Read to the Who Killed Benita Vasquez? (the file is attached to this)
1)What are the clinical causes of death in the story of Benita Vasquez?
2) What are the underlying social and environmental causes of her death?
3)How did cultural and social identity contribute to the poor outcome?
4) What would you have done differently if you saw Mrs. Vasquez in the rural health clinic initially?
5) What healthcare policy changes could improve or prevent the outcome that Mrs. Vasquez had?
Discussion 2: The Role of the RN/APRN in Policy-Making
Word cloud generators have become popular tools for meetings and team-building events. Groups or teams are asked to use these applications to input words they feel best describe their team or their role. A “word cloud” is generated by the application that makes prominent the most-used terms, offering an image of the common thinking among participants of that role.
What types of words would you use to build a nursing word cloud? Empathetic, organized, hard-working, or advocate would all certainly apply. Would you add policy-maker to your list? Do you think it would be a very prominent component of the word cloud?
Nursing has become one of the largest professions in the world, and as such, nurses have the potential to influence policy and politics on a global scale. When nurses influence the politics that improve the delivery of healthcare, they are ultimately advocating for their patients. Hence, policy-making has become an increasingly popular term among nurses as they recognize a moral and professional obligation to be engaged in healthcare legislation.
Revisit the Congress.gov website provided in the Resources and consider the role of RNs and APRNs in policy-making.
Reflect on potential opportunities that may exist for RNs and APRNs to participate in the policy-making process.
By Day 3 of Week 8
Post an explanation of at least two opportunities that exist for RNs and APRNs to actively participate in policy-making. Explain some of the challenges that these opportunities may present and describe how you might overcome these challenges. Finally, recommend two strategies you might make to better advocate for or communicate the existence of these opportunities to participate in policy-making. Be specific and provide examples.
Do you think lack of education is the main problem?
Do you think the hospital should be penalized for this incident and why?
Must address topic
Discussion question with a minimum of 250 words and 1 reference, not older than 5 years.
This is the web page you need to access to get the article i need to discuss.
A third wrongful death lawsuit was filed Tuesday in connection to a University of Pittsburgh Medical Center mold outbreak.
This is the latest death in the wake of five other known deaths since October 2014 linked to heavy mold growth found in the linens at two University of Pittsburgh Medical Center hospitals, according to a report.
The newly filed wrongful death lawsuit alleges that a third UPMC hospital, Shadyside Hospital, is a part of the outbreak. Paris Companies was contracted to provide linens for all three of the hospitals.
A previous internal report by the hospital system suggested that the five deaths were linked to a mold outbreak due to contaminated linens at UPMC Presbyterian and Montefiore hospitals. The report conducted in May of last year did not become public, however, until January 2017 when it was submitted as evidence by lawyers for UPMC in two previously filed wrongful death lawsuits against the hospital system.
Hospital hunts for mold after transplant patients with fungus infections die
RELATED ARTICLE Mold at two Pittsburgh hospitals linked to 5 deaths
The latest death, 65-year-old John Haines, died October 7, days after contracting a rhizopus-positive pneumonia infection, according to a Pennsylvania Department of Health death certificate.
Haines, a leukemia patient, was receiving chemotherapy at Shadyside Hospital, and was moved into the intensive care unit three days before his death. Within 24 hours of his stay in the ICU, he contracted the fungal infection, according to medical records.
Haines received a letter from Shadyside Hospital personnel the same day he died acknowledging that he had developed an infection during his stay at the hospital. In the letter from a patient safety officer, the hospital recommended Haines reach out to UPMC’s Infection Prevention and Control Department.
The civil complaint filed with the Allegheny County Court of Common Pleas alleges that Haines contracted the rhizopus infection due to contact with the Paris Companies linens provided him in the intensive care unit.
Haines died five months after UPMC officials were notified of an outbreak in their hospitals by an independent researcher contracted to test facilities where five other patients died of infection-related causes. Hospital environmental specialist Andrew Streifel also found rampant mold at the contracted Paris Companies’ laundry facility, according to the report.
The hospital system continues to contract its linens from Paris Healthcare Linens, according to spokeswoman Allison Hydzik.
Paris Linens maintains that the linens were not the cause of the outbreak.
“Paris Companies consistently meets or exceeds accreditation standards and regulatory guidelines for laundering linens, which demonstrates our ongoing commitment to quality and safety. We continue to cooperate with all regulatory agencies involved in the oversight of linen processing,” Paris Companies CEO Dave Stern said in a statement to CNN.
RELATED ARTICLE How your bed may be making you sick
The civil complaint cites a second alleged mold-related death at Shadyside Hospital from August 2015. Haines family lawyer Brendan Lupetin anticipates filing another wrongful death lawsuit on behalf of that patient’s family in the coming weeks.
Lupetin is currently litigating the other two wrongful dead lawsuits for two patients who suffered a similar fate at UPMC Presbyterian and Montefiore hospitals.
In the cases of two other patients who succumbed to the mold outbreak, the medical center settled without litigation for $1.35 million each. A third patient was an unnamed individual in the transplant unit at the Montefiore campus.
All UPMC hospitals were included in a review following the mold outbreak in 2015, according to Hydzik, the hospital spokeswoman.
Hydzik said Haines was very sick when admitted into Shadyside with leukemia and a nonfunctioning immune system, and was immediately put on anti-fungal treatment.
“We have tested hospital linens at UPMC Shadyside and found no rhizopus. We are saddened by his death. Unfortunately rhizopus-related infections happen at major medical centers where the sickest of the sick are treated, despite the best possible care,” Hydzik said in a statement to CNN.
She added, “His family told us that Mr. Haines was an avid gardener. We explained that while it was possible he contracted his fungal infection prior to his hospitalization, we decided, however, to classify it as hospital-acquired per CDC guidelines even though clinically there can be no certainty.”
The complaint argues, however, that rhizopus and other mucormycosis related fungi are not common in hospitals caring for immunosuppressed patients.
“It’s common if an immunosuppressed person was gallivanting in the forest splashing around in leaves, but rhizopus is not common in hospitals and it shouldn’t be,” Lupetin told CNN.
There is no evidence of an ongoing outbreak at Shadyside, according to Pennsylvania Department of Health spokesperson April Hutcheson.
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“The Department of Health is not aware of any mold-related deaths associated with an outbreak at UPMC Shadyside Hospital ICU. We continue to provide consultative support to UPMC and will investigate as warranted,” Hutcheson told CNN.
CDC officials investigated UPMC Presbyterian and Montefiore hospitals in relation to outbreaks, but did not investigate Shadyside Hospital as a part of the 2015 investigation, according to CDC spokesman Tom Skinner.
“At the time of the investigation there weren’t any cases associated with the cluster we were called up to investigate,” Skinner told CNN.
By law, as a federal agency, the CDC must be invited to investigations by the hospital system and the state department of health.
View each of the You Tube clips listed below:
https://www.youtube.com/watch?v=Rz8ge4aw8Ws Caring Corrupted: The Killing Nurses of the Third Reich
https://www.youtube.com/watch?v=-O5gsF5oyls Research Ethics
https://www.youtube.com/watch?v=86zWBjDaXPk Belmont Report Part 1
https://www.youtube.com/watch?v=cIafASIIU70 Belmont Report Part 2
https://www.youtube.com/watch?v=iFik0of3iUM IRB (Institutional Review Board)
After viewing each video, write two paragraphs about each video describing the purpose of the video and discussed one point from each video that you think is important regarding protecting human subjects in research and provided rationale.
Your submission should be 400-500 words, using APA style.
Please use this PICOT question:
*********In orthopedic patients with knee and/or hip replacements, does the use of pharmaceutical and non-pharmaceutical treatments decrease the risk of blood clots more effectively than in patients who do not have the same interventions?***********
In this assignment, you will select an evidence-based practice problem from an identified list of topics provided by your course faculty (this is the topic you selected and identified in your unit 1 discussion). After selecting a topic from the provided list, you will develop a PICOT question around your topic. Then, you will discuss the selected topic problem and significance of the problem, as well as your search strategy in locating three research articles that align to your selected topic.
For this assignment, be sure to include the following assignment criteria in your paper:
Discuss your selected evidence-based practice problem/topic.
Discuss the significance of the selected evidence-based practice problem.
Support your discussion in terms of statistics and evidence-based outcomes.
Describe your PICOT question created around the selected evidence-based practice problem.
Included the individual PICOT components, as well as a combine PICOT question, in sentence format.
Identify the three articles you selected that address the problem which is the focus of your PICOT question.
Describe the search strategy you used to locate these three articles, including terms used when search, the research databases, and how you refined your search to select the three articles.
Provide a conclusion to summarize your findings.
Remember to support your ideas with the articles you found. These articles should be less than five (5) years old. They should not be from the Web, but from the library databases, and be sure to use a narrative format.
In addition, you must follow APA guidelines, providing a title page, reference page, and in-text citations, as well as use level headings to match the assignment criteria listed above.
Please use, at minimum three scholarly references, and your paper should be 300-400 words, excluding title and reference pages.
Create a 3-5-page annotated bibliography and summary based on your research related to best practices addressing one of the health care problems or issues in the Assessment Topic Areas media piece faced by a health care organization that is of interest to you.
In your professional life, you will need to find credible evidence to support your decisions and your plans of action. You will want to keep abreast of best practices to help your organization adapt to the ever-changing health care environment. Being adept at research will help you find the information you need. For this assessment, you will review the Assessment Topic Areas media piece and select one of the health care problems or issues to research a current health care problem or issue faced by a health care organization that is of interest to you.
Demonstration of Proficiency
By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:
Competency 1: Apply information literacy and library research skills to obtain scholarly information in the field of health care.
Identify academic peer-reviewed journal articles relevant to a health care problem or issue and describe the criteria used for the literature search.
Competency 2: Apply scholarly information through critical thinking to solve problems in the field of health care.
Assess the credibility and relevance of information sources.
Summarize what was learned from developing an annotated bibliography.
Analyze academic peer-reviewed journal articles using the annotated bibliography organizational format.
Competency 4: Write for a specific audience, in appropriate tone and style, in accordance with Capella’s writing standards.
Summarize a health care problem or issue and describe a personal interest in it and experience with it.
Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.
Write following APA style for in-text citations, quotes, and references.
Note: The requirements outlined below correspond to the grading criteria in the scoring guide. At a minimum, be sure to address each point. In addition, you are encouraged to review the performance-level descriptions for each criterion to see how your work will be assessed.
For this assessment, research best practices related to a current health care problem. Your selected problem or issue will be utilized again in Assessment 3. To explore your chosen topic, you should use the first two steps of the Socratic Problem-Solving Approach to aid your critical thinking.
View the Assessment Topic Areas media piece and select one of the health care problems or issues in the media piece to research. Write a brief overview of the selected topic. In your overview:
Summarize the health care problem or issue.
Describe your interest in the topic.
Describe any professional experience you have with this topic.
Identify peer-reviewed articles relevant to health care issue or problem.
Conduct a search for scholarly or academic peer-reviewed literature related to the topic and describe the criteria you used to search for articles, including the names of the databases you used. You will select four current scholarly or academic peer-reviewed journal articles published during the past 3–5 years that relate to your topic.
You will want to access the applicable Undergraduate Library Research Guide related to your degree (found at the NHS Learner Success Lab) for tips to help you in your search.
Use keywords related to the health care problem or issue you are researching to select relevant articles.
Assess the credibility and explain relevance of the information sources you find.
Determine if the source is from an academic peer-reviewed journal.
Determine if the publication is current.
Determine if information in the academic peer-reviewed journal article is still relevant.
Analyze academic peer-reviewed journal articles using the annotated bibliography organizational format. Provide rationale for inclusion of each selected article. The purpose of an annotated bibliography is to document a list of references along with key information about each one. The detail about the reference is the annotation. Developing this annotated bibliography will create a foundation of knowledge about the selected topic. In your annotated bibliography:
Identify the purpose of the article.
Summarize the information.
Provide rationale for inclusion of each article.
Include the conclusions and findings of the article.
Write your annotated bibliography in a paragraph form. The annotated bibliography should be approximately 150 words (1–3 paragraphs) in length.
List the full reference for the source in APA format (author, date, title, publisher, et cetera) and use APA format for the annotated bibliography.
Make sure the references are listed in alphabetical order, are double-spaced, and use hanging indents.
Summarize what you have learned from developing an annotated bibliography.
Summarize what you learned from your research in a separate paragraph or two at the end of the paper.
List the main points you learned from your research.
Summarize the main contributions of the sources you chose and how they enhanced your knowledge about the topic.
Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:
Assessment 2 Example [PDF].
Your assessment should also meet the following requirements:
Length: 3–5 typed, double-spaced pages, not including the title page and reference page.
Font and font size: Times New Roman, 12 point.
APA tutorial: Use the APA Style Paper Tutorial [DOCX] for guidance.
Written communication: Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.
Content: Provide a title page and reference page following APA style.
References: Use at least four scholarly or academic peer-reviewed journal articles.
APA format: Follow current APA guidelines for in-text citation of outside sources in the body of your paper and also on the reference page.
If you would like assistance in organizing your assessment, or if you simply have a question about your assessment, please do not hesitate to ask faculty or the teaching assistants in the NHS Learner Success Lab for guidance and suggestions.
Assignment: Workplace Environment Assessment
Clearly, diagnosis is a critical aspect of healthcare. However, the ultimate purpose of a diagnosis is the development and application of a series of treatments or protocols. Isolated recognition of a health issue does little to resolve it.
In this module’s Discussion, you applied the Clark Healthy Workplace Inventory to diagnose potential problems with the civility of your organization. In this Portfolio Assignment, you will continue to analyze the results and apply published research to the development of a proposed treatment for any issues uncovered by the assessment.
Review the Resources and examine the Clark Healthy Workplace Inventory, found on page 20 of Clark (2015).
Review the Work Environment Assessment Template.
Reflect on the output of your Discussion post regarding your evaluation of workplace civility and the feedback received from colleagues.
Select and review one or more of the following articles found in the Resources:
Clark, Olender, Cardoni, and Kenski (2011)
Griffin and Clark (2014)
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.
Develop a data table that illustrates one or more underperforming clinical outcomes in a care environment of your choice. Write an assessment (3–5 pages) in which you set one or more quantitative goals for the outcomes and propose a change plan that is designed to help you achieve the goals.
Your assessment submission should include a data table that illustrates the current and desired states of the clinical issue you are attempting to improve through your application of change strategies. Additionally, you will need to explain the rationale for your decisions around your chosen change strategies, as well as how the change strategies will be successfully implemented. The bullet points below correspond to the grading criteria in the scoring guide. Be sure that your change strategy addresses all of them. You may also want to read the Change Strategy and Implementation scoring guide and Guiding Questions: Change Strategy and Implementation to better understand how each grading criterion will be assessed.
Develop a data table that accurately reflects the current and desired states of one or more clinical outcomes.
Propose change strategies that will help to achieve the desired state of one or more clinical outcomes.
Justify the specific change strategies used to achieve desired outcomes.
Explain how change strategies will lead to quality improvement with regard to safety and equitable care.
Explain how change strategies will utilize interprofessional considerations to ensure successful implementation.
Communicate the change plan in a way that makes the data and rationale easily understood and compelling.
Integrate relevant sources to support assertions, correctly formatting citations and references using current APA style.
Length of submission: 3–5 double-spaced, typed pages, not including the title and reference pages. Your plan should be succinct yet substantive.
Number of references: Cite a minimum of 3–5 sources of scholarly or professional evidence that supports your goal setting, proposed change strategies, quality improvement, and interprofessional considerations. Resources should be no more than five years old. Please follow the grading guide. I have also provide an example of what the assignment should look like you can write 3 pages and the pages should be the data table. Thank you.
It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span.
Evaluate the Health History and Medical Information for Mr. C., presented below.
Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.
Health History and Medical Information
Mr. C., a 32-year-old single male, is seeking information at the outpatient center regarding possible bariatric surgery for his obesity. He currently works at a catalog telephone center. He reports that he has always been heavy, even as a small child, gaining approximately 100 pounds in the last 2-3 years. Previous medical evaluations have not indicated any metabolic diseases, but he says he has sleep apnea and high blood pressure, which he tries to control by restricting dietary sodium. Mr. C. reports increasing shortness of breath with activity, swollen ankles, and pruritus over the last 6 months.
Height: 68 inches; weight 134.5 kg
BP: 172/98, HR 88, RR 26
3+ pitting edema bilateral feet and ankles
Fasting blood glucose: 146 mg/dL
Total cholesterol: 250 mg/dL
Triglycerides: 312 mg/dL
HDL: 30 mg/dL
Serum creatinine 1.8 mg/dL
BUN 32 mg/dl
Critical Thinking Essay
In 750-1,000 words, critically evaluate Mr. C.’s potential diagnosis and intervention(s). Include the following:
Describe the clinical manifestations present in Mr. C.
Describe the potential health risks for obesity that are of concern for Mr. C. Discuss whether bariatric surgery is an appropriate intervention.
Assess each of Mr. C.’s functional health patterns using the information given. Discuss at least five actual or potential problems can you identify from the functional health patterns and provide the rationale for each. (Functional health patterns include health-perception, health-management, nutritional, metabolic, elimination, activity-exercise, sleep-rest, cognitive-perceptual, self-perception/self-concept, role-relationship, sexuality/reproductive, coping-stress tolerance.)
Explain the staging of end-stage renal disease (ESRD) and contributing factors to consider.
Consider ESRD prevention and health promotion opportunities. Describe what type of patient education should be provided to Mr. C. for prevention of future events, health restoration, and avoidance of deterioration of renal status.
Explain the type of resources available for ESRD patients for nonacute care and the type of multidisciplinary approach that would be beneficial for these patients. Consider aspects such as devices, transportation, living conditions, return-to-employment issues.
You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.
Submit an evidence-based practice paper about cultural competency in mental health nursing. An evidence-based practice paper allows you to explore best practice and help improve client outcomes on a psychiatric unit. Your paper should describe how you, as a nurse, will include – or have included – cultural awareness in a client diagnosed with a mental illness. The person you describe could be someone in your clinical setting, someone you have worked with in the past, or a theoretical client.
Remember that culture can also include gender equality, sexual orientation, and other cultures besides race and religion – including cultures unique to one particular family. Your paper should be at least 3 pages (double-spaced, not including the title or reference pages) in APA Format and include:
Assessment: Discuss what you would assess in regard to a client’s culture. For example, are there specific dietary requirements? Are schedule changes necessary to avoid conflicts with religious practices? Who is the spokesperson for the family? What would you assess?Diagnosis: List any mental health nursing diagnoses this person has or may be at risk for. Include at least one cultural diagnosis.Planning: What planning needs to be done to ensure the cultural and emotional safety of the client?Implementation: What are interventions that would ensure the safety of your client in regard to culture? Include at least two interventions. For example, if your client has religious beliefs that affect the ability to take medications, what interventions would you create to ensure the client’s safety? What can you do to make sure the client’s cultural needs are met?Evaluation: How will you evaluate whether your implementation was effective? Make sure the parameters are objective and measurable.In your summary, discuss whether any completed interventions were successful. What could be done differently in the future? If the interventions have not yet been carried out, you might discuss some institutional changes that could be made to ensure cultural safety for all clients in that setting.
Your paper should utilize proper APA guidelines and include at least three scholarly sources to support your paper. A scholarly source is a source that has been peer reviewed and has appropriate authors that are credentialed. For more information on APA, please visit the Online library.