Tag: Clinical-Nursing

  • Protein Malnutrition Case Study Analysis – nurs 6501 week 2 assignment

    Protein Malnutrition Case Study Analysis – nurs 6501 week 2 assignment

    The Assignment (1- to 2-page case study analysis)

    Develop a 1- to 2-page case study analysis in which you:

    Explain why you think the patient presented the symptoms described.

    Identify the genes that may be associated with the development of the disease.

    Explain the process of immunosuppression and the effect it has on body systems.

    Protein Malnutrition Case Study Analysis – nurs 6501 week 2 assignment

     

     
    Case Study Analysis of Protein Malnutrition –
    NURS 6501: Advanced Pathophysiology

    Poor nutritional status and malnutrition in adults aged 65 years or older are significant public health concerns across the globe. Malnutrition in the elderly is attributed to a gradual deterioration in wellbeing, elevated risk of mortality, premature institutionalization, decreased cognitive and physical functional status, and frequent visits to the emergency department (Evans, 2018) Protein Malnutrition Case Study Analysis – nurs 6501 week 2 assignment. Nutritional evaluation and management should be a routine practice of care for all aged adults, especially those in long-term care nursing facilities (Mathewson et al., 2021). This assignment involves a case study analysis of an elderly patient presenting to the emergency room with generalized edema of the abdomen and extremities. A history assessment of the patient’s data confirmed that the 83-year-old patient suffers protein malnutrition, lacks dentures making it difficult to eat, and has a history of malabsorption syndrome.

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    Typically, the digestion process involves the enzymatic hydrolysis of food after the mechanical breakdown in the gastrointestinal tract (GIT), with the eventual products being absorbed into circulation through epithelial cells lining the small intestine. The physiological function of the GIT can be impaired by a diversity of etiologies, including enteropathies, conditions such as lactose intolerance, cystic fibrosis, chronic pancreatitis, Crohn’s disease, and celiac disease (CD), acquired or congenital reduction in absorptive surface, and impaired enterohepatic circulation (Coulthard, 2015). Protein Malnutrition Case Study Analysis – nurs 6501 week 2 assignment For the elderly patient, impaired absorption of macronutrients resulted in protein malnutrition, which is marked by hypoalbuminemia. Albumin prevents fluid leakage into extravascular spaces by maintaining the oncotic pressure within the vascular compartments. The low albumin levels in the 83-year-old patient due to malabsorption syndrome resulted in water retention causing edema in the extremities and abdomen (Avelino-Silva & Jaluul, 2017). Hypoalbuminemia lowers the osmotic pressure and increases the hydrostatic pressure in the capillary vessels needed for water absorption, subsequently, producing the observed localized accumulation of fluid in the extremities and abdomen.  The lack of dentures exacerbates protein deficiency and the formation of generalized edema.

    Genes Associated with Protein Malabsorption

    Protein malnutrition is an intricate process that is associated with advancing age and other causes, including the presence of predisposing genes and psychosocial and physiological factors (Mathewson et al., 2021). The 83-year-old patient potentially has celiac disease (CD), a genetic intolerance to protein, principally gluten found in rye, barley, and wheat. The consumption of a gluten-rich diet by individuals with CD causes inflammation of the small intestinal lining, consequently impairing absorption of macro-and micro-nutrients, which, in turn, cause protein deficiency (Cecilio & Bonatto, 2017) Protein Malnutrition Case Study Analysis – nurs 6501 week 2 assignment. The pathogenesis of CD involves the consumption of gluten, alterations in the intestinal mucosa, and the presence of surface markers HLA DQ2 and HLA DQ8 (Sallese et al., 2020). Upon ingestion, gluten interacts with the HLA genes triggering hypersensitivity in the intestinal mucosa and tissue injury marked by inflammation and the resulting protein malabsorption (Cecilio & Bonatto, 2017). The typical characteristics of CD make the disease be described as an autoimmune condition that is environmentally elicited by gluten. The gluten-HLA interaction prompts the activation of a T-cell-mediated immune reaction indicated by elevated numbers of intraepithelial lymphocytes in the damaged surface epithelium consistent with cell-mediated injury (Dunne et al., 2020).

    Immunosuppression and its Impact on Body Systems

    The process of immunosuppression involves the clampdown of a person’s inherent capacity to prevent infections and diseases through the deliberate action of medications or as a result of an infection with viral agents, like HIV, that target immune cells. Immunosuppressed individuals are extremely sick and vulnerable to infection by microbes that would normally cause no danger to healthy people (McSorley et al., 2017). Immunosuppression depletes the body system’s ability to mount an innate or acquired immune response to infectious agents thereby making the immunosuppressed individuals susceptible to opportunistic infections. At times, immunosuppression is deliberately triggered by administering immunosuppressants following the diagnosis of autoimmune disorders and during organ transplants. For example, a confirmed diagnosis of CD in an 83-year-old patient will necessitate the administration of recommended immunosuppressant treatment to decrease the hypersensitivity against the lining of the intestinal mucosa  (Iqbal et al., 2017). Thus, immunosuppression helps the body systems by avoiding autoimmunity and hypersensitivity to food.

     
     
    References

    Avelino-Silva, T. J., & Jaluul, O. (2017). Malnutrition in hospitalized older patients: Management strategies to improve patient care and clinical outcomes.
    International Journal of Gerontology
    ,
    11
    (2), 56–61. https://doi.org/10.1016/j.ijge.2016.11.002

    Cecilio, L. A., & Bonatto, M. W. (2017). The prevalence of HLA DQ2 and DQ8 in patients with celiac disease, in families, and the general population.
    Arquivos Brasileiros de Cirurgia Digestiva : ABCD = Brazilian Archives of Digestive Surgery
    ,
    28
    (3), 183–185. https://doi.org/10.1590/S0102-67202015000300009 Protein Malnutrition Case Study Analysis – nurs 6501 week 2 assignment

    Coulthard, M. G. (2015). Edema in kwashiorkor is caused by hypoalbuminemia.
    Pediatrics and International Child Health
    ,
    35
    (2), 83–89. https://doi.org/10.1179/2046905514Y.0000000154

    Dunne, M. R., Byrne, G., Chirdo, F. G., & Feighery, C. (2020). Coeliac disease pathogenesis: The uncertainties of a well-known immune-mediated disorder.
    Frontiers in Immunology
    ,
    11
    (July), 1–14. https://doi.org/10.3389/fimmu.2020.01374

    Evans, C. (2018). Malnutrition in the elderly: a multifactorial failure to thrive.
    The Permanente Journal
    ,
    9
    (3), 38–41. https://doi.org/10.7812/tpp/05-056

    Iqbal, U., Chaudhary, A., Karim, M. A., Anwar, H., & Merrell, N. (2017). Refractory celiac disease was successfully treated with Azathioprine.
    Gastroenterology Research
    ,
    10
    (3), 199–201. https://doi.org/10.14740/gr819w

    Mathewson, S. L., Azevedo, P. S., Gordon, A. L., Phillips, B. E., & Greig, C. A. (2021). Overcoming protein-energy malnutrition in older adults in the residential care setting: A narrative review of causes and interventions.
    Ageing Research Reviews
    ,
    70
    (January), 101401. https://doi.org/10.1016/j.arr.2021.101401

    McSorley, H. J., Gaze, S., Daveson, J., Jones, D., Anderson, R. P., Clouston, A., Ruyssers, N. E., Speare, R., McCarthy, J. S., Engwerda, C. R., Croese, J., & Loukas, A. (2017). Suppression of inflammatory immune responses in celiac disease by experimental hookworm infection.
    PLoS ONE
    ,
    6
    (9), 3–9. https://doi.org/10.1371/journal.pone.0024092

    Sallese, M., Lopetuso, L. R., Efthymakis, K., & Neri, M. (2020). Beyond the HLA genes in gluten-related disorders.
    Frontiers in Nutrition
    ,
    7
    (November), 1–7. https://doi.org/10.3389/fnut.2020.575844 Protein Malnutrition Case Study Analysis – nurs 6501 week 2 assignment

  • Assignment: Change Implementation and Management Plan

    Assignment: Change Implementation and Management Plan

    It is one of the most cliché of clichés, but it nevertheless rings true: The only constant is change. As a nursing professional, you are no doubt aware that success in the healthcare field requires the ability to adapt to change, as the pace of change in healthcare may be without rival.

    As a professional, you will be called upon to share expertise, inform, educate, and advocate. Your efforts in these areas can help lead others through change. In this Assignment, you will propose a change within your organization and present a comprehensive plan to implement the change you propose.

    To Prepare:

    Review the Resources and identify one change that you believe is called for in your organization/workplace.

    This may be a change necessary to effectively address one or more of the issues you addressed in the Workplace Environment Assessment you submitted in Module 4. It may also be a change in response to something not addressed in your previous efforts. It may be beneficial to discuss your ideas with your organizational leadership and/or colleagues to help identify and vet these ideas.

    Reflect on how you might implement this change and how you might communicate this change to organizational leadership.

    The Assignment (5-6-minute narrated PowerPoint presentation):

    Change Implementation and Management Plan

    Create a 5- or 6-slide narrated PowerPoint that presents a comprehensive plan to implement changes you propose.

    Your narrated presentation should be 5–6 minutes in length.

    Your Change Implementation and Management Plan should include the following:

    An executive summary of the issues that are currently affecting your organization/workplace (This can include the work you completed in your Workplace Environment Assessment previously submitted, if relevant.)

    Assignment: Change Implementation and Management Plan

    A description of the change being proposed

    Justifications for the change, including why addressing it will have a positive impact on your organization/workplace

    Details about the type and scope of the proposed change

    Identification of the stakeholders impacted by the change

    Identification of a change management team (by title/role)

    A plan for communicating the change you propose

    A description of risk mitigation plans you would recommend to address the risks anticipated by the change you propose

    Alternate Submission Method

    You may also use Kaltura Personal Capture to record your narrated PowerPoint. This option will require you to create your PowerPoint slides first. Then, follow the Personal Capture instructions outlined on the Kaltura Media Uploader guide found in the left menu of your classroom. This guide will walk you through downloading the tool and help you become familiar with the features of Personal Capture. When you are ready to begin recording, you may turn off the webcam option so that only “Screen” and “Audio” are enabled. Start your recording and then open your PowerPoint to slide show view. Once the recording is complete, follow the instructions found on the “Posting Your Video in the Classroom Guide” found on the Kaltura Media Uploader page for instructions on how to submit your video. For this option, in addition to submitting your video, you must also upload your PowerPoint file which must include your speaker notes.

     

    Change Implementation and Management Plan –
    NURS 6501: Interprofessional Organizational and Systems Leadership – Walden University

    Executive Summary of the Healthcare Issue

    oEffective communication and collaboration are necessary for functioning of interprofessional clinical teams

    oCommunication flaws and a lack of teamwork skills increase the odds of medical errors.

    oIn our L&D unit, interprofessional miscommunication and strained teamwork are associated with:

    oUncivil behaviors

    oJob dissatisfaction and nurse turnover

    oPatient dissatisfaction

    oDecreased quality of maternal care

    Effective communication and collaboration among interprofessional teams are fundamental to the delivery of safe, quality patient care (Yu et al., 2020). Numerous medical flaws are allied to a lack of teamwork skills and communication failures within clinical teams (Yang et al., 2017). In our hospital, cases of interprofessional miscommunication and strained teamwork have contributed to incidences of uncivil behaviors among members of the L&D interprofessional team, which, in turn, led to job dissatisfaction, reduced patient satisfaction with care provided by obstetricians, midwives, and nurses, and ultimately, decreased quality of maternal care.

     

    Simulation-Based
    TeamSTEPPS

    Training and Impact

    oThe proposed change:

    oTeam Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) training

    o

    oEnhances teamwork skills and communication in interdisciplinary teams with the aim goal of optimizing patient outcomes

    o

    oFacilitates team building and synergistic behaviors

    o

    oAllows  the L&D team to exercise active listening, compassion and honesty, and effective conflict resolution

    The proposed change to strengthen teamwork and improve interprofessional communication, and subsequently address incivility in our L&D interdisciplinary team is the implementation of simulation-based Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) training. TeamSTEPPS is a systematic methodology and set of instruments formulated by the Agency for Healthcare Research and Quality (AHRQ) and the Department of Defense (DoD) designed to enhance teamwork skills and communication among medical professionals with the principal goal of optimizing patient outcomes (AHRQ, n.d.). TeamSTEPPS facilitates team building and synergistic behaviors grounded on clearly defined purpose, active listening, demonstration of compassion and honesty, flexibility, and dedication to conflict resolution, all of which are necessary for fostering inter-professional collaboration and mutual respect

    Type and Scope of the Change

    oStakeholders: Obstetricians, midwives, physicians, and aestheticians involved in maternal care.

    o

    oTraining modality: In-situ simulation Assignment: Change Implementation and Management Plan

    o

    oSimulated activities: Group-based management of postpartum hemorrhage

    o

    oTarget TeamSTEPPS skills: Mutual support, situation monitoring, leadership, and communication

    The training program will involve obstetricians, midwives, physicians, and aestheticians involved in maternal care, including vaginal and cesarean delivery, as well as in the management of postpartum hemorrhage (PPH). The above stakeholders will actively participate in simulated activities, mainly focusing group-based management of PPH, which will allow them to replicate clinical care in a safe setting while learning the TeamSTEPPS principles, namely: mutual support, situation monitoring, leadership, and communication (Buljac-Samardzic et al., 2020).

    Change Management Team

    As outlined previously, the management of PPH-associated complications is a shared effort requiring the L&D team to team-up and maintain open communication channel. Thus, the implementation of the simulated-based TeamSTEPPS training will involve nursing staff, obstetricians/gynecologists, certified nurse midwives, and anesthesia providers in the L&D unit.
     
    Others include a nurse educator to provide training, Information & Technology staff to provide, support in the integration of the training information into the simulator, the hospital’s CEO, chief obstetrician, and the chief nurse to offer leadership support the evaluation of the project.

    Communication Plan

    Project manager, the nurse leader, and the nurse manager will play a critical role throughout the intervention implementation process. Therefore, they will be involved in communicating all aspects of the proposed intervention including the need for interprofessional collaboration and communication, the proposed solution, evidence, resources required, assessment strategies, and the impact on maternal outcomes

    Risk Mitigation Plans

    oThere is no anticipated risks associated with the implementation of the in-situ simulation-based training

    o

    oExpected barriers

    oBurnout of obstetricians and/or midwives

    oHeavy workload

    oInadequate finances and educational resources

    o

    oInvolvement of the hospital executive and all the L&D staff in every step of the intervention implementation will mitigate the barriers

    There is no anticipated risks associated with the implementation of the in-situ simulation-based training; however, a diversity of barriers expected to impede the successful enforcement.  Burnout of obstetricians and/or midwives and heavy workload are likely to obstruct efforts to inspire them to participate in the in-situ simulation-based TeamSTEPPS workshop. Besides, inadequate finances and tools to educate the L&D interprofessional team may reduce the capacity for executive support (Seacrist et al., 2018). Involvement of the hospital executive and all the L&D staff in every step of the intervention implementation will mitigate the barriers

    References

    oAHRQ. (n.d.).
    About
    TeamSTEPPS
    ®
    . Retrieved August 2, 2022, from https://www.ahrq.gov/teamstepps/index.html

    oBuljac-Samardzic, M., Doekhie, K. D., & Van Wijngaarden, J. D. H. (2020). Interventions to improve team effectiveness within health care: A systematic review of the past decade.
    Human Resources for Health
    ,
    18
    (1), 1–42. https://doi.org/10.1186/s12960-019-0411-3

    oSeacrist, M., Bingham, D., Scheich, B., & Byfield, R. (2018). Barriers and facilitators to implementation of a multistate collaborative to reduce maternal mortality from postpartum hemorrhage.
    JOGNN – Journal of Obstetric, Gynecologic, and Neonatal Nursing
    ,
    47
    (5), 688–697. https://doi.org/10.1016/j.jogn.2017.11.009

    oYang, L. Y., Yang, Y. Y., Huang, C. C., Liang, J. F., Lee, F. Y., Cheng, H. M., Huang, C. C., & Kao, S. Y. (2017). Simulation-based inter-professional education to improve attitudes towards collaborative practice: A prospective comparative pilot study in a Chinese medical centre.
    BMJ Open
    ,
    7
    (11), 1–11. https://doi.org/10.1136/bmjopen-2016-015105 Assignment: Change Implementation and Management Plan

    oYu, J., Lee,  woosuck, Kim, M., Choi, S., Lee, S., Kim, S., Jung, Y., Kwak, D., Jung, H., Lee, S., Lee, Y. J., Hyun, S. J., Kang, Y., Kim, S. M., & Lee, J. (2020). Effectiveness of simulation-based interprofessional education for medical and nursing students in South Korea: A pre-post survey.
    BMC Medical Education
    ,
    20
    (1), 1–9. https://doi.org/10.1186/s12909-020-02395-9

  • Assignment: Workplace Environment Assessment

    Assignment: Workplace Environment Assessment

    The Assignment (3-6 pages total):

    Part 1: Work Environment Assessment (1-2 pages)

    Review the Work Environment Assessment Template you completed for this Module’s Discussion.

    Describe the results of the Work Environment Assessment you completed on your workplace.

    Identify two things that surprised you about the results and one idea you believed prior to conducting the Assessment that was confirmed.

    Explain what the results of the Assessment suggest about the health and civility of your workplace.

    Part 2: Reviewing the Literature (1-2 pages)

    Briefly describe the theory or concept presented in the article(s) you selected.

    Explain how the theory or concept presented in the article(s) relates to the results of your Work Environment Assessment.

    Explain how your organization could apply the theory highlighted in your selected article(s) to improve organizational health and/or create stronger work teams. Be specific and provide examples.

    Part 3: Evidence-Based Strategies to Create High-Performance Interprofessional Teams (1–2 pages)

    Recommend at least two strategies, supported in the literature, that can be implemented to address any shortcomings revealed in your Work Environment Assessment.

    Recommend at least two strategies that can be implemented to bolster successful practices revealed in your Work Environment Assessment Assignment: Workplace Environment Assessment.

     
    Module 4 Assignment: Work Environment Assessment – NURS 6501: Interprofessional Organizational and Systems Leadership

    Module 4 Assignment: Work Environment Assessment

    Workplace incivility, which is described as repetitive, low-intensity unacceptable social behaviors, is a common occurrence in nursing practice (Armstrong, 2018). Uncivil conducts range from passive aggression and sexual harassment to nonverbal and verbal abuse and are predominantly intended to undermine and scare another group or an individual (Bambi et al., 2018) Assignment: Workplace Environment Assessment. In nursing settings, incivility aimed at colleagues represents a form of harassment that possibly contributes to physical and psychological anguish in victims, which, in turn, adversely influence the quality of nursing care delivered (Armstrong, 2018). The present assignment aims at analyzing the Clark Healthy Workplace Inventory results from my workplace and applying evidence from published pieces of literature in formulating interventions to address cases of uncivil behaviors discovered during the assessment. The three-part assignment entails a summary of the Work Environment Assessment, theory or concept discussed in the assignment articles, and evidence-based strategies for creating high-performance inter-professional teams.

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    Part 1: Work Environment Assessment

    My workplace scored 83 on the Clark Health Workplace Inventory indicating that it is moderately healthy. The highest scores were recorded on members sharing a collective vision and mission that is grounded on trust, respect, and collegiality. Our nurse leaders recognize that being on the same page with all the patient’s clinical care providers is at the crux of patient-centered, evidence-based, and outcome-oriented care delivery and effective leadership (Martin et al., 2017). In my view, a shared vision reinforced by teamwork and broadening clinical scopes of nurses has led to shared care in my workplace as the collective vision has provided the path for change and inspired individuals to focus their energies on the core mission of fostering a healthy environment that guarantees patient safety (Martin et al., 2017). For instance, the shared vision provides a strong purpose and clear orientation to the nurse manager and team members of the L&D unit, which enables them to set priorities accordingly and stay on track, thereby leaving no room for uncivil behaviors. Other factors that have led to the moderate healthy workplace environment in our worksite include the use of effective communication, evident teamwork and collaboration, provision of competitive remunerations, and availability of adequate resources for professional growth and development.

    Our hospital CEO and nurse manager strive to promote a healthy workplace that reflects a high degree of team involvement in decision-making as well as positive patient outcomes (Clark et al., 2016). Thus, I would rate my workplace environment as somewhat civil, since there have been seldom cases of incivility that threatened inter-professional collaboration, especially between nurses and clinicians (Shoorideh et al., 2021). From the available literature, power dynamics particularly between managers and junior staff is a primary recipe for uncivil behaviors, mainly verbal abuse including hostility, overt scolds or convert criticisms, sarcastic reactions, and impoliteness (Abdollahzadeh et al., 2017; Shoorideh et al., 2021). It was surprising, however, that the nurse leaders in our workplace were unlikely to direct incivility toward their subordinates. Covert uncivil conduct occurred among nurses with colleagues showing mutual disrespect during clinical rounds. Second, the frequency of reported cases of incivility is non-existent due to its covert nature, implying that cases remain undocumented and unaddressed. An idea I believed before the work environment assessment was that the unit and hospital leadership proactively investigated cases of incivility Assignment: Workplace Environment Assessment. However, the results indicated that while there is a perceived moderate healthy environment, interventions are needed to expose and prevent covert incidences of uncivil conduct amongst clinicians.

    Part 2: Reviewing the Literature

    I analyzed Clark’s (2019) and Clark’s (2015) articles highlighting the concept of cognitive rehearsal, an evidence-based technique proposed for employment in tackling discourteousness and disrespect during difficult dialogues. The technique is at the crux of Bandura’s social learning theory, whereby persons work with an experienced facilitator to deliberate and rehearse effective approaches to tackling a certain social issue or problem (Clark, 2019). It entails mentally practicing desired reactions to situations involving conducts frequently allied to workplace incivility like physical violence, verbal disrespect, subversion, gossiping, humiliation, and nonverbal allusion (Kousha et al., 2022). Cognitive rehearsal is intended to improve impulse control, increase confidence, and reduce nervousness by exercising pragmatic techniques to handle possibly nerve-wracking experiences. The covert cases of incivility at my workplace are examples of nerve-wracking social experiences that are characterized by discourteousness, disrespect, and difficult conversations, which call for the application of such psychological techniques as a cognitive rehearsal to address it.

    Kousha et al. (2022) conducted a randomized controlled trial (RCT) involving 80 emergency nurses to explore the efficacy of cognitive rehearsal and educational intervention on perceived incivility among emergency nurses. The findings of the RCT showed that cognitive rehearsal enabled the emergency nurses to decode the training they acquired on effective conversation approaches into appropriate behaviors they can apply in their clinical settings to maintain mutual respect during heated discussions. In the above view, the tenets of the cognitive rehearsal technique can be applied in our hospital to promote a healthier workplace environment and prevent cases of nurse-to-nurse incivility. In line with the three-step process described by Clark (2015), the cognitive rehearsal technique will involve a nurse manager-led training presentation on incivility, modeling and demonstration of desired responses during dialogues, including the desired calm, respectful tone, and allowing the nurses to teach back to exercise the acquired behaviors to reinforce the instruction and rehearsal (Clark, 2015). The expectation is that the application of the cognitive rehearsal and role modeling technique in my clinical setup will result in a more conflict-capable staff, enhanced communication, improved nurse satisfaction, and subsequently, enhanced nursing care delivery.

    Part 3: Evidence-Based Strategies for Creating High-Performance Inter-Professional Teams

    One recommendation to develop high-performing inter-professional teams devoid of the convert nurse-to-nurse uncivil behaviors in our workplace is simulation-based Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) training. TeamSTEPPS is a systematic methodology and set of instruments formulated by the Agency for Healthcare Research and Quality (AHRQ) and the Department of Defense (DoD) designed to enhance teamwork skills and communication among medical professionals with the principal goal of optimizing patient outcomes (AHRQ, n.d.). Assignment: Workplace Environment Assessment TeamSTEPPS facilitates team building and synergistic behaviors grounded on clearly defined purpose, active listening, demonstration of compassion and honesty, flexibility, and dedication to conflict resolution, all of which are necessary for fostering inter-professional collaboration and mutual respect. The second recommendation for creating high-performing inter-professional teams is the provision of effective leadership. In particular, the presence of transformational leaders facilitates shared governorship, goal alignment, creativity and innovation, team building, effective communication, and direction setting necessary for high-performing inter-professional teams (Mitchell et al., 2017).

    In line with Eggenberger et al. (2019) recommendations, transformational leaders inspire members of interdisciplinary teams to partake in establishing a collaborative team culture and encourage them to nurture novices for team continuity and sustainability. Apart from cognitive rehearsal, I recommend the application of the tenets of the DESC models among nurses to communicate their beliefs, thoughts, and feelings in an open, honest way without infringing the rights of others and subsequently avoiding avoidable conflicts associated with incivility (Clark, 2019). The second strategy to bolster successful practices and desired behaviors in our clinical setting among nurses is to inculcate a culture of patient safety by actively investigating and tackling uncivil behaviors. The above will demonstrate the leadership’s commitment to tackling incivility, promoting a healthy workplace environment, and encouraging reporting of uncivil conduct.

    Conclusion

    The present assignment aimed at analyzing the Clark Healthy Workplace Inventory results from my workplace and applying evidence from published pieces of literature in formulating interventions to address cases of uncivil behaviors discovered during the assessment. The three-part assignment provided a summary of the Work Environment Assessment, showing that my workplace scored 83 on the Clark Health Workplace Inventory suggesting that it is moderately healthy. The reviewed pieces of literature highlighted the concept of cognitive rehearsal, an evidence-based technique proposed at the crux of Bandura’s social learning theory for employment in tackling discourteousness and disrespect during difficult dialogues. The concept is based on the premise that persons work with an experienced facilitator to deliberate and rehearse effective approaches to tackling a certain social issue or problem. The evidence-based strategies recommended for creating
    high-performance inter-professional teams
    include TeamSTEPPS-based training and transformational leadership.

     

    References

    Abdollahzadeh, F., Asghari, E., Ebrahimi, H., Rahmani, A., & Vahidi, M. (2017). How to prevent workplace incivility? Nurses’ perspective.
    Iranian Journal of Nursing and Midwifery Research
    ,
    22
    (2), 157–163. https://doi.org/10.4103/1735-9066.205966

    AHRQ. (n.d.).
    About TeamSTEPPS®
    . https://www.ahrq.gov/teamstepps/index.html

    Armstrong, N. (2018). Management of nursing workplace incivility in the health care settings: A systematic review.
    Workplace Health and Safety
    ,
    66
    (8), 403–410. https://doi.org/10.1177/2165079918771106 Assignment: Workplace Environment Assessment

    Bambi, S., Foà, C., De Felippis, C., Lucchini, A., Guazzini, A., & Rasero, L. (2018). Workplace incivility, lateral violence, and bullying among nurses. A review of their prevalence and related factors.
    Acta Biomedica
    ,
    89
    (6), 51–79. https://doi.org/10.23750/abm.v89i6-S.7461

    Clark, C. M. (2015). Conversations to inspire and promote a more civil workplace: Let’s end the silence that surrounds incivility.
    American Nurse Today
    ,
    10
    (11), 18–23.

    Clark, C. M. (2019). Combining cognitive rehearsal, simulation, and evidence-based scripting to address incivility.
    Nurse Educator
    ,
    44
    (2), 64–68. https://doi.org/10.1097/NNE.0000000000000563

    Eggenberger, B. T., Sherman, R. O., & Keller, K. (2019). Creating high-performance interprofessional teams leading the wa
    y
    .
    American Nurse Today, 9
    (11), 12–14.

    Kousha, S., Shahrami, A., Forouzanfar, M. M., Sanaie, N., Atashzadeh-Shoorideh, F., & Skerrett, V. (2022). Effectiveness of educational intervention and cognitive rehearsal on perceived incivility among emergency nurses: A randomized controlled trial.
    BMC Nursing
    ,
    21
    (1), 1–9. https://doi.org/10.1186/s12912-022-00930-1

    Martin, J., Mccormack, B., Fitzsimons, D., & Spirig, R. (2017). The importance of inspiring a shared vision.
    International Practice Development Journal
    ,
    4
    (2), 1–15.

    Mitchell, R., Boyle, B., Parker, V., Giles, M., Joyce, P., & Chiang, V. (2017). Transformation through tension: The moderating impact of negative affect on transformational leadership in teams.
    Human Relations
    ,
    67
    (9), 1095–1121. https://doi.org/10.1177/0018726714521645

    Shoorideh, F. A., Moosavi, S., & Balouchi, A. (2021). Incivility toward nurses: A systematic review and meta-analysis.
    Journal of Medical Ethics and History of Medicine
    ,
    14
    (12), 123–134. https://doi.org/10.18502/jmehm.v14i15.7670 Assignment: Workplace Environment Assessment

  • Assignment: Personal Leadership Philosophies

    Assignment: Personal Leadership Philosophies

    The Assignment (2-3 pages):

    Personal Leadership Philosophies

    Develop and submit a personal leadership philosophy that reflects what you think are characteristics of a good leader. Use the scholarly resources on leadership you selected to support your philosophy statement. Your personal leadership philosophy should include the following:

    A description of your core values.

    A personal mission and vision statement.

    An analysis of your CliftonStrengths Assessment summarizing the results of your profile

    A description of two key behaviors that you wish to strengthen.

    A development plan that explains how you plan to improve upon the two key behaviors you selected and an explanation of how you plan to achieve your personal vision. Be specific and provide examples Assignment: Personal Leadership Philosophies.

    Be sure to incorporate your colleagues’ feedback on your CliftonStrengths Assessment from this Module’s Discussion 2.

    Personal Leadership Philosophy

    NURS 6501: Interprofessional Organizational and Systems Leadership

     
    Personal Leadership Philosophy

    I subscribe to the words of John Wooden, a famous American basketball player and coach, who once said the most influential leadership tool one has is their own example. I believe in steering a team by example. My leadership philosophy has played a central role in my approach to nursing practice and in working with others as it has allowed me to be consistent in my management actions and behaviors, control my reactions to situations, understand my values, and remain accountable. While I am not an appointed leader, I tend to take up a leadership role in projects when others hesitate and my colleagues seek advice whenever they brace challenges in their routine activities. I am looking forward to attaining my Family Nurse Practitioner certification upon graduation, implying that I will be leading medical teams in the formulation of treatment and management plans for a diversity of patient populations; therefore, I seek to improve my clinical reasoning and governance skills Assignment: Personal Leadership Philosophies.

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    My personal leadership has seven core values. I believe that an effective nurse leader honors trust, is always respectful, and works hard to accomplish their goals and inspire others to follow the organizational dream. I remain composed and persistent during difficulties; I consider every experience as a learning opportunity, whether at the personal or clinical level; and I value the process of communication from speaking, writing, and listening. Therefore, I strive to lead by example by role modeling the above values and setting an unspoken example in every task that I undertake, including communication style, dressing code, time management, and prioritizing my well-being to reduce the risk of burnout. The above is in line with the findings of Mudallal et al. (2017) study that sought to examine the impact of leader empowering behaviors, demographic traits, and work conditions on nurse burnout. From the above article, it is apparent that enhancing the meaningfulness of work through such leadership behaviors as infusing staff’s tasks with purpose and assigning meaning to individual contributions elevates nurses’ sense of worth and inspires them (Mudallal et al., 2017). Assignment: Personal Leadership Philosophies I identify with the transformational leadership approach, which according to Lin et al. (2017) contributes substantially to supervisor support. As a transformational leader, I will stimulate my followers to share my vision of being the leading L&D unit by fostering evidence-based maternal and childcare services in the hospital. My mission is to create and steer strong clinical teams that provide patient-centered care and guarantee patient safety in our hospital.

    The five most dominant themes of talent from my StrengthsFinder Assessment are input, individualization, relator, strategic, and leaner (Gallup Access, n.d.). What makes me stand out in the input theme is the ability to seek out innovative ideas and plans of visionary people and apply them make mental leaps into the expected future. Within the individualization talent, I am intrigued with the distinctive qualities of individuals enabling me to strike conversations with others with the core purpose of understanding their hopes, successes, goals, experiences, talents, interests, and strengths. Within the strategic theme, I employ language and vocabulary to express innovative ideas and alternative ways to resolve a problem in a team setup. As a talented learner, I have a great desire to learn and continuously improve myself, and lastly, as a talented relator, I find satisfaction in establishing close relationships and working hard with others to accomplish a set goal (Gallup Access, n.d.). Based on the results of my StrengthsFinder, the two core values I would like to strengthen are the capacity to influence and communicate effectively with others. The capacity to communicate effectively is a fundamental skill for nurse leaders. According to Jankelová and  Joniaková (2021), effective communication and influencing skills enable nurse leaders to create and promote positive work environments associated with improved patient outcomes and high staff satisfaction. Assignment: Personal Leadership Philosophies I intend to hone my communication and influencing skills by watching videos, observing my mentors, and attending workshops and seminars on the above subject areas.

     
     

    References

    Jankelová, N., & Joniaková, Z. (2021). Communication skills and transformational leadership style of first-line nurse managers in relation to job satisfaction of nurses and moderators of this relationship.
    Healthcare (Switzerland)
    ,
    9
    (3). https://doi.org/10.3390/healthcare9030346

    Gallup Access. (n.d.).
    CliftonStrengths
    . https://my.gallup.com/_Portal/Component?gssClientId=dduOMXW7d71AS3U_2BFMiMY8EiRX0WxJVn_2FHNUkaHb4okdayR4Pz6_2BetryXCC5aLQ2&gssComponentId=6872#/report

    Lin, P., Maclennan, S., Hunt, N., & Cox, T. (2017). The influences of nursing transformational leadership style on the quality of nurses’ working lives in Taiwan: A cross-sectional quantitative study.
    BMC Nursing
    ,
    14
    (33), 1–9. https://doi.org/10.1186/s12912-015-0082-x

    Mudallal, R. H., Othman, W. M., & Al Hassan, N. F. (2017). Nurses’ burnout: The influence of leader empowering behaviors, work conditions, and demographic traits.
    Inquiry (United States)
    ,
    54
    . https://doi.org/10.1177/0046958017724944 Assignment: Personal Leadership Philosophies

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  • A closer look at maternal health

    Maternal health is one of the most critical factors affecting the health of mothers and babies worldwide. All women must have access to quality healthcare during pregnancy and childbirth to ensure their well-being and that of their children.

    Unfortunately, many women still lack access to essential maternal health services. This article will explore critical issues related to maternal health, including the prevalence of poor maternal health outcomes and potential solutions for providing better care.

    What is maternal health?

    Maternal health is an essential public health issue affecting women of reproductive age and their children worldwide. It refers to a woman’s physical and mental well-being before, during, and after pregnancy. Maternal health encompasses a range of issues, from pre-pregnancy healthcare to postnatal care for both mothers and babies.

    What are maternal health issues?

    Maternal health issues affect millions of women and families around the world. These health issues can have long-term physical, psychological and economic consequences for both mother and child. While some maternal health problems are preventable, others are difficult to address without proper resources or medical intervention.

    Maternal health issues commonly include pregnancy-related complications such as preterm birth, low birth weight, preeclampsia, gestational diabetes, and postpartum depression. Other conditions may be related to nutrition or poor access to healthcare before and during pregnancy. With inadequate prenatal care, mothers may suffer from anaemia or other infections that can lead to complications with labour and delivery at the time of childbirth.

    Which factors affect maternal health

    Maternal health is essential for mothers’ physical and mental well-being worldwide. But many factors can affect a mother’s health before, during, and after pregnancy. This article will examine some of these factors and their impacts on maternal health.

    Poverty

    Women in low-income countries who lack access to proper healthcare and nutrition often have higher mortality rates, complications during childbirth, and other poor outcomes for the mother and her baby.

    Violence or abuse

    Women who have been abused are more likely to suffer from poor reproductive health due to increased stress hormones which can lead to premature labour or other serious complications.

    Nutrition

    Eating nutritious foods helps to ensure that the mother gets enough vitamins and minerals needed for fetal growth and development during pregnancy. Without proper nutrition, pregnant women may experience nutrient deficiencies that can lead to pregnancy complications and affect the baby’s growth.

    Inadequate access to quality healthcare services

    Services include prenatal care visits, postnatal checkups, family planning, and preventive services like vaccinations.

    Mental health

    Mental health
    can also affect the outcomes of pregnancy. Stressful situations such as poverty or lack of social support can negatively affect the mother and her unborn child

    Lifestyle choices

    Certain lifestyle choices, such as smoking or drinking alcohol during pregnancy, can lead to complications, including low birth weight or even preterm labour

    Leading causes of maternal mortality

    Maternal death is defined as the death of a woman while pregnant or within 42 days of delivery or termination of pregnancy, regardless of the duration and site of the pregnancy. Every day, over 800 women die from preventable causes related to childbirth and pregnancy worldwide, which amounts to nearly 300 000 each year. To reduce global maternal deaths, it is imperative to identify the leading causes behind them in various countries worldwide.

    The leading causes of maternal mortality vary widely by country and region. Still, some of the most common causes include severe bleeding after childbirth due to a ruptured uterus, infections primarily after childbirth, pre-eclampsia and eclampsia, complications from delivery, and unsafe abortions.

    In recent years, lack of access to healthcare services has emerged as a critical contributor to maternal fatalities in resource-limited regions. Additionally, poverty often hinders access to nutritional foods necessary for healthy pregnancies, leading to increased risks for both mother and baby during birth.

    What are the 3 components of maternal care?

    Maternal care is critical to ensuring a healthy pregnancy and is essential to the health and safety of the mother and her unborn baby. Pregnant women need to understand the three components of maternal care to make informed decisions about their healthcare.

    Prenatal care

    This involves regular visits to your healthcare provider for checkups, tests, and vaccinations throughout pregnancy. During these visits, you’ll discuss any questions or concerns about changes in your body or lifestyle during pregnancy. Your healthcare provider will also track the growth and development of your baby.

    Childbirth education classes

    They provide information on labour, delivery, breastfeeding, newborn care, postpartum recovery, and parenting skills. These classes are designed to help prepare expectant parents for what lies ahead in their journey into parenthood.

    Postnatal care

    Postnatal care is essential for both the mother’s and baby’s health. It includes breastfeeding support and advice on childcare practices, such as immunization schedules that promote healthy growth for the newborn baby.

    What is the importance of maternal and child health nursing

    Maternal and child health nursing is essential for promoting the health of mothers and their children in various settings. It focuses on providing comprehensive healthcare for those at risk or with special needs due to pregnancy, childbirth, and postpartum experiences.

    Through this specialized field of nursing, nurses can support families in developing parenting skills and provide general education about maternal health. Nurses are essential in monitoring the mother and child’s physical, mental, and emotional well-being throughout their care.

    This entails providing assessments related to prenatal care, such as identifying potential risks or complications during pregnancy. Nurses also assist with routine preventative screenings such as immunizations after birth or other infectious disease prevention strategies that help protect the health of both mother and baby.

    What is the primary focus of nursing practice in maternal and child nursing health practice?

    The primary focus of this practice is to ensure the well-being of both mother and baby and ensure comprehensive medical services are available throughout each stage of pregnancy. Nurses in maternal and child health practice specialize in various areas, including

    Prenatal education

    Labour and delivery care

    Postpartum care for mothers and newborns

    Nutrition counselling for pregnant women and new mothers

    Immunizations for infants and children

    Breastfeeding consultation for new mothers

    Nurses provide a wide range of clinical services to promote health before conception through childhood growth. They assess patients’
    physical condition
    while providing psychological support when stress can be high or emotions are running strong.

    How does maternal health affect child growth and development?

    Maternal health has a significant impact on the growth and development of a child. Mothers provide the necessary nutrients to their babies during pregnancy through the placenta. The quality and quantity of these nutrients are essential in ensuring a healthy start in life for the growing fetus. After birth, continued maternal health is key to a child’s well-being.

    Studies have shown that when mothers practice good nutrition, get regular prenatal care, and take measures to reduce stress during pregnancy, their children tend to display better physical and cognitive development outcomes later in life.

    Maternal health can also affect a child’s immune system; when mothers are exposed to specific pathogens during pregnancy or shortly after giving birth, it can increase the chance of their child developing illnesses or infections. Furthermore, research has suggested that the early exposure of microbes from the mother may be beneficial for stimulating a newborn’s immune system response.

    Benefits of Improved Maternal Health

    Better prenatal care to decrease the risk of infectious diseases. It is, therefore, important to emphasize the importance of improving the overall health and safety of pregnant women everywhere

    Maternal healthcare services that are tailored toward the needs of mothers can have a positive impact on their well-being during pregnancy, delivery, and postpartum recovery

    Improved access to antenatal care can empower women to make informed decisions regarding their pregnancy, such as vaccinations and dietary choices that can reduce risks related to childbirth or birth complications

    Improved nutrition among pregnant women helps ensure their bodies are healthy enough for gestation and labour.

    What are the objectives of maternal and child health

    Maternal and child health objectives are to reduce infant mortality, improve the physical, mental, and social well-being of pregnant women, mothers, infants, and children up to the age of five, and ensure access to health services for these populations.

    These objectives generally include

    Efforts to improve nutrition

    Promote disease prevention

    Increase immunization rates

    Decrease preterm birth rates

    Prevent injury or abuse

    Treat developmental delays in children

    Provide family planning services

    Reduce maternal mortality rates due to labour and delivery complications

    Identify infectious diseases among mothers and children

    Provide antenatal care (care during pregnancy)

    Monitor growth charts of babies and toddlers to detect any issues early on

    Bottom line

    Maternal health is critical to a mother’s and her baby’s health. It is essential to be aware of pregnancy’s potential risks and take steps to reduce them. This includes having regular prenatal checkups, eating right and exercising regularly, getting adequate rest, and reducing stress levels. Women should also ensure they have access to quality medical care in case of complications during labour or delivery. For more info,
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  • What is colostomy nursing care?

    Are you willing to work in the colostomy nursing care unit? Do you keep wondering what colostomy nursing care is? Worry not, as your dream is about to come true. This article defines colostomy nursing care and explains several related topics.

    Colostomy nursing care is taking care of the wound of a surgical procedure of the colon through the abdominal wall, referred to as the stoma. The procedure may be permanent or temporary, depending on the cause of the surgery. After colostomy, patients lose control of their bowel movements.

    Patients wear a pouch system in the stoma to help collect waste products. People with colostomy need extra care to adapt to lifestyle changes, diet, habits, and sexual lifestyles. Preparing a patient for preoperative nursing care for colostomy is important for a nurse. This is to help in coping well after undergoing a colostomy procedure.

    Conditions that may lead to a colostomy

    Cancer of the anus, colon, or rectum

    Diverticulitis

    Crohn’s disease

    Bowel obstructions

    Ulcerative colitis

    Ileostomy versus colostomy nursing care

    Many nursing students confuse the two terms. An ileostomy is an opening in the ileum that treats ulcerative colitis and diverts the contents in the
    cancer
    of the colon, trauma, and polyps. Ileostomy nursing care comes in while the colon, anus, and rectum are removed.

    Colostomy nursing care involves permanently or temporarily diverting the colon’s effluent. A stoma is formed that collects all waste from the body’s metabolism.

    Colostomy nursing care plan

    As a nurse, you must assist patients undergoing colostomy surgery and provide them with the necessary education to prevent complications. Whenever you have a patient who has undergone colostomy surgery, advise the patient to do the following;

    Inspect the stoma and the surrounding area

    You should show the patient how to assess the redness, rashes, and bleeding to ensure they measure the redness and monitor any retraction or protruding. This is essential in the first weeks of colostomy surgery.

    Assessing the diet

    For the first few months after surgery, advise a patient to assess their food. The food a patient is eating should not cause diarrhea or a lot of waste products leading to skin irritation.

    Assessing any allergies

    Check for barrier paste, adhesion, or pouch system allergy. After using a product for weeks, months, or years, sensitivities might still arise.

    Post-operative nursing care for colostomy

    Keep dry and clean

    Keep stool away from the area around the stoma. Use a washcloth and warm water or a piece of toilet paper to wash the site. Usually, detergent is not advised. Before using adhesives, ensure that the area is fully dry.

    Applying a protective paste

    You can advise a patient to apply a protective paste or powder to help fit an adhesive into the skin to prevent any leakages.

    Measuring the wafer

    The pouch is fastened to the skin by the wafers or skin barrier. Wafers must be appropriately measured to ensure that they do not tightly or loosely fit the stoma. To do this, measure the stoma and cut the wafer so that the diameter is between 1/16 and 1/8 of the stomas.

    Educate the patient on the pouch system

    Make sure the patient knows that replacing the pouch frequently irritates the skin. Several days should pass before doing this. Teach them not to tug on the skin when extracting the pocket.

    Encourage a patient to be confident

    Patients could feel uneasy handling colostomy nursing care. Encourage confidence by involving them in caring and giving them encouraging remarks.

    Helping patients manage colostomy-related problems

    Gas

    After undergoing colostomy surgery, you may feel like you have a lot of gas. This unsettling, unpleasant, innocuous symptom follows most abdominal surgeries. Stomach grumbling or gassy sounds may be cause for concern. Say, “Sorry me, my stomach is grumbling,” if you are worried that adjacent people will overhear you.

    When you sense that you may be about to burp in front of others, gently cross your arms such that your elbow lies over your stoma. This will muffle most sounds. Ask your colostomy nursing caregiver what medications you can use to help with gas. Eggs, broccoli, cabbage, onions, cheese, fish, milk, beans, carbonated beverages, and alcohol are just a few of the items that can give you gas.

    Frequent eating will aid in preventing gas

    Eat smaller meals four to five times per day

    AVOID skipping meals to prevent gas or bloating

    Odor

    Various things can bring odors, including specific foods, the usual flora in your intestines, certain medications, and vitamins. Eggs, broccoli, cheese, cucumbers, onion, fish, garlic, dairy products, and coffee are some foods that might emit an odor. Avoid processed foods that make you uncomfortable if you can.

    Use a pouch that resists odors

    Verify that the skin barrier adheres to your skin firmly

    Frequently empty the pouch.

    Put certain antiperspirant tablets or liquids in the pouch

    You can take various medications that might be helpful. Talk to your physician or the ostomy nurse to learn more about these medications and how to use them. Chlorophyll pills, bismuth, and bismuth subcarbonate are a few items that many individuals have discovered helpful with odor. When draining the pouch, keeping air sanitizing wipes in that space can help effectively limit the stench.

    Skin related problems

    You won’t be able to achieve a tight seal across your stoma if you have large, red, painful, and weeping (consistently moist) regions of your skin. It’s crucial to treat mild irritations as soon as possible. Consult your physician or an ostomy caregiver if there is a large inflamed area or one that is growing despite particular treatment.

    To assist your skin drying out and recovery, they may prescribe drugs for oral use or to apply topically to your ostomy. When an extremely tight ostomy belt is the source of deep pressure sores, relax or disconnect the strap and immediately contact your doctor or an ostomy nurse. You’ll require medical care

    Obstruction

    Your ostomy may occasionally go without output for a brief length of time. That is typical. However, if you experience cramping, pain, or nausea and your stoma become inactive for 4 to 6 hours, the intestines may be obstructed. If this occurs, contact your doctor or the ostomy nurse right soon. You can perform the following to aid in the movement of objects through your ostomy:

    Keep an eye out for stoma enlargement and modify the wafer’s aperture as necessary until the swelling subsides.

    To soothe your stomach muscles, engage in a warm bath

    Taking fluids is advised if there is bowel output: Avoid eating solid foods

    The food in your gut may occasionally move more quickly if you alter your position, for as by bringing your legs up to your chest

    Don’t use laxatives

    Obstacles may result from fiber-rich foods like corn, pineapple, almonds, cabbage, celery, and greens. Internal modifications, such as adhesions, might also result in obstruction. Go to the emergency hospital if you continue to experience discomfort and cramps with no production from the stoma for more than two hours and you cannot call your doctor or ostomy nurse. Bring all of your ostomy supplies along.

    Diarrhea

    Diarrhea is an indication that something is not ok. It is categorized by more regular, looser, or liquid bowel movements than normal. Food passes through the intestinal tract too rapidly to absorb water and minerals. This could cause unexpected pain. Your body could lose a significant amount of water and minerals. If you lose these minerals, you should replace them immediately to prevent illness caused by dehydration.

    Diarrhea can be caused by many factors, such as; food intoxication or stomach infection, which may also result in temperature rise and vomiting. Antibiotics, and other prescribed drugs, may also cause diarrhea. Partial impediment may also bring a smelling discharge, strong liquid output, pains, and stoma noises, which may cause diarrhea.

    If you experience obstinate diarrhea, consult your colostomy
    nursing care
    provider. Let them know your daily diet, feeding schedule, and any medicines you take. As a nurse, provide the right medical assistance to the patients.

    Fictitious rectum

    The phantom rectum is similar to the “phantom limb” experienced by amputees who believe their missing leg is still present. You should experience the same need to urinate that you had before surgery. This can occur at any moment and may persist for many years following surgery. You could have this sensation in addition to passing mucus while using the restroom if the scrotal sac has not been evacuated. After removing their rectum, some patients claim that staying on the toilet and pretending to have a bowel movement helps them feel better.

    When should a colostomy patient see a doctor?

    If cramping extends for more than 2 hours

    If you have continuous vomiting and bleeding

    If you have no ostomy for 5 to 6 hours

    If you see a severe watery discharge lasting for long

    If you see a cut in the stoma

    If you experience a foul odor

    If you notice any injury in the stoma

    If you get deep sores or skin irritation

    Bleeding where stoma meets the skin

    Any unusual thing around the stoma

    Change in the stoma color or size

    To sum up

    Colostomy nursing care is crucial for patients who have undergone colon surgery where a part of the large intestines is cut, leading to an opening at their stomach known as a stoma. Several conditions, such as cancer of the rectum or intestines, may lead to the surgery.

    As a nurse, you should help patients who have undergone such surgeries by showing them how to assess the stoma, check the diet, and assess any allergies that might occur. Help the patients through colostomy-related problems such as odor, gas, fictitious rectum, and obstruction.

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  • Dental Health Research

    Did you know that according to dental health research, your dental health provides clues about your overall health? Dental health issues can have an impact on the rest of your body. Learn more about dental health to protect yourself.

    This blog will educate you on dental health research, including what it is and the most common dental problems. Continue reading this blog to learn more and better understand what dental health entails.

    Dental health definition

    Dental health is defined as the condition of the mouth. According to dental
    health research
    , your mouth, gums, and teeth all play a role in your dental health. The aim is to keep your mouth healthy and avoid complications like gum disease and tooth decay (cavities).

    Most common dental health problems

    Are you having problems answering the question, what are the five most common dental problems? Don’t be concerned. According to dental health research, here is a list of the five most common dental health problems people experience in their lifetime.

    Tooth decay

    Tooth decay, also called dental caries or cavities, is a common dental issue. The less likely your teeth will rot, the better you care for your mouth. Plaque buildup is the best way to treat a tooth that is starting to rot.

    Try to brush your teeth. You need to see a dentist if you have cavities or gum disease. If you don’t treat it, it could cause an abscess or an infection in your gums.

    Gum disease

    Gum disease also called gingivitis or periodontal disease is a bacterial illness that develops in your mouth due to plaque buildup. Similar to dental caries, everyone is susceptible to gum disorders.

    Tooth Sensitivity

    Tooth sensitivity is a common dental issue that affects millions of individuals worldwide. The most common symptom of sensitive teeth is discomfort or soreness in your teeth from cold drinks, sweets, hot drinks, chilly air, or ice cream.

    Flossing and brushing may cause discomfort in certain persons with sensitive teeth. Fortunately, you can avoid tooth sensitivity by practising basic oral care.

    Dry mouth

    A dry mouth, also called Xerostomia, is a common dental health problem usually caused by insufficient saliva. This can happen for several reasons, but it can also be a side effect of some prescription drugs. The bad thing about Xerostomia is that it stops your teeth and gums from getting the moisture, cleaning, and lubrication they need.

    Your dentist will look at your teeth to see if any signs of decay could have been caused by less saliva. You can avoid dry mouth by keeping your body hydrated and attending regular dental appointments.

    Oral cancer

    Mouth cancer is a dangerous and prevalent dental disorder affecting many people worldwide. According to dental health research, oral cancer is the leading cause of death in the United States. The good news is that it can be prevented and treated early on. Drinking alcohol and smoking, especially chewing tobacco, can put you at risk.

    Most oral cancers start as a growth or a reddish lump in the mouth. If you see a growth in your mouth, you should see a dentist immediately to get medical help. Your dentist will check your mouth, head, and ears for any signs of sickness.

    Dental health research misconceptions

    Online, you can find a lot of advice about just about anything. The bad news is that not all of the advice you read is correct. It might not be completely wrong, but it can be unclear. People have a lot of wrong ideas about how to take care of their teeth.

    We keep hearing them! We’ll discuss some of the most common misconceptions about dental health research and explain the truth.

    Sugar causes cavities

    Did your parents ever tell you not to eat candy because it would cause you to get cavities? This is most likely one of the most common dental myths. Many of us grew up hearing this and have always known it to be true. Did you know that it’s not true? While sugar contributes to the development of cavities, it is not the sugar that causes them.

    Sugar, it turns out, attracts microorganisms. This bacteria produces acid, which leads to tooth rot. Cavities are thus created by bacteria that produce acid rather than sugar. Brushing and washing your teeth after eating (particularly sugary snacks) might help reduce the quantity of acid-producing bacteria in your mouth and thus help prevent cavities.

    The harder you brush your teeth, the cleaner they are

    Cleaning anything up gets cleaner the harder you scrub it, right? Well, incorrect in terms of dental hygiene. If you don’t brush your teeth carefully, you risk harming the gums and tooth enamel. Both of which have the potential to develop into bigger issues later. Take it easy.

    It is normal for gums to bleed

    Inflammation causes gums to bleed during brushing or flossing. A buildup of plaque, gingivitis, or gum disease usually causes this irritation. None of them is a good cause.

    It is, therefore, not usual for your gums to bleed. If you are suffering from bleeding gums, don’t hesitate to get in touch with a dentist so that he can determine the root reason.

    If your teeth are white, it means they’re healthy

    Everyone likes a beautiful, bright smile. Even though a white smile makes you look healthy, whiter teeth don’t always mean that you have better health. Teeth can change colour over time because of stains or damage.

    Several teeth-whitening products on the
    market
    can remove stains but don’t fix problems like damage. If you want a whiter smile, you should talk to your dentist.

    Flossing is optional

    The reality supports this widely held belief that only roughly four out of every ten people floss their teeth every day! Did you know that flossing can remove up to 80% of plaque? Plaque causes tooth decay; thus, flossing is an important part of your dental care routine.

    Substituting brushing your teeth to gum chewing

    Many chewing gum companies promote fresher breath and cleaner teeth. In the short term and between meals, they can assist in keeping your teeth cleaner. However, according to dental health research, they cannot replace adequately cleaning your teeth by brushing and flossing at least twice daily.

    Seeing a dentist is optional

    As was already said, the health of your teeth affects your overall health. Prevention is easier and cheaper than treatment, and it’s also better. Getting a dental exam is the best way to find problems before they start.

    Even if you don’t have any problems, you should still go to the dentist twice a year for cleanings and exams. We’d love to help you if you need to learn more about preventive care. We will also help you if you are having trouble with your dental health and need help getting back on track.

    My dental health has nothing to do with my overall health

    Your dental health is a reliable reflection of your general health. Bacteria entering the bloodstream and leading to various problems are more likely to occur in a mouth with severe tooth decay or gum disease.

    Studies have shown a connection between poor
    dental health
    and diabetes, heart disease, and cancer. So, pay attention to your dental health as part of your total health.

    Dental health tips

    Healthy teeth demand a lifetime of attention. Even if you’ve been informed you have beautiful teeth, taking the necessary steps to care for them and avoid difficulties every day is vital. This involves using the correct dental care products and caution in daily activities.

    Based on dental health research, the following dental health recommendations will help you take care of your teeth.

    Brush properly

    Not brushing your teeth at all or brushing them the wrong way is almost as bad as doing it wrong. Just as important is how you brush. Brush your teeth carefully with the toothbrush to get rid of plaque. Plaque can harden and turn into calculus and gingivitis if not removed.

    Don’t neglect your tongue

    Your tongue may also develop plaque. This can result not only in bad breath but also in other dental health problems. Each time you clean your teeth, lightly brush your tongue.

    Maintain a healthy diet

    According to food dental health research, avoiding sweetened meals and consuming foods high in calcium will support strong and healthy teeth. Additionally, your body will appreciate it!

    Leafy greens, almonds, yoghurt, and cheese are a few foods that can strengthen your teeth. Ask your dentist for advice on what foods will help you maintain the strength of your teeth for years to come.

    In conclusion

    This blog will assist you with your dental health research. It has investigated what oral health is and the myths surrounding it. Contact
    onlinenursingpapers.com
    for assistance with your problems and queries about how to write a dental health
    research paper.

  • How to write a death penalty essay

    Most students are asked to write essays and look for current, trending, and arguable topics. The death penalty is the most common subject today. People discuss in different classes, right from political science to criminal justice. Writing a death penalty essay helps you to present your thoughts on the topic and practice your writing skills.

    Many students find writing an essay based on the death penalty challenging. To write a
    high-quality
    death penalty essay, you must have quality knowledge and skills in critical thinking. This blog will help you how to write quality death penalty papers and provide you with interesting death penalty essay topics.

    What is the death penalty?

    Before writing a death penalty essay, you must understand the meaning of the death penalty. The death penalty, also known as capital punishment, is the conviction of law offenders to death. Capital punishment is mainly applied for horrible crimes such as murder, rape, and in cases of treason.

    The death penalty can be done in different methods, such as;

    Hanging

    Beheading

    Lethal injection

    Electrocution

    Shooting

    Firing squad

    The gas chamber or gas asphyxiation

    Execution

    How do you start a death penalty essay?

    When writing an essay on the death penalty, you must know how to begin. You must go through your assignment instructions and determine what type of death penalty essay you should write. This helps you determine the direction you will follow to format your paper.

    You must determine your focus and develop your thesis statement to help you decide your essay’s direction. Your first death penalty essay should have an eye-catching introduction that will encourage the reader to continue reading your paper. Make sure you express your thoughts concerning the topic in your thesis statement; this helps inform your audience what to expect in the essay.

    How to write a high-quality death penalty paper

    Your death penalty essay should have a title, introduction, body, and conclusion. To write a quality death penalty paper, you must consider the following:

    Introduction paragraph

    Your essay introduction should begin with a hook and a sentence that grabs your audience’s attention. It would be best for you to provide a background of your
    essay topic
    and finish with your thesis statement.

    The body

    In your body, you must develop your argument and explain all the relevant points. Therefore, you must state your claim and provide evidence to support your idea. Remember, every statement must have a claim, and it must have strong evidence to support it.

    Conclusion

    This is the final part of your death penalty essay; you need to restate the issues and your thesis statement in this part. Make sure you summarize your main points and paint a picture of why your essay should be established.

    Tips on writing a death penalty essay

    When writing a death penalty essay, learning tips to guide you when developing your content is essential. The following tips will help you provide a high-quality death penalty paper that meets all the requirements.

    Elaborate on your essay topic and determine your position on the topic

    In your introduction paragraph, ensure that you state your case and explain your views and reason why the issue is important

    Provide sensible arguments for and against your death penalty essay topic to create a discussion mode

    Conclude your essay by stating your position and explaining the reasons for your thoughts.

    You can end your essay with a sentence that will bring closure to your essay

    When writing your essay, develop an outline, draft your paper, and proofread. This will help you discover any error that can affect the quality of your death penalty essay. You can find someone to help you edit your paper and submit a final death penalty essay that meets all required standards.

    How to choose death penalty essay topics

    When writing essays on the death penalty, you must come up with a topic related to the question and instructions. Choosing an excellent case for your essay can be very hard, especially when you have no idea what you need before selecting a death penalty essay topic. A death penalty
    research paper
    covers issues related to the death penalty.

    Choosing a narrow topic that will be interesting to your reader is essential. You need to come up with great ideas and brainstorm to determine the one you are interested in and have reliable sources. Note your topic’s primary and secondary keywords to guide you when developing your death penalty paper.

    Examples of death penalty essay topics

    Why should the death penalty be justified

    The effects of the death penalty

    Death penalties and ethics

    Death penalty and the media

    Role of the death penalty in the world

    Analysis of the death penalty in movies

    Advantages and disadvantages of the death penalty

    Psychological effects of the death penalty

    Discuss whether the death penalty offers justice to the criminal

    Discuss the death penalty in the US

    Explain the public opinion on death penalties for juveniles

    Describe the analysis of the death penalty in the UK

    Explain reasons why the death penalty in the UK should be reintroduced

    Describe the history of the death penalty

    Describe the ethical and legal standards of the death penalty

    The case against the death penalty

    Discuss whether the death penalty is humane

    Reasons why the death penalty is unjust

    Discuss different death punishments and the nature of the crime

    Define death penalty

    Discuss the different types of the death penalty

    The controversy over the death penalty

    Discuss how the death penalty violates the eighth amendment

    History of the death penalty

    The death penalty has existed in the United States since colonial times. The death penalty in the United States is said to have been influenced by Great Britain. The first case of the death penalty was recorded in 1608 in Jamestown.

    Looking back at the early history of the death penalty, you will have an idea of how and when the early death penalty laws were implemented. The first established death penalty laws were way back in the code of King Hammurabi of Babylon. These laws codified the death penalty for twenty-five different crimes.

    Importance of death penalty essay

    The death penalty is government established law to execute any person carrying a severe and dangerous crime. If you ask, “is the death penalty effective essay conclusion?” You must understand that the death penalty aims to reduce the number of horrendous crimes.

    Death penalties mainly depend on a country’s law. In some countries, the death penalty is a legal punishment that the court orders against serious violations of criminal laws. The death penalty gives people an idea of what the law can do to protect the nation from crimes.

    Examples of death penalty essays

    To write high-quality death penalty essays, you must go through different examples written by experts. You can get free death penalty essays and papers online from professional writers at a fair price. Death penalty essay examples will help you have a hint on how to format your writing and develop a good death penalty essay topic.

    Here are some essays on the death penalty for students. They will inspire you to write the best argumentative death penalty essay that meets all the requirements. Below are some examples:

    Example :1

    In the issue of the death penalty and social justice in the United States, many people think that killing another person creates a pattern of retributive justice. If the political structure is dropped, in the end, the fact remains that if any man kills a man, he should be killed; this means the rate of killings will not end in the world. It is important to respect human life and look for other criminal punishment besides killing. Every life matters in society and everybody has their roles; human life should not be dumbed or ended as if they do not have any value.

    Example:2

    Discussing the death penalty can be an exhaustive argument that needs to be divided into different discussion points. In this essay, we discuss why people might support the death penalty in the country. Today, there are many different death penalties. These methods include; lethal injection, firing squad, hanging, electrocution, and gas chamber, among others. By watching television, you will find how many people are losing their lives and loved ones to the death penalty. Life is precious, and everybody has the right to enjoy every bit of it. I think the US should abolish the death penalty as its extreme form of criminal punishment.

    Example:3

    This essay discusses whether the death penalty effectively discourages or reduces the crime rate. The death penalty in the United States has been effective since 1608 under the influence of Great Britain. The death penalty was formed to reduce the crime rate; instead, the crime rate has worsened over the years. According to researchers, death penalties do not effectively discourage any crime.

    To wrap-up

    Writing a death penalty essay requires you to have the knowledge and fully understand the death penalty. This article discusses how you can structure a quality death penalty essay that will meet all the requirements. You do not have to worry about a topic you will write about in your essay; we have listed the best death penalty topics you can use for your paper.