Nursing Intervention in Disaster
The possibility of occurrence of disasters is a reality. With this in mind there should be efforts made to prevent any upcoming or potentially disastrous events. These efforts are what are known as disaster prevention. Disaster prevention therefore refers to efforts put in place to ensure that adverse effects of events that are potentially disastrous are prevented even when the disaster cannot be controlled. Disaster prevention is done at various levels of the society and is undertaken so as to prevent all types of disasters. Nurses are involved to a large extent when it comes to the prevention and mitigation of disasters. Nurses are involved in institutions that can influence change and due to the unique skills that they posses they can make interventions in disasters. To perform efficiently, a nurse must be always prepared to make changes in plan actions at any time and at the…...

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References

Harden, E.G., (2004). The role of nursing in disasters. Retrieved march 22, 2013 from  http://helid.digicollection.org/en/d/Jdi018e/2.html 

Rittenmeyer, L., (2007). Disaster preparedness: Are you ready? Retrieved march 22,2013 from  http://www.nursingcenter.com/prodev/ce_article.asp?tid=726331 

Wolters Kluwer Health, (2007). LWW Journals - Beginning with A. Retrieved March 22, 2013, from  http://journals.lww.com/smajournalonline/fulltext/2007/09000/spiritual_issues_in_the_aftermath_of_disaster.32.aspx

Eating Right and Grtting Excercise in Prison Introduction
Preventive care is the best care and one of the best methods of preventive medicine is physical activity—i.e., exercise (Loprinzi, 2015). That is because exercise keeps the body humming like a well-used vehicle: nothing gets rusty; muscles, organs, arteries, heart and lungs all work together to give the body what it needs. Can exercise alone address all health-related issues or prevent one from getting the influenza virus? No—but exercise is a good start because it can help keep the immune system operating at a high level. The body’s immune system is the first line of defense, and if it is weakened by lack of exercise, the flu virus could be far more devastating on a body. As Boergeling and Ludwig (2017) note, “the immune system needs to be delicately balanced between immune response and tolerance to protect the host from pathogens while minimizing local…...

Preventing Childhood Obesity
Childhood obesity is on the rise in America and across the world. Obesity presents physical, social, and emotional complications for all sufferers. However, childhood obesity is especially concerning because the chronic conditions associated with obesity such as type II diabetes and heart disease are increasingly difficult to manage over time and today's generation of obese children is more likely to become a generation of overweight adults. According to the Centers for Disease Control, approximately 17% children and adolescents aged 2 -- 19 are obese ("Childhood obesity facts," 2014). Obesity in children is significantly correlated with poverty and certain specific minority statuses. "In 2011-2012, obesity prevalence was higher among Hispanics (22.4%) and non-Hispanic black youth (20.2%) than non-Hispanic white youth (14.1%). The prevalence of obesity was lower in non-Hispanic Asian youth (8.6%) than in youth who were non-Hispanic white, non-Hispanic black or Hispanic" obese ("Childhood obesity facts," 2014). Obesity…...

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Reference

Bray, G. (2004). Consumption of high-fructose corn syrup in beverages may play a role in the epidemic of obesity. American Journal of Clinical Nutrition, 79(4): 537-543

Retrieved from:  http://ajcn.nutrition.org/content/79/4/537.full 

Childhood obesity facts. (2014). CDC. Retrieved from:

 http://www.cdc.gov/obesity/data/childhood.html

Distracting a child while their parent is treated may lessen stress for a SAD child (Hillard, 2006).
Nurses may also want to incorporate preventative methods into their routines, especially if they are pediatric nurses. Encouraging work in this area has been done at Mount Sinai Hospital, where nursing departments participated in the incorporation of supportive methodology in handling children who are in treatment (Justus et al., 2006). If a child may need long-term care requiring extended or overnight stays in hospital, nurses can use Comfort Theory methods and other means of familiarizing the hospital environment. If a child feels at ease with nurses and the hospital environment they are less likely to cling to parents and exacerbate medical conditions through anxiety (Justus et al., 2006). General stress reduction techniques apply to children with SAD, and may include aromatherapy, deep breathing, and relaxed lighting or music may help (Hillard, 2006).

SAD may…...

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References

Fontain, K.L. (2003). Mental Health Nursing (5th ed.). Upper Saddle River, NJ: Pearson Education, Inc.

Hillard, D. (2006). Course: Treating anxiety. Retrieved November 15, 2006, from Advance for Nurses Online:  https://nursing.advanceweb.com/Common/CE/Content.aspx?CourseID=4&CreditID=1&CC=7816&sid=602 

Justus, R., Wyles, D., Wilson, J., Rode, D., Walther, V, & Lim-Sulit, N. (2006). Preparing children and families for surgery: Mount Sinai's multidisciplinary perspective. Pediatric Nursing, 32(1), 35-43. Retrieved Wednesday, November 15, 2006 from the EBSCO Health Source: Nursing/Academic Edition database.

Pincus, D.D., Eyberg, S.M., & Choate, M.L. (2005). Adapting parent-child interaction therapy for young children with separation anxiety disorder. Education and Treatment of Children, 28(2), 163-181. Retrieved Wednesday, November 15, 2006 from the EBSCO Health Source: Nursing/Academic Edition database.

Home Visit With Sallie Mae Fisher
Good morning, Sallie Mae, my name is Alexis Jorgenson and I will be your nurse today. I understand you are not feeling well today?

Sallie: Hello Nurse, I am feeling a little better than last time but still finding it hard to cope.

I understand you are having problems with chronic congestive heart failure.

Sallie: This disease is giving me a lot of problems that range from frequent hospitalizations to excessive medications. I just feel sick when I think about the medication and usually feel like avoiding them.

That's sad to hear. I am here to help identify why you are not feeling very well today.

Sallie: Thank you, I really appreciate your help and hope that I'll be feeling much better very soon.

Nurse: Your medical history shows that you have been hospitalized four times in the past 6 months for exacerbation of congestive heart failure (CHF).

Sallie: Yes, this condition…...

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References

Adams, M. (n.d.). How to Find Help Treating a Grief Management Problem. Retrieved December 15, 2015, from  http://www.psychguides.com/guides/how-to-find-help-treating-a-grief-management-problem/ 

Haiken, M. (n.d.). Blood Pressure: 90/50. Retrieved December 15, 2015, from  https://www.caring.com/charts/blood-pressure-90-50 

Orenstein, B.W. & Bass, P.F. (2011, March 30). Bowel Movements: What's Considered Normal? Retrieved December 15, 2015, from  http://www.everydayhealth.com/hs/guide-to-constipation-relief/bowel-movements-whats-normal/

(Sussman and Bates-Jensen, 2007)
Assessment data is reported to enable the clear communication among clinicians about the wound and in making the provision for "continuity in the plan of care" as well as allowing for "evaluation of treatment modalities." (Sussman and Bates-Jensen, 2007) Wounds that are classified as red, yellow and black are those that require examination of deep tissue involvement. (Sussman and Bates-Jensen, 2007) The wound must be monitored during the healing process since monitoring provides the means of "checking the wound on a regular and frequent basis for "signs and symptoms that should trigger a full reassessment, such as increased wound exudate or bruising of the adjacent or periwound skin. Included in monitoring is the "gross evaluation for signs and symptoms of wound complications, such as erthema (change in color) or periwound skin and pus, which is indicative of infection." (Sussman and Bates-Jensen, 2007) Included as well should…...

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References

Aseptic Technique (2008) Aseptic Technique. Section G. NHS Foundation Trust. Online available at:  http://www.cht.nhs.uk/fileadmin/departments/infection_control/policies/Section_G_-_Aseptic_Technique_Issue_2.pdf 

Burney, R.E. et al. (1997) Core Outcomes Measures for Inguinal Hernia Repair. Journal of the American College of Surgeons. Vol. 185, Issue 6. Online available at:  http://www.journalacs.org/article/S1072-7515%2897%2900108-7/abstract 

Issues in Wound Care: Appropriate Use of Dressings. Report from a Wound Academy Expert Forum. Sponsored by the Molnlycke Health Care Wound Academy. September 2007. Online available at:  http://www.molnlycke.com/Global/Wound_Care_Products/UK/Wound%20Academy/IssuesAppropriateusefinalSept07.pdf 

Khan, Y. And Fitzgerald, P. And Walton, M. (1997) Assessment of the postoperative visit after routine inguinal hernia repair: A prospective randomized trial. Journal of Pediatric Surgery. Vol. 32, Issue 6. June 1997. Online available at:  http://www.jpedsurg.org/article/S0022-3468%2897%2990644-8/abstract

Studies suggest that more computerized order entry of medications helps reduce errors by limiting interpretation errors due to handwriting (Meadows, 2003). Thus more order entry is involving computers to protect patients. A culture that supports safety and safe practices has also been adopted to provide nursing staff and patients information about drug therapy and medication to ensure that everyone is aware of the need for safe practices when utilizing and dispensing medications.

Describe the strategies used to ensure nursing practice is performed within legal requirements and ethical frameworks

Nurses now "live and work in a world where there is no single reality but many coexisting realities among which they must choose" (Johnston, 1999:1). Given that through more and more nurses are forced to make legal and ethical decisions and take steps that will determine the best processes to adopt to ensure that moral and legal processes are adopted and followed.

Under the Australian…...

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References

Campbell, D.W. & Sigsby, L.M. (1995). "Nursing interventions classification: A content analysis of nursing activities in public schools." Journal of Community Health Nursing, 12(4): 229.

Caretto, V.A. & McCormick, C.S. (1991). "Community as Client: A Hand's on experience for baccalaureate nursing students." Journal of Community Health Nursing, 8(3): 179.

Johnston, M.J. (1999). Bioethics: A nursing perspective. Sydney: Harcourt Saunders.

Lumby, J. & Picone, D. (2000). Clinical challenges: Focus on nursing. St. Leanords:

Nursing Case Study
Managing a possible Case of Gastroenteritis: A Nursing Case Study

The effective delivery of optimal nursing care requires a comprehensive treatment plan that addresses both the patient's symptoms and the security of the immediate environment. This report presents a case study of appropriate evidence-based nursing practices in treating an elderly female patient presenting with abdominal discomfort in a residential care setting.

The client presents with new onset faecal incontinence, diarrhoea and increasing abdominal discomfort and cramps. These symptoms suggest a possible gastrointestinal disturbance (Crisp & Taylor, 2009) and present a number of possible diagnoses. While the client's nursing care plan indicates that she is normally continent, her confidential disclosure to the nurse suggests that her symptoms may be more prolonged. Another relevant client characteristic is her advanced age of 85 years.

The client's proximity to the dirty utility room in the aged care facility and the report of similar symptoms from…...

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References:

1. Crisp J, Taylor C. (2010). Potter & Perry's fundaments of nursing (3rd ed.). Chatswood, N.S.W.: Elsevier, Australia.

2. Kirk MD, Hall GV, Veitch MGK, Becker N. (2010). Assessing the ?incidence of gastroenteritis among elderly people living in long-term care facilities. Journal of Hospital Infection, 76, 12.

3. Australian Government: Department of Health and Ageing. (2007). Retrieved from- http://www.health.gov.au/internet/main/publishing.nsf/content/icg-guidelinesindex.htm .

4. Andrew E, Simor MVD. (2010). Diagnosis, Management, and Prevention of Clostridium difficile Infection in Long-Term Care Facilities: A Review. The-Americans Geriatric Societ, 58(8), 1557-1593.

Also, nurses can ignore patient advice as far as medical procedures are concerned because they obviously don't have the medical expertise to being advice on such matters (Street 2005). It is important that patient's are able to lend their discretion because every decision made by a medical staff member in their regard effects their life and ultimately their life as a whole (Street, 2005). A healthy relationship between patient and nurse yields positive outcomes and allowing patients to participate in their own care leads to a better relationship (Andrews 2008). Nurses need to keep in mind the balance that exists between letting patients participate and voice their opinions about their care and not allowing patients to dictate the entirety of their stay in the care facility.
Explain why patients do not wish to be actively involved in their care, and how nurses can help with this situation

Patients do not spend…...

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Reference List

Andrews M.M. And Boyle J. (2008). Transcultural Concepts in Nursing. England:

Lippincott Williams & Wilkins.

Street L.R., Gordon S.H., Ward M.M., Krupat E., & Kravitz L.R. (2005). Patient

Participation in Medical Consultations: Why Some Patients Are More Involved

Cae plan

Nusing poblem 1: May's pain must be contained so she does not injue heself.

Because childen cannot always expess thei sensations of pain, thei pain may go unnoticed until it becomes sevee and fightening.

Nusing poblem 2: Vomiting and the possibility of choking.

Anxiety and pain can cause childen to vomit, making teatment of pain and administeing pope nutition difficult.

Nusing poblem 3: May is attempting to emove he oxygen mask.

A lack of knowledge on the pat of the child as to why cetain teatments ae administeed can esult in noncompliance.

Nusing poblem 4: The need fo social suppot when May's mothe is not pesent.

The unfamiliaity of the hospital envionment is exacebated by May's lack of paental cae.

Expected outcomes

Diagnosis 1: Pain management

Outcome: The FLACC: a behavioual scale fo scoing postopeative pain in young childen that can be helpful in detemining how to teat a child's pain. May's eactions of gimacing and squiming suggest a…...

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references

Almond, C. (1998). Children are not little adults. Australian Nursing Journal, 6(3), 27 -- 30.

Bruce, E., & Franck, L. (2000). Self-administered nitrous oxide (Entonox () for the management of procedural pain. Paediatric Nursing, 12(7), 15 -- 19.

Manworren R. & Hynan L.S (2003) Clinical validation of FLACC: preverbal patient pain scale. Paediatric Nursing 29(2):140-146.

McInerney, M. (2000). Paediatric pain. Pulse Information Sheet of Royal College of Nursing,

Case Study eport of Eddie: Acute espiratory Failure with Underlying COPDToday, approximately 10% of all intensive care unit admissions as well as almost one-quarter (24%) of all patients that require mechanical ventilation, are due to acute respiratory failure (Parcha et al., 2021). The purpose of this case study report is to provide an assessment of Eddie, a 50-year-old male recently admitted to the intensive care unit with acute respiratory failure. The case study report begins by providing a brief description of acute respiratory failure, including its pathophysiology, subtypes, causes, and diagnostic criteria. The next section provides a critical analysis of Eddie\\\'s presentation on admission to intensive care, linking it to pathophysiology, physical assessment findings, and diagnostic tests, to arrive at a diagnosis of Eddie\\\'s acute respiratory failure. In addition, the case study report evaluates and describes the ventilation-perfusion (V/Q) mismatch that was identified in Eddie\\\'s diagnosis. In addition, an interpretation…...

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ReferencesAcute Respiratory Failure Overview. (2023). McGill Department of Critical Care. Retrieved from   G. L. et al. (2023). Among-Hospital Variation in Intensive Care Unit Admission Practices and Associated Outcomes for Patients with Acute Respiratory Failure. Annals of the American Thoracic Society, 20(3), 406–413Decaro, S. O. (2019, November 20). Documentation tips: Acute respiratory failure. The Hospitalist. Retrieved from https://www.the-hospitalist.org/hospitalist/article/212735/ pulmonology/documentation-tips-acute-respiratory-failure. Gadre, S. K. et al. (2018, April 27). Acute respiratory failure requiring mechanical ventilation in severe chronic obstructive pulmonary disease (COPD). Medicine, 97(17), 1-37. Ghale, R., Spottiswoode, N., Anderson, M. S., Mitchell, A., Wang, G., Calfee, C. S., DeRisi, J. L., & Langelier, C. R. (2022). Prevalence of type-1 interferon autoantibodies in adults with non-COVID-19 acute respiratory failure. Respiratory Research, 23(1), 1–4.Gurka, D. P. & Balk, R. A. (2018). Acute Respiratory Failure in Critical Care Medicine, Mosby.Kinnear, W. (2023). Non-Invasive Ventilation in Respiratory Failure. BTS Guide (BMJ Journals). Retrieved from  https://thorax.bmj.com/content/57/3/192 .Magesh, V., & Karthikeyan K. (2018). A study of clinical manifestations of right ventricular myocardial infarction. International Archives of Integrated Medicine, 5(1), 121–128.Neder, J. A., Kirby, M., Santyr, G., Pourafkari, M., Smyth, R., Phillips, D. B., Crinion, S., de-Torres, J. P., & O’Donnell, D. E. (2022). V?/Q? Mismatch: A Novel Target for COPD Treatment. Chest, 162(5), 1030–1047.Parcha, V. et al. (2021, April). Trends and Geographic Variation in Acute Respiratory Failure and ARDS Mortality in the United States. Chest, 159(4), 1460-1472.Ricard, J. D., Roca, O., Lemiale, V., Corley, A., Braunlich, J., Jones, P., Kang, B. J., Lellouche, F., Nava, S., Rittayamai, N., Spoletini, G., Jaber, S., & Hernandez, G. (2020). Use of nasal high flow oxygen during acute respiratory failure. Intensive care medicine, 46(12), 2238–2247.Roland, J. (2018, November 2). Steroids for COPD. Healthline. Retrieved from https://www. healthline.com/health/copd/steroids.Tiore, D. N. et al. (2022, January 18). Imaging Pulmonary Blood Vessels and Ventilation-Perfusion Mismatch in COVID-19. Molecular imaging and biology, 24(4), 526–536.https://www.mcgill.ca/criticalcare/education/teaching/teaching-files/acute-respiratory-failure .Anesi,

The data gathered is subjected to statistical analysis using statistical methods of linear regression and chi square testing.
The main purpose of the study was to confirm the hypothesis that consultation with CNS or RN in a drug-monitoring clinic has a significant positive impact on the well being of patients with rheumatoid arthritis. The study involved a single blinded randomized controlled trial over a period of three years. Subjects were chosen from the rheumatology out patient setting in a district general hospital with a drug monitoring service. A total of 71 subjects who were starting out on anti-rheumatic therapy were randomly assigned to either the interventional or the control group. While the interventional group was supervised by the CNS to assess patient needs (using Pendelton's framework) alongside drug safety evaluation, the control group was seen by an outpatient staff nurse purely for drug safety concerns. oth the groups were assessed…...

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Bibliography

Teri Britt Pipe; Kay E. Wellik; Vicki L. Buchda; Carol M. Hansen; Dana R. Martyn, 2005, "Implementing Evidence-Based Nursing Practice," Urol Nurs. 25(5): 365-370, Available at,  http://www.medscape.com/viewarticle/514532 

Ryan, S, Hassell, a.B, Lewis, M, & Farrell, a. (2006). Impact of a Rheumatology Expert Nurse on the well-being of patients attending a drug monitoring clinic. Journal of Advanced Nursing, 53(3), 277 -286.

Considine, J. & Botti, M. (2004) Who, when and where? Identification of patients at risk of an in-hospital adverse event: Implications for nursing practice. International Journal of Nursing Practice. 10: pp. 21-31

Other references

Nurse Case Manager:
Case management in the nursing field is basically described as the functions and activities carried out by the nurse case manager within a specific care setting. In some cases, these functions and activities are usually performed by a self-governing practitioner, especially in private case management practices and community nursing facilities (Cohen & Cesta, 2005, p.278). Generally case management responsibilities are provided by the nurse case manager in acute care, primary care, home care, and managed care organizations. Nonetheless, these activities may be offered to particular patient populations and communities like the elderly. Some of the most case management activities include patient identification and intake, problem identification and assessment, patient outreach, development and implementation of plan of care, and coordination of care.

oles and Functions of Nurse Case Manager:

In acute care organizations, the roles and functions of the nurse case manager includes coordinating the care provided to a group of…...

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References:

Blancett, S.S. & Flarey, D.L. (2006). Case studies in nursing case management: health care delivery in a world of managed care. Gaithersburg, MD: Aspen Publishers, Inc.

Cohen, E.L. & Cesta, T.G. (2005). Nursing case management: from essentials to advanced practice applications (4th ed.). St. Louis, MO: Elsevier Health Sciences.

Meadows, P. (2009, January). Community Health Nursing. American Journal of Nursing,

109(19). Retrieved from  http://journals.lww.com/ajnonline/fulltext/2009/01001/community_health_nursing.5.aspx

[Roberta S. Rehm]. Thus, the need for nurses to upgrade their skills in handling assistive technical gadgets becomes more pronounced. The most frustrating and stressful situation for parents is when school authorities fail to show an active interest in the needs and care requirements of the technologically dependent children. Here again, school nurses, as health care deliverers in the school, can exhibit a proactive approach. Increased parent- nurse rapport is one way to reduce the parental concern for children with special needs. Clearly, nurses are central in delivering quality medicare for dependant children and in promoting it in the school setting. They have to play a coordinated role with parents and school administration to ensure that required level of care is delivered to the dependent children. [Roberta S. Rehm]
It needs to be highlighted here that schools nurses may not be always available as in many cases they are entrusted…...

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Bibliography

Barbara A Montagnino, Rizalina V Mauricio, "The Child with a Tracheostomy and Gastrostomy: Parental Stress and Coping in the Home -- A Pilot Study," Pediatric Nursing, Sept 2004 v30, p373

Roberta S. Rehm, "Creating a Context of Safety and Achievement at School for Children who are Medically Fragile / Technology dependant," Advances in Nursing Science, March 2002, v24, p71

3) Louis Dixon, "Tracheostomy: Easing The Transition From Hospital to Home," Accessed on 23rd Oct 2005, available at  http://www.perspectivesinnursing.org/v1n3/dixon.html

Nursing Objectives
By synthesizing knowledge from the natural and behavioral sciences, as well as the humanities, into nursing practice, a nurse can provide much more value when it comes to the proper level of care for all patients (Fitzpatrick & Kazer, 2011). In order for nurses to synthesize the knowledge from all of these areas, though, nurses must first obtain this knowledge. One of the best ways to do that is through continuing education. Nurses who go back to school to obtain bachelor's degrees and higher are helping themselves, but they are also helping their current and future patients (Judd, 2009). It is generally never a bad thing to gain knowledge, and being good at nursing is more than just focusing on the physical aspects of patient care. There is also a significant mental aspect of the career.

With that in mind, nurses must learn more than just nursing skills. Both natural…...

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References

Fitzpatrick, J.J. & Kazer, M. (eds.). (2011). Encyclopedia of nursing research (3rd ed). NY: MacMillan.

Longe, J. (ed.). (2013). Gale Encyclopedia of Nursing and Allied Health. NY: Gale Group.

D'Antonio, P. (2010). American nursing: A history of knowledge, authority, and the meaning of work. NY: Penguin.

Judd, D. (2009). A history of American nursing: Trends and eras. NY: Macmillan.

Nursing Theory and Practice

The Impact of Nursing Theories on Patient Outcomes
The Role of Critical Thinking in Nursing Practice
Ethical Decision-Making in Nursing: Frameworks and Case Studies
Interdisciplinary Collaboration and its Implications for Nursing Care
Innovations in Nursing Education: Exploring Future Trends

Nursing Research and Evidence-Based Practice

The Importance of Nursing Research for Improving Patient Care
Conducting Nursing Research: Research Designs, Methods, and Analysis
Translating Research Findings into Clinical Practice: Challenges and Strategies
The Role of Technology in Nursing Research and Evidence-Based Practice
Evaluation of Nursing Interventions: Methods and Impact

Nursing Management and Leadership

The Transformational Leader in Nursing: Inspiring and....