essay. composition paper

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essay. composition paper

The needs of the pediatric patient differ depending on age, as do the stages of development and the expected assessment findings for each stage. In a 500-750-word paper, examine the needs of a school-aged child between the ages of 5 and 12 years old and discuss the following:

  1. Compare the physical assessments among school-aged children. Describe how you would modify assessment techniques to match the age and developmental stage of the child.

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  2. Choose a child between the ages of 5 and 12 years old. Identify the age of the child and describe the typical developmental stages of children that age.
  3. Applying developmental theory based on Erickson, Piaget, or Kohlberg, explain how you would developmentally assess the child. Include how you would offer explanations during the assessment, strategies you would use to gain cooperation, and potential findings from the assessment.

Prepare this assignment according to the guidelines found in the APA Style Guide. An abstract is not required.

3 references required

 

Substance Abuse and Violence discussion

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Substance Abuse and Violence discussion

  1. Discuss the historical trends and current conceptions of the cause and treatment of substance abuse.
  2. Describe the ethical and legal implications of substance abuse.
  3. Identify factors that influence violence.

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  4. Identify at-risk populations for violence and the role of public health in dealing with the epidemic of violence.

APA format word document, Arial 12 font

A minimum of 2 evidence-based references besides the class textbook must be used.
References properly quoted in the assignment. A minimum of 700 words is required.

Genetic Counseling on sickle cell Anemia Discussion

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Genetic Counseling on sickle cell Anemia Discussion

Course Code DNP-810 Class Code DNP-810-IO1240 Criteria Content Percentage 70.0% Discussion of the Reason for the Genetic Counseling Based on the Findings From Your Completion of the History Tool 25.0% Discussion of the Possible Reactions the Patient May Have to Your Counseling and How to Avoid Negative Reactions 25.0% Proposal of What You Will Say to the Patient Including the Many Points Offered in the Assignment 20.0% Organization and Effectiveness 20.0% Thesis Development and Purpose 7.0% Argument Logic and Construction 8.0% Mechanics of Writing (includes spelling, punctuation, grammar, language use) 5.0% Format 10.0% Paper Format (Use of appropriate style for the major and assignment) 5.0% Research Citations (In-text citations for paraphrasing and direct quotes, and reference page listing and formatting, as appropriate to assignment and style) 5.0% Total Weightage 100% Genetic Counseling Unsatisfactory (0.00%) Discussion of the reason for the genetic counseling based on the findings from your completion of the history tool is not present. Discussion of the possible reactions the patient may have to your counseling and how to avoid negative reactions is not present. Proposal of what you will say to the patient including the many points offered in the assignment is not presented. Paper lacks any discernible overall purpose or organizing claim. Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources. Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice and/or sentence construction are used. Template is not used appropriately or documentation format is rarely followed correctly. No reference page is included. No citations are used. 150.0 Less Than Satisfactory (74.00%) Discussion of the reason for the genetic counseling based on the findings from your completion of the history tool is present but incomplete. Discussion of the possible reactions the patient may have to your counseling and how to avoid negative reactions is present but incomplete. Proposal of what you will say to the patient including the many points offered in the assignment is presented but incomplete. Thesis and/or main claim are insufficiently developed and/or vague; purpose is not clear. Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility. Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, and/or word choice are present. Appropriate template is used, but some elements are missing or mistaken. A lack of control with formatting is apparent. Reference page is present. Citations are inconsistently used. Satisfactory (79.00%) Discussion of the reason for the genetic counseling based on the findings from your completion of the history tool is present but done at a perfunctory level. Discussion of the possible reactions the patient may have to your counseling and how to avoid negative reactions is present but done at a perfunctory level. Proposal of what you will say to the patient including the many points offered in the assignment is presented but done at a perfunctory level. Thesis and/or main claim are apparent and appropriate to purpose. Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis. Some mechanical errors or typos are present, but are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used. Appropriate template is used. Formatting is correct, although some minor errors may be present. Reference page is included and lists sources used in the paper. Sources are appropriately documented, although some errors may be present. Good (87.00%) Discussion of the reason for the genetic counseling based on the findings from your completion of the history tool is clearly present and convincing. Information presented is from scholarly though dated sources. Discussion of the possible reactions the patient may have to your counseling and how to avoid negative reactions is clearly present. Discussion is convincing. Information presented is from scholarly though dated sources. Proposal of what you will say to the patient including the many points offered in the assignment is clearly presented. Discussion is convincing. Information presented is from mostly current scholarly but some outdated sources are used. Thesis and/or main claim are clear and forecast the development of the paper. It is descriptive and reflective of the arguments and appropriate to the purpose. Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative. Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used. Appropriate template is fully used. There are virtually no errors in formatting style. Reference page is present and fully inclusive of all cited sources. Documentation is appropriate and citation style is usually correct. Excellent (100.00%) Discussion of the reason for the genetic counseling based on the findings from your completion of the history tool is clearly present and insightful. Information presented is from current scholarly sources.

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Discussion of the possible reactions the patient may have to your counseling and how to avoid negative reactions is clearly present. Discussion is insightful. Information presented is from current scholarly sources. Proposal of what you will say to the patient including the many points offered in the assignment is clearly presented. Discussion is insightful and detailed. Information presented is from current scholarly sources. Thesis and/or main claim are comprehensive. The essence of the paper is contained within the thesis. Thesis statement makes the purpose of the paper clear. Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative. Writer is clearly in command of standard, written, academic English. Comments All format elements are correct. In-text citations and a reference page are complete and correct. The documentation of cited sources is free of error. Points Earned
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Teaching Experience Writing

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Teaching Experience Writing

This is an individual assignment. In 1,500-2,000 words, describe the teaching experience and discuss your observations. The written portion of this assignment should include:

  1. Summary of teaching plan
  2. Epidemiological rationale for topic

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  3. Evaluation of teaching experience
  4. Community response to teaching
  5. Areas of strengths and areas of improvement

Prepare this assignment according to the guidelines found in the APA Style Guide.

leadership style in nursing

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leadership style in nursing

  1. Nurses must strive to be leaders every day.
  2. Write a 100-125 words paragraph for each topic
  3. a minimum of three APA formatted sources.

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  4. Topic one: How do nurses incorporate leadership style in their practice in their leadership role.
  5. Topic Two: how do nurses incorporate culturally competent care in their leadership role

 

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Response to Clarissa Rojas

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Response to Clarissa Rojas

How does abuse affect toddlers? According to Amanda Perkins MSN, RN, “In the United States, there are four recognized types of child abuse: physical, sexual, psychological/emotional, and neglect. Out of these four types, neglect is the most common, followed by physical abuse.” Child abuse occurs in all ages although infants/children are the most common. When a child is abuse, usually some social development difficulties and mental health problems precede the incident lasting their entire lives. Toddlers are 12-36 months of age and are one of the most common age group to be abused, especially since they are not able to communicate as well. Toddlers may display psychological and physical symptoms, or a combination of both. Examples of physical abuse seen in toddlers are: burns, bruising in different stages, lacerations, fractures, dislocation, injuries that mirror the shape of an object, welts, fear of going home, and wariness of adults/caregivers. Possible signs of sexual abuse recurrent urinary tract infections, STDs, enur e sis, redness/swelling of genitalia, and inappropriate interest in sexuality beyond the child’s developmental level. Behavioral changes can include poor hygiene, developmental delays, lack of supervision, apathy, depression, hostility, and difficulty concentrating.

There are some cultures that have healing methods used that causes petechiae or bruising. These methods can be misconstrued as child abuse or maltreatment, and often get reported to CPS. Examples of these healing methods include “coining”, “cupping”, and “spooning”, which produce symmetrical markings on the skin. These healing methods are used in traditional Chinese culture. As nurse we are obligated to report any sign or suspicions of abuse, which is mandated in all 50 states. The failure to report any sign of abuse is, a crime itself. When an abused kid comes into our hospital/clinic we are supposed to notify Child Protective Services (CPS) and local Police departments in severe cases, where the child is separated from the parent. Children are precious gifts from God, for which our jobs are to advocate and protect them from any possible abuse.

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Reference:

Perkins. A. (2018). Nursing Center: The red flags of child abuse. Volume 16 (2), p 34 – 41. Retrieved from: https://www.nursingcenter.com/cearticle?an=00152258-201803000-00008&Journal_ID=417221&Issue_ID=4524655

****** please response to discussion above with a paragraph add citation and references 😉 ********

 

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Child abuse and maltreatment Discussion Post

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Child abuse and maltreatment Discussion Post

Child abuse and maltreatment are not limited to a particular age—it can occur in the infant, toddler, preschool, and school-age years. Infants are at serious risk of maltreatment because of their vulnerability and dependence on others and the processes involved in neurocognitive and psychosocial development. Maltreatment is exhibited through physical abuse, neglect, emotional abuse, sexual abuse, and medical abuse.

Am going to choose infant group because they are the ones more vulnerable age group because of the immaturity and capacity to talk and ask for help.We have different types of abuse like for example, physical abuse which is non-accidental infliction of physical injury to a child, emotional abuse which is the rejecting, ignoring, criticizing, isolating, or terrorizing of children. Also sexual abuse as any activity with a child, before the age of legal consent, that allows sexual gratification of an adult or a significantly older child. Another one is neglect which is the failure to satisfy a child’s basic needs, can assume many forms as not providing hygiene, basic nutrition or adequate shelter.In an infant, the most common abuse is physical abuse , like head injuries, broken bones at different stages of healing, skin injuries, and sexual abuse . The shaken infant is intracranial hemorrhages, retinal hemorrhages and small ‘‘chip’’ fractures at the major joints of the child’s extremities can result from very rapid shaking of an infant this one is very common . Sexual abuse symptoms may include infection, genital injury, abdominal pain, constipation, chronic or recurrent urinary tract infections or behavioral problems. Neglect in an infant is non-compliance with health care recommendations as vaccination and routine doctor appointments, not enough food resulting in hunger, and the failure of a child physically to thrive, exposure of children to drugs and inadequate protection from environmental dangers, not supervising and poor hygiene . Culture influences in the way we see child abuse, sometimes skin injuries is not abuse is a type of ritual to cure the infant of fever or devils . As nurses, we need to identify any type of abuse and reported to abuse hotline or children and families.

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http://www.healthofchildren.com/C/Child-Abuse.html…
https://www.who.int/violence_injury_prevention/vio…

****** please respond to the discussion above, add citation and references 🙂 *******

 

Tags: child abuse nursing physical abuse maltreatment EMOTIONAL ABUSE

Healthcare Nursing Response to Anna Valdez Discussion 1

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Healthcare Nursing Response to Anna Valdez Discussion 1

In the school age years, there are several characteristics that would lead a provider to suspect child abuse, or maltreatment. Those indicators or warning signs of abuse could be obvious or subtle, requiring careful observation. In all cases it is really important to investigate and rule out abuse as the cause of those signs. Child abuse include physical abuse, sexual abuse, emotional abuse, medical abuse and neglect. There are different indicators or signs of abuse. Examples of physical signs of abuse are bruises (old and new, clustered on one part of body, or on both upper arms), eye injuries (black eyes or detached retinas), abrasions or scrapes, vaginal or rectal pain, broken bones, missing teeth, spotty balding (from pulled hair) among others. Behavioral changes includes suddenly fears of being touched, changes in sleep patterns; difficulty sleeping, depression, withdrawal from friends or usual activities, changes in behavior , changes in school performance, rebellious or defiant behavior, and self-harm or attempts at suicide. Sexual abuse signs include blood in child’s underwear, inappropriate sexual contact with other children, and pregnancy or a sexually transmitted infection. Neglect signs include a sudden or gradual change in appearance or behavior, lack of clothing or supplies to meet physical needs, poor record of school attendance, and lack of appropriate attention for medical, dental or psychological problems. In some cultures the use of coining or cupping to treat illness produce marks on the skin that can be misunderstood as abuse. In my state once abuse is confirmed, we report it immediately to our supervisor and the social worker. We need to fill an incident report and contact the police and welfare authorities.

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Reference

Falkner, A. (2018). Age-appropriate approach to pediatric health care assessment. Grand Canyon University. Retrieved from https://lc.gcumedia.com/nrs434vn/health-assessment-foundations-for-effective-practice/v1.1/#/chapter/2

The Issue of Child Abuse (n.d.). Retrieved on February 11, 2019 from https://www.childhelp.org/child-abuse/

Killion, C., (2017). Cultural Healing Practices that Mimic Child Abuse. Ann Forensic Res Anal 4(2). Retrieved from https://www.jscimedcentral.com/Forensic/forensic-4-1042.pdf

****** please respond to the discussion above add citation and references 🙂 ******

Response to Michelle Tellier DQ2

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Response to Michelle Tellier DQ2

Nursing assessments and how we obtain them vary greatly between pediatric patient’s vs adult patients. With children, you are mostly getting the history and background of illness from the parent or caretaker, where in adults, you are able to ask the patient directly to tell you what is wrong. Vitals differ between the pediatric patient vs the adult patient. The vitals of a pediatric patient are different from when they are infant’s vs when they are school aged and the nurse must be able to tell the difference. When trying to obtain assessments with pediatric patients, nurses need to able to adjust the way they interact with the child. Pediatric nurses have to explain procedures and diagnosis to parents in one way, then again explain in it a way the child will understand; with adult patients, you can give logical answers and explanations and they will usually understand (Hamstra, 2018). Play is used more often with pediatric patients than adults to explain procedures and diagnosis (Hamstra, 2018). When I work with pediatric patients, one example I always give them for the Spo2 monitor, is that I need to give their finger a hug with my finger hugging device. I always use it on myself or their parent first, and then try with them. I also am not afraid to use bribery with stickers for rewards and distraction to complete tasks. In my clinic, we use play tactics often to get the assessments we need so we can make them feel better as soon as possible. It is important to consider the developmental stages children are in because the way you assess one pediatric patient who is 3, is definitely not the same as assessing as an 11 year old (Hamstra, 2018)

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Hamstra, J. (June, 2018). Four major differences between pediatrics and adult nurses. In Nurse.org. Retrieved from https://nurse.org/articles/differences-between-ped…

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Healthcare Nursing Response To Amanda Brummel Discussion 2

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Healthcare Nursing Response To Amanda Brummel Discussion 2

When it comes to a physical assessment of a child versus adult, there will be many things the same and many things different. When performing an assessment, nurses receive subjective and objective data. From infancy to toddlers and preschoolers to school-aged children to adolescents and adulthood, vital signs will vary for objective data. Average range of vital signs for a preschoolers can be SBP 95-110, DBP 60-75, HR 65-110, RR 20-25, (Rudd & Kocisko, 2014). For adults, average range of vital signs can be SBP less than 120, DBP less than 80, HR 60-100, RR 12-20, (JohnsHopkinsMedicine, 2019). When taking blood pressure on a child, the nurse may ask what arm the child wants to be used to involve them in the care. For more objective data, when it comes to performing the physical assessment, most things should be the same. Breath sounds should all clear in all lobes, child or adult. S1 and S2 should be noted with no adventitious sounds for both child and adult. Both child and adult should should have regular bowel movements and urine output appropriate for their ages. Systems within the body should have no defects or abnormalities. For subjective data, for adults the information will come from them with understanding and little explanations of the questions. For children, most of the time the adults will know the answers and the nurse can receive information from them. When questioning the child, it may be a little more complicated and depends on the child. When it comes to explaining and offering instructions during the assessment, adults can be spoken to logically. Depending on the age, the explaining of the assessment shall vary. If the child is school-aged, they may be cooperative in the care. Nurses should talk directly to the child and provide rationales with their actions. For child, strategies to use to encourage engagement for children may be smiling and being friendly to earn their trust. For younger children, I learned that using items such as puppets, and first performing the procedure on them may make the experience less scary for the child. Nurses should be aware of the developmental theories by Erikson, Piaget, and Kohlberg when learning about children, (Rudd & Kocisko, 2014).

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JohnsHopkinsMedicine. (2019). Vital signs (body temperature, pulse rate, respiration rate, blood pressure). Retrieved from https://www.hopkinsmedicine.org/healthlibrary/conditions/cardiovascular_diseases/vital_signs_body_temperature_pulse_rate

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Rudd, K. & Kocisko, D.M. (2014). Pediatric nursing: The critical components of nursing care. Philadelphia, F.A. Davis Company.