Health assessment

Describe the characteristics of the aging process. Explain how some of the characteristics may lead to elder abuse (memory issues, vulnerability, etc.). Discuss the types of consideration a nurse must be mindful of while performing a health assessment on a geriatric patient as compared to a middle-aged adult.

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Health assessment

End-of-life care becomes an issue at some point for elderly clients. Even with the emergence of palliative care programs and hospice programs, most elderly people do not die in their own home as is their preference. What are the reasons for this trend? Discuss what you can do as a nurse to support your clients regarding end-of-life care in accordance with their wishes. Support your response with evidence-based literature.

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Discussion of Triaxial of action: Policy, Politics,and Nursing

1- What is Policy?

2- Explain each of them:  Public policy—
Private policy—
Health policy—
Social policy—
Organizational policy?

3- Who was F
lorence Nightingale, and what was her contribution to the Nursing Field? 

4- Who was Lillian Wald?

5- Who was Margaret Sanger, and in what way she helped to the developments of Nursing Field?

6_ what is  (ICN), and what they do?

7- What is  s (NLCA) and they do?

Jeanne Blum, RN, is a nurse on a LDRP unit. Recently, the policy and 
procedures manual for Jeanne’s unit included the premature rupturing of membranes of a laboring patient 
as a practice acceptable for nurses to perform. Jeanne 
and some of her coworkers shared their concern over 
lunch about this new responsibility.They felt uncomfortable with the possibility of cord prolapse and 
other potential medical complications resulting from 
this practice. Jeanne gathered data from her state and 
many others states and noted that her hospital was 
not in compliance with her professional organization
practice standards. Jeanne shared this information with her coworkers. She volunteered to contact the 
state board of nursing on their behalf to request a 
declaratory statement on the nurse’s role in the initiation of premature rupturing of uterine membranes. 
Her state board’s clinical practice committee 
reviewed her request for a declaratory statement and 
gathered information from other states. A formal 
declaratory statement was drafted by the board and 
made it available on its Web site. A letter from the 
board was sent to Jeanne’s institution, informing it of 
the declaratory statement, which stated that the task 
nurses were requested to perform was beyond their 
scope of practice based on the Nurse Practice Act.
8-Which stage of the policy model does this scenario 
represent? 

250 words

3 references APA 

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Select and evaluate a research article on an evidence-based practices that relates to nursing practice and health assessment.

 

Instructions:

  1. Select and evaluate a research article on an evidence-based practices that relates to nursing practice and health assessment.
  2. Read the  Guidelines for Article Critique  Guidelines for Article Critique – Alternative Formats  for detailed information. 
  3. Your paper should: 
    • be typed doubled-space.
    • Use factual information.
    • be original work and will be checked for plagiarism.
    • have required APA format if references are utilized – type references according to the APA Style Guide.
  4. Upload your file by clicking “Browse My Computer” for Attach File.
  5. View  rubric               for grading. 

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HSA 505

 

  1. Case Study – Missed Opportunities
    Read the case study: Missed Opportunities.
    Assignment Instructions
    Write a 4–6 page paper in which you:

    1. Examine the pros and cons from the perspective of Crestview Hospital of the placement of its new billboard directly adjacent to Briarwood Medical Center. Interpret the reaction of customers and other community stakeholders to the billboard postings.
    2. Use competitive marketing entry strategies to suggest the action that Briarwood Hospital should undertake to counter the messages in the new Crestview Hospital Billboard postings.
    3. Recommend the marketing communication strategy or strategies that both Crestview and Briarwood Hospitals should employ. Justify why the Governing Board of both hospitals should take a proactive role in promoting and implementing effective marketing strategies.
    4. Assess the value of the various marketing research tools that Briarwood and Crestview hospital could use to promote effective marketing communication strategies. Justify your response.
    5. Use at least five quality academic resources. Note: Wikipedia and other Websites do not qualify as academic resources.
    6. This course requires the use of Strayer Writing Standards. For assistance and information, please refer to the Strayer Writing Standards link in the left-hand menu of your course. Check with your professor for any additional instructions.
      The specific course learning outcome associated with this assignment:
    • Propose competitive marketing entry strategies, communication strategies and marketing research tools for health care organizations.
  2. By submitting this paper, you agree: (1) that you are submitting your paper to be used and stored as part of the SafeAssign™ services in accordance with the Blackboard Privacy Policy; (2) that your institution may use your paper in accordance with your institution’s policies; and (3) that your use of SafeAssign will be without recourse against Blackboard Inc. and its affiliates.
  3. Institution Release Statement

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Benchmark – Learning Styles

 

As faculty members, you have been asked to design a 4-hour Leadership Strategies course that would accommodate the learning styles for a selected 10 students. The students have all completed a learning style inventory in which three of the students are determined visual learners, four are kinesthetic learners, and the rest are auditory learners. Note: The intended audience for the course can be either newly graduated nurses or experienced staff nurses as you choose.

Compose a 500-750-word paper which describes your plan to accommodate the learning styles of each student. This plan starts with defining course objectives; use the “A-B-C-D Method of Writing Objectives” resource as a guide. The objectives should incorporate Bloom’s taxonomy, be written at the appropriate level for the audience, and include at least two learning domains (cognitive, psychomotor, and affective). Make sure to include the following:

  1. An outline of the course content and agenda that will be covered. 
  2. Descriptions of the learning activities and the rationale for the learning activities selected
  3. Strategies to assess learning, based on the learner objectives
  4. Use at least three scholarly, peer-reviewed resources less than 5 years old in addition to the course materials.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is required.

Refer to “Learning Styles Rubric,” prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

AttachmentsNUR-647E-RS-A-B-C-DApproachtoObjectiveWriting.docx
NUR-647E-R-T6.docx 

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Identify prevalent issues or diseases that affect the health of your community (the specific populations you serve).

 

  • Now that you have  completed Lesson 23 & 24 and have thought about the factors that  affect the health of various communities, do the following:
     
  1. Identify prevalent issues or diseases that affect the health of your community (the specific populations you serve).
  2. Compare and contrast  two (2) specific populations in your practice that are affected by the  above issue(s) or disease(s) by listing their commonalities and their  differences.
  3. Base on the information above, how can you change or refine your practice to meet each community’s specific needs?
  • Your paper should: 
  • be typed doubled-space.
  • a total of 100 to 200 words (not counting your list of commonalities and differences). 
  • Use factual information.
  • be original work and will be checked for plagiarism.
  • have required APA format if references are utilized – type references according to the APA Style Guide.

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Musculoskeletal case study

Read chapter 40: Musculoskeletal Systems Function

The nurse in the outpatient orthopedic clinic is reviewing the medical records of several patients being seen in the clinic today. In the most recent note by the provider, the nurse reads the following:

‘A 67-year-old, moderately obese woman examined today for increasing back and left shoulder pain. Limited circumduction of left arm noted in comparison with right arm. Strength of left arm is less than right, with less muscle definition in the left arm. Examination of back indicates significant kyphosis, and the patient states that she is ‘shrinking.’ Bone density testing of the hip is ordered.”

1. How does the nurse interpret “limited circumduction”
2. When the patient arrives, the nurse correlates the “kyphosis” with what physical finding? What causes kyphosis in the older adult?
3. How should the nurse explain the patient’s decreasing height?
4. What is the rationale for ordering bone density testing of the hip in this patient?

DO NOT EMAIL ASSIGNMENTS. PLEASE UPLOAD ALL ASSIGNMENTS TO CANVAS. LATE ASSIGNMENTS WILL NOT BE GRADED!!! PLEASE PROVIDE REFERENCES FOR  ALL  WRITTEN ASSIGNMENTS!!!

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Chronic

 

Chronic Attendance Questions

Due: by the start of class 2

Please answer the 5 questions below for attendance credit. Submit your answers to the proper assignment folder. Please do not share work.

  1. Describe nursing interventions during the child’s hospitalization for failure to thrive.
  2. Describe an individualized education program (IEP).
  3. What are key components of nursing care for children with impaired cognitive function?
  4. Describe atlantoaxial instability in the Trisomy 21 (Down syndrome) patient. How is it diagnosed?
  5. Differentiate between palliative care and hospice care. What considerations should be made in providing hospice care to the pediatric patient that might be different from the adult?

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Nursing concept map

             CONCEPT MAP 

Pls. see Scenario below for your Concept Map.

SCENARIO:

Mr. Lee is a 72 year old patient who had abdominal surgery for a colon resection and removal of a tumor two days ago.  His nurse, Sam, implemented pain-control strategies in an effort to help him become more mobile so recovery could proceed. Up until now, he was getting out of bed and rating his pain at a level of 6 on a scale of 0 to 10.  The patient still tends to guard his incision by placing his hand over the wound when moving. 

Mr. Lee weighs 250 lbs and is 5 ft 10 inches tall.  He has tried to cough more during his postoperative deep-breathing exercises.  Sam is caring for him for the third day in a row and begins the morning shift by inspecting his surgical wound.  The wound is approximately 18 cm in length and closed with steel sutures.  Sam notices separation of the wound between two sutures at the bottom of the incision. There is a small amount of serous-sanguineous drainage.  The area is inflamed and she asks the patient if the incision is tender when she gently palpates around the area.  Mr. Lee states, “Ow, that feels sore there.  I think I pulled it when I coughed last night.”  He also rates pain at this time as being at a level of 6.  Sam checks Mr. Lee’s vital signs and notes that his temperature of 32.2 C.  Sam also inspects the intravenous access device in the patient/s left forearm.  It is intact, and there are no signs of phlebitis at the IV site. Mr. Lee knows that he will have activity restrictions and his wife will be a resource to him once he returns home.  His discharge has been planned tentatively.  His family depends on his income.  Now he begins to share concerns with Sam about being able to return to work after surgery.  He does not consistently attend to nurse during instructions of his home instructions. Mr. Lee also verbalized some concern by asking Sam, “ The doctor told me that I would not be able to lift anything heavy and Im not so sure if I understand. The way my incision looks, will I need to do something to it?”

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