NUR1172, NUTRITIONAL PRINCIPLES IN NURSING

what are the three components of the DRI? 

describe how RDA. AI, AND UL influence health

after reviewing your results on the interactive DRI, how well are you meeting the RDAs suggested 

what two changes can you make to improve

reply

Week 1 Discussion: Social Factors

I live in Lady Lake, FL. According to the U.S. Census Bureau in 2022, the city of Lady Lake’s population was 16,661, the median income was $42,088, and the percentage of people living in poverty was 14.0% (U.S. Census Bureau, 2022). The grocery store that I usually shop at and that is local is called Winn-Dixie. The Winn-Dixie I went to was located in Lady Lake FL. I did my research when I went grocery shopping yesterday and gathered the prices of the following, all were non-organic.

· 1 gallon of milk: $ 4.19 (whole milk)

· 1 loaf of bread: $4.19 (butter bread)

· 1 bag of apples (including price per pound): $5.99 (for a 3lb bag) /$2.39 per pound.

· 1 bag of carrots: $2.39 (baby-cut carrots)

· 1 large container of yogurt: $5.99 (Greek yogurt 32 ounces)

· 1 2-liter of soda: $1.49 (liter of coke)

· 1 bag of chips: $5.99 (bag of Doritos)

· 1 package of cookies: $4.19 (Chips Ahoy)

When it comes to buying groceries there are several social factors that could impact what groceries are purchased. Poverty levels can impact what groceries are purchased due to limited income. Those with limited income and are considered to be “in poverty” will rely more on cheaper and more affordable food options.  According to the US Department of Health and Human Services, “Low-income groups tend to rely on foods that are cheap and convenient to access but are often low in nutrients” (U.S. Department of Health and Human Services, n.d.).Cheaper food options may not be the most nutritious or healthy. Also, those who live in poverty might rely more on food that is processed and packaged, these foods will last longer helping them get the most out of their money.  We can look at what is gathered above, yogurt is $5.99 and will not last as long as cookies which is $4.19.

The second social factor that could impact what groceries are purchased would be availability. When grocery stores have a wide variety of fresh fruits and vegetables it can be easier for people to select those healthier options and incorporate them into their diets. If the grocery stores do not have these items readily available, then customers may be led to frozen processed fruits and vegetables. Availability and assortment are important for those who may not have the money or accessibility to other sources of fresh produce.

A community health nurse could use outreach as an intervention to address areas of food security. According to our book,
Community/Public Health Nursing, the definition of outreach is, “locates populations of interest or populations at risk and provides information about the nature of the concern, what can be done about it, and how services can be obtained” (Nies & McEwen, 2022). The community health nurse should focus on the poverty population recognizing that they are at risk for food security and reach out to them. Once information is gathered the CHN can then do further research on how we can help those in need and provide them the services they may need.

References

Nies, M., & McEwen, M. (2022).
Community/Public Health Nursing. Elsevier Health Sciences.

U.S. Census Bureau. (2022).
U.S. Census Bureau. Retrieved from https://www.census.gov/quickfacts/fact/table/ladylaketownflorida,US/PST045222?

U.S. Department of Health and Human Services. (n.d.).
U.S. Department of Health and Human Services. Retrieved from Access to Foods That Support Healthy Dietary Patterns: https://health.gov/healthypeople/priority-areas/social-determinants-health/literature-summaries/access-foods-support-healthy-dietary-patterns#:~:text=Low%2Dincome%20groups%20tend%20to,are%20often%20low%20in%20nutrients.&text=Fresh%20fruits%20and%20vegetab


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WK3 Assignment 1

https://youtu.be/59umGpQyaHs?si=juewBXabTJYu_jlM ***********

Be sure to provide 5 APA citations of the supporting evidence-based peer-reviewed articles you selected to support your thinking.

Please be sure to follow EACH AND EVERY BULLET POINT.

Make sure to ANSWER EACH QUESTION ACCURATELY.

(TOPIC: In Attachment and link above/below ***

***Please be sure to include all information from the attachment in the assignment*****

********* https://youtu.be/59umGpQyaHs?si=juewBXabTJYu_jlM********

Please use template attached to complete assignment.

Response to discussion 8

PLEASE READ THE FOLLOWING BELOW IN RESPOND IN 50 WORDS OR MORE:

 In my Week 1 discussion post, I talked about my concerns with nursing wages and burnout becoming more prominent. Throughout the semester, I have been able to deepen my understanding of these topics. I completed my article review on nursing burnout and through my research, I found that burnout has been gradually getting worse throughout the years. The number seems to be rising more than before and the lack of bedside nurses is climbing as well. This also causes a high nurse turnover and more dissatisfaction over time. Many hospitals are now turning to residency programs to have less nurse turnover as new graduates are required to sign a residency contract if they would like to work in that setting. This allows for less turnover and longer training times at the cost of flexibility and appropriate wages. At least in my case, I was getting paid more at my previous job (SNF) than I was starting at the hospital through the residency even though my previous job offered me less than the median salary for SNF nurses. I also believe that the cost of living in South Florida has gone up exponentially over the past few years and regardless of what “middle-class” job you have, money will be very tight for young adults trying to start to live independently without government support. Overall, I hope to see a change over the next few years for those who love the nursing practice as we are responsible for a significant amount of care provided in the healthcare setting and should be respected as so. 

Gastrointestinal

Discuss what is happening on a cellular level with the disease process. Be careful to realize that patients have co-morbidities and you may need to discuss the other diseases impact on the pathophysiology and care of the patient.  Three (3) resources after 2008 are required along with APA format. 

GASTROINTESTINAL TRACT BLEEDING

Patient Profile

Maria, a 48 year-old woman was transferred from emergency department (ED) to transitional care unit (TCU) with a diagnosis of probable gastrointestinal (GI) tract bleeding and abdominal pain. Patient c/o nausea and vomiting blood x2 weeks.

Subjective Data:

-Has a history of alcohol abuse

-Has a history of poorly controlled peptic ulcer disease due to non-compliance with treatment

-Is overweight, but recently lost 10 pounds

-Work as an admission coordinator at local junior college

-Live with her spouse, who was recently diagnosis with prostate cancer

-Recently experienced the death of a her mother from cardiac arrest

  Physical Examination:

                        B/P = 77/41 HR 49 RR 16 T (tympanic) 37.9 (100.2) O2 Sats 98% RA

                        Lungs clear to auscultation, S-3 heart sound to auscultation

Diaphoretic, short of breath, anxious

  
Laboratory Studies

NA 157 Serum K (potassium (3.0)

Hgb 7.6 HCT: 22.8 PLTs 138

RBC 3.32 WBC 11.6

Critical Thinking Questions:

1. Briefly explain the pathophysiology of the development of GI tract bleeding. What is the etiology associated with acute GI tract bleeding?

2. Identify common causes of GI tract bleeding and list predisposing factors specific to Maria.

3. Discriminate between the characteristics of upper and lower GI tract bleeding.

4. What complications did Maria experience?

5. Which factors determine whether blood products will be administered to a patient with GI tract bleeding?

6. Maria Hgb and Hct values dropped. Discuss the drop in Hgb and Hct values in relation to Maria blood loss.

7. If Maria continues to have active bleeding from the GI tract despite conservative management, what other medical procedures might be implement and why?

 

Nursing Cells: Assignment

Requirements

Answer the questions in the provided Microsoft Word document and save your responses. Provide resources in APA format to support your answers.

Outcomes

CO 3: Identify the cellular organization of different prokaryotic and eukaryotic microorganisms

CO 4: Distinguish the characteristics of different types of acellular infectious agents

DEVELOPING A CULTURE OF EVIDENCE-BASED PRACTICE

To Prepare:

  • Review the Resources and reflect on the various strategies presented throughout the course that may be helpful in disseminating effective and widely cited EBP.
    • This may include: unit-level or organizational-level presentations, poster presentations, and podium presentations at organizational, local, regional, state, and national levels, as well as publication in peer-reviewed journals.
  • Reflect on which type of dissemination strategy you might use to communicate EBP.

Then Post a discussion post of at least two dissemination strategies you would be most inclined to use and explain why. Explain which dissemination strategies you would be least inclined to use and explain why. Identify at least two barriers you might encounter when using the dissemination strategies you are most inclined to use. Be specific and provide examples. Explain how you might overcome the barriers you identified. please provide at least 3 references

The resources:

  • Melnyk, B. M., & Fineout-Overholt, E. (2023). Evidence-based practice in nursing & healthcare: A guide to best practice (5th ed.). Wolters Kluwer.
    • Chapter 10, “The Role of Quality Improvement and Evidence-Based Quality Improvement in Practice Change” (pp. 365–393)
    • Chapter 12, “Leadership Strategies for Creating and Sustaining Evidence-based Practice Organizations” (pp. 410–427)
    • Chapter 14, “Models to Guide Implementation and Sustainability of Evidence-based Practice” (pp. 466–518)

informatics

As you learned from the chapter, reading, and video lectures, the cost of health care is a major concern in the US. As we discussed, value-based models promise to bend the cost curve in the right direction. The article you read by Erickson et al (2020) is mostly from the point of view of physicians so it is always a good idea to think critically about articles like this. Do you think that the authors present solid arguments in favor of what they propose? Do you think their point of view is similar to what you read and think about ways to decrease costs while increasing quality? Do you think that their point of view considers other health care-related professions?

Requesting writing tutor

Answer in 500 words

1. Find two articles (evidence-based) that discuss emerging trends in Nursing Informatics.

a. Conduct a literature review on emerging trends in nursing informatics. 

2. For your post, briefly summarize the important points and/or findings of the articles. 

3. State why your chosen articles are relevant to nursing. 

4. Answer the question: “How can I help my colleagues and patients embrace, understand, and use technologies to manage health?” 

5. Include references in APA format.

Reply to your classmate


Tawanna Jackson

4:04am Aug 29 at 4:04am

Hello Class,

In my future nursing practice, I have identified “Evidence-Based Practice” and “Teamwork and Collaboration” as the two Massachusetts Nurse of the Future Nursing Core Competencies that will have a significant impact. By utilizing evidence-based practice, I can ensure that my nursing interventions are backed by current studies and clinical data. This approach allows me to critically evaluate data and incorporate it into my decision-making process, ultimately improving the standard of care I provide. Additionally, evidence-based practice promotes ongoing learning and development, enabling me to stay up-to-date with the latest developments and make decisions that best serve my patients' well-being. Teamwork and Collaboration are equally crucial, as they reflect the interconnected nature of healthcare delivery. Effective teamwork ensures seamless patient-centered care, which is essential in nursing practice, given the need to work alongside various healthcare professionals. Collaborating with diverse team members enhances my ability to gather varied perspectives, share knowledge, and collectively address complex patient needs. This competency fosters open communication, mutual respect, and a shared commitment to achieving optimal patient outcomes (Masters, 2021).

The intersections between both competencies are evident, as evidence-based practice often requires collaboration among interdisciplinary teams to implement new findings and collectively improve patient care. By effectively utilizing evidence and collaborating with interdisciplinary teams, I can ensure that my nursing practice is not only evidence-driven but also inclusive and aligned with broader healthcare goals.

The AACN BSN Essential of Person-Centered Care is the most crucial feature that will significantly improve my future nursing profession. These essentials align with the core values of nursing and embody the holistic and empathetic attitude necessary for providing excellent patient care. Person-centered care promotes personalized, comprehensive care that takes into account each patient's unique requirements, preferences, and experiences. By focusing on the person's family, societal, and cultural circumstances, nurses can deliver just, respectful, and evidence-based care. Patient-centered care is the foundation of nursing practice because it strengthens nurse-patient relationships, encourages shared decision-making, and enables patients to participate in their treatment (AACN, 2021).

In my practice, person-centered care will improve patient experience and health outcomes. I can personalize my care plans to my patients' requirements by learning and respecting their diverse backgrounds, attitudes, and beliefs. This strategy targets physical, emotional, psychological, and social well-being. I also believe in healthcare team communication, empathy, and teamwork, which person-centered care supports (Masters, 2021b).

Finally, the AACN BSN Essential of Person-Centered Care aligns with my nursing ideals of providing holistic, compassionate, and tailored care that recognizes each patient's uniqueness. By embracing this fundamental strategy, I can improve patient outcomes and humanize healthcare by offering respectful, empowering, and values-aligned care.

References:

American Association of Colleges of Nursing. (2008). 
The essentials of baccalaureate education for professional nursing practice

http://www.aacnnursing.org/Education-Resources/AACN-EssentialsLinks to an external site.


Links to an external site.

Masters, K. (2020). 
Role development in professional nursing practice (5th ed.). Jones & Bartlett.


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