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Episodic

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For this assignment, you will analyze an Episodic note case study that describes abnormal findings in patients seen in a clinical setting. You will consider what history should be collected from the patients, as well as which physical exams and diagnostic tests should be conducted. You will also formulate a differential diagnosis with several possible conditions.
Review the following Episodic note case study:

Subjective:

• CC: “I have bumps on my bottom that I want to have checked out.”

• HPI: AB, a 21-year-old WF college student reports to your clinic with external

bumps on her genital area. She states the bumps are painless and feel rough.

She states she is sexually active and has had more than one partner during the

past year. Her initial sexual contact occurred at age 18. She reports no abnormal

vaginal discharge. She is unsure how long the bumps have been there but

noticed them about a week ago. Her last Pap smear exam was 3 years ago, and

no dysplasia was found; the exam results were normal. She reports one sexually

transmitted infection (chlamydia) about 2 years ago. She completed the

treatment for chlamydia as prescribed.

• PMH: Asthma

• Medications: Symbicort 160/4.5mcg

• Allergies: NKDA

• FH: No hx of breast or cervical cancer, Father hx HTN, Mother hx HTN, GERD

• Social: Denies tobacco use; occasional etoh, married, 3 children (1 girl, 2 boys)

Objective:

• VS: Temp 98.6; BP 120/86; RR 16; P 92; HT 5’10”; WT 169lbs

• Heart: RRR, no murmurs

• Lungs: CTA, chest wall symmetrical

• Genital: Normal female hair pattern distribution; no masses or swelling. Urethral

meatus intact without erythema or discharge. Perineum intact. Vaginal mucosa

pink and moist with rugae present, pos for firm, round, small, painless ulcer noted

on external labia

• Abd: soft, normoactive bowel sounds, neg rebound, neg murphy’s, negMcBurney

• Diagnostics: HSV specimen obtained

Assessment:

• Chancre

PLAN: This section is not required for the assignments in this course (NURS 6512) but

will be required for future courses.

communicating

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Part One:

Answer the following questions honestly (safe space).

  1. How does a person’s difference in age, culture, race, gender and living situation impact your comfort as a nurse in communicating with them?
  2. While growing up, how were OAs treated in your family, culture, community and in society (identify the year range).

Your initial posting should be at least 400 words in length and utilize at least one scholarly source other than the textbook.

Part Two:

Assignment:

Three-part APA Paper….

Part 1: Reflect on how those experiences from the Discussion Post impact your nursing practice now?

Part 2: Discuss what ageing biases you have witnessed &/or perpetrated.

Part 3: Create a community education plan to address ageing bias.

The assignment should be written in an APA-formatted essay. The essay should be at least 1500 words in length and include at least two scholarly sources other than provided materials.

environmental factor.

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The growth, development, and learned behaviors that occur during the first year of infancy have a direct effect on the individual throughout a lifetime. For this assignment, research an environmental factor that poses a threat to the health or safety of infants and develop a health promotion that can be presented to caregivers.

Create a 10-12 slide PowerPoint health promotion, with speaker notes, that outlines a teaching plan. For the presentation of your PowerPoint, use Loom to create a voice over or a video. Include an additional slide for the Loom link at the beginning, and an additional slide for references at the end.

In developing your PowerPoint, take into consideration the health care literacy level of your target audience, as well as the demographic of the caregiver/patient (socioeconomic level, language, culture, and any other relevant characteristic of the caregiver) for which the presentation is tailored

Include the following in your presentation:

  1. Describe the selected environmental factor. Explain how the environmental factor you selected can potentially affect the health or safety of infants.
  2. Create a health promotion plan that can be presented to caregivers to address the environmental factor and improve the overall health and well-being of infants.
  3. Offer recommendations on accident prevention and safety promotion as they relate to the selected environmental factor and the health or safety of infants.
  4. Offer examples, interventions, and suggestions from evidence-based research. At least three scholarly resources are required. Two of the three resources must be peer-reviewed and no more than 6 years old.
  5. Provide readers with two community resources, a national resource, and a Web-based resource. Include a brief description and contact information for each resource.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

nursing informatics

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In the modern era, there are few professions that do not to some extent rely on data. Stockbrokers rely on market data to advise clients on financial matters. Meteorologists rely on weather data to forecast weather conditions, while realtors rely on data to advise on the purchase and sale of property. In these and other cases, data not only helps solve problems, but adds to the practitioner’s and the discipline’s body of knowledge.

Of course, the nursing profession also relies heavily on data. The field of nursing informatics aims to make sure nurses have access to the appropriate date to solve healthcare problems, make decisions in the interest of patients, and add to knowledge.

In this Discussion, you will consider a scenario that would benefit from access to data and how such access could facilitate both problem-solving and knowledge formation.

To Prepare:

  • Reflect on the concepts of informatics and knowledge work as presented in the Resources.
  • Consider a hypothetical scenario based on your own healthcare practice or organization that would require or benefit from the access/collection and application of data. Your scenario may involve a patient, staff, or management problem or gap.

Post a description of the focus of your scenario. Describe the data that could be used and how the data might be collected and accessed. What knowledge might be derived from that data? How would a nurse leader use clinical reasoning and judgment in the formation of knowledge from this experience?

critical thinking

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Define critical thinking and evidence-based practice. Discuss what critical thinking in nursing practice entails and explain why it is important. Discuss the role of critical thinking and evidence-based practice as they relate to patient outcomes.

health care support systems

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You are admitting a 19-year old female college student to the hospital for fevers.  Using the patient information provided, choose a culture unfamiliar to you and describe what would be important to remember while you interview this patient. Discuss the health care support systems available in your community for someone of this culture. If no support systems are available in your community, identify a national resource.

demographic variables

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1.  What demographic variables were measured at the nominal level of measurement in the Oh et al. (2014) study? Provide a rationale for your answer.

2.   What statistics were calculated to describe body mass index (BMI) in  this study? Were these appropriate? Provide a rationale for your answer.

3.   Were the distributions of scores for BMI similar for the intervention  and control groups? Provide a rationale for your answer.

4.  Was there a significant difference in BMI between the intervention and control groups? Provide a rationale for your answer.

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5.   Based on the sample size of N = 41, what frequency and percentage of  the sample smoked? What frequency and percentage of the sample were  non-drinkers (alcohol)? Show your calculations and round to the nearest  whole percent.

6.  What measurement method was used to measure the  bone mineral density (BMD) for the study participants? Discuss the  quality of this measurement method and document your response.

7.   What statistic was calculated to determine differences between the  intervention and control groups for the lumbar and femur neck BMDs? Were  the groups significantly different for BMDs?

8.  The researchers  stated that there were no significant differences in the baseline  characteristics of the intervention and control groups (see Table 2).  Are these groups heterogeneous or homogeneous at the beginning of the  study? Why is this important in testing the effectiveness of the  therapeutic lifestyle modification (TLM) program?

9.  Oh et al. (2014,  p. 296) stated that “the adherence rate to the TLM program was 99.6%.”  Discuss the importance of intervention adherence, and document your  response.

10.  Was the sample for this study adequately described? Provide a rationale for your answer.

treatment plan

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In a short essay (500-700 words), answer the Question at the end of Case Study 2.

Cite references to support your positions.

Prepare this assignment according to the APA guidelines. An abstract is not required.

This assignment uses a grading rubric.

You are required to submit this assignment to LopesWrite

RUBRIC

1. Description of your approach to care is offered in detail, while demonstrating evidence of deeper insight and/or reflection. 20%

2. Recommendation of a treatment plan is offered in detail, while demonstrating evidence of insight and/or reflection. 20%

3. Description of a method for providing both the patient and family with education is offered in detail, while demonstrating evidence of deeper insight and/or reflection. 20%

4. A teaching plan is offered in detail, while demonstrating evidence of deeper insight and/or reflection. 20%

5. Thesis and/or main claim are comprehensive; contained within the thesis is the essence of the paper. Thesis statement makes the purpose of the paper clear. 5%

6. There is a sophisticated construction of paragraphs and transitions. Ideas progress and relate to each other. Paragraph and transition construction guide the reader. Paragraph structure is seamless. 5%

7. Writer is clearly in command of standard, written, academic English 5%

8. All format elements are correct. 2%

9. In-text citations and a reference page are complete. The documentation of cited sources is free of error. 3%

Case Study

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Case Study 1:

Mrs. Martinez is an 83-year-old Mexican American widow who lives in her own home and is cared for by her adult daughter. Mrs. Martinez owns the home, and her daughter lives with her and provides the care. Her daughter brought her mother to the clinic today to ask to speak to the social worker. She requests that her mother be placed in a nursing home. The daughter states that her mother has nothing to do during the day. The television is on The Weather Channel most of the day because Mrs. Martinez has limited English capability and is unable to read closed-captioning. Mrs. Martinez also has two sons who do not live in the local area, but they do call regularly and check in with their mother and sister. The two sons are opposed to moving their mother to a nursing home because they had promised her that they would “never put her away.”

 

Post 1-2 page paper of a comparison of the model used for the interdisciplinary geriatric teams at your current practicum site to models used at other sites. Then, explain how the role of the advanced practice nurse differs according to the site of care. Finally, explain how care should be facilitated for the patient in the case you selected based on the model used for the interdisciplinary geriatric teams at your practicum site.

ethnic, cultural, style of learning,

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Cohesion, Inclusion, and Identity  Diversity may be exhibited in many forms: ethnic, cultural, style of learning, or methods of organizing. In your course text, Levi addresses the role of individualism and collectivism.

In your discussion: •Address where you fall on the continuum of individualism and collectivism. ((( MY SCORE WAS DIRECTLY IN THE MIDDLE))))

Why is this an important concept in terms of teamwork?

•Describe your experience working with an individual (or team) in which the person’s preference would fall on the opposite end of the continuum from you. For example, you might be more inclined toward individualism, and the other person might more inclined toward collectivism. How did you work effectively with this person? If you did not, what were the challenges?  Write a succinct initial post of at least 150 words. Demonstrate clarity of thought and precision in writing. Support your discussion with at least two references other than the required readings.