Health History and physical Assessment

Requirements to Follow/grading rubric

To recognize the interrelationships of subjective data (physiological, psychosocial, cultural/spiritual values, and developmental) and objective data (physical examination findings) in planning and implementing nursing care.

To reflect on the interactive process that takes place between the nurse and an individual while conducting a health assessment and a physical examination.

Rubric

NR304 RUA: Health History and Physical Assessment Guidelines (Sept20)

NR304 RUA: Health History and Physical Assessment Guidelines (Sept20)

Criteria Ratings Pts

This criterion is linked to a Learning OutcomeHealth History: Subjective Data

Required criteria

1. Demographic data

2. Reason for care (why they are in the facility)

3. Present illness (PQRST of current illness)

4. Perception of health

5. Past medical history (including medications, allergies, and vaccinations and immunizations)

6. Family medical history

7. Review of systems

8. Developmental considerations

9. Cultural considerations

10. Psychosocial considerations

11. Presence or absence of collaborative resources (community, family, groups, and healthcare system)

30.0 pts

Highest Level of Performance

Includes 11 requirements for section.

28.0 pts

High Level of Performance

Includes 9-10 requirements for section.

23.0 pts

Satisfactory Performance

Includes 5-8 requirements for section.

15.5 pts

Unsatisfactory Performance

Includes 1-4 requirements for section.

0.0 pts

Not Present

No requirements for this section presented.

30.0 pts

This criterion is linked to a Learning OutcomePhysical Examination: Objective Data

Required criteria

1. From NR302:

o HEENT (head, eyes, ears, nose, and throat)

o Neck (including thyroid and lymph chains)

o Respiratory system

o Cardiovascular system

2. From NR304:

o Neurological system

o Gastrointestinal system

o Musculoskeletal system

o Peripheral vascular system

30.0 pts

Highest Level of Performance

Includes 8 requirements for section.

28.0 pts

High Level of Performance

Includes 7 requirements for section.

23.0 pts

Satisfactory Performance

Includes 4-6 requirements for section.

15.5 pts

Unsatisfactory Performance

Includes 1-3 requirements for section.

0.0 pts

Not Present

No requirements for this section presented.

30.0 pts

This criterion is linked to a Learning OutcomeNeeds Assessment

Required criteria

1. Based on the health history and physical examination findings, determine at least two health education needs for the individual. Remember, you may identify an educational topic that is focused on wellness.

2. Support the identified health teaching needs selected with evidence from two current, peer-reviewed journal articles.

3. Discuss how the interrelationships of physiological, developmental, cultural, and psychosocial considerations will influence, assist, or become barriers to the effectiveness of the proposed health education.

4. Describe how the individual’s strengths (personal, family, and friends) and collaborative resources (clinical, community, and health and wellness resources) effect proposed teaching.

20.0 pts

Highest Level of Performance

Includes 4 requirements for section.

18.0 pts

High Level of Performance

Includes 3 requirements for section.

15.0 pts

Satisfactory Performance

Includes 2 requirements for section.

7.5 pts

Unsatisfactory Performance

Includes 1 requirement for section.

0.0 pts

Not Present

No requirements for this section presented.

20.0 pts

This criterion is linked to a Learning OutcomeReflection

Required criteria

1. Describe the interaction in its entirety: include the environment, your approach to the individual, time of day, and other features relevant to therapeutic communication and to the interview process.

2. How did your interaction compare to what you have learned?

3. What went well?

4. What barriers to communication did you experience?

5. How did you overcome them?

6. What will you do to overcome them in the future?

7. Were there unanticipated challenges to the interview?

8. Was there information you wished you had obtained?

9. How will you alter your approach next time?

10.0 pts

Highest Level of Performance

Includes 9 requirements for section.

9.0 pts

High Level of Performance

Includes 7-8 requirements for section.

8.0 pts

Satisfactory Performance

Includes 5-6 requirements for section.

4.0 pts

Unsatisfactory Performance

Includes 1-4 requirements for section.

0.0 pts

Not Present

No requirements for this section presented.

10.0 pts

This criterion is linked to a Learning OutcomeStyle and Organization

Required criteria

1. Writing reflects synthesis of information from prior learning applied to completion of the assignment.

2. Grammar and mechanics are free of errors.

3. Able to verbalize thoughts and reasoning clearly.

4. Use appropriate resources and ideas to support topic.

5. Adheres to APA recommendations for title page, running head, headings, in-text citations, and reference page.

6. HIPAA protocols followed.

10.0 pts

Highest Level of Performance

Includes 6 requirements for section.

9.0 pts

High Level of Performance

Includes 5 requirements for section.

8.0 pts

Satisfactory Performance

Includes 4 requirements for section.

4.0 pts

Unsatisfactory Performance

Includes 1-3 requirements for section.

0.0 pts

Not Present

No requirements for this section presente

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Benchmark – Part A: Population Health Research And PICOT Statement

In this course, you will be complete a 2-part assignment in which you conduct research about a population of focus, develop a PICOT statement, and write a Literature Review. The PICOT statement and Literature Review you write in this course can be used for your evidence-based practice project in the next course so be sure to select an issue you want to continue working on in your next course.

PICOT (Population/Problem, Intervention, Comparison, Outcome, and Time to achieve the outcome) is a method that helps clarify the qualities needed to create a good question out of a practice issue or problem affecting the population of focus. Additionally, the information derived from a good PICOT makes it easier to perform a literature search in order to find translational research sources that can be used to address the clinical problem.

Use a national, state or local population health care database to research indicators of disparity. Choose a mortality/morbidity indicator to identify a clinical problem or issue that you want to explore pertaining to a population of focus. Use this indicator to begin to formulate a PICOT and conduct research on the population.

Write a 750-1,000-word paper that analyzes your research and focuses on the population you have chosen. Describe the population’s demographics and health concerns, and explain how nursing science, health determinants, and epidemiologic, genomic, and genetic data may impact population health management for the selected population. Provide an overview of a potential solution for solving the health issue related to your population and the intended PICOT statement. Describe how the solution incorporates health policies and goals that support health care equity for the population of focus.

You are required to cite three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

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 LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Benchmark Information

This benchmark assignment assesses the following programmatic competencies:

MS Nursing: Public Health

MS Nursing: Education

MS Nursing: Acute Care Nurse Practitioner

MS Nursing: Family Nurse Practitioner

MS Nursing: Health Care Quality and Patient Safety

4.1: Synthesize nursing science, determinants of health, and epidemiologic, genomic, and genetic data in the management of population health.

RUBRIC

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Building the Profession of Nursing

Building the Profession of Nursing

Write a 1000-1500 word APA paper addressing each of the following points. Be sure to completely answer all the questions for each bullet point. There should be two main sections, one for each bullet below. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least three (3) sources using citations in your essay. Make sure to cite using the APA writing style for the essay. The cover page and reference page in correct APA do not count towards the minimum word amount. Review the rubric criteria for this assignment.

  • Explore the history of nursing and choose two events/topics from history related to nursing (ie education, practices, important people, etc.) and explain each one in detail and why they are important to the nursing profession.
  • Research two professional nursing organizations and discuss the following for each organization chosen:
    • The name of the organization and why this organization is important to nursing
    • What resources they provide to members
    • Cost of membership and how many members are part of the organization
    • Current issues the organization is working on
    • Finally, after researching this question answer in detail: Why are Professional Organizations in general important to nursing as a profession?

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Expanding Cultural Knowledge

Expanding Cultural Knowledge

Create a PowerPoint presentation that addresses each of the following points/questions. Be sure to completely answer all the questions for each bullet point. Use clear headings that allow your professor to know which bullet you are addressing on the slides in your presentation. Support your content with at least three (3) sources using APA citations throughout your presentation. Make sure to cite the sources using the APA writing style for the presentation. Include a slide for your references at the end. Follow best practices for PowerPoint presentations related to text size, color, images, effects, wordiness, and multimedia enhancements. Review the rubric criteria for this assignment.

Pick a cultural group (different from yours) that you commonly care for at work. Research the answers to the following…

  • Health Beliefs and Practices
  • Family patterns
  • Communication style
  • Space orientation and Time orientation
  • Nutritional Patterns
  • Pain Responses
  • Childbirth and perinatal care
  • Death and Dying
  • Spirituality, religion, and faith (include holy days)
  • Prayer and meditation
  • What knowledge did you gain about this group that you were not aware of?
  • How will this knowledge change the way you care for this cultural group?
  1. Title Slide (1 slide)
  2. Objective Slide (1 slide)
  3. Health Beliefs and Practices (1-2 slide)
  4. Family patterns (1-2 slide)
  5. Communication style (1-2 slide)
  6. Space orientation and Time orientation (1-2 slide)
  7. Nutritional Patterns (1-2 slide)
  8. Pain Responses (1-2 slide)
  9. Childbirth and perinatal care (1-2 slide)
  10. Death and Dying (1-2 slide)
  11. Spirituality, religion, and faith (include holy days) (1-2 slide)
  12. Prayer and meditation (1-2 slide)
  13. What knowledge did you gain about this group that you were not aware of? (1-2 slide)
  14. How will this knowledge change the way you care for this cultural group? (1-2 slide)
  15. References (1 slide)

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Mental Health in the community

Mental Health in the Community

Write a 1000-1500 word essay addressing each of the following points/questions. Be sure to completely answer all the questions for each bullet point. There should be three main sections, one for each bullet below. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least three (3) sources using citations in your essay. Make sure to cite using the APA writing style for the essay. The cover page and reference page in correct APA do not count towards the minimum word amount. Review the rubric criteria for this assignment.

  • Go to the Healthy People 2020 website and search for Mental Health and Mental Disorders. After reading the Overview section in Healthy People 2020 under Mental Health and Mental Disorders, pick and note the number and name of 2 objectives/goals from the list that you feel affect your community and explain why these were chosen. As a nurse, what can you do to help the community move towards this goal?
  • Explain how physical health and mental health are correlated. What impact does each have on the other? Give at least one detailed example of how either a specific physical ailment leads to a breakdown in mental health or how a specific mental health disorder can lead to physical issues.
  • Explain Trauma Informed Care in detail. How you can use Trauma Informed Care to assist a child who has been impacted by trauma?

Assignment Expectations:

Length: 1000-1500 words; answers must thoroughly address the questions in a clear, concise manner.

Structure: Include a title page and reference page in APA format. These do not count towards the minimum word count for this assignment. Your essay must include an introduction and a conclusion.

References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of three (3) outside scholarly sources are required.

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Interprofessional Organizational and Systems Leadership

  Sometimes nursing can be impacted by research such as the IOM report regarding BSN level nurses vs. AD nurses. While some facilities help AD nurses go back to school, others are not or have more need than for nurses and cannot only employ BSN level nurses. If you were in a leadership role and could have an impact regarding this, what would be your approach? How would you address the need for staff being greater than your ability only to employ BSN or have AD nurses go back to school?  

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unit 6 discussion

For this discussion, you will use a census website that posts information on variables observed in the city where you live.  Here is the website address.  https://www.census.gov/acs/www/data/data-tables-and-tools/data-profiles/2017/ (Links to an external site.)

 (Links to an external site.)After you open the website, you can enter your state’s name on the left at the bottom and the name of your city on the right of the landing page.  You will see links to 4 sets of information on your area:  social, education, housing, and demographic.  You will be assessing the change in one variable you select for two different years. For example, data from the entire United States could compare the percentage of women never married for the years 2010 and 2017.

Once you have selected your variable and obtained the information, answer the following questions:

  •  Was there a difference in the values of your variable? 
  • How would you write the null hypothesis if you wanted to test the differences statistically?
  • Does the difference appear to be a significant one? How would you substantiate that?
  • Is the difference important?
  • What are the consequences of the change in your values for your community? For example, a significant increase in the number of women never married could affect the birth rate.  It could also mean more women are attending college and becoming self-sufficient. 

Please be sure to validate your opinions and ideas with citations and references in APA format.

Estimated time to complete: 2 hours

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Community Assessment, Analysis, Diagnosis, Plan, and Evaluation

 

Community Assessment, Analysis, Diagnosis, Plan, and Evaluation

Weekly Objective 4 is addressed in this assignment.

Needed Document: Final Paper Template

This activity is intended for undergraduate nursing students. In this activity, you will observe, think critically about, and report health issues in diverse community environments.

Community health nursing can improve access to care for the most vulnerable and hard-to-reach groups in any country. The community health nurse should combine knowledge of major indicators of health, social factors that contribute to declining health status, and public programs designed to address problems of health care. Efforts should encompass all levels of prevention (primary, secondary, tertiary) and should address the needs of the individual, family, aggregate, and community.

You will submit a formal APA Paper (see instructions in the template and the rubric).

Utilizing the information gathered on your selected community in from eight Sentinel City subsystems you have been working on throughout this class, write your assessment, analysis, nursing diagnosis, plan, and evaluation method (per the rubric) in APA 7th edition format.

You do not need an abstract. The order of the paper is as follows: the title page, the body of the paper (5-10 pages), a reference page. See the sample template provided.

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Collaborative Team-Based Health Care Delivery Paper

 

Write a paper of 1,250-1,500 words that discusses the team-based approaches to the delivery of health services. The focus of the paper should be one type of health care environment, such as a hospital, primary care, or long-term care facility. Within your paper, be sure to do the following:

  1. Present a patient case (this does not need to be detailed).
  2. Describe the collaborative team that would deliver care and their individual roles, including credentialing, licensing, and regulation.
  3. Identify and describe the indicators and determinants of health that would influence or impact this case.
  4. Describe the impact this collaborative team-based approach would have on management and line staff.
  5. Explain key financial and resource challenges for consumers and insurance companies as they apply to this model. Explain how the resource challenges may affect the collaborative team.
  6. From a leadership position, explain the advantages of using a collaborative team-based approach.

Support your writing with three to five scholarly peer-reviewed resources.

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 LopesWrite. Refer to the LopesWrite Technical Support articles for assistance

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Personal Class Design Project – Part 1

 

Complete this assignment according to the following:

  1. Design a class that you would like to teach someday. The class must be at least 4 hours in length and must be multiple sessions. It can be four sessions of 1 hour each, or two sessions of 2 hours each, depending on your topic and target audience.
  2. Begin by describing the institution that is sponsoring the class (e.g., academic, hospital, or community agency). Include the philosophy of the sponsoring organization and how that will affect the course you are developing.
  3. Explain how you determined a need for this class (needs assessment).
  4. Write a one-paragraph description of the class.
  5. Identify the target audience.
  6. Identify the learning resources you will use for the class (textbooks or other resources).
  7. Write the program outcomes for the course and the learner objectives for each class session. Indicate which domains of learning are represented by each learner objective.

At least 1500 words . It is intended that each student will develop a class that they can use in their selected area of education. You will complete this project in your next course, NUR-649E.

APA format 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.

You are not required to submit this assignment to LopesWrite.

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