NR 304 Health History & Physical Assessment Assignment

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NR 304 Health History & Physical Assessment Assignment

NR 304 Health History & Physical Assessment Assignment

THE HEALTH HISTORY AND PHYSICAL EXAMINATION

PURPOSE As you learned in NR302, before any nursing plan of care or intervention can be implemented or evaluated, the nurse conducts an assessment, collecting subjective and objective data from an individual. The data collected are used to determine areas of need or problems to be addressed by the nursing care plan. This assignment will focus on collecting both subjective and objective data, synthesizing the data, and identifying health and wellness priorities for the person. The purpose of the assignment is twofold. NR 304 Health History & Physical Assessment Assignment

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• To recognize the interrelationships of subjective data (physiological, psychosocial, cultural and spiritual values, and developmental) and objective data (physical examination findings) in planning and implementing nursing care

• To reflect on the interactive process that takes place between the nurse and an individual while conducting a health assessment and a physical examination

COURSE OUTCOMES

CO 2: Utilize prior knowledge of theories and principles of nursing and related disciplines to integrate clinical judgment in professional decision-making and implementation of nursing process while obtaining a physical assessment. (POs 4, 8) NR 304 Health History & Physical Assessment Assignment

CO 3: Recognize the influence that developmental stages have on physical, psychosocial, cultural, and spiritual functioning. (PO 1)

CO 4: Utilize effective communication when performing a health assessment. (PO 3) CO 6: Identify teaching/learning needs from the health history of an individual. (POs 2, 5)

DUE DATE Please see the Course Calendar.

TOTAL POINTS POSSIBLE 100 points

PREPARING THE ASSIGNMENT

There are four graded parts to this assignment: (1) Obtain a health history and conduct a physical examination on an individual of your choosing (not a patient), (2) compile a health education needs assessment, (3) self-reflection, and (4) writing style and format. Instructions for each part follow. NR 304 Health History & Physical Assessment Assignment

Health History Assessment and Physical Assessment (50 points)

 Using the following subjective and objective components, as well as your textbook for explicit details about each category, complete a health history and physical examination on an individual. You may choose to complete portions of this assignment as you obtain the health history and perform the physical examination associated with the body systems covered in

Chamberlain College of Nursing NR304 Health Assessment II

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NR304. Please be sure to avoid the use of any identifiers in preparing the assignment. Students may seek input from the course instructor on securing an individual for this assignment. Keep notes on each part of the health history and physical examination as you complete them so that you can refer to the notes as you write the paper. 1. Subjective Data—Health History Components to Be Included. NR 304 Health History & Physical Assessment Assignment

• Demographic data

• Reason for care (why they are in the facility)

• Present illness (PQRST of current illness)

• Perception of health

• Past medical history (including medications, allergies, and vaccinations and immunizations)

• Family medical history

• Review of systems

• Developmental considerations

• Cultural considerations

• Psychosocial considerations

• Presence or absence of collaborative resources (community, family, groups, and healthcare system)

***REMEMBER: Make notes of the health history findings, ensuring that you have addressed all of the

components listed here. Students are also encouraged to take notes about their experiences while

conducting the health history for reference when creating the assignment, particularly the reflection section.

2. Objective Data—Physical Exam Components to Be Included

 During the lab experiences, you will conduct a series of physical exams that includes the following systems.

 Keep notes on each part of the physical exam as you complete them to reference as you write the paper.

 Refer to the course textbook for detailed components of each system exam. Remember, assessment of the integumentary system is an integral part of the physical exam and should be included throughout each system. NR 304 Health History & Physical Assessment Assignment

 From NR302

o HEENT (head, eyes, ears, nose, and throat)

o Neck (including thyroid and lymph chains)

o Respiratory system

o Cardiovascular system

 From NR304

o Neurological system

o Gastrointestinal system

o Musculoskeletal system

o Peripheral vascular system

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***REMEMBER: Make notes of the physical examination findings, ensuring that you have addressed all of the

components listed on the Return Demonstration Checklist. Students are also encouraged to take notes

about their experiences while conducting the physical examination for reference when creating the

assignment, particularly the reflection section. NR 304 Health History & Physical Assessment Assignment

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Needs Assessment (20 points)

1. Based on the health history and physical examination findings, determine at least two health education needs for the individual. Remember, you may identify an educational topic that is focused on wellness.

2. Select two peer-reviewed journal articles that provide evidence-based support for the health

teaching needs you have identified. NR 304 Health History & Physical Assessment Assignment

Reflection (20 points) Nurses use reflection to, mindfully and intentionally, examine our thought processes, actions, and behaviors in order to better evaluate our patients’ outcomes. You have interviewed an individual, conducted a head-to-toe physical assessment, and identified at least two health teaching needs. You have also located within the literature evidence-based support for the teaching that will be used to address the individual’s health education needs. As you formulate your findings in writing within this assignment, it is time to turn your attention inward. The final element of this assignment is to write a reflection that describes your experience. NR 304 Health History & Physical Assessment Assignment

1. Be sure your reflection addresses each of the following questions.

a. How did this assignment compare to what you’ve learned and expected?

b. What enablers or barriers to communication did you encounter when performing a health history and physical exam? How could you overcome those barriers?

c. Were there any unanticipated challenges encountered during this assignment? What went well with this assignment?

d. Was there information you wished you had available but did not?

e. How will you alter your approach to a obtaining a health history and conducting a physical examination the next time? NR 304 Health History & Physical Assessment Assignment

Writing Style and Format (10 points)

Your writing should reflect your synthesis of ideas based on prior knowledge, newly acquired

information, and appropriate writing skills. Scoring of your written communication is based on

proper use of grammar, spelling, and APA sixth-edition formatting, as well as how clearly your

thoughts and reasoning are expressed in writing.

Documentation of Findings or How to Write the Paper

Using Microsoft Word, create a double-spaced document. The paper should be formatted according to APA sixth-edition guidelines for the title page, running head, and reference page. The use of headings is required for this paper. All portions of this assignment should be included within the paper, including the reflection. NR 304 Health History & Physical Assessment Assignment

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1. Begin by writing one to two paragraphs describing the individual’s stated condition of health medications and allergies. Also, include any of the following information that may be pertinent: demographic data, perception of health, past medical history, vaccinations and immunizations, family medical history, review of systems, developmental considerations, cultural considerations, psychosocial considerations, and the presence or absence of resources from the community, family, groups, or the healthcare system.

2. Write one paragraph describing the physical assessment findings, ensuring proper terminology is used to describe any abnormal or unusual findings. NR 304 Health History & Physical Assessment Assignment

3. Write one paragraph discussing (1) the rationale for the selection of the health teaching topics and (2) how the findings in the scholarly articles (identified in the needs assessment portion of the assignment and properly cited) were used to develop the health teaching topics to promote the individual’s health and wellness status. NR 304 Health History & Physical Assessment Assignment

4. Write one paragraph discussing (1) how the interrelationships of physiological, developmental, cultural, and psychosocial considerations will influence, assist, or become barriers to the effectiveness of the proposed health education and (2) a description of the impact of the individual’s strengths (personal, family, and friends) and collaborative resources (clinical, community, and health and wellness resources) on the proposed teaching. NR 304 Health History & Physical Assessment Assignment

5. Write one paragraph describing your reflection of this assignment from a holistic point of view. Consider the following areas: Include the environment, your approach to the individual, time of day, and other features relevant to therapeutic communication and to the interview process. You may find your textbook helpful in providing a description of therapeutic communication and of the interview process. Be certain to address the questions listed above in the reflection instructions. NR 304 Health History & Physical Assessment Assignment

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Chamberlain College of Nursing NR304 Health Assessment II

DIRECTIONS AND GRADING CRITERIA

Category Points % Description

Health History and Physical Assessment

50 50 Conducts a comprehensive health history and physical exam

1. Subjective data: demographic data; reason for care; present illness; perception of health; past medical history; family medical history; review of systems; developmental considerations; cultural considerations; psychosocial considerations; and collaborative resources. NR 304 Health History & Physical Assessment Assignment

2. Objective data: HEENT; neurological system, respiratory system, cardiovascular system, neck; gastrointestinal system; musculoskeletal system; and peripheral vascular system.

Provides a written narrative that includes the following

1. One to two paragraphs describing stated condition of health, medications, and allergies. Also includes the following information: demographic data, perception of health, past medical history, vaccinations and immunizations, family medical history, review of systems, any developmental considerations, cultural considerations or psychosocial considerations, presence or absence of resources from the community, family, groups, or from the healthcare system. NR 304 Health History & Physical Assessment Assignment

2. One paragraph describing: the findings of the physical examination

3. One paragraph discussing (1) the rationale for the selection of the health education topics and (2) how the findings in the scholarly articles were used in support of the health teaching topic to promote or improve the individual’s health and wellness status. NR 304 Health History & Physical Assessment Assignment

4. One paragraph discussing (1) how the interrelationships of

physiological, developmental, cultural, and psychosocial considerations influence (assist or become barriers to the effectiveness) the proposed health education and (2) provide a description of the impact of the individual’s strengths (personal, family, and friends) and collaborative resources (clinical, family, community, and health and wellness resources) on the proposed nursing teaching. NR 304 Health History & Physical Assessment Assignment

Needs Assessment

20 20 1. Identifies two health education needs for the individual based on the health history and physical examination findings and two peer- reviewed journal articles providing evidence-based support for the identified health teaching needs

2. APA sixth-edition formatting used for in-text and reference page citations

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Chamberlain College of Nursing NR304 Health Assessment II

Reflection 20 20 Reflects on the interaction with the interviewee holistically. Considers the interaction in its entirety: includes the environment, the approach to the individual, time of day, and other features relevant to therapeutic communication and the interview process. The reflection should address each of the following questions. NR 304 Health History & Physical Assessment Assignment

 How did your interaction compare to what you’ve learned and expected?

 What enablers or barriers to communication did you experience? How did you overcome the barriers?

 Were there any unanticipated challenges to conducting the interview or performing the physical examination? What went well?

 Was there information you wished you had but did not?

 How will you alter your approach the next time? NR 304 Health History & Physical Assessment Assignment

Writing Style and Format

10 10 Writing should reflect your synthesis of ideas based on prior knowledge, newly acquired information, and appropriate writing skills. Scoring of your work in written communication is based on proper use of grammar, spelling, and how clearly you express your thoughts and reasoning in writing. Proper use of APA sixth-edition style and format throughout this paper is required. NR 304 Health History & Physical Assessment Assignment

Total 100 100

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GRADING RUBRIC

Assignment Criteria

Outstanding or Highest Level of Performance

A (92–100%)

Very Good or High Level of Performance

B (84–91%)

Competent or Satisfactory Level of Performance

C (76–83%) NR 304 Health History & Physical Assessment Assignment

Poor, Failing or Unsatisfactory Level of Performance

F (0–75%)

Health History and Physical Examination (50 points)

Thoroughly presents a health history narrative that includes a detailed description of all the following components

 Demographic data

 Reason for care

 Present illness

 Perception of health

 Past medical history

 Family medical history

 Review of systems

 Developmental considerations

 Cultural considerations

 Psychosocial considerations

 Collaborative resources Thoroughly presents a physical exam narrative that includes a detailed description of all the following components HEENT. NR 304 Health History & Physical Assessment Assignment

 Neurological system

 Neck

 Respiratory system

One of the key elements of the health history narrative is not presented or lacks sufficient detail.

 Demographic data

 Reason for care

 Present illness

 Perception of health

 Past medical history

 Family medical history

 Review of systems

 Developmental considerations

 Cultural considerations

 Psychosocial considerations

 Collaborative resources One of the key elements of the physical exam is not presented or lacks sufficient detail. HEENT • Neurological system • Neck • Respiratory system • Cardiovascular system • Gastrointestinal system

Two of the key elements of the health history narrative are not presented or lack sufficient detail. NR 304 Health History & Physical Assessment Assignment

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 Demographic data

 Reason for care

 Present illness

 Perception of health

 Past medical history

 Family medical history

 Review of systems

 Developmental considerations

 Cultural considerations

 Psychosocial considerations

 Collaborative resources Two of the key elements of the physical exam are not presented or lacks sufficient detail. • HEENT • Neurological system • Neck • Respiratory system • Cardiovascular system • Gastrointestinal system • Musculoskeletal system

Three or more of the key elements of the health history narrative are not presented or lack sufficient detail. NR 304 Health History & Physical Assessment Assignment

 Demographic data

 Reason for care

 Present illness

 Perception of health

 Past medical history

 Family medical history

 Review of systems

 Developmental considerations

 Cultural considerations

 Psychosocial considerations

 Collaborative resources Three or more of the key elements of the physical exam are not presented or lack sufficient detail. NR 304 Health History & Physical Assessment Assignment

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 HEENT

 Neurological system

 Neck

 Respiratory system

 Cardiovascular system

 Gastrointestinal system

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 Cardiovascular system

 Gastrointestinal system

 Musculoskeletal system

 Peripheral vascular system

 Integumentary system integrated in exam of all systems where appropriate

Information is presented in a clear, organized, and professional manner.

46-50 points

• Musculoskeletal system • Peripheral vascular system • Integumentary system

integrated in exam of all systems where appropriate

Information is presented in a clear, organized, and professional manner.

42-45 points

• Peripheral vascular system • Integumentary system

integrated in exam of all systems where appropriate

Information is not presented in a clear, organized, and professional manner.

38-41 points

 Musculoskeletal system

 Peripheral vascular system

 Integumentary system integrated in exam of all systems where appropriate

Information is not presented in a clear, organized, and professional manner.

0–37 points

Needs Assessment (20 Points) NR 304 Health History & Physical Assessment Assignment

Accurately identifies two health education needs for this individual and provides at least three factors that may, positively or negatively, influence the person’s ability to incorporate the health teaching to improve his or her well-being. References two peer-reviewed journal articles that provide evidence-based support for the health teaching; APA format (most current edition) used to list the sources. NR 304 Health History & Physical Assessment Assignment

19-20 points

Accurately identifies a health education need for this individual and provides at least two factors that may, positively or negatively, influence the person’s ability to incorporate the health teaching to improve his or her well-being. References two peer-reviewed journal articles that provide evidence-based support for the health teaching but does not use appropriate APA format (most current edition) to list the sources. NR 304 Health History & Physical Assessment Assignment

17-18 points

Accurately identifies a health education need for this individual and provides at least two factors that may, positively or negatively, influence the person’s ability to incorporate the health teaching to improve his or her well-being. References one peer-reviewed journal articles that provides evidence-based support for the health teaching but does not use appropriate APA format (most current edition) to list the sources. NR 304 Health History & Physical Assessment Assignment

16 points

Accurately identifies a health education need for this individual and poorly or minimally applies one or more factors that may, positively or negatively, influence the person’s ability to incorporate the health teaching to improve his or her well-being. No references are submitted or, if they are used, they have three or more types of errors in APA format (most current edition) to list the sources. NR 304 Health History & Physical Assessment Assignment

0–15 points

Reflection

(20 Points)

Thoughtfully appraises the individual holistically. Reflection

Thoughtfully appraises the individual holistically. One of the following questions is not

Broadly appraises the individual. Two of the following questions

Broadly appraises the individual. Three or more of the following

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includes a detailed response to all the following questions.

 How did your interaction compare to what you’ve learned?

 What went well?

 What barriers to communication did you experience?

 How did you overcome them?

 Were there unanticipated challenges to the interview?

 Was there information you wished you’d obtained?

 How will you alter your approach the next time?

Key and relevant information is presented in sufficient detail and is clear and organized.

19-20 points

presented or lacks sufficient detail. NR 304 Health History & Physical Assessment Assignment

 How did your interaction compare to what you’ve learned?

 What went well?

 What barriers to communication did you experience?

 How did you overcome them?

 Were there unanticipated challenges to the interview?

 Was there information you wished you’d obtained?

 How will you alter your approach the next time?

Key and relevant information is presented in sufficient detail and is clear and organized.

17-18 points

are not presented or lack sufficient detail.

 How did your interaction compare to what you’ve learned?

 What went well? NR 304 Health History & Physical Assessment Assignment

 What barriers to communication did you experience?

 How did you overcome them?

 Were there unanticipated challenges to the interview?

 Was there information you wished you’d obtained?

 How will you alter your approach the next time?

Key and relevant information is presented in insufficient detail but is clear and organized. 8 Points

questions are not presented or lack sufficient detail.

 How did your interaction compare to what you’ve learned?

 What went well? NR 304 Health History & Physical Assessment Assignment

 What barriers to communication did you experience?

 How did you overcome them?

 Were there unanticipated challenges to the interview?

 Was there information you wished you’d obtained?

 How will you alter your approach the next time?

Key and relevant information is presented in insufficient detail and is not clear or organized. 0–7 points

Writing Style and Format (10 points) NR 304 Health History & Physical Assessment Assignment

Student presents information using clear and logical language. Grammar, spelling, and punctuation are free of errors. APA sixth edition was used to guide the style and format of this paper. 10 points

Student presents information using clear and logical language. Grammar, spelling, and punctuation have two or fewer types of errors, or there is no more than one error in APA sixth-edition formatting. 9 points

Student presents information using clear and logical language. Grammar, spelling, and punctuation have three types of errors, or there are no more than two errors in APA sixth-edition formatting. NR 304 Health History & Physical Assessment Assignment

8 points

Information is unclear and difficult to follow. Grammar, spelling, and punctuation have three or more types of errors, or there are more than three errors in APA sixth-edition formatting.

0–7 points

Total Points Possible = 100 points

NR 304 Health History & Physical Assessment Assignment

NURS 3100 Week 5 Discussion (Walden)

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NURS 3100 Week 5 Discussion (Walden)

Description

One of the biggest issues in the hospital is the readmission and death rates after leaving thehospital within 30 days of being discharged for pneumonia, copd, stroke, heart failure. I looked on the Medicare database for my hospital, Kaiser Foundation Hospital in Fontana. Per this database, the readmissions rates were no different than the national average, as well as the death rates. NURS 3100 Week 5 Discussion (Walden)

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NURS 3100 Week 6 Reflection Paper (Walden)

Description

​I can’t believe this class is already over and how much we have learned! Looking back on when I first started, I had hoped to learn and understand statistics and how to apply it to my everyday life. I remember reading the first chapters and how different polls are taken and the margin of error, and how that affects the polls. I found this to be especially interesting ...

NURS 3100 Issues/Trends in Nursing

Week 5 Assignment

Assignment: Maintaining Academic Integrity by Avoiding Plagiarism

In Week 3, you reviewed the Academic Integrity portion of Walden’s Code of Conduct and signed a Promise to Practice According to Walden’s Code for Academic Integrity. As a nurse, you are empowered by practicing with the HIGHEST standards in both your nursing and academic writing practices.

This week, you will learn about plagiarism and ways to strengthen your academic writing integrity. As a future nurse scholar-practitioner, you want to have the skill-set to successfully propose changes for quality and safety in healthcare. Your integrity in the collection and sharing of this evidence is foundational to successfully support your propositions to change practice.

You want to be adequately prepared to successfully propose changes for quality and safety in healthcare. Your integrity in the collection and sharing of this evidence is foundational to successfully support your propositions to change practice.

According to the Writing Center (2017), plagiarism is when an author represents someone else’s intellectual property as his or her own work. Authors are most commonly at risk of plagiarizing when they fail to adequately cite the original source material from which they took words and ideas. Plagiarism can occur in many forms and can range from a lack of citations to incorrect paraphrasing or actual direct copy and pasting of a source’s phrasing into another author’s own paper. (para 1)

Key ways to avoid plagiarizing are as follows:

Paraphrase your sources. Paraphrasing means rewriting your source’s content into your own words and NOT using direct quotes or cutting and pasting from sources.

Synthesize the reading material. Throughout your program, focus on synthesizing more than paraphrasing. Thus, by graduation, you will be at the point where you can collect all pertinent sources for evidence, read and think about the material, and then synthesize those readings into your OWN words. Again, this process does NOT include the use of direct quotes.

Write with the same level of integrity as you practice your nursing obligations. Cheating is taken seriously at and consequences include expulsion from the program. As a BSN student, avoid plagiarism in your assignments in the following ways. NURS 3100 Week 5 Discussion (Walden)

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Do not use direct quotes.

Understand that academic writing is about putting forth scholarly opinions in your own words. Provide proof of those opinions by paraphrasing and synthesizing material from scholarly research and professional experts. Throughout the program, focus on synthesizing more than paraphrasing so by graduation you will be at the point where you can collect all pertinent sources of evidence, read and think about the material, and then synthesize those readings into your own words. This process does not include the use of direct quotes.

Give credit to someone else’s ideas and writings by citing and referencing in APA style.

Upload all of your assignments to Safe Assign Drafts prior to submitting them for grading.

To Prepare:

Read the Writing Center’s section on Plagiarism found at

http://academicguides.waldenu.edu/ASCsuccess/ASCplagiarism

The Writing Center has developed a Plagiarism Checklist to assist students in double-checking their work and scholarship practices to avoid plagiarism. Download the plagiarism checklist below and use it for each assignment to establish good academic integrity practices!

http://academicguides.waldenu.edu/ASCsuccess/ASCplagiarismchecklist

Read the Writing Center’s section on Paraphrasing and watch the video on Paraphrasing found at http://academicguides.waldenu.edu/writingcenter/evidence/paraphrase/effective

Read the Writing Center’s section on Synthesizing and watch the video on Synthesizing found at http://academicguides.waldenu.edu/writingcenter/evidence/synthesis

Assignment:

In this Assignment, a) describe how you will avoid plagiarism in your submitted assignments; and b) discuss how paraphrasing and synthesizing professional literature strengthens your future nurse scholar-practitioner practice.

NURS 3100 Issues/Trends in Nursing

Week 6 Assignment 1

Assignment 1: Quality Nursing (Part 2 of 2)

Welcome to Week 6, the final week of this 2-part assignment!

Quality As you learned in previous weeks, effectiveness and efficiency are improved in your nursing practice by following and measuring Quality Indicators (QIs). In Week 4 you learned how quality, safety, and outcomes are vastly improved by monitoring and adjusting nursing practice for QIs. NURS 3100 Week 5 Discussion (Walden)

You have learned many new skills as well! You learned to utilize the Library, Grammarly, and Safe Assign; to cite articles using APA in-text citations; and to summarize your colleagues’ work. Give yourself a “pat on the back”!

In this Week 6 Assignment, you revisit your paper one last time. This Assignment gives you the opportunity to thoroughly review your paper and incorporate your instructor’s feedback that you received in Week 4. You will also learn more about the “Safe Assign” program.

When it comes to writing, “practice makes perfect.” Enjoy the practice!

To prepare

Review the Week 6 Assignment Rubric from the Course Information area.

Review the AWE Checklist and Additional Resources for your Assignment:

2000/3000 AWE Level Assignment Template

TOP Ten BSN References and Citations

Review your Week 4 Assignment (Quality Nursing: Part 1) and the feedback that you received from your instructor (both within the paper and in the gradebook comments).

Review the Week 5 Summary (Quality Nursing: Part 2) of your assignment by your fellow student.

Review “Q. How Do I Proofread or Revise?” (University, n.d.-k) from this week’s Writing Resources and Program Success Tools.

Use the 2000/3000 AWE Level Assignment Template to complete your Assignment.

Assignment: Revision of Quality Nursing Paper

Revise your paper as needed to reflect the feedback that you received from your instructor within the paper and in the gradebook comments.

Compose a paragraph about what you learned from writing and rewriting the Week 4 and Week 6 Assignments. For example, did you learn how to become a more organized writer; are you more adept at accessing Library resources; do you have a better understanding of how to cite resources using APA Style? This paragraph should be inserted before the conclusion paragraph (see the Assignment Template in your Week 4 Learning Resources for assistance in placement).

Do not submit your revised paper to the SafeAssign Draft area of the course this week unless you have made major revisions to your paper. SafeAssign will recognize your Week 4 draft and give you a high SafeAssign Score. Thus, if you are satisfied with the integrity of your Assignment, submit it for grading.

NURS 3100 Issues/Trends in Nursing

Week 6 Assignment 2

Assignment 2: Journal: Observe, Process, and Reflect

Glasses and PenAs mentioned in Week 1 Assignment 2, the objective of the Journal Assignment is to provide you with a private place to “think on the page.” As a reminder, the Journal is not formal writing, and only you and your Instructor will see your Journal Assignment. Although these assignments are meant to be free writing, you should revise before submitting.

As you write, think about the audience to whom you are writing and the difference between personal writing and scholarly writing. Your Journal writing falls into the category of personal writing and should be approached in that way. Think of the Journal as an academic reflection space.

To prepare

Review the Week 6 Assignment 2 Rubric from the Course Information area.

Review the information about how to complete Journal Assignments.

Think about the feelings you have experienced while completing your first BSN course.

Reflect on your goals and think about how you plan to achieve them.

Think about the material you encountered in the course this week and consider one aspect of the classroom resources (Assignments, Discussions, or assigned readings) that surprised you. Be sure to think about why the material interested you as a thinker.

Set a timer (on the stove, a clock, or on your phone) and write for 10 minutes without stopping.

You may find it helpful to use the following format as a guide for your Journal writing:

Observe. Describe the week’s content and resources as if you are writing to a person who has not seen, heard, or observed them. NURS 3100 Week 5 Discussion (Walden)

Process. Answer the question, “What does this content or topic mean?”

Reflect. Answer the question, “What is the value of understanding this material?”

This Assignment is for you to share your feelings. There are no rules, and you will not be graded on your writing.

By Day 7

Submit a minimum 150-word Journal Assignment. How do you feel about completing your first BSN course? What are your goals, and how do you plan to achieve them? NURS 3100 Week 5 Discussion (Walden)

Task MSN Essential V: Nursing Informatics

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Task MSN Essential V: Nursing Informatics Task MSN Essential V: Nursing Informatics Nursing Leadership & Management RN-MSN—APA Please review the Masters Essential V: Informatics and Healthcare Technologies: Recognizes that the master’s-prepared nurse uses patient-care technologies to deliver and enhance care and uses communication technologies to integrate and coordinate care.

1) How does the use of data mining, EHRs/EMRs, Telehealth and the use of technology in nursing education and research influence the decision-making process?

2) What are some benefits and consequences of the growing use of technology in healthcare settings to address the complex care-related issues, with which providers are often faced?

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3) Provide current scholarly and evidence-based sources to support your discussion

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes. Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages. Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor. The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument. Task MSN Essential V: Nursing Informatics ADDITIONAL INSTRUCTIONS FOR THE CLASS Discussion Questions (DQ) Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses. Weekly Participation Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week. APA Format and Writing Quality Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition. Use of Direct Quotes I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source. LopesWrite Policy For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score. Late Policy The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading. Communication Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours. Task MSN Essential V: Nursing Informatics Order Now

Assignment: NURS 3001 Legal Ethics

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Assignment: NURS 3001 Legal Ethics

NURS 3001 Application Week 5 Legal Ethics-Overtime (Walden)

Legal and Ethical Issues Related to the Workplace: The Practice of Mandatory Overtime

Mandatory Overtime for Nurses

The topic and of mandatory overtime for nurses is one that has been debated for years by. NURS 3001 Legal Ethics-Overtime Essay.

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Employment Law

​In order to understand the employee rights in situations where overtime is required, we …

The Kentucky Board of Nursing and Mandatory Overtime

​Kentucky is an employment at will state. The Kentucky Board of Nursing (KBN) doesn’t ….

How Nursing Organizations are Addressing Compulsory Overtime

​Several nursing organizations including the American Nursing Association (ANA), …

From the Front Lines

​As a staff nurse in the ER, working full-time, the requirements are six, twelve-hour shifts … NURS 3001 Legal Ethics-Overtime Essay.
Week 5 Assignment: Workplace Related Legal and Ethical Issues

Due Day 7 of Week 5

Write a four to five page paper addressing how your chosen work-related issue/problem from the week two discussion is addressed by your state Board of Nursing (BON) and other professional nursing organizations. Use the following guidelines and evaluation criteria.
Include level-one APA headings in your paper using the section headings below. Use a minimum of five references from the professional nursing literature in the assigned course readings and other references in the Walden Library. NURS 3001 Legal Ethics-Overtime Essay. In addition, you may use one or two professional web sites if relevant to your topic. Assignment: NURS 3001 Legal Ethics
Begin this paper with a brief paragraph that provides an overview of the assignment and its purpose. The heading for this paragraph is the same as the title of the paper. This should be no more than two to three sentences. The last sentence in this paragraph is a sentence that begins “The purpose of this paper is to. . . . The introductory paragraph is worth 20 points. NURS 3001 Legal Ethics-Overtime Essay.
Workplace Issue – 40 points

Describe your chosen workplace issue from the week two discussion board. Provide a background to the issue and discuss why it is important to address.
The BON and Workplace Issue – 60 points
Explain your state’s Board of Nursing (BON) approach to your work-related issue in the BON’s Nurse Practice Act and the efficacy of the BON’s approach in the context of your workplace issue/problem. For example, how does your state BON’s approach to threats of patient abandonment apply to the issue of mandatory overtime?
The American Nurses Association and Your Workplace Issue – 60 points

Describe two American Nurses Association (ANA) sources from the ANA publication that address your work-related issue and the efficacy of the ANA’s approach in the context of your work environment. Resources are provided in the Week 5 Resources areas of the course,
Summary – 20 points
End the paper with a one-paragraph summary of the main points of the paper.
Format/Style
Proofread the paper and correct any typos, grammar, spelling, punctuation, syntax, or APA format errors before submitting your pape. Up to 30 points can be deducted from the grade for this assignment for these types of errors, or for not using at least the minimum number of required professional literature references.
Total points for NURS 3001 Legal Ethics-Overtime Essay assignment = 200 points.
When completed, save the assignment as APP5+last name+your first initial.doc. For example, Sally Ride’s Week 5 Application Assignment would be named “APP5RideS.doc.” Submit this assignment in the “Assignment Turnitin Week 5” area of the course. Click the View/Complete link. Follow instructions once the Turnitin submission site opens.

References
List your five different references here. Be sure that they are current (five years or less) and
formatted per APA Style.

Huston, C. J. (2014). Professional issues in nursing: Challenges and opportunities (3rd ed). New
York: Lippincott, Williams & Wilkins.

Mason, D. J, Leavitt, J. K., & Chaffee, M. W. (2014). Policy and politics in nursing and health care (6th ed). St. Louis, MO: Elsevier Saunders. NURS 3001 Legal Ethics-Overtime Essay.

ASPEN N520 All Weeks Assignments

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ASPEN N520 All Weeks Assignments

1. Apply Guido’s MORAL model to resolve the dilemma presented in the case study described in EXERCISE 4–3 (Guido textbook). How might the nurses in this scenario respond to the physician’s request? How would this scenario begin to cause moral distress among the nursing staff, and what are the positive actions that the nurses might begin to take to prevent moral distress? ASPEN N520 All Weeks Assignments.

2. Read the case study entitled You be the Ethicist, presented at the end of Chapter 3 (Guido textbook). What are the compelling rights that this case addresses? Whose rights should take precedence? Does a child (specifically this competent 14-year-old) have the right to determine what will happen to him? Should he ethically have this right? How would you have decided the outcome if his disease state had not intervened? Now, examine the scenario from the perspective of health care policy. How would you begin to evaluate the need for the policy and the possible support or lack of support for the policy from your peers, nursing management, and others who might be affected by the policy? Do the 10 framework questions outlined by Malone in chapter 4 (Guido textbook) assist in this process? Create a process proposal for the organization with possible guidelines, procedures, and policies to address the issues you have identified. ASPEN N520 All Weeks Assignments

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What are the differences between allowing a patient to die and physician-assisted suicide?

Discuss the controversy that can occur when considering a patient’s right to know whether a caregiver has AIDS and the ca Read More

regiver’s right to privacy and confidentiality.

Describe the distinctions among wrongful birth, wrongful life, and wrongful conception. Discuss the moral dilemmas of these concepts

Discuss the arguments for and against partial birth abortions

Discuss why there is controversy over genetic markers and stem cell research

Please combine all of these responses into a single Microsoft Word document for submission

Please submit only complete assignments (not partial or “draft” assignments).

Submit only the assignments corresponding to the module in this section.

You are not required to adhere to the 500-1000 word count for each of the responses, but please be thorough in your responses so that you adequately address all aspects of each question.

N520 Legal and Ethical Issues in Health Care

ASPEN N520 All Weeks Assignments Module 3 Assignment

Professional Development Exercises :

Describe the kinds of evidence that a plaintiff can present in order to establish a negligent act. What defenses can a defendant present in order to refute a plaintiff’s evidence?

How do statutes of limitations protect professional nurse-defendants? Do they also protect the injured parties?

What can staff nurses do to protect patients from quasi-intentional torts? Does this differ from the nurse manager’s role in preventing quasi-intentional torts?

Read the case study presented at the end of Chapter 5 (Guido, p. 67).

Does the failure to document an admission nursing assessment equate with the fact that this nurse did no admission nursing assessment?

What might the patient’s attorney further allege in his supplemental report?

How would one decide the standard of care for this patient? ASPEN N520 All Weeks Assignments

How would you decide the outcome of this case?

Read the case study presented at the end of Chapter 6 (Guido, p. 96)

Was there negligence in this case and who should be liable for the negligence?

What type of damages should be assessed and how would you begin to determine the amount to assess?

Given that there were multiple individuals involved in this case as well as the institution that employed these individuals, how would you determine the percentage of liability for the multiple defendants, assuming that more than one defendant should be assessed with damages?

How would you decide this case?

Read the case study presented at the end of Chapter 7(Guido, p. 115)

Were there damages that should be paid to this patient for negligence?

Who should be the individuals responsible for these damages? For example, is the surgeon the individual most liable for the damages owed to the patient?

Should the Bovie manufacturer also have been included in the lawsuit?

Are there any defenses that the defendants could cite that would mitigate their liability to this patient?

How should the court decide the damage awards in this instance?

Please combine all of these responses into a single Microsoft Word document for submission

Please submit only complete assignments (not partial or “draft” assignments).

Submit only the assignments corresponding to the module in this section.

You are not required to adhere to the 500-1000 word count for each of the responses, but please be thorough in your responses so that you adequately address all aspects of each question.

N520 Legal and Ethical Issues in Health Care

ASPEN N520 All Weeks Assignments Module 4 Assignment

Professional Development Exercises :

Read the case study presented at the end of Chapter 9 (Guido, p. 185-186).

Did the lack of documentation in the admitting nurse’s assessment and notes affect the ultimate outcome of this case?

Was there negligence on the part of the nursing staff in the care of this patient?

What could the nurse have done differently to facilitate a different outcome in this case?

How would you decide this case?

Using the sample professional liability insurance policy (Guido, p. 193-194), locate the various provisions:

Limits of liability

Declarations

Deductibles

Exclusions

Reservation of rights

Covered injuries

Defense costs

Coverage conditions and supplementary payments

Did you have difficulty finding some of the sections? Would this be a policy that you would consider purchasing for your own liability coverage? Why or why not?

Read the case study presented at the end of Chapter 10 (Guido, p. 198)

What provisions of an insurance policy would you consult to determine if an insurance company should pay such a claim, and what would the limits of the liability be?

Is the nursing home insurance company correct in saying that this is a professional judgment issue?

Which insurance company (the nursing home’s or that of the administrator of the nursing home, assuming she has coverage) should pay the court-ordered judgment?

How would you decide the case?

Please combine all of these responses into a single Microsoft Word document for submission

Please submit only complete assignments (not partial or “draft” assignments). Submit only the assignments corresponding to the module in this section.

You are not required to adhere to the 500-1000 word count for each of the responses, but please be thorough in your responses so that you adequately address all aspects of each question. ASPEN N520 All Weeks Assignments

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N520 Legal and Ethical Issues in Health Care

Module 5 Assignment – Professional Development Exercises :

Read the case study presented at the end of Chapter 11 (Guido, p. 222)

Did the facility have sufficient evidence to suspend the nurse?

How should the testimony of the other nurses in the unit affect the outcome of this case?

What additional questions should the institution address before the court rules in this case?

How would you have ruled in this case?

Read the case study presented at the end of Chapter 12 (Guido, p. 238)

Did the ANP have a duty to consult with the child’s physician or another emergency center physician regarding the possibility of child abuse before she reported her findings to the case worker?

What questions would you anticipate might be asked regarding the injury itself and the possibility that the child had caused her own injury?

Did the ANP have a duty to report the injury, even though the diagnosis was not absolutely conclusive at the point that the child was initially examined?

How would you determine liability in this case, assuming that the trial court found liability against any of the three defendants?

Read the case study presented at the end of Chapter 16 (Guido, p. 329)

Did the nurse manager have a responsibility to supervise the care of the patient?

Was the care of this patient appropriately assigned to the LPN by the charge nurse, or could the charge nurse have delegated this patient’s care more appropriately?

If the charge nurse assigned the care of the patient to the LPN, did she retain any supervisory responsibility that would result in her liability in this case?

How do the principles associated with delegation and supervision figure into this case?

How would you decide this case?

Please combine all of these responses into a single Microsoft Word document for submission

Please submit only complete assignments (not partial or “draft” assignments). Submit only the assignments corresponding to the module in this section.

N520 Legal and Ethical Issues in Health Care

ASPEN N520 All Weeks Assignments Module 6 Assignment

Professional Development Exercises :

Read the case study presented at the end of Chapter 8 (Guido, p. 150)

Is the patient correct in asserting that he has a right to know the names and status of individuals who will be performing this procedure?

Does the manner in which the student introduced herself and the two other team members have relevance in this case?

Was the informed consent deficient to the degree that there was a lack of informed consent by the patient?

How would you decide this case?

A patient is admitted to your surgical center for a breast biopsy under local anesthesia. The surgeon has previously informed the patient of the procedure, risks, alternatives, desired outcomes, and possible complications. You give the surgery permit form to the patient for her signature. She readily states that she knows about the procedure and has no additional questions; she signs the form with no hesitation. Her husband, who is visiting with her, says he is worried that something may be said during the procedure to alarm his wife. What do you do at this point? Do you alert the surgeon that informed consent has not been obtained? Do you request that the surgeon revisit the patient and reinstruct her about the surgery? Since the patient has already signed the form, is there anything more you should do?

Now consider the ethical issues that such a scenario raises. Which ethical principles is the husband in this example most portraying? Which ethical principles should guide the nurse in working with this patient and family member?

Jimmy Chang, a 20- year- old college student, is admitted to your institution for additional chemotherapy. Jimmy was diagnosed with leukemia 5 years earlier and has had several courses of chemotherapy. He is currently in an acute active phase of the disease, though he had enjoyed a 14- month remission phase prior to this admission. His parents, who accompany him to the hospital, are divided as to the benefits of additional chemotherapy. His mother is adamant that she will sign the informed consent form for this course of therapy, and his father is equally adamant that he will refuse to sign the informed consent form because “Jimmy has suffered enough.”

You are his primary nurse and must assist in somehow resolving this impasse. What do you do about the informed consent form? Who signs and why? Using the MORAL model, decide the best course of action for Jimmy from an ethical perspective rather than a legal perspective. Did you come to the same conclusion using both an ethical and a legal approach?

Please combine all of these responses into a single Microsoft Word document for submission

Please submit only complete assignments (not partial or “draft” assignments). Submit only the assignments corresponding to the module in this section.

You are not required to adhere to the 500-1000 word count for each of the responses, but please be thorough in your responses so that you adequately address all aspects of each question.

N520 Legal and Ethical Issues in Health Care

Module 7 Assignment – Professional Development Exercises :

Read the case study presented at the end of Chapter 17 (Guido, p. 362)

Was the nurse negligent for unlocking the bath-room door and allowing Judy to shower by herself?

Was it below the standard of care for the nurse to leave the bathroom door unlocked when the psychiatrist came to see Judy?

How significant are the hospital policy and procedures in this instance?

How would you decide this case?

Read the case study presented at the end of Chapter 18 (Guido, p. 393)

Was the nurse negligent in the advice she gave Mr. Gonzales concerning his condition?

Did the nurse exceed her scope of practice in the advice she gave the patient?

Should the nurse have instructed Mr. Gonzales to go immediately to the local emergency center?

How would you decide this case? Who, if anyone, is liable in this case?

Read the case study presented at the end of Chapter 20 (Guido, p. 439)

What should the standards of care be for such a patient?

Even though the nursing care plan did not specify that the wound should be checked hourly, how should the prudent nurse have acted?

Should the lawsuit center primarily on the surgeon for allowing this patient to be sent back to the nursing home for post- operative care rather than insisting he be kept for 24 hours in an acute care facility post-operatively?

How would you decide this case?

Please combine all of these responses into a single Microsoft Word document for submission

Please submit only complete assignments (not partial or “draft” assignments). Submit only the assignments corresponding to the module in this section.

You are not required to adhere to the 500-1000 word count for each of the responses, but please be thorough in your responses so that you adequately address all aspects of each question. ASPEN N520 All Weeks Assignments

N520 Legal and Ethical Issues in Health Care

ASPEN N520 All Weeks Assignments Module 8 Assignment

Signature Assignment: Legal and Ethical Considerations in Nursing

Presentation:

Among various stakeholders, the registered nurse must incorporate legal and ethical theories and principles into practice. There is a need to evaluate the legal and ethical considerations that exist in healthcare today, to assess nursing’s role in health initiatives, and to find ways that we can help improve health and health outcomes. This presentation will help nurses recognize and respond to dilemmas within diverse health care settings and nursing roles. This presentation will provide an overview of regulatory action and the legislative and judicial processes, enabling nurses to become familiar with changes affecting the health care system such as patient rights, technological advances, and managed care.

This presentation will examine the role of the nurse as a health professional, advocate, and leader:

Select five legal or ethical concepts that you feel influence nursing practice.

Explain the selected concepts regarding both the impact on agency viability and quality patient care.

Review the selected concepts and strategically analyze for priorities, challenges, and issues from a legal and ethical perspective.

Identify instances of actions taken by an agency or provider that would or could violate the ethical duties and responsibilities of the health care providers or the rights of patients.

Develop a policy proposal, measures, and recommendations for prevention of legal and ethical violations.

Detail how nursing could intervene or advocate to incorporate legal and ethical theories and principles more effectively into practice.

This PowerPoint® (Microsoft Office) or Impress® (Open Office) presentation should be a minimum of 20 slides, including a title, introduction, conclusion and reference slide, with detailed speaker notes and recorded audio comments for all content slides. Use at least four scholarly sources and make certain to review the module’s Signature Assignment Rubric before starting your presentation. This presentation is worth 400 points for quality content and presentation. ASPEN N520 All Weeks Assignments

Low Back Pain Case Study

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Low Back Pain Case Study

Low Back Pain Case Study

PATIENT Kay Salisbury DOB 03/30/1983 AGE 34 yrs SEX Female PRN DP278077

FACILITY Northstar Physicians Center T (999) 999-9999 1234 Sunshine Way 100 Minneapolis, MN 99999

ENCOUNTER

NOTE TYPE SOAP Note SEEN BY Nazir Ashaad DATE 04/05/2017 AGE AT DOS

34 yrs

Not signed

Patient identifying details and demographics

FIRST NAME Kay MIDDLE NAME – LAST NAME Salisbury SSN –

SEX Female DATE OF BIRTH 03/30/1983 DATE OF DEATH – PRN DP278077

ETHNICITY – PREF. LANGUAGE

–

RACE White STATUS Active patient

CONTACT INFORMATION

ADDRESS LINE 1 4994 Shady Range

ADDRESS LINE 2 – CITY Ossawinamakee

Beach STATE MS ZIP CODE 39469

CONTACT BY – EMAIL – HOME PHONE (555) 555-5555 MOBILE PHONE (555) 555-5555 OFFICE PHONE – OFFICE EXTENSION

–

FAMILY INFORMATION

NEXT OF KIN – RELATION TO PATIENT – PHONE – ADDRESS –

PATIENT’S MOTHER’S MAIDEN NAME

–

PATIENT NOTES

Prefers that major diagnoses be discussed with her cardiologist Dr. Seifert

Subjective

The patient is a 34-year-old woman who presents with complaints of back pain. She describes the pain as a “dull ache in my lower back and into my right hip.” She is unable to identify any reason for the onset of pain. The pain does not radiate down legs. The patient states that the pain has been present for 2 weeks and is progressively getting worse. No urinary or fecal incontinence. Patient has not had any imaging studies. Low Back Pain Case Study

She states that sometimes the pain is worst in the morning and other times it bothers her more during the day. OTC anti-inflammatory medication and ice have provided temporary relief.

Objective

Encounter – Office Visit Date of service: 04/05/17 Patient: Kay S… https://static.practicefusion.com/apps/ehr/?c=1385407302#/PF/…

1 of 2 4/5/17, 4:31 PM

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Patient’s blood pressure is 116/78. Patient’s HR is 80 bpm and regular. Pain is rated 5/10 while resting and 7/10 while standing and walking. Lumbar spine ROM is limited to 50 degrees of flexion. All other lumbar ROM tests are WNL. Physical exam indicates bilateral lumbar muscle spasm and hypertrophy.

Assessment

DDX: Lumbar strain with radiculopathy into the right hip and posterior thigh. Possible unilateral vertebral disk herniation or DJD of lumbar spine.

Lumbar strain [847.2]. Lumbar pain [724.2].

Plan

Patient is encouraged to continue OTC anti-inflammatory medication b.i.d. Patient will be referred for lumbar and sacroiliac radiography. Radiographic findings will determine the need for follow-up MRI or physical therapy referral. The patient was given a handout on gentle low back stretches and was encouraged to try several gentle yoga positions at home.The patient should return to the clinic in one week.

Free cloud based EHR

Encounter – Office Visit Date of service: 04/05/17 Patient: Kay S… https://static.practicefusion.com/apps/ehr/?c=1385407302#/PF/…

2 of 2 4/5/17, 4:31 PM

Module 02 Course Project: Clinical Notes

Patient B – Virginia Thompson

If Virginia’s physician had noted any dry or scaly skin during this visit, which medical term might he have used to describe it? (Hint: Think about the word roots you studied this week.)

Click here to enter text.

In the objective section of this SOAP note, the macules are described as “erythematous.” What color is this word referring to?

Click here to enter text.

The lesion of concern is located in the anterolateral shoulder. How would you describe the location of this lesion in your own words?

Click here to enter text.

In which section of this SOAP note (Subjective, Objective, Assessment, Plan) do you find a term that means “pertaining to the acromion and clavicle”?

Click here to enter text.

What is the definition of a “macule”?

Click here to enter text.

In this SOAP note, the terms “benign” and “malignant” are used to describe both the skin lesions. Define these terms.

Click here to enter text.

In the plan section of this SOAP note, the doctor plans to perform a biopsy. Briefly describe this procedure.

Click here to enter text.

Which word found in this SOAP note means “black tumor”?

Click here to enter text.

Which word found in this SOAP notes refers to a solid, elevated lesion?

Click here to enter text.

 

References

You will primarily use your textbook as a reference this week. Provide a citation for your textbook (in APA format) here:

Click here to enter text.

 

*If you are unfamiliar with APA citation, please see the Rasmussen College APA Guide: http://guides.rasmussen.edu/apa Select “References” on the left-hand panel and choose “Books” to learn how to properly cite your textbook for this course. Low Back Pain Case Study

NUR665 Nursing Education Practicum – Week 15 Assignment: Benchmark – Reflective Analysis

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NUR665 Nursing Education Practicum – Week 15 Assignment: Benchmark – Reflective Analysis

Assignment: Benchmark – Reflective Analysis

The effective nurse educator reflects on their practice through analysis of feedback from mentors, peers, and students. Feedback from all stakeholders within education guide a nurse educator towards effective instruction, the realization of career goals, and success in student learning.Assignment: Benchmark – Reflective Analysis

The purpose of this assignment is to analyze the lesson plan feedback provided by your preceptor and students in the practicum setting. Write a 500-800 word analysis with the following information:

A description of the lesson plan feedback from your preceptor.

A description of the instructor feedback from your students.

A comparison of preceptor feedback, student feedback, and your own reflection.

An explanation of how you will use the feedback from stakeholders to engage in the professional role of the nurse educator through systematic self-reflection, reflective teaching practice, and exploring opportunities for scholarship.

Plan for continuing professional development and refinement of practice. NUR665 Nursing Education Practicum – Week 15 Assignment: Benchmark – Reflective Analysis

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

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

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You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Benchmark Information

This benchmark assignment assesses the following programmatic competency:

MSN Nursing with Emphasis in Nursing Education

6.4: Engage in the professional role of the nurse educator through systematic self-reflection, reflective teaching practice, and exploring opportunities for scholarship. NUR665 Nursing Education Practicum – Week 15 Assignment: Benchmark – Reflective Analysis

MED SURG ASSISGNMENT 2

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MED SURG ASSISGNMENT 2

MED SURG ASSISGNMENT 2

1.A home care nurse visits a client who has stage 4 metastatic lung cancer. He tells the nurse, “I don’t want any more chemotherapy or surgery. I just want to be made comfortable”. How can the nurse advocate for this client?

​2. A nurse is caring for a client who has a halo traction device following a cervical spine injury. Discuss two (2) relevant teaching points for when this client is ready to be discharged home.

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​3. A nurse is providing community teaching regarding prevention of HIV transmission. Identify two (2) points the nurse will share with the client.

​4. A nurse is providing teaching to the family member of an immobile home care client regarding prevention of pressure ulcers. Identify three (3) important teaching points the nurse should include. MED SURG ASSISGNMENT 2

Assignment:Hospital Infections Data Presentation

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Assignment: Hospital Infections Data Presentation

Question Description
The purpose of this assignment is to examine health care data on hospital-associated infections and determine the best methods for presenting the data to stakeholders. Use the scenario below and the “Hospital Associated Infections Data” Excel spreadsheet to complete the assignment.

Scenario

You have been tasked with displaying Centers for Medicare and Medicaid Services (CMS) hospital quality measures data for a 5-year period on four quality measures at your site. After examining the data, identify trends and determine the best way to present the actionable information to stakeholders.

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Assignment

Create a 10-15 slide PowerPoint presenting the data to the stakeholders. Address the following in your PowerPoint

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What conclusions can be drawn for each quality measure over the 5-year period?
What trends do you see for each quality measure over the 5-year period?
When comparing each quality measure, is the quality measure better than, worse than, or no different from the national benchmark over time? Assignment:Hospital Infections Data Presentation
Based on your examination of the data, which of the quality measures should you prioritize and why?
Develop a quality improvement metric and related measures to improve care processes, outcomes, and the patient experience relating to the identified area of opportunity.
Explain how you would monitor the metric and use collected data for improvement.
Include a title slide, references slide, and comprehensive speaker notes.

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. Assignment:Hospital Infections Data Presentation

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 not required to submit this assignment to LopesWrite.

This benchmark assignment assesses the following programmatic competency:

MSN Emphasis in Leadership in Health Care Systems

6.6 Develop and monitor continuous quality improvement metrics and measures to improve care processes, outcomes, and the patient experience.

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Assignment:Hospital Infections Data Presentation

 

NURS_6053 WEEK_3 DISCUSSION INSTRUCTIONS

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NURS_6053 WEEK_3 DISCUSSION INSTRUCTIONS

Please follow the instructions below to complete this paper. Please use the course book as part of the references in USE APA 7TH EDITION FOR REFERENCES. i will attach the assignment instructions as a file. i will attach the course readin, marking rubrics, and the topic previously chosen and discussed to continue and this assignment.
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Quite often, nurse leaders are faced with ethical dilemmas, such as those associated with choices between competing needs and limited resources. Resources are finite, and competition for those resources occurs daily in all organizations.
For example, the use of 12-hour shifts has been a strategy to retain nurses. However, evidence suggests that as nurses work more hours in a shift, they commit more errors. How do effective leaders find a balance between the needs of the organization and the needs of ensuring quality, effective, and safe patient care?
In this Discussion, you will reflect on a national healthcare issue and examine how competing needs may impact the development of polices to address that issue. NURS_6053 WEEK_3 DISCUSSION INSTRUCTIONS

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To Prepare:

Review the Resources and think about the national healthcare issue/stressor you previously selected for study in Module 1.
Reflect on the competing needs in healthcare delivery as they pertain to the national healthcare issue/stressor you previously examined.
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Post an explanation of how competing needs, such as the needs of the workforce, resources, and patients, may impact the development of policy. Then, describe any specific competing needs that may impact the national healthcare issue/stressor you selected. What are the impacts, and how might policy address these competing needs? Be specific and provide examples.

Learning Resources (NURS_6053 WEEK_3 DISCUSSION INSTRUCTIONS)

Required Readings

American Nurses Association. (2015). Code of ethics for nurses with interpretive statements. Silver Spring, MD: Author. Retrieved from

https://www.nursingworld.org/coe-view-only

Note: Review all, with special attention to “Provision 6” (pp. 23–26).

Kelly, P., & Porr, C. (2018). Ethical nursing care versus cost containment: Considerations to enhance RN practice. OJIN: Online Journal of Issues in Nursing, 23(1), Manuscript 6. doi:10.3912/OJIN.Vol23No01Man06. Retrieved from

http://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-23-2018/No1-Jan-2018/Ethical-Nursing-Cost-Containment.html  

Milliken, A. (2018). Ethical awareness: What it is and why it matters. OJIN: Online Journal of Issues in Nursing, 23(1), Manuscript 1. doi:10.3912/OJIN.Vol23No01Man01. Retrieved from

http://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-23-2018/No1-Jan-2018/Ethical-Awareness.html

 

Required Media

Laureate Education (Producer). (2012). Ethical, Moral, and Legal Leadership [Video file]. Baltimore, MD: Author.

Accessible player  –Downloads–Download Video w/CCDownload AudioDownload Transcript

Laureate Education (Producer). (2009b). Working with Individuals [Video file]. Baltimore, MD: Author.

Accessible player  –Downloads–Download Video w/CCDownload AudioDownload Transcript

Rubric Detail

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Name: NURS_6053_Module02_Week03_Discussion_Rubric
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• List View
Excellent Good Fair Poor
Main Posting 45 (45%) – 50 (50%)
Answers all parts of the discussion question(s) expectations with reflective critical analysis and synthesis of knowledge gained from the course readings for the module and current credible sources.

Supported by at least three current, credible sources.

Written clearly and concisely with no grammatical or spelling errors and fully adheres to current APA manual writing rules and style. 40 (40%) – 44 (44%)
Responds to the discussion question(s) and is reflective with critical analysis and synthesis of knowledge gained from the course readings for the module.

At least 75% of post has exceptional depth and breadth.

Supported by at least three credible sources.

Written clearly and concisely with one or no grammatical or spelling errors and fully adheres to current APA manual writing rules and style. 35 (35%) – 39 (39%)
Responds to some of the discussion question(s).

One or two criteria are not addressed or are superficially addressed.

Is somewhat lacking reflection and critical analysis and synthesis.

Somewhat represents knowledge gained from the course readings for the module.

Post is cited with two credible sources.

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Written somewhat concisely; may contain more than two spelling or grammatical errors.

Contains some APA formatting errors. 0 (0%) – 34 (34%)
Does not respond to the discussion question(s) adequately.

Lacks depth or superficially addresses criteria.

Lacks reflection and critical analysis and synthesis.

Does not represent knowledge gained from the course readings for the module.

Contains only one or no credible sources.

Not written clearly or concisely.

Contains more than two spelling or grammatical errors.

Does not adhere to current APA manual writing rules and style.
Main Post: Timeliness 10 (10%) – 10 (10%)
Posts main post by day 3. 0 (0%) – 0 (0%) 0 (0%) – 0 (0%) 0 (0%) – 0 (0%)
Does not post by day 3.
First Response 17 (17%) – 18 (18%)
Response exhibits synthesis, critical thinking, and application to practice settings.

Responds fully to questions posed by faculty.

Provides clear, concise opinions and ideas that are supported by at least two scholarly sources.

Demonstrates synthesis and understanding of learning objectives.

Communication is professional and respectful to colleagues.

Responses to faculty questions are fully answered, if posed.

Response is effectively written in standard, edited English. 15 (15%) – 16 (16%)
Response exhibits critical thinking and application to practice settings.

Communication is professional and respectful to colleagues.

Responses to faculty questions are answered, if posed.

Provides clear, concise opinions and ideas that are supported by two or more credible sources.

Response is effectively written in standard, edited English. 13 (13%) – 14 (14%)
Response is on topic and may have some depth.

Responses posted in the discussion may lack effective professional communication.

Responses to faculty questions are somewhat answered, if posed.

Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited. 0 (0%) – 12 (12%)
Response may not be on topic and lacks depth. NURS_6053 WEEK_3 DISCUSSION INSTRUCTIONS

Responses posted in the discussion lack effective professional communication.

Responses to faculty questions are missing.

No credible sources are cited.
Second Response 16 (16%) – 17 (17%)
Response exhibits synthesis, critical thinking, and application to practice settings.

Responds fully to questions posed by faculty.

Provides clear, concise opinions and ideas that are supported by at least two scholarly sources.

Demonstrates synthesis and understanding of learning objectives.

Communication is professional and respectful to colleagues.

Responses to faculty questions are fully answered, if posed.

Response is effectively written in standard, edited English. 14 (14%) – 15 (15%)
Response exhibits critical thinking and application to practice settings.

Communication is professional and respectful to colleagues.

Responses to faculty questions are answered, if posed.

Provides clear, concise opinions and ideas that are supported by two or more credible sources.

Response is effectively written in standard, edited English. 12 (12%) – 13 (13%)
Response is on topic and may have some depth.

Responses posted in the discussion may lack effective professional communication.

Responses to faculty questions are somewhat answered, if posed.

Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited. 0 (0%) – 11 (11%)
Response may not be on topic and lacks depth.

Responses posted in the discussion lack effective professional communication.

Responses to faculty questions are missing.

No credible sources are cited.
Participation 5 (5%) – 5 (5%)
Meets requirements for participation by posting on three different days. 0 (0%) – 0 (0%) 0 (0%) – 0 (0%) 0 (0%) – 0 (0%)
Does not meet requirements for participation by posting on 3 different days.
Total Points: 100 NURS_6053 WEEK_3 DISCUSSION INSTRUCTIONS
Name: NURS_6053_Module02_Week03_Discussion_Rubric. NURS_6053 WEEK_3 DISCUSSION INSTRUCTIONS