After reading the provided articles and listening to our guest speakers discuss careers in nursing, you may be surprised to learn how many options nurses have in terms of careers beyond the typical hospital bedside. You find nurses in advanced practice as nurse practitioners and nurse anesthetists, as well as in academics, public health, administration, informatics, politics/government, consulting and a variety of practice settings beyond the hospital.

In this discussion board, share your reaction. You must specifically address the following two questions (and follow-up) in your response: 

1. What was something specific that you learned that you didn’t know before? Which source did you learn it from (e.g., which reading or which guest speaker)?
2. Did the wide variety of nursing options surprise you?

After stating whether you were surprised about the variety, address at least one of the following:

• Why do you think nurses have so many options when it comes to careers beyond direct patient care?
• What aspects of their training do you think prepares them for these many options? 
• Do you think any other graduate careers have as many options and why/why not?  

Feel free to post any other thoughts related to this topic. Responses may be only one paragraph, but no more than two.

After posting your response, read your peers’ thoughts and reply to at least one classmate.

 

Go back to the discussion topic in Week 1 and review your discussion posts.

Have any of your thoughts or concepts of trends in nursing have changed since week 1.  Please share specific examples.

BELOW IS MY POST FROM WEEK 1:

 

When I think of issues and trends in nursing, I think of how there are constant changes in the management of patients and healthcare facilities based on the prevailing social, technological and economic changes. Issues and trends in nursing are patterns, development and changes that occur in the healthcare sectors to enhance the delivery of care services. Nursing issues and trends encompass a wide range of issues depending on the challenges the nursing sector faces at a particular time.

Issues and trends have affected nursing regulations and policies, particularly in the United States. Constant amendments and changes of policies and laws affecting nurses are crucial to ensure that healthcare personnel work within the framework of the law. The national, state and country are changed to fit international laws and policies. Nurses across the globe should be updated on the current issues and trends in nursing policies and regulations to comply with patient care.

Due to technological advancement, nurses must continue implementing new technologies to enhance data storage and real-time retrieval of patients’ medical care to facilitate care based on evidence-based information. The current trends in implementing advanced technologies in the nursing sector are in the right direction. For instance, implementing electronic health records (EHR) has improved communication and collaboration between nurses, particularly during patient complications and medical errors through the Internet.

I understand that the nursing sector is dynamic and influenced by other factors such as social, economic and politics of not only countries but the entire world. In this regard, nurses keep changing their methods, laws, policies, and techniques to handle patient challenges. 

A HISTORY OF NURSING ETHICS

The Nuremberg trials at the close of WWII offered disturbing questions. How can “good” people in traditionally honor-bound professions become complicit in some of the worst violations of humanity in history? What happens when individual professionals are not held to account by their peers, professions, and society as a whole? The trials showed how moral individuals within organizations can engage in morally “wrong” functions. “I was just following orders,” complicit healthcare providers, doctors, and nurses claimed.

Morality refers to principles that help determine what is “right” and what is “wrong.” Ethics is the related field that puts these principles to work to:

apply moral principles to choose “right” actions,

conduct relationships in an ethical manner, and

manage situations where a “right” action is clear but for some reason not possible.

Read the ethical dilemma below and explain your response and actions:

Nurse Is Instructed to Have Patient with Low Literacy Level to Sign Consent for Treatment

Scenario: Nurse Gloria is instructed by the attending physician to have Mr. Isaacs sign a consent form before a scheduled colonoscopy. As Nurse Gloria goes over the form with the patient, she notices he seems confused and is unsure where or how to sign the paperwork.

Ethical Dilemma: It is common for nurses to be the ones to get signatures on consent forms, especially for procedures like the one described in this scenario. When faced with a situation like the one here when the nurse is not sure that the patient understands what he is being told or if he can read, the decision of whether to delay a busy schedule to have the doctor come back and talk to the patient or explain to the best of her knowledge and get the patient’s signature may seem difficult to make.

Please adhere APA format when formulating response and action should incorporate EI and your actions and priorities and the EBP behind your decisions.

2 PAGES

NO PLAGIARISM

DUE DATE OCTOBER 5, 2023

ADD REFERENCES NO OLDER THAN 5 YEARS

USE PROPER GRAMMAR AND CITATIONS

Unit 11 Discussion Medications for Pain Management. 800w. 4 references. Due 11-01-23

1. Why are many parties, including the U.S. Government, concerned about the use of opioids for pain management?

2. Provide input on the following article “America’s opioid crisis: the need for an integrated public health approach” https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7286889/

3. Which mental health disorders are commonly associated with patients who also need pain relief? ——–I believe this is depression and anxiety.
https://www.health.harvard.edu/mind-and-mood/pain-anxiety-and-depression. https://www.healthcentral.com/pain-management/chronic-pain-and-mental-health

4. What is an MME and how is it calculated?

Responses need to address all components of the question, demonstrate critical thinking and analysis and include peer-reviewed journal evidence to support the student’s position.

Please be sure to validate your opinions and ideas with in-text citations and corresponding references in APA format.

Please review the rubric to ensure that your response meets the criteria.

Medications for Pain Management Pain relievers in the opioid class work by binding to specific cells known as opioid receptors in the brain and nervous system. Opioid drugs dull pain perception and heighten pleasure when they bind to opioid receptors within brain cells, activated when the blood reaches the brain. That which makes opiate painkillers so effective also makes them potentially harmful. Many organizations are concerned about opioids because while at lesser dosages, they may make patients sleepy (Townsend et al., 2021). In more significant quantities, they can cause breathing and heart rate slowdowns, resulting in death. Additionally, the pleasurable effects of opioids might make the patients crave more of them, which can be a dangerous spiral into addiction. By taking medications as prescribed, patients can lessen the likelihood of experiencing adverse effects. Patients should inform their healthcare providers of all their drugs and supplements (Mark & Paris, 2019). Significant evidence also links chronic pain to mental health issues and substance dependence. However, the exact nature of the connection, particularly in terms of causation, is sometimes unclear. According to Slawek et al. (2022), pain can increase mental health difficulties such as anxiety, difficulty sleeping, depression, and panic disorders, while stress and depression can make chronic pain severe. Pain can also make it more difficult to sleep. Opioid overdose most commonly causes respiratory depression, which can cause severe consequences or even death. When a patient is close to a potentially harmful threshold, medical professionals look at their daily morphine equivalent doses (MED),which is the sum of the MMEs of all opioids they are likely to take within 24 hours. The Morphine Milligram equivalent (MME) value is the relative potency of a dose of opioids compared to morphine (Dasgupta, This study source was downloaded by 100000769192234 from CourseHero.com on 10-22-2023 14:20:45 GMT -05:00 https://www.coursehero.com/file/184520553/Unit-11-Discussion-Pain-Managementdocx/ 2 2021). MME aims to aid physicians in making safe and appropriate judgments when considering modifications to existing opiate treatment plans. The MME converts multiple different opiate doses into a uniform number based on the strength of morphine using a universal conversion factor defined by the Centers for Disease Control and Prevention (CDC). Every prescription is given in MME daily according to the CDC conversion factor, dosage, and the number of days' worth of medication. Each opiate dose a patient takes per day is converted to milligrams of morphine using a morphine-based conversion factor, and the daily average rate is then used to determine the MME. This study source was downloaded by 100000769192234 from CourseHero.com on 10-22-2023 14:20:45 GMT -05:00 https://www.coursehero.com/file/184520553/Unit-11-Discussion-Pain-Managementdocx/ 3 References Dasgupta, N. (2021). Verbatim MME calculation methods from studies cited in the CDC pain guideline identified from a previous methods review. FDA U.S. Food and Drug Administration. https://doi.org/10.17615/95wd-3150 Mark, T. L., & Parish, W. (2019). Opioid medication discontinuation and risk of adverse opioidrelated health care events. Journal of Substance Abuse Treatment, 101(1), 58-63. https://doi.org/10.1016/j.jsat.2019.05.001 Slawek, D. E., Syed, M., Cunningham, C. O., Zhang, C., Ross, J., Herman, M., Sohler, N., Minami, H., Levin, F. R., Arnsten, J. H., & Starrels, J. L. (2022). Pain catastrophizing and mental health phenotypes in adults with refractory chronic pain: A latent class analysis. Journal of Psychiatric Research, 145(1), 102-110. https://doi.org/10.1016/j.jpsychires.2021.12.001 Townsend, T., Cerda, M., Bohnert, A., Legisetty, P., & Haffajee, R. L. (2021). CDC guideline for opioid prescribing associated with reduced dispensing to certain patients with chronic pain: Study examines the impact of CDC guidelines for opioid prescribing. Health Affairs, 40(11), 1766-1775. https://doi.org/10.1377/hlthaff.2021.00135

  

In a 5-6 page Microsoft Word document, compare and contrast Britain’s and the United States health history and current structure, including: Different philosophical approaches to the provision of care Organization Financing Delivery of health services and public health systems Utilize your textbook and other scholarly sources for this assignment help to assist with your research. You may also find the following websites helpful: The Future of Public Health: A History of the Public Health System Overview of Healthcare in the UK

MAP-IT framework is a tool for organizing and gauging societal public health endeavors. Experienced and inexperienced public health workers may use MAP-IT processes to build ans develop a community that is healthy (McKnight, Kretzmann 1996). The MAP-IT approach takes time, effort, and a series of stages to ‘map out’ the journey towards a community’s desired change. Remember that there is no one solution that fit all when it comes to this, therefore, some procedures are needed repetitively. A coalition can use MAP-IT to develop a chronological, organized plan aimed towards a given community’s requirements.

Mobilize

Nursing intervention is developed to establish and enforce park exercise activities in zip code 33127. After looking at the data collected from the community at zip code 33127, it was rather evident that residents, especially on the north side of the zip code, are not even trying to participate in the community’s public parks.

Following the underlying investigation, the nurse intervention determines that a different strategy is required, and it brings together important stakeholders in the postal district 33127 to help nurture an agreement. The Nursing Intervention Task Force will comprise representatives from environmental health, education, and the community public health practitioners. The task force’s mission is to develop and maintain a healthy community in the postal district.

Assess

The task force holds a strategic planning meeting; furthermore, the task force holds data mining on healthy living from exercise. During the assessment, the task force discovered that the rate of chronic diseases reported in the postal district 33127 is alarming, especially among young people in the community. It has been discovered that the lack of physical exercise majorly triggers chronic disease.

Currently, the staffing, skills and information on the importance of healthy living are at our disposal, but where do we go from there? From further deliberation, it is concluded that we would need funding to conduct public awareness campaigns, initiate the building fitness park, and install outdoor exercise equipment.

Plan

During the afternoon of the strategic planning meeting, the task force agreed that installing at least four outdoor fitness equipment in the postal district 33127 should be the priority in addressing the rising chronic illness rate.

Our head decided to contact a community-based organization (CBO) with a long history of dealing with public workout equipment installation and ask them to assist in developing a project plan. If money is approved, the CBO signs a letter of understanding to participate in the project. In addition, the director collaborates with other members of the postal district’s health department and government to draft a plan.

We suggest a pilot program in which exercise equipment is installed in public parks. Some unemployed locals would be trained to assist in the procedures as part of the pilot program. We also decided to keep an eye on the rate of chronic illnesses to determine if it is decreasing. The federal government funds the project due to supporting data being the primary cause.

Implement

The CBO is enthusiastic about the project and is in charge of communicating with locals about the installations and reacting to emerging issues. In addition, the CBO is responsible for overseeing and performing the project’s training and employment aspects.

Our project manager manages the whole project and collaborates with contractors to ensure proper completion. In the parks, equipment such as sit-up benches, dip and leg raise stations, vertical ladders, and rope climbs is erected. In addition, two parks dedicated to workouts are being built. All of this takes place over the course of one and a half years.

Track

The task force keeps track of the project’s development and gathers official and informal data to assess its impact. Since the parks have been improved, the number of cases of chronic illnesses has decreased. Residents say they feel healthier now than they did before the adoption, and there are fewer incidents of heart attacks. Consequently, the inhabitants are pleased with the workout equipment in the parks. The task group understands that they must remain focused and engaged for the program to continue.

Conclusion at https://onlyassignmenthelp.com/custom-writing-service/write-my-assignment-for-me/get-information-technology-assignment-help-from-expert-writers/ 

In the execution of a solution, evaluation and tracking are critical activities. These tasks, which are carried out in phases, offer practitioners various information (McEwan & Bigelow, 1997). For example, the preliminary evaluation aids in the identification of barriers and risks. It is feasible to take early strategies that focus on this knowledge to optimize the advantages of the solution while avoiding the danger of failure (StudyCorgi, 2021). The post-evaluation of results aids in determining the plan’s overall efficiency. The information may be utilized to improve the existing educational program and help design new, more complex ones.

REFERENCES

StudyCorgi. (2021) MAP-IT Model: Evaluation of Plan Effectiveness. Retrieved 21 June 2022, from https://studycorgi.com/map-it-model-evaluation-of-plan-effectiveness/

McEwan, K., & Bigelow, A. (1997). Using a logic model to focus health services on population health goals. Canadian Journal of Program Evaluation 12(1): 167-174.

McKnight, J. L., & Kretzmann, J. P. (1996) Mapping Community Capacity. Onlyassignmenthelp.com The Asset-Based Community Development Institute, Institute for Policy Research, Northwestern University.