Nursing

Describe the evaluation plan and measures to determine whether the education was effective. Part 2: The deliverable is 1–2 pages of evidence-based educational material designed for a 5th-grade audience OR a poster (refer to references and best practices for health education materials or poster development). In relation to COVID 19 The education must include the following: Title of education and name of student (you)  Clear, easy-to-understand language (5th-grade level) Pictures to add clarity to the words Bullet points, if possible A poster is an option References must be current (within 3 years) and cited at the bottom of the educational material

How often do you engage with or witness death in your work? How has this experience or the lack of it shaped your view of death? Has it gotten easier or harder for you to accept the fact of death? As you explain, include your clinical specialty. (*Geriatric specialty*)

Knowledge This assignment will strengthen your knowledge of empathy. Task Review the Poem below: Crabbit Old Woman What do you see, nurses…………What do you see? What are you thinking……….When you’re looking at me? A crabbit old woman……..Not very wise, Uncertain of habit…….With faraway eyes? Who dribbles her food…..And makes no reply. When you say in a loud voice…..”I do wish you’d try!” Who seems not to notice…..The things that you do, And forever is losing….A stocking or shoe? Who, resisting or not, ……Lets you do as you will With bathing and feeding…..The long day to fill? Is that what you’re thinking?…..Is that what you see? Then open your eyes, nurses….You’re not looking at me! I’ll tell you who I am…..As I sit here so still As I do at your bidding……As I eat at your will. I’m a small child of ten…..With a father and mother, Brothers and sisters…..Who love one another. A young girl of sixteen…..With wings on her feet Dreaming that soon now….A lover she’ll meet. A bride soon at twenty…..My heart gives a leap Remembering the vows…..That I promised to keep. At twenty-five now……I have young of my own, Who need me to guide…..And a secure, happy home. A woman of thirty…..My young now grown fast, Bound to each other…..With ties that should last. At forty, my young children…..Have grown and are gone But my man’s beside me….To see I don’t mourn. At fifty once more……..Babies play round my knee, Again we know children…..My loved one and me. Dark days are upon me….My husband is dead I look at the future………I shudder with dread. For my young are all rearing…..Young of their own, And I think of the years…….And the love that I’ve known. I’m now an old woman…..And nature is cruel; Tis just to make old age….Look like a fool. The body, it crumbles…..Grace and vigor depart. There is now a stone….Where I once had a heart. But inside this old carcass….A young girl still dwells, And now and again….My battered heart swells. I remember the joys……I remember the pain, And I’m loving the living….Life over again. I think of the years…..All too few, gone too fast, And accept the stark fact….That nothing can last. So open your eyes, nurse…..Open and see Not a crabbit old woman….Look closer….See ME!   by Phyllis McCormack in 1966 Now complete the Learning Activity here: 1.  How did you feel after reading this poem?  Please write a one-paragraph reflection related to your thoughts and feelings in relation to the poem and your soon to be career as a nurse.

Why have you chosen to pursue nursing as a career? What qualities and attributes do you believe you possess that will enable you to perform effectively as a student and later as a practicing baccalaureate prepared nurse? How can nursing address and improve global healthcare needs?

Refer back to the interview and evaluation you conducted in the Topic 2 Family Health Assessment assignment. Identify the social determinates of health (SDOH) contributing to the family’s health status. In a 750-1,000 word paper, create a plan of action to incorporate health promotion strategies for this family. Include the following: 1.       Describe the SDOH that affect the family health status. What is the impact of these SDOH on the family? Discuss why these factors are prevalent for this family. 2.       Based on the information gathered through the family health assessment, recommend age-appropriate screenings for each family member. Provide support and rationale for your suggestions. 3.       Choose a health model to assist in creating a plan of action. Describe the model selected. Discuss the reasons why this health model is the best choice for this family. Provide rationale for your reasoning. 4.       Using the model, outline the steps for a family-centered health promotion. Include strategies for communication. Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria. Prepare this assignment according to the guidelines found in the APA Style Guide.  An abstract is not required. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

include intro and conclusion.  Bold the following questions in APA format  What is it important for a nurse leader to understand variance reporting? How does this reporting become a valuable tool? Because staffing is usually the most expensive resource in the provision of care, what reports would provide you with valuable information for this expense? Contract labor is usually the most expensive man-hours. Why? What is a cost-to-charge ratio? Why should a nurse manager understand this ratio, and how would he or she use it? Finance departments regard nursing units as not being revenue generators. Why do you believe they are inaccurate in their assessment? In the new value-based reimbursement environment, what other measures can a nurse manager take to enhance reimbursement and prevent revenue loss?

Post a description of experiences or observations about how nurse informatics and/or data or technology specialists interact with other professionals within your healthcare organization.  Suggest at least one strategy on how these interactions might be improved. Be specific and provide examples. Identify stakeholders impacted by nursing informatics projects  Then, explain the impact you believe the continued evolution of nursing informatics as a specialty and/or the continued emergence of new technologies might have on professional interactions

Go to the Center for Disease Control and Preventions website for the leading causes of death in the United State. Select a leading cause of death and describe 3 evidence-based, health behaviors that can be used to help prevent the problem. Of the top 3 causes, which disease or condition do you encounter the most often in your particular place of practice? Discuss what you generally find about the client’s and/or the family member’s attitude regarding changing behaviors to more healthy ones.

Please respond to each of the 2 discussion posts below. Each response should be 1/2 page in length and 1 source each.  #1 Respond to Patricia F. Week 2 – Discussion LDR 4400             I believe kickbacks are an unfair trade practice and are illegal.  A leader needs to maintain their values and for me, that includes treating everyone the same, no special treatment or favors.  Honesty, integrity, respect, and openness are the key values that great leaders possess.  If a leader starts taking kickbacks all these are negated.  I believe Lee Cockerell (2008, p. 250) had the same idea when he stated, “great leaders not only know what their values are but allow those values to guide their every decision”.             The following example shows an organization that willingly accepted kickbacks and the outcome.  Robert Bourseau and Rudra Sabaratnam, MD who were former owners of California Medical Center agreed to pay $10 million to resolve a civil lawsuit for paying recruiters to bring homeless people in for unnecessary medical treatment (Becker’s Hospital Review, 2020).  Robert Bourseau was sentenced to 37 months and ordered to pay $4.1 million in the restitution of the Medicare fraud (Becker’s Hospital Review).  Receiving kickbacks result in restitution and imprisonment.             News travels fast in an area where there is a reported fraudulent case.  Patients would not trust the hospital and would choose to take their business to a neighboring hospital.  Former patients and their families would be second-guessing if the medical treatment they received from the California Medical Center were unnecessary.  The result could be additional lawsuits from patients and insurance companies.  Financially it will affect the hospital for years, and they will need to change their name.  The goal is to encourage patients to use the hospital, believing that changes have been made to rectify the situation.  The company needs to have values that provide support for their mission and vision statements posted in the facility for patients and staff.  For example, if a company truly values improving the lives of patients, then their mission and vision statement should reflect these values.  Every employee should be reminded of these values and required to practice the process with each interaction with patients, families, and other staff members.  The process could be as simple as a smile within ten feet of a person or acknowledging a person as you pass by.  If the owners of California Medical Center were practicing the value and culture at their hospital, then they would not have even thought twice about accepting any type of kickback and would have been prepared to do the right thing when an ethical dilemma arose.  Lee Cockerell (2008, p. 249) stated what needed to happen in this situation, by the need to evaluate your ethical standards before making a difficult choice.             At my facility, it is illegal to take any monetary amount for services rendered.  By creating a policy that addresses an employee’s expectations concerning acceptable gifts demonstrates the hospital’s values and cultural beliefs.  We are allowed to accept small gifts like flowers, food, or a thank you card.  My preference is to accept a gift that can be shared with my peers to show appreciation and hold a value of less than $50.  Otherwise, I would graciously decline the gift.  My experience has been receiving flowers that were placed at the nurse’s station as a thank you for all staff members, pizza for the staff, and thank you cards. Reference Becker’s Hospital Review. (2020). 10 big anti-kickback and stark cases involving hospitals in 2010. Retrieved September 5, 2020. https://www.beckershospitalreview.com/news-analysis/former-los-angeles-hospital-owner-gets-three-year-sentence-for-medicare-fraud.html (Links to an external site.) Cockerell, L. (2008). Creating magic: 10 common sense leadership strategies from a life at Disney. Doubleday.     #2 Respond to Kelley The scenario presented by Cockerell in the video of being offered a kickback by a taxi company to only allow them to take guests to and from the airport presents a bit of an ethical dilemma. It doesn’t benefit the company Cockerell works for or the hotel guests, and really only benefits the person receiving the kickback and the taxi company. I would say it is an unfair trade practice.  When trying to find examples of organizations taking kickbacks, it appeared to me as if it is an illegal practice, at least in the healthcare industry. I found a case of 2 physicians and a drug company salesman that were indicted for a kickback conspiracy. The physicians received money and other items of value  to write prescriptions for patients that did not need the drug. The physicians went so far as to falsely diagnose their patients in order to prescribe the drug they were receiving kickbacks to prescribe (United States Department of Justice, 2019).  Their careers and practices were destroyed as a result of receiving kickbacks, and public perception is that these professionals violated the trust of their patients. This behavior shows that they value money over the well being of their patients, who are also customers of their healthcare organizations. Cockerell’s first leadership strategy is inclusion. This strategy is to treat each and every employee as if they are valuable and to provide them with a sense of responsibility and a role in the decisionmaking process of the organization. (Cockerell, 2018, p 34). If decisionmaking is made in a transparent fashion and every employee has a voice if they so choose, the practice of management receiving kickbacks would be completely out of the question.  I am not in a leadership position at my healthcare organization, but I do recall going over everything that could be considered a kickback in orientation and being told explicitly to never take any money or items of monetary value. There is a compliance department that deals with all facets of legal, ethical, and business standards, and we are encouraged to contact them if we ever have any questions about appropriate behavior. I feel like it would be hard to manage kickbacks as a healthcare leader, simply because it is difficult to ensure that everyone you manage is following the standards that you set out. There also seems to be gray areas, and one would need to have a lot of specific knowledge about the legal aspect of what constitutes a kickback. I think having a culture where completely ethical and legal business practices are adhered to strongly would be important on an organizational level.  References Cockerell, L. (2008). Creating magic: 10 common sense leadership strategies from a life at Disney.DoubledayPublishing Group/Random House, Inc United States Department of Justice. (2019). Physicians and pharmacy sales reps indicted for kickback conspiracy in which doctors allegedly received money in exchange for writing unnecessary prescriptions of Nuedexta. https://www.justice.gov/usao-ndoh/pr/physicians-and-pharmacy-sales-reps-indicted-kickback-conspiracy-which-doctors-allegedly

Health complications can be stressful, especially in more vulnerable populations like young children and the elderly. With stress and loss of function often come depression and other psychological manifestations. As a nurse, part of your job is to recognize and educate patients and caregivers on how to deal with the psychological complications of a health crisis. In this Assignment, you will educate either a caregiver of an elderly patient or a caregiver of a young child patient on ways to prevent and manage psychological manifestations. Review the Learning Resources dealing with injuries and depression and anxiety. The Assignment: Develop a teaching plan for treating the potential psychological issues that may result from health crises in either the elderly or young children. You will use PowerPoint to present your teaching plan. Some considerations to make include: In what ways does mental health need to be considered across the illness/injury continuum? How can nurses help both patients and caregivers work through mental blocks and depression associated with an illness or injury? Although treatment will take place in a medical facility, how can non-medical treatments be used as a supplement? Support your idea with a minimum of three references from the professional nursing literature in the assigned course readings and other references in the Walden Library. If they are relevant, you may use one or two professional Web sites in addition to the literature references. Include the main elements of your presentation to a group of parents or elderly or their caregivers. This PowerPoint presentation should include between 8–10 slides. It will be assessed using the Week 3 Assignment. Prior to submitting your Assignment, make sure to review the rubric, which is located in the Course Information area.