Tag Archive for: nursing

OSCE Clinical Skills

Watch the following videos, then complete the required assignment. Review the document in Course Resources for instructions on accessing the videos.

Lab 1

OSCE Clinical Skills

Sore throat15:08

Upon completion of watching the video write up the scenario into a SOAP format. Is there anything you would do differently on your plan?

Lab 2

OSCE Clinical Skills

Cough 16:29

Upon completion of watching the video write up the scenario into a SOAP format. Is there anything you would do differently on your plan?

Ethics and Leadership 

Assignment Description

Professional Platform for Ethics and Leadership

The role of the health care professional includes being a moral agent or a person whose actions affect themselves and others at a moral level. It is important to have a personal ethic or moral framework in which you ground your practice and professional relationships. The purpose of this assignment is to explore and create a foundation for leadership and ethics in your professional practice.

Write a reflection on the nature, sources, and implications of your values, beliefs, and ethical perspectives that guide your personal life and nursing practice. Please note, grading is based on the clarity and depth of your writing and the apparent effort given the assignment, not on the rightness or wrongness of your position. You are encouraged to be honest in your self-assessments and conclusions.

Each of the following points must be addressed in your essay:

  • Primary influences (childhood and adult)
  • Ethical principles that influence you personally and professionally
  • Ethical practice of professional nursing
  • Ethical leadership and professional development plan. Include both positive and negative aspects of your character that emerge when you are in a position of authority

Assignment Expectations:

Length: 1650 to 2000 words total.

Structure: Include a title page and reference page in APA format. These do not count towards the minimum word count for this assignment. Your essay must include an introduction and a conclusion.

References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. Your assignment should include at least two (2) scholarly sources PLUS the textbook.

issues or challenges

Choose two issues or challenges that the leaders of today’s health care organizations face. Select from among the following topics:

  1. Staff Shortage (Physicians, Nurses, Allied Health Providers, Ancillary Services)
  2. Reorganization in Response to Merger or Consolidation of Services
  3. Layoffs as a Result of Declining Revenues
  4. Influx of Registry, Part-Time, and Temporary Contract Staff
  5. Poor Performance Outcomes Leading to a Reduction in Medicare Reimbursement Dollars
  6. Poor Job Satisfaction Rates Resulting in Turnover

You are the manager of an ancillary service department at a large, 500+ bed hospital. Develop a proposal (750-1,200 words) that is directed toward your staff, in which you address the following:

  1. Inform the staff of the two issues (from the topics provided) your organization is facing.
  2. Describe the impact of these issues on your department.
  3. Describe how improved communication, collaboration, and teamwork can improve conditions in your department.
  4. Identify at least two examples from the required or recommended readings of techniques found to foster inclusion and improve communication and collaboration.
  5. A minimum of three academic references from credible sources are required for this assignment.

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 grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

You are required to submit this assignment to LopesWrite. Refer to the directions in the Student Success Center. Only Word documents can be submitted to LopesWrite.

health promotion plan

  • Print
  • Build a slide presentation (PowerPoint preferred) of the health promotion plan you developed in the first assessment. Then, implement your health promotion plan by conducting a face-to-face educational session addressing the health concern and health goals of your selected community member or group. In addition, collaborate with any participants in setting goals for the session, evaluating session outcomes, and suggesting possible revisions to improve future sessions.
    As you begin to prepare this assessment, you are encouraged to complete the Vila Health: Conducting an Effective Educational Session activity. The information gained from completing this activity will help you succeed with the assessment as you consider key issues in conducting an effective educational session for a selected audience. Completing activities is also a way to demonstrate engagement.
    Professional Context
    Health education is any combination of learning experiences designed to help community individuals, families, and aggregates improve their health by increasing knowledge or influencing attitudes (WHO, 2018). Education is key to health promotion, disease prevention, and disaster preparedness. The health indicator framework identified in Healthy People 2020 helps motivate action in such areas as health service access, clinical preventive services, environmental quality, injury or violence, maternal, infant and child health, mental health, nutrition, substance abuse, and tobacco use.
    Nurses provide accurate evidence-based information and education in various formal and informal settings. They draw upon evidence-based practice to provide health promotion and disease prevention activities to create social and physical environments conducive to improving and maintaining community health. When provided with the tools to be successful, people demonstrate lifestyle changes (self-care) that promote health and help reduce readmissions. They are better able to tolerate stressors, including environmental changes, and enjoy a better quality of life. In times of crisis, a resilient community is a safer community (ODPHP, n.d.; Flanders, 2018).
    This assessment provides an opportunity for you to apply teaching and learning concepts to the presentation of a health promotion plan.
    Demonstration of Proficiency
    By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

    • Competency 3: Evaluate health policies, based on their ability to achieve desired outcomes.
      • Evaluate educational session outcomes in terms of progress made toward Healthy People 2020 goals and leading health indicators.
    • Competency 4: Integrate principles of social justice in community health interventions.
      • Evaluate educational session outcomes and the attainment of agreed-upon health goals in collaboration with participants.
    • Competency 5: Apply professional, scholarly communication strategies to lead health promotion and improve population health.
      • Present a health promotion plan to an individual or group within a community.
    • References
      U.S. Department of Health and Human Services, Office of Disease Prevention and Health Promotion (ODPHP). (n.d.). Healthy People 2020. Retrieved from https://www.healthypeople.gov/
      Flanders, S. A. (2018). Effective patient education: Evidence and common sense. Medsurg Nursing, 27(1), 55–58.
      Note: This is the second part of a two-part assessment. You must complete Assessment 1 before completing this assessment.
      Preparation
      This assessment builds upon Assessment 1 where you contacted and secured local individuals or group in your community who were open to a presentation about a health concern and health promotion strategies. Once again, you will assume the role of a community nurse tasked with addressing the specific health concern within your chosen community. This time, you will implement the health promotion plan that you developed in Assessment 1 as a PowerPoint presentation. This presentation must be live and face-toface. You know that you must determine an effective teaching strategy, communicate the plan with professionalism and cultural sensitivity, obtain input on the value of the plan to the individual or group, and revise the plan, as applicable, to improve future educational sessions. To engage your audience, you decide to develop a slide presentation to communicate your plan. A copy of the slide presentation could also be given to the individual or group for future reference.
      Remember that your first assessment (Assessment 1) MUST be satisfactorily completed to initiate this assessment (Assessment 4). These assessments meet the three-hour clinical learning experience required in this course
      Please review the assessment scoring guide for more information.
      To prepare for the assessment, you are encouraged to complete the Vila Health: Conducting an Effective Educational Session simulation. You may also wish to review the health promotion plan presentation assessment and scoring guide to ensure that you understand all requirements.
      Note: Remember that you can submit all, or a portion of, your draft plan to Smarthinking Tutoring for feedback before you submit the final version for this assessment. If you plan on using this free service, be mindful of the turnaround time of 24–48 hours for receiving feedback.
      Instructions
      Complete the following:
    1. Prepare a PowerPoint presentation of the health promotion plan you developed in Assessment 1, with detailed speaker’s notes that include your evaluation of session outcomes. Speaker notes should reflect what you will actually say when you conduct the face-to-face session.
    2. Implement your health promotion plan by conducting a face-to-face educational session addressing the health concern and health goals of your chosen participants. Collaborate with the participants in setting session goals, evaluating outcomes, and suggesting possible revisions to improve future sessions.
    3. As you begin to prepare this assessment, you are encouraged to complete the Vila Health: Conducting an Effective Educational Session activity. The information gained from completing this activity will help you succeed with the assessment as you consider key issues in conducting an effective educational session for a selected audience. Completing activities is also a way to demonstrate engagement.
      Completion of this assessment, and the course, requires that you spend a minimum of three hours face-to-face working with your identified patient who may be a community member or group. Remember that it is a requirement to log your direct clinical hours in the CORE ELMS system.
      Please be advised that the Volunteer Experience form requires that you provide the name and contact information for at least one individual with whom you worked as part of your direct clinical activity. Your faculty may reach out to this individual to verify that you have accurately documented and completed your clinical hours.
      Presentation Format and Length
      You may use Microsoft PowerPoint (preferred) or other suitable presentation software to create your slides. If you elect to use an application other than PowerPoint, check with your faculty to avoid potential file compatibility issues.
      The number of content slides in your presentation is dictated by nature and scope of your health promotion plan. Be sure to include title and references slides per the following:
    • Title slide:
      • Health promotion plan title.
      • Your name.
      • Date.
      • Course number and title.
    • References (at the end of your presentation).
      • Be sure to apply correct APA formatting to your references.
    • The following resources will help you create and deliver an effective presentation:
    • Record a Slide Show With Narration and Slide Timings.
      • This Microsoft article provides steps for recording slide shows in different versions of PowerPoint, including steps for Windows, Mac, and online.
    • Microsoft Office Software.
      • This Campus page includes tip sheets and tutorials for Microsoft PowerPoint.
    • PowerPoint Presentations Library Guide.
      • This library guide provides links to PowerPoint and other presentation software resources.
    • SoNHS Professional Presentation Guidelines [PPTX].
      • This presentation, designed especially for the School of Nursing and Health Sciences, offers valuable tips and links, and is itself a PowerPoint template that can be used to create a presentation.
    • Supporting Evidence
      Support your plan with at least three professional or scholarly references, which may include peer-reviewed articles, course study resources, and Healthy People 2020 resources.
      Graded Requirements
      The requirements outlined below correspond to the grading criteria in the assessment scoring guide, so be sure to address each point. Read the performance-level descriptions for each criterion to see how your work will be assessed.
    • Present your health promotion plan to your chosen audience.
      • Tailor the presentation to the needs of your audience.
      • Adhere to scholarly and disciplinary writing standards and APA formatting requirements.
    • Evaluate educational session outcomes and the attainment of agreed-upon health goals in collaboration with participants.
      • Which aspects of the session would you change?
      • How might those changes improve future outcomes?
    • Evaluate educational session outcomes in terms of progress made toward Healthy People 2020 goals and leading health indicators.
      • What changes would you recommend to better align the session with Healthy People 2020 goals and leading health indicators?
    • Additional Requirements
      Before submitting your assessment, proofread your presentation slides and speaker’s notes to minimize errors that could distract readers and make it difficult for them to focus on the substance of your presentation.
      Reminder: It is required that you log the face-to-face time in the CORE ELMS system. The time you spent securing individual or group participation in Assessment 1 and the time you spend presenting your final health promotion plan to the selected individual or group in Assessment 4 counts as direct clinical contact and must total at least three hours. The CORE ELMS link is located in the left-hand navigation pane.
      Portfolio Prompt: Remember to save the assessment to your ePortfolio so that you may refer to it as you complete the final capstone course.

treatment plan

Addie, age 15, is brought to the school nurse after fainting during gym class. She is grossly underweight, wears baggy clothes, and has dry skin. She complains of feeling cold despite wearing two sweaters. As the nurse examines her perfunctorily, she notices that Addie’s skin seems slightly yellow, and a gentle scrape of her skin shows signs of dehydration.

  1. Based on the findings, what is the likely diagnosis?
  2. What are contributing factors?
  3. What would be an appropriateAddie, age 15, is brought to the school nurse after fainting during gym class. She is grossly underweight, wears baggy clothes, and has dry skin. She complains of feeling cold despite wearing two sweaters. As the nurse examines her perfunctorily, she notices that Addie’s skin seems slightly yellow, and a gentle scrape of her skin shows signs of dehydration.
    1. Based on the findings, what is the likely diagnosis?
    2. What are contributing factors?
    3. What would be an appropriate treatment plan? (Include possible medications, interventions, etc.).
    4. List one short term and one long term goal for this client.

    ? (Include possible medications, interventions, etc.).

  4. List one short term and one long term goal for this client.

health care service provider

Acute care.

Prepare an 8- to 10-slide Microsoft® PowerPoint® presentation with detailed speaker notes that discusses the health care service provider selected.

Include the following in your presentation:

  • Identify the selected health care service provider selected.
  • Identify two additional services and products he or she provides.
  • Identify the roles of various stakeholders and emerging roles within the health care service provider selected.
  • Explain how the services and products are financed or paid for.
  • Identify current and future trends that may have an impact on this provider of health care services.

Cite at least 3 peer-reviewed or scholarly references and your textbook to support your presentation.

Format your presentation according to APA guidelines. Your presentation must include an introduction slide, conclusion slide, and a reference slide.

professional and personal positions

After reading the Brittany Maynard case, create an original post that compares your professional and personal positions on the case. What are the code of ethics, professional regulations, and policies that support your professional position? Explain how to work through ideas when your professional and personal positions come into conflict.

In your responses to at least two peers, suggest codes of ethics, professional regulations, or policies that contradict the position proposed in their post.

Brittany Manyard Case Link

https://time.com/3678199/brittany-maynard-death-with-dignity-legislation-california/

This video contains a news story about 29-year-old Brittany Maynard and physician-assisted suicide.

Physical Examination

Janet, a 20 year-old college student, is experiencing a five-week history of itchy eyes and nasal congestion with watery nasal discharge. She also complains of a “tickling” cough, especially at night, and she has had episodes of repetitive sneezing. Janet gets frequent “colds” every spring and fall.

Physical Examination
Vital Signs: Temp, 98.8; BP 110/68; Pulse 72; Respirations 18

Skin: Flaking erythematous rash on the flexor surfaces of both arms

Head, Eyes, Ears, Nose, and Throat: Tender over maxillary sinuses; sclera red and slightly swollen with frequent tearing; outer nares with red, irritated skin; internal nares with red, boggy, moist mucosa and one medium-sized polyp on each side; pharynx slightly erythematous, with clear postnasal drainage

Lungs: Clear to auscultation and percussion

Discussion Questions:
1. Provide three differential diagnoses based on Janet’s subjective and objective data and discuss your reasoning for each.

2. What additional history questions would be useful in your evaluation of Janet?

3. Discuss the pathophysiological process of your primary diagnosis.

4. Differentiate the types of hypersensitivity mechanisms.

5. As per your analysis, what type of hypersensitivity reaction is Janet experiencing?

teaching plan

Note: This is an individual assignment. Based on the feedback offered  by the provider, identify the best approach for teaching. Prepare a  presentation to accompany the teaching plan and present the  information to your community. Select one of the following options for  delivery of the presentation:

  1. PowerPoint presentation – no more than 30 minutes
  2. Pamphlet presentation – 1 to 2 pages
  3. Poster  presentation

Appropriate community settings include:

  1. Public health clinic
  2. Community health center
  3. Long-term care facility
  4. Transitional care facility
  5. Home health center
  6. University/School health center
  7. Church community
  8. Adult/Child care center

Before presenting information to the community, seek approval from  an agency administrator or representative.

Upon receiving approval from the agency, include the “Community  Teaching Experience Form” as part of your assignment submission.

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.

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

NRS-427V-RS-CommunityTeachingExperienceForm.doc

pathophysiological finding

Charlene is a 55-year-old female who has had emphysema problems for many years. She has a 20-year history of tobacco use. Today, Charlene was seen in the clinic due today increased shortness of breath and non-productive cough over the past three days. She has an SaO2 of 90% with most recent pulmonary function test findings indicating the following: FVC- 70% FEV1-69% FEV1/FVC ratio-69%.

Discussion Questions:

1. What physical findings might be indicative of a patient with emphysema?

2. What is the purpose and interpretations of the pulmonary function test?

3. What are the pathophysiological findings specifying emphysema?

4. What are the three functions of the respiratory center located in the brain stem?

5. Please provide a description of the oxyhemoglobin dissociation curve?

6. What are the pathophysiological findings specifying bronchitis?