Hello , I need 6 slide of PPT taking into account the rubrics, and the indications for the work that the teacher put and that I explain to you lower, it is a group work and what I have to do with the work are the points that you see marked in yellow, it’s only 6 slides the rest are done by other colleagues, I put the interview that another colleague did to make adjustments to that information and also attached the PTT template. Thank you Functional Health Patterns

The RN to BSN program at University meets the requirements for clinical competencies as defined by the Commission on Collegiate Nursing Education (CCNE) and the American Association of Colleges of Nursing (AACN), using nontraditional experiences for practicing nurses. These experiences come in the form of direct and indirect care experiences in which licensed nursing students engage in learning within the context of their hospital organization, specific care discipline, and local communities. This assignment consists of both an interview and a PowerPoint (PPT) presentation.

PowerPoint Presentation

Within your group, create a PowerPoint presentation of 15-20 slides (slide count does not include title and reference slide) describing the chosen community interest.

Include the following in your presentation:

1. Description of community and community boundaries: the people and the geographic, geopolitical, financial, educational level, ethnic, and phenomenological features of the community as well as types of social interactions, common goals and interests, barriers, and challenges, including any identified social determinates of health.

2. Summary of community assessment: (a) funding sources and (b) partnerships.

3. Summary of interview with community health/public health provider.

4. Identification of an issue that is lacking or an opportunity for health promotion. The issue identified can be used for the Community Teaching Plan: Community Teaching Work Plan Proposal assignment.

5. A conclusion summarizing your key findings and a discussion of your impressions of the general health of the community.Functional Health Patterns

Title slide and overview of community and  boundaries (Slides 1 and 2) 

Ethnicity statistics for the community (Slide 3) 

Community financial information (Slide 4) 

Partnerships (Slide 5) 

Phenomenologic features (Slide 6) 

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.

Rubric

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

1. Description of community is complete. Boundaries are described in great detail, distinguishing environmental boundaries, environmental relationships, and external systems that comprise the open, community system.

2. Discussion of Functional Health Patterns is clear, complete, and comprehensive, with indications for actual, at-risk and potential diagnoses as well as recommendations for surveillance and preventive measures.

3. Identification of an issue that is lacking or an opportunity for health promotion is effectively included

4. The layout is visually pleasing and contributes to the overall message with appropriate use of headings, subheadings, and white space. Text is appropriate in length for the target audience and to the point. The background and colors enhance the readability of the text.

5. Writer is clearly in control of standard, written academic English. Functional Health Patterns

When submitting this assignment, include the interview questions, the interview findings, completed “Provider Interview Acknowledgement Form,” and the community assessment PPT presentation.

NRS-427V.R.ProviderInterviewAcknowledgementForm_10-14-13.doc NRS4

27V.R.FunctionalHealthPatternsCommAssessment

The interview

Attached you will find the interview that I did on Friday with a mental health nurse practitioner, Laura Hatfield, MSN, PMHNP-BC, APRN.

1. What is your title and your main role as a mental health nurse practitioner?

My official title is Psychiatric Mental Health Nurse Practitioner – Board Certified. I see my own panel of mental health patients in the behavioral health clinic in which I work.

2. What is the name and type of facility you work in?

Southwest Behavioral Health & Services. We are an outpatient clinic and as the name implies, our primary services involve behavioral health.

3. What types of mental health issues do you manage?

Depression, bipolar, a lot of PTSD, substance abuse, ADHD (adult only), and anxiety.

4. How long have you worked in this role?

5 years

5. What is the ethnic and socioeconomic make-up of your clientele?

More than 50% of our population is Hispanic. After that we see a lot of Caucasian and African American patients; we rarely have Asian patients. The vast majority of our clientele is low on the socioeconomic scale and most are getting some type of government assistance.

6. What are the biggest challenges you face in providing support to the mental health community?

The biggest challenge I face is not having enough time to see all of the patients who need to be seen. Also challenging is trying to get patients to follow up and come back to the clinic for ongoing care. They often come and get medication but then never come back. And a third challenge is the number of no-show/no-call patients. The only upside to that is that I can fit in patients who just show up without appointments and sit in the waiting room all day, hoping that an opening will open up.

7. What are the biggest successes you have experienced?

Watching bipolar and/or schizophrenic patients get better and become more functional and start working again. Also, stopping the abuse and sale of controlled substances.

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8. What services does your clinic offer?

All of our patients have an intake assessment with a medical social worker (MSW); she directs them to the right provider for their needs. We offer assessments, therapy (with master’s prepared clinicians), and medication management. We have a children’s team who is able to perform in-home and in-school assessments. Our company has some residential facilities and some methadone clinics as well. Functional Health Patterns

9. What are the most common health disparities that you see among your clientele?

Poverty, substance abuse, child neglect, lack of technology, poor hygiene, no running water. But mostly what we see is a LOT of trauma and a LOT of homelessness. (I asked Laura to elaborate on “lack of technology”.) Most of our patients do not have cell phones or access to computer or technology. As a result, they can’t keep track of their appointments. Some of them will just show up at the clinic every few days and ask, “Is it time for my appointment?” Many of them walk over 5 miles to be seen because they either don’t have access to public transportation, or their anxiety simply will not allow them get on a crowded bus.

10. What other health issues does this community face?

We see a lot of diabetes and hypertension in patients. We also see a lot of unintentional overdoses, some of which result in death.

11. What made you decide to go into the field of mental health?

I wanted every day to be a different and challenging, which I wasn’t experiencing in a hospital. In this setting, I never know what is going to walk through the door. Every day is a challenge.

12. Do you feel there is adequate support in the community?

I do feel that there is adequate support but I don’t feel patients utilize available resources enough.

13. What is your level of education?

Master of Science in Nursing

14. How does your work improve the health of your community?

Mainly through education. We provide lots and lots of education, which helps our patients, which in turn helps the community at large.

15. What role does teaching play in your practice?

It’s huge. It’s probably what I spend the most time engaged in.

16. Does your facility have adequate funding for the services they provide? Functional Health Patterns

Yes

Question

Week 1 Quiz

Question 1 A patient has a blood serum drug level of 50 units/mL. The drug’s half-life is 1 hour. If concentrations above 25 units/mL are toxic and no more of the drug is given, how long will it take for the blood level to reach the nontoxic range?

Question 2 During a clinic visit, a patient complains of having frequent muscle cramps in her legs. The nurse’s assessment reveals that the patient has been taking over-the-counter laxatives for the past 7 years. The nurse informed the patient that prolonged use of laxatives drug distribution throughout the body

Question 3 Which of the following affects drug distribution throughout the body?

Question 4 An unconscious patient has been brought to the hospital, and the physician has prescribed a life-saving drug to be administered parenterally. Which of the following methods would be the most appropriate for the nurse to use when administering the medication?

Question 5 An older adult patient with a history of Alzheimer’s disease and numerous chronic health problems has been prescribed several medications during his current admission to hospital and recent declines in the patient’s cognition have impaired his ability to swallow pills. Which of the following medications may the nurse crush before administering them to this patient?

Question 6 A nurse has been administering a drug to a patient intramuscularly (IM). The physician discontinued the IM dose and wrote an order for the drug to be given orally. The nurse notices that the oral dosage is considerably higher than the parenteral dose and understands that this due to drug distribution throughout the body

Question 7 A patient who has ongoing pain issues has been prescribed meperidine (Demerol) IM. How should the nurse best administer this medication?

Question 8 A 56-year-old female patient has been admitted to the hospital with chronic muscle spasms and has been prescribed a new medication to treat the spasms. She has a poorly documented allergy to eggs, synthetic clothes, and perfumes. What is the priority action of the nurse to ensure that prescribed medication does not experience an allergic reaction?

Question 9 The nurse is caring for a patient receiving an aminoglycoside (antibiotic) that can be nephrotoxic. Which of the following will alert the nurse that the patient may be experiencing nephrotoxicity?

Question 10 A nurse is caring for a patient who has recently moved from Vermont to south Florida. The patient has been on the same antihypertensive drug for 6 years and has had stable blood pressures and no adverse effects. Since her move, however, she reports “dizzy spells and weakness” and feels that the drug is no longer effective. The nurse suspects that the change in the effectiveness of the drug is related to

Question 11 A patient with a recent diagnosis of acute renal failure has a long-standing seizure disorder which has been successfully controlled for several years with antiseizure medications. The nurse should recognize that the patient’s compromised renal function will likely

Question 12 A nurse is caring for a patient who has had part of her small intestine removed due to cancer. She has also now developed hypertension and has been prescribed a new medication to decrease her blood pressure. While planning the patient’s care, the nurse should consider a possible alteration in which of the following aspects of pharmacokinetics?

Question 13 A nurse who is responsible for administering medications should understand that the goals of the MedWatch program are to (Select all that apply.)

Question 14 The nurse’s assessment of a community-dwelling adult suggests that the client may have drug allergies that have not been previously documented. What statement by the client would confirm this?

Question 15 A patient with a variety of chronic health problems is being seen by her nurse practitioner, who is currently reviewing the patient’s medication regimen. Which of the patient’s medications should prompt the nurse to teach her to avoid drinking grapefruit juice?

Question 16 On the 1 a.m. rounds, the nurse finds a patient awake and frustrated that she cannot go to sleep. The nurse administers an ordered hypnotic to help the patient sleep. Two hours later, the nurse finds the patient out of bed, full of energy and cleaning her room. The nurse evaluates the patient’s response to the hypnotic as

Question 17 Which of the following statements best defines how a chemical becomes termed a drug?

Question 18 In light of her recent high blood pressure readings, a patient has been started on a thiazide diuretic and metoprolol (Lopressor), which is a beta-adrenergic blocker. What is the most likely rationale for using two medications to address the patient’s hypertension? drug distribution throughout the body

Question 19 In which of the following patients would a nurse expect to experience alterations in drug metabolism?

Question 20 30 ml = _______________tbsp

Question 21 Tylenol 325 mg/tablet, patient needs 650 mg; how many tables should patient take?

Question 22 A patient who has been admitted to the hospital for a mastectomy has stated that she has experienced adverse drug effects at various times during her life. Which of the following strategies should the nurse prioritize in order to minimize the potential of adverse drug effects during the patient’s stay in the hospital?

Question 23 A patient has been prescribed several drugs and fluids to be given intravenously. Before the nurse starts the intravenous administration, a priority assessment of the patient will be to note the

Question 24 A nurse is discussing with a patient the efficacy of a drug that his physician has suggested, and he begin taking. Efficacy of a drug means which of the following?

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Question 25 A patient has been prescribed 1 mg lorazepam (Ativan) sublingual prior to the scheduled insertion of a peripherally inserted central (PIC) line. How should the nurse direct the patient when administering this medication?

Question 26 A 79-year-old woman with a medical history that includes osteoporosis has recently moved to a long-term care facility. Medication reconciliation indicates that the woman has been taking calcitonin, salmon for several years. The nurse should recognize that the most likely route for the administration of this drug is

Question 27 Mrs. Houston is a 78-year-old woman who resides in an assisted living facility. Her doctor prescribed digoxin at her last visit to the clinic and she has approached the nurse who makes regular visits to the assisted-living facility about this new drug. What teaching point should the nurse emphasize to Mrs. Houston?

Question 28 A nurse is caring for an 81-year-old patient in a long-term care facility who takes nine different medications each day. The patient has a recent diagnosis of seizure disorder and has begun treatment with phenytoin (Dilantin), a highly protein-bound drug. After 1 month of Dilantin therapy, the patient is still extremely drowsy and sluggish. The nurse determines that the prolonged adverse effect is likely due to

Question 29 A 72-year-old man who is unable to sleep since admission into the hospital is given a hypnotic medication at 9 p.m. The nurse finds the patient drowsy and confused at 10 a.m. the next day. The nurse is aware that this behavior is most likely due to

Question 30 An 80-year-old man has been prescribed oxycodone for severe, noncancer, chronic pain. He tells the nurse that he has difficulty swallowing and asks if he can crush the tablet before swallowing. The nurse will advise the patient that

Question 31 A 72-year-old man with pain issues is being given a drug by the intramuscular route. His serum blood level concentrations have been erratic. The nurse suspects that this may be due to

Question 32 An older adult who lives in a long-term care facility has recently begun taking losartan (Cozaar) for the treatment of hypertension. The nurse who provides care for this resident should recognize  that this change in the resident’s medication regimen make create a risk for

Question 33 A 77-year-old man with a long history of absence seizures has been treated with ethosuximide for many years. The man is now in the process of moving to a long-term care facility and a nurse is creating a plan of care. The nurse understands the potential adverse effects of this drug and would consequently prioritize which of the following nursing diagnoses?

Question 34 A 70-year-old woman with a history of a trial fibrillation has been admitted with a lower gastrointestinal bleed. During the nurse’s admission assessment, the nurse realizes that the patient has been taking ginkgo biloba supplements in addition to her prescribed warfarin, a combination that has resulted in bleeding. What nursing diagnosis should the nurse identify when planning this patient’s care? drug distribution throughout the body

Question 35 A 67-year-old man is admitted to the hospital with pneumonia. He reports to the nurse that he has chronic arthritis and circulation problems. Further assessment by the nurse reveals that the patient has a history of mild hypertension. He explains that he owns a business and lives alone. The nurse determines that he is within the normal weight range for his height and age but has a fondness for spicy foods and sweets. Which of the mentioned patient variables will have the greatest impact on the effectiveness  of the patient’s drug therapy?

Question 36 Mr. Lacuna is an 83-year-old resident of a long-term care facility who has a diagnosis of moderate Alzheimer disease. Mr. Lacuna’s physician recently prescribed oral rivastigmine, but he was unable to tolerate the drug due to its gastrointestinal effects. As a result, he has been ordered the transdermal patch form of the medication. When administering this form of rivastigmine, the nurse should

Question 37 Frequent episodes of exercise-related chest pain have caused a 79-year-old woman to use her prescribed nitroglycerin spray several times in recent weeks. This patient’s age will have what effect on her use of nitroglycerin?

Question 38 A nurse notes new drug orders for a patient who is already getting several medications. Which of the following is the most important consideration when preparing to administer the new drugs?

Question 39 A 79-year-old woman who takes several medications for a variety of chronic health problems has been prescribed an oral ant platelet aggregator that is to be taken once daily. The nurse has encouraged the woman to take the pill at the same time of day that she takes some of her other medications. What is the most likely rationale for the nurse’s advice?

Question 40 A home health nurse is performing a home visit to an elderly client who has early-stage dementia. The nurse observes that some of the client’s pill bottles are empty, even though the client is not due for refills for 2 weeks. What nursing diagnosis should the nurse prioritize when planning this client’s care? drug distribution throughout the body

    “Captain of the Ship” Project – Obsessive-Compulsive Disorders

In earlier weeks, you were introduced to the concept of the “captain of the ship.” In this Assignment, you become the “captain of the ship” as you provide treatment recommendations and identify medical management, community support resources, and follow-up plans for a client with an obsessive-compulsive disorder. Obsessive-Compulsive Disorder

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Learning Objectives

Students will:

· Recommend psychopharmacologic treatments based on therapeutic endpoints  

  for clients with obsessive-compulsive disorders

· Recommend psychotherapy based on therapeutic endpoints for clients with 

  obsessive-compulsive disorders

· Identify medical management needs for clients with obsessive-compulsive 

  disorders

· Identify community support resources for clients with obsessive-compulsive 

  disorders

· Recommend follow-up plans for clients with depression disorders

To prepare for this Assignment:

· Select an adult or older adult client with an obsessive-compulsive disorder you 

   have seen in your practicum.

  In 3–4 pages, write a treatment plan for your client in which you do the following:

· Describe the HPI and clinical impression for the client.

· Recommend psychopharmacologic treatments and describe specific and 

  therapeutic endpoints for your psychopharmacologic agent. (This should relate 

  to HPI and clinical impression.)

· Recommend psychotherapy choices (individual, family, and group) and specific 

  therapeutic endpoints for your choices.

· Identify medical management needs, including primary care needs, specific to  

  this client.

· Identify community support resources (housing, socioeconomic needs, etc.) and 

  community agencies that are available to assist the client. Obsessive-Compulsive Disorder

· Recommend a plan for follow-up intensity and frequency and collaboration with  

  other providers.

· Remember to include Introduction and Conclusion

  Learning Resources

  Required Readings

  Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014). Kaplan & Sadock’s synopsis of 

 psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Philadelphia, PA:  

 Wolters Kluwer. Chapter 10, “Obsessive-Compulsive and Related      Disorders” (pp. 418–436)

Gabbard, G. O. (2014). Gabbard’s treatment of psychiatric disorders (5th ed.). Washington, DC: American Psychiatric Publications.

Chapter 21, “Obsessive-Compulsive Disorder”

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author. “Obsessive-Compulsive and      Related Disorders”

Required Media

Bruce, T. & Jongsma, A. (Producers). (n.d.) Evidence-based treatment planning for obsessive compulsive disorder [Video file]. Mill Valley, CA: Psychotherapy.net. Obsessive-Compulsive Disorder

Create your Assignment submission and be sure to cite your sources if needed, use APA style as required, and check your spelling.

Assignment:

Case Study:

Mrs. Adams, a 68-year-old widow who was referred to case management upon discharge from the hospital based on her physician’s recommendation that she is not able to care for herself independently. Her diagnosis is diabetes, hypertension, and breast cancer. She is 5 days’ post-op from a right sided mastectomy.   Mrs. Adams apartment is located in a low income area of the city where crime is prevalent.  Upon assessment by the Community Health Nurse, Mrs. Adams apartment was in disorder with minimal airflow or light. Her cloths appeared unchanged and she had no food in the apartment.  The small apartment also housed 3 cats and a small dog who Mrs. Adams considers family since the death of her husband 1 year ago. Mrs. Adams complains of pain and draining from her surgical site and a broken air conditioner. Nightingales Environmental Theory

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• Using Nightingales Environmental Theory, what actions would the nurse take upon the first assessment?
• What are the five essential components of Nightingales Theory?
• Prioritize an appropriate care plan for Mrs. Adams?
• Apply Nightingale’s Environmental Theory to an area of your nursing practice, what patient population would benefit from this approach?  Support this practice change with at least one evidenced-based article (this means current EBP of 5 years of less for the article.)

The assignment should be completed in APA format, as an essay of between 1000 and 1500 words. The paper should include at least 2 outside references and the textbook. The paper should be in APA format with a title page, level headings, and reference page, please see the Shell that I have included in this module. 1st person is not acceptable in APA papers, make sure to keep this is 3rd person. Nightingales Environmental Theory