Overview

Create a 4-6 page annotated bibliography and summary based on your research related to best practices addressing a current health care problem or issue of interest to you.

For this assessment, you will select and research a current health care problem or issue faced by a health care organization. Read each portion of the assessment carefully and use the Suggested Resources to help you complete the assessment. This assessment provides an opportunity to apply research skills to a current health care problem or issue.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

Competency 1: Apply information literacy and library research skills to obtain scholarly information in the field of health care.

· Identify academic peer-reviewed journal articles relevant to a health care problem or issue and describe the criteria used for the literature search.

· Summarize what was learned from developing an annotated bibliography.

Competency 2: Apply scholarly information through critical thinking to solve problems in the field of health care.

· Assess the credibility and relevance of information sources.

· Analyze academic peer-reviewed journal articles using the annotated bibliography organizational format.

Competency 4: Communicate in a manner that is scholarly, professional, and respectful of the diversity, dignity, and integrity of others, and that is consistent with expectations for health care professionals.

· Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.

· Write following APA style for in-text citations, quotes, and references.

Assessment Instructions

Note: The requirements outlined below correspond to the grading criteria in the scoring guide. At a minimum, be sure to address each point. In addition, you are encouraged to review the performance level descriptions for each criterion to see how your work will be assessed.

For this assessment, you will research best practices related to a current health care problem. Your selected problem or issue will be utilized again in Assessment 3. To explore your chosen topic, you should use the first two steps of the Socratic Problem-Solving Approach as described on Campus to aid your critical thinking.

1. View the Assessment Topic Areas media piece linked in the Resources and select one of the health care problems or issues in the media piece to research. Write a brief overview of the selected topic. In your overview:

. Describe the health care problem or issue.

. Describe your interest in the topic.

. Describe any professional experience you have with this topic.

· Conduct a search for scholarly or academic peer-reviewed literature related to the topic and describe the criteria you used to search for articles, including the names of the databases you used.

. You will want to access the applicable Undergraduate Library Research Guide related to your degree (found at the NHS Learner Success Lab) for tips to help you in your search.

. Use keywords related to the health care problem or issue you are researching to select relevant articles.

· Assess the credibility of the information sources you find.

. Determine if the source is from an academic peer-reviewed journal.

. Determine if the publication is current.

. Determine if information in the academic peer-reviewed journal article is still relevant.

· Select four current scholarly or academic peer-reviewed journal articles published during the past three to five years that relate to your topic.

· Explain the relevance of the information sources.

. Describe how the health care problem or issue is addressed in each source.

. Discuss what kind of contribution each source provides on your selected topic.

· Analyze the scholarly literature or academic peer-reviewed journal articles using the annotated bibliography organizational format.

. The purpose of an annotated bibliography is to document a list of references along with key information about each one. The detail about the reference is the annotation. Developing this annotated bibliography will create a foundation of knowledge about the selected topic.

. List the full reference for the source in APA format (author, date, title, publisher, et cetera) and use APA format for the annotated bibliography.

. Make sure the references are listed in alphabetical order, are double-spaced, and use hanging indents.

. Follow the reference with the annotation.

· In your annotation:

. Identify the purpose of the article.

. Summarize the source:

. What are the main arguments?

. What topics are covered?

· Include the conclusions and findings of the article.

· Write your annotation in a paragraph form. The annotation should be approximately 150 words (1 to 3 paragraphs) in length.

· In a separate paragraph or two at the end of the paper, summarize what you learned from your research.

· List the main points you learned about.

· Summarize the main contributions of the sources you chose and how they enhanced your knowledge about the topic.

Example Assessment: You may use the assessment example, linked in the Assessment Example section of the Resources, to give you an idea of what a Proficient or higher rating on the scoring guide would look like.

Additional Requirements

1. Length: At least 4 typed, double-spaced pages, not including the title page and reference page.

2. Font and font size: Times New Roman, 12 point.

3. APA Template: Use the APA Style Paper Template as the paper format and the APA Style Paper Tutorial for guidance. See the Resources for these documents.

4. Written communication: Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.

5. Content: Provide a title page and reference page following APA style.

6. References: Use at least four scholarly or academic peer-reviewed journal articles.

7. APA format: Follow current APA guidelines for in-text citation of outside sources in the body of your paper and also on the reference page.

8. Turnitin: Submit your assessment to Turnitin prior to grading. Then, only submit your final assessment to faculty for grading.

Note: Review the Applying Research Skills Scoring Guide for the grading criteria applied to this assessment.

If you would like assistance in organizing your assessment, or if you simply have a question about your assessment, please do not hesitate to ask your courseroom instructor or the teaching assistants in the NHS Learner Success Lab for guidance and suggestions.

FOCUSED ASSESSMENT, ROS, CULTURAL ASSESSMENT 2

Focused Assessment, ROS, and Cultural Assessment

Svetlana Alpin

Broward College

Focused Assessment, ROS, and Cultural Assessment

CHIEF COMPLAINT

The patient is presented to the clinic with complaints of itchiness and tingling sensation in her mouth that seems to be increasing in severity with time.

HISTORY OF PRESENT ILLNESS

Ms. A. is 32 years old, an Asian female with no known drug, food or environmental allergies presented today with a strange feeling in her mouth which increasingly became an itchiness in her throat with a tingling sensation in her mouth. The problem began in the last one hour and seem to be increasingly symptomatic of a problem with time. She claims as she continued eating a fruit salad, she started scratching herself more and coughing which shifted in wheezing. She denies being under any medication and states that she has experienced a similar issue earlier on in the year while having a cake. She reports that the irritation to her skin seems to be at a pain level of 4/10 but increasing with time. The patient began vomiting while in the waiting area with mild stomach pains and dizziness. She also says that she feels like there is tightness to her throat (Fletcher & Gill, 2018).

MEDICATIONS

Natural Supplements for Iron

No formal medication

ALLERGIES: allergic to strawberries, no known environmental or drug allergies.

SOCIAL HISTORY

Tobacco Use: none

ETOH use: none

Illicit drug use: none

Born in: Seoul, Korea

Education: Undergraduate Business Administration

Occupation: Office Manager

Family Situation: Single

Interest/Hobbies: Travelling, cooking, playing outdoors

PAST MEDICAL HISTORY

Appendicitis in 2014

Eczema in 2005

PAST HOSPITALIZATIONS

Hospitalized for appendicitis in 2014

Hospitalized for broken bones after an accident in 2017

PAST SURGICAL HISTORY

Plastic surgery for nasal cavity repair in 2017

Appendectomy 2014

VACCINATIONS

Flu: none

Pneumovax: not applicable

Tetanus: April 2017

FAMILY HISTORY:

Father: alive; healthy

Mother: alive; diabetes, Hypertension, eczema

Grandparents: deceased

Paternal grandfather: deceased heart attack.

Paternal grandmother: from lung cancer

Maternal grandfather: deceased, car accident

Maternal grandmother: deceased from complication due to diabetes.

Siblings: An only child

Children: none

REVIEW OF SYSTEM:

CULTURAL ASSESSMENT:

Patient, Mrs. A., is a 32-year-old singe Asia female. English-speaking, literate in reading and writing; talkative, open, and cooperative. The patient is of Korean descent, born in Seoul, Korea and raised in California, USA. Patient values education, financial resources, and family which are elements she attributes to her have a quality life. She loves working as an office manager. She loves food and has passion in culinary arts that she can only explore through critiquing in her spare time. She is an atheist and therefore doesn’t conform to any particular school of thought on religion. She doesn’t have any children and she does not see nay in her future. She has recently taken to sampling different kinds of food from South America which have been heavily centered on fruit choices. She avoids taking medication but believes in supplements as part of the necessity in her health.

NANDA #1

Risk for ineffective breathing pattern related to allergic reaction as evidence by patient stating that her throat feels tight.

NANDA #2

Impaired oral mucous membrane and skin integrity related to food irritants as evidenced by skin itching and hives.

PLAN OF CARE:

Anti-allergy injection and communication of the finding of the assessment to the MD. Medicate the patient for the symptoms and pain as ordered, and reassessment of the situation after a few days. Provide a comfortable and relaxing atmosphere by setting the patient in a comfortable chair an offering somewhere to vomit. Letting the patient talk as much as possible to take away her focus on scratching her skin. Make sure that the environment is free of any stimuli with relative humidity. Follow the orders for allergy test confirmation and diagnostic examinations upon prescription (Jensen, 2015).

References

Fletcher, J. & Gill, K. (2018, September 14). Can people be allergic to strawberries? Medical News Today. Retrieved from https://www.medicalnewstoday.com/articles/323067.php

Jensen, S. (2015). Nursing health assessment: A best practice approach. Philadelphia: Wolters Kluwer Health.