Family, Community, and Population-Based Care

Family, Community, and Population-Based Care

Weekly Overview – Virtual Practicum Assignments

Virtual Practicum Learning Objectives

• Choose a specific population at risk with poor health outcomes in your community.

• Analyze various sources of health data and other evidence to refine a specific population at risk.

• Collaborate with families, communities, and professionals within the health care system to determine cultural issues and needs of population at risk.

• Design evidence-based, culturally appropriate intervention(s) to improve health outcomes for a population at risk specific to your community.

• Propose an evaluation for the proposed interventions using health outcome data for the population at risk.

• Present proposed interventions to at least one professional in the community.

• Reflect on your role as a health care advocate and leader in your community.

Weekly Practicum Assignments

Practicum Group Discussions

Week 1: Identify a Population Group at risk, population of interest, and/or vulnerable population in your community.

Collaborate with professionals across the health care system in order to find the gap in care or social determinants resulting in poor outcomes. Begin to take the lead to advocate and collaborate for the population at risk.

Week 2: Use health data to refine and limit population of interest/at risk for your community.

Find epidemiological data (national, state and local) related to a population in your community. Compare local data to state and national data. Refine description of the population at risk through continued collaboration with professionals as you analyze related health data.

Week 3: Consider Levels of Prevention in your community

Consider primary prevention for population at risk in your community.

Week 4: Consider Levels of Nursing Intervention for key health concerns in your community.

Consider nursing interventions at the community and system level of care aimed at primary prevention for population of interest/at risk.

Include culturally competent assessments and interventions by Interviewing family members of population at risk. Support your ideas with scholarly literature. (Do not include the individual level of nursing care.)

Week 5: Create a possible Evidenced-Based, Culturally Appropriate Intervention project to improve the health of your community.

Incorporate all information gathered from the community: the population itself, health data, professionals from various disciplines in the community, community assessment, windshield survey, and the literature to propose interventions. Include basic plan for evaluation for intervention.

Week 6: Present Population-Based Nursing Care Project

Present your possible intervention project (PowerPoint) to at least one other professional in your community.

Present your possible intervention project (PowerPoint) to your practicum group and share feedback you received from the professional mentioned above. Discuss your role as an advocate and healthcare leader in promoting positive social change as a scholar-practitioner to improve the health of vulnerable populations in your community.

Other documents to review:

Course Info: Practicum Rubrics

Doc Sharing: NURS 4010-4011 Practicum Assignments – Weekly details (read entirely before beginning your project)

Chemistry Nova – Absolute Zero – Must Watch Youtube Video And Answer Questions Due 12 Hours $100

Please watch http:///www.youtube.com/watch?v=y2jSv8PDDwA……………this address is on pdf also

 

..Must watch videon and answer 29 questions

Explain virtue ethics and care ethics and discuss how these approaches offer an alternative to the deontological and utilitarian focus on how we should act.

Explain virtue ethics and care ethics and discuss how these approaches offer an alternative to the deontological and utilitarian focus on how we should act.

The final graded assignment is an 8–10-page paper about the question: what is the good life? This assignment will be completed in four parts, so you may want to use section headers to organize your paper. This paper is somewhat cumulative, so you may need to review material from previous weeks to prepare for this essay. Remember to explain the theories you reference with supporting citations to the textbook and online lectures before contrasting them. You may want to use examples to illustrate your understanding of key ideas from each theory. Your paper should be formatted in APA style. Use this APA Citation Helper as a convenient reference for properly citing resources.

Address the following in your paper:

The Consequentialism Debate: Compare and contrast deontology and utilitarianism. Briefly discuss the differences between Bentham and Mill’s versions of utilitarianism. Discuss the political and ethical implications of utilitarianism. Explain virtue ethics and care ethics and discuss how these approaches offer an alternative to the deontological and utilitarian focus on how we should act. Explain the political and ethical dimension of existentialism and at least one other social philosophy that addresses discrimination on the basis of race/ethnicity, gender, class, and/or sexual identity. The explanation of existentialism should discuss the following ideas: authenticity, ambiguity, freedom, anxiety, and bad faith. Choose a social justice issue. A social justice issue is one that characterizes and critiques a given practice, policy/law, and/or situation as unfair, unjust, and/or unethical. For example, you might discuss a specific example of discrimination on the basis of gender/sex, race, sexual identity, ethnicity, or religious faith; economic injustice/wage inequality; taxation; or a violation of an asserted human right, such as the right to gun ownership, healthcare, education, or freedom from undue government interference. A good topic will make claims to both political/social justice and ethics. Analyze the issue and discuss how some of the theories explained in parts 1–3 might relate to the issue. You may need to do additional research on the issue in order to complete this part of the assignment. Submit your assignment in the W5: Assignment 2 Dropbox by Week 5, Day 6.

Assignment 2 Grading Criteria Maximum Points Compared/contrasted deontology and utilitarianism. Discussed the consequentialism debate. 50 Explained classical and contemporary versions of virtue ethics. Discussed how the focus on character distinguishes these approaches from deontology and utilitarianism 50 Explained the political and ethical dimension of existentialism and one other theory of social justice 50 Explained a social justice issue. Cited authoritative support (reputable news sources, peer-reviewed scholarly articles and books, and other reliable sources). 40 Analyzed the political/social justice and ethical implications of the issue. 50 Used correct grammar and spelling. 5 Conformed to APA citation and page length guidelines (8–10 pages). 5 Total: 250

Explain the role of fire administrations and how they work with municipal governments to develop fire prevention programs to implement within the community.

Explain the role of fire administrations and how they work with municipal governments to develop fire prevention programs to implement within the community.

 

College essay writing service
Question description
You are directed to attend a meeting at the mayor’s office to discuss the development and implementation of a program to reduce the incidence of fire and burn injuries involving Alzheimer’s patients in local nursing and care facilities. The mayor wants the department to develop a series of classes to be delivered to the Alzheimer’s patients within the care facilities. He is especially interested because her mother suffers from the condition.
Write a 350-700 word paper describing how the fire service administration works with municipal government on fire prevention.
Include the following in your summary:
Discuss the impact of such a program on the municipal government and the department’s fire prevention efforts.
Explain the role of fire administrations and how they work with municipal governments to develop fire prevention programs to implement within the community.
What are your recommendations to best serve this target group while also serving the mayor?
Include a minimum of two references other than your classroom reading materials.
Include a title and reference page.
Format your work consistent with APA guidelines.
Textbook Reference:
Diamantes, D. (2016). Principles of Fire Prevention, 3rd Edition. [Kaplan]. Retrieved from https://kaplan.vitalsource.com/#/books/97812840894…
Web resources:
Inside Fire Prevention Practices
Visit the U.S. Department of Justice website and learn more about the Freedom of Information Act at http://www.justice.gov/oip/foia-resources.html
View the information on Fire Safety Education for Citizens at https://www.usfa.fema.gov/prevention/outreach/educ…
Explore the fire safety resources for kids at http://www.smokeybear.com/
Explore the available resources and links at the S.A.F.E. Home Foundation at http://www.safehome.org/
Multi-Media
Everyone Goes Home
Watch the Fire Is presentation at
Review the USFA Fire safety outreach materials for older adults at https://www.usfa.fema.gov/prevention/outreach/older_adults.html.
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Compassion- Advocacy- Resilience and Evidence-Based Practice in Nursing

iCARE Assignment


Introduction

As a nurse working on the Vascular Access Team we take care of patients requiring access for long term antibiotics at home or intravenous nutrition or medications and blood draws. We place PICC (Peripheral Inserted Central Catheter) lines and midlines, care for patients with mediports by accessing the port on admission and deaccesssing on discharge and caring for them during their hospital stay and caring for patients with central lines. We collaborate with the patient, patient’s family, primary nurse, medical team, nurse practitioner, physician assistant, case manager and other interprofessional teams to provide the highest standard of care and achieve the best possible outcomes. Providing care based on Compassion, Advocacy, Resilience and Evidence-Based Practice will improve patient care along with effective communication skills and collaboration with other interprofessional teams will enhance patient care and achieve possible outcomes. One of the areas we can improve is in our attitude to work, having a more positive voice when speaking to other healthcare professionals remembering it’s not what you say but the way that you say it, we should assist the floor nurses in reaching the best possible outcomes by utilizing our skills if a patient has poor access and the nurse is struggling to place IVL, we certainly can assist in the continuity of care.


Compassion

A compassionate nurse has empathy towards the patients for the pain and suffering they are experiencing which is vital to the patient’s well-being. Compassionate care is one of many actions taking by nurses to improve patient’s outcomes whether they are in pain or suffering from mental or emotional stress. The patient has more confidence in a nurse who provides compassion. On the Vascular Access Team (VAT) we demonstrate compassion by forming a relationship with the patient and their family members at the first time we meet the patient at the Introduction, we actively listen to all concerns and answer all questions asked to the best of our ability and if we do not have the answer we reach out to the necessary personal or interprofesionsal teams to find the answer and to address the patients concerns. At each shift, we implement a compassionate culture by listening to each other, effectively communicating and by respecting each other. When we place a PICC line there are two staff nurses from the VAT team one is placing the PICC line and the other an observer, the role of the observer nurse is to emotional support, be an active listener, help relieve patient concern, using a positive voice and body language, been there to show empathy and provide touch by holding a hand if patient is experiencing pain or discomfort during the procedure. We the team always ask the patient is there anything we can do for you before we leave? And ensure the nurse call bell is in arm reach if the patient needs assistance. We provide education during the procedure for the care required of the Picc line at home and a booklet is also provided with the information needed.


Advocacy

A nurse advocate works on behalf of the patient to maintain quality of care. Advocacy is a necessity. On our VAT team safety is our priority. According to Levy (2018), in order for advocacy to be effective, nurses must maintain ethical awareness, self-confidence, persistence, pride in the profession and maturity. On our team, we ensure the patients voices are heard and they fully understand the reasoning for the Picc line in regards to their treatment. We work in collaboration with many interprofessional teams, Physicians, Physician Assistants, Nurse Practitioners, floor nurses, Case Managers and radiologists and the Intervention Radiology Team. We as nurses are engaged. Influence involves advocacy, we influence each other. We collaborate with our nurse manager at a monthly meeting and here we voice our concerns. Advocacy ensures quality care is given and the safety of the patients and environment is maintained at all times. We work with the Interprofessional teams and all have the same goal to achieve the best possible outcome for the patient and improve patient satisfaction.


Resilience

Resilience helps nurses to deal with a stressful healthcare environment and to minimize stress that causes burnout and emotional exhaustion. A nurse’s role is complex, requiring continuous education or learning. Resilience to change causes a lot of stress. On our VAT team in December 2017 cut backs were made and three nurses were placed in different departments, it caused stress as the workload increased and the nurses on our team are nearly at retirement age and very resistant to the changes been made at the time. They struggled to adapt. The IV team was no longer in existence we were now called VAT team, continuously been paged for IVL’s was stressful and having to refuse to place IVL was disheartening. Floors consistently paging for IVLs certainly affected the rate we were able to get our other work completed as in placing Picc lines and taking care of all central line procedures from changing dressings to accessing and deaccessing ports. Due to not having an IV team the request for midlines drastically increased due to change in policy for IVL’s. Emotional support and strategies to enhance resilience was provided by our managers. We helped each other. The interprofessional teams also had to be educated on the change. Teams must work together to reduce stress. Resilience can have a positive outcome if staff are prepared to deal with the change and taking care of personal health and well-being. The organization also made a policy change that benefited patient’s outcomes. A midline now can be placed by one nurse replacing two nurses having to place midlines this has reduced the wait time for patients to receive treatments and medications and patients to be discharged.


Evidence-Based Practice

Within our team, Evidence Based Practice (EBP) has been used. Change has to occur for EBP to be effective. It will improve and change ways in which we practice to have better outcomes, enhance patient care and promote patient safety. The care and compassion provided by the VAT team eliminates fear and provides for the patient to trust and respect the nurse. Effective communication skills with interprofessional teams has proven to be effective. This improves patient’s outcomes which has been evident in patient’s surveys as in HCAHPS survey.


Summary

Using the iCARE model in nursing and collaboration within the interdisciplinary team is important along with compassion, advocacy, resilience and founded on evidence based practice to provide high quality care and to provide best possible outcomes for the patient’s and patient’s safety. The nurses are in the front line leading the interprofessional teams as nurses we form relationships with patients and their families and are there advocates during hospital admission. Transition in care from hospital to home or any rehab facility can be achieved by utilizing the components of the iCARE model and collaborating with the interprofessional teams effectively. References

Knowledge of the Research Process

Knowledge of the Research Process

Based your experience with this course, how important is the Based your experience with this course, how important is the knowledge of the research process to you in your continued practice of nursing?
to you in your continued practice of nursing?

Posted in Sample

HIV/AIDS: Stigma and discrimination

Stigma and discrimination face by people living with HIV/AIDS

It has been defined by Roura et al., (2009) that the stigma associated with a precise kind of relationship between the behvaiours, perceptions and stereotypes is concerned with a deep sense of social deprivation. Despite the fact, that the concept of stigma is around 40 years old, it has been much researched on and is widely used to draw implications both in social and cultural contexts. All societies have imparted convictions and implications which help them translate encounters and conduct. Implanted inside that framework are the “regulations” based on which is to be demonized and who is definitely not. Despite the fact that these “guidelines” may contrast from society to society, shame is for the most part considered an “adverse, moral or judgemental meaning of an individual or social circumstance, regularly joined with disparaging, disrespect, fault, and attribution of obligation regarding the condition”. Disgrace is not just connected to persons with undesirable physical properties. A great many people are acutely mindful that persons with undesirable characteristics, whether physical, mental or passionate, are effectively and immediately defamed. In British society, a great many people will concur that individuals are obviously disparaged on the premise of their race, society, financial status, sex and age. Notwithstanding, the presence of disgrace can be more treacherous when connected to those with physical and dysfunctional behaviour, inability or physical impedances, or when connected with ugliness, indiscrimination, kid/grown-up ill-use, same-sex introduction, medication utilization/misuse and passing. Once derided, the individual is discriminated as a worthy part of society, subsequently the expression “ruined personality” stated by Pearson et al., (2009) to depict the division of the deprived individuals from “ordinary” parts of society. Once named as an “other,” the slandered individual is then subjected to separation, the activity emulating the cognitive methodology of derision.



LO1: Characteristics of Quantitative and Qualitative research methods

It has been stated that in the current era of Modern science there are multiple ways of thinking and identifying qualitative and quantitative research. The disagreement between qualitative examination methodologies and other research techniques is in inconsistency with the methodological aspects, as well as shows up in the opposition, in the epistemological field. This implies that the instruments, as well as in the focal methodologies describe the generation of information. I accept that the qualitative epistemology is focused around standards that have vital methodological outcomes. Alternately, quantitative outline addresses the numerical delineation of proof examined and information gathered.

Logical information from qualitative exploration is not legitimized by the quantity of subjects examined, however by the nature of its outflow (Bernard & Bernard, 2013). The quantity of subjects to study reacts to a quantitative paradigm, characterized essentially by the needs of the learning procedure found sometime during the examination in factual means. Singular statement of the subject in both the techniques gets centrality as the spot which may have at one point for the generation of thoughts by the analyst. The data passed on by a specific subject can be a critical minute for the generation of learning, without essentially must be rehashed in different subjects and information gathering techniques.

Qualitative exploration offers numerous perspectives with quantitative examination morals. Along these lines, the moral issues are appropriate to science as a rule to both the examination plans. Clearly, knowing the multifaceted nature of morals and good logic, it is prescribed that an exchange that is expected to approach moral judgements of qualitative examination ought to be upheld by a few hypotheses. At the same time there are such a variety of hypotheses that a well meaning push to actualize large portions of them in the investigation of a particular examination can get to be inefficient.

Especially on account of quantitative exploration, it is important to incorporate individuals with capacity and readiness of reflection and correspondence that they comprehend social qualities, needs and powerlessness, and the concerns of potential study subjects (Bernard & Bernard, 2013). Leading qualitative exploration is similarly less immoderate than directing quantitative examination. Qualitative research likewise turns out to be viable when the exploration obliges unlimited measure of data.



LO2: Is Research evidence appropriate to health and social care practice

Since the first instances of AIDS were distinguished in 1981, HIVs have been disparaged. The examination confirmation existed on this point involves to the broad accessibility of information and databases. Cao et al., (2010) recommended that in social and medicinal services connection, the dread of AIDS spread over our country, HIVs being deprived from their occupations, ousted from their homes, denied restorative tend to, savagery and expelled from their own particular families. Additionally, HIV-positive kids have been denied admission to schools, games groups and clubs, and have encountered badgering from other youngsters and folks of other kids. This social derision of HIVs is not restricted to the United Kingdom, either.

In different nations, HIVs have been beaten to death; disregarded by neighbours, managers and social insurance specialists; and even compared to rehearsing witchcraft. As a result of its relationship with the unthinkable subject of male-to-male sex and the trepidation of tainting, society has reacted to HIV/AIDS by disparaging persons to avoid them as much as possible. Is this belittling got from outsiders, as well as it can be gotten from the HIV’s relatives, companions and health awareness experts too. It is interesting to note that during an era when HIVs need social backing like never before, they are rather subjected to the threatening vibe and dismissal connected with HIV-related disgrace.

Radcliffe et al., (2010) characterized the expression “Helps related shame” as “a term that alludes to preference, reducing, undermining, and segregation guided at individuals saw to have AIDS or HIV, and the people, gatherings, and groups with which they are related”. This belittling can be showed in numerous diverse ways, frequently focused around the current generalizations of the society. In the United Kingdom, HIV-related disgrace showed through seclusion, dismissal, stereotyping, segregation and off and on again savagery. Social Factors of HIV-Related Stigma HIV/ AIDS confront shame on numerous distinctive levels. Medicinal diseases as of now can be a disgrace of their own, particularly focused around the reality of the condition.

Since there is right now no cure for HIV/ AIDS, the condition is viewed as “deadly,” a term which strikes fear in the hearts of the vast majority. In an examination article on “Supports and Stigma,” Wagner et al., (2010) demonstrates that there are four particular qualities of HIV/AIDS that inspire disgrace from society, specifically: 1) apparent obligation of the PWHIV in getting the illness, 2) the “unalterable or degenerative” nature of the malady, 3) the way that it can be an infectious infection and 4) the promptly obvious indications of the sickness which show as the ailment advances. Rao et al., (2012) draw a qualification between “instrumental AIDS disgrace” (identifying with the transmittable and deadly nature of HIV) and “typical AIDS shame”. Instrumental AIDS shame is an after-effect of society’s characteristic apprehension of the illness and the absence of instruction on infection transmission.



LO3: Examining research evidence with consideration to validity and reliability

In assessing studies, numerous methodological concerns do develop. Maybe, the most vital concerns are reliability and validity of the exploration procedure. Reliability appraisal of a study device is a centre segment of behavioural research and can be used effectively into immediate perceptions by deciding best conceivable levels of presentation. A few strategies have been utilized that can give reliability of the survey estimation routines, including test-retest, Pearson coefficient, Kendall’s coefficient, odd-even, and the proportional structures strategy. Social approval systems are substantial to the degree that they gauge what they claim to quantify. It is basic that great inward and outer validity be expressed as a social approval method. In addition, the outside validity of the evaluation methodology can be evaluated and still is faulty (Ritchie et al., 2013). The measurements analysts accept they are measuring may have little connection to what is really being measured and that face validity is deficient as the sole paradigm for assessing the validity of appraisal gadgets.

One approach to survey validity would be to have the social approval evaluation created or reassessed by a board of masters or judges who are not included straightforwardly in the examination. An alternate technique would be to have a social approval evaluation of the social acceptance instrument. Case in point, in the wake of reacting to a poll, raters would react to a second survey that let them know the reason for the first survey and requested that the rate how well they thought the inquiries surveyed the reason (Ritchie et al., 2013). Also, analysts need to be mindful of radiance impacts, inclinations to tolerance or seriousness, focal propensity reactions, and position or closeness predispositions of raters, which might misleadingly improve the reliability of estimation without enhancing reaction exactness or validity.



LO4: Demonstrate knowledge of the relationship between research theory and health and social care practice

Investigation demonstrates that social help whether perceived or genuine is especially paramount for females as they depend all the more on social connections contrasted with men in comparable circumstances. A few studies have recommended that apparent social backing is more vital than genuine backing. Social backing has been demonstrated to impact both well being conduct and well being conclusions. Further, social backing has been indicated to cradle the impact of natural stressors, in this way, minimizing antagonistic results of upsetting circumstances. There is an overall reported backwards relationship between social backing and misery among HIV-positive populaces. Albeit much is thought about HIV-related shame and HIV-divulgence, an audit of the writing uncovers an absence of understanding of how they influence misery. Consequently, the general objective of this study is to look at the connections between sorrow (a mental result of HIV illness) and HIV-related shame, exposure of HIV positive status, and social backing among African-American ladies with HIV infection.

Cao et al., (2010) portrayed social backing as an indispensable asset that an individual must draw upon for survival. As a safety asset, social backing is hypothesized to have an immediate impact on both cognitive evaluation and adapting endeavours. Social backing can help more positive examinations of individual life circumstances and backing more powerful adapting. Social backing can serve to lessen instability and stress and give the individual a method for diversion, passionate help, sensitivity and sympathy, and accommodating data. Ritchie et al., (2013) further developed the idea of social help, expressing that there is an agreeable refinement between the number and sorts of social connections and the view of the estimation of such connections. The quantity of social connections is termed the informal community.

The view of social connections is termed seen social backing. At long last, Ritchie et al., (2013) recommended that there are distinctive sorts of social backing, for example, passionate, instructive, or substantial, and the sort of help must additionally be considered notwithstanding the span of the informal community and the impression of the nature of help that is accessible. Cao et al., (2010) remarkable various studies that have demonstrated how social connections maintain wellbeing and on the other hand how low social help identifies with negative wellbeing results.

Broad exploration has showed that social combination has significant physical and mental medical advantages for more established grown-ups. What’s more, social backing has been indicated to be identified with positive conclusions in individuals living with HIV and, all the more particularly, to gay men living with HIV. Actually, adults matured 50 years and more seasoned include in excess of 10% of the HIV-positive populace in the United Kingdom. This rate is most likely excessively low focused around the way that more established grown-ups are rarely tried for HIV.

Not their doctors or the more established grown-ups themselves see that they are at danger for the sickness. This is further convoluted on the grounds that numerous manifestations of HIV can be camouflaged as results of maturing. Alongside ladies and minorities, more seasoned grown-ups are right now one of the quickest developing HIV-contaminated populaces. They are particularly defenceless against disease (by physical changes in the body with age and by disappointment to utilize proper insurance amid sex) and, when tainted, they are more averse to recognize the side effects, get tired and look for the help they require.



LO5: Gather evidence from a variety of research sources, including charts, graphs and tables, from text and online sources

Although, emotional distress serves as a motivator for help-seeking behavior, the fear of being stigmatized may cloud the person’s cognitive process of making the decision to seek help. As time is of the essence with HIV/ AIDS, this delay in seeking health or social services presents a real problem.

HIV/AIDS cases are also on the rise in such marginalized groups as African-Americans, women and older adults. Therefore, in many cases, HIVs are already stigmatized prior to disclosure of their HIV-positive condition. They know all too well the results of being stigmatized and, therefore, may be even more unwilling to disclose their HIV-positive status.

The HIV-related stigma, then, becomes a second or even third type of stigma that is forced upon them. In their study of HIV-related stigma received by African-American caregivers, Rudolph et al., (2010) stated that “social isolation stemming from HIV-related stigma may be exacerbated for women, for elderly people, and for people of colour”.

Persons who get HIV through circumstances which were out of their control (i.e., blood transfusions, needle-sticks or mother-to-kid) are even subject to this kind of slander, particularly as their infection advances. Typical AIDS shame is a statement of the general public’s negative state of mind connected with the transmission of HIV. Due to the way of HIV/ AIDS, it will in the end get to be important for the contaminated individual to look for restorative consideration, at any rate. The forceful enthusiastic impacts going with the ailment might likewise make the requirement for usage of social administrations.. As time is of the pith with HIV/ AIDS, this deferral in looking for well being or social administrations exhibits a genuine issue. To confound matters, more established grown-ups and some ethnic gatherings are now uncertain of western solution hones, human services associations and mental health administrations and, moreover, might not have equivalent access to these administrations. Albeit one may think divulgence to administration suppliers may not act like incredible a danger of being criticized as exposure to family, companions or associates, it still has dangers.






Conclusion

Since, the situation of HIV/ AIDS, is inevitably vital for the HIV-positive individuals to look for restorative consideration, at any rate, the compelling passionate impacts going with the disease might likewise make the requirement for use of social administrations. To entangle matters, more established grown-ups and some ethnic gatherings are as of now uncertain of western medication hones, human services associations and mental health administrations and, moreover, might not have equivalent access to these administrations. Albeit one may think deprivation to administration suppliers may not act like incredible a danger of being derided as exposure to family, companions or associates, it still has dangers. Notwithstanding the hazard that the HIV’s status may not be kept totally private, there is likewise the danger of being defamed by the very administration experts to whom the HIV’s turns for help. Despite the fact that health awareness experts may not have any desire to confess to slandering HIVs, the examination has confirm that HIV-related shame keeps on being available among some of them (Wagner et al., 2010). Notwithstanding the solid impact HIV-related disgrace can have on the self, it is characteristic for individuals to oppose being disparaged, and in this way, the social shame of HIV/ AIDS may make unnecessary deterrents to get social and health awareness administrations. On the off chance that the HIV’s urge to oppose defamation is stronger than their urge to look for help for themselves, they may evade usage of HIV-related administrations until such time that they cannot maintain a strategic distance from it any longer, maybe because of a hospitalization.

References

Bernard, H. R., & Bernard, H. R. (2013).

Social research methods: Qualitative and quantitative approaches

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Cao, H., He, N., Jiang, Q., Yang, M., Liu, Z., Gao, M., … & Detels, R. (2010). Stigma against HIV-infected persons among migrant women living in Shanghai, China.

AIDS Education and Prevention

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Pearson, C. R., Micek, M. A., Pfeiffer, J., Montoya, P., Matediane, E., Jonasse, T., … & Gloyd, S. S. (2009). One year after ART initiation: psychosocial factors associated with stigma among HIV-positive Mozambicans.

AIDS and Behavior

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(6), 1189-1196.

Radcliffe, J., Doty, N., Hawkins, L. A., Gaskins, C. S., Beidas, R., & Rudy, B. J. (2010). Stigma and sexual health risk in HIV-positive African American young men who have sex with men.

AIDS patient care and STDs

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Rao, D., Feldman, B. J., Fredericksen, R. J., Crane, P. K., Simoni, J. M., Kitahata, M. M., & Crane, H. M. (2012). A structural equation model of HIV-related stigma, depressive symptoms, and medication adherence.

AIDS and Behavior

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Ritchie, J., Lewis, J., Nicholls, C. M., & Ormston, R. (Eds.). (2013).

Qualitative research practice: A guide for social science students and researchers

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Roura, M., Urassa, M., Busza, J., Mbata, D., Wringe, A., & Zaba, B. (2009). Scaling up stigma? The effects of antiretroviral roll-out on stigma and HIV testing. Early evidence from rural Tanzania.

Sexually transmitted infections

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Rudolph, A. E., Davis, W. W., Quan, V. M., Ha, T. V., Minh, N. L., Gregowski, A., … & Go, V. (2012). Perceptions of community-and family-level injection drug user (IDU)-and HIV-related stigma, disclosure decisions and experiences with layered stigma among HIV-positive IDUs in Vietnam.

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Wagner, A. C., Hart, T. A., Mohammed, S., Ivanova, E., Wong, J., & Loutfy, M. R. (2010). Correlates of HIV stigma in HIV-positive women.

Archives of women’s mental health

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two different types of comfort interventions

two different types of comfort interventions

Discussion nursing theory .

 

Paper , Order, or Assignment Requirements

1.Discussion Question:

Discuss two different types of comfort interventions that can be utilized by the advanced practice nurse in the clinical setting as per Katharine Kolcaba’s Theory of Comfort.

Identify one MSN Essential that most relates .

application of this theory in practice and explain your choice.

Types of Bullying and Impacts on Health and Mental Health


Assignment: Bullying and Harassment


1.) 5 types of bullying and harassment

Physical: Form of bullying/harassment that involves physically inflicting harm upon an individual, that may end up causing temporary or permanent damage to them. Ex. Threatening somebody with physical action in an attempt to get them to forcibly follow your demands, relentlessly beating up someone for masochistic desires.

Verbal: Form of bullying/harassment that involves harming someone through the use of words, in an attempt to belittle them. Ex. Calling someone an offensive/derogatory name based on their racial/ethnic background, spreading rumors about an individual through lies in at attempt to harm their reputation.

Social: Form of bullying/harassment that involves tampering with someone’s position in their social life, usually through lying or manipulation. Ex. Betraying a close one all for the sake of self gain, ruining a friendship between two individuals by tampering with the two’s minds.

Cyber: Form of bullying/harassment through use of technology, commonly with social media related websites. Ex. Harassing someone on social media through the use of an anonymous account, texting an individual harmful or deceptive messages with the intent of harming their self esteem.

Sexual: Form of bullying/harassment motivated by sexual related desires, for self pleasure. Ex. Inappropriate touching of others without consent, pressuring a close one to engage in sexual activity despite their dismay.


2.)


Strategies to avoid bullying

Intervening: The goal of intervening is to get involved in an escalating situation that may result in an individual receiving harassment, and converse with the victim and harasser to ensure the situation never happens again. It is important to avoid escalating tensions between the two however, as simply talking the bully off will only make them more angry, potentially putting the intervener at risk. Dealing with the issue as soon as it happens depending on the severity can also result in embarrassment for either party, which can increase tensions between the two further. Talking privately is a good solution to this, as it ensures safety without worsening things.

Education: Many people are unaware of the different types of bullying, which directly results in harassment going on around them unknowingly. The best way to resolve this is to learn about the five bullying types, and the clear signs of them. This will allow people to be a lot more perceptive of harsh treatment that may be going on around them, and if they can identify such treatment easier, then they will be able to take action a lot easier and intervene. When educated, these same people can educate other people they know about the five bullying types, thus allowing them to intervene more to. This sets off a chain reaction that greatly reduces the frequency of harassment, making it a lot less common due to more people being well aware of the damaging effects it can have on a person.

Proper vernacular: Many people often use various buzzwords or terms when talking about Mental health related issues. While there is usually no harmful intent with this, it often causes victims of poor mental health to be hurt by them, as they are offensive to them. Using the proper terms instead of slang will help these people to feel more respected, and less alone when dealing with these subjects. (Happy Pill > Medication, Psycho > person with mental health issues.etc)


3.)


Strategies to avoid

Bystander: Being a bystander is when you sit idly by while someone is being harassed, and openly choosing not to do anything to interfere with the ongoing situation. You assist neither the bully or victim, and instead watch from a distance. Despite seeming innocent in the situation, bystanding is actually worse than bullying in most cases, as it proves that you are well aware of an abusive situation going on, yet decide to do nothing to try and stop it despite knowing how harmful it is on the victim. Never be a bystander, and instead intervene when witnessing a scene of bullying, as ending it peacefully will always end better.

Bullying: When seeing a bully in action, often it may seem like the most deserving thing to do is to give the bully a taste of their own medicine, by either bullying them back or pressuring them with a group. This is something that should be avoided, as by bullying the bully, you are effectively acting like one yourself. In addition, if a bully feels threatened, then they are not going to stop bullying. They may move away from the original target, but they will undoubtedly move to another shortly after. This makes the whole confrontation pointless, as the bullying is not stopped, it is just moved to another victim. Only through safely intervening, whether privately or openly, will a bully move on.


4.)


Negative/Positive Mental Health changes

Eating Healthy: A person with poor mental health may decide to change their diet, based on their past unhealthy eating habits, and aim to eat more healthily instead. This would be positively received by a peer for many reasons. Many people are unable to both think and act properly with an unhealthy diet, as they are not getting the proper nutrients the human body requires to function. Ensuring to get enough of the four food groups will allow both your body to function properly, and your mind to make decisions easier. It is almost impossible to think clearly when malnourished, and it causes more negative thoughts to be present in the mind of a person as well. Eating healthier will allow a user suffering from poor mental health to function more efficiently again, allowing them to overcome their problems easier.

Sleeping better: Similarly to healthy eating, the human body cannot function properly without enough rest. This may cause a person suffering from poor mental health to aim to attain a more consistent sleep schedule, that ensures they receive the required 7 – 9 hours of rest every day. This would be positively received by a peer for, again, similar reasons to that of a healthy diet change. The human body cannot function properly without enough sleep, as it causes the user to feel restless throughout the day. This often leads to the judgement of the user being clouded, as they cannot even think properly. Consistently getting enough sleep resolves this restlessness issue, allowing the user to see things a lot clearer, giving them the opportunity to fix what they are suffering with much easier.

Sheltering: A person with poor mental health may feel the need to distance them from the world around them, as they may believe that in order to fix their problem they need alone time to sort their emotions. This would be negatively received by a peer, as it does nothing to improve the user’s mental health in the long run. One of the best ways to cope with poor mental health is to converse with those you have healthy relationships with. These people are willing to listen, and the outside perspective they provide may be just what you need to improve yourself. While it is good to try and manage your emotions, doing so alone by separating yourself from society will hurt you more in the long run, as it may cause even more negative emotions to enter your mind, making you feel as if nobody is willing to help you. This is not the case, plenty of close ones will always be available to help with your problems, and being able to talk with them will always be a good thing.


5.)


Bullying with Holistic health

I have never really considered the possibility of being bullied when making choices for my holistic health. My environment growing up has always been a healthy one. I never had any problems with bullies at elementary or secondary school, and my family has always been supportive. Never once have I considered if any of my holistic health choices would make me a target of some kind, as I have never really been the subject to bullying before.


6.) Mental Health Article Analysis

The article on mental health that I found is titled “We must learn from mental health tragedies”, and it highlights Marjorie Wallace’s perspective on in-depth investigations on mental health patients’ homicides being canceled.

Overall, I found that this short piece portrays mental health quite negatively. While its overall purpose is to highlight an individual’s concerns over mental health related homicide cases no longer being undertaken, it does not do a good job at it. The article begins by highlighting that of the 120 homicides committed each year in the UK from “someone with a mental illness or disorder”, over half of them were due to failures in patient care. This certainly does not paint those with mental health issues positively, as it quite literally states that 120 commit homicide each year. While this may have been mentioned to highlight how severe the problem is, readers of the article are instantly going to assume that people with poor mental health are mentally unstable, which puts negative attention on them. In addition, the way that mental health patients are described is also very negative. “Someone with a mental illness” is an improper way of describing mental health patients, and it undoubtedly puts negative pressure on these people. The way that the article states that half of the homicides are due to improper care is also very negative, as it leads readers into thinking that the effort that goes into ensuring proper mental health safety is incredibly weak. 50% is a large percentage, and while the article’s goal is to bring attention to the issue, people are still going to view the situation in a negative light. I was able to take away that proper attention needs to be placed on people with mental health issues, but the fact that said attention has just been taken away left me feeling poorly about the situation.

This article does not help in removing the stigma surrounding mental health. The clearest example why comes from the use of “Someone with a mental illness”. This is not the proper terminology, and further encourages readers to use slang more as opposed to the proper terms. The author of the article should have worded it as “A mental health patient” or “Person with mental health issues”. These are all much better terms, and will help mental health patients to feel more respect. The way the article states that 120 homicide cases on mental health patients occurs each year does not help either, and instead paints these people as unstable. It is highlighted that these people need proper care, as the overall goal of the article is to express the concerns on how such investigations are no longer taking place, but readers are certainly going to view these patients in a negative light afterwards. Homicide cases are a big deal, and learning that a portion of them are committed by those with poor mental health is just going to make readers more uncertain about these people.

There are a few things that can be done to this article in order to remove the stigma surrounding mental health. As previously stated, changing the wording “Someone with a mental illness” to “A mental health patient” or “Person with mental health issues” will reduce the stigma significantly, as these are the more proper terms, and they will prevent readers from using slang when describing these people. The article can also be a bit more positive with its message. Mental health patients are almost exclusively painted in a negative light here, being described as homicidal and needing proper care. Focusing on things that can be done to treat these people properly rather than outlining their supposed “problems” will increase readers’ perceptions, and make them more willing to listen. The article can also outline ways that readers can help. Its overall purpose is to highlight the dismays a person has with investigations on mental health related homicides being canceled, yet it never mentions what can be done to help. Many are made aware of the ongoing issue through reading, yet without the proper means for them to apply their newfound knowledge, they are left simply feeling uneasy about mental health issues. Leaving a link in the article with ways on how to help, or simply listing a bunch of options will help lead readers in the right direction, encouraging them to make a difference.

References

  • We must learn from mental health tragedies. (2019, July 18). Retrieved from  https://www.theguardian.com/society/2019/jul/18/we-must-learn-from-mental-health-trag edies

Communication with a Disability of Muscular Dystrophy

Communication with a Disability of Muscular Dystrophy

Muscular dystrophy diseases cause weakness and degeneration of muscles. Many people know muscular dystrophy as a singular disease rather than a category of disease that contains group of diseases. There are multiple forms of Muscular Dystrophies (MD) such as Becker MD, congenital MD, Duchenne MD, limb-girdle MD, facioscapulohumeral MD, myotonic dystrophy, oculopharayngeal MD, and Emery-Dreifuss MD. The most common type of MD is Duchenne which is what will be discussed here. (Muscular Dystrophy Association, 2018)

French neurologist, Guillaume Benjamin Amand Duchenne, was the first to describe Duchenne muscular dystrophy (DMD) disease. DMD is an inherited disorder. It is much more common in boys than girls. The protein dystrophin has been identified as the one that is mutated which causes muscle cells to weaken. DMD can begin early and show signs at the age of three or four years. (Mayo Clinic, 2018) These signs can be delayed ability to sit, stand or walk and difficulty learning to speak. Usually, this disease starts affecting muscles in the pelvic area, upper legs and shoulder. Calf muscles start out enlarged with muscle tissue that is replaced with fat and connective tissues. A brace may be requiring for walking or a patient may be confined to a wheelchair by age of twelve. By early teenage years, the muscles of heart and respiration are also affected. “Bones develop abnormally, causing skeletal deformities of the spine and other areas.” (National Human Genome Research Institute, 2013) In the past, the life expectancy with DMD patients was no more than their teenage years. However, with healthcare advances, the life expectancy is increasing and there are many survivors who have stepped into their early thirties. There are also cases of men living in their fifties.

DMD is diagnosed in many ways. A clinical diagnosis is when a patient demonstrates progressive symmetrical muscle weakness before the age of five along with severely elevated creatine kinase blood levels. Genetic testing may be performed to see alteration or mutation in DMD gene which may be not conclusive. A muscle biopsy can be performed to check dystrophin levels. (National Human Genome Research Institute, 2013) There is no cure for muscular dystrophy. The current treatment helps with improvement on quality of remaining life.

According to Social Security Administration, muscular dystrophy is a disability characterized by “disorganization of motor function in two extremities, resulting in an extreme limitation in the ability to stand up from a seated position, balance while standing or walking, or use the upper extremities” (Social Security Administrations, n.d., 11.13) There is also marked limitation in physical and mentally capabilities.

The overall health for a patient with DMD can be quite severe especially when the heart and respiratory muscles are affected. These patients have been confined with wheelchair or brace and now they can’t breathe as their body is physically giving up. The lack of social life can be onset for many psychological conditions such as depression for many of these patients.

DMD can cause communication problem when the patient is unable to breath or when the muscles around face or mouth may be affected. There are increased risk for dyslexia, dyscalculia, and dysgraphia for children with DMD. These children have trouble with short term verbal memory and that will impact the amount of information they are able to process in their brain at one time. Their attention span is little. Therefore, these children will understand part of the message and follow that only. They must be given information in smaller parts that introduces one new concept at a time. The research present today has been inconclusive in determining whether children with DMD have executive functioning problem. (Poysky, Axelrad, Bonin, & Hendriksen, 2011)

To accommodate DMD patient, we, as health care workers, must use simple language with short sentences to make sure that they are able to follow the instructions. If an interventional procedure is required, having a visual aid may help and alleviate the fears. We must be extra calm and patient and try not to rush a procedure even if our schedule is compact. It would be a good practice to have the patient repeat instructions or procedure’s next step to make sure that the patient can be cooperative for the procedure by having clear understandings.

For the following scenario, John Smith, twelve year old, DMD patient is undergoing MRI brain with and without contrast. As a pre-confirmation appointment phone call to parents, there is no allergy to any food, contrast or drugs for this patient. On the day of the appointment, parents have arrived with the patient and have checked into the department, waiting for their turn. A technologist approaches patient and introduces herself to the patient and family and brings them into Zone 2 for MRI screening. A technologist has used family as the the one with reliable source of information but the technologist was prepared to show a video of how IV is started and how allergic reactions can be. Technologist uses phrases such as “machine is very loud,” “don’t move,” “there is going to be line connecting to your hand,” and “the liquid will go in your body from that line.” Technologist would make sure patient explains the procedure back to her. The best approach for allergic or medical history after the parents would be to just casually talk to patient and ask like did you ever have this exam done before? Or do you like nuts? After making sure the patient is ready, the patient would be helped positioning inside the machine and perform the scan carefully.

References

  • Mayo Clinic. (2018, February 6). Muscular Dystrophy – Symptoms and Causes. Retrieved January 25, 2018, from https://www.mayoclinic.org/diseases-conditions/muscular-dystrophy/symptoms-causes/syc-20375388
  • Muscular Dystrophy Association. (2018, June 22). Duchenne Muscular Dystrophy (DMD). Retrieved January 21, 2019, from https://www.mda.org/disease/duchenne-muscular-dystrophy
  • National Human Genome Research Institute. (2013, April 18). Learning About Duchenne Muscular Dystrophy. Retrieved January 22, 2019, from https://www.genome.gov/19518854/learning-about-duchenne-muscular-dystrophy/#1
  • Poysky, J. T., PhD, Axelrad, M., PhD, Bonin, L., PhD, & Hendriksen, J., PhD. (2011).

    Learning and Behavior in Duchenne Muscular Dystrophy

    [Pamphlet]. Parent Project Muscular Dystrophy.
  • Social Security Administrations. (n.d.). Social Security. Retrieved January 30, 2019, from https://www.ssa.gov/disability/professionals/bluebook/11.00-Neurological-Adult.htm#11_13