Compare the physical assessment of a child to that of an adult.

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Assessment is the systematic basis for making inferences about the learning and development of individuals. Physical assessment of both child and adult includes detailed examination using the four formats: inspection, palpation, percussion, and auscultation. Privacy must be maintained to optimize the assessment. Also, questions are asked to obtain the medical and surgical history for both child and adult, but the difference is that information is obtained directly from the adult while the parents help in that of a child who cannot completely give detailed information’s. Objective and specific data of the child include the perinatal period, birth of the child, and developmental milestones that have been achieved. Immunization history is very important for both child and adult. (Angelina 2018)

During the assessment, the nurse will ask questions, give education on any abnormality found and empathize. Where the nurse found okay, she will give praises as this is a moral booster to both child, adult, and care givers. The nurse will also offer instructions according to the age of her patient and level of comprehension. She may need to use simple words instead of medical jargons. (Faustina 2017)

In communicating with the older adult, the nurse will have to tune up her voice for clarity but for children, the nurse will speak slowly, clearly and utilize simple vocabulary. Facial expressions, gestures and eye contact will help the nurse communicate with people with hearing impairments and even people who are deaf as they can lip read and understand. There may be the need to use interpreter. (Bena 2017)

The strategies the nurse will use to encourage engagement is by active listening, repeating words for clarification, making sure that the language spoken is understood by parties concerned. The patient may be hungry and thirsty, check the diet order. Offer nourishment if patient is on diet if not, offer explanations. This will make the patient relax, pay attention, and answer your questions. Choice toys are offered to babies to keep them calm. (Melissa 2017)

Response to the above posting using 200-300 APA format with references to support the discussion

Compare the physical assessment of a child to that of an adult. In addition to describing the similar/different aspects of the physical assessment, explain how the nurse would offer instruction during the assessment, how communication would be adapted to offer explanations, and what strategies the nurse would use to encourage engagement.

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Assignment: The Nurse Leader as Knowledge Worker

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The term “knowledge worker” was first coined by management consultant and author Peter Drucker in his book, The Landmarks of Tomorrow (1959). Drucker defined knowledge workers as high-level workers who apply theoretical and analytical knowledge, acquired through formal training, to develop products and services. Does this sound familiar?

Nurses are very much knowledge workers. What has changed since Drucker’s time are the ways that knowledge can be acquired. The volume of data that can now be generated and the tools used to access this data have evolved significantly in recent years and helped healthcare professionals (among many others) to assume the role of knowledge worker in new and powerful ways.

In this Assignment, you will consider the evolving role of the nurse leader and how this evolution has led nurse leaders to assume the role of knowledge worker. You will prepare a PowerPoint presentation with an infographic (graphic that visually represents information, data, or knowledge. Infographics are intended to present information quickly and clearly.) to educate others on the role of nurse as knowledge worker.

Reference: Drucker, P. (1959). The landmarks of tomorrow. New York, NY: HarperCollins Publishers.

To Prepare:

  • Review the concepts of informatics as presented in the Resources.
  • Reflect on the role of a nurse leader as a knowledge worker.
  • Consider how knowledge may be informed by data that is collected/accessed.

The Assignment:

  • Explain the concept of a knowledge worker.
  • Define and explain nursing informatics and highlight the role of a nurse leader as a knowledge worker.
  • Develop a simple infographic to help explain these concepts.NOTE: For guidance on infographics, including how to create one in PowerPoint, see “How to Make an Infographic in PowerPoint” presented in the Resources.
  • Your PowerPoint should Include the hypothetical scenario you originally shared in the Discussion Forum. Include your examination of the data that you could use, how the data might be accessed/collected, and what knowledge might be derived from that data. Be sure to incorporate feedback received from your colleagues’ responses.

hypothetical scenario originally shared in the discussion forum is:

Nursing, as with all other professional fields, has seen an amazing speed in which technological changes in the last 25 years.  Information systems provide limitless possibilities for learning and exploring, connecting and bringing the world to within reach.  For nursing, the widening range of available technology enables the opportunities for research and reform unproven clinical practices to evidence-based practices.  Nursing informatics is synthesis of nursing science, information science, computer science, and cognitive science for the purpose of managing, disseminating, and enhancing healthcare data, information, knowledge, and wisdom to improve collaboration and decision making provide high quality patient care; and advance the profession of nursing.( McGonigle & Mastrian, 2017).

Nursing Informatics also needs to stay updated on policies and processes, so they know how to correctly build them in the systems. Technology in hospitals are ever growing, which means that nursing informatics is just scratching the surface and will continue to grow over the year.

Sweeny, 2017 define informatics as “the integration of healthcare sciences, computer science, information science and cognitive science to assist in the management of healthcare information” (p. 223). The future development of nursing capabilities in data science will essentially lead to an entirely new cadre of nursing informatics specialists whose work will focus on deriving new nursing knowledge from not only electronic health record data, but also the data from sensor and remote monitoring technologies, patient portals and mobile apps described above. The implications of omics data such as genomics, metabolomics, and proteomics, being included as part of the electronic health record in the near future, should be taken into account. Nurse informatics specialists will be pivotal in assisting to identify potential ethical and practice implications in the use of these data. The future development of nursing capabilities in data science will essentially lead to an entirely new cadre of nursing informatics specialists whose work will focus on deriving new nursing knowledge from not only electronic health record data, but also the data from sensor and remote monitoring technologies, patient portals and mobile apps described above. The implications of omics data such as genomics, metabolomics, and proteomics, being included as part of the electronic health record in the near future, should be taken into account.

According to Nagle et al,(2017) Nurse informatics specialists will be pivotal in assisting to identify potential ethical and practice implications in the use of these data. Using The future development of nursing capabilities in data science will essentially lead to an entirely new cadre of nursing informatics specialists whose work will focus on deriving new nursing knowledge from not only electronic health record data, but also the data from sensor and remote monitoring technologies, patient portals and mobile apps described above. The implications of omics data such as genomics, metabolomics, and proteomics, being included as part of the electronic health record in the near future, should be taken into account. Nurse informatics specialists will be pivotal in assisting to identify potential ethical and practice implications in the use of these data.

A clarified scenario is patient admission to the hospital, patients with a medical or surgical condition may not be identified as having a substance abuse problem. Nurses need to be able to recognize alcohol withdrawal syndrome and start appropriate interventions within the first 24 hours. Otherwise, such complications as seizures and substance withdrawal delirium may arise.  Most hospitals have implemented this practice by including it in initial nursing assessments by checking the vital signs every three hours. But because not all patients are identified on admission as having the potential for alcohol withdrawal, you must stay alert for signs and symptoms. These may arise 4 to 12 hours after the patient’s last drink and may emerge while the patient’s still intoxicated. Many patients with long-term alcohol dependence don’t allow their blood alcohol level (BAL) to drop below a comfortable level, so withdrawal may begin when BAL is still in the intoxication range.autonomic hyperactivity (such as sweating or a pulse faster than 100 beats/minute), increased hand tremor, insomnia, nausea or vomiting transient visual, tactile, or auditory hallucinations or illusions, psychomotor agitation, anxiety, grand mal seizures. Consider the rapid action on the patient, nurses relied on the immediate data and information that the patient as shown during the initial rapid assessment to deliver appropriate care to the patient. Message send to on call- doctors via telehealth. Using the technology like the pulse oximeter and blood pressure machine and breathalyzer with assist with the support of the delivery care.

References:

McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.

National Institute on Alcohol Abuse and Alcoholism; National Institutes of Health. Helping Patients Who Drink Too Much: A Clinician’s Guide and Related Professional Support Resources. www.niaaa.nih.gov/Publications/EducationTrainingMaterials/Pages/guide.aspx. Accessed May 15, 2012.

Nagle, L. M., Sermeus, W., & Junger, A. (2017). Evolving Role of the Nursing Informatics Specialist. Studies In Health Technology And Informatics, 232, 212–221. Retrieved from https://ezp.waldenulibrary.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=mnh&AN=28106600&site=eds-live&scope=site

Sweeney, J. (2017). Healthcare informatics.(1)Online Journal of Nursing Informatics, 21

Resources:

McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.

  • Chapter 1, “Nursing Science and the Foundation of Knowledge” (pp. 7–19)
  • Chapter 2, “Introduction to Information, Information Science, and Information Systems” (pp. 21–33)
  • Chapter 3, “Computer Science and the Foundation of Knowledge Model” (pp. 35–62)

Sweeney, J. (2017). Healthcare informatics. Online Journal of Nursing Informatics, 21(1).

Note: You will access this article from the Walden Library databases.

Rubric:

 

Develop a 5- to 6-slide PowerPoint presentation that addresses the following:

·   Explain the concept of a knowledge worker.
·   Define and explain nursing informatics and highlight the role of a nurse leader as a knowledge worker.–

Levels of Achievement:Excellent 32 (32%) – 35 (35%) The presentation clearly and accurately explains the concept of a knowledge worker.

The presentation clearly and accurately defines and explains nursing informatics with a detailed explanation of the role of the nurse leader as a knowledge worker.

Includes: 3 or more peer-reviewed sources and 2 or more course resources.Good 28 (28%) – 31 (31%) The presentation explains the concept of a knowledge worker.

The presentation defines and explains nursing informatics with an explanation of the role of the nurse leader as a knowledge worker.

Includes: 2 peer-reviewed sources and 2 course resources.Fair 25 (25%) – 27 (27%) The presentation inaccurately or vaguely explains the concept of a knowledge worker.

The presentation inaccurately or vaguely defines and explains nursing informatics with an inaccurate or vague explanation of the role of the nurse leader as a knowledge worker.

Includes: 1 peer-reviewed sources and 1 course resources.Poor 0 (0%) – 24 (24%) The presentation inaccurately and vaguely explains the concept of a knowledge worker or is missing.

The presentation inaccurately and vaguely defines and explains nursing informatics with an inaccurate and vague explanation of the role of the nurse leader as a knowledge worker or is missing.

Includes:  1 or fewer resources.Feedback:

·   Develop a simple infographic to help explain these concepts.–

Levels of Achievement:Excellent 14 (14%) – 15 (15%) The presentation provides an accurate and detailed infographic that helps explain the concepts related to the presentation.Good 12 (12%) – 13 (13%) The presentation provides an infographic that helps explain the concepts related to the presentation.Fair 11 (11%) – 11 (11%) The presentation provides an infographic related to the concepts of the presentation that is inaccurate or vague.Poor 0 (0%) – 10 (10%) The infographic provided in the presentation related to the concepts of the presentation is inaccurate and vague, or is missing.Feedback:

·   Present the hypothetical scenario you originally shared in the Discussion Forum. Include your examination of the data you could use, how the data might be accessed/collected, and what knowledge might be derived from the data. Be sure to incorporate feedback received from your colleagues’ replies.–

Levels of Achievement:Excellent 32 (32%) – 35 (35%) The presentation clearly and thoroughly includes the hypothetical scenario originally shared in the Discussion Forum, including a detailed and accurate examination of the data used, how the data might be accessed/collected, and the knowledge that could be derived from the data.Good 28 (28%) – 31 (31%) The presentation includes the hypothetical scenario originally shared in the Discussion Forum, including an accurate examination of the data used, how the data might be accessed/collected, and the knowledge that could be derived from the data.Fair 25 (25%) – 27 (27%) The presentation includes the hypothetical scenario originally shared in the Discussion Forum, including an examination of the data used, how the data might be accessed/collected, and the knowledge that could be derived from the data that is vague or inaccurate.Poor 0 (0%) – 24 (24%) The presentation includes the hypothetical scenario originally shared in the Discussion Forum, including an examination of the data used, how the data might be accessed/collected, and the knowledge that could be derived from the data that is vague and inaccurate, or is missing.Feedback:

Written Expression and Formatting – Paragraph Development and Organization:

Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance.–

Levels of Achievement:Excellent 5 (5%) – 5 (5%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity.Good 4 (4%) – 4 (4%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.Fair 3.5 (3.5%) – 3.5 (3.5%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%- 79% of the time.Poor 0 (0%) – 3 (3%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time.Feedback:

Written Expression and Formatting – English writing standards:

Correct grammar, mechanics, and proper punctuation–

Levels of Achievement:Excellent 5 (5%) – 5 (5%) Uses correct grammar, spelling, and punctuation with no errors.Good 4 (4%) – 4 (4%) Contains a few (1-2) grammar, spelling, and punctuation errors.Fair 3.5 (3.5%) – 3.5 (3.5%) Contains several (3-4) grammar, spelling, and punctuation errors.Poor 0 (0%) – 3 (3%) Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.Feedback:

Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical/in-text citations, and reference list.–

Levels of Achievement:Excellent 5 (5%) – 5 (5%) Uses correct APA format with no errors.Good 4 (4%) – 4 (4%) Contains a few (1-2) APA format errors.Fair 3.5 (3.5%) – 3.5 (3.5%) Contains several (3-4) APA format errors.Poor 0 (0%) – 3 (3%) Contains many (≥ 5) APA format errors.Feedback: Total Points: 100

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PICOT STATEMENT

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Formulate a PICOT statement for your capstone project. (Childhood Obesity)

A PICOT starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care. The intervention should be an independent, specified nursing change intervention. The intervention cannot require a provider prescription. Include a comparison to a patient population not currently receiving the intervention, and specify the timeframe needed to implement the change process.

Formulate a PICOT statement using the PICOT format provided in the assigned readings. The PICOT statement will provide a framework for your capstone project.

In a paper of 750 -1000 words, clearly identify the clinical problem and how it can result in a positive patient outcome.

Make sure to address the following on the PICOT statement:

  1. Evidence-Based Solution
  2. Nursing Intervention
  3. Patient Care
  4. Health Care Agency
  5. Nursing Practice

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

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

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

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Describe sampling theory and provide examples to illustrate your definition

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Sampling theory is the study of the relationship between a population and a group randomly picked as the representatives of the whole population (GCU 2018). This theory can be considered biased since the researcher is picking and choosing which group to research and what population they want to represent (GCU 2018). An example of sampling theory would be taking a population of smokers and starting them on nicotine gum and see if it helps the smokers quit smoking. The sample would be the population of smokers, changing their habits by starting the nicotine gum, and testing the results (Paul 2017).

Generalizability is the extension of research findings or conclusion made from the sample during a research on a large population. Using my previous example, the researcher is generalizing the smoking population that nicotine gum would help with smoking cessation when it most likely will not help everyone. Generalizability is big in the nursing research world because we study populations as a whole and try to come up with “generalized” solutions. These solutions may not help everyone specifically but will meet the need as a community (GCU 2018).

Using 200-300 words APA format with at least two references to support this discussion.

Describe sampling theory and provide examples to illustrate your definition. Discuss generalizability as it applies to nursing research.

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Parenting Dynamics – The Family Crucible – Brice Family

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Theres a book (The Family Crucible) but i have found alot of info on the internet with this essay. need help getting it together with ZERO plagerism

Parenting Dynamics – The Family Crucible – Brice Family

1,050- to 1,300-word paper describing the parenting dynamics in the Brice family. Include the following information:

•Describe how Carolyn and David fit in terms of authoritarian, authoritative, and permissive forms of parenting. (from the notes)

•Explain why you placed them in the category you did.

•Explain the attachment status of each member of the family as you perceive them.

•Describe how these attachments affect their relationships with other family members.

•Describe how parenting and attachment styles affect therapy.

•Determine what approach you would use as their therapist to address the parenting issues

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Nursing a profession or an occupation

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write a 200 word message discussion . 100 word each question. must use the information from the chapter attached.

1- discuss whether nursing is a profession or an occupation. What can current and future nurses do to enhance nursing’s standing as a profession?

 

2- Select one of the middle range theories derived from a grand nursing theory and one derived from a non-nursing theory. Analyze both for ease of application to research and practice.

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health and wellness

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one-two paragraphs, apa , please include reference

(1)Based on your understanding of nursing today, discuss how the Healthy People 2020 initiative could be used by you, as a nurse, to make a difference in the health and wellness of people in your area.

http://www.healthypeople.gov/

 

(2)Using one of the theories, explain the importance of health and wellness models to professional nursing practice and the impact it has on individual nurses.

 

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Structural Family Therapy Treatment Goals

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You were introduced to a family in the structural family therapy demonstration video in this unit’s study (linked in Resources). Use the information about the family from the session you watched as your guide, and keep in mind what you read in each text (chapter 10) about goal development and treatment planning. Then, complete the following: (300 words or more)

  • 1. Identify the presenting problem.
  • 2. Devise three specific goals for this family based on the information from the demonstration. Include one goal addressing each of the early, middle, and late phases of treatment.
  • 3. Clearly and thoroughly discuss how you arrived at these goals and how these goals align with the structural family therapy model.

 

Based on what you learned about the client family from the demonstration video (linked in Resources), imagine you are the therapist who will see them for their next visit. Identify an intervention from the structural family therapy model that you would apply in the session. In this discussion, briefly describe the intervention, including the following: (300 words or more)

  • Its general purpose and goal.
  • Who and what is the target of the intervention.
  • Some questions that would be used to apply this intervention.
  • The desired outcome of the intervention.
  • The elements that make this intervention systemic in nature.

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SOAP NOTE ON UTI (2 COPIES ON SAME TOPIC)

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Select a patient with a common condition(s) from your practicum experience this week. I am writing on a patient with UTI Submit a correctly formatted SOAP note on that patient in a Word document.  I attached rubric, school soap note template and a sample soap note on UTI.

APA from within the last 5 years. cite appropriately.  APA 7 edition. 0 turnitin.

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What are some of the nutritional challenges for emerging populations? What roles do nutritional deficiency and nutritional excess play in disease?

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Topic 4 DQ 2

Nutrition is the central component in health promotion as nutrition is needed for our body to grow, develop and maintain the normal functioning of the body.It is an essential aspect of living a balanced lifestyle. Food is readily available in most of  Western society, and it is frequently highly refined and high in calories, fat, and sugar These foods are also less costly than healthier alternatives, making nutritious choices more difficult to come by for low-income families and individuals.Food plays an important role in everyday social life, often taking center stage at parties, meetings, and other activities.(Grand Canyon University, 2018 )

The most nutritional challenges for emerging population as people are very busy to take proper diet and nutrition and hence they lack the essential requirements of the daily intake which causes various diseases, obesity etc. Malnutrition has become more common in the United States in recent years. The majority of people believe that eating fast food in fastfood restaurants is less expensive and more convenient. Furthermore, they find it difficult to eat vegetables and fruits because they are costly and time consuming to prepare.The socio-economic factors also have impact on the deficiency diseases because people are unable to avail better food for themselves.(Homeworklib,n.d).

The nutrition deficiency causes malnutrition in which people become weak, and becomes more prone to many of diseases. The excess of nutrition causes toxicity for example, too much of vitamin A causes vitamin toxicity, therefore, nutrition should be maintained at optimum levels to avoid such conditions.

Discuss why nutrition is a central component in health promotion. What are some of the nutritional... (n.d.). Homework Help Online workLib. https://www.homeworklib.com/question/1333777/discu

Respond by using 250-300 words APA format with reference supporting the post positively in discssion

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