2023 Using the patient information provided respond to the following questions a What cultural considerations are important for you

2023 Nursing DQ 1-4

Using the patient information provided respond to the following questions a What cultural considerations are important for you 2023

 

Using the patient information provided, respond to the following questions: (a) What cultural considerations are important for you to remember while you interview Ms. Li? (b) What is the abuse assessment screen? (c) If abuse is discovered, what should you do?

Patient Information:

Patient: Sue Li

Age: 20

Ethnicity: Asian American

references

We give our students 100% satisfaction with their assignments, which is one of the most important reasons students prefer us to other helpers. Our professional group and planners have more than ten years of rich experience. The only reason is that we successfully helped over 100000 students with their assignments on our inception days. Our expert group has more than 2200 professionals in different topics, and that is not all; we get more than 300 jobs every day more than 90% of the assignment get the conversion for payment.

Place Order Now

2023 Discuss a practice that was common in nursing that is no longer valid or acceptable discuss

2023 Nursing EXTRA CR(1)

Discuss a practice that was common in nursing that is no longer valid or acceptable discuss 2023

 

  Discuss a practice that was common in nursing that is no longer valid or acceptable, discuss why the practice is no longer used and include some information on the procedure or practice has replaced it. I think reflection on this will illustrate the changing nature of nursing practice and of the evidence we use.

please include a link to the supporting evidence in your post.  Answering this question is not required, but a response that illustrates a change based on EBP will net you one substantive reply for the week. Lisa

 

Places to look  for EBP include Cochrane Library, National Guideline Clearing House  and Joanne Briggs.

We give our students 100% satisfaction with their assignments, which is one of the most important reasons students prefer us to other helpers. Our professional group and planners have more than ten years of rich experience. The only reason is that we successfully helped over 100000 students with their assignments on our inception days. Our expert group has more than 2200 professionals in different topics, and that is not all; we get more than 300 jobs every day more than 90% of the assignment get the conversion for payment.

Place Order Now

2023 Health Literacy In order to effectively manage their own health individuals need to have competencies in two

2023 Nursing Transforming Nursing and Healthcare through Technology

Health Literacy In order to effectively manage their own health individuals need to have competencies in two 2023

Health Literacy

In order to effectively manage their own health, individuals need to have competencies in two areas—basic literacy and basic health literacy. What is the difference? Basic literacy refers to the ability to read, even simple language. Health literacy is defined as, “the degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions” (National Coalition for Literacy, 2009). Unfortunately, according to a Department of Education report on health literacy, only 12% of adults aged 16 and older are considered to have a proficient level of health literacy (U.S. Department of Education, 2006). Acquiring health literacy skills has become more complicated with the explosion of online health information, some credible and some misleading.

In this Discussion, you focus on how to help individuals find credible information on the Internet and develop strategies nurses can use to increase the health literacy of their patients.

To prepare:

· Think about the nurse’s role in improving the health literacy of patients.

· Consider the many ways patients access health information, including blogs, social media, patient portals, websites, etc.

· Reflect on experiences you have had with patients who self-diagnose using online medical sources.

· Using the Internet, the Walden Library, or other trustworthy sources, identify a resource that you could introduce to patients to help them evaluate the credibility of health information found online.

· What are some strategies you could employ to improve the health literacy of patients?

Required Readings

McGonigle, D., & Mastrian, K. G. (2015). Nursing informatics and the foundation of knowledge (3rd ed.). Burlington, MA: Jones and Bartlett Learning.

  • Chapter      17, “Supporting Consumer Information and Education Needs”

This chapter explores health literacy and e-health. The chapter examines a multitude of technology-based approaches to consumer health education.

  • Chapter      18, “Using Informatics to Promote Community/Population Health”

In this chapter, the authors supply an overview of community and population health informatics. The authors explore a variety of informatics tools used to promote community and population health.

  • Chapter      16, “Informatics Tools to Promote Patient Safety and Clinical Outcomes”

The authors of this chapter present strategies for developing a culture of safety using informatics tools. In addition, the chapter analyzes how human factors contribute to errors.

Health literacy: How do your patients rate? (2011). Urology Times, 39(9), 32.

The authors of this article define health literacy and emphasize its poor rates in the United States. Additionally, the authors recommend numerous websites that offer patient education materials.

Huff, C. (2011). Does your patient really understand? H&HN, 85(10), 34. 

This article defines hospital literacy and highlights the barriers that prevent it from increasing. It also emphasizes the difficulties created by language and financial costs.

The Harvard School of Public Health. (2010). Health literacy studies. Retrieved from http://www.hsph.harvard.edu/healthliteracy

This website provides information and resources related to health literacy. The site details the field of health literacy and also includes research findings, policy reports and initiatives, and practice strategies and tools.

Office of Disease Prevention and Health Promotion (n.d.). Health literacy online. Retrieved June 19, 2012, from http://www.health.gov/healthliteracyonline/

This webpage supplies a guide to writing and designing health websites aimed at increasing health literacy. The guide presents six strategies that should be used when developing health websites.

U.S. Department of Health and Human Services. (n.d.a). Quick guide to health literacy. Retrieved June 19, 2012, from http://www.health.gov/communication/literacy/quickguide/Quickguide.pdf

This article contains an overview of key health literacy concepts and techniques for improving health literacy. The article also includes examples of health literacy best practices and suggestions for improving health literacy.

Required Media

Agency for Healthcare Research and Quality (Executive Producer). (2012a). Interview with Rachelle Toman, M.D. Ph.D. Rockville, MD: Author. Retrieved from http://www.ahrq.gov/patients-consumers/patient-involvement/ask-your-doctor/videos/clinician06/index.html

In this interview, Dr. Toman discusses the importance of asking patients questions to ensure they have been able to sufficiently communicate their concerns.

Agency for Healthcare Research and Quality (Executive Producer). (2012b). The waiting room video. Rockville, MD: Author. Retrieved from http://www.ahrq.gov/patients-consumers/patient-involvement/ask-your-doctor/videos/waitroom/index.html

This video addresses the importance of communication in the patient-health care professional relationship. It highlights the need to ask meaningful questions to the patient to fully understand issues and concerns.

We give our students 100% satisfaction with their assignments, which is one of the most important reasons students prefer us to other helpers. Our professional group and planners have more than ten years of rich experience. The only reason is that we successfully helped over 100000 students with their assignments on our inception days. Our expert group has more than 2200 professionals in different topics, and that is not all; we get more than 300 jobs every day more than 90% of the assignment get the conversion for payment.

Place Order Now

2023 Ethical Issues With an Aging Population According to the CDC in the United States the proportion of

2023 Nursing Discussion response

Ethical Issues With an Aging Population According to the CDC in the United States the proportion of 2023

 

  • Ethical Issues With an Aging Population

    According to the CDC, “in the United States, the proportion of the population aged >65 years is projected to increase from 12.4% in 2000 to 19.6% in 2030,” (CDC, 2003, para. 2). Caring for this aging population is going to be one of the greatest challenges facing the health care industry. Not only will the number of individuals requiring care rise, but so will the cost. As poignantly stated by Crippen and Barnato, “unless we change the practice of medicine and reduce future costs, and explicitly address the ethical dilemmas we face, there may come a time when our kids simply cannot afford us” (2011, p. 128).

    In this Discussion, you will examine the ethical issues that the United States and other nations must address when faced with the health care challenges of an aging population.

    To prepare:

    • Consider the ethical aspects of health care and health policy for an aging population.
    • Review the Hayutin, Dietz, and Mitchell report presented in the Learning Resources. The authors pose the question, “What are the economic consequences, now and for future generations of taxpayers if we fail to adapt our policies to the changing reality of an older population?” (p. 21). Consider how you would respond to this question. In addition, reflect on the ethical decisions that arise when dispersing limited funds.
    • Contemplate the impact of failing to adjust policy in accordance with the changing reality of an older population.
    • Reflect on the ethical dilemmas that arise when determining expenditures on end-of-life health care.

     

    Ask a probing question, substantiated with additional background information, evidence, or research using an in-text citation in APA format.

  • Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.
  • Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.
  • Validate an idea with your own experience and additional research.
  • Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.
  • Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

 

 

 

Aging Ethical Aspect of Health Care

Ethics always plays a significant role in caring for our clients, but with the increasingly aging population, our focus on ethics and nursing must adapt to take this into consideration

As health promotion, education and technology advances, the life expectancy for Americans have also risen.  According to the Stanford Center on Longevity, over the next 30 years the population of Americans over the age of 65, will at least double to 80 million (Hayutin, Dietz & Mitchell, 2010). However, with this aging population, it increases the individual’s risk to chronic diseases like obesity, arthritis, diabetes, dementia and hypertension.  Therefore, as a nation now face new challenges such as increasing healthcare costs, more retired citizens than those currently working within the workforce and greater financial burden on the individual for their retirement (Farrelly, 2010).

Code of Ethics

Looking at the Code of Ethics for Nurses by the America Nurses Association (ANA), nothing changes just because the person is elderly.  Provision one, two and three of the Code of Ethics for Nurses, looks at the nurse promoting good, being an advocate, and fighting for patients’ rights, healthcare and self-worth (Fowler & ANA, 2008).  Everyone is a unique, and we must treat them as such.  However, provision four, five and six, looks at promoting health, making decisions and ensuring the safety of our clients (Fowler & ANA, 2008).  While, provision seven, eight and nine, look at maintaining integrity, working with other health care professionals and promoting a scholarly mind, so advancing knowledge and skills through evidence-based research (Fowler & ANA, 2008).  At no point, does age play a part of the Code of Ethics. Throughout my nursing career, I have met senior citizens who are independent, have better health than people a lot younger than themselves and can make their own decisions about their healthcare.

Ethical Dilemma

With the changing and increasing aging population, nurses need to continue to advocate for our clients’ needs.  Under provision two of the Code of Ethics, the nurse’s primary commitment is to the patient.  However, older people often need more medical care, due to chronic illness and the taking of multiple medications.  Also with the elderly nearing the end of their lifespan, it can be thought that investing time and money may be of little benefit in comparison to the younger generation, who have a longer to live (Bognar, 2015).  Thankfully, the federal government prohibits consideration of this factor or the use of age as a factor in cost-benefit analysis (Bognar, 2015). Under provision eight of the Code of Ethics, “Health is a Universal Right” (pg. 31), so available to everyone indiscriminate of their age (Fowler & ANA, 2010)

Next, should we be increasing the age of retirement?  It would certainly provide more finances for health care due to the decreasing workforce, but perhaps the aging population has already paid enough into our society. Maybe we can reduce government spending, encouraging individuals to rely on their personal assets and savings for retirement care. Maybe our focus should only be on palliative care for the over 65-year-old, so maintaining their present quality of life, rather than any life-extending care. By focusing healthcare policy and research on healthcare needs of the younger generation, this will prolong the lifespan of those who have lives still to live, so a chance to make it to aged 65 (Bognar, 2015). However, will this limit the healthcare of the younger generation as they progress throughout their lifespan and become part of the aging population?  Under provision two of the Code of Ethics, we look at the interests of the individual or community (pg. 21), so looking at the client as a person, not their age (Fowler & ANA, 2008).

Also with policy and research, consent plays an important part. Informed consent may not be a problem initially, but as time progresses, it may be a concern due to the possible changing mental status of the client during and throughout the research and policy process (Ries, 2010). Older people can be more of a challenge or a vulnerable group to study. Maybe they do not have the resources to participate in the studies or with both chronic illnesses and multiple medications, it is potentially too complicated to address just one disease by itself (Ries, 2010). However, looking at provision seven of the Code of Ethics, it promotes advances in nursing practice and scholarly research, but it does not stipulate an age limit (Fowler & ANA, 2008). Nurses, therefore, need to work closely with their patients, gaining knowledge, advocating for their individual clients’ specific rights; by doing so, the nurse can carry out their clients’ personal beliefs and wishes without question (Zomorodi & Foley, 2009).

Conclusion

Health care policies favor the younger population, however, in our changing environment and aging population, we need to consider the fuller picture of healthcare.  Protecting people’s health at any age is important, and everyone deserves an equal share of opportunities throughout the span of life (Bognar, 2015).  However, it is our responsibility as nurses to ensure our clients have all the information about their health so that they can make their own informed decisions. We should not be rationing health care on age, disability or any other factors. Only an individual can decide the cost of their own life, and in cannot be assumed that an older person still does not have their own life goals to accomplish still (Gruenewald, 2012).

References

Bognar, G. (2015). Fair Innings. Bioethics. Retrieved from http://eds.b.ebscohost.com.ezp.waldenulibrary.org/eds/pdfviewer/pdfviewer?vid=1&sid=a218ce66-aed5-4f27-b9dd-3d24ce53acf3%40sessionmgr103&hid=126

Farrelly, C. (2010). Equality and the duty to retard human ageing. Bioethics. Retrieved from http://eds.a.ebscohost.com.ezp.waldenulibrary.org/eds/pdfviewer/pdfviewer?sid=e4700d76-f00a-4aea-a15e-a7f4a910f765%40sessionmgr4007&vid=2&hid=4210

Fowler, M. D., & American Nurses Association. (2008). Guide to the code of ethics for nurses: Interpretation and application. Retrieved from http://nursingworld.org/DocumentVault/Ethics-1/Code-of-Ethics-for-Nurses.html

Gruenewald, D. A. (2012). Can Health Care Rationing Ever Be Rational? Journal of Law, Medicine & Ethics. Retrieved from http://eds.b.ebscohost.com.ezp.waldenulibrary.org/eds/pdfviewer/pdfviewer?sid=780c3109-5597-4727-b4cd-3b29aa55cadc%40sessionmgr104&vid=13&hid=104 

Hayutin, A. M., Dietz, M. & Mitchell, L. (2010). New Realities of an Older America. Stanford Center of Longevity. Retrieved from http://longevity3.stanford.edu/wp-content/uploads/2013/01/New-Realities-of-an-Older-America.pdf

Ries, N. (2010). Ethics, Health Research, and Canada’s Aging Population. Canadian Journal on Aging. Retrieved fromhttp://eds.b.ebscohost.com.ezp.waldenulibrary.org/eds/pdfviewer/pdfviewer?vid=8&sid=a218ce66-aed5-4f27-b9dd-3d24ce53acf3%40sessionmgr103&hid=126

Zomorodi, M., & Foley, B. (2009). The nature of advocacy vs. paternalism in nursing: Clarifying the ‘thin line.’ Journal of Advanced Nursing, 65(8), 1746–1752. Retrieved from http://web.a.ebscohost.com.ezp.waldenulibrary.org/ehost/pdfviewer/pdfviewer?sid=ab4fe41a-1124-4cf9-9ccb-46c029d0e241%40sessionmgr4007&vid=1&hid=4201

We give our students 100% satisfaction with their assignments, which is one of the most important reasons students prefer us to other helpers. Our professional group and planners have more than ten years of rich experience. The only reason is that we successfully helped over 100000 students with their assignments on our inception days. Our expert group has more than 2200 professionals in different topics, and that is not all; we get more than 300 jobs every day more than 90% of the assignment get the conversion for payment.

Place Order Now