In this assignment, you will write a short (1-2 page), opinion paper. The paper is informal in that it is based on your own experiences and opinions. It is not necessary to reference outside resources or to include a cover page or reference list. However, you should critically reflect on your personal experiences and/or apply what you have learned in the module to your current practice. Justify and explain your responses with examples and thorough explanations.

more info:

The Speed of Trust, Part 4

Submit the completed assignment by end of day Sunday of Module 4.

Overview: The Third, Fourth, and Fifth Waves and Inspiring Trust

Once you appreciate the value of trust, in both personal and professional relationships, you need to consider how you could rectify a situation in which trust was lacking. How do you gain, regain, or retain trust? This assignment is designed to encourage you to think about what you might do in various situations to develop trust.

This assignment is worth 15 points.

Objectives

• Examine dynamics of interpersonal and organizational communication that affect implementation of the collaborative nursing roles.

• Utilize the critical thinking process in problem solving and decision making.

• Identify elements of an organizational culture.

Directions

Before completing this assignment, read the fourth and final sections (pages 233-316) of Covey’s The Speed of Trust.

No Plegarism please, assignment will be checked with Turnitin. 

SOAP Note Section I and Genogram

1. Please select a volunteer friend or family member to interview and gather data to complete this Assignment.
2. This section of the SOAP note will include the chief complaint, history of present illness, and family/social/personal history data.
3. Click here for the written guide for this Assignment.
   1. The guide will assist you in gathering subjective data in an organized, systematic manner to prevent omission of important components of the health history.
   2. Make sure you address all content as noted in the written guide.
   3. Include the genogram together with this Assignment as one document.
   4. You may search the Web to locate a suitable genogram diagram to input data. Only include three generations in the genogram depiction.

In this assignment you will be required to write a Focused SOAP note, please do not submit a Complete SOAP note, you must learn to differentiate the two. If you do not have enough information to make a scholarly Focused note, you may make up information. For example, if the Family History is missing make up a history.

The Lab Assignment

Using evidence-based resources from your search, answer the following questions and support your answers using current evidence from the literature.

· Analyze the subjective portion of the note. List additional information that should be included in the documentation.

· Analyze the objective portion of the note. List additional information that should be included in the documentation.

· Is the assessment supported by the subjective and objective information? Why or why not?

· Would diagnostics be appropriate for this case, and how would the results be used to make a diagnosis?

· Would you reject/accept the current diagnosis? Why or why not?

Identify three possible conditions that may be considered as a differential diagnosis for this patient.

·  Explain your reasoning using at least three different references from current evidence-based literature.

Week 10: Special Examinations—Breast, Genital,

Prostate, and Rectal

GENITALIA ASSESSMENT

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:

MUST FOLLOW ALL THE GIVEN INSTRUCTIONS BELOW ……

Instructions:

This 2000 word written assignment has two distinct parts that you should address separately. Please use headings for each part.

You do not need to provide an introduction or a conclusion for the written assignment or any of the parts.

There are two family scenarios for you to choose from; select ONE scenario and use this for your entire assignment.

Part 1 – Nursing Care of the Family: Assessment (500 words)

 Create a genogram to visually depict the family’s structure. You must use the PowerPoint slide which will be supplied to you within the Assessment Folder on Learning@Griffith course site to create your genogram. Save the slide as a picture file (*.jpeg), and insert the picture into your document.

 Below the genogram, summarise the structure of the family to demonstrate your understanding of the family assessment findings.

 Use the Australian Family Strengths Nursing Assessment Guide (AFSNAG) to identify and briefly describe two (2) strengths of the family you are assessing.

Part 2 – Nursing Care of the Family: Planning, Implementing and Evaluating (1,500 words)

 Select two (2) issues/challenges for the family or a member of the family you have selected. These issues may be identified by the nurse, family or both. These can be health, social, or developmental family issues/challenges e.g., breastfeeding, social isolation, transition to parenting; they should not be ‘medical’ issues e.g., diabetes, high blood pressure.

 For each issue/challenge identified in the family assessment (allow approximately 750 words per issue):

a) Describetheissue

b) Plannursingcare

c) Implement nursing care

d) Evaluate nursing care

o Use appropriate evidence from scholarly literature to describe the issue and discuss what is known about the issue/challenge.

o Provide a relevant nursing goal and justify the goal (explain why it is relevant to the issue) using appropriate evidence or policies.

o Outline one nursing intervention that supports the family to achieve the goal. Each nursing intervention should be supplemented by the recommendation of an existing online resource for the family and an appropriate referral.

The Assignment: (1- to 2-page Global Health Comparison Matrix; 1-page Plan for Social Change)

Part 1: Global Health Comparison Matrix

Focusing on the country you selected and the U.S., complete the Global Health Comparison Matrix. Be sure to address the following:

• Consider the U.S. national/federal health policies that have been adapted for the global health issue you selected from the WHO global health agenda. Compare these policies to the additional country you selected for study.
• Explain the strengths and weaknesses of each policy.
• Explain how the social determinants of health may impact the global health issue you selected. Be specific and provide examples.
• Using the WHO’s Organization’s global health agenda as well as the results of your own research, analyze how each country’s government addresses cost, quality, and access to the global health issue selected.
• Explain how the health policy you selected might impact the health of the global population. Be specific and provide examples.
• Explain how the health policy you selected might impact the role of the nurse in each country.
• Explain how global health issues impact local healthcare organizations and policies in both countries. Be specific and provide examples.

Part 2: A Plan for Social Change

Reflect on the global health policy comparison and analysis you conducted in Part 1 of the Assignment and the impact that global health issues may have on the world, the U.S., your community, as well as your practice as a nurse leader.

In a 1-page response, create a plan for social change that incorporates a global perspective or lens into your local practice and role as a nurse leader.

• Explain how you would advocate for the incorporation of a global perspective or lens into your local practice and role as a nurse leader.
• Explain how the incorporation of a global perspective or lens might impact your local practice and role as a nurse leader.
• Explain how the incorporation of a global perspective or lens into your local practice as a nurse leader represents and contributes to social change. Be specific and provide examples.