Monthly Archives: May 2023

Holistic Assessment of the Older Adult

This assignment is a voice over PowerPoint recording of 13-15 minutes.

For the PowerPoint and recorded presentation, create a presentation that addresses each of the following points/questions. Be sure to completely answer all the prompts or questions for each bullet point. Use clear headings that allow your professor to know which bullet you are addressing on the slides in your presentation. Support your content with at least four (4) scholarly sources throughout your presentation, referencing in APA style. Include title and references slides in the presentation. Follow best practices for PowerPoint presentations related to text size, color, images, effects, wordiness, and multimedia enhancements. Ensure that you have permission from your older adult to conduct the health assessment and ensure that they are not identified on the PPT. Review the Signature Assignment rubric criteria for this assignment.

Part 1: Assessment: Choose an adult (65 years or older) friend or relative and perform a holistic health assessment. Clearly discuss your discovered holistic health assessment data. Your assessment should include the following parts for the holistic assessment:

• General Health History
• Physiological Assessment
• Psychological Assessment
• Social Assessment
• Cultural Assessment
• Developmental Assessment
• Spiritual Assessment

Part 2: Interpretation (Abnormality and Coping)

• Choose one abnormality from the data gained in the assessments and discuss possible reasons/causes for the abnormality. 
• How does this abnormality impact the other areas of the patient’s life?
• Discuss the client’s stress and coping mechanisms.  
  • Are they healthy? 
  • What recommendations and improvements could be made that are individualized for this person?

Part 3: Teaching Plan: Create a teaching plan that addresses the client holistically by applying the assessment data you have analyzed. 

• Describe at least one client goal for each of the six categories (each category should have a goal) (physical, psychological, social, cultural, developmental, and spiritual).
• Discuss one strategy per goal you would use to teach your client about each individual goal
• Explain how you will evaluate if your teaching was effective 
  • Title Slide (1 slide)
  • Objective Slide (1 slide)
  • Assessment
    • General Health History (1slide)
    • Physical (1 slide)
    • Psychological (1 slide)
    • Social (1 slide)
    • Cultural (1 slide)
    • Developmental (1 slide)
    • Spiritual (1 slide)
  • Interpretation (Abnormality and Coping)
    • Abnormality, Reasons/Causes, Impact on Life (1 slide)
    • Stress, Coping, Recommendations (1 slide)
  • Teaching Plan
    • Physical Goal and Teaching Strategy (1 slide)
    • Psychological Goal and Teaching Strategy (1 slide)
    • Social Goal and Teaching Strategy (1 slide)
    • Cultural Goal and Teaching Strategy (1 slide)
    • Developmental Goal and Teaching Strategy (1 slide)
    • Spiritual Goal and Teaching Strategy (1 slide)
    • Evaluation Plan (1 slide)
  • References (1 slide)

Assignment Expectations:

Length: PPT of 19-21 slides; Recording 13-15 min

Structure: Include a title slide, objective slide, content slides, and reference slide in APA format. Recording is of PPT slides, with voice only.

References: Use appropriate APA style in-slide citations and references for all resources. A minimum of four (4) scholarly sources are required.

Older adults (OA) are at risk for potential hazards of hospitalization, these include: immobility, delirium, medication side effects, malnutrition, pressure ulcers, procedures, peri- and postoperative periods, and hospital-acquired infections and more. Discuss in detail three potential hazards for this population while in the hospital and identify potential prevention strategies for each hazard.

Your initial posting should be at least 400 words in length and utilize at least one scholarly source 

In nursing practice, accurate identification and application of research is essential to achieving successful outcomes. The ability to articulate research data and summarize relevant content supports the student’s ability to further develop and synthesize the assignments that constitute the components of the capstone project.

The assignment will be used to develop a written implementation plan.

For this assignment, provide a synopsis of the review of the research literature. Using the “Literature Evaluation Table,” determine the level and strength of the evidence for each of the eight research articles you have selected. The articles should be current (within the last 5 years) and closely relate to the PICOT question developed earlier in this course. The articles may include quantitative research, descriptive analyses, longitudinal studies, or meta-analysis articles. A systematic review may be used to provide background information for the purpose or problem identified in the proposed capstone project.

While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

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

You are not required to submit this assignment to LopesWrite.

Reply to this discussion post (site sources if applicable)

Following discussion with my preceptor, there are different aspects that do need to be taken into account when proposing my education program to the OB clinic. The financial aspect that needs to be taken into consideration is how will the education program which is a pamphlet be printed and given to patients. The financial aspect would be a small portion of the clinic budget as the hospital has a print shop that allows for printing of educational papers to be done and ordered efficiently. One quality aspect that needs to be considered is increasing knowledge of parents. At the present moment there is a lack of retention of educational topics which leads to a lack of knowledge amongst parents on some areas of maternal child health. Increasing knowledge amongst parents depicts the need for having different methods of education to be successful with retention of knowledge. Also, clinically this education program will improve overall wellness for mother and baby following discharge from the hospital. The education pamphlet consists of tips to improve nipple pain and trauma during breastfeeding, ways to soothe a fussy baby, techniques to assist with knowing when a baby has had enough nutrition and when developing a sleep schedule is necessary. All of these aspects will improve the wellness of mom and baby following delivery. Overall, these aspects play a role in being successful with implementing an education initiative at the clinic.

case study.  

Students much review the case study and answer all questions with a scholarly response using APA and include 2 scholarly references. Answer both case studies on the same document and upload 1 document to Moodle.

 Case Study 3 & 4 S Inflammatory Bowel Disease and Urinary Obstruction 

The answers must be in your own words with reference to journal or book where you found the evidence to your answer. Do not copy paste or use a past students work as all files submitted in this course are registered and saved in turn it in program.

Answers must be scholarly and be 3-4 sentences in length with rationale and explanation. No Straight forward / Simple answer will be accepted.  

Turn it in Score must be less than 50% or will not be accepted for credit, must be your own work and in your own words. You can resubmit, Final submission will be accepted if less than 50%. Copy paste from websites or textbooks will not be accepted or tolerated. Please see College Handbook with reference to Academic Misconduct Statement.

All answers to case studies must have reference cited in text for each answer and minimum of 2 Scholarly References (Journals, books) (No websites)  per case Study

Requirements:

You are a family nurse practitioner working in an outpatient primary care office of a large hospital system. The practice has been operating for over 15 years, and many of the administrative and clinical staff were hired when the practice opened. You have been in the practice for less than 3 months. In that short amount of time, you have witnessed several of the clinical staff engaging in heated arguments with each other, sometimes in patient areas. You overhear an argument occurring today between two staff. You pick up a patient’s chart and notice a very low blood pressure that the medical assistant failed to notify you about. When you confront the MA, she states that she was going to report the vital signs to you when she became engaged in the heated argument you overheard and forgot to notify you. 

Unfortunately, this pattern of behavior is not unusual in this practice. Working with staff who cannot cooperate effectively can negatively influence your ability to spend time with patients, can impede the flow of patients through the office, and could impact patient safety. 

Case Study Responses: 

Analyze the case study for potential issues for members of the healthcare team from office conflict. Contrast the potential effects for each member of the healthcare team based upon the required readings from the week. Discuss the potential ethical and legal implications for each of the following practice members: 

Medical assistant 

Nurse Practitioner 

Medical Director 

Practice 

What strategies would you implement to prevent further episodes of potentially dangerous patient outcomes? 

What leadership qualities would you apply to effect positive change in the practice? Focus on the culture of the practice?

Part of the concerns, in this practice, are related to a hostile work environment. I am wondering about the legal ramifications of the leadership of this practice allowing a hostile work environment? Are there organizational, state or federal policies/laws to protect employees? 

Have you worked in a hostile environment in the past?

Communication, calm demeanor and professional behavior is imperative. Familiarity can breed unrest and contempt, however, it is the responsibility of the office manager to maintain a professional environment. 

So here’s something else to consider in this week’s case, looking at this week’s readings, I am wondering how the concept of a Compliance Officer would fit into this scenario?? What are your thoughts??

Letz, K. (2017). The NP guide: Essential knowledge for nurse practitioner practice. (3rd ed.). American College of Nurse Practitioner Faculty. 

Chapter 10 Corporate Compliance/ Legal Ease

Buppert, C. (2017). Nurse practitioner’s business practice & legal guide (6th ed.). Jones & Bartlett Publishers.

Chapter 8 Risk Management

Instructions

Surveillance Database

Explore the CDC Wonder website. Select a potential health problem from the following CDC Wonder Databases:

• Environment
• Mortality
• Population

Tasks:

Using the South University Online Library or the Internet, research your selected surveillance database. Based on your research, create a 3- to 4-page Microsoft Word report that covers the following aspects in detail:

• Describe and explain the main surveillance data collected in the database of interest.
• Describe the aspects of how clinical and administrative systems contribute data used in public health surveillance.
• Analyze how existing surveillance systems and health information systems serve forces driving change, including healthcare reform and bioterrorism (anthrax, food/water contamination and air borne contaminations).

Submission Details:

• Support your responses with examples. Cite any sources in APA format.

Write a five sentences argumentative essay with the following topic;

 What is the role of social media in education or should parents be soft on their children for their upbringing?

journal two parts

In an interesting study I recently read about childhood obesity, a molecular marker in saliva was found to be associated with the emergence of childhood obesity in a group of preschool-aged Hispanic children. Crazy, isn’t it?! The investigators found that methylation of a gene called NRF1, which has roles in adipose tissue inflammation, was associated with childhood obesity. A child with the NRF1 methylation at baseline had a threefold increased odds of being obese three years later, after controlling for maternal BMI and other factors. What do you think would be helpful to families who find out their child has an increased disposition towards obesity? I would be interested in hearing your thoughts.