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Wk 6 discussion: Work life conflict

  • Go to The Seven Challenge Areas for Work-Life Balance on the Life Coach Directory website or an appropriate source of your choice to review challenge areas for work-life balance.
  • Determine two work-life challenges that may be faced within any organization by military personnel such as reserve and National Guard members; people who speak with accents or have English fluency concerns; or gays and lesbians. Examine at least two employment laws that protect your selected group. Next, outline a plan that could assist an organization in protecting the selected group from discrimination.

Link: https://www.lifecoach-directory.org.uk/memberarticles/the-7-challenge-areas-for-work-life-balance

    Peer Response

     

    Anaida S.

    Hearing Loss

    Hearing loss is an extremely common medical condition, progressing in incidence and severity with age. The affected population is also vast, varying between neonates to elderly patients, and is nearly omnipresent in the 70+ age group (Anastasiadou & Al Khalili, 2023). The human ear is the organ of hearing and equilibrium. It detects and analyzes sound by the mechanism of transduction, which is the process of converting sound waves into electrochemical impulses. Audition cannot take place adequately if the anatomy is abnormal (de Nava & Lasrado, 2023). Normal hearing function involves sound waves arriving at the auricle, passing through the external auditory canal, causing a vibration of the tympanic membrane. Vibration is then transmitted via the ossicles (malleus, incus, stapes) to the cochlea. Subsequently, hair cells inside the cochlea stimulate the eighth cranial nerve that transfers the stimuli to the brain. Processing of crude sounds occurs in the higher cortices of the brain, and this includes the comprehension of language (Anastasiadou & Al Khalili, 2023). Hearing loss can be conductive, sensorineural, or mixed. In this work we will focus on identifying the differences between conductive and sensorineural hearing loss. In addition, we will propose some necessary questions during the interview with patients to identify risk factors for hearing loss.

    Differences between Conductive and sensorineural hearing loss

    The main difference between conductive and sensorineural deafness lies in the location of the damage. Conductive hearing loss takes place with disruption of the transmission of the sound waves to the cochlea (Anastasiadou & Al Khalili, 2023). This diagnosis covers a variety of conditions. This is because a pathology anywhere from the pinna and the external acoustic meatus to the foot of the stapes bone can produce a conductive hearing loss (Sooriyamoorthy & De Jesus, 2023). The most common causes include abnormal formation of the auricle or helix, cerumen impaction, ear canal foreign bodies, otitis externa, dysfunction or fixation of the ossicular chain, and middle ear effusion. Cholesteatoma, a benign though locally destructive trapping of squamous debris arising from the tympanic membrane, as well as other benign or malignant tumors, can result in conductive hearing loss (Anastasiadou & Al Khalili, 2023).

    For its part, sensorineural hearing loss (SNHL) usually results from problematic transmission of the stimuli at or after the cochlea. This may be a result of damage to the hair cells within the inner ear, the vestibulocochlear nerve, or the brain's central processing centers (Tanna et al., 2023). The main difference between the two kinds of hearing loss, apart from the pathophysiological features, is that patients with conductive hearing loss perceive the sounds diminished, while SNHL patients may perceive the sounds diminished and distorted (Anastasiadou & Al Khalili, 2023). The identification of the cause and location of the damage for hearing loss is essential for the planning of treatment, whether conservative medical, surgical, with hearing aids or with cochlear implants as necessary (Anastasiadou & Al Khalili, 2023).

    Useful questions for the patient to identify risk factors for hearing loss

    There are several risk factors for hearing loss, which is why during the evaluation of patients, it is important to investigate the possibility of the existence of some of these factors, since prevention work is as or more important than treatment. For example, we must include in the interrogation questions about the family history of hearing loss to rule out hereditary diseases (Dang & Hsu, 2023). In the case of children in whom early detection of hearing impairment or loss is so important due to its impact on language development, the prenatal and perinatal history should be in-depth (n.d.).

    One of the factors that must be asked about is exposure to noise, not only intense but also habitual or prolonged. Excessive occupational exposure to noise results in a well-recognized occupational hearing loss which is prevalent in many workplaces and now it is taken as a global problem (Hailu et al., 2024). We should also ask if you have had a history of head trauma or traumatic brain injury, falls, a history of ear infections, stroke, and certain chronic health conditions like diabetes, cardiovascular disease, and kidney disease (Dang & Hsu, 2023). Additionally, ear disorders such as Meniere disease, otosclerosis, and autoimmune inner ear disease elevate the risk of hearing loss (Dang & Hsu, 2023).

    Certain medications, known as ototoxic medications, can also contribute to hearing impairment. These include aminoglycosides, erythromycin, tetracycline, vancomycin, phosphodiesterase inhibitors, certain chemotherapeutic agents like cisplatin and 5-fluorouracil, and heavy metals including lead, mercury, cadmium and arsenic (Rizk et al., 2020). Adults expressing concerns about hearing loss or displaying signs of hearing impairment should undergo screening for early detection and appropriate intervention (Dang & Hsu, 2023)

    In summary, hearing loss can be conductive, sensorineural or mixed. Health professionals must know how to recognize the differences between conductive and sensorineural hearing loss for effective management of these disorders. Early diagnosis and identification of risk factors for hearing loss is important for better treatment and prognosis. Hearing loss promotion and prevention efforts play an essential role in avoiding or reducing the appearance or progression of hearing loss.

    References

    Anastasiadou, S., & Al Khalili, Y. (2023). Hearing Loss. StatPearls Publishing.

    Dang, J. C., & Hsu, N. M. (2023). Hearing loss screening guidelines. StatPearls Publishing.

    de Nava, A. S. L., & Lasrado, S. (2023). Physiology, Ear. StatPearls Publishing.

    Hailu, A., Zeleke, B., Ermias, Z., Duguma, F. K., Dula, S., Abaya, S. W., Shegen, S. M., Tucho, G. T., & Afata, T. N. (2024). Prevalence and associated factors of noise-induced hearing loss among workers in Bishoftu Central Air Base of Ethiopia. Scientific Reports14(1), 1–10. https://doi.org/10.1038/s41598-024-56977-4

    Rizk, H. G., Lee, J. A., Liu, Y. F., Endriukaitis, L., Isaac, J. L., & Bullington, W. M. (2020). Drug‐induced ototoxicity: A comprehensive review and reference guide. Pharmacotherapy40(12), 1265–1275. https://doi.org/10.1002/phar.2478

    Sooriyamoorthy, T., & De Jesus, O. (2023). Conductive hearing loss. StatPearls Publishing.

    Tanna, R. J., Lin, J. W., & De Jesus, O. (2023). Sensorineural Hearing Loss. StatPearls Publishing.

     (N.d.). Aap.org. Retrieved August 6, 2024, from https://publications.aap.org/pediatrics/article/152/3/e2023063288/193755/Hearing-Assessment-in-Infants-Children-and?autologincheck=redirected

      Prof Double R

       

      Overview

      A leader’s overall style will influence the way they communicate with others. In this module, you learned about varying leadership styles, including transformational and transactional leadership styles. In this course, the journal will be used for reflection. This is a private conversation between you and your instructor, and you are encouraged to deeply explore the concepts presented.

      Prompt

      Write a reflective journal video about different styles of leadership and how a leader communicates to varied stakeholders. As an adaptive leader, your communication strategy or style may pivot depending on your audience. You are not required to use sources; however, you can emphasize and support your thinking with resources if you feel it is applicable. Specifically, you will address the following questions:

      • Comparison: How does transactional leadership differ from transformational leadership? Explain.
      • Communication: How do you think each leadership style would approach communication with various stakeholders?
      • Impact: What is the impact if a leader does not recognize the need to adjust their communication based off the audience’s needs?

      What to Submit

      submit this assignment in a 1-page Word document 

        I upload an attachment for the project proposal

        The final presentation will be planned with your instructor once the outline is approved. Final Teaching projects will be presented to classmates and the instructor. The presentation site is preferably in the clinical setting. However, the instructor can hold it at the MDC Medical campus.

        Each student will present a population-level, evidence-based practice teaching intervention. The presentation should be 15 to 20 minutes at maximum.

        Information to include in the presentation consists of:

        1. Title of the project.

        2. Introduction (what is essential to learn about this issue). You may present statistics such as mortality, morbidity, incidence, and prevalence). 

        3. Findings of your assessment: why do you believe the topic is essential for the audience? Please indicate the learning objectives. After the presentation, the participant will:

        4. Include barriers and assets for your specific population. What can you teach to empower the population to take a proactive stand for wellness? 

        5. The presentation should be age, cultural, and health literacy-appropriate. 

        6. The health teaching presentation should provide accurate, evidence-based information to the participant. 

        7. The teaching presentation should have examples of outcomes, what happens if I change…., if I don't.

        8. The presentation should have examples of how to do the intended behavior.

        8. The presentation should have time for participants to ask questions and make comments. 

        9. The presentation should have a section that evaluates the audience's attainment of the education objectives. 

        This criterion is linked to a Learning OutcomeDescription of interest in community selected and identification of health evidence-based practice teaching intervention selected.Student should be able to describe his active service of citizenship, community engagement and social responsibility within the community selected. Student also described the evidence-based practice teaching intervention which will be presented.

        25 to >14.0 ptsProficient
        Student clearly articulates his/her ideas about active community engagement. Was able to communicate his topic based on community health needs.

        14 to >10.0 ptsDeveloping Proficiency
        Student did not demonstrate his engagement in the community. Was clear presenting his topic based on community health needs.

        10 to >0 ptsNeeds Improvement
        Student was not able to communicate his engagement in the community. Was not able to clearly communicate his topic based on community health needs.

        25 pts

        This criterion is linked to a Learning OutcomeDemonstrates Collaboration with Community StakeholdersDemonstrate reciprocity and responsiveness in his communication with community leaders and organizations. Maintained awareness to community cultural, educational, and health literacy levels.

        25 to >14.0 ptsProficient
        Student clearly articulates how his/her experience has been more than a one-way relationship. Student articulates how she/he was responsive to those served, and how she/he was affected or challenged, or changed by these relationships. Student was sensitive to the cultural needs, health literacy and educational levels.

        14 to >10.0 ptsDeveloping Proficiency
        Student showed lack of engagement and limited relationship with community members. Student was not able to assess properly the cultural needs, health literacy and educational levels of the community selected.

        10 to >0 ptsNeeds Improvement
        Student showed minimal engagement in the community selected. Did not assess the cultural, educational or health literacy needs of the community selected.

        25 pts

        This criterion is linked to a Learning OutcomeApplication of evidenced based teaching intervention.Student clearly demonstrates knowledge by applying evidenced-based information to the teaching intervention. Student utilizes evidence such as mortality, morbidity rates, and makes a critical analysis of the important social issues facing the population served. Teaching interventions shows depth and complexity of the healthcare needs of the community served.

        25 to >15.0 ptsProficient
        Student applied accurate, evidence-based information to the participants. The project includes benchmarks of attainable outcomes. The teaching intervention was well planned and appropriate for the community served.

        15 to >10.0 ptsProficient
        Student did not apply evidence-based information to the participants. The project includes benchmarks of attainable outcomes. The intervention was not well planned or relevant to the community served.

        10 to >0 ptsNeeds Improvement
        Student did not apply evidence-based information to the participants. The intervention lacked planned outcomes to be achieved.

        25 pts

        This criterion is linked to a Learning OutcomeEvaluation of teaching presentation to participants.Teaching presentation contained introduction, learning objectives, findings and recommendations. Student was able to reflect on the barriers or limitations of the particular health project within the community.

        25 to >14.0 ptsProficient
        Student adhered to allotted time 15-20 minutes. Presentation was clear, contained introduction, learning objectives, findings and recommendations. Audience had time for questions and clarification of material. The presentation utilized visual elements such as images, graphics, charts, slides and other visual aids to convey information, ideas or messages to the audience.

        14 to >10.0 ptsDeveloping Proficiency

        10 to >0 ptsNeeds Improvement
        Student did not adhere to allotted time 15-20 minutes. Presentation did not follow required format. Audience did not have time for questions and clarification of material. The presentation did not utilize visual elements such as images, graphics, charts, slides and other visual aids to convey information, ideas or messages to the audience.

        25 pts

        1

        Wideline Colin

        Miami Dade College

        NUR 4636L: Community Health Nursing Practicum

        Dr. Violr4ts Aguilar-Figuly

        June , 2024

        Goal:

        The community teaching project aims to empower patients with diabetes to effectively manage their condition, improve their quality of life, and reduce complications associated with diabetes.

        Analysis of the Issue

        Identify the challenges faced by patients with diabetes, such as lack of knowledge about the disease process, difficulty in recognizing symptoms of high and low blood sugar, environmental factors affecting diabetes management, dietary choices, and adherence to treatment guidelines.

        Stakeholders:

        Engage key stakeholders such as diabetes educators, healthcare providers, community leaders, and patient advocacy groups to ensure a comprehensive and collaborative approach to the project.

        Target Group:

        The target group for this project includes individuals recently diagnosed with diabetes who require education and support to manage their condition effectively.

        Educational Objectives:

        – participants will verbalize increased knowledge and understanding of the diabetes disease process.

        – they will be able to identify the signs and symptoms of hyper and hypoglycemia.

        – they will identify solutions to environmental impacts on diabetes management.

        – develop an appreciation for a balanced diet and understand the importance of monitoring blood glucose levels.

        – utilize the American Diabetes Association guidelines for optimal blood glucose control.

        Implementation Plan:

        1. Develop educational materials and resources on diabetes management, healthy lifestyle choices, and blood glucose monitoring based on evidence-based practices.

        2. Organize interactive workshops, seminars, and one-on-one sessions to educate participants on diabetes self-care practices, dietary guidelines, and medication management.

        3. Collaborate with healthcare professionals to provide hands-on training on insulin administration, glucose testing, and symptom recognition.

        4. Create a support network for participants to share experiences, seek advice, and stay motivated in managing their diabetes effectively.

        5. Evaluate the effectiveness of the educational interventions through pre-and-post assessments, feedback surveys, and follow-up sessions to measure knowledge gain and behavior change.

        By following these steps, the community teaching project can successfully equip patients with diabetes with the knowledge, skills, and resources needed to lead healthier lives and effectively manage their condition.

        Specific:

        – Target Group: Recently diagnosed diabetes patients in the community, including pre-menopausal women at risk for diabetes.

        – Issue: Lack of knowledge and skills in managing diabetes effectively, leading to potential complications.

        – Location: Community Health Center in a low-income neighborhood.

        – Timeframe: 2-month program duration, with weekly sessions on Tuesdays from 6-8 pm.

        Measurable:

        – Objective 1: Identify Signs and Symptoms of Hyper and Hypoglycemia

        – Conduct a pre-assessment to gauge participants' current knowledge of hyper and hypoglycemia symptoms.

        – Provide educational sessions and practical demonstrations on recognizing and responding to hyper and hypoglycemia.

        – Post-assessment at the end of the program to measure the improvement in participants' ability to identify symptoms. Aim for at least an 80% increase in correct identification.

        Achievable:

        – The program will be conducted in collaboration with a diabetes educator and volunteer healthcare professionals.

        – Educational materials, such as brochures and handouts, will be provided to participants to reinforce learning.

        – Community partnerships will be utilized to ensure access to necessary resources and support.

        Relevant:

        – The objectives align with the overall goal of empowering patients to manage their diabetes effectively and improve their quality of life.

        – By enhancing participants' knowledge and skills, the project aims to reduce the risk of complications and promote self-care behaviors.

        Time-Specific:

        – Weekly sessions will cover different aspects of diabetes management, including diet, exercise, medication adherence, and monitoring.

        – By the end of the 2-month program, participants should demonstrate improved knowledge and skills in diabetes self-care, as measured by post-assessments and surveys.

        Monitoring/Evaluation:

        – Post-assessment surveys will be conducted to evaluate participants' knowledge and attitudes regarding hyper and hypoglycemia.

        – Feedback sessions will be held to gather insights from participants on the effectiveness of the program and areas for improvement.

        – Participant progress will be tracked throughout the program to ensure engagement and adherence to educational objectives.

        By following this detailed action plan and incorporating the SMART criteria, the community teaching project on diabetes management can effectively address the identified objectives and empower participants to take control of their health and well-being.

        References

        American Nurses Association. (n.d.). Nursing Resources & Support for Opioid Crisis.

        Centers for Disease Control and Prevention. (n.d.). Opioid Overdose. Retrieved from https://www.cdc.gov/drugoverdose/index.html

        Healthy People 2030. (n.d.). Leading Health Indicators. Retrieved from https://health.gov/healthypeople/leading-health-indicators

        Substance Abuse and Mental Health Services Administration. (n.d.). Prevention of Opioid Overdose. Retrieved from https://www.samhsa.gov/medication-assisted-treatment/treatment/opioid-overdose

        Retrieved from https://www.nursingworld.org/practice-policy/nursing-excellence/opioid-education-hub/

        week 5

         

        This week, we are covering the topic of politics (e.g., political philosophy).  Politics is mainly about making policies or rules.  Our society is full of policies such as speed limit laws, tax laws, minimum wage laws and the list goes on.  However, one thing we have to remember is that laws are time specific.  This means that laws are tailor made for the time period that society is in.  For instance, the United States Constitution, our fundamental law, has no policies regarding using a cell phone while driving.   Why?  There were no cars and cell phones in the year 1776.  But we live in 2024 and we now have cell phones, cars, air planes, computers and a lot more.  That means that we have to create lots of new laws to accommodate to the rapidly changing technology of our times.  

        For this week's discussion, please view the videos and reply to the questions lelow.

        Video 1

         

        1. According to Professor Ahmed Banafa's research, why are large companies like Levi's using AI models?

        2. What percent of jobs might be lost? What new jobs might be created?  

        3. Based on this video, what is the next step in AI evolution?

        Video 2 (Twilight Zone, Season 5, Episode 33, 1964)

         

        6. After viewing this video, do you think this is the path society is on with AI?

        7. Just last weet, a New York Times article from July 10, 2024Links to an external site. reported that the Artifical Intelligence program developed by Google beat an 18 time world "GO" champion (e.g., board game similar to chess, checkers).   If we could completely copy a person's genes and add the artificial intelligence where this "thing" can act, talk, look like, think, walk and do everything a person can do (and even better) would this be considered a human?  

          politcal

           

          Week 5 – Political Philosophy: Youth and Voting

          In a democracy such as ours, we give people to right to vote in order to make decisions on policies.  This is especially critical for our young people in college.  Think of the possible differences we can make with colleges, student loans and getting your first job in your field of career.  Please watch the following 2 videos and respond to the questions.

          Video 1

          Do young people vote?

           

          Video 2

          What are young people willing to give up for the right to vote?

           

          Discussion Questions

          1.  Do young people vote?  What does the video say?  What is your take on the same question?

          2.  What are young people willing to give up for the right to vote?  What percent of young people are willing to give up the right to vote?  Why do you think this is so?

          3. Do you think voting is effective? Why or why not?  If it is not really effective, what else can we put in place of it?

            dive

             

            1. What is strong atrificial intelligence?

            2. What is weak artificial intelligence?

            Please watch the following videos and respond to the questions.

            Video 1

            https://youtu.be/9OocJsRv5zk

             

            1. Why is there a rise in self check out machines according to the video?

            2. How would you feel if you did all you could to prepare for the future (e.g., finishing high school and college, getting student loans, working hard to get your dream job) just to find out that a machine can replace my job for lower cost with less error?

            Video 2

            https://youtu.be/iNKFOCki42I

             

            3. Based on Video #2, what does everyone think are the two possible consequences of AI?

            4. What does "Domain Specific Expertise" mean in Stage 3 of AI?

            5. What are the three possible responses humans can take as AI improves in the future based on this video?

            6. The following are a list of jobs or career fields that are threatened by artificial intelligence based on a Google search.  Pick one of the following job/career fields and explain why you think the job is threatened by artifical intelligence (Please keep in mind this is a projection based on a Google search and it is only a projection of what may happen and not that it will occur).

            AI Job Threatened.png

              Nursing Critical Research Appraisal Assignment

               

              Critical Research Appraisal Assignment

              Goal:

              You will critically appraise a research design

              Content Requirements: 

              You will select one research report with a qualitative design and one with quantitative design and answer the following questions regarding the following categories:

              1. Discuss what is meant by the term Qualitative Research
                • Briefly, describe the characteristics of qualitative research and identify nursing issues/phenomena that lend themselves to a qualitative research approach.
                • Compare and contrast three different qualitative research methodologies.
                • Briefly, discuss the strengths and weaknesses of qualitative research evidence for informing nursing practice.
                • Communicate how this research design used in research.
              2. The study, sampling, data collection, analysis, rigor, findings and limitations
                • Identify the purpose of the study.
                • Briefly, describe the design of the study and explain why you think it is either appropriate or inappropriate to meet the purpose.
                • Identify ethical issues related to the study and how they were/were not addressed.
                • Identify the sampling method and recruitment strategy that was used.
                • Discuss whether sampling and recruitment were appropriate to the aims of the research.
                • Identify the data collection method(s) and discuss whether the method(s) is/are appropriate to the aims of the study.
                • Identify how the data was analyzed and discuss whether the method(s) of analysis is/are appropriate to the aims of the study.
                • Identify four (4) criteria by which the rigor of a qualitative project can be judged.
                • Discuss the rigor of this study using the four criteria. 
                • Briefly, describe the findings of the study and identify any limitations.
                • Use the information that you have gained from your critique of the study to discuss the trustworthiness and applicability of the study. Include in your discussion any implications for the discipline of nursing.
              3. Discuss what you understand by the term Quantitative Research – Use the following dot points to guide your discussion (give reasons for your argument and support with references):
                • Describe the characteristics of quantitative research.
                • Identify nursing issues/phenomena that lend themselves to a quantitative research approach
                • Differentiate between observational and interventional research designs and also between experimental and quasi-experimental designs.
                • Briefly, outline the difference between inferential and descriptive statistics and their relationship to levels of measurement.
                • Communicate how this research design used in research.
              4. Critique the Quantitative Research Report – Use the following headings to guide your critique (in all discussions and explanations give reasons for your argument and support with references):
                • The study
                  • Identify the purpose and design of the study.
                  • Explain what is meant by ‘blinding’ and ‘randomization’ and discuss how these were addressed in the design of the study.
                  • Identify ethical issues related to the study and how they were/were not addressed.
                •  Sampling
                  • Explain the sampling method and recruitment strategy that was used.
                  • Discuss how the sample size was determined – include in your discussion an explanation of terms used.
                • Data collection
                  • Briefly, outline how the data was collected and identify any data collection instrument(s).
                  • Define the terms validity and reliability and discuss how the validity & reliability of the instruments were/were not addressed in this study and why this is important.
                • Data analysis
                  • Outline how the data were analyzed.
                  • Identify the statistics used and the level of measurement of the data described by each statistical test – include in your discussion an explanation of terms used.
                • Findings and limitations
                  • Briefly, outline the findings and identify any limitations of the study
                  • Use the information that you have gained from your critique of the study to briefly discuss the trustworthiness and applicability of the study. Include in your discussion an explanation of the term statistical significance and name the tests of statistical significance used in this study.
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