Please research about the National School Lunch Program (NSLP) in the United Stated, and write about the program objectives and how it helps with preventing childhood obesity and promote health in children.
https://www.ers.usda.gov/topics/food-nutrition-assistance/child-nutrition-programs/national-school-lunch-program/
Watch the Belmont Report video. Explore the CDC site for the Tuskegee Syphilis Study, include the menu items to the left of the home page.
Create a video that answers the following questions: a) What part of the study was most personally impactful to you? and 2) connect all 3 ethical principles of the Belmont Report to the violation of those principles in the study.https://youtu.be/M6AKIIhoFn4
https://www.cdc.gov/tuskegee/timeline.htm
Your text on the pin must specially explain how a nurse or nurse manager would implement the findings of this article in his/her unit practice
Please write about the characteristics of the program make sure to include the objectives, methodology and the program outcome.
Read a selection of your colleagues’ responses BELOW and respond to two of your colleagues POST BELOW. Provide recommendations for alternative drug treatments and patient education strategies for treatment and management.
PEER 1 RESPONSE
Diabetes and Drug Treatments
Types of Diabetes
Diabetes type 1 can also be referred to as insulin-dependent diabetes. Initially it was referred to as juvenile-onset diabetes because, in most cases it often begun among children. Diabetes type 1 is an auto-immune disorder that causes a person’s immune system to attack and destroy cells responsible for insulin production in the pancreas (Kahanovitz, Sluss & Russell, 2017). People with type 2 diabetes can produce their own insulin but their bodies do not use the insulin very well (Wu, Ding, Tanaka & Zhang, 2014). Their bodies do not effectively use insulin as is required. Additionally, symptoms in type 1 diabetes appear more quickly compared to the type 2 symptoms, which manifest gradually. Gestational diabetes on the other hand is characterized by the temporary presence of high blood sugar, and only occurs during pregnancy. Medical specialists have attributed this kind of diabetes to hormonal changes.
Treatment for Diabetes Type 1
Diabetes Type 1 is mainly treated with insulin. People with diabetes type 1 are required to check their blood glucose regularly to make choices on the amount of food, exercise, and insulin they should take. A home glucose monitor is used to monitor the blood glucose and Insulin is administered with a syringe whenever the glucose levels are low. Patients are also encouraged to take a diet that includes carbohydrates, vegetables, legumes, low-fat milk and to stay away from sweetened beverages.
Short- and Long-Term Impacts of Type 1 Diabetics
Short term complications of type 1 diabetes include diabetic foot ulcers, hypoglycemia, hyperglycemia, peripheral artery disease and ketoacidosis. On the other hand, long term implications include heart disease, stroke, and diabetic diseases of the kidney, nerves, and the eyes. Ac According to previous research studies, prolonged use of insulin increases the risk of hypoglycemia, and mortality risk. It also exposes patients to the risk of specific cancers (Lebovitz, 2011).
References
Kahanovitz, L., Sluss, P. M., & Russell, S. J. (2017). Type 1 diabetes–a clinical perspective. Point of care, 16(1), 37.
Lebovitz, H. E. (2011). Insulin: potential negative consequences of early routine use in patients with type 2 diabetes. Diabetes Care, 34(Supplement 2), S225-S230.
Wu, Y., Ding, Y., Tanaka, Y., & Zhang, W. (2014). Risk factors contributing to type 2 diabetes and recent advances in the treatment and prevention. International journal of medical sciences, 11(11),1185.
PEER 2 RESPONSE
According to McCance and Huether (2019), Diabetes is the seventh leading cause of death and an estimated 30.3 million people have diabetes in 2015. Diabetes is a metabolic disease that causes a decrease of insulin either through a lack of production or resistance. Affecting many Americans today, diabetes can be associated with genetics, lifestyle habits and environmental factors. The four categories of diabetes include; Type 1 diabetes mellitus, type 2 diabetes mellitus, juvenile diabetes and gestational diabetes.
Type 1 DM- Type 1 DM is an autoimmune disease that triggers a destruction of pancreatic beta cells. These patients are often diagnosed in childhood and is usually genetically exposed to the disease. A patient diagnosed with type 1 DM cannot produce insulin, resulting in a very high and common risk for developing ketoacidosis. The treatment for these patients must include daily insulin by injection.
Type 2 DM- Diabetes type two affects 9.3% of American adults and is highest diagnosed in American Indians and Alaska Natives (McCance and Huether, 2019). DM type two is a metabolic condition that causes insulin resistance. These patients produce insulin however, due to environmental and lifestyle behaviors including obesity, these patient’s insulin become resistant to sugars requiring short term and long term glycemic control with insulin and non-insulin medications.
Juvenile DM- Juvenile diabetes occurs in persons younger than 25 years old and has an autosomal dominant inheritance. These patients are children who genetically lack beta-cell antibodies. Treatment includes non-insulin management.
Gestational Diabetes is the development of diabetes type 2 during gestation and is almost immediately resolved once the baby is born. These mothers are suggested to be screened for diabetes at the first prenatal visit to avoid misdiagnosis with type 2 DM. It is essential to educate these patients on monitoring and reducing carbohydrates and sugary foods in preventing short term and long term complications from gestational DM.
Rosenthal and Burchum (2019) recommends Metformin (Glucophage) 500mg po twice daily to treat gestational DM. A study conducted by Kampmann et al (2015), determined that gestational DM prevention and treatment techniques should include exercise, weight loss and a healthy diet before, during and after pregnancy.
Short-term effects on a patient with gestational DM includes complications for the patient and their baby. The effects of gestational DM during pregnancy according to Kampmann et al (2015), includes high risk for gestational hypertension and preeclampsia. Furthermore, the study found that 23.7% of woman with gestational DM had a direct relationship to cesarean section rate and newborns born with macrosomia.
The long-term effect of gestational DM on a woman includes a risk for developing type 2 DM later in life. Kampmann et al (2015) confirms this risk as evident by their study that concluded 40% of women with diet-modified gestational DM developed DM 10 years after pregnancy. Women should maintain a healthy weight before, during and after a pregnancy, to maintain glycemic control in-order to prevent short and long term gestational DM complications.
References
Kampmann, U. (2015). Gestational diabetes: A clinical update. World Journal of Diabetes, 6(8), 1065. https://doi.org/10.4239/wjd.v6.i8.1065
McCance, K. L., & Huether, S. E. (2014). Pathophysiology: The biologic basis for disease in adults and children. Elsevier Health Sciences.
Rosenthal, L., & Burchum, J. (2017). Lehne’s Pharmacotherapeutics for advanced practice nurses and physician assistants – E-book. Elsevier Health Sciences.
Assessment
This Competency Assessment assesses the following outcome(s):
NU420M6-6: Investigate principles of quality improvement and healthcare policy to improve healthcare in diverse and global populations.
GEL-1.02: Demonstrate college-level communication through the composition of original materials in Standard English.
PC-1.3: Apply conflict management skills to resolve issues and/or build team alliances.
Purpose: The purpose of this assignment is to apply conflict resolution skills using effective communication in the role of the nurse leader.
Situation:
You are the acting charge nurse for an urgent care clinic on the overnight shift (7P-7A). On shift with you are three registered nurses (RNs), one certified nursing assistant (CNA), and one emergency care physician (MD). The nurse manager has left the facility for the day. You have had an influx of patients this evening. By 11 p.m., all 20 beds are filled and you have 13 patients awaiting triage. Of the 20 patients, 3 of them need to be transferred to the local emergency room for more extensive care. You have one ambulance immediately available; two others will arrive in 15-30 minutes depending on traffic conditions.
As you plan to transfer patients to the local emergency room for more extensive care, you collaborate with your team members to determine the priority of transfer. Nurse Maggie believes her patient, who is showing signs of diabetic ketoacidosis should be transferred first. Nurse George believes his patient, who is showing signs of a COPD exacerbation should be transferred first. Nurse Maggie and Nurse George get into an intense argument over who is correct. Nurse Maggie gathers the MD and CNA at the nurse’s station to discuss the issue and how “wrong and ridiculous Nurse George is.” The argument escalates quickly between the two nurses. An enraged Nurse Maggie slams the chart against the table and says that if you do not side with her she is leaving the urgent care clinic immediately.
Assessment:
Part 1: Script Writing
Develop a 5-10 line script using cooperative strategies to resolve the conflict between you, Nurse Maggie, and Nurse George. Download the script template for this assignment.
Part 2: Essay Writing
Develop a 2-3 page explanatory essay that addresses the following information:
The viewpoint and purpose of this Assignment should be clearly established and sustained.
Confidentiality and HIPAA
Review the scenario in the assignment folder and identify the issue and indicate the regulation or best practice principle involved. Is Nurse Jones’ disclosure to Paris Lights of Terrence’s condition permitted and/or required by state or federal law? If you have determined that Ms. Jones cannot disclose Terrence’s condition legally, is there anything else Nurse Jones can do regarding the information about Terrence’s condition?
Scenario:
Patient Information Ethical Dilemma
Nurse Jones
Nurse Jones works at Sunny Hospital, in Nebraska. She also works occasional shifts at Paris Lights, a residential Intensive Care facility for individuals with developmental disabilities (ICF-MR).
While working her shift at Sunny Hospital she learns that Terrence Blue, a Direct Care Worker at Paris Lights, has been admitted to her floor and is diagnosed with Methicillin-resistant Staphylococcus aureus
(MRSA).
Troubling discovery
MRSA is a bacterium responsible for several
difficult-to-treat infections in humans because the bacterium has a strong resistance to most antibiotics and is very difficult to treat.
MRSA is very concerning in settings where patients have open wounds, invasive devices, and/or weakened immune systems as these patients are at greater risk of infection than the general public. In certain patients, a MRSA infection can prove fatal.
Dangerous Circumstances
Nurse Jones is aware that one of the residents at
Paris Lights where Terrence works [Barry Black] has a very weakened immune system, and any exposure to MRSA could be dangerous.
Terrence is discharged from the hospital and given a special course of antibiotics to treat his condition. When Nurse Jones arrives at her next shift at Paris Lights about a day after Terrence’s discharge from the hospital, she notices from the client treatment records that Terrence has been working with Barry Black over the past two weeks.
MedSurg Nursing: Nursing
Management, (2016). 25(2), 131-132.
International Journal of Management and Information
Systems, (2016). Vol. 20(3), 51-58
JMIR
Medical Informatics, (2016). 4(2), 1-13.
Social Work, (1991). Vol. 36(1), 56-60.
Journal of General Internal Medicine, (2003). Vol. 18(8), 659-669.
In thinking about about your personality, values, and experiences, how do you feel that you will contribute to this veteran centered nursing program?
Case Study: Scenario Instructions
You will write a 3-page research-based paper in current APA format that focuses on one of the specific scenarios listed below. The purpose of this assignment is to allow you to think critically about a scenario and plan what you would need to do. How would manage the situation? Also provide an explanation of potential causes for the infection in the selected scenario and what measures should be taken in the office to maintain safety for all. The paper must include at least 2 scholarly references in addition to the Reading & Study material and the Bible.
Select one scenario:
Submit this assignment by 11:59 p.m. (ET) on Monday of Module/Week 7. No Rubric
Research a health care organization or network that spans several states within the United States (United Healthcare, Vanguard, Banner Health, etc.). Assess the readiness of the health care organization or network you chose in regard to meeting the health care needs of citizens in the next decade.
Prepare a 1,000-1,250 word paper that presents your assessment and proposes a strategic plan to ensure readiness. Include the following:
Describe the health care organization or network.
Describe the organization’s overall readiness based on your findings.
Prepare a strategic plan to address issues pertaining to network growth, nurse staffing, resource management, and patient satisfaction.
Identify any current or potential issues within the organizational culture and discuss how these issues may affect aspects of the strategic plan.
Propose a theory or model that could be used to support implementation of the strategic plan for this organization. Explain why this theory or model is best.
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.
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