Tag Archive for: nursing

Movie Family Assessment

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Movie Family Assessment

Submit by 2359 Saturday of Week 1.

Name:   Date:  

Overview

Choose a movie from the provided list. Watch the movie, focusing specifically on the family unit featured in the film. Compare and contrast the movie family’s characteristics and behaviors to the assessment criteria introduced in the class notes and readings from the textbook.  Address each characteristic including specific examples from the movie to validate your analysis. You must use references (textbook, class notes, others), and these must be cited throughout your paper. Submit your analysis in this document, typed using APA format (double-spaced). Limit is five (5) content pages.   

Choose one of these movies:

The Journey of August King

Steel Magnolias

It’s a Wonderful Life   

Mrs. Doubtfire

Field of Dreams

Mr. Holland’s Opus

Remember the Titans

The Horse Whisperer             

Madea’s Family Reunion

The Sound of Music

Stepmom

Run Away Bride                            I am Sam                                      

The Last Song                              The Notebook

Objectives

  • Explore developmental characteristics of the family as a unit across the lifespan.
  • Examine health patterns and practices transmitted across generations.

Rubric

NOTE: All assignments must be submitted on time. Assignments submitted after the deadline will be accepted with a penalty of 5 points of the total possible points for EACH DAY that the assignment is late.

Movie Family Assessment Target

50 points max

 Acceptable

At least 37 points

 Unacceptable

Less than 32 points
Introduction

(5 points)

 Introduction is present and forecasts content of the paper.

(4-5 points)

 Introduction is present and forecasts the content of the paper.

(2-3 points)

 Introduction is present , sketchy, or introduction is missing

(0-1 point)
Movie Setting and Story

(6 points)

 

 Complete description of each  major character in the movie family, the setting, and the context of the story

(5-6 points)

 General description of  the major characters in the movie family, the setting, and the context of the story

(3-4 points)

 Incomplete description of  the major characters in the movie family, the setting, and/or the context of the story

(0-2 point)
Assessment of Movie Family

 

      
Family processes

(20 points)

 Complete description of each of these processes:

  • Sociocultural
  • Environment
  • Communication
  • Power/decision making
  • Roles

(19-20 points)

 Complete description of 4 of these processes and general description of 1:

  • Sociocultural
  • Environment
  • Communication
  • Power/ decision making
  • Roles

(11-18 points)

 General description of at least 2 processes and complete description of up to 3:

  • Sociocultural
  • Environment
  • Communication
  • Power/decision making
  • Roles

(0-10 points)
Values

(6 points)

 Clearly describes the family values as demonstrated in the movie.

(5-6 points)

 Adequately describes the family values as demonstrated in the movie.

(3-4 points)

 Minimally describes the family values as demonstrated in the movie.

(0-2 point)
Socialization and Child Rearing

(6 points)

 Clearly describes the family dynamics of socialization and child rearing.

(5-6 points)

 Describes the family dynamics of socialization and child rearing.

( 3-4 points)

 Minimally describes the family dynamics of socialization and child rearing.

(0-2 point)
Healthcare Beliefs and Practices

(6 points)

 Clearly depicts the healthcare beliefs and practices of the family.

(5-6 points)

 Somewhat depicts the healthcare beliefs and practices of the family.

(3-4 points)

 Inadequately depicts the healthcare beliefs and practices of the family.

(0-2 point)
Adaptation

(6 points)

 Clearly shows the ability of the family to adapt to new situations.

(5-6 points)

 Adequately shows the ability of the family to adapt to new situations.

(3-4 points)

 Inadequately shows the ability of the family to adapt to new situations.

(0-2 point)
Genogram

(10 points)

 

 

 

 Represents a minimum of 2 generations;

Uses correct symbols to demonstrate relationships;

Includes symbol legend

(9-10 points)

 Represents 2  generations;

Uses mostly correct symbols to demonstrate relationships;

Includes symbol legend

(6-8 points)

 Fails to represent  2 generations, and/or

uses incorrect symbols to demonstrate relationships, and/or symbol legend is missing

(0-5 points)
Ecomap

(10 points)

 Identifies family relationships inside the middle circle;

Uses external circles to include representation from multiple formal and informal support systems;

Identifies the nature of relationships between family members and support systems;

Includes legend

(9-10 points)

 Identifies family relationships inside the middle circle;

Uses external circles to include representation from some formal and informal support systems;

Identifies the nature of some of the relationships between family members and support systems;

Includes legend

(6-8 points)

 Somewhat identifies family relationships inside the circle;

Lacks representation from formal and informal support systems;

Does not identify the nature of relationships between family members and support systems;

Lacks legend

(0-5 points)
Comparison to Beavers Systems Model

(10 points)

 Compares the movie family to the Beavers Systems Model addressing each of these components:

  • Family structure
  • Mythology
  • Goal-directed negotiations
  • Autonomy
  • Family affect
  • Global appraisal of the family’s level of development or functional competency (Severely disturbed, Borderline, Mid-range Adequate, or Optimal)

(9-10 points)

 Compares the movie family to the Beavers Systems Model addressing 4-5 of these components:

  • Family structure
  • Mythology
  • Goal-directed negotiations
  • Autonomy
  • Family affect
  • Global appraisal of the family’s level of development or functional competency (Severely disturbed, Borderline, Mid-range Adequate, or Optimal)

(6-8 points)

 Addresses fewer than 4 of these components:

  • Family structure
  • Mythology
  • Goal-directed negotiations
  • Autonomy
  • Family affect
  • Global appraisal of the family’s level of development or functional competency (Severely disturbed, Borderline, Mid-range Adequate, or Optimal)

(0-5 points)
Summary and Conclusion

(5 points)

 Includes summary and conclusions

(4-5 points)

 Includes summary and conclusions

(2-3 points)

 Missing summary and/or conclusions

(0-1 point)
Format and Quality of Writing

(10 points)

 Error-free or almost error-free grammar, spelling, punctuation, APA format, and length is within guidelines

(9-10 points)

 Generally error-free grammar, spelling, punctuation, APA format, and length is within guidelines

(6-8 points)

 Error-filled grammar, spelling, punctuation, and/or APA format, and/or length not within guidelines.

(0-5 points)

 

Instructions

Review the Rubric to guide your work on the Movie Family Assessment, using appropriate subheadings in your work. Write in the text boxes provided, then copy/paste images of your genogram and ecomap on the final two pages. (You may need to scan or photograph your genogram/ecomap and save it to your computer as an image if you did not create it in a Word document.)

Your page count begins on the next page and does NOT include your genogram and ecomap.

Introduction

 

 

 

 

Movie Setting and Story

 

 

 

 

Assessment of Movie Family

 

 

 

 

Comparison to Beavers System Model

 

 

 

 

 

Summary and Conclusion

 

 

 

 Steel Magnolias is the movie due today at 5pm

 The book we are using is Family Nursing by Friedman, Bowden and Jones 5th edition

Chapters 1,2,3,5,8,9, and 10 in APA FORMAT , MUST include supportive citations with reference list

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male and female reproductive systems

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While the male and female reproductive systems are unique to each sex, they share a common function—reproduction. Disorders of this system range from delayed development to structural and functional abnormalities. Since many reproductive disorders not only result in physiological consequences but also psychological consequences such as embarrassment, guilt, or profound disappointment, patients are often hesitant to seek treatment. Advanced practice nurses need to educate patients on disorders and help relieve associated stigmas. During patient evaluations, patients must feel comfortable answering questions so that you, as a key health care provider, will be able to diagnose and recommend treatment options. As you begin this Discussion, consider reproductive disorders that you would commonly see in the clinical setting.

To Prepare

Review Chapter 22 and Chapter 23 in the McPhee and Hammer text, as well as Chapter 33 and 34 in the Huether and McCance text.
Select two disorders of the male and/or female reproductive systems that interest you. Consider the similarities and differences between the disorders.
Select one of the following factors: genetics, ethnicity, age, or behavior. Think about how the factor you selected might impact the diagnosis of and treatment for the reproductive disorders.
Post a description of the two reproductive disorders you selected, including their similarities and differences. Then explain how the factor you selected might impact the diagnosis of treatment for the reproductive disorders.

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onflicts in Intergenerational Workplace

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Analyzing an Issue or Event in Diversity Through the Lenses of the Sciences and Social Sciences

Topic –   Conflicts in Intergenerational Workplace

For this fourth milestone, you will analyze your issue or event in diversity through the lenses of the natural and applied sciences and the social sciences. Like Milestone Two, this task provides you with an opportunity to dive deeper into your analysis of the issue or event through these two lenses.

To complete this assignment, review the Milestone Four Guideline and Rubric.

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Epidemiologic Designs

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Epidemiologic Designs

As introduced in the first few weeks of this course, investigators use various epidemiological study designs to study health problems and the effects of health interventions. You have examined several study designs, including descriptive designs (in Week 2) and analytic study designs that are observational (in Week 3) or experimental (this week). As a DNP student, you should be able to determine which study design would be most suitable for addressing a health problem of interest to you, as this is a foundation for evidence-based practice.

For this Discussion, you will consider which epidemiologic study design (i.e., descriptive, ecologic, cross-sectional, case-control, cohort, or experimental) is most appropriate for investigating the population health problem you selected for Assignment 1. In addition, you will consider which epidemiologic data sources you would use to examine your health problem.

To prepare:

  • Reflect on the population      health problem you identified in Assignment 1, which you will use for      Major Assessment 7, and your early review of the literature.
  • Identify a question for your      study; this will help you select an appropriate design.
  • Consider which epidemiologic      study design (i.e., descriptive, ecologic, cross-sectional, case-control,      cohort, or experimental) is most appropriate for addressing your selected      health problem based upon the assumptions and basic tenets of each design.
  • Determine which      epidemiological design(s) would not be appropriate for your study and why.
  • Also, explore the various      health data resources that were presented in Chapter 5 of the course      text, Epidemiology for Public Health Practice. Consider which      data resources you could use for your study, assessing the strengths and      limitations of those resources.

By tomorrow 03/21//2018, write a minimum of 550 words in APA format with at least 3 scholarly references from the list of required readings below. Include the level one headings as numbered below”

Post a cohesive scholarly response that addresses the following:

1) Briefly summarize the population health problem you selected for Major Assessment 7, and state the study question you want to answer.

2) Explain which epidemiologic study design is most appropriate for your study, as well as the assumptions and tenets that support its application.

3) Analyze the strengths and the limitations of the potential data sources you might use for your study.

Required Readings

Friis, R. H., & Sellers, T. A. (2014). Epidemiology for public health practice (5th ed.). Sudbury, MA: Jones & Bartlett.

Chapter 8, “Experimental Study Designs”

This chapter examines experimental and quasi-experimental study designs.

Johnson, T. S. (2010). A brief review of pharmacotherapeutic treatment options in smoking cessation: Bupropion versus varenicline. Journal of the American Academy of Nurse Practitioners, 22(10), 557–563.

The authors of this article explored treatment options for smoking cessation by examining the research literature, including looking at the results of randomized control trials. This article provides an example of how such a literature review can influence practice demonstrate the use and benefits of randomized control trial study designs.

Milligan, K., Niccols, A., Sword, W., Thabane, L., Henderson, J., Smith, A., & Liu, J. (2010). Maternal substance use and integrated treatment programs for women with substance abuse issues and their children: A meta-analysis. Substance Abuse Treatment, Prevention & Policy, 5, 21–34.

This article examines programs that integrate substance abuse treatment and pregnancy, parenting, or child services. The authors conclude that there is a need for funding of high-quality randomized control trial and improved reporting practices. This article also demonstrates the application of analytic research designs to explore a population health problem.

Talaat, M., Afifi, S., Dueger, E., El-Ashry, N., Marfin, A., Kandeel, A., Mohareb, E., & El-Sayed, N. (2011). Effects of hand hygiene campaigns on incidence of laboratory-confirmed influenza and absenteeism in schoolchildren, Cairo, Egypt. Emerging Infectious Diseases, 17(4), 619–625.

This research study used a randomized control trial to examine the association between hand washing and reducing influenza. As you review this article, notice how they structured the research study and how they measured the association between hand washing and absenteeism.

Physicians’ Health Study (2010). Retrieved from http://phs.bwh.harvard.edu

This large-scale, randomized clinical trial that began in 1982 was designed to test the effectiveness of aspirin and beta carotene in preventing heart attacks (myocardial infarctions, or MIs) in male physicians aged 40–84. The first phase of the trial, which included more than 22,000 study subjects, demonstrated that low-dose aspirin does, in fact, reduce the risk of a first MI by 44%. This article provides a good example of the types of large-scale studies conducted using epidemiologic principles that lead to improved population health.

Required Media

Laureate Education (Producer). (2012). Epidemiology and population health: Experimental studies [Video file]. Baltimore, MD: Author.

Note: The approximate length of this media piece is 5 minutes.

In this program, the presenters discuss experimental studies, including the effect of randomization and blinding on study results.

Optional Resources

Groopman, J. (2006, December 18) Medical dispatch—The right to a trial: Should dying patients have access to experimental drugs? New Yorker, 82(42), 40–47.

Dorak, M. T. (2006). Epidemiologic study designs [PowerPoint presentation]. Retrieved from http://www.dorak.info/epi/design.ppt

Ibrahim, M., Alexander, L., Shy, C., & Farr, S. (2000). Randomized trials. ERIC Notebook, 10, 1–4. Retrieved from

http://cphp.sph.unc.edu/trainingpackages/ERIC/eric_notebook_10.pdf

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Attribute Control Charts 

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Week 7 Assignment: Textbook Problems:
Create Attribute Control Charts

Due 10/6/2018

As a current or future health care administration leader, you will likely engage in creating and presenting attribute control charts for your health services organization. As you have examined in this course, the use of attribute control charts will depend on the specific processes in your health services organization that require monitoring and oversight. Apart from interpreting and understanding the results of control charts for ensuring that processes are in control, developing skills in creating attribute variable control charts is necessary for health care administration practice.

For this Assignment, review the resources for this week that are specific to attribute control charts. You should focus on mimicking the development of p and np charts as demonstrated in the readings for this week.

The Assignment: (3– pages)

· Using SPSS and Microsoft Word, complete problems 1 through 5 on pages 297–299 in the Ross textbook. Show all work. Submit both your SPSS and Word files for grading.

ROBLEMS

1. A hospital is analyzing nosocomial infections and wants to reduce their infection rate below the national average of 2.0%. They have sampled 40 cases every week for the last 20 weeks. The data are shown below. Create p and np control charts. Interpret the graphs. How is the hospital performing in relation to its stated goal?

1 2 11 3

2 1 12 4

3 1 13 2

4 2 14 3

5 1 15 4

6 1 16 5

7 3 17 3

8 2 18 4

9 1 19 5

10 2 20 6

2. Walter Shewhart ([1931] 1980) presented the following data in his classic Economic Control of Quality of Manufactured Product. Create a p chart for each machine. Does either of the two machines show evidence of special cause variation?

MACHINE A

MACHINE B

MACHINE B

Month

Defective

Inspected

Defective

Inspected

Jan 4 527

Feb 5 610

Mar 5 428

Apr 2 400

May 15 498

Jun 3 500

Jul 3 395

Aug 2 393

Sep 3 625

Oct 13 465

Nov 5 446

Dec 3 510

Average 5.25 483.08

1 169

3 99

1 208

1 196

1 132

1 89

1 167

2 200

1 171

1 122

3 107

1 132

1.42 149.33

3. From January 1846 through December 1848 Semmelweis ([1860] 1983) recorded births and the number that resulted in the death of the mother at his hospital. The data is available in the Chapter07.xls file, in the Problem07–03 tab. Create a p chart to analyze performance. Interpret the chart. Was the system stable?

4. Postsurgical infections have been reported to affect 2% to 5% of the 16 million patients who undergo surgery in U.S. hospitals. Infections increase the chance of complications and death. Antibiotics given one hour prior to surgery have been shown to reduce the probabil- ity of infection. The director of quality improvement has sampled 20 patients per week over the preceding 25 weeks. The data is available in the Chapter07.xls file in the Problem07–04 tab. The data collected records whether a patient contracted an infection after surgery. Create a p chart to analyze performance. Interpret the hospital’s performance based on your control chart and identify any issues that should be investigated. Assuming the aver- age rate of infection is 3.5%, is the hospital doing a good job?

5. Readmission rates within one year for congestive heart failure have been documented at 35%. A local heart program wants to assess its performance against this standard. The pro- gram has randomly selected ten patients per month over a 24-month period for review. The data is available in the Chapter07.xls file, in the Problem07–05 tab. Some of the patients were deleted from the sample due to death, relocation, or other reasons that preclude follow-up. Create a p chart. Is the process stable? How is the program performing relative to the documented standard? Since not all months have 10 observations, either use 10 as the sample size or use the average sample size to calculate the control limits.

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Where in the World Is Evidence-Based Practice

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Discussion: Where in the World Is Evidence-Based Practice?

March 21, 2010, was not EBP’s date of birth, but it may be the date the approach “grew up” and left home to take on the world.

When the Affordable Care Act was passed, it came with a requirement of empirical evidence. Research on EBP increased significantly. Application of EBP spread to allied health professions, education, healthcare technology, and more. Health organizations began to adopt and promote EBP.

In this Discussion, you will consider this adoption. You will examine healthcare organization websites and analyze to what extent these organizations use EBP.

To Prepare:

  • Review the Resources and reflect on the definition and goal of EBP.
  • Choose a professional healthcare organization’s website (e.g., a reimbursing body, an accredited body, or a national initiative).
  • Explore the website to determine where and to what extent EBP is evident.
By Day 3 of Week 1

Post a description of the healthcare organization website you reviewed. Describe where, if at all, EBP appears (e.g., the mission, vision, philosophy, and/or goals of the healthcare organization, or in other locations on the website). Then, explain whether this healthcare organization’s work is grounded in EBP and why or why not. Finally, explain whether the information you discovered on the healthcare organization’s website has changed your perception of the healthcare organization. Be specific and provide examples.

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Diagnosis and Management of Skin Disorders:

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Diagnosis and Management of Skin Disorders:

 

Case Study 2: Address this case as your patient and you are the nurse practitioner seeing the patient:

 

An 8-month-old presents to your office with a rash on both cheeks that has progressively worsened over the last week. Mom first noticed the rash after his 6-month checkup. He has generalized dry skin and rubs at his cheeks often

 

To prepare:

 

•Review the DermNet NZ and Dermnet Skin Disease Atlas websites in this week’s Learning Resources.

 

•Select one of the four case studies of skin disorders. Analyze the skin disorder in the case you selected including lesion type, lesion distribution, color, and any ancillary findings.

 

•Consider a differential diagnosis for the skin disorder in the case study you selected. Determine the most likely diagnosis for the patient.

 

•Think about a treatment and management plan for this disorder. Consider appropriate dosages for any recommended treatments.

 

POST  1 TO 2 PAGES  DISCUSSION PAPER ON  : An explanation of the skin disorder in the case study you selected.

 

Include in your explanation the lesion type, lesion distribution, color, and any ancillary findings.

 

Then, present a differential diagnosis and explain which is the most likely diagnosis for the patient and why.

 

Finally, explain a treatment and management plan for the patient’s skin disorder, including appropriate dosages for any recommended treatments.

 

 

 

References

 

Burns, C. E., Dunn, A. M., Brady, M. A., Starr, N. B., & Blosser, C. G. (2013). Pediatric primary care (5th ed.). Philadelphia, PA: Elsevier.

 

Chapter 36, “Dermatologic Disorders” (pp. 877–927)

 

DermNet New Zealand Trust. (2014). DermNet NZ. Retrieved from http://www.dermnetnz.org/

 

 

 

•Dermnet.com. (2011). Dermnet Skin Disease Atlas. Retrieved from http://www.dermnet.com/

 

Practice Guidelines for the Diagnosis and Management of Skin and Soft Tissue Infections: 2014 Update by the Infectious Diseases Society of America by  Stevens, D.L.,  Bisno, A.L., Chambers, H.F., Dellinger, E.P.,  Goldstein,  E.J.C., Gorbach, S.L., Hirschmann, J.V., Kaplan, S.L., Montoya, J.G., & Wade, J.C. in Clinical Infectious Diseases , 59(2), 10-52.

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chemotherapeutic agent

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Mrs. V is a 47 year old white female who noted a lump near the lower, outer edge of her right breast. After undergoing work up, Mrs. V. was diagnosed with breast cancer. She underwent a right mastectomy without surgical reconstruction.

The pathology report relative to the patient’s tumor revealed the tumor was estrogen receptor positive.

Assignment Questions
What chemotherapeutic agent would be anticipated for this patient’s treatment plan? Support your discussion with a reference from a scholarly source.
Discuss the mechanism of action for the anticipated chemotherapeutic agent. Support your discussion with a reference from a scholarly source.
Discuss what the anticipated side effects of the chemotherapeutic agent are. Support your discussion with a reference from a scholarly source.
Anticipating the potential side effects of the treatment plan, what are the key elements to include in the patient education plan? Support your discussion with a reference from a scholarly source.
Instructions
Prepare and submit a 3-4 page paper [total] in length (not including APA format).
Answer all the questions above.
Support your position with examples.
Please review the rubric to ensure that your assignment meets criteria.
Submit the following documents to the Submit Assignments/Assessments area:
Case Study: Breast Cancer

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Quadruple Aim in healthcare.

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In 2008, Donald Berwick and colleagues provided a framework for the delivery of high value care in the USA, the Triple Aim, that is centered around three overarching goals: improving the individual experience of care; improving the health of populations; and reducing the per capita cost of healthcare. 1 The intent is that the Triple Aim will guide the redesign of healthcare systems and the transition to population health.

FULL ARTICLE ATTACHED FOR ASSISTANCE

  • Reflect on how Evidenced Based Practice might impact (or not impact) the Quadruple Aim in healthcare.
  • Consider the impact that Evidenced Based Practice may have on factors impacting these quadruple aim elements, such as preventable medical errors or healthcare delivery.

To Complete:

Write a brief analysis of the connection between Evidenced Based Practice and the Quadruple Aim.

Your analysis should address how Evidenced Based Practice  might (or might not) help reach the Quadruple Aim, including each of the four measures of:

  • 1. Patient experience
  • 2. Population health
  • 3. Costs
  • 4. Work life of healthcare providers

(2 pages only no longer than 2 pages)

APA FORMAT WITH REFERENCES & IN-TEXT CITATIONS

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historical analysis

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Post an explanation of the unmet need that affects a specific group, unit, or organization that you would like to focus on for your Course Project. Share data from your historical analysis and forecasting, and identify stakeholders who should be included in the strategic planning process. Explain your vision for addressing this need at the organizational or systems level.

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