Of which biological variations among Korean Americans should the nurse be aware? 

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After studying Module 6: Lecture Materials & Resources, discuss the following:

  1. Of which biological variations among Korean Americans should the nurse be aware? 
  2. Describe how stereotyping Puerto Ricans as similar to other Hispanic Americans can lead the nurse to errors in patient care. 
  3. Describe the geographical location of Jordan, and indicate how this region of the world and the political turmoil experienced by Jordanians may have a profound political impact on the health and well-being of recently immigrated Jordanian Americans. 

Course Book:

  • Giger, J. N., & Haddad, L. (2021). Transcultural Nursing: Assessment and Intervention (8th ed.). St. Louis, MO:  Elsevier.
    • Chapters 22, 24, and 27

Watch

  • End-of-Life Nursing Education Consortium. (2015, November 17). Korean Nurse Shares ELNEC Experience | ELNEC International. [Video]. YouTube. https://youtu.be/GT22sCX2asU?si=hy3Vsm27W_z2rUvG
    Korean Nurse Shares ELNEC Experience (01:15)Links to an external site.
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  • Submission Instructions:
  • Post should be at least 500 words, formatted and cited in current APA style with support from at least 2 current academic sources within past 5 years

Explain what stroke is

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 Hi class. My name is Monterey. My presentation is understanding stroke and a guide for patients and family. First, I would like to explain what stroke is. Stroke is a neurological emergency which can be caused by interrupted blood flow to the brain. We have two major kinds of strokes, the ischemic stroke which is caused by basically clot and it’s very common. About 87% of people with stroke present with this kind of stroke. And we also have hemorrhagic stroke which is majorly bleeding which presents as 30% of the population. it’s the lack of energy and nutrient which can eventually cause cell death so this is the pictorial images of the ischemic stroke versus the hemorrhagic stroke the first one you can see the area with the blockage and the other side with the bleeding there’s a pool of blood in the brain this can happen inside or outside of the brain both eventually leading to reduced oxygenation and the brain and decreased nutrients to the brain why do we study stroke or why do we explain what stroke is or why am i explaining what stroke is this is because it’s one of the leading cause of disability and death in the united states and we always advocate that time is muscle early recognition and treatment is very important In this presentation, I would like to explain the pathophysiology of stroke to my patient’s family. First, I would like to recognize and tell them the risk for stroke. Some risks are modifiable, that means you can do something about it, and some are non -modifiable. The modifiables include eye blood pressure, diabetes, obesity, smoking. This can all be done by smoking cessation, engaging in an active lifestyle. If a patient has eye blood pressure, taking their medications, exercising nutrients to correct hypertension, diabetes, and obesity. And the non-modifiable risk factors stroke is very pertinent in males, African-Americans, and age greater than 55. Like I said earlier, living an elder lifestyle can help decrease the risk. family family history it’s a very great area with physical activities one can still modify it a little bit what are the clinical manifestations of stroke stroke can happen at any time it can it’s a sudden weakness especially on one side of the body one can have a facial droop, difficulty finding words, vision difficulties, and some paralysis. Some people can lift their hands. In the case of your husband, Josh Eddy, I know he’s 65. He has past medical histories of hypertension, type 2 diabetes. These are some of the modifiable cause of stroke. And he was confused. He had facial droop. He had flood species. And he wasn’t working properly. We are glad you found him and you’re able to call for emergency. And he came in within a time frame. he presented to the emergency room he came in within there’s a medication we give people that come in for stroke within a short period of time and because he had he has an history of AFib and he was not on anticoagulation he’s a candidate to get a TPA which is a big blood clot breaker this can be administered between the last known well and the current time if it’s less than three hours in other cases we can do a mechanical thrombectomy when also when it came in blood pressure was a little elevated so we manage blood pressure manages blood sugars just to make sure everything works in sync. Other tests that can be done to diagnose stroke include CT scans. This is like taking a picture of the brain to see if it’s a clot or if it’s a bleed. And we also have a scale to measure the severity of the stroke. It’s called the NiHSS scale. We also do blood work to see if his blood is dropping by taking the CBCs. We check the coagulation level of his blood, which is called the INRPTTs. We also do EKGs just to, you know, ECG just to find the embolic sources. stroke can happen to anyone anytime it happens in children it’s very rare but can it can lead to it can be linked to congenital as or clotting issues it can happen during pregnancy it can happen after pregnancies um and like we said it’s very common in adults older adults But because of their baseline dementia, their confusion, their stroke can go unnoticed because of their other baseline problems. um what i like the families of you get the families you know is that stroke is at emergency um when you notice any kind of change any kind of weakness any kind of facial changes please call for them for emergency because the earlier guests at the hospital are the better um these are my references thank you very much 

Pathophysiology of the condition of heart failure is also known as congestive heart failure

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 Hello everyone, my name is Marjorie, and I’m here to present to you with the case of John Doe, who is a 65-year-old male, diagnosis of congestive heart failure. He smoked half a pack of cigarettes daily in Kosumako Hall. An assessment, it was found he has PD in edema at the lower extremities, lung quackle sound at base, lab, he has elevated BNP, LDL, and A1C, medical history is diabetes and high blood pressure, surgical history is coronary artery bypass. Pathophysiology of the condition of heart failure is also known as congestive heart failure, a condition in which the heart is unable to pump adequately blood to satisfy the body’s need. This may inspire that your heart is incapable of sufficiently filling with blood. This may also occur when the heart is inadequately strong to pump efficiently. The term heart failure don’t imply that your heart is stopped working. Heart failure is a serious condition that necessitates medical intervention. Clinical manifestation is shortness of breath on a physical activity or while laying flat. You get tired, weakness. You have legs, lower legs, swelling, and your heart is either beat too fast or too slow or have irregular heartbeat. You cough. Sometimes you have sputum come out or sputum come out with blood. Diagnosis of the condition is ECG that captures the hard electrical activities to detect arrhythmias or myocardial injury or electrocardiography. It’s an ultrasound assessment of the heart that evaluates the size and function in pumping efficiently of the cardiac chambers. Checks x-ray provides images of the heart and lungs to assess for hypertrophy or fluid retention. Blood tests to evaluate for underlying conditions such as anemia, thyroid abnormalities, or infections. Stress tests is to evaluate the heart’s response to physical exertion. Okay, thank you for your time. 

How would your plan of care be different if the child were 10 years old?

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You see a 3-year-old with hypertension (documented on three different visits) in your primary care clinic.

  • Describe the workup, differential diagnoses, assessment, and management.
  • How would your plan of care be different if the child were 10 years old?
  • What risk factor counseling and advice would you include?

Submission Instructions:

  • Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources within 5 years 2020-2025. 

Discuss what nonmedical resources nurses can provide for the patient and family after initial injury.

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For patients coming in with severe injuries, discuss what nonmedical resources nurses can provide for the patient and family after initial injury.

Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to “RN-BSN Discussion Question Rubric” and “RN-BSN Participation Rubric,” located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively.

Discuss the responsibilities of each team member at this stage in the patient’s care.

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To complete this DQ, familiarize yourself with the “Case Study: John Doe – Emergency Department” assignment and document. Which members of the interdisciplinary team are utilized upon the patient’s arrival to the ED? Discuss the responsibilities of each team member at this stage in the patient’s care. Once the patient is stabilized in the ED, what discharge planning would be initiated even though the patient will not be discharged yet?

Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to “RN-BSN Discussion Question Rubric” and “RN-BSN Participation Rubric,” located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively.

Liturgical practices that believers of the faith participate in throughout their daily lives.

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Background Information:
When studying the different religions of the world we tend of focus on the distinctions between these religions and understanding what makes them unique, however it is important to note that although these religions are distinct and unique in their own way, there are common themes and structures that can be applied to them. Some of the common elements present in the different religions that we will be studying this semester are:

  • Sacred Scriptures and Sacred Writings
    • Divinely inspired writings that contain origins of the religion, essential beliefs, and major teachings. Some religions also revere writings of prominent figures throughout their history who have contributed to expounding the theology of the religion (ex: writings of the Christian saints) 
  • Beliefs and Practices
    • Tenets of the religion that unify its community of believers on a variety of topics ranging from their relationship with the divine, soteriology, creation, eschatology, anthropology, etc. 
  • Prayer and Worship
    • Liturgical practices that believers of the faith participate in throughout their daily lives. Some liturgical practices and rituals of prayer are performed in conjunction with the celebration of religious festivals at particular times of the week (ex: Sabbath) or times of the year (ex: Christmas) 
  • Morality – Code of Ethics
    • Guiding principles that adherents of the faith abide by throughout their lives informed by the theology of the religion 
  • History
    • Understanding how the religion was established and the advances of the religion throughout human history that shape the global image of the religion today while also recognizing changes in theology that have occurred throughout history due to major historical events  

Instructions:

In your reading of Chapter 5 – Encouraging Buddhism: The Middle Path to Liberation you have gained a better understanding of what the religion of Buddhism is all about from the context of its history, beliefs and practices, code of ethics, etc. You will now use the information gleaned in the chapter to expand upon particular elements of Buddhism enumerated below: 

  1. Buddhist Symbols and Names (.5 pages)
    1. Identify a common Buddhist symbol and explain its significance
      1. Consider the following:
        1. History/Origins of the symbol
        2. Important religious figure(s) associated with the symbol and their involvement with it
        3. How is the symbol utilized by Buddhists today?
          1. Is it used during prayer/worship?
          2. Is it worm as an outward sign of faith?
    2. Distinguish between the terms ‘Buddhism’ and ‘The Buddha’ as it relates to the religion itself.
  2. Life of the Siddhartha Gautama (.5-1 pages)
    1. Discuss who Siddhartha Gautama was and the impact that he had on Buddhism.
    2. Describe 3 key events from Siddhartha Gautama’s life.
    3. Address how these events are commemorated by Buddhists today.
  3. Beliefs and Practices (2 – 3 pages)
    Throughout his life, Siddhartha Gautama did not record any of his teachings, but he is known for his influential sermons and the discussions that he had with his fellow monks. These sermons were transmitted orally for centuries before they were finally committed to writing by several different Buddhist groups. One of the most famous of The Buddha’s discourses is his first discourse titled Setting in Motion the Wheel of Dhamma and in this discourse he outlines two ideas that would become the foundation of all Buddhist thought: The Four Noble Truths and The Noble Eightfold Path. 

    1. Interpret the meaning of each of the Four Noble Truths (1-1.5 pages)
      1. All life is suffering.
      2. The Cause of Suffering is desire.
      3. To end desire is to end suffering.
      4. to end desire, one must follow the Noble Eightfold Path.
    2. Articulate the significance of each of the aspects of The Noble Eightfold Path listed below and demonstrate how Buddhists believe that following these practical techniques will help them to achieve nirvana (1-1.5 pages)
      1. Right Understanding
      2. Right Thought (Intention)
      3. Right Speech
      4. Right Conduct
      5. Right Livelihood
      6. Right Effort
      7. Right Mindfulness
      8. Right Concentration (Contemplation)

Submission Instructions:

  • When completing this written report, the following guidelines must be followed. Failure to do so will result in points being deducted from your grade.
  • This report must be typed in 12 pt. Times New Roman font & double-spaced.
  • Each section of the report must include a section title on a separate line (ex: Buddhists Symbols, Beliefs and Practices, etc.)
  • Each section must incorporate at least 2 direct quotations from wither the course text (World RELG4: Introduction to World Religions) or one of the databases/encyclopedias available through St. Thomas University Library with an appropriate citation.
  • The paper should be formatted per current CMOS and adhere to the page length requirements outlined above.
  • Your paper will be assessed through Turnitin.

Identify one of your major takeaways from this course.  

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#1

 

In this course wrap-up discussion, please reflect on your experience in the course and address the following items:  

  • Identify one of your major takeaways from this course.  
  • What aspects of the course helped you achieve this?  
  • Choose one of the course student learning outcomes (CSLO). Please explain how you could apply your chosen learning outcome to your practice and/or have achieved this outcome having participated in this class. 
  • How will you apply this knowledge to your practice and career? 

This course has been a truly enriching experience, and as I reflect on it, several key aspects stand out. For the course student learning outcome, “Develop your role as a nurse advocate that can impact legislative development (CSLO 4)”, I feel this course has significantly empowered me. While directly impacting legislative development might seem like a distant goal early in one’s career, this course has provided me with the foundational understanding and the impetus to actively engage in advocacy. I now recognize that nurses have a powerful voice and a crucial role to play in shaping healthcare policy. I can apply this learning outcome in several ways. On a smaller scale, I can advocate for my patients within the healthcare system by understanding their rights, ensuring their voices are heard, and navigating complex bureaucratic processes. Furthermore, I can engage in professional organizations and participate in initiatives aimed at influencing local and state-level policies related to patient care, working conditions, and public health. This course has instilled in me the importance of staying informed about legislative issues affecting healthcare and the various avenues through which nurses can make their voices heard, whether it’s through contacting legislators, participating in grassroots efforts, or contributing to policy briefs. Looking ahead, I believe the knowledge gained in this course will be invaluable in my practice and career. The development of my advocacy skills will empower me to be a more effective voice for my patients and the nursing profession. As I grow in my career, I envision myself becoming increasingly involved in advocacy efforts, contributing to the development of policies that promote patient well-being and advance the practice of nursing. This course has laid a strong foundation for me to become a more knowledgeable and impactful nurse.

What maintenance aspects must be accounted for to ensure the long-term use of this system.

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Individual Project Unit 5 #1 (3-4 pages)

Based on the IP you completed in Unit 4, you will now take the system that you selected for evaluation and create an implementation and support plan. You are to serve as the product manager for the given system. It is your responsibility to ensure the success of this system. Complete the following:

  • Create an implementation plan (development and deployment) for the identified system.
  • In addition to your implementation plan, be sure to consider the key performance indicators (KPIs) that you will use to evaluate the success or value of the system.
  • Consider what maintenance aspects must be accounted for to ensure the long-term use of this system.
  •  Just as an FYI, the timelines for this kind of project are almost always in months and implementation/completion is usually 1-2 years after the first internal meeting. 

Individual Project Unit 5 #2 (30-40 slides) 

Create a PowerPoint presentation from your Individual Projects from Units 1–5. This PowerPoint presentation should be a presentation to a chief information officer (CIO). For your presentation, assume that you are being tasked with creating a new division within a healthcare information technology (IT) organization. You have been given complete control of this division; however, you need to explain to the CIO how you will manage the following:

  • The systems development life cycle (SDLC) (e.g., waterfall or agile)
  • The regulations associated with healthcare (e.g., Health Insurance Portability and Accountability Act [HIPAA] and meaningful use)
  • Security and recovery (e.g., system security, network security, and data security)
  • System interoperability and organizational interoperability
  • Implementation of the systems that your division is responsible for within the organization (e.g., action plan)
  • Evaluation of your organization and definitions of success, including financial objectives

 Note: Use APA style 7th edition to cite at least 2 scholarly sources from the last 5 years.  All sources on the Reference Page are required to have a URL or DOI if you do not physically possess the journal or book.   

Unit 5 DB: Implementing a Full System Within Health Care

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 Note: Use APA style 7th edition to cite at least 2 scholarly sources from the last 5 years.  All sources on the Reference Page are required to have a URL or DOI if you do not physically possess the journal or book.    

Primary Task Response: Within the Discussion Board area, write 400–600 words that respond to the following questions with your thoughts, ideas, and comments. This will be the foundation for future discussions by your classmates. Be substantive and clear, and use examples to reinforce your ideas.

Implementing systems is often more challenging than designing systems. Consider a large healthcare organization that is implementing an EHR that must interface with multiple external systems, and complete the following:

  • Select 1 of the following components of such an implementation, and explain what would be required to implement this aspect of the project:
    • User training
    • Documentation of the system for support or operations
    • Documenting the system for regulatory approval
    • Evaluating the system for security concerns
    • Evaluating the system for implementing the system at a new facility that the organization has acquired

User training is critical to the success of an EHR implementation. What do you think should be the timeline of training the staff when the “go-live” date for a new EHR is 12 months away? Who should be responsible for training all the front-line staff, and if it is not the vendor, what is the training timeline for those people?   Just as an FYI, the timelines for this kind of project are almost always in months and implementation/completion is usually 1-2 years after the first internal meeting.