Please do a comment base in these answers. Write at least 130 words. Resources must be right.

Comment 1

The first step would be to enquire and try to ascertain why the mother is reluctant to breastfeeding her child. Apparently, the nurse should approach the mother without any judgmental attitude to enable the mother to open up. It through the discussion with the mother that the patient is likely to ascertain the reason why the mother is not interested in breastfeeding the child. Usually, embarrassment, cultural norms, and lactation problems are some of the major causes that cause barriers to breastfeeding (Rollins et al. 2016).

In case a mother is avoiding breastfeeding due to issues such as embarrassment, the nurse should educate the mother on the importance of breastfeeding to both the mother and the child. In most cases, especially new mothers, they lack proper information about the importance of breastfeeding. The nurse should also address the potentially hazardous effects of formula –feeding to the mother. It is after taking the mother through the information that the mother should conclude. Breastfeeding is a personal decision and should be left entirely to the mother after being fed with all the relevant information.

Despite the choice, the mother chooses as a nurse one should be able to give directions on what the mother should do after that and the proper ways of feeding the child. For instance, the nurse should be able to tell the mother the best formula- feeding food for the infant. Where a mother reverses her decision and chooses to breastfeed the nurse should advise on the position and the best duration that is recommended by the doctors which are usually the critical first six months (Kalhoff & Kersting 2017)

Comment 2

As the nurse performing the health assessment of a newborn, I will start of by acknowledging the mother’s fear and feelings. I will inform the mother that such feeling in the beginning is normal, however I will also educate the mother the importance of breastfeeding.  According to the World Health Organization (WHO), breastfeeding reduces mortality rate and has health benefits that extends throughout the babie’s lifespan. Breastmilk being the natural food for babies, it is very rich in nutrients and antioxidants that helps the newborn acquire nutrients and fight infections they have not been exposed to.It provides all the energy and nutrients that the infant needs for the first months of life, and it continues to provide up to half or more of a child’s nutritional needs during the second half of the first year, and up to one-third during the second year of life ( Breastfeeding, 2018). Colostrum which is the thick first milk that you make during pregnancy and just after birth. This milk is very rich in nutrients and includes antibodies to protect the baby from infections.Colostrum also helps your newborn’s digestive system to grow and function. Your baby gets only a small amount of colostrum at each feeding, because the stomach of a newborn infant is tiny and can hold only a small amount Women’s Health, 2018).However, I will also help the mother how to properly breastfeed her newborn. Ensuring proper latching is important in order to make sure the infant is getting adequate amount of breastmilk. After I explain to the mother the importance of breastfeeding , and how to breastfeed, I will assess her knowledge on how to breastfeed with return demonstration. I will also ask the new mother for further questions.

"Get 15% discount on your first 3 orders with us"
Use the following coupon
FIRST15

Order Now

nutrition homework

please follow the instructions I posted. and please don’t choose a website article. it should be  a journal article . I also posted an example of how the paper should be.

"Get 15% discount on your first 3 orders with us"
Use the following coupon
FIRST15

Order Now

Health -care system

1. In the last century, what historical, social, political, and economic trends and issues have influenced today’s health-care system? 

2. What is the purpose and process of evaluating the three aspects of health care: structure, process, and outcome? 

3. How does technology improve patient outcomes and the health-care system?

4. How can you intervene to improve quality of care and safety within the health-care system and at the bedside? 

2. Select one nonprofit organization or one government agencies that influences and advocates for quality improvement in the health-care system. Explore the Web site for your selected organization/agency and answer the following questions: •

What does the organization/agency do that supports the hallmarks of quality? • 

What have been the results of their efforts for patients, facilities, the health-care delivery system, or the nursing profession? •

How has the organization/agency affected facilities where you are practicing and your own professional practice?

Essentials of Nursing Leadership & Management
6th Edition

Sally A. Weiss  MSN, EdD, RN, CNE, ANEFRuth M. Tappen  EdD, RN, FAAN ISBN-13: 978-0-8036-3663-7

"Get 15% discount on your first 3 orders with us"
Use the following coupon
FIRST15

Order Now

2 please answer base in this answer in APA format .Write at least 250 words , please answer the comments by number and list your answers please, thank you

  

Education is key here regardless of whether the mother wants to breastfeed or formula feed. I think helping the mother see the benefits of breastfeeding is important but also helping her know that she will be supported regardless is also important. Also, providing the mother with education on signs and symptoms of malnutrition such as the amount of wet diapers is important so that she knows what to look for and when to notify a provider should these symptoms start to occur. Situations like this can also cause a lot of stress on the mother and feelings of inadequacy can occur so assessing the mother carefully for any signs of post-partum depression or discouragement is also important as you mentioned. Helping the mother to know that there any many resources available to her is also important.

  

2-Because of the mother’s reluctance to breastfeed, the first assessment I would do immediately is to determine the status of the infant. Checking to ensure adequate hydration by asking about the number of wet diapers and checking the infant for lethargy or dry mucous membranes would be the first priority.

After determining the safety of the infant, I would utilize the rest of the information gained from the functional health assessment to determine the needs and decisions the mother would like to made.

In either case, I would be interested to know if she has adequate support systems in place, including child care and the nature of her employment because breastfeeding can be impacted by these situations both for timing of feeding, milk supply, and opportunities for pumping. If the mother has decided to breast feed, a lactation consultant might be a good resource for support and education. A website such as womenshealth.gov/breastfeeding could also be given as a resource if there is available access to the internet.

The newborn’s health will be a priority regardless of her decision. Education concerning development will be important, and it would be important to determine the level of understanding the mother has about feeding an infant and what her body requires to provide an adequate and healthy milk supply. Adequate nutrition and hydration through breastfeeding is determined by output and weight gain. Nutritional status of the mother is an important consideration. Referral to public assistance programs specifically geared towards the nutritional health of breastfeeding and pregnant women and children such as the Special Supplemental Nutrition Program for Women, Infant and Children (WIC) would be an important consideration if there is financial concern in the family. In a longitudinal study Sonchak determined that this program did not decrease breastfeeding initiation, and in fact increased breastfeeding (2017). The health benefits of breastfeeding for the infant should be discussed as being the best option for feeding the baby, but without pressure, blame, or shame if that is not a viable option for this mother or family.

For formula feeding, the developmental milestones and health status would be the same. The method of preparing the feeding would need evaluation to see if education is needed. In feeding formula, the type of formula and the method of preparation are two areas that frequently need education. Cow’s milk should not be an option until after the child is 1 year of age, and the proper concentration of formula must be emphasized in order to ensure the child is receiving the appropriate number of calories and nutrition. WIC will also help provide formula if the mother has a financial need, and dilution of the formula to save money would be less likely.

Finally, the emotional component should be assessed and addressed. Mothers frequently feel guilt, regardless of their choice of method to feed their baby. By providing education on what the baby’s needs are and what the signs and symptoms are for adequate nutrition as well as what to look for if there is a problem, the mother can alleviate guilt by providing the best nutritional plan for whichever method she chooses. By focusing on the health of the infant she will be able to clearly decide how to best meet the nutritional needs in a way that works for her, her budget, and her lifestyle.

References

Sonchak, L. (2017). The impact of WIC on breastfeeding initiation and gestational weight gain: Case study of South Carolina Medicaid mothers. Children And Youth Services Review, 79115-125.

U.S. Health and Human Services, (2018). Breastfeeding. [HTML] Retrieved from https://www.womenshealth.gov/breastfeeding 

  

3-If I found out that the mother of the newborn infant was reluctant to breastfeed her baby, I would get more information from the mother. I would ask the mother if she’s fearful, is it any religious beliefs, does she think it’s painful, or is it because she doesn’t have much information about breastfeeding. It’s important to assess her knowledge of breastfeeding prior to beginning any education to see what areas need further education. Assessing her ability and willingness to learn is also important. After understanding why, she is reluctant to breastfeed, I would educate her on the benefits of breastfeeding. It is easier for babies to digest breast milk than it is to digest formula. Breast milk contains antibodies that help the baby fight of viruses and bacteria later in life. It helps builds the infants immune system and infants tend to get sick less often. “Breast milk has all the nutrients an infant needs to grow. Breastfeeding lowers the infants risk for developing asthma and allergies” (WebMD, n.d.). Breastfeeding is a way that the mother and infant can bond.

It is during infancy that their nutrient requirements per pound of body weight are proportionally higher than any other time during their life cycle (United States Department of Agriculture, 2009). It is important to know if the baby is getting the proper amount of nutrients if the mother breastfeeds or bottle feeds. It is common for a mother who breastfeeds to worry about her infant getting enough because there is no way to measure the breast milk if the infant is drinking from the breast. Unfortunately, this will discourage mothers from breastfeeding. As nurses we can reassure the mother that there are ways to confirm that the baby is receiving enough nutrients needed. If the infant is gaining weight each visit or if the infant is soaking 6 diapers or more in a 24-hour period. If the infant stops eating, isn’t fussy, and seems satisfied than he/she is getting enough to eat. When infants are bottled fed, you can look for these signs to tell you if the infant is getting enough.

As a nurse, our main priority is to always show support with whatever decision our patients. Making sure the new mothers have all the resources available to them is important. As nurses, we can encourage our new mothers to breastfeed and it is important that we are readily available to them when and if they have any questions or concerns.

Department of Agriculture. (2009). Infant nutrition and feeding.

Retrieved 3/26/2018, from https://wicworks.fns.usda.gov/wicworks//Topics

/FG/Chapter1_NutritionalNeeds.pdf

"Get 15% discount on your first 3 orders with us"
Use the following coupon
FIRST15

Order Now

assigmnent 8

  Pain in the eledrly with demntia Article

Pain and Dementia

1.  What is the incidence of pain in Nursing Homes?

2.  Name three chronic conditions and three acute conditions that can cause pain in the elderly?

3.  What is the incidence of pain for cancer patients with active disease and those with advanced

         disease?

4.  Why are dementia patients so difficult to evaluate for pain?

5.  What are the names of two instruments for evaluating a patient’s pain?

6.  What pain assessment instrument is specifically suggested for the elderly?

7.  What scale can be utilized to measure pain for advanced dementia patients?

8.  What three drugs should be avoided in the elderly?

"Get 15% discount on your first 3 orders with us"
Use the following coupon
FIRST15

Order Now

Maternity week 9 discussion 2

 

How do the priorities for health teaching (need to know) differ when the perspectives of nurses are compared with the perspectives of women and their families who have given birth and are preparing for discharge with their new baby?

39 words 

"Get 15% discount on your first 3 orders with us"
Use the following coupon
FIRST15

Order Now

P3 and P4

 Hello i need a Good and Positive Comment related with this argument .A paragraph  with no more  100 words   .    

"Get 15% discount on your first 3 orders with us"
Use the following coupon
FIRST15

Order Now

s1

Write a 500‐750‐word essay on the influence patient education has in health care using the experiences of a patient. Interview a friend or family member about that person’s experiences with the health care system. You may develop your own list of questions. APA 12 front 

Suggested interview questions: Did a patient education representative give you instructions on how to care for yourself after your illness or operation? Did a health care professional, pharmacist, nurse, doctor, or elder counselor advise you on your medication, diet, or exercise? Who assisted you at home after your illness or operation? Do you know of any assistance services, i.e., food, transportation, medication, that would help you stay in your home as you get older?

"Get 15% discount on your first 3 orders with us"
Use the following coupon
FIRST15

Order Now

HSA 530 ASS1

 

Assignment 1: Health Care Human Resources Management

Due Week 3

Imagine that you have applied for the position of Manager of Human Resources at an acute care hospital in your community. The hospital is planning to expand its services to meet the needs of a growing community. As part of the application screening process, you have been asked to write a document that outlines the steps you would take, as the manager of HR, to improve the effectiveness of HRM in this organization.

Write a three to four (3-4) page paper in which you:

1. 1.     Analyze two (2) current trends in health care that are affecting human resources management that may likely impact your hiring decision as HR manager. Provide support for your analysis.

2. 2.    Suggest a significant opportunity for HR to become more of a strategic partner within an organization. Justify your response.

3. 3.    Recommend a model of human resources management that would be the most appropriate for this organization in question. Provide support for your recommendation.

4. 4.    Recommend a strategy that HR could implement in order to develop more effective relationships between Human Resources and the organization’s managers and senior executives, indicating how each strategy will achieve the desired goal.

5. 5.    Determine a specific employment law that may affect the hiring and selection process at the acute hospital in your community. Provide support for your rationale.

6. 6.    Use at least three (3) quality academic resources in this assignment. Note: Wikipedia and other Websites do not qualify as academic resources. 

Your assignment must follow these formatting requirements:

• Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.

• Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.

The specific course learning outcomes associated with this assignment are:

• Analyze the unique aspects of managing human resources (HR) in health care organizations.

• Evaluate the effects of major employment laws on HR functions in health care organizations.

• Evaluate the competencies necessary for effective health care human resources management.

• Use technology and information resources to research issues in health services human resource management.

• Write clearly and concisely about health services human resource management using proper writing mechanics.

Grading for this assignment will be based on answer quality, logic / organization of the paper, and language and writing skills, using the following rubric.

"Get 15% discount on your first 3 orders with us"
Use the following coupon
FIRST15

Order Now

Thesis

  

Thesis topic/Thesis Statement-Who should do it, and What should be done 

Introduction/Argument include purpose statement 

Argument Against and Rebuttal

Faith Integration, Nursing Impact, and Conclusions  –

"Get 15% discount on your first 3 orders with us"
Use the following coupon
FIRST15

Order Now