Health Assessment 2 Assignment

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Discussion #1

Discuss Standard Precautions and infection control methods for the protection of both the patient and the examiner. 100-150 words.

Assignment #2

Description

D.F. is a 27-year-old female who presents to the gynecologist’s office for her yearly examination complaining of bilateral breast pain and tenderness.
Subjective Data
Last menstrual cycle: 18 days ago
Pain is dull pain
Breasts feel heavy and tender
Performs monthly breast self-examinations

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Objective Data
Breasts moderate size, evenly pigmented, bilaterally symmetric, and hang equally with smooth contour. Venous patterns bilaterally similar. Breasts firm, smooth, elastic without tenderness, lumps, or nodules. Areolae round, nipples protruding, symmetric, soft, pliable, smooth, and intact without discharge. Axillary lymph nodes are not palpated. Health Assessment 2 Assignment

1. What other questions should the nurse ask about the breast pain?

2.What are some of the causes of breast pain?

3. What is a  supernumerary nipple?

concept Map care Plan Preeclampsia Assignment

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concept Map care Plan Preeclampsia Assignment

REMEMBER THAT THE EXPECTED OUTCOMES MUST BE MEASURABLE.  THE INTERVENTIONS ARE WHAT YOU DO TO ASSURE THE OUTCOME AND THE CLIENT’S RESPONSE IS SPECIFICALLY HER RESPONSE.

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                                                    PLAN OF CARE:                                                                                        Use your top two priorities

NANDA NURSING DIAGNOSIS use NANDA definition Expected outcomes of care (Goals)          Interventions       Patient response        Goal evaluation
NRS DX:

Problem Statement: 

 

 

 

 

 

 

 

 

R/T: (What is the cause of the symptom)

 

 

 

 

 

 

 

 

Manifested by: (Specific symptoms)

 

 

 

 

 

 

 

 

 

 Short term goal:  Create a SMART goal that relates to hospital stay/shift/day.

 

 

 

 

 

 

 

 

 

 

 

 

Long term goal:  Create a SMART goal that is appropriate for discharge.

 

 This is specific to the patient that you are caring for. A list of planned actions that will assist the patient to achieve the desired goal. (i.e. obtain foods that the patient can eat/ likes)

 

Interventions for short-term goal:

1.

2.

3.

 

 

 

 

Interventions for long term goal:

1.

2.

3.

 

 

 Identify what the patients response or “outcome is to the goal or care that you have provided. i.e. patient ate 45% of lunch)

 

 

 

Reassess for short-term goal:

1.

2.

3.

 

 

 

 

 

Reassess for long-term goal:

1.

2.

3.

 

 Was it met or not met there is no partially met.

CONCEPT MAP

REMEMBER THAT THE EXPECTED OUTCOMES MUST BE MEASURABLE.  THE INTERVENTIONS ARE WHAT YOU DO TO ASSURE THE OUTCOME AND THE CLIENT’S RESPONSE IS SPECIFICALLY HER RESPONSE.

                                                    PLAN OF CARE:                                                                                        Use your top two priorities

NANDA NURSING DIAGNOSIS use NANDA definition Expected outcomes of care (Goals)          Interventions       Patient response        Goal evaluation
NRS DX:

Problem Statement: 

 

 

 

 

 

 

 

 

R/T: (What is the cause of the symptom)

 

 

 

 

 

 

 

 

Manifested by: (Specific symptoms) concept Map_care Plan PreEclampsia Assignment

 

 

 

 

 

 

 

 

 

 Short term goal:  Create a SMART goal that relates to hospital stay/shift/day.

 

 

 

 

 

 

 

 

 

 

 

 

Long term goal:  Create a SMART goal that is appropriate for discharge.

 

 This is specific to the patient that you are caring for. A list of planned actions that will assist the patient to achieve the desired goal. (i.e. obtain foods that the patient can eat/ likes)

 

Interventions for short-term goal:

1.

2.

3.

 

 

 

 

Interventions for long term goal:

1.

2.

3.

 

 

 Identify what the patients response or “outcome is to the goal or care that you have provided. i.e. patient ate 45% of lunch)

 

 

 

Reassess for short-term goal:

1.

2.

3.

 

 

 

 

 

Reassess for long-term goal:

1.

2.

3.

 

 Was it met or not met there is no partially met.

concept Map_care Plan PreEclampsia Assignment

Burn Victim Assessment Assignment

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Using the attached document (below), discuss the following:

  1. The staff are following the Parkland Formula for fluid resuscitation. The client arrived at 0200 and was admitted at 0400. She weighs 110 pounds. Calculate her fluid requirement, using the Parkland formula. Explain the time intervals and amounts for each.
  2. The client was sleeping when the fire started and managed to make her way out of the house through thick smoke. You are concerned about possible smoke inhalation. What assessment finding would corroborate this concern?
  3. The client is in severe pain. What is the drug of choice for pain relief and how should it be given?
  4. What nutritional requirements are necessary for the client’s burns to heal? Burn Victim Assessment Assignment
  5. What measures are taken with the client to prevent infection?

Submit your completed assignment by following the directions below. You must include 2-3 refences from scholarly sources and a reference list in APA format at the end of this document. Answers should be appropriately cited, in full sentences, and double-spaced per APA format. Please check the Course Calendar for specific due dates.

Save your assignment as a Microsoft Word document. (Mac users, please remember to append the “.docx” extension to the filename.) The name of the file should be your first initial and last name, followed by an underscore and the name of the assignment, and an underscore and the date. An example is shown below:

Jstudent_exampleproblem_101504

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Scenario

You are working the night shift on a medical-surgical unit. Your assignment includes a 19-year-old woman admitted early this morning. She has sustained burns over 30% of her body surface area, with partial-thickness burns on her legs and back.

 

 

 

Questions

Discuss the following:

  1. The staff are following the Parkland Formula for fluid resuscitation. The client arrived at 0200 and was admitted at 0400. She weighs 110 pounds. Calculate her fluid requirement, using the 4 ml Parkland formula. Explain the time intervals and amounts for each.
  1. Calculate Parkland formula amounts and rates:
Total fluid replacement for 1st 24 hours:
1st half of fluid replacement (1st 8 hours): Total volume:
Rate per hour:
2nd half of fluid replacement (next 16 hours): Total volume:
Rate per hour:
  1. Why is this time interval important for rescue of the burn victim?

 

  1. The client was sleeping when the fire started and managed to make her way out of the house through thick smoke. You are concerned about possible smoke inhalation. What assessment finding would corroborate this concern? Burn Victim Assessment Assignment
  1. The client is in severe pain. What is the drug of choice for pain relief and how should it be given? Are there any risks associated with these medications?
  1. What nutritional requirements are necessary for the client’s burns to heal? What is the goal of nutrition therapy in post-burn care?
  1. What measures are taken with the client suffering from burn injuries to prevent infection? What dressings may be used to prevent infection? Be sure to list and describe at least 3 types of dressings. 

References 

Rubric:

The rubric for the assignment can be viewed within Blackboard once you click the assignment. Under the “Points Possible” section next to the due date, there is a gray box with text “view rubric”. Burn Victim Assessment Assignment .

 

 

 

Maternalclinical_3-Case Study 128

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Case Study 128 – Postpartum

Read the scenario and answer all questions

Scenario:

T.N. delivered a healthy male infant 2 hours ago. She had a midline episiotomy. This is her sixth pregnancy. Before this delivery, she was G6, T4, P0, A1, L4. She had an epidural block for her labor and delivery. She is now admitted to the postpartum unit.

  1. What is important to note in the initial assessment?
  2. You find a boggy fundus during your assessment. What corrective measures should be instituted?
  3. The patient complains of pain and discomfort in her perineal area. How will you respond?
  4. The nurse reviews the hospital security guidelines with T.N. The nurse points out that her baby has a special identification bracelet that matches a bracelet worn by T.N., and the nurse reviews other security procedures. Which statement by T.N. indicates a need for more teaching? Maternalclinical_3-Case Study 128
    1. “If I have a question about someone’s identity, I can ask my nurse about it.”
    2. “If someone comes to take my baby for an examination, that person will carry my baby to the examination room.”
    3. “Nurses on this unit all wear the same color uniform.”
    4. “Each staff member who takes my baby somewhere will have a picture identification badge.”
  5. An hour after admission, you recheck T.N.s perineal pad and find that there is a very small amount of lochia on the perineal pad. What will you do next? a. Ask T.N. to change her perineal pad
  6. Check her perineal pad again in 1 hour
c. Check the pad underneath T.N.’s buttocks
  1. Document the findings in T.N.’s medical record
  2. That evening, the nursing assistive personnel assesses T.N.’s vital signs. Which vital signs would be of concern at this time?

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Vital Signs:

Temperature: 99.9°F
Blood pressure: 100/50
Pulse rate: 120 bpm

Respiratory rate:       16/min.

  1. What will you do next? Monitor VS, notify doctor is BP and pulse do not improve. Assess pt for bleeding or leaking. Assess for color, amount, consistency, and odor of the lochia. Check to see if blood has spread to other areas of the body. Check uterine fundus, if boggy, massage until firm.
  2. After your prompt intervention, you need to document what occurred. Write an example of a documentation entry describing this event.

Time: 1600  Pulse: 120 BP: 100/50

Large amount of lochia rubra noted with small clots underneath patients buttocks. Fundus was boggy until massaged firm. Patient encouraged to increase fluid intake. Patient voiding without difficulty. Assisted patient with perineal hygiene and provided a clean perineal pad which was placed under patient. Will continue to monitor.

  1. Two hours later, you perform another perineal pad check and observe a 2 in. stain on the pad. How would you document your findings in terms of the amount of lochia on the peripad? Light
  2. N.’s condition is stable, and you prepare to provide patient teaching. What patient teaching is vital after delivery?
  3. N. tells you she must go back to work in 6 weeks and is not sure she can continue breastfeeding. What options are available to her?

T.N. is discharged to home and plans to consult a lactation specialist before returning to work. Maternalclinical_3-Case Study 128

 

 

 

Lung cancer Discussion Assignment

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Lung cancer Discussion Assignment

Theme 2: Learning Activity

Lung cancer is the second most common cancer among men and women in the USA.  You are hired as a manager-planner by one of the hospitals. The organization is interested in establishing a community outreach program promoting smoking cessation and lung cancer screening. The Board of Directors requested your services in processing the data collected through the prospective cohort study among male and female population visiting local gym. The data set is attached.  Please use Excel or Epi Info to process the data. Chose the correct epi tool, provide a graphic representation of the processed data set and offer a conclusion as to the causative relationship between smoking and death. List the potential biases and provide a recommendation as to the study validity and reliability. Inform the Board of Directors (and your peers) about your findings.

You must start a thread before you can read and reply to other threads

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Theme 2: Learning Activity

Lung cancer is the second most common cancer among men and women in the USA.  You are hired as a manager-planner by one of the hospitals. The organization is interested in establishing a community outreach program promoting smoking cessation and lung cancer screening. The Board of Directors requested your services in processing the data collected through the prospective cohort study among male and female population visiting local gym. The data set is attached.  Please use Excel or Epi Info to process the data. Chose the correct epi tool, provide a graphic representation of the processed data set and offer a conclusion as to the causative relationship between smoking and death. List the potential biases and provide a recommendation as to the study validity and reliability. Inform the Board of Directors (and your peers) about your findings.

You must start a thread before you can read and reply to other threads

Lung cancer Discussion Assignment

Designing A Care Map Assignment

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Designing A Care Map Assignment

Module 05 Content

 

Click here to open a word document with the assignment instructions and rubric.

NUR2356_Module 05 Assignment_1220.docx

 

Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.
Save your assignment as a Microsoft Word document. (Mac users, please remember to append the “.docx” extension to the filename.) The name of the file should be your first initial and last name, followed by an underscore and the name of the assignment, and an underscore and the date. An example is shown below:
Jstudent_exampleproblem_101504

 

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Module 05 Assignment – Designing a Care Map

Purpose of Assignment

  1. Assist students with coordination of care for clients with musculoskeletal disorders.
  2. Enhance understanding of the nursing process in coordinating care for a client.

Course Competency

  • Explain components of multidimensional nursing care for clients with musculoskeletal disorders.
  • Select appropriate nursing interventions when providing multidimensional care to clients experiencing alterations in mobility

Instructions

After reviewing the medical conditions presented in the textbook, including osteoporosis, osteomyelitis, disorders of the feet, plantar fasciitis, carpal tunnel disorder, rotator cuff injury, or other musculoskeletal disorders, develop a care map using the template directly after these instructions. For this assignment, include the following: assessment and data collection (including disease process, common labwork/diagnostics, subjective, objective, and health history data), three NANDA-I approved nursing diagnosis, one SMART goal for each nursing diagnosis, and two nursing interventions with rationale for each SMART goal for a client with a musculoskeletal disorder. Designing A Care Map Assignment

 

Assessment

and

Data Collection

 Three NANDA-I Approved                    Nursing Diagnosis One Smart Goal for EACH Nursing Diagnosis Two Nursing Interventions with Rationale for EACH Nursing Diagnosis
Disease Process:

 

 

 

 

 

 

 

 

Common Labwork/Diagnostics:

 

 

 

 

 

 

 

 

Assessment Data (consider subjective, objective, and heath history):

 

 

 

 

 

 

 

 

 Nursing Diagnosis:

 

 

 

 

 

 

 

 

Nursing Diagnosis:

 

 

 

 

 

 

 

Nursing Diagnosis

 SMART Goal:

 

 

 

 

 

 

 

 

 SMART Goal:

 

 

 

 

 

 

 

 

 

SMART Goal:

 1.

 

2.

 

 

 

 

 

 

 

1.

 

2.

 

 

 

 

 

 

1.

 

2.

 

 

Module 05 Assignment – Designing a Care Map Rubric

Total Assessment Points – 65

Levels of Achievement
Criteria Emerging Competence Proficiency Mastery
Assessment / Data Collection

(10 Pts)

 Lacks basic factors of the disease process, common labs, diagnostic tests, and subjective, objective, and health history data.

Failure to submit Assessment/Data Collection will result in zero points for this criterion.

 Briefly identifies the factors including the disease process, common labs, diagnostic tests, and subjective, objective, and health history data. Designing A Care Map Assignment Clearly identifies the factors including the disease process, common labs, and diagnostic tests, and subjective, objective, and health history data. Thoroughly identifies all factors including the disease process, common labs, diagnostic tests, and subjective, objective, and health history data with a deep understanding.
Points – 7 Points – 8 Points – 9 Points – 10
Nursing Diagnosis (should fit the data)

(10 Pts)

 Nursing diagnoses are insufficient and/or do not fit the data.

Failure to submit Nursing Diagnosis will result in zero points for this criterion.

 Writes ONE NANDA-I approved nursing diagnosis in the correct format (including related to/as evidenced by) with a strong connection to identified data. Writes TWO NANDA-I approved nursing diagnoses in the correct format (including related to/as evidenced by) with a strong connection to identified data. Writes THREE NANDA-I approved nursing diagnoses in the correct format (including related to/as evidenced by) with a strong connection to identified data.
Points – 7 Points – 8 Points – 9 Points – 10
SMART Goal (should reflect the diagnosis and follow guidelines)

 (15 Pts)

 The goals meet few SMART goal guidelines and/or are not related to the nursing diagnoses.

Failure to submit SMART goals will result in zero points for this criterion.

 Writes ONE goal for ONE nursing diagnosis and the goal meets all the SMART goal guidelines and are related to the nursing diagnosis. Writes ONE goal for TWO nursing diagnoses and the goals meet all the SMART goal guidelines and are related to the nursing diagnoses. Writes ONE goal for THREE nursing diagnoses and the goals meet all the SMART goal guidelines and are related to the nursing diagnoses.
Points – 11 Points – 12 Points – 13 Points – 15
Interventions and Rationale

(20 Pts)

 Lacks appropriate interventions and rationale to assist the client in resolving the issues leading to the problem.

Failure to submit Interventions and Rationale will result in zero points for this criterion.

 

 Writes 3 interventions with rationale to assist the client in resolving the issues leading to the problem with appropriate references. Writes 5 interventions with rationale to assist the client in resolving the issues leading to the problem with appropriate references. Writes more than 5 interventions with rationale to assist the client in resolving the issues leading to the problem with appropriate references.
Points – 15 Points – 16 Points – 18 Points –20
APA Citation

(5 Pts)

 APA in-text citations and references are missing. Attempted to use APA in-text citations and references. APA in-text citations and references are used with few errors. APA in-text citations and references are used correctly.
Points- 2 Points- 3 Points- 4 Points- 5
Spelling and Grammar

 (5 Pts)

 Numerous spelling and grammar errors, which detract from the audience’s ability to comprehend material. Some spelling and grammar errors, which detract from the audience’s ability to comprehend material. Few spelling and grammar errors. Minimal to no spelling and grammar errors.
Points- 2 Points- 3 Points- 4 Points- 5

 

Designing A Care Map Assignment

Case Study: Assessment And Management Of Patients With Diabetes

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. Sallie Smith, 42 years of age, is newly diagnosed with type 2 diabetes. During the patient education, the patient asks the nurse, “What should I do if I am sick and can’t eat; should I still take my medicine for the diabetes?” (Learning Objective 10)

 

 

  1. What management strategies should the nurse provide the patient to deal with “sick days?”

 

 

  1. Jerry Thomas is a 26-year-old type 1 diabetic. He was originally diagnosed at the age of 14, and currently manages his disease with an intensive regimen of insulin injections. Jerry is employed as a schoolteacher and soccer coach. He presents today with a 2-day history of vomiting and diarrhea. He has been closely monitoring his blood glucoses, and is using regular insulin for high blood glucose levels. He has only been able to tolerate liquids such as Gatorade, but today he is unable to even tolerate that, and comes to the clinic for evaluation of possible diabetic ketoacidosis (DKA). (Learning Objective 9)

 

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  1. Describe the pathophysiology of DKA and why it occurs in patients with type 1 diabetes.

 

  1. Based on the diagnosis of DKA, what assessment findings does the nurse correlate to this disorder?

 

  1. The physician orders a complete metabolic panel, and Jerry’s blood glucose is 425. Other lab values include a serum sodium of 152, serum potassium of 3.0, and BUN of 64. What is your assessment of these results?

 

  1. Explain why it is important for Jerry to continue to take his insulin even though his oral intake is decreased. Case Study: Assessment And Management Of Patients With Diabetes

 

 

Written Capstone Change Project

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opic 8 DQ 1

My evidence-based project is based on determining the knowledge, attitude, and practice regarding using personal protective equipment (PPE) among nurses to prevent the spread of COVID-19 among nurses working at the accident and emergency department. To evaluate the outcomes of the EBP, collection of both dependent and independent variables is essential (Engels et al., 2020). one of the dependent variables that I would collect in the evidence-based projects is the health outcomes of nurses who correctly and consistently correctly and consistently use personal protective equipment  Written Capstone Change Project.The variable is significant because it is determined by the correct use of personal equipment in the hospital care setting.

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The health outcome includes the number of health care professional nurses working at accident and emergency departments who contract COVID-19 due to not using or incorrect use of personal protective equipment. The empirical evidence indicates that the number of nurses working in the out-patient department who contract the COVID -19 increases with the incorrect use of protective equipment such as face masks (Liu et al., 2020). With more health workers becoming infected, there is a decreased health workforce, resulting in pressure on the health care system. Evaluating the prevalence and incidence of the diverse outcomes among nurses would help assess the implementation success of change in the hospital.

According to Reggiani & Schiaffino (2020), the independent variable needed to evaluate an evidence-based project is the correct use of personal protective equipment within the healthcare setting. PPE among nurses determines the prevalence of COVID-19 and the resulting health complications. Uptake of correct and consistent use of PPEs also entails applying knowledge with attitude change and practice among the nursing staff in the healthcare setting. Correct use of PPE while in practice helps determine the COVID-19 cases among the healthcare professionals.

Based on how you will evaluate your EBP project, which independent and dependent variables do you need to collect? Why?

Using 200-300 words APA format with at least two references. Sources must be published within the last 5 years. There should be a mix between research and your reflections. Add critical thinking in the posts along with research. Apply the material in a substantial way . Written Capstone Change Project

Case Study Cardiac Health Assessment Assignment

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Case Study Cardiac Health Assessment Assignment

 A 50-year-old Black female client is admitted to the health care facility with mitral valve prolapse. The client states that a week ago, she became dizzy and began to perspire while at work. She was working at the computer in her office on a major project that was due that day. The client attributed the episode to the stress and anxiety she was experiencing from finishing the project, so she put a cold wet towel around her neck and continued working. The next day, she woke up with a headache and felt a little tightness in her chest. She took an aspirin, and the symptoms subsided. The client became alarmed today when the tightness in her chest felt more like a pain. The client’s presenting symptoms include fatigue, headaches, and sharp chest pains.

 

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Vital signs: BP 160/90 mm Hg, HR 110 beats/min, RR 24 breaths/min, temp. 98.0° F (36.7°C), pulse ox 96%, skin is warm; the nurse notes the client is perspiring. Her weight is 30 lb over what it should be. She gives a history of having a murmur since she was little but that it never caused her any problems. She takes cholesterol and blood pressure–lowering medications daily.

Questions:

  1. What are conditions that contribute to turbulent blood flow or heart murmurs?

Case Study Cardiac Health Assessment Assignment

  1. What are three techniques used to assess the precordium and heart sounds?

 

  1. Based on these symptoms and history, what is the correct landmark for auscultation of heart sounds in this client?

 

  1. What kind of heart sounds may be heard in this client?

 

  1. When teaching this client about coronary heart disease (CHD), which risk factors are important for the nurse to emphasize?

 

  1. If the client asks the nurse if the murmur she has is causing the symptoms, how should the nurse respond?

 

  1. Write a proper nursing diagnosis for this client with 2 nursing interventions with rationales.

Case Study Cardiac Health Assessment Assignment

Population – Mentally Ill/Addicts

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Population – Mentally Ill/Addicts

Your presentation should be at least 15–20 slides, not including your cover slide or reference slides. Your reference slides should cite at least seven references. Your presentation should, at the minimum, include the following topics regarding your chosen vulnerable population and related health education program/plan: Population – Mentally Ill/Addicts

  • Clearly states population chosen
  • Describes the vulnerable population
  • States the current population demographics
  • Discusses background of the problem, and its effect on public health
  • Discusses the cultural background of the selected population and any relevant history pertaining to the population
  • Discusses the psychosocial concerns and/or norms of the population

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  • Discusses the economic concerns of the population including, but not limited to, income levels, educational levels and occupation
  • Discusses specific health concerns of the population
  • Information on specific risk factors for target population is presented concisely and accurately
  • Discusses prevention and control of health concerns and risk factors (primary, secondary and tertiary)
  • Discusses the role of the public health nurse in caring for vulnerable populations
  • States the core functions of public health and applies it to the care of the specific population
  • Three local agencies/facilities delivering services to the target population are identified and accessibility and service rendered are fully described
  • Additional resources needed in the community are identified.
  • Information discussed is current, within the last 5 years.

Remember that your presentation will be viewed/critiqued by your classmates and your instructor, and should be professional in format/appearance. Population – Mentally Ill/Addicts

You will submit your presentation to the assignment dropbox and the Health Education Program Presentation Blog area in the main menu on the left, so that your classmates have a chance to comment on your presentation and provide feedback.

During week 7, you will be asked to review at least two of your classmates’ presentations and give substantive comments/feedback. To do this, click on the Health Education Program blog, find a presentation, watch it, and click comment in the entry to type your feedback.

Due: Sunday, 11:59 p.m. (Pacific time)

Points Possible: 120

Videos can be recorded using any software or tool, but all videos are required to be uploaded to My Panopto Videos for assignment submission.

You can also use the Panopto Desktop Recording tool to create your video. Population – Mentally Ill/Addicts