Assignment:Portrayal of elderly characters

Assignment:Portrayal of elderly characters
Assignment:Portrayal of elderly characters
Week 1 discussion
Question 1
Watch at least 60 minutes of TV, focusing on the depiction of older adults. Analyze and discuss TV programming in the context of at least two of the following:
Portrayal of elderly characters
Intergenerational themes
Conflict in relation to the older population
Aging stereotypes or myths
Cultural diversity in relation to quality of care
Question 2
Discuss your own philosophy of aging. When do you think a person becomes elderly? What do you think of older people? Are they active, senile, debilitated, etc.? Give a description of an elderly person that you know.
Week 2 discussion
Discussion Question 1
What do you think are the two most prevalent age-related changes that affect the lifestyle of the elderly? How would you help an elderly patient adjust to the two changes you identified?
Discussion Question 2
Identify at least two modes of communication you have used for the elderly in your clinical practice. State what modes of communication were effective and which modes were challenging. Explain why.
Week 3 discussion
Develop a wellness program with a holistic approach for the older adult you identified, using resources available in your community. Discuss how this approach will prove an optimum level of well-being.
Week 4 discussion
Identify two strategies you can implement to provide comfort to maintain function with an ethnically diverse older adult with a chronic disease? This can be nutrition, ADLs, exercise, etc.
Week 5 discussion
There are many types of elder abuse. Choose two types and discuss challenges you perceive in abolishing them. Justify why you consider them as the most crucial. Discuss how you can advocate and protect the elderly from abuse.
Week 1 Quiz
Quiz
Question 1 Which statement correctly describes normal changes of aging?
Question 1 options:
All age-related changes are the result of disease.
When comparing functional abilities of an older client, it is important to not allow social or cultural influences to cloud your assessment.
It is usually easy to tell the difference between normal aging and the results of one’s lifelong poor habits.
Individual variations are enormous at every age and in every part of the body.
Question 2 The nurse is aware the theory of aging most likely to explain why the older population is at risk for autoimmune disorder is known as:
Question 2 options:
Cross-link theory.
Free radical theory.
Stochastic theory.
Immunity theory.
Question 3 A geriatric nurse shows an understanding of one of the major barriers to acquiring research-based geriatric nursing care when:
Question 3 options:
Recognizing the need to assess the need for sleep differently.
Assuming the likelihood that the subjects will have hearing and vision problems.
Planning for issues related to the cognitive abilities of the research participants.
Planning specific enticements to encourage the geriatric subjects to participate.
Question 4
Seniors are at risk because there have been budget cuts in programs that affect seniors like: Older Americans Act, Falls Prevention, Housing Counseling, Section 202 Housing for the Elderly, the Low-Income Home Energy Assistance Program (LIHEAP), Senior Corps, and the Social Services Block Grant (SSBG).
Question 4 options:
True
False
Question 5 The Older Americans Act (OAA) funds critical services that keep older adults healthy and independent-services like meals, job training, senior centers, caregiver support, transportation, health promotion, benefits enrollment, and more.
Question 5 options:
True
False
Question 6
The nurse shows an understanding of appropriate influenza vaccination guidelines for a client over the age of 65 when stating:
Question 6 options:
“You need an annual flu shot only if your immune system is compromised or you have a chronic respiratory or cardiac condition.”
“Regardless of your physical health you really should get a yearly flu shot.”
“At age 65 or older, you need an influenza booster every 5 years.”
“At your age flu shots are recommended every 2 to 5 years.”
Question 7 Of the following clients, all of whom are 65 years of age or older, the nurse anticipates that the one who will rate himself or herself as has having excellent health will be:
Question 7 options:
An African-American male who lives with his granddaughter.
A white female who lives independently in a senior citizen community.
A Hispanic male who relies on his faith for comfort and peace.
A Latin American female who has recently immigrated to the United States.
Question 8
Nursing-senstitive indicators are the same as medical indicators of care quality.
Question 8 options:
True
False
Question 9 When considering Erikson’s developmental stages, the task for later life is referred to as:
Question 9 options:
Ego maturation vs. stagnation.
Ego transcendence vs. ego preoccupation.
Generativity.
Ego integrity.
Question 10
The CDC published a report in which the health status and health behaviors of U.S. adults aged 65 years and older are assessed, and recommendations are made for improving the mental and physical health of all Americans in their later years.
The State of Aging and Health in America Report.
Question 10 options:
True
False

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Case Study: Cardiac component

Case Study: Cardiac component
Case Study: Cardiac component
Here is an example of documentation for your competencies. Include all parts on one word document for that week. This only includes general and thorax as an example. You would also include the cardiac component. This is a narrative documentation. I am looking for your to paint a picture of your assessment in a concise and thorough manner. Be sure to utilize the correct terminology. Remember that in documentation you do not need full sentences, so do not write….patient is alert and oriented……
You are required to demonstrate competency in the physical assessment techniques. You also are required to accurately document your physical assessment findings. These two requirements are worth 70% of your grade. You will find the specific guidelines for these two requirements on the course blackboard. You will be required to video record yourself performing the various assessments and submitting them on blackboard.
Question 2
As in prior discussion forum Your initial post can be to either option #1 or option #2 However, the group must split so that half the group does #1 and the other half does #2
Option #1 – SP is a 3-year-old female toddler who presents to the pediatrician’s office for a yearly well visit The child complains that her leg hurts Subjective data includes: PMH of otitis media; up to date immunizations; no medications; no allergies; pain is 3/5 on pain scale; attends preschool and unable to recall injuring leg Objective data includes: vital signs – T 986, P 92, R 18, B/P 100/70 Lungs clear in all anterior and posterior fields, heart rate and rhythm regular, moving all extremities; full ROM in legs and arms, and strength 5/5 in all extremities
1 What other question should the nurse ask?
2 What other techniques are helpful to incorporate in assessing a patient in this age group?
3 What other assessments should the nurse make for this clinical presentation?
4 What are a few of the major differences in the musculoskeletal assessment of a child?
5 Based on the readings what is the most likely cause of leg pain for this patient?
Option #2 – Discuss the developmental, age, socioeconomic, and cross-cultural considerations that should be considered during the gathering of the subjective and objective data and the provision of healthcare Discuss the findings presented Is there additional information / assessments you would like to know prior to making a clinical judgment? Also, relate the anatomic area of injury or physiologic alteration to the neurologic source of that condition
JL had a CVA within the past week JL is easily frustrated, anxious, and fearful, and her speech is slurred She needs verbal cuing for any task she is asked to carry out She eats only food on the left side of the tray and responds only when approached from the left side

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Assignment: Common Pediatric Illnesses

Assignment: Common Pediatric Illnesses
Assignment: Common Pediatric Illnesses
Week 6 discussion
Discussion: Case Study – Common Pediatric Illnesses
This discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered. For this assignment, make sure you post your initial response to the Discussion Area by Saturday, September 2, 2017.
To support your work, use your course textbook readings and the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.
Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates’ initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite sources in your responses to other classmates. Complete your participation for this assignment by Wednesday, September 6, 2017.
For this assignment, you will complete an case study based on the course objectives and weekly content. cases emphasize core learning objectives for an evidence-based primary care curriculum. Throughout your nurse practitioner program, you will use the case studies to promote the development of clinical reasoning through the use of ongoing assessments and diagnostic skills and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice.
The assignments are highly interactive and a dynamic way to enhance your learning. Material from the cases may be present in the quizzes, the midterm exam, and the final exam.
Here you can view information on how to access and navigate .
This week, complete the case titled “Samantha Graves, Gastroenteritis”.
Apply information from the Case Study to answer the following questions:
Which essential questions will you ask a pediatric patient or his or her caregiver when the presenting complaint is bloody diarrhea? Will these questions vary depending upon the child’s age? Why or why not? What clinical or historical findings will indicate the need for diagnostic studies and why? Which diagnostic studies will you initially order and why?
What would be three differential diagnoses in this case?
How do the common causes of vomiting differ in infants, children, and adolescents? What clinical or historical findings will indicate the need for diagnostic studies and why? Which diagnostic studies will you initially order and why?
Week 8 discussion
Discussion: Case Study – Neurological Disorders and Cognitive Perceptual Problems in Children
This discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered. For this assignment, make sure you post your initial response to the Discussion Area by Saturday, September 16, 2017.
To support your work, use your course textbook readings and the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.
Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates’ initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite sources in your responses to other classmates. Complete your participation for this assignment by Wednesday, September 20, 2017.
For this assignment, you will complete an case study based on the course objectives and weekly content. cases emphasize core learning objectives for an evidence-based primary care curriculum. Throughout your nurse practitioner program, you will use the case studies to promote the development of clinical reasoning through the use of ongoing assessments and diagnostic skills and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice.
The assignments are highly interactive and a dynamic way to enhance your learning. Material from the cases may be present in the quizzes, the midterm exam, and the final exam.
Here you can view information on how to access and navigate .
This week, complete the case titled “Timoth Adams, VE”.
Apply information from the Case Study to answer the following questions:
What do you believe is your best course of action for this appointment?
What clinical or historical findings will indicate the need for diagnostic studies and why? Which diagnostic studies will you initially order and why?What would be three differentials in this case?

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Describe Health Promotion Strategy

Describe Health Promotion Strategy
Describe Health Promotion Strategy
eek 5 discussion
Discussion Questions
The discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered.
For this assignment, go to the Discussion Area and post a response to one question in the Discussion Area by the due date assigned. You may respond to your classmates’ posts for either question.
To support your work, use your course and text readings and also use the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.
Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates’ initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite sources in your responses to other classmates. Complete your participation for this assignment by the end of the week.
As a family nurse practitioner you are working in a rural health clinic. You are evaluating a 16-year-old adolescent patient who comes in complaining of having a difficulty concentrating in school. On exam you also note that the patient is very thin and frail in appearance and is asking you for diet pills.
What are some initial areas for concern? What screening tools can help lead you closer to your diagnosis?
Describe 1 health promotion strategy you can discuss with the patient.
Be sure to address the following in your plan of care: pharmacological and non-pharmacological (OTC) interventions, labs, follow-up, teaching, and referral/s.
Your work should integrate course resources (text/s) as well as a minimum of two (2) other evidence-based guidelines and/or articles published within 3-5 years.

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Assignment: Leadership to Improve Quality of Service Delievery

Assignment: Leadership to Improve Quality of Service Delievery
Assignment: Leadership to Improve Quality of Service Delievery
Week 5 discussion
Leadership to Improve Quality in Diverse Situations
This week’s graded discussion topic relates to the following Course Outcomes (COs)
CO1 Propose individualized comprehensive care by integrating theories and principles of nursing and related disciplines when planning comprehensive patient-centered care (PO 1)
CO2 Demonstrate leadership strategies that promote safety and improve quality in nursing practice and increase collaboration with other disciplines when planning patient-centered care within systems-based practice (PO 2)
CO7 Compare and contrast the professional nursing roles for ADN/diploma through PhD/DNP prepared nurses in providing cost-effective, quality healthcare in structured and unstructured systems (PO 7)
Nurses demonstrate leadership in many situations For this discussion, identify only one situation from the choices below that you have not previously experienced, and tell us how the nurse could improve quality through demonstrating leadership
Communicating with legislators to influence health policy
Clinical leadership at the bedside
Nursing management of units or facilities
Impact of systems-based practice on leadership
ABSTRACT:
The service sector has assumed great economic importance over the past decade and enjoys the
largest share in GDP all over the world including India. Quality has become an icon for
customers while selecting a service. Organizations today have started embarking into
multifaceted approaches to improve the quality of their services & the topic of service quality
has been recognized as one of the key strategic strength to organizations. The driving force for
superior service quality is the effort & contribution of the service staff. In order to improve &
provide excellence in service quality, it is important to focus on the process of service quality
delivery. This study focuses on the effect of leadership on perceived service quality delivery. A
conceptual model has been proposed in this regard.
KEY WORDS: leadership, service climate, employee outcomes, service quality.
REFERENCES:
1. Alharbi Mohammad and Yusoff Rushami Zien 2012 Leadership styles, and their
relationship with quality management practices in public hospitals in Saudi Arabia.
International Journal of economics and Management Sciences Vol. 1, No. 10, , pp. 59-67
2. Adil Mohd, Ghaswyneh Odai Falah Mohammad Al & Albkour Alaa Musallam (2013).
SERVQUAL and SERVPERF: A Review of Measures in Services Marketing Research
Global Journal of Management and Business Research Marketing Volume 13 Issue 6
3. Asgari Mohammad Reza (2014) The Effect Of Leadership Styles on Employees
Commitment To Services Quality In Bank Melli Branches Of Isfahan . Kuwait Chapter
of Arabian Journal of Business and Management Review Vol. 3, No.12; August. 2014
4. Bansal, Harvir, S., Mendelson, Morris, B., Sharma, & Basu. (2001). The impact of internal
marketing activities on external marketing outcomes, Journal of Quality Management, 6, pp 61-
76.
ZENITH International Journal of Multidisciplinary Research ____________ISSN 2231-5780
Vol.7 (4), APRIL (2017), pp. 86-97
Online available at zenithresearch.org.in
5. Bass, B.M. (1985). Leadership and performance beyond expectations. Free Press New
York. NY.
6. Berry, L. L., Parasuraman, A. and Zeithaml, V. A. (1994) Improving Service Quality in
America: Lessons Learned [and Executive Commentary], The Academy of Management
Executive (1993-2005), 8 (2), pp. 32-52.
7. Bitner, M. J., & Hubbert, A. R. (1994). Encounter satisfaction versus overall satisfaction
versus quality: The customer?s voice. In Rust, R. T., & Oliver, R. L. (Eds.). Service
quality: New directions in theory and practice (pp. 72-94). Thousand Oaks, CA: Sage.
8. Bitner, M.J., B.H. Booms, and L.A. Mohr. (1994), Critical Service Encounters: The
Employees Viewpoint, Journal of Marketing, 58,Oct,95-106.
9. Bolton, R N. and J. H. Drew. (1992), Mitigating the Effect of Service Encounters,
Marketing Letters, 3,1, 57-70.
10. Borucki, C. C., & Burke, M. J. (1999). An examination of service-related antecedents to
retail store performance. Journal of Organizational Behavior, 20, 943–962.
11. Bryman, A. (1992). Charisma and leadership in organizations. London: Sage.
12. Cheung. M (2010). Management commitment to service quality and organizational
outcomes. Managing Service Quality. Journal of Marketing Vol. 20 No. 3, pp.259-272.
13. Elmayar (2011)
14. Farrell, Andrew M. and Souchon, Anne L. (1998). Service acculturation : how managers
can influence employees’ service delivery. IN: Australia and New Zealand Marketing
Academy Conference 1998. Dunedin, 1998-11-29 – 1998-12-03.
15. Farrell, Andrew M.; Souchon, Anne L. and Durden, Geoffrey R. (2001). The effect of
leadership styles on service quality delivery. IN: Academy of Marketing Conference
(AM). Cardiff, 2001-07-02 – 2001-07-04.
16. Farrell Andrew M., Souchon Anne L., Durden Geoff R (2003). The Service Leadership
Scale: A Substantive Validity Test IN: Australia and New Zealand Marketing Academy
Conference 2003. Adelaide, 2003-12-01 – 2003-12-03.
17. Gracia Esther, Cifre Eva, and Grau Rosa (2010) Service Quality: The Key Role of
Service Climate and Service Behavior of Boundary Employee Units Organization
Management June vol. 35 no. 3 276-298
18. Grönfeldt Svafa, Strother Judith (2006) Service Leadership ; The Quest for Competitive
Advantage. Sage Publications
19. Gupta Amit & Gannon Martin(2002). Effect of Service Climate on Service Quality: Test
of a Model Using Hierarchical Linear Modeling. WORKING PAPER No.202 Nov
20. Hartline, Michael D. and Ferrell, O.C. (1996), “The Management of Customer-Contact
21. Service Employees: An Empirical Investigation,” Journal of Marketing, 60 (October), pp.
52-70.
22. Hogg Bill (2014). How Weak Leadership Impacts Customer Loyalty. Avalilable at
http://www.billhogg.ca/2014/08/how-weak-leadership-impacts-customer-loyalty/
23. Hui C. Harry, Chiu Warren C. K., Yu Philip L. H., Cheng Kevinand Tse Herman H. M.
(2007), The effects of service climate and the effective leadership behaviour of
supervisors on frontline employee service quality: A multi-level analysis. Journal of
Occupational and Organizational Psychology 80, 151–172.
640 × 408

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Effective Communication in Health Assessment

Effective Communication in Health Assessment
Effective Communication in Health Assessment
Course Project Milestone 1: Health History Guidelines
Purpose
The student will obtain a health history on a willing, nonrelated, adult participant in order to generate written documentation that is clear and accurate Note: Failing to complete this assignment using an adult participant other than yourself will result in a 20% penalty deduction being applied
Course Outcomes
This assignment enables the student to meet the following Course Outcomes
CO #3: Utilize effective communication when performing a health assessment (PO3)
CO #4: Identify teaching/learning needs from the health history of an individual (PO2)
CO #5: Explore the professional responsibilities involved in conducting a comprehensive health assessment and providing appropriate documentation (PO6)
Points
This assignment is worth a total of 225 points
Due Date
The Course Project Milestone 1: Health History assignment is to be submitted by Sunday, 11:59 pm MT at the end of Week 4 Post questions to the Q & A Forum Contact your instructor if you need additional assistance
Disclaimer
The focus of this assignment is on communicating details within the written client record When taking a health history on an actual client, it is essential that the information is accurate Please inform the person you are interviewing that they do not need to disclose information that they wish to keep confidential If the interviewee decides not to share information, please write, “Does not want to disclose” If the client fails to disclose answers to several items, you will need to find another client who is willing to share
You are required to use the assignment specific item(s) (article/systematic review/topic/form/templates) or you will earn a “0” for the assignment In addition, assignments that do not follow the current guidelines or use the required item, as defined above, will be evaluated for evidence of an academic integrity violation
After the due date, there will be no opportunity for revision or resubmission of assignments that have been uploaded to the submission area This includes blank, incomplete, incorrect file, and/or incorrect file format documents It is your responsibility to submit the correct completed assignment in the correct format to the correct submission area Your last submission before the due date will be graded You may not resubmit after the due date with a different file and incur a late deduction per the Late Assignment policy
Directions
Find an adult who is not related to you who is willing to let you take a health history
Download the required NR305_Milestone1_Form (Links to an external site)Links to an external site You will type your answers directly into this Word document Your paper does not need to follow APA formatting; however, you are expected to be clear in your communication by using correct medical terminology, grammar, and spelling
You are required to complete the form using the productivity tools required by Chamberlain University, which is Microsoft Office Word 2013 (or later version), or Windows and Office 2011 (or later version) for MAC You must save the file in the “docx” format Do NOT save as Word Pad A later version of the productivity tool includes Office 365, which is available to Chamberlain students for FREE by downloading from the student portal at http://mychamberlainedu (Links to an external site)Links to an external site Click on the envelope at the top of the page
Review the examples in Chapter 4 of your textbook to gain insight into how to document the health history Remember this is a health history, not a physical examination Avoid words like frequently, improved, increased, decreased, good, poor, normal, or WNL as they may have different meanings for different people Instead, document the specific data that led you to these conclusions, for example, 3x/day instead of frequently, or consuming four servings of vegetables/day instead of increased vegetable servings
Save the file by clicking Save as and adding your last name to the file name, for example, NR305_Milestone1_Form_Smith You must save as a docx file, but do not save as a “Word Pad” document
Submit the completed form by Sunday, 11:59 pm MT at the end of Week 4
Please post questions in the Q & A Forum so the entire class may view the answers

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Assignment: Late-stage Brain Tumor

Assignment: Late-stage Brain Tumor
Assignment: Late-stage Brain Tumor
Question 1
The nurse is assessing the neurologic status of a patient who has a late-stage brain tumor. With the reflex hammer, the nurse draws a light stroke up the lateral side of the sole of the foot and inward, across the ball of the foot. In response, the patient’s toes fan out, and the big toe shows dorsiflexion. The nurse interprets this result as:
a negative Babinski sign, which is normal for adults.
a positive Babinski’s sign, which is abnormal for adults.
clonus which is a hyperactive response.
the Achille’s reflex, which is an expected response.
Question 2
A 78-year-old man has a history of a cerebrovascular accident. The nurse notes that when he walks his left arm is immobile against the body with flexion of the shoulder, elbow, wrist, and fingers and adduction of the shoulder. His left leg is stiff and extended and circumducts with each step. What type of gait disturbance is this individual experiencing?
scissors gait.
cerebellar ataxia.
parkinsonian gait.
spastic hemiparesis.
Question 3
The nurse places a key in the hand of the patient and he identifies it as a penny. What term would the nurse use to describe this finding?
extinction.
astereognosis.
stereognosis.
graphethesia.
uestion 4
The nurse is providing instructions to newly hired graduates about the Mini-Mental State Examination. Which statement best describes this examination?
Scores below 30 indicate cognitive impairment.
It is a good tool to evaluate mood and thought processes.
It is a good tool to detect delirium and dementia to differentiate these from psychiatric mental illness.
It is useful for an initial evaluation of mental status. Additional tools are needed to evaluate cognition changes over time.
Question 5
The nurse is doing an assessment on a 29-year-old woman who visits the clinic complaining of “always dropping things and falling down.” While testing rapid alternating movements, the nurse notices that the woman is unable to pat both her knees. Her response is very slow and she misses frequently. What should the nurse suspect?
vestibular disease.
lesion of cranial nerve IX.
dysfunction of the cerebellum.
inability to understand directions.
Question 6
Cranial nerve IV is known as:
Oculomotor
Trigeminal
Hypoglossal
Trochlear
Question 7
The nurse suspects that a patient has appendicitis. Which of these procedures are appropriate for use when assessing for appendicitis or a perforated appendix? Select all that apply.
Test for Murphy’s sign.
Test for Blumberg’s sign.
Test for shifting dullness.
Perform Iliopsoas muscle test.
Test for fluid wave.
Question 8
In order to document that bowel sounds are absent, the nurse must listen for [ ] minutes. ( Use the number and not the text word)
Answer
5
Question 9
A patient has had a cerebrovascular accident, or stroke. He is trying very hard to communicate. He seems driven to speak and says, “I buy obie get spirding and take my train.” What is the best description of this patient’s problem?
Global aphasia
Broca’s aphasia
Echolalia
Wernicke’s aphasia
Question 10
A 45-year-old man is in the clinic for a physical examination. During the abdominal assessment, the nurse percusses the abdomen and notices and area of dullness above the right costal margin of about 10cm. The nurse should:
document the presence of hepatomegaly.
ask additional history questions regarding alcohol intake.
describe this as an enlarged liver and refer him to a specialist.
consider this a normal finding and proceed with the examination.

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Professional Regards in Health Assessment

Professional Regards in Health Assessment
Professional Regards in Health Assessment
First, you must find a professional article in regards to health assessment. This article can be about a full health assessment or just a specific component. Based on your readings, experience and chosen article discuss your thoughts regarding the importance of health assessment and the role as a starting point for clinical reasoning. How well does nursing in general perform a health assessment? How are patient outcomes affected by a nurse’s assessment? Have you experienced/witness poor outcomes associated with lack of quality, thorough health assessment? What are the barriers to nursing for performing a thorough health assessment? What solutions do you have to overcome the barriers? Describe the use of critical thinking in diagnostic reasoning and clinical judgment. When writing any post please to ensure confidentiality of any person or place of employment if you are discussing an example.
Question 2
You only need to post an initial response to one of the following. Your participation posts can be to anyone and either option. The only rule regarding your selection is what others have posted. Half of your group will respond to option #1 and half of your group will respond to option #2. Therefore if you are in a group of 6 and when you log on 3 people already made a post to option #1 than you will make your initial post to option #2. Your posts to others can be in either option #1 or #2.
Option 1: In the following scenario, discuss the developmental, age, socioeconomic and cross-cultural considerations that should be considered during the gathering of the subjective and objective and the provision of health care. Discuss the findings presented. Is there additional information / assessments you would like to know prior to making a clinical judgment?
It is December in a northern state. S.A. has brought her two children, ages 3 and 5 years, to the health clinic for the first time. She states that she recently emigrated from India. She is wearing a sari with a light coat, and each child is wearing a light jacket. Interaction between parent and children is appropriate. The children both fall at the 4th percentile for both height and weight. Overall, nutrition status appears to be satisfactory.
Option 2: S.P. is a 75-year-old female who presents to the provider’s office with fatigue. Subjective data includes: PMH – hypertension, hyperlipidemia, MI 3 years ago; fatigue started about a month ago, getting worse; relieved with rest, exacerbated with activity; denies chest pain, ankles swollen. The Objective data includes: Vital signs T 98.3, P 112, R 18, BP 110/54; Lungs – bilateral lower lobe crackles anterior and posterior; O2 sat = 94% on RA; Skin is cool to touch; CV- heart rate regular, positive peripheral pulses, ECG=no changes, +2 edema bilateral ankles; Medications include Metoprolol 20mg/day and Aspirin 325mg per day.
1. What other questions should the nurse ask about the fatigue?
2. What other assessments are necessary for this patient?
3. Based on the readings, what is the most likely cause of fatigue for this patient?

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Assessment:Health Informatics Practicum

Assessment:Health Informatics Practicum
Assessment:Health Informatics Practicum
NURS 675LA-B Weekly Health Informatics Practicum Activity Summary/Reflection Log
Weekly practicum activity summaries and reflections to be submitted for review are to be typed, grammatically correct, and error free.
Weekly practicum activity summaries should include:
1. Stated weekly informatics focus and learning objectives.
2. Summary of planned or completed informatics activities.
3. Discussion of technology, processes, data analysis, workflow, gaps, evidence-based practice, and other informatics role activities completed during the week.
4. Reflection on your own learning and implications for future informatics role and/or implications on health care delivery and outcomes.
Students will receive feedback from faculty regarding their weekly personal learning objectives, activities, and reflections.
TemplateforWeeklyPracticumActivitySummary
Directions:Submitathree- to five-pagesummary ofeachweek’s activitiesusingthetemplatebelow.Ifaninterviewisconducted,alsoattachthelist ofinterviewquestionsused.
Name:
Week#_ Focus:
1. Mypersonallearningobjectivesthisweek(list):
a.
b.
c.
2. Summaryof planned/completedactivities:
3. Discussion of technology, processes, data analysis, workflow, gaps, evidence-based practice, and other informatics role activities completed during the week: (IncludetwoormorecitationsfromrelevantliteratureusingAPA6thed.format.)
4. Reflection on your own learning and implications for future informatics role and/or implications on health care delivery and outcomes:
Weekly practicum activity summaries and reflections to be submitted for review are to be typed, grammatically correct, and error free.
Weekly practicum activity summaries should include:
1. Stated weekly informatics focus and learning objectives.
2. Summary of planned or completed informatics activities.
3. Discussion of technology, processes, data analysis, workflow, gaps, evidence-based practice, and other informatics role activities completed during the week.
4. Reflection on your own learning and implications for future informatics role and/or implications on health care delivery and outcomes.
Students will receive feedback from faculty regarding their weekly personal learning objectives, activities, and reflections.
TemplateforWeeklyPracticumActivitySummary
Directions:Submitathree- to five-pagesummary ofeachweek’s activitiesusingthetemplatebelow.Ifaninterviewisconducted,alsoattachthelist ofinterviewquestionsused.
Name:
Week#_ Focus:
1. Mypersonallearningobjectivesthisweek(list):
a.
b.
c.
2. Summaryof planned/completedactivities:
3. Discussion of technology, processes, data analysis, workflow, gaps, evidence-based practice, and other informatics role activities completed during the week: (IncludetwoormorecitationsfromrelevantliteratureusingAPA6thed.format.)
4. Reflection on your own learning and implications for future informatics role and/or implications on health care delivery and outcomes:

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Assignment: Creating a Plan of Care

Assignment: Creating a Plan of Care
Assignment: Creating a Plan of Care
Week 5 Project
Creating a Plan of Care
Utilizing the information you have gathered over the weeks regarding the specific illness group you identified, this week, you will create a plan of care for your chronic illness group.
Create the plan in a 4- to 6-page Microsoft Word document (the 4–6 pages include the holistic care plan). Include the following in your plan:
Start the paper with a brief introduction describing the chronically ill group you selected and provide rationale for selecting this illness and the participants. Clearly identify the Healthy People 2020 topic chosen and why this topic was chosen.
You will want to compile the information gathered from Weeks 1–4 over 2 to 3 pages. This should be in APA format and paragraph form. This is not to be copied and pasted from previous assignments. It is to be a summary of each week.
The paper should include the care plan for your chronic illness group organized under the following headings:
Nursing Diagnoses
Assessment Data (objective and subjective)
Interview Results
Desired Outcomes
Evaluation Criteria
Actions and Interventions
Evaluation of Patient Outcomes
You will need to ensure that the care plan is holistic and includes at least 3 nursing diagnoses related to the topic and interview results from the previous weeks.
Include strategies for the family or caregiver in the care plan and provide your rationale on how they will work.
Include a reference page to provide reference for all citations for the paper as well as the care plan.
On a separate references page, cite all sources using APA format.
Use this APA Citation Helper as a convenient reference for properly citing resources.
This handout will provide you the details of formatting your essay using APA style.
You may create your essay in this APA-formatted template.
Question 2
The Impact of Chronic Illness
Identify one person from the illness group you chose in Week 1. The person should not be a patient at the facility in which you work. You can use friends, family members, or coworkers. Do not use the person’s name in the paper but only initials. Administer the questionnaire you created in Week 1 to that person. Compile the data and analyze the responses to better illustrate where this person, his or her family, and friends are in relation to accepting the diagnosis in relation to the standard health or illness definitions. The analysis should also include coping skills, treatment, and support aspects of the illness. Identify how this will direct care plan development for the chosen illness group.
Compile a report of your interview with the questions you created, the responses you received, your analysis, and your interpretation of how it will affect planning care for the group in a 4- to 5-page Microsoft Word document.
Support your responses with examples.
On a separate references page, cite all sources using APA format.
Use this APA Citation Helper as a convenient reference for properly citing resources.
This handout will provide you the details of formatting your essay using APA style.
You may create your essay in this APA-formatted template.

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