Redevelopment of the once-dilapidated Newton Falls

/in /by

Just look at the redevelopment of the once-dilapidated Newton Falls area – it has attracted not only middle- and upper-income residents but is also supporting a burgeoning tourist industry.

The need for medical care – more doctors, more hospital beds, more outpatient clinics – will grow, and looking ahead only as far as the end-of-year budget will cost us money in the long run.

The Canada Health Act pledges equitable access for all Canadians to good health care. Join the fight to save the services we deserve as Canadians. Make your voice heard by joining the rally in front of city hall (Manchester Street entrance) Thursday, June 5 at 12:15 pm.

The event is sponsored by CSHH, the Coalition to Save Hillside Hospital. Tell your politicians that we will not let them prioritize so-called efficiency over humanity.

QUESTIONS – Please clearly circle the answer you choose as the correct one.

1/ Who is the intended reader for this article? .

CSHH

b. citizens

c. politicians

d. hospital employees

2/ How many other health facilities has the area lost in the last 10 years?

one

b. two

c. three

d. four

3/ What is the main reason given by the government for the decision?

The hospital is too old to repair.

b. The medical system is inefficient.

C. The Hillside costs too much money to run.

d. Hillside’s medical care is not as good as Newton’s.

4/ Compared to Newton Hospital, Hillside.

a. is less efficiently run.

b. has more outpatient units.

C. is more centrally located.

d. has more specialized services. Your Future Looks Bright With DRAKE MEDOX COLLEGE

Acute medical care

/in /by

The slated closure of Hillside Hospital is just Shutting Hillside’s doors means that more people will be a greater distance from acute medical care. So far the government is refusing to re-think its decision, but it is still not too late to put up a good fight.

Closing this hospital violates common sense at a number of levels. The oldest hospital in the city, The Hillside has been serving the need of our citizens for over a century.

The last decade has already seen too many other venerable medical institutions close their doors – the demise of Mercy Clinic, last year’s closure of Mount Mary, and the loss of the specialized services at Women’s Hospital.

Let’s not allow the Hillside to be another victim of drive-by budget cuts. Provincial authorities claim that the medical system is in desperate need of a structural overhaul for greater efficiency.

They point to the duplication of services at Hillside and Newton Hospital. They point to changes in the delivery of medical care in the new millennium, which requires more outpatient surgical units and fewer hospital beds.

They point to the age of the Hillside facility, seemingly forgetting about the extensive renovations within the last ten years to modernize the Emergency Service Unit, the state-of-the- art Ear, Nose, and Throat Clinic, the Birthing Unit, and the Rehabilitation Centre. Even if streamlining is necessary, why close the Hillside, in the heart of our city? It is the closest medical care for almost a third of the population of the metropolitan area.

Shutting the Hillside’s doors means that more people will be a greater distance from acute medical care. More ambulances will travel farther distances. As we all know, minutes make a difference when there’s a medical emergency.

Provincial penny pinchers are also ignoring the impressive record of excellence from Hillside. Not once but twice it has been awarded a Commonwealth Prize for Excellence for its community outreach programs.

Programs that target those often in need of medical and social services, namely senior citizens, new Canadians, and the homeless. The decision is a short-sighted attempt at placating the angry taxpayers who voted in the current government.

Promises to cut provincial spending should not be honoured with thoughtless slash-and-burn policies. The city continues to grow, and tired old neighborhoods Your Future Looks Bright With DRAKE MEDOX COLLEGE

Atrial fibrillation

/in /by

Julia is a 91yo widow living alone in her suburban home. She has atrial fibrillation and is anticoagulated on Coumadin. Her INR is 2.9.  She drives to church and the grocery store. She is able to manage her own finances. She hires someone to mow her lawn and clean her home.

Julia falls during and fractures her hip. She is admitted to the orthopedic unit and cannot have surgery until her INR is 1.0.

During this time Julia is on bed rest, receiving Morphine IV for pain and Vitamin K and fresh frozen plasma to reduce her INR. Julia becomes increasingly confused and nauseated.

  1. What are the risks for Julia during her hospital stay? List 3 nursing diagnoses and interventions for Julia.
  2. After Julia has hip surgery, what additional complications are possible?

Include all scholarly citation and reference use.

 

Special Care Unit with clients who have dementia

/in /by

Case Scenario Scenario Description: Vanessa is an HCA who works in a Special Care Unit with clients who have dementia. She loves her work but often feels tired with low energy.

She is a smoker and finds little time for exercise besides walking to and from the bus stop and the walking she does at work.

One day Vanessa’s supervisor mentions to her that he has noticed her lack of energy and what seems like a lack of interest in her work.

He has also noticed that she has had more illness in the past year than anyone else on the unit. He suggests that since she is unhappy with her job, she should consider working somewhere else.

Instructions: Write two paragraphs using these questions to help focus your paragraphs.

Paragraph One: In the situation above, what was Vanessa doing at work which caused concern? How should Vanessa respond to her supervisor’s suggestion to look for other work? Since Vanessa loves her work, what can she do to be a better worker? Why do you think this is a good plan of action? Who can support her with this plan? How can she evaluate if her goal to be a better worker is achieved?

Paragraph Two: How did Vanessa’s supervisor handle his concern with her work? What do you think about his actions? If you were Vanessa’s supervisor, how would you communicate with her about her poor work performance?

How will this approach support Vanessa? In what way will this plan result in better client care?

What would you do to track and evaluate changes in Vanessa’s performance? Your Future Looks Bright With DRAKE MEDOX COLLEGE

Dysmorphic features

/in /by

A condition with several dysmorphic features that can be attributed to a single genetic cause is known as  A) Single nucleotide polymorphism

Syndrome

Mutation

Malformation

Value chain analysis and resource-based competitive advantage

/in /by

To start a new business, the knowledge of strategic management is key in understanding the value chain analysis and resource-based competitive advantage.  You decided to start a new business. You see an opportunity to open up a drive-in movie theater. With the dramatic rise in gas prices, people are not traveling very far, and they are looking for a great bargain. You plan to charge only $8 per car.

 

  1. Develop a name for your business and give a reasoning for the business name.
  2. What ordinary resources will you need?
  3. What might you add to this business that could be extraordinary?
  4. Which resources and capabilities provide the company with a real opportunity for a sustainable competitive advantage? Why?

Nursing Informatics Competencies for All Nurses

/in /by

While exploring basic Nursing Informatics Competencies for All Nurses, this week’s assigned reading addresses the current state of competency evaluation for informatics. It examines potential strategies for the future that can align with recommended models for developing competencies committed to defining the future role of nursing to improve health care continuously.

McBride and Tietze (2018, p.558) provided Table 24.1, which outlines levels of NI competencies. Methods to evaluate competencies of these four levels of informatics competencies rely primarily on methods that self-report through survey instrumentation methods. Valid and reliable methods to evaluate informatics competencies measurably and objectively within simulation centers are not currently available. Basic competency recommendations for integration of informatics content into baccalaureate and graduate nursing programs have been addressed by Hunter, McGonigle, and Hebda (2013) and, more recently, by Hill, McGonigle, Hunter, Sipes, and Hebda (2014), who developed a method for self-evaluation of competencies for more advanced informatics competencies, including levels 3 and 4. Yet, methods to objectively evaluate these four levels of nursing informatics competencies in simulation centers that incorporate objective evaluation criteria are lacking.

In 2003, the IOM recommended, “All health professionals should be educated to deliver patient-centered care as members of an interdisciplinary team, emphasizing evidence-based practice (EBP), quality improvement (QI) approaches, and informatics” (IOM, 2003, p. 121). In 2008, the importance of adopting EHRs in clinical practice and developing competency standards for graduating and practicing nurses was initially identified by the Technology Informatics Guiding Education Reform (TIGER) initiative. The TIGER initiative identified three components for the TIGER nursing informatics competencies model: (a) basic computer competencies, (b) information literacy, and (c) information management. Below are examples of skills associated with the three competencies.

Additionally, collaborators for the TIGER initiative stressed health care providers must be able to determine what information is needed, utilize the appropriate resources to find the information, use valid resources to critique the information, provide evidence-based care based on this information, and evaluate the outcomes of the process. A timeline was established that recommended all graduating nursing students and practicing nurses be able to demonstrate the established competencies by January 2013. Work continues to determine what progress has been made and future forecasts.

The Role of the Advanced Practice Nurse in Adopting Technology and Informatics
The demands of the healthcare delivery system and ensuring that all nurses are adequately prepared with essential skills have implications for APNs. In addition to acquiring requisite profession-specific knowledge, skills, and abilities, all APNs must now demonstrate an acceptable informatics competency. The advanced practice nursing informatics role is an extension of the roles shared by any NI nurse working within interprofessional teams to address patient safety and quality through the deployment of successful HIT implementation. APNs may also play high-level roles in quality improvement, integrating evidence into practice, population health, and policy due to expertise and leadership responsibilities integral to APN scope and practice. Specific roles will be suggested later in this lesson.

The nature of the relationship between the patient and the team of health professionals is central to competency development for interprofessional collaborative practice. Without this kind of centeredness, interprofessional teamwork has little rationale. The other three core competencies, in the context of interprofessional teamwork, identify 21st-century technologies for teamwork communication and coordination (i.e., informatics), rely on the evidence base to inform teamwork processes and team-based care, and highlight the importance of continuous improvement efforts related to teamwork and team-based health care (Interprofessional Collaborative Expert Panel, 2011, p. 14).

As you progress in this course, in the program, and beyond, how might you expect your competencies to evolve? Provide a brief response (100 words or less)

Nursing Informatics Roles

/in /by

Nursing Informatics continues to grow and evolve as it works to create its own knowledge base. Nursing Informatics has its own research agenda that holds interest and benefits for all nurses because NI supports all areas of nursing practice.

The National Institute for Nursing Research Strategic Plan addresses the use of informatics and informatics-based solutions to facilitate health, prevent disease, and engage patients in the management of their own care. As NI grows and expands so do NI roles in nursing. According to McGonigle, Mastrian, Kenney, and Androwich (2018, p. 130), nurses may take on numerous roles regarding informatics:

As you progress in this course, in the program, and beyond, how might you expect your competencies to evolve? Provide a brief response (100 words or less)

Future use of computer vision and privacy concerns

/in /by

Review several government-sponsored research projects in Computer Vision. What are the future use of computer vision and privacy concerns? The future use of Computer Vision is both exciting and concerning.

“An estimated 30 million security cameras in the U.S. alone are collecting data constantly, yielding infinite potential to enhance public safety operations.”

“Eventually, we want visual cognition to be able to answer more difficult questions such as who is doing what to whom, for what reason, and what is most likely to happen next?”

From a safety perspective, this may sound great. But what about privacy?

Conduct some additional research related to Computer Vision’s future use and privacy concerns. What are your concerns? What do you see as extremely valuable?

Summarize the results and your thoughts in 1-2 paragraphs. Be sure to cite your sources using APA reference style.

Project Document readings:

1. https://www.nist.gov/news-events/news/2019/11/enhancing-public-safety-video-analytics-computer-vision-and-artificial

2. https://basicresearch.defense.gov/Portals/61/Documents/future-directions/3_Computer_Vision.pdf?ver=2017-09-20-003027-450

Lengths to which people will go to survive

/in /by

People have been known to act in extraordinary ways in order to survive. Write an essay that explains the lengths to which people will go to survive. Use examples from real life, books, movies, or television to support your essay.