Assessing the problem: leadership, collaboration, communication, change management, and policy considerations

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Define a patient (56 year old African American male) with hypertension as his health problem- (summarize the problem you’ll explore (hypertension) , identify the patient (56 year old African American male), provide context, data, or information that substantiates the presence of the problem and it’s significance and relevance to the patient, explain why this problem is relevant to your practice as a baccalaureate prepared nurse.

Analyze evidence from peer reviewed literature and professional sources that describes and guides nursing actions related to the patient and problem you’ve defined-( note whether the authors provide supporting evidence from the literature that’s consistent with what you see in your nursing practice, explain how you would know if the data are unreliable, describe what the literature says about barriers to the implementation of evidence based practice in addressing the problem you’ve identified, describe research that has tested the effectiveness of nursing standards and/or policies in improving patient outcomes for this problem, describe current literature on the role of nurses in policy making to improve outcomes, prevent illness, and reduce hospital readmissions, describe what the literature says about a nursing theory or conceptual framework that might frame and guide your actions)

Explain how state state board nursing practice standards and/or organizational or governmental policies could affect the patient problem being identified- ( describe research that had a tested the effectiveness of these standards and/or policies in improving patient outcomes for the problem, describe current literature on the role of nurses in policy making to improve outcomes, prevent illness and reduce hospital readmissions, describe the effected of local, state and federal policies or legislation on your nursing scope of practice within the context of this problem)

Propose leadership strategies to improve outcomes, patient centered care, and the patient experience related to the patient problem- ( discuss research on the effectiveness of leadership strategies, define the role that you anticipate leadership must play in addressing the problem, describe collaboration and communication strategies that you anticipate will be needed to address the problem, describe the change management strategies that you anticipate will be required to address the problem)

Sample Solution

Hypertension, or high blood pressure, is a serious health problem that affects an estimated 1 in 3 adults. The condition can increase the risk of other health issues such as heart attack and stroke (CDC, 2020). In this case study, we will discuss the issue of hypertension in relation to a 56 year old African American male patient who presents with elevated blood pressure readings.

Data from the Center for Disease Control (CDC) illustrate that African Americans are at higher risk for developing hypertension than any other racial/ethnic group (CDC, 2020). This is due to factors such as lower socio-economic status which can lead to poorer access to healthcare services or limited knowledge about healthy lifestyle choices needed to reduce the risk of hypertension. Additionally, research indicates that African Americans face an increased risk due to biological predispositions towards certain diseases including hypertension (Lorenzi et al., 2018).

For baccalaureate prepared nurses, it is important to be aware of this correlation between race and hypertension when treating patients. Hypertension is a chronic condition but its effects can be managed by making lifestyle changes or prescribing medications. It is important for nurses working in diverse settings to recognize these potential disparities and create individualized care plans accordingly so that all patients have equal access to quality care regardless of their race or ethnicity (Lorenzi et al., 2018).

 

My Earliest Memory

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First recollections of oneself can be effortlessly mistaken for manufactured recollections made by seeing old pictures, films, and hearing stories identified with one’s very own history. This is the situation for me: I have seen such a significant number of home films, heard such huge numbers of tales about myself, and seen such a significant number of pictures about my youth, I don’t know for certain what my first memory is in reality. Since I can’t pinpoint my first memory precisely, I will unfurl a progression of recollections that were the most punctual in my adolescence.

trees in windI recollect around evening time glancing through the huge glass windows of our front room at the tremendous pine trees and douglas fir trees, which brushed against our white fence. The trees would influence once in a while fiercely in the breeze, as it was basic in Seattle around evening time. I would watch the trees move, accepting to see many alarming and unusual shapes framing in obscurity, as though the trees were alive in a cognizant manner. The trees would move into the kinds of beasts my creative mind conjured up. I would inform my mom concerning the shapes and structures, yet as a typical mother would do, she attempted to quiet me down rather than cooperate with my ghostly obsession.

Another sharp early memory of mine was the point at which I analyzed my body. I was interested, as most kids may be, about the surface and type of the body we are given during childbirth. Since the beginning, I had four activities: two open heart medical procedures, and two hernia medical procedures. I would feel my scars, which scale up my chest and travel close to my crotch as though they were scenes, consumed into my skin until age would blur them away. Other than scars, I would savor over the littlest of points of interest about my eyes, which have hazel lines dashing away from the understudies. I would look at my life state through my eyes: I could perceive how I was all in all through them. My hands were likewise a state of interest for me: my left hand is altogether littler than my correct hand in light of medical procedures. Looking at them was and still is somewhat of a fixation of mine.

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I figured out how to ride a bike very early, however I don’t recollect the specific age. My dad was an expert cyclist at a certain point, and he needed his child to be sharp in the game too. Be that as it may, I recollect my first endeavor to ride a bike without preparing wheels finishing shockingly and entertainingly. Out on the central avenue alongside our home, where there were basically no vehicles driving around in those days because of less populace, I began OK on a little kid bicycle. My equalization was fine from the beginning, however then I got overexcited and lost my parity, in the long run crushing into our post box. In spite of the fact that my father was worried about my wellbeing from the start, after he saw that nothing genuine had transpired, he chuckled decisively and was making jokes about me. I didn’t feel disheartened—actually, I was snickering along following a couple of moments.

I have a lot progressively dispersed recollections that could consider first recollections, despite the fact that they are blended in with my impressions from watching home films, seeing pictures, and hearing anecdotes about my adolescence. We may not know our first memory for certain, yet once we attempt to uncover it, the world we lived in as a youngster pours through the perspective of visual idea, bringing back the air of this time into the present minute, similar to an incense smoke that delicately twists around our present detects.

exposition about existence, article design, chronicled essa

 

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