Maternal Child clinical GTPAL and EDD Discussion paper

1. A pregnant woman comes into the clinic. Her first pregnancy was an abortion at 8 weeks. Her second pregnancy resulted in a delivery at 38 weeks. Her third pregnancy was twins and she delivered at 29 wks. 1 of those children died. Maternal Child clinical GTPAL and EDD Discussion paper

2. A woman comes into the clinic to be seen for her 2nd pregnancy. Her first pregnancy was twins delivered at 37 wks and both children are living.

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3. A woman comes in for her 6 week postpartum check up. She delivered triplets at 28 wks and 2 of the babies survived. She had a previous pregnancy that ended in an elective abortion at 6 wks.

4. This is a woman’s 6th pregnancy. Her previous births were a singleton delivery at 41 week, a singleton at 39 5/7 weeks, a singleton at 38 6/7 and a singleton at 36 5/7 weeks. She had 1 induced abortion at 10 weeks with 4 living children at this time.

5. A pregnant woman carried one pregnancy to term with a surviving infant; carried one pregnancy to 35 weeks with surviving twins; carried one pregnancy to 9 weeks as an ectopic (tubal) pregnancy; and has 3 living children.

6. A woman who has given birth to one child at term once and has had one miscarriage at 12 weeks would be recorded as?

PART2- FIND THE EDD

Using Naegele’s rule:

7. A woman’s LMP was April, 10th 2021. What is her EDD? Maternal Child clinical GTPAL and EDD Discussion paper

8. A woman’s LMP was 9/4/10. What was her EDD?

9. A woman’s LMP was January 5th, 2022. What is her EDD?

10. A woman’s LMP was November 3rd, 2021. What is her EDD? Maternal Child clinical GTPAL and EDD Discussion paper

Principles that back up the systematic review of the literature

Systematic reviews require stringent research studies that are appropriately evaluated, and the goal is that all these pieces of evidence can answer a particular research query (Brown University Library, n.d.). These studies need to be distinctly defined, have a critical inspection, contain data, and results that have been analyzed and scrutinized (Brown University Library, n.d.). There are several main principles that back up the systematic review of the literature and they include equality, accessibility, coverage, focus, clarity, integration and transparency (Pittway, 2008, as cited by Charles Sturt University, n.d.). To perform a systematic review of evidence on this subject of the IV catheter insertion technique and orientation program currently used in the facility with the new registered nurses, its efficacy, and other methods, I will collect several evidence-based pieces of literature that have known to work and compare what methods have been known the be effective. Once I do that, I will gather further pieces of kinds of literature putting the focus on the method that I have chosen to be the safest and most effective way to insert an IV catheter and then critically appraise the investigations such as reviewing their methodologies, study framework, who the authors are, focus on results and try to avoid bias through understanding the limitations. I would also assess the level of evidence for each piece of literature. Once this part is done, it will be vital to have a practice guideline made. Principles that back up the systematic review of the literature

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Clinical guidelines are recommendations on how to handle a diagnosis as well as other treatment methods (InformedHealth.org, 2006). Creating a clinical practice guideline (CPG) is not an easy task (Kredo et al., 2016). With that said, huge institutions generally have committees that perform these tasks. Guidelines are up-to-date knowledge therefore evidence that has been gathered must stay within a recent couple of years (InformedHealth.org, 2006). Educating the staff RNs about the investigations found and why they are essential is crucial and to design a clinical guideline, to do so, I need to have the practice setting handled, practice problem identification, gather current guidelines at the hospital in terms of IV insertion, look for kinds of literature that are strong such as randomized controlled trials, for example, call the manager/person in charge in terms of proposing a new innovation, present to the staff on why this new innovation must be given a chance, set up implementation date once its approved, disseminate results and then reevaluate on what can be improved and when the board of directors is in agreement and the new guideline looks polished, have it be submitted for approval (Rosenfeld, & Schiffman, (2009).  Principles that back up the systematic review of the literature

Needs & Data Assessment for the At risk Group Population

Q1

The incarcerated population in Dade County, Florida are underserved in terms of the access to healthcare services. There are about 28 Jail and Prisons in the county and a single jail serves about 100,000 people. According to the Florida Department of Corrections (FDC), the state spends a budget of $2.7 billion for the correctional services and over 200,000 people are imprisoned (Miami-Dade County, 2022). The population that is handled is high and becomes a challenge for them to access primary care. The high incarceration rate results to congestion that leads to a higher rates of diseases in the facilities as compared to the general population. There are great numbers of infectious diseases that are experienced in the prisons and jails in Dade County and there were limited resources available in preventing the kind of diseases and also the treatment of the affected people. The people that are in the incarcerated facility are more likely to have HIV/AIDS disease as compared to those in the general public. There are also the diseases that include the tuberculosis and hepatitis C. However, the access to screening and the evidence based treatment for diseases like HIV/AIDS is not available in the Dade County prisons and might be offered in some periods making the access to primary care difficult. The other issue of concern on the primary care is that there is a high population of those incarcerated in Dade County have a history of drug abuse and dependence based on the diagnostic and statistical manual (DSM)-IV criteria (Miami-Dade County, 2022). After incarceration, the population experience a higher risk of withdrawal and then overdosing when they return back to the community. The challenge of primary health contribute to high mortality rate in prisons and jails in Dade County. Needs & Data Assessment for the At risk Group Population

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Q2

There is much difference between the healthcare provided in the general population as compared to the incarcerated population and this is much expressed by the nature of care interventions. In the prisons/jail, the population fails to receive a consistent evidence-based care where most of the medication are sourced from the counter based in the patient symptoms. In the general population, evidence based treatment and care is consistent and offered in a quality manner since more time is dedicated in handling a patient case. In the prison, the healthcare services is the prisoners right and also offered for free while in the general population access to healthcare should be paid by the patient through insurance cover of cash from the pocket. There is a higher cases of substance abuse and mental illnesses in the prison as compared to the general population worsening the cases in the facilities and this is a threat to the health of the prisoners. There is an easy access to primary care for prisoners in the Dade County because even trivial complaints gets the necessary attention as compared to those of general public minimizing chronic cases of illnesses (Bui et al., 2019). The approach leads to a low costs of healthcare access in the prisons because simple cases are medicalized. Prisoners that are at high risk of infections and this makes their access to care challenging since a disease can spread easily within the population stretching the available resources resulting to poor access to healthcare. In the general population, there is less spread of an infectious disease as compared to the incarcerated population.

Q3

The inequalities that is present in the incarcerated population as compared to the general public is the fact that racial and ethnic discrimination where the African-Americans and the Latino-Americans are the majority being incarcerated and face challenges in access to care. The minority groups in the prisons finds it hard in getting the right and healthy diet and also managing chronic illnesses compared to their colleagues that are in the general public (Binswanger et al., 2017). There is the issue of increasing demand for prisoners to make co-payment in Dade County for medical appointments creates inequalities because of the overcrowded and limited prison resources. There are the prisoners that would have the ability to access the payment for a quality care since they acquire job opportunities. The access to job opportunities for other prisoners gives them privilege to access a better access to healthcare and also better and quality food. The inequality becomes different to the general population that everyone has a equal chance of accessing healthcare through insurance policy (Bui et al., 2019). The issue of racial and ethnic discrimination in the prisons would affect the access to healthcare for the Hispanic and African Americans especially for a specialized care as compared to the general population.

Q4

The incarcerated population that is underserved when it comes to access to healthcare has a huge impact in the community. Poor treatment of the incarcerated population and limited access to healthcare services due to inconsistency creates chronic illnesses that result to hospitalization stretching the available resources in the healthcare sector. The high infectious diseases are common for the underserved population that are subjected to an overcrowded area resulting to emergence of many diseases that include hepatitis, tuberculosis and HIV/AIDS among others. The highly infectious diseases are then spread to the people working in the prisons then to the entire community increasing cases of hospitalization stretching the healthcare delivery system. The stretching of the healthcare system affects the community access to care and the Dade County would have to spent more resources in service delivery (Bui et al., 2019). The increase of incarceration in the community is a threat to public health especially those that are close to the incarcerated individual. The family members would experience mental and physical illnesses because the person they once loved or depend on is placed in a prison or jail. The family members might also lose a bread winner to incarceration that makes their access to basic needs like the healthcare challenging. Needs & Data Assessment for the At risk Group Population

Q5

Nursing is a career that is likely to be affected by increasing incarceration in the community where an introduction of correctional nursing would serve the purpose. Because of the high number of people behind bars, nurses need adjust their approach to patient care. Prison health disparities must be better understood by nurses, who should conduct health research, think about pursuing a career in correctional nursing, push for legislation that benefits the prison population, and encourage organizations to partner with prisons in order to ensure strong referrals and better prepare prisoners for re-entry (Goshin et al., 2015). Those who are incarcerated are more likely to suffer from chronic illnesses, infectious diseases, mental health problems, and substance abuse. Nurses must address these concerns if they are to aid in the recovery of their patients. There is a huge difference between the population in the general community setting and the incarcerated population and this is where nurse changes and advancement to accommodate the culture and needs of the incarcerated is essential. Needs & Data Assessment for the At risk Group Population

Response to Discussions by Diana Yirlem Tatiana & Marta

Diana:

The nurses must understand the benefits and challenges of using social media. Thus, before utilizing social media as a teaching tool, the nurses must carry out a thorough analysis of the pros and cons associated with social media use. The prime action that a nurse must take is the analysis of the security and privacy features embedded in social media channels (O’connor et al., 2018, p. 2273). This will give them a broad idea regarding the ill effects of social media if the data is not safeguarded properly. Response to Discussions by Diana Yirlem Tatiana & Marta

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 Healthcare providers can use social media to develop interactive patient strategies. This may involve direct patient engagement. It can be through Facebook, Twitter, or Instagram as the healthcare professionals can reach out to a wide patient base, thereby, sharing information related to private practice and medical facilities (Kotsenas et al., 2018, p. 155). Social media helps in developing online communities that are beneficial for healthcare practitioners. The patients are benefitted from a wide range of information available online regarding physicians’ timing, the latest medical equipment installed in healthcare facilities, and similar others.

A significant challenge associated with the use of social media is accuracy (Thomas et al., 2018, p. 1513). Analyzing and identifying accurate public health information in such channels are difficult for individuals who are highly interested in examining medical conditions, treatment, and others. Additionally, breaching of patient privacy is also noted in the use of social media. Time constraints are evident to be another challenge associated with the use of social media by healthcare experts. Physicians are typically booked within 15-30 minutes each day.

DQ2:

Yirlem:

Q1: Six sigma failures are a crucial factor for reevaluating health care organizations. Health facilities operate at reduced costs to provide quality services that meet patient needs. Health projects hinged on the six-sigma rate have a higher chance of success since they drive management to embrace quality (Prasad et al., 2020).

Q2: Health facilities should not accept high error rates since the mistakes can result in physical injuries to patients. Mistakes in health facilities associated with complex health problems can also lead to death. Additionally, health facilities focused on reducing high rates of error resulting in psychological, financial, and emotional distress to the victim.

Q3: facilities do not report most errors since most mistakes remain undocumented. For instance, some facilities can recognize several errors. However, the clinicians may decide to register a single incidence meaning the others remain unrecognized. Additionally, some health facilities fail to report the defects due to a lack of practical statistical analysis (Huston, 2021).

DQ3:

Tatiana:

Pain assessment and management remains a broad and speculative area because of the lack of effective methods and interventions. Several guidelines exist for medical practitioners to use and most of the guidelines are broad. Nurses have guidelines that they can follow and tools that they can use to determine pain in older adults (Booker & Herr, 2016. The American Medical Directors Association and American Geriatrics Society have published clinical practice guidelines that focus on assessing and managing pain for older persons. Nurses also have access to various pain assessment tools, including the self-report intensity tools, pain interview, McGill Pain Questionnaire (MPQ), Visual Analogue Scale, Verbal Descriptor Scale, Numeric rating scales, among others. Each of these tools is essential in determining pain. As a nurse, I have to determine the assessment tool with the highest probability of providing accurate outcomes.

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Pain is highly prevalent among older adults and it goes unaddressed in most cases because of failed self-reporting and inability of care providers to identify pain (Eliopoulos, 2018). Self-reporting of pain is crucial in care provision because it helps nurses and physicians to address the pain immediately. However, self-reporting of pain experiences barriers, which exacerbates the prevalence of pain among adults. The barriers include lack of knowledge and experience of pain by healthcare providers, concerns over cost of treating the pain among older adults, reluctance to report pain, and failure to take pain medications (Schofield, 2018).

Knowledge and experience of pain is essential in encouraging adults to report pain immediately they experience it. It also helps with identifying and addressing the pain. However, the biggest barrier comes from the patient because they need to report pain. Addressing barriers like reluctance to address pain and avoiding to take analgesics can help reduce pain. Cost reduction of pain medication and care cost is also essential.

DQ4:

Marta:

Prevalence Of Pain In Older Adults: Pain prevalence in adults increases as years go on, with persistent pain statics on adults indicating a range of 20% to 80% (Eliopolus, 2018). The pain prevalence reports vary depending on home origin and the nursing facilities of adults. An increase in the high impacts of chronic pain leads to a higher prevalence of chronic pain in adults mostly living in poverty lives. Pain is a most common problem to people of older age, affecting more than 50% of the aging population. The prevalence results show that chronic pain increases with age, so from childhood to adulthood, making the elderly suffer from pain. Pain in older adults is mainly caused by musculoskeletal issues such as arthritic and degenerative conditions. Other causes of pain may be cancer treatment and ischemic pain.

Managing Pain As A Nurse : As a nurse, I must understand and know that older people have pain disorders. In addition, nurses are trained to educate and understand older people’s complex mental and physical needs. Therefore it is my duty as a nurse to help older people by protecting their physical and mental abilities to stay active and independent for a long time. Response to Discussions by Diana Yirlem Tatiana & Marta

A nurse should act as a caregiver for patients and help patients by treating their pain and helping the elderly manage their illness and treat their health conditions (Eliopolus, 2018).Making observations and taking numerous recordings of the healthy progress of the elderly makes it easy to treat and take care of the sick.

As a nurse, I should incorporate my skills into treating the elderly by helping doctors develop a care plan that consists of treatment and medication problems. Nurses use special tools for diagnosing and performing treatments. Managing and taking care of the elderly will reduce their pain and develop recommendations to improve their health status. Response to Discussions by Diana Yirlem Tatiana & Marta

Healthcare and Social Media Assignment Instructions

Overview

Social media has greatly impacted healthcare. Online tools can increase consumer access to healthcare and health information and impact relationships among healthcare professionals and patients. The advanced practice nurse should consider safe and effective ways to use social media to support health and wellness. Healthcare and Social Media Assignment Instructions

Instructions

The Healthcare and Social Media Assignment is a formal academic paper which must include the following:

· Identify and discuss at least three different types of social media.

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· Describe the impact of each type of social media on healthcare (including benefits and limitations of each).

· Incorporate components of social media policies for healthcare organizations.

· Discuss the impact of biblical worldview on social media use among advanced practice nurses.

Structure and sources:

· Formatting: current APA guidelines

· Assignment length: 3 – 5 pages of content

· Title and reference page are required (not counted toward assignment length)

· References: A minimum of 3 scholarly sources published in the past 5 years must be cited (must include course text)

· At least one bible verse must be incorporated

· Examples of acceptable sources include nursing or medical textbooks, scholarly, peer-reviewed research journal articles, and reliable websites (generally .org, .gov., or .edu sites are acceptable). Please avoid citing blogs, .com sites, and social media.

Note: Your assignment will be checked for originality via the Turnitin plagiarism tool

The Healthcare and Social Media Assignment is a formal academic paper which must include the following:

· Identify and discuss at least three different types of social media.

· Describe the impact of each type of social media on healthcare (including benefits and limitations of each).

· Incorporate components of social media policies for healthcare organizations.

· Discuss the impact of biblical worldview on social media use among advanced practice nurses. Healthcare and Social Media Assignment Instructions

Structure and sources:

· Formatting: current APA guidelines

· Assignment length: 3 – 5 pages of content

· Title and reference page are required (not counted toward assignment length)

· References: A minimum of 3 scholarly sources published in the past 5 years must be cited (must include course text)

· At least one bible verse must be incorporated

· Examples of acceptable sources include nursing or medical textbooks, scholarly, peer-reviewed research journal articles, and reliable websites (generally .org, .gov., or .edu sites are acceptable). Please avoid citing blogs, .com sites, and social media.

Note: Your assignment will be checked for originality via the Turnitin plagiarism tool. Healthcare and Social Media Assignment Instructions