Has your style of leadership changed from the beginning of the class? How so?

Week 11 Discussion

Key Influences

From material in the readings, e-activities, discussions, writing assignments, and the quiz on leadership qualities, reflect upon your learning experiences and research of public leadership, and examine your ability to provide effective public leadership:

Has your style of leadership changed from the beginning of the class? How so?
How would you describe your style of leadership now?
What are three (3) key learnings of leadership you derived from this course?
What are two (2) trends in leadership development?

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March 11, 2020December 7, 2020

Economic important of bacteria and virus, and their differences

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March 11, 2020December 6, 2020

You are an attorney and are aware of a colleague who could be considered grossly incompetent

You are an attorney and are aware of a colleague who could be considered grossly incompetent. He drinks and often appears in court intoxicated. He ignores his cases and does not file appropriate motions before deadlines expire. Any person who is unlucky enough to have him as a court-appointed attorney usually ends up with a conviction and a heavy sentence because he does not seem to care what happens to his clients and rarely advises going to trial. When he does take a case to trial, he is unprepared and unprofessional in the courtroom. You hear many complaints from defendants about his demeanor, competence, and ethics. Everyone-defense attorneys, prosecutors, and judges alike-knows this person and his failings, yet nothing is done. Should you do something? If so, what?

Your response to this post should be a minimum of 300 words. Remember, your answer should address the five rules for addressing an ethical dilemma.

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March 11, 2020December 7, 2020

There is a sharp line between describing something and offering an explanation of it

The essay is about a specific question which is : “There is a sharp line between describing something and offering an explanation of it” to what extent do you agree with this claim?
And I’ll put an outline to follow for the whole essay, the subject is TOK

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March 11, 2020December 7, 2020

What rights do migrant workers and domestic workers have in Singapore? Are their rights adequately protected?

Powerpoint (2 Slides)
What rights do migrant workers and domestic workers have in Singapore? Are their rights adequately protected?
1st Slide- What can be done better for the migrant workers and domestic workers in Singapore?
2nd Slide -Compare to other 2 countries (Australia and USA), Singapore had done better and if worse, what’s can be done better?
Additional request:
a. speaker notes/ speeches for both the slides (3 minutes worth for each slide)
b. a question with answer pertaining to either 1st or 2nd slide
c. provide necessary pictures with animation to support the slides

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March 10, 2020December 7, 2020

Week 2 Discussion: Demographic and Epidemiological Assessment

Instructions: this is a 2-part assignment:

Part one: discussion board post which has instructions listed below.

Part two: reply to 2 discussions. Those need 1 scholarly reference each.

Required reading:

Access to book:

https://www.vitalsource.com/ OR. https://bookshelf.vitalsource.com/#/

book name: Community/public health nursing: Promoting the health of populations

Citation:

Nies, M. A., & McEwen, M. (2019). Community/Public health nursing: Promoting the health of populations (7th ed.). St. Louis, MO: Saunders/Elsevier.

Required reading:

Chapter 5: Epidemiology, pp. 70–82
Chapter 6: Community Assessment, pp. 92–105
Chapter 7: Community Health Planning, Implementation, and Evaluation, pp. 107–115
Chapter 8: Community Health Education, pp. 124-135, 142-151

Required Websites

U.S. Census Bureau. (2018). Quickfacts. Retrieved from https://www.census.gov/quickfacts/ (Links to an external site.)

County Health Rankings and Roadmaps. (2018). How healthy is your community? Retrieved from http://www.countyhealthrankings.org/

Weekly lesson attached separately. Cite this as “weekly lesson” and I will fix it when I turn it in.

Initial Post Instructions

For this discussion, you will collect assessment data about your city or county. This post will include information about demographics (general characteristics). You will then find epidemiological data (disease or health behavior rates) about one priority health problem in your community.

>>Please use Cuyahoga county<<

Demographic data:Go online to the U.S. Census Bureau at https://www.census.gov/quickfacts/ (Links to an external site.). Obtain a range information about the demographic characteristics of the population for your city or county of residence. You may have to look at county data if your city is not listed. Discuss demographic data about age, ethnicity, poverty levels, housing, and education.
Epidemiological data:Go to your city or county health department website (search the Internet) or County Health Rankings (http://www.countyhealthrankings.org/ (Links to an external site.)), and report epidemiological data about one priority health problem in your area. Examples include diabetes, heart disease, addiction, obesity, teen pregnancy, and more. Be sure that you accurately report how each statistic is measured. In the County Health Rankings site, you can hover over the category, and it will explain how it is measured.
How do the demographic characteristics of your community influence the health problem you chose?

County Health Rankings and Roadmaps. (2018). Explore rankings. Retrieved from http://www.countyhealthrankings.org/

U.S. Census Bureau. (2018). State and county QuickFacts. Retrieved from https://www.census.gov/quickfacts/

Part two: discussion post replies, will require 1 scholarly source each, please reply to both, if the initial post takes away from the two pages I pay for, shorten it.

Follow-Up Posts
Compare your analysis with your peers. Examine how yours are similar and/or different. Build on their posts by providing additional information about the acts that you have not already noted in your own post.

Respond to two peers or one peer and the instructor. Further the dialogue by providing more information and clarification. PLEASE REPLY TO BOTH!

Follow up #1: Sophia b

The community I focused on is Kings County specifically the area of Brighton Beach and Gravesand as Kings County is a large area.. During my windshield survey I observed a vast amount of elderly population and a pharmacy on every block. Most of the people walking in the street were overweight. There are a vast amount of playgrounds, a boardwalk and beach available with gyms on the beach and beach volleyball courts available, The County Health Ranking demonstrated that there

Adult smoking (Links to an external site.)	15%	14-15%	14%	14%
Adult obesity (Links to an external site.)	23%	21-24%	26%	26%
Food environment index (Links to an external site.)	7.4		8.7	9.1
Physical inactivity (Links to an external site.)	26%	24-27%	19%	25%
Access to exercise opportunities (Links to an external site.)	100%		91%	93%
Excessive drinking (Links to an external site.)	19%	19-20%	13%	19%
Alcohol-impaired driving deaths (Links to an external site.)	12%	10-15%	13%	21%
Sexually transmitted infections (Links to an external site.)	754.7		152.8	552.8
Teen births (Links to an external site.)	20	20-20	14	16

I am not surprised by the results of the County Health Rankings as my observations were accurate. There are many elderly living in the community who many have physical inactivity due to physical impairments. There is however access to exercise to all people. I believe that the best way to make individuals physically active and fight the obesity crisis is to educate people on the free programs provided by the government as well as educate individuals on the importance of a proper diet regimen. Through educating about the health crisis and ways to beat obesity and live a healthy lifestyle the quality of life will be better and a major risk factor to many diseases would significantly decrease.

Compared to Monmouth County, NJ, Kings County has a higher rate of smoking however while adult obesity is the same, it was surprising that the access to exercise was higher in Kings County yet the rate of obesity is the same. This comes to show that there is either a deficit of knowledge in Kings County on the exercise opportunities available or there is no incentive for adults to fight obesity. Educating people on the risk factors that obesity plays on disease such as diabetes mellitus and heart disease are an important tool to increase the health outcomes of individuals. A study published in the Simulation in Health Care demonstrated that nurses rarely use simulation to educate patients on the importance of their health. The study demonstrated that more patients adapted to the recommendations (Pennecot, 2020). As nurses, it is our job to use various techniques available to educate the patients about the opportunities available to take control of their health and increase their quality of life.

Compared to the state and US average, Kings county has a lower level of obesity however a higher level of adult smokers, STDs and teen births. This can best be linked to the dense population in Kings County, that range in economic status. I was surprised that we rank higher in excessive drinking on the state level but are average in the US. The dense population in Kings County plays a role in the high rate of excess drinking as compared to the state average.

The disease that is currently a pandemic is the coronavirus. The first 2 cases of coronavirus have been diagnosed in Kings County today and this is just the beginning of this pandemic. Sanitizers are sold out in all stores as well as clorox wipes, bleach, alcohol, masks and water. People are scared due to fear of dying and complications from the disease. This pandemic is causing much concern as people who are told to stay in quarantine are still going out and thus infecting other people. As nurses, we should be setting an example and not going into work if we are sick. We should address the situation first hand and assure individuals how respiratory infections are spread and the steps to take to avoid getting sick.

Follow up #2: Heather

The demographic data for my township, Cumru Township, in Pennsylvania is a middle-class suburban area. The U.S. Census Bureau estimates the ages under 18 to be 21.9% and persons age 65 or older to be 23.3% (2018). The area is predominantly white at 88.3%, with Hispanic at 10.1%, African American at 3.4%, and Asian at 2.3% (U.S. Census Bureau, 2018). The poverty level is estimated at 4.8% with the median household income to be at $73,089 (U.S. Census Bureau, 2018). We came in fairly well with 93% of the population having a high school diploma, while only 33.6% had a higher degree (U.S. Census Bureau, 2018). I also found it pretty interesting for 86.8% of persons are living in the same house after one year (U.S. Census Bureau).

The results of the Epidemiological data were not surprising to me for Berks County, Pennsylvania, as we have a large number of Pennsylvania Dutch persons who love to cook and eat with lots of salt, butter, and sugar. Adult obesity, which is the measurement of adults over the age of 20 with a BMI >30, is at 33% (County Health Rankings and Roadmaps, 2018). To further add to this, physical inactivity, measured by the number of adults over the age of 20 who do not take part in leisure time exercise, is at 24%.

Ecosocial epidemiology focuses not only on the microbiology of the disease but also the political and economic forces (Nies & McEwen, 2019). This shows how it is important to not only look at the disease itself, but also how the environment and living situations can affect a disease and its progression. The demographic information and the epidemiological fit together because, my township is a majority of middle aged, educated, working individuals, who have lived in the area for quite some time. There are many places to eat whether it is fast food, or restaurants and with parents trying to keep up with children’s activities, there isn’t much time for healthy, home prepared meals and exercise. I also see working in the local hospital the number of patients who come in with hypertension, heart failure, coronary artery disease, and stroke, and those who have no desire to change their lifestyle because this was how they were raised. People adopt the lifestyle for which they are living in, if the area suffers from obesity, they too will gain weight, because that is what they learn from the people around them (Katare & Beatty, 2018). If this can happen to students who are only in an area for a short period of time, this can explain what is happening to the people who live in Berks County for many years.

This information is pretty close to the information I collected during my windshield study. The health issues really didn’t surprise me as I was born and raised in Berks County and see this day after day. The data for Berks County isn’t too far off from the data for the state of Pennsylvania either, which was a little surprising to me. I guess I wanted to think Pennsylvania was healthier than it is.

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March 10, 2020December 6, 2020

Week 2 Discussion: Communication and Influence-the Power of Evidence

Instructions: this is a 2-part assignment:

Part one: discussion board post which has instructions listed below.

Part two: reply to 2 discussions. Those need 1 scholarly reference each.

Required reading:

Access to book:

https://www.vitalsource.com/ OR. https://bookshelf.vitalsource.com/#/

book name: Nursing: Scope and standards of practice

Citation: American Nurses Association. (2015). Nursing: Scope and standards of practice (3rd ed). Silver Spring, MD: Author.

Required reading:

American Nurses Association. (2015). Nursing: scope and standards of practice (3rd ed.). Silver Spring, MD: Author.

53-66, p. 71, and p. 77

For those who may have purchased an eBook through the ANA or another outside source, please be aware that the listed text page numbers often do not match electronic versions, based on the device you are using. Therefore, the ANA Required Reading assignments are listed by topic in order to correspond to this week’s readings for electronic users.

Standards of Practice (Standards 1-6); Standards of Professional Performance (Standards 9 & 13)

Required Article

Aromataris, E., & Pearson, A. (2014). The systematic review: An overview. American Journal of Nursing, 114(3), 53-58. Retrieved from https://chamberlainuniversity.idm.oclc.org/login?url=http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00000446-201403000-00028&LSLINK=80&D=ovft

Weekly lesson attached separately. Cite this as “weekly lesson” and I will fix it when I turn it in.

Initial Post Instructions

Part two: discussion post replies, will require 1 scholarly source each, please reply to both, if the initial post takes away from the two pages I pay for, shorten it.

Effective communication is a staple of our healthcare culture. Working with patients, peers, and interprofessional teams requires that nurses manage information and evidence toward influencing safe and positive patient outcomes.

Please address the following:

Describe caring attributes of the culture where you currently practice. Which attributes stand out as having significant influence on patients, nurses, and other healthcare professionals?
How do you see effective communication relating to patient outcomes in this setting? What is the evidence for this?

Respond to two peers or one peer and the instructor. Further the dialogue by providing more information and clarification. PLEASE REPLY TO BOTH!

Follow up #1: Amber Lynn

According to American Nurses Association (2015) standard 9, the registered nurse communicates effectively in all areas of practice to assess, demonstrate and use communication skills and styles to demonstrate caring, respect, listening, authenticity, and trust. It is very important to as a nurse to have great communication skills, both verbal and non-verbal. I have seen some nurses speak politely to patients; however, their body language shows a whole different attitude. It is important that your body language and verbal communication match. Attributes that contribute to good communication skills are body language, eye contact, listening, and respect. Good communication skills can make a patient as well as the family feel that they matter, and they are not a burden. In cases of emergency situations where there is not enough time for verbal communication, non-verbal communication such as holding their hand can be an effective way to communicate with the patient. (Amoah, Anokye, Boakys, Acheampong, Budu-Ainooson, 2019)

Effective communication does not only go towards the patient, it also needs to be done with other medical staff. There was an instance in my clinical practice where a code was cold for a patient that lost consciousness and was not responding. The rapid response team was called, and we began are code protocol. The main nurse that called the code and the charge were first in the room followed by the rest of the floor. The family members were all sitting at bedside and in a panic. When the rapid response team showed up the patient regained consciousness and began talking as if nothing happened. The rapid response team proceeded to tell the nurse who called the code that they need to not over exaggerate and put down their critical thinking skills right there in front of the family and all of us nurses. They also told the family that this patient was fine. This particular rapid response team was so rude and belittling it made the family not trust in the care their loved one was receiving in the hospital. The RR team also told the family that the patient is moving all extremities and speaking clearly and there was nothing wrong that the patient was probably just sleeping. Once the RR team left the main and charge nurse called the doctor got some new orders for a CT of the brain, and before these orders were carried out this patient had another episode of non-responsiveness. Turned out this patient had a massive brain bleed. The work that my floor nurses did was outstanding, and our teamwork and collaboration was great. None of us said a negative thing about that RR team but assured the family that we are doing all things possible for their loved one. We worked together as a team and saved this patients life. The lesson here is just because other team members are jerks, that does not mean that we need to respond in the same way. That RR team made themselves look incompetent and uncaring to not only the family but to other staff as well. Effective communication and great teamwork is the key to saving a patients life! Which we did! The evidence behind this was that we all worked as a team on our floor, we had a quick huddle right after the initial code and decided that other measures needed to be taken and not just go with the assessment of the RR team. This collaboration saved this person life.

Follow up #2: Stacy W

I currently work full-time in the Freestanding ED Network for my organization. I do still work contingent in two of the other hospitals, but I am going to talk about the FSEDs. Each of our FSEDs has a total of 8 rooms, of which we normally only use 7, while the 8th is our resuscitation/overflow triage room. With only this many beds we only staff two nurses from 7a-11a(with the addition of a third nurse at 11a), a physician, a radiology tech, and a registration personnel. In addition to our patient care duties we are also cross-trained to run all laboratory testing. The radiology techs are also cross-trained for lab. Needless to say, communication in this smaller setting is a necessity. Everyone pitches in when we have high patient volumes and high acuity patients. The teamwork that I have seen in the FSED Network is remarkable. This is how a team is supposed to work. I will give one key example. Last week we had a very high volume day. I was the only full-time nurse on after 3pm. I had two nurses that don’t normally work in the FSEDs, but they had picked up hours for whatever reason. We got slammed with a bunch of patients about 430 in the afternoon. We had to use effective communication to get patients triaged, placed into rooms, patients discharged, patients transferred, and labs completed. I used communication and delegation skills to coordinate the flow of patients. The radiology tech was able to help me run labs because neither of the other two nurses were able to run labs. Everyone pitches in to flip rooms, including the registration staff. At one point I had to start an ultrasound guided IV for one of the other nurses because I was the only one trained to insert one. While I was in this room the other nurse took over care of my patient that was on an insulin drip that needed to be adjusted. In the midst of all of this the squad radio was going off and our physician answered it and relayed the information to me so that I could work on placing the patient either into a room or to the lobby. This type of communication is covered in the ANA (2015) text under the Standard 9. Communication as stated “maintains communication with interprofessional team and others to facilitate safe transitions and continuity in care delivery”. This was a very stressful time. Once I had a moment to look at our patient board I realized that our lobby was filling up and we were becoming overwhelmed. I then called my Manager-On-Call and relayed the situation to her. From there she was able to communicate with the network to get us some extra staffing quickly. In an article by Beth Uldrich EdD (2016), she states “the goals for each of us, especially in professional communications, are to always be conscious of both what we intend to communicate and what it may be perceived that we are communicating, and to be articulate, purposeful, and concise”. Oftentimes when we are stressed we do not come across as professionally as we intend. Our non-verbal cues can become misconstrued. I find myself to be guilty of this at times of high stress levels. This is something that I continuously have to be cognizant of.

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March 9, 2020December 6, 2020

Non-Western Healthcare and its effects on the American culture -YOGA

You are to Research and choose a Non-Western Healthcare/Medicine modality (a particular mode in which something exists or is experienced or expressed). Please see the rubric below. An example of this could but is not limited to : YogaMeditation/Prayer,Ti-Chi, Aroma therapy, Qigong Reiki, Healing touch,
Biofeedback

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March 9, 2020December 6, 2020

Ethical Practice for Social Workers

ARTICLE NEEDED TO READ FOR ASSIGNMENT: https://www.socialworker.com/feature-articles/ethics-articles/Ethics:_To_Tell_or_Not_to_Tell-A_Case_Study/

ETHICAL PRACTICE for SOCIAL WORKERS
WORKSHEET

Review the following items in Section 1. Answer all parts of the 3 questions noted in Section 2.

SECTION 1: REVIEW

The Council on Social Work (CSWE) and the NASW Code of Ethics encourages social workers to apply ethical principles to their professional practice.

CSWE (Council on Social Work)

https://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=1&ved=2ahUKEwj_n9iHoIXiAhUOrZ4KHexOAMcQFjAAegQIAxAC&url=https%3A%2F%2Fwww.cswe.org%2Fgetattachment%2FAccreditation%2FStandards-and-Policies%2F2008-EPAS%2F2008EDUCATIONALPOLICYANDACCREDITATIONSTANDARDS(EPAS)-08-24-2012.pdf.aspx&usg=AOvVaw3px-9pMcFsMVAEMmMVL6JD

Follow the link above to review the CSWE Educational Policy and Accreditation Standards, in particular Section 2.1.2.

2. 2.1.2 Apply social work ethical principles to guide professional practice.
Social workers have an obligation to conduct themselves ethically and to engage in ethical decision- making. Social workers are knowledgeable about the value base of the profession, its ethical standards, and relevant law.

Social workers:
a) recognize and manage personal values in a way that allows professional values to guide practice;
b) make ethical decisions by applying standards of the National Association of Social Workers Code of Ethics and, as applicable, of the International Federation of Social Workers/International Association of Schools of Social Work Ethics in Social Work, Statement of Principles;
c) tolerate ambiguity in resolving ethical conflicts;
d) apply strategies of ethical reasoning to arrive at principled decisions; and
e) apply social work ethical principles.

NASW Code of Ethics

https://www.socialworkers.org/About/Ethics/Code-of-Ethics/Code-of-Ethics-English

Follow the link above to review the NASW Code of Ethics which was approved by the 1996 NASW Delegate Assembly and revised by the 2008 NASW Delegate Assembly. The NASW Code of Ethics is intended to serve as a guide to the everyday professional conduct of social workers. This Code includes four sections. The first Section, “Preamble,” summarizes the social work profession’s mission and core values. The second section, “Purpose of the NASW Code of Ethics,” provides an overview of the Code’s main functions and a brief guide for dealing with ethical issues or dilemmas in social work practice. The third section, “Ethical Principles,” presents broad ethical principles, based on social work’s core values, that inform social work practice. The final section, “Ethical Standards,” includes specific ethical standards to guide social workers’ conduct and to provide a basis for adjudication.

SECTION 2: QUESTIONS TO COMPLETE

Fully answer all parts of the 3 question below.

QUESTION 1: NASW Code of Ethics

What is your current level of familiarity with the NASW Code of Ethics?

QUESTION 2: Rest’s Model and Ethical Decision-Making Process

1. 1. Review Rest’s Model and the ethical decision-making process.
2. 2. Read the scenario posted in Moodle titled “To Tell or Not to Tell”
3. 3. Apply the scenario by working through the stages of the decision-making process.
4. 4. Provide your best thinking to the worksheet items below – provide responses for all 4 parts below.

Summary Point: Social workers who are competent in ethical dilemma resolution should be able to:
* o Know the questions to ask oneself when analyzing a dilemma
* o Choose between conflicting principles of practice
* o Understand when action is warranted in an ethical dilemma
* o Defend decisions

Part 1: Reflection on Rest’s Model Component 1

Component 1: Moral Sensitivity (recognition)
* • Ethical recognition/awareness
* • Be sensitive to others

Provide example based on scenario:

Part 2: Reflection on Rest’s Model Component 2

Component 2: Moral Judgment (right)
* • Ethical and cultural assessment
* • Use a sensible and knowledgeable lens

Provide example based on scenario:

Part 3: Reflection on Rest’s Model Component 3

Component 3: Moral Motivation (action)
* • Ethical intention and actions
* • Connect emotionally and empathically

Provide example based on scenario:

Part 4: Reflection on Rest’s Model Component 4

Component 4: Moral Character (within)
* • Maintain an ethical process
* • Ethical action/ behavior

Provide example based on scenario:

QUESTION 3: Your Refection on the Scenario

Reflect on and fully answer the following 9 Parts noted below based on the scenario.

Part 1: Issues

* o What are the facts?
* o Is there a legal issue?
* o What is the specific law?
* o Is there an ethical issue?
* o What is the ethical issue?
* o Is there a moral issue?
* o What it the moral issue? (Respectful treatment, supporting the common good, preserving individuals’ dignity, justice)

Part 2: Impacts

* o Who might be impacted?
* o How might they be impacted?
* o How serious would the impact be?

Part 3: Options

* o What are your options?
* o What options did you eliminate based upon your own ethics?
* o What options did others consider that you considered?
* o What options did others consider that you eliminated?

Part 4: Evaluation of Options

Which options would:
* o Do the most good and least harm
* o Treat everyone fairly and with dignity
* o Maintain the clinical role
* o Promote the good of the profession

Part 5: Your Strategy

Define your strategy:

Part 6: Greatest Struggles

Define your greatest struggles with the case:

Part 7: Managing Self

How well did you manage if a clear right or wrong could not be identified?

Part 8: Front Page Test

How would you feel about seeing your decision described on the front page of your local paper?

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March 9, 2020December 6, 2020

Personality Change Due to a General Medical Condition

***Personality Change Due to a General Medical Condition***

Explain the diagnostic criteria for your assigned personality disorder.
Explain the evidenced-based psychotherapy and psychopharmacologic treatment for your assigned personality disorder.
Describe clinical features from a client that led you to believe this client had this disorder. Align the clinical features with the DSM-5 criteria.
Support your rationale with references to the Learning Resources or other academic resources.