Describe one physiological, and one psychosocial intervention that could help either Jorge or his mother deal with this problem.

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Enuresis is a problem that affects children and families both physically and psychosocially. Parents can be frustrated because the cause might be unknown, and interventions that work for one child may not necessarily help another. Children may feel isolated and embarrassed and avoid age-appropriate activities.
Initial Discussion Post:
Jorge is a nine-year-old boy who never established night time bladder control and wets the bed every night. He does not have toileting accidents during the day. Jorge lives at home with a single working mother, who privately tells the RN that she is frustrated with the additional laundry, and having to get up extra early so her son can shower in the morning rather than at night. She asks the RN in the pediatrician’s office for advice to manage the problem at home. Jorge is excited to go on a Boy Scout camping trip, and the mother is concerned that he will experience embarrassment, because the boys and the leader could find out about this problem.
• What type of enuresis is Jorge experiencing?
• Identify two (2) pieces of assessment data the RN should collect.
• How will this data be used in planning nursing care?
• Describe one (1) physiological, and one (1) psychosocial intervention that could help either Jorge or his mother deal with this problem.
Base your initial post on your readings and research of this topic. Your initial post must contain a minimum of 250 words. References, citations, and repeating the question do not count towards the 250 word minimum.

Search the literature for four (4) evidence-based interventions on the problem/topic of interest. The literature can be individual studies or systematic reviews.

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1. Select a relevant clinical practice based problem/topic.

2. Describe the current clinical practice based problem/topic and include

•Population of interest
•Background information

3. Search the literature for four (4) evidence-based interventions on the problem/topic of interest. The literature can be individual studies or systematic reviews. A systematic review counts as one (1) intervention. If using a systematic review, report on the review, not on the studies identified in the review. The studies must be within the discipline of nursing (not medicine). All of the studies MUST be intervention studies. Review what constitutes an intervention study.
• identify the databases (e.g., CINAHL, Medline) and key terms used in initiating the collective search for all of the studies (not each study)
• • Describe evidence found in the literature

4. Write the PICOT question in sentence form using the following format. The question must reflect an issue or intervention within the discipline of nursing (not medicine). This means the question must be about something nurses have authority over, not something that is prescribed and/or carried out by physicians or another discipline. Interdisciplinary interventions are encouraged. An example of a PICOT Question and PICOT template can be found on Appendix A or the accompanying Melynk & Fineout-Overholt (2014) 3rd edition text online.
• P = Population –who does this problem primarily effect (i.e. Nurses, patients, families, etc.)?
• I = Intervention or issue interest –what is the proposed intervention identified in the literature as best practice?
• C = Comparison intervention or comparison group –what is the current practice? Compare the best practice intervention identified in the literature with the current practice.
• O= Outcome –how would you determine if the change/implementation has been effective?
• T = Time –how long would the new change/intervention need to be in effect before you anticipate evaluating the outcome?
5. 2-3 pages

6. Include level 1 and level 2 headings, an introductory paragraph, purpose statement and a conclusion.

7. Write the paper in third person, not first person (meaning do not use ‘we’ or ‘I’).

8. Four (4) references from professional peer-reviewed nursing journals to support the paper. References should be from scholarly peer-reviewed journals (review in Ulrich Periodical Directory) and be less than five (5) years old.

How Do Various Factors Influence Health in Your Community?

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How Do Various Factors Influence Health in Your Community?
1. Respond to the prompts below in full sentences. Be sure to use standard English grammar and spelling:
• Individual, interpersonal, community, and environmental influences all affect the health status of a community.
o For a community you are involved in, name two key factors in each area.
o For your community, which factors have the most effect? The least?
• Healthy People 2010 follows a variety of health indicators, such as physical activity and obesity; drug, alcohol, and tobacco use; mental health; incidence of violence and injury; environmental issues; and access to health care.
o For a population in your community, which of these indicators do you think has the greatest impact on health and wellness?
• What media are used in your community to promote health and prevent illness or disease?

Examine ethics for nursing research and evidence-based practice, please consider and present examples of human experimentation that have occurred during the history of medical research.

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200 words 2 references within 5 years (prefer nursing journals or peer reviewed only)
Henrietta Lacks was an African American woman whose cancer cells were the source of the HeLa cell line, one of the most important cell lines in medical research. HeLa cells are “immortalized cells.” Immortalized cells lines are important because they will reproduce indefinitely under specific conditions. The HeLa immortal cell line was vital for creating the polio vaccine, cloning (i.e., Dolly the sheep), gene mapping (i.e., the Human Genome Project) and more.
Mrs. Lacks was the unwitting source of these cells when her tumor was biopsied in 1951 during treatment for cervical cancer at Johns Hopkins Hospital in Maryland. Her cells were then cultured by George Otto Gey, who created the cell line known as “HeLa” (i.e., Henrietta Lacks). Consent was NOT obtained to culture her cells, nor was she (or her family) ever compensated for the use of the cells despite the fact that the HeLa cell line revolutionized modern medicine!
As we examine ethics for nursing research and evidence-based practice, please consider and present examples of human experimentation that have occurred during the history of medical research. Have these projects resulted in beneficial outcomes for society? Can human experimentation be justified when the greater good of society is at stake?