Describe an example of one of these groups in the United States or from another country. Explain why the population is designated as vulnerable.


3 DQ 1

One of the most vulnerable populations in the United States are the chronically ill and disabled populations. According to Jost (2018) “disabled individuals, like the chronically ill, usually have many interactions with the health system, but, due to their disability, they may have difficulty accessing care. The chronically ill and the disabled may face special challenges in obtaining services” (p. 1). This population is very large and effects people of all races, incomes, genders all over the country. Balik (2017) stated in 2017 there were over 40 Million people with disabilities in the United States, or roughly twelve percent of the population (p. 1).This group is truly vulnerable s they may always be in pain and discomfort, not have income to support themselves, and might not understand what is happening to them.

Someone with mental illness might believe they are normal and that there is something wrong with everyone else. If you believe your condition is normal there is no need for you to pursue care. Working with this group can be difficult as there are so many disabilities. One of the major disabilities that is very common now is those living with crippling pain. These patients maybe abusing opioids, seeing multiple doctors to obtain prescriptions, and it is hard for a medical provider to evaluate someone’s level of pain. Patients with mental handicaps for example have a hard time understanding things and may not be able to express themselves or ask for the help they need. Medical provides and nurses working with this population need to be understanding, caring, and very patient. Nursery advocacy for people with disability needs to focus on helping the patient, their families, and giving them the opportunity to live their best lives. Nurses dealing with disabled patients should also be on the lookout for injury and ensure abuse is not occurring.

Using 200-300 APA format with references in supporting the discussion.

Include the number of individuals belonging to this group and the specific challenges or issues involved. Discuss why these populations are unable to advocate for themselves, the ethical issues that must be considered when working with these groups, and how nursing advocacy would be beneficia

week 8 community discussion


Discussion Forum: Case Study- Harmony the nursing student


Instructions:

Read Case Study Below and discuss the questions that follow:

Harmony is a nursing student who works part-time in a community behavioral health clinic that is subsidized by a large university. Harmony is interested in psychiatric nursing and working with clients who suffer from chronic mental illness. Since beginning work in the clinic, Harmony has learned that families who experience chronic mental illness have little capacity to organize health promotion behaviors as they try to deal with immediate and serious problems.

1.      Mrs. Rainwater’s husband is an alcoholic, and her teenage daughter is pregnant with her second child. What aspects make the Rainwater family a vulnerable family? Discuss

2.      The Rainwater family is a multiproblem family with disturbed internal dynamics. What other problems may the Rainwater family face in addition to their disturbed internal dynamics? Discuss.

3.      Harmony meets with the Rainwater family to discuss treatment options for Mrs. Rainwater. What type of communication should Harmony use for this family with multiple problems? Discuss.

Minimum 250 words. Reply to at least one student with no less than 100 words.

Case Study 1: Conservation Model. (week 7)

· Yolanda is a 55-year-old married African American mother of two adult children who has a history of breast cancer. She was diagnosed with fibromyalgia 2 years ago, after years of unexplained muscle aches and what she thought was arthritis. The diagnosis was a relief for her; she was able to read about it and learn how to care for herself. Over the past 2 months, Yolanda stopped taking all of her medicine, because she was seeing a new primary care provider and wanted to start her care at “ground zero.” In addition to her family responsibilities, she is completing her degree as an English major. At the time of her clinic appointment, she told the nurse practitioner that she was having the worst pain possible.

Using Levine’s conservation model, the nurse practitioner completes a comprehensive assessment in preparation for developing a plan of care. A thorough assessment of characteristics of the internal and external environments is performed, with assessment of the adequacy of the adaptive fit that Yolanda has achieved in response to the changing environmental conditions produced by this health challenge. Nursing care is planned using the conservation principles. Yolanda’s diagnosis of fibromyalgia was based on the cluster of presenting symptoms (pain, fatigue, and sleeplessness) and the exclusion of other illnesses.

The assessment of the internal environment (physiological and pathophysiological processes) was performed by a thorough physical examination and various laboratory and diagnostic tests. Yolanda’s tests results were within normal limits.

The external environment includes perceptual, operational, and conceptual factors. Perceptual factors are perceived through sensory input. Yolanda reported a history of unexplained fatigue and sensations of pain for years. She recently stopped her medications “to clean my body out.” However, she reported that the pain became unbearable and was making it difficult for her to sleep. She noted that when she sleeps at least 6 hours a night, her pain is less intense. With the current insomnia, her pain is very intense.

Operational factors are threats within the environment that the patient cannot perceive through the senses. Yolanda reported severe pain in response to both the cold weather and changes in barometric pressure.

The conceptual environment includes cultural and personal values about health care, the meaning of health and illness, knowledge about health care, education, language use, and spiritual beliefs. In response to breast cancer, Yolanda developed her spirituality through prayer and reading the Bible. She believes this is how she is getting through the painful moments of her current illness.

Conservation of energy focuses on the balance of energy input and output to prevent excessive fatigue. Yolanda complains of a fatigue that just “comes over me.” She has difficulty doing housework. A day of work usually means 1 day in bed because of extreme fatigue. Her hemoglobin level and hematocrit are normal; her oxygen saturation is also within normal limits. These normal physiological assessments are typical in patients with fibromyalgia.

Conservation of structural integrity involves maintaining the structure of the body to promote normal functioning. Fibromyalgia treatment focuses on reducing symptoms. Yolanda’s symptoms could not be traced to any physical or structural alteration, yet she reports severe pain and fatigue. It is important to acknowledge the reality of the symptoms and work with the patient to determine whether activities of daily living result in changes in the pattern of illness. In addition, Yolanda thinks she is going through menopause (a normal physiological change in body structure), and she is having trouble determining whether her symptoms are menopause or fibromyalgia.

With continued questioning, Yolanda revealed that she was diagnosed with irritable bowel syndrome several years earlier. This condition presents further risks to structural integrity. She is not worried about constipation but is concerned about sudden diarrhea. She is afraid to go to school, fearing embarrassment because she might have an “accident.” Interventions to conserve structural integrity include interventions to promote normal bowel function and optimize Yolanda’s nutritional status.

Personal integrity involves the maintenance of one’s sense of personal worth and self-esteem. Yolanda reported that she “lost control” when she was diagnosed with breast cancer. A dear friend convinced her to go to church and encouraged her to use prayer. When feeling sorry for herself, she would go into her bedroom and read her Bible, cry by herself, and pray. She believes that prayer and Bible reading helped her heal. She continues to pray and read her Bible to gain the strength she needs to live with her illness. She also believes that she needs to be able to laugh at aspects of her situation; humor helps her feel better. She actively seeks health information, as indicated by her quest to learn about her diagnosis of fibromyalgia. She is most upset about not being able to walk as she used to walk. One of her favorite pastimes was shopping for shoes at the mall, which now is difficult for her.

Social integrity acknowledges that the patient is a social being. Yolanda is a married mother of two grown children. She conceals many of her feelings from her children but does share with her husband, who is supportive. Among the ways that he cares for her are to take her places she needs to go (such as grocery shopping) and to make sure she gets to her health care appointments on time.

An initial plan of care for Yolanda includes interventions based on the four conservation principles:

• Conservation of energy: (1) Discuss strategies to balance rest and activity; (2) discuss strategies to help her achieve restful sleep; (3) discuss both nonpharmacological and pharmacological approaches to manage pain; and (4) assess her nutritional intake to ensure adequate energy stores.

• Conservation of structural integrity: (1) Discuss any needed modifications of activities to prevent injury; (2) assess diet to identify whether any foods exacerbate gastrointestinal symptoms; (3) discuss the normal physiological process of menopause, including associated symptoms; and (4) consider additional laboratory work or referrals to evaluate hormone levels and assess whether additional treatment is indicated to relieve menopause symptoms.

• Conservation of personal integrity: (1) Validate the illness experience; (2) encourage continued use of prayer, Bible reading, and humor to help her feel better; and (3) discuss strategies to help her manage her anxiety related to the irritable bowel syndrome, including both nonpharmacological and pharmacological approaches.

• Conservation of social integrity: (1) Praise Yolanda for the strong family relationships that she has built and encourage her to continue to work together with her family to optimize her health; (2) with Yolanda’s permission, talk with her husband to answer his questions about her condition and discuss how they can continue to work together to improve her health; and (3) praise Yolanda for continuing to seek achievement of her goal of completing her English degree and discuss strategies to manage the irritable bowel syndrome and manage problems to help her feel more confident about going to school.

In Yolanda’s follow-up care, these outcomes suggest effective adaptation that is conserving wholeness and integrity:

• Feels rested, with 6 hours of uninterrupted sleep

• Reduction in pain and fatigue

Distinguishes symptoms of menopause from symptoms of fibromyalgia

Collaborates with health care providers to manage symptoms of menopause

Reports comfort as a result of prayer, Bible reading, and humor

Minimal adverse bowel symptoms and adequate nutritional intake

Healthy relationships with family and friends.

Attends school and participates in other social activities with minimal limitations.

This case study was developed from a fibromyalgia study (Schaefer, 2005). A fictitious name was used to protect privacy and anonymity.

Critical thinking activities

1. Are there any aspects of Yolanda’s care that you would add to the plan as you consider nursing care with the conservation principles?

2. Keep a reflective journal about a personal health or illness experience and apply the conservation model to that experience.

3. As you consider application of the conservation principles in question 2, what aspects of care are assessed that previously were not included in your plans of care?

5. Use the perspective of the conservation model to identify what may be missed in simulation experiences of nursing practice. What does it capture that other perspectives miss?

6. Suggest how you might begin to develop your style of nursing practice using the conservation model.

Discussio board

As we move into the investment stage of our personal finance plan, we want to make sure that our financial house is is order. A f

ully established emergency fund

, somewhere around $10,000, is a cornerstone for our financial plan.  This will give us some peace of mind when unexpected events happen, like A/C repairs for the car, and you can pay for them in cash.  Unfortunately, around 70% of Americans have no emergency fund to help out when unexpected events occur.

  • How important do you think an

    Emergency Fund

    is for your financial plan, and what are you doing to establish this fund.
  • When you are ready to post your thoughts, simply click the Create Thread button and lead out in your discussion.
  • Take a look at your classmates’ opinions and leave a comment/response with at least two other students.



Grading:


Your initial post should be a minimum of  at least 100 words, and your responses to your classmates should be at least 75 words.

d#: Do you feel a little more prepared to handle your personal finances then you did before this class started?

Model Drawings Assignment

OVERVIEW

• Learning to conceptualize your analysis in drawings helps communicate your ideas. Using Hayes models as a starting point is a useful way to conceptualize the variables of interests and their causal sequence.

****TOPIC GENDER INEQUALITY****

****DUE JUNE 26, 2021****

****PLEASE READ THE ATTACHMENTS****

Using headings to organize your post- respond to the following: 1. From your early understanding of applied research- would you agree or disagree that it is difficult to be a highly effective teach

Using headings to organize your post, respond to the following:

1.    From your early understanding of applied research, would you agree or disagree that it is difficult to be a highly effective teacher or principal without having a working knowledge of the research world and how it works? (Support your answer with the readings from this Unit, as well as knowledge from your own experiences.)

2.    Jumping right into your research proposal, what topic would you like to explore, and why is this of interest to you or important for you to research?

3.    List your two to three “applied research” questions that will guide your research proposal. (Remember that applied research questions must be bias-free, cannot make assumptions on the outcome, focus on solving a current educational problem involving students, and includes the intervention [strategy] that you plan to implement and study.)

References

1. Choosing & Using Sources: A guide to academic research. (n.d.). Teaching & Learning, University Libraries. https://ohiostate.pressbooks.pub/choosingsources/

o Licensed under a Creative Commons Attribution 4.0 International License.

o Chapter 1 – Research Questions

o We will be using this book throughout the first half of the course, so it is highly recommended that you download a copy for quick reference. You can download the book from the Textbook page located on the course homepage. This book covers the basics of research.

2. Baron, M. A. (2008). Guidelines for writing research proposals and dissertations. http://www.regent.edu/acad/schedu/pdfs/residency/su09/dissertation_guidelines.pdf

o The above resource provides an overall review of the research proposal process. However, please note that you will not be going into the depth of the dissertation process, this is only meant as a review of pieces of requirements that we will be discussing in this course.

4. Hine, G. (2013) The importance of action research in teacher education programs. http://clt.curtin.edu.au/events/conferences/tlf/tlf2013/refereed/hine.html

o This is an excellent overview of the action (applied) research practice in teacher education programs.

5. Painter, D. (1999) Teacher research could change your practice. NEA. http://web.archive.org/web/20200217170158/http:/www.nea.org/tools/17289.htm

o In this article, Painter discusses why it is important to conduct research as an educator.

6. Current trends in education. (2012). technology. http://www.teach-nology.com/currenttrends/

o The above article will help you explore possible topics for your applied research proposal. It also discusses current trends in education around the globe from technology to students teaching teachers.

7. Purdue OWL Online Writing Lab. (n.d.). Where to begin. Purdue OWL Online Writing Lab. https://my.uopeople.edu/mod/book/edit.php?cmid=243949&id=276568

o Review this information to help narrow a research topic and develop research questions

The war between the Soviet Union and Afghanistan lasted more than 9 years from 1979 to 1989 (Reuveny & Prakash- 1999). Hundreds of thousands of civilians died- and thousands of Soviet troops and A

The war between the Soviet Union and Afghanistan lasted more than 9 years from 1979 to 1989 (Reuveny & Prakash, 1999). Hundreds of thousands of civilians died, and thousands of Soviet troops and Afghan troops were killed during the conflict to include Mujahudeen fighters. After the Soviet withdrawal in 1989, the Taliban began to rise and gain power in Afghanistan (Reuveny & Prakash, 1999). The Soviets left an arsenal of weapons, munitions, tanks, mortars, grenades, artillery, and other military equipment throughout Afghanistan because of the war conflict. The Taliban used this equipment in their rise to power in the 1990s and 2000s. Today, when leaving a war conflict, the United States attempts to destroy or remove/relocate as much military equipment and munitions as possible.

Do you believe that if the Soviet Union had destroyed its arsenal of weaponry and military equipment after the withdrawal in 1989 that the Taliban would have gained power? Would it have reduced terrorism in Afghanistan? Why, or why not?

At least 200 words

Implementation of Individual Development Plan In Topic 3- you completed an outline for your Individual Development Plan. At this point- you will select two activities to implement with your mentee. Th

Implementation of Individual Development Plan

In Topic 3, you completed an outline for your Individual Development Plan. At this point, you will select two activities to implement with your mentee. The two activities can be related to the same discipline or you can try and introduce separate activities that work on separate areas of growth. For example, if your mentee is working in listening skills, you can have the mentee create a written description of personal experiences with listening over the past few weeks. This would allow you to use techniques to redirect the mentee’s listening behavior during certain experiences. In addition, you could task the mentee with the opportunity to engage in a listening activity with another coworker or friend. This scenario could utilize some of the techniques you provided based on results from the first activity. Or, you can develop an activity for listening and an activity for communicating with others. You need to evaluate your current mentoring experience and create activities that will benefit your learning experience and your mentee’s mentoring experience. You will have the next 2 weeks to complete this portion of your assignment. The activity can be a written requirement, physical requirement, or an activity that initiates a behavioral change over a predetermined timeframe. As your mentee is working through the activity, monitor the progress and utilize any coaching or mentoring techniques necessary to guide your mentee to be successful. You must spend a minimum of 3 hours monitoring and working with your mentee for each activity. If you are in a location that prevents conducting the activity face-to-face, please use technology or additional resources to ensure you are providing a positive coaching and mentoring experience for your mentee.

Complete a 250-500 word reflection on the information you have obtained through the monitoring process. This could consist of a performance indicator chart along with a brief explanation of the current status in the coaching/mentoring process. You are only required to submit your reflection at this time.

Using APA format- write a 3-5 page paper. Part I – Compare and contrast how pain is interpreted by children and adults. (30 points) Part II – Describe the characteristics of pain. (15 points) Part II 1

Using APA format, write a 3-5 page paper.

Part I –  Compare and contrast how pain is interpreted by children and adults. (30 points)

Part II – Describe the characteristics of pain. (15 points)

Part III -Research 3 peer-reviewed journal articles discussing how nurses assess pain. Discuss your findings (30 points)

Part IV -Compare and contrast acute and chronic pain. (30 points)

Part V – Discuss pharmacological and non-pharmacological treatment of pain (30 points)

Correct use of APA format, grammar, and citations (15 points)