​Shamans view health and illness from a different perspective compared to the conventional medical perception: shamanic views associate energetic loss and spiritual connection or disconnection with certain types of diseases (Lawson, 2016). For example, illnesses such as anxiety, depression, and other psychological disorders are spiritually connectedand require spiritual intervention rather than conventional medicinal treatments. Further, similar signs and symptoms are not caused by the same energetic loss, and therefore, each requires a different spiritual approach.

​Shamans approach the healing process through prayers because they believe diseases are caused by various etiological factors, including malevolent agents and evil spirits. Hence, rituals performed by special persons are the remedies for most ailments, although they might include herbalists to prescribe traditional medicines. Additionally, the shamanic view involves prevention measures such as burnt incense to keep away evil spirits, black magic, and other disease-causing agents (Penkala-Gawęcka, 2017). Similar to the conventional medication processes, the shamanic approach recognizes a specialized person, a healer who performs the rituals by invoking the ancestral spirits and prescribing herbal medicine, while the prevention measures are carried out by everyone, especially the parents and elders, to protect their children and families.

​Nurses interact with various patients whose perspective toward life and the afterlife varies. In most cases, terminally ill patients or patients with life-threatening conditions ask questions about the meaning of life and the nature of spirituality (Goldstein, 2019). Nurses with shamanic perspectives easily and deeply engage the patients in religious philosophies and spirituality. Indeed, the shamanic approach to health and illness adds to holistic nursing practices.

DQ#2 Yirlem

Natural disasters cause negative consequences on communities and states as they wreak havoc and cause loss of lives and property. Tornadoes are common examples of disasters that have resulted in devastating effects on communities. The catastrophes, also, result in situations of competing needs and claims from the affected societies. Distributive justice ensures the distribution of benefits and equal allocation of burdens in situations of scarce resources.

In 2021, a series of tornadoes ripped across six states killing hundreds of individuals. The states of Kentucky, Mississippi, Tennessee, Illinois, and Arkansas were greatly affected by the disaster. Most casualties were reported in Kentucky, with at least 74 people dead, which was recorded ad the worst event in the state’s history (Cohen, 2021). Most homes were reduced to nothing resulting in displacements of most families. The impact affected life and livelihoods causing pressure on nearby accommodations as people moved to find shelter.

The Federal Emergency Management Agency (FEMA) was tasked with implementing initiatives that reduce barriers to accessing and delivering equitable outcomes for all survivors. The government agency commits to serving all individuals regardless of differences in their backgrounds and existing language barriers (FEMA, 2021). The ethical principle of justice, distributive justice, aims to offer relief assistance in all situations to all affected societies (James and Gilliland, 2016). Personnel who have experience working with Hispanic and Latino communities were assigned to reduce the potential ethnic barriers.

Module 02 Discussion – Disorders of the Central Nervous System (CNS)

You are preparing to work as a nurse in the neurology unit. The preceptor informs you to be prepared to discuss the following topics as they are commonly seen on the unit. In order to prepare, choose one of the following topics of interest as your initial discussion posting. Use this course’s resources and one evidence-based article to explore the topic of your choice.

1.  How do you assess a client when the nurse suspects the onset of CVA?
2.  Provide discharge information for a client with mild TBI.
3.  Discuss surgical management of brain tumors.
4.  Describe postoperative complications of a craniotomy.

Encounter date: ________________

 

Patient Initials: ______ Gender: Female__________ Transgender ____ Age: _________

 

Weight __________ Height _________ Pregnant: _________Gestational Age: __________

Last US Date: ________________

 

Chief Complaint :

 

 

 

HPI:

Menstrual history:

Age at menarche:

Last menstrual period: Menstrual pattern: Cycle length:

Duration of flow: Amount of flow: Bleeding pattern:

Associated pain (dysmenorrhea):

Break through bleeding:

Pre menopause/menopause: yes no

Vasomotor symptoms: yes no, if yes explain________________________________________

Hormone replacement therapy: yes no

 

Contraception: yes no Current method; satisfied with method? Yes no

Previous methods, including complications, reasons discontinued?

Cervical and vaginal cytology:

Most recent Pap smear result

History of abnormal Pap smears? If so, nature of diagnosis, treatment, and follow-up

History of sexually transmitted infections:

Vaginitis?

History of pelvic inflammatory disease?

Any difficulty conceiving in past? If so, prior evaluation and treatments

Sexually active:

History of sexual abuse or sexual assault?

Obstetric history:

G

T

P

A

L

 

Describe any maternal, fetal, or neonatal complications?

 

 

 

Allergies (Drug/Other):

 

PMH:

Current or past illnesses

Hospitalizations

Past surgical history

 

Current Meds:

 

Family Hx:

 

Immunization: Use attach table to document.

Social history: __ Married __Widowed __Single __ Divorced __Cohabitating Partner

Lives: ___ Home ___Alone ___ Family ___Caretaker __ ACLF ___ SNF ___

Other: Smoke ____ ETOH _________ Recreational Drug Use __________

Review of Systems:

General:

HEENT:

Eyes-

Ears-

Neck-

Nose-

Mouth-

Throat-

Lungs-

Cardiovascular-

Breast-

GI-

GU/Male/female genital-

Neuro-

Musculoskeletal-

Activity & Exercise-

Psychosocial-

Derm-

Nutrition-

Sleep/Rest-

 

 

Physical Exam

 

General:

HEENT: __________________________________________________________________________________________

Pulmonary: _________________________________________________________________________________________

Cardiovascular ______________________________________________________________________________________

Breast_____________________________________________________________________________________________

Abdomen __________________________________________________________________________________________

Rectal _____________________________________________________________________________________________

Male/female genital __________________________________________________________________________________

External genitalia:

Discharge:

Smell:

Pelvic pain:

Lesions, pruritus or burning:

Cervical motion:

Fundus height:

Musculoskeletal _____________________________________________________________________________________

Neuro _____________________________________________________________________________________________

Derm______________________________________________________________________________________________

Psych_____________________________________________________________________________________________

Misc ______________________________________________________________________________________________

 

Assessment

 

 

Significant Data/Contributing Dx/Labs/Misc

 

(Differential Diagnoses)

1.

2.

3.

4.

5.

6.

Plan (Consider: Diagnostic, Therapeutic, Educative, Referrals, & Follow-up)

1.

2.

3.

4,

5.

6.

 

Signature__________________________________________________________________________________________

 

 

Cite current evidenced based guideline(s) used to guide careMandatory)

1._____________________________________________________________________

Provide A Description Of The Issue, The Controversy And Its Impact On Health Care Providers.

-Funding primary prevention has been cited as a potential cost containment measure towards controlling skyrocketing health care costs. Define primary prevention and provide examples of how this might be true.

Rubric for Graduate Admissions Writing Sample # _______________

Response and exploration of the content of the article

An insightful, logical and compelling response to the content of the article. The writer’s insights about the impact of the author’s ideas on education are clear and well-supported. (6-7 pts)

A logical response to the ideas presented in the article. The writer’s thoughts regarding the impact of the author’s ideas on education are fairly well supported. (4-5 pts)

The response to the ideas presented in the article lacks depth and/or substance. Presentation of the impact of the author’s ideas on education is weak or non-existent. (1-3 pts)

Discussion A well-focused and coherent discussion that articulates complex ideas clearly and effectively. The writer presents multiple complex ideas. (5-6 pts)

A discussion that is generally focused with some organization and structure. The writer presents some complex ideas. (3-4 pts)

A discussion that lacks coherency and/or lacks the presentation of complex ideas. (1-2 pts)

Key Points Key points present in the article are identified and summarized effectively. (5 pts)

Most of the key points present in the article are identified and summarized. (3-4 pts)

Several key points at the heart of the article are not identified or summarized poorly. (1-2 pts)

Vocabulary and Sentence Structure

Vocabulary choices are precise and sentence structure is varied in a way that is both effective and interesting. (4 pts)

Vocabulary and sentence structure are appropriate and conveys meaning clearly. (3-4 pts)

Vocabulary selected lacks precision and clarity and/or sentence structure may detract from meaning. (1-2 pts)

Mechanics The response reflects effective control of all elements of mechanics including grammar and spelling. (3 pts)

Some minor mechanical errors such as spelling or grammar are demonstrated, but they do not interfere with meaning. (2 pts)

Mechanical errors are serious and interfere significantly with the writer’s meaning. (1 pt)

Total: ____________