Building a Health History

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Effective communication is vital to constructing an accurate and detailed patient history. A patient’s health or illness is influenced by many factors, including age, gender, ethnicity, and environmental setting. As an advanced practice nurse, you must be aware of these factors and tailor your communication techniques accordingly. Doing so will not only help you establish rapport with your patients, but it will also enable you to more effectively gather the information needed to assess your patients’ health risks.

For this Discussion, you will take on the role of a clinician who is building a health history for one of the following new patients: Chosen topic in red

· 76-year-old Black/African-American male with disabilities living in an urban setting

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To prepare:

With the information presented in Chapter 1 in mind, consider the following:

· How would your communication and interview techniques for building a health history differ with each patient?

· How might you target your questions for building a health history based on the patient’s age, gender, ethnicity, or environment?

· What risk assessment instruments would be appropriate to use with each patient?

· What questions would you ask each patient to assess his or her health risks?

· Select one patient from the list above on which to focus for this Discussion.

· Identify any potential health-related risks based upon the patient’s age, gender, ethnicity, or environmental setting that should be taken into consideration.

· Select one of the risk assessment instruments presented in Chapter 1 or Chapter 26 of the Seidel’s Guide to Physical Examination text, or another tool with which you are familiar, related to your selected patient.

· Develop at least five targeted questions you would ask your selected patient to assess his or her health risks and begin building a health history.

· Include sub headings please

Write: a description of the interview and communication techniques you would use with your selected patient. Explain why you would use these techniques. Identify the risk assessment instrument you selected, and justify why it would be applicable to the selected patient. Provide at least five targeted questions you would ask the patient 

NURSING STUDY

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Greg Case Study:

Peggy and Gary had been married for five years, and had been trying to have a child. They had undergone artificial insemination and in vitro fertilization, but each pregnancy had resulted in a miscarriage. Peggy and Gary decide that surrogacy was their best option and placed an advertisement in the local college newspaper.

Josephine, a 21-year-old college student, answered the advertisement. At the time, she was dating a man named Jerry who she loved very much and hoped to marry. But Jerry had recently broken up with Josephine. Hoping to trick Jerry into marrying her, Josephine agreed to be the surrogate for Peggy and Gary. Using Peggy and Gary’s zygote, Josephine underwent in vitro fertilization and became pregnant. During the pregnancy Josephine underwent routine medical examinations, as required by the surrogacy contract. During one of the examinations, a genetic screening test was performed and it was discovered that the child had Down Syndrome. Peggy and Gary did not desire to have a child with Down Syndrome and in accordance with the surrogacy contract paid Josephine to undergo an abortion. In addition, Josephine contacted Jerry, telling him that she was carrying his child. Not wanting to be a husband or father at a young age, Jerry paid Josephine for an abortion as well. He then transferred to another school in a different state.

As a college student who could use the cash, Josephine gladly took the money for the abortion. But because of religious reasons she did not have an abortion and carried the child to term. She never told Peggy, Gary, or Jerry that she delivered a child. Unfortunately, being a single mother and college student was too much for Josephine. At three months, she took the child, whom she called Greg, to the local hospital and surrendered him under the state’s Safe Haven law.  

Address the following questions:

  1. Shortly after the child was surrendered, Jerry found out that Josephine had delivered a child, which he thought was his. Jerry’s parents completed the paperwork necessary to adopt Greg, because they could not fathom the idea of someone else raising their grandchild. Should Jerry’s parents be allowed to adopt Greg? Explain and support your answer.
  2. Shortly after the child’s second birthday, Greg needed to have minor surgery to correct an intestinal problem. Part of the pre-surgery laboratory work involved determining the child’s blood type. The blood typing indicated that it was biologically impossible for Jerry to have fathered Greg. Jerry and Jerry’s parents are now suing Josephine. Should Josephine have to pay the amount of money it cost to raise and support Greg? Explain and support your answer.

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  3. As part of her testimony in the lawsuit, Josephine discloses the truth about Greg and the surrogacy pregnancy. Although enraged, Jerry’s parents felt it necessary to contact Peggy and Gary. When Peggy and Gary learn that their biological child had actually been born, they petitioned the court to have their child returned to them and to award them custody. How should the court decide? Should the child remain with Jerry’s parents or be given to Peggy and Gary? Explain and support your answer.

Baby Fae Case Study

On October 14, 1984, Baby Fae was born two weeks premature, with hypoplastic left heart syndrome (a condition that at the time was 100 percent fatal). Baby Fae’s mother, Teresa Beauclair, was presented with two options; keep the child in the hospital or take the child home. Teresa opted to take the child home, and was preparing to go through the dying process until Dr. Leonard Bailey presented her with a third option. The highly experimental surgery involved replacing Baby Fae’s heart with that of a baboon. Dr. Bailey had been investigating the possibility of cross-species transplantation and discussed his research with Teresa, gaining her consent to the operation. As you can image, the medical procedure was publicized across the United States and animal rights activists were outraged and protested.

While initially, the operation appeared to be successful, Baby Fae’s organs started to fail, leading to her death 21 days after the transplant surgery was performed. In announcing her death at a press conference, Dr. Bailey stated, “Infants with heart disease yet to be born will someday soon have the opportunity to live, thanks to the courage of this infant and her parents.” One year later, the first human to human heart transplant was performed in a child. Dr. Bailey credits the success, in part, to the information and experience that was gained by performing the xenotransplant (Cross-species) procedure.

Address the following questions:

  1. What is your initial reaction to this case? What ethical concerns does this case bring up in relation to: autonomy, nonmaleficence, beneficence, fidelity, and justice? Explain and give specific examples.
  2. The study of animal research has led to many advances in diabetes, cancer, neurological conditions, and cardiac. Currently, pig and bovine valves are still used in heart surgeries. Do you feel research on animals is necessary in the medical field? Explain your answer.
  3. If you were caring for baby Fae, how could the following information effect your interaction with the parents, and possible care of the child? Do you feel information about the family: their past, current status, and criminal record, should be publicized or shared? Explain your answers.

After the transplant, NBC news released this information:

“NBC News has learned the identity of the child’s parents. We will respect their wishes and not name them. However, certain aspects of their past might be relevant to some of the medical controversies in this case. According to relative and court records, the couple was never married. They had separated by the time the infant was born. Both have had trouble with the law in the state they came from, the father for disorderly conduct, and the mother for passing bad checks. They had little money when the baby was born.”

  • For each of these cases an APA formatted paper must be used, and should include a title page, level headings, references and citations.
  • This assignment should include at least 3 references and
  • Should be at least three pages in length for each case (six pages, not including title page and references).
  • Students should address the proposed questions providing ample detail, examples, and additional support.

EMERGING HEALTH PROBLEMS

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ITS IMPORTANT TO MEET THE REQUIREMENTS !

SAMPLE OF COMPLETED HOMEWORK ATTACHED AT THE END.

Develop a 5–7-page proposal for a wellness education program for a specific population. Integrate aspects of culture, CAM and spirituality, and linguistics into the program. Explain how to market the program to the population, and explain the ethical, legal, and economic factors that can affect the health of the population.

Note: The assessments in this course build upon each other, so you are strongly encouraged to complete them in sequence.

Health care initiatives focus on changing demographics and emerging health problems. Among the challenges faced by health care professionals are cultural and linguistic competence and the role they play in the ability to provide effective care. Health care professionals need to develop skills in conducting gap analyses within their own communities, design effective health education and wellness programs to address those gaps, and remain mindful that effective care depends on the ability to build trust within the community being served.

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

  • Competency 1: Explain the principles and concepts of disease prevention and health promotion for diverse and vulnerable populations.       
    • (IMPORTANT) -Explain how educating a population about health promotion and disease prevention benefits the health and wellness for a population. 
  • Competency 2: Develop evidence-based health promotion and disease prevention initiatives for diverse and vulnerable populations.       
    • (IMPORTANT) -Integrate linguistic and cultural considerations, CAM, traditional medicine, holistic health, and spirituality into an evidence-based wellness plan for a population. 
  • Competency 4: Examine the ethical, legal, and economic factors related to health disparities in diverse and vulnerable populations.       
    • (IMPORTANT) -Describe the ethical principles that can affect preventative care and health promotion.
    • (IMPORTANT) -Explain how local laws, federal laws, and the Affordable Health Care Act can affect preventative care and health promotion.
    • (IMPORTANT) -Explain the economic impact of clinical prevention and health promotion related to health disparities for a population.
  • Competency 5: Communicate in a manner that is scholarly, professional, and consistent with expectations for members of the health care professions.       
    • (IMPORTANT) -Write content clearly and logically, with correct use of grammar, punctuation, APA formatting, and mechanics.

Assessment Instructions 

Preparation

Your team has succeeded in demonstrating the need for a health promotion and disease prevention initiative for the population identified by your Windshield Survey assessment. Now you need to develop a proposal for a wellness education program that will help bridge the gaps in health care service delivery.

Use the Capella library and the Internet to find scholarly and professional resources that will help you propose a wellness education program for the health concern of your population. Find at least four resources to use in this assessment. You may also want to review the previous assessments you completed in this course.

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Requirements

Based on your Windshield Survey and Organizational Evaluation assessments, complete the following:

  • Design an evidence-based wellness program to address the primary health concern of the population that integrates:      
    • Cultural considerations: Will you need to consult with someone from the population on how to approach the delivery of your program?
    • CAM, traditional medicine, holistic health, and spirituality considerations.
    • Linguistic considerations: Will you need interpreters or translators for either written or oral presentations?
    • Educational considerations: What will be the best way to educate the population?
  • Describe how you will market or advertise the wellness program.      
    • What are the benefits the program offers the population?
    • Will you need incentives to ensure participation and completion of the program?
  • Explain the ethical, legal, and economic factors that impact the health and wellness of the population. For example:      
    • The ethical considerations (such as justice, non-malfeasance, and duty) that can affect preventative care and health promotion.
    • Local laws, federal laws, and the Affordable Health Care Act that can affect preventative care and health promotion.
    • The potential economic impact of clinical prevention and health promotion related to health disparities of your population.

The format for this assessment should be a professional proposal. If possible, ask about the format used for proposals in your organization and follow that. Follow APA formatting for your in-text citations and references.

Additional Requirements

  • Include a title page and reference page. The completed assessment should be 5–7 pages in length, not including a title page and a reference page.
  • Reference at least four current scholarly or professional resources.
  • Use current APA format for citations and references.
  • Use Times New Roman font, 12 point.
  • Double space.

Case Study for Chronic Condition

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No Plagiarism please: 

For this Assignment, you are answer the questions regarding this case study. Please make sure to support your answers using evidence based practice.

Case Study: 

56 y/o Caucasian male presents to the primary care clinic with complains of dizziness and nausea x 4 days. The patient reports he has not been able to get out of bed since the symptoms started. The patient reports symptoms are worse when he tries to get out of bed to stand. He denies any headaches or blurry vision. He states he is urinating more over the last few days and he has noticed increase in thirst. He reports he just drank a large sweet tea before he came into the clinic.

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The patient reports that he is out of his Lantus and metformin because he cannot afford the refill until he gets his disability check. He is disabled after his second CVA that left his with generalized weakness. His medical history includes DM, HTN, CAD.

Upon arrival at the clinic, the patient’s vital signs are as follows- Blood sugar 405, B/P 190/101, HR 102, R-20, T- 98.5.

Using Evidence Based practice, answer the following questions thoroughly. Be sure to use APA formatting.

Use headings while answering questions below:

  1. What is the pertinent positive and negative findings in this patient assessment?
  2. Create a list of differentials with rationales for this patient?
  3. Discuss a medication regimen for this patient considering his financial status?
  4. What is the priority concern for this patient?
  5. How does this patient’s comorbid diagnosis impact his current symptoms?
  6. Discuss how the patient’s’ health beliefs, culture and behaviors impact the potential outcomes for the patient.

PUBLIC HEALTH ISSUES

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Identify at least two different public health issues in your community or state (Georgia). Describe each issue to include identification of the target population, impact to the population and community, relevant statistics, current interventions, and involved organizations. Based on the current situation, discuss any changes that you would recommend and why.

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(Note: Use websites for your local and state health departments to assist you with identifying relevant public health issues.)

In a Microsoft Word document of approximately 5–7 pages, examine two public health issues that are currently being addressed in your community or state. Include the following items in your paper:

  • Describe each issue to include identification the target population and impact to the population and the community.
  • Provide descriptive statistics about the health issue and the population.
  • Identify and describe current interventions at the community or state level that are being used.
  • Identify and discuss the roles of organizations that are involved in addressing the public health issues.
  • Recommend relevant changes and explain reasons for those changes.

NUTRITION AND WEIGHT STATUS

               5: How the focus area relates to the community

7: One way to enhance or optimize health through nutrition and weight status

8: Second way to enhance or optimize health through nutrition and weight status

v  Minimum of three peer review articles must be utilized between these two slides

v  There are evidence based articles here: https://www.healthypeople.gov/2020/topics-objectives/topic/nutrition-and-weight-status/ebrs#ebr_header that may be a helpful tool

 PowerPoint presentation

1 slides of content for each question

Bullet point format

Each slide should have accompanying speaker’s notes and citations – speaker notes should be a paragraph long  

list all references used at the end

assigment can be done in word, you dont have to pt it into a powerpoint

REPORT ON BUDGETING

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  • My papers for this assignment for the quarter are attached.
  • Body
  • 1. Reason for choosing this project: (200-300 words)
  • 2. Summarize: 
    • a. Plan Stage: Paper clearly addresses the goal or overall aim of what the Improvement Project is trying to accomplish; details obJectives; identifies evidence-based research. Includes introduction, review of literature.
    • Research and Documentation: Synthesizes in-depth information from relevant sources representing various points of view/approaches; APA format and style of citation used appropriately throughout the paper; adequate number of sources referenced. (4-5 pages). 
    • b. Do Stage: Paper describes what the intervention was and what was done; details changes made; describes how actions were based on research; details how the data was collected and by whom. Includes aim statement, changes implemented, how will you know if improvement has been made.
    • c. Study Stage: Paper describes how the change is an improvement; details what data was collected; displays data in an appropriate format; details what went right, wrong, and what changes can be made that will result in improvement. Includes Likert scale and run chart (required). Was the project a success?

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  • d. Act Stage and Summary of Learning:
     
  • Plan of how to sustain efforts. Address the following:
    • · Was this a positive learning experience?
    • · What lessons have you learned?
    • · Have the changes become an integral part of daily activities?
    • · What is your structured plan to continue efforts you have gained?
    • · How might you apply the PDSA Improvement Model in the future?
  • Reference Page
  • 1. Al least two (2) scholarly articles, and
  • 2. At least one (1) reliable websites. 
  • 3. Proper APA referencing format
  • 4. Proper APA citations. 
  • Length: Paper length 8-10 pages (4-5 of which describes your research) NOT including title and reference page. Arial size 12 font preferred, 1 inch margins, 1.5 spaced.

GLOBAL HEALTH CARE COMPARISON

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  • Review the World Health Organization’s (WHO) global health agenda and select one global health issue to focus on for this Assignment.
  • Select at least one additional country to compare to the U.S. for this Assignment.
  • Reflect on how the global health issue you selected is approached in the U.S. and in the additional country you selected.
  • Review and download the Global Health Comparison Matrix provided in the Resources.

The Assignment: (1- to 2-page Global Health Comparison Matrix; 1-page Plan for Social Change)

Part 1: Global Health Comparison Matrix

Focusing on the country you selected and the U.S., complete the Global Health Comparison Matrix. Be sure to address the following:

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  • Consider the U.S. national/federal health policies that have been adapted for the global health issue you selected from the WHO global health agenda. Compare these policies to the additional country you selected for study.
  • Explain the strengths and weaknesses of each policy.
  • Explain how the social determinants of health may impact the global health issue you selected. Be specific and provide examples.
  • Using the WHO’s Organization’s global health agenda as well as the results of your own research, analyze how each country’s government addresses cost, quality, and access to the global health issue selected.
  • Explain how the health policy you selected might impact the health of the global population. Be specific and provide examples.
  • Explain how the health policy you selected might impact the role of the nurse in each country.
  • Explain how global health issues impact local healthcare organizations and policies in both countries. Be specific and provide examples.

Part 2: A Plan for Social Change

Reflect on the global health policy comparison and analysis you conducted in Part 1 of the Assignment and the impact that global health issues may have on the world, the U.S., your community, as well as your practice as a nurse leader.

In a 1-page response, create a plan for social change that incorporates a global perspective or lens into your local practice and role as a nurse leader.

  • Explain how you would advocate for the incorporation of a global perspective or lens into your local practice and role as a nurse leader.
  • Explain how the incorporation of a global perspective or lens might impact your local practice and role as a nurse leader.
  • Explain how the incorporation of a global perspective or lens into your local practice as a nurse leader represents and contributes to social change. Be specific and provide examples

SHARING GOVERNANCE

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Attend a committee meeting in your health care organization. If you are not currently employed in a health care setting, you may elect to attend a committee meeting at another company, a community center, a local school, local chamber of commerce or other professional organization.

Observe the interactions between committee members and the process used by the committee to arrive at decisions.

In 500-750 words, describe the function of the committee and the roles of those in attendance. Describe your observations of the interactions between members of the committee and determine whether the process used to arrive at decisions is a form of shared governance.  Please include if you felt the meeting used shared governance or not.

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A minimum of two academic references from credible sources are required for this assignment. Source must be published within the last 5 years and and appropriate for the assignment criteria and nursing content.

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

Committee Review

I.               Introduction of the committee

II.             Function of the committee

A.            Roles of those in attendance

III.           Describe your observation of the interactions between members of the committee.

IV.            Do you believe the meeting used shared governance or not?

Simple conclusion.

Health Promotion and Community Resource

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Details:

This is a Collaborative Learning Community (CLC) assignment.

An important role of nursing is to provide health promotion and disease prevention. Review the 2020 Topics and Objectives on the Healthy People website. Choose a topic of interest that you would like to address, in conjunction with a population at-risk for the associated topic. Submit the topic and associated group to your instructor for approval.

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Create a 15-20-slide PowerPoint presentation for your topic and focus group. Include speaker notes and citations for each slide, and create a slide at the end for References.

Address the following:

  1. Describe the approved topic and associated population your group has selected. Discuss how this topic adversely affects the population. How does health disparity affect this population?
  2. Explain evidence-based approaches that can optimize health for this population. How do these approaches minimize health disparity among affected populations?
  3. Outline a proposal for health education that can be used in a family-centered health promotion to address the issue for the target population. Ensure your proposal is based on evidence-based practice.
  4. Present a general profile of at least one health-related organization for the selected focus topic. Present two resources, national or local, for the proposed education plan that can be utilized by the provider or the patient.
  5. Identify interdisciplinary health professionals important to include in the health promotion. What is their role? Why is their involvement significant?

Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria and public health content.

Refer to the resource, “Creating Effective PowerPoint Presentations,” located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

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. Please refer to the directions in the Student Success Center.

Please Note: Assignment will not be submitted to the faculty member until the “Submit” button under “Final Submission” is clicked.

New AttemptMy AttemptsTitleAttached DocumentsCitation ReportSimilarity IndexFinal Submission Click ‘New Attempt’ to start assignment or attach documentsGroup AttemptsTitleAuthor

Professional Development

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In this Module’s Discussion, you were introduced to the concept of an academic portfolio to begin building your own brand. However, portfolios have value that goes beyond brand building. An academic and professional portfolio can also help you to build your own vision and mission and establish your development goals. In this regard, a portfolio becomes yet another tool in your toolbox as you build your success.

In this Assignment you will continue developing your Academic Success and Professional Development Plan by developing the fifth component–a portfolio for your academic and professional efforts.

To Prepare:

  • Consider your goals for academic accomplishments while a student of the MSN program.

The Assignment:

  • Using the Academic Success and Professional Development Plan Template document that you began to work on in Module 1 and have continued expanding throughout this course, you will develop a curriculum vitae (CV) in Part 5 based on your current education and professional background.
  • Write a statement identifying your professional development goals.
  • Write a statement proposing how you might align one or more of your professional development goals with the university’s emphasis on social change.

Note:Add your work for this Assignment to the original document you began in the Module 1 Assignment, which was built from theAcademic Success and Professional Development Plan Template.

ExcellentGoodFairPoorUsing the Academic Success and Professional Development Plan Template, address the following:

·   Develop a curriculum vitae (CV) based on your current education and professional background.

·   Write a statement identifying your professional development goals.

·   Write a statement proposing how you might align one or more of your professional development goals with the University’s emphasis on social change.
86 (86%) – 95 (95%)
A fully developed and accurate curriculum vitae based on current education and professional background is provided.

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The response clearly identifies and accurately states in detail professional development goals.

The response clearly and accurately states in detail how to accurately and appropriately align one or more of the professional goals provided to the University’s emphasis on social change.


76 (76%) – 85 (85%)
A partially developed curriculum vitae based on current education and professional background is provided.

The response partially identifies and states professional development goals.

The response partially states how to align one or more of the professional goals provided to the University’s emphasis on social change.


67 (67%) – 75 (75%)
A vague or inaccurate developed curriculum vitae based on current education and professional background is provided.

The response vaguely or inaccurately identifies and states professional development goals.

The response vaguely or inaccurately states how to align one or more of the professional goals provided to the University’s emphasis on social change.


0 (0%) – 66 (66%)
A vague and inaccurately developed curriculum vitae based on current education and professional background is provided, or is missing.

The response vaguely and inaccurately identifies and states professional development goals, or is missing.

The response vaguely and inaccurately states how to align one or more of the professional goals provided to the University’s emphasis on social change, or is missing.Written Expression and Formatting – English writing standards:
Correct grammar, mechanics, and proper punctuation
5 (5%) – 5 (5%)


Uses correct grammar, spelling, and punctuation with no errors.
4 (4%) – 4 (4%)


Contains a few (1-2) grammar, spelling, and punctuation errors.
3.5 (3.5%) – 3.5 (3.5%)


Contains several (3-4) grammar, spelling, and punctuation errors.
0 (0%) – 3 (3%)


Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.

Total Points: 100