Social Determinants of Health Reflective Paper

Social Determinants of Health Reflective Paper


Social Determinants of Health Reflective Paper

As most countries in the shifts focus towards achieving value-based models which impact positive results rather than the conventional treatment procedures, most healthcare leaders continue to include the social determinants of health as integral components of their efforts. Currently, a holistic review of the patients and their overall environment have been factored into healthcare procedures. World Health Organization defines social determinants as the specific conditions in which people are born, and to which they grow, live, and work. This essay reflects on two films “not just a paycheck,” and “place matters." The two films outline common social determinants of health among members of communities. However, the two environments and contexts represented in the videos are different from one another. Additionally, the two videos suggest that both healthcare authorities and the public have equal responsibilities in ensuring sound health.

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Not Just a Paycheck compares the impact of Electrolux Corporation relocation from two localities, Greenville, Michigan and Vastervick, Sweden. Electrolux Corporation relocated from Greenville, Michigan to Juarez, Mexico citing high labor costs in 2006. The company had been a significant employer organization in that locality, and before its relocation, most of the people had lived middle-class lives, owning luxurious homes, buying new cars and affording summer vacations (Joint Center Health Policy Institute,2008).
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Practicum Journal_ Voluntary and Involuntary Commitment

Practicum Journal:Voluntary and Involuntary Commitment


Voluntary And Involuntary Commitment

By description, voluntary commitment refers to the act and practice of a patient admitting them to the psychiatric hospital or any other mental health facility, voluntarily. On the other hand, involuntary commitment is a condition where an individual or a patient is free to leave the hospital or healthcare facility against medical advice, but with a period of notice. In voluntary admission, the patient is willing to signs into a psychiatric unit/facility. A person can be involuntarily admitted to a healthcare facility when he or she has deemed a danger to herself/ himself or the other and is frankly psychotic or otherwise too impaired to have himself safe and attend to the usual and basic daily needs (Karlsson et al. 2015).
Recommendation for the client to or not be voluntarily committed

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`A voluntary commitment can be appropriate for any person who is 14 years of age or older who is having a mental health problem and feels that an in-patient stay is essential for his/her safety.
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GI Discussion

GI Discussion


GI Discussion

1. Major clinical problem
The major clinical problem for Mr. S. is Melena. Melena refers to feces that are tarry and dark black in colorcaused by the bleeding of upper gastrointestinal tract. The black color and strong smell of the feces is caused by the presence of hemoglobin in blood that is being altered by the intestinal bacteria and digestive enzymes (Katzung, 2017). The most likely for this condition is the bleeding of the upper gastrointestinal tract.
The following are the physical and lab findings that show the presence of melena. Firstly, there is stool which is sticky, black and malodorous signifying the presence of blood caused by gastrointestinal bleeding. Secondly, tests carried out on the rectum showed the presence of black tarry stools.

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This indicated that his stool contained blood that resulted from the gastrointestinal bleeding thus leading to the presence of melena. Thirdly, laboratory tests showed the presence bun and creatinine which signified the absorption of gastrointestinal blood and a reduced level of renal perfusion. The absorption of blood in the digestive system causes peptic that is associated with melena.
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A teaching strategy for Senior Nursing Students:Simulated Nursing Grand Rounds

A Teaching Strategy for Senior Nursing Students


A Teaching Strategy for Senior Nursing Students:Simulated Nursing Grand Rounds

Abstract
This teaching strategy examined the impact of simulated grand rounds on student nurses’ professional development. Simulated grand rounds were created to enhance nursing students’ ability to understand patients, analyze complex situations, and simulate nurse leaders from practice settings. Twenty nursing students at the City University of New York provided a presentation of a patient they cared for, included the assessment data from admission to discharge. Their experiences were analyzed using a five-item Likert-type scale. Results indicated that nursing grand rounds promote professional development, which helped students analyze complex patient conditions. Helped engage students, and enhanced learning. Results indicated that 20 student nurses, 19 strongly agreed, and one student nurse agreed that NGRs helped analyze complex patients in the fourth question. The second question resulted in 18 student nurses strongly agreeing and two agreeing that feedback received from peers was helpful.

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Keywords: Grand Rounds, Medical Education, Nursing Students, Patient-Centered Care
A teaching strategy for Senior Nursing Students:Simulated Nursing Grand Rounds
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Evidence-Based Practice

Evidence Based Practice and Applied Nursing Research


Evidence-Based Practice

A1. Quantitative Article: To compare the efficacy of tramadol and pethidine for control of intraoperative shivering under spinal anaesthesia in elective caesarian
A2. Introduction
Physicians always use regional anaesthesia when performing surgeries because it is the safest anaesthetic technique. Shivering has many side effects on the patient, including making the patient physiologically stressful, especially after using modern anaesthetic, which creates a comfortable feeling. The neuro-axial anaesthetic technique is recommended for use in caesarian section because it has a lower rate of maternal morbidity and death rate with a low level of neonatal depression as compared to the normal anaesthesia. Proper methods of controlling shivering should be established since shivering interferes with electrocardiogram monitoring, the pressure of blood and pulse oximetry. It also raises the systolic work of the left ventricular and the consumption of oxygen.

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Additionally, shivering compromises with the functioning of the myocardia in patients with decreased myocardial function reverse (Khan, 2016). It also interferes with the recovery of the wound making it more painful and also raises intracranial and intraocular pressure. This paper will discuss the effectiveness of tramadol in the treatment of post-spinal shivering with very minimal side effects in obstetric patients over pethidine agent.
A2. Literature review of shivering
Aetiology
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