cademic research paper about alternative healing modalities through the lens of their respective liberal studies concentration.

Need an introduction, a brief literature review,

Base on African American cultural background, social position, values of low income

Academic research paper about alternative healing modalities through the lens of their respective liberal studies concentration.

method of analysis, and results/discussion sections.

Base on African American cultural background, social position, values of low income

Complementary and Alternative Therapies 1. Margaret Thompson is a 76-year-old Catholic woman who was diagnosed with a slow-growing renal tumor. She is scheduled for surgery. You are responsible for the admission assessment and initial care for this patient. Which assessment questions about complementary and alternative therapies will you include during this preoperative period? 2. During the initial assessment Ms. Thompson asks many questions. “Is it cancer? Will the surgery result in a disability? What can I expect? Will I have to be in the intensive care unit (ICU)?” You conclude that she is afraid of both the surgical procedure and the outcome. Which types of specific nursing-accessible complementary therapies will you offer her during the preoperative period to reduce her anxiety and help her prepare for surgery? 3. In the days following surgery you are assigned to care for Ms. Thompson. Although physically she is recovering quite well from the procedure, you note that she is becoming more despondent and depressed. Preparing for discharge, which complementary and alternative medicine (CAM) therapies do you recommend to help her deal with her depression and cancer diagnosis?

explain the important of personal cleanliness to the healthcare workers in a healthcare facility.include your thoughts on why this skill is named " Displaying Good Grooming, personal Hygiene, and Cleanliness

You have discovered that one of your physicians is violating the Stark law by sending patients to an imaging center in which she has an ownership percentage. She offers you a monthly consulting fee if you don’t say anything and let her continue to refer patients. She tells you that the facility is good and the patients are not being harmed.

a. Explain what the Stark law is.

b. Discuss what you would do in this situation.

c. What consequences should be taken against the physician, if any?

Compose an argument proposing that the risk of newborn falls outweighs the benefits of rooming-in after birth.

Please cite at least one source to support your argument.

What are some advantages and disadvantages of an HIE. What do you think of this HIE and how it will affect the overall EHR? Do you think this would be beneficial with what we are experiencing now with COVID-19.

You are a new RN in week 6 week of a 8-week orientation. The goal of these last two weeks is to increase your patient load to near a full load. Your assignment today involves caring for 4 patients. One of the patients, Mr. Smith, will be going home, one, Mrs. Jones, will be going to surgery at approximately 11:00 a.m. and two of them are post-op patients. One of the post-op patients has multiple tubes, lines and a dressing change. The other post-op patient is receiving IV antibiotics and is anticipated to go home tomorrow.

How would you prepare for your day with your preceptor?

About 10:00 Mr. Smith is ready to go home. His discharge teaching has been completed and all forms that need his signature have been completed. You ask Tracy the nursing assistant to take Mr. Smith downstairs where his wife will be waiting to take him home. She is abrupt but says she will get it done. Joseph goes to finish preparing Mrs. Jones’ record for surgery. She is going to surgery due to a fracture of her femur. About 10:30 Joseph goes to Mrs. Jones’ room to check on her again before she goes to surgery and he notices she has the same hospital gown on that she had on early in the morning and it appears she had not been bathed. As he comes out of Mrs. Jones’room he sees Mr. Smith’s wife coming up the hall and she is visibly upset. She wants to know why her husband has not been brought downstairs.

If you were the preceptor how would you as the preceptor facilitate the new RN dealing with this situation?

What will your statement of interest look like for your program of choice?

A patient is admitted for suspicion of a GI bleed. This patient’s history includes multiple admissions for alcohol abuse, alcohol withdrawal, and pancreatitis. The patient begins to vomit small amounts of bright red blood. The medical ICU nurse is most concerned that the patient is experiencing:

You are working the day shift on a medicine inpatient unit. You are discussing discharge instructions with J.B., an 86-year-old man who was admitted for mitral valve repair. His serum blood glucose had been averaging 13.8 mmol/L or higher for the past several months. During this admission, his dosage of insulin was adjusted, and he was given additional education in managing his diet. While you are giving these instructions, J.B. tells you his wife died 9 months ago. He becomes tearful when telling you about that loss and the loneliness he has been feeling. He tells you he just doesn’t feel good lately, feels sad much of the time, and hasn’t been involved in his normal activities. He has few friends left in the community, since most of them have passed away. He also tells you that he has been feeling so down the past few months that he has had thoughts about suicide

1. What information should you be asking JB regarding his thoughts of suicide?
2. Which psychiatric disorders can result in suicidal ideations or gestures?
3. Ill people often have trouble sleeping, experience a change in appetite, reduce their level of activity, and have thoughts of death. How can you tell the difference between old age with illness and depression?
4. List five of the most common signs of depression.
5. J.B. was started on an SSRI such as fluoxetine (Prozac). What special instructions should you give him regarding SSRIs?
6. What advantages does ECT hold over the other treatments for depression
7. ECT is a highly stigmatized treatment; many people are reluctant to consent to initiate treatment. What are the most common untoward effects of ECT?

Explain why the following course objectives are important for hospital administrators:

1. Describe how the essential activities of healthcare administration such as workplace safety, compliance plans, strategic planning, risk management, and crisis management influence the success of a healthcare organization.

2. Explain how the use of administrative and clinical technology can enhance healthcare operations.

3. Describe how food operations are handled in the health care industry.

4. Describe how internal and external activities of healthcare operations such as performance improvement, audits and inspections, legal and ethical issues, and healthcare marketing, advertising, and public relations improve healthcare operations overall.

By the spring of 1934, a great deal was known about poliomyelitis. The mode of transmission was known to be person-to-person. The two-phase process of the disease was well understood, and mild non-paralytic infections or anterior poliomyelitis as well as paralytic infections were all understood to be major means of contagion. Animals and most insects were eliminated as vectors. It was known that some victims will die in a few days. Some would have crippling paralysis, and others would recover without a sign. The polio virus had been isolated and identified from most parts of the body---most importantly, the CNS; blood; saliva; gastrointestinal tract, especially the small intestine; mesenteric lymph nodes; and nasopharynx. The damage caused by the polio virus was known to be done in the spinal cord's anterior horn of the grey matter and in the brain tissue.*

When the poliomyelitis epidemic hit Los Angeles, many horror stories from past epidemics had been deeply planted in the minds of medical and nursing professionals. It appears that the medical professionals at the time were well informed about the facts of poliomyelitis, yet most ignored them and, moreover, failed to inform the public. The Contagious Unit of the Los Angeles General Hospital was responsible for most of the activities of the epidemic, and fear of the disease seemed to dominate its efforts, in spite of evidence that much of the sickness that occurred in June of 1934 was not poliomyelitis.*

Physicians and nurses were strained, worried, and terrified of contracting the disease themselves. By June 15, 50 cases a day were being admitted to most hospitals, yet by June 29, only 1 fatal case of poliomyelitis had occurred, producing a sample of the polio virus. A second case produced another sample on July 4.*

When the Poliomyelitis Commission arrived in Los Angeles from Yale University School of Medicine, headed by Dr. Leslie T. Webster of the Rockefeller Institute of Medical Science of new York City, a public meeting was held to review the situation of the epidemic. The meeting digressed to physicians and nurses discussing their risk of getting poliomyelitis and whether they might receive disability pensions if paralyzed by the disease and were disabled in the line of duty.*

New interns in training at the Los Angeles County Hospital were deprived of teaching and proper guidance because the attending physicians were afraid of getting the disease and stayed away, consulting by phone instead of going to the hospital. Doctors who worked at the County Hospital in the communicable disease wards were not welcome on house calls because their patients viewed the hospital as a pet house.*

No one knew how much of the disease that year was really polio. Nearly all adults, especially the nurses and doctors, were afraid of getting paralytic polio. In those who got the serious form of the disease, health care providers observed much pain and weakness, but very few deaths occurred. The number of cases of paralysis was much lower than one would expect. The question was this: Could it be another virus or different strain of the virus? Dr. Webster believed that 90% of the cases were actually not poliomyelitis.*

Researchers had little success in searching for the polio virus in the nasal passages of suspected victims through nasal washings. The disease could not be produced in monkeys or lab animals. Webster believed that the problem was complex and that the infantile part of the infantile paralysis was missing because most cases were in adults. The paralysis face of the disease was also missing, as no paralysis occurred in most cases.*

Oral washings with ropy (an adhesive, stringy-type thread that was soaked in a special solution and swirled around in the throat in order to capture samples of mucous tissue) were done routinely. Ropy washes were able to gather even a few flakes of mucous and the debris in it. The ropy washes used a special solution that helped save samplings of potential polio virus evidence and preserved the evidence for months (101) days for later study. Even after such a long time, the specimen could be spun in a centrifuge and yield the virus; thus, in future outbreaks, disease investigators would not need to take an army of public health workers along to gather specimens.*

Hysteria raged on in the main populace. Not only was the general public afraid of getting the disease, but a major part of the medical and nursing profession was also participating in the fear. Yet officials were not daring enough to tell the public that the disease was not polio. It was disclosed that half of the 1,301 suspected cases were not poliomyelitis. The actual attack rate was estimated to be from 4.4% to 10.7%.*

There was no doubt that Los Angeles was visited by the epidemic of poliomyelitis in the summer of 1934, but it was a mild one. Most of the people who were sick that summer were sick either from another disease (encephalitis, meningitis, or influenza) or from a mild form of a different strain of the poliomyelitis. Patients had atypical symptoms for polio, and the observed symptoms were rheumatoidal or influenzal with striking emotional tones of fear that they might get polio. It was observed by US Public Health Service officer Dr. A. G. Gilliam, of the Los Angeles County Hospital"s personnel, "Irrespective of actual mechanisms of spread and identity of the disease, this outbreak has no parallel in the history of poliomyelitis or any other CNS infections"*

As an unfortunate outcome of this epidemic and its resulting hysteria, patients who exhibited even a slight degree of weakness were immobilized in plaster casts. This was a common practice in the 1930s, and many were subjected unnecessarily to this treatment.

Answer the following three question below

Case Questions to Respond to

3. What were the final conclusions about the polio epidemic of 1934 in Los Angeles, and what were the implications for the future?