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Sustainability Trends
1. Read the article “Sustainable Healthcare Design: Existing Challenges and Future Directions for an Environmental, Economic, and Social Approach to Sustainability” located in this week’s Electronic Reserve Readings.(a) What does this article say about the sustainable health care for the environment, economic and social approach?(b) Class, do you think people would be more protective of the environment if they understood the close relationship between the environment and human health? How does one increase this awareness?
(2) Environment and core values Posted by Dr. Tricia Jenkins, Nov 14, 2017, 10:48 AM Historically, environmental performance has not been thought of as a core business value for hospitals. Little attention was given to the environmental impact of healthcare organizations, except guided by regulatory requirements. Schettler (2001) presents an evolving continuum of the changing nature of organization behaviors, three tiers of environmental performance, as healthcare organizations begin to recognize the symbiotic relationship with the environment.
The first level, Tier 1, consists of mandatory compliance behaviors with regulations established by the Environmental Protection Agency and other state and local agencies. The environmental performance goal of Tier 1 organizations is to meet regulatory requirements in order to stay in business.
Tier II healthcare institutions have moved beyond only compliance. They are concerned about public health and their impact on environment, often propelled by economic incentives or community forces. They may take action to reduce medical waste or to phase out use of mercury-containing devices and polyvinyl chloride (PVC) plastics, where possible, without sacrificing quality of care. Tier III organizations understand the link between health and the environment and seek to align with the environment, with long term plans to reduce their ecological footprint (Pencheon, 2015). At Tier III, environmental performance is institutionalized as a core value at all levels.
Sustainability Trends
References
Pencheon, D. (2015). Making health care more sustainable: the case of the English NHS. Public Health, 129(10), 1335-1343.
Schettler, T. (2001, May 4). Environmental challenges and visions of sustainable health care, Paper presented at CleanMed Conference, Boston, MA.
(a). How does the level of performance behaviors reflect an organization’s core values? How does one move an organization further along the continuum?
(3) .Read the article “Optimal Decision Model for Sustainable Hospital Building Renovation-A Case Study of a Vacant School Building Converting into a Community Public Hospital” in this week’s Electronic Reserve Readings. (a) In what way did this community Renovation help in this decision modeling to build this hospital?
(4). .Read the article “Optimal Decision Model for Sustainable Hospital Building Renovation-A Case Study of a Vacant School Building Converting into a Community Public Hospital” in this week’s Electronic Reserve Readings. (a) Discuss sustainable health care facility design and its implications.
Sustainability Trends
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What Mathematics Means to Me as a Teacher and Learner
What do you need to know and learn in order to teach mathematics effectively?
As a teacher the effectiveness of using images to enhance the ability of the students to understand the concepts. According to Sousa, (2015), brain imaging increases the ability of the students to understand the concepts that are being taught. Additionally, one should build on the memory of the students. An instructor should make sure that the students can relate the topic to an earlier lesson that they have been taught. It increases their participation level.
Moreover, the teachers need to have a comprehension of the working memory of their students. This enables them to structure their lesson plans effectively by breaking down them into portions. Small portions make it easy for the students to understand the topic. Lastly, the teachers should be able to discern the suitable learning environment and instructional setting applicable to their students (Sousa, 2015). Students with a disability have different needs and levels of understanding to those without disabilities. The teacher should also be able to detect the emotional stability of their students to enhance their learning experience.
What do your students need to know and learn for long-term mathematics success?
Students need to understand that mathematics is dependent subject. It relates to concepts that they have learned in the lower classes. Moreover, mathematics is an active subject that requires the student to participate in the various activities to enhance their comprehension. Also, mathematics is not about memorization but understanding of the basics. Understanding the basics enables them to be able to solve difficult questions (Sousa, 2015).
Moreover, it increases their ability to manipulate the various aspects of mathematics either in form of simple or word problems. Additionally, Mathematics requires regular practice to reinforce the concepts taught in the minds of the ready. Regular practice will increase their proficiency in manipulating various problems that are presented to them. Finally, mathematics is a fun subject that requires an open mind and readiness from the students to enable them to perform effectively.
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As this is Part II of your two-week exploration of instruments used to analyze a family and/or community, choose the remaining two assessment instruments that you did not select in last week’s discussion: sociograms & culturagrams.
Investigate these resources further on your own and/or review the following resources, which were also provided in the previous discussion:
Then practice with the instrument by diagramming the same family as you did in Module Two so that you can see the variation in the instruments.
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You can use Microsoft Word to create your diagram by using the shape and line features, or you may hand draw the diagram. The diagrams will be uploaded with your discussion so that your peers can see your work and so you can demonstrate their use when applied to a family or community.
In your submission, answer the following questions:
What did you learn about the family (either your own family or a TV/movie family) during this process that you did not know before?
Given your use of all four tools over the past two weeks, which two tools did you find to be most helpful? Provide a rationale for your selection of the two most helpful tools.
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Gender Frustration
Culture is a fundamental aspect of conflict and its determination. It impacts how people formulate and interpret perceptions, about themselves, others and events. It is also necessary to recall that cultures are dynamic and relate to the figurative element of life. The metaphorical dimension is the place where we are constantly making meaning and enhancing our distinctiveness.
While cultures are powerful, they are usually unconscious, influencing conflict and attempting to resolve it in ways that are not visible. In short, cultures impact the ways we label and castigate others and how we solve social impasses. A person with a Confucius upbringing, for instance, looks at life through the lenses of peace and harmony.
Consequently, someone that grew up in a Jihadist background and fundamentalism holds the view that violent killing is the shortest route to heaven. All these extreme perceptions are the byproduct of culture. However, the slanted view that men are required to fix everything as opposed to crying is not a reflection of the reality by whatever standards. This paper will discuss frustrations that come with expectations imposed by society on the men.
Gender Frustration
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There’s this warped notion that the corporation demands of men are that aspect of being physically strong. While being physically strong seems absurd to comment, it remains the commonest of anticipation of men to be strong, muscular, perhaps more powerful than the engine and one that can leap all tall structures in a single bound. The reality is that much of these expectations are anchored on competitiveness.
Furthermore, the society looks at men based on the depth of their wallet. Currently, women income is increasing while men are required to be rich and sole providers of their families. Failure to meet such standards makes them girly. In the society, women must be beautiful, and men should be wealthy. The society requires that a man should have money as well as material possession. The amount of money a man earns should be higher that his girlfriend or wife. Whether men are wealthy company managers or middle-level managers, earning less than their wives, makes the society question their masculinity.
Another misconception that is intense is the pressure on male to be winners. For acceptable masculine, the male should be passionate about their position. Also, men that are not interested in sports are regularly seen as derision. The society looks at men based on hierarchy, those at top stronger and better among others. Nevertheless, men ego is accountable for roughly 90% of the conflicts in human history. In fact, men have limited prospects. Being the winner and at the top is a definitive issue of men culture.
Again, the society does not recognize all male who dominate and the small alpha-male subcategory. As a matter of fact, 99% of women and 95% men are primarily subservient to about 2-3% of the population. Unless one is an autonomous professional or CEO in a firm, he can spend much of his career taking orders from somebody that can quickly end his career while forcing your family into bankruptcy at any time without justification.
Gender Frustration
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The society requires that men should know how to fix a flat tire, computer or broken door. Culturally, men are expected to have some innate ability to fix any broken physical object. Some men learn from a tender age that for them to be considered as men, means being able to fix things, particularly mechanical ones. This brings into perspective fascinating self-satisfying prophecies.
From a tender age, boys are required to think about mechanical things- in fact, they are taught the way of doing it by their fathers or elder brothers, or other males who are good at fixing and tinkers. Because they are taught how to fix objects, they have a higher chance to learn how to perform it. Since they know the fixing, they are the one women turn to for help.
These highlights the belief that males are better than females while reinforcing the expectations of men that they are better and do not want others to think that they are sissies. Even gay men, who on the whole seem to feel a lot more free of these gender expectations than straight men, have a pre-determined tendency to buy into the strong man myth, for self and their objects of desire.
In the end, while it is largely beneath the surface, cultures are ever-changing points of departure that situate us in certain ways and away from other directions. We all belong to diverse cultures that give us messages concerning what is standard, appropriate, and anticipated. Our cultural differences tend to surface when we become unable to meet our expectations. Moreover, the disparities between others can be faulted for bad faith or lack of judgment on the part of others, not indicating that common sense is cultural. In this respect, whatever is shared in one group might look weird, or unethical to another.
Gender Frustration
Works cited
Hampden-Turner, Charles M., and Fons Trompenaars. Building cross-cultural competence: How to create wealth from conflicting values. Yale University Press, 2008.
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Special Emergency Reaction Team (SERT)
John B. Wilson files a claim against the city of Modesto for injuries incurred while trying to get fit in order to qualify as a member of the special emergency reaction team (SERT). Wilson who was exercising outside of his working hours claimed that he got injured in the line of duty as he sought to be fit enough for the physical tests required for SERT membership four times a year. It was ruled that Wilson was hurt during non-working hours and that his decision to exercise was not part of his work schedule.
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This case affects U.S. companies and in effect suggests that a company should clearly outline activities and time during which a person is covered for injury compensation. Worst case scenario is that Wilson would not be compensated because joining SERT is considered a voluntary act. His exercise was therefore not in the line of duty. The best case scenario would be where Wilson is granted compensation based on the fact that he was injured while trying to be fit enough for SERT, which is part of his work.
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Fiduciary Duty
Critical Legal Thinking Cases
ERISA
In this case, trustees to the United Pension Fund (Plan) took advantage of their position to administer loans to themselves without any written applications, specified interest rates or repayment periods. The trustees were sued by the secretary of labor for breaching fiduciary duty.
The court ruled out that the trustees did not act prudently because they failed to ask for evidence of ability to repay, charge fair interest rates, enter into written agreements and demanding repayment once loans were due; as provided by 29 U.S.C. § 1104(a)(1)(B)
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This case definitely affects businesses in the United States because it cautions on the management and investment of employee pension. The case insinuates that businesses have the duty to protect employees’ pension plans. Any kind of loans given to parties of interest should be available to all participants of the plan on reasonably equivalent terms and at reasonable interest rates.
The worst case scenario in this case is that the trustees would be found guilty of breaching fiduciary duty and misusing their position to obtain unreasonable loans. The best case scenario would be for the trustees to be acquitted of the charges based on Texas usury statute which prohibits attaching interest rates which are greater than 10 percent.
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Police
Question 1
Police officers have an important role to play in the society. They serve to protect all people from both internal and external attacks. The United States police are divided into different department across the United States. However, their role remains the form. The force was formed centuries ago and since then they have played an important role in the society. Nevertheless, their roles have differed considerably since the civil through the First and Second World War.
Question 2
The United States joint policy has been used to determine its relation to other countries across the globe after the civil war. Its foreign policy has been known to directly affect countries which do not practice democratic process. Since the United States is a superpower, it has the ability to have an effect or influence on the other countries (Hook & Spanier,2015) directly. The United States is branded by its public war policy across the whole world.
Question 3 The first aspect involves the pancontinental railroad or manufacturing rebellion which distorted the United States as one of the biggest financial powers. The second aspect involves their promotions to see that Christianity has been implemented in different countries. Thirdly, the United States play a role in influencing European countries to implement their policies (Jervis, 2013).
Question 4
The policy has influenced the Vietnam war of 1964, the civil conflict in Somalia of the year 1991 and the Iraq combat that took place during the years 2003 to 2011 (Mead, 2013). Question 5
The Vietnamese war was initiated by the failure of some countries to respect international treaties while the war in Iraq was influenced by war while elections influenced the conflict in Somalia.
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Alzheimer’s disease
Since patient wandering and confusion are common for the patient with moderate-to-severe Alzheimer’s disease, what would the RN teach the family about maintaining a safe environment? Provide three examples.
The RN should teach the family that patients diagnosed with Alzheimer can comfortably live in their homes, provided the safety measures are put in place. The family members must be educated on ways Alzheimer disease causes changes in the patient’s brain and body functions. This affects the patient reasoning, judgement, physical ability, behaviour, cognitive functions and sense of time (Bridenbaugh, Monsch & Kressig, 2012).
The family should be taught on ways to identify the possible dangers. The hazardous areas should be locked. Drugs and other chemical substances should be stored out of reach, in lockable cupboards. The family must be ready for emergencies. This implies that they should keep emergency phone numbers such as fire departments and local police helplines. The family members should ensure that the safety devices are working.
These include smoke detectors and carbon monoxide detectors and fire extinguishers. Walkways should be well lit to prevent falls. All weapons such as guns or other types of weapons must be removed. Basically, the home must be well lit, ventilated and free from hazards. The home should not be too restrictive, but one that encourage social interaction and independence (Schneider, 2011).
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To prevent the patient from wandering, the patient’s relatives and care givers should be taught the following strategies. To start with, they should create a daily activity plan. This helps identify the times of the day that wandering occurred. The patient must be reassured whenever they feel lost, disoriented or abandoned. The care giver must refrain from using correcting the patient using harsh voice.
All patients’ basic need must be met. They should not allow the patient to go places that trigger confusion and disorientation such as grocery stalls, malls or other venues that are busy. The doors must remain locked, and keys including car keys put out of sight. The patient must never be left alone i.e. they should always be under supervision. If the main issue is night wandering, devices that signal motions should be used (Lacey, Jones, Trigg & Niecko, 2012).
How would the RN adjust the teaching based on the family’s educational level, socioeconomic status or culture? Provide two examples
Despite the increase emphasis on patient centred care, when it comes to coping strategies for Alzheimer, the healthcare provider should focus on family centred care. In this case, the RN must conduct a family assessment to understand patient structure as well as style. This helps RN formulate effective teaching plan (Skoog, 2011).
To begin with, the RN should evaluate the barriers that would hinder the family ability to deliver health care. This includes the ages, sex and health status of the family member. The family socioeconomic status influences the teaching strategy. People from high socioeconomic status are most likely to be educated, thus basic healthcare can be used during the teaching process.
However, those from low income households tend to have low level of education which determines people’s attitudes and perceptions of care. Additionally, some family members lack basic knowledge of the disease. Cultural backgrounds could make some patients to believe in folk medicine. These factors must be addressed when teaching the patient’s family members (Trigg, Jones, Lacey & Niecko, 2012).
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What are common symptoms of caregiver role strain?
The demands of giving care to Alzheimer patients are very taxing which can lead to care givers strain and burnout. These are manifested through stress, anxiety, exhaustion, and sleep disturbances. Other common symptoms of care giver role strains include changes in appetite, depression, withdrawal and mood swings (Trigg, Jones, Lacey & Niecko, 2012).
Provide one nursing diagnosis statement (statement must include an actual nursing diagnosis, related factor and as evidenced by) that may be appropriate for a patient with moderate-to-severe Alzheimer’s disease.
Anxiety related to stress and situational crisis as evidenced by insomnia, restlessness, memory loss, and cognitive functions deficits.
References
Bridenbaugh, S., Monsch, A., & Kressig, R. (2012). How does gait change as cognitive decline progresses in the elderly?. Alzheimer’s & Dementia, 8(4), P131-P132. http://dx.doi.org/10.1016/j.jalz.2012.05.349
Lacey, L., Jones, R., Trigg, R., & Niecko, T. (2012). Caregiver burden as illness progresses in Alzheimer’s disease (AD): Association with patient dependence on others and other factors—Results from the Dependence in Alzheimer’s Disease in England (DADE) study. Alzheimer’s & Dementia, 8(4), P248-P249. http://dx.doi.org/10.1016/j.jalz.2012.05.660
Trigg, R., Jones, R., Lacey, L., & Niecko, T. (2012). Relationship between patient self-assessed and proxy-assessed quality of life (QoL) and patient dependence on others as illness progresses in Alzheimer’s disease: Results from the Dependence in Alzheimer’s Disease in England (DADE) study. Alzheimer’s & Dementia, 8(4), P250-P251. http://dx.doi.org/10.1016/j.jalz.2012.05.667
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Mental Health Consumer Care
“How would you feel when almost every individual within the society treats you differently by avoiding any form of interaction? Well, no one prefers to be treated that way. Mental health consumers are more often marginalized because of their mental state. This aspect can worsen their entire being and situation, which can propel them to neglect the self. By definition, a mental health consumer refers to persons who use mental health services in order to empower their mental health status while obtaining support or treatment.
Evidently, suffering from mental illness can be devastating to a patient and that situation can affect various aspects of their lives ranging from their physical status to their emotional being. On the other hand, self-neglect refers to the behavioral situation in which a person neglects or fails to attend to their personal basic needs such as feeding, appropriate clothing, tending appropriately to medical conditions, feeding or personal hygiene. Nonetheless, in extreme cases of self-neglect, the situation can be inferred to as Diogenes syndrome (Townsend, 2013).
Despite the severity of self-neglect in a mental health consumer, nursing professionals need to care for them in an attempt to improve their mental health issues. This presentation focuses on the relevance of nursing care of mental healthcare consumers who self-neglect to modern mental health nursing as well as to recognize the appropriate linkages with other mental health care providers.
In order to appropriately identify patients suffering from mental health problems, it is ideal to identify the various aspects that help in identifying them or the factors that assist in characterizing them. Most cases involving self-neglect are often recognized as a result of numerous complaints received from several sources such as community organizations, neighbors, GPs and healthcare professionals (Naik, Lai, Kunik & Dyer, 2008).
The process of managing and identifying cases is very complex and difficult, which requires a multi-disciplinary and multi-agency approach. Based on several studies, individuals with mental health problems are often poor and indulge in smoking habits, lack exercise, consume alcohol, have poor diets and consumer other drugs (Middleton, 2008; Richardson, 2007). The deteriorating state of their daily lives often affects their energy levels, organization skills, attention, physical abilities or motivation.
The effect on the patient can cause them to neglect the self. Studies also indicate that the side effects of certain psychiatric medications can cause a decrease in the motivation levels among mental patients (Townsend, 2008; Gunstone, 2003). Therefore, self-neglect among mental patients can be caused by illness alone. With the help of medical practitioners including nursing care cases of self neglect among mentally ill patients re likely to reduce.
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Notably, nurses constitute the largest population of health care professionals, thus, they have a key role in the management and identification of self-neglect among mentally ill patients. The relevance of nursing care to mental healthcare consumers in the modern nursing practice can be identified through the assessment, diagnosis, outcome identification, planning, and implementation and evaluation steps (Peate, Wild, & Nair, 2014).
In the initial process, nurses establish a database in which the database relates to the client using assessment tools such as KELS, geriatric depression scale and nutrition assessment (Pickens et al., 2007). The next process involves identifying the patients’ health care needs as well as the specific goals for care. The third process involves establishment of the specific criteria that measures the achievement of anticipated outcomes while the forth process involves designing the most appropriate strategy that facilitates the achievement of the desired goals.
The implementation process involves initiating and finishing actions that are necessary in accomplishing goals as the final process involves determination of the degree to which the objectives and goals of the implemented care have been achieved (Boyd, 2010). Through this sequential step, a nursing practitioner is capable of analyzing personal achievements in relation to providing care to patients, especially those with mental illness and having self-neglect. The outcomes of this process help both the nursing specialists and other medical professionals to identify the various steps that in deed help in solving the problem of self-neglect among mentally ill patients, for future referencing.
Currently, the nursing profession is working towards providing holistic care to patient. This means that other than assisting patients within hospitals, nurses also help patients outside the hospitals such as acceptance within the society. With reference to mentally ill patients, they are among the mostly segregated groups of people within the society. The nursing education helps in providing additional knowledge to nurses and it is disseminated to the public by informing them that mentally ill patients are just like other people with slight differences in their ways of thinking and making decisions.
Some of the interventions include adult protection services, drug misuse rehabilitation, housing services, budgeting services and neurological assessment among many others (Lauder, Anderson & Barclay, 2005). These shape the current approach in providing care to patients by integrating friendly approaches towards the patients. By dealing with cases of self neglect, nurses are capable of reducing the stigma that mental patients receive, which in turn promotes their general well-being.
In conclusion, within the modern nursing field, practitioners are more propelled towards the identification and management of self-neglect cases among mentally ill patients as a means of preventing the reoccurrence of the phenomenon. Since nurses constitute the largest portion of individuals within the health care sector, they play a chief role in ensuring the provision of proper care to patients.
In the nursing profession, taking care of mentally ill patients helps in identifying the most appropriate ways of providing care. Treating mentally ill patients with self-neglect issues helps in improving the health of the patients in general.”
Lauder, W., Anderson, I., & Barclay, A. (2005). A framework for good practice in interagency interventions with cases of self-neglect. Journal of Psychiatric and Mental Health Nursing, 12, 2, 192-198. http://www.ncbi.nlm.nih.gov/pubmed/15788037
Pickens, S., Naik, A. D., Burnett, J., Kelly, P. A., Gleason, M., & Dyer, C. B. (2007). The utility of the Kohlman evaluation of living skills test is associated with substantiated cases of elder self-neglect. Journal of the American Academy of Nurse Practitioners, 19, 3, 137-142. http://www.ncbi.nlm.nih.gov/pubmed/17341281
