[ANSWERED 2023] Within the Shadow Health platform complete the Digital Clinical Experience Orientation. Upon completion, submit the lab pass through the assignment dropbox
Within the Shadow Health platform complete the Digital Clinical Experience Orientation. Within the Shadow Health platform complete the Digital Clinical Experience Orientation Shadow Health Digital Clinical Experience Orientation Within the Shadow Health platform complete the Digital Clinical Experience Orientation. Upon completion, submit the lab pass through the assignment dropbox. You are not required to submit this assignment to LopesWrite. Expert Answer and Explanation Place your order now for a similar assignment and get fast, cheap and best quality work written by our expert level assignment writers. Use Coupon: NEW30 to Get 30% OFF Your First Order What is the Shadow Health Platform? Shadow Health is an innovative learning platform that uses simulation-based technology to offer immersive clinical experiences to healthcare students and professionals. The platform provides a safe and risk-free environment to learn and practice skills, which helps improve patient outcomes. What is Shadow Health? Shadow Health is a digital platform that provides an interactive, immersive clinical learning experience for healthcare professionals and students. The platform leverages advanced simulation technology to replicate real-life patient scenarios, allowing users to practice and improve their clinical skills in a safe and controlled environment. OverviewShadow Health is designed to provide a more effective and engaging learning experience for healthcare students and professionals. The platform offers a range of interactive scenarios that simulate patient encounters, allowing users to practice clinical skills such as patient assessment, diagnosis, and treatment planning. FeaturesShadow Health offers a range of features that make it an effective and engaging learning platform. These features include: Interactive simulations: The platform provides highly realistic simulations of patient encounters, allowing users to practice clinical skills in a safe and controlled environment. Customized scenarios: Shadow Health offers customized scenarios that are tailored to the user’s specific needs and learning goals. Real-time feedback: The platform provides real-time feedback on the user’s performance, allowing them to identify areas for improvement and refine their clinical skills. Analytics and reporting: Shadow Health provides detailed analytics and reporting on the user’s performance, allowing them to track their progress and identify areas for improvement. BenefitsShadow Health offers several benefits for healthcare students and professionals, including: Improved clinical skills: The platform allows users to practice and refine their clinical skills in a safe and controlled environment, helping them become more confident and effective healthcare providers. Realistic patient scenarios: Shadow Health offers highly realistic simulations of patient encounters, helping users develop the skills they need to provide high-quality care in real-life situations. Personalized learning: The platform offers customized scenarios and feedback, allowing users to tailor their learning experience to their specific needs and learning goals. How does Shadow Health work? Shadow Health uses simulation-based technology to provide an immersive and engaging clinical learning experience for healthcare students and professionals. The platform offers a range of interactive scenarios that simulate patient encounters, allowing users to practice clinical skills such as patient assessment, diagnosis, and treatment planning. Simulation-based learningShadow Health uses simulation-based learning to provide a more effective and engaging learning experience. The platform offers highly realistic simulations of patient encounters, allowing users to practice clinical skills in a safe and controlled environment. Customized scenariosShadow Health offers customized scenarios that are tailored to the user’s specific needs and learning goals. The platform uses advanced algorithms to personalize the learning experience, ensuring that users receive the most relevant and effective training possible. Feedback and evaluationShadow Health provides real-time feedback and evaluation on the user’s performance, allowing them to identify areas for improvement and refine their clinical skills. The platform also offers detailed analytics and reporting, allowing users to track their progress and identify areas for improvement. IV. Who uses Shadow Health? A. Nursing studentsNursing students use Shadow Health as part of their clinical education. The platform provides a safe and controlled environment for them to practice and refine their clinical skills, including patient assessment, diagnosis, and treatment planning. B. Medical studentsMedical students also use Shadow Health as part of their clinical education. The platform allows them to practice and improve their clinical skills in a realistic and immersive environment, helping them become more confident and effective healthcare providers. C. Healthcare professionalsIn addition to students, healthcare professionals also use Shadow Health to improve their clinical skills and stay up-to-date with the latest medical practices. The platform offers customized scenarios and real-time feedback, allowing professionals to identify areas for improvement and refine their clinical skills. V. Pros and cons of using Shadow Health A. Pros Realistic patient scenarios: Shadow Health offers highly realistic simulations of patient encounters, providing a more engaging and effective learning experience. Customized scenarios: The platform offers customized scenarios that are tailored to the user’s specific needs and learning goals, allowing for a more personalized learning experience. Real-time feedback: Shadow Health provides real-time feedback on the user’s performance, allowing them to identify areas for improvement and refine their clinical skills. Analytics and reporting: The platform offers detailed analytics and reporting on the user’s performance, allowing them to track their progress and identify areas for improvement. B. Cons Requires technical proficiency: Shadow Health is a digital platform that requires users to have some level of technical proficiency in order to use it effectively. May not fully replace traditional clinical education: While Shadow Health offers a highly effective and engaging learning experience, it may not fully replace traditional clinical education. How to get started with Shadow Health? A. Sign upTo get started with Shadow Health, users need to sign up for an account on the platform’s website. The sign-up process is simple and straightforward, and users can start using the platform immediately after creating an account. B. PricingShadow Health offers several pricing options for students and institutions. Individual users can purchase access to the platform for a set period of time, while institutions can purchase access for multiple users. C. Technical requirementsTo use Shadow Health, users need a computer or mobile device with internet access. The platform is compatible with most modern browsers, and users can access it from anywhere with an internet connection. Conclusion Shadow Health
[ANSWERED 2023] What would spirituality be according to your own worldview? How do you believe that your conception of spirituality
What would spirituality be according to your own worldview? How do you believe that What would spirituality be according to your own worldview? How do you believe that your conception of spirituality would influence the way in which you care for patients? Expert Answer and Explanation Spirituality The context of spirituality is based upon the context of personal beliefs. Based on my perspective, spirituality entails the identification and acknowledgment that there is a higher power greater than the self. The higher power reigns over all and ensures safety and grants favor to those who believe. Different religions have different beliefs and spiritual inclinations which have to be respected. The differentiation of spiritual beliefs is not the main concern as all focus on the common good of human beings (Murgia et al., 2020). The spiritual world is based upon the capacity of a person to be kind, help others, lead a good and pain-free life and be each other’s neighbor. A person can make use of spirituality to identify their purpose, self-actualize, and get the meaning of their existence. Through spirituality, patients are also able to find hope and courage to stay strong in spirit and find a reason to live. My conception of spirituality has a direct impact on the care delivery process for the patient. For instance, the view of spirituality as a means in which individuals believe in a higher power which denotes human life to be a holy temple would mean that the patients receive quality care to improve their quality of life (Martins et al., 2017). Through spirituality, nurses can find the reason to take good care of patients, improve the performance of the facility and offer fair and just treatment to all individuals as human beings were created in the image and likeness of God (Lalani, 2020). Spirituality also affects the aspect of patient leadership where nurses and other physicians need to lead by example and show the patients how to lead a good quality life away from pain or suffering. References Lalani, N. (2020). Meanings and interpretations of spirituality in nursing and health. Religions, 11(9), 428. Martins, H., Romeiro, J., & Caldeira, S. (2017). Spirituality in nursing: An overview of research methods. Religions, 8(10), 226. Murgia, C., Notarnicola, I., Rocco, G., & Stievano, A. (2020). Spirituality in nursing: a concept analysis. Nursing Ethics, 27(5), 1327-1343. Alternative Expert Answer My family values and religious practices have shaped my thoughts and assumptions on issues such as spirituality. Based on my worldview, I see spirituality as being fundamental in connecting humans to God, making it possible for humans to engage with God and embrace practices that bring them closer to morality. I also see spirituality as being an integral part of the human experience because it provides hope, brings a sense of fulfillment, and shapes how people view the world around them. Given the close relationship between spirituality, morality, and ethics, spiritual people adopt behaviors that define their attitude toward others, and how they treat other people. Additionally, a spiritual person embodies values such as respect and honesty, and this makes it possible for them to be on good terms with others, and with nature (Kaddourah, Abu-Shaheen, & Al-Tannir, 2018). Fundamentally, I believe that when one is spiritual, one would value humility and demonstrate it in their actions. As a nurse and as a spiritual person, my notion of spirituality would shape how I care for patients. God is a moral being, and since spirituality brings one closer to God, I would be respectful in terms of how I treat patients and maintain integrity whenever I work with patients. I also don’t judge patients or hold warped perceptions about patients because of their cultural or religious identity. Given the relationship between ethics and spirituality, I would deliver optimal care using the available clinical protocol to address patients’ health needs (Vincensi, 2019). I would also respect the patient’s dignity irrespective of their background or appearance because, from a spiritual standpoint, we connect with God in terms of how we treat others. I would also involve patients in making decisions on matters concerning their health in line with the principles of informed consent and patient autonomy. Therefore, spirituality will inform how I work with patients. References Kaddourah, B., Abu-Shaheen, A., & Al-Tannir, M. (2018). Nurses’ Perceptions of Spirituality and Spiritual Care at Five Tertiary Care Hospitals in Riyadh, Saudi Arabia: A Cross-Sectional Study. Oman medical journal, 33(2), 154–158. https://doi.org/10.5001/omj.2018.28 Vincensi, B. B. (2019). Interconnections: Spirituality, Spiritual Care, and Patient-Centered Care. Asia-Pacific journal of oncology nursing, 6(2), 104–110. https://doi.org/10.4103/apjon.apjon_48_18. What aspects of the topic readings do you find the most interesting? What is your view of the analysis of disease and healing in the readings? Explain Expert Answer and Explanation From the topic readings, one of the most interesting items was the concept of Christianity as it relates to the delivery of care. the main issue of concern was that human beings are considered to be holy and their life should be treated with respect. As medical practitioners, one needs to take proper interventions to ensure that patients are free from pain and suffering (Swanson et al., 2019). The Christians depict human beings to be created in the image and likeness of God. Responding to patients should take into account these beliefs and ensure that all the different forms of care are done while maintaining the quality and effectiveness of the said care. Christianity advocates for the preservation of human life and ensuring that all ethical consideration is put into account when making medical decisions (Rieg et al., 2018). The main contention occurs during end-of-life care where critical decisions have to be made for or on behalf of the patient. All decisions need to uphold and respect human life regardless of the condition or state they are in at the moment. Based on the reading, my views on disease and healing are correlational. As patients, the main aim of visiting healthcare facilities is to acquire healing. Christians perceive diseases as a form of fall and healing as a means of religious intervention to regain power and
[ANSWERED 2023] WEEK 5 Assignment Episodic Focused Note for Focused Exam
WEEK 5 Assignment Episodic Focused Note for Focused Exam WEEK 5 Assignment Episodic Focused Note for Focused Exam Episodic SOAP Note Danny Rivera cough Subjective Danny Rivera a 8 year old male presents today with chief complains of a cough onset 5 days ago, right ear pain 3/10, feeling tired and sick. paints reports cough gurgly and watery, clear sputum and runny nose. patient denies smoking, but admits being exposed to second hand smoke. patient reported that his mother gave him OTC cough medication with did help with the cough. Objective v/s BP: 120/76 RR: 28 HR: 100 TEMP: 37.2 O2 SAT: 96% FVC 1.78, FEV1 1.549L (FEV1/FVC 87%) Patient appear fatigued dry mucus membrane and throat erythremia noted nasal cavity red right ear canal red productive cough clear muscus noted lungs clear to auscultation no acute distress noted Assessment Productive cough throat erythremia allergies fatigue Plan Increase fluid intake throat culture patient and family education on smoking prescribe cough suppressant medication encourage rest (2-3 days sick level) Expert Answer and Explanation SOAP Note Patient Information: S. CC “coughs a lot and feels tired.” HPI: Danny Rivera is an 8-year-old male complaining of cough that has lasted five days. The patient also feels sick, 3/10 pain in the right ear, and tired. He records that the cough is watery and gurgly, running nose, and clear sputum. Patient says that he has never smoked but has been exposed to smoke on several occasions. Current Medications: OTC cough drug and vitamins. Allergies: No allergies. PMHx: Rivera mentions that he was immunized currently. Fam Hx: His father smokes. ROS: GENERAL: He has watery and gurgly cough that has lasted five days and feels tired and sick. HEENT: No headache but feels 3/10 pain in the right ear. Throat: Sore throat. SKIN: Healthy. CARDIOVASCULAR: Healthy. RESPIRATORY: Healthy. GASTROINTESTINAL: Healthy gastrointestinal. GENITOURINARY: Healthy genitals. O. Physical exam: The patients’ vitals are BT-37.2 degrees centigrade, BP-120/76, O2 SAT: 96%, RR: 28, FEV1 1.549L, HR: 100, and FVC 1.78. The patient has no acute distress, his lungs are clear to auscultation, and appears fatigued. Diagnostic results: According to Ball et al. (2019), throat swab can be used to test cough related conditions. A. Differential Diagnoses Common cold- The most plausible disease affecting the patient. Sore Throat Tonsillitis Strep throat Influenza Reason for Selecting Common Cold Common cold is a viral infection that affects people occasionally. According to Smilek (2017), the disease normally infects the throat and the nose. Merchant (2019) also mention that the disease can affect the patient for more than a week. This disease has been selected because the patient has running nose, sore throat, and tiredness which as are among the symptoms of the condition. References Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Seidel’s guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby. Merchant, A. H., Merchant, A., Bailey, J., & Merchant, J. L. (2019). An unusual case of sore throat. Australian journal of general practice, 48(1/2), 37. https://search.informit.com.au/documentSummary;dn=163156001153386;res=IELHEA Smilek, P. (2017). Sore throat treatment. Casopis lekaru ceskych, 156(4), 203-204. https://europepmc.org/article/med/28862011 Place your order now for a similar assignment and get fast, cheap and best quality work written by our expert level assignment writers.Use Coupon: NEW30 to Get 30% OFF Your First Order Script Your avatar Hello. my name is ann i will your nurse practitioner today. Danny Rivera Hi. Your avatar What is your name Danny Rivera My name is Daniel Rivera, but I just go by Danny. Your avatar Danny who bought you here today (Clarified to Who is here with you today?.) Danny Rivera Abuela brought me here instead of taking me to school today. (Clarified to who is here with me.) Your avatar Why did your abuela bring in today Danny Rivera My Abuela brought me here because I\’ve been feeling sick. I have been coughing a lot. . . and I feel kinda tired. Your avatar I am sorry to hear that you are not feeling well Danny Rivera Thank you. Your avatar when did you cough start (Clarified to When did you start coughing?.) Danny Rivera I think the cough started four. . . No, it started five days ago. (Clarified to when I started coughing.) Your avatar how often is your cough Danny Rivera I just keep feeling like I have to cough every couple minutes or so. I think it gets worse at night. Your avatar what does it feel like when you cough Danny Rivera I know it\’s bad. I try to leave the room if Papi forgets to go outside. Your avatar does it feel like a dry cough or wet cough Danny Rivera My cough seems kind of gurgly and watery. Your avatar what makes the cough worst Danny Rivera My cough mostly stays the same no matter what I do. It seems to get worse at night though. Your avatar what make the cough better Danny Rivera I had some cough medicine this morning Your avatar do you know the name of the medicine (Clarified to Do you know what the cough medication’s name is?.) Danny Rivera I don\’t know what the name of the cough medicine is. It was purple. Your avatar who gave you the medicine Danny Rivera My mom. Your avatar are you taking any other medication Danny Rivera I\’m not taking any medicines every day. My mom gave me some cough medicine this morning though. Your avatar do you take vitamins Danny Rivera Oh yeah, I take vitamins every day! The gummy dinosaur kind. I don\’t think I\’m supposed to, but sometimes I sneak extra ones to be super healthy! Your avatar it important not take too much take the recommended dose Danny Rivera Oh, OK. Your avatar do you wash you hands often Danny Rivera I wash my hands before I eat or after I go to the bathroom. Your avatar thats good the washing of your hands helps to prevent germs from spreading Danny Rivera Oh, OK. Your
[ANSWERED 2023] This module focuses on the impact that emotional intelligence has on decision making. Additionally, the module highlights biases in decision making, as well as emotional influences
This module focuses on the impact that emotional intelligence has on decision making This module focuses on the impact that emotional intelligence has on decision making. Additionally, the module highlights biases in decision making, as well as emotional influences on decision making. Your goal for this assignment is to develop a plan to increase motivation, satisfaction, and performance in the workplace through the use of foundational principles associated with emotional intelligence. You must highlight the key elements of emotional intelligence that increase follower motivation and performance. Also, describe the potential biases that could impact leadership decision making and make recommendations to overcome the leadership biases. There are links to self assessments in the lecture that may provide food for thought as you develop your plan. Address the following in your paper/plan: Provide a brief summary of the attributes associated with EQ. Describe how you would embody each of those attributes. Develop a means for employing the plan to increase motivation, satisfaction, and performance in the workplace. Share specifics on the potential advantages and disadvantages of your plan. Assignment Requirements: Your paper should be 4-5 pages in length, not counting the required title and references pages. Expert Answer and Explanation Impact of Emotions on Decision-Making Organizations make decisions and motivate employees with focus on improving their performance. This implies that decision-making as well as encouraging of workers can help a firm perform in alignment with the firm’s expectations. For an organization to achieve this alignment, it needs to know how to act or make decision, and this is important in the sense that it helps avoid mistakes which may hamper performance. When considering using decision-making and motivation to drive performance, an entity has to be aware of the factors which may affect the effectiveness or impact of the two (O’Connor et al., 2019). A decision maker has to understand that biases can affect decision-making, and the elements of emotional intelligence (EI) can enhance or hamper motivation as this study highlights. Elements of Emotional Intelligence that help motivate Followers The elements of EI can help improve the followers’ motivation and performance. As an example of these elements, self-awareness plays a crucial in terms of motivating individuals. When one is self-aware, they can intuitively reasons, and rather than act in a manner that hurts others, they make decisions with focus on helping support others, and this motivates the follower (Boyatzis, 2018). Self-management, still, can help a leader motivate the people they lead. A leader can demonstrate this element by restraining from using words which can hurt others’ feelings. Instead, they approach issues with calm, and this help improve the leader-follower relationship. Accordingly, the employees gain motivation, and support the leader (Boyatzis, 2018). Social-awareness is another element that can help optimize a leader’s capacity to encourage people in their team. A leader that exhibits this quality or element makes efforts to get to know about others’ perspectives regarding cultural practices. Such a leader discards the notion that their perspective is undisputable, and instead, they listen to others. In doing so, they encourage employees to contribute towards meeting of the performance targets. A leader can equally use relationship management to encourage workers. This is involves adopting practices and measures focused on reducing conflicts, and engaging constructively with workers to help motivate them. Potential Biases that can affect Leadership Decision-Making While a leader may want to realize a certain objective by making decisions, they may fail to meet the expectations especially if there are biases involved. Anchoring, for instance, can limit a leader’s capacity to come up with the right course of action. It is noticeable in a scenario where one makes conclusion based on the information, they receive instead of considering alternative options. The progress bias can equally affect the making of decisions. It occurs when one oversteps favorable decisions while they downplay the unfavorable decisions (Gilar-Corbi et al., 2019). An example is downsizing to save costs, and using the money saved to purchase an item that is not important to the organization. Recommendations to Overcome Leadership Biases Given the undesirable effects of the biases, leadership should undertake certain measures to overcome the biases. When considering making decisions, for instance, a leader should gather facts first. This is important because the lack of facts may increase the leader’s risk of making leadership mistakes due to the biases such as anchoring bias. A leader can equally overcome the bias by consulting, and seeking the views of others (Drigas & Papoutsi, 2018). This is important because employees may know what a leader does not know, and seeking the views of the former can help limit the risk of making decisions which end up hampering performance. Attributes Associated with EQ There are key attributes which one can associate with the EI. Self-awareness is part of the attributes. It denotes one’s capacity to recognize their flaws, strengths, and the impact of their actions on others. Another attribute is self-regulation, and an individual can demonstrate this attribute by managing their feelings as well as emotions so that they don’t annoy others. Empathy, still, is a feature that one can relate to the EI. It describes one’s ability to understand the experiences of others. Motivation, in addition, is linked to the EI, and it means having passion in doing something, and making efforts to realize a certain objective (Reshetnikov et al., 2020). Furthermore, social skills are also some of the features of the EI. When one has these skills, they are able to manage relationships in an effective manner. Embodying the Attributes There are different ways in which one can embody the attributes. Creating room for other people to share their thoughts on how to manage certain tasks, for instance, provides a way of embodying the attributes. By doing this, an individual would be demonstrating the possession of the social skills as an attribute of the EI. One can also embody these attributes by restraining from taking actions which hurt the feelings of others, and this is an attribute that defines a self-aware person (Rodríguez-Ledo et
[2023] A 6 year old female child that came to the clinic with accompanied by her mother complaining of cough since 8 weeks ago
A 6 year old female child that came to the clinic with accompanied by her mother Asthma case study instructions ( Essay) A 6 year old female child that came to the clinic with accompanied by her mother complaining of cough since 8 weeks ago. The cough is triggered when she laugh or cry. Her cough get worse when she is exposes to cold air, exercise, and at night. Patient past medical history of mild eczema and chronic nasal congestion. No shortness of breath, wheezing or fever reported. She is currently talking no medications. No known allergies reported. On her examination she is not in acute distress. Positive findings during examination: nasal turbinates little pale and edematous. During lungs auscultation she had end- expiratory wheezing, but no use of accessory muscle of respiration. The child was born in India moved to United Stated when she was 1 year old. Her family recently moved to a new area, since that, she is complaining of worsening nasal congestion. The house has some carpets on the floor. She also has a dog in her house. Patient has a history of mother and cousins diagnosed with asthma. The primary diagnosis is asthma based on her past history, clinical presentation and family history. Introduction Should be a paragraph that provides a brief overview of the case and main diagnosis: 1-Asthma Differential Diagnoses Provide EACH differential diagnosis with the rationale and supporting evidence with the REFERENCE for each one. Also explain why differentials Viral pneumonia and sinusitis) were not the main diagnosis. Asthma: Viral pneumonia: Sinusitis: Diagnostics Identify the lab, radiology, or other tests needed for Asthma with supporting evidence. Treatment Include the initial treatment plan for Asthma. It should include medication names, dosages, and frequencies Education Patient/family education in patient with asthma Follow-Up for athma Appropriate follow up plan. Please include when will patient follow up: 2 weeks, 1month, 3 months. What are some follow up labs or test. Referrals Why are they following up? What outcome do you wish to assess? References Requirement: APA format Intext citation References at least 4 high-level scholarly reference per post within the last 5 years in APA format. EACH differential diagnostic gets 1 reference Plagiarism free. Turnitin receipt. Place your order now for a similar assignment and get fast, cheap and best quality work written by our expert level assignment writers.Use Coupon Code: NEW30 to Get 30% OFF Your First Order How to Help a Child with Difficulty Breathing When a child experiences difficulty breathing, it can be a distressing situation for both the child and their caregivers. The ability to breathe freely is crucial for proper growth, development, and overall well-being. Understanding the importance of helping a child with difficulty breathing is essential to provide immediate assistance, seek appropriate medical attention, and establish long-term strategies for managing respiratory issues effectively. Identifying the Cause Recognizing the signs of difficulty breathing in children is the first step towards providing necessary aid. Symptoms such as rapid or shallow breathing, wheezing, coughing, bluish discoloration of the lips or face, and retractions (visible sinking of the skin between the ribs or at the base of the neck) indicate respiratory distress. Common causes of difficulty breathing in children include asthma, allergies, respiratory infections, foreign body aspiration, and chronic conditions like cystic fibrosis. Immediate Steps to Assist a Child with Difficulty Breathing In a situation where a child is struggling to breathe, it is crucial to remain calm and take immediate action. Ensuring the child’s safety by removing any potential hazards is paramount. If there is an airway obstruction, such as food or a small object, it should be cleared promptly and safely. In cases where the child is not breathing adequately, rescue breathing techniques, such as mouth-to-mouth resuscitation or chest compressions, may be necessary. Activating emergency medical services should be a priority when the child’s condition does not improve or if there is a severe respiratory emergency. Long-term Strategies to Support a Child with Respiratory Issues Seeking medical diagnosis and treatment is vital for managing chronic respiratory conditions. Consulting with a healthcare professional will help determine the underlying cause of the child’s difficulty breathing and develop an appropriate treatment plan. Creating a safe and clean environment by reducing exposure to allergens, dust, and pollutants can significantly improve the child’s respiratory health. Implementing healthy lifestyle habits, such as maintaining a balanced diet, regular exercise, and adequate hydration, also contribute to overall well-being. In some cases, respiratory devices or medications prescribed by a healthcare professional may be necessary to alleviate symptoms and support optimal lung function. Emotional Support for the Child and Family Caring for a child with difficulty breathing can be emotionally challenging for both the child and their family. Communicating with empathy and reassurance is essential to provide emotional support. Encouraging open dialogue and allowing the child to express their emotions freely helps them cope with their condition. Seeking support from healthcare professionals or joining support groups for families facing similar challenges can provide additional guidance, resources, and a sense of community. Preventive Measures to Reduce the Risk of Difficulty Breathing Preventing respiratory issues in children involves proactive measures. Maintaining a clean and allergen-free environment by regularly cleaning surfaces, using air purifiers, and minimizing exposure to smoke or strong odors can reduce respiratory triggers. Promoting healthy habits, such as proper hand hygiene and encouraging regular exercise, supports a strong immune system. Ensuring timely vaccination and immunization helps protect children from respiratory infections. Monitoring and managing any underlying health conditions, such as allergies or asthma, can also minimize the risk of difficulty breathing. Conclusion Helping a child with difficulty breathing requires a multi-faceted approach that encompasses immediate assistance, long-term strategies, emotional support, and preventive measures. By understanding the signs, taking immediate action, seeking medical guidance, and providing a supportive environment, caregivers can effectively assist children with respiratory issues and improve their overall quality of life. FAQs What are the common causes of difficulty breathing in children? Difficulty breathing in children can be caused
[ANSWERED 2023] A Puerto Rican Woman With Comorbid Addiction
A Puerto Rican Woman With Comorbid Addiction A Puerto Rican Woman With Comorbid Addiction. The Assignment: Examine Case Study: A Puerto Rican Woman With Comorbid Addiction. You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes. At each decision point stop to complete the following: · Decision #1 o Which decision did you select? o Why did you select this decision? Support your response with evidence and references to the Learning Resources. o What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources. o Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different? · Decision #2 o Why did you select this decision? Support your response with evidence and references to the Learning Resources. o What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources. o Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different? · Decision #3 o Why did you select this decision? Support your response with evidence and references to the Learning Resources. o What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources. o Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different? Note: Support your rationale with a minimum of three academic resources no more than five years old. Co-morbid Addiction (ETOH and Gambling) 53-year-old Puerto Rican Female BACKGROUND Mrs. Maria Perez is a 53 year old Puerto Rican female who presents to your office today due to a rather “embarrassing problem.” SUBJECTIVE Mrs. Perez admits that she has had “problems” with alcohol since her father died in her late teens. She reports that she has struggled with alcohol since her 20’s and has been involved with Alcoholics Anonymous “on and off” for the past 25 years. She states that for the past two years, she has been having more and more difficulty maintaining her sobriety since they opened the new “Rising Sun” casino near her home. Mrs. Perez states that she and a friend went to visit the new casino during their grand opening at which point she was “hooked.” She states that she gets “such a high” when she is gambling. While gambling, she “enjoys a drink or two” to help calm her during high-stakes games. She states that this often gives way to more drinking and more reckless gambling. She also reports that her cigarette smoking has increased over the past two years and she is concerned about the negative effects of the cigarette smoking on her health. She states that she attempts to abstain from drinking but that she gets such a “high” from the act of gambling that she needs a few drinks to “even out.” She also notices that when she drinks, she doesn’t smoke “as much” but enjoys smoking when she is playing at the slot machines. She also reports that she has gained weight from drinking so much- she currently weights 122 lbs., which represents a 7 lb. weight gain from her usual 115 lb. weight. Mrs. Perez is quite concerned today because she has borrowed over $50,000 from her retirement account to pay off her gambling debts. She is very concerned because her husband does not know that she has spent this much money. MENTAL STATUS EXAM The client is a 53 year old Puerto Rican female who is alert, oriented to person, place, time, and event. She is dressed appropriately for the weather and time of year. Her speech is clear, coherent, and goal directed. Her eye contact is somewhat avoidant during the clinical interview. As you make eye contact with her, she looks away or looks down. She demonstrates no noteworthy mannerisms, gestures, or tics. Her self-reported mood is “sad.” Affect is appropriate to content of conversation & self-reported mood. She visual or auditory hallucinations, no delusional or paranoid thought processes are readily appreciated. Insight and judgment are grossly intact, however, impulse control is impaired. She is currently denying suicidal or homicidal ideation. Diagnosis: Gambling disorder, alcohol use disorder Decision Point One: Select what the PMHNP should do: Naltrexone (Vivitrol) injection, 380 mg intramuscularly in the gluteal region every 4 weeks RESULTS OF DECISION POINT ONE Client returns to clinic in four weeks Mrs. Perez said that she felt “wonderful” as she has not “touched a drop” to drink since receiving the injection Client reports that she has not been going to the casino, as frequently, but when she does go she “drops a bundle” (meaning, spends a lot of money gambling) Client She is also still smoking, which has her concerned. She is also reporting some problems with anxiety, which also have her concerned Decision Point Two: Select what the PMHNP should do next: Add on Valium(diazepam) 5 mg orally TID/PRN/anxiety RESULTS OF DECISION POINT TWO Client returns to clinic in four weeks Mrs. Perez reports that when she first received the valium, it helped her tremendously. She states “I was like a new person- this is a miracle drug!” However, she reports that she has trouble “waiting” between drug administration times and sometimes takes her valium early Client is asking today for you to increase the valium dose or frequency Decision Point Three: Select what the PMHNP should do next: Continue current dose of Vivitrol, increase Valium to 10 mg orally TID/PRN/anxiety. Refer to counseling for her ongoing gambling issue Guidance to Student Anxiety is a common side effect of Vivitrol. Mrs. Perez reports that she is doing well with this medication, and like other side effects, the anxiety associated with this medication may be transient. The psychiatric mental health nurse practitioner should never
[ANSWERED 2023] Explain multicultural communication and its origins. Compare and contrast culture, ethnicity, and acculturation
Explain multicultural communication and its origins. Compare and contrast culture Write a 650-1300 word response to the following questions: Explain multicultural communication and its origins. Compare and contrast culture, ethnicity, and acculturation. Explain how cultural and religious differences affect the health care professional and the issues that can arise in cross-cultural communications. Discuss family culture and its effect on patient education. List some approaches the health care professional can use to address religious and cultural diversity. List the types of illiteracy. Discuss illiteracy as a disability. Give examples of some myths about illiteracy. Explain how to assess literacy skills and evaluate written material for readability. Identify ways a health care professional may establish effective communication. Suggest ways the health care professional can help a patient remember instructions. This assignment is to be submitted as a Microsoft Word document. Expert Answer and Explanation Culture and Literacy Effective communication in healthcare is essential for providing quality patient care. The intersection of culture and literacy plays a significant role in how healthcare professionals interact with patients. Understanding the impact of culture and literacy on healthcare communication is crucial for delivering patient-centered care and ensuring positive health outcomes. Multicultural Communication Multicultural communication is the practice of effective communication between individuals from different cultural backgrounds. It aims to bridge the gap in understanding, minimize misunderstandings, and promote effective interaction between people of diverse cultural, ethnic, and linguistic backgrounds (Park, 2020). The origins of multicultural communication can be traced back to the growing diversity and globalization of our world, where individuals from various cultures come into contact through work, travel, and migration. This has created a necessity for effective cross-cultural communication, leading to the development of this field. Culture, Ethnicity, And Acculturation Culture refers to the shared values, beliefs, customs, and traditions of a specific group, whereas ethnicity pertains to a person’s identification with a specific racial, national, or social group based on common cultural factors, including language, religion, or history (Dey et al., 2019). Acculturation, on the other hand, refers to the process of adopting the cultural traits or social patterns of a dominant culture, typically due to prolonged contact or assimilation. While culture and ethnicity are primarily about one’s identity, acculturation deals with the adaptation to another culture. Cultural And Religious Differences in Health Care Professional Cultural and religious differences can significantly affect healthcare professionals. They can lead to misunderstandings, misinterpretations, and hinder effective patient-provider communication. Issues that may arise in cross-cultural communications include variations in health beliefs and practices, differing perceptions of illness and wellness, and language barriers that can impede informed consent and shared decision-making (Young & Guo, 2020). To address religious and cultural diversity, healthcare professionals can employ various approaches such as cultural competency training, providing culturally tailored patient education materials, and fostering an environment of respect and sensitivity to patient needs. Family Culture and Its Effect on Patient Education Family culture also plays a critical role in patient education, as familial beliefs and values can influence an individual’s health-related decisions and adherence to treatment plans. Family culture has a significant impact on patient education. Families can play a key role in helping patients understand their condition, manage their treatment, and make informed decisions about their care (Young & Guo, 2020). Family values and beliefs can influence how patients view their health and illness. Family communication patterns can also affect patient education. For example, families that have open and supportive communication may be more likely to encourage patients to ask questions and learn about their condition. Addressing Religious and Cultural Diversity Healthcare professionals should become familiar with the different cultural and religious backgrounds of the patients in their community. This can be done through reading, taking cultural competency training, or talking to patients and their families. It is also important to be respectful of patients’ cultural and religious beliefs. This means being sensitive to patients’ needs and avoiding making assumptions about their beliefs and practices (Young & Guo, 2020). Additionally, healthcare organizations can promote diversity and inclusion within their workforce to better reflect the patient population they serve, further facilitating cross-cultural communication and understanding in healthcare settings. Types Of Illiteracy There are various types of illiteracy with each comprising of unique but correlated differences. Functional illiteracy refers to the inability to read and write at a level that is necessary to function in everyday life. Health illiteracy is the inability to understand and use health information to make informed decisions about one’s health (van Kessel et al., 2022). This includes being able to read and understand prescription labels, medical records, and other health-related materials. Digital illiteracy is the inability to effectively use digital devices and navigate the internet for information and communication. Cultural illiteracy is the lack of knowledge and understanding of one’s own or other cultures, including their history, customs, and traditions. On the other hand, numeracy illiteracy is the inability to understand and work with numbers and mathematical concepts. Illiteracy As a Disability Illiteracy can be considered a disability when it significantly hinders an individual’s ability to participate in essential activities, such as reading prescription labels, understanding medical instructions, and accessing healthcare information (van Kessel et al., 2022). This limitation can lead to adverse health outcomes and reduced quality of life. In some cases, illiteracy may be associated with learning disabilities or cognitive impairments, further emphasizing its role as a disability. Myths About Illiteracy There are several misconceptions about illiteracy that need to be clarified. Firstly, illiteracy is not solely an individual’s fault or a result of their lack of effort; it can be influenced by various factors, including access to education and learning resources. Secondly, equating illiteracy with a lack of intelligence is unfair and inaccurate; many illiterate individuals have other valuable skills and knowledge (van Kessel et al., 2022). Additionally, it is a misconception that illiterate adults cannot learn to read or write. With the right support and resources, many adults can improve their literacy skills. Lastly, illiteracy is a significant issue that affects a substantial
[ANSWERED 2023] Alma Faulkenberger is an 85-year-old female outpatient sitting in the waiting room awaiting an invasive pelvic procedure. The health care professional who
Alma Faulkenberger is an 85-year-old female outpatient sitting in the waiting room Alma Faulkenberger is an 85-year-old female outpatient sitting in the waiting room awaiting an invasive pelvic procedure. The health care professional who will assist in her procedure enters the room and calls “Alma.” There is no reply so the professional retreats to the work area. Fifteen minutes later the professional returns and calls “Alma Frankenberg.” Still no reply, so he leaves again. Another 15 minutes pass and the professional approaches Alma and shouts in her ear, “Are you Alma Frankenberg?” She replies, “No I am not, and I am not deaf either, and when you get my name correct I will answer you.” Using the Topic 1 Resources, develop a plan to help Alma be compliant with the procedure and post-treatment medication. Also, describe the approach you would take to patient education in this case. Expert Answer and Explanation Patient adherence is a crucial aspect that healthcare professionals must prioritize for optimal healthcare delivery (Snider et al., 2020). It’s imperative for healthcare providers to be well-informed about the various factors affecting patient adherence and take prompt actions to address these issues. The case of Alma Faulkenberger highlights the problem of the doctor mispronouncing the patient’s name, which resulted in miscommunication and non-compliance on the patient’s part. To foster compliance in Alma’s case, the doctor should implement a series of strategies aimed at enhancing patient collaboration (Snider et al., 2020). The initial step in the compliance plan involves ensuring that the patient comprehends the core values upheld by the healthcare facility. Explaining to Alma that even healthcare professionals can make pronunciation errors without any ill intentions can help establish a positive rapport. Acknowledging the mistake and inviting Alma to express her preferred name or title can effectively address the communication issue (Snider et al., 2020). The compliance plan for Alma also encompasses collaboration with other medical professionals to gain insights into the patient’s specific needs, preferences, beliefs, and any other factors that could impact the provision of medical care. In addition, the doctor can employ various techniques for patient education, particularly concerning post-treatment medication. Effective communication necessitates a collaborative approach between the doctor and the patient to identify areas of concern and the preferred teaching method (Cortellini et al., 2019). By tailoring the education to meet Alma’s preferences, the doctor can deliver the necessary medical information in a way that resonates with her, thereby reducing non-compliance and ultimately enhancing the quality of care and patient outcomes. References Cortellini, S., Favril, C., De Nutte, M., Teughels, W., & Quirynen, M. (2019). Patient compliance as a risk factor for the outcome of implant treatment. Periodontology 2000, 81(1), 209-225. Snider, S. H., Flume, P. A., Gentilin, S. L., Lesch, W. A., Sampson, R. R., & Sonne, S. C. (2020). Overcoming non-compliance with clinical trial registration and results reporting: One Institution’s approach. Contemporary clinical trials communications, 18, 100557. Alternative Expert Answer and Explanation From time to time, while practicing nursing, one may come across patients who refuse to comply with directives. Elderly patients often display stubbornness and hostility toward anyone. An intrusive intervention is required in one of Alma’s cases. She is at once stern and disobedient. However, she could not have wanted to feel that way (Baryakova et al., 2023). To make her more comfortable with the situation and promote her compliance, it might be wise to urge another medical practitioner to offer her an apology first. When the patient’s name was pronounced, and no one responded, I believe the healthcare worker should have questioned the client concerning her identification and whether she was waiting to be attended. Healthcare providers must inquire about the client if they have pronounced their name rightfully or whether that is how they would prefer to be acknowledged to demonstrate dignity and take cognizant of the actuality that not everyone identifies by their correct legal name. Analyzing the communication approach must be the plan’s primary focus to help Alma comply with all procedures and subsequent treatments and interventions. The initial steps include introducing Alma appropriately and explaining the procedure, potential risks, potential benefits, and appropriate follow-up care therapy (Rothenberg, 2003). The healthcare provider may have demonstrated respect for Alma by using her full name and speaking to her in a way appropriate for her advanced age. It is important to establish eye contact and smile while doing the introduction. Providing her with numerous opportunities to address any concerns is also essential. A caretaker, family member, or additional resource person for the client should be there throughout the process to keep them calm and comforted. Lastly, give her printed information she can consult, such as a surgical plan, directions for discharge, and an outline of her prescriptions. The primary objective of client education is to guarantee that Alma is informed about the process, the planned outcomes, and the prescribed drugs to be needed following the therapy. This can be implemented by offering Alma complete details of the procedure and pharmaceuticals from the vantage point of healthcare providers. To convey the details, they must express themselves plainly, gently, and in simple terms. It would also be valuable to let Alma talk to a healthcare professional concerning her concerns. It is imperative to deliver information to her vocally and in writing so she might employ it later (Atolagbe et al., 2023). The healthcare practitioner may want to incorporate visual aids like pictures or illustrations as well as real-world examples to assist Alma in grasping the process and prescription more thoroughly. Furthermore, it is critical to encourage Alma to go over all the directions and details to be positive that she comprehends. References Atolagbe, E. T., Sivanandy, P., & Ingle, P. V. (2023). Effectiveness of educational intervention in improving medication adherence among patients with diabetes in Klang Valley, Malaysia. Frontiers in Clinical Diabetes and Healthcare, 4, 1132489. https://www.frontiersin.org/articles/10.3389/fcdhc.2023.1132489/full Baryakova, T. H., Pogostin, B. H., Langer, R., & McHugh, K. J. (2023). Overcoming barriers to patient adherence: the case for developing innovative drug delivery systems. Nature Reviews Drug
[ANSWERED 2023] Mrs. Adams a 68-year-old widow who was referred to case management upon discharge from the hospital based on her physician’s recommendation that she is not able to care for herself independently.
Mrs. Adams a 68-year-old widow who was referred to case management upon discharge Mrs. Adams a 68-year-old widow who was referred to case management upon discharge from the hospital based on her physician’s recommendation that she is not able to care for herself independently. Her diagnosis is diabetes, hypertension, and breast cancer. She is 5 days’ post-op from a right sided mastectomy. Mrs. Adams apartment is located in a low income area of the city where crime is prevalent. Upon assessment by the Community Health Nurse, Mrs. Adams apartment was in disorder with minimal airflow or light. Her cloths appeared unchanged and she had no food in the apartment. The small apartment also housed 3 cats and a small dog who Mrs. Adams considers family since the death of her husband 1 year ago. Mrs. Adams complains of pain and draining from her surgical site and a broken air conditioner. Using Nightingales Environmental Theory, what actions would the nurse take upon the first assessment? What are the five essential components of Nightingales Theory? Prioritize an appropriate care plan for Mrs. Adams? Apply Nightingale’s Environmental Theory to an area of your nursing practice, what patient population would benefit from this approach? Support this practice change with at least one evidenced-based article (this means current EBP of 5 years of less for the article.) The assignment should be completed in APA format, as an essay of between 1000 and 1500 words. The paper should include at least 2 outside references and the textbook. The paper should be in APA format with a title page, level headings, and reference page, please see the Shell that I have included in this module. 1st person is not acceptable in APA papers, make sure to keep this is 3rd person. EXPERT ANSWER AND EXPLANATION Case Study The plan of the recovery of a chronic patient involves several interventions, with one of the main ones being the configuration of the environment or setting of the patient to make it friendlier. Florence Nightingale, the founder of modern nursing, also called ‘The Lady with the Lamp’ from her service during the Crimean war had several views about the implication of sanitation to the nursing field (Idrees & Shah, 2017). Applying her environmental theory in the care of Mrs. Adams, a 68-year-old woman with hypertension, cancer of the breast, and diabetes can guide in the development of the best practice from her situation. Actions the Nurse would take upon the First Assessment Using Nightingale’s Environmental Theory Mrs. Adams is referred to case management upon discharge from hospital, but upon assessment of her living conditions, there are numerous elements that show that her current home is not the ideal place of care. Besides living with four animals, three cats and one dog, Mrs. Adam’s apartment shows that there is minimal light flow, limited food, and the clothes are barely changed. Also, the air conditioner is broken, and the place she lives in is a high crime area. The first action that the nurse in charge would take would be the assessment of the possibility of changing the environment, or her chances of moving to a better place. The following are some of the environmental factors that the nurse would consider as pointed out in the environmental theory by Florence Nightingale. Pure Fresh Air The air that the patient breaths should be made as clean as possible. Stuffy environments increase the chances of chilling, which could limit the chances of recovery. Also, to maintain the right concentrations of oxygen required in the body, the patient would have to ensure that the external environment is completely sanitized (AliSher et al. , 2019). Pure Water Pure water serves almost the same purpose as pure fresh air- making sure that the patient’s circulation is not contaminated with too much concentrations of unwanted substances. Impure water that is used for drinking purposes could lead to the absence of the right elements that would help in proper patient hydration (Mughal & Irshad Ali, 2017). In worse case scenarios, this impure water could lead to the addition of undesired elements to the body of the patient. Effective Drainage Effective drainage in the patient environment helps to ensure that their waste material is removed constantly from their residence. Lack of proper waste removal can lead to the build-up of undesired bacteria that could contribute to patient re-infection. Effective drainage can also help the patient feel more mentally comfortable with their environment. Cleanliness Nursing mainly entails preserving cleanliness of both the patient and their environment. According to the environmental theory, clean environments have a large mental implication to ensuring patient wellness (Couto et al., 2020). Cleanliness also prevents chances of re-infection and re-admissions. Light This is the last factor that should be considered in nursing according to the environmental theory. Direct sunlight has numerous health benefits such as helping in bone growth and development. Lighting up the room of a patient can also increase their mental alertness and wellness. Appropriate Plan of Care for Mrs. Adams In the plan of care for Mrs. Adams, the first step would be making suitable environmental adjustments that would contribute to improving her environment. For the patient to achieve a healing state, the introduction of a healthy environment is paramount. Having four pets could be disadvantageous to her given her economic conditions, as she would probably not be able to feed them well. These pets could roam around the streets and bring her a fourth disease, which would be problematic to her health. The plan of care should therefore include elimination of three of the pets to leave her with possibly a male cat. Also, general cleaning of her environment should be made to ensure that the surroundings are clean and safe for her to live in. In the plan of care, the possibility of moving to a new apartment where lighting, security, and clean water is in plenty should be made. Changing the environment could also help her make new friends and hence contribute to
[ANSWERED 2023] In the Hospital Hope scenario, what do you think was the most important factor that led to the change in practice in the SICU?
In the Hospital Hope scenario, what do you think was the most important factor that led A Culture of Patient Safety Read this article: Sammer, C. & James, B. (2011, September 30). Patient safety culture: The nursing unit leader’s role. OJIN: The Online Journal of Issues in Nursing,16(3), Manuscript 3. In the Hospital Hope scenario, what do you think was the most important factor that led to the change in practice in the SICU? If you worked in a facility that needed a practice change, what framework would you use and why? my facility is Acute and long-term rehabilitation Expert Answer and Explanation A Culture of Patient Safety As patient advocates, nurses must ensure that they develop a culture of patient safety when caring for patients in the hospital. Although there have been many improvements done over the years to ensure that the quality of care improves in the hospital setup, there are still an alarming number of avoidable hospital infections and other aspects that compromises patients’ safety in the hospital. Through evidence-based care, several frameworks have been created to improve patients’ experience, reduce their hospital stay and generally improve their health. Some frameworks include building a culture of care and incorporating a patient-centered care system. According to Sammer & James(2011), other factors that can effectively improve patients’ outcomes include leadership, teamwork, and a learning environment. As nurses devote themselves to improved patient care, it is paramount to understand how the factors can affect the wellbeing of patients in their care. Most Important Factor That Led to Change in Practice in SICU Hospital Hope In Hospital Hope, nurses were frustrated that most of their patients suffered from hospital-acquired infections and had a high mortality rate (Sammer & James, 2011). Therefore, they vowed to change their practice mode to improve the patients’ experience. The most important factor that led to change in practice is the change of culture. It was clear that the culture in the hospital was not supportive of patient-centered care, making it necessary for a different framework to be enacted. By identifying that the culture was inappropriate for patient care, the hospital’s leadership was able to ensure that there were positive changes that eventually improved the patients’ outcomes. As a center of patient excellence the hospital leaders felt that they need to research more on the causes of hospital infections and come up with an issue that would reduce their occurrence. Through good leadership, it was clear that the hospital was able to identify several factors affecting patients’ wellness; therefore, to improve the culture, they must be addressed. The leaders were not only ready to accept their responsibility in the current situation but were also focused on positively ensuring their followers as they sought to improve the patient’s experience in the hospital (Braithwaite et al. 2017). By developing this culture, it was clear that the nurses enjoyed their leaders’ support throughout the process, evidenced by their ability to talk about their mistakes and work on finding a solution. The framework of cultural change also incorporates the use of the evidence-based practice. Notably, in contemporary society, medical practitioners are more drawn to evidence-based practice as it involves current tested methods of improved care. The nurse manager researched evidence-based practice and came across a comprehensive Unit-Based Patient Safety Program (CUSP), which was integral in ensuring patients’ safety in the hospital. Following the framework, the nurse manager became more aware of what needs to be done to reduce hospital infections. By focusing on cultural change, the hospital encouraged learning in the hospital. It is clear that after the leaders discovered that some of the nurses had experience and were studying what they were currently affecting them, they could be integral to enhancing the needed change in the system. Therefore, they asked them to make reports on the progress, which increasingly showed what was wrong in the system, giving them a chance to improve on their experience. Moreover, the nursing manager went ahead and challenged some of the nurses to research the current operations of the hospital and how they can be improved, and this offered a wide perspective of care and encouraged learning amongst the nurses. Moreover, it encouraged the nurses’ to participate in decision-making as their opinions were welcome and valid. It is also clear that the culture adopted focused on fostering teamwork in the nursing team. According to Sammer & James (2011), the nurses were able to support each other by enhancing transparency in the department. They were all encouraged to report their performance even though it appeared that it would report negatively on their work. Additionally, they increased their cooperation as they communicated effectively and updated each other well during the end of their shifts. As a result, there was no gap in patient care, which improved the patients’ recovery time (Mannion & Davies, 2018). It is also notable that communication among the nurses greatly improved as the nurses were able to consider the input of both patients and other stakeholders in providing the care needed in the hospital ad encouraging transparency. Through the change of culture, it became possible to improve patients’ outcomes and the quality of work life. Practice Change Framework To Use In My Facility I have been working in an acute and long-term rehabilitation facility, and while the performance has been admirable over the years, I still believe there is much room for improvement. The facility focuses on rehabilitating patients who have suffered from traumatic injuries that have affected their ability to lead a normal life (Santana et al. 2018). Notably, patients are not only physically stressed but also emotionally vulnerable, especially if they suddenly become dependent on others’ help after leading a life of independence. As a result, some might be stubborn and refuse help, delaying their recovery. By changing the current framework, which focuses on excellence, it will be possible to understand further and support patients, improving the care outcome. The best framework to incorporate is the patient-centered framework which focuses on working