HEE week 2 peers resp

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Hum Ecology & Environment

Peers response

Your responses should consist of your informed input. One or two-sentence peer responses will not fetch full points. Do not merely recite the content you read in the unit; don’t simply give your opinion.

Your input should be in your own words (to avoid plagiarism), demonstrating your understanding and comprehension of the topic. Be sure to support all your posts (initial post + responses) with specific references to the assigned readings, lecture material, and other relevant research you find appropriate in APA format.

1st peees response

Octavia Dykes

Food insecurity and food scarcity by definition are different. Food Insecurity is caused by a lack of means to obtain food with the leading cause being income. Food scarcity is the lack of food available this could be caused by location or production. Both situations create hunger.  A person with food insecurity could be near a market with available goods but have limited or no money to buy food.  A person with food scarcity may have the money for goods at the market but the closest market with goods available is an hour's drive away or the market close by has limited goods available for sale. 
 These would be densely populated areas without an adequate grocery source or areas of very low population where there are no grocery stores until the next major city (The Annie E. Casey Foundation, 2021).  “
It is not confined to one single sector, sub-system (e.g. value chain, market) or discipline, and thus broadens the framing and analysis of a particular issue as the result of an intricate web of interlinked activities and feedbacks. It considers all relevant causal variables of a problem and all social, environmental, and economic impacts of the solutions to achieve transformational systemic changes” (Food and Agricultural Organization of the United Nations. (2018). Sustainable food systems.).

As nurses, we can assess our patients for having signs of being malnourished, and be observant of those that tend to hoard every scrap left on their tray for “later”, these are in my experience the patients having food security issues outside of the hospital. We can provide resources before they discharge, such as their closest food banks and food drive locations so that they may receive these resources. The hospital I work for does monthly community service events, it’s usually a food bank so that we can collect and give food out to those in need. As nurses, we can get involved within these communities. I’m not saying use all your free time but a few hours one weekend a month is such a great help with soap kitchens, food drives, food banks, etc.

 

References: 

Food and Agricultural Organization of the United Nations. (2018). 
Sustainable food systems. 

http://www.fao.org/3/ca2079en/CA2079EN.pdf

The Annie E. Casey Foundation. (2021). 
Food Deserts in the United States. 


https://www.aecf.org/blog/exploring-americas-food-deserts

2nd peer response

Zoe Snider

Food insecurity refers to the lack of consistent access to food. Chronic food insecurity can lead to various health problems among vulnerable populations such as children, the elderly, and those with pre-existing health conditions (Nord, Coleman-Jensen, Andrews, & Carlson, 2020, p. 1). Food insecurity can be on the individual level or the community level. Food scarcity on the other hand is more of a systemic issue, affecting the population. Multiple factors can cause food scarcity including adverse weather conditions, population growth, and political climate (Kanter, Redmond, & Wansink, 2013). When looking at what impacts food security the most I quickly thought consumption would play the largest role. Food production cannot keep up with the amount of food that humans are consuming. This could be from overpopulation. The relationship between food and race takes a look at the community's access to healthy, sustainable food. These communities may only have convenience stores and fast food supplying them with their weekly food intake. Not only would they have to travel farther for healthy food, but it also is much more expensive than a fast food dinner. Nurses can detect food insecurities in a multitude of ways. A basic assessment would tell a nurse a lot. Direct questioning can go a long way! This is why rapport with patients is important. 

 

Kanter, D. R., Redmond, L., & Wansink, B. (2013). Food scarcity and obesity: A view from behavioral economics. American Journal of Preventive Medicine, 45(5), 651-658.

Nord, M., Coleman-Jensen, A., Andrews, M., & Carlson, S. (2020). Household Food Security in the United States in 2019. U.S. Department of Agriculture, Economic Research Service. 

EXPLORING MIDDLE RANGE THEORIES AND FRAMING PRACTICE ISSUES

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  • Analyze your nursing practice (psychiatric) for issues of particular interest or concern to you. Identify one issue as the focus of your application of theory to practice.
  • Review the Learning Resources to identify specific middle range theories that may apply to your practice issue. (check below)
  • Choose at least two middle range theories that might be most relevant and valuable in addressing your practice issue.
  • Search the Walden University Library for scholarly articles that address application of middle range theories to practice issues.
  • Consider how to frame your focus practice issue in terms of the middle range theories that you have selected.

With these thoughts in mind …

The assingment:

Write an explanation of your practice issue. Then, describe two middle range theories that are most valuable in addressing this issue and explain why. Be specific and provide examples. At least 3 references and citations

learning resources:

McEwen, M., & Wills, E. M. (2019). Theoretical basis for nursing (5th ed.). Wolters Kluwer.  

McEwen, M., & Wills, E. M. (2019). Theoretical basis for nursing (5th ed.). Wolters Kluwer.  

Affordable Care Act

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Discuss the components of the Affordable Care Act that you think will have a positive effect on improving health care outcomes and decreasing costs.

fundamentals M 1

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Roles of the Professional Nurse

Top of Form

Bottom of Form

Module 01 Content

1.

Top of Form

Using the
NUR2115 Module 01 Written Assignment template, determine your strengths and weaknesses for each role. You must have specific examples of strengths and weaknesses for each role. Describe at least two strategies for how you can overcome each weakness.

Nursing CASE STUDY ASSIGNMENT: ASSESSING THE HEAD, EYES, EARS, NOSE, AND THROAT

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Episodic/Focused SOAP Note Template

 

Patient Information:

Initials, Age, Sex, Race


S.

CC (chief complaint) a BRIEF statement identifying why the patient is here – in the patient’s own words – for instance “headache”, NOT “bad headache for 3 days”.

HPI: This is the symptom analysis section of your note. Thorough documentation in this section is essential for patient care, coding, and billing analysis. Paint a picture of what is wrong with the patient. Use LOCATES Mnemonic to complete your HPI. You need to start EVERY HPI with age, race, and gender (e.g., 34-year-old AA male). You must include the seven attributes of each principal symptom in paragraph form not a list. If the CC was “headache”, the LOCATES for the HPI might look like the following example:

Location: head

Onset: 3 days ago

Character: pounding, pressure around the eyes and temples

Associated signs and symptoms: nausea, vomiting, photophobia, phonophobia

Timing: after being on the computer all day at work

Exacerbating/ relieving factors: light bothers eyes, Aleve makes it tolerable but not completely better

Severity: 7/10 pain scale

Current Medications: include dosage, frequency, length of time used and reason for use; also include OTC or homeopathic products.

Allergies: include medication, food, and environmental allergies separately (a description of what the allergy is ie angioedema, anaphylaxis, etc. This will help determine a true reaction vs intolerance).

PMHx: include immunization status (note date of
last tetanus for all adults), past major illnesses and surgeries. Depending on the CC, more info is sometimes needed

Soc Hx: include occupation and major hobbies, family status, tobacco & alcohol use (previous and current use), any other pertinent data. Always add some health promo question here – such as whether they use seat belts all the time or whether they have working smoke detectors in the house, living environment, text/cell phone use while driving, and support system.

Fam Hx: illnesses with possible genetic predisposition, contagious or chronic illnesses. Reason for death of any deceased first degree relatives should be included. Include parents, grandparents, siblings, and children. Include grandchildren if pertinent.

ROS: cover all body systems that may help you include or rule out a differential diagnosis You should list each system as follows:
General:
Head:
EENT: etc. You should list these in bullet format and document the systems in order from head to toe.

Example of Complete ROS:

GENERAL:  Denies weight loss, fever, chills, weakness or fatigue.

HEENT:  Eyes: Denies visual loss, blurred vision, double vision or yellow sclerae. Ears, Nose, Throat:  Denies hearing loss, sneezing, congestion, runny nose or sore throat.

SKIN:  Denies rash or itching.

CARDIOVASCULAR:  Denies chest pain, chest pressure or chest discomfort. No palpitations or edema.

RESPIRATORY:  Denies shortness of breath, cough or sputum.

GASTROINTESTINAL:  Denies anorexia, nausea, vomiting or diarrhea. No abdominal pain or blood.

GENITOURINARY:  Burning on urination. Pregnancy. Last menstrual period, MM/DD/YYYY.

NEUROLOGICAL:  Denies headache, dizziness, syncope, paralysis, ataxia, numbness or tingling in the extremities. No change in bowel or bladder control.

MUSCULOSKELETAL:  Denies muscle, back pain, joint pain or stiffness.

HEMATOLOGIC:  Denies anemia, bleeding or bruising.

LYMPHATICS:  Denies enlarged nodes. No history of splenectomy.

PSYCHIATRIC:  Denies history of depression or anxiety.

ENDOCRINOLOGIC:  Denies reports of sweating, cold or heat intolerance. No polyuria or polydipsia.

ALLERGIES:  Denies history of asthma, hives, eczema or rhinitis.


O.

Physical exam: From head-to-toe, include what you see, hear, and feel when doing your physical exam. You only need to examine the systems that are pertinent to the CC, HPI, and History.
Do not use “WNL” or “normal.” You must describe what you see. Always document in head to toe format i.e. General: Head: EENT: etc.

Diagnostic results: Include any labs, x-rays, or other diagnostics that are needed to develop the differential diagnoses (support with evidenced and guidelines)


A

.

Differential Diagnoses (list a minimum of 3 differential diagnoses).Your primary or presumptive diagnosis should be at the top of the list. For each diagnosis, provide supportive documentation with evidence based guidelines.


P.
  

This section is not required for the assignments in this course (NURS 6512) but will be required for future courses.

References

You are required to include at least three evidence based peer-reviewed journal articles or evidenced based guidelines which relates to this case to support your diagnostics and differentials diagnoses. Be sure to use correct APA 7th edition formatting.

© 2021 Walden University, LLC

Page 1 of 3

THE ROLE OF THE NURSE INFORMATICIST IN SYSTEMS DEVELOPMENT AND IMPLEMENTATION

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THE ROLE OF THE NURSE INFORMATICIST IN SYSTEMS DEVELOPMENT AND IMPLEMENTATION

Assume you are a nurse manager on a unit where a new nursing documentation system is to be implemented. You want to ensure that the system will be usable and acceptable for the nurses impacted. You realize a nurse leader must be on the implementation team.

To Prepare:

· Review the steps of the Systems Development Life Cycle (SDLC) and reflect on the scenario presented.

· Consider the benefits and challenges associated with involving a nurse leader on an implementation team for health information technology.

The Assignment: (2-3 pages not including the title and reference page)

In preparation of filling this role, develop a 2- to 3-page role description for a graduate-level nurse to guide his/her participation on the implementation team. The role description should be based on the SDLC stages and tasks and should clearly define how this individual will participate in and impact each of the following steps:

· Planning and requirements definition

· Analysis

· Design of the new system

· Implementation

· Post-implementation support

· Use APA format and include a title page and reference page.

· Use the Safe Assign Drafts to check your match percentage before submitting your work.

LEARNING RESOURCES


Required Readings

· McGonigle, D., & Mastrian, K. G. (2022). 
Nursing informatics and the foundation of knowledge (5th ed.). Jones & Bartlett Learning.

· Chapter 9, “Systems Development Life Cycle: Nursing Informatics and Organizational Decision Making” (pp. 191–204)

· Chapter 12, “Electronic Security” (pp. 251–265)

· Chapter 13, “Achieving Excellence by Managing Workflow and Initiating Quality Projects” 

· Agency for Healthcare Research and Quality. (n.d.a). 


Health IT evaluation toolkit and evaluation measures quick reference guide

Links to an external site.
. Retrieved January 26, 2022, from https://digital.ahrq.gov/health-it-evaluation-toolkit

· Agency for Healthcare Research and Quality. (n.d.b). 


Workflow assessment for health IT toolkit

Links to an external site.
. Retrieved January 26, 2022, from https://digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit

Theoretical and Scientific Foundations of Nursing

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DISCUSSION RESPONSE

TRANSLATION OF EVIDENCE AND APPLICATION

Short Week

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I need some assist on this question 

Informatics in healthcare

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 IM3001A Module 2 Pre-Assessment (PDF) Module Pre-Assessments are your opportunity to practice applying module content before final submission of your Competency Assessment. For your final Competency Assessment, you will address scenarios related to the importance of nursing informatics in healthcare. For your Module 2 Pre-Assessment, respond to the following prompts. These prompts match those in your final Assessment. Be sure to support your responses with evidence from scholarly literature. Prompts: Write a 1- to 2-page information sheet that addresses the following scenario: You are responsible for orienting several new graduates to your nursing unit. The new hires are scheduled to begin an orientation session with the health informatics department. Prior to the orientation, the new hires need to gain a baseline understanding of the history and evolution of nursing informatics. To assist with their understanding, create a new-hire information sheet that addresses the following topics (1–2 pages): Describe the key components that contribute to the definition of nursing informatics. Provide a brief explanation of the historical evolution of health informatics in general. Describe the aspects of healthcare that the Health Information Technology for Economic and Clinical Health (HITECH) Act sought to improve when it was signed into law. Explain the concept of meaningful use.