diabetic medications

Responses Module 4

# 1 Rebecca :

The media examples I have chosen to discuss are regarding diabetic medications that air on television commercials or online ads. As a nurse who works with the chronically ill and elderly population, I get quite a few phone calls with questions or requests regarding medication seen through advertisements. My patients will usually tell me they saw something on tv, usually know the name and that “it said it’s for diabetes” and then request a script from their provider. A lot of times the requests are for medications in pill form, not often do I get a specific request for a specific injectable diabetes medication or insulin.

The first diabetic medication in discussion is Trulicity. The commercial does clearly state that this medication is for Type 2 diabetics and it aids in lowering blood sugars as well as assisting with weight loss. At the end of the commercial, the narrator (very quickly) runs through a myriad of side effects and potential adverse reactions. The commercial concludes with saying the patient should speak with their provider for further information if Trulicity may be right for them. This is an example of a commercial that is run on television. I have found that it is mostly the older population that watches local television where these types of commercials can be seen. The younger generation tends to be more often on streaming services or differing internet platforms.

cultural diversity

I ;

think the information given is fairly effective in reaching differing patient populations with age, cultural diversity or educational background differences.

have had some elderly patients call me to say they saw a commercial for “a new medicine and it starts with a T.” More than once I’ve had to play detective and try and figure out what medication they are talking about, gather information from them, look at their chart and current medications and then if appropriate, go to the provider and request the medication for the patient.

believe the information put out there via this type of media is mostly successful in reaching the intended audience.

The second diabetic medication in discussion is Jardiance. The commercial clearly states that Jardiance is used in patients with Type 2 diabetes and also has cardiovascular effects in that it may lower the risk of heart attacks or stroke. At the end of the commercial, again, side effects and adverse reactions are stated. This commercial also concludes with saying the patient should speak with the health care provider for more information or to find out of Jardiance is right for them. This commercial is also run on television but like the first ad on Trulicity, it is also run online through various applications such as YouTube. I believe the information given is effective in reaching differing patient populations with age, cultural diversity and educational background differences. I also believe the information put out there via this type of media is mostly successful in reaching the intended audience.

#2 Stephanie

Media is very useful in teaching content to students. It allows for variety and gives students that chance to learn the content through different methods. The first type of media that we will look at is print material . This can be the textbook, articles, journals, handouts, etc. This type of media is effective because students are able to take their time and learn at their own pace. Students are also able to highlight, take notes and look at the text as they study. This type of media is only good for students that know how to read and are able to comprehend what the printed material is saying. Printed material should also be in a language that the student understands and at a level that is appropriate for their age.

type of media

The second type of media that we will look at is visual media. This can be in the form of a picture ,charts, PowerPoints, virtual reality, and 3-D models. The effectiveness of this type of media is that it can reach a wider range of learners. Learners are able to create a different type of connection with visual learning that allows students to retain the information better. (Winarto et al., 2020) While visual media can be helpful for many learners it tends to need some kind of verbal or written explanation, which can decrease the usefulness of this tool in teaching.

The third type of media that we will look at is audio-visual. For many learners audio-visual is very common in their study practices. Films and short videos are the two common forms of audio-visual media that is used. This type of media is able to hold many learners’ attention, is easy to access and allows for a wide range of learners to learn at the same time. While this media is very useful for large groups it can be costly for schools due to copyright laws and depending on where the lessons are taking place the access to these videos can become difficult.

 

 

Responses Module 4

 

# 1

Rebecca :

 

The media examples I have chosen to discuss are regarding diabetic medications that air

on television

commercials or online ads. As a nurse who works with the chronically ill and elderly population, I get

quite a few phone calls with questions or requests regarding medication seen through advertisements.

My patients will usually tell me they

saw something on tv, usually know the name and that “it said it’s

for diabetes” and then request a script from their provider. A lot of times the requests are for

medications in pill form, not often do I get a specific request for a specific injectable dia

betes

medication or insulin.

 

 

The first diabetic medication in discussion is Trulicity. The commercial does clearly state that this

medication is for Type 2 diabetics and it aids in lowering blood sugars as well as assisting with weight

what causes asthma attacks

Instructions: Response must be at least 310 words written in current APA format with at least two academic references cited. References must be within the last five years. Response must extend, correct/refute, or add additional nuance.

D.R. asthma’s attacks will be under the classification of moderate. This classification is because his flows rates are between 65-70% (in the last three days); and he also has night time symptoms (increasing SOB, wheezing, fatigue, cough, stuffy nose, watery eyes, and postnasal drainage), which began four nights ago, these symptoms have not been relieved by the use of albuterol.

2.

It is important to know first what causes asthma attacks, this is because the airways narrow and it gets hard to breathe; this can result from spasms of the muscles around the airways, inflammation and swelling of the mucosal membrane that lines them, or high amounts of mucus inside them. The patient might have shortness of breath, wheeze or cough as your body tries to get rid of mucus.

Some known triggers of asthma attacks include allergies, air pollution, molds, dust mites, food and food additives, exercise, smoking, sinusitis, medications, weather, smoke, among others. (Gautier, & Charpin, 2017)

asthma

Also, for about 80% of people with asthma, a heavy workout can cause airways to narrow. Exercise is often the main asthma trigger. If the patient has exercise-induced asthma, he will feel chest tightness, cough, and have trouble breathing within the first 5 to 15 minutes of an aerobic workout. For most people, these symptoms go away in the next 30 to 60 minutes of exercise. But up to 50% of people with exercise-induced asthma may have another attack 6 to 10 hours later. A slow warm up may help prevent this. (Mazurek, & Syamlal, 2018).

family history of asthma

Severe heartburn and asthma often go hand-in-hand. Up to 89% of people with asthma also have severe heartburn, or GERD. It usually happens at night when the patient is lying down. Normally, a valve prevents stomach acids from backing up into your esophagus. When the patient has GERD, this valve doesn’t work like it should. The stomach acids reflux, or back up, into the esophagus. If the acids reach the throat or airways, the irritation and inflammation they cause could trigger an asthma attack. Clues that suggest reflux as the cause of asthma include the start of asthma in adulthood, no family history of asthma, no history of allergies or bronchitis, difficult-to-control asthma, or coughing while lying down.

Since there is not too much information about D.R., I would assume that a factor that could be a trigger for his attacks, could be the frequent nebulizer treatment, that he is taking too frequently, besides that, any of the previous factors could apply to him, we would need to perform a deeper assessment to determine what is the cause for his attacks, and try to solve it.

3.

If I would have to make a guess regarding the etiology for D.R.’s symptoms, I would say that some of them are: a family history of asthma, weather changes, cigarette smoking, also ask him if he has any pets at home since pet’s hair can trigger his attacks, any dusky environment.

hypertonic imbalance

1.

She has a hypertonic imbalance with high extracellular fluid concentration, all of these is because her sodium level is 156 (normal 135-145).

2.

Some symptoms that she might experience with the potassium levels that she has are:

Palpitations, irregular heartbeats, weakness, nausea or vomiting, chest pain, trouble breathing, feelings of numbness or tingling; some other symptoms could be decrease urinary output, thirst. (Simon, Hashmi, & Farrell, 2020)

3.

The most appropriate treatment for Ms. Brown would be giving her solutions that are salt free isotonic, and in this way her sodium levels could return to normal. By giving her this solution, her fluid volume should increase, and her potassium levels should go down.

4.

Her ABGs indicate that she is experiencing an Uncompensated Metabolic Acidosis.

5.

plasma electrolyte concentrations.

The anion gap (AG) is a calculated parameter derived from measured serum/plasma electrolyte concentrations. Both increased and reduced anion gap have clinical significance, but the deviation from normal that has most clinical significance is increased anion gap associated with metabolic acidosis. This reflects the main clinical utility of the anion gap, which is to help in elucidating disturbances of acid-base balance.

The anion gap is an additional piece of clinical information that can be easily derived without cost from the most commonly requested biochemical profile urea, and electrolytes (U&E). It is not possible to calculate the anion gap if serum chloride is not included in the profile. The principal clinical use of the anion gap is in assessment of acid-base disturbances, particularly metabolic acidosis. Marked increase in anion gap (> 25 mmol/L) is almost invariably incontrovertible evidence of metabolic acidosis.

metabolic acidosis

The distinction between normal. And high anion gap metabolic acidosis allows the anion gap to help in determining the primary cause of metabolic acidosis. The anion gap has additional utility in the investigation of patients. Who present with metabolic acidosis in association with another acid-base disturbance. Reduced anion gap is by comparison with increased anion gap a rare finding that is not associated with disturbance in acid-base balance. But can be indicative of several conditions including hypoalbuminemia, myeloma and lithium intoxication. Accurate interpretation of anion gap results is potentially hampered by lack of consensus on the method of calculation. And significant variability in reference interval. (Rastegar, & Nagami, 2017)

 

Workplace Environment Assessment

To Prepare:

  • Review the Resources and identify one change that you believe is called for in your organization/workplace.
    • This may be a change necessary to effectively address one. Or more of the issues you addressed in the Workplace Environment Assessment you submitted in Module 4. It may also be a change in response to something not addressed in your previous efforts. It may be beneficial to discuss your ideas with your organizational leadership and/or colleagues to help identify and vet these ideas.
  • Reflect on how you might implement this change and how you might communicate this change to organizational leadership.

The Assignment (5-6-minute narrated PowerPoint presentation):

Change Implementation and Management Plan

Create a narrated PowerPoint presentation of 5 or 6 slides with video that presents a comprehensive plan to implement the change you propose.

Your narrated presentation should be 5–6 minutes in length.

Your Change Implementation and Management Plan should include the following:

  • An executive summary of the issues that are currently affecting your organization/workplace (This can include the work you completed in your Workplace Environment Assessment previously submitted, if relevant.)
  • A description of the change being proposed
  • Justifications for the change, including why addressing it will have a positive impact on your organization/workplace
  • Details about the type and scope of the proposed change
  • Identification of the stakeholders impacted by the change
  • Identification of a change management team (by title/role)
  • A plan for communicating the change you propose
  • A description of risk mitigation plans you would recommend to address the risks anticipated by the change you propose

Newborn Nutrition

Purpose of Assignment

The goal of creating a newborn nutrition teaching presentation is to prepare the nursing student to provide evidenced based education to the pre and postpartum client on lactation.

Competency

Select safe, effective nursing interventions for the postpartum client and newborn.

Instructions

Create a teaching tool to promote breastfeeding. The material created to educate new mothers on breastfeeding will influence the mother’s decision to breastfeed, including duration, based on the quality and content of the teaching.

Assignment Requirements

Your teaching tool will be a trifold and must include this relevant content for a mother considering the risks and benefits of breastfeeding a newborn.

Format
  • Standard American English (correct grammar, punctuation, etc.)
  • Logical, original and insightful
  • Professional organization, style, and mechanics in APA format
  • Submit document through Grammarly to correct errors before submission
Resources

the steps of the Systems Development Life Cycle (SDLC)

 the steps of the Systems Development Life Cycle (SDLC)

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.
In preparation of filling this role, develop 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 definitionAnalysisDesign of the new systemImplementationPost-implementation supportUse APA format and include a title page and reference page.Use the Safe Assign Drafts to check your match percentage before submitting your work.

Lewin’s Theory of Change

Overview

For this discussion, you will use information from your assigned readings and the literature to answer the following:

· Changing clinical practice or staff behavior can be challenging. Please describe Lewin’s Theory of Change. Give an example where you or organization used this theory to implement change. Was the change successful or unsuccessful? Why? Include change theory elements in your rationale. If the change was unsuccessful, what could the organization have done differently (include utilization of a different change theory)?

References:

· Initial Post: Minimum of two (2) total references: one (1) from required course materials and one (1) from peer-reviewed references.

Approx 1.5 pages

health problem

HGMT 310 Assignment #1

Student Name:

Steven Jenkins Jr

Assignment #1 Title:

Provide a unique name for the health problem and the short name of the applicable federal policy or legislation meant to address the problem.

Health Problem:

Describe and provide details about the health problem. Indicate in detail who is most impacted by this health problem. Include relevant statistics (incidence, mortality, morbidity, etc.).

This section must include how the problem impacts patients, health care providers and/or professionals, health organizations, healthcare insurers/payers and the government. Note the human and financial costs. Use in-text citations for all statistical references.

Healthy People 2020:

Summarize the health problem as recognized by Healthy People 2020’s goals for the nation. Note how the health problem you identified fits within the Healthy People 2020 framework – is it a goal, Leading Health Indicator, etc. Use in-text citations as needed.

Include a discussion on the which social determinants of health impacts the health issue you selected.

Does another governmental agency or public health organization describe the problem? If so, provide details on how this agency/organization describes the problem.

If the issue is not identified in Healthy People 2020, hypothesize about why this specific societal health problem might have been excluded from Healthy People 2020

Official Title and Citation of the Legislation:

Indicate the government’s response to the health problem you selected via online research. Select one federal policy or piece of federal legislation. In this section, include the title, bill number or citation from the statute.

Status:

As of the date of submission, what is the status of the federal policy or legislation in the health policy cycle and why do you believe it fits here? Reference a stage(s) of Figure 1, the US Policymaking Cycle, found in the Week 1 Course Introduction document.

Analysis of the Public Policy Response:

Describe the scope of the federal policy or legislation (describe specific provisions from the law and how they are meant to address the health issue) and the anticipated impact.

Policy and Social Determinants of Health

Does the policy address, facilitate or hinder access to the social determinants of health?

Conclusion:

In your opinion, does the health policy or legislation adequately addresses the health problem you identified? Why or why not? Be specific.

Resources for Updates:

What policy resources would a health organization use to check for updates on this policy or legislation?

 

Differences Between Medical And Surgical Asepsis.

Differences Between Medical And Surgical Asepsis.

Discuss the major differences between surgical and medical asepsis and how they differ in the nursing care of a patient. Provide the rationale for each example, as well as an example of when each would be used. Remember that your posts must exhibit appropriate writing mechanics, including formal language, grammar, and punctuation. Use APA references and citations within your post.

Infants

The growth, development, and learned behaviors that occur during the first year of infancy. Have a direct effect on the individual throughout a lifetime. For this assignment, research an environmental factor that poses a threat to the health. Or safety of infants and develop a health promotion that can be presented to caregivers.

Create a 10-12 slide PowerPoint health promotion, with speaker notes, that outlines a teaching plan. For the presentation of your PowerPoint, use Loom to create a voice over or a video. Include an additional slide for the Loom link at the beginning, and an additional slide for references at the end.

In developing your PowerPoint, take into consideration the health care literacy level of your target audience. As well as the demographic of the caregiver/patient (socioeconomic level, language, culture, and any other relevant characteristic of the caregiver) for which the presentation is tailored.

Include the following in your presentation:

  1. Describe the selected environmental factor. Explain how the environmental factor you selected can potentially affect the health or safety of infants.
  2. Create a health promotion plan that can be presented to caregivers to address the environmental factor and improve the overall health and well-being of infants.
  3. Offer recommendations on accident prevention and safety promotion as they relate to the selected environmental factor and the health or safety of infants.
  4. Offer examples, interventions, and suggestions from evidence-based research. At least three scholarly resources are required. Two of the three resources must be peer-reviewed and no more than 6 years old.
  5. Provide readers with two community resources, a national resource, and a Web-based resource. Include a brief description and contact information for each resource.

Refer to the resource, “Creating Effective PowerPoint Presentations,” located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style.

Health Care Employer Risk Management

 

  • Topic 2 DQ 1

    Hello Everyone. Our century is the century of new technology. New technologies, new machines appear in our life so frequently that we sometimes do not even pay attention to this. The new technology is coming to the hospitals as well. A self-help kiosk in the hospitals. And health care organizations is the new reality that already came into our life. What are the advantages. And disadvantages of the self-help kiosks?

    Advantages:

    1. Medical kiosks are reducing patients’ waiting time
    2. Secure biometric authentication
    3. Less errors due to human mistakes
    4. Reduce cost for the facility
    5. Different and more secure payment options
    6. Keeping distance between patients helping to reduce spreading the virus

    Disadvantages:

    1. Lack of human interaction, a patient needs to put an effort if he/she needs attention. And the patient has a question about payments and some appointments.
    2. Older populations sometimes do not understand the interface. And the programs and get confused.
    3. Software has to be constantly updated and high cost of maintenance

    medical researchers

    The group of medical researchers made a study about the self-help kiosk. Adatabase was explored from 2001- 2018. The research made this conclusion: “This study found that health kiosks are promising, cost-effective and multifunctional tools. If included in the formal health system of countries. They may improve health indicators in countries. However, before deploying, their challenges. And concerns need to be investigated and addressed. (Mozhgan, L. 2020). It was proven that self-help kiosks are more efficient. And have more advantages than disadvantages. However, we should consider the older population as well. And make sure that they are not left without the help.

    With the growing importance of increasing wage rates for employees. Many health care organizations are implementing technology such as self-help kiosks to reduce staffing. Describe both an advantage. And a disadvantage to this practice. And discuss how patients may perceive reductions in dedicated staffing.

     

    Using 200-300 words APA format with at least two references. Sources must be published within the last 5 years. Add critical thinking in the posts along with research. Apply the material in a substantial way.