personal strength and weakness

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Discuss one personal strength and one weakness you have regarding professional presentations. Name one method for improvement for each of these. And discuss why it is important for you to work on these skills. If you want to present your findings in a more formal setting.

Sustaining change can be difficult, as there are many variables that can affect implementation. One critical component of EBP is to ensure that practice change is part of an organization’s culture. So it will continue to impact outcomes over time. Name two potential barriers that may prevent your EBP change proposal from continuing to obtain the same desired results 6 months to a year from now. And your strategies for overcoming these barriers.

technological advancements

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Throughout history, technological advancements have appeared for one purpose before finding applications elsewhere. What lead to spikes in its usage and development. The internet, for example, was originally developed to share research before becoming a staple of work and entertainment. But technology—new and repurposed—will undoubtedly continue to be a driver of healthcare information. Informaticists often stay tuned to trends to monitor what the next new technology will be. Or how the next new idea for applying existing technology can benefit outcomes.

In this Discussion, you will reflect on your healthcare organization’s use of technology. And offer a technology trend you observe in your environment.

To Prepare:

  • Reflect on the Resources related to digital information tools and technologies.
  • Consider your healthcare organization’s use of healthcare technologies to manage and distribute information.
  • Reflect on current and potential future trends, such as use of social media and mobile applications/telehealth, Internet of Things (IoT)-enabled asset tracking, or expert systems/artificial intelligence, and how they may impact nursing practice and healthcare delivery.

Post a brief description of general healthcare technology trends, particularly related to data/information you have observed in use in your healthcare organization or nursing practice. Describe any potential challenges or risks that may be inherent in the technologies associated with these trends you described. Then, describe at least one potential benefit and one potential risk associated with data safety, legislation, and patient care for the technologies you described. Next, explain which healthcare technology trends you believe are most promising for impacting healthcare technology in nursing practice and explain why. Describe whether this promise will contribute to improvements in patient care outcomes, efficiencies, or data management. Be specific and provide

Risk Of Major Labour-Related Complications For Pregnancies Progressing To 42 Weeks Or Beyond

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RESEARCH ARTICLE Open Access

Risk of major labour-related complications for pregnancies progressing to 42 weeks or beyond Anthea C. Lindquist1,2* , Roxanne M. Hastie1,2, Richard J. Hiscock1,2, Natasha L. Pritchard1,2, Susan P. Walker1,2 and Stephen Tong1,2

Abstract

Background: Post-term gestation beyond 41+6 completed weeks of gestation is known to be associated with a sharp increase in the risk of stillbirth and perinatal mortality. However, the risk of common adverse outcomes related to labour, such as shoulder dystocia and post-partum haemorrhage for those delivering at this advanced gestation, remains poorly characterised. The objective of this study was to examine the risk of adverse, labour- related outcomes for women progressing to 42 weeks gestation or beyond, compared with those giving birth at 39 completed weeks.

Methods: We performed a state-wide cohort study using routinely collected perinatal data in Australia. Comparing the two gestation cohorts, we examined the adjusted relative risk of clinically significant labour-related adverse outcomes, including macrosomia (≥ 4500 at birth), post-partum haemorrhage (≥1000 ml), shoulder dystocia, 3rd or 4th degree perineal tear and unplanned caesarean section. Parity, maternal age and mode of birth were adjusted for using logistic regression.

Results: The study cohort included 91,314 women who birthed at 39 completed weeks and 4317 at ≥42 completed weeks. Compared to 39 weeks gestation, those giving birth ≥42 weeks gestation had an adjusted relative risk (aRR) of 1.85 (95% CI 1.55–2.20) for post-partum haemorrhage following vaginal birth, 2.29 (95% CI 1.89–2.78) following instrumental birth and 1.44 (95% CI 1.17–1.78) following emergency caesarean section; 1.43 (95% CI 1.16–1.77) for shoulder dystocia (for non- macrosomic babies); and 1.22 (95% CI 1.03–1.45) for 3rd or 4th degree perineal tear (all women). The adjusted relative risk of giving birth to a macrosomic baby was 10.19 (95% CI 8.26–12.57) among nulliparous women and 4.71 (95% CI 3.90–5.68) among multiparous women. The risk of unplanned caesarean section was 1.96 (95% CI 1.86–2.06) following any labour and 1.47 (95% CI 1.38–1.56) following induction of labour.

(Continued on next page)

© The Author(s). 2021 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License. Which permits use, sharing, adaptation, distribution and reproduction in any medium or format. As long as you give appropriate credit to the original author(s) and the source. Provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material.

If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

* Correspondence: anthea.lindquist@unimelb.edu.au 1Department of Obstetrics and Gynaecology, University of Melbourne, Melbourne, Victoria, Australia 2Mercy Perinatal, Mercy Hospital for Women, 163 Studley Rd., Heidelberg, Victoria 3084, Australia

Lindquist et al. BMC Medicine (2021) 19:126 https://doi.org/10.1186/s12916-021-01988-5

 

 

(Continued from previous page)

Conclusions: Giving birth at ≥42 weeks gestation may be an under-recognised risk factor for several important, labour- related adverse outcomes. Clinicians should be aware that labour at this advanced gestation incurs a higher risk of adverse outcomes. In addition to known perinatal risks, the risk of obstetric complications. Should be considered in the counselling of women labouring at post-term gestation.

Gene Therapy

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5

W1 Topic Selection

 

 

 

 

 

 

Critical Reasoning Project W1

 

 

Taylor Wester

HIST 405N

Chamberlain University

July 7, 2021

 

 

 

 

 

 

 

 

 

 

 

Critical Reasoning Project W1

Part #1

Topic: Gene Therapy

Gene therapy is the process of changing the genes inside the body’s cells to stop or treat a disease. Gene therapy can also be defined as a technique that utilizes genes to prevent or treat a disease (Deverman et al., 2018). In the future, the technique might allow physicians to treat a disease by inserting a new gene into the body’s cells instead of conducting surgery or using drugs. Gene therapy is more likely to treat cancer, heart disease, fibrosis, AIDS, hemophilia, and diabetes.

Part #2

Should gene therapy be allowed?

Part #3

I will examine the following aspects in my paper: law enforcement aspect, safety aspect, and ethical aspect. I have chosen the aspect of law enforcement as I want to analyze the legal issues surrounding gene therapy. I have also chosen the safety aspect to evaluate any safety issue related to gene therapy. According to research, a gene cannot be inserted directly into the body cells. Instead, it is delivered using a vector. Viruses are the most common vectors as they can identify certain cells and transfer genetic material into the genes. This process can, however, result in several safety risks in the body. I also chose the ethical aspect because I want to assess the ethical issues surrounding the technique. Gene therapy entails making changes to the body’s cells. This can raise several ethical concerns. Some of the moral questions surrounding the technique are:

Should individuals be allowed to use gene therapy to improve basic human characteristics such as athletic ability, intelligence, or height?

Who decides which human characteristics are normal?

Could the extensive use of the technique make the community less accepting of individuals who are different?

Which traits constitute a disorder or disability?

 

 

 

 

 

 

 

 

 

 

 

References

Deverman, B. E., Ravina, B. M., Bankiewicz, K. S., Paul, S. M., & Sah, D. W. (2018). Gene therapy for neurological disorders: progress and prospects. Nature Reviews Drug Discovery, 17(9), 641-659.

 

Diet and Lab Values

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Discussion: Diet and Lab Values

Ebook attached below: Nutritional Foundations and Clinical Applications: A Nursing Approach 7th Edition

 

Diet and Lab Values
Proteins have many functions within our bodies. List the functions, and explain why proteins are crucial to growth and maintenance.

Why are the protein diets of children different from adults?

Mark, a single father of a 2-year-old son, Jacob, stops every morning at a local fast food restaurant to pick up breakfast for himself and his son on their way to daycare. Mark says, “I don’t have time to cook in the mornings, and I can’t feed Jacob anything I would ever make at home any cheaper than this! Besides, he really loves these sausage and egg sandwiches, and at least I can get him to eat them!” Mark has a family history of diabetes, as well as hyper- lipidemia. At his next physical, Mark learns that his lipid panel is as follows: total cholesterol 245 mg/dl, LDL 180 mg/dl, and HDL 35 mg/dl.

What is the significance of this blood work?

What should his lipid profile look like, and as the nurse in Mark’s physician’s office, how would  you

educate him?

APA format (6th ed.) and is free of errors

Grammar and mechanics are free of errors free of Plagiarism

References: Use your book or Nurse journals and  articles with 5 years old

professional development goals.

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professional development goals.

Post an explanation of at least two strategies for including academic activities and accomplishments into your professional development goals. Then, explain how those goals may align with the University’s emphasis on social change. Be specific and provide examples.

Rozzano Locsin’s Technological Competency as Caring in Nursing

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Week 12 Assignment Reading and Discussion Post Due: Saturday @ 2359

·

NGR 5101 Grading Rubric Discussions and Reading Reflections.docx

 

Reading Assignment from Smith and Parker Textbook

Chapter 25: The Community Nursing Practice Model

Chapter 26: Rozzano Locsin’s Technological Competency as Caring in Nursing

Discussion Post Assignment #7 Due: Saturday

This assignment is worth 1 Point

How do you see the benefit of using both the Community Nursing Practice Model and Locsin’s Technological Competency as Caring in Nursing in today’s nursing environment?

I am looking forward to some robust conversations taking place. Please remember to adhere to APA 6th edition publication standards and please following the grading rubric. One post is your original submission and two responses to your peers are required.

 

 

 

 

 

 

 

Discussions and Reading Reflections:

· Participation in online discussion is an expectation of students enrolled. Giving this is an online class, discussions allow for class participation and interactions. A discussion week is Sunday to Saturday (11:59 pm EST).

· On specific weeks, there are questions or topics to be discussed. You are to post your initial post and respond to all professors posted questions. Initial posts must be made no later than Wednesdays at 11:59 pm. You will also be required to respond to at least two of your peers during the week. Failure to do so will cause a point’s deduction. You must also post at least four days per week. All posts cannot be posted on the same day.

· The initial post will be regarding the week and will be at least 250 words. Provide appropriate references and utilize APA style. Peer posts will be at least 150 words, otherwise will be counted as 0, all subsequent post must be in APA format and properly referenced. There will be 8 discussion posts worth 1 point each. To obtain full credit students must follow the above requirements. Each discussion will be allocated to a specific Master’s Essential.

· Besides the weeks that a discussion question is not posted, the student will be mandated to post a reading reflection paragraph (5-6 sentences, with reference material) regarding the assigned chapters of that week. These posts will be counted towards participation grade.

· In addition, on weeks 15 and 16, each student is to write a small reflection paragraph and post it objectives reflection” in answering what you have learned from this class, where the objectives you had for the class met and how do you anticipate the use of research.

· The reflection posts are your personal viewpoints regarding your reading assignments. No responses are required to your classmates’ posts. This applies to reflection assignments only.

 

Discussion Post Rubric:

Each posting and Reading Reflection:

Criteria 1 Point 0.75 Point 0.50 Point 0.25 Point
Participation

Weight 25.00%

 100 %

3 Posts

 80 %

2 Posts

 60 %

1 Post

 0 %

0 Posts
Quality of information

Weight 25.00%

 100 %

Information is clear and relates to the topic

 80 %

Information is somewhat clear and might relate to the topic

 60 %

The information has little relation to the topic and is not clearly displayed

 0 %

Information is not clear, and it does not relate to the topic
Resources

Weight 25.00%

 100 %

Provides resources using APA guidelines

 80 %

Provides resources without APA guidelines

 60 %

Limited on the resources provided with major errors in APA

 0 %

Provides no resources
Critical Thinking

Weight 25.00%

 100 %

Enhances the critical thinking process through premise reflection

 80 %

Enhances the critical thinking process without premise reflection

 60 %

Does enhance the critical thinking process in a very limited manner

 0 %

Does not enhance the critical thinking process

Analyzing qualitative data

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Discussion Assignment #6

Our discussion question is as follows:

Chapter 20: Inferential Analysis & Chapter 21: Analyzing qualitative data

What type of analysis you are conducting in your research studies? What are the advantages and disadvantages of both inferential analysis and qualitative analysis?

Please remember APA 7th Edition Standards and follow the course rules of engagement. Remember to post your original discussion response and remember to respond to two of your colleagues. Support your statement with references. The grading rubric is attached for your reference.

 

NURSING RESEARCH Discussion Post Rubric.docx

Discussion Post Rubric:

Each posting and Reading Reflection:

Criteria 1 Point 0.75 Point 0.50 Point 0.25 Point
Participation

Weight 25.00%

 100 %

3 Posts

 80 %

2 Posts

 60 %

1 Post

 0 %

0 Posts
Quality of information

Weight 25.00%

 100 %

Information is clear and relates to the topic

 80 %

Information is somewhat clear and might relate to the topic

 60 %

The information has little relation to the topic and is not clearly displayed

 0 %

Information is not clear, and it does not relate to the topic
Resources

Weight 25.00%

 100 %

Provides resources using APA guidelines

 80 %

Provides resources without APA guidelines

 60 %

Limited on the resources provided with major errors in APA

 0 %

Provides no resources
Critical Thinking

Weight 25.00%

 100 %

Enhances the critical thinking process through premise reflection

 80 %

Enhances the critical thinking process without premise reflection

 60 %

Does enhance the critical thinking process in a very limited manner

 0 %

Does not enhance the critical thinking process

Multidimensional Care Strategies

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Nursing care of a patient experiencing male reproductive disorders, as well as sexually transmitted infections, includes general nursing care interventions such:

Multidimensional patient care needs

  • Monitoring vital signs.
  • System focused assessment.
  • Monitoring laboratory/other diagnostic study results and reporting abnormalities and providing prescribed treatment.
  • Monitoring intake and output.
  • Assessing for signs and symptoms of complications and adverse effects of treatment.
  • Administration of prescribed medication, including chemotherapy.
  • Specialized care must be taken when administering chemotherapy; chemotherapy precautions must be implemented to protect the patient, family, and staff. Specialized handling of chemotherapy agents is included in these precautions.
  • Multidimensional patient care needs can be met by conducting the appropriate psychosocial, nutritional, spiritual, and cultural assessment. Based on the assessment findings, patient care can be tailored to meet the patient’s needs. Male reproductive disorders and sexually transmitted infections can result in emotional stress as well as anxiety. Early identification of these stressors will help to identify coping strategies for the patient and family.

    knowledge deficits

    Patient and family education play a vital role in the care of a patient. Identification of knowledge deficits and providing education on the disease process and treatment options will enable the patient and family to deal with the diagnosis and decide on an appropriate plan that meets their needs.

    Some male reproductive disorders may require surgical interventions; nursing care includes preparing the patient for the surgical procedure as well as post-operative monitoring. Post-operative monitoring to reduce the incidence of complications includes encouraging coughing and deep breathing to prevent respiratory complications. Interventions such as early ambulation and venous thromboembolism (pharmacological or mechanical) prophylaxis can assist in the prevention of deep venous thrombosis. Pain assessment and management must be performed to ensure the pain is controlled to promote early ambulation, and coughing and deep breathing to prevent post-operative complications.

    Benign Prostatic Hyperplasia

    Nursing care of a patient diagnosed with benign prostatic hyperplasia includes conducting a focused assessment regarding urinary elimination, providing privacy and emotional support to the patient, preparing the patient for nonsurgical procedures, and performing post-procedure monitoring. Care for patients who require surgical intervention will include:

  • Monitor urinary output to assure maintenance of fluid balance.
  • Perform continuous bladder irrigation to maintain patency of the catheter.
  • Educate the patient regarding the feeling of urgency related to urinary catheter placement is a normal feeling.
  • Monitor ;
  • pain and provide both non-pharmacological and pharmacologic interventions as prescribed.
  •  for bleeding.
  • patient for bladder spasms.
  •  the urinary catheter for possible obstruction, follow appropriate orders if an obstruction is suspected.
  • Educate the patient regarding the signs and symptoms of infection.
  • Monitor for skin breakdown.
  • Keep the area clean and dry.
  • Prostate Cancer

    prostate cancer

    Nursing care of the patient with prostate cancer is based on the treatment plan for the patient. Men diagnosed with prostate cancer are fearful and anxious regarding responsibilities and the impact of the disease process on their lives as well as sexual function. Early identification of these stressors will assist in finding the appropriate resources for the patient to cope. Surgical management of prostate cancer is the most common treatment. Nursing care is dependent on the type of surgical procedure the patient will undergo. General post-operative interventions include:

  • Maintaining hydration to maintain adequate urine output.
  • Wound care to assess for potential infection.
  • Assessing and managing pain to assure the patient has adequate pain control.
  • Monitor indwelling catheter.
  • Provide patient education for post-discharge catheter care.
  • Educate the patient on post-op complication of erectile dysfunction to include possible pharmacologic treatment such as phosphodiesterase – 5 (PDE-5) inhibitors as well as Kegel perineal exercises.
  • Testicular Cancer

    testicular cancer

    The care of the patient diagnosed with testicular cancer includes supporting the patient psychosocially. Men diagnosed at a young age often are faced with sexual dysfunction, which can result in depression. Identification of support systems for the patient is important. Other nursing care interventions are based on the treatment plan. The following nursing interventions pertain to care of the patient with testicular cancer:

  • Educate the patient on the option of banking his sperm.
  • Assess the surgical site for bleeding, redness, and swelling.
  • Monitor indwelling urinary catheter.
  • Assess pain level and provide non-pharmacologic and pharmacologic pain management options.
  • Provide education to the patient and family on catheter care.
  • Erectile Dysfunction

    Erectile dysfunction is a common male reproductive disorder that can be related to another disease process or some other type of factor. Nursing care of these patient includes patient education on treatment options, such as medications and the use of a vacuum-assisted device.

    Sexually Transmitted Infections

    Genital Herpes

    Nursing care of the patient diagnosed with genital herpes is based on symptoms and stage of the disease process. Disease-specific nursing interventions include:

  • Administer oral analgesics to improve comfort.
  • Apply local anesthetic sprays or ointments as prescribed to improve patient comfort.
  • Apply ice packs or warm compresses to the patient’s lesions.
  • Administer sitz baths three or four times a day.
  • Urge an increase in fluid intake to replace fluid lost through open lesions.

  • Encourage frequent urination.

  • Pour water over the patient’s genitalia while voiding or encourage voiding while the patient is sitting in a tub of water or standing in a shower.
  • Catheterize the patient as necessary.
  • Encourage genital hygiene, and encourage keeping the skin clean and dry.
  • Wash hands thoroughly after contact with lesions and launder towels that have had direct contact with lesions.
  • Wear gloves when applying ointments or making any direct contact with lesions.
  • Advise the patient to avoid sexual activity when lesions are present.
  • Advise the patient to use latex or polyurethane condoms during all sexual exposures.
  • Instruct the patient in use, side effects, and risks versus benefits of antiviral agents.
  • Advise the patient to discuss the diagnosis of genital herpes with current and new partners.
  • Syphilis

Epidemiologic methods

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Reply 1

 

The Healthy People goals focus on heart disease and stroke in the American population. According to Healthy People (2020), the two conditions are among the leading causes of death in the US, with heart disease ranking first and stroke fifth. In that regard, Healthy People’s goal is to improve the cardiovascular health of the population and reduce the number of deaths that occur as a result of heart disease and stroke (Healthy People, 2020). Attaining this goal, through the control of their risk factors, including high blood pressure and high cholesterol levels, will improve the quality of life, prevent the related disabilities, and save on the healthcare resources the country invests in their management. Epidemiologic methods can help evaluate the progress made on this objective.

        An ecologic study design of descriptive epidemiology

An ecologic study design of descriptive epidemiology is the best method that can facilitate this evaluation. Based on the design of the objective, the key target areas are death, incidence, and prevalence rates of the conditions. In particular, the point prevalence of different times, present and past, is necessary for comparison to determine progress. According to Schmidt and Brown (2019), these epidemiologic measures aim to calculate disease frequency, an element of descriptive epidemiology that focuses on distributing disease in a population. In that regard, a matching descriptive study is necessary. Additionally, the ecologic study design is preferable since it compares disease distribution concerning time.

Based on the stated objective, the primary goal of a descriptive ecologic study for the evaluation would be to determine the changes in the incidence, prevalence, and mortality rates of heart disease and stroke in the American population between 2016 and 2020. The study will evaluate the objective once the conclusions regarding the data’s trends are complete. Such a study will be advantageous because it will be relatively inexpensive and expedient due to relying on secondary data (Schmidt & Brown, 2019). However, one disadvantage would be the difficulty in making comparisons when the definitions of the diseases and the instruments used to collect the data changed over time (Schmidt & Brown, 2019). It would be necessary to design the methods that have close similarities to previous studies or data used for comparison.

References

Healthy People. (2020). Heart disease and stroke. Healthy People 2030.  https://health.gov/healthypeople/objectives-and-data/browse-objectives/heart-disease-and-stroke (Links to an external site.)

Schmidt, N. A., & Brown, J. M. (2019). Evidence based practice for nurse: Appraisal and application of research. Jones & Bartlett Learning.

Reply 2

descriptive epidemiology and analytic epidemiology

In epidemiologic studies, there are two types. There is descriptive epidemiology and analytic epidemiology. Descriptive epidemiology explores how a disease within a population can affect various groups differently. This aids in the quest to investigate potential causes of the disease (Schmidt, 2019). Analytic epidemiology investigates the determinants of a disease by testing hypotheses and determining the etiology of the disease. Epidemiologic designs are beneficial because they can provide patterns of diseases that nurses can use to determine contributing patterns to improve health and outcomes (Schmidt, 2019).

An example of epidemiology methods would be related to determining ways to reduce the mortality rate amongst adults that have been diagnosed with diabetes. The goal of this descriptive study would be to reduce implications such as cardiovascular or kidney disease which can occur because of poor health management (Aguilar, 2019). As a result of improving treatment and management amongst diabetic patients, the prevalence of the condition can be decreased, as it continues to increase in the United States and across the globe (Aguilar, 2019). The cross-sectional study can be applied to the objective of addressing the mortality rate of the specific diabetic patients.

The population of the cross-sectional study would be adults, which are individuals 18 years old and older. The disease frequency and mortality of those individuals would be studied at specific times, and this would help to gain an understanding when addressing future patients. An advantage of cross-sectional studies is that the studies are applicable to examine various traits such as behavior, symptoms, and health status (Schmidt, 2019). A disadvantage of cross-sectional studies is that the specific checkpoint time associated in the study can produce uncertain results such as events or conditions that may have been present prior to the study that were unknown (Schmidt, 2019).

References

Aguilar, D. (2019). Improving Outcomes in Patients With Diabetes Mellitus. Journal of the American Heart Association, 8(4), e011971.

Schmidt, N. A., & Brown, J. M. (2019). Evidenced-based practice for nurses: Appraisal and application of research (4th ed.). Burlington, MA: Jones and Bartlett.