Identify characteristics of pain in patients with chronic diseases or terminal illnesses.

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Identify characteristics of pain in patients with chronic diseases or terminal illnesses.

1- the essay must be in APA format.( APA information: https://owl.english.
purdue.edu/owl/resource/560/01/ )
2- you must use this text book: Tabloski, P. A. (2014). Gerontological nursing (3rd ed.). Boston, MA: Pearson.
3- Include a minimum of 3 references (all reference from a nursing peer reviewed journal article within the last 5 years)

You work with a community home health hospice agency. Your new male client is 75 years old, with terminal lung cancer. His wife does not want you to talk to him about the illness, but to “just take care of him.” How would you explain hospice care to your client and his wife?
Identify characteristics of pain in patients with chronic diseases or terminal illnesses. Use the World Health Organization (WHO) Analgesic Ladder to determine if pain medications are appropriate, or if more or less analgesics should be considered.

Determine the supporting factors that would aid in the reduction of healthcare cost in your organization without reducing quality of care for the patients.

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Determine the supporting factors that would aid in the reduction of healthcare cost in your organization without reducing quality of care for the patients.

Due Week 6 and worth 200 points
Assume that you are a Quality Officer who is responsible for one of the state’s largest healthcare organizations. You have been told that the quality of patient care has decreased, and you have been assigned a project that is geared toward increasing quality of care for the patients. Your Chief Executive Officer has requested a six page summary of your recommended initiatives.
Note: You may create and /or make all necessary assumptions needed for the completion of this assignment.
Write a 6 page paper in which you:
1. Analyze three (3) quality initiatives for your organization.
2. Determine the supporting factors that would aid in the reduction of healthcare cost in your organization without reducing quality of care for the patients.
3. Differentiate between quality in a free market healthcare system and in single payer government system with three (3) examples for each.
4. Specify three (3) common law quality initiatives that are still found in 21st century healthcare organizations.
5. Defend your position on the importance of healthcare quality for your organization. Provide support with at least three (3) examples that illustrate your position.

The purpose of the Evidence & Expert Interview Paper

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The purpose of the Evidence & Expert Interview Paper

The purpose of the Evidence & Expert Interview Paper is to further the application of leadership aspects of the nursing profession Research Paper Help

PURPOSE: The purpose of the Evidence & Expert Interview Paper is to further the application of leadership aspects of the nursing profession through interactive discussion and participation with topi

Review these facts, and describe what the results say about this sample of the nursing workforce. What do you believe was the intent of the researcher who designed the survey?

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Review these facts, and describe what the results say about this sample of the nursing workforce. What do you believe was the intent of the researcher who designed the survey?

 

Growth, salaries, education, demographics & trends. ANA. The link to the website may be found in the Syllabus, or the Week 5 Assignments page.
Review these facts, and describe what the results say about this sample of the nursing workforce. What do you believe was the intent of the researcher who designed the survey?
The next process for our study is to collect data. The research design will indicate the best data to be collected. The tools that we use to collect data need to be reliable and valid. Define these terms with respect to research, and explain why they are important.
Consider data collection and measurement methods for your nursing
clinical issue. Explain how you would collect data and what
measurement methods you would useRequired for Discussion American Nurses Association. (2014). Fast facts: The nursing workforce 2014: Growth, salaries, education, demographics & trends. Author.http://nursingworld.org/MainMenuCategories/ThePracticeofProfessionalNursing/workforce/Fast-Facts-2014-Nursing-Workforce.pdf
This is property of essayprince.org. Welcome for all your Research paper needs and our professional tutors will help you from start to finish. Sign up NOW and fulfill your Research paper help needs

A few months ago, the upper management at a large corporation decided they wanted to make major changes in the organization.

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A few months ago, the upper management at a large corporation decided they wanted to make major changes in the organization.

Leadership is concerned that employees may be resistant to the change, and they want to find out if there is a change management method that would help employees accept change more effectively and keep employee satisfaction high. Two methods they have considered are the ADKAR Framework and the Prosci Change Management Methodology. The company wants to implement a small change in two departments before they make any major organization changes and would like to test the methods. The corporation uses the Devine Company to measure employee satisfaction with an anonymous survey.

Write a 525- to 750-word paper that addresses the following for your chosen scenario:

• Clearly define the problem or issue you are addressing. Provide a brief background of any research you have found that might affect your research hypothesis.

• Create a research hypothesis based on the information provided in each scenario. You have been given a data set (Excel document) with two sets of interval data (just the numbers, as you must decide what they represent, such as method A results or method B results). This means you are going to test one thing against another, such as which method works best (step 1 of the steps to hypothesis testing). State the null and research hypotheses. Explain whether these hypotheses require a one-tailed test or two-tailed test, and explain your rationale.

• Describe the sample you will use. Sample size will be 30 for each group, which are provided in your data set. Explain what type of sampling you selected.

• Do you think you would also collect some descriptive data, such as gender, age, or shift? Why do you think it makes sense to collect descriptive data?

Format your paper according to APA guidelines.

Example

You have a hypothesis that two drugs have different effects on lowering anxiety. You would have anxiety scores for drug A and anxiety scores for drug B (all after 4 weeks of treatment) to run inferential analysis for after 4 weeks.

• Null hypothesis is H0: drug A = drug B • Research hypothesis is H1: drug A ≠ drug B • Dependent variable: Anxiety score changed after treatment. • Independent variable: drug treatment

Address the benefits and risks of using a FIFO delivery system in a healthcare setting. Analyze decisions that impact the healthcare delivery system.

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Address the benefits and risks of using a FIFO delivery system in a healthcare setting.
Analyze decisions that impact the healthcare delivery system.

Instructions

The Gotham City Hospital, a mid-sized hospital, has hired you as an expert consultant for healthcare organizations. They have requested an executive summary, between 3-4 pages that explains to their management team (administrators and medical staff) the difference between FIFO and LIFO delivery systems. The summary needs to cover both the risks and benefits the two delivery systems could have in the procurement and use of medical resources at the hospital.

Write an executive summary of at least 3 pages comparing and contrasting the use of FIFO and LIFO supply chains in a healthcare setting.

Make sure that the Executive Summary includes the following;

Address the benefits and risks of using a FIFO delivery system in a healthcare setting.
Address the benefits and risks of using a LIFO delivery system in a healthcare setting.
Make a recommendation based on your research and back it up with evidence.

Overview of Von Willebrand Factor

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Von Willebrand Factor

Von Willebrand Factor is a very important glycoprotein that is needed for Haemostasis in the body, without vWF patients can suffer from severe bleeding disorders, so it’s crucial to know about this important glycoprotein in order to be able to help patients who suffered from a vascular injury and also recovering from surgery.

Von Willebrand Factor (vWF) is an interesting glycoprotein which is restricted to blood vessels for injury restoration. It is made only by endothelial cells and by megakaryocytes, both are the precursors of platelets. (Wagner, 1990, p.217)

Sadler (1998) has noted that vWF is a blood glycoprotein that is essential for typical Haemostasis. When there isn’t an adequate amount of vWF in the body, this is an regular bleeding disorder passed down through genes. vWF brings together the binding of platelets to the areas of vascular disruption by binding certain types of membrane glycoproteins and to elements of exposed connective tissue. This action appears to be controlled by allosteric mechanisms and maybe by hydrodynamic forces. VWF has an interaction that is used for normal factor VIII survival in the circulation because vWF is also a carrier protein for blood factor VIII. (Sadler, 1998, p.395)

Sadler (1998) has also noted that vWF is large, multimeric glycoprotein that is found within subendothelial connective tissue, blood plasma and platelet a-granules. vWF is found subdivided in between two pathways in the Golgi of endothelial cells. Most of which is secreted at a steady rate, but some is still stored in the cytoplasmic granules which is named Weibel-Palade that are specifically for the endothelium. These covered membrane organelles are rod shaped and are 0.1-0.2 um wide and up to 4 um long. When in a cross section of the long striations of these they are closely fixed together and seem to be composed of vWF multimers. Some small clusters that contain vWF are found at the periphery of platelet a-granules. (Sadler, 1998, p.395)

Also in Sadler’s (1998) studies, a part of Haemostasis vWF has two crucial purposes; it regulates the binding of platelets to subendothelial connective tissue and it also helps bring together blood clotting factor VIII- which is the protein that is missing when someone has haemophilia. When there is a lack of vWF, blood clotting factor VIII is quickly taken from the circulation. This results in a severe bleeding disorder with people lacking vWF. This is because they have deep flaws in formation of platelet plugs at injury vascular sites and also in blood clotting. This is how vWF was discovered from bleeding patients who lacked these haemostatic proteins. (Sadler, 1998, p.395)

vWf is made in endothelial cells and megakaryocytes through a step by step process as a large polymer which is made up of identical disulphide-linked 250-kd sub units. Amongst the endothelial cells vWF does two things; it directs the creation of its own granules for storage (the Weibel-Palade bodies) and it also acts as a partner molecule to direct other proteins (such as P-selectin), into these granules. When the endothelium has been stimulated, the Weibel-Palade bodies are then re directed to the plasma membrane- along with their contents, will be secreted into the plasma milieu. vWF can be regulated at different levels by a number of factors which can be environmental or genetic which results in control of its activity. (Denis, 2002, p.3)

Reininger (2008) explains the steps involved in the protection against bleeding by platelet binding to the injury site and sealing of the disruption as follows; The first step comprises of the capture of platelets that have stick to the subendothelial structures, which is mainly collagen at the injury site. Under the conditions of low shear rates, platelet binding to the defected cell wall is facilitated by a few different protein of vWF is one of these. However, under high shear rates only present soluble vWF causes aggregation. In a solution, vWF becomes stagnate via its A3 domain on the fibrillar collagen of the vessel wall, which acts as a middle between the platelet receptor glycoprotein Iba (GPIba) and collagen. GPIba is the only platelet receptor that doesn’t require prior initiation for the forming of bonds. After GPIba binds to the A1 site of its main ligand vWF, more activation of the platelet (via intracellular signalling) occurs, which then allows other receptors to engage collagen and vWF which reinforces permanent adhesion or binding. On this first layer of platelets soluble vWF binds and folds which then attracts more platelets. This platelet interaction with stagnate and soluble vWF might also create platelet-derived microparticles that show pro-coagulant activity. Then with fully grown multi layered platelet combined, shows the adhesion of the platelet receptor integrin aIIbB3 to vWF and fibrinogen. The growing platelet thrombus is stabilized by the surface activated platelets which speeds up the coagulation cascade which its end product is fibrin. (Reininger, 2008, p.11)

Von Willebrand disease (vWD) is a decrease in plasma levels or a defect in vWF, which decreases the ability to blood clot which can lead to heavy bleeding and also continual bleeding after an injury. The knowledge of von Willebrand Disease has advanced over the past 25 years in regards to pathogenesis and subsequent application which has given benefit to vWD diagnosis and therapy. It has been established the distinction between vWf and factor VIII from the 1970’s, which the gene for vWF was cloned by 4 groups in 1985 which thus began an era of knowledge and understanding into the studies of disease pathogenesis, diagnosis and treatment. (Lillicrap, 2013, p.3735)



References

Reproductive Tract Infections (RTI): Symptoms and Causes

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Reproductive tract infections (RTI) are recognized as a public health problem and ranking second – after maternal morbidity and mortality – as the cause of loss of healthy life among women of reproductive age in developing countries (Jindal et al, 2009.). Infections of the reproductive tract causes serious health problem worldwide, with an impact on individual women and men, their families and communities (Adler et al., 1998). Are RTI infections which affect the reproductive tract, part of the reproductive system. For females, the reproductive tract infections may be much higher in the reproductive tract (fallopian tubes, ovaries and uterus) and lower reproductive tract (vagina, cervix and vulva). The global burden of reproductive tract infections (RTI) is a huge and a serious public health problem, especially in developing countries, where ITR are endemic .

They can have serious consequences including infertility, ectopic pregnancy, chronic pelvic pain, abortion, cervical cancer, menstrual disorders, pregnancy loss, babies with low birth weight and increased risk of HIV transmission. The presence of the ITR (especially ulcer causing sexually transmitted infections) can promote the acquisition and transmission of human immunodeficiency virus (Rabiu et al., 2010). Reproductive tract infections include endogenous infections, iatrogenic infections and sexually transmittedinfections (STDs) (Muula et al., 2006) .

Reproductive tract infections (RTI) refers to three different types of infections affecting the reproductive tract :

1. Endogenous infections are probably the most common RTI worldwide. They result from an overgrowth of organisms normally present in the vagina. Endogenous infections include candidiasis and bacterial vaginosis. These infections can be easily treated and cured .

2. Iatrogenic infections occur when the cause of infection (bacteria or other microorganism) is introduced into the reproductive tract via a medical procedure, such as menstrual regulation, abortion, insertion of an IUD or during childbirth. This can happen if the surgical instruments used during the procedure has not been properly sterilized, or an infection, which was already present in the lower reproductive tract is pushed through the cervix into the upper reproductive tract .

3. Sexually transmitted diseases (STDs) are caused by viruses, bacteria or parasites microorganisms that are transmitted through sexual activity with an infected partner. About 30 different sexually transmitted infections have been identified, some of which are easily treatable, many of which are not. HIV, the virus that causes AIDS, is perhaps the most serious sexually transmitted infection, since it eventually leads to death. STDs affect men and women, and can also be transmitted from mother to child during pregnancy and childbirth. (Germain et al. 1992).

Female RTI usually originate in the lower genital tract, such as vaginitis or cervicitis and can produce symptoms such as :

  • abnormal vaginal discharge ,
  • genital pain
  • itching
  • burning feeling with urination
  • abdominal pain
  • irregular mensural cycle
  • blood stained discharge

However, a high prevalence of asymptomatic disease occurs, which is a barrier to effective control (Elias et al., 1993). Such as:

  • Infertility
  • Fibroid
  • Polyps
  • Prolaps Uterus / Vaginal
  • Endomitrosis

Even when symptoms occur, their presence may overlap with and be misdiagnosed as a normal physiological change and normal physiological discharge can be diagnosed as RTI. (Trollope – Kumar, 1999). The presence of ulcers, especially RTI causing STI may increase the acquisition and transmission of human immunodeficiency virus (Fleming et al. 1999).

Infertility is a health problem in Africa, particularly in sub-Saharan Africa, where 20-30 % of couples are unable to conceive (Sciarrha, 1994). Most health advocates consider infertility as the most important reproductive health and social issues confronting the Nigerian women and gynecologists often report that infertility is 60 % – 70 % of your queries at higher education institutions (Okonofua et al, 1997.). In Nigeria, most cases of infertility RTI following (Snow et al. 1997)

Ectopic pregnancy is a large percentage of acute gynecological emergencies in Nigeria and is a major cause of maternal mortality [ 11-13 ]. A study in Lagos, Nigeria found previous STI and pelvic inflammatory disease as the main risk factors for ectopic pregnancy (Anorlu et al., 2005)

Cervical cancer is usually the result of a sexually transmitted infection, and human papilloma virus is the causative agent. It is the most common malignancy of the reproductive system and a leading cause of death from cancer in Nigerian women (Thomas, 2000). In contrast to most other types of cancer, it is common below the age of 50, and is therefore a leading cause of premature death (Dey et al. 1996).

Sites of Reproductive Tract Infections :

Reproductive tract infections can affect the outer genitals and reproductive organs. Infections in the area of the vulva, vagina, cervix or are referred to as the lower reproductive tract infections. Infections in the uterus, fallopian tubes and ovaries are considered upper reproductive tract infections. (Bulut et al. 1995)

Minor infections of the reproductive tract :

. Vaginitis :

RTI affecting the external genital area and lower reproductive tract in women is often referred to as vulvo – vaginitis, vaginitis or simply indicating that the vulva and / or vagina become inflamed and sometimes itchy or painful. Vaginitis is most commonly caused by endogenous infections such as candida (thrush, yeast) or bacterial vaginosis, sexually transmitted infections despite certain as trichomoniasis, can also commonly cause these symptoms and signs. Pelvic infections can have consequences far more dangerous than the initial vaginitis, such as ectopic pregnancy or infertility. (Bulut et al. 1995)

2. Infection of the cervix

Infection of the cervix can be caused by a variety of pathogens, particularly sexually transmitted infections, such as gonorrhea, chlamydia and Human Papillomavirus transmitted. Infections of the cervix are considered more serious than vaginitis because more commonly result in infection of the upper reproductive tract, with its serious consequences. Unfortunately, they are also more difficult to detect and are often asymptomatic. (Bulut et al. 1995)

Upper Reproductive Tract Infections :

The migration of infection in the upper reproductive tract, including the uterus, fallopian tubes, ovaries, and tends to be more severe than infections of the lower reproductive tract. Infections of the upper reproductive tract are often a direct complication of infections, especially sexually transmitted lower reproductive tract. (Bulut et al. 1995)

  1. Pelvic inflammatory disease (PID), for example, is one of the most serious problems of gonorrhea or chlamydia. This can result in chronic abdominal pain, ectopic pregnancy, menstrual irregularities, infertility and as a result of scarring of the fallopian tubes .
  2. Ectopic pregnancy, which can cause death, is a particularly serious complication, since it requires emergency interventions that are not available in many resource-poor settings.
  3. Iatrogenic infections -. Caused by the introduction of bacteria in normally sterile environment of the womb through a medical procedure such as insertion of an IUD – can also result in serious, and reproductive tract infections, occasionally life -threatening upper (Bulut et al .., 1995)

Provide a brief description of two human service theories you selected, and explain how they provide a theoretical framework for your Final Project of child welfare. Choose one traditional and one contemporary human services theory that might provide a foundation for your theoretical framework of your term paper. Be specific, and provide examples.

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Provide a brief description of two human service theories you selected, and explain how they provide a theoretical framework for your Final Project of child welfare. Choose one traditional and one contemporary human services theory that might provide a foundation for your theoretical framework of your term paper. Be specific, and provide examples.

 

Human Service Theories

This is a Discussion Post

Selecting a theoretical framework for your Final Project can be a helpful yet potentially prohibiting step in the research process. On one hand, the framework can sharpen the focus and consequently increase clarity of the research topic. On the other hand, if you limit your research to concentrate on one theory for your theoretical framework, you might exclude theories that can enrich your research. Thus it is beneficial to review multiple theories to obtain a full perspective of your research topic in building a theoretical framework.

Provide a brief description of two human service theories you selected, and explain how they provide a theoretical framework for your Final Project of child welfare. Choose one traditional and one contemporary human services theory that might provide a foundation for your theoretical framework of your term paper. Be specific, and provide examples.

Support your Discussion assignment with specific references to all resources used in its preparation. You are asked to provide a reference list for all resources, including those in the Learning Resources for this course.

References and Resources for this assignment:

Book Excerpt: Thompson, N. (2000). Theory and practice in human services. Buckingham: Open University Press.

Introduction
Chapter 1, “Theory and Practice: Thinking and Doing”
Theory and Practice in Human Services by Neil Thompson. Copyright 2000 by Open University Press. Used by permission of Open University Press via the Copyright Clearance Center.

Article: Case, P. F. (2008). The relationship of race and criminal behavior: Challenging cultural explanations for a structural problem. Critical Sociology, 34(2), 213–238.

Article: Peng, B. W., & Schoech, D. (2008). Grounding online prevention interventions in theory: Guidelines from a review of selected theories and research. Journal of Technology in Human Services, 26(2/4), 376–< < < 396.

Article: Tangenberg, K. M. (2005). Faith-based human services initiatives: Considerations for social work practice and theory. Social Work, 50(3), 197–2 06.

Article: Thompson, A. (2009). Radical social work in these contemporary times. Journal of Progressive Human Services, 20(2), 110–111.
Article: Van Wormer, K. (2005). Concepts for contemporary social work: Globalization, oppression, social exclusion, human rights, etc. Social Work & Society, 3(1), 1–10.
Optional Resources

Webinars: Walden University Library
http://library.waldenu.edu/862.htm

Article: Changing Minds. (2010). Psychology theories. Retrieved from https://changingminds.org/explanations/theories/a_alphabetic.htm
Article: Patchin, J. W. (n. d.). Criminological theory summaries. Retrieved September 15, 2010, from https://www.uwec.edu/patchinj/crmj301/theorysummaries.pdf

A nurse is caring for a client newly prescribed cefazolin who has hereditary glomerulopathy. What are three adverse effects if this class medication? Is administration if cefazolin safe for this client.

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A nurse is caring for a client newly prescribed cefazolin who has hereditary glomerulopathy. What are three adverse effects if this class medication? Is administration if cefazolin safe for this client.

A nurse is caring for a client newly prescribed cefazolin who has hereditary glomerulopathy. What are three adverse effects if this class medication? Is administration if cefazolin safe for this client?