MN 577 Midterm Alternative Assignment 

Sandra Smith is a 21 year old female G0P0 who presents to your office with complaints of 3 days of dysuria and vaginal discharge, she admits to recent, unprotected vaginal intercourse with a new male partner.

1. What do you need to include in your focused physical assessment of Sandra?

2. What diagnostic tests would you order?

3. List 3 differential diagnosis for this case study.

4. What are the potential sequele of unprotected sex? 

5. If this is an STI, what would be the course of action as a provider for the patient’s partner?

6. If you perform a wet mount, what could the results indicate?

7. What are other considerations that are needed in caring for a women’s health patient in the Primary care setting?

8. Explain your non-pharmacological management of this patient.

9. List pharmacological management of this patient. 

10. What would you need to include in your patient/family teaching?

Choose a nursing theory and research an article that includes a nursing theory and its utilization in nursing practice or nursing research. Write a two paragraph summary of the article highlighting the application of the selected nursing theory to nursing practice and reaserach.

Article should be current, peer reviewed and within a five year span.

-Use APA format for your references and citations

Module 1 – Case

INTRODUCTION TO COMMUNITY HEALTH

Assignment Overview

Understanding conceptually a community is critical to understanding this course. After reading the appropriate articles and websites listed on the Background page you should have a good understanding of what is a community and some of the differences between community health and public health.

Case Assignment

In responding to the questions below, I want you to immerse yourself into this course and try to think “out of the box.” Research points or questions you may not understand running key words through Google or another search engine. Remember, we don’t require examinations at TUI University but we do want you to demonstrate through the written word that you understand the key concepts presented in the course.

Please briefly answer the following questions:

1. Which factor do you believe most affects the health of the community? Generally, these factors are classified as physical factors, social and cultural factors, community organization, and individual behavior. Please justify your response.
2. Define community, community health and public health. Discuss the domains of personal and community health within the context of the community.
3. Discuss and explain community health practices and what are their relationship to promoting a healthy community.
4. Explain health disparity and their causes? Identify the problems related to health disparity.
5. Discuss and explain a particular Social Determinant of Health that you consider to be the most important that can be improved by changing or modifying public policy as described by Richard Wilkinson and Michael Marmot in the WHO (2008) “Closing the gap in a generation” article.

Please submit your Case Assignment by the end of Module 1. Please refer to the Trident calendar for exact due dates. Please contact me at any time should you have any questions.

Assignment Expectations

1. You are expected to consult the scholarly literature in preparing your paper; you are also expected to incorporate relevant background readings.
2. Your paper should be written in your own words. This will enable your instructor to assess your level of understanding.
3. In order to earn full credit, you must clearly show that you have read ALL required Background materials.
4. Be sure to cite your references in the text of all papers and on the reference list at the end. For examples, look at the way the references are listed in the modules and on the Background reading list. Remember, any statement that you make that is not common knowledge or that originates from your synthesis or interpretation of materials you have read must have a citation associated with it. For guidelines on in-text citations, visit the following website: https://owl.english.purdue.edu/owl/resource/560/02/
5. Proofread your paper to be sure grammar and punctuation are correct and that each part of the assignment has been addressed clearly and completely.
6. Your assignment will not be graded until you have submitted an Originality Report with a Similarity Index (SI) score <15% (excluding direct quotes, quoted assignment instructions, and references). Papers not meeting this requirement by the end of the session will receive a score of 0 (grade of F). Papers with a lower SI score may be returned for revisions. For example, if one paragraph accounting for only 10% of a paper is cut and pasted, the paper could be returned for revision, despite the low SI score. Please use the report and your SI score as a guide to improve the originality of your work.

Length: This Case Assignment should be 3-5 pages (double-spaced) in length and should include 4-5 peer reviewed references, not counting the title and references page.

Note: Wikipedia is not an acceptable source of information.

Instructions

In this assignment, you will be required to use the Heart Rate Dataset to complete the following:

• Identify the variables in the dataset
• Classify each variable as qualitative or quantitative discrete or quantitative continuous
• Specify the possible values of each variable
• Give a brief written description of what each variable tells us about the data provided.

Steps

1. Open the Heart Rate Dataset in Excel
2. There are 3 columns of data. Each column represents a different variable.  What are the 3 variables represented in the dataset?
3. Identify each of the 3 variables as qualitative, quantitative discrete, or quantitative continuous
4. Identify the possible values of each of the 3 variables in this dataset.
5. Briefly describe what information each of the 3 variables tells us about the data

Additional Instructions:

Your assignment should be typed into a Word or other word processing document, formatted in APA style. The assignments must include

Assignment #1 

Do two trifold client teaching flyers – one on Schizophrenia and one on Bipolar I (mania) 

Flyer should have a section providing key info on the disease. 

Signs symptoms of the disease expected findings for each condition.

Risk factor for each disease. Bipolar I pg 73 of the attached textbook. And schizophrenia pg. 77. 

Medication used for each condition. 

What can you teach your client regarding disease management? 

Tips on medication management for each condition this is in the textbook.

Nursing considerations and actions for each condition – this is in the textbook.

The information should be presented in short bullets points. 

Assignment #2 800 words. 

Watch the You tube Video – “Schizophrenia Simulation, Are Schizophrenia Simulations Accurate?” 

Described what you have learned regarding Schizophrenia?

What signs symptoms and expecting finding are seen in this condition? 

Is the information presented council with the information presented in the textbook and other resource? 

How has this video increased your perception and learning experience? provide examples and details. 

Use at least 4 references in your response. 

Assignment #3 

Find one scholarly article on nursing interventions related to either Schizophrenia – then write a 2-page summary of the article and submit a copy of the article. The original article must be submitted. 

work must be in APA format. 

1. Directly respond to at least one classmate in a way that extends meaningful discussions, adds new information, and/or offers alternative perspectives.

Importance of Social, Biological, and Genetic Determinants

I do not think that social determinants are necessarily more important than the biological and genetic determinants of health for health educators to understand.  The biological makeup of a person is important, a person may have been born with ‘HIV, sickle-cell anemia, hemophilia, cystic fibrosis, BRCA1 or BRCA2 gene (risk of breast and ovarian cancer),’ (Healthy People 2020, 2020).  Knowing these underlying conditions about a person will significantly affect their future.  Genetic conditions that they are born with could greatly influence what conditions they must be raised in, the level of care they will require, what support they will need, and much more.  Although understanding genetic determinants is important, understanding social determinants are equally important to a person’s welfare.  Social determinants help us understand hose affected by them because they allow us to grasp a clearer understanding of why someone behaves a certain way if it is outside the scope of a social norm.  A person who does not have access to adequate education, health care, community support, or is exposed to criminal activity and violence may be steered down a path of self-destruction because the environment they grew up in does not support healthy behavior (Healthy People 2020, 2020). 

Influence of Health Education

There are many opportunities for health educators to influence education to improve the living situations of the people that are most affected by social determinants.  Establishing community programs is critical in regards to those exposed to violent situations because it presents an opportunity to socialize with people that one, wants to help them succeed and two, socialize with peers that also have the desire for a better future.  A mentorship program will allow for one-on-one interactions with affected people to encourage them to continue on the right path to a bright future.  Outreach programs to at-risk youth and teens will initiate the connection between those at-risk and those that want to ensure those teens will make for positively influential citizens.  Teaching youth about job opportunities and how to function in the workforce is another way to create an environment that encourages them to be productive members of society.  Health education needs to encourage different avenues to deter negative social determinants to create environments where all people can be successful. 

Conclusion

Social, biological, and genetic determinants are equally important for health educators to understand because each component holds value in determining the future of a child.  Biological and genetic determinants are important for the medical aspect of their future whereas social determinants can influence how a person may act.  Health education should get more involved in creating programs that help at-risk youth and ensuring that they have all opportunities to be successful in their future. 

Very Respectfully,

Victoria Williams

I have 20 questions need to be answered a few sentences each 

• Submit your 20–25-page final capstone project that synthesizes the work you completed in the previous four assessments

  Note: Each assessment in this course builds on the work you completed in the previous assessment. Therefore, you must complete the assessments in this course in the order in which they are presented.

• Assessment Instructions
• Instructions
  Note: The assessments in this course are sequenced in such a way as to help you build specific skills that you will use throughout your program. Complete the assessments in the order in which they are presented.
  For your final capstone project submission you will synthesize the work you completed in the previous four assessments. Please make sure that you have made relevant revisions as suggested by your instructor, as well as relevant additions that you uncovered during your practicum experience. The only brand-new content that you will need to create for this assessment is an Abstract and an Introduction.
  This final submission will be graded using the seven program outcomes (POs) for the Master’s of Science in Nursing program. As a reminder they are:
  1. Lead organizational change to improve the experience of care, population health, and professional work life while decreasing cost of care.
  2. Evaluate the best available evidence for use in clinical and organizational decision making.
  3. Apply quality improvement methods to impact patient, population, and systems outcomes.
  4. Design patient- and population-centered care to improve health outcomes.
  5. Integrate interprofessional care to improve safety and quality and to decrease cost of care.
  6. Evaluate the ability of existing and emerging information, communication, and health care technologies to improve safety and quality and to decrease cost of care.
  7. Defend health policy that improves the experience of care, population health, and professional work life while decreasing cost of care.
  8. In addition, you will be assessed on how well you incorporated the feedback you received from your instructor on your previous work in this course via the following criterion:
  • Integrate writing feedback to improve the clarity and quality of final product.
  • You will also be assessed on the completion of hours toward your practicum experience.
  • Demonstrate completion of hours toward the practicum experience.
  • See the scoring guide for specific grading criteria related to these requirements.
    Please carefully review the outline below to see which parts of the final submission will align to which program outcomes. (Note: The bullet points in the outline correspond to the grading criteria from your previous assessments. It may be worth putting in some extra revisions on the material related to criteria on which you did not previously score as well as you would have liked. You may also wish to read the Guiding Questions: Final Project Submission document to better understand how each aspect of your submission will be assessed.) It is important to remember that if you do a quality job addressing the points below, you will meet all of the program outcomes. The alignment is provided for transparency, but do not become preoccupied with how each point will feed into the scoring guide.
    Abstract
  • Summarize the purpose, approach, and any relevant findings of the final capstone project submission (PO #1).
  • Introduction
  • Summarize your need, target population, and setting (PO #1).
  • Provide a high-level overview of your intervention plan (PO #4).
  • Justify the importance of your need and intervention plan (PO #1).
  • Provide a high-level overview of your implementation plan (PO #4).
  • Provide a high-level over view of your evaluation plan (PO #4).
  • Reminder: these instructions are an outline. Your heading for this this section should be Problem Statement and not Part 1: Problem Statement.
    Part 1: Problem Statement
    Need Statement
  • Analyze a health promotion, quality improvement, prevention, education or management need (PO #1).
  • Population and Setting
  • Describe a target population and setting in which an identified need will be addressed (PO #4).
  • Intervention Overview
  • Explain an overview of one or more interventions that would help address an identified need within a target population and setting (PO #3).
  • Comparison of Approaches
  • Analyze potential interprofessional alternatives to an initial intervention with regard to their possibilities to meet the needs of the project, population, and setting. (PO #5).
  • Initial Outcome Draft
  • Define an outcome that identifies the purpose and intended accomplishments of an intervention for a health promotion, quality improvement, prevention, education or management need (PO #4).
  • Time Estimate
  • Propose a rough time frame for the development and implementation of an intervention to address and identified need (PO #1).
  • Part 2: Literature Review
  • Analyze current evidence to validate an identified need and its appropriateness within the target population and setting (PO #2).
  • Evaluate and synthesize resources from diverse sources illustrating existing health policy that could impact the approach taken to address an identified need (PO #7).
  • PART 3: INTERVENTION PLAN
    Intervention Plan Components
  • Define the major components of an intervention plan for a health promotion, quality improvement, prevention, education, or management need (PO #4).
  • Explain the impact of cultural needs and characteristics of a target population and setting on the development of intervention plan components (PO #4).
  • Theoretical Foundations
  • Evaluate theoretical nursing models, strategies from other disciplines, and health care technologies relevant to an intervention plan (PO #6).
  • Justify the major components of an intervention by referencing relevant and contemporary evidence from the literature and best practices (PO #2).
  • Stakeholders, Policy, and Regulations
  • Analyze the impact of stakeholder needs, health care policy, regulations, and governing bodies relevant to health care practice and specific components of an intervention plan (PO #7).
  • Ethical and Legal Implications
  • Analyze relevant ethical and legal issues related to health care practice, organizational change, and specific components of an intervention plan (PO #1).
  • Part 4: Implementation Plan
    Management and Leadership
  • Propose strategies for leading, managing, and implementing professional nursing practices to ensure interprofessional collaboration during the implementation of an intervention plan (PO #5).
  • Analyze the implications of change associated with proposed strategies for improving the quality and experience of care while controlling costs (PO #1).
  • Delivery and Technology
  • Propose appropriate delivery methods to implement an intervention which will improve the quality of the project (PO #3).
  • Evaluate the current and emerging technological options related to the proposed delivery methods (PO #6).
  • Stakeholders, Policy, and Regulations
  • Analyze stakeholders, regulatory implications, and potential support that could impact the implementation of an intervention plan (PO #5).
  • Propose existing or new policy considerations that would support the implementation of an intervention plan (PO #7).
  • Timeline
  • Propose a timeline to implement an intervention plan with reference to specific factors that influence the timing of implementation (PO #1).
  • Part 5: Evaluation of Plan
  • Define the outcomes that are the goal of an intervention plan (PO #4).
  • Create an evaluation plan to determine the impact of an intervention for a health promotion, quality improvement, prevention, education, or management need (PO #3).
  • Part 6: Discussion
    Advocacy
  • Analyze the nurse’s role in leading change and driving improvements in the quality and experience of care (PO #1).
  • Explain how the intervention plan affects nursing and interprofessional collaboration, and how the health care field gains from the plan (PO #5).
  • Future Steps
  • Explain how the current project could be improved upon to create a bigger impact in the target population as well as to take advantage of emerging technology and care models to improve outcomes and safety (PO #6).
  • Reflection on Leading Change and Improvement
  • Reflect on how the project has impacted your ability to lead change in personal practice and future leadership positions (PO #1).
  • Reflect on the ways in which the completed intervention, implementation, and evaluation plans can be transferred into your personal practice to drive quality improvement in other contexts (PO #3).
  • Address Generally Throughout
  • Integrate resources from diverse sources that illustrate support for all aspects of the project as appropriate throughout the final submission (PO #2).
  • Clearly, concisely, and cohesively articulate a health care need, population, setting, stakeholders, supporting evidence, intervention, and evaluation (PO #6).
  • Integrate writing feedback to improve the clarity and quality of final product.
  • Length of submission: 20–25 pages (including references).
  • Written communication: Written communication is free of errors that detract from the overall message.
  • Number of resources: Minimum of 12–18 resources.
  • APA formatting: Resources and citations are formatted according to current APA style.
  • Font and font size: Times New Roman, 12 point.

A 23-year-old male patient is admitted with a fracture of C6 and C7 that has resulted in quadriplegia. He was injured during a football game at the university where he is currently a senior. His career as a quarterback had been very promising. At the time of the injury, contract negotiations were in progress with a leading professional football team.

1. Use Roy’s criteria to identify focal and contextual stimuli for each of the four adaptive modes.

2. Consider what adaptations would be necessary in each of the following four adaptive modes: (1) physiological, (2) self-concept, (3) interdependence, and (4) role function.

3. Create a nursing intervention for each of the adaptive modes to promote adaptation.

Understanding the health care system at the local level is important to consider when planning an EBP implementation because it gives you an indication of what you can expect as far as demographics and availability of resources. According to my course preceptor, when any evidence-based implementation has taken place at her facility, such as the changed from paper charting to electronic medical records (EMR) has been a difficult endeavor that has required much planning and implementation. To promote use of research evidence in clinical and administrative health care decision making, multifaceted implementation strategies are needed (Moloney, Taylor & Ralph, 2016). Implementation strategies also need to address both the individual practitioner and organizational perspective. In addition to a shared vision, effective leadership is needed for change to be successful.

The key to transformational change or any change is to have leadership that is able to understand it, support it, explain it, and move the organization to commit to it (Cowell, Gillespie, Cheung & Brown, 2018). Although full schedules, distracting events, fear of change, and apathy are obstacles to change, the real enemy of change is complacency and having the will to change is vital even groups that seek change may be complacent and not committed to follow through.