By following the steps of the Bain Model or Vroom-jago decision process ,show how you will ensure that the staff on the ward where you work comply with the directive given by the Nursing Administrator to have the quality of health assessment improved in the ward within a three (3) month period, and maintained, thereafter.

Discussion: The Application of Data to Problem-Solving

In the modern era, there are few professions that do not to some extent rely on data. Stockbrokers rely on market data to advise clients on financial matters. Meteorologists rely on weather data to forecast weather conditions, while realtors rely on data to advise on the purchase and sale of property. In these and other cases, data not only helps solve problems, but adds to the practitioner’s and the discipline’s body of knowledge.

Of course, the nursing profession also relies heavily on data. The field of nursing informatics aims to make sure nurses have access to the appropriate date to solve healthcare problems, make decisions in the interest of patients, and add to knowledge.

In this Discussion, you will consider a scenario that would benefit from access to data and how such access could facilitate both problem-solving and knowledge formation.

To Prepare:

• Reflect on the concepts of informatics and knowledge work as presented in the Resources.
• Consider a hypothetical scenario based on your own healthcare practice or organization that would require or benefit from the access/collection and application of data. Your scenario may involve a patient, staff, or management problem or gap.

1. Imitants that aggravate the skin of persons with atopic dermatitis are
A. cotton and silk
B. perfumes and cosmetics
C. rice and potatoes
D. cleaning solvents and detergents
E. B and D

2. Psoriatic patches are typically found in all of the regions except

A. neck
B. face
C. elbows
D. genitals
E. hands and feet

3. Which advice would not be given to a person with eczema?

A. Avoid wearing wool or clothing that feels "scratchy."
B. Increase humidity in the household environment. C. Apply moisturizers and lotion to the
D. Take hot baths.

4. Of the following, the most potent corticosteroid classification is

A. class I
B. class II
C. class III
D. class IV

5. Select the corticosteroid that is in the least potent category.

A. clobetasol
B. betamethasone dipropionate (optimized)
C. hydrocortisone base cream
D. halobetasol propionate
E. fluocinonide

6. Which of the following adverse effects is not linked
to topical use of corticosteroids?

A. thinning of the skin
B. Cushing's syndrome
C. stretch marks (striae)
D. spider veins
E. acne

7. Select the drug that is indicated for the treatment of severe psoriasis and arthritis.

A. cyclosporine
B. azathioprine
C. methotrexate
D. calcipotriene

Which of the following correctly describes the mechanism of action of topical corticosteroids?

A. Corticosteroids decrease redness, swelling, and inflammation by reducing the number of inflammatory cells.
B. Corticosteroids increase cell permeability to T lymphocytes and eosinophils.
C. Corticosteroids increase cytokine release.
D. Topical corticosteroids cause vasodilation.

9. The FDA and Health Canada require manufacturers to include a Black Box warning in the package insert for_____, describing the increased risks for cancer.

A. Dermatop-E and Dovonex
B. Cutivate and Ultravate
C. methotrexate and Enbrel
D. pimecrolimus and tacrolimus

1. There are many OTC and prescription medications available for the treatment of acne. Are there any natural/herbal remedies available?

2. What advice can one give to a teenager with acne?

3.Because atopic dermatitis is allergy-related, how can one prevent flare-ups from occurring?

4. How well do calamine lotion and oatmeal soap (both OTC products) work in decreasing the symptoms of atopic dermatitis?

How do you envision global health changing in the next five years?

rom: Munson, Ronald. INTERVENTION AND REFLECTION.6th ED.,Belmont, California: Wadsworth Publishing Company,2000 . Page 185 Scenario #8

I had been working as a bioethics advisor at University Hospital for three months before I was called in to consult on a pediatrics case. Br. Savano, the attending obstetrician, asked me to meet with him and Dr. Hinds, one of the staff surgeons, to talk with the father of a newborn girl.

I went to the consulting room with Dr. Hinds to Joel Blake. From what Dr. Savano had already told me, I knew that Mr. Blake was in his early twenties and worked as clerk at a discount store called the Bargain Barn. The Baby’s mother was Hilda Godgeburn, and she and Mr. Blake were not married.

Mr. Blake was very nervous. He knew that the baby had been born just three hours or so before and that Ms. Godgeburn was in very good condition. But Dr. Savano had not told him anything about the baby.

"I’m sorry to have to tell you this," Dr. Savano said. "But the baby was born with severe defects."

"My God," Blake said. "What’s the matter?" "It’s a condition called spina bifida," Dr. Savano said. "There’s a hole in the baby’s back just below the shoulder blades, and some of the nerves from the spine are protruding through it. The baby will have little or no control over her legs, and she won’t be able to control her bladder of bowels." Br. Savano paused to see if Mr. Blake was understanding him. "The legs and feet are also deformed to some extent because of the defective spinal nerves."

Mr. Blake was shaking his head, paying close attention but hardly able to accept what he was being told.

"There’s one more thing," Dr. Savano said. "The spinal defect is making the head fill up with liquid from the spinal canal. That’s putting pressure on the brain. We can be sure that the brain is already damaged, but if the pressure continues the child will die."

"Is there anything that can be done?" Blake asked. "Anything at all?"

Dr. Savano nodded to Dr. Hinds. "We can do a lot," Dr. Hinds said. "We can drain the fluid from the head, repair the opening in the spine, and later we can operate on the feet and legs."

"Then why aren’t you doing it?" Mr. Blake asked. "Do I have to agree to it? If I do, then I agree. Please go ahead."

"It’s not that simple," Dr. Hinds. "You see, we can perform surgery, but that won’t turn your baby into a normal child. She will always be paralyzed and mentally retarded. To what extent, we can’t say now. Her bodily wastes will have to be drained to the outside by means of artificial devices that we’ll have to connect surgically. There will have to be several operations, probably, to get the drain from her head to work properly. A number of operations on her feet will be necessary."

"Oh, God," Mr. Blake said. "Hilda and I can’t take it. We don’t have enough money for the operations. And even if we did, we would have to spend the rest of our lives taking care of the child."

"The child could be put into a state institution, " Dr. Hinds said.

"That’s even worse," Mr. Blake said. "Just handling our problem to somebody else. And what kind of life would she have? A pitiful, miserable life."

None of the rest of us said anything. "You said she would die without the operation to drain her head," Mr. Blake said. "How long would that take?"

"A few hours, perhaps," Dr. Savano said. "But we can’t be sure. It may take several days, and conceivably she might not die at all."

"Oh, God," Mr. Blake said again. "I don’t want her to suffer. Can she just be put to sleep painlessly?"

Dr. Savano didn’t answer the question. He seemed not even to hear it. "We’ll have to talk to Ms. Godgeburn also," he said. " And before you make up your mind for good, I ant you to talk with the bioethics advisor. You two discuss the matter, and the advisor will perhaps bring out some things you haven’t though about. Dr. Hinds will leave you both together now. Let me know when you’ve reached your final decision and we’ll talk again."

ASSIGNMENT MODULE 9   Critical Thinking

Using the DIALECTICAL PROCESS state what your ethical position would be and why. You are to take a position and defend it. You are to advise Mr. Blake of what would be morally correct or acceptable. You should use some ethical principle to decide what you think is the morally correct thing to do. You must state those principles and explain how they have been applied to the situation. You should indicate that you have rejected alternative positions to your own and the reasons why you have done so. In so doing you need to enunciate clearly the values and ethical principle(s) you are using to both reject the alternative positions and to defend or support your own.

Question 1: In servant leadership, compose a major paper (minimum 800 words APA format) on Catherine McAuley or Jesus Christ as a servant leader of your choice. Within the paper, you will want to provide a brief summary of the individual's life and explain why she/he was an exemplary servant leader. Also, be sure to incorporate key concepts from the course into your analysis of the servant leader's life

Question: In a minimum of 800 words, Choose one social justice issue from the following lists: Access to Health care, Homelessness, Immigration Reforms, Incarceration/Prison Reforms, Income Inequality, Racism/Segregation and Life Issues (ie abortion, cloning, physician assisted suicide et), on which to reflect in writing your major, Social Justice Issue Paper on how you, as a servant leader, can/could appropriately respond in light of your learning of the concepts we have understood as a servant leader. Within the paper, you will provide an overview of your assigned issue as well as some potential strategies for confronting it so as to work towards a more just society. Your paper should include four general categories: Describe the Issue, Servant Leadership Response and Toxic Charity Integration Implications

Comparative Analysis of Healthcare Systems between Haiti vs United Kingdom essay form?

Comparative Analysis of Healthcare Systems between Canada & United States of America essay form?

1. provide at least 2 topics from the exhibit for example: structural racism, education or disease outcomes.

You are performing a spiritual assessment on a patient. Which patient statement would indicate that there is an experiential concern in the patient’s spiritual life?

        a. “I really believe that my spouse loves me.”

        b. “My sister will never forgive me for what I did.”

        c. “I try to find time every day to pray, even though it’s not easy.”

        d. “I am happy with my life choices, even if my mother is not.”

The nurse is caring for four patients. Which patients would not be appropriate to consider for inpatient group therapy? (Select all that apply.) The patient who:

    a. Has limited financial and social resources

    b. Is acutely manic

    c. Has few friends on the unit

    d. Is preparing for discharge tomorrow

    e. Does not speak up often, yet listens to others

Group members are having difficulty deciding what topic to cover in today’s session. Which nurse leader response reflects autocratic leadership?

        a. “We are talking about fear of rejection today.”

        b. “Let’s go around the room and make suggestions for today’s topic.”

       c. “I will let you come to a conclusion together about what to talk about.”

        d. “I’ll work with you to find a suitable topic for today.”

Does equating status with authority cause confusion? Why or why not?

According to Caldwell et al., (2016), race/ethnicity, and geographical location have a definite impact on healthcare and health outcomes.

In your response, answer the following questions:

• What are the healthcare challenges with COVID-19 for these underserved populations?
• What is being done to address these inequities?