Post a brief description of the results of your Work Environment Assessment. Based on the results, how civil is your workplace? Explain why your workplace is or is not civil. Then, describe a situation where you have experienced incivility in the workplace. How was this addressed? Be specific and provide examples.

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Workplace Environment Assessment

This assignment is both a discussion post of 1-2 paragraphs with 3 APA citations that is due July 12th, 2022  and a paper of 4-6 pages (that is associated/continuation of the discussion post) that is due July 29th, 2022.

For the discussion post, I am providing a PDF file of the Clark Healthy Workplace Inventory that I completed, showing a score of 57 which is “barley healthy”. The instructions for the discussion post asked to reflect on the finding of this, and describe a situation where I experienced incivility in the workplace. I will describe a situation that you can use, and rewrite it however you find it necessary and I will also include the formal instructions given for this assignment.

In my workplace I have noticed, especially in the past 2 years since COVID, that morale is quite low and there is always a lot of tension. This stems from overworked nurses, managers that have lose site of how this effects nursing and patient safety and no sympathy for nurses. There is a high nurse turn over, there is constantly very high patient to nurse ratios that put patients and nurses at risk.  Management ignores nurse complaints and their response is usually “either do the job or quit”. It is overall a very unhealthy work environment. People feel unappreciated and disillusioned by their career choice. I am not surprised that the score was low, and more surprised that it was not lower.

An example of uncivil workplace is recently, a co-worker, who works in the ER with me, had 5 patients in her care, this is extremely high patient load in the ER. One of her patients was being worked up for an MI and another patient with a high fever, needed medications quickly. She asked me if I could help her, because I only had 3 patients, and I took her patient with a fever. About 20 minutes later, I had 2 more patients added to my roster, and now I ended up with 5 patients. I sent a message to my manager that I needed help with my patients. When I brought this up to my manager, her response was “You should have not taken this patient from her, you should have told me…but now I can’t do much about it, you will have to manage”. I explained that I had taken the patient because I was trying to help and at the time despite knowing I was already at the recommended patient load of 2-3 patients per nurse. One of the new patients I was given overheard this conversation, that the manager chose to have with me outside their room, and when I returned to the patients room, the patient said “I am so sorry, I didn’t mean to be a burden to anyone”, I quickly told the patient that they were not a burden and it was not about them at all. However, at this point I was embarrassed, I felt bad for the patients I was caring for and my manager never resolved the issue. This type of situations continues to happen.

 

This situation happens often, and the only reason I do not quit or continue to help is because I feel that my co-workers needs me and I need them. My co-workers depend on me and I depend on them.

I hope this is an example you can use, and you can rewrite it however is the most appropriate and correct. Here is the instructions for this discussion post:

How healthy is your workplace?

You may think your current organization operates seamlessly, or you may feel it has many issues. You may experience or even observe things that give you pause. Yet, much as you wouldn’t try to determine the health of a patient through mere observation, you should not attempt to gauge the health of your work environment based on observation and opinion. Often, there are issues you perceive as problems that others do not; similarly, issues may run much deeper than leadership recognizes.

There are many factors and measures that may impact organizational health. Among these is civility. While an organization can institute policies designed to promote such things as civility, how can it be sure these are managed effectively? In this Discussion, you will examine the use of tools in measuring workplace civility.

To Prepare:

  • Review the Resources and examine the Clark Healthy Workplace Inventory, found on page 20 of Clark (2015).
  • Review and complete the Work Environment Assessment Template in the Resources.

Post a brief description of the results of your Work Environment Assessment. Based on the results, how civil is your workplace? Explain why your workplace is or is not civil. Then, describe a situation where you have experienced incivility in the workplace. How was this addressed? Be specific and provide examples.

Describe the boundaries of the neighborhood. (Highway, railroad, lake, river, gated community) Does the community have a name? Is the name displayed? Are there unofficial names for the community? Are there sub-sections within the community or neighborhood?

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Windshield Assessment Template

 

SECTION A

Boundaries

Describe the boundaries of the neighborhood. (Highway, railroad, lake, river, gated community)

Does the community have a name?

Is the name displayed?

Are there unofficial names for the community?

Are there sub-sections within the community or neighborhood?

Housing

How old are the houses, what style, of what materials are they constructed?

The oldest set of houses was constructed from the 1930s to the 70s. Usually of duplex style however there are newer modern style homes as well

Are all the houses similar?

Are there single and multi-family homes in the community?

What is the approximate lot size?

Are there vacant homes?

Does the community show sign of improvement?

Does the community show signs of decay?

Is there trash, abandoned cars, boarded-up buildings, rubble, poor drainage, or disease vector areas?

 

 SECTION B

Parks and Recreation

Are there parks and recreation facilities?  Describe.

Is the open space public or private?

Stores

What grocery stores and neighborhood stores are available?

How do the residents of the community travel to the stores?

Transportation

What is the condition of the streets?

What forms of public transportation are available?

Is there a major highway near the neighborhood?

 Service Centers

What social agencies, recreation centers, and schools are in the community?

Are there health care providers: physician offices, dentists, clinics, emergency rooms, hospitals?

 

SECTION C

 Population

Who is on the streets?

What animals do you see?

Is there police and fire protection available?

Does a specific ethnic group predominate in the community?

Are there churches or places of worship in the community?

Would you rate this community as upper, upper-middle, middle, working-class, or lower class?

How would you base this judgment?

 

SECTION D

Nursing Assessment of the Community

What zip code did you survey?

What would be a need for a community health nurse to begin a health promotion project in this community?

  • The ability to reach the retirement age group in the community to teach and educate them on activities that promote healthy living to promote quality of life.
  • Education on primary prevention such as safe sex practice, diabetes, hypertension, vaccinations, and drug abuse. Promotion of health and wellness programs like fitness, healthy meals, social activities and all.
  • Screening should be easily accessible to the residents in the community for health promotion and disease prevention
  • These will help promote and protect the community.

 

 

Post your response to the scenario and then respond to the posts of at least 1 classmate. Explain the “who, what, when, where and how” when applicable to your posts. Your initial post should offer a full explanation to your peers.

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RES: Module 4–Discussion

This online discussion is included in your final grade and is scored out of 100 points.

Instructions:
Module 04 Discussion Forum: Air Quality

Air pollution is a serious global public health problem that is managed most effectively by collective (societal) action to control emissions of both primary air pollutants and precursors that react to form secondary air pollutants. Personal exposure to ambient air pollutants occurs in both indoor and outdoor environments, and the levels of exposure depend on the fractions of time an individual spends in various indoor and outdoor environments, as well as the concentrations of outdoor-source air pollutants in those indoor and outdoor environments.
In this discussion, utilizing your own experiences AND information you have learned from our module reading materials, past experiences, outline, describe and explain a significant air quality environment. This may be either one that exposes the population of concern through an exterior factor or may be the result of an interior contaminant. (I.E. – if your patients works in an office that has a mold problem.)

Post your response to the scenario and then respond to the posts of at least 1 classmate. Be concise & thorough in your posts. Explain the “who, what, when, where and how” when applicable to your posts. Your initial post should offer a full explanation to your peers. Each post should be substantial, thorough, fully address the topic, and use professional language and tone, including your responsive post to your peer – explain why you agree or disagree with them, and offer additional points.

Post your initial post by mid-week (check the due dates) and respond to a minimum of 1 peer by the end of the module. Check your Coursework calendar and assignment details for specific due dates.

*You will be required to post your initial post first before seeing those of your peers. IF you use a source, make sure you cite it correctly.
* Mani, Haresh and Zander, Dani S. in Pulmonary Pathology (Second Edition), 2018)

What decision did you select? Why did you select this decision? Why did you not select the other two medication options provided in the exercise? What were you hoping to achieve by making this decision? Explain how ethical consideration may impact your treatment plan and communication with the patient.

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Assessing and Treating Patients With Anxiety Disorder. ( DECISION TREE ASSIGNMENT)

CASE STUDY:

The Patient is a 46-year-old- white male who works as a welder at a local steel fabrication factory. He presents today after being referred by his primary care physician after a trip to the emergency in which he felt he was having a heart attack. He stated he felt chest tightness, shortness of breath, and a feeling of impending doom. He does have some mild hypertension which is treated with low sodium intake and he is about 15lbs overweight. He had his tonsil removed when he was 8 years old, but his medical history since that time has been unremarkable. Myocardial infarction was ruled out in the ER, and his EKG was normal. The remainder of his physical exam was normal. He admits that he still has problems with tightness in his chest and episodes of shortness of breath he now terms these ” anxiety” He will also report feelings of pending doom, and the need to “run” or “escape” from wherever he is at.
In your office, he confesses to the occasional use of alcohol ( ETOH) to combat worries about work. He admits to consuming 3-4 beers/night. Although he is single, he is attempting to care for his aging parents in his home. He reports that the management at his place of work is harsh, and he fears for his job. You administer the HAM-A, which yields a score of 26. The client has never been on any type of psychotropic medication. The client is alert and oriented to person, place, time, and events. He is appropriately dressed. Speech is clear, coherent, and goal-directed. The client’s self-reported mood is ” bleh” and he does endorse a feeling of ” nervousness”. Affect is somewhat blunted, but does brighten several times throughout the clinical interview process. Affect broad, client denies visual or auditory hallucination, no overt delusional paranoid thought process readily apparent. You administer the Hamilton anxiety rating scale(HAM-A) which yields a score of 26.

DIAGNOSIS: Generalized anxiety disorder.
To Prepare:
(a) Reflect on the medication to be used to treat generalized anxiety disorder.
(b) Reflect on the psychopharmacology treatment you might recommend for the assessment and treatment of patients requiring anxiolytic therapy.

Assignment: You Are Asked to make three DECISIONS concerning the Medication to prescribe to this patient, Be sure to consider factors that might impact the patient’s pharmacokinetic and pharmacodynamic processes At each decision POINT, you should evaluate all options before selecting your decision and moving throughout the exercise. Before you make your decision, make sure you research each option and that you evaluate the decision that you will select. Be sure to research each option using the primary literature.

INTRODUCTION TO THE CASE: (1 Page) (1)

Briefly explain and summarize the case for the Assignment. Be sure to include the specific patient factors that may impact your decision-making when prescribing medication for the patient. DECISION POINT ONE: Select what you should do: Medications to work with are:

(a) Begin Paxil 10mg orally daily.
(b) Begin Imipramine 25mg orally twice a day
(c) Begin Buspirone 10mg orally twice a day

Decision #1 (1 page):
(1)What decision did you select?
(2) Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature
(3) Why did you not select the other two medication options provided in the exercise? Be specific and support your response with clinically relevant and patient and patient-specific resources, including the primary literature.
(4) What were you hoping to achieve by making this decision? Support your response with evidence and references including the primary literature.
(5) Explain how ethical consideration may impact your treatment plan and communication with the patient. Be specific and provide examples.

DECISION #2 (1 page):
(1)Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
(2) Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources including the primary literature.
(3) What were you hoping to achieve by making this decision? Support your response with evidence and reference to the primary literature.
(4) Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

DECISION #3 (1 Page) :
(1)Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
(2) Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources including the primary literature.
(3) What were you hoping to achieve by making this decision? Support your response with evidence and references to the learning resources including the primary literature.
(4) Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

CONCLUSION (1 Page)
Summarize your recommendation on the treatment options you selected for this patient. Be sure to justify your recommendation and support your response with clinically relevant and patient-specific resources, including the primary literature.

NOTE: Support your rationale with a minimum of five academic resources and write clearly including a title page, Purpose statement, introduction, summaries, and references.
(7) answer all parts of the assignment questions clearly with no grammar or spelling errors in APA writing rules and style.

Explore the ethical issues and nursing strategies surrounding this situation with Kelly. Examine the trust-confidentiality-privacy issues, the consent process, autonomy, and communication.

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Ethical Issues related to Adolescent Abortion

ABORTION

Kelly, age 16 years, has come to a clinic where you work as a nurse. She states that she is at least 12 weeks pregnant but has not told anyone, not even her parents or boyfriend. She is fearful of losing her boyfriend if she tells him. She wants an abortion, has cash, and does not want anyone to knOw about the pregnancy or the abortion. The clinic is in a state that does not require direct parental involvement but does require consent by someone of legal age.

  • Explore the ethical issues and nursing strategies surrounding this situation with Kelly.
  • Examine the trust-confidentiality-privacy issues, the consent process, autonomy, and communication.

Develop a diagram of the basic neuroanatomy of the brain and at the bottom give some brief information about the implications for mental disorders. Develop a flow chart of the peripheral nervous system and the central nervous system and briefly include the importance of the functions of these systems. Briefly explain the synapse, the chemical communication of neurotransmitters, and the implications for mental disorders.

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ASSIGNMENT #2

Instructions: use the available resources that the student has: books, magazines, internet.
I. Develop a diagram of the basic neuroanatomy of the brain and at the bottom give some brief information about the implications for mental disorders.
II. Develop a flow chart of the peripheral nervous system and the central nervous system and briefly include the importance of the functions of these systems.
III. Briefly explain the synapse, the chemical communication of neurotransmitters, and the implications for mental disorders.

Read the Performance Appraisal at Telespazio: Aligning Strategic Goals to People Development case study located in Topic resources. Discuss the assessment of employees within the Telespazio organization.

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Performance Appraisal at Telespazio organization.

Read the Performance Appraisal at Telespazio: Aligning Strategic Goals to People Development case study located in Topic resources. Discuss the assessment of employees within the Telespazio organization.

Discuss the etiologies of heparin-induced thrombocytopenia (HIT), the clinical scoring systems, and options for alternative anticoagulants and treatment.

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Heparin-induced thrombocytopenia

Thrombocytopenia: Heparin-Induced Thrombocytopenia or Strike Out?

1. Discuss the etiologies of heparin-induced thrombocytopenia (HIT), the clinical scoring systems, and options for alternative anticoagulants and treatment.

2. You should include information discussed in this grand rounds’ presentation, and well as from within the literature

3. 3 Peer reviewed references less than 5 years old

Present a case scenario for a patient diagnosed with an acute deep vein thrombosis (DVT) of the leg. Discuss conditions that place patients at high risk for DVT, along with the treatment/medication options for patients with proximal DVT.

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DVT

1. Present a case scenario for a patient diagnosed with an acute deep vein thrombosis (DVT) of the leg.
2. Discuss conditions that place patients at high risk for DVT, along with the treatment/medication options for patients with proximal DVT.
3. This discussion board post should be written in a case presentation format
4. 3 peer reviewed references less than 5 years old

Choose one of the three strategies and discuss specific medications that may be used for the given strategy along with your rationale (half-life, onset). Your treatment plan may be for a hypertensive crisis patient OR for a patient with chronic uncontrolled hypertension. Explain why this strategy is appropriate for your patient and provide an example of why the strategy you chose may not be appropriate for other patients.

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Hypertension

According to the JNC 8 Hypertension Guideline Algorithm, there are strategies A, B, and C for hypertension management.

1. Choose one of the three strategies and discuss specific medications that may be used for the given strategy along with your rationale (half-life, onset).
2.Your treatment plan may be for a hypertensive crisis patient OR for a patient with chronic uncontrolled hypertension.
3. Explain why this strategy is appropriate for your patient and provide an example of why the strategy you chose may not be appropriate for other patients.

Pick any strategies for HTN management and let’s pick hypertensive crisis patient.