Question: Provide a description of how you believe you have demonstrated the required skills for the standards below:
Question:
Provide a description of how you believe you have demonstrated the required skills for the standards below:
Standard 3: Accepts accountability and
responsibility for own actions.
Indicators:
3.1 Practises within the EN scope of practice relevant
to the context of practice, legislation, own
educational preparation and experience.
3.2 Demonstrates responsibility and accountability for
nursing care provided,
3.3 Recognises the RN4 as the person responsible to assist
EN decision-making and provision of nursing care.
3.4 Collaborates with the RN to ensure delegated
responsibilities are commensurate with own scope
of practice.
3.5 Clarifies own role and responsibilities with
supervising RN in the context of the healthcare
setting within which they practice.
3.6 Consults with the RN and other members of the
multidisciplinary healthcare team to facilitate
the provision of accurate information, and enable
informed decisions by others.
3.7 Provides care within scope of practice as part of
multidisciplinary healthcare team, and with supervision
of a RN.
3.8 Provides support and supervision to assistants in
nursing (however titled) and to others providing
care, such as EN students, to ensure care is
provided as outlined within the plan of care and
according to institutional policies, protocols and
guidelines.
3.9 Promotes the safety of self and others in all aspects
of nursing practice."
Standard 3: Takes responsibility for own actions and behaviours.
Indicators and Demonstrated Skills:
3. 1 Inserts knowledge and understanding of practice within the current context of practice, legislation, educational preparation and experience within the EN scope of practice.
Demonstration: I make sure that all the activities and duties that I perform are within the practice expected for an Enrolled Nurse (EN). For instance, in the sites I have been assigned to, I have always paid attention to the legislation and personal preparation and only carry out procedures as well as clinical decisions of which I am capable.
3. Responsible and accountable for own nursing practice.
Demonstration: Since nursing care is for individual clients when discharging the duties, proper documentation and relaying of all issues of clients are responsibilities I take full responsibility for. For instance, I always verify the prescribed dosage of medications given to the patients and also cross-check a patient’s records to avoid any mistake and if any side effects is observed or if there is any discrepancy then I report it to my supervising registered nurse.
3. 3 Acknowledges the RN as the person to help in decision making of the EN and provision of nursing care.
Demonstration: I have acknowledged the RN’s responsibility for at some point assisting me in my clinical decisions. Where decision making is a bit complex I consult the RN for confirmation of my actions and whether they are in conformity with the laid down standards and the care plan for the patient. For instance, if the care plan involves wound care for a patient then I consult the RN on other better techniques used in the treatment and any changes to be made to the plan.
3. 4 Co-operates with the RN to make sure that duties brought down to him/her fall under what he/she is allowed to do.
Demonstration: I consult with RNs in order to determine that any delegated tasks are within the scope of my professional practice. For example, if I am required to do a new procedure I always ensure that it comes under my nursing practice and seek direction from the RN or get trained on how to do it.
3. 5 Successfully explain own position and accountability to the supervising registered nurse according to the context of the healthcare organization in which they work.
Demonstration: On part and parcel of my interaction with staffs in the healthcare setting I always explain and redefine my role and responsibilities to my supervising RN. When it comes to the team meetings or during change-overs, I always ensure that I affirm my tasks and this is in a bid to ensure that in case there was doubt, the management clarifies and reminds me of my duties.
3. 6 Discusses with the RN and other members of the multidisciplinary healthcare team in order to be able to provide information to others and assist them in making appropriate decision.
Demonstration: I involve myself in group discussion meetings comprising of other practitioners in charge of the patient’s care and seek for additional or updated information regarding the patient. For instance, I make reports of the status of the patient to the group, and consult physiotherapy and diet services to formulate a treatment plan.
3. 7 Offers basic care in compliance with scope of practice developed as member of the Interdisciplinary healthcare team and under the general supervision of a registered nurse.
Demonstration: HCA also means that I take part in the delivery of health care services by collaborating with other care givers under the supervision of an RN. For example, I help with the evaluation of the patient and undertake the application of the care plan as prescribed by the RN although my actions are geared towards the achievement of the general treatment objectives.
3. 8 Supports and supervises assigned assistants in nursing (however titled) and others facilitating the delivery of care such as EN students, while performing care, as outlined in the plan of care and according to the institution’s policies, protocols and guidelines.
Demonstration: I provide instruction and supervision to EN students and assistants in nursing and the way in which nursing care is given by students and assistants is supervised by me in accordance with set policy. I take time to examine their work and advice them on how to do it correctly plus they monitor their stickliness to the care plans and the institutional standards.
3. 9 Advocates for protection of self as well as others in every aspect of nursing practice.
Demonstration: CONSIDERING SAFETY IN MY PRACTICE I ensure that I embrace all the standard infection control measures and the safety measures as well as wearing of personal protective equipment. For instance, I practice proper hand washing, wear proper gear to avoid getting injured, and or help to report any risks or accidents that may have occurred on the workplace.
What are typical versus an atypical Myocardial infarction. Please reference.
What are typical versus an atypical Myocardial infarction. Please reference.
Non-ST segment elevation myocardial infarction and ST segment elevation myocardial infarction
Typical Myocardial Infarction:
Presentation:
Symptoms: Some of the signs are severe, ‘squeezing’ chest pain or discomfort which may be aggravated in the left arm, neck or jaw. This is usually a throbbing discomfort that does not go for less than five minutes, although it can be constant; it may be associated with breathlessness, excessive sweating, vomiting, or fainting.
Pain Description: Chest pain is usually characterised as a pressure, a squeezing, weight on the chest.
Risk Factors:
Some of the potential risks are; coronary artery disease, hypertension, hyperlipidemia, diabetes, smoking, and history of cardiac disorder in the family.
Diagnostic Criteria:
Electrocardiogram (ECG): Elevation of the ST-segment greater than 1 mm in > 2 contiguous leads or changes in leads V1-V4 or ST-segment deviation greater than 0. 5 mm in XII, III and aVF.
Biomarkers: Abnormal troponins (e. g. , troponin I or T), creatine kinase-MB (CK-MB).
Reference:
American Heart Association (AHA). (2020). The Guideline for the Management of Patients With ST-Elevation Myocardial Infarction That Incorporates Professional Society and Society for Cardiovascular Angiography and Interventions AACV Recommendations Published in 2020 by the American College of Cardiology and the American Heart Association.
Atypical Myocardial Infarction:
Presentation:
Symptoms: Symptoms may be less classical and comprise atypical or less typical pain or discomfort such as, epigastric pain, generalized discomfort in the back or any kind of abdominal pain. It can be more amorphous, less severe and express in the form of weak signs or symptoms that may not be typical for the particular disease.
Pain Description: May include pleuritic pain, sternal or epigastric pain, This pain may be sharp or stabbing in nature or else the pain may be located in locations that are atypical to MI.
Risk Factors:
This may be explained by the fact that atypical MI may present in those with less traditional risk factors or with atypical gender and age or with some coexisting conditions. For example, the manifestations of malaria in women, the elderly and diabetic patients are different from those of other patients.
Diagnostic Criteria:
Electrocardiogram (ECG): May not have the classical ST-segment elevation; the ST segment may be depressed or it may not be changed at all.
Biomarkers: There could be ongoing elevation of cardiac biomarkers, although patients may not present the classical symptoms of MI.
Reference:
Kotecha, D. , S. Panwar, and J. Wang. “Adolescents’ Social Media Use: Where Are We?” Journal of Adolescent Health 63, no. 4 (2018): 377–9. Out of all the articles reviewed in this paper, only one is specifically focused on the prevalence and the prognostic impact of atypical symptoms in myocardial infarction.
Summary:
The most usual Clinical manifestation of Typical MI is chest pain that is usually severe and is coupled with demonstrative changes in the ECG and elevated cardiac biomarkers.
AMI has mild manifestations compared to STEMI, may occur in special groups of patients (women, the elderly) and may require a more step-by-step assessment as indicated despite ambiguous features.
Head to toe assessment of a patient with Bipolar 1 disorder
The ‘head to toe assessment’ of the nursing care delivery system of a patient with Bipolar I disorder includes physical and psychological components. Bipolar I disorder is characterised by manic or mixed episodes at any point in the lifetime, or by major depressive episodes. Here's a structured approach to the assessment
1. General Appearance and Behavior
Observation: See at the state of health and cleanliness of the patient, reason for contracting the sickness and other related aspects.
Manic Episode: Handwriting may be often clumsy, the person may look nervous, fat or thin, may have an untidy appearance and improper dressing sense. This is so due to features such as rushing, hyperactivity and distractibility.
Depressive Episode: Children can look droopy, unwashed, untidy, and possibly even dirty and or stinking. This is because members of the community might interpret depression in a way they understand it, they may discover it as a general tiredness, slowness in physical activity and lack of facial expression or even a frown.
2. Vital Signs
Blood Pressure: For any use of mood stabilisers or antidepressants to be on the look out.
Heart Rate: Honeberman and coworkers Looking for other things that might be impacted by mood-stabilising medications.
Respiratory Rate: Check on any issues that may crop up out of the side effects of these medications.
Temperature: Check for signs of infection or inflammation where the tattoo is going to be done.
3. Head and Neck
Head: Be on the lookout for any traces of self-care, or physical abuse.
Eyes: It is important to look for any sign of dilation or constriction that could be as a result of taking some medication or the use of some drugs.
Ears: Hear patient/ース and safely ask about the existence of complaint on side effects of medications.
Nose: Look for sign of use of substance.
Mouth: Search for any appearance of dry mouth, or any other side effects of the medications that have been administered, and look at out for any complication in regard to the teeth.
4. Cardiovascular System
Heart Sounds: If palpitations are as a result of medications, be observant of them.
Peripheral Pulses: Much effort should also be made in getting any manifestation of peripheral vascular complications.
5. Respiratory System
Breath Sounds: Pay attention to the absence or presence of normal breathing sounds and look out for suffocation which may be occasioned by certain medication.
6. Gastrointestinal System
Abdomen: Assessment for/general assessment/tenderness or swelling: conduct by G. Deep palpation: The type of information that can be obtain from this assessment includes enlargement of organs or any other irregularity. When assessing patient’s abdomen, do not forget to look for changes in bowel sounds and check for constipation or diarrhoea which may be effect of drugs given to the patient.
7. Musculoskeletal System
Movement: Whether an individual is a jovial constitution or a sedentary one, their activity level may progressively wear out, assess the patient’s motility and search for signs of restlessness.
Muscle Tone: Look out for any signs of excessive rigidity of muscles or jerking particularly if the patient has been administered with some drugs.
8. Neurological System
Level of Consciousness: Evaluate the patient’s overall mental status, and especially the degree of patient’s awareness of their environment, self and surroundings, time.
Manic Episode: Most likely to be talkative, more often than not obnoxious and have bad judgment.
Depressive Episode: May appear to be bewildered or to have difficulty in concentration.
Cognition: Cognitive tests include; memory, judgment and problems solving checks including the mini mental status examination.
Motor Activity: It is very important and should be a directive to pay much attention to any form of agitation, pacings as well as any other form of motor activity at all.
9. Skin and Extremities
Skin: Take a lot of care on skin for rash, bruising or any form of injury.
Manic Episode: Some of them are tend to suicide attempt and others are very much negligent to their personal hygiene.
Depressive Episode: May also be slightly unattended looking or may not give attention to their hygiene.
Nails and Hands: Try to identify any signs of bruises and other dermal cuts and injuries and other anomalies.
Feet and Legs: The body should be checked for signs of inflammation and signs of the possible symptoms of poor blood supply.
10. Psychological and Emotional Assessment
Mood: Make sure that the patient knows where he/she is and what time it is.
Manic Episode: May state they feel happy, agitated or hyperactive.
Depressive Episode: May also have symptoms as those of depression such as low mood, helplessness or even worthlessness.
Thought Processes: Examine for grandiose thinking or paranoid or depressive content in the thought process, as well as for derailment or a loosening of association as a formal thought disorder.
Behavior: Check for any signs of emancipating insanity or any signs which depict how they are capable of endangering their lives.
11. Safety and Risk Assessment
Self-Harm: Each time, inquire if there is any notion or behavior related to self-harm or suicidal tendency.
Risk to Others: Determine the risks of possible use of violence or harm of other people.
12. Medication and Treatment Compliance
Medication Review: Check whether or not the patients are on the prescribed medicine and any side effect experienced.
Therapy: Debate participation in psychotherapy or some other sorts of treatments
NURSING PAPER 222
NURSING PAPER 222
https://www.fondry.com/GhTRtg
Falsehoods and misinformation spread via social media is expanding the anti-vaccination movement, which puts the youngest and most vulnerable at risk. In its 2019 annual report, the WHO said the world is not adequately prepared for a global health crisis. Since pandemic outbreaks are unpredictable, global health agencies have to develop plans that will provide appropriate and timely responses, the WHO said. Among those who must be involved in planning are nurses, the organization said. Indeed, nurses around the world are filling roles to assist in the coronavirus response. In the United Kingdom, the government is considering recalling recently retired nurses and other providers. Closer to home, the Association of Camp Nursing posted official guidelines for spring break camps, including having camp managers and nurses monitor children and staff for illnesses. At the same time, the Washington State Nurses Association is calling for local and state officials to better protect staff nurses who are working directly with sick patients. ""Registered nurses and other providers are on the frontline of our health care system and will be the first responders as COVID-19 moves through our community. It is imperative that we make sure protocols, protections and rapid communication with caregivers who are exposed are in place,"" the association said in a written statement. The ANA, in its 2018 policy brief, said the best response to the growing threat is to develop a coordinated response network that reviews emerging and re-emerging infections. The answer should be ""based on a grounds-up approach incorporating frontline individuals and communities likely to be the first to recognize symptomatic individuals as first responders."" ""The best response to a potential global pandemic is prevention. Early recognition of novel infections will be enhanced by the development of linkages between community and clinic nurses and the initial point of contact with the infected individual,"" the ANA said. Interventions to provide infection control training and address community nurses' psychological needs might increase their willingness to provide care to patients in the community during H1N1 influenza pandemic. This would help to ensure an effective and appropriate health system response during the H1N1 influenza pandemic.
1.Determine whether the deduction below is true or false.
Applying a conjunctive stratagem, within genome-extensive forecasting of polypeptide
performances, every spot act as a deputation for a polypeptide and pauses amid polypeptides
denote an interaction by a one of diverse technique unveiled in the legend.
2.Faslify or rationalize the following supposition regarding practical genome strains.
Non-Orthologous genes amid biologically diverse species can be branded, and it is
robust indication for an interrelated purpose.
3.In a general case, a genome catalogue may equally be interfaced with other sorts of
information, like clinical data. Is the statement appropriate? Elaborate.
4.Basing on _____ genetics inspection of _____ function- despite a certain gene being _____
ortholog of a gene, of known function in another organism, that gene may be
obtained by a _____ function. Give an instance.
5. Describe what takes place after surgery up to the monitoring phase.
6.Determine why the GI track is normally kept empty before surgery.
7.What is the essence of an incentive spirometer after surgery.
8.Determine the breaths and time array prescribed spirometer in spirometer.
9.Determine the appropriate time array for patient tracking in the Postanesthesia care
unit.
10.What does Uubiquitin dilapidation device diagnose?"
1. The navigation of Conjunctive Stratagem in Genome Analysis
True: The conjunctive strategy in the genome-wide prediction of polypeptide functions suggests that each genetic spot (or locus) codes for a polypeptide, and that the interactions can be characterised using different methodologies. Some of the techniques used in these approaches are mainly experimental as well as computational to forecast the interactions and functions potential from the genetic and proteomic basis data.
2. Non-syntax genes and related processes
Rationalization: It is however pertinent to point out here that what can be branded or identified across different species of living organism may well include so-called non- orthologous genes; that is, those genes that might have evolved independently but do the same thing. This shows that while the species are evolutionarily distinct, it is possible to gain convergence in terms of gene for related purposes.
3. Reduced Representation, Genome Catalogues and Other Data Integration
Appropriate: A genome catalogue therefore can be correlated with other forms of information such as clinical information to give a better understanding on gene function and its relation with the disease, and treatment of the disease. This integration helps make a correlation between the genetic analysis and the patient outcome, while also strengthening the personalized medicine solutions.
4. Alook at genetics, inspections and the role of genes
Fill-in-the-blanks: In light of comparison of gene sequences of different organisms and comparative studies in gene annotation it is noticed that – even though a particular gene is homologous to the gene of some known role in some other species, the gene may be evolved to have a novel function.
Instance: An example is the Hox gene family Jan 26, 2004 For example, the Hox gene famacies menu Content HOME Forskning Publikationer Antonia /Maria Dackeförlaget Gidlund Hox genes Jan 26, 2004 An example is the Hox gene family. However, even these genes, which are conserved throughout different organisms, can involve digalog’s encompass pillar of body patterning within the heterogeneous species.
5. Post-Surgery to Monitoring Phase
Description: Patients are usually transferred to a recovery area, in which they are observed for symptoms of postoperative complications, such as abdominal pain, fever and tachycardia. It involves evaluation of the impact of anesthesia, pain management, any possible bleeding or infection and regaining of consciousness by the patient.
6. Overview of the Bowel Preparation in the Gastro Intestinal Tract Before Surgery
Reason: The GI tract is preoperatively starved in order to minimize the possibility of aspiration (breathe food into the lungs) in the course of surgery and anesthesia. A hollowed abdomen also reduces the possibility of postoperative complications hence the abdomen is more visually clear for the surgeon.
7. Incentive Spirometer After Surgery
Essence: The incentive spirometer assists the patient in performing deep breathing exercises that are very essential for preventing postoperative pulmonary complications like atelectasis and pneumonia. It urges the patient to breathe with their lungs fully, and do so slowly and deeply.
8. The Spirometer Breaths and Time array is presented in the following table:
Determination: It is imperative to realize that the actual number of breaths or even the time intervals that are recommended when using spirometer may also be different from patient to patient, and from operation to operation. Usually, patients may be advised to undertake 10 blows using the spirometer if they are conscious.
9. Postoperative time spent by the patients in the Postanesthesia Care Unit
Determination: PACU time array of frequency of patient monitoring entails the first hour with checks every 15-30 minutes and then the intervals gradually rises as the patient stabilizes.
10. Ubiquitin Proteasome System Diagnosis
Determination: The ubiquitin proteasome system is applied in the diagnosis of different disorders associated with protein degradation or with the turnover. The role involved in plays an important part in the determination of diseases where there is aggregation of proteins, for instance, the neurodegenerative disorders, for example Parkinson’s disease, and cancer disorders where pathways in the degradation of proteins are interfered
Hello tutor please help its urgent !!!
Hello tutor please help its urgent !!!
Doctors usually offered at community colleges and often require certain pre-requisite classes. These programs focus on technical nursing skills. Those who finished this program can treat and educate patients, as well as provide emotional support for patients' families. All ADNs have to pass a national licensing examination (the National Council Licensure Examination) to obtain a nursing license.
Typically a 4 year programme offered at colleges and universities. This programme trains students for a wide range of health care tasks and opens numerous employment opportunities. There are also accelerated BSN programs typically geared towards students who have received an appropriate prior degree. It is a quick route to become a registered nurse, lasting 12-18 months. In addition to these programmes, there are also special RN to BSN programmes, designed for the ADN nurses who wish to obtain a BSN degree.
1. From the case study above What did Mr.Henry did after did after recovering from diagnosis of cancer.Also use case the attached link for more references. https://studylink.com/articles/study-n2h9src0fv-courses-abroad/
2. It takes no effort to break the bond between A and T than in between G and C.Support or object the inference with a valid explanation.
3. An organ in ruminants situated near the point of small intestine and coccys is reffered to as.
4. The collection of brawn shielding a pair of opening of digestive place towards hypothamus and intestinal sides is called as.
5. Where is islets of Langerhans situated as per the respiratoty system but not digestive system.
6. Where are peptides being liquored as the theory of Thomson of nutrition.
7. Mastication of nourishment is referred to
8. What are the triplet dungeon located in the stomach
9. Which organ contributes the most enzymes and hormones towards digestion?
10. Define a gene."
https://www.coursehero.com/tutors-problems/Nursing/30671709-Differentiate-illness-from-disease-and-acute-illness-and-chronic-illne/,Differentiate illness from disease and acute illness and chronic illness? Please explain in detail and provide examples
From the Case Study:
according to typical scenario, after recovery from a cancer diagnosis, the patient like Mr. Henry who may undergo follow up care, receive check ups, rehabilitation, change of lifestyle that suited more to a healthy living after a cancer diagnosis. For more specific details, please, read the actual case or the link provided here once it will be available.
Bond Strength in DNA:
The statement "It takes no effort to break the bond between A and T than in between G and C" is supported by the following explanation: In DNA, adenine relates with thymine through two hydrogen bonds while guanine relates with cytosine through three hydrogen bonds. The adenosine and thymine pair do not form the hydrogen bond, while the G and C pair has a bonus hydrogen bond making this base pair stronger than the A-T base pair.
Organ in Ruminants:
The organ in ruminants located to the region of the small intestine and cecum is the rumen. One of the chambers in the stomach of the ruminant animal whose main function is to deal with the breakdown of fiber mainly from plants.
Collection of Brawn Shielding Openings:Collection of Brawn Shielding Openings:
Muscle tissue that guard the enteric orifices are called sphincters and most of them ensconce the digestive tract openings with respect to the pharyngeal and the esophageal aspects. Some of these are the upper and lower esophageal sphincters.
Islets of Langerhans:
It can be seen from the work that the islets of Langerhans are situated in the pancreas which is a part of the digestive system while the question directs to it assuming it to be a part of the respiratory system which is not correct. It is involved in hormone manufacture for items like insulin and glucagon.
Peptides and Thomson's Theory:
In more specific consideration of the historical views on the outcome of protein digestion including Thomson’s, it is assumed that peptides are further hydrolysed in the digestive tract including the stomach and small intestine by enzymatic actions.
Mastication of Nourishment:
Gnawing is the process whereby food is chewed in order to make it compact that is easy to swallow.
Triplet Dungeon in the Stomach:Triplet Dungeon in the Stomach:
I have not understood the term “triplet dungeon” yet it might mean Gastric pits or Gastric glands present in stomach which are responsible for making gastric juices and enzymes.
Organ Contributing Most Enzymes and Hormones:Organ Contributing Most Enzymes and Hormones:
The pancreas enzymes are most involved in digestion probably because the organ releases the most enzymes toward digestion in the human body. pancreas is responsible for secrete some basic enzymes such as amylase, lipase and proteases and some hormones such as insulin and glucagon which are required for the regulation of blood glucose level and digestive systems.
Define a Gene:
A gene is a part of a DNA molecules that carry the blueprint for the organism’s development, performance, as well as its ability to reproduce. A gene contains all the data required in order to produce proteins which perform certain actions within the body.
Differentiating Illness from Disease and Acute vs. Chronic Illness:Differentiating Illness from Disease and Acute vs. Chronic Illness:
Illness vs. Disease:
Disease: It is a pathological condition of a part or an organ of the body due to any cause for instance infection, inheritance or result of environmental stimuli. For instance, In diabetes, it is a disease whereby the levels of blood sugar are high because of insufficient Insulin.
Illness: Symptoms and suffering: Disease is a depiction of symptoms and sickness that a person feels. It is the subjective state of a person’s health or, in other words, how a particular person feels about their health condition. For instance, a person with diabetes might be ill if he or she has flu and feels fatigue and have to make frequent visits to the bathroom.
Acute vs. Chronic Illness:
Acute Illness: These illnesses are acute, that is, they have a quick onset and the period of the sickness is brief. Most of the effects are normally very serious though they can be treated. Illustrations include flu and appendicitis.
Chronic Illness: They are chronic in nature and progress slowly through a long stage of the life cycle of the individual. They can be unusually active, or can become dormant at times. These include high blood pressure and arthritis of the joints.
What are the RN assessments when caring for a patient in active labor?
What are the RN assessments when caring for a patient in active labor?
In tending to a patient, an RN conducts several assessments in order to achieve the well-being of the mother and the baby when in active labor. Here are the primary assessments:Here are the primary assessments:
1. Maternal Vital Signs
Blood Pressure: They should be monitored constantly so as to assess the development of hypertension or hypotension.
Heart Rate: Tachycardia as well as bradycardia should be sought for.
Temperature: Monitor for fever because infection may occur in the child.
2. Uterine Contractions
Frequency, Duration, and Intensity: In measuring the contractions, you should employ the use of a tocometer or electronic fetal monitoring device.
Pattern: To check the pattern of the contraction, one need to evaluate the pattern of the contraction to determine if they are developing in the right manner.
3. Fetal Heart Rate (FHR)
Baseline: These are 110-160 per minute.
Variability: Assess for the amount of variation which is in fact good for the wellbeing of the fetus.
Decelerations: Listen for any sign of any decelerations that can be a sign of fetal distress.
4. Cervical Dilation and Effacement
Dilation: Source: Merriam-Forbes SC (2012) Assess the dilation of the cervical opening to ascertain the degree of labor.
Effacement: Relative to pregnancy, determine how much thinned the cervix is, often expressed in per cent.
5. Fetal Presentation and Position
Presentation: At this point, distinguish the position of fetal head, breech or any other presentation that may be present.
Position: Evaluate fetal position with the help of Leopold’s maneuvers (e. g. in LOA position, the fetal back is directed towards the fundus –occipitoanterior or towards the right or left sacro-lumbar –occipitoposterior).
6. Amniotic Fluid
Color and Consistency: Record the appearance of the amniotic fluid either clear, meconium-stained or blood-streaked and the thickness or thinness, of the fluid when the membranes rupture.
Amount: Evaluate the amount of this fluid if there is any belief of oligohydramnios or polyhydramnios.
7. Pain Management
Pain Levels: Take the patient’s vitals and assess the level of pain using a particular pain rating scale.
Interventions: Offer or arrange pain management, whether this is medicinal, for example an epidural, or otherwise such as breathing exercises.
8. Labor Progression
Labor Curve: Keep track of the progress of labor in relation to the partogram or labor curve chart and check for signs of straying from standard patterns.
9. Patients’ Comfort and Dealership of Comfort
Emotional State: Be supportive and also clear any concerns or paranoia as this may raise his/her feeling of anxiety level.
Comfort Measures: Calm the patient and make sure they are comfortable and offer the patient any help needed in changing position and relaxation.
10. Laboratory and Diagnostic Tests
Laboratory Tests: Supervise for blood tests that includes Hb/Hct and WBC count in case need be.
Diagnostic Tests: Be ready to do the test whenever required even if the test is fetal scalp stimulation or blood tests.
Many evaluations have revealed shortages in medical staff, medications and other important supplies
Many evaluations have revealed shortages in medical staff, medications and other important supplies, and facilities, but material measures of structure, perhaps surprisingly, are not causally related to better health outcome. Although higher technology or a more pleasant environment may be conducive to better-quality care, the evidence indicates only a weak link between such structural elements and better health outcomes. The notable exceptions are cases in which physical improvements either increase access to primary care in very poor settings or increase the volume of a clinical procedure, such as cataract surgery, that is specifically linked to better health outcomes. At best, however, structure is a blunt approximation of process or outcomes; structural improvements by themselves rarely improve the health of a population. Process, by contrast, can be measured with every visit to a provider. Measuring process is difficult, however, particularly in developing countries. The private nature of the doctor-patient consultation, a lack of measurement criteria, and the absence of reliable measurement tools have limited the ability to assess process.https://www.telegraph.co.uk/news/2019/11/18/nhs-pay-doct4gi6sbfd5-tax-bills-attempt-avert-winter-crisis/
Case study and the link provided should help the tutor in answering the question.
1. Fundamentally, facts have proven that manifold discrete categories of ___________ domains have been found whose practical ___________ are equally diverse. What can the concealed elements impede? How?
2. ___________ are sequences that exist in the genome of an organism and aid in directing the ___________ of the gene in ___________ with other ___________ and aspects. Define what the concealed factors are and where they are positioned.
3.It takes no effort to break the bond between A and T than in between G and C.
Support or object the inference with a valid explanation.
4.Identify the role played by enhancing factors during transcription direction.
5. What does gene imprinting entail?
6. Within a DNA double helix
7. Why does acetylation of histone increase transcription of genome?
8. __________ of histone __________ particle takes place at the __________ tail.
What loosens up the higher order chromatin arrangement? What is the essence of this?
9.justify the following concerning methylation of bases.
It leads to localized alteration of A-DNA to Z-DNA.
10. Falsify the following concerning the enhancer sequence.
Specificity if tissues is not their role."
Let's break down and answer each of your questions:Below follows the answer to each of your questions;
Manifold Discrete Categories of Domains:The Category of the Manifold Structural Domains is as follows:
Complete Question: In other words, it can be observed that there is concrete evidence to the trend where it can be affirmed that there is a distinct integer of genetic domains that have been discovered and people employ it is equally diversely. What can the concealed elements detain if all of them have been pulled down and hidden? How?
Answer: Some of the situations masked by the genetic scopes undermine the comprehend and manage of the gene processes and thereby affect the timely integration of genetic information for cure or even for tests. For example, differences in certain parts of DNA which in one way or the other control genes can lead to alterations of expression and disease.
Sequences in the Genome:
Complete Question: Regulatory sequences are sequences in an organisms genome that help in the regulation of the gene with regard to other aspects or other entities. These are the hidden conditions What are they, and where do they exist?
Answer: As a result, gen regulators include such sequences as promoters and enhancers; silencers and insulators. These are usually situated near the gene they control as they are positive or negative feedbacks of the transcription factors.
Bond Strength in DNA:
Statement: However, It consume relatively less efforts try to destroy the bond rather than try to destroy the bond in between G and C.
Support: This statement is supported because the two bonding pairs of the base pairs are Adenine (A) That in forms two hydrogen bonds with thymine (T) and another bonding pairs of guanine (G) That forms three hydrogen bonds with cytosine(C). G-C pairs create an interaction that is similar to a hydrogen bond; that is in reality rather feeble when compared to what is created when A-T pairs come together, all these bonds can be released with a little amount of energy applied.
Role of Enhancing Factors During Transcription:Key roles during the transcription include the following enhancing factors:
Answer: The positive modulators, the activators, get into the picture participating in the process of gene amplification in order to have an interaction with the enhancer site and the transfactors and competitors of the promoter segment. It also assists in the recruiting of RNA polymerase and other factors necessary for transcription in enhancing gene activities.
Gene Imprinting:
Answer: Imprinting is another type of epigenetic event wherein there is activation of only one allele of gene and suppression of the other depending upon the parent through whom the gene has been inherited. This means that in some cases how the gene is read as masculine or feminine is about whose gene – the mother’s or the father’s – it is.
Within a DNA Double Helix:Greetings, Gentlemen and Ladies, as you are all trapped within a DNA Double helix:
Complete Question: Where does helix lie in the DNA molecule and the form & shape of the helix?.
Answer: This is a molecules shaped like two helix having nucleotide strands with sugar-phosphate backbone at the outer side of the two helixes while at the inner side it has adenine, thymine, cytosine and guanine forming a base pairs. It provides protection to the gene content; simultaneously safeguards the gene duplication process and process of transcription.
Acetylation of Histones:
Answer: When histones get acetylated the chromatin become more accessible and open to the require transcription factors since there is a decreased in the positive charge of histones and thus reduces attraction towards the negative charge of DNA. Enriching Histone on DNA also plays a role in the further ease and availability of the DNA on the transcription factors and the RNA polymerase for gene expression.
Histone Acetylation:
Complete Question: There is modification of histone H3 particle, and this is done on the tails with kellys and this is called acetylation. Who released the higher order chromatin of the vertebrates? What is the Arbeit at the center of this?
Answer: For the terminal lysine residues to get succinated it will have less positive charges than before and so easy for the DNA-histone interaction to detach. This can be further understood as this results in the increased accessibility of chromatin structure and this VERS in exposing the DNA to the transcription machinery during the genes transcription.
Methylation of Bases:
Statement: This results to transition at the local level of A-DNA to Z-DNA.
Falsify: Using the conjunction I will say this, this statement is false. From these modifications only the methylation of bases especially cytosine but does not alter the form of the DNA from A-DNA to Z-DNA silence the gene. It more often leads to the formation of the higher degree of chromatin packing together with the decrease of transcription rate.
Enhancer Sequences:
Statement: To the point, one does not need to be specific of tissues.
Falsify: For that it is also possible to deny effectiveness of this statement. Enhancer sequences are tissue specific and essential for the initiation of tissue specific gene expression as well as having ontological characteristics of the tissues in development and carcinoma. It responds with some other transcription factors and together they are of some utmost importance for the regulation of gene activity in space and time.
What is the consequence of poor leadership in a workplace in terms of policymaking? please provide in-text citations with 2 references
What is the consequence of poor leadership in a workplace in terms of policymaking? please provide in-text citations with 2 references
Leadership weakness in a workplace interferes with policy-making largely and results in diverse unfavorable effects. Here are the key consequences:Here are the key consequences:
1. Ineffective Policy Development
Recipients of poor leadership therefore come up with policies that are either ineffective or designed ineffectively. Lack of visions or strategies by the leaders may develop wrong policies which stunt the organization and the employees and they may not match the organization and its requirements which lead to wrong implementation and wrong chances are left un-taken (Garman et al. , 2011). Sometimes there may be inconsistencies if guidance in their implementation is not well given and well supported by the leaders, then the policies are likely not to be effective for their intended purposes thereby hampering performance in organizations and employee satisfaction.
2. Inconsistent Policy Application
Another of the effects of ungood leadership is that policies will be implemented unevenly. Lack of policy enactment or a failure of displaying set policies may lead to confusion and lack of trust by workers. Such an approach might denigrate the credibility of the policies, evoke perceptions of bias and imbalance, unfaithfulness of the procedures (Robinson & Judge, 2013). The public may also lose morale or lose interest in organizational goals when they analyse the fairness of the decision-making process.
3. Decreased Employee Morale
When there is bad management, the morale of the employees is usually low this may reduce the efficiency of policymaking. A leader who has not committed himself or herself to make his or her subordinates to inspire them may have less committed employees to new policy changes that are adopted within organizational settings. Self – interest is another important aspect that suggests that employees are less likely to support or even follow policies which they do not see as being fairly or effectively promulgated (Robinson & Judge, 2013). This lack of engagement can lead to poor implementation and the consequent decrease in the overall organizational performance.
4. Poor Communication and Feedback
Those who lack effective communication skills may encourage lack of feedback or disregard the feedback that is given regarding the company’s policies. Such a posture may eventually manifest in a regime that adopts policies that are incongruent with the concerns of the end-users. The final decision-making process which forms the bases of policymaking needs the involvement of individuals at all levels of the organization and feedback (Garman et al. , 2011).
References
Garman, A. N. , Corrigan, P. W. , & Morris, S. B. (2011). The relationship between leadership and organizational outcomes: Among them, a meta-analysis > Journal of Applied Psychology, 96 (2) , 496-507. https://doi. org/10. 1037/a0021583
Robinson, S. P. & Judge, T. A. (2013). McShane, Sirota, & Neale’s textbook: Organizational Behavior (16th ed. ). Pearson Education.
Guide me please tutors.
Guide me please tutors.
The current influenza (H1N1) pandemic has become a public health threat due to its associated morbidity and mortality. Among those at high risk for being infected with influenza (H1N1), healthcare workers have been identified as the priority group whose preparedness is a critical element in the response to the pandemic. In addition to patient care, HCWs are involved in public health education, epidemiological surveillance, quarantine management, fever clinics, staging facility operation, and more. Although the role of HCWs is important during emergencies such as a pandemic, not all healthcare workers are ready or prepared to work with infectious patients. For example, during the SARS outbreak, some healthcare workers in Taiwan escaped from hospital or resigned due to perceived shortage of facilities for handling patients with SARS. Since then, a number of studies have been conducted to explore the willingness of HCWs to work during influenza pandemics. These studies suggested that at the time of an epidemic, the potential levels of absenteeism could be as high as 16% in Hong Kong, 28% in Germany, 33% in Australia, 43% in Taiwan and 50% in UK. Potential absenteeism was most likely among nursing and ancillary workers and the major reported reasons were fear for themselves and their families' health and lack of protective equipment.
1.In extant is a single trait on ""character of amino acids"" that is invalid concerning secondary protein configuration concerning steric sizes and complex interactions between residues, identify and discuss the trait.
2. Identify the enzyme of E. coli that initiates the mending of double stranded DNA breaks.
Mention and discuss the process involved during this process.
3. Take for instance, the vasa efferentia in the human reproductive system gets blocked, from what
point will the gametes fail to be transported?
4. What boosts spermatogenesis?
5. Why are testes situated in scrotal sacs in most mammals?
6. What is the other identity of ductus deferens?
7. What is Caput epididymis?
8.Why are testes safeguarded within the scrotal sac?
9. Identify and discuss briefly the coating of the testes.
10. Determine the identity of nutritive cells placed within seminiferous tubules?"
Invalid Trait Concerning Secondary Protein Configuration:These are as follows; This is an invalid trait concerning secondary protein conformation.
Question: In the current database, one trait does not exist as far as the secondary protein configuration is concerned, steric sizes and interaction details of residues: label this trait and elaborate it.
Answer: An invalid trait could be the bias that without prejudice to amino acid side chains also referred to as R-groups, they are not involved in formation of secondary protein structures such as alpha helices or beta sheets. Indeed, side chains play a great role, first, in providing stabilisation of a secondary structure through hydrogen bonding and then, through steric counterparts. For example, it is clearly understood that a bulky side chain may prevent the formation of alpha helix while at the same time specific side chains may favor the formation of the beta sheets.
Enzyme for DNA Repair in E. coli:The enzyme for DNA repair in E. coli:
Question: Which enzyme of E. coli is synthetized when start to repair two-stranded DNA breaks? Describe or justify some form of process that has been done during this process.
Answer: RecBCD enzyme plays a role in regulation of homologous recombination DNA repair pathway of E. coli with a specific role in repair if double stranded breaks. The process involves:
RecBCD Complex: It identifies and communicates with the DNA Break.
Helicase Activity: Draws out the DNA at the break.
Nuclease Activity: Denatured and nicks the DNA to make both of them posses tails of single stranded DNA with out complementary base of the opposite strand.
RecA Loading: It involves the use of RecA protein to work up the single-stranded DNA in a search for the homologous sequence to bring about recombination.
Blocked Vasa Efferentia in the Human Reproductive System:Congenital Anomalies of Vasa Efferentia in the Human Reproductive System:
Question: For example, in the human reproductive systems, the vasa efferentia becomes blocked at which point the gametes will not be transported?
Answer: Failure to do this function is due to obstruction of vasa efferentia whereby the gametes cannot be transported from the testes to the epididymis. This blockage does not let sperm sample to penetrate epididymis where sperm gains maturity and is stored.
Boosts Spermatogenesis:
Question: What boosts spermatogenesis?
Answer: Hormones …influencing sperm production, it has been revealed that the following aid spermatogenesis:
Hormones: From the pituitary gland, it is possible to recognize follicle-stimulating hormone and luteinizing hormone that have several functions in human body.
Testosterone: Produced by leydig cells present in the testes or interstitial cells present in the second stages of the cords of the testes.
Nutritional Support: This is the situation where such important nutrients as vitamin C, zinc and the rest are compromised either in terms of quantity or quality.
Testes in Scrotal Sacs:
Question: Why is this the case and what are the benefits of such a position most of mammal’s testes are in scrotal sacs?
Answer: They are located in scrotal sacs in order to be in the temperature which is a couple of degree less than the rest of the body temperature. This lower temperature is essential in the production of sperms and particularly healthy sperms since spermatogenesis take place at a cooler temperature.
Other Identity of Ductus Deferens:Additional hooding for ductus deferens:
Question: What is the other name of ductus deferens ?
Answer: The other structure is the vas deferens which is also referred to as the ductus deferens. It is an organ that transposes sperm from the epididymis to the ejactory duct.
Caput Epididymis:
Question: Caput epididymis:
Answer: The caput epididymis is as a result the initial junction of entry of sperms from the testes into the epididymis. It is engaged during postnatal development of spermatogenic cells, and during the process of sperm maturation.
Testes Safeguarded Within the Scrotal Sac:General Description: The testes are safeguarded within the scrotal sac so as to maintain a temperature about 2 ºC below that of the general body heat.
Question: Why is testes protected in scrotal sac?
Answer: The testes are located in a scrotal sac hence the environment they are in will always be cooler than the internal body temperature another factor that is healthy for the sperm count and sperm concentration. In addition it has protective function for the testes in the form of Scrotum.
Coating of the Testes:
Question: Briefly, explain what consists the covering of the testes and the role of this covering.
Answer: The testes are surrounded by:
Tunica Vaginalis: A seromuscular layer comprising two layers the parietal layer and the visceral layer of the tunica vaginalis and playing the role of reducing friction between the testes and the scrotum.
Tunica Albuginea: This is a connective tissue that surrounds the testes and then invades this tact thus forming partitions which are referred as septa therefore forming lobules.
Nutritive Cells in Seminiferous Tubules:Sertoli cells of the Seminiferous Tubules:
Question: Determine which type of nutritive cells are present in the location within the seminiferous tubules.
Answer: These are common monotrophic nutritive cellsWithin the seminiferous tubule of the mammalian testis, they are termed Sertoli cells. They nourish developing spermatids, prescribe the arrangement on which new sperm cells may develop and dictate the number of these cells.
These programs are often referred to as second-degree programs and are generally geared towards students who have received a prior degree.
These programs are often referred to as second-degree programs and are generally geared towards students who have received a prior degree. These accelerated baccalaureate programs offer the quickest route to becoming a registered nurse and commonly run 12-18 months long. These programs are competitively driven and are fast paced but many international students enjoy this type of learning environment. A couple schools that offer accelerated BSN programs include the following.offers an Accelerated Bachelor of Science in Nursing program that enables students with a bachelor's degree to obtain a BS in nursing in only 14 months. The program is for assiduous students who are capable of keeping up with fast paced teaching from highly regarded professors. The students will learn from a combination of lectures, research, and clinical studies. The program requires full attentiveness and a complete devotion to learning. It is so immersive that Adelphi advises participants to not work or have any potential preoccupations during the time of the course. However, it is more than worthwhile, as you can become a practicing nurse in just over a year.
Felician University also offers a full-time accelerated nursing program which takes 18 months to complete. A Bachelor of Science Degree in Nursing is awarded upon completion and at the same time prepares international student to take the NCLEX-RN exam.
1. Fundamentally, facts have proven that manifold discrete categories of ___________ domains have been found whose practical ___________ are equally diverse. What can the concealed elements impede? How?
2. ___________ are sequences that exist in the genome of an organism and aid in directing the ___________ of the gene in ___________ with other ___________ and aspects. Define what the concealed factors are and where they are positioned.
3.It takes no effort to break the bond between A and T than in between G and C.
Support or object the inference with a valid explanation.
4.Identify the role played by enhancing factors during transcription direction.
5. Falsify the following concerning the enhancer sequence.Specificity if tissues is not their role.
6. Within a DNA double helix
7. Why does acetylation of histone increase transcription of genome?
8. __________ of histone __________ particle takes place at the __________ tail.
What loosens up the higher order chromatin arrangement? What is the essence of this?
9.justify the following concerning methylation of bases.
It leads to localized alteration of A-DNA to Z-DNA.
10. What does gene imprinting entail?"
Manifold Discrete Categories:
Question: Pragmatically, it can be categorically affirmed that there is a myriad of distinct specific kinds of ___________ domains that has been establish for which exist a number of different types of ___________ practical applications as well. What they can offset is what the concealed elements can achieve. How?
Answer: Indeed, it has been proved by facts that numerous multiple distinct genre of genetic domains are existent and therefore their applications are also multiple. Some of them can prevent the access of DNA to the transcribing machinery and alter the relations between the genes.
Sequences in the Genome:
Question: ___________ are sequence which are present in the genome of an organism and that assists in regulating the ___________ of the gene in ___________ with other ___________. Reveal the things that should not be seen and where they are kept.
Answer: Regulatory elements is a term used to mean sequences that exits in the genome of organism that assist in the management of the gene on how it should be co-expressed with other genes and elements. These include promoter, enhancer and silencer elements which function by being near the genes with which they interact, or within these genes.
Bond Breaking Between A-T vs. G-C:Changes in the bond breaking of A-T VS G-C:
Question: As much as it is similarly easy to break the bond between A and T as much it is to break the bond between G and C either one can support or oppose the inference with valid reason.
Answer: Support: The contact between adenine (A) and thymine (T) is double hydrogen bond engage between while the engage between guanine (G) and cytosine (C) is of triple hydrogen bonds. G-C pairs are formed with an additional hydrogen bond in contrast to A-T pairs, this is why energy is required to split G-C pairs more than is needed for A-T pairs.
Role of Enhancing Factors During Transcription:Enhancing Factors in Gene Transcription:
Question: There is need to evaluate the role that enhancing factor has during transcription direction.
Answer: Promoters are sequences of DNA which are responsible for the activation of genes which in turn enhance the probability of transcription of a gene by a factor. They achieve this by binding to certain transcription factors and with the promoter of a gene in order to enhance the rate of transcription.
Falsify the Following Concerning Enhancer Sequences:Fill in the Blanks in the Following Concerning Enhancer Sequences:
Question: The following statements have to be fakes with regard to the enhancer sequence: This is not what tissular selectivity is or was supposed to do.
Answer: Falsify: Enhancer sequences are well known participate in the patterns of tissue specificities. They can work in the regulation of the genes to be expressed in specific tissues or at some phase of development by laying on the tissue specific factors.
Within a DNA Double Helix:In the context of the DNA Double Helix:
Question: Thus inside of a DNA double helix
Answer: The DNA conformation is because two strand of nucleotides are twisted with respect to each other or in the form of a double helix. The strands are linked covalently, but the secondary structure is held together by the hydrogen bonds, between A-T and G-C types of base pair and this is antiparallel.
Acetylation of Histone and Transcription:Histone Acetylation and Transcription Activators:
Question: Well, to the extent that increase in the transcription of the genome can be attributed to acetylation of histone?
Answer: Some of the deficits of acetylated histones are that it reduce the positive charges of histone proteins and therefore, reduce the binding capacity of histone to DNA. This bestows on chromatin structure a more relaxed appearance in order to admit transcription factors and RNA polymerase and therefore increase transcription.
Histone Modification:
Question: _________ of histone __________ particle takes place at the __________ tail. DNA packaging that is global in nature is the process that is engaged in the regulation of higher-order chromatin structure? In other words, what is at the very essence of this?
Answer: The labelling modifi cation suffered is that of acetylation of the histone H3 particle at the lysine end tail. As a repressor of histone DNA interactions, acetylation reduces the higher order organisation of chromatin by playing it open for transcription and other DNA related events.
Methylation of Bases:
Question: State the following as concerns methylation of bases. It brings about regional alteration of A-DNA to Z-DNA.
Answer: Change: It alters the gene function and its manifestation but contrary to what is widely believed it does not convert A-DNA to Z-DNA It is associated with methylation of bases particularly the cytosine residue that is found in the CpG dimer. Thus, CpG methylation mainly affects the expression of genes but does not induce a change of the DNA to Z-DNA conformation.
Gene Imprinting:
Question: As mentioned above, gene imprinting simply refers to mechanisms under which certain genes becomes types of ‘switched off’ or ‘activated’ depending on the parent of origin of the gene.
Answer: Imprinting is an epigenetic phenomena and plays an important role in circumstances, where the genes are expressed with the specificity of the parent from which they were inherited. This means that each gene is inherited in a pair: the dominant allele from the mother and recessive from the father, or the dominant allele from the father and recessive from the mother, but out of the two alleles only one will be effective, the other is non-effective. It has significant functions in development and pathogenesis and is controlled by methods such as DNA methylation and histone modification with selective expression.
