GTPAL stand for: gravida, term, preterm, abortions, livingGravida: how many pregnancies a woman has had. Term how many pregnancies delivered that have reached or surpassed 37 weeks.Term: deliver at 37 or greater weeksPreterm: how many pregnancies between 20-37 (actually 36 and 6/7) wksAbortion: pregnancy loss at less than 20 weeks. Abortions may also be induced by physicians or spontaneously.Living: how many children are living now?:***Multiple births (twins, triplets and higher multiples) count as one birth1. This is mom’s 1st pregnancy:2. 2nd pregnancy and she had an AB at 8 wks for the 1st pregnancy3. 3rd pregnancy. 1st pregnancy delivered at 38 and 2nd pregnancy was twins delivered at 29 wks. 1 of those children died.4. 2nd pregnancy. Delivered twins at 37 wks both live pregnancy.5. 3rd pregnancy. Delivered triplets at 28 wks and 2 of the babies survived. Had an elective AB at 6 wks.6. This is a woman’s 5 pregnancies,  births at 41 week, 39 5/7 weeks, 38 6/7 and 36 5/7 weeks 1 induced abortion at 10 weeks , and 4 living children at this time.7. a pregnant woman who carried one pregnancy to term with a surviving infant; carried one pregnancy to 35 weeks with surviving twins; carried one pregnancy to 9 weeks as an ectopic (tubal) pregnancy; and has 3 living children would have a GTPAL annotation of?8. A woman who has given birth at term once and has had one miscarriage at 12 weeks would be recorded as?Rubric:This assignment is worth 5 points. 1 point for APA and style of paper..5 point for each of the eight cases. Partial points are not awarded if you get part of a case incorrect you get the whole case incorrect.  Use page 259 in your text book for further details. Explain your rationale. Demonstrations will be done in class.

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 you to identify a vulnerable population, an important community health problem, and a related Healthy People 2020objective for a community in your area.Course OutcomesThis 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 DateSubmit your completed windshield survey form by 11:59 p.m. MT Sunday end of Week 2.Points: 175 pointsDirections1. 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.GuidelinesBelow 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 vitalityb. Indicators of social and economic conditionsc. Health resourcesd. Environmental conditions related to healthe. Social functioningf. Attitude toward healthcareNote: 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 beRisk 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 chooseFP-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 FormThe 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

Formulate a PICOT statement for your capstone project.A PICOT starts with a designated patient population in a particular   clinical area and identifies clinical problems or issues that arise   from clinical care. The intervention should be an independent,   specified nursing change intervention. The intervention cannot require   a provider prescription. Include a comparison to a patient population   not currently receiving the intervention, and specify the timeframe   needed to implement the change process.Formulate a PICOT statement using the PICOT format provided in the   assigned readings. The PICOT statement will provide a framework for   your capstone project.In a paper of 500-750 words, clearly identify the clinical problem   and how it can result in a positive patient outcome.Make sure to address the following on the PICOT statement:Evidence-Based SolutionNursing InterventionPatient CareHealth Care AgencyNursing   PracticePrepare this assignment according to the guidelines found in the APA   Style Guide. An abstract is not required.This assignment uses a rubric.You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.Rubric:1. Clinical problem/issue is identified based on key concepts that define evidence-based practice or clinical experience. Articles are cited to support the need for change in nursing practice. The identified problem/issue can be resolved, or a patient outcome can show a marked improvement through a nursing intervention.2. Clinical problem/issue description includes a developed and thorough explanation of the problem/issue, the setting, the patient population, and the rationale for why it is a problem/issue. The identified clinical problem/issue explains the following elements with detail and clarity: evidence-based solution, nursing intervention, and improved patient care consistent with specific health care agency resulting in nursing practice change. Sound rationale is provided in the discussion of the clinical problem/issue resolution.3. PICOT statement clearly focuses on the resolution of a clinical problem/issue and aims at improving patient care through the application of an evidenced-based nursing intervention.4. Population, Intervention, Comparison, Outcomes, and Time are comprehensive and thoroughly developed with supporting details.5. Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.6. Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.7. Writer is clearly in command of standard, written, academic English.8. All format elements are correct.9. Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.

Week 7: Assignment 1: “Captain of the Ship” Project – Obsessive-Compulsive DisordersIn 4 pages, write a treatment plan for your client in which you do the following:Overview of Obsessive-Compulsive DisordersDescribe 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.Recommend a plan for follow-up intensity and frequency and collaboration with other providers.

Assignment:Visit the PRIME nursing website and review the case study titled “Stress Management for Patients with Rheumatoid Arthritis”Summarize the article and respond to the following questions:What sampling technique was used in this study?What concerns might you have about reliability and validity in this study, why? Explain.Were there any flaws or discrepancies in the study? Why or why not?Locate a qualitative study. Provide a summary of the study and its findings. Focus on elements of trustworthiness, addressing all four components—credibility, transferability, dependability, confirmability—do you think that the authors established trustworthiness? Why or why not? Provide suggestions for improvement.The assignment should be between 1500 and 2000 words in length and contain at least two scholarly sources, in addition to the textbook and provided material. Please submit your assignment in one APA formatted document.