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

 

 

Nelly Jacobo  

 

Re:Topic 5 DQ 2

 

Decades ago people died at home. Due to the advances in medicine, people are living longer than they used to. This has changed individuals desire to keep fighting to keep their loved ones alive. This has also affected the communication with their loved ones regarding their end of life wishes. A majority of individuals are not prepared for the death of their love ones. They have turn to medical facilities in the hopes to care for their loved ones.

 

According to Ahmad & Caims, 2011, 90% of people would like to die at home, while 10% would like to die at a hospital or nursing facility. Families often feel unprepared and overwhelmed when trying to make decisions regarding the death of a loved one. There are options such as palliative care and hospice care available to provide medical care and support for patients and families during an expected death. Families often prefer to have love ones taken care of by medical staff because they feel that they are more knowledgeable and competent. Taking care of a person in their last days can be very overwhelming and emotional for families. Families often fear that they wouldn’t be able to care for their love ones sufficiently. Many patients don’t have families or friends available to take on this role. Families often lack education regarding options and support available.

 

As medical staff, it is our responsibility to talk to our patients and families to acquire about their wishes. We need to provide support and education regarding end of life issues. Our goal is to be able to meet patients needs. If a patient is demanding to die at home, nurses need to involve social services and other support available to help meet patients needs. Patient wishes should be respected and all efforts should be taken. Unfortunately families support is required when patients want to die at home. Obtaining help at home can be expensive. Family members might not want to take on this role.

 

Individuals are living longer than before because of medical treatments available. Not everyone is prepared for death nor have they made their wishes known. Their are available services that can be utilized when faced with a terminal illness. Patients wishes should be respected and proper referrals should be made to help meet patients needs and wishes.

 

 

 

 

 

Hello i need a good and positive comment related with this argument .A paragraph  with no more 100 words.

 

 Deactivated

 

Jack Lavoie 

 

3 posts

 

Re:Topic 3 DQ 1

 

 Along with many other afflictions, depression is on the rise in adolescence.  By the age of 18, around 11% of adolescence will be effected by depression, and of those, the majority of them are female (Edelman, C., Kudzma, E., Mandle, C., 2014).  Depression is defined as an overwhelming sadness that may or may not include an irritable, angry mood, a loss of interest in the things that used to bring joy (Edelman, C., et. al, 2014).

 

            As healthcare professionals, nurses need to be away of the sometimes-subtle hints that adolescence may use.  The use of certain word should grab your attention, such as: low, sad, blue, worried, stressed, or bored.  Some other signs and symptoms of depression include: change in weight or loss of appetite, fatigue, malaise, insomnia or hypersomnia, a decline in school performance, difficulty with concentration and a loss of interest in things that they used to enjoy (Edelman, C., et. al, 2014).  Some contributing factors of depression in adolescence may be: biological chemistry imbalance, hormone imbalance, inherited traits, childhood trauma’s or abuse, and learned patterns of negative self-talk (Jarvis, 2012).

 

            There are three different approaches of intervention or prevention that can be taken with adolescent depression, Primary, secondary, and tertiary interventions.  In the primary level, the focus of intervention of depression should be building on foundational strengths and encouraging, informing and educating the adolescent through this difficult stage of their lives (“Children’s Mental Health Project.”, n.d.).  In the secondary stage, the problems of depression are starting to show and behaviors are starting to change.  The level of prevention in the secondary stage may require more outside influence to help.  The tertiary level of treatment is when treatment of the depression is necessary and will usually require professional help.  In some cases, the legal system or the state must step in when it comes to safety of the adolescent (“Children’s Mental Health Project.”, n.d.).

 

            A nursing intervention that I have done before with an adolescent that was too depressed and questionably suicidal, was to get our social worker involved.  I felt that the patient was too acute to discharge home and I felt that she would not be safe.  I notified he Dr. and he put in an order for a mental health consult with our psychiatric nurse.  That nurse also felt that the patient would not be safe and notified the doctor who promptly put the patient on a 24-hour hold.  The police were then dispatched so that they could do the appropriate paperwork that starts the legal process.

 

            A couple of the few resources that Idaho has is the 2-1-1 CareLine (http://211.idaho.gov/) and the Idaho Department of Health and Welfare (http://healthandwelfare.idaho.gov/).  There are a couple local shelters but they would not be of much assistance.  There are only two local psychiatric hospitals in the area and they are continuously full.  Idaho is lacking extremely far behind in mental health resources, unless you have good insurance, your chances of getting the help you need is slim.

 

Resources

 

“Children’s Mental Health Project.” Graduate Modules | Children’s Mental Health Project | University of Calgary. University of Calgary, n.d. Web. 16 Jan. 2017.

 

Edelman, C., Kudzma, E., Mandle, C. (2014). Health Promotion Throughout the Life Span ( 8th Edition). St. Louis, MO: Mosby Elsevier.

 

Jarvis, C. (2012). Physical examination and health assessment (7th ed.). Philadelphia: W. B. Saunders

 

DUE TUESDAY JANURAY 24 —->ADVANCE NR PRACTICE I

 

Assignment 2: Comprehensive Plan of Care and Paper

Overview/Description:

You have been provided with case studies in Week 4 that focused on genitourinary and musculoskeletal disorders. You will pick one of these cases to analyze and create a comprehensive plan of care for acute/chronic care, disease prevention, and health promotion for that patient and disorder. Your care plan should be based on current best practices and supported with citations from current literature, such as systematic reviews, published practice guidelines, standards of care from specialty organizations, and other research based resources. In addition, you will provide a detailed scientific rationale that justifies the inclusion of this evidence in your plan. Your paper should adhere to APA format for title page, headings, citations, and references. The paper should be no more than 3 pages typed excluding title page and references.

Criteria:

• SOAP note
• Evaluation of priority diagnosis
• Facilitators and barriers to disorder management

Submit your document to the W4 Assignment 2 Dropbox by Tuesday, January 24, 2017.

Assignment 2 Grading Criteria	Maximum Points
Introduction The submission included a general introduction to the priority diagnosis.	10
Subjective Data The submission included the patient’s interpretation of current medical problem. It included chief complaint, history of present illness, current medications and reason prescribed, past medical history, family history, and review of systems.	15
Objective Data The submission included the measurements and observations obtained by the nurse practitioner. It included head to toe physical examination as well as laboratory and diagnostic testing results.	15
Assessment The submission included at least three priority diagnoses. Each diagnosis was supported by documentation in subjective and objective notes and free of essential omissions. All diagnoses were documented using acceptable terminologies and current ICD-10 codes.	20
Plan of Care Plan included diagnostic and therapeutic (pharmacologic and non-pharmacologic) management as well as education and counseling provided. The plan was supported by evidence/guidelines, and the follow-up plans were noted.	25
Evaluation of Priority Diagnosis The plan chose the priority diagnosis for the patient and differentiated the disorder from normal development. Discussed the physical and psychological demands the disorder places on the patient and family and key concepts to discuss with them. Identified key interdisciplinary team personnel needed and how this team will provide care to achieve optimal disorder management and outcomes.	25
Facilitators and Barriers The submission interpreted facilitators and barriers to optimal disorder management and outcomes and strategies to overcome the identified barriers.	20
Conclusion The submission included what should be taken away from this assignment.	10
APA/Style/Format The submission was free of grammatical, spelling, or punctuation errors. Citations and references were written in correct APA Style. Utilized proper format with coversheet, header.	10
Total	150

 

Health Policy Paper:   (domestic Violence)

  Due date : 12/01/2016

Health policy unfolds daily and drives clinical practice in the US. The student will investigate current policies or legislation underway for a specific health-related issue. The Student will develop a scholarly APA formatted paper supported by evidence. The policy paper rubric:

Introduction to population or problem (incidence, prevalence, epidemiology , cost burden etc)

Description of how the policy is intended for a specific population, program or organization

Specific legislators involved in the policy development and dissemination

Identify the role of the APRN in assisting with the policy or refuting the policy – this requires the evidence to support opinion, ideas and/or concepts.

Discuss how the policy influences clinical practice and is used to promote best outcomes

Examine how the policy can be used by the interprofessional team to ensure coordinated and comprehensive care for the specific population

Conclusion – summarize findings

APA format – use of primary peer-reviewed references as much as possible

As you begin to work on the possible policy change: the following ideas and steps should be considered:

• Definition and description of the issue
• Exploration of the background of the issue
• Stakeholders
• Issue statement or statement of clarity
• Possible methods of addressing the issue
• Goals and options for changes
• Risks and benefits of the changes
• Evaluation methodology
• Recommendation or solution

Grading Criteria	Maximum Points
Identify the type of legislation, such as state, federal, scope of practice, reimbursement, loan repayment, or others.	10
Review of the literature consists of a minimum of 3–4 peer-reviewed articles and 6–7 other outside sources.	15
Describe the current policy or health policy issue and specify how it would impact nursing or healthcare.	10
Describe the specific aspects of the proposed policy or policy change.	10
Identify the individuals who would benefit from the policy change and explain where support for the change would be found.	10
Describe the impact of the policy change on nursing practice and health care.	5
Provide an analysis of the policy from your point of view and how this will influence your practice.	10
Uses good writing skills, appropriate grammar, and application of APA formatting throughout paper, citations, and references.	5
Total:	75

 

 

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

 

Most of the elderly at their end-of-life stage do not die at home as it is their desire. Despite the development of palliative care programs, it has remained a challenge to ensure that most of the elderly die in their homes. One of the main reasons that have made it difficult is the absence of a family caregiver who is willing to take care of an elderly patient. A patient who is at the end-of-life stage is supposed to have a person that is close to him or her so as to give them the attention they require. For elderly, having a committed family member would be significant because it gives them a sense of belonging and satisfaction, even as they near their death. However, it is hard to find such family caregivers, because most of them prefer taking their elderly relatives to a hospital where they can receive professional assistance. Moreover, few home caregivers have been trained to provide healthcare service properly; all these factors make it hard for attention to be given to elderly patients in their homes (Hudson, 2003).

As a nurse, one can support their clients during the end-of-life treatment by approaching the family member that is recommended by a patient and explain the need of having home-based care. It would be a key factor in ensuring that the family members understand the dynamics of providing care to the elderly from home. It would also be a way of ensuring that family members agree to take care of a patient, since they would be convinced from a professional point of view. Moreover, as a nurse, I would do my best to assist these family members in any way to ensure the comfort of a patient. For instance, a nurse can constantly visit a patient and provide the necessary care at home (Hudson, 2003).

 

 

References

Hudson, P. (2003). Home-based support for palliative care families: Challenges and recommendations. Medical Journal of Australia, 179(6), S35.