Nutrition & Hydration/Persistent Vegetative State (PVS)

 

After studying the course materials located on Module 7: Lecture Materials & Resources page, answer the following:

  1. Cure / care: compare and contrast.
  2. Basic care: Nutrition, hydration, shelter, human interaction.
    • Are we morally obliged to this? Why? Example
  3. Swallow test, describe; when is it indicated?
  4. When is medically assisted N/H indicated?
    • Briefly describe Enteral Nutrition (EN), including:
      • NJ tube
      • NG tube
      • PEG
    • Briefly describe Parenteral Nutrition (PN), including:
      • a. Total parenteral nutrition
      • b. Partial parenteral nutrition
  5. Bioethical analysis of N/H; state the basic principle and briefly describe the two exceptions.
  6. Case Study: Terry Schiavo (EXCEL FILE on Module 7: Lecture Materials & Resources page). Provide a bioethical analysis of her case; should we continue with the PEG or not? Why yes or why not?
  7. Read and summarize ERD paragraphs #:  32, 33, 34, 56, 57, 58.

Submission Instructions:

  •  is to be clear and concise and students will lose points for improper grammar, punctuation, and misspelling.
  • If references are used, please cite properly according to the current APA style. 

Replies 5400

replies for these works with 200 words each ones

1. Nurses play a pivotal role in reforming healthcare to promote public health and reduce costs. This is particularly evident in their involvement in COVID vaccination mandates, telemedicine, and prescription drug pricing advocacy. Nurses have been at the forefront of COVID-19 vaccination efforts, advocating for widespread vaccination to curb the pandemic. They educate the public about vaccine safety and efficacy, address vaccine hesitancy, and administer vaccines. Nurses’ expertise in public health and patient education makes them influential advocates for vaccination mandates, promoting a healthier public. For instance, in my nursing practice, I have seen nurses conducting community outreach programs to ensure equitable access to vaccines. Nurses actively champion telemedicine as a means to improve healthcare access and reduce costs. They use telehealth platforms to provide remote care, monitor patients’ conditions, and educate them on self-management. Telemedicine not only enhances patient convenience but also decreases unnecessary emergency room visits, contributing to cost reduction. In my experience, I have witnessed nurses facilitating virtual visits for patients in rural areas, improving their access to healthcare services.  Nurses witness firsthand the impact of high prescription drug prices on patients’ health outcomes. They advocate for fair drug pricing policies that ensure affordable access to necessary medications. By engaging in initiatives like the Nurses Who Vaccinate campaign, nurses bring attention to the importance of reasonable drug pricing in promoting public health and reducing the financial burden on patients. Nurse have the clinical knowledge, patient trust, and advocacy skills necessary to drive healthcare reform. Their involvement in COVID vaccination mandates, telemedicine, and prescription drug pricing advocacy aligns with their commitment to improving patient care, public health, and cost-effectiveness in the healthcare system.  

2. Nurses indeed hold a pivotal role in reforming healthcare, contributing to a healthier public and cost reduction. Firstly, in the context of COVID vaccination mandates, nurses play an essential role as advocates for public health. They educate individuals on the importance of vaccination, dispel myths and misinformation, and administer vaccines efficiently. Their presence in vaccination clinics fosters trust and encourages reluctant individuals to receive the vaccine. Furthermore, nurses can also assess and address vaccine-related adverse events, contributing to the safety and effectiveness of vaccination campaigns.

Secondly, in the realm of telemedicine, nurses are instrumental in ensuring its successful implementation. They can serve as telehealth coordinators, facilitating remote patient consultations and monitoring. This reduces the burden on healthcare facilities, enhances access to care in underserved areas, and can potentially lower healthcare costs by preventing hospital readmissions through continuous monitoring of chronic conditions.

Lastly, nurses are advocates for addressing exorbitant prescription drug pricing. They witness firsthand the financial hardships patients face due to high drug costs and can engage in initiatives to promote transparency, cost-effective alternatives, and policy changes to curb pharmaceutical price gouging.

In my own nursing practice, I’ve seen how nurses can be effective advocates in these areas, collaborating with healthcare teams and policymakers to drive positive change. Their expertise and patient-centered approach uniquely position them to champion healthcare reform initiatives that benefit the public while optimizing healthcare costs.

Research Article

  

Week 6 Critical Appraisals of One (1) key study (2 to 3-pages) excluding first page and references and Appendices.

Article to write on

 ” Relevance of Depression among adolescents in the American society”

 Learning Objectives: 2, 5, 6To ensure students utilize quality studies and research, the implementation of a Rapid Critical Appraisal (RCA) can assist in evaluating key research information to determine its strength and reliability.Objectives: The purpose of this assignment is for students to select an RCA that best applies to current research, a study, or other evidence, to validate its content. Utilize one of the RCAs made available in Week 6, or an RCA of their own choosing. Readings – Beginning in Week 5, please read:

  1. Melnyk &      Fineout-Overholt (2014) Chapters 4-6
  2. Optional:      Explore other sites and tools for other RCAs

Preparation

  1. Choose a Rapid      Critical Appraisal from Melnyk & Fineout-Overholt. Alternatively, you      can choose an RCA from another source but you must share that source.
  2. Evaluate a      chosen article using the selected RCA.
  3. Prepare your      paper (2-3 pages).  For submission, title your file:  “Last      Name_RCA”
    1. Construct your       2-3 page paper based on rubric criteria.
    2. Attach your       RCA as an Appendix (APA format)
    3. Don’t forget       your APA format and references!

m3 discussion

Discussion(M3)

Watch one of these films and  then discuss anyone of these “dying and death” representations as  presented in movies or plays such as:

  • Bringing Out the Dead
  • Angela’s Ashes
  • Beaches
  • Philadelphia
  • Terms of Endearment
  • Wit
  • Evan Mayday’s Good Death

Address the following questions if pertinent to the film you watched:

  • What were the causes of death?
  • Where did people die?
  • Who cared for the dying?
  • Who was present at the time of death?
  • How did the significant other person respond?
  • How did the community respond?
  • What expectations or beliefs were associated with dying and death?
  • How did people cope with loss?

Envision  yourself as one of the characters in the film, and, according to their  personal or professional (eg. the nurse in: “WIT”) expectations about  death:

  • Dying well
  • Bad death
  • Good death
  • Sad death

7 cl

 

discuss a very brief description (one paragraph for the group session– do NOT include the actual 12-steps) to include the following

Managing Student Incivility and Misconduct

 Dealing with student misconduct and incivility is part of the nurse educator role.  The Week 4 Overview in Canvas has links to many good articles on the subject.  As you peruse the articles, take note of the things you found interesting or surprising.

Initial post: In your initial post, describe at least three things you noted in the readings and share your thoughts about them.  Use at least two of the sources. Feel free to share relevant personal or professional experiences as well.  

https://crlt.umich.edu/tstrategies/disruption

https://cetl.olemiss.edu/wp-content/uploads/sites/83/2016/03/ClassroomIncivility.pdf

https://deepblue.lib.umich.edu/bitstream/handle/2027.42/57349/281_ftp.pdf?sequence=1

https://crlt.umich.edu/sites/default/files/StrategiesforPreventingDisruptionandDisrespect_0.pdf

https://crlt.umich.edu/sites/default/files/PreventionStrategies.pdf

Value Proposition in Patient Care

 
 

Nursing assignment 1-b

 

After studying Module 2: Lecture Materials & Resources, submit the following:

  • Starting with the precursor substance tyrosine or tryptophan, identify and briefly describe each chemical step required to create each neurotransmitter. 

Submission Instructions:

  • The typewritten description is original work and logically organized, formatted, and cited in the current APA style, including citation of references.
  • Complete and submit the assignment by 11:59 PM ET on Sunday.
  • Late work policies, expectations regarding proper citations, acceptable means of responding to peer feedback, and other expectations are at the discretion of the instructor.
  • You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.

week 8

Government Regulations and Social Insurance Programs

Discussion

Required Resources

Read/review the following resources for this activity:

· Textbook: Chapter 17

· Lesson: Read this Week's Lesson which is located in the Modules tab

· Initial Post: minimum of 2 scholarly sources (must include your textbook for one of the sources). Follow-Up Post: minimum of 1 scholarly source for your Follow-Up Post.

· Your Initial Post and your Follow-Up Post must be based on the same Option that you chose in order to receive credit for both posts. 

Initial Post Instructions

For the initial post, respond to one of the following options, and label the beginning of your post indicating either Option 1 or Option 2:

·
Option 1: The main social insurance programs like Social Security, Medicare, and unemployment compensation are funded by a payroll tax on the earnings of individuals who may receive benefits. Do you think the social insurance programs are effective? How are social insurance programs affected by the socioeconomic and political forces? Explain your answers.

·
Option 2: Research government regulations on a particular area of your choice, such as food, drugs, product safety, fracking, environment, etc. Do you think the government regulations go too far? Do you think the government needs to add more regulations? How are lobbyists involved concerning regulations on food and drug safety, and our environment concerning fracking? Explain your answers.

Be sure to make connections between your ideas and conclusions and the research, concepts, terms, and theory we are discussing this week.

Follow-Up Post Instructions

Respond to the same Option you chose for your Initial Post (i.e., if you chose Option 1 for your Initial Post, your Follow-Up Pst should also be for Option 1). Respond to at least one peer. Further the dialogue by providing more information and clarification. Minimum of 1 scholarly source which can include your textbook or assigned readings or may be from your additional scholarly research.

Writing Requirements

· Minimum of 2 posts (1 initial & 1 follow-up)

· Minimum of 2 sources cited (assigned readings/online lessons and an outside source) for your Initial Post, and 1 scholarly source for your Follow-Up Post.

· APA format for in-text citations and list of references

· Ebook:
https://bookshelf.vitalsource.com/reader/books/9780135246849/pageid/11

The Struggle for Democracy, 2018 Elections and Updates Edition

Or
[email protected]

PWD: Bryanthierry@09

Democracy week 1

Determining Democracy

Discussion

Required Resources

Read/review the following resources for this activity:

· Textbook: Chapter 1 ,2, 3

· Lesson: Read this Week's Lesson which is located in the Modules tab

· Initial Post: minimum of 2 scholarly sources (must include your textbook for one of the sources). Follow-Up Post: minimum of 1 scholarly source for your Follow-Up Post.

· Your Initial Post and your Follow-Up Post must be based on the same Option that you chose in order to receive credit for both posts. 

Initial Post Instructions

For the initial post, respond to one of the following options, and label the beginning of your post indicating either Option 1 or Option 2:

·
Option 1: Does democracy require equality of income or wealth? Discuss why democracy might make a country more or less egalitarian?

Be sure to make connections between your ideas and conclusions and the research, concepts, terms, and theory we are discussing this week.

Follow-Up Post Instructions

Further the dialogue by providing more information and clarification. Minimum of 1 scholarly source which can include your textbook or assigned readings or may be from your additional scholarly research.

Ebook:
https://bookshelf.vitalsource.com/reader/books/9780135246849/pageid/11

Or email:
[email protected]

Password: Bryanthierry@09