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The Medical Interview:

This is discussion board: No Plegarism please, assignment will be checked with Turnitin. Will need minimum of 250 words, APA Style, double spaced, times new romans, font 12, and and minimum 3 References with intext citations.

The Medical Interview:

The medical interview serves several functions. It is used to collect information to assist in diagnosis of the present illness, to understand the patient’s values, to assess and communicate prognosis, to establish a therapeutic relationship and to reach agreement with the patient about further diagnostic procedures and therapeutic options. The interview also offers an opportunity to influence patient behaviors.

Discuss the following:

Please answer the following questions and include your rationale and evidence-based research to support your written work.

· What does it means to document accurately and appropriately?

· What are the documenting guidelines? When is it appropriate to use abbreviations?

· What is the difference between subjective and objective data?

· What does it mean to demonstrate clinical reasoning skills?

· How can you use clinical reasoning to plan the organization of a comprehensive exam?

· How will you document variations of normal and abnormal assessment findings?

· What factors influence appropriate tools and tests necessary for a comprehensive assessment?

· Reflect on personal strengths, limitations, beliefs, prejudices, and values.

· How will these impact your ability to collect a comprehensive health history?

· How can you develop strong communication skills.

· What interviewing techniques will you use to interview the patient to elicit subjective health information about their health history?

· What relevant follow-up questions will you use to evaluate patient condition?

· How will you demonstrate empathy for patient perspectives, feelings, and sociocultural background?

· What opportunities will you take to educate the patient?

technology systems

Details:

Explore the technology systems offered by Nanthealth, a provider of “telehealth” and health management services via the following link:

http://nanthealth.com/

Prepare a brief (8-10 slides) PowerPoint presentation in which you do the following:

  1. Identify at least two technology innovations to connect patients, providers, and insurers across the care continuum.
  2. Describe how the technologies work to provide patients and providers with data necessary for health care decision making.
  3. Discuss how the real-time data encourages outcome-focused planning.
  4. Predict what impact the technology will have on future health care delivery. Provide rationale and examples.

Presentations must include speakers’ notes on each slide, as well as references for the presentation.

SLIDES SHOULD BE CLEAN AND NEAT AND CLUTTER FREE AND STRIAGHT TO THE POINT.  ALL ADDITION INFO SHOULD BE PLACED IN SPEAKER NOTES.

BE SURE TO USE IN-TEXT CITATIONS!

 A minimum of three academic references from credible sources are required for this assignment.

The slide count (8-10 slides) does not include the introduction and References slide(s).

Prepare this assignment according to the APA guidelines.

You are required to submit this assignment to Turnitin, SIMILARITY INDEX SHOULD NOT EXCEED 15%

echnology

echnology is integral to successful implementation in many projects, through either support or integration or both. Name at least one technology that could improve the implementation process and the outcomes of your EBP project NEUTROPENIC SEPSIS). Do you plan to use this technology? If not, what are the barriers that prevent its use?

Nursing values honesty and integrity.

Scholarly Paper Phase 2

PURPOSE

The purpose of this assignment is to allow the learner to demonstrate good organization, appropriate resources, and correct APA formatting for preparing a scholarly paper.

**Academic Integrity**

Chamberlain College of Nursing values honesty and integrity. All students should be aware of the Academic Integrity policy and follow it in all discussions and assignments.

By submitting this assignment, I pledge on my honor that all content contained is my own original work except as quoted and cited appropriately. I have not received any unauthorized assistance on this assignment.

Note: Please use your browser’s File menu to save or print this page.

Rubric

NR351_Scholarly Paper Phase 2 Sept 18NR351_Scholarly Paper Phase 2 Sept 18CriteriaRatingsPtsThis criterion is linked to a Learning OutcomeTitle Page5.0 ptsTitle page adheres very well to APA format (0-1 errors).4.0 ptsTitle page adheres mostly well to APA format (2 errors).3.0 ptsTitle page somewhat adheres to APA format (3 errors).2.0 ptsTitle page does not adhere well to APA format (4 errors).0.0 ptsNo title page OR more than 5 errors.5.0 pts
This criterion is linked to a Learning OutcomeMargins, Headings, Headers, Font, Spacing5.0 ptsMargins, headings, headers, font, and spacing adhere well to APA format.4.0 ptsMargins, headings, headers, font, and spacing adhere fairly well to APA format.3.0 ptsAdherence of margins, headings, headers, font, and spacing to APA format is only fair.2.0 ptsMargins, headings, headers, font, and spacing adhere poorly to APA format.0.0 ptsHeadings not used and paper is single spaced with incorrect font and margins.5.0 pts
This criterion is linked to a Learning OutcomeIntroduction20.0 ptsClearly states the paper topic, explains that paper is summary of the assigned article, and explains that the impact of article contents on own future professional nursing practice will be included.18.0 ptsStates the paper topic, explains that paper is summary of the assigned article, and explains that the impact of article contents on own future professional nursing practice will be included.16.0 ptsVaguely states the paper topic, explains that paper is summary of the assigned article, and explains that the impact of article contents on own future professional nursing practice will be included. OR uses slightly fewer than 50 words or slightly more than 75 words.8.0 ptsDid not sufficiently explain all required items in previous columns of this criterion. OR uses significantly fewer than 50 words or significantly more than 75 words.0.0 ptsDid not provide an introduction.20.0 pts
This criterion is linked to a Learning OutcomeAssigned Article SummaryClearly summarizes the major content of the assigned article using 175-200 words. Content includes main ideas from across the entire article. Specifics are excellent. Content is attributed to the correct source.Summarizes the paper and makes a concluding statement.65.0 ptsClearly summarizes the major content of the assigned article using 175-200 words. Content includes main ideas from across the entire article. Specifics are excellent. Content is attributed to the correct source. Excellent revisions from Week 4 Phase 1 based on Week 4 Phase 1 instructor feedback.57.0 ptsSummarizes the major content of the assigned article using 175-200 words. Content includes main ideas from across the entire article. Specifics are good. Content is attributed to the correct source. Good revisions from Week 4 Phase 1 based on Week 4 Phase 1 instructor feedback.52.0 ptsVaguely summarizes the content of the assigned article. OR uses slightly fewer than 175 words or slightly more than 200 words. OR Content may or may not include main ideas from across the entire article. Specifics are fair. OR All content may not be attributed to the correct source. Fair revisions from Week 4 Phase 1 based on Week 4 Phase 1 instructor feedback.25.0 ptsMay not sufficiently summarize content of the assigned article. OR uses significantly fewer than 175 words or significantly more than 200 words. OR Content may not include main ideas from across the entire article. Specifics are poor. OR Content is not be attributed to the correct source. Poor revisions from Week 4 Phase 1 based on Week 4 Phase 1 instructor feedback.0.0 ptsDid not use the assigned article.65.0 pts
This criterion is linked to a Learning OutcomeImpact on Your Future PracticeClearly states how learning from the article will impact your future practice is 125-150 words, concise, clearly relates article contents to practice. Uses first person.65.0 ptsClearly states how learning from the article will impact your future practice is 125-150 words, concise, clearly relates article contents to practice. Uses first person. Excellent revisions from Week 4 Phase 1 based on Week 4 Phase 1 instructor feedback.57.0 ptsStates how learning from the article will impact your future practice is 125-150 words, concise, relates article contents to practice in a mostly clear manner. Uses first person. Good revisions from Week 4 Phase 1 based on Week 4 Phase 1 instructor feedback.52.0 ptsVaguely states how learning from the article will impact your future practice OR uses slightly fewer than 125 words or slightly more than 150 words OR article contents related to practice in a fair manner. May or may not first person. Fair revisions from Week 4 Phase 1 based on Week 4 Phase 1 instructor feedback.25.0 ptsMay not sufficiently state how content of the article impacts your future practice OR uses significantly fewer than 125 words or significantly more than 150 words. OR article contents related to practice in a poor manner. Specifics are poor. OR does not use first person. Poor revisions from Week 4 Phase 1 based on Week 4 Phase 1 instructor feedback.0.0 ptsDid not provide statements required in this section.65.0 pts
This criterion is linked to a Learning OutcomeConclusionClearly writes a concise summary of this paper. Clearly writes strong a concluding statement.25.0 ptsClearly writes a concise summary of this paper. Clearly writes strong a concluding statement. No new information included.Section is 75-100 words.22.0 ptsWrites a concise summary of this paper. Writes a good concluding statement. No new information included. Section is 75-100 words.20.0 ptsWrites a vague summary of this paper. Writes a fair concluding statement. May or may not have included new information.OR uses slightly fewer than 75 words or slightly more than 100 words.10.0 ptsWrites a poor summary of this paper. Writes a poor concluding statement. OR uses significantly fewer than 75 words or significantly more than 100 words.0.0 ptsDid not provide a conclusion section.25.0 pts
This criterion is linked to a Learning OutcomeReference for Assigned Journal ArticleSee page 198 in APA Manual and page 5 from Chamberlain Guidelines for Writing Professional Papers10.0 ptsReference for the assigned article is typed using correct APA format including: author(s), year, article title, journal name, volume number, issue number, page numbers, italics, parentheses, punctuation, double line spacing, and hanging indent. Include DOI if available. Minimal or no errors (0–1 error).9.0 ptsReference for the assigned article is typed using APA format including the items at left with 2–3 errors.8.0 ptsReference for the assigned article is typed using APA format including the items at left with 4-5 errors.4.0 ptsReference typed with 6-8 errors in APA format from the items at left0.0 ptsReference is not for the assigned article OR APA format includes more than 8 errors.10.0 pts
This criterion is linked to a Learning OutcomeQuotation(s) and CitationSee pages 170-171 and 177 in APA Manual and page 5 from Chamberlain Guidelines for Writing Professional Papers10.0 ptsTypes 1 or 2 quotations (10–20 words) from assigned article using correct APA citation including quotation marks, authors’ names, year, page numbers, and parentheses with no errors or one minor error. Did not use words or ideas that the authors cited from another source.9.0 ptsTypes 1 or 2 quotations (10–20 words) from assigned article using APA citation including items at left with 2–3 minor errors. Did not use words or ideas that the authors cited from another source.8.0 ptsQuotation slightly too long or too short. OR Types a quotation (10–20 words) from assigned article using APA citation with 4-5 errors. Did not use words or ideas that the authors cited from another source. OR used 3 quotations.4.0 ptsQuotation excessively too long or too short, or quoted selected words or ideas the author(s) of the assigned article cited from another source, or 6-7 errors in APA format. OR used 4 or more quotations.0.0 ptsMore than 7 errors in APA quotation format. OR no quotations provided.10.0 pts
This criterion is linked to a Learning OutcomeParaphrased Areas and CitationsSee pages 171 and 177 in APA Manual and page 5 from Chamberlain Guidelines for Writing Professional Papers10.0 ptsTypes appropriately paraphrased versions of specific ideas from assigned article using correct APA citations including authors’ names, year, and parentheses with 0-1 error.9.0 ptsTypes mostly appropriately paraphrased versions of the specific ideas from assigned article using correct APA citations including authors’ names, year, and parentheses with 2–3 errors in paraphrasing or citations.8.0 ptsTypes minimally appropriately paraphrased versions of the specific ideas from assigned article using APA citations including authors’ names, year, and parentheses with 4-5 errors.4.0 ptsPoorly paraphrased versions and/or APA citations with 6 or more errors OR citations missing for paraphrased ideas.0.0 ptsCopied several sequential words from article without quotation marks and/or citation.10.0 pts
This criterion is linked to a Learning OutcomeMechanics and OrganizationExcellent mechanics and organization with minimal errors10.0 ptsExcellent mechanics and organization with minimal errors of the following: – well organized and logical, – correct grammar, punctuation, and spelling, – professional wording is used, – uses complete sentences, – paragraphs are linked together logically, and main ideas expressed9.0 ptsGood mechanics and organization considering the elements listed in the first column. A few minor errors noted.8.0 ptsFair mechanics and organization considering the elements listed in the first column. Some errors noted.4.0 ptsPoor mechanics and organization considering the elements listed in the first column. Many errors noted.0.0 ptsVery poor mechanics and organization considering the elements listed in the first column such that writing is difficult to follow or understand.10.0 pts
This criterion is linked to a Learning OutcomeLate Deduction0.0 pts0 points deductedSubmitted on time0.0 ptsNot Submitted on Time – Points Deducted1 day late= 11.25 deduction; 2 days late= 22.5 deduction; 3 days late= 33.75 deduction; 4 days late= 45 deduction; 5 days late= 56.25 deduction; 6 days late= 67.5 deduction; 7 days late= 78.75 deduction0.0 pts
Total Points: 225.0PreviousNext

**Academic Integrity**

Chamberlain College of Nursing values honesty and integrity. All students should be aware of the Academic Integrity policy and follow it in all discussions and assignments.

By submitting this assignment, I pledge on my honor that all content contained is my own original work except as quoted and cited appropriately. I have not received any unauthorized assistance on this assignment.

Note: Please use your browser’s File menu to save or print this page.

Rubric

NR351_Scholarly Paper Phase 2 Sept 18NR351_Scholarly Paper Phase 2 Sept 18CriteriaRatingsPtsThis criterion is linked to a Learning OutcomeTitle Page5.0 ptsTitle page adheres very well to APA format (0-1 errors).4.0 ptsTitle page adheres mostly well to APA format (2 errors).3.0 ptsTitle page somewhat adheres to APA format (3 errors).2.0 ptsTitle page does not adhere well to APA format (4 errors).0.0 ptsNo title page OR more than 5 errors.5.0 pts
This criterion is linked to a Learning OutcomeMargins, Headings, Headers, Font, Spacing5.0 ptsMargins, headings, headers, font, and spacing adhere well to APA format.4.0 ptsMargins, headings, headers, font, and spacing adhere fairly well to APA format.3.0 ptsAdherence of margins, headings, headers, font, and spacing to APA format is only fair.2.0 ptsMargins, headings, headers, font, and spacing adhere poorly to APA format.0.0 ptsHeadings not used and paper is single spaced with incorrect font and margins.5.0 pts
This criterion is linked to a Learning OutcomeIntroduction20.0 ptsClearly states the paper topic, explains that paper is summary of the assigned article, and explains that the impact of article contents on own future professional nursing practice will be included.18.0 ptsStates the paper topic, explains that paper is summary of the assigned article, and explains that the impact of article contents on own future professional nursing practice will be included.16.0 ptsVaguely states the paper topic, explains that paper is summary of the assigned article, and explains that the impact of article contents on own future professional nursing practice will be included. OR uses slightly fewer than 50 words or slightly more than 75 words.8.0 ptsDid not sufficiently explain all required items in previous columns of this criterion. OR uses significantly fewer than 50 words or significantly more than 75 words.0.0 ptsDid not provide an introduction.20.0 pts
This criterion is linked to a Learning OutcomeAssigned Article SummaryClearly summarizes the major content of the assigned article using 175-200 words. Content includes main ideas from across the entire article. Specifics are excellent. Content is attributed to the correct source.Summarizes the paper and makes a concluding statement.65.0 ptsClearly summarizes the major content of the assigned article using 175-200 words. Content includes main ideas from across the entire article. Specifics are excellent. Content is attributed to the correct source. Excellent revisions from Week 4 Phase 1 based on Week 4 Phase 1 instructor feedback.57.0 ptsSummarizes the major content of the assigned article using 175-200 words. Content includes main ideas from across the entire article. Specifics are good. Content is attributed to the correct source. Good revisions from Week 4 Phase 1 based on Week 4 Phase 1 instructor feedback.52.0 ptsVaguely summarizes the content of the assigned article. OR uses slightly fewer than 175 words or slightly more than 200 words. OR Content may or may not include main ideas from across the entire article. Specifics are fair. OR All content may not be attributed to the correct source. Fair revisions from Week 4 Phase 1 based on Week 4 Phase 1 instructor feedback.25.0 ptsMay not sufficiently summarize content of the assigned article. OR uses significantly fewer than 175 words or significantly more than 200 words. OR Content may not include main ideas from across the entire article. Specifics are poor. OR Content is not be attributed to the correct source. Poor revisions from Week 4 Phase 1 based on Week 4 Phase 1 instructor feedback.0.0 ptsDid not use the assigned article.65.0 pts
This criterion is linked to a Learning OutcomeImpact on Your Future PracticeClearly states how learning from the article will impact your future practice is 125-150 words, concise, clearly relates article contents to practice. Uses first person.65.0 ptsClearly states how learning from the article will impact your future practice is 125-150 words, concise, clearly relates article contents to practice. Uses first person. Excellent revisions from Week 4 Phase 1 based on Week 4 Phase 1 instructor feedback.57.0 ptsStates how learning from the article will impact your future practice is 125-150 words, concise, relates article contents to practice in a mostly clear manner. Uses first person. Good revisions from Week 4 Phase 1 based on Week 4 Phase 1 instructor feedback.52.0 ptsVaguely states how learning from the article will impact your future practice OR uses slightly fewer than 125 words or slightly more than 150 words OR article contents related to practice in a fair manner. May or may not first person. Fair revisions from Week 4 Phase 1 based on Week 4 Phase 1 instructor feedback.25.0 ptsMay not sufficiently state how content of the article impacts your future practice OR uses significantly fewer than 125 words or significantly more than 150 words. OR article contents related to practice in a poor manner. Specifics are poor. OR does not use first person. Poor revisions from Week 4 Phase 1 based on Week 4 Phase 1 instructor feedback.0.0 ptsDid not provide statements required in this section.65.0 pts
This criterion is linked to a Learning OutcomeConclusionClearly writes a concise summary of this paper. Clearly writes strong a concluding statement.25.0 ptsClearly writes a concise summary of this paper. Clearly writes strong a concluding statement. No new information included.Section is 75-100 words.22.0 ptsWrites a concise summary of this paper. Writes a good concluding statement. No new information included. Section is 75-100 words.20.0 ptsWrites a vague summary of this paper. Writes a fair concluding statement. May or may not have included new information.OR uses slightly fewer than 75 words or slightly more than 100 words.10.0 ptsWrites a poor summary of this paper. Writes a poor concluding statement. OR uses significantly fewer than 75 words or significantly more than 100 words.0.0 ptsDid not provide a conclusion section.25.0 pts
This criterion is linked to a Learning OutcomeReference for Assigned Journal ArticleSee page 198 in APA Manual and page 5 from Chamberlain Guidelines for Writing Professional Papers10.0 ptsReference for the assigned article is typed using correct APA format including: author(s), year, article title, journal name, volume number, issue number, page numbers, italics, parentheses, punctuation, double line spacing, and hanging indent. Include DOI if available. Minimal or no errors (0–1 error).9.0 ptsReference for the assigned article is typed using APA format including the items at left with 2–3 errors.8.0 ptsReference for the assigned article is typed using APA format including the items at left with 4-5 errors.4.0 ptsReference typed with 6-8 errors in APA format from the items at left0.0 ptsReference is not for the assigned article OR APA format includes more than 8 errors.10.0 pts
This criterion is linked to a Learning OutcomeQuotation(s) and CitationSee pages 170-171 and 177 in APA Manual and page 5 from Chamberlain Guidelines for Writing Professional Papers10.0 ptsTypes 1 or 2 quotations (10–20 words) from assigned article using correct APA citation including quotation marks, authors’ names, year, page numbers, and parentheses with no errors or one minor error. Did not use words or ideas that the authors cited from another source.9.0 ptsTypes 1 or 2 quotations (10–20 words) from assigned article using APA citation including items at left with 2–3 minor errors. Did not use words or ideas that the authors cited from another source.8.0 ptsQuotation slightly too long or too short. OR Types a quotation (10–20 words) from assigned article using APA citation with 4-5 errors. Did not use words or ideas that the authors cited from another source. OR used 3 quotations.4.0 ptsQuotation excessively too long or too short, or quoted selected words or ideas the author(s) of the assigned article cited from another source, or 6-7 errors in APA format. OR used 4 or more quotations.0.0 ptsMore than 7 errors in APA quotation format. OR no quotations provided.10.0 pts
This criterion is linked to a Learning OutcomeParaphrased Areas and CitationsSee pages 171 and 177 in APA Manual and page 5 from Chamberlain Guidelines for Writing Professional Papers10.0 ptsTypes appropriately paraphrased versions of specific ideas from assigned article using correct APA citations including authors’ names, year, and parentheses with 0-1 error.9.0 ptsTypes mostly appropriately paraphrased versions of the specific ideas from assigned article using correct APA citations including authors’ names, year, and parentheses with 2–3 errors in paraphrasing or citations.8.0 ptsTypes minimally appropriately paraphrased versions of the specific ideas from assigned article using APA citations including authors’ names, year, and parentheses with 4-5 errors.4.0 ptsPoorly paraphrased versions and/or APA citations with 6 or more errors OR citations missing for paraphrased ideas.0.0 ptsCopied several sequential words from article without quotation marks and/or citation.10.0 pts
This criterion is linked to a Learning OutcomeMechanics and OrganizationExcellent mechanics and organization with minimal errors10.0 ptsExcellent mechanics and organization with minimal errors of the following: – well organized and logical, – correct grammar, punctuation, and spelling, – professional wording is used, – uses complete sentences, – paragraphs are linked together logically, and main ideas expressed9.0 ptsGood mechanics and organization considering the elements listed in the first column. A few minor errors noted.8.0 ptsFair mechanics and organization considering the elements listed in the first column. Some errors noted.4.0 ptsPoor mechanics and organization considering the elements listed in the first column. Many errors noted.0.0 ptsVery poor mechanics and organization considering the elements listed in the first column such that writing is difficult to follow or understand.10.0 pts
This criterion is linked to a Learning OutcomeLate Deduction0.0 pts0 points deductedSubmitted on time0.0 ptsNot Submitted on Time – Points Deducted1 day late= 11.25 deduction; 2 days late= 22.5 deduction; 3 days late= 33.75 deduction; 4 days late= 45 deduction; 5 days late= 56.25 deduction; 6 days late= 67.5 deduction; 7 days late= 78.75 deduction0.0 pts
Total Points: 225.0PreviousNext

COURSE OUTCOMES

This assignment enables the student to meet the following Course Outcomes (COs).

  • CO3: Demonstrate effective verbal, written, and technological communication using legal and ethical standards for transferring knowledge using success resources provided to Chamberlain students. (PO3)
  • CO4: Integrate critical thinking and judgment in professional decision-making in collaboration with faculty and peers. (PO4)
  • CO5: Apply concepts of professionalism when planning for personal, intellectual, and professional development. (PO5)
  • CO9: Demonstrate accountability for personal and professional development by assessing information and technology competence, implementing plans for upgrading technology skills, and using effective strategies for online student success using resources provided to Chamberlain students. (PO5)

DUE DATE

Submit the assignment by Sunday end of Week 6, 11:59 p.m. MT.

POINTS

This assignment is worth a total of 225 points.

PREPARING THE SCHOLARLY PAPER PHASE 2

  1. Carefully read these instructions and the Rubric.
  2. Download the Week 6 Scholarly Paper Phase 2 Template (Links to an external site.). Use of the assigned template is required. Rename that document as Your Last Name Scholarly Paper Phase 2.docx, for example Smith Scholarly Paper Phase 2. Save it to your own computer or drive in a location where you will be able to retrieve it later.
  3. Type your assignment directly on the saved template using Microsoft Word. The document must be saved as a .docx. Save frequently to prevent loss of your work.
  4. The only resource for your paper is the following assigned article, “Making the case for nursing specialty certification: Promote the profession, advance your career, and improve patient care” (Links to an external site.)
    Note: Logging in to the Chamberlain Library is needed to access this article. Use of the assigned article is required. You must click on the PDF Full Text link on the upper left portion of the page to download the correct version of this required article.
  5. Follow the instructions and specifics on the assigned required template and the rubric. You will demonstrate your scholarly writing abilities as well as APA abilities in references, citations, quotations, and paraphrasing.
  6. See rubric for length limitations for each section and other criteria.
  7. For the Introduction section (see rubric for details),
    1. introduce the assigned paper topic;
    2. explain that the purpose of this paper is to provide a summary of the assigned article;
    3. explain that that the impact of the article contents on your own future practice will be included; and
    4. length must be 50–75 words.
  8. For the Article Summary section (see rubric for details),
    1. clearly summarize the major content of the assigned article using 175–200 words;
    2. content must include main ideas from across the entire article;
    3. specifics should be excellent;
    4. content must be attributed to the correct source; and
    5. instructor feedback from Week 4 Scholarly Paper Phase 1 must be used to revise and improve this section.
  9. For the Impact section,
    1. clearly state how learning from the assigned article will impact your future practice;
    2. length must be 125–150 words;
    3. writing must be concise and clearly relate the assigned article contents to practice;
    4. use first person in this section; and
    5. instructor feedback from Week 4 Scholarly Paper Phase 1 must be used to revise and improve this section.
  10. For the Conclusion,
    1. write a concise summary of main points of the paper;
    2. provide a concluding statement; and
    3. length must be 75–100 words.
  11. Double check your work with the rubric prior to submission.
  12. Note: Assigned Template must be used for this assignment. The Assigned Template has been specially prepared to help you do well on this assignment. See #2 above.
  13. Note: Assigned Article must be used for this assignment. Failure to do so may result in loss of points and/or Academic Integrity violation investigation.

gastrointestinal system.

Jamie is a 3-month-old female who presents with her mother for evaluation of “throwing up.” Mom reports that Jamie has been throwing up pretty much all the time since she was born. Jamie does not seem to be sick. In fact, she drinks her formula vigorously and often acts hungry. Jamie has normal soft brown bowel movements every day and, overall, seems like a happy and contented baby. She smiles readily and does not cry often. Other than the fact that she often throws up after drinking a bottle, she seems to be a very healthy, happy infant. A more precise history suggests that Jamie does not exactly throw up—she does not heave or act unwell—but rather it just seems that almost every time she drinks a bottle she regurgitates a milky substance. Mom thought that she might be allergic to her formula and switched her to a hypoallergenic formula. It didn’t appear to help at all, and now Mom is very concerned.

Cases like these are not uncommon. The mother was concerned and thinking her daughter may have an allergy; she changed to a different formula. However, sometimes babies have immature GI tracts that can lead to physiology reflux as they adapt to normal life outside the uterus. Parents often do not consider this possibility, prompting them to change formulas rather than seeking medical care. As in the case study above, GI alterations can often be difficult to identify because many cause similar symptoms. This same issue also arises with adults—adults may present with symptoms that have various potential causes. When evaluating patients, it is important for the advanced practice nurse to know the types of questions he or she needs to ask to obtain the appropriate information for diagnosis. For this reason, you must have an understanding of common GI disorders such as gastroesophageal reflux disease (GERD), peptic ulcer disease (PUD), and gastritis.

To Prepare

  • Review this week’s media presentation on the gastrointestinal system.
  • Review Chapter 35 in the Huether and McCance text. Identify the normal pathophysiology of gastric acid stimulation and production.
  • Review Chapter 37 in the Huether and McCance text. Consider the pathophysiology of gastroesophageal reflux disease (GERD), peptic ulcer disease (PUD), and gastritis. Think about how these disorders are similar and different.
  • Select a patient factor different from the one you selected in this week’s Discussion: genetics, gender, ethnicity, age, or behavior. Consider how the factor you selected might impact the pathophysiology of GERD, PUD, and gastritis. Reflect on how you would diagnose and prescribe treatment of these disorders for a patient based on this factor.
  • Review the “Mind Maps—Dementia, Endocarditis, and Gastro-oesophageal Reflux Disease (GERD)” media in the Week 2 Learning Resources. Use the examples in the media as a guide to construct a mind map for gastritis. Consider the epidemiology and clinical presentation of gastritis.

To Complete

Write a 2- to 3-page paper that addresses the following:

  • Describe the normal pathophysiology of gastric acid stimulation and production. Explain the changes that occur to gastric acid stimulation and production with GERD, PUD, and gastritis disorders.
  • Explain how the factor you selected might impact the pathophysiology of GERD, PUD, and gastritis. Describe how you would diagnose and prescribe treatment of these disorders for a patient based on the factor you selected.
  • Construct a mind map for gastritis. Include the epidemiology, pathophysiology, and clinical presentation, as well as the diagnosis and treatment you explained in your paper.

4 References no later than 5years

variety of health care settings.

The benchmark assesses the following competencies:

3.3 Provide individualized education to diverse patient populations in a variety of health care settings.

The RN to BSN program at Grand Canyon University meets the requirements for clinical competencies as defined by the Commission on Collegiate Nursing Education (CCNE) and the American Association of Colleges of Nursing (AACN), using nontraditional experiences for practicing nurses. These experiences come in the form of direct and indirect care experiences in which licensed nursing students engage in learning within the context of their hospital organization, specific care discipline, and local communities.

Based on the feedback offered by the provider, identify the best approach for teaching. Prepare a presentation based on the Teaching Work Plan and present the information to your community.

Options for Delivery

Select one of the following options for delivery and prepare the applicable presentation:

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

Selection of Community Setting

These are considered appropriate community settings. Choose one of the following:

  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

Community Teaching Experience Approval Form

Before presenting information to the community, seek approval from an agency administrator or representative using the “Community Teaching Experience Approval Form.” Submit this form as directed in the Community Teaching Experience Approval assignment drop box.

General Requirements

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.

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 not required to submit this assignment to LopesW

Case study questions

Case study questions

Please type out your answers.  Make sure to include the number of the question with the answer for clarity. APA is necessary as all answers require that your sources be cited.  It is ok to use sources outside of the textbook as long as they are cited. This might include sources such as Culture Vision that was used in class previously. Make sure to include a reference page.  Post in Blackboard under week 13 when complete.  50 points possible.

  • A home health nurse received an angry call from a Mexican- American woman after visiting her house the day before. Her infant had been crying and was feverish the next morning and the woman recalled the nurse had remarked the child was adorable.
    • Why might the woman be upset with the nurse for calling her baby adorable?
  • A 27-year-old Vietnamese woman in the delivery room with very strong and closely spaced contractions. The baby was positioned a little high and there was some discussion of a possible c- section. Despite her difficulties, she cooperates with the doctor’s instructions and labors in silence. The only signs of pain or discomfort were her look of concentration and her white knuckles.
    • Should she be offered pain medication when she is not showing a high level of pain? Why or why not?
  • When the nurse entered the room of her Iranian patient, she found the patient huddled on the floor, mumbling. At first, she thought the patient had fallen out of bed, but when she tried to help her up the patient became visibly upset. She spoke no English and the nurse had no idea what the problem was.
    • Why do you think the patient became upset with the nurse?
  • An African-American female was the primary nurse for two African-American teenagers. When one got out of line, she would simply say, “Boy, keep your mouth shut and go somewhere and sit down.” They usually complied.
    One day, it was time for one of them to go to physical therapy, but he was giving the European-American nurse a hard time. Finally, she tried the primary nurses’ tactic and said “Come on boy, I’m not kidding with you. You have to go to therapy.” The young man flew into a rage and started swearing at the nurse.

    • Why may the patient have reacted the way he did with the European-American nurse and not the African-American nurse?
  • A nurse was caring for a deaf woman who had a new baby.  She had a translator who signed to the patient what the nurses said and then told the nursing staff what the patient said. As she spoke she kept talking to the interpreter and directed all of her communications to the interpreter.
    • What might the nurse have done differently with this patient and why?

Leadership and Vocation

AMP-450V Module 3 Collaborative Decision Making Through Shared Governance

Leadership and Vocation – Leading, Managing, and Empowering

Grand Canyon University

 

Attend a committee meeting in your health care organization. If you are not currently employed in a health care setting, you may elect to attend a committee meeting at another company, a community center, a local school, local chamber of commerce or other professional organization.

Observe the interactions between committee members and the process used by the committee to arrive at decisions.

In 500-750 words, describe the function of the committee and the roles of those in attendance. Describe your observations of the interactions between members of the committee and determine whether the process used to arrive at decisions is a form of shared governance.

A minimum of two academic references from credible sources are required for this assignment.

Submit the completed “Collaborative Committee Meeting Verification Form” with the 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.

 

Peripheral Vascular Disease Case Studies

Peripheral Vascular Disease Case Studies

A 52-year-old man complained of pain and cramping in his right calf caused by walking two blocks. The pain was relieved with cessation of activity. The pain had been increasing in frequency and intensity. Physical examination findings were essentially normal except fordecreased hair on the right leg. The patient’s popliteal, dorsalis pedis, and posterior tibialpulses were markedly decreased compared with those of his left leg.

Studies

Results

Routine laboratory work

Within normal limits (WNL)

Doppler ultrasound systolic pressures

Femoral: 130 mm Hg; popliteal: 90 mm Hg; posterior tibial: 88 mm Hg; dorsalis pedis: 88 mm Hg (normal: same as brachial systolic blood pressure)

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Arterial plethysmography

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Decreased amplitude of distal femoral, popliteal, dorsalis pedis, and posterior tibial pulse waves

Femoral arteriography of right leg

Obstruction of the femoral artery at the midthigh level

Arterial duplex scan

Apparent arterial obstruction in the superficial femoral artery

Diagnostic Analysis

With the clinical picture of classic intermittent claudication, the noninvasive Doppler and plethysmographic arterial vascular study merely documented the presence and location of the arterial occlusion in the proximal femoral artery. Most vascular surgeons prefer arteriography to document the location of the vascular occlusion. The patient underwent a bypass from the proximal femoral artery to the popliteal artery. After surgery he was asymptomatic.

Critical Thinking Questions

  1. What was the cause of this patient’s pain and cramping?
  2. Why was there decreased hair on the patient’s right leg?
  3. What would be the strategic physical assessments after surgery to determine the
    adequacy of the patient’s circulation?
  4. What would be the treatment of intermittent Claudication for non-occlusion?

Aggregate Community Windshield Survey

Aggregate Community Windshield Survey

The windshield survey assignment is due in Week 2. It is introduced in Week 1 to provide you with sufficient time to collect the required data. The assignment should be no more than 3 pages in length.

Windshield Surveys

With the use of public transportation or by driving a vehicle around the community, you can assess the common characteristics of the community of your selected aggregate. Key observations to make during a windshield survey include the following:

  • Age and condition of the homes in the community
  • Location and condition of parks and other recreational areas
  • Amount of space between homes and businesses
  • Neighborhood hangouts
  • Transportation in the community
  • Quality of streets and sidewalks
  • Types/numbers of stores and other businesses
  • People out in the community
  • Race/ethnicity
  • Cleanliness of the community
  • Billboards or other media displays
  • Places of worship
  • Availability of services—doctor, dentist, social centers, recreation centers, hospitals

By the due date assigned, submit your proposal to your instructor for approval.

In addition to the data collected in the windshield survey, include the following information about your aggregate:

  • Name of the aggregate
  • Geographical location and size
  • Population
  • A brief history
  • Explain, giving at least two reasons, why you selected this particular aggregate for your Capstone project.