NURS4000 Community Case Part 1: Sexual Abuse

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NURS4000 Community Case Part 1: Sexual Abuse

This small rural county has one community health nurse, Judy Prescott, who has been in this role
for about 10 years. The town where her office is located has fewer than 2,000 residents. The
nearest hospital is located 20 miles away. The sexual assault nurse examiner who had been
practicing in this hospital moved away about 2 months ago, leaving the county without this
service. Now those services are provided in a larger hospital emergency room located 50 miles
away. NURS4000 Community Case Part 1: Sexual Abuse

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Questions for students:

1. Describe the sociocultural dynamics of small rural communities and how they may impact victims of sexual abuse and rape.
a. Due to the small rural community, the young woman who was raped felt comfortable enough to trust a friend within the community to take her home.
Culturally, this community could be very trusting of one another. After the act, the victim knew to call the community health nurse, but she is going to need to travel to be seen by a specialized nurse. This wait and stress can put the client through more stress than she would have been in than if she could drive ten minutes to be examined. NURS4000 Community Case Part 1: Sexual Abuse
2. Identify goals in Healthy People 2020 that focus on access to care and services for underserved populations. How do these objectives apply to this scenario?
a. A goal of Healthy People 2020 is access to health services, or “the timely use of personal health services to achieve the best health outcomes.” This goal therefore requires: Gaining entry into the health care system with or without insurance, accessing a location where needed health care services are provided, and finding a health care provider the patient trusts and can communicate with. This is clearly
pertinent to this rape scenario, where there is no access for fifty miles, she will have to gain entry to the system, and the specialist may or may not offer a personal connection.
3. Compare and contrast situational crisis with developmental crisis.
a. Developmental crisis is an event that can occur in normal progression of life, such as graduating high school, giving birth to a child, or retiring from a career. On another hand, situational crisis is an uncommon event such as getting raped when going off to college, losing a job, etc. One crisis is somewhat expected, and another is purely based on an individualized and unfortunate situation.

NURS4000 Community Case Part 1: Sexual Abuse

Community Case Part 1: Environmental Health: Food Safety

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Community Case Part 1: Environmental Health: Food Safety

Columbia General Hospital, located in Johnson County, has observed 10 cases of similar client
symptoms in its emergency room in the past 10 hours. Client ages range from 2 to 67 years old.
Client symptoms consist of nausea, vomiting, severe abdominal cramps, headache, and diarrhea.
Questions for students: Community Case Part 1: Environmental Health: Food Safety

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1. What is your initial needs assessment of this situation?

a. During the initiation of the needs assessment, we realize there are limitations to the ER and its ability to investigate the growing number of cases. We know there is a need for a Nurse Epidemiologist to come and investigate the histories, work places, lifestyles, and travels of these ten cases. The interventions may include a consultation, community organizing, advocacy, policy enforcement, surveillance, disease investigation, screening, referral, follow up, and health teaching.
2. Why might it be important to contact the Johnson County Health Department?
a. It is important to seek guidance and assistance from the Health Department if the staff is overwhelmed, instead of ignoring the problem. The Health Department should be made aware of an arising epidemic, especially when cases are piling up in a short amount of time. The Nurse Epidemiologist should have more resources to investigate a situation like this. Furthermore, all clients should be followed up with even if they were discharged with instructions.
3. What are the duties and role of the local health department?
a. The local health department has a responsibility of using evidence-based practice to investigate, report, and address environmental risk factors. The foundation of disease prevention rests on Public Health Surveillance and Epidemiology. These factors lay a factual basis from which agencies and departments prioritize, plan programs, and take actions to protect the public’s health. Surveillance for
noninfectious diseases related to exposure to the environment (lead and pesticides) is a managed by state health departments. A workgroup defined “10
Essential Environmental Public Health Services” which should help state health departments divide resources and prioritize activities of their environmental epidemiologists. This results in an achievable goal of improving the delivery of environmental health services to the public.
4. What aspects of vulnerable populations could be factors in this outbreak?
a. Residents of low-income areas should be addressed and educated. They should be encouraged to seek help and to learn proper hygiene tactics to protect themselves and others during an outbreak. The community health nurse can open a line of communication with this population by empathizing with their struggles.
Community Case Part 1: Environmental Health: Food Safety

NURS4000 Community Case Part 1: Communicable Disease: Tuberculosis

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NURS4000 Community Case Part 1: Communicable Disease: Tuberculosis

Bradley Buchanan presents to the neighborhood nurse-run clinic with shortness of breath, a
persistent cough with blood-tinged sputum, recent weight loss, and night sweats. On initial
assessment, the client has a fever of 101.4°F and pain in his chest. His other vital signs are as
follows: pulse 98 beats per minute; respirations 26 per minute; blood pressure 110/76 mm Hg;
height 68 inches; and weight 140 pounds. Mr. Buchanan is 45 years old. He is employed as a
dishwasher at a local restaurant and lives at the local shelter with his wife, who is 8 months
pregnant, and his 13-year-old son. Mr. Buchanan is concerned that if he cannot go to work, he
will lose the family’s only income. At this point, although Mr. Buchanan’s signs and symptoms
and his purified protein derivative test results seem to indicate that he may have tuberculosis, the nurse must pursue further confirmation of the diagnosis. NURS4000 Community Case Part 1: Communicable Disease: Tuberculosis

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Questions for students:

1. What would be the nurse’s next action?
a. His results and symptoms indicate that he has tuberculous. The RN is going to
recommend treatment, prevention, and screening for the rest of his family. This is
imperative so to protect those exposed in both the shelter and the school that this
family attends.
2. Should the nurse do any testing on the client or his family?
a. Yes, because if he does have TB then the those that he is closest to are likely to be
infected through the air. The family lives at a shelter which exposes many more
people, so he definitely needs further assessment and education. Shelters are
known to breed TB due to the conditions of living in close quarters, which can
easily spread the TB.

NURS4000 Community Case Part 1: Communicable Disease: Tuberculosis

NURS4000 Community Case: Emergency Preparedness and Disaster Management

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NURS4000 Community Case: Emergency Preparedness and Disaster Management

Case Part 1
An F2 tornado touches down on the edge of Johnson County without much advance warning
from the National Weather Service. The Johnson County disaster preparedness plan is
implemented, but it has not been tested for over 3 years. There seems to be some confusion at the
command center on who may be in charge due to changes in personnel since the last test of the
disaster preparedness plan. Nurse Judy and nursing student Madison arrive at the command
center to volunteer, but they have to wait for some time to receive their assignment. NURS4000 Community Case: Emergency Preparedness and Disaster Management

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Questions for students:

1. What are the main components of a disaster plan?
oAn Incident Resource Center has four sections. The Incident Command System
was created for more effective disaster management. Nurses should understand
the components of ICS, which consist of the planning section, operations section,
finance and administrative section, and a logistics section. For example, assisting
in developing strategy and supervising resources such as personnel would be the
responsibility of the operations section.
2. What are the phases of disaster management?
oAn example of the preparedness phase would be a town keeping the tornado
alarm checked and tested once per month during the peak season.
oThe prevention phase would include identifying community risk factors along
with developing and implementing the plan.
oThe response phase begins immediately after the incident occurs.
oThe recovery phase happens when the area starts the process of rebuilding and
restoring aspects of the community. NURS4000 Community Case: Emergency Preparedness and Disaster Management
3. Who implements a community disaster plan? How often should a community disaster
plan be reviewed and tested?
oThe Department of Homeland Security was organized to coordinate security,
protection, and disaster response through one federal department. Specifically, if a
tornado outbreak happened then the federal response would be coordinated and
implemented by the Federal Emergency Management Agency (FEMA). FEMA
the part of DHS that responds to natural disasters.

The ARC is a private entity that
will also respond, but it is not controlled by the federal government. A community
disaster plan should be reviewed and tested twice per year.
4. What are the differences between natural and man-made disasters?
Man-made disasters such as bioterrorism agents often have signs and symptoms
that mimic common complaints like flu symptoms, and therefore can spread
subtly and quickly. Whereas a natural disaster can be more obvious and abrupt,
such as a tornado, tsunami, or an earthquake. There is also a difference in the
impact on survivor’s mental health after a man-made disaster. There are several
factors that result in severe and lasting psychological effects. One key factor on
mental health includes if the disaster was caused by human intent, also known as
a man-made disaster.
5. How would you address the confusion at the incident command center?
oWithin the ICS, encourage planning, awareness, and preparedness of staff
involved in response. Everyone should keep up to date with the agency’s
emergency response plan. There are different roles for a nurse when preparing for
a response plan. The plan will give guidance including the roles of team members,
responsibilities, and mechanisms of reporting depending on the type of disaster.
Therefore, there is a joint effort in reacting to the disaster instead of just waiting
on orders.

C4000 Case Study 3 – course point modules: Community Case: Environmental Health: Food Safety

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C4000 Case Study 3 – course point modules: Community Case: Environmental Health: Food Safety

 

Community Case: Environmental Health: Food Safety
Case Part 1
Columbia General Hospital, located in Johnson County, has observed 10 cases of similar client
symptoms in its emergency room in the past 10 hours. Client ages range from 2 to 67 years old.
Client symptoms consist of nausea, vomiting, severe abdominal cramps, headache, and diarrhea.
Questions for students:
1. What is your initial needs assessment of this situation?
a. During the initiation of the needs assessment, we realize there are limitations to
the ER and its ability to investigate the growing number of cases. We know there
is a need for a Nurse Epidemiologist to come and investigate the histories, work
places, lifestyles, and travels of these ten cases. The interventions may include a
consultation, community organizing, advocacy, policy enforcement, surveillance,
disease investigation, screening, referral, follow up, and health teaching.
2. Why might it be important to contact the Johnson County Health Department?
a. It is important to seek guidance and assistance from the Health Department if the
staff is overwhelmed, instead of ignoring the problem. The Health Department
should be made aware of an arising epidemic, especially when cases are piling up
in a short amount of time C4000 Case Study 3 – course point modules: Community Case: Environmental Health: Food Safety. The Nurse Epidemiologist should have more resources
to investigate a situation like this. Furthermore, all clients should be followed up
with even if they were discharged with instructions.

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3. What are the duties and role of the local health department?
a. The local health department has a responsibility of using evidence-based practice
to investigate, report, and address environmental risk factors. The foundation of
disease prevention rests on Public Health Surveillance and Epidemiology. These
factors lay a factual basis from which agencies and departments prioritize, plan
programs, and take actions to protect the public’s health. Surveillance for
noninfectious diseases related to exposure to the environment (lead and
pesticides) is a managed by state health departments. A workgroup defined “10
Essential Environmental Public Health Services” which should help state health
departments divide resources and prioritize activities of their environmental
epidemiologists. This results in an achievable goal of improving the delivery of
environmental health services to the public.
4. What aspects of vulnerable populations could be factors in this outbreak?
a. Residents of low-income areas should be addressed and educated. They should be
encouraged to seek help and to learn proper hygiene tactics to protect themselves
and others during an outbreak. The community health nurse can open a line of
communication with this population by empathizing with their struggles C4000 Case Study 3 – course point modules: Community Case: Environmental Health: Food Safety

C4000 Case Study 2 – course point modules Community Case: Immunizations in School-Aged Children

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C4000 Case Study 2 – course point modules Community Case: Immunizations in School-Aged Children

 

Community Case: Immunizations in School-Aged Children
Case Part 1
Nancy Oswald, RN, is in the school nurse’s office at Sunshine Elementary School every morning
before classes begin to see children and teachers who have health concerns. This morning she
has seen four children who report with similar symptoms. For the past several days each child
has had a nonproductive cough, sore throat, and a runny nose and has felt slightly feverish. When
assessing the children, Ms. Oswald notes that all have redness in the eyes, white spots on a red
background inside the mouth on the inner lining of the cheek, and a skin rash made up of large,
flat blotches that often flow into one another C4000 Case Study 2 – course point modules Community Case: Immunizations in School-Aged Children. The nurse considers what her next action should be.

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Questions for students:
1.What could this potential pattern of symptoms indicate?
These symptoms are indicative of Measles. Nancy notes that there are at least ten students who
have not been immunized due to their beliefs concerning immunizations.
2.What should the nurse consider as her next actions?
She should send the children home. She did well by utilizing a government website for up to date
information on the possible Measles. Due to the seemingly emerging infectious disease
epidemic, healthcare providers should start by speaking with the families and investigating the
health and travel history. The objectives of handling this situation are to identify the factors
contributing to the reemerging infectious disease. Describe the reemerging infectious disease
from a global perspective. Relate the methods of transmission of the disease to methods of
control and prevention C4000 Case Study 2 – course point modules Community Case: Immunizations in School-Aged Children

NURS4000: Community Case: Health Promotion: Workplace Wellness

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NURS4000: Community Case: Health Promotion: Workplace Wellness

Hoglund-Ward Enterprises is undertaking a new initiative related to employee health and
wellness in the upcoming year. Sharice Huff, the occupational health nurse at Hoglund-Ward, is
leading this new initiative. Although the cost of implementing the program is a major
consideration, the chief executive officer and board of directors support limited spending for new
health and wellness initiatives because they believe it will keep future health care costs down.
Several employees have been asked to participate on the health and wellness committee, and
together they have decided to conduct a needs assessment to get the employees’ feedback on
their wellness needs NURS4000: Community Case: Health Promotion: Workplace Wellness.

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Questions for students:
1. What sorts of initiatives can companies pursue to improve employee health and wellness?
a. Companies can pursue initiatives to improve employee health and wellness such
as encourage active lifestyle behaviors, addressing smoking cessation strategies,
and supporting nutritional health. Helping the employees be more active can be
initiated without buying employees gym memberships. Many of the jobs are
sedentary in nature with lots of desk work, but little changes can be initiated. This
company could have their health insurance company that they already pay for,
address some wellness programs as well as smoking cessation smoking programs.
The smoking cessation programs have been proven to be more useful if
implemented at work. It also makes it easier for employees to make healthy
choices for lunch if the cafeteria provides more nutritious options.
2. Based on what you understand about a needs assessment, what issues and topics should
be included in the needs assessment survey?
a. Ways to improve active lifestyle behaviors even when in a sedentary job should
be addressed. Smoking cessation strategies while in the workplace should be
encouraged and have been proven to be beneficial. The cafeteria in the workplace
supporting nutritional health can be exemplified in their daily options. Overall,
the public health interventions boil down to coalition building and health
teaching NURS4000: Community Case: Health Promotion: Workplace Wellness.

NURS4000: Community Case: STIs and Older Adults

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NURS4000: Community Case: STIs and Older Adults

The state health department reports that there has been a dramatic increase in sexually
transmitted infections (STIs), especially gonorrhea and HIV, in select populations within the
state. A population of particular concern with a notably increased incidence of STIs is the Sunny
Side Retirement Community, which had 15 newly diagnosed cases last month. Sunny Side offers
numerous amenities and recreation activities for more affluent retirees who chose to retire in a
warmer climate NURS4000: Community Case: STIs and Older Adults. Renee, an advanced registered nurse practitioner, is employed in the federally
qualified health center, and provides primary care services to residents. Within the past few
weeks, several women have sought care for urgency, frequency, and sometimes discomfort with
urination along with vaginal and perineal itching and drainage. Today, Luanne Barton arrives in
the office with similar symptoms.

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Questions for students:
1. What is your initial diagnosis based on the symptoms reported by Luanne Barton?
a. The initial diagnosis based on reported symptoms is an STI but cannot be
confirmed without a pelvic examination and laboratory tests. The STI sounds is
most similar to trichomoniasis NURS4000: Community Case: STIs and Older Adults. However, it could be chlamydia, gonorrhea, or
even syphilis. All of which are easily treated and cured if diagnosed early.
2. How can the nurse initiate a conversation with Luanne regarding her sexuality?
a. The nurse can complete her medical history by asking about her symptoms,
history of symptoms, and focus on her past and present sexual partners. Luanne
revealed she was sexually active during her forty-year marriage, and until her
husband passed away several years ago. Next, she admitted to being in a new
sexually active relationship for the past six weeks. Therefore, this is a warning
sign to take note of when considering these STI symptoms.
3. Describe risk factors among older individuals for being exposed to an STI.
a. The Web of Causation implies a new set of social dynamics and access to intimate
relationships, especially when living in a retirement community. The availability
of a community the same age and values, mixed with a possible lack of
knowledge about risk exposure, primary prevention, and secondary prevention
screening is a perfect storm to breed human exposure to specific STI organisms NURS4000: Community Case: STIs and Older Adults

NURS-FPX4050 Coord Patient- Centered Care

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NURS-FPX4050 Coord Patient- Centered Care

Assessment 2- Ethical and Policy Factors in Care Coordination INSTRUCTIONS Select a community organization or group that you feel would be interested in learning about ethical and policy issues that affect the coordination of care. Then, develop and record a 10-12-slide, 20- minute presentation, with audio, intended for that audience. Create a detailed narrative script or speakers notes for your presentation, 4-5 pages in length.NURS-FPX4050 Coord Patient- Centered Care

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  Introduction This assessment provides an opportunity for you to develop a presentation for a local community organization, which provides an overview of ethical standards and relevant policy issues that affect the coordination of care. Completing this assessment will strengthen your understanding of ethical issues and policies related to the coordination and continuum of care, and will empower you to be a stronger advocate and nursing professional. Preparation It would be an excellent choice to complete the Vila Health: Ethical Decision Making activity prior to developing the presentation. The activity provides a helpful update on the ethical principles that will help with success in this assessment. Scenario Your nurse manager at the community care center is well connected and frequently speaks to a variety of community organizations and groups. She has noticed the good work you are doing in your new care coordination role and respects your speaking and presentation skills. Consequently, she thought that an opportunity to speak publicly about contemporary issues in care coordination would be beneficial for your career and has suggested reaching out to a community organization or support group to gauge their interest in hearing from you, as a care center representative, on a topic of interest to both you and your prospective audience. You have agreed that this is a good idea and have decided to research a community organization or support group that might be interested in learning about ethical and policy issues related to the coordination of care. To prepare for this assessment, you may wish to: Research your selected community organization or support group.

NURS-FPX4050 Coord Patient- Centered Care

NURS FPX 4040 Technology in Nursing Annotated Bibliography: Demonstration of Proficiency

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NURS FPX 4040 Technology in Nursing Annotated Bibliography: Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

Competency 3: Evaluate the impact of patient care technologies on desired outcomes.

  • Analyze current evidence on the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team.
  • Integrate current evidence about the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team into a recommendation.

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Competency 4: Recommend the use of a technology to enhance quality and safety standards for patients.

  • Describe organizational factors influencing the selection of a technology in the health care setting.
  • Justify the implementation and use of a selected technology in a health care setting.

Competency 5: Apply professional, scholarly communication to facilitate use of health information and patient care technologies.

  • Create a clear, well-organized, and professional annotated bibliography that is generally free from errors in grammar, punctuation, and spelling.
  • Follow APA style and formatting guidelines for all bibliographic entries.

NURS FPX 4040 Technology in Nursing Annotated Bibliography: Demonstration of Proficiency