Family Health Assessment Part 2

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Family Health Assessment, Part 2

Refer back to the interview and evaluation you conducted in the Topic 2 Family Health Assessment assignment. Identify the social determinates of health (SDOH) contributing to the family’s health status. In a 750-1,000-word paper, create a plan of action to incorporate health promotion strategies for this family. Include the following:

  1. Describe the SDOH that affects the family’s health status. What is the impact of these SDOHs on the family? Discuss why these factors are prevalent for this family.
  2. Based on the information gathered through the family health assessment, recommend age-appropriate screenings for each family member. Provide support and rationale for your suggestions.

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  3. Choose a health model to assist in creating a plan of action. Describe the model selected. Discuss the reasons why this health model is the best choice for this family. Provide a rationale for your reasoning.
  4. Using the model, outline the steps for family-centered health promotion. Include strategies for communication.

Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria.

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.

Family Health Assessment, Part 2

Health Information Scenario

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Health Information Scenario

Please read the following scenario and answer the questions for your written assignment.

Ann Smith worked in the Information Services department for Douglasville Hospital. The hospital is a small 75-bed acute care facility in a town of 6,400. Ann’s mother, Janice, had multiple health issues. She lives in Douglasville town, gossiping and collecting news to share with her young-at-heart group at church. Health Information Scenario

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One day, Ann heard her mother screaming for help. Ann quickly ran to her mother’s aid, finding that her husband had collapsed, fallen down the stairs, and was unconscious. Ann called 911, and the paramedics thought that her husband had suffered a myocardial infarction. Ann followed the ambulance to the hospital, leaving her mother at home. She had completely forgotten that she was still signed into the VPN and EHR systems.

While Ann was at the hospital with her husband, her mother wandered into Ann‘s office and noticed that the computer was still logged into the hospital system. Janice opened the record to read it, and as she read through the details of her pastor’s record, she learned that he had lung cancer with brain metastasis.

Janice called one of the friends of the parishioner. The following day, Mildred’s pastor received a call from a member of the prayer chain, expressing concern about his cancer and asking if there was anything she could do to help. Pastor Martin had no idea how any of his parishioners found out about his condition because he had not shared details with anybody. He called the hospital to find out whether they could track who had accessed his records. A report was run and tracked to show that Marissa’s log-on was the most recent to access the record.

Ann was still at the hospital and had spent the night in the intensive care unit (ICU) at her husband’s bedside. Not only had her husband suffered a massive myocardial infarction, but he also had a traumatic cerebral hemorrhage from falling down the stairs. The doctors had just informed her that the damage was irreversible and that he would be unable to survive without dependence on life support. They had discussed the alternatives, and a decision was made to take him off the ventilator.

1. What could have been done to prevent the security breach?
2. What are the legal issues addressed in this case?
3. What are the ethical issues addressed in this case?
4. How are the ethical issues in this case covered in the American Health Information Management Association Code of Ethics?

Health Information Scenario

Interventions For A Patient In The Clinical Setting With A Mood Disorder

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Interventions For A Patient In The Clinical Setting With A Mood Disorder

In this discussion, you’ll describe a patient with a mood disorder and the appropriate nursing interventions. Please answer the following questions in your initial posting:

Describe a client from your clinical setting or previous experience who experienced depression or mania. Include a brief history and 3-5 most pertinent medications.

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  • Identify one problem that was not resolved with the treatment regimen. What are the reasons it may not have been successful? Include nursing as well as other team members.
  • Identify one effective nursing intervention and explain why you feel it worked.
  • Overall, do you feel this client was kept safe? Why or why not?
  • Please provide supporting evidence for your answers.

Remember that your posts must exhibit appropriate writing mechanics, including using proper language, cordiality, and proper grammar and punctuation. If you refer to any outside sources or reference materials, be sure to provide proper attribution and/or citation.

Interventions For A Patient In The Clinical Setting With A Mood Disorder

Medications Procedures In Health Care

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Medications and Procedures In Health Care

Presented a short (50–100 word) response to the topics given below. Be sure to clearly address each question. The assignment is to be submitted electronically as a Microsoft Word document to the instructor.

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  1. Identify the regulations concerning venipuncture, drug administration, and IV medication and how these standards apply in your field.
  2. Explain the repercussions that could arise from violating these standards.
  3. What are the responsibilities of a person in your health care position during a code arrest?
  4. Discuss the repercussions that could arise, both for the patient and you, in regards to the injection of contrast media.
  5. Explain the organization of the information supplied in the Physicians’ Desk Reference (PDR).
  6. What are the benefits of physicians using PDAs to order prescriptions for their patients?
  7. Compare the ratings of addictive drugs on the controlled drug standard. Give an example of each category.
  8. What are some reasons the imaging professional should chart carefully? In what ways is charting accomplished?
  9. Which examinations require charting, and how is this done?

APA format is not required, but solid academic writing is expected.

Medications and Procedures In Health Care

Male Reproductive Disorders

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Male Reproductive Disorders

Jose is a 55-year-old Hispanic male migrant worker who speaks limited English. He presented to the emergency room with complaints of edema of the scrotum, urinary retention, and hematuria. He does not have any pertinent past medical history. He is married and has five young children. He states he has been having problems for a while but delayed seeing the doctor because of his work schedule and limited money. The doctor performs a digital rectal examination in the office and finds that Jose’s prostate is enlarged.

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Initial Post

Male reproductive disorders can have a great impact on a patient’s life. Based on the case study, answer the following questions in your discussion post:.

  1. Discuss the potential disease processes and signs and symptoms related to the disease process that Jose may be exhibiting?
  2. How would you provide multidimensional care to include cultural, psychosocial, spiritual, physical, and emotional needs for Jose?

Male Reproductive Disorders

 

Discussion- Musculoskeletal/Neurologic Function

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Discussion: Musculoskeletal/Neurologic Function

Musculoskeletal Function:
G.J. is a 71-year-old overweight woman who presents to the Family Practice Clinic for the first time, complaining of a long history of bilateral knee discomfort that becomes worse when it rains and usually feels better when the weather is warm and dry. “My arthritis hasn’t improved a bit this summer, though,” she states. Discomfort in the left knee is greater than in the right knee. She has also suffered from low back pain for many years, but recently it has become worse. She is having difficulty using the stairs in her home. The patient had recently visited a rheumatologist who tried a variety of NSAIDs to help her with pain control. The medications gave her mild relief but also caused significant and intolerable stomach discomfort. Her pain was alleviated with oxycodone. However, when she showed increasing tolerance and began insisting on higher doses of the medication, the physician told her that she may need surgery and that he could not prescribe more oxycodone for her. She is now seeking medical care at the Family Practice Clinic. Her knees started to get significantly more painful after she gained 20 pounds during the past nine months. Her joints are most stiff when she has been sitting or lying for some time and they tend to “loosen up” with activity. The patient has always been worried about osteoporosis because several family members have been diagnosed with the disease. However, nonclinical manifestations of osteoporosis have developed. Discussion: Musculoskeletal/Neurologic Function

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Case Study Questions

  1. Define osteoarthritis and explain the differences between it and osteoarthrosis. List and analyze the risk factors that are presented on the case that contribute to the diagnosis of osteoarthritis.
  2. Specify the main differences between osteoarthritis and rheumatoid arthritis; make sure to include clinical manifestations, major characteristics, joints usually affected and diagnostic methods.
  3. Describe the different treatment alternatives available, including non-pharmacological and pharmacological, that you consider appropriate for this patient and why.
  4. How would you handle the patient’s concern about osteoporosis? Describe the interventions and education you would provide to her regarding osteoporosis.

Neurological Function:
H.M is a 67-year-old female, who recently retired from being a school teacher for the last 40 years. Her husband died 2 years ago due to complications of a CVA. Past medical history: hypertension controlled with Olmesartan 20 mg by mouth once a day. Family history no contributory. Last annual visits with PCP with normal results. She lives by herself but her children live close to her and usually visit her two or three times a week. Discussion- Musculoskeletal/Neurologic Function
Her daughter start noticing that her mother is having problems focusing when talking to her; she is not keeping things at home as she used to, often is repeating and asking the same question several times and yesterday she had issues remembering her way back home from the grocery store.

Case Study Questions

  1. Name the most common risks factors for Alzheimer’s disease
  2. Name and describe the similarities and differences between Alzheimer’s disease, Vascular Dementia, Dementia with Lewy bodies, and frontotemporal dementia.
  3. Define and describe explicit and implicit memory.
  4. Describe the diagnosis criteria developed for Alzheimer’s disease by the National Institute of Aging and the Alzheimer’s Association
  5. What would be the best therapeutic approach on C.J.

Post should be at least 500 words per case study, formatted and cited in current APA style with support from at least 2 academic sources.

Discussion: Musculoskeletal/Neurologic Function

Policy & Advocacy For Population Health

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Policy & Advocacy For Population Health

As their names imply, the honeyguide bird and the honey badger both share an affinity for honey. Honeyguide birds specialize in finding beehives but struggle to access the honey within. Honey badgers are well-equipped to raid beehives but cannot always find them. However, these two honey-loving species have learned to collaborate on an effective means to meet their objectives. The honeyguide bird guides honey badgers to newly discovered hives. Once the honey badger has ransacked the hive, the honey guide bird safely enters to enjoy the leftover honey.

Much like honeyguide birds and honey badgers, nurses and health professionals from other specialty areas can—and should—collaborate to design effective programs. Nurses bring specialties to the table that make them natural partners to professionals with different specialties. When nurses take the requisite leadership in becoming involved throughout the healthcare system, these partnerships can better design and deliver highly effective programs that meet objectives. Policy & Advocacy For Population Health

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In this Assignment, you will practice this type of leadership by advocating for a healthcare program. Equally as important, you will advocate for a collaborative role of the nurse in the design and implementation of this program. To do this, assume you are preparing to be interviewed by a professional organization/publication regarding your thoughts on the role of the nurse in the design and implementation of new healthcare programs.

To Prepare:

  • Select a healthcare program within your practice and consider the design and implementation of this program.
  • Reflect on advocacy efforts and the role of the nurse in relation to healthcare program design and implementation.

The Assignment: (2–3 pages)

In a 2- to 3-page paper, create an interview transcript of your responses to the following interview questions:

  • Tell us about a healthcare program, within your practice. What are the costs and projected outcomes of this program?
  • Who is your target population?
  • What is the role of the nurse in providing input for the design of this healthcare program? Can you provide examples?
  • What is your role as an advocate for your target population for this healthcare program? Do you have input into design decisions? How else do you impact design?
  • What is the role of the nurse in healthcare program implementation? How does this role vary between design and implementation of healthcare programs? Can you provide examples?
  • Who are the members of a healthcare team that you believe are most needed to implement a program? Can you explain why?

Policy & Advocacy For Population Health

 

Family Health Assessment

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Family Health Assessment

Understanding family structure and style is essential to patient and family care. Conducting a family interview and needs assessment gathers information to identify strengths as well as potential barriers to health. This information ultimately helps develop family-centered strategies for support and guidance. Family Health Assessment

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This family health assessment is a two-part assignment. The information you gather in this initial assignment will be utilized for the second assignment in Topic 3.

Develop an interview questionnaire to be used in a family-focused functional assessment. The questionnaire must include three open-ended, family-focused questions to assess functional health patterns for each of the following:

  1. Values/Health Perception
  2. Nutrition
  3. Sleep/Rest
  4. Elimination
  5. Activity/Exercise
  6. Cognitive
  7. Sensory-Perception
  8. Self-Perception
  9. Role Relationship
  10. Sexuality
  11. Coping

Select a family other than your own, and seek permission from the family to conduct an interview. Utilize the interview questions complied in your interview questionnaire to conduct a family-focused functional assessment. Document the responses as you conduct the interview.

Upon completion of the interview, write a 750–1,000-word paper. Analyze your assessment findings. Submit your questionnaire as an appendix with your assignment.

Include the following in your paper:

  1. Describe the family structure. Include individuals and any relevant attributes defining the family composition, such as race/ethnicity, social class, spirituality, and environment.
  2. Summarize the overall health behaviors of the family. Describe the current health of the family.
  3. Based on your findings, describe at least two of the functional health pattern strengths noted in the findings. Discuss three areas in which health problems or barriers to health were identified.
  4. Describe how family systems theory can be applied to solicit changes in family members that, in turn, initiate positive changes to the overall family functions over time.

Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria.

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

Family Health Assessment

Traumatic Brain Injury Care Report

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Traumatic Brain Injury Care Report

Scenario

The charge nurse in your clinic has contacted you to assume primary care for a patient and develop a plan for follow-up care. The plan should be personalized for him based on evidence-based research provided by a community expert as well as your own research on the condition. You will also be challenged to determine which aspects of the traumatic brain injury (TBI) approach could be applied to similar situations and patients. Traumatic Brain Injury Care Report

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Your Role

You are a nurse who has been requested to provide primary patient care, including a follow-up care plan. You will revisit the interview with the community TBI expert and prepare a personalized health plan for the patient.

  • Review relevant evidence-based research from 3–5 additional scholarly or professional sources about traumatic head injuries to support your evaluation, recommendations, and plans.
  • The following requirements correspond to the grading criteria in the scoring guide, so be sure to address each point:
    • Evaluate the expected outcomes of the population health improvement initiative (PHII) that the community expert reported based on data.
      • Describe the outcomes that were achieved, their positive effects on the community’s health, and any variance across demographic groups.
      • Describe the outcomes that were not achieved, the extent to which they fell short of expectations and any variance across demographic groups.
      • Identify the factors (for example: institutional, community, environmental, resources, and communication) that may have contributed to any achievement shortfalls. Traumatic Brain Injury Care Report
  • Propose a strategy for improving the outcomes of the PHII for traumatic head injuries.
    • Describe the corrective measures you would take in the PHII to address the factors that may have contributed to achievement shortfalls.
    • Cite the evidence (from similar projects, research, or professional organization resources) that supports the corrective measures you are proposing.
    • Explain how the evidence illustrates the likelihood of improved outcomes if your proposed strategy is enacted.
  • Develop a personalized patient care plan for the patient from the scenario that incorporates lessons learned from the PHII outcomes.
    • Identify a personalized care approach that addresses the patient’s:
      • Individual health needs.
      • Economic and environmental realities.
      • Culture and family.
    • Explain how the lessons learned from the PHII informed the decisions you made in your personalized care plan for the patient.
    • Incorporate references to the best available evidence from the population health improvement initiative and other relevant sources.
  • Identify the level of evidence and describe the value it brings to personalize care for your patient.
    • Identify the level of evidence for each resource you reference.
    • Explain why each piece of evidence is valuable and appropriate for the community health issue you are trying to address and for the unique situation of your patient and his family.
  • Propose an evaluation strategy to assess the outcomes of your personalized care approach.
    • Identify measurable criteria that are relevant to your desired outcomes.
    • Explain why the criteria are appropriate and useful measures of success.
    • Determine the specific aspects of your approach that are most likely to be transferable to other individual cases.

Traumatic Brain Injury Care Report

Health Care Delivery Models

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Health Care Delivery Models

Take a moment to review the details of this assignment below and gather any necessary files. Once you’re ready to submit your assignment, move on to Step 2.Assessment Description

Examine changes introduced to reform or restructure the U.S. health care delivery system. In a 1,000-1,250  discuss action taken for reform and restructuring and the role of the nurse within this changing environment. Health Care Delivery Models

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Include the following:

  1. Outline a current or emerging health care law or federal regulation introduced to reform or restructure some aspect of the health care delivery system. Describe the effect of this on nursing practice and the nurse’s role and responsibility.
  2. Discuss how quality measures and pay for performance affect patient outcomes. Explain how these affect nursing practice and describe the expectations and responsibilities of the nursing role in these situations.
  3. Discuss professional nursing leadership and management roles that have arisen and how they are important in responding to emerging trends and in the promotion of patient safety and quality care in diverse health care settings.
  4. Research emerging trends. Predict two ways in which the practice of nursing and nursing roles will grow or transform within the next five years to respond to upcoming trends or predicted issues in health care.

You are required to cite a minimum of three sources to complete this. Sources must be published within the last 5 years, appropriate for the  criteria, and relevant to nursing practice.

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

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

You are required to submit to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

Health Care Delivery Models