Week #6 (7/09) Environmental Management
Learning Objectives:
· Discuss the importance of emergency management planning in a SNF.
· Describing different challenges that may be encountered during a disaster.
· Explain the role of a SNF environment as it relates to care.
· Understand the cost and importance of being prepared for disaster.
· Recognizing different risks and exposures to the patients.
Readings
· A Comparative study of laws, rules and codes … – Brown
· A comparison of heat wave response plans … – Thomas
· State Operations Manual
· Best Practices for LTC Evacuation – Pandolfo
· Miss Kimberley’s Decision
· Fires in Nursing Homes – Sheridan
· Florida’s model of Medicaid reimbursement for Disaster related expenses – Thomas
· CMS Emergency Preparedness Rule Presentation
· Improving nursing home care for dementia – Is environment the answer?
· Nursing Home Evacuations turn medication reconciliation into Emergencies
Assignments:
These assignments are due on Wednesday July 17th.
1. Write a 4 page paper describing the varying challenges that may exist during a nursing home disaster.
2. Write a 1 page summary of why you would or would not evacuate a SNF?
Ethical Dilemma in Nursing Practice
Discuss an ethical dilemma that you have encountered in your nursing practice, or one that another nurse has encountered that you have heard about. Explain why it is an ethical dilemma. Analyze the situation step-by- step using Catalano’s (2009) ethical decision making algorithm. Catalano’s ethical decision making algorithm is discussed in Chapter 4 of your textbook. Illustrate possible solutions and how the dilemma was actually resolved. The paper should be no more than 4 pages in length, not including the reference and title pages, and in APA format. Grading Rubric Criteria Comments Possible Score Student Score 1. Describe the ethical situation, and why it is an ethical dilemma. 4 2. Analyze situation using Catalano’s ethical decision making algorithm. 16 3. Illustrate various solutions to the dilemma. 8 4. Discuss how the dilemma was actually resolved. 4 5. Writing Skillsgrammar, format, spelling, APA 8 Possible Score 40 Once you have completed the paper and saved as a Word document, you must submit the paper to your instructor via Turnitin
Body Fat
Analyze and explain the associated health problems of the obesity epidemic and eating disorders such as anorexia nervosa, bulimia nervosa, and binge-eating.
Write a response of at least 350 words that explains the associated health problems of the obesity epidemic and eating disorders. Address the following:
- Describe the risks associated with excess body fat.
- Discuss at least five factors that influence the obesity epidemic.
- Assess the various techniques for measuring body fat.
- Explain the various strategies for weight loss.
- What are some health problems associated with anorexia nervosa, bulimia nervosa, and binge-eating disorder? Explain how each of the eating disorders mentioned may lead to health problems. What are the treatment options for these disorders?
Include references with citations in APA format.
Discussion Assignment: Hypertension
Dr. Ally, a 49-year-old professor, was diagnosed with essential hypertension 12 years ago and was on antihypertensive drugs. However, he did not take his medications last year because he was feeling just fine. In addition, he was very busy with work. Nevertheless, he felt tired after work and developed dyspnea while climbing the stairs. Recently, he had a bout of epistaxis (severe nose bleed) with dizziness and blurred vision. He went to the doctor for a checkup. His blood pressure was 180/110, and the doctor found rales or crackles on his chest upon auscultation. The doctor ordered rest and asked him to start his medication again.
· What are the patient’s problems?
· What pathophysiological changes are happening in his eyes and heart?
· According to the doctor, the patient might have developed congestive heart failure. Is it right-sided or left-sided?
· What medications are likely to have been used? Describe the mechanisms of actions of at least two antihypertensive drugs.
WHAT IS THE ROLE OF SCREENING AND HEALTH PROMOTION?
Directions:
General survey and health history nursing essay
Casey is a 17-year-old high school student admitted to the ER with a compound fracture of the left leg obtained falling at the local skateboard park while practicing for a national competition. He has never been hospitalized before. His mother has been notified and is on her way. The EMTs gave him morphine and he reports his pain level as “okay.” What part of the interview and examination can be done prior to his mother’s arrival? As you enter the room for the first time, what should you observe as part of the general survey? As you complete his history, what areas are especially important? What are the important developmental considerations for Casey?
CHAPTER SIX: SAVE MORE FOR TOMORROW
Summary
This chapter talks about the major decisions people make in there working days involving the savings they have to put in place for their retirement and security when they will be no longer working for any organization or even their own enterprise.
According to a research conducted in the US, many American households spent more than they earned and borrowed more than they saved. In this chapter it is clear that majority of the employed society lack a good platform for saving their incomes and putting down a well resourceful retirement benefit plan. It is by this action that led to the famous Tony snow to resign at the age of 52 as the white house secretary in 2007.despite the good employment background, Tony snow retired without making any relevant saving for he ignored a retirement benefit plan. Actually he even confessed that he was too reluctant to get in on a 401(k).
The government has passed laws to encourage personal savings to make solvent the social security system by creating tax favoured savings account such as IRAS and 401(k)s. despite this effort by the government many Americans who are eligible for this plan fail to take full advantage of them. This chapter mentions about how to help this case. It offers two suggestions, one, is automatic enrolment in saving plans and secondly is the save more for tomorrow program.
Automatic enrolment has been put into the lime light since it offers a platform whereby the eligible employees make decisions on their savings. This is a saving plan which was adopted by most organizations to enrol a number of employees into the plan. Here workers are supposed to fill a form upon employment and get enrolled automatically into the plan.s
Safe Prescribing Essay – Drug Enforcement Administration (DEA) Role
- Describe the role of the Drug Enforcement Administration (DEA) as it pertains to the PMHNP.
•Explain your responsibilities when having a DEA number. - ORDER A PLAGIARISM-FREE PAPER NOW
•Explain how you apply for a DEA number.
•Explain your state’s requirements for a safe prescribing and prescription monitoring program. Explain your responsibility as a PMHNP to follow these requirements.
•Provide an example of a drug you may prescribe from each of the Schedule II-V drug levels. Safe Prescribing Essay – Drug Enforcement Administration (DEA) Role
NURSING SHORTAGE CAN CAUSE NOSOCOMIAL INFECTIONS
nursing shortage can cause nosocomial infections
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- Type of paper:
- Essay (any type)
- Topic:
- nursing shortage can cause nosocomial infections
- Pages:
- 3 pages / 825 words
- Discipline:
- Health Care and Life Sciences
- Format or citation style:
- APA
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