Discussion 31 19927845

Please review the substantive posting requirements posted in the forum and announcements: When you post responses to your peers the response needs to be “substantive” to receive credit. Substantive posting criteria includes: Acknowledge what your peer stated (agree or disagree). Include additional information. End the post with an open-ended follow up question. This is important to encourage further discussion.

Discussion Post 19477047

 Research in psychology is a complex process that involves proper scientific methodology.  Describe how a researcher might use naturalistic observation, case studies, or survey research to investigate gender differences in aggressive behavior at the workplace.  First, state a hypothesis and then describe your research approach.  You should offer at least one citation to support your work. 

This is a discussion post. It doesn’t need to be long. 11/2 paragraph is fine and cite sources. 

Discussion 6 2 Security Steering Committee

HA3220D – Health Information Systems  

Discussion 6.2: Security Steering Committee

You are in charge of forming a steering committee to evaluate the security risks at a hospital. Your first order of business is to talk about the differences between privacy, security and confidentiality. How would you explain the differences? Who would you include on the committee? Who should lead this committee? Include reasons for your selection.

Pharm Week 6

 

Mike is a 46-year-old who presents with a complaint of “heartburn” for 3 months. He describes the pain as burning and it is located in the epigastric area. The pain improves after he takes an antacid or drinks milk. He has been taking either over-the-counter (OTC) famotidine or ranitidine off and on for the past 2 months and he still has recurring epigastric pain. He has lost 6 lb since his last visit. Assessment

His examination is unremarkable. His blood pressure (BP) is 118/72. Laboratory values are normal complete blood count (CBC) and a positive serum Helicobacter pylori test. What would you prescribe initially? How long would you prescribe these medications? What other possible meds could you prescribe to assist with the side effects from the medications prescribed? How would the treatment vary if the patient has GERD instead? Discussion Question 2

List differential diagnosis that would help confirm GERD while ruling out other diagnosis. Which medication is the best medication for treatment of GERD and why? What labs or other diagnostic tests that are used to confirm GERD? Your response should be at least 350 words.

Change Models 19915927

 

Prochaska and Diclemente’s model of change behavior is one of the examples of organizational theories. The selected change model I chose is Prochaska and Diclemente’s change theory specifically designed for smoking patients focused on smoking cessation for the first time. This theory has 5 stages which are pre-contemplation, contemplation, preparation, action, and maintenance. Pre-contemplation is where the individuals are not yet ready to accept the change and have very little knowledge of the change and outcome. The contemplation stage is where the individual becomes conscious of the problem yet not ready for the change. In preparation, the individual is focused and take necessary action to address the behavior. Action is the stage where the individual puts all efforts to modify the change and use multiple processes. Maintenance is the final stage that helps to replace the new outcome produced by the change and therefore will maintain the new behavior and this stage takes up to 6 months to bring better clarity and a quality patient outcome (Fidanci, I, et al,. 2017). What makes me choose this model is “change in behavior for anyone is not easy” and that is a true statement, saying that this model helps to evaluate after each stage and keeps motivating to move forward to the next stage to achieve the goal.

Prior to the third stage, it is difficult for patients to stay focused on the change. Therefore, the patients here will choose different strategies to stay in the action plan. Doing another activity with the same hand when they smoke helps to divert the patients, offering a reward at the end of the day, someone to talk to when the patients feel like smoking, to remove any obstacles from their environment that reminds them of smoking, staying strong in their commitment. All these approaches have brought a change in the behavior of patients therefore provided evidence for this model (Fidanci, I, et al,. 2017).

During all phases of this change model, getting input from the stakeholders will help in research and narrow down the actions necessary for this change. The patients in the initial stages need adequate motivation and education on why the change takes place, appointing clinical educators could help the patient to understand the pros of quitting the behavior. The patients when they reach the third stage require someone to talk to and to guide the actions since they started to put the effort into it. Screening centers for example Smoking Cessation at Lung Examination (SCALE) Collaboration can help to screen the patient’s risk for lung cancer (Kathuria, H, et al,. 2017). Nurses should use their critical thinking to identify the decision-making changes by the patient during the third stage because the patients could easily quit the action plan. Family support and community support during the fourth stage is extremely important as this will increase motivation for the patient. The action plan needs a lot of commitment and energy and it should be a collaboration between the patient, health care team, family members, and community. Since this is a cyclic model, the maintenance stage will refer to the screening centers to evaluate the patient’s change in behavior and overall health (Park, E. R. et al,. 2020).

Each stage provides patient evaluation which helps to identify the barriers and do necessary changes in the stages. This would require honesty, encouragement, commitment to keep the process moving on to attain the goal. Patients’ lack of knowledge, not showing interest, lack of motivation to complete the task signifies that the change model is not on a positive attempt. Identifying the needs of the patient at all the stages is important to know the effectiveness and therefore it is the team’s response to address the barrier and provide adequate support for the patient to achieve the behavioral change.  

I need a comment for this post at least 2 paragraphs and 2 sources no later than 5 years. 

Evidence Based Practice 19909029

 

Discuss the following: Discuss some of the barriers that you would need to consider when desiring to make a change in practice. Discuss how you would manage the issues you identified at the micro and macro levels within the organization. Discuss the areas in which you may need to be mentored as you engage in an evidence-based practice project. What needs would you anticipate as they pertain to the development of an evidence-based practice project? 

Spirituality And Praying

No single word responses (at least 100+ words in each response)

Give examples

Cite resources

Give the questions some thought and answer honestly

Number your answers to correspond with the question

Worth 12 points / 5%

Questions:

1 . Describe a time spirituality was important in your life or that of someone you love or cared for (e.g., family member, friend, patient). Why was it meaningful in that situation?

2.  What would you do if a patient asked you to pray with them or read the Bible or another holy book he/she might have at the bedside? How would this request make you feel? Would you experience any conflict if you were a different faith than the patient? Explain your answer.

3.  There is something called scripting which is having something written and memorized for difficult situations. Write a prayer or spiritual message you could use in the above situation. Explain why you chose those words.

6 Nursing Care Plan

 nursing diagnosis

1. Decreased Cardiac Output  related to Altered myocardial contractility 

2. Risk for Impaired Skin Integrity related to immobility

3. Activity Intolerance related to immobility

 4. Risk for Infection related to Inadequate primary defenses: broken skin, traumatized tissues; environmental exposure

5.  Risk for Impaired Gas Exchange related to Alveolar/capillary membrane changes: interstitial, pulmonary edema, congestion

6.  Excess Fluid Volume related to  increased antidiuretic hormone (ADH) production, and sodium/water retention. 

Nursing Education 19916845

  

Review the Creating a Syllabus guideline. Develop a syllabus for your prelicensure BSN course: Growth and Development over the Lifespan. Be creative with your template. Provide details.