Complete a 250-350-word reflection of what you have learned during this topic. Include the following in your reflection:

1. Think about an experience you’ve encountered when viewing or completing the particular assessment.
2. Discuss difficulties that could potentially arise or specific questions related to completing this type of assessment.
3. Include illustrative examples of potential strategies used to overcome the difficulties encountered when completing (the particular) assessment.
4. Describe how the Christian worldview and compassion for all plays a role in this type of assessment.

APA style is not required, but solid academic writing is expected.

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

Begin reviewing and replying to peer postings/responses early in the week to enhance peer discussion. See the rubric for participation points. Participate in the discussion by asking a question, providing a statement of clarification, providing viewpoints with a rationale, challenging aspects of the discussion, or indicating relationships between two or more lines of reasoning in the discussion. Always use constructive language, even in criticism, to work toward the goal of positive progress.

Peer 1

Nursing services play an important role in caring for patients and families in the community and providing them the support they need. For patients with problems ranging from chronic health conditions to need of elder care, nursing has proved itself an important part of the healthcare team. In fact, many people now prefer sending their elderly parents to a daycare for nursing, rather than to a long-term care facility.

For this topic, interview a community-based nurse or nurse practitioner who sees individuals in the home setting. Describe the nurse’s responses to the following questions:

• What are your job responsibilities?
• Does a correlation exist between your job description and your practice?
• Are you involved in policy formulation that affects client services?
• Do you belong to a professional organization related to your current job position?

I was able to interview someone that I know and she works as the RN for a home health agency. She is responsible for taking referrals if they come through to the office while she is there, completing the assessment for services. During the assessments she averages out what the number of hours the person may need and then send that information to the insurance company. She also along with the business owner or program administrator completes the follow up contacts for the patients. They are completed either 30, 60 or 90 days. She also is in charge of any health related trainings that the staff would have to complete. 

She believes that her job description and her actually practice go hand in hand. She feels that she does only what is called of her on most days. There are days she might help around the office just  to lend a helping hand but does not feel pressured to do other people jobs at her agency. 

When I asked about policy formulation she stated that she does help with only the medical policies that pertain to the client’s care. She does not currently belong to any professional organizations but she wants to look into membership in the future.

Peer 2

 Being a home health nurse or nurse practitioner means that the individual that is suffering from an illness receives medical visits in the comfort of their home. “Home care involves a wide range of technical and supportive care for patients after discharge from the hospital, maintaining the health of the disabled people and the elderly at home, preventing unnecessary admission, and meeting the daily needs” (Fatemi, 2019, p. 119). For the purposes of this discussion, I chose to interview DG, a previous coworker that is now a Nurse Practitioner that makes visits to people’s homes. She has been a nurse for 10+ years and has just recently started working in the home health field in the last couple of years. 

            When asking about her job responsibilities, there were many different things she was responsible for when it came to her patients. Some of the main responsibilities that she had was communication between the doctor and any other person that was involved in the patients plan of care. This is the most important aspect of any job but especially caring for a patient int the home setting because of the time that they are not being monitored by medical personnel in person. Another important part of her responsibilities was to carry out standing order for both acute and chronically ill patients. Based off the data that she communicated to the doctor, orders were placed, and it was then her responsibility to carry out the ones within her scope of practice. Also, while visiting with these patients, she was to assess and detect any abnormal issues and once these were determined, begin early interventions to treat the adverse issue. Another major part of her duties was to educate on the disease process and the medications that are prescribed. Knowing what to expect from the disease process will give the family a feeling of comfort and also help them to know when a major change may occurring with the patient and when they should notify the appropriate staff member. Medication education is important because unlike when the patient is in the hospital, the patient may have to self-administer or maybe the family members will be administering them and with the appropriate education, they will know what side effects to look for and when the medication may be contraindicated. While DG is very passionate about her job and the patients she cares for, she is not involved in policy making processes nor does she belong to any professional organizations related to her current position. When she was asked about this, she did not have much to say about it and after further discussion she stated she would rather be at the bedside actively helping the patients rather than in the office making decisions on policies and not knowing how they were effecting the outcomes of patient care. 

            As you can see, being a home health Nurse Practitioner can be rewarding because of the difference you are able to make in the patients life from within the comfort of their home but it can also be a very busy depending on the patient load and the acuity of patients along with any unexpected changes that may occur amongst each individual patient.  

Fatemi, N. L., Moonaghi, H. K., & Heydari, A. (2019). Perceived Challenges Faced by Nurses in Home Health Care Setting: A Qualitative Study. International Journal of Community Based Nursing & Midwifery, 7(2), 118–127.

This week, you explore key statistical concepts related to data and problem solving through the completion of the following exercises using SPSS and the information found in your Statistics and Data Analysis for Nursing Research textbook. The focus of this assignment is to become familiar with the SPSS data analysis software and to develop an understanding of how to calculate descriptive statistics and make conclusions based on those calculations. As you formulate your responses, keep in mind that descriptive statistics only allow you to make conclusions and recommendations for the sample at hand—not for the larger population to which that sample may belong.

To prepare:

• Review the Statistics and Data Analysis for Nursing Research chapters assigned in this week’s Learning Resources. Pay close attention to the examples presented, as they provide information that will be useful when you complete the software exercise this week. You may also wish to review the Research Methods for Evidence-Based Practice video resources to familiarize yourself with the software.
• Refer to the Week 4 Descriptive Statistics Assignment page and follow the directions to calculate descriptive statistics for the data provided using SPSS software. If you run into any difficulties or problems, post them to the Week 4 Discussion 2 area.
• Download and save the Polit2SetA.sav data set. You will open the data file in SPSS.
• Compare your data output against the tables presented in the Week 4 Descriptive Statistics SPSS Output document. This will enable you to become comfortable with defining variables, entering data, and creating tables and graphs.
• Formulate an initial interpretation of the meaning or implication of your calculations.

To complete:

• Complete the Part I, Part II, and Part III steps and Assignment as outlined in the Week 4 Descriptive Statistics Assignment page.

Soap Note 1 Acute Conditions

Follow the MRU Soap Note Rubric as a guide:

Use APA format and must include minimum of 2 Scholarly Citations.

Soap notes will be uploaded to Moodle and put through TURN-It-In (anti-Plagiarism program)

Turn it in Score must be less than 50% or will not be accepted for credit, must be your own work and in your own words. You can resubmit, Final submission will be accepted if less than 50%. Copy paste from websites or textbooks will not be accepted or tolerated. Please see College Handbook with reference to Academic Misconduct Statement.

Must use the sample templates for your soap note, keep this template for when you start clinicals. 

The use of tempates is ok with regards of Turn it in, but the Patient History, CC, HPI, The Assessment and Plan should be of your own work and individualized to your made up patient.  

use the spaces provided to answer the following questions in complete detail, being as descriptive and as specific as possible. Personal statements that lack detail may not receive full points.

(1.) Describe how your family and employment background, education, training and life experiences have influenced your decision to pursue a health professional career.  ( 750 characters)

(2) Describe how your family background, education, training, and life experiences have influenced your commitment to working in a medically underserved area. (750 characters)