wk7

/in /by

Week 7: Intervention for Proposed Clinical Change Project

You are designing an executable population-based change project addressing identified
practice-related problems or questions. This strongly emphasizes collaboration between
advanced practice nurses and community agencies and include working with an agency
using practice data to provide answers, which are responsive to the needs of clinicians,
administrators, and policy makers for improvement of programs or practices.

This section of the change project should include a discussion of key concepts.

1. Clarify the issue under study.
2. Propose solutions or interventions based on the literature
3. Compare other views on the problem and solutions.
4. Address the APRN role in the intervention and discuss implications for clinical

practice.
5. Discuss the implications of your change project.
6. Some important things to consider and address:
7. Does your intervention have a clear connection to your research problem?
8. What are the specific methods of data collection you are going to use, such as

surveys, interviews, questionnaires, or protocols?
9. How do you intend to analyze your results?
10. Provide a justification for subject selection and sampling procedure.
11. Describe potential limitations. Are there any practical limitations that could affect

your data collection? How will you attempt to control the limitations?
12. How will your change project help fill gaps in understanding the research

problem?
13. This section should be 6–7 pages in length, not including the cover or reference

page. You must reference a minimum of 5 scholarly articles.

14. Use the current APA format to style your paper and to cite your sources. Review

the rubric for more information on how the assignment will be graded.

Rubric

Criteria Ratings Pts

This criterion is linked to a

Learning Outcome Content 64 to >52.48 pts

Meets Expectations

Succinctly clarifies the issue under study. Provides

a brief summary of the project including main

points and anticipated findings. Provides keen

insight into obstacles and proposes sound,

creative solutions or interventions based on the

literature review findings. Expertly compares other

views on the problem and solutions with detail.

Uses examples to thoroughly address the FNP role

in the intervention and discusses implications for

clinical practice. Thoughtfully discusses the

implications of the change project and its

significance to the nursing profession and filling

gaps in knowledge. Accurately categorizes and

thoroughly explains specific methods of data

collection to be used. Explains in detail how data

will be analyzed and used. Provides a sound

justification for subject selection and sampling

procedure. Accurately and thoroughly describes

potential limitations to data collection and control.

Meets all of the criteria of the written assignment.

64 pts

This criterion is linked to a

Learning Outcome

Organization
8 to >6.56 pts

Meets Expectations

Content is well written throughout. Information is

well organized and clearly communicated.

8 pts

This criterion is linked to a

Learning Outcome APA

Format/Mechanics

8 to >6.56 pts

Meets Expectations

Follows all the requirements related to format,

length, source citations, and layout. The

assignment is free of spelling and grammatical

errors.

8 pts

Total Points: 80

  • Week 7: Intervention for Proposed Clinical Change Project

sociology project 2

/in /by

Purpose: The purpose of this assignment is to introduce Mills’
Sociological Imagination as well as to describe a personal
situation that you select to serve as the main topic of the
Sociological Imagination essay that you will submit in week 10.
The topic is left to your discretion and is preferably a situation that
stands out in your life, or about which you can write 4-6 pages.

This assignment is the first step to the essay that you will work to
complete throughout the term. You are required to submit only
the Introduction part, and should have the following:

Introduction: Write a paragraph introducing C.W. Mills’s
Sociological Imagination and give a general overview of how
you’ll be applying it to the personal situation that you will discuss
in your paper. To do this, first, describe sociological imagination.
Then, clearly specify your topic by providing a brief description
(1-2 sentences) of the personal situation that you have selected.
Next, identify three chapters that will be utilized to draw
sociological concepts from that you will use to analyze your
personal situation. Lastly, identify one sociological theory from the
text that you will use to analyze your personal situation (e.g.,
conflict theory or symbolic interactionism).

Use APA format throughout the paper including for the Title page,
and references and in-text citations.

W5 os

/in /by

 

taking into account internal and external criticism that is used to evaluate mid-range theories or their use in research. critique Self-Efficacy theory using the internal and external critique evaluation process

Response 6

/in /by

PLEASE RESPOND TO THE FOLLOWING IN 50 WORDS OR MORE:

The Nursing Legislation and Advocacy page on the FNA website identifies 4-different ways for you to get involved with advocacy.  Discuss which way(s) you would most likely get involved with and why?

One of the four different ways to get involved with advocacy that I would get involved in according to the FNA website would be joining the Barbara Lumpkin Institute to have public policy education readily available to improve the healthcare system. By joining this group, I would be given the opportunity to annual symposium and provide financial support to nurses who are involved in healthcare policy (FNA). I love to enjoy researching different topics and interviewing my colleagues on how we can improve to be as safe as possible. I would emphasize the importance of patient-to-nurse ratios and how to manage the nursing shortage starting with staff burnout. There needs to be more support for bedside nursing as it seems like the rate of people going this route is less and less. 

Find and peruse the Barbara Lumpkin Toolkit (BLT).  What are your thoughts about the information provided in the toolkit and what did you learn that you didn’t know before?

I think that the Barbra Lumkin Toolkit (BLT) is an excellent tool to use for anyone looking to promote advocacy in the healthcare setting.  Advocacy is such an important part of nursing not only for our patients but for ourselves as nurses as well. I especially liked learning about the “Ten Commandments for successful living with your legislator”. Something that I didn’t know before is that anyone can call or write to the legislators regarding their reason for change or alteration to current bills. I think that it is so important that nurses get their voices heard and share their opinions with the people who are involved with making changes to the healthcare system. 

References 

Florida Nurses Association. Barbara Lumpkin Institute. (n.d.). https://www.floridanurse.org/Links to an external site.

Unit 10 Peer response. Medications for Dementia. 800W. APA. 4 references due 10-10-23.

/in /by

Advanced Psychopharmacology and Health Promotion

Unit 10 Peer response. Medications for Dementia. 800W. APA. 4 references due 10-10-23.

Instructions:

Please read and respond to at least two of your peers' initial postings. You may want to consider the following questions in your responses to your peers:

· Compare and contrast your initial posting with those of your peers.  

· How are they similar or how are they different?

· What information can you add that would help support the responses of your peers?

· Ask your peers a question for clarification about their post.

· What most interests you about their responses? 

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

Mojgan

Week 10, Medications for Dementia

Based on the test scores above, do you believe that Mrs. Outcome does have dementia?

        Dementia is characterized by a significant cognitive dysfunction from patients’ usual functioning level, impacting their daily activities and quality of life (Stahl, 2021). The Functional Activity Questionnaire (FAQ) is a validated instrument used to assess functional activity levels in older adults. It evaluates activities that require advanced skills, such as managing finances or preparing meals. The purpose of this questionnaire is to identify individuals with functional impairments, particularly in the elderly population (Vik et al., 2023). Mrs. Outcome's score of 13/30 suggests that she is experiencing disruptions in her daily functioning and may be dealing with cognitive issues.

        The GAD-7 scale (Generalized Anxiety Disorder 7-item scale) is a validated tool that is increasingly utilized for screening and clinical research. It is applicable to both adults and adolescents, in both general population and individuals with anxiety disorders. This scale consists of seven items and is designed to evaluate the level of anxiety in patients (Todorović et al., 2023). Mrs. Outcome's score of 7/21 suggests she is experiencing mild anxiety.

        The Mini-Mental Status Examination (MMSE) has a maximum score of 30 points, with higher scores indicating better cognitive function. It comprises 11 questions that assess aspects such as orientation to time, orientation to place, immediate memory, serial seven
 calculation, delayed memory, naming, repetition, oral instruction, writing instruction, spontaneous writing, and copying a design (Naito et al., 2023). Mrs. Outcome's score of 20/30 suggests mild cognitive impairments. Given Mrs. Outcome medical history, which includes incidents like “losing it,” a fire in her house, and confusion between day and night, there is a clear decline from her previous level of functioning. The test results also indicate cognitive decline. Mrs. Taylor is indeed experiencing some degree of cognitive issues, which could be indicative of dementia

What are the differences between delirium and dementia?

        Delirium and dementia differ in several ways. Delirium is a sudden-onset neuropsychiatric condition triggered by a medical issue. Delirium is characterized by disturbances in consciousness and cognitive function, with fluctuating symptoms, often affecting vulnerable individuals (Heijden et al., 2023). On the other side, dementia has a gradual onset and progresses over time (Stahl, 2021). While delirium is typically linked to a patient's medical conditions, often occurring in hospitals, and may be reversible if the underlying cause is resolved, dementia is usually progressive and generally not reversible. In delirium, patients experience impaired attention and reduced awareness of their environment, while those with dementia typically have relatively preserved attention and stable awareness. Dementia primarily affects memory and other cognitive areas in the early stages. Delirium can lead to impairments in various cognitive areas, including memory, language, and executive functions. Dementia patients have a higher risk of developing delirium compared to the general population (Fong & Inouye, 2022).

What two categories of medications are often used to treat dementia and how do these medications work?

        As per Stahl (2021), there are two main groups of medications that can help patients with dementia. The first group is Cholinesterase inhibitors, including medications like donepezil, rivastigmine, and galantamine. Cholinesterase inhibitors work by inhibiting the enzyme responsible for breaking down acetylcholine, a key neurotransmitter that is often reduced in dementia patients. This group of medications functions by increasing acetylcholine levels, which can improve cognitive function, particularly in the early stages of Alzheimer's disease. Galantamine, a cholinesterase inhibitor, was initially derived from snowdrops and has a unique mechanism of action, involving both the inhibition of cholinesterase and the regulation of nicotinic cholinergic receptors (Stahl, 2021).

        The second group of medications consists of NMDA receptor antagonists, with memantine being a prominent example. These medications modulate the activity of glutamate, another neurotransmitter with a crucial role in learning and memory processes. By controlling glutamate levels, these medications may slow down the progression of dementia symptoms, particularly in cases of moderate to severe dementia (Stahl, 2021).

References

Fong, T. G., & Inouye, S. K. (2022). The inter-relationship between delirium and dementia: the importance of delirium prevention.
 Nature Reviews. Neurology, 18(10), 579-596. https://doi.org/10.1038/s41582-022-00698-7

Heijden, E. F. v. d., Kooken, R. W. J., Zegers, M., Simons, K. S., & van den Boogaard, M. (2023). Differences in long-term outcomes between ICU patients with persistent delirium, non-persistent delirium and no delirium: A longitudinal cohort study.
 Journal of Critical Care, 76https://doi.org/10.1016/j.jcrc.2023.154277

Naito, T., Suzuki, Y., Yamasue, K., Saito, K., Umemura, M., Kojima, N., Kim, H., Osuka, Y., Ishikawa, Y., & Tochikubo, O. (2023). Relationship between cognitive function and sway of body in standing posture: A cross-sectional study.
 Geriatrics, 8(2), 29. 
https://doi.org/10.3390/geriatrics8020029Links to an external site.

Stahl, S. M. (2021). 
Stahl’s essential psychopharmacology: Neuroscientific basis and practical application (5th ed.)

Todorović, A., Baumann, C., Blanchin, M., & Bourion-Bédès, S. (2023). Validation of Generalized Anxiety Disorder 6 (GAD-6)—A Modified structure of screening for anxiety in the adolescent French population.
 International Journal of Environmental Research and Public Health, 20(8), 5546. https://doi.org/10.3390/ijerph20085546

Vik, A., Kociński, M., Rye, I., Lundervold, A. J., & Lundervold, A. S. (2023). Functional activity level reported by an informant is an early predictor of Alzheimer’s disease.
 BMC Geriatrics, 23, 1-15. https://doi.org/10.1186/s12877-023-03849-7

Mihaela

Unit 10 – Medications for Dementia

1.
Based on the test scores above, do you believe that Mrs. Outcome does have dementia?

Considering the test results given it seems probable that Mrs. Outcome is experiencing dementia. The score of 20/30, on the NMSE indicates cognitive impairment (Korsnes, 2020). The clock drawing test score of 2/5 indicates challenges with visuospatial abilities, which are often affected in individuals with dementia (Palsetia et al., 2018). Furthermore, her FAQ score of 13/30 suggests that she is experiencing functional impairment in daily activities (Gonzalez et al., 2022). The GAD-7 and PHQ-9 scores indicate mild levels of anxiety and depression which are often seen in individuals with dementia (Stocker et al., 2021). Taking into account these scores, along with other observations like confusion regarding day and night, calling out for assistance, and daytime sleepiness it seems likely that she may be dealing with dementia.

1.
What are the differences between delirium and dementia?

Delirium and dementia are two conditions that can lead to cognitive impairment and have notable distinctions. Delirium typically manifests suddenly and exhibits fluctuating symptoms often triggered by a medical condition or medication side effect. It can usually be reversed by addressing the underlying cause (Grover & Avasthi, 2018). In contrast, dementia refers to a progressive deterioration in cognitive abilities over time and is irreversible (Duong et al., 2018).

1.
What two categories of medications are often used to treat dementia and how do these medications work?

There are two types of medications that are commonly used for treating dementia: cholinesterase inhibitors and N methyl D aspartate (NMDA) receptor antagonists. Cholinesterase inhibitors such as donepezil, rivastigmine, and galantamine work by increasing the levels of acetylcholine in the brain, which helps improve cognitive function to some extent (Battle et al., 2021). On the other hand, NMDA receptor antagonists like memantine help regulate glutamate activity in the brain and may slow down the progression of symptoms associated with moderate-to-severe Alzheimer's disease (Wang et al., 2018). According to the World Health Organization, Alzheimer’s disease is the major cause of dementia, for approximately 60–70% of cases. This chronic neurodegenerative condition exhibits a progression of symptoms over time starting with forgetfulness and gradually affecting language skills, orientation, and behavior, and leads to severe loss of memory and impairment of certain bodily functions until the ultimate death (Wang et al., 2018).

References

Battle, C. E., Abdul-Rahim, A. H., Shenkin, S. D., Hewitt, J., & Quinn, T. J. (2021). Cholinesterase inhibitors for vascular dementia and other vascular cognitive impairments: A network meta-analysis. 
Cochrane Database of Systematic Reviews, 
2021(2). 
https://doi.org/10.1002/14651858.cd013306.pub2Links to an external site.

Duong, S., Patel, T., & Chang, F. (2018). Dementia. 
Canadian Pharmacists Journal / Revue des Pharmaciens du Canada, 
150(2), 118–129. 
https://doi.org/10.1177/1715163517690745Links to an external site.

González, D., Gonzales, M. M., Resch, Z. J., Sullivan, A., & Soble, J. R. (2021). Comprehensive evaluation of the functional activities questionnaire (faq) and its reliability and validity. 
Assessment, 
29(4), 748–763. 
https://doi.org/10.1177/1073191121991215Links to an external site.

Grover, S., & Avasthi, A. (2018). Clinical practice guidelines for management of delirium in elderly. 
Indian Journal of Psychiatry, 
60(7), 329. 
https://doi.org/10.4103/0019-5545.224473Links to an external site.

Korsnes, M. (2020). Performance on the mini-mental state exam and the montreal cognitive assessment in a sample of old age psychiatric patients. 
SAGE Open Medicine, 
8, 205031212095789. 
https://doi.org/10.1177/2050312120957895Links to an external site.

Palsetia, D., Rao, G., Tiwari, S. C., Lodha, P., & De Sousa, A. (2018). The clock drawing test versus mini-mental status examination as a screening tool for dementia: A clinical comparison. 
Indian Journal of Psychological Medicine, 
40(1), 1–10. 
https://doi.org/10.4103/ijpsym.ijpsym_244_17Links to an external site.

Stocker, R., Tran, T., Hammarberg, K., Nguyen, H., Rowe, H., & Fisher, J. (2021). Patient health questionnaire 9 (phq-9) and general anxiety disorder 7 (gad-7) data contributed by 13,829 respondents to a national survey about covid-19 restrictions in australia. 
Psychiatry Research, 
298, 113792. 
https://doi.org/10.1016/j.psychres.2021.113792Links to an external site.

Wang, R., & Reddy, P. (2018). Role of glutamate and nmda receptors in alzheimer’s disease. 
Journal of Alzheimer's Disease, 
57(4), 1041–1048. 
https://doi.org/10.3233/jad-160763Links to an external site.

W5 R see attachment

/in /by

Make a follow-up of a student's weekly discussion and respond with your opinion regarding to her post

——You don't have to post this in APA format necessarily, it's just giving feedback to the student .



Lili Ketema


Clinical Decision Support Systems

Pros

Cons

Patient Safety. Clinical Decision Support Systems empower Advanced Practice Nurses to make decisions in a timely and informed manner by detecting diseases early and managing them effectively (Ayed Aloufi, 2020). CDSS has reminder systems for medical events different from the ones related to medicine. For example, CDSS for measuring blood glucose in the ICU can decrease the frequency of hypoglycemia events (Sutton et al., 2020). This CDSS automatically prompts nurses to take glucose measurements with respect to the local glucose monitoring protocol that specifies particular patient demographics and previous glucose trends.

Overreliance. CDSS may increase patient safety but increase reliance on the system, resulting in a decrease in critical thinking capabilities since the APN does not feel impelled to utilize their clinical judgment capabilities. This development is undesirable because the APN becomes less equipped for a task that they can execute in the absence of a CDSS. Sutton et al. (2020) compare overreliance on CDSS to using a calculator in math; the authors indicate that the user’s mental math skills decline with extended use. Therefore, APNs may end up less equipped to execute the services they should execute with ease. 

Improved Accuracy and Efficiency. CDSS can process significant quantities of patient data swiftly and precisely, empowering providers of care to effectively diagnose and plan for treatment (Ayed Aloufi, 2020). This decreases the possibility of errors by providing computerized consultation. The Diagnostic Decision Support Service provides data/user selections and then outputs a list of possible diagnoses (Sutton et al., 2020). These developments enhance EHR-integration as well as standardized vocabulary such as Snomed Clinical Terms.      

System and Content Maintenance. Maintenance is an often neglected aspect of the lifecycle of the CDSS. Maintenance encompasses technical and content of the systems that power the CDSS. The applications and knowledge-base of the CDSS should always be apace with the shifting nature of clinical guidelines and medical practice. Failure to stay updated may limit the CDSS’ capacity to maintain the desired levels of accuracy and efficiency. Sutton et al. (2020) assert that even the healthcare institutions that are highly advanced experience challenges keep9ing abreast with keeping their systems updated due to the inevitability of changes in medical knowledge bases. 

Cost Containment. The capacity of CDSS to decrease the length of stay for in-patients, provide clinical interventions, decrease test duplication, and suggest cheaper alternatives of medicine makes the systems more efficient (Sutton et al., 2020). For example, a CPOE-integrated has the capacity to limit the scheduling of blood count to a 24-hr interval when implemented in a paediatric cardiovascular intensive care unit. This laboratory resource utilization cost-reduction has a predictable cost discount of $717,538 every year, minus increasing mortality or length of stay. These advantages reveal the highly capabe nature of the CDSS to contain costs associated with hospital procedures and the overall ROI associated with CDSSs.  

The system is predicated on computer literacy. Decreased proficiency in technology can be limiting when a person is engaging with CDSS. The high design details associated with CDSS may be exceedingly complicated, decreasing the capacity of some APNs to use them to reach the advantages associated with the implementation of the system within a hospital setting (Sutton et al., 2020). Although some systems stay as close to close functionality as possible, every new system has a learning period, meaning the baseline of the technological competence of users is appropriate. Further training for APNs increase on the costs that the institution was aiming at cutting in the first place.

Future role as an APN and clinical patient and scenario 

A 68 year old man who has a history of diabetes, hypertension, and chronic renal disease shows up at the clinic complaining of fatigue, increased thirst, and frequent urination. Since I feel the patient's symptoms might be brought on by uncontrolled diabetes, I have made the decision as a prospective APN healthcare professional to ask for a blood test to confirm the diagnosis.

Impact of CDSS: Before prescribing any new medications, the system alerts me about the patient's current medications, which include metformin and lisinopril. The CDSS also prompts  to consider the patient's renal status.

After noting the CDSS alert, I decide to review the patient's most recent lab results, particularly the estimated glomerular filtration rate (eGFR). The patient has substantial renal impairment, as seen by their eGFR, which is less than 30 mL/min/1.73m2, as I learned after examining the lab results.

In light of the CDSS alert and the patient's test results, I decide to alter the patient's prescription regimen. As opposed to providing a conventional oral anti-diabetic prescription like sulfonylureas, which may be contraindicated in patients with severe renal impairment, as APN i would consider alternate choices such insulin treatment or a newer family of anti-diabetic pharmaceuticals that are safe for patients with renal impairment.

Based on the patient's renal function and the medications they were taking at the time, the CDSS made recommendations. This let the medical practitioner make a more informed decision and avoid any side effects or drug interactions.

This scenario demonstrates how a CDSS might influence a provider's decision by providing timely reminders and cautions based on the patient's specific clinical data. It guarantees that the healthcare provider considers all relevant information and selects the best course of action for the patient's unique needs.

References

Ayed Aloufi, M. (2020). Effect of clinical decision support systems on quality of care by nurses. 
International Journal for Quality Research, 
14(3), 665–678. https://doi.org/10.24874/ijqr14.03-01

Sutton, R. T., Pincock, D., Baumgart, D. C., Sadowski, D. C., Fedorak, R. N., & Kroeker, K. I. (2020). An overview of clinical decision support systems: Benefits, risks, and strategies for Success. 
Npj Digital Medicine, 
3(1). https://doi.org/10.1038/s41746-020-0221-y

 

Discussion 250 words. Make sure you provide 2 references and utilize APA style.. . Discussion Rubric

/in /by

Examining and interpreting trends in epidemiological measures

In this activity, you will examine and interpret lung cancer 

incidence
 rates in the United States over a 40 year period and compare trends over time between males and females. 


Step 1: 
Access the 

SEER*Explorer
 (Surveillance, Epidemiology, and End Results Program) data from the U.S National Cancer Institute. Spend at least 10 minutes exploring the data and the functionality of this interactive data-generating tool.


Step 2: 
Generate a graph that illustrates the incidence rates for lung cancer from 1975 to 2017. Ensure that your data set contains information on both sexes.

Use the Seer*Explorer to generate the graph. Make the following selections in the dropdown menus: ‘Lung & Bronchus’ for Choose Cancer Site, ‘SEER Incidence’ for Data Source, 'Race/Ethnicity' for Characteristics to Compare, ‘Both Sexes’ for Sex, ‘All Races (includes Hispanics)’ for Race/Ethnicity Legend, and ‘All Ages’ for Age. Once you have generated the graph, be sure to read the information regarding the 'Data Source' found below the graph to ensure you understand how the data were generated. Click on 'Download and Share' to access the option to save the image.  


Step 3: 
Answer each of the following questions about the data on cancer incidence in 100 words or less.

1.     What types of incidence rates are being presented here?

2.     What do the crude incidence rates tell us?

3.     What do age-adjusted rates tell us?

4.     Why is it important to age-adjust the rate?

Describe the change in U.S. lung cancer incidence from 1975 to 2017 in both men and women combined. Discuss the factors that may account for the observed trends during this time period. Be sure to include a copy of your graph in your completed assignment.  Your answer should contain a maximum of 250 words. Be sure to include a copy of your graph in your completed assignment.  


Step 4: 
Generate a new graph that illustrates the incidence rates for lung cancer in males from 1975 to 2017. Next, include the incidence rates for lung cancer in females during the same time period. Save the graphs.


Step 5: 
Compare and contrast lung cancer incidence rates in males and in females from 1975 to 2017. Discuss the factors that may account for any observed differences. Be sure to justify your answer. Be sure to include a copy of your graphs in your completed assignment. Your answer should contain about 150 words.


Step 6: 
Discuss why it is important for public health practitioners to examine trends in incidence rates over time. Your answer should contain about 150 words.

Please be sure to adhere to the following when posting your weekly discussions:

1. Students are to write their name and the appropriate

discussion number/discussion title in the title bar for each discussion. For

example 
Discussion 1: Micheal Cabrera or Discussion 3: Sheila Smith. This is important in identifying that students are submitting original posts as well as response posts as required.

2. Students are to submit their discussions 
directly onto Blackboard Discussion Board.Attachments submitted as discussion board posts will not be graded.

3.  As a reminder, 

all discussion posts must be minimum 500-550 words, references 

mustbe cited in 
APA format 7th Edition, and must include minimum of 
3 scholarly resources published within the past 5-7 
years (not part of the classroom coursework).  


DISCUSSION POSTS WILL BE DUE NO LATER THAN SUNDAY, by 11:59 pm

blog

/in /by

 Post a response to your Blog in which you describe at least two of the most important needs/challenges/issues in your community or organization. Why are these needs/challenges/issues important? Be specific. Then, recommend at least two practice changes or interventions you would suggest to address these needs/challenges/issues in your community or organization. Be sure to align your role as the DNP-prepared nurse to the competencies identified in the AACN Essentials.

 

Cultural Wk 3 Disc

/in /by

 

Food for thought items: 

From your reading assignments have you noticed any similarities among the cultures that you have read about, are there any distinct differences that would have you make an adjustment in your plan of nursing care? 

Please review the criteria for your culturally diverse client interview.  Do you have any special preparations? Are there any sensitivity issues you may want to be aware of during this process? 

The actual discussion topic included: 

In the evaluation of your current workplace or neighborhood. Have you noticed any additional population shifts?  It seems that this topic as been explored already by several students. If this is the case, please continue to highlight noticeable changes with each other

Replies week 9MSN 5550

/in /by

  Reply  with a reflection of their response.  

1.Gordon’s functional health patterns are a mechanism adopted by nurses to assess a patient’s overall health status so as to develop individualized care plans since it researches the individual’s patterns of living and functioning (Salvador, 2022). Its component patterns include (Morgan, 2021), Cognition and perception, identity and relationships, sexuality and reproduction, resilience and stress management, ethics and values, and the way one views and handles their own health all play a part.

In contrast between two toddlers of different ages (Morgan, 2021), the conclusions were a toddler of twelve months was picky with the food that he consumed as he could not consume solid foods, still had occasional accidents, could not sit very well, and took several naps in a day, was able to understand and use simple words and phrases, was beginning to develop a sense of self, was shy around strangers, had no perception of his sexuality or gender identity, had difficulty coping with stress and change and had no sense of value and oblivious of any beliefs. While that of two years ate a wider variety of foods, was potty trained, was able to sit for long, stand run, and play with others, took one nap per day, was able to understand and use complex concepts, such as time and space, had a better understanding of self and is developed a unique personality and interests. Was independent, aware of his sex and gender, coping with stress and exchange to some extent, and developed some values and beliefs.

It is without a doubt that such patterns change or evolve with time as the toddler develops and therefore there will always be the need for a nurse to ensure appropriate help is given.

2. Compare and contrast the growth and developmental patterns of two toddlers of different ages using Gordon’s functional health patterns. Describe and apply the components of Gordon’s functional health patterns as it applies to toddlers.

Toddlers of different ages have different growth and functional health patterns according to Gordon’s functional health patterns. On health perception- and health management, a one-year-old child is starting to develop their perception of health, but does not have a well-developed perception of health and ways of improving it (Dannyelle et al., 2023). The child depends on their parents for nutrition, health check-ups, and other health maintenance. On the other hand, a three-year-old toddler has a better understanding of health and control of their bodies; for instance, they can express themselves when sick and make simple health decisions such as wearing warm clothes when feeling cold. On nutrition-metabolic, both one year and three years child have increased appetites and require a balanced diet to support their growth and development (Dannyelle et al., 2023). A year-old toddler is still transitioning to solid foods and relies on breastmilk for proper nutrition. On the other hand, a three-year-old toddler has a more diverse diet that includes a variety of food groups. The child starts making food choices land, preferring some foods to others. 

On elimination, both toddlers are learning to control their bladder and bowel movements; a year-old is still toilet training, while a 3-year-old kid is well trained and can communicate when they want to relieve themselves. On the activity and exercise development functions, a year-old child is learning to crawl, stand, and take their first steps while a child on normal developmental patterns has mastered such skills of standing and even walking and playing with others; they also run, jump, and climb (Dannyelle et al., 2023). The toddler also enjoys participating in organized physical activities like dancing or playing. 

On cognitive-perceptual functions, toddlers have different cognitive and perception abilities; in normal cases, a year-old child has started to understand simple words and can follow simple instructions. The child has, however not fully developed cognitive functions to enable them to fully follow instructions or behave as grown-up children (Vriesman et al., 2020). At 3, the toddler has developed a more advanced vocabulary and can understand and follow more complex instructions. The child is always able to identify shapes, colors, and objects. For test and sleep health functional health patterns, a year-old child requires a lot of sleep for proper growth and development; they may require 12-14 hours of sleep, including naps. On the other hand, a three years old child has gradually reduced their sleeping duration, and they may require about 10 hours of sleep each day and no longer take daytime naps (Vriesman et al., 2020). Concerning Self-perception, a one-year-old child has started to develop a sense of self. They may recognize themselves in the mirror and have a basic understanding of their identity. Three years old, on the other hand, have a more developed sense of self and can express their likes, dislikes, and feelings.

Concerning roles and relationships, both children are learning how to interact with others and establish relationships. A year-old child may be dependent on his parents; they may also show separation anxiety. At three years old, a child is more independent and can interact with peers and build friendships. On coping-Stress Tolerance, both toddlers have not developed good stress coping strategies; they may become fussy or cry when overwhelmed with pressure and stress (Vriesman et al., 2020). However, three a old may show some tolerance to stress and humiliation by parents and strangers. They are generally better at managing their emotions and can express them verbally. On value-belief, both toddlers are in the process of developing their values and beliefs. At one year old, a year’s child is beginning to understand basic moral concepts like sharing and manners. On the other hand, a three-year-old toddler has a better understanding of right and wrong and may have established some personal beliefs.