Tag Archive for: nursing

Mental Status Examination

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Aim

 

The aim of this assignment is to help you to begin to use your professional and clinical judgement and to think like nurses working in mental health settings and/or in relation to the mental health needs of people regardless of the setting. In order to achieve this aim, everyone will be assigned a case scenario involving a person who is experiencing difficulties relating to one of the various disorders commonly encountered in clinical practice.

 

Description

 

This is an individual assignment of 1,800 words in two parts, each with several steps. Follow the steps for each part carefully.

Your assignment will demonstrate a sound grasp of the following as they relate to the person in your case scenario and include:

 a Mental Status Examination(MSE)

 a clinical formulation including biopsychosocial history and your own MSE observations leading to the clinical formulation

 a nursing orientated handover

 use of Maslow’s hierarchy of needs to identity and prioritise the person’s needs

 recognising and responding to the mental health needs of the identified person by identifying best practice nursing interventions

 how to engage a person in a therapeutic relationship

 the application of cultural safety

 the application of the recovery model/philosophy

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disease prevention

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By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

  • Competency 1: Explain the principles and concepts of disease prevention and health promotion for diverse and vulnerable populations.
    • (IMPORTANT) -Describe a vulnerable or diverse population living within a neighborhood or community.
    • (IMPORTANT) Describe disease prevention and health promotion for a vulnerable or diverse population.
  • Competency 4: Examine the ethical, legal, and economic factors related to health disparities in diverse and vulnerable populations.
    • (IMPORTANT) Identify health disparities and social determinants of health that can affect a vulnerable or diverse population.
  • Competency 5: Communicate in a manner that is scholarly, professional, and consistent with expectations for members of the health care professions.
    • (IMPORTANT) Describe the overall condition of a neighborhood or community.
    • (IMPORTANT) Write content clearly and logically, with correct use of grammar, punctuation, APA formatting, and mechanics.

Assessment Instructions

 

Preparation

Over the past few years, leadership for the health care organization for which you work has noticed a distinct change in the population served by the organization. Leadership wants to make sure they are addressing the needs of this population. You have been asked to participate on an interdisciplinary team that is charged with learning how the population has changed and what needs to be done within the organization to develop a wellness education program that will target the needs and concerns of the population. Your first step in this process is to conduct a windshield survey and report your findings back to your team.

A windshield survey is an inexpensive, time-efficient way to assess and better understand a community and the people who live within that community. Understanding the demographics of a community will help you determine the health-related issues that are likely to exist so you can plan the most appropriate types of wellness programs, health education, and disease prevention programs. Windshield surveys are done by making visual observations of a neighborhood or community while driving; hence the name. This type of survey lets you observe the housing conditions, use of open spaces, shopping, schools, types of transportation, human services, protective services, and other aspects of the overall daily life of a community.

Before you start, you need to identify the boundaries of the neighborhood or community you plan to observe. For the purposes of this course, you should keep the size of the area to no more than 2–3 square miles. The area should be large enough for you to gather relevant information, but small enough that your observation does not take you more than 1–2 hours. With this size, it is not necessary to use a car to complete the survey; you can also walk or bike. Whichever method you use, be mindful of your personal safety. It may be helpful to map out the route you will take ahead of time. It can also be helpful (and safer) to have another person do the driving while you observe and make notes.

Once you are on the route, start making observations right away. Stop frequently to write down notes. A template is provided in the Required Resources to help you document your observations.

The timing of your observation can be important in helping you focus on specific items. If possible, consider conducting your survey more than once at different times of the day. For example, if you make your observations too early in the morning, you may miss things that take place later in the day that provide a different perspective of the neighborhood. It is also important to be as objective as possible when making your observations.

Requirements

  • Conduct the windshield survey, using the template located in the Required Resources for this assessment.
  • Use the template as a guide to write a report for your team. If possible, look at other written documents used within your organization. How are they formatted? Follow that format as closely as possible, making sure you still use APA guidelines for your in-text references, citations, and reference page.

Based on your observations and notes from your survey experience, write a report that includes the following:

  • Describe, briefly, the neighborhood or community you observed (overall condition, types of spaces and businesses, evidence of services, and so forth).
  • Describe a vulnerable or diverse population you observed living within the neighborhood or community.

Now you will need to do some research on the population you described:

  • Explain how the demographics for the population have changed over the past 5–10 years. Note: This information should be readily available through the United States Census Bureau, similar state Web sites, the Bureau of Labor Statistics, or other professional sites. Be sure your information is current.
  • Describe the most prevalent health risks for the population. For example, if your population is senior citizens, then the health risks might be diabetes and loss of mobility. Include statistics on the health risks, such as frequency of occurrence in the population and number of deaths per year in the population.
  • Identify the health disparities and social determinants of health that can affect the population. In other words, what will you need to overcome to develop a successful health promotion and disease prevention program for the population?

Your completed assessment should be 3–5 pages in length, not including the title page and reference page. Support your information with references to at least three professional, scholarly, or government resources, and follow current APA guidelines for your in-text citations and references.

Additional Requirements

  • Include a title page and reference page. The completed assessment should be 3–5 pages in length, not including the title page and reference page.
  • Reference at least three current scholarly, professional, or government resources.
  • Use current APA format for citations and references.
  • Use  Times New Roman font, 12 point.
  • Double space.

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Ethical Theories

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After reading Chapter One in your textbook, apply what you have learned about ethical theories by looking at the scenario through each of the five theories. Complete the Ethical Theories Worksheet

To complete this assignment, review the Ethical Theories Worksheet Guidelines and Rubric document.

You must use The ethical theories worksheet which is attached below along with the rubric.

The worksheet has the scenario on it.

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Theoretical Foundations of Transcultural Nursing

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Theoretical Foundations of Transcultural Nursing

Read chapter 1 of the class textbook and review the attached PowerPoint presentation.  Once done answer the following questions.

1.  Discuss the historical and theoretical foundations of transcultural nursing.

2.  Mention and discuss Leininger’s contributions to the creation and development of transcultural nursing as a theory.

3.  Discuss the relevance of transcultural nursing in addressing contemporary issues and trends in nursing.

4.  Discuss the key components of the Andrews/Boyle Transcultural Interprofessional Practice (TIP) model.

As stated in the syllabus please present your assignment in an APA format word document, Arial 12 font attached to the forum in the discussion board title  “Week 1 discussion questions”.  A minimum of 2 evidence-based references is required (not counting the class textbook) no older than 5 years.

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Healthy People 2020.

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Download and analyze the case study for this week. Create a SOAP note for disease prevention, health promotion, and acute care of the patient in the clinical case. Your care plan should be based on current evidence and nursing standards of care.

Visit the online library and research for current scholarly evidence (no older than 5 years) to support your nursing actions. In addition, consider visiting government sites such as the CDC, WHO, AHRQ, Healthy People 2020. Provide a detailed scientific rationale justifying the inclusion of this evidence in your plan.

Next determine the ICD-10 classification (diagnoses). The International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-10-CM) is the official system used in the United States to classify and assign codes to health conditions and related information.

Download the access codes.

Download the SOAP template to help you design a holistic patient care plan. Utilize the SOAP guidelines to assist you in creating your SOAP note and building your plan of care. You are expected to develop a comprehensive SOAP note based on the given assessment, diagnosis, and advanced nursing interventions. Reflect on what you have learned about care plans through independent research and peer discussions and incorporate the knowledge that you have gained into your patient’s care plan. If the information is not in the provided scenario please consider it normal for SOAP note purposes, if it is abnormal please utilize what you know about the disease process and write what you would expect in the subjective and objective areas of your note.

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health care organization

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Research a health care organization or network that spans several states with in the United States (United Healthcare, Vanguard, Banner Health, etc.). Assess the readiness of the health care organization or network you chose in regard to meeting the health care needs of citizens in the next decade.

Prepare a 1,000-1,250 word paper that presents your assessment and proposes a strategic plan to ensure readiness. Include the following:

  1. Describe the health care organization or network.
  2. Describe the organization’s overall readiness based on your findings.
  3. Prepare a strategic plan to address issues pertaining to network growth, nurse staffing, resource management, and patient satisfaction.
  4. Identify any current or potential issues within the organizational culture and discuss how these issues may affect aspects of the strategic plan.
  5. Propose a theory or model that could be used to support implementation of the strategic plan for this organization. Explain why this theory or model is best.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

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Ethical Considerations

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Teacher respond about this assignment.””””Yes, you are using the two papers that I reviewed, making changes and writing your paper according to the rubric requirements. Remember that though you are using the two articles it still has to be submitted to turnitin. This paper is making you be more concise in your writing. I am sure that you will do fine. Also, remember that in your background if you have any statistics or are stating something that is a fact then you will need an in-text citation and a corresponding reference. This means that it is possible that you will not only have the two articles as references but other references as well. I hope this helps. Check the announcements that I sent as well. Print out the rubric to make sure that you will have everything you need in your paper. 

Teacher Advices:

As you approach the final assignment, keep in mind that it has to be sent through turnitin n. This is where it gets tricky as you have been working on this data from the beginning of class. As you pull your research together, you will appraise your evidence and deliver a paper that is concise, pulling in only that information that is relevant to your PICOT. Only use quotes if there is something that you think is vital for your reader to understand the author’s thoughts and you would be unable to get it across to your reader by paraphrasing and citing. Otherwise, the less quotes the better.

This assignment is designed for you to learn how to report only essential elements for clinical decision making and is teaching you aspects of scholarly writing. Review the assignment details and keep the rubric close by when developing your paper. Watch your word count. Please use the following headings in the rubric so that you do not get off track such as:

Nursing Practice Problem and PICOT Statement

Background

Methods

Results

Ethical Considerations

**PICOT Statement, Research Article, and Nursing Practice Problem Link

**Proposed Evidence-Based Practice Change

Conclusion (the two sections above with the ** can be wrapped up in the conclusion if you would like or you can complete them separately and add a conclusion. (Either way if fine).

Please do not submit your paper with a turnitin score greater than 20% as it will be returned for revisions.  I know you can do this!! As you write your paper, if you have any questions, please let me know.

Final Paper

Remember NO HIV. Thanks. Continue with Hypertension.

Prepare this assignment as a 1,500-1,750 word paper using the instructor feedback from the Topic 1, 2, and 3 assignments and the guidelines below.

PICOT Statement 

Revise the PICOT statement you wrote in the Topic 1 assignment.(HYPERTENSION) not HIV

The final PICOT statement will provide a framework for your capstone project (the project students must complete during their final course in the RN-BSN program of study).

Research Critiques

In the Topic 2 and Topic 3 assignments you completed a qualitative and quantitative research critique. Use the feedback you received from your instructor on these assignments to finalize the critical analysis of the study by making appropriate revisions.

The completed analysis should connect to your identified practice problem of interest that is the basis for your PICOT statement.

Refer to “Research Critique Guidelines.” Questions under each heading should be addressed as a narrative in the structure of a formal paper.

Proposed Evidence-Based Practice Change

Discuss the link between the PICOT statement, the research articles, and the nursing practice problem you identified. Include relevant details and supporting explanation and use that information to propose evidence-based practice changes.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

RUBRIC. Please follow it.

Nursing Practice Problem and PICOT Statement

PICOT statement clearly articulates a nursing practice problem using substantial supporting information from numerous reliable sources.

Background of Study

Background of study including problem, significance to nursing, purpose, objective, and research questions is thorough with substantial relevant details and extensive explanation.

Method of Study

Discussion of method of study including discussion of conceptual/theoretical framework is thorough with substantial relevant details and extensive explanation

Results of Study

Discussion of study results including findings and implications for nursing practice is thorough with substantial relevant details and extensive explanation.

Ethical Considerations

Discussion of ethical considerations associated with the conduct of nursing research is thorough with substantial relevant details and extensive explanation.

Conclusion

Conclusion summarizes utility of the research from the critical appraisal, knowledge learned, and the importance of the findings to nursing practice.

Evidence of Revision

Evidence of incorporation of research critique feedback and revision is comprehensive and thoroughly developed.

PICOT Statement, Research Article, and Nursing Practice Problem Link (C. 2.2)

Discussion of the link between the PICOT statement, research articles, and nursing practice problem is extremely thorough with substantial relevant details and extensive supporting explanation.

Proposed Evidence-Based Practice Change (C. 3.2)

The proposed evidence-based practice change is extremely thorough and includes substantial supporting explanation and numerous relevant details.

Thesis Development and Purpose

Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.

Argument Logic and Construction

Argument is clear and convincing and presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.

Mechanics of Writing (includes spelling, punctuation, grammar, language use)

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

Paper Format (use of appropriate style for the major and assignment)

All format elements are correct.

Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)

Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.

I already attach the assignment in week 2 and 3. 

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communicable disease.

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View Rubric

Due Date: Oct 15, 2017 23:59:59 Max Points: 150

Details:

In a written paper of 1,200-1,500 words, apply the concepts of epidemiology and nursing research to a communicable disease.

Communicable Disease Selection

Choose one communicable disease from the following list:

Chickenpox

Tuberculosis

Influenza

Mononucleosis

Hepatitis B

HIV

Epidemiology Paper Requirements

Include the following in your assignment:

Description of the communicable disease (causes, symptoms, mode of transmission, complications, treatment) and the demographic of interest (mortality, morbidity, incidence, and prevalence).

Describe the determinants of health and explain how those factors contribute to the development of this disease.

Discuss the epidemiologic triangle as it relates to the communicable disease you have selected. Include the host factors, agent factors (presence or absence), and environmental factors. (The textbook describes each element of the epidemiologic triangle).

Explain the role of the community health nurse (case finding, reporting, data collecting, data analysis, and follow-up).

Identify at least one national agency or organization that addresses the communicable disease chosen and describe how the organization(s) contributes to resolving or reducing the impact of disease.

A minimum of three references is required.

Refer to “Communicable Disease Chain” and “Chain of Infection” for assistance completing this assignment.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center.

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Foodborne Illness

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Report Issue
Case Study 19: Foodborne Illness Erin C. is a 27-year-old professional woman who describes a recent bout of “the 24-hour flu” she experienced after eating out with friends over the weekend. She reports feeling an upset stomach at work on Monday with an increase in symptoms that developed into severe abdominal cramps, nausea, vomiting, and some bloody diarrhea, continuing into the evening. She called her doctor the next morning and reported what she had eaten the day before she developed symptoms: 2 glasses of wine, broiled rare steak with mushroom sauce, baked potato with sour cream and butter, and an assorted greens salad with oil and vinegar dressing from the salad bar where she was dining with friends. Earlier on that same day, she had eaten leftovers from her refrigerator—a small pork chop, spinach salad, and a glass of milk from a local organic dairy. 1. Based on information in Table 19-1, which of Erin’s symptoms would cause you to suspect that she had a food-borne illness rather than the flu? 2. What foods that Erin ingested are frequent sources of food-borne illness? 3. Based on the information in this chapter, what questions would help you identify the likely cause of Erin’s food-borne illness? 4. Besides calling her doctor for persistent symptoms, what dietary measures are important for Erin’s recovery? 5. Knowing that she prefers to eat rare-cooked meat, what precautionary advice could you offer Erin in reference to Figure 19-4? 6. Based on this experience, suggest one practical action from each of the four simple rules outlined in the “How To” section on page 628 that may protect Erin from food-borne illness in the future. Case Study 20: Food for a Low-Income Family Sarah is a 30-year-old mother of two young children, ages 3 and 5. Her husband was recently disabled in a car accident and has been unable to work for 6 months. Sarah works part-time in her children’s preschool and her husband receives a monthly check for his disability. Medical expenses have wiped out the family’s savings and monthly expenses often exceed the couple’s income. Sarah tells her close friend that she is unable to provide balanced meals for her family because she often runs out of foods such as milk and fresh produce before payday. Her children receive a healthy lunch and snack at preschool and a couple of times in the past month Sarah and her husband have had to skimp on their meals at home to make sure the children were fed adequately. Sarah is worried that their limited resources may be affecting the nutritional health of her family. 1. Based on this family’s history, how would you classify their food insecurity according to Table 20-1? 2. Using the “How To” ideas on page 663, what are at least 3 practical suggestions that would help Sarah provide nutritious meals to her family at the lowest cost? 3. What programs mentioned in this chapter might this family be eligible for that could help improve their access to nutritious food? 4. Sarah’s church keeps an emergency food pantry for people in their community. List some low-cost non-perishable food suggestions that would provide maximum nutritional benefit to this family. 5. Sarah has recently qualified for the SNAP program. What nutrient-dense foods might she buy that would help stretch her food dollar and improve the overall quality of her family’s diet? 6. Plan a one-day menu with 3 meals and 1 snack for this family that incorporates your ideas from the previous questions.

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Ethics and Evidence-Based Research

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Ethics and Evidence-Based Research

Write a 1250-1500 word essay addressing each of the following points/questions. Be sure to completely answer all the questions for each bullet point. There should be three main sections, one for each bullet below. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least two (2) sources using citations in your essay. Make sure to cite using the APA writing style for the essay. The cover page and reference page in correct APA do not count towards the minimum word amount. Review the rubric criteria for this assignment.

Part 1: Describe why ethical safeguards designed for clinical research may not be feasible or appropriate for evidence-based practice or evidence-based practice implementation projects.

Part 2: Review the sectioned headed, Two Ethical Exemplars in Chapter 22 of the textbook (Melnyk and Fineout-Overholt, 2015, pages 518-519). Discuss three main ethical controversies related to implementing Evidence-Based Quality Improvement (EBQI) Initiatives. Describe how these controversies relate to the four core ethical principles.

Part 3: Identify which ethical principles may be in conflict with the concept of “patients having an ethical responsibility in improving healthcare.” Discuss how these conflicts may be resolved.

At least 2 scholarly references should be used for this assignment.

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