HEad to toe assessment

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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:

  Concerning Symptom Findings

 
General Wheezing, intermittent coughing, vomiting, increasing abdominal pain  Denies fever
Skin Increasing itchiness and skin hives Developing rashes, sores; itching; dryness;
Head None  Denies a headache, head injury, but there is dizziness
Eyes None  Denies vision changes, denies pain, redness,
Ears None  Denies hearing changes, denies tinnitus, denies earaches and denies discharges, there are redness and swelling.
Nose/

Sinuses

 None  Denies colds, congestions, discharge, there are itching and irritation
Throat None  Denies bleeding gums; sore tongue; dry mouth; a sore throat; hoarseness; tightness in the throat, previous dental check on 11/05/2018
Neck None Itchiness on skin, redness
Pulmonary None  A cough, wheezing; denies pains
Cardiac None  Denies chest pain or discomfort; denies palpitations
G/I None Denies appetite changes; nausea; slight heartburn; abdominal pains
Urinary None  Denies frequency
G/U

(General)

 None  Bisexual; interest in both women and men; function appropriate to age; satisfaction; no use of birth control methods
Female G/U None Menarche at age of 14; frequency: regular, monthly /duration of menses: 4 days; denies dysmenorrhea; PMS symptoms: back pain, decreased appetite, mood swings. Denies bleeding between menses or after intercourse; Denies vaginal discharge; itching; sores; lumps. Denies symptoms of menopause such as insomnia, hot flashes, and headache.
Musculo-skeletal None Denies joint pain; denies joint stiffness
Neuro None Denies syncope; seizures; weakness; paralysis; numbness/tingling; tremors; involuntary movements
Endo None Denies heat intolerance, cold intolerance; excessive sweating;
Psych None Is always anxious; denies depression; memory changes

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.

 

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scholarly paper phase one

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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.

COURSE OUTCOMES

This assignment enables the student to meet the following Course Outcomes.

  • 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)

main article: https://www.americannursetoday.com/building-your-resiliency/

references: Hood, L. J. (2018). Leddy & Pepper’s professional nursing (9th ed.). Philadelphia, PA: Lippincott Williams & Wilkins. Chapter 18: pp. 474–504

Massachusetts Nurse of the Future Nursing Core Competencies©: pp. 42–46

AACN Essentials of Baccalaureate Education: pp. 13–15.

preparing the paper:

Information below explains how to complete the Article Summary section of the paper (see Rubric for details).

Clearly summarize the major content of the assigned article using 175–200 words.

Content must include main ideas from across the entire article.

Specifics should be excellent.

Content must be attributed to the correct source.

For the Impact section (see rubric for details)

clearly state how learning from the assigned article will impact your future practice;

length must be 125–150 words;

writing must be concise and clearly relate the assigned article contents to practice; and use first person in this section.

Double check your work with the rubric prior to submission.

Note: Assigned Template must be used for this assignment. The Assigned Template has been specially prepared to help you do well on this assignment.

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.

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Nursing homework help

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 Provide examples of experimental and nonexperimental research design. Contrast the levels of control applied to each.

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Nursing homework help

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

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mathematics test

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 Discuss the challenges facing

Health Insurance Portability and Accountability (HIPAA)

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Health issues

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 For the middle-aged adult, exercise can reduce the risk of various health problems. Choose three health issues that regular physical exercise and activity can help prevent and manage. Discuss the prevalence of each of these health problems in society today. Describe measures that you would take as a nurse to assist clients with health promotion measures to incorporate exercise and physical activity into their lives. Include the kind of activities you would recommend, the amount of exercise, and the approach you would use to gain cooperation from the client. Support your response with evidence-based literature.

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Application: Part 1 – Developing a Health Advocacy Campaign

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                                                  To complete:

For the Part 1 application (approximately 3–4 pages of content with a title page and references in APA format) address the following:

Describe your selected population health issue and the population affected by this issue.

Summarize the two advocacy campaigns you researched in this area.

Explain the attributes that made those campaigns effective.

Begin to develop a plan for a health advocacy campaign that seeks to create a new policy or change an existing policy with regard to the issue and population you selected.

Be sure to include in your plan:

A description of the public health issue and proposed policy solution

Specific objectives for the policy you want to be implemented

Begin to substantiate of your proposed campaign by data and evidence.

Be sure to paste the rubric at the end of your paper

Include references

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Applying and Sharing Evidence to Practice

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After the data have been analyzed, conclusions are made regarding what the findings mean. Then, this information must be shared with your healthcare team.

  1. Discuss the findings of the articles. Would you apply the evidence found to your practice? Explain your answer.
  2. Translating research into practice is the final and most important step in the research process. Review information you found your nursing clinical issue and explain ways in which you would share the research-based evidence with your peers.
  3. Article attached

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Digestive Disorders

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Discussion: Digestive Disorders (2 pages)

Many patient symptoms can be tied to multiple disorders, which may lead to misdiagnoses. For instance, consider two digestive disorders of the gastrointestinal tract—inflammatory bowel disease and irritable bowel syndrome. These two disorders are commonly confused because they present similar symptoms. As an advanced practice nurse, you must know the differences to properly diagnose and treat the disorders. How does the pathophysiology of inflammatory bowel disease compare to the pathophysiology of irritable bowel syndrome? How do treatments for the two disorders compare?

To Prepare

· Review Chapter 36 in the Huether and McCance text and Chapter 13 in the McPhee and Hammer text.

· Identify the pathophysiological mechanisms of inflammatory bowel disease and irritable bowel syndrome. Think about similarities and differences between the disorders.

· Consider common treatments for inflammatory bowel disease and irritable bowel syndrome. Reflect on whether treatments for one disorder would work for the other disorder.

· Select one of the following patient factors: genetics, gender, ethnicity, age, or behavior. Reflect on how the factor you selected might impact the pathophysiology of and treatments for each disorder.

write

· An explanation of the pathophysiological mechanisms of inflammatory bowel disorder and irritable bowel syndrome, including similarities and differences. (I am looking for an explanation at the cellular or molecular level (whenever possible).

· Then describe common treatments, addressing whether treatments for one disorder would work for the other disorder.

· Finally, explain how the patient factor you selected might impact the pathophysiology of and treatments for each disorder.

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A2C14Instructions

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Overview

Create an educational program, event, or piece of literature (for example, a pamphlet) that incorporates best practices in health promotion and disease prevention for a diverse population. Then, explain how you developed your educational program, event, or piece of literature and address any barriers to disease prevention and health promotion for the population.

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

· Competency 3: Nursing Research and Informatics – Incorporate evidence-based practice interventions (for example, information systems and patient care technologies) as appropriate for managing the acute and chronic care of patients, promoting health across the lifespan.

. Use valid, scholarly research resources relevant to the field of nursing to support information presented.

· Competency 5: Communication – Communicate effectively with all members of the health care team, including interdepartmental and interdisciplinary collaboration for quality outcomes.

. Write coherently to support a central idea in appropriate APA format, with correct grammar, usage, and mechanics as expected of a nursing professional.

· Competency 7: Health Promotion and Disease Prevention – Apply and incorporate a basic understanding of the concepts of health promotion and disease prevention as a means of improving health at the individual, population, and community level.

. Develop an educational program, event, or piece of literature to address health concerns of a diverse population.

. Explain how a specific educational approach to a health concern can overcome barriers to health promotion and disease prevention for a diverse population.

· Competency 8: Diversity – Incorporate a holistic, caring, culturally appropriate nursing approach that contributes to the wellness and the health of individuals, groups, and vulnerable populations.

. Describe barriers to health promotion and disease prevention for a diverse population.

 

Context

 

From your own professional experiences, as well as your work in this program, you have come to recognize that the goal of community or public health nursing is to improve and maintain the health status of individuals and families; cultural, racial, and ethnic groups; and communities and populations.

Caring for a population involves identifying the factors that place at risk a population’s health, as well as developing specific interventions to address those factors. The roles of nurses in this regard include preventing illness and injury, teaching clients, promoting wellness, surveilling disease, shaping and formulating health care policy, collaborating and partnering with communities, advocating for clients, evaluating nursing care, and promoting positive client outcomes.

In addition, the use of evidence-based strategies and models facilitates the successful implementation of nursing interventions or health programs, along with the tools and methods to evaluate the effectiveness, efficiency, and appropriateness of nursing-care processes and outcomes.

Questions to consider

To deepen your understanding, you are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of the business community.

· What evidence-based strategies does your organization use to establish and maintain cultural competency?

· How do local health care decisions and practices impact global health and health care delivery?

 

Assessment instructions

 

Part I

To prepare for the first part of the assessment, complete the following:

1. Review the literature or use health assessments to determine health care needs of a diverse population in your community.

2. Explore things that could influence success, such as cultural attitudes toward alternative forms of healing, religious beliefs, or other individuals.

3. Examine the impact of current health promotion and wellness initiatives on health outcomes and health disparities.

4. Review the literature to identify best practices.

Once you have identified a diverse population, develop an educational program, event, or piece of literature that promotes wellness and disease prevention. If you choose an educational program or event, be sure you outline the basic content of the program or event, as well as how you would structure it. If you choose a piece of literature, be deliberate in the points you highlight. Be sure that your choice is appropriate for the population.

· For an educational program or event, prepare and submit an outline of the content and structure.

· For a brochure or pamphlet, prepare and submit the brochure or pamphlet using a simple Word document or a Microsoft Publisher document, if you have that software available.

Part II

Explain how you developed your educational program, event, or piece of literature and address any barriers to disease prevention and health promotion for the population.

Complete the following:

1. Explain why you chose the particular educational strategy. Why is it an effective strategy for the population?

2. Describe cultural barriers to disease prevention and health promotion in the population. This might include things such as CAM, language, religious beliefs, and so on.

3. Explain how your educational strategy can help overcome some of the barriers you described.

4. Support your work with valid scholarly resources.

Additional Requirements (Part II only)

· Format: Include a title page and reference page. Use APA format.

· References: Cite at least three current scholarly or professional resources.

· Font: Use double-spaced, 12-point, Times New Roman font.

 

 

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