Identify, prioritize, and describe at least four problems.

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This is a CLC assignment.As a group, observe the simulated “Home Visit With Sallie Mae Fisher” video (http://lc.gcumedia.com/zwebassets/courseMaterialPages/nrs410v_vp01Alt.php).Refer to “Sallie Mae Fi

This is a CLC assignment.

As a group, observe the simulated “Home Visit With Sallie Mae Fisher” video (http://lc.gcumedia.com/zwebassets/courseMaterialPages/nrs410v_vp01Alt.php).

Refer to “Sallie Mae Fisher’s Health History and Discharge Orders” for specifics related to the case study used to inform the assignment.

Using “Home Visit With Sallie Mae Fisher” and “Sallie Mae Fisher’s Health History and Discharge Orders,” complete the following components of this assignment:

Essay Portion

After viewing the home visit, write an essay of 500-750-words in which you do the following:

  1. Identify, prioritize, and describe at least four problems.
  2. Provide substantiating evidence (assessment data) for each problem identified.
  3. Identify and describe at least four medical and/or nursing interventions.
  4. Discuss your rationale for the interventions identified.

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

Scripted Dialogue Portion

Utilizing the information learned from the home visit, health histories, and discharge orders, write a scripted dialogue in which you provide Sallie Mae with education that describes her problems and the interventions identified to improve her condition. Consider Sallie Mae’s physiological, psychosocial, educational, and spiritual needs when developing your dialogue.

Your dialogue should resemble a script. The following is an example of a few sentences from a scripted dialogue:

Nurse: “Good morning, Salle Mae, my name is ______ and I will be your nurse today. I understand you are experiencing problems with ________.”

APA format is not required for this part of the assignment, but solid academic writing is expected.

Refer to “Home Visit With Sallie Mae Fisher Grading Criteria.”

Entire Assignment

You are required to submit this assignment to LopesWrite. Refer to the directions in the Student Success Center. Only Word documents can be submitted to LopesWrite.

Provide a 3-4 sentence response to the below discussion question answer in apa format with in-text citations and references. I will also post the original question…

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Provide a 3-4 sentence response to the below discussion question answer in apa format with in-text citations and references. I will also post the original question…Response:The bases for the theory

Provide a 3-4 sentence response to the below discussion question answer in apa format with in-text citations and references. I will also post the original question…

Response:

The bases for the theory are then an observation has been made and that when these certain things share the ct same space and time a particular thing is likely to happen. This theory will serve as the base for the many research projects that will take place. It is through a detailed investigation, testing, and evaluation that we will determine if the facts are true in most situations while allowing for different circumstances. A theory could” predict attitudes and beliefs about health care practitioners and their adherence to clinical practice” and, models “describe and/or guide the process of translating research into practice” (Nilsen, 2015)

The time invested in selecting an appropriate change theory is worth it when it can determine how successful we are in introducing, implementing, and sustaining a practice change. The use of a theory related to implementing practice change will assist in determining what will work and how best to get the team to see the need for compliance, the purpose, outcomes expectations, and the part they play.

Reference:

Nilsen, P. (2015). Making sense of implementation theories, models and frameworks. Implementation Science, 10(1). doi:10.1186/s13012-015-0242-0

Original Question: Why is it important to incorporate a theory or model related to change when implementing practice changes? Does the benefit of incorporating a change model outweigh the time and effort it took to include it?

This case portrays a poor patient outcome after a misdiagnosis.

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This case portrays a poor patient outcome after a misdiagnosis.Case scenarioA previously healthy 35-year-old lawyer presents to a primary care office with a chief complaint of chest pain and a non-pro

This case portrays a poor patient outcome after a misdiagnosis.

Case scenario

A previously healthy 35-year-old lawyer presents to a primary care office with a chief complaint of chest pain and a non-productive cough. The pain started suddenly 2 hours prior to coming to the office while the patient was sitting at his desk. The patient describes the pain as sharp in nature, constantly present but made worse with inspiration and movement, and with radiation to the base of the neck. His blood pressure in the right arm and other vital signs are normal.

On physical examination the only findings of note are chest wall tenderness and a faint cardiac murmur. The ECG in the office is normal. The patient is observed for an hour in the office and assessed. He is diagnosed with viral pleurisy and sent home on non-steroidal analgesics.

The following day the patient collapses at home and cannot be resuscitated by the paramedic service. An autopsy reveals a Type 1 aortic dissection with pericardial tamponade.

Written Assignment:

Developing a list of possible conditions that might produce a patient’s symptoms and signs is an important part of clinical reasoning.

  1. As an NP in primary care what would you have done differently?
  2. Discuss the importance of creating a list of differentials for this patient. How could it have changed this outcome?

If a serious diagnosis comes to mind based on a patient’s symptoms:

  • Ask yourself; Have you considered the likelihood of it and whether it needs to be ruled out by testing or referral?
  • Because many serious disorders are challenging to diagnose, have you considered ruling out the worst case scenario?
  • Ask yourself: Do you have sufficient understanding of the clinical presentation to offer an opinion on the diagnosis?
  • What other diagnosis could it be? How might the treatment to date have altered the patient outcome?
  • What other diagnostic and laboratory or imaging was needed in order to make a complete differential list?  What support tools would you consider using in helping to create a differential diagnosis list?
  • Are you familiar with the current clinical practice guidelines for the investigation of a suspected condition such as chest pain?

Community Windshield Survey GuidelinesUpdated 9/2018PurposeThe purpose of this assignment is to complete a direct observational assessment of a community in your area. This windshield survey will help

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Community Windshield Survey GuidelinesUpdated 9/2018PurposeThe purpose of this assignment is to complete a direct observational assessment of a community in your area. This windshield survey will help

Community Windshield Survey Guidelines

Updated 9/2018

Purpose

The purpose of this assignment is to complete a direct observational assessment of a community in your area. This windshield survey will help you to identify a vulnerable population, an important community health problem, and a related Healthy People 2020objective for a community in your area.

Course Outcomes

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

· CO2: Assess the health needs of individuals, families, aggregates, and communities using demographic and epidemiological data to identify population health risks. (PO4)

· CO6: Utilize a systems-based and collaborative approach to address factors that influence the health of a community and population health problems. (PO2)

Due Date

Submit your completed windshield survey form by 11:59 p.m. MT Sunday end of Week 2.

Points: 175 points

Directions

1. Download the Community Windshield Survey (Links to an external site.)Links to an external site. form. You will type answers directly onto this Word document. Your form does not need to follow APA formatting; however, you are expected to use a professional writing style with complete sentences, accurate grammar, and correct spelling within the fill-in sections.References are not needed as this should be based on your observations.

2. You are required to use the linked form provided for this assignment. Assignments that do not follow the current guidelines or use the required form will be evaluated for evidence of an academic integrity violation.

3. After the due date, there will be no opportunity for revision or resubmission of assignments that have been uploaded to the submission area. It is your responsibility to submit the correct assignment to the correct submission area.

4. Watch the Windshield Survey tutorial found at the end of the Academic Integrity Reminder.

5. Save the file by clicking Save As and adding your last name to the file name; for example, NR443 Windshield Survey Form_Smith.

6. Submit the completed form by Sunday, 11:59 p.m. MT at the end of Week 2.

Guidelines

Below are the requirements needed for successful completion of the Windshield Survey Form.

1. Introduction to the Community: Identify the community you will be using for this assignment with the city and state, and provide a brief, one-paragraph description of the community. Your community should be the area where you live or the area surrounding your work setting. The community must include a residential area and be a large enough area to answer the survey questions. Do not include epidemiological or demographic data as this is based on what you observe.

2. Windshield Survey: Assess your community by doing a windshield survey. Information about the components of a windshield survey is located in your textbook, Nies and McEwen (2019). Drive through the area and report your observations by answering the questions on the form. Be sure to include what you observed related to each of these categories, and also include any significant items that are missing in your community because this may be equally important in identifying a community health problem.

a. Community vitality

b. Indicators of social and economic conditions

c. Health resources

d. Environmental conditions related to health

e. Social functioning

f. Attitude toward healthcare

Note: It is helpful to conduct this assessment at least two different times: during the day or evening, on a weekday, and/or on the weekend. If possible, plan on asking someone to drive during your survey so that you can take notes.

3. Vulnerable population: Identify the aggregate or vulnerable populations that you observed in your community during your drive through. What did you observe about this population?

4. Community problem: Based on your assessment in the survey above, identify and discuss one priority community health problem that a community health nurse could positively impact.

Example: If you observed teens who were pregnant or had young children during your survey and felt this was a priority problem in your community, the diagnosis could be

Risk of unintended pregnancy among adolescent girls in XXXX community as evidence by observation of pregnant teens and teens caring for young children during windshield survey.

5. Healthy People 2020 Objective: Go to the Healthy People topic areas at https://www.healthypeople.gov/2020/topics-objectives. Find a topic area that relates to one of the vulnerable populations you observed. Click on the topic area, and then click on the green Objectives tab. Review the objectives within that topic area to complete the relevant sections of the form. State the Healthy People 2020 objective number (not just a goal) that describes your problem.

Example: The topic area Family Planning would be relevant. You would click on Family Planning, and then click the green Objectives tab, and you might choose

FP-8.1 “Reduce pregnancies among adolescent females aged 15 to 17 years” (U.S. Department of Health and Human Services: Healthy People 2020, 2018, Objectives: Family Planning, para 8).

6. Summary: Complete the summary of learning section.

7. References: The purpose of this assignment is to document your observations of your community. Outside sources other than Healthy People 2020 should not be used. We have included this reference on the Windshield Survey form for you.

Best Practices in Completing the Form

The following are best practices in preparing this project.

· Make sure all elements of the form are included.

· Review directions and grading rubric thoroughly.

· Use a professional writing style with complete sentences in the fill-in sections.

· Check for spelling and grammar errors prior to final submission.

· Abide by the Chamberlain academic integrity policy.

**Academic Integrity Reminder**

College of Nursing values honesty and integrity. All students should be aware of the Academic Integrity policy and follow it in all discussions and assignments.

By submitting this assignment, I pledge on my honor that all content contained is my own original work except as quoted and cited appropriately. I have not received any unauthorized assistance on this assignment.

Week 2 Assignment Tutorial

3. Examine how personal beliefs and values influenced your response to the scenario.

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Scenario:You have been working as a nurse in the adult oncology unit for the past year. You have developed a close relationship with many of your patients, but Mr. Newcomb has a special place in your

Scenario:

You have been working as a nurse in the adult oncology unit for the past year. You have developed a close relationship with many of your patients, but Mr. Newcomb has a special place in your heart. He has been diagnosed with stage 4 pancreatic cancer and has undergone aggressive chemotherapy. Each day his wife has come to the unit to be with her husband. They have been married for over 40 years and share a deep love.

Mr. and Mrs. Newcomb have made the decision to no longer continue with treatment and have decided that hospice care is needed. Over the past few days, you have watched Mr. Newcomb’s health decline, and you can tell from your experience that he does not have much time left to live. Mr. Newcomb has been very open about discussing his death, and you have had the opportunity to learn about his life and the legacy he will leave behind.

While you are completing your rounds, you stop in Mr. Newcomb’s room to see how he is doing. You ask, Is there anything else I can do for you? Mr. Newcomb has rarely asked for anything, but today he has one request. Mr. Newcomb states, Before I die, I would like to see my mistress one more time. Mrs. Newcomb is always here. Do you think you could tell her that I will be busy for a few hours tomorrow so I can make arrangements to see my mistress one more time?

Reflect on the following questions before you begin working on this task: What would you do in this scenario? How can your knowledge of ethical principles be utilized to determine your response to Mr. Newcomb? How would this affect you as a nurse and direct provider of care for Mr. Newcomb?

THE TASK:  (rubric attached)

A. Summarize how the principles of beneficence, non-maleficence, autonomy, and justice apply to the scenario by doing the following:

1. Describe how you would respond to Mr. Newcomb’s request.

2. Evaluate how you applied the principles of beneficence, non-maleficence, autonomy, and justice to the scenario.

3. Examine how personal beliefs and values influenced your response to the scenario.

4. Describe three strategies to promote self-care. 

B. Acknowledge sources, using in-text citations and references, for content that is quoted, paraphrased, or summarized. 

C. Demonstrate professional communication in the content and presentation of your submission.

Write a 3-4 page paper that responds to the questions on family dynamics, post-partum depression, and positive parenting. Use TWO recent evidence-based articles to support your responses and attach the article to your submission. This assignment must have accurate spelling and grammar and use APA Editorial Format for in-text citations and sources.

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Write a 3-4 page paper that responds to the questions on family dynamics, post-partum depression, and positive parenting. Use TWO recent evidence-based articles to support your responses and attach t

 Write a 3-4 page paper that responds to the questions on family dynamics, post-partum depression, and positive parenting. Use TWO recent evidence-based articles to support your responses and attach the article to your submission. This assignment must have accurate spelling and grammar and use APA Editorial Format for in-text citations and sources.

You have been assigned to provide care and education for Mrs. G.

Family Dynamics – Describe the family dynamics and identify strengths and areas where the dynamics are strained and might impact the parents themselves and their ability to parent. What informational resources might you provide these parents?

Post-Partum Depression – Do you see any signs and symptoms of post-partum depression? If so, what might be a good course of action? If not, do you believe Mrs. G. is at risk for post-partum depression? Why or why not?

Positive Parenting – What information and resources can you provide Mr. and Mrs. G. regarding positive parenting? What might you need to do to assist them in understanding how they can best parent?

This assignment must have accurate spelling and grammar and use APA Editorial Format for in-text citations and sources.

Case Study

Mrs. G., a twenty year old mother of a 2 year old is pregnant. English is not her primary language. She is recently married (one year) to a man in his early 40s who is not of her culture (She comes from Nigeria). The toddler is not this man’s child. She had difficulty with her first pregnancy; high blood pressure and spotting.

As she goes through her pregnancy she finds that her first trimester is difficult managing her health and the toddler. She is not used to having children and finds the toddler challenging. She also finds that she is having some of the same symptoms as she did during her last pregnancy. She is not comfortable going to an American doctor and tells her husband that she can take care of herself as she did during her last pregnancy. He is not happy about this decision and tells her that she has to go. He takes her to the doctor several times during her pregnancy but is not sure his wife is following the medical instructions being given.

By the end of her pregnancy she has gained more weight than she had anticipated. She could not understand why as she was eating her native foods. The doctor told her that she had high blood pressure. She was not sure what that meant as she felt the same as she did during the first pregnancy.

Labor was painful, long and difficult and while she had a vaginal birth the baby was small and experienced some respiratory distress at birth. She decided to again breastfeed even though she could only do it for a few weeks the last time. She was told that she had a “small supply of milk”.

In the first few weeks of taking care of the newborn, her husband wanted to be a part of the caring process and she was not happy as “men don’t do that”. She also found that with this baby she felt much more tired and had a hard time managing both children. In fact, the toddler became cranky and was aggressive to the newborn, trying to bite and scratch the new baby.

The husband again took her to the doctor after birth and then again for several months. He also insisted that she see a pediatrician for both children. At the doctor’s offices they told her that they had to “assess” the children to be sure they were “normal”. When she was told this, she was frightened.

As a few months passed, she became more lethargic and tired. Two children were more than she could deal with. Sometimes she could barely get out of bed. Yet, she knew that she was trying to do all of what she was told by both doctors and her husband. She really loved her children and respected her husband.

When her newborn was six months old she found out that she was pregnant again. She knew that it would be a mistake to have another child because her husband had just informed her that his two children from another marriage (6 and 12 years old who has asthma) was going to be living with them now and she would need to be taking care of them as well.

Explain how the change in the patient's status through the years has affected patient education.

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Write a short (50-100-word) paragraph response for each question. This assignment is to be submitted as a Microsoft Word document.Define negotiation as it applies to patient education. Explain how th

Write a short (50-100-word) paragraph response for each question. This assignment is to be submitted as a Microsoft Word document.

  1. Define negotiation as it applies to patient education.
  2. Explain how the change in the patient’s status through the years has affected patient education.
  3. List the pros and cons of negotiation.
  4. Describe the general conditions that would be included in a patient contract.
  5. Discuss old age and the baby boomer.
  6. List several generational, religious, and cultural differences between the 30-year-old health care professional and the elderly patient.
  7. Explain some of the barriers to patient education of the elderly and discuss their special needs.
  8. List ways to best approach patient education of the elderly.
  9. Discuss some cultural and religious beliefs about death that you have encountered.
  10. Explain why it is important to discuss death and dying with the elderly patient and what the impact is on all involved.
  11. Explain how to teach a patient with a life-threatening illness.

The interpretation of research in health care is essential to decision making. By understanding research, health care providers can identify risk factors, trends, outcomes for treatment, health care c

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The interpretation of research in health care is essential to decision making. By understanding research, health care providers can identify risk factors, trends, outcomes for treatment, health care c

The interpretation of research in health care is essential to decision making. By understanding research, health care providers can identify risk factors, trends, outcomes for treatment, health care costs and best practices. To be effective in evaluating and interpreting research, the reader must first understand how to interpret the findings. You will practice article analysis in Topics 2, 3, and 5.

For this assignment:

Search the GCU Library and find three different health care articles that use quantitative research. Do not use articles that appear in the Topic Materials or textbook. Complete an article analysis for each using the “Article Analysis 1” template.

Refer to the “Patient Preference and Satisfaction in Hospital-at-Home and Usual Hospital Care for COPD Exacerbations: Results of a Randomised Controlled Trial,” in conjunction with the “Article Analysis Example 1,” for an example of an article analysis.

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. Refer to the LopesWrite Technical Support articles for assistance

AttachmentsHLT-362V-RS2-ArticleAnalysisExample-1.docxHLT-362V-RS2-ArticleAnalysis-1-Template.docx 

Please review the Discussion Board Participation grading rubric under Course Resources in the Grading Rubrics section. This is important information that will ensure that you earn maximum points. You

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Please review the Discussion Board Participation grading rubric under Course Resources in the Grading Rubrics section. This is important information that will ensure that you earn maximum points. You

Please review the Discussion Board Participation grading rubric under Course Resources in the Grading Rubrics section. 

This is important information that will ensure that you earn maximum points. Your postings should be qualitative and provide substantive depth that advances the discussion. 

Please see the Writing Center located in the student portal for assistance with writing, APA, and online communication. 

Topic: Application of Standards of Care

For the case scenario, discuss the standard(s) of care that the parties will be held to in this case. How will the standards of care and the Nurse Practice Act for your state be applied in a court of law if the case is sued?

Case Scenario

SK, age 61, was admitted to the hospital. Because of understaffing of nurses in the hospital, her assigned RN did not assess her often enough and did not monitor her oxygen level.

SK went to the hospital with what she thought was a bad cold, and was admitted with a diagnosis of pneumonia. Following admission, she became increasingly feverish and short of breath, but her family’s calls for help went unanswered. In fact, her daughter was unable to find anyone when she went to the nurses’ station looking for help. The patient eventually stopped breathing, and someone finally responded to the family’s desperate and frantic calls for help. SK was successfully resuscitated, but sustained brain damage due to oxygen deprivation. She was left unable to walk, talk, or care for herself.

There were 41 other patients on this unit. Although the hospital’s own staffing standards called for 5 registered nurses and 2 licensed practical nurses to staff this unit, only 3 registered nurses were on duty. Records for the unit in question indicated that the hospital failed to meet its own staffing standards for 51 out of 59 days before this incident.

3 references need

1. Define the medical term; is it an anatomy term? Or medical terminology term?

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CMB152 Module 1 Assignment Review the following operative case for highlighted medical terms and provide the following for each of the 10 terms:1. Define the medical term; is it an anatomy term?

CMB152 Module 1 Assignment

Review the following operative case for highlighted medical terms and provide the following for each of the 10 terms:

1.      Define the medical term; is it an anatomy term?  Or medical terminology term?

2.      Does this term use a prefix?  If so, please list.

3.      Does this term use a suffix?  If so, please list.

4.      Does this term have a main term?

PREOPERATIVE DIAGNOSIS: Right knee pain, rule out a meniscal tear

POSTOPERATIVE DIAGNOSIS: 1. Primary degenerative joint disease, medial compartment, right knee 2. Degenerative medial meniscus tear, right knee

OPERATIONS: 1. Diagnostic arthroscopy, right knee 2. Partial medial meniscectomy, right knee

ANESTHESIA: Spinal

OPERATIVE INDICATIONS: This patient is a 67-year-old with right knee pain. He received minimal relief of his pain with corticosteroid injection. He is now brought for arthroscopic evaluation.

OPERATIVE FINDINGS: The patient has a degenerative tear involving the posterior horn of the medial meniscus. There was an area of grade IV chondral changes involving the medial tibial plateau adjacent to the meniscal tear. There were also extensive areas of grade IV chondromalacia involving the medial femoral condyle. The ACL was intact. The lateral compartment was actually without significant abnormality. There was grade II chondromalacia involving the trochlea