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Self-Care Management, 2008.
This paper examines the theory of self-care management for vulnerable populations, particularly for those afflicted with sickle cell disease.
2,199 words (approx. 8.8 pages), 2 sources, APA, $ 68.95
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Abstract
The paper looks at the self-care management theory that seeks to mitigate the circumstances of the vulnerable population through a positive approach to the symptoms of the disorder. The paper focuses on sickle cell disease and explores the five intra-personal factors that can empower the less privileged of society with the personal tools to combat their afflictions. The paper compares the practical application of the theory to similar theories. The paper contends that the research is as sound as it is extensive, but in the practical application of the theory there may be fatal errors.
Outline:
Abstract
Theory Description
Theory Critique
From the Paper
"This theory proposes methods and strategies to increase health and quality of life for members of vulnerable populations afflicted with Sickle Cell Disease. The vulnerable population is defined as members of social groups that experience a functionally lower level of health care due to lack of resources. (Dorsey & Murdaugh p. 43) Membership in this disadvantaged social group is typically predicated by being a person of color, living in poverty, those marginalized due to sexual preference, immigrant status or religion. Additionally non-English speaking individuals, people with AIDS, and homeless families are general members of this social group. (Dorsey & Murdaugh p. 43)"
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Aids As a Man-Made Virus, 2008.
This paper looks at Aids and examines the possibility of its existence as a man-made virus.
1,539 words (approx. 6.2 pages), 7 sources, APA, $ 50.95
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Abstract
In this article, the writer notes that in the 1980s it became apparent that AIDS was present throughout the social order and that a disease that had the potential of destroying mankind had finally emerged. AIDS was initially thought to be the result of homosexual encounters, drug addiction or connected to different social cultures in some manner. The writer points out that by 1983 a vast number of theories began to be published that suggested that AIDS was a man-made virus that was intended to control both the world's population and the population of specific cultural groups. However, as time progressed it became evident that AIDS was also emerging in the heterosexual population, providing evidence that AIDS was non-discriminatory with regard to race or sexual orientation. The writer concludes that regardless of the social groups that were targeted or the people that were ultimately affected by the virus, the fact remains that there are those within the social order that have too much power over their fellow human beings and that their insistence of controlling mankind may lead to the complete destruction of all people.
From the Paper
"The theories cite different methods of creating the virus, as well as varying means of ensuring that it was spread throughout the population. What is evident, however, is that the timeline in each of the theories for the development and dispersement of the virus remains the same and that there is nothing related to the composition of the AIDS virus that could have been created by anything other than man. Therefore, regardless of the choice of man made AIDS theories that are accepted by individuals within society, it is apparent that the evidence overwhelmingly demonstrates that people within the social order had a hand in the existence of the most frightening disease known to man - AIDS.
"Douglass contends that the evidence that AIDS is a man made virus is overwhelming. Douglass cites a memorandum from the World health Organization (WHO) in which WHO officials called on scientists to discover if there could be a man made virus that would have the same effect on the human race that species specific virus' had on some animals."
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Stigma and Schizophrenia, 2008.
This paper explores mental illness and the effects of stigma on the patient, family and caregivers.
2,464 words (approx. 9.9 pages), 10 sources, APA, $ 75.95
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Abstract
The paper discusses a clinical situation where the label of schizophrenia caused an individual to contend with issues such as social isolation and losses. The paper discusses the impact created by stigma on the family and on all those who come into contact with the patient. The paper reveals that the role of nursing is not always carried out since stigma is just as prevalent among health providers as it is across the general population.
Outline:
Introduction
Clinical Situation
Relevance of the Clinical Situation
Identification of Three Issues of the Concept
Future Practice
Conclusion
From the Paper
"Mental illness is deeply misunderstood in our society and stigma is attached to all forms of the illness. No form of mental illness is more shunned by the public and induces more fear than schizophrenia. Kenny (2001) maintains that stigma seriously damages self-esteem and reduces opportunities for the person who has an illness such as schizophrenia. More importantly, stigma constitutes a major problem for the recovery process. Stigma consists of certain attitudes, feelings and behaviors that lead to a negative label being forced upon an individual or group and is manifested in prejudice, discrimination, fear, distrust, and stereotyping (Kenny, 2001)."
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Military Nursing Administration, 2008.
This paper discusses nursing administration in the military.
2,484 words (approx. 9.9 pages), 14 sources, APA, $ 75.95
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Abstract
In this article, the writer describes the typical medical retention processing unit found at a military installation and looks at the nursing administrative positions as the responsibilities the individuals holding these positions must shoulder. In particular, the writer delves into the management responsibilities of such men and women. The paper also looks at the nursing care delivery system in a military installation and considers the twin matters of leadership style and communication strategies by reviewing the case of one particular administrator. Finally, the paper looks for evidence that the individual in this case successfully employs conflict management and negotiation skills.
Outline:
Abstract
From the Paper
"In any case, the responsibilities of MRPU's anywhere within the United States Army do not vary over time. Specifically, these units exist to provide injured servicemen and servicewomen with professional medical care while simultaneously seeing to it that all injured or convalescing soldiers meet retention standards; if the soldier does not meet the appropriate retention standards, he or she is released from Active Duty and/or separated from the military. Clearly, the proper interpretation and utilization of retention standards requires a medical staff of conspicuous competence and integrity. More than that, any senior nursing administrator who works on behalf of the United States Army must - at least theoretically - have a passable knowledge of forensic accounting, strong administrative and organizational abilities, and a capacity for getting the most out of subordinates. Without these skills, the responsibility of all senior staff to ensure that over-payments such as those highlighted previously are avoided cannot be met."
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Immigrant Health Care, 2008.
This paper discusses the transitions of care in Canada for older hospitalized immigrant women with chronic pain.
1,851 words (approx. 7.4 pages), 7 sources, APA, $ 59.95
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Abstract
In this article, the writer maintains that any hospitalized women can expect to encounter inequality in the health care system. The writer declares that for aging immigrant women, the situation is greatly aggravated because of race, ethnicity, and educational background as well as other factors such as sexism and ageism. Immigrant women not only receive unequal treatment in the healthcare system but very often are invisible to that system. The writer points out that the Canadian government seems to be taking the desired approach but the situation for immigrant women is becoming worse. The writer maintains that instead of resolving the problem, the health care system is basically ignoring the issue because of its own issues with restructuring. It seems that the solution will only come through a firm policy which makes diversity and gender a priority.
Outline:
Introduction
Rationale for Choice of Topic
Literature Review
Determinants of health
Gender Roles, Social Status, and Health
Coping
Research Question
My Approach and Goals
From the Paper
"An institution which ensures that women's rights are protected is the Women's Health Bureau which uses a gender lens to study government policy and health disparities. The mandate of the Women's Health Bureau's mandate is to make certain that the Canadian health care system responds to the needs of women (Spitzer, 2006, p. 2). The Women's Health Bureau also assists policymakers and programme planners to undertake gender-based analysis of their work. In addition, there is the Women's Network which works with the government along with other groups."
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Food Security Indicators, 2008.
A report to determine the nature of food security within the Chinese international community in Vancouver.
1,020 words (approx. 4.1 pages), 3 sources, MLA, $ 36.95
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Abstract
The paper aims to examine whether the Chinese international students of Vancouver face serious food security concerns within their community. The paper discusses an interview that was conducted with a sample of the population and relates the general finding that although the students felt that the safety of Vancouver food itself was not compromised, their lack of knowledge regarding their food items and their poor English meant that the safety of their own diets were compromised. The paper discusses how changes should be implemented in government action. The paper concludes that as all people have the right to live with food security, so must the international students in Vancouver have a right to safe food choices and practices. The paper includes a sample of the questionnaire as well as interviewee responses compiled in table form as appendices.
Outline:
Introduction
Method
Results
Discussion
Conclusion
From the Paper
"The issue of food security, even in a country as advanced and westernized as Canada, is a cause for growing concern amongst Canadian citizens. Though a series of federal government initiatives and international meetings have resulted in the development of federal guidelines requiring certain food security standards, local and provincial action concerning these guidelines has been called into question. Vancouver, though it is not the capital of British Columbia, is the most populous city in the province. The city is a thriving urban centre which provides food for almost 2.2 million Vancouverites, including a large minority of international travelers and students. For those migrating to Vancouver, food security concerns and practices are a potential problem."
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A Chronic Pain Management Program, 2008.
This paper outlines a program that would effectively manage chronic pain and improve functional health outcomes in older adults.
1,859 words (approx. 7.4 pages), 7 sources, APA, $ 59.95
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Abstract
The paper discusses a program that is targeted at older adults who suffer from chronic pain, utilizing a combination of therapies that are holistic and address conditions that affect the mind, body and emotions. The paper explains that chronic pain must include issues of loss and stress and this can only be achieved through the use of complementary and alternative interventions. The paper concludes that while there are restrictions on the implementation of this program, its main value is that it incorporates patients who are otherwise excluded, such as those with dementia.
Outline:
Introduction
The Necessity of the Program
The Elements of the Program
Health Teaching
Interventions and Individual Differences
Outcomes of the Program
Conclusion
From the Paper
"A complex continuing care program is intended to provide care for older patients who experience complex medical conditions in a non-acute hospital setting. Complex medical conditions include pain and symptom management, recovery from stroke, along with other chronic medical conditions which impact on patients' physical, emotional, social and spiritual well-being. The program was developed because pain among the elderly is often not adequately treated. When pain in older adults is not effectively managed, there are serious impacts on their physical and psychological functioning as well as on their quality of life (Herr, 2002)."
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Assessment in the Nursing Profession, 2008.
An analysis of the collective teaching and assessment of nursing students in an asynchronous environment.
1,054 words (approx. 4.2 pages), 4 sources, APA, $ 37.95
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Abstract
This paper looks at how an instructor could productively teach five nursing students coming from different backgrounds - and with different levels of experience - in an instructional setting that is largely asynchronous. The paper explains what the students are expected to learn (chiefly confidentiality and workplace harassment issues and protocols). It then outlines how the students can be assessed collectively and as individuals and how certain concessions can be made for different learning styles.
From the Paper
"There can be little question that asynchronous instruction - which is to say, instruction that occurs outside of an assigned physical space and with its timing and duration varying among students - raises a host of challenges for instructors insofar as he or she has little means of assessing (at least on a day-to-day basis) the progress of students; needless to say, when students have different learning styles and competencies, this becomes even more challenging. In the hypothetical case of an instructor seeking to teach participants about the confidentiality issues surrounding patient information (HIPAA especially) as well as about the various types of work-related harassment and the consequences flowing from these actions, it is incumbent that students be able to apply what they learn in the online classroom to the real work-world; it is also important that assessment methods be in place which are appropriate and which can accurately measure what each student has learned."
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The Effects of Chronic Illness on a Family, 2008.
A case study presentation discussing the issues facing a family in which one member suffers from a chronic illness.
2,131 words (approx. 8.5 pages), 5 sources, APA, $ 66.95
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Abstract
This paper presents an interview and family assessment that was conducted with a family where one of the family members is suffering from a chronic illness, rheumatoid arthritis. The interview aimed to obtain and provide knowledge so that the patient and family could be empowered to make choices and to take control of their illness. The paper presents the interview and discusses how the perceptions and impact of the chronic illness affect the family as a whole. The paper provides the writer's commentary on the issues raised from the perspective of a nurse.
Table of Contents:
Introduction
Interview with Mr. and Mrs. Anino
Analysis of Perceptions and Impact of Chronic Illness
Appendix
From the Paper
"John and Maria used all the resources and supports they could. John helped when Maria was ill, and they received help and support from their relatives. Jacobi & van den Berg (2003) found that partners of patients with rheumatoid arthritis felt high self-esteem for care. A family will experience burdens because of a disrupted schedule and by a lack of family support. According to Bar-Tal (1994), social support can be a complex concept. Instead of assuming that social support can help to resolve uncertainty, the ability to deal with uncertainty may be caused by the perception that there is social support. Social support may help to resolve uncertainty but social support is more effective for families that can cope with uncertainty (Bar-Tal, 1994)."
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Food Safety and Sanitation, 2008.
An analysis of food safety and sanitation requirements to prevent food and waterborne illness.
1,543 words (approx. 6.2 pages), 6 sources, APA, $ 50.95
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Abstract
This paper discusses the importance of food safety. It analyzes issues related to food safety, such as spoilage, food-borne pathogens and the microbiological quality of food. It then discusses sanitation regulations and standards with regards to food handling. The paper also looks at the two increasing trends of people desiring healthier nutrition and increasing global imports of produce and the effects these have on the potential for food and waterborne illness to expand.
Table of Contents:
Introduction
Literature Review
Food Safety
Sanitation
Solutions and Conclusions
From the Paper
"More importantly, interviews with sorters and packers later revealed that the tomatoes had not been washed at any site. The evidence indicated that the tomatoes were contaminated at a terminal distribution site instead of a more central site of production, processing, or distribution. Currently, new contributing factors are aggravating the issue of food safety. Among these factors are changes in food consumption and cooking practices; increased restaurant dining; diminished consumer immunity; increased time between production and consumption; government and food industry negligence; and poor management (Griffith, 2006). Adding to the problem are new strains of pathogens. Meanwhile, other trends are counteracting those factors. According to West (2006), a major advance for the food sector is that concepts such as hazard analysis and critical control point for food safety are currently aspects of management systems."
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Nursing Care, 2008.
A case study presentation discussing the role of the nurse in caring for a patient's overall well-being.
1,360 words (approx. 5.4 pages), 2 sources, APA, $ 45.95
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Abstract
This paper presents a case that occurred during the writer's clinical placement as a second year nursing student at Toronto Western Hospital (TWH) orthopedic/rheumatoid medical-surgical unit. The writer discusses the patient's case and describes her role and involvement with the patient. She then presents a reflective analysis related to caring, attentiveness and nursing presence in an acute care setting. The paper contains a full original source at the end.
Table of Contents:
Looking Back: The Situation
Elaboration
Reflective Analysis
From the Paper
"Certain realities should remain the same. Nurses are still compassionate and caring. They no longer have time to do incidental things. I strongly suspect there is no time for reflective practice. The first change is to ensure that nursing is reflective and to be sure the patient's viewpoint comes first. Mr. H was having an angioplasty and angiogram, and there would not have been time to properly explain the procedures or to reassure him. Nurses are increasing patients' suffering by not attending to their anxieties and questions. In the future, I would spend a brief time with Mr. H and use therapeutic communication to listen to his needs and concerns."
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Dr. David Snowdon's "Aging with Grace", 2007.
This paper describes and analyzes Dr. David Snowdon's book "Aging with Grace: What the Study Teaches Us About Leading Longer, Healthier, and More Meaningful Lives"
1,520 words (approx. 6.1 pages), 2 sources, APA, $ 50.95
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Abstract
This paper explains that Dr. David Snowdon's book "Aging with Grace" represents fascinating insights into the nature of health, disease and the factors that define the realities of daily life. The author points out that this book also describes a groundbreaking research project that studied the health vectors shaping the lives of hundreds of Catholic nuns across life-spans of many decades. The paper stresses the critical methodological importance of the sample group because it allowed the researchers to eliminate many of the variables that complicate and undermine studies of aging and Alzheimer's. The author indicates that the advantage of the sample was that the nuns presented the researchers with detailed records of their lives, health conditions, and intellectual capacities (e.g., written autobiographies) for a large population spanning decades.
Table of Contents:
Description
Analysis
From the Paper
"Over the course of twelve chapters, complete with pictures and biographies of many of the participants in the study, the author describes how important such practices as reading and emotional stability are to ensuring that the brain has the capacity to repair or "patch" damage over the course of a long life. As the likelihood of Alzheimer's increases with age, one of the surprising findings of this study is that the symptoms of Alzheimer's (e.g., forgetfulness, dementia) often have little to do with the rate of progression of the disease."
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Alzheimer's in the Labyrinth, 2008.
This paper reviews the book 'Living in the Labyrinth' by D. McGowin and discusses the issue of Alzheimer's disease.
1,466 words (approx. 5.9 pages), 3 sources, APA, $ 48.95
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Abstract
In this article, the writer notes that Alzheimer's disease is a cause for special concern since it is not only a chronic disease but automatically involves a diagnosis of dementia. Dementia is a condition that creates the most complex problems both for the patient and the family. The writer summarizes McGowin's chronicle of living with Alzheimer's disease, and then relates symptoms and the important issues to the literature. The writer analyzes the most significant psychosocial problems linked with Alzheimer's such as stigma and social isolation.
Outline:
Summary
Important Themes/Issues
Significance for My Nursing Experience
Impact of Story
From the Paper
"Her advice to herself for the sake of meaning and courage was that she must hang in and remain strong. She did illustrate courage as she describes the course of the disease she was forced to endure. At the same time, she mentions in a sympathetic way her family's and friends' reactions. As the disease progressed, it meant losing many of her previous functions and abilities. Those losses led to even greater losses such as her role in the family. Loss of her roles came about at the same time as loss of her self-esteem and independence. It appears from the book that the very worst features of Alzheimer's disease for her consisted of frequent anxiety and depression. As well, she had to cope with stigma and social isolation. Although her children were supportive, they were unable to understand her; her husband was actually abusive in his reaction to her illness. McGowin makes a strong case for how health teaching is so important when a chronic disease involves dementia. She also exemplifies what it is to cope with such a disease."
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Child Asthma Treatment, 2008.
This paper discusses recent treatment trends in chronic childhood asthma.
1,300 words (approx. 5.2 pages), 7 sources, APA, $ 43.95
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Abstract
In this article, the writer notes that asthma is one of the most common chronic diseases of childhood. The writer maintains that treatment is based on as many factors as possible and also is based on a holistic view of the child since asthma may be a possible risk factor and linked with psychosocial development. The writer points out that assessment must be focused on what triggered the asthma episode, and treatment is always aimed at control, but control denotes giving the child long-term control over his/her life. The writer concludes that treatment for asthma is on a continuum and is aimed at control or management.
Outline:
Introduction
Asthma as a Current Issue
Pathophysiology of Asthma
Treatment
Summary
From the Paper
"Treatment of asthma is not directed at cure but at control. Control of asthma leads to reduced and infrequent symptoms and allows the child to have an active life as well as quality of life. The optimal management of asthma requires adequate evaluation of the child and his or her environment. Asthma control is achieved through assessment based on specific criteria. The nurse practitioner must be able to identify the symptoms of asthma accurately because symptoms often are mistakenly prioritized. Wheezing, for instance, is commonly regarded as the most common characteristic of asthma. However, coughing is present even in hidden asthma, and frequent coughing or respiratory infections indicate the likelihood of asthma. Coughing which follows running or crying may indicate asthma as well as a recurrent night cough. Recurrent night cough is common, as asthma is often worse at night. Chest tightness and shortness of breath are symptoms of asthma that may be observed alone or in combination with other symptoms. Other common symptoms are nasal flaring, fatigue or irritability."
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Comfort in the Post Partum Experience, 2008.
A review of the need for comfort for the post partum mother and the role of the nurse in providing it.
1,200 words (approx. 4.8 pages), 14 sources, APA, $ 41.95
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Abstract
This paper discusses the nurse's role in improving comfort for the post partum mother. The paper describes the reasons that comfort may be needed in a post partum situation and discusses the use of comfort in improving the health and recovery of the new mother and baby. The paper also defines attributes of comfort that can be used by the nurse who is involved.
Table of Contents:
Relating Theory To Practice
Uses of Comfort
Defining Attributes Of Comfort
From the Paper
"A myriad of comfort directed behaviors are required to care for the new mother, especially in preparing them for their home life with a new baby. Most notably, "hormonal changes and physical discomfort are known to affect sleep" (Lee, Zaffke & McEnany, 2000, p. 17). Sleep deprivation is one of the leading causes of more pronounced cases of postpartum related depression, lasting longer than 12 - 14 days. Moore (2001) tells us that lack of a social support system is a primary contributing factor to postpartum depression. Nurses are often seen in the role of providing the necessary social support. Between the hormonal influences on postpartum depression and the lack of a social system in place, nursing care oriented towards comfort can significantly decrease the postpartum depression experience. Moore (2001) says the nurse should practice anticipatory management for postpartum depression when the mother is still in the hospital and comfort directed care could be provided."
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