Identify two (2) cognitive skills used in critical thinking the RN should have applied in this scenario

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Review the article Critical thinking at the bedside: Providing safe passage to patients (Robert & Petersen, 2013).

Scenario:

Adam is a 10-year-old scheduled for discharge from the Emergency Department after a bicycle incident resulted in a fractured right ulna and radius. His arm has been casted, is immobilized and in a sling. Adam states, “My arm feels better now, and I am sleepy. The pain medicine makes me feel like I will vomit.” The RN is reviewing medications with Adam and his mother when the mother states, “We have a two (2) hour drive home from this emergency room. Can you give Adam something for nausea so he does not throw up in the car?” The RN has already completed the discharge paperwork, and the orthopedic physician who casted the arm has left the Emergency Department. The RN states, “No orders are available for Adam to have nausea medicine. I can give him another dose of pain medicine if you think that will help him sleep on the way home. Then he might not vomit.”

Initial Discussion Post:

  • Identify two (2) cognitive skills used in critical thinking the RN should have applied in this scenario
  • Provide an alternative nursing intervention to ensure safe patient care in this scenario.

Base your initial post on your readings and research of this topic. Your initial post must contain a minimum of 250 words. References, citations, and repeating the question do not count towards the 250 word minimum.

Identify one national or international nursing organization that could partner with this organization in providing health care. Develop an outline of a proposal for this partnership.

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  1. Research one new organization, coalition, private or government funded project. The organization must play a global role in health; it cannot, for example, only work within the United States.
  1. Summarize what you learn about the organization. 
  2. Be sure to include the organization’s website, so others can go to the website for additional information.
  3. Title your post with the name of the organization you have researched.
    1. Cover the following points:
    2. Name of organization’s Mission and Vision (be sure to include who they help and where they help them)
    • Project(s) (identify and explain one or more project)
    • Project’s/Projects’ Impact on Global Health
    • Identify one national or international nursing organization that could partner with this organization in providing health care.  Develop an outline of a proposal for this partnership. 

Select a developmental theory presented in this module and apply it to the scenario above. Use the chosen theory to address the following:

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Joyce is a 65-year-old school nurse who has recently retired from an elementary school. She is beginning to feel rather lonely now that she is no longer working. She is a widow with adult children living out of the area. Her children have suggested that she may want to move to their city and to be closer to her grandchildren. She has been avoiding these discussions with her family and tells them all is fine. Moving seems like a major upheaval to her. Although she has been in fair health physically, at her last visit to the health care provider, she had lost 10 pounds and is just below her desired weight.

See the link to the Overview of the Nursing Process document to assist with this assignment.

Initial Discussion Post:

Select a developmental theory presented in this module and apply it to the scenario above. Use the chosen theory to address the following:

  • Explain Joyce’s behavior.
  • State two (2) priority nursing concerns and related nursing interventions for her.

Base your initial post on your readings and research of this topic. Your initial post must contain a minimum of 250 words. References, citations, and repeating the question do not count towards the 250 word minimum.

Identify and state a priority nursing diagnosis label for your assigned patient related to pain.

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A 25-year-old Arab American man is one day post op following a thoracotomy. There have been no post-surgical complications. He tells his family that he is “in terrible pain”, yet he reports ratings of 2 to 3 on 0-10 numeric rating scale to the nursing staff. He requests pain medication every two to three hours, and will not get out of bed or ambulate.

  1. Identify and state a priority nursing diagnosis label for your assigned patient related to pain.
  2. Develop and state three (3) nursing interventions for this nursing diagnosis label or patient problem. When planning individualized nursing interventions, consider the patient’s type of pain and cultural perspective.
  3. Provide your rationale or reasoning for each intervention chosen.
  4. Base your initial post on your readings and research of this topic.Your initial post must contain a minimum of 250 words. References, citations, and repeating the question do not count towards the 250 word minimum.

List and discuss at least one (1) nursing intervention the RN would use to assist sensory impaired individuals in meeting and achieving their challenge and/or needs at each of the three higher levels:

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Initial Discussion Post:

Sensory impairment may affect an individual’s ability to meet their higher level needs on Maslow’s hierarchy.

Provide an example of a challenge an individual with visual or hearing disturbances might have meeting their needs at each of the three higher levels:  Love and belonging needs, Self-esteem needs, and Self-actualization needs.

List and discuss at least one (1) nursing intervention the RN would use to assist sensory impaired individuals in meeting and achieving their challenge and/or needs at each of the three higher levels: Love and belonging needs, Self-esteem needs, and Self-actualization needs.

Base your initial post on your readings and research of this topic. Your initial post must contain a minimum of 250 words. References, citations, and repeating the question do not count towards the 250 word minimum.

Compare and contrast the terms “disability” and “chronic illness". What are the similarities and/or differences? Can they coexist? Give reasoning behind your evaluation.

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The essential goal of the RN is to provide information and resources to assist the patient and family with chronic illnesses or disabilities so they can manage their own care over the course of the illness or disability.

Initial Discussion Post:

  1. Compare and contrast the terms “disability” and “chronic illness”. What are the similarities and/or differences? Can they coexist? Give reasoning behind your evaluation.
  2. Discuss two (2) legal and/or ethical challenges or implications for patients and families with disabilities or with chronic illnesses, trying to achieve comprehensive self-management.
  3. Identify and state two (2) actions the RN can implement to help the patient and family achieve comprehensive self-management with a disability or with a chronic illness.

Base your initial post on your readings and research of this topic. Your initial post must contain a minimum of 250 words. References, citations, and repeating the question do not count towards the 250 word minimum.

 Lubkin’s Chronic Illness Impact and Intervention by Pamela Larsen (Chapter 14, Self-Management) may be of assistance with this topic.  Click on link to access.

LeBlanc, R., & Jacelon, C. (2016). Self-management. In P. Larsen (Ed.),   Lubkin’s chronic illness: Impact and intervention (9th ed.). Retrieved from ovidsp.tx.ovid.com

Compare and contrast the terms “disability” and “chronic illness". What are the similarities and/or differences? Can they coexist? Give reasoning behind your evaluation.

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The essential goal of the RN is to provide information and resources to assist the patient and family with chronic illnesses or disabilities so they can manage their own care over the course of the illness or disability.

Initial Discussion Post:

  1. Compare and contrast the terms “disability” and “chronic illness”. What are the similarities and/or differences? Can they coexist? Give reasoning behind your evaluation.
  2. Discuss two (2) legal and/or ethical challenges or implications for patients and families with disabilities or with chronic illnesses, trying to achieve comprehensive self-management.
  3. Identify and state two (2) actions the RN can implement to help the patient and family achieve comprehensive self-management with a disability or with a chronic illness.

Base your initial post on your readings and research of this topic. Your initial post must contain a minimum of 250 words. References, citations, and repeating the question do not count towards the 250 word minimum.

 Lubkin’s Chronic Illness Impact and Intervention by Pamela Larsen (Chapter 14, Self-Management) may be of assistance with this topic.  Click on link to access.

LeBlanc, R., & Jacelon, C. (2016). Self-management. In P. Larsen (Ed.),   Lubkin’s chronic illness: Impact and intervention (9th ed.). Retrieved from ovidsp.tx.ovid.com

Creating a Plan of Care

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Creating a Plan of Care

Utilizing the information you have gathered over the weeks regarding the specific illness group you identified, this week, you will create a plan of care for your chronic illness group.

Create the plan in a 4- to 6-page Microsoft Word document (the 4–6 pages include the holistic care plan). Include the following in your plan:

  • Start the paper with a brief introduction describing the chronically ill group you selected and provide rationale for selecting this illness and the participants. Clearly identify the Healthy People 2020 topic chosen and why this topic was chosen.
  • You will want to compile the information gathered from Weeks 1–4 over 2 to 3 pages. This should be in APA format and paragraph form. This is not to be copied and pasted from previous assignments. It is to be a summary of each week. 
  • The paper should include the care plan for your chronic illness group organized under the following headings:
    • Nursing Diagnoses
    • Assessment Data (objective and subjective)
    • Interview Results
    • Desired Outcomes
    • Evaluation Criteria
    • Actions and Interventions
    • Evaluation of Patient Outcomes
  • You will need to ensure that the care plan is holistic and includes at least 3 nursing diagnoses related to the topic and interview results from the previous weeks.
  • Include strategies for the family or caregiver in the care plan and provide your rationale on how they will work.
  • Include a reference page to provide reference for all citations for the paper as well as the care plan.

Identify a member of the health care team with whom you would collaborate about this concern.

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In 2011 the United States Department of Agriculture (USDA) introduced the “My Plate” initiative, to help Americans make healthy food choices and to be active every day. Recently, new guidelines were released, and the initiative was updated to include, “MyPlateMyWins!”

Initial Discussion Post:

Review the following resource: United States Department of Agriculture: ChooseMyPlate.gov. (2015). Older adults. Retrieved from http://www.choosemyplate.gov/older-adults

Mrs. Jenkins is a 70-year-old patient at the primary care provider for a routine visit. As you are gathering data prior to showing her into an examination room, you note her height and weight, of 65 inches and 101 pounds.

  • Calculate Mrs. Jenkins’ BMI and interpret the result.
  • Discuss two additional specific assessments you would perform, and why the information you obtain in these assessments might be a concern to the RN.
  • Based on these assessments:
    1. What education would you provide related to this concern?
    2. Identify a member of the health care team with whom you would collaborate about this concern.

Be sure to use evidence from the assigned text or website, or other professional sources in your answer.

Base your initial post on your readings and research

Statistical Analysis of Community Health Problem

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Module One (Week One): Part One Windshield Survey and Key Informant Interviews

Please complete the following information on this template about the community you have selected. If you do not use this template there will be a 10- point grade penalty per assignment, and you will be required to resubmit within 48 hrs. You may increase the size of the block by continuing to type.  Use as much space as necessary to provide your answers

Reference Module 2 (Week 2) Part Two: Statistical Analysis of Community Health Problem

Please complete the following information on this template. If you do not use this template there will be a 10-point grade penalty per assignment, and you will be required to resubmit within 48 hrs. You may increase the size of the block by continuing to type. Use as much space as necessary to provide your answers

Name of Community or Zip Code:

Instructions:  Enter your response in each category marked below.  Provide objective, statistical support for your subjective findings. 

● Include all the data listed in the Objective Data Criteria listed below.  

● Add supplemental data as needed for your community.

● All statistical data must be reported in NARRATIVE form only. Tables and graphs will not be accepted. 

● Compare objective data for your community with local (city), state, and national data.

You may increase the size of the block by continuing to type.  Use as much space as necessary to provide your answers

General Objective Data Criteria for the Community-at-Large

1.    Demographics:  Total population; age distribution; gender distribution; family characteristics (single parent, multi-family, etc.). Remember compare objective data for your community with local (city), state, and national data. Remember to cite sources as appropriate.

  1. Racial/Ethnic Characteristics: Remember compare objective data for your community with local (city), state, and national data. Remember to cite sources as appropriate.
  2. Economy: poverty rate, unemployment rates, median income. Remember compare objective data for your community with local (city), state, and national data. Remember to cite sources as appropriate.

4.    Education: High school completion rates; higher education statistics. Remember compare objective data for your community with local (city), state, and national data. Remember to cite sources as appropriate.                                                                                                                                                                                                                                                                                                                                                                                                                                                    

5.    Identify two Morbidity and Mortality/Risk Problems: (Based on your observations from Week 1 subjective assignment, windshield survey and key informants provide Morbidity, Mortality (M&M) and risk data for your community… Example 1: if you observed obesity in your community then present obesity rates and health conditions associated with obesity [i.e. CVD, HD, Depression, etc.). Example 2: smoking/drinking rates and health conditions associated with smoking [i.e. Lung Cancer, COPD, etc]. These variables may include the following: gender (who does this problem affect the most, men or women); age distribution; ethnicity or racial group(s) mostly-affected; morbidity and mortality rates; any data related to life-expectancy in light of the health issues; is there a geographic area where the health problems mainly exist; is there a relationship between the health issue(s) and environmental health hazards; are these life-threatening health issues? Remember compare objective data for your community with local (city), state, and national data. Remember to cite sources as appropriate.

6.    Other data as needed (air, water quality, crimes rates). Remember compare objective data for your community with local (city), state, and national data. Remember to cite sources as appropriate.

Analysis of Data

1.    Based on your subjective and objective review of your findings, what conclusions have you arrived at? Remember to cite sources as appropriate.

·         What impressions from your subjective observations were unfounded/invalid?

·         Given the objective data, what impressions were validated/substantiated?

·         What cause-and-effect relationships did you discover/identify?

2.    Problem Analysis for Community/Zip Code:

Problem: List two (2) problems within your community (for example, Infant Malnutrition, CVD, Lung Cancer, Obesity, Alcoholism, Violence) NOTE: These problems need to be something the Community Health Nurse can impact(for example, a CHN cannot build a sidewalk, repair a street, implement a new bus route, etc.). Remember to cite sources as appropriate.

1.    ____________________________________________

2.    ____________________________________________

    Select one of these problems and complete the Problem Analysis chart

*These are factors that contribute to problem and outcomes.

+ Refer to appropriate sections of the database and relevant research of the findings in current literature.  Data in the third column could be local, state, or national statistics.

Refer to text (pg. 420-423) for additional examples.

3.    Community Health Nursing Diagnoses:

Based on your subjective and objective assessment findings above for both Weeks 1 and 2, write TWO priority community health nursing diagnoses.

You must use this format as outlined in your text page 413 (do NOT use NANDA):

Health Risk/problem of (specific injury, illness, or potential of, complication of, etc) among (specific population) related to (supporting evidence from your assessment findings). 

Ø  Your CHN Diagnoses MUST be something that a community/public health nurse can do something about. See example below.

Ø  Note: Poverty is NOT a CHN diagnosis.

Ø  Remember do NOT use NANDA Nursing Diagnoses.

For example: Risk of asthma complications among children in SE Dallas County related to observations of overcrowded living conditions, lack of public transportation (may result in inability to access health care), high number of animals observed living in homes, poverty indications (may result in lack of access to medications).

Community Health Nursing Diagnosis #1

Community Health Nursing Diagnosis #2

Reference