens in the country. There is a disproportionate impact on African Americans and American Indians for whom the disease is the fourth and third leading cause of death.  Diabetes is a growing threat to North Carolina’s economy and it will cost the state’s public and private sectors more than $17 billion per year in medical expenses and lost productivity by 2025 (NC report, 2014). Minorities are severely limited in their access to quality fruits, vegetables, and other healthy food options because of cost, lack of transportation, and lack of availability.  Residents of urban neighborhoods are likely to pay 3–37% more than those in suburban areas for the same food purchases (Leonard et al., 2012).  Regardless of income or housing cost, living in a predominately minority neighborhood increases the likelihood of having poor access to healthy food choices. As a result, minority communities are left primarily with smaller grocery and convenience stores.

An increase in the rate of type 2 diabetes has been closely related to obesity. According to the 2015–2016 NC Behavioral Risk Factor Surveillance System (BRFSS) surveys, 83% of people with diabetes are overweight or obese (AHR, 2018). In North Carolina, for the past five years, obesity increased 8% from 29.6% to 32.1% of adults (AHR, 2018). According to the 2018 report on diabetes in North Carolina, compared to all ethnic groups,  african americans had the highest rate of diabetes. According to the 2015–2016 NC Behavioral Risk Factor Surveillance System (BRFSS) surveys, 83% of people with diabetes are overweight or obese (AHR, 2018).

The purpose of screening is to identify asymptomatic african american population for diabetes in  North Carolina. The reason screening is important for diabetes is because it represents an important health problem that imposes a significant burden on the population, the natural history of the disease is understood,  there is a recognizable preclinical (asymptomatic) stage during which the disease can be diagnosed and the tests which are acceptable and reliable  can detect the preclinical stage of the disease, and the tests are acceptable and reliable (AHR, 2018).

Population

High risk populations include a family history of type 2 diabetes in first and second degree relatives and ethnic group, African-Americans (ADA, 2018). The report, Confronting Racial and Ethnic Disparities in Health Care, indicate African Americans, Hispanics, and Native Americans experience a 50–100% higher burden of illness and mortality from diabetes than white Americans  (Chow, Foster, Gonzalez, McIver, 2012).  In North Carolina, the prevalence of diabetes is higher in african americans at 23.8% than whites at 10.4%. The highest prevalence of diabetes in North Carolina was between the age range of 45-65 years old.

Screening Activity

The United States Preventive Task Force Services recommend screening adults aged 40 to 70 years  who are overweight or obese and are seen in primary care (USPTF, 2015). The focus population will be African Americans beginning at age 40 in low-income communities. A risk assessment questionnaire will be used to identify those at risk for diabetes. The questionnaire,  Alert Day Type 2 Diabetes awareness was obtained from the American Diabetic Association website.  Patients who score five or higher at an increased risk for having type 2 diabetes. Dietary counseling will be provided along with educating on physical activity. Since research shows higher level of physical activity reduced risk of cardiovascular and diabetes, patient education will begin with encouraging exercise using walking apps. Mobile health care applications have been a great advantage when applied to patients  (Jo, Yoo, Lee, Park, & Kim, 2018).  Using this app will promote self-preventing disease. The Food and Drug Administration (FDA) has approved the use of some  diabetes management apps such as diabetes Manager by welldoc and mobile MIM (Yo et al., 2018). Patients who scored high on the questionnaire will need further evaluation by primary care provider.  As recommended by USPTF (2018), patients should be screened for abnormal blood glucose as part of cardiovascular risk assessment in adults aged 40 to 70 years who are overweight or obese. Recommendation also suggest clinicians should offer or refer patients with abnormal blood glucose to intensive behavioral counseling interventions to promote a healthful diet and physical activity (USPTF, 2018).  Assess to healthy food is important particularly in areas where fast food restaurants are close to minority neighorhoods. Ecological perspectives view the importance of access to key resources in self-management. Healthy eating patterns and physical activity levels will only occur when there are convenient sources of healthy foods and safe settings for exercise.  While most supermarket stores avoid low-income areas, Wal-mart offers online grocery stores which will deliver to homes. Providing training and demonstration on ordering grocery online may encourage better food choices.

Outcome Goals

  • Support behavioral change through healthy lifestyle choice and promoting self management
  • Achieve and maintain a weight reduction of at least 7% of initial body weight through healthy eating and physical activity
  • Ecological perspectives: Grocery stores to advertise healthier food choices
  • Population become familiar with their risk of disease and proactively participate in reducing risk

Location

Community Library (Cumberland County) Headquarters Location: reserve a conference room for up to 300 people. This library is located downtown Fayetteville, which is surrounded by neighborhoods where low-income minorities reside.

Cost


References

  • American Diabetes Association (ADA) (2015). Strategies for Improving Care, 38(1). doi: 10.2337/dc15-S004. Retrieved from http://care.diabetesjournals.org/content/38/Supplement_1/S5
  • American Diabetic Association (ADA) (2017). Screening for Type 2 Diabetes. Diabetes Care, 27 (1) s11-s14.  doi: 10.2337/diacare.27.2007.S11AD
  • Americans Health Rankings (AHR) (2018). Annual Report. Retrieved from https://www.americashealthrankings.org/explore/annual/measure/Determinants/state/NC
  • Chow, E., Foster, H., Gonzalez, V., McIver, L. (2012). The Disparate Impact of Diabetes on Racial/Ethnic Minority Populations.

    Clinical Diabetes, 30

    (3) 130-133; doi: 10.2337/diaclin.30.3.130
  • Jo, I. Y., Yoo, S. H., Lee, D. Y., Park, C. Y., & Kim, E. M. (2017). Diabetes Management via a Mobile Application: a Case Report. Clinical nutrition research, 6(1), 61-67.
  • NC Report (2014). Providing access to Healthy Solutions (PATHS). Retrieved from https://www.chlpi.org/wp-content/uploads/2014/05/2014-New-Carolina-State-Report-Providing-Access-to-Healthy-Solutions-PATHS.pdf
  • Spanakis, E. K., & Golden, S. H. (2013). Race/ethnic difference in diabetes and diabetic complications. Current diabetes reports, 13(6), 814-23.
  • Valdés-Ramos, R., Guadarrama-López, A. L., Martínez-Carrillo, B. E., & Benítez-Arciniega, A. D. (2015). Vitamins and type 2 diabetes mellitus. Endocrine, metabolic & immune disorders drug targets, 15(1), 54-63.

Certification of nursing specialty and patient outcomes of nursing-sensitive operations within intensive care division

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Certification of nursing specialty and patient outcomes of nursing-sensitive operations within intensive care division

Health and medicine Certification of nursing specialty and patient outcomes of nursing-sensitive operations within intensive care division Name: Institution: Course: Tutor: Date: Certification of nursing specialty and patient outcomes of nursing-sensitive operations within intensive care division Introduction Certification of specialty nursing has over time been looked upon as equal to expert nursing practice which is professional, competent, and high quality in nature. It is looked upon as voluntary undertaking which offers authorized acknowledgment of experience regarding clinical practice, skills and specialized knowledge which goes past minimal licensure regulatory requirements and requisite mandatory (Polit, Beck, 2009).

Which of the following statements best describes the benefit of gathering background information after you have a specific research topic in mind?

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Which of the following statements best describes the benefit of gathering background information after you have a specific research topic in mind?

 

Which of the following statements best describes the benefit of gathering background information after you have a specific research topic in mind?

Question 1 options:
Gathering background information will give you all the information you need to research your topic.
Gathering background information can help you narrow the focus of your topic.
Gathering background information can help you keep track of your research to avoid plagiarizing.
Gathering background information can help you fill in the gaps after you have finished your research to see what you may have missed on the topic.

Bottom of Form

Question 2 (1 point)

Once you have identified the key concepts of a topic or research question and thought of additional keywords (synonyms or related terms), the next step is to use a combination of key concepts and keywords to develop a __________.

Question 2 options:
Boolean operator
search statement
subject heading
search heading

Question 3 (1 point)

Which is a vital component of effective search statements that allows you to combine search terms to broaden or narrow your search?

Question 3 options:
related terms
keywords
Boolean operators
truncation

Question 4 (1 point)

Match the appropriate search statement to the types of searches listed below.

Question 4 options:
“network security”

network OR security

network* AND secur*

network NOT security

network AND security

network AND (security OR protection)

1. both search terms present
2. either search term present
3. excluding one search term
4. retrieves alternative word endings
5. search terms combined as a phrase
6. alternative keywords in a search

Question 5 (1 point)

Which is an example of a search statement correctly using the advanced searching technique nesting?

Question 5 options:
apple AND “farmer’s market”
(apple OR pear) AND “farmer’s market”
terms assigned to describe items in database
apple OR pear AND farm

Question 6 (1 point)

Which advanced searching technique is correctly used in the search statement: toddler AND “Montessori school”

Question 6 options:
nesting
truncation
phrase searching
no advanced searching technique is used in the search statement

Question 7 (1 point)

A scientist generating data based on observations of the life cycle of a butterfly and a college student writing a critique of a work of art are both examples of:

Question 7 options:
common knowledge
information creation
peer review
secondary sources

Question 8 (1 point)

The production and use of __________ is typically cyclical.

Question 8 options:
primary sources
database records
search statements
academic research

Question 9 (1 point)

The most common types of information you will encounter when doing academic research are __________.

Question 9 options:
firsthand accounts and primary sources
primary and secondary sources
MLA and APA citations
library databases and search engines

Question 10 (1 point)

Which of the following best describes the difference between primary and secondary sources?

Question 10 options:
Primary sources are sources of information or data that are interpreted, evaluated, or analyzed, and secondary sources are sources that interpret, evaluate, or analyze primary sources.
Primary sources are sources of information or data that are not interpreted, evaluated, or analyzed, and secondary sources are sources that interpret, evaluate, or analyze primary sources.
Primary sources are sources of information or data that are not interpreted, evaluated, or analyzed, and secondary sources are sources that only interpret, evaluate, or analyze secondary sources.
There is no obvious difference between primary sources and secondary sources.

Question 11 (1 point)

Your instructor told you that one of your selected sources listed below is not a secondary source. Which of these sources will you have to replace?

Question 11 options:
criminal justice textbook
eyewitness account
literature review published in a law journal
all three are examples of secondary sources

Question 12 (1 point)

Your instructor told you that one of your selected sources listed below is not a primary source. Which of these sources will you have to replace?

Question 12 options:
trial transcript
prisoner’s diary
census data
criminal justice literature review

Question 13 (1 point)

Which of the following statements best describes academic libraries? Academic libraries:

Question 13 options:
contain materials that support the research needs of faculty and students.
include four-year public college libraries, four-year private college libraries, university libraries, and two-year community college libraries.
include many that are open to the public and if you are unable to borrow materials, you can often use their resources on site.
all of the above

Question 14 (1 point)

Which of the following statements best describes public libraries? Public libraries:

Question 14 options:
may be a good place to start your academic research even though most do not own the large collections of scholarly books and specialized journals appropriate for more in-depth investigation that a research library contains.
do not vary in the amount and types of resources offered.
do not have electronic research databases.
are only located in cities or towns with more than 250,000 people.

Question 15 (1 point)

The following statements describe government depository libraries, except:

Question 15 options:
Government depository libraries have broad collections that can be used for research on governmental issues.
Government depository libraries were established by Congress to ensure the American public has access to published US government information.
Government documents are available only in print form in a government depository library.
Government depository libraries often include state law libraries.

Question 16 (1 point)

Which library research databases include information about articles published in magazines, journals, and newspapers?

Question 16 options:
periodical databases
statistical databases
reference databases
electronic book databases

Question 17 (1 point)

You need to locate an article that (1) is published by a university or professional association, (2) is authored by clearly defined experts with significant knowledge in the subject area, or scholars and/or researchers, and (3) includes a bibliography. Which source would best meet your needs?

Question 17 options:
a newspaper article
an article from a trade publication
a magazine article
a scholarly journal article

Question 18 (1 point)

Choose which article title would most likely be described by the database subject headings victims of famine, Ireland, history.

Question 18 options:
“Irish Babies, African Mothers: Rites of Passage and Rights in Citizenship in Post-Millennial Ireland”
“How Many Irish Potato Famine Deaths? Toward Coherence of the Evidence”
“‘Good Man, Mary!’ Women Musicians and the Fraternity of Irish Traditional Music”
“‘The Gloomy Forebodings of this Dread Disease,’ Climate, Famine and Sleeping Sickness in East Africa”

Question 19 (1 point)

Once you have (1) performed a search in a database, (2) reviewed the list of results, and (3) evaluated a specific source from the results list, what is the next step?

Question 19 options:
identify the author
cite the source in your paper
evaluate the content of the source
determine the date it was published

Question 20 (1 point)

For your research paper on the history of Maui, you locate a source covering the overall history of the Hawaiian Islands. As you evaluate the source, however, you decide not to use it in your research because it never mentions Maui. This significant omission of information falls under what criterion for evaluating resources?

Question 20 options:
authority
reliability
coverage
currency

Question 21 (1 point)

Which of the following statements about when to cite sources is true?

Question 21 options:
If you paraphrase or summarize an idea from another work, you must also supply an in-text citation or reference to the source as well as a full citation at the end of your paper.
If you quote another work word for word, you must put the passage in quotation marks, but you need not include a citation in a works cited or references list.
If you quote another work word for word, you do not have to put the passage in quotation marks and only need to use a citation in the text of your paper.
If you paraphrase or summarize an idea from another work, you must supply an in-text citation or reference to the source, but do not need a full citation at the end of your paper.

Question 22 (1 point)

Most citation styles require similar elements (e.g., author, publication date, title, and the date retrieved if found online) to be included in the citation, no matter if you are using MLA style, APA style, or Chicago style.

Question 22 options:
True
False

Part 2

For a course on contemporary issues in science, you are assigned to write a research paper on a current issue. You have chosen the topic “genetically modified foods.” Your assignment indicates that you should use a variety of resources, including books, articles, and websites, to find information for your paper.

Question 23 (1 point)

Applying evaluation criteria for web sources, which of the following seems most appropriate to use in your research on genetically modified foods?

Question 23 options:
website of a company that produces genetically modified corn, last updated in 2002
annotated bibliography on genetically altered crops published in 2009 by a federal agricultural agency
website of a vegetarian activist group that advocates organic food production
essay on genetics in foods posted on a well-known university’s website that is unfinished and has no author and no date

Question 24 (1 point)

Which of the following search statements would be most likely to retrieve relevant articles on the topic of the health risks of genetically modified foods for children with food allergies?

Question 24 options:
allerg* AND (child* OR youth) AND “genetically modified foods”
“genetically modified foods” AND health
(nutrition OR allergies) AND child*
health AND risk AND (child* OR youth) AND allergies

Question 25 (1 point)

You have found a journal article that analyzes recent trends in genetically engineered crop research. This article would be considered which type of information?

Question 25 options:
primary
secondary

Question 26 (1 point)

After searching for information on your topic in the library catalog, web search tools, and library databases, you have still not found enough material on your topic. What should you do next?

Question 26 options:
narrow your keywords to include more specific terms on the topic
broaden your keywords and revise your search statement
change your topic to one that is covered in your textbook
write the paper using the materials you found

Information

You have found the following database record when searching for articles on your research topic. Use it to answer questions the next two questions.

Strategies to Evaluate the Safety of Bioengineered Foods
Delaney, Bryan
International Journal of Toxicology; Sept. 2007, Vol. 26 Issue 5, pp. 389–399
Health Source: Nursing/Academic Edition
Genetically modified foods
Transgenic plants
Bioengineering
Herbicide resistance
Pesticide resistance
Herbicides
Analytical biochemistry
Food – Biotechnology
Toxicology

Question 27 (1 point)

What is the title of the article?

Question 27 options:
Health Source: Nursing/Academic Edition
International Journal of Toxicology
Strategies to Evaluate the Safety of Bioengineered Foods
Genetically modified foods

Question 28 (1 point)

Which of the following is a subject heading for this article?

Question 28 options:
Delaney, Bryan
Health Source: Nursing/Academic Edition
Genetically modified organisms
Food – Biotechnology

Information

You have found the following journal article citation in the library database Academic Search Complete.

Genetically modified food from crops: progress, pawns, and possibilities. By: Morin, Xenia. Analytical & Bioanalytical Chemistry, Oct. 2008, Vol. 392 Issue 3, pp. 333–340.

Question 29 (1 point)

Which of the following citations is the correct MLA format for an academic journal article from a library database?

Question 29 options:
Morin, X. Genetically modified food from crops: Progress, pawns, and possibilities. Analytical & Bioanalytical Chemistry 392.3 (2008): 333–40. Academic Search Complete. Web. 22 Nov. 2009.
Morin, Xenia. “Genetically Modified Food from Crops: Progress, Pawns, and Possibilities.” Analytical & Bioanalytical Chemistry volume 392, issue 3 (2008): 333–40.
Morin, Xenia. “Genetically Modified Food from Crops: Progress, Pawns, and Possibilities.” Analytical & Bioanalytical Chemistry 392.3 (2008): 333–40. Academic Search Complete. Web. 22 Nov. 2009.
Morin, X. “Genetically Modified Food from Crops: Progress, Pawns, and Possibilities.” Analytical & Bioanalytical Chemistry 392.3 (2008): 333–40. Academic Search Complete. University of Maryland University College. 22 Nov. 2009.

Question 30 (1 point)

You need to find a scholarly article on the laws and regulations governing genetically modified organisms. Based on the citation information (to help determine if it is scholarly) and article abstract (to help determine if it is relevant) below, this article is__________.

Citation Information:

State of exception in the regulation of genetically modified organisms in Brazil. By: Pelaez, Victor. Science & Public Policy (SPP), Feb. 2009, Vol. 36 Issue 1, pp. 61–71.

Author (Prof. Victor Pelaez) Affiliations: Department of Economics, Federal University of Paraná, Av. Pref. Lothário Meissner 632, 880210-170 Curitiba — PR, Brazil.

Abstract:

The regulation of genetically modified organisms (GMOs) in Brazil has involved intense disputes between the three branches of government (legislative, executive and judiciary). This process arose out of a class-action suit that overruled a decision authorizing the commercial release of GM soybeans by the regulatory body.

Question 30 options:
relevant and scholarly
relevant but not scholarly
irrelevant but scholarly
irrelevant and not scholarly

Nursing Interventions For Critically Ill Brain Injury Patients

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A key priority when caring for a patient with an altered level of consciousness is “giving the patient a chance”, in which interventions are focused on learning about the patient, protecting and monitoring patient status, talking to the patient and working with the family (Villanueva, 1999).

Neuroscience intensive care unit nurses carry numerous interventions when caring for a critically ill traumatic brain injured patient. In this study, their specific interventions, that they routinely perform, are identified. Quantitatively and qualitatively, nurses regularly monitor hemodynamic considerations such as O2 saturation, BP and temperature and other physiological parameters, monitor intracranial pressure and cerebral perfusion, and providing emotional support. While qualitative analyses solely showed that the other nursing interventions that they do could be classified as neurophysiological interventions, psychosocial interventions, injury prevention interventions, and interventions that maintains therapeutic environment. This study would present proofs of the comprehensive role of the neuroscience intensive care unit nurses caring for Traumatic Brain Injured patients and can be used in future researchers that would like to investigate the contribution of neuroscience intensive care unit nurses’ interventions to the progression of the patient’s condition.

After gaining an approval from the institutional review boards and nursing administration, a survey was done to 67 nurses who work in 3 different ICUs from two level-I trauma centers who regularly care for critically ill TBI patients. Those two trauma centers were chosen because they were both comparable in terms of delivery and organization of nursing care, employment ratios, and nurse characteristics so as to not have bias on the study. The respondents were registered nurses that worked for at least 3 months as a full-time or part-time clinical bedside nurse in an ICU that handles critically ill Traumatic Brain Injured patients. They were approached during their unit staff meetings and change-of-shift report times and invited to take part in the study. They were then given a questionnaire which was comprised of 3 parts: Part A was comprised of series of questions about their previously handled TBI patient, part B contained case scenarios wherein they used nursing judgments, and part C gathered demographic information about the nurse respondents.

For the quantitative data, all neuroscience intensive care unit nurses indicated that they were responsible for the monitoring of the patient’s blood pressure, oxygen saturation, and temperature. And approximately 50% of the nurses indicated that they were also responsible for the monitoring of the ICP and CPP. For the qualitative data, there were 4 categories where in the nurse’s interventions were grouped. The first one is the Neurophysiological Interventions. It is comprised of monitoring and maintaining the physiological parameters to guarantee neurological stability in TBI patients. In addition to that parameter, they also monitored pulmonary artery and central venous pressure reading, cerebral spinal fluid drainage, serial laboratory values, and carbon dioxide parameters. Keeping these values within the normal range, nurses help TBI patient to prevent secondary brain injury and to uphold neurological stability. The second one is the Psychosocial Interventions. In this category, nurses make meetings between the family member and various members of the healthcare team. Meetings between the family members are held to provide education and background of the plan of care being rendered to the patients and also to give information about the possible patient outcomes and rationales for the therapies. The third one is the Injury Prevention Interventions. This category aims to prevent additional complications to the patient and to ensure patient’s safety. The primary interventions for this category are maintenance of spine precautions and frequent reorientation of the patient. Other interventions like prevention of skin breakdown and ventilator-associated pneumonia, prevention of falls and evaluation for the need of restraints to prevent disruption of medical devices are considered usual care for any vitally ill patient. The fourth and the last category is Maintaining Therapeutic Milieu. In this category, nurses give suitable environment for the patient and provide their special needs. Limiting visitors, decreasing lighting, minimizing noise, avoiding disruption of the patient’s sleep-wake cycle are the interventions done in this group. All of which are carried out to provide optimal care and rest periods to the patient thus limits further increase in ICP.

Neuroscience nurses indeed have an essential part in the care of the critically ill traumatic brain injured patients. Their interventions address the prevention of secondary brain injury and complications and provide significant support and guidance for the family members. Therefore, they have a big contribution to the patient’s positive outcomes, but there is still no research documenting their multifaceted role on the patient’s progression. These data are needed to recognize the exceptional contribution of neuroscience ICU nurses as part of the interdisciplinary team caring for TBI patients and as a foundation for future research investigating how ICU nurses impact patient and family recovery from TBI during the acute stage of injury.

Consider the clinical tools or process changes that would need to take place. Provide a resource list.

/in /by

Consider the clinical tools or process changes that would need to take place. Provide a resource list.

In 1,000-1,500 words, provide a description of the methods to be used to implement the proposed solution. Include the following:
1. Describe the setting and access to potential subjects. If there is a need for a consent or approval form, then one must be created. Although you will not be submitting the consent or approval forms in Topic 5 with the narrative, you will include the consent or approval forms in the appendices for the final paper.
2. Describe the amount of time needed to complete this project. Create a timeline. Make sure the timeline is general enough that it can be implemented at any date. Although you will not be submitting the timeline in Topic 5 with the narrative, you will include the timeline in the appendices for the final paper.
3. Describe the resources (human, fiscal, and other) or changes needed in the implementation of the solution. Consider the clinical tools or process changes that would need to take place. Provide a resource list. Although you will not be submitting the resource list in Topic 5 with the narrative, you will include the resource list in the appendices for the final paper.
4. Describe the methods and instruments, such as a questionnaire, scale, or test to be used for monitoring the implementation of the proposed solution. Develop the instruments. Although you will not be submitting the individual instruments in Topic 5 with the narrative, you will include the instruments in the appendices for the final paper.
5. Explain the process for delivering the (intervention) solution and indicate if any training will be needed.
6. Provide an outline of the data collection plan. Describe how data management will be maintained and by whom. Furthermore, provide an explanation of how the data analysis and interpretation process will be conducted. Develop the data collection tools that will be needed. Although you will not be submitting the data collection tools in Topic 5 with the narrative, you will include the data collection tools in the appendices for the final paper.
7. Describe the strategies to deal with the management of any barriers, facilitators, and challenges.
8. Establish the feasibility of the implementation plan. Address the costs for personnel, consumable supplies, equipment (if not provided by the institute), computer-related costs (librarian consultation, database access, etc.), and other costs (travel, presentation development). Make sure to provide a brief rationale for each. Develop a budget plan. Although you will not be submitting the budget plan in Topic 5 with the narrative, you will include the budget plan in the appendices for the final paper.
9. Describe the plans to maintain, extend, revise, and discontinue a proposed solution after implementation.
You are required to cite five to 10 sources to complete this assignment