Assignment: Childhood Lead-poisoning

NURSING QUESTIONS

QUESTION 1)According to the CDC, “Housing conditions can significantly affect public health. Childhood leadpoisoning, injuries, respiratory diseases such as asthma, and quality of life issues have been linked to themore than 6 million substandard housing units nationwide.”,(http://www.cdc.gov/nceh/lead/healthyhomes.htm).In response to these types of hazards, the Healthy People objectives include multiple objectives relatedto “healthy homes”. There is also a manual, “The Surgeon General’s Call to Action to Promote HealthyHomes”, (http://www.ncbi.nlm.nih.gov/books/NBK44192/). Some local health departments offerservices related to these hazards.How does your local health department address some of these hazards? For example, does yourhealth department offer lead screening?Answer:Reference;

QUESTION 2:One of the public and community health nursing roles we have the opportunity to explore this weekis the role of the nursing leader.According to Rasmussen College, “Just because you have an impeccable bedside manner does notmean that you will be able to lead others to do the same. Managers have to be able to lead, inspireand motivate others to give the best care possible.”,(http://www.rasmussen.edu/degrees/nursing/blog/how-to-become-a-nurse-manager/).How does your facility prepare nurses to become nursing leaders?ANSWER:REFERENCE:

QUESTION 3As we relate the concept of health literacy and patient education on a broader scale, to the publicand community health nursing roles, what types of readability index will you be using for yourWeek Six teaching brochure projects? What are some approaches that will better reach yourtarget audience?ANSWER:REFERENCE:

QUESTION 4)April 28th has been designated as International Workers Memorial Day, and wasoriginally developed to acknowledge the workers who have died or have “suffered from exposures tohazards at work”, (http://www.hazards.org/wmd/news.htm). According to the Morbidity and MortalityWeekly Report, “In 2012, a total of 4,383 U.S. workers died from work-related injuries…and therewere nearly 3 million injuries and illnesses to private industry workers…”, (MMWR April 25, 2014 /63(16); 341-341).Worker’s Memorial Day can be a good opportunity for an OHN to promote work place safety. Thewebsite,http://www.workermemorialday.org/, provides tools to organize an event, and lists individualstates that are recognizing the day with conferences, safety promotion activities, etc.What are some examples of how this day could be promoted by an OHN?ANSWER:REFERENCE:

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QUESTION 5)One of the public health issues in the schools is medication administration.Some of you noted in the Week Three paper, that an Asthma Action Plan would have been helpfulfor the school nurse, which may include the use of medications.According to the position statement of the National Association of School nurses, “It is the position ofthe National Association of School Nurses to support students with asthma who actively participatein the self-management of their condition and in self-administration of prescribed inhaled quick reliefbronchodilator asthma medications (rescue inhalers).”,(www.nasn.org/PolicyAdvocacy/PositionPapersandReports/NASNIssueBriefs).How do your local schools address the issue of school children carrying their own inhalersor an epi-pen in school? What is the school nursing role related to the policy?ANSWER:REFERENCES:

QUESTION 6)One of the issues in correctional facilities is opioid dependence and withdrawal.According to Incarceration and Opioid Withdrawal: The experiences of methadone patients and outof-treatment heroin users, “Both heroin-addicted individuals and methadone maintenance patientsare likely to face untreated opioid withdrawal whileincarcerated.”(http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2838492/).How does methadone treatment in US prisons compare to other developed countries? Whatare some examples of the nursing roles associated with methadone use in prisons?ANSWER:REFERENCES;

QUESTION 7)As we look to the future at evolving nursing roles, the Institute of Medicine’s (IOM), 2010 report, TheFuture of Nursing: Leading Change, Advancing Health is a must read for all nurses, and can beaccessed at http://www.iom.edu/Reports/2010/The-Future-of-Nursing-Leading-Change-AdvancingHealth.aspx.Some of the key recommendations included in the report are:”Nurses should practice to the full extent of their education and training.

Nurses should achieve higher levels of education and training through an improved educationsystem that promotes seamless academic progression.Nurses should be full partners, with physicians and other health care professionals, in redesigninghealth care in the US.Effective workforce planning and policy making require better data collection and informationinfrastructure.”As nurses, we comprise the majority of the health care workforce. What are some of the waysthat nurses can promote or implement these recommendations?ANSWER:REFERENCES:

QUESTION 8)In July 2014, the US DHHS and the Department of Justice (DOJ) released the ElderJustice Roadmap, to address the complex issues associated with elder abuse, neglectand exploitation, (http://www.ncea.aoa.gov/Library/Gov_Report/index.aspx).What are some of the nursing roles and responsibilities related to the reporting of abuse andneglect?ANSWER:REFERENCE:

QUESTION 9)As we relate this to the nursing role of patient educator, this highlights the issue of role modeling.For example, can nurses who smoke, be good smoking cessation counselors? What aresome of the advantages and disadvantages of role modeling as a patient teaching strategy?

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