comment sarah

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I NEED A POSITIVE COMMENT BASED IN THIS ARGUMENT..BETWEEN 10-150 WORDS

 

1. The health risks present in Mr. C that are associated with his obesity includes hypertension and sleep apnea.  His lab values indicate possible diabetes, elevated cholesterol, elevated triglycerides, and low HDL (Medscape, 2014).  These lab values, associated with his obesity, put him at substantial risk for heart disease.  Bariatric surgery would be a viable option for Mr. C.  His BMI is 47.8 and according to Edelman, C., Kudzma, E., Mandle, C. (2014), “A BMI of 40 or more meets the criteria for bariatric surgery in psychologically stable individuals. In persons with comorbidity, bariatric surgery may be suggested with a BMI of 35 or greater. The focus of professional advice is conservative at first, recommending careful diet appraisal and increase in exercise patterns.”  

 

2. Planning a medication schedule to treat Mr. C’s peptic ulcer disease is crucial in order to maintain adherence to prescribed regimen.  The best schedule for Mr. C is: 6 a.m.: Carafate dose.  7 a.m. breakfast.  10 a.m. Mylanta dose.  11 a.m. Carafate dose.  12 p.m. lunch.  3 p.m. Mylanta dose.  5 p.m. Carafate dose.  6 p.m. dinner.  9 p.m. Mylanta, Zantac, and Carafate doses.  10 p.m. Snack and bedtime.

 

3. Five potential problems in Mr. C’s functional health pattern include: health management, nutritional-metabolic, activity-exercise, self-perception/ self-concept, and sleep-rest.  Health management is a problem because he is attempting to control his high blood pressure with sodium restriction alone, which is not working due to his BP of 172/96.  Further education should be given related to better ways to manage his health.  He may also be diabetic due to his fasting glucose of 146.  Mr. C would require education to manage and control this new diagnosis.  Nutritional-metabolic is a problem even though his medical records do not indicate any metabolic disease because he is not meeting his body’s metabolic needs as evidenced by the 100-pound weight gain in the last 2-3 years.  Education should be given on diet and making better food choices.  Activity-exercise is a problem due to the perceived sedentary lifestyle.  Mr. C is currently employed at a call center where there is likely to be a large amount of sitting without activity.  Mr. C should be encouraged to increase his activity and exercise more.  Self-perception/ self-concept is a potential problem for Mr. C as he stated he has always been heavy, even as a small child.  He may have issues changing his current lifestyle because he thinks he is always going to be that person.  He may feel like he cannot be anything else and should therefore be encouraged and supported as he works to better himself.  Sleep-rest is a definite problem as he stated he has sleep apnea.  This is common in obese individuals and limits the amount of restful sleep he gets.  Further information should be gathered to better assess the other functional health patterns in order to gain deeper understanding of other possible issues (Gordon, 2013).

References: 

Edelman, C., Kudzma, E., Mandle, C. (2014). Health Promotion Throughout the Life Span, 8th Edition. [Pageburstl]. Retrieved from  https://pageburstls.elsevier.com/#/books/978-0-323-09141-1/.

EXPERT_RESEARCHER

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The IOM report Writing Assignment

Due Date 9/5/2017

 

            Download a copy of the IOM Report future of nursing document; Read part 1 pages 21-46 the document and then construct a one page paper discussing:

1.     Provide brief description of the IOM report

2.     Reflect on the purpose of the IOM report and what it means for nursing

3.     Discuss the pro and cons (if any) of the IOM’s plans for nursing

 

Writing Assignment Guidelines: Assignment must be typed with appropriate punctuation, spelling, sentence structure and APA format for citing of reference and reference page.

Incorrect placement of commas, incorrect capitalization, spaces where none are allowed are examples of APA errors and points will be deducted. Papers are to be submitted hard copy, must be stapled, and NOT be enclosed in folders. Written work should be submitted with a cover page according to APA cover page guidelines. If writing requirements are not followed precisely, your grade on written materials may begin with a grade of 91.

 

Specific Writing Requirements:   Rewrites are NOT allowed. 

 

A.    Use precise APA format that includes correct punctuation, spelling, sentence structure and references. The “easy” on-line APA software has errors and should not be used.

B.    Type must be Times Roman, 12-point font, and double spaced

C.     Use the spell check function on your computer (will help with #1)

D.    Use a COVER page following APA guidelines

E.     DO NOT use a folder. Staple all assignments. Assignments are to be hard copy-not via email. Save your work as you may be asked to submit a back-up email as needed.

F.     Papers turned in past the due date will receive an automatic deduction of 10 points with the grade starting at 89 (B) unless prior arrangements have been made with the professor

If the page numbers are limited, pages that exceed the limit will not be read and further points may be removed if critical content was included on the excess pages


  

 

 

 

 

P#1

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Hello i need a good and positive comment related with this argument .A paragraph  with no more  90 words.‘

 

Jessica Hanger 

 

1 posts

 

Re:Topic 2 DQ 1

 

Random sampling is used to randomly choose study participants from a large group. Each person in the population has an equal chance of being chosen. This type of sampling eliminates bias as there is no control over who is selected to participate. The sample group is likely to represent the entire population group (Grove & Cipher, 2017).

 

Stratified random sampling is used to further eliminate potential biases. The target population is divided into groups based on criteria (ex-gender, race/ethnicity/severity of illness) then the participants are chosen randomly from each group. This method ensures each subgroup is represented proportionately to the entire population.

 

Limitations in random sampling can occur when the sample is not truly random. For example; if a survey written in English is mailed, those who do not speak/read English, those who do not read/write may not respond, and those who have cognitive or memory issues will not be represented unless they obtain assistance in filling out the survey.

 

According to Graham Williamson, convenience sampling is often substituted for random sampling, which then makes this type of sampling “non-probability” (p. 279). Random sampling indicates every subset of a population is represented. Convenience sampling may only catch a portion or one subset of the population. For example, if telephone calls are made to random names in the phonebook between noon and 2:00 pm, the people answering the phone are the ones selected for the survey. This is convenience as this likely would not include the population who is gone at work all day, or those who are sleeping because they are on a night shift. This may only capture a good portion of persons who are retired or unemployed, which is not a true representation of the entire population.

 

 

 

COMMENT KARAN

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 I NEED A POSITIVE COMMENT BASED IN THIS DISCUSSION QUESTION..BETWEEN 120-150 WORDS

 

What clinical manifestations are present in Ms. G?

Ms. G presents Pain, heaviness, chilling, unable to bear weight on her left leg, round, yellow-red wound with yellow drainage, elevated white count, neutrophils, bands, wound culture with Staphylococcus aureus.

Ms. G is a young female (23y/o) with diabetes that weighs 184.3 pounds and measures 5 feet 2 inches tall. Based on Ms. G’s weight and height she is obese. She has been home applying heat to her leg for the past 48 hours. The heating pad could have caused damage to the tissue possibly already infected causing further damage. Obesity has also been identified as being one of the risk factors in the development of lower extremity cellulitis (Antimicrobe, 2014).

The pain, heaviness, and chilling are all indicators that her body might be fighting infection. The open wound observed with erythema, swelling, and thick yellow exudate is also indicative of infection. According to Antimicrobe cellulitis is an acute infection of the skin that involves the subcutaneous tissues. It is manifested by: swelling, erythema, tenderness, warmth, and fever (Antimicrobe, 2014).

Ms. G has a low grade fever of 102.2. According To Your Health website a patient with a fever between 100 degrees Fahrenheit and 102.2 degrees Fahrenheit is beneficial by assisting the body in repelling the microbes or invader from the body (To Your Health, 2012).

White blood cells help fight infection (leukocytes). Elevated WBC is due to infections that are mostly related to bacteria. Neutrophils are the first cells to respond and arrive at the site where inflammation occurs. Neutrophils conventional units are between 45%-73%. Neutrophils increase with an acute infections, trauma, surgery, and leukemia to name a few (Brunner, 2008). Ms. G’s, neutrophils are just slightly elevated at 80%.

The body’s immune system responds by the inflammatory response which is started by the response of tissue injury or invading organisms.

Normal band count is between 2-6%. Bands are immature white blood cells. When the body is under significant attack by bacteria or virus and immature cells might be released early into the circulation to fight infection. Ms. G has 12% band count which is also indicative of infection.

What recommendations would you make for continued treatment?

Cooling measures plus Tylenol should be started to reduce fever and pain. Provide wound care on a daily basis and practicing proper skin hygiene. Making sure that patient has their lower extremity elevated to reduce edema. Advise to pump her feet on a regular basis to promote circulation.  Provide patient with a diabetic diet while in the hospital. An antibiotic treatment will need to be started. Accu checks with a sliding scale should be implemented. Provide diabetic education before the patient is discharged.

Identify the muscle groups likely to be affected by Ms. G’s condition by referring to “ARC: Anatomy Resource Center.”

The ARC: Anatomy Resource Center (n.d.), identifies that the muscle groups affected would be the soleus, tibialis, anterior extensor, digitorum longus, and the gastrocnemius.

What is the significance of subjective and objective data provided with regard to follow-up diagnostic/laboratory testing, education, and future preventative care?

Objective date is collected by physical examination, including observation, palpation, percussion, and auscultation, and by laboratory analysis and other studies to eliminate possible diagnosis pertaining to the patient’s signs and symptoms.

Subjective data is a collection of data that has been provided by the patient or family. The subjective data is retrieved from the description of an event rather than from a physical assessment.

What factors are present in this situation that could delay wound healing, and what precautions are required to prevent delay wound healing?

A diabetic patient takes longer for their wound to heal but the wound can rapidly get worse, so it requires close monitoring. If the patient has an elevated blood sugar it will cause the arteries to stiffen and cause narrowing of the blood vessels. Narrowed blood vessels than lead to decreased blood flow and oxygen to the wound. The patient having an elevated blood sugar also decreases the function of red blood cells that are able to fight infection. Ms. G lives alone has not been able to walk for three days and has not had proper nutrition based on her current weight and current situation making the wound to get worse. Without the proper and sufficient nutrition and oxygen the wound will heal very slowly.

References

Antimicrobe. (2014). Cellulitis. Retrieved from http://www.antimicrobe.org/e1.asp#t1

ARC: Anatomy Resource Center. (n.d.). Explore the human body. Retrieved from http://conhs.gcumedia.com/bio155/anatomy/arcBio155v2.swf

Brunner, L. (2008). Brunner & Suddarth’s textbook of medical-surgical nursing (11th ed.).Philadelphia: Lippincott Williams & Wilkins.

To Your Health. (2012). The facts about fevers. Retrieved from http://www.toyourhealth.com/mpacms/tyh/article.php?id=1521

comment leanne

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 I NEED A POSITIVE COMMENT BASED IN THIS ARGUMENT..BETWEEN 120-150 WORDS

 

To get support and funding for implementations, communication is key. There are several types of communication, including formal and informal types of communication. Communication can be both verbal and non-verbal. It is important for the presenter to not only speak well, but also listen intently when a question is asked, and notice cues from the audience, such as crossed arms, nodding off, or distractions (Huber, 2014).

The communication tool that I would find most helpful with upper management is a power point presentation shown during a meeting. This presentation can cater to several different type of learners. The power point presentation can deliver key information that management needs to know. Some people learn better with visual information while others may understand better with verbal communication. By speaking during the presentation, answering questions, and displaying corresponding data, I may have a better chance at getting support and funding.

Managers are often busy, so how the information is presented is key. Duarte, with Harvard Business Review suggests key points when creating a presentation. First, the presenter should summarize the entire presentation up front, as if their presentation go cut short, and have an overall presentation of no more than 30 minutes. The key points that should be presented are findings, recommendations, conclusions, and calls to action. When these key points are made, the supporting data should be introduced. This is a great tip to remember (Duarte, 2012). As I mentioned before, management has a lot on their plate. They do not always have the time to sit down for an entire meeting. I have witnessed several managers have to walk out on unit meetings halfway through because they had a more important issue to attend to.

Next, Duarte suggests creating summary slides with an overview of key points up front. By having these summary slides, management can ask more questions, and the presenter can show the data within the other slides. They also suggest being quick and direct with your data. Rehearsing before giving the actual presentation is also suggested. You can either do it in front of a mirror or another colleague. A colleague is more appropriate so that they can provide feedback (Duarte, 2012).

References:

Duarte, N. (2012, October 4). How to present to senior executives. Retrieved from Harvard Business Review: https://hbr.org/2012/10/how-to-present-to-senior-execu

Huber, D. (2014). Leadership and nursing Care Management (5th ed.). Maryland Heights, MO: Saunders Elsevier. ISBN-13: 9781455740710

COMMENT TANIA

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 I NEED A POSITIVE COMMENT BASED IN THIS ARGUMENT..BETWEEN 150-200 WORDS

 

Numerous theories have been developed regarding what motivates people in various environments. In reality, internal and external factors lead to motivation. Personality and self-concept play a significant role in determining whether an individual will be intrinsically or extrinsically motivated (Schunk, 2012). If one gets to understand the differences between intrinsic and extrinsic motivational factors, they tend to have a greater probability to motivate themselves and others.
 
Every behavior has a cause, and there is a need to understand the cause of the behavior. Motivating factors are the key to changing and improving outcomes in individual lives. Intrinsic motivation means internal.  An individual who is intrinsically motivated enjoys an activity, skill development or any course, for the sake of sole satisfaction. This person learns with fun and has an inward drive to remain competent. There is no source of internal inducement especially when intrinsic motivation is the cause of any behavior.

In the case of extrinsic motivation, this is external. Such a kind of motivation is everywhere and is used within the society. When an individual has to be motivated to behave or do something, this is regarded as extrinsic motivation. Examples of extrinsic motivation include medals, trophies, and discounts for the purpose of increasing morale. A person who is intrinsically motivated tends to do almost everything by himself, without being coerced. On the other hand, an extrinsically motivated person has less morale, unless aspects such as rewards are incorporated.

Extrinsically motivated individuals seek to be rewarded especially when they do what is expected of them. If an organization chooses not to reward this type of personnel, they tend to be less motivated and less inspired to produce more productive results. Extrinsically motivated individuals can be motivated by pay, promotions and job security. These external factors play a significant role and enable workers to perform their best.

Intrinsically motivated workers, on the other hand, find pleasure from completing their tasks. These individuals can, therefore, be motivated through recognition and praise from their management. This, however, does not make them feel more or less satisfied with their job. Intrinsically motivated individuals believe an individual needs to have a genuine fascination for a particular aspect or task to achieve.

Most members in high performing teams are always optimistic that it is fun to work on collaborative teams. This is because they are asked to contribute their best. Characteristics of performance driven teams include;
a) Every individual is working toward the same goals and objectives.
b) Every member is clear on how to work with each other (Stipek, 2013).
c) Team members are ready to diffuse tension among themselves actively.
d) Team members make a decision when there is an agreement, where criticism is highly constructive.
e) Every member respects the team process and other members.

References

Schunk, D. H., Meece, J. R., & Pintrich, P. R. (2012). Motivation in education: Theory, research, and applications. Pearson Higher Ed.

Stipek, D. J. (2013). Motivation to learn: From theory to practice. New York: Cambridge

 

2 responds

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discusion 1

As I mentioned in my introduction, I manage two OBGYN practices at the University of Kentucky. One of those practices is located in Rowan County, in a small town called Morehead, KY. In the community, our clinic is one of only two OBGYN practices.  In addition, many of the surrounding rural counties are without OBGYN physicians. Therefore, many of our patients make a lengthy commute to see one of our providers. Fortunately, Morehead does have a hospital that is equipped with labor and deliver services. The next closest hospital or OBGYN high risk specialist is over an hour’s drive away on the main UK campus in Lexington, KY. Recognizing the lack of services, and the difficulty of travel for our patients, we started offering telehealth in 2013 to expand access of care and improve the quality of care for our high risk OB patients with the Blue Angels program.

All patients who are considered as having a high risk pregnancy are offered a telehealth consult with a high risk OBGYN specialist from Lexington via telehealth with the Blue Angels program. This consultation occurs during the patient’s routine ultrasound. The exam room is equipped with a large 55 inch monitor that allows the physician to see both the patient and the ultrasound that is being performed by the sonographer, in real time. This allows the provider and the patient to communicate as if they were face to face in an office visit.  From 2015-2016, 1,863 patients participated in the Blue Angels program – a 62% growth in patient volume from the previous year. Deliveries and NICU referrals from the area to Lexington grew almost 40% from 2013-2016.

The set up cost for telehealth was minimal in comparison to the progress and benefits being made in our high risk patients.  According to the document “The Role of Telehealth in an Evolving Health Care Environment”, telehealth allows rural areas to increase quality of care and patient volumes, reduce emergency department visits and hospital readmissions, and offer specialty care at a lower cost, not to mention saving the patients time, money, and traveling to Lexington.  Other methods of web-based communication tools have also proven to help manage complex health care needs by providing virtual access to multiple specialty providers. In a pilot study, researchers developed the “Loop”, a secure online communication tool that allowed patients to communicate with multiple members of a health care team. The study proved the “Loop” to be successful in providing effective medical team collaboration with patients. Similar in design and access, patient portals allow for patients to get medical information, appointments, and prescriptions all in the click of a computer. In the article “Patient Web Portals, Disease Management, and Primary Prevention”, the authors state that web portals have been shown to increase patient adherence to medical regimens, and have improved the overall efficiency and quality of health care. 

Patient-centered care was our approach in the planning, delivery and implementation of the Blue Angels Program. Poor access to medical specialty care in rural Kentucky is a key factor resulting in high infant mortality rates. It is critical to diagnose high risk mothers early in their pregnancies, and avail them to appropriate care.  Since 2013, eleven additional sites have been established. Our goal is to eventually break the barriers created by geographic circumstance, workforce shortages, and even socioeconomic factors for women in all rural areas of Kentucky. 

discusion 2

The health industry is a very dynamic environment. Healthcare organizations are faced with many challenges. The leadership in an organization coupled with teamwork will make all the difference in meeting those challenges. A constant evaluation process is needed to identify all factors affecting the working success of an organization. Various influences may affect the success of an organization. These generally fall within one of two categories. The first being internal and the second being external (Ginter, P. M et.al 2013).

Within health care organizations of all sizes—from large academic medical centers to independent solo practices—many people are experiencing distress. Some of this is appropriately attributed to such external factors as payment reductions, regulation, and the business practices of insurers. Less well recognized is the contribution of factors internal to the organizations: styles of leadership and management, administrative policies and procedures, and organizational culture. As compared with external factors, these internal characteristics have more direct, immediate, and powerful effects and are far more amenable to change at a local level. Quality in healthcare is a production of cooperation between the patient and the healthcare provider in a supportive environment. Personal factors of the provider and the patient, and factors pertaining to the healthcare organization, healthcare system, and the broader environment affect healthcare service quality. Healthcare quality can be improved by supportive visionary leadership, proper planning, education and training, availability of resources, effective management of resources, employees and processes, and collaboration and cooperation among providers (Kotler, P., Shalowitz, J., & Stevens, R. J. 2008).

The health organization I know is known as Green view hospital. It provides health care services to all people and it’s known for high quality delivery. The main way the hospital market its services is by providing high quality services and products to its customers. Also, Green view hospital has been able to create a conducive environment for their patients thus making them feel at home even when they are in pain. Finally, the hospital has a well-established nurse/doctor- patients’ relationship thus making it easier for the patient to express their needs to the nurses and doctors.  The major changes that I have noticed in Green View hospital is that it has helped improve the quality of Healthcare services as the providers can take care of customers as well as their employees since the Medicare is classified as per the group it cares for.

 

 

  • Respond to at least two posts from two different classmates. Each response to your peers must be at least 100 words with a minimum of one (1) reference is required per peer reply. (8 points)

 

COMMENT JAMELLA

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 I NEED A POSITIVE COMENT BASED IN THIS ARGUMENT..BETWEEN 150-200 WORDS

 

Per Beauchamp & Childress, (1994) Principalism is the framework for analyzing and comparing the moral foundations of the ethical statements of these health-related professional associations. This framework includes four core behavioural norms of importance in guiding ethical decisions involving work with patients, other clients, and human research subjects. At the core of principalism, is the idea that ethical justification rests primarily, if not exclusively, in appeals to more general or higher level moral norms under which any more particular ethical claim can be subsumed (Beauchamp, & Childress, 1994).  The four tenants of principalism elaborated below are:

-Autonomy: Recognizes a person’s right to make choices, to hold views, and to take actions based on personal values and beliefs. Support of independent decision making.

-Non-maleficence: Do no harm.

-Beneficence: do good Take actions to help others and contribute to their welfare. Refers to an action done for the benefit of others.

-Justice: social distribution of benefits and burdens and treat everybody fairly (Beauchamp, & Childress, 1994).

These principles have been extremely influential in the field of medical ethics, and are fundamental for understanding the current approach to ethical assessment in health care. We can test whether these principles can be quantitatively measured on an individual level, and then subsequently if they are used in the decision-making process when individuals are faced with ethical dilemmas (GCU, 2015). The four principles referred to here are not prioritized, meaning no one principle routinely is more important than the other. Each situation and the circumstances surrounding it should be considered. While autonomy should be of importance, there are situations in which it is not the priority, specifically if others will be directly impacted. Because there may be conflicts among the principles, other methods of resolving concerns should be established. One example of Autonomy that is practiced: There are times that we teach the patient about the importance of turning or the importance of a medication that they need to take and for the patients’ rights which is autonomy, they have the right to refuse. You can accept that answer, or you can try again later because you know that the patient needs that medication especially if it must deal with cardiovascular system, or respiratory system, or neurological system. All we can do is educate and remind, other than that, the patient has their right to their decisions and their body.  These methods may include utilizing a moral code or a just process for making decisions. In the clinical setting, these principles should serve as guidelines and not be considered absolutes due to the complexity of medical situations (McCormick, 2013).

If was to prioritize these four principles, it would be influenced by ethical concepts which are not specifically taught in Scripture but can be derived from principles which are found in God’s word. Also, with alignment in the Nightingale Pledge which has a Christian influence on nursing and embraces the roles of myself as a Christian and a nurse. . I believe the hierarchy of principles would be:

1)      Justice- (Everyone should be treated equally, as God sees each of us that way).

“I shall do all in my power to maintain and elevate the standard of my profession and will hold in confidence all personal matters committed to my keeping and all family affairs coming to my knowledge in the practice of my calling.”

2)       Nonmaleficence-(No individual should ever intentionally cause harm to another- Do unto                others as you would have done to you).

I shall abstain from whatever is deleterious and mischievous, and shall not take or knowingly administer any harmful drug.”

3)       Beneficence- (God calls us to serve one another and I feel that this should frequently occur before we serve ourselves).

“I shall be loyal to my work and devoted towards the welfare of those committed to my care.”

4)       Autonomy- (Although autonomy may be used in the context of each of the above principles, it lends to the suggestion that one is only considering what is right for them and their personal beliefs without considering others).

 “I solemnly pledge myself before God and in the presence of this assembly to pass my life in purity and to practice my profession faithfully.”

                                                           References

Grand Canyon University. (2015). Biomedical ethics in the Christian Narrative. Retrieved from http://www.https://lc-ugrad1.gcu.edu/learningPlatform/user/

Beauchamp, T. L. and Childress, J. F. (1994). Principles of Biomedical Ethics, 4th ed. New York: Oxford University Press.

McCormick, T. R (2013). Principles of bioethics. Retrieved from https://depts.washington.edu/bioethx/tools/princpl.html

COMMENT SHEILA

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 I NEED A POSITIVE COMMENT BASED IN THIS ARGUMENT..BETWEEN 150-200 WORDS

 

Every few minutes someone in America commits suicide. In North America, suicide is the third-leading cause of death among people 15 to 25 years olD. And note this tragic feature of American life: among children between 5 and 14 years of age, suicide is the sixth most common cause of death (Smedes, 2000). Meilaender puts it that “Suicide as a rational project expresses a desire to be only free and not also finite-a desire to be more like Creator not creature”. As a Christian I do not condone suicide at the same time I am not at liberty to judge one’s actions as a sin or not. It is not my place. The Bible says “thou shalt not judge”.

“Euthanasia, also known as assisted suicide, physician-assisted suicide (dying), doctor-assisted dying (suicide), and more loosely termed mercy killing, means to take a deliberate action with the express intention of ending a life to relieve intractable (persistent, unstoppable) suffering” (Nordqvist, 2016). Considering the fact that one of Christian principle is to relieve suffering, when it comes to assisting to take one’s life, it becomes a difficult discussion. Meilaender emphasized that, euthanasia cannot simply be termed as an extension of one’s private autonomy or a non-interventional act in a private choice, this is because it requires the participation of another person, thus making it a communal act. This is quite difficult for me in this profession especially when it come to the point of given morphine schedules. Medicine is there to  ease the suffering. All life is precious and God oversees all of it. Nevertheless, to classify suicide and euthanasia as sin to me lies with God.

 

Reference:

Meilaender, G. (2013).  Bioethics: A Primer for Christians . William B. Eerdmans Publishing Company.

Nordqvist, C., (2016).  Euthanasia and Assisted Suicide . Retrieved from: http://www.medicalnewstoday.com/articles/182951.php

Smedes, L.B., (2000).  Christianity Today: Is Suicide Unforgivable?  Retrieved from: http://www.christianitytoday.com/ct/2000/july10/30.61.html

Peer Response

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The area of interest I selected is hand washing with soap and water more effective in Prevent Central Line Associated Bloodstream Infections (CLABSI) in ICU at Memorial Hospital West than washing hands with hand sanitizer (Latif et al., 2015). The program track for my specialty is Family Nurse Practitioner. My chosen area of interest is indeed consistent with my selected program track since it equips me with clinical experiences and practical skills on how to deal with Central Line Associated Bloodstream Infections. Central Line Associated Bloodstream Infections is one of the widespread problems being recorded at the ICU and has resulted in deaths of many patients every year. Therefore, hand washing with soap and water will not only help curb these deaths, but also help reduce the billions of dollars currently spent on healthcare system in the United States (Anderson, 2015). This intervention will be administered to all ICU staff at the hospital. The unit’s staff members include licensed practical nurses, registered nurses, health unit coordinators, and nurse externs.

            I do not want or wish to alter my area of interest. I believe my area of interest is fundamental toward preventing infections in the ICU and enhancing the optimal safety of patients (Eggers et al., 2015). As a nurse practitioner, I would like to find out how hand washing with soap and water helps safeguard patients against contracting new-fangled infections.   

            The area of interest is vital to the program specialty track. Washing hands with soap and water helps increase patient safety as well as avert Central Line Associated Bloodstream Infections. As a Family Nurse Practitioner, I will passionately advocate hand washing using soap and water since such intervention makes the patients’ immune system less vulnerable and promotes patient safety (Anderson, 2015). The area of interest will also increase my competency as a nurse practitioner.  

APA

One Reference From Peer reviewed nursing journal within the last five years

150 words 

one page