Flu Epidemic of 1918

Flu Epidemic of 1918 Digital History ID 1112Date:1918Document: Camp Devens, Mass. Surgical Ward No. 16 29 September 1918My dear Burt,It is more than likely that you would be interested in the news of this place, for there is a possibility that you will be assigned here for duty, so having a minute between rounds I will try to tell you a little about the situation here as I have seen it in the last week.As you know, I have not seen much pneumonia in the last few years in Detroit, so when I came here I was somewhat behind in the niceties of the Army way of intricate diagnosis. Also to make it good, I have had for the last week an exacerbation of my old “Ear Rot” as Artie Ogle calls it, and could not use a stethoscope at all, but had to get by on my ability to “spot” `em thru my general knowledge of pneumonias…Camp Devens is near Boston, and has about 50,000 men, or did have before this epidemic broke loose. It also has the base hospital for the Division of the Northeast. This epidemic started about four weeks ago, and has developed so rapidly that the camp is demoralized and all ordinary work is held up till is has passed. All assemblages of soldiers taboo. These men start with what appears to be an attack of la grippe or influenza, and when brought to the hospital they very rapidly develop the most viscous type of pneumonia that has ever been seen. Two hours after admission they have the mahogany spots over the cheek bones, and a few hours later you can begin to see the cyanosis extending from their ears and spreading all over the face, until it is hard to distinguish the coloured men from the white. It is only a matter of a few hours then until death comes, and it is simply a struggle for air until they suffocate. It is horrible. One can stand it to see one, two or twenty men die, but to see these poor devils dropping like flies sort of gets on your nerves. We have been averaging about 100 deaths per day, and still keeping it up. There is no doubt in my mind that there is a new mixed infection here, but what I don’t know. My total time is taken up hunting rales, rales dry or moist, sibilant or crepitant or any other of the hundred things that one may find in the chest, they all mean but one thing here–pneumonia–and that means in about all cases death.The normal number of doctors here is about 25 and that has been increased to over 250, all of whom (of course excepting me) have temporary orders– “Return to your proper station on completion of work”–Mine says, “Permanent Duty,” but I have been in the Army just long enough to learn that it doesn’t always mean what it says. So I don’t know what will happen to me at the end of this. We have lost an outrageous number of nurses and doctors, and the little town of Ayer is a sight. It takes special trains to carry away the dead. For several days there were no coffins and the bodies piled up something fierce, we used to go down to the morgue (which is just back of my ward) and look at the boys laid out in long rows. It beats any sight they ever had in France after a battle. An extra long barracks has been vacated for the use of the morgue, and it would make any man sit up and take notice to walk down the long lines of dead soldiers all dressed up and laid out in double rows. We have no relief here; you get up in the morning at 5:30 and work steady till about 9:30 p.m., sleep, then go at it again. Some of the men of course have been here all the time, and they are tired.If this letter seems somewhat disconnected overlook it, for I have been called away from it a dozen times, the last time just now by the Officer of the Day, who came in to tell me that they have not as yet found at any of the autopsies any case beyond the red hepatitis stage. It kills them before it gets that far.I don’t wish you any hard luck Old Man, but do wish you were here for a while at least. Its more comfortable when one has a friend about. The men here are all good fellows, but I get so damned sick o’ pneumonia that when I eat I want to find some fellow who will not “talk shop” but there ain’t none, no how. We eat it, sleep it, and dream it, to say nothing of breathing it 16 hours a day. I would be very grateful indeed it you would drop me a line or two once in a while, and I will promise you that if you ever get into a fix like this, I will do the same for you.Each man here gets a ward with about 150 beds (mine has 168), and has an Asst. Chief to boss him, and you can imagine what the paper work alone is– fierce–and the Government demands all paper work be kept up in good shape. I have only four day nurses and five night nurses (female) a ward-master, and four orderlies. So you can see that we are busy. I write this in piecemeal fashion. It may be a long time before I can get another letter to you, but will try.Good-by old Pal,”God be with you till we meet again”Keep the Bouells open,RoySource: PBS film, Influenza 1918*****After reading this and understanding the present situation,what are your initial feelings about what was being discussed in this article ? What was the author writing about in this article? (1 full page, single spaced)Document 4

Read more

Ethical Duty

Then write a 2–3 page paper that considers the following:Discuss whether you believe that Facebook has a legal or ethical duty as to what gets posted on its platform. If someone is recorded and viewed getting hurt, is Facebook legally liable to the victim? Why or why not?Research and suggest three ways that social media platforms such as Facebook can be more proactive and thorough in reviewing the conduct and content of what appears on their sites, and in preventing acts of violence. Support your answer.Determine whether Facebook can be sued for invasion of privacy if one’s personal information, likes, dislikes, and photos are shared with product and advertising agencies.Propose two changes Facebook should adopt to encourage the ethical use of its platform.Use the Strayer Library to conduct your research. Include at least two quality references. Note: Wikipedia and similar websites do not count as quality references.Your assignment must follow these formatting requirements:This course requires the use of Strayer Writing Standards. For assistance and information, please refer to the Strayer Writing Standards link in the left-hand menu of your course.Typed, double-spaced, using Times New Roman font (size 12), with 1-inch margins on all sides.Include a cover page with your name and the date. The cover page and the reference page are not included in the required assignment page length.The specific course learning outcome associated with this assignment is as follows:Analyze the legal standing and situation of a specific business to achieve a defined result.

Read more

Local Health Care

imagine you are the HR manager of a local health care organization. You have received a complaint from an employee claiming that they are being paid less than a co-worker who started their employment on the same day and who has the same job title and responsibilities. should not be no more than ONE PAGE!Discuss your initial approach to dealing with the complaint. Justify your approach.

Read more

Healthcare Networks

Week 3: Discussion on Priority Actions to Take When FloatingCaroline CombsNo unread replies.No replies.Participation Requirement: You are required to post a minimum of three (3) times in each discussion. These three (3) posts must be on a minimum of two (2) separate days. You must respond to the initial discussion question by 11:59 p.m. on Wednesday. On additional days, respond to your peers’ posts as well as additional faculty posts. Responses to peers must be posted by 11:59 p.m. on Sunday each week a discussion is due.Step 1: Read the following articlesAmerican Nurse Association. The American nurse. On less familiar ground. Strategies aim to reduce random floating, improve the experience. August 31, 2017. (Attached to discussion) (Links to an external site.)Brown T. Nurses are talking about: floating and rapid response duty. Medscape Sunday September 17, 2017. http://blog.diversitynursing.com/blog/nurses-are-talking-about-floating-and-rapid-response-duty (Links to an external site.)Davies K. Advance healthcare networks for nurses. Float assignments. Nursing advisor. http://nurseadvisormagazine.com/nurse-advisor/in-the-breakroom/float-nursing-to-reduce-healthcare-costs/ (Links to an external site.)Nurse.com. Do registered nurses have to float to areas where they have not been trained or feel comfortable working? Is this legal? December 11, 2013. https://www.nurse.com/blog/2013/12/11/do-rns-have-to-float-to-units-where-they-have-not-been-trained-or-feel-comfortable-working-is-this-legal/ (Links to an external site.)O’Connor K, Dugan LJ. Addressing floating and patient safety. RN Nursing February 2017-Vol47Issue2page5758doi:10.1097/01.NURSE.0000511820.9590378.https://journals.lww.com/nursing/Fulltext/2017/02000/Addressing_floating_and_patient_safety.15.aspx#:~:text=%20Addressing%20floating%20and%20patient%20safety%20%201,nurses%20may%20perceive%20floating%20negatively%2C%20it%27s…%20More%20 (Links to an external site.)RN responsibility when floating to new patient care unit or assigned to new population. https://www.rn.ca.gov/pdfs/regulations/npr-b-21.pdf (Links to an external site.)Priority Actions to take when FloatingFloating is defined as “the reassignment of staff from one nursing unit to another based upon the patient census and acuities”. Floating is difficult and has always been a problem for nurses but safe patient care is always the goal. Floating is a reality that often cannot be avoided, particularly in the hospital setting. Floating may cause anxiety, stress, overwhelming, scary, draining, dissatisfaction, disruptive, and feeling of frustration even to a very experienced and skillful nurse to be pulled to work on a unit outside her/ his comfort zone. This might be caused by discomfort from unfamiliarity related to diverse patient population, staff, unit, and the processes to a work on a different department. Working in unfamiliar area makes nurses uneasy by not knowing what to expect. Yes, they know how to take care of the patients but without proper orientation to the unit/ area one will be floating is not easy. Whenever staff members are sent to float to an unfamiliar unit, it is expected that at least they will be able to perform the basic assessment and skills.What Should the Registered Nurse Do When She/He Has to Float?Before accepting patient assignment when floating to a different unit…Make sure you have the necessary knowledge, judgement, skills, and ability to provide the required patient care. The nurse should not accept any patient care assignment he/ she is not competent to deliver the care but instead accept limited assignment of nursing care duties you can utilize your current competence.Remember that the department you are floating will be glad to have you to help them decrease their patient work load. You will be responsible for your own actions and will be the one to face disciplinary action by a State Board of Nursing if you are not competent to perform the assignment delegated to you.Talk to the Charge Nurse of the unit you are floating if you refuse the assignment being given to you and discuss the reason of your refusal. Let him/ her know that you are there to help but they should give you patient assignments that you are competent and comfortable to handle. The Charge Nurse of your permanent unit may be able to help you as well in talking to the unit you are floating If they insist for you to take the assignment. You may seek the help of the Nursing Supervisor. You can write an incident report to cover yourself.According to American Nurses Association (ANA), “Registered Nurses must have the professional right to accept, reject, or object in writing to any assignment that puts patients or themselves at serious risk for harm.” The Joint Commission on floating clearly states that when an employee is asked to float to a different unit, that unit must be similar to his or her own and that the nurse must demonstrate competencies specific to that unit. Furthermore, the assigned employees should be floated to areas of comparable clinical diagnoses and acuities.Initial Discussion Assignment:You are a nurse on a medical-surgical unit that is currently well staffed with each nurse at a 3:1 ratio. There were two call outs in the oncology unit and it is your turn to float. The charge nurse informs you that you are being floated to the oncology unit and that you have been assigned to care for four patients.Your discussion posting must address all of the following issues:Summarize the concepts of floating that were addressed in the attached articles.What steps would you take in this scenario to ensure a safe transition into the unfamiliar unit?Why are these steps important?What are some of the legal ramifications that can occur if you accept an assigned that is out of your scope of practice?On less familiar ground Strategies aim to reduce random floating, improve the experience.pdf

Read more

Population Health Interventions

Doctorate level writing: These are 2 separate works but the 6 work will flow from the wk 5 work. The question 1 is discussion while question 2 is a presentation. Please create the infographic that will be used to create Kaltura video.Please provide reference as needed. Reference for articles, journals e.t.c must NOT be older than 5 years.Question #1Wk 5. Discussion (2 pages) At least 2 references (Must NOT be more than 5 years). So from 2015 to present.Population Health Interventions and OutcomesSelect a practice problem related to the below readings (Obesity). Read the related chapter.Bemker, M. A. & Ralyea, C. (2018). Population health and its integration into advanced nursing practice. DEStech Publications, Inc.· Obesity – Opportunities Across the Continuum (Chapter 10)Reflect on the above reading and address the following.· Provide a brief statement introducing the selected practice problem.· Identify the social determinant risk factors for the selected practice problem.· Describe a related Healthy People 2020 Goal.· Describe one evidence-based intervention to address the Healthy People 2020 goal.· Define one measurable objective to address the Healthy People 2020 goal.Question 2.Wk 6 PresentationHealth Interventions and Outcomes PresentationThis assignment has three components:first, identify a practice problem (Obesity) and related population health intervention as directed in the Week 5 Discussion launch question;second, design an Infographic incorporating Week 5 Discussion content; and, third, create a professional Kaltura video presentation to disseminate this information (So you have to create just the infographic that will be used to create the Kentura video)

Read more

Neurological Symptoms

Advanced Health Assessment and Diagnostic ReasoningAssignment 1Case Study Assignment: Assessing Neurological SymptomsImagine not being able to form new memories. This is the reality patients with anterograde amnesia face. Although this form of amnesia is rare, it can result from severe brain trauma. Anterograde amnesia demonstrates just how impactful brain disorders can be to a patient’s quality of living. Accurately assessing neurological symptoms is a complex process that involves the analysis of many factors.In this Case Study Assignment, you will consider case studies that describe abnormal findings in patients seen in a clinical setting.

Read more

Public Health

1)    Discuss the importance of program planning in Public Health ·      500 to 700 words ·      Arguments presented must be supported by literature ·      at least 2 sources of information must be cited 2)    Discuss the importance of theories or models in program planning in Public Health ·      500 to 700 words ·      Arguments presented must be supported by literature ·      at least 2 sources of information must be cited 3)    Discuss the importance of a program logic model ·      500 to 700 words ·      Arguments presented must be supported by literature ·      at least 2 sources of information must be cited 4)    Discuss the difference between monitoring and evaluation ·      500 to 700 words ·      Arguments presented must be supported by literature ·      at least 2 sources of information must be cited

Read more

Internal and External Evidence

Discussion Question:Explain the difference between internal and external evidence. How can each of these types of evidence be utilized for quality improvement in the clinical setting? Provide an example for both.

Read more

Health and Well-Being

The Final Project will be written using a persuasive tone, such that you would be able to present it in order to gain community and organizational support for your program.  The Final Project must demonstrate an understanding of the reading assignments, class discussions, as well as your research and application of new knowledge.  Your project must contain the following elements: A description of the vulnerable population and why they need assistance in your community. A description of the health service needs of the vulnerable population you have chosen to serve with your program. In order to support the need for the service you propose, cite statistical data obtained from your county health department, state health department, and organizations or agencies who serve the vulnerable population. A description of your proposed community service or program; include the specific service(s) provided and one continuum of care level (prevention, treatment, or long-term care). Explain how the selected service(s) and the continuum of care will impact the chosen population. Discuss the social and cultural norms of your vulnerable population and how these play a role in the need for the services offered by your program. Describe how the vulnerable population experiences the health care system.  Analyze methods your program can use to overcome social and cultural differences. Identify two or more community organizations or agencies with which you can partner in order to implement your program. Explain how these organizations can help you implement the services you offer and the continuum of care offered by the potential partnering agencies. Explain which services these organizations will provide to your clientele that are not covered by your program.   Analyze at least four potential funding sources for your program, one of which must be from a state funded agency, one of which must be from a federally funded agency and the remaining two can be not-for-profit or for-profit business sources. Explain what factors must be met in order to receive funding from your sources. Your final project will demonstrate quantitative literacy, which shows your ability to identify and solve problems.  Additionally, you must demonstrate integrative learning, which means you combine your earlier learning from this and other courses, analyze data from multiple perspectives, explore issues to their full extent as is required in the assignment, as well as incorporate your own personal and professional experiences. Must be eight to ten double-spaced pages in length (not including title and references pages) and formatted according to APA style. Must include a separate title page with the following: Title of paper Student’s name Course name and number Instructor’s name Date submitted Must begin with an introductory paragraph that has a succinct thesis statement. Must address the topic of the paper with critical thought. Must end with a conclusion that reaffirms your thesis. Must use at least six scholarly sources, not including the textbook. Must document all sources in APA style. Must include a separate reference page, formatted according to APA style.

Read more

Resilance and change

Change is part of our daily healthcare environment. Clinical nursing judgments based on quality and safety, as well as protocols and standards, reflect our patient-centered care values.What steps could you take to develop more resilience in your practice setting?How might you communicate a change in practice to patients and nursing peers?

Read more
Enjoy affordable prices and lifetime discounts
Use a coupon FIRST15 and enjoy expert help with any task at the most affordable price.
Order Now Order in Chat

We now help with PROCTORED EXAM. Chat with a support agent for more details