NURS 3150 – Foundations of Nursing Research

NURS 3150 – Foundations of Nursing Research

Nurses must understand research in order to effectively participate in the provision of evidence-based nursing care. Students in this course learn the foundational elements of the research process, refine information literacy skills, and develop an understanding of ethical research. Students investigate each step of the research process and complete a critical examination of quantitative and qualitative research relevant to their nursing practice. Students are given the tools to analyze nurse-sensitive indicators and clinical practice guidelines. (Prerequisite(s): RN-BSN Track students: STAT 3001 or PSYC 3002; RN-BSN-AIM Track students: STAT 3001 or PSYC 3002; cannot be taken with NURS 5052.)

  • NR3001 Research Process
    Recognize the elements of the research process.
  • NR3002 Research Methodology
    Analyze research methodologies.
  • NR3003 Interpreting Data
    Analyze and interpret research data.
  • NR3004 Research Recommendations
    Generate reasonable conclusions and recommendations based on published research findings.
Discussion – Week 1
Pregnancy is a crucial time for the development of human life. There are many changes and growth that is happening during the nine months of pregnancy. The pregnant mother must alter her lifestyle to meet the needs of her growing baby. Some of these changes include ending drug and alcohol abuse, eating appropriate foods and avoiding harmful foods, receiving proper prenatal care, and staying active to promote a healthy pregnancy.

Check out another post by our paper writing experts aimed at assisting students on NURS 3110 – Information Management and Patient Care Technology

BUY A PLAGIARISM-FREE PAPER HERE

Place your order now, we write everything from scratch

Patient Safety Problem

I live near an American Indian reservation and I have encountered countless mothers who had late or no prenatal care. In 2017, American Indians were most likely to report late or no prenatal care in 12 percent of births (Late or No Prenatal Care, 2019). The lack of prenatal care poses a risk for both mother and baby. In my experience, when a mother is not receiving prenatal care, they are also involved in reckless activities that are actively harming her and baby. Some of these reckless activities include using drugs and abusing alcohol. Using tobacco and drinking alcohol during pregnancy has been linked to increase the risk of sudden infant death syndrome. Drinking alcohol during pregnancy can also increase the risk of fetal alcohol spectrum disorders, intellectual disabilities, problems with vital organs and having a small head (What is prenatal care and why is it important, 2017). There are countless, long-term effects of children who have been born from a mother who used illegal substances during pregnancy while not receiving proper prenatal care. NURS 3150 3151: Foundations of Nursing Research.

Change in Practice

A change that could be beneficial for pregnant mothers on the reservation would be completing home visits. Research has shown that a home visiting program for pregnant women and their infants brings about participation and knowledge that will increase positive maternal and infant outcomes (Johnson, 2020). Often, these pregnant mothers do not have the means to go to an appointment or to provide a healthy lifestyle in pregnancy. A home visit would literally meet the expecting mother where she is, she wouldn’t have to try to find a ride to the clinic. Prenatal care and education would be completed, along with supplying necessary vitamins that include folic acid. Enrolling a mother in a drug or alcohol rehab that is safe for pregnancy could improve pregnancy outcomes for both mom and baby.

Research Question

Would home prenatal visits to low-income, high-risk expecting mothers improve pregnancy outcomes for mother and baby?

This question is an example of quantitative research. Common demographic variables utilized in quantitative research are gender and ethnicity (Grove, et al., 2013). Quantitative research contains probable designs, and this research question falls under the quasi-experimental category because it measures the cause and effect of prenatal care via home visits. I think that this type of research would best fit the question posed because quality prenatal care correlates with positive pregnancy outcomes. The other three types of research, descriptive, correlation and explanation, are not useful for this research question simply because they are not focused on the independent variable (prenatal care) that causes change in the dependent variable (pregnant mothers and their baby) (Grove, et al., 2013). NURS 3150 3151: Foundations of Nursing Research.

 

Late or No Prenatal Care. (2019, May 3). Retrieved July 14, 2020, from https://www.childtrends.org/indicators/late-or-no-prenatal-care

What is prenatal care and why is it important? (2017, January 31). Retrieved July 14, 2020, from https://www.nichd.nih.gov/health/topics/pregnancy/conditioninfo/prenatal-care

Johnson, M. B. (2020). Prenatal Care for American Indian Women. MCN: The American Journal of Maternal/Child Nursing, 45(4), 221-227. doi:10.1097/nmc.0000000000000633

Grove, S. K., Burns, N., & Gray, J. (2013). The practice of nursing research: Appraisal, synthesis, and generation of evidence. St. Louis, MO: Elsevier/Saunders.

Week 1: Overview of Research

What is research, and how does research relate to nursing practice?

Nursing practice is based on outcomes and best practices supported by research findings. That is, issues related to health are examined, and proposed solutions to promote patient safety and health care quality are tested to best determine nursing protocols for professional practice. Consider for example, current nursing protocols to minimize patient falls in health care settings. Without research, extensive testing, and an awareness of how to promote solutions to minimize the risk of falls, there is an increased risk that this very real patient problem would get worse.

This week you explore an overview of the different types of research uses in health care settings. You examine how each type of research is used by nurses in providing quality of care and in promoting positive patient safety outcomes. The week will conclude with an overview of the basic elements of the research process: (a) problem identification, (b) review of literature, (c) implementation of research methods, (d) analyses and presentation of findings, and (e) conclusions about implications for practice.NURS 3150 3151: Foundations of Nursing Research.

Learning Objectives

Students will:
  • Describe steps of the research process to advance knowledge about quality of care and patient safety
  • Develop a research question that guides the development of a study on patient safety
  • Develop a research question that guides the development of a study
  • Identify different types of research and their contribution to health care

Learning Resources

Required Readings

Gray, J. R, Grove, S. K., & Sutherland, S. (2017). The practice of nursing research: Appraisal, synthesis, and generation of evidence (8th ed.). St. Louis, MO: Elsevier.

  • Chapter 1, “Discovering the World of Nursing Research” (pp. 1-15)
  • Chapter 2, “Evolution of Research in Building Evidence-Based Nursing Practice” (pp. 18-34)
  • Chapter 5, “Research Problem and Purpose” (pp. 76-93)
  • Chapter 6, “Objectives, Questions, Variables, and Hypothesis” (pp. 98-117)

Writing Resources and Program Success Tools

Document: Academic Writing Expectations (AWE) Checklist (Word Document)

 

This checklist will help you self-assess your writing to see if it meets academic writing standards for this course. NURS 3150 3151: Foundations of Nursing Research.


Discussion: Choosing the Type of Research for a Research Problem

How do you choose the type of research to conduct to address a research problem? What information should you keep in mind to ensure that your research process will adequately address your research problem?

Understanding the different types of research is a critical skill for the nurse researcher and nursing professional. As a current nursing professional, consider how understanding the different types of research may be conducive to achieving a particular mission in your health care setting, such as developing an intervention to address a quality or patient safety problem. This knowledge can also be a step toward assuming a nursing leadership position. As a critical component of your nursing toolkit, differentiating between the types of research is a fundamental step toward enacting change through the process of research.

For this Discussion, please review the following:

  • Think about clinical practice problems you have seen in health care that compromise patient safety and health outcomes. For example, nursing-sensitive indicators reflect high-priority practice problems, which are described in the article by Martinez, Battaglia, Start, Mastal, and Matlock (2015).
  • Choose one of the clinical practice problems you have seen in your current or past job in a health care setting. Consider the possible causes of this problem and how you think it is, or was, affecting patient outcomes.
  • Some patient safety problems are solved by making changes in clinical practice. For example, decreasing catheter-associated urinary tract infections in hospitalized patients often requires changes in clinical practice such as better adherence to preventive measures when catheters are inserted (e.g., use of disposable gloves, maintaining sterile fields, cleansing urethral meatus). For the problem you identified, what specific change in practice do you think is needed?
  • When a practice change is implemented, it is important to verify whether or not the change has improved patient outcomes. One way to determine this is by conducting research. One of the first steps in the research process involves developing a research question that will later serve as the foundation for your study. Using information from Chapter 5 in your textbook and the handout on developing research questions, think about a research question and about the effectiveness of the practice change you proposed in improving patient outcomes.
  • Another step in the research process involves identifying which type of research could be conducted to best answer your research question. In Chapter 5 of your textbook you will find a list of different types of research in the first column in Table 5-2, and Table 5-3. You can learn more about these different types of research in both Chapter 2 and the Glossary in your textbook. To locate even more information, you can also use an Internet search engine for more in-depth descriptions and examples. After learning more about the different types of research, think about which one you think is best for determining how well the clinical practice change you identified will improve patient outcomes.

By Day 3

Post a description of how you would address the following:

Part 1: Patient Safety Problem

Describe the patient safety problem you identified, its causes, and the impact you think it has on patient outcomes. For this problem, describe a specific change in practice that could help improve patient outcomes.

Part 2: Research on Patient Safety Problem

Develop a research question that tests the effectiveness of your practice change in the improvement of one or more patient outcomes. What type of research would you use to answer this question? Describe the reasons why you think this is the best approach and why you would not use the other three types of research.

Note: Post a three paragraph (at least 350 words) response. Be sure to use evidencein-text citations, and essay-level writing skills, including the use of transitional material and organizational frames. Use the writing resources to develop your post.

By Day 7

Read two or more of your colleagues’ postings from the Discussion question.

Respond to two or more of your colleagues with a comment that asks for clarification, provides support for, or contributes additional information.

Post a Discussion entry on 3 different days of the week. See the Rubric for more information.

Submission and Grading Information

Grading Criteria

To access your Rubric:

Week 1 Discussion Rubric

Post by Day 3 and Respond by Day 7

To participate in this Discussion:

Week 1 Discussion


Quiz: Nursing Research

By Day 7

Complete the quiz which covers content in the assigned readings for this week. The quiz includes questions that are multiple choice, true/false, and matching.

Note on Quiz Content: This quiz will cover (a) definition and importance of nursing research, (b) nursing research trends in the 21st century, (c) basic steps in the research process, (d) clinical origins of research problems (e.g., nursing sensitive indicators), and (e) feasibility of conducting research in clinical settings. The content is covered in this week’s Learning Resources. NURS 3150 3151: Foundations of Nursing Research.

Submission and Grading Information

Submit Your Quiz by Day 7

To submit your Quiz:

Week 1 Quiz


Week in Review

Now you… know the necessary steps to a research process and developed a research question that guides the development of a study and patient safety, including the impact it has on patient outcomes. Next week you will… conduct a literature review including all the components and demonstrate an understanding of ethical issues in conducting clinical research.

Week 2: Conducting a Literature Search on a Clinical Research Question

Have you ever conducted a literature search before? What does a literature search entail, and why might it be important for nursing practice?

As a nursing professional, you may engage in conducting a literature search in order to refine a clinical research question that you might examine through the research process. Examining, reviewing, and considering the literature in the field will help you to hone your research question and think about new ways you might address or answer a research question with clinical practice.

This week, you examine the skills needed to conduct a literature search to locate other studies that have been conducted on a clinical practice problem. Given the importance of ethical considerations throughout the research process, you will also explore the ethical implications of clinical research. You will examine the definition of research ethics, explore a historical overview of ethical problems in research, consider the ethics of using existing data in research, and the implications of the Health Insurance Portability and Accountability Act (HIPAA) on research. NURS 3150 3151: Foundations of Nursing Research.

Learning Objectives

Students will:
  • Perform a literature search on a research topic
  • Describe components of a literature review
  • Demonstrate an understanding of ethical issues in conducting clinical research

Learning Resources

Required Readings

Gray, J. R, Grove, S. K., & Sutherland, S. (2017). The practice of nursing research: Appraisal, synthesis, and generation of evidence (8th ed.). St. Louis, MO: Elsevier.

  • Chapter 7, “Review of Relevant Literature” (pp. 120-136)
  • Chapter 9, “Ethics in Research” (pp. 157-188)

Writing Resources and Program Success Tools

Document: Academic Writing Expectations (AWE) Checklist (Word Document)

 

This checklist will help you self-assess your writing to see if it meets academic writing standards for this course.

Required Media

Walden University Library. (2019, June). Introduction to nursing research in the Walden Library [Webinar]. Retrieved from https://academicguides.waldenu.edu/nurs3150/week2discussion


Discussion: Conducting a Literature Review

For this Discussion, view the webinar in this week’s resources by a Walden University librarian on strategies to conduct a successful literature search. The webinar provides information on available databases, the use of search engines, and the selection of search terms. Then, you will conduct a literature search on research conducted in the last 5 years on the patient safety problem you identified in Week 1. NURS 3150 3151: Foundations of Nursing Research

By Day 3

Post the following:

For the literature search, describe the following in your post:

  • The databases, search engines, and search terms you used in your literature search
  • The number of research articles you found on your patient safety problem that were published in the last year
  • The challenges you encountered locating research articles and how you overcame them
  • Who you would go to for help in your work setting if you needed help with a literature search

Note: Post a three paragraph (at least 350 words) response. Be sure to use evidencein-text citations, and essay-level writing skills, including the use of transitional material and organizational frames. Use the writing resources to develop your post.

By Day 7

Read two or more of your colleagues’ postings from the Discussion question.

Respond to two or more of your colleagues with a comment that asks for clarification, provides support for, or contributes additional information.

Post a Discussion entry on 3 different days of the week. See the Discussion Rubrics for more information.

Submission and Grading Information

Grading Criteria

To access your Rubric:

Week 2 Discussion Rubric

Post by Day 3 and Respond by Day 7

To participate in this Discussion:

Week 2 Discussion


Quiz: Ethical Implications of Research

By Day 7

Complete the quiz which covers content in the assigned readings for this week. The quiz questions are multiple choice.

Note on Quiz Content: This quiz will cover (a) ethics in research, (b) human rights in research, and (c) clinical research. The content is covered in this week’s Learning Resources.

Submission and Grading Information

Submit Your Quiz by Day 7

To submit your Quiz:

Week 2 Quiz


Week in Review

Now you… have conducted a literature review that includes a number of research articles, shared the challenges encountered in locating them and ways to overcome them. Next week you will… be introduced to quantitative research designs and the strengths and weaknesses of those methods.

Week 3: Quantitative Research Designs and Methods

Andre is a nursing student who has just completed the first 2 weeks in a nursing research course. He has defined a clinical research question for his health care setting and has also determined that the research problem exists in the literature. However, his approach to defining a solution for his research question requires that he receive approval from his health care setting before testing it. However, Andre is not quite sure what he needs to do next. Eager to start, Andre jumps ahead in the course syllabus and sees that in the following weeks he will read about quantitative research design and methods. Slightly confused, he is not quite sure what is meant by quantitative research design and methods and begins drafting an email message to his instructor to see if he might be able to use this information for testing
his research question in practice. NURS 3150 3151: Foundations of Nursing Research

What is quantitative research design? What different methods might exist for engaging in quantitative research for nursing practice?

As you have explored in this course, your next step in the research process is to determine what type of research design and methods you will use to engage in research for your research question. While it is possible that many research designs and methods might be appropriate for your particular research question, gaining a firm understanding of different research designs and methods is another useful skill for engaging in nursing research and practice.

This week, you explore the different categories of quantitative research designs used in a clinical research studies. These include experimental, quasi-experimental, descriptive and correlational designs. You will examine the basic characteristics of each design (e.g., causality, control, bias, validity, randomization, probability). You will also examine the basic features of the methods used to conduct most quantitative research designs, such as sample selection, data collection and measurement of variables, as well as data management and analyses.

Learning Objectives

Students will:
  • Demonstrate an understanding of the basic characteristics of quantitative research designs
  • Analyze the strengths and weaknesses of methods used in quantitative research designs

Learning Resources

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Required Readings

Gray, J. R, Grove, S. K., & Sutherland, S. (2017). The practice of nursing research: Appraisal, synthesis, and generation of evidence (8th ed.). St. Louis, MO: Elsevier.

  • Chapter 3, “Introduction to Quantitative Research” (pp. 37-58)
  • Chapter 10, “Quantitative Methodology: Noninterventional Designs and Methods” (pp. 192-215)
  • Chapter 11, “Quantitative Methodology: Interventional Designs and Methods” (pp. 217-248)
  • Chapter 15, “Sampling” (pp. 329-360)

Document: Journal Club Template for Quantitative Research (Word Document)

Writing Resources and Program Success Tools

Document: Academic Writing Expectations (AWE) Checklist (Word Document)

 

This checklist will help you self-assess your writing to see if it meets academic writing standards for this course.

Required Media

Laureate Education (Producer). (2015c). Quantitative research designs [Video file]. Baltimore, MD: Author.

 

Note: The approximate length of this media piece is 27 minutes.

Optional Resources

Fitzpatrick, J. J. (Ed.). (2017). Encyclopedia of nursing research (4th ed.). New York, NY: Springer.

Grove, S. K., & Gray, J. R. (2018). Understanding nursing research: Building an evidence-based practice (7th ed.) (pp. 214–263). St. Louis, MO: Elsevier.


Discussion: Reliability and Validity of Research Methodology

Selection of the appropriate sample is critical to the reliability and validity of research methodology. The sample must be representative of the population that is being studied. Researchers often report both the inclusion and exclusion criteria for the sample. There are many different methods for selecting a sample and random sampling provides the high control of outside variables but is often difficult to utilize in many studies.

For this Discussion, please review the following:

  • For this assignment, read the article by Labrague, L. & McEnroe-Petitte, D. (2016). Influence of music on preoperative anxiety and physiological parameters in women undergoing gynecologic surgery. Clinical Nursing Research, 25(2), 157-173, listed in the resource section for this week.

By Day 3

Prepare at least a 350-word post discussing the strengths and weaknesses of the sampling method used in this study and if the sampling method promoted reliable and valid results. Include in the discussion if there is anything the researcher could have done to improve the sampling process.

Note: Post a three paragraph (at least 350 words) response. Be sure to use evidence from the readings and include in-text citations. Utilize essay-level writing practice and skills, including the use of transitional material and organizational frames. Use the writing resources to develop your post.

By Day 7

Read two or more of your colleagues’ postings from the Discussion question.

Respond to two or more of your colleagues with a comment that asks for clarification, provides support for, or contributes additional information.

Post a Discussion entry on 3 different days of the week. See the Discussion Rubrics for more information.

Submission and Grading Information

Grading Criteria

To access your Rubric:

Week 3 Discussion Rubric

Post by Day 3 and Respond by Day 7

To participate in this Discussion:

Week 3 Discussion


Quiz: Basic Characteristics of Quantitative Research Designs

By Day 7

Complete the quiz which covers the content in the Quantitative Research Design PowerPoint webinar and assigned readings for this week. The quiz includes questions that are multiple choice, true/false, and matching. Be sure to familiarize yourself with the following five characteristics of quantitative research designs: (a) causality, (b) control, (c) randomization, (d) reliability, and (e) validity.

Note on Quiz Content: This quiz will cover: (a) four basic quantitative designs along with their overall strengths and weaknesses, (b) characteristics of quantitative research designs, (c) problems with the commonly pretest-posttest study [one type of quasi-experimental design], and (d) value of randomized clinical trials in health care.

Submission and Grading Information

Submit Your Quiz by Day 7

To submit your Quiz:

Week 3 Quiz


Assignment: Application: Methods Used in Quantitative Research

As you have explored this week, there are various methods a researcher may use to engage in quantitative research design. While the methods presented this week are not exhaustive, they do introduce numerous features that you will likely encounter when reviewing, accessing, and researching the nursing practice literature. Whether you are creating new research or searching the literature to add support for a research question you are interested in, understanding the quantitative research designs that may be used for nursing practice will likely inform how you will conduct research for your health care setting. As you continue to build upon your research skills as a nursing researcher and professional, understanding how to engage in quantitative research design is a valuable asset.

For this Assignment, view this week’s Quantitative Research Designs PowerPoint webinar and pay close attention to its content on the basic elements of research methods (e.g., sample, data collection, measurement, analysis). Then, be sure to review the research study by Sand-Jekline and Sherman (2014), included in this week’s resources.

Note: While not a required resource, you might find the definitions in the Encyclopedia of Nursing Research helpful for this assignment.

This assignment involves identifying and describing the strengths and weaknesses of the research method used in the Sand-Jecklin and Sherman (2014) research article in this week’s resources.

  • Focus on the research design, sample data collection methods, tools used for data collection, and the plan for data analysis as discussed in the Sand-Jecklin and Sherman (2014) article.
  • Identify at least two strengths and two weaknesses of the study based on reliability and validity by including additional support with citations from resources not assigned this week.
  • Use the copy of the Journal Club Template for Quantitative Research located in this week’s resources. The template includes an area for each element discussed in the study.
  • Be brief, paraphrase and summarize each of the elements clearly on the form.
  • Provide the full citation of the article used for this Assignment on the template.

By Day 7

Once this is complete, save your file and submit the Journal Club Template for Quantitative Research to the submission link.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

  • Please save your Assignment using the naming convention “WK3Assgn+last name+first initial.(extension)” as the name.
  • Click the Week 3 Assignment Rubric to review the Grading Criteria for the Assignment.
  • Click the Week 3 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.
  • Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK3Assgn+last name+first initial.(extension)” and click Open.
  • If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
  • Click on the Submit button to complete your submission.
Grading Criteria

To access your Rubric:

Week 3 Assignment Rubric

Check your Assignment draft for authenticity

To check your assignment draft for authenticity

Submit your Week 3 Assignment Draft, and review the “SafeAssign Originality Report”

Submit Your Assignment by Day 7

To submit your Assignment:

Week 3 Assignment


Week in Review

Now you have examined the basic characteristics of quantitative research designs used in nursing for clinical research questions including causality, control, randomization, reliability and validity. Next week you will….analyze the elements, strengths, and weaknesses of methods used in qualitative research designs and examine the differences between quantitative/qualitative research designs.

Week 6: Tying it All Together

Once a nursing researcher or nursing professional has conducted analyses on their collected data, what can they conclude about their research and research question?

The last and final phase of the research process involves drawing conclusions about research findings as well as tying them into meaningful solutions for clinical nursing practice. How might a nursing researcher or nursing professional relate their research findings to solutions for improved quality of care and patient safety? How might drawing certain conclusions from research findings impact your health care setting?

This week, you will examine two content areas.

Part I: Drawing Conclusions About Research Findings and Their Implications for Clinical Practice

Part I focuses on the last phase of the research process, namely drawing conclusions about the findings and discussing their implications for clinical practice. You will examine how the findings contribute to clinical practice and how the findings might add to new knowledge and the existing literature on a topic. You will consider how the characteristics of well-written conclusions and implications, including consideration of the study’s limitations, recommendations for future research, and variation in the quality of presenting these areas in published research may impact nursing practice. NURS 3150 3151: Foundations of Nursing Research

Part II: The Value of Research in Evidence-Based Practice and Translational Science

Part II focuses on what has been explored about the value of quantitative and qualitative research in evidence-based practice and translational science in nursing.

Learning Objectives

Students will:
  • Evaluate how evidence-based practice will improve patient quality and safety
  • Evaluate the importance of the interpretation, conclusion, and clinical implications of clinical research articles in evidence-based practice
  • Evaluate effectiveness of interventions on decreasing medication errors in health care settings

Learning Resources

Required Readings

Gray, J. R, Grove, S. K., & Sutherland, S. (2017). The practice of nursing research: Appraisal, synthesis, and generation of evidence (8th ed.). St. Louis, MO: Elsevier.

  • Chapter 26, “Interpreting Research Outcomes” (pp. 578–591)

Writing Resources and Program Success Tools

Document: Week 6 Paper Template (Word Document)

Document: Academic Writing Expectations (AWE) Checklist (Word Document)

 

This checklist will help you self-assess your writing to see if it meets academic writing standards for this course.


Discussion: Use of Research in Clinical Practice

Throughout this course, you have examined and considered how the research process contributes to the field of clinical nursing practice. More than just an exercise in developing a research question, searching the literature to guide future research, and performing actual data collection/data analysis, the conclusions you draw from your research findings are useful in helping to develop and enact effective clinical practice. In essence, the process of conducting research contributes to positive social change in that the solutions that you might propose as a nurse researcher and professional will likely impact quality of care and patient safety.

For this Discussion, read the book chapter by Titler (2008) presented in this week’s resources that describes evidence-based practice and translational science, as well as the kind of research needed for both. Then, reflect on how the knowledge you gained about research will support your effort as a nursing professional to improve patient quality and safety.

By Day 3

Describe how you will use evidence-based practice to improve patient quality and safety in your health care setting. Be specific and provide examples. Then, explain how the knowledge gained about research in this course will support your role in practice as a nursing professional. Then, describe how you will use evidence-based practice to improve patient quality and safety. Be sure to include in your Discussion any unanswered questions that need to be considered by your classmates and/or Instructor.

Note: Post a three paragraph (at least 350 words) response. Be sure to use evidence from the readings and include in-text citations. Utilize essay-level writing practice and skills, including the use of transitional material and organizational frames. Use the writing resources to develop your post.

By Day 7

Read two or more of your colleagues’ postings from the Discussion question.

Respond to two or more of your colleagues with a comment that asks for clarification, provides support for, or contributes additional information.

Post a Discussion entry on 3 different days of the week. See the Discussion Rubrics for more information.

Submission and Grading Information

Grading Criteria

To access your Rubric:

Week 6 Discussion Rubric

Post by Day 3 and Respond by Day 7

To participate in this Discussion:

Week 6 Discussion


Assignment: Application: Drawing Conclusions About Research Findings and Their Implications for Clinical Practice

As a current or future nursing researcher and professional, your ability to draw reasonable conclusions from research findings will determine the effectiveness of proposed solutions for clinical nursing practice. As you continue to develop your skill set to become a nursing leader, your exposure to a multitude of research designs, research findings, and evidence-based practice will likely inform how you will absorb this knowledge into meaningful clinical practice. Throughout this course and program, your exposure to different research questions, research study designs, and approaches to addressing serious issues in both nursing and health care confirms the ever-changing landscape in which you have elected to practice. While this is in its own right challenging, it also offers several opportunities to create new knowledge, improve upon current nursing practice, and exercise research skills
for positive patient outcomes.

For this Assignment, review the Research Methods and Findings of the Verweij study conducted in 2014 in this week’s resources. The primary purpose of this quantitative research study was to investigate the effectiveness of an intervention to decrease medication errors in a hospital. The citation and discussion/conclusion information is intentionally deleted so you can draw your own conclusions. NURS 3150 3151: Foundations of Nursing Research

In a 2- to 3-page, double-spaced paper, describe three conclusions you have drawn from the findings in this study, taking into consideration the limitations of the study. Next describe three implications for clinical practice. Once you have submitted the assignment, you will be given the full article for review.

Refer to the Academic Writing Expectations (AWE) Checklist document and use the Walden template from this week’s resources. No abstract or reference list is required for AWE 2000/3000.

By Day 7

Submit your Assignment.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

  • Please save your Assignment using the naming convention “WK6Assgn+last name+first initial.(extension)” as the name.
  • Click the Week 6 Assignment Rubric to review the Grading Criteria for the Assignment.
  • Click the Week 6 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.
  • Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK6Assgn+last name+first initial.(extension)” and click Open.
  • If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
  • Click on the Submit button to complete your submission
Grading Criteria

To access your Rubric:

Week 6 Assignment Rubric

Check your Assignment draft for authenticity

To check your assignment draft for authenticity

Submit your Week 6 Assignment Draft, and review the “SafeAssign Originality Report”

Submit Your Assignment by Day 7

To submit your Assignment:

Week 6 Assignment


Week in Review

Now you…..have evaluated how evidence-based practice is used to improve patient quality and safety in your health care setting, and identified ways research will support your role in practice as a nursing professional. You also used conclusions about research findings to identify the effectiveness of interventions intended to decrease medication errors in health care settings. Next you will…. apply the concepts learned in this course to next courses and in the future. Best wishes in your endeavors. Congratulations! You have completed this course.

Congratulations! After you have finished all of the assignments for this week, you have completed the course. Please submit your Course Evaluation by Day 7. NURS 3150 3151: Foundations of Nursing Research

 

Get Professional Help At Reasonable Costs. We Write Essays, Research Papers, And Assignments for all Students.

Order an Excellent Essay today

Is this the question you were looking for? If so, place your order here to get started!

NURS 3110 – Information Management and Patient Care Technology

NURS 3110 – Information Management and Patient Care Technology

Nursing informatics supports nursing practice in education, administration, research, patient safety, quality outcomes, core standards, and nurse-sensitive outcomes. In this course, students emphasize the meaningful use of information technology in the delivery of nursing services, including the collection, storage, retrieval, and communication of data; information system safeguards; ethical and legal issues; and information management to promote patient safety and quality of care.

  • IM3001 Informatics in Healthcare
    Recognize the importance of nursing informatics in healthcare and how it impacts the nurse’s role and
    the healthcare institution.
  • IM3002 Workflows and Workarounds in Nursing Practice
    Design workflows to eliminate workarounds in nursing practice.
  • IM3003 Clinical Data Evaluation
    Evaluate clinical data to support evidence-based decision-making related to safe, quality healthcare delivery.
  • IM3004 Protecting Patient Privacy
    Use strategies to ensure the protection of patient data and privacy.
  • IM3005 Healthcare Technology and Informed Decision Making
    Create educational plans in collaboration with patients based on information from healthcare technology.
Check out another post by our paper writing experts aimed at assisting students on NURS 3020 – Health Assessment
Week 4 Introduction Resources Discussion Week in Review TOSTW TO Owing. • Explain how nurses impact the implementation and adoption of Health IT systems in your organization or one with which you are familiar. If your organization or one with which you are familiar has not adopted Health IT systems, use another major change initiative that impacts nursing practice as an example. • Examine a workaround or a workflow issue that has impacted you in your work setting. Discuss the impact of the workaround or workflow issue. Was a policy formulated in response or were the issues analyzed and solutions implemented to change the process? Provide details about the change that occurred or the policy implementation process and nursing involvement in the solution.

Nursing informatics supports nursing practice in education, administration, research, patient safety, quality outcomes, core standards, and nurse-sensitive outcomes. In this course, students emphasize the meaningful use of information technology in the delivery of nursing services, including the collection, storage, retrieval, and communication of data; information system safeguards; ethical and legal issues; and information management to promote patient safety and quality of care.

ORDER A PLAGIARISM-FREE PAPER

NURS 3110 Information Management and Patient Care Technology Study Guides & Discussion Essay Assignment Papers

NURS 3110 Information Management and Patient Care Technology Course Readings

After clicking on a citation below, enter your myWalden user name and password at the prompt.

Please Ask a Librarian if you have any questions about the links.

 

Adler-Milstein, J., Kvedar, J., & Bates, D. W. (2014). Telehealth among US hospitals: Several factors, including state reimbursement and licensure policies, influence adoption. Health Affairs, 33(2), 207-15.

Eadie, C. (2014). Health literacy: A conceptual review. MEDSURG Nursing, 23(1), 1-13.

Grady, J. (2014) CE: Telehealth: A case study in disruptive innovation. American Journal of Nursing, 114(4), 38-45.

Harris, L., Thomas, V., & Fox, M. (2015). The influence of health care literacy on the use of PHRs among older adults. MEDSURG Nursing, 24(4), 283-285.

Hunter, K. M., McGonigle, D. M., & Hebda, T. L. (2013). TIGER-based measurement of nursing informatics competencies: The development and implementation of an online tool for self-assessment. Journal of Nursing Education and Practice, 3(12), 70.

Huston, C. (2013). The impact of emerging technology on nursing care: Warp speed ahead. Online Journal of Issues in Nursing, 18(2), 1-15.

Liebner, L.T. (2015). I can’t read that! Improving perioperative literacy for ambulatory surgical patients. AORN Journal, 101(4), 416-427.

McCartney, P. (2014). Human factors, usability, and the electronic health record. MCN: The American Journal of Maternal/Child Nursing, 39(5), 333.

Seaman, J. B., & Erlen, J. A. (2015). Workarounds in the workplace: A second look. Orthopaedic Nursing, 34(4), 235-240.

Other Readings

Optional or supplemental readings may or may not be available in the library. Find further information about optional readings here.

If you have questions about your required course textbooks, please contact Student Support at support@waldenu.edu

NURS 3110 Information Management and Patient Care Technology Study Guides & Discussion Essay Assignment Papers

Enrolled With NURS 3110 Information Management And Patient Care Technology Assignment Help To Score A++!

NURS 3110 Information Management and Patient Care Technology

Are you in the quest for the most impeccable online NURS 3110 Information Management and Patient Care Technology Assignment Help services at viable prices? Then feel free to get it from the industry best professionals of Reliablepapers.com and experience numerous benefits at your doorsteps!!

Nursing informatics holds up nursing practice in education, research, administration, patient safety, core standards, quality outcomes, and nurse-sensitive outcomes. In this NURS 3110 Information Management and Patient Care Technology course module, students focus on the meaningful utilization of information technology in the delivery of nursing services, comprising the collection, storage, recovery, and communication of data; ethical and legal issues; information system safeguards; and information management to encourage patient safety and quality of care.

Reliablepapers.com by means of our professional online NURS 3110 Information Management and Patient Care Technology Assignment Help services always provide quality-driven solution documents as per the norms, guidelines, and instructions provided. We offer our students plagiarism-free reports that ensure that the solutions provided by tutors are freshly written after performing in-depth analysis. We as well collect data and information from apt resources. Therefore, the correct reference mode is provided to make the solution document legitimate. Our team revises the solution document, unlimited times, until you get complete satisfaction, without asking for more money. You can get the solution document in the way you prefer. It doesn’t matter what proportion analysis your paper calls for; we will complete it and deliver it in an extremely given time frame.

Whenever you don’t have an adequate amount of time to cater to your academic needs and wants, then you must without any delay count on Reliablepapers.com for precisely accomplishing your academic tasks. All the tutors associated with our NURS 3110 Information Management and Patient Care Technology Homework Help panel have high linguistic and writing skills and have years of experience in creating effective content from the scratch. So, you need not be worried about anything. Everything will be in the safe hands of Reliablepapers.com.

Reliablepapers.com has a team of highly knowledgeable and experienced writers who consistently follow analysis methods before creating papers. Our consultants not only focus on the content but also work systematically to eliminate traces of plagiarism by inserting them into plagiarism software system tools. You can reach Reliablepapers.com any time of the day and acquire our professional online NURS 3110 Information Management and Patient Care Technology Assignment Help services to get higher grades in your overall academics.

The highly skilled and trained editors are always there to help students whenever students want instant proofreading straight from the description and punctuation rules. We always draft the solution documents with appropriate formatting and text citation styles. Our consultants know all the inventive ways to design high-quality materials.

The Reliablepapers.com team as well offers a full refund in the case where the student is not satisfied with the work or service provided. However, we offer multiple unlimited revisions for the student to own the revised assignment and homework with no further value.

Are you worried about who will write your academic paper? Have you confused yourself with a number of online NURS 3110 Information Management and Patient Care Technology Homework Help service providers over the web? Don’t worry, you’re here at Reliablepapers.com! We are the best in the whole industry and can sort out all kinds of academic tasks without any problem. Here at Reliablepapers.com, we work to relieve you from the burden of your academic tasks assigned by your professors and take on the responsibility of getting the job done proficiently and timely.

Excited to try our online NURS 3110 Information Management and Patient Care Technology Assignment Help services? Why wait any longer and give Reliablepapers.com a call and get benefitted in the best professional manner!!

Below are some of the relevant courses are as shown below, in which proficient and skilled tutors Reliablepapers.com precisely deal with:

  • NURS 6501 Advanced Pathophysiology Assignment Help
  • NURS 6512 Advanced Health Assessment and Diagnostic Reasoning Assignment Help
  • NURS 6640 Psychotherapy With Individuals Assignment Help
  • NURS 6210 Healthcare Finance and Budgeting Assignment Help
  • NURS 6521 Advanced Pharmacology Assignment Help
  • NURS 3015 Pathopharmacology Assignment Help
  • NURS 3010 Information Management in Nursing and Healthcare Assignment Help
  • NURS 3020 Health Assessment Assignment Help
  • NURS 3005 The Context of Healthcare Delivery Assignment Help
  • NURS 6650 Psychotherapy With Groups and Families Assignment Help
  • NURS 3000 Issues and Trends in Nursing Assignment Help
  • NURS 4015 Public and Global Health Assignment Help
  • NURS 6630 Psychopharmacologic Approaches to Treatment of Psychopathology Assignment Help

Get Professional Help At Reasonable Costs. We Write Essays, Research Papers, And Assignments for all Students.

Order an Excellent Essay today

Is this the question you were looking for? If so, place your order here to get started!

NURS 3020 – Health Assessment

NURS 3020 – Health Assessment

Through this course, students have the opportunity to gain the knowledge and skills required to collect data related to the assessment of individual health status. They learn the physical examination skills of inspection, palpation, percussion, and auscultation used to assess major body systems across the lifespan. They gain practical experience using interviewing techniques and communication skills for taking patient histories, and they discuss the psychological, social, and cultural aspects of clinical assessment. Additionally, students consider the integration of data to guide the nursing process and ethical guidelines. Engaging in interactive simulations, students apply knowledge and demonstrate an understanding of conducting health assessments.

  • HA3001 Cultural and Genetic Influences on Health
    Identify population health, cultural influences, and genetic and genomic information as it relates to conducting a health history and physical assessment.
  • HA3002 Ethical Issues in Health Assessment
    Articulate ethical issues related to obtaining a health history and physical exam.
  • HA3003 Biopsychosocial Factors
    Evaluate the impact of biopsychosocial factors on a patient during a health assessment.
  • HA3004 Comprehensive Health History
    Conduct and document a comprehensive health history.
  • HA3005 Comprehensive Physical Assessment
    Conduct and document a comprehensive physical assessment.

Check out another post by our paper writing experts aimed at assisting students on NURS 3100 – Issues and Trends in Nursing

ORDER NURS 3020 – Health Assessment WRITTEN PAPER HERE

This course focuses on the knowledge and skills required to collect data related to assessment of individual health status. Physical examination skills of inspection, palpation, percussion, and auscultation are used to assess major body systems across the lifespan. Interviewing skills and history taking are included, as well as the psychological, social, and cultural aspects of clinical assessment. Attention is given to the integration of data to guide the nursing process, requisite communication skills, and ethical guidelines. Interactive simulations provide an opportunity for students to apply knowledge.

Week 4 Video: Health History
My name is Jenna Wampler and this is my government issued ID. Here is a scan of the room I
am conducting the interview in with no papers or notes.
Knock…Good morning, my name is Jenna I am a masters of nursing education student at
Walden University and I will be conducting your exam today. Before we get started are there any
language or hearing impairments I should be aware of?
Ryan: No.
Ok great. Can I have you verify your name and DOB?
Ryan Franks. June 10, 1988.
Ok and how would you classify your ethnicity?
Ryan: white or Caucasian
Ok and can you state how old you are?
Ryan: 30
And are you married?
Ryan: Yes, for almost a year
That’s great! OK thank you. I want to assure you that anything we discuss is confidential do you
have any questions about that? Wash hands
Tell me what brings you in today Ryan?
Ryan: I have a sore throat
Ok and when did that start?
Ryan: like 3-4 days ago
Ok and did you notice is happened suddenly when you woke up or has it gradually gotten wors
Ryan: I woke up with it and it keeps me up during the night because I keep swallowing
Okay and I saw on your computer chart you work at Country Companies, has anyone you work
with or live with been sick?
Ryan: No
Okay any other pain in your head, the back of your neck, or jaw?
Ryan: No
Can you describe the pain in your throat? Does it feel swollen or scratchy?
Ryan: Sore, it feels scratchy and itchy
On a scale of 1-10 if 10 is the worst sore throat you’ve had and 1 is no pain or uncomfortability
what would you rate your pain?
Ryan: a 5
You mentioned it keeps you up at night does it hurt to swallow
Ryan: ya it hurts really bad when I swallow
Okay so swallowing makes it worse, is there anything else you’ve noticed that makes it worse?
Ryan: not really
Ok does anything make it better or have you taken anything for it?
Ryan: no, I’ve tried cough drops at work and that’s about it
Ok so no cold medicines or gargling salt water?
Ryan: I tried 2 or 3 times but it didn’t really do anything
Ok so no other symptoms than the sore throat…no fever, stomach pain, or nausea
Ryan: no and no fever that I know of
Ok because this is your first visit at our clinic we want to get a history of your overall health and
go through each body system to ensure we cover everything and so I am going to ask you a
bunch of questions and then we can move on to addressing your sore throat and get you feeling
better
Ryan: ok sounds good
If at anytime you have any questions, concerns, or need clarification please stop me and we can
go over that ok?
Ryan: Ok
Alright so you mentioned you haven’t tried any medications for your sore throat, are there
meds you take daily by prescription or over the counter like Claritin or advil?
Ryan: No
Any vitamins or supplements?
Ryan: oh ya I take a multivitamin
OK very good. Are you allergic to any medications?
Ryan: not that I know of
Any food allergies?
Ryan: No
Any environmental allergies like pollen or cat hair?
Ryan: No
I saw that we scanned your immunizations into your electronic chart and everything is up to
date there? Do you get a flu shot every year?
Ryan: Yes
OK great. When was your last exam?
Ryan: I do a work physical every year but the last time I was at the doctor was probably in
college
Ok and did they do any testing or have concerns about any conditions?
Ryan: no they said my bp was good and I was pretty healthy
Do you go to the eye doctor and dentist regularly?
Ryan: Yes
Good. How would describe your overall health?
Ryan: pretty healthy I like to be active
What kinds of activities do you do to be active?
I know you said at your work check-up your blood pressure was good, Is there anything you’ve
been diagnosed with as an adult, cancer, diabetes, thyroid or kidney problems?
Ryan: No
Okay how about any sexually transmitted diseases?
Ryan: Ive never been tested
Any hospitalizations or surgeries?
Ryan: No
Have you ever had a blood transfusion?
Ryan: No
And do you consider yourself to have any disability?
Ryan: No
Alright sounds pretty healthy overall!
Ryan: Yea I think so
Do you currently or have you ever used any tobacco products?
Ryan: No
Do you drink alcohol?
Ryan: occasionally, like maybe one beer or glass of wine during the week and then once a day
on the weekend.
Okay so about 3-5 drinks in a week of just wine and beer?
Ryan: yea that’s about right
Have you ever used illegal drugs?
Ryan: no
So no marijuana or anything?
Ryan: No
Okay have you ever used prescription drugs that were or were not prescribed to you?
Ryan: No
You mentioned working at country companies what do you do there?
Ryan: I am a financial analyst
Ok and any environmental hazards you’re exposed to or any work related concerns?
Ryan: no
Any history of current feelings of depression?
Ryan: no
Do you wear your seatbelt?
Ryan: yes
Do you see a dentist and eye doctor at least every year?
Ryan: yes and the dentist every 6 months
Have you noticed any visual changes?
No
What do you do for fun?
Ryan: I like being outside and hiking, running, riding my bike, and golfing
Very good sounds active. Do you live with anyone else?
Ryan: Yes my wife and I rent a house
Okay good, and how would you describe your living condition?
Ryan: its great we love our house, its in a safe neighborhood, and clean
Great, how old is your wife?
Ryan: She’s 26
Do you have any children together or from previous relationships?
Ryan: No
OK, have you ever served in the military?
Ryan: no
Ok, now we are going to move on to family history so Ill ask you questions about your parents,
paternal, and maternal grandparents and if any members are deceased if you could let me know
roughly what age they passed away
Ryan: Ok
Ok let’s start with your mother
Ryan: She is still living
OK and does she have diabetes, heart disease, high blood pressure, cancer, or stroke?
Ryan: No
TB, CF, epilepsy, thyroid problems?
Ok and how about your dad?
Ryan: he has high blood pressure
Ok and do you know if he takes medication for that?
Ryan: I think so but I don’t know what
Do you know about what age he was diagnosed?
No
Ok and do you have any siblings?
Ryan: No I am an only child
OK, let’s move on to your maternal grandparents.
Ryan: all of my grandparents passed away around 75…my moms parents had heart disease. My
dads mom had a stroke, and my dads dad had diabetes.
I’m sorry to hear that, Ill make sure we keep this history in your chart and if any new conditions
develop with your parents we will be sure to update it
Ryan: Ok
I know you’ve answered a lot of questions today I have just a few more and these will be
specific to each body system and after that I will address your sore throat and we can proceed
with testing or prescribe medication ok?
Ryan: sounds good
You mentioned your sore throat wakes you at night, how do you feel you sleep normally?
Ryan: good I don’t really have any problems
Ok, any skin changes or rashes that you’ve noticed?
Ryan: No not at all
Are you having any headaches or sinus pain?
Ryan: no, I haven’t
Have you had any sneezing, runny nose, or stuffy nose?
Ryan: no
I know you mentioned no childhood asthma, do you have pain or trouble breathing?
Ryan: no
Have you been coughing at all?
Ryan: no
Any mucous production?
Ryan: no
Any chest pain or heart palpitations like your heart is racing fast?
Ryan: no
Any difficulty exercising?
Ryan: no I’m pretty active
Ok good. Have you noticed any swelling in your ankles, hands, feet?
Ryan: no
Has your sore throat impacted your appetite at all?
Ryan: no
How is your appetite regularly?
Ryan: its good
Can you recall what you ate yesterday starting with bfast
Any heartburn, vomiting, or nausea?
Ryan: no
Any changes in bowel movements?
Ryan: No
Any trouble urinating or do you notice dark or discolored urine?
Ryan: no
Are you having any body aches, joint stiffness, or pains?
Ryan: no
Any dizziness or confusion?
Ryan: no
Have you ever had a seizure?
Ryan: no
Any tenderness in your lymph node area?
Ryan: yea actually I do
Ok do they feel swollen?
Ryan: Ya
Any recent bleeding or bruising?
Ryan: No
Any unexplained weight loss or weight gain?
Ryan: no
Any feelings of depression, anxiety, mood swings, or trouble concentrating?
Ryan: no
Ok is there anything else you want to share about what’s going on or your health history?
Ryan: no
Ok and what problems concern you most today?
Ryan: just my throat
All right let’s move on to the exam and we’ll see what’s going on!
Get Professional Help At Reasonable Costs. We Write Essays, Research Papers, And Assignments for all Students.
Score Higher Make an order Today, NURS 3020 - Health Assessment

Is this the question you were looking for? If so, place your order here to get started!

NURS 3100 – Issues and Trends in Nursing

NURS 3100 – Issues and Trends in Nursing

In this course, students are provided with an overview of the evolution of nursing as a profession and introduced to their new role as scholar-practitioners. They examine changes in the U.S. healthcare delivery system, the importance of information technology, and measures that promote quality, safety, and better health outcomes in patient care. Students consider major issues and trends in contemporary nursing and healthcare practice, including the influence of socioeconomic, ethical, legal, and political variables and professional values. Through weekly discussions and assignments, students explore and share personal experiences in the context of contemporary nursing issues, such as the nursing shortage, workforce challenges, healthcare financing, professional organizations, and diversity. They are challenged to examine and propose solutions to these nursing issues in addition to those in their workplace. Students reflect on Walden’s mission of social change and its impact on their future nursing practice as a scholar-practitioner. Because this is the first nursing course within the RN/BSN program, students learn to use Walden University’s resources to enhance writing skills. Students are also introduced to the tools essential to success at Walden.

(Note: NURS 3100 is worth 5 credits, not 6, in the competency-based program.)

  • IN3001 The Power of Nursing
    Recognize the role of the nurse as a leader in the dynamic field of healthcare.
  • IN3002 Nurses at the Forefront of Issues and Trends
    Analyze factors, issues, and trends impacting the nursing profession.
  • IN3003 Quality and Safety Practices for Healthcare Solutions
    Explain how evidence-based nursing solutions promote patient quality and safety.
  • IN3004 Interprofessional Teamwork: Civil Collaboration for the Common Good
    Recommend appropriate strategies to promote civility and interprofessional communication in the workforce.
  • IN3005 Powerful Caring Leads to Social Change
    Analyze the responsibility of nursing professionals to advocate for social change.
  • IN3006 Creating Your Personal Nursing Legacy
    Evaluate areas of strength and areas of professional growth for improving the health and healthcare delivery of populations.

Check out another post by our paper writing experts aimed at assisting students on NURS 6512 Essay Discussion: Diversity And Health Assessments

ORDER A CUSTOM-WRITTEN PAPER NOW

NURS 3100 Issues & Trends in Nursing Study Guides & Discussion Essay Assignment Papers

NURS 3100 Issues & Trends in Nursing Course Readings

After clicking on a citation below, enter your myWalden username and password at the prompt.

Please Ask a Librarian if you have any questions about the links.

Bradbury-Jones, C. & Taylor, J. (2014). Applying social impact assessment to nursing research. Nursing Standard, 28 (48), 45-49.

Fowler, M. D. M. (2015a). Guide to the code of ethics for nurses with interpretive statements: Development, interpretation, and application (2nd ed.). Silver Spring, MD: American Nurses Association.

Fowler, M. D. M. (2015b). Guide to nursing’s social policy statement: Understanding the profession from social contract to social covenant. Silver Spring, MD: American Nurses Association.

Gilmartin, M. J. (2013). Principles and practices of social entrepreneurship for nursing. Journal of Nursing Education, 52(11), 641–644.

Hart, C. (2015). The Elephant in the room: Nursing and nursing power on an interprofessional team. The Journal of Continuing Education in Nursing, 46, 349-355. doi:10.3928/00220124-20150721-01

Heege, M. (2011). The empty carriage: Lessons in leadership from Florence Nightingale. Nursing Science Quarterly, 32 (121-25)

Hinds, P. S, Britton, D., Coleman, L., Engh, E. Kunze Humbel, T., Keller, S, Patterson Kelly, K., Menard, J, Lee, M. A., Roberts-Turner, R., & Walczak, D. (2014). Creating a career legacy map to help assure meaningful work in nursing. Nursing Outlook , 63(2), 211 – 218.

Ma, C., Shang, J, & Bott, M. (2015) Linking unit collaboration and nursing leadership to nurse outcomes and quality of care. Journal of Nursing Administration, 45(9), p. 435-442. DOI: 10.1097/NNA.0000000000000229

Martin, D., Godfrey, N., & Walker, M. (2015) The Baccalaureate Big 5. What Magnet Hospitals Should Expect From a Baccalaureate Generalist Nurse. Journal of Nursing Administration, 45 (3), p. 121-123.

Tinkham, M. R. (2013). Pursuing magnet designation: The role of structural empowerment. AORN Journal, 97(2), 253—256.

NURS 3100 Issues & Trends in Nursing Study Guides & Discussion Essay Assignment Papers

 

NURS 3100 3101: Issues and Trends in Nursing

Excellent Proficient Basic Needs Improvement
“Option 1 Describe at least two current and/or future challenges in nursing and the solutions that are being proposed to meet those challenges. Explain how furthering your education will enable you to build upon your personal nursing legacy in meeting these types of challenges. OR Option 2 Describe a nurse colleague or current nurse leader who inspires you. Identify and describe how this person’s actions have led to positive outcomes related to patients, peers, and/or supervisors. What do you see yourself doing similarly or differently? “
18 (36%) – 20 (40%)
Initial post contains well developed and insightful analysis and brings new insight into the discussion.
16 (32%) – 18 (36%)
Initial post contains reasonable analysis that is focused and brings insight into the discussion.
14 (28%) – 15 (30%)
Initial post contains minimal analysis that is somewhat focused and brings limited insight into the discussion.
(0%) – 13 (26%)
Initial post lacks analysis and/or is not focused and brings little or no insight into the discussion.
Response Posts “Entered the discussion thread on 3 separate days. Wrote at least two posts to two separate peers. Responses are appropriate to the topic, substantive, and promoted discussion by one or more of the following: • contributing insight to move the discussion forward. • offering substantial and/or different points of view and asks questions to add to discussion • including extra references or websites for peers to consider • relating discussion to different areas of practice and applying concepts to practice **Additional points may be deducted for late posting per the University late policy.”
14 (28%) – 15 (30%)
Response posts add subtantial ideas and perspectives that invite further analysis and discussion. Participated 3 or more days in the classroom and responded to more than 2 classmates.
12 (24%) – 13 (26%)
Response posts are proficient and provide adequate analysis and discussion. Participated 3 days in the classroom and responds to at least two classmates.
11 (22%) – 11 (22%)
Response posts are limited and provide minimal analysis and discussion. Participated less than 3 days in the classroom and/or responds to less than two classmates.
(0%) – 10 (20%)
Response posts are inadequate and provide no analysis of discussion and/ or there is no participation in the classroom.
Format and Writing points AWE 1000 Level. Displays sentence and paragraph level skills. Uses evidence from research to support a claim and give credit to the source.
14 (28%) – 15 (30%)
Discussion posts demonstrate excellence in meeting the 1000 Academic Writing Expectations for this level.
12 (24%) – 13 (26%)
Discussion posts demonstrate proficiency in meeting the 1 Academic Writing Expectations for this level.
11 (22%) – 11 (22%)
Discussion posts demonstrate minimal skill in meeting the Academic Writing Expectations for this level.
(0%) – 10 (20%)
Discussion posts demonstrate inadequate skill in meeting the Academic Writing Expectations for this level.
Total Points: 50

For this discussion I chose option 2: “Describe a nurse colleague or current nurse leader who inspires you. Identify and describe how this person’s actions have led to positive outcomes related to patients, peers, and/or supervisors. What do you see yourself doing similarly or differently?”

There are many people that I have met throughout my nursing career so far that have made such a significant impact on the type of nurse I want to become. But one individual that really stands out is my current director of nursing Justin Peters. My very first boss as a nurse and truly one of the most genuine and humbling individuals not only as a nurse but as a person that I have met. He inspired me from the day he interviewed me because throughout our entire conversation one theme that he focused on was for me and everyone this facility to succeed and accomplish one goal, which is to provide the best possible care to our patients. This may seem like a common outlook on things but he never once talked about what he is doing or can do to make this facility the best it can be but went on and on about what we can do as peers to provide the highest quality care we can. He instantly instilled a type of culture that I was so drawn to, which is a culture that encompasses teamwork, growth, and compassion. Hegge (2011) discussed in her article about leadership that Florence Nightingale was the type of leader that cared mainly about how how she could influence a positive change so that even when she is not around, people after her can continue to succeed as opposed to focusing on how she could make herself look admirable through the success of the people that followed her. This idea of dedicating your work to the cause rather than to your own personal success is an admirable and inspiring trait. This reminds me of Justin because all he wanted was to make changes so that the patients get the best possible care, which then reflects on the success of every single employee that played a part and not just him. After working at this facility for nearly three months, there has not been one time where Justin has take any credit for anything as he humbly redirects any attention to his staff.

There have been many changes that he has spearheaded that allowed the nursing staff to improve care, such as start daily screenings for Covid-19 on all our patients. This was an idea that he came up with and his nursing staff have implemented. Due to this change, we have not had any cases of Covid-19 in our facility and I believe it is due to our persistent efforts in assessing each of our patients, which came from Justin’s initial screening plan. However, after all the positive feedback from families, partnering hospitals, and doctors, he never once took the credit for this idea he came up with and directed all the credit towards the staff. Justin continues to inspire me each day and I always look to him as a guiding force behind the qualities I choose to model my self as a new nurse.

References: Hegge, M. (2011).  The empty carriage: Lessons in leadership from Florence Nightengale.  Nursing Science Quarterly, 24 (1), 21-25.

Week 2: The Future of Nursing

In Week 1, we discussed the idea that the foundation of YOUR emerging legacy is the current individual experience and knowledge that you bring to the profession. Your experience and knowledge are an invaluable and incredible contribution to the safety and quality of health care. In a recent report in the American Nurses Association (ANA) journal American Nurse TodayFitzpatrick (2015)concludes that “nurses are the last defense in patient safety.” According to a Agency for Healthcare Research and Quality (AHRQ) Report (2008), nurse are the “sharp end” of patient care, in that nurses provide the closest and most continuous care of patients. As a practicing Registered Nurse, you are a full partner in and integral part of the health care team!

As a Registered Nurse, you have been carrying out six top aims to improve health care as stated by the Institute for Healthcare Improvement (IHI; n.d.). With compassion and vigilance, for example, nurses are at the forefront in maintaining a safe environment for patient welfare. Additionally, nurses are working to improve health care that is effective, or based on scientific knowledge, and that is patient-centered, timely, efficient, and equitable.

Let us focus for a moment on the term equitable, the last of the IHI aims. Equitable care means care that does not vary in quality because of personal characteristics such as gender, geographic location, and socioeconomic status. You are going to read more about equitable care in your assignments and provide your own comments and insights into that IHI aim.

The IHI has also concluded that nurses are critical to the future of health care. The IHI predicts that nurses will play a critical role in producing safe, quality care for all patients in the health care system.

The Institute of Medicine (IOM) also made several recommendations for the future of nursing (Institute of Medicine, 2010):

  • Nurses should practice to the full extent of their education and training.
  • Nurses should achieve higher levels of education through an improved education system that promotes seamless academic progression.
  • Nurses should be full partners with physicians and other health care professionals in a redesigned health care system.
  • Effective workforce planning and policy making should be enhanced through better data collection and improved information infrastructure.

Without you, health care has little or no future. You are called to act as an indispensable part of the future of health care and an invaluable member of the nursing team that is already the last defense in patient care. Your Walden education will build upon and complement the rich individual experience and knowledge that you bring to the profession and to Walden.

Learning Objectives

Students will:
  • Analyze the critical role of nursing in the future of health care
  • Analyze the impact of nursing practice on the quality, safety, and equitability of patient care
  • Analyze the leadership role of nurses
  • Apply time management techniques in virtual context
  • Apply strategies to improve writing

Learning Resources

Required Readings

Required Media

Walden University. (2020b). Section 2: Time management and organization [Video]. In Online student roundtable discussion. Walden University Blackboard. https://class.waldenu.edu

Writing Resources and Program Success Tools

Document: Academic Writing Expectations (AWE) Checklist, Weeks 1–3 (Word document)

 

This checklist will help you self-assess your writing to see if it meets academic writing standards for this course.

Time Management Tool Kit

Document: Time Management Tracking Table (Word Document)

 

This table is part of the Assignment for this week and will require you to think about how you use and manage your time as a student at Walden.

Optional Resources


Discussion: The Most Trusted Profession

Nurses are the most honest and ethical professionals in America, according to Gallup polls for more than 12 years in a row. In 2014, 80 percent of Americans said that nurses have “very high” or “high” standards of honesty and ethics, compared with 7% and 8% ratings, respectively, for members of Congress and salespeople. According to Pamela Cipiriano, President of the 35th American Nurses Association (ANA) (2015, March 01), “The public places its faith in nurses to practice ethically.”

A patient’s health, autonomy, and even life or death can be affected by a nurse’s decisions and actions. The IOM’s recommendation to increase the role of nursing in both present and future health care practice underscores the nexus between the decisions and actions of nurses and the health and outcomes of the patients cared for by nurses.

The critical role of nurses in present and future health care makes it imperative that nurses be knowledgeable about the ANA’s Code of Ethics with Interpretive Statements (2015) (the “Code”). As the cornerstone document of the nursing profession, the Code reflects the evolution of health care and considers the most current ethical challenges nurses face in practice. The Codeupholds the best interests of patients, families, and communities.

To prepare

  • Review the Discussion Rubric for Week 2, provided in the Course Information area or accessible through the link below.
  • Review this week’s Writing Resources and Program Success Tools, specifically:
    • Academic Writing Expectations (AWE) Checklist, Weeks 1–3
    • “Paragraphs: Overview” (Walden University, n.d.-h)
    • “Using Evidence: Overview” (Walden University, n.d.-o)
    • WriteCast Episode 3: Creating A Successful Paragraph Podcast (Walden University, 2013, July 3)
  • Read the following articles, provided in this week’s Learning Resources:
    • “The Essence of Nursing: It’s Time to Put Basic Nursing Care Back in the Spotlight” (Fitzpatrick, 2015)
    • The Future of Nursing: Leading Change, Advancing Health (Institute of Medicine, 2010)
  • Build on your own personal experience by thinking about how you might relate the information in the two articles to your own nursing experience. For example, pick out important points from the articles and connect them to your own work.

By Day 3

Post a 2-paragraph response (of at least 350 words) to one of the options below. Develop and post cohesive paragraphs and use evidence to support your ideas. The practice of writing paragraphs is essential to good writing. Focus each paragraph on one main idea or goal. Use the writing resources, writing samples, and Discussion Rubric to develop your post.

Option 1

As a result of its deliberations, the IOM committee formulated four key messages to support efforts to improve the health of the U.S. population through the contributions nurses can make to the delivery of care. Provide one or more examples of how you or a colleague has practiced one or more of the IOM recommendations to take the lead effectively or be in charge of an issue or patient rather than just “being at the table.”

OR

Option 2

Fitzpatrick (2015) describes how certain characteristics and competencies set nursing and nurses apart from other professions and practitioners. Describe how your nursing practice and ethical decision-making skills have furthered the quality and safety of patient care.

By Day 7

Read two or more of your colleagues’ postings for the Discussion question.

Respond with suggestions to two or more of your colleagues by confirming their critical role in the health care system.

Return to this Discussion in a few days to read the responses to your initial posting. Note what you have learned and/or any insights you have gained as a result of the comments your classmates made.

Post a discussion entry on 3 different days of the week.

Submission and Grading Information

Grading Criteria

To access your rubric:

Week 2 Discussion Rubric

Post by Day 3 and Respond by Day 7

To participate in this Discussion:

Week 2 Discussion


Assignment 1: Journal: Time Management (Observe, Process, Reflect)

Returning to school to earn your next degree is a wonderful goal, and balancing family, work, and school can seem daunting. Often when focusing on one task, you lose track of others. That is why it is important to have a plan for stepping out of your other roles and into your new role as student. We all have multiple roles in life. Being engaged in your classwork requires you to plan, prioritize, and create a space in which learning takes place.

For this assignment, you consider how to address distractions you might encounter as a student at Walden.

To prepare

  • Review the Week 2 Assignment 1 Rubric, provided in the Course Information area.
  • Complete the Time Management Tracking Table listed in the Time Management Tool Kit.
  • Read or view at least one additional resource listed in the Time Management Tool Kit based upon your specific needs.
  • Set a timer (on the stove, a clock, or on your phone) and write for 10 minutes without stopping.

By Day 7

Submit a minimum 150-word Journal Assignment. Journal about one aspect of the classroom resources (Assignments, Discussions, or assigned readings) that surprised you. Additionally, journal about one or both of the options below:

Option 1

What concerns do you have about managing distractions and obtaining the support you need to be successful? Include how you plan to make certain that you have support, and how you will take personal responsibility for your own success.

OR

Option 2

What study rituals are you putting in place, and how will these rituals help you focus and decrease distractions? Share your plan to develop rituals to help you transition into the role of Walden student.

This Assignment is for you to share your feelings. There are no rules, and you will not be graded on your writing.

Submission and Grading Information

To submit your completed Assignment 1 for review and grading, do the following:

  • Please save your Assignment using the naming convention “WK2Assgn1+last name+first initial.(extension)” as the name.
  • Click the Week 2 Assignment 1 Rubric to review the Grading Criteria for the Assignment.
  • Click the Week 2 Assignment 1 link. You will also be able to “View Rubric” for grading criteria from this area.
  • Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK2Assgn1+last name+first initial.(extension)” and click Open.
  • Click on the Submit button to complete your submission.
Grading Criteria

To access your rubric:

Week 2 Assignment 1 Rubric

Submit Your Assignment 1 by Day 7

To submit your Assignment:

Week 2 Assignment 1


Assignment 2: Improving Writing: The “Grammarly” Report

Grammarly is a writing enhancement platform that helps make you a better writer by correcting more than 250 grammatical mistakes, while also catching contextual spelling errors and poor vocabulary usage. All you have to do is submit your work—and Grammarly will work its magic!

Get Professional Help At Reasonable Costs. We Write Essays, Research Papers, And Assignments for all Students.

Score Higher Make an order Today

For this Assignment, you will practice using Grammarly by submitting your Week 1 Discussion posts to the Grammarly platform.

To prepare

  • Review the Grading Rubric for Week 2 Assignment 2 provided in the Course Information area.
  • Review the following documents to guide you (found at the end of the submission instructions):
    • Grammarly Report Instructions (PDF)
    • Copy and Paste (PDF)
  • Review the tutorial Grammarly: Accessing Grammarly (Walden University, n.d.-f) from this week’s Learning Resources.
  • Access the Grammarly Student Login website and follow the instructions for creating a free Grammarly student account. (A link to Grammarly is found at the end of these instructions.)
  • Access your Discussion posts from Week 1. You may find it helpful to copy and paste it into a word processing document (such as in Microsoft Word).
  • Submit your Word Document that contains the Week 1 Discussion to Grammarly.
    • Note: Submit your work to Grammarly no later than Day 4 due to occasional turn-around delays from Grammarly.

Grammarly Assignment

  • Once you receive you Grammarly Report back regarding your Week 1 Discussion post, upload your Grammarly Report for grading using the Assignment submission link.
  • Please save your Assignment using the following naming convention: WK2Assgn2+last name+first initial.
  • Submit your Assignment no later than Day 7.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

  • Please save your Assignment using the naming convention “WK2Assgn2+last name+first initial.(extension)” as the name.
  • Click the Week 2 Assignment 2 Rubric to review the Grading Criteria for the Assignment.
  • Click the Week 2 Assignment 2 link. You will also be able to “View Rubric” for grading criteria from this area.
  • Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK2Assgn2+last name+first initial.(extension)” and click Open.
  • If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
  • Click on the Submit button to complete your submission.
Grading Criteria

To access your rubric:

Week 2 Assignment 2 Rubric

Check your Assignment draft for authenticity

To check your assignment draft for authenticity:

Submit your Week 2 Assignment 2 Draft and review the originality report.

Submit Your Assignment by Day 7

To submit your Assignment:

Week 2 Assignment 2


Week in Review

Now you… have analyzed the critical role of nursing in the future and the positive contributions nurses make to the delivery of care. You have also learned to manage distractions and improve your focus as you transition into the role of a Walden student. Next week you will… discuss the ANCC (American Nurses Credentialing Center) and Magnet Recognition Program (Magnet) where nurses appreciate the achievements of other nurses and are recognized for nursing excellence.

Excellent Proficient Basic Needs Improvement
Required Content “Option 1 Provided one or more examples one or more of the IOM recommendations have been used to change nursing practice. OR Option 2 Described how nursing practice and ethical decision-making skills have furthered the quality and safety of patient care. “
18 (36%) – 20 (40%)
Initial post contains well developed and insightful analysis and brings new insight into the discussion .
16 (32%) – 17 (34%)
Initial post contains reasonable analysis that is focused and brings insight into the discussion.
14 (28%) – 15 (30%)
Initial post contains minimal analysis that is somewhat focused and brings limited insight into the discussion.
(0%) – 13 (26%)
Initial post lacks analysis and/or is not focused and brings little or no insight into the discussion.
Response Posts “Entered the discussion thread on 3 separate days. Wrote at least two posts to two separate peers. Responses are appropriate to the topic, substantive, and promoted discussion by one or more of the following: • contributing insight to move the discussion forward. • offering substantial and/or different points of view and asks questions to add to discussion • including extra references or websites for peers to consider • relating discussion to different areas of practice and applying concepts to practice **Additional points may be deducted for late posting per the University late policy.”
14 (28%) – 15 (30%)
Response posts add substantial ideas and perspectives that invite further analysis and discussion. Participated 3 or more days in the classroom and responded to more than 2 classmates.
12 (24%) – 13 (26%)
Response posts proficient and provide adequate analysis and discussion. Participated 3 days in the classroom and responds to at least two classmates.
11 (22%) – 11 (22%)
Response posts are limited and provide minimal analysis and discussion. Participated less than 3 days in the classroom and/or responds to less than two classmates.
(0%) – 10 (20%)
Response posts are inadequate and provide no analysis of discussion and/ or there is no participation in the classroom.
Format and Writing 15 points AWE 1000 Level. Displays sentence and paragraph level skills. Uses evidence from research to support a claim and give credit to the source.
14 (28%) – 15 (30%)
Discussion posts demonstrate excellence in meeting the 1000 Academic Writing Expectations for this level.
12 (24%) – 13 (26%)
Discussion posts demonstrate proficiency in meeting the 1000 Academic Writing Expectations for this level.
11 (22%) – 11 (22%)
Discussion posts demonstrate minimal skill in meeting the 1000 Academic Writing Expectations for this level.
(0%) – 10 (20%)
Discussion posts demonstrate inadequate skill in meeting the 1000 Academic Writing Expectations for this level.
Total Points: 50

Get Professional Help At Reasonable Costs. We Write Essays, Research Papers, And Assignments for all Students.

Is this the question you were looking for? If so, place your order here to get started!

NURS 6512 Essay Discussion: Diversity And Health Assessments

NURS 6512 Essay Discussion: Diversity And Health Assessments

NURS 6512 Discussion: Diversity and Health Assessments example

Post an explanation of the specific socioeconomic, spiritual, lifestyle, and other cultural factors associated with the patient you were assigned. Explain the issues that you would need to be sensitive to when interacting with the patient, and why. Provide at least five targeted questions you would ask the patient to build his or her health history and to assess his or her health risks. NURS 6512 Discussion: Diversity and Health Assessments example

ORDER  HERE A PLAGIARISM-FREE PAPER HERE

The Nurse practitioner should take the socioeconomic, spiritual, and cultural factors into consideration when building the patient’s health history. Also, the healthcare provider should be aware that people have different cultural and religious practices that influence their daily life, health, and wellbeing. Hence when interacting with patients to obtain information that will help to build up patient’s health history, the healthcare provider should be careful of sensitive comments that could be considered offensive and cause the patient to withhold vital healthcare information (Ball, Dains, Flynn, Solomon, & Stewart, 2015). NURS 6512 Discussion: Diversity and Health Assessments example

The assigned case study for this discussion is the case of the 54-year-old Caucasian male referred to the nurse practitioner’s clinic to get treatment from a recent hospitalization due to seizure he suffered from alcohol withdrawal. The patient is hypertensive and has a history of alcohol abuse, including cocaine. Also, the patient is homeless and presently lives in a local homeless shelter.

Check out another post by our paper writing experts aimed at assisting students on Zachary LaFontaine Shadow Health Objective Data

The healthcare practitioner should use the cultural assessment guideline in obtaining accurate and vital information about the patient’s beliefs and spiritual practices, including healthcare practices and daily rituals (Ball et al., 2015). The NIDA-Modified ASSIST screening tool will be used to get more information about patient drug use and alcohol abuse. This tool helps clinicians go through different kinds of questions in identifying harmful substances that can affect a person’s health when consumed (Ball et al., 2015). When interacting with the patient to gain information about the patient health and wellbeing, the nurse practitioner will be careful with her choice of words so that the patient does not feel bad about his present socioeconomic situation or living condition. Also, the nurse practitioner will be careful when asking the patient culturally sensitive questions and will communicate in the way manner that will make the patient provide all the necessary information needed for building patient health history. The five targeted questions to ask the patients include (Vermeir et al. 2015). NURS 6512 Discussion: Diversity and Health Assessments example

  • How will you describe your physical condition and wellbeing, and what does spirituality mean to you?
  • How do you carry out your spiritual beliefs?
  • How will you describe your cultural practices?
  • Please tell me how you ended up doing drugs?
  • Please tell me the things you’ve done to try to stop doing drugs?
  • Please tell me how you support yourself and your current lifestyle?
  • Do you feel sad and depressed sometimes, if so, how often  and what do you do to overcome sadness and depression?

References

References

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2015). Seidel’s guide to

            physical examination (8th ed.). St. Louis, MO: Elsevier Mosby.

Vermeir, P., Vandijck, D., Degroote, S., Peleman, R., Verhaeghe, R., Mortier, E., … Vogelaers, D. (2015). Communication in healthcare: a narrative review of the literature and practical recommendations. International journal of clinical practice69(11), 1257–1267. doi:10.1111/ijcp.12686

 

By Day 6 of Week 2

Respond on or before Day 6 on 2 different days to at least two of your colleagues who were assigned a different patient than you. Critique your colleague’s targeted questions, and explain how the patient might interpret these questions. Explain whether any of the questions would apply to your patient, and why. NURS 6512 Discussion: Diversity and Health Assessments example

response

You are correct on getting a health history of the patient and building rapport. I also believe that this patient should have a psych social done because most patient’s with alcohol abuse have some type of underlying psych issue that they need to deal with. You indicate that besides alcohol, this patient has polysubstance abuse including cocaine. Since the patient is homeless, he might have some type of underlying psych illness that he is self-medicating with the substances. Some psych medications can be costly, and the patient does not have insurance or stable income to be compliant with scheduled meds. Plus, some psych meds need to be monitored with routine lab draw that are done once or twice a week. The patient would not have the means to travel to the clinic for routine lab draws. So, being non-compliant with medication regimen would be something that the practitioner should include in the patient’s plan of care. A few assistance programs are available through states, nonprofits, and drug companies. (Wegmann, 2020). Assisting the patient in finding resources that they can utilize is a great way for them to stay compliant with meds. Some patient thinks that since they do not have money to buy the meds, then why should they continue taking the medication. But they do not know that there are programs out there that can help them, and it is free of charge. There are nonprofit organization or county clinic that offer routine check and dispenses meds free of charge to patient’s that meet the low-income criteria. The only thing that is required is an ID and for the patient to arrive during normal business hours. NURS 6512 Discussion: Diversity and Health Assessments example

Sometimes, the patient may not know or understand what type of illness they have or does not comprehend what they practitioner is teaching them. The miscommunication leads them to be non-compliant with teaching and follow up care. For example, the practitioner asks the patient to collect a urine specimen because they believe the patient has a urinary tract infection. For the practitioner to prescribe the correct antibiotic that the patient is not sensitive to, a UA and culture and sensitivity needs to be collected. The patient never collected a specimen, so the practitioner never prescribes the antibiotic. The patient’s illness exacerbate leading to a kidney infection and the patient ends up in the emergency room. This was all caused due to poor health teaching and miscommunication. Health literacy was affected by the variables of literacy, cognitive ability, culture and society, and individual characteristics. (Wannasirikul, Termsirikulchai, Sujirarat, Benjakul & Tanasugarn, 2016). At the end of all teachings, the practitioner should ask the patient if they understood the teaching and if they had any questions that needs to be clarified.

All the questions you presented are justifiable. If the patient has been abusing alcohol for a long period of time, there might some exacerbations related illness that needs to be discovered by the practitioner. Liver disease is a big one, so labs needs to be obtained especially the liver panel. Delirium tremens is a bad side effect of alcohol withdrawals. It is characterized by the rapid onset of severe confusion and changes in the way your brain regulates blood circulation and breathing. (American Addition Centers, n.d.). This could be a fatal symptom, but most of the time it would not be recognized because they think it is normal behavior of a person who is under the influence of alcohol and other substances. The treatment is that these symptoms needs to be recognized early to counteract the symptoms. IV benzos, antihypertensives, cooing measures, rehydration are just some of the treatment options. If recognized early patient will be saved and might not have any residual side effects from the disease. NURS 6512 Discussion: Diversity and Health Assessments example

References

American Addition Centers. (n.d.). What is delirium tremens. Retrieved on June 10, 2020 from https://americanaddictioncenters.org/alcoholism-treatment/delirium-tremens-symptoms-and-treatment

Wannasirikul, P., Termsirikulchai, L., Sujirarat, D., Benjakul, S., & Tanasugarn, C. (2016). HEALTH LITERACY, MEDICATION ADHERENCE, AND BLOOD PRESSURE LEVEL AMONG HYPERTENSIVE OLDER ADULTS TREATED AT PRIMARY HEALTH CARE CENTERS. Southeast Asian Journal of Tropical Medicine and Public Health, 47(1), 109-120. Retrieved from https://search-proquest-com.ezp.waldenulibrary.org/docview/1799913077?accountid=14872

Wegmann, J. (2020). 5 reasons for medication noncompliance and how healthcare professionals can help. Retrieved on June 11, 2020 from https://pharmatherapist.com/5-reasons-for-medication-non-compliance-and-how-healthcare-professionals-can-help’ NURS 6512 Discussion: Diversity and Health Assessments example

 

response 2

Great post!! It is interesting to read through this post as it contains thoughtful arguments which are very informative. I must agree with you that the nurse practitioner should take the socioeconomic, spiritual, and cultural factors into consideration when building the patient’s health history (Brown, 2018). The challenge for health professionals is in understanding that patients often turn to their religious and spiritual beliefs when making medical decisions. Religion and spirituality can impact decisions regarding diet, medicines based on animal products, modesty, and the preferred gender of their health providers. The influence of culture on health is vast (Finset, 2018). It affects perceptions of health, illness and death, beliefs about causes of disease, approaches to health promotion, how illness and pain are experienced and expressed, where patients seek help, and the types of treatment patients prefer. The influence of culture on health is vast. It affects perceptions of health, illness and death, beliefs about causes of disease, approaches to health promotion, how illness and pain are experienced and expressed, where patients seek help, and the types of treatment patients prefer (Le Cam & Bolz-Johnson, 2019). NURS 6512 Discussion: Diversity and Health Assessments example

References

Brown, H. (2018). Fuelling patient engagement in health: Perceptions and utilisation of patient self-monitoring. https://doi.org/10.26226/morressier.5b719e485aff74008ae4cc5d

Finset, A. (2018). Family involvement, patient engagement and benefits of patient education interventions. Patient Education and Counseling101(6), 969. https://doi.org/10.1016/j.pec.2018.04.008

Le Cam, Y., & Bolz-Johnson, M. (2019). Expert by experience: Valuing patient engagement in healthcare. Patient Engagement, 233-267. https://doi.org/10.1007/978-3-030-14101-1_9 NURS 6512 Discussion: Diversity and Health Assessments example

NURS 6512 – Advanced Health Assessment and Diagnostic Reasoning


The physical and emotional well-being of patients and families can be complex and multifaceted. Advanced practice nurses need to have the knowledge and ability to provide safe, competent, and comprehensive physical health assessments. Students in this course focus on concepts and skills to assess patients across the lifespan. They learn to use diagnostic reasoning, advanced communication, and physical assessment skills to identify changes in health patterns. Students also will explore preventative health through risk evaluation of healthy individuals as a central theme of clinical practice in addition to the assessment of patients with acute and chronic health problems. The advanced skills of suturing, reading 12 Lead EKGs, and interpreting X-rays will be covered. Course assignments emphasize risk assessment, diagnostic reasoning, and evidence-based assessment across the lifespan.

Get Professional Help At Reasonable Costs. We Write Essays, Research Papers, And Assignments for all Students.

Let us write your essay no plagiarism

Is this the question you were looking for? If so, place your order here to get started!

Zachary LaFontaine Shadow Health Objective Data

Zachary LaFontaine Shadow Health Objective Data

My Provider Notes

Student Documentation Model Documentation

Subjective

This is a well nurished 2 month infant, at the appointment with mother. Mom reports normal feeding and sleeping patterns. Interacts socially. Seems to have vision and audition normal. Safety measures at home, smoke detectors, safe at the place to sleep, cnstant supervision of an adult. Hygiene of infant is good, diaper area normal.

Check out another post by our paper writing experts aimed at assisting students on Infant Well Visit Shadow Health Documentation

2 month old male infant today for child check. Birth information male infant born via vaginal delivery at 39 weeks gestation. Length-19”, Weight-7lbs 4 oz, APGAR 9@ 1 min, 10 @ 5 min. There were no birth complications. Here today accompanied by his mother. Medications: Currently not taking any medications, No known medication allergies Nutrition: Breastfeed 5-7 feeds/day about 10 min each breast, schedule varies by day due to mothers school schedule Elimination: Spitting-minimal, 5-6 wet diapers a day, usually 3 bowel movement per day soft, mustard yellow in nature Sleep: Sleeping about 16 hours on Mon-Wed-Fri, Unknown number of hours of sleep on Tuesday and Thursday as her mother cares for Zachary on these days while she is at school. He does wake up more frequently at night on Tuesday and Thursdays Development and behavior: Reports infant smiles, tracks objects with his eyes, coos, turns to noises and familiar sounds. Able to lift his head when on his tummy. Maternal Health: Reports a very busy schedule. Attends school two days a week and her mother helps care for Zachary when she is at school. Reports she does eat a healthy diet and drinks plenty of water. Does report insufficient sleep. Reported breasts feel full before feeding and don’t always feel empty after feeding. Denies any breast leaking. Safety: Car seat is rear facing in the back seat, Back to sleep on a cradleboard or in the bassinet in mothers bedroom, Daycare-not enrolled at this time, cared for at home by relatives.

Objective

Normal growing curves: Head circ, wt and length, all above 5 and under 95 percentile. Vital signs WNL Nose, ears, mouth and skin, WNL, no abnormal findings.

Vital signs: Length=55.2 cm, Weight=4.39 kg, Head circumference=38.1 cm, Temp=36.2C, Heart rate= 132/min, Resp=36 breaths/min General: Infant in mothers arms, calm and alert HEENT: Head: symmetrical, Anterior fontanelle smooth, soft, flat, Posterior fontanelle smooth, soft, flat thin hair Eyes: open spontaneously, lens clear, red reflex present, PERRL Ears: ears aligned with palpable fissures, pinna flexible, lobe formed appropriately, turns head towards sounds Nose: Nares pink, patent, thin white mucus present Mouth/Throat: Palate intact, tongue with full ROM, smooth, frenulum intact, uvula midline Neck: Neck with full ROM, lags when lifting body Resp: Symmetrical chest rise and fall, smooth even respirations, bilateral lungs clear to auscultation, CV: Regular rate and rhythm, S1S2 present, no murmurs, Pulse present, equal bilaterally Abd: Abdomen protuberant, soft, nontender, bowel sounds normoactive, umbilicus healed GU: Scrotum with smooth rugae, circumsized penis with urethral meatus midline, testes present bilaterally MSK: Bilateral extremities symmetrical, moves all extremities freely, Barlow and Ortolani negative. Neuro: Active, alert, sucking, rooting reflex intact, moro reflex intact, stepping reflex intact, tonic reflex intact and symmetrical, grasp reflex intact Skin: Warm, smooth, congruent with genetic background. Elastic turgor. No lesions noted, mucous membranes moist, pink and intact. diaper area without any rash. Hearing/Vision: Eyes track objects. Turns head to familiar voice

Assessment

Normal findings for a 2 months old male baby. Head with normal development, normal size, and growing speed. Well nurished. No abnormal findingds on cardiopulmonary systems. Ortho: Barlow and Ortolani were normal, no Signs pf hip problems. Moro reflex normal for the age. Milestones within age for normal development.

Well child check Feeding difficulties

Plan

Continue breastfeeding. Appointment in 2 months, unless needed before for abnormal findings. Monitor mother health, physical and mental. Vaccination as per CDC.

Surveillance for next visit Vitamin D drops 400 IU 1 drop daily Continue with breastfeeding, develop a structured feeding schedule and begin using breast pump in between feedings so you have milk to supplement your infant when you are at school. Consultation with a lactation specialist to improve feeding practices, develop appropriate feeding schedules and provide support. Never leave unattended, Continue with back to sleep, Vaccines administered today-HepB, RV, DTaP, PCV13, IPV and HiB. Your infant may be a little fussy today and develop a low-grade fever. Notify the office for any high fevers, vaccine site reactions, rashes. Call 911 if develops difficulty breathing Return for weight check in 3-4 weeks and then for 4 month old well child visit Anticipatory Guidance: Social Language & Self Help: Will begin to turn head towards familiar voices. Will look to parent to reassure him when he is upset. He will begin to associate you as the person who consoles him when he is upset. Verbal Language: Will begin making extended cooing sounds. Will become more organized. Gross Motor: Will begin to support self on elbow and wrists. Encourage tummy time to build upper body strength and neck strength. Will begin to roll from stomach to back Fine motor: Will begin to notice he has fingers and will grasp objects with his whole hand. Parent and family health: Make sure you have your postpartum check up. Take time to care for yourself. Infant behavior: Hold, cuddle, talk and sing to your infant. It is a good time to start reading to help with brain development. Pay attention to your infant’s cues for sleep. Keep a schedule. Tummy time throughout the day when awake. Find calming techniques he will respond to. Important to never shake or hit your baby. Nutrition: It is too early for any food other than breast milk. Anticipate 5-6 wet diapers a day and 3-4 stools per day. Continue your prenatal vitamin and a healthy diet. Safety: Continue with rear-facing infant seat in the backseat. Set your water heater to 120 degrees F. Do not leave your infant alone. As he begins to roll, you will need to keep a hand on him when on the changing table, etc.

Get Professional Help At Reasonable Costs. We Write Essays, Research Papers, And Assignments for all Students.

Let us write your essay no plagiarism

Is this the question you were looking for? If so, place your order here to get started!

Infant Well Visit Shadow Health Documentation

Infant Well Visit Shadow Health Documentation

My Provider Notes

Student Documentation Model Documentation

Subjective

This is a well nourished 2 month infant, at the appointment with mother. Mom reports normal feeding and sleeping patterns. Interacts socially. Seems to have vision and audition normal. Safety measures at home, smoke detectors, safe at the place to sleep, constant supervision of an adult. Hygiene of infant is good, diaper area normal. Infant Well Visit Shadow health documentation

Check out another post by our paper writing experts aimed at assisting students on Zachary LaFontaine Treatment Plan Shadow Health

2 month old male infant today for child check. Birth information male infant born via vaginal delivery at 39 weeks gestation. Length-19”, Weight-7lbs 4 oz, APGAR 9@ 1 min, 10 @ 5 min. There were no birth complications. Here today accompanied by his mother. Medications: Currently not taking any medications, No known medication allergies Nutrition: Breastfeed 5-7 feeds/day about 10 min each breast, schedule varies by day due to mothers school schedule Elimination: Spitting-minimal, 5-6 wet diapers a day, usually 3 bowel movement per day soft, mustard yellow in nature Sleep: Sleeping about 16 hours on Mon-Wed-Fri, Unknown number of hours of sleep on Tuesday and Thursday as her mother cares for Zachary on these days while she is at school. He does wake up more frequently at night on Tuesday and Thursdays Development and behavior: Reports infant smiles, tracks objects with his eyes, coos, turns to noises and familiar sounds. Able to lift his head when on his tummy. Maternal Health: Reports a very busy schedule. Attends school two days a week and her mother helps care for Zachary when she is at school. Reports she does eat a healthy diet and drinks plenty of water. Does report insufficient sleep. Reported breasts feel full before feeding and don’t always feel empty after feeding. Denies any breast leaking. Safety: Car seat is rear facing in the back seat, Back to sleep on a cradleboard or in the bassinet in mothers bedroom, Daycare-not enrolled at this time, cared for at home by relatives.

Objective

Normal growing curves: Head circ, wt and length, all above 5 and under 95 percentile. Vital signs WNL Nose, ears, mouth and skin, WNL, no abnormal findings.Infant Well Visit Shadow health documentation

ORDER SHADOW HEALTH, EXAM OR WRITTEN PAPER HERE

Vital signs: Length=55.2 cm, Weight=4.39 kg, Head circumference=38.1 cm, Temp=36.2C, Heart rate= 132/min, Resp=36 breaths/min General: Infant in mothers arms, calm and alert HEENT: Head: symmetrical, Anterior fontanelle smooth, soft, flat, Posterior fontanelle smooth, soft, flat thin hair Eyes: open spontaneously, lens clear, red reflex present, PERRL Ears: ears aligned with palpable fissures, pinna flexible, lobe formed appropriately, turns head towards sounds Nose: Nares pink, patent, thin white mucus present Mouth/Throat: Palate intact, tongue with full ROM, smooth, frenulum intact, uvula midline Infant Well Visit Shadow health documentation  Neck: Neck with full ROM, lags when lifting body Resp: Symmetrical chest rise and fall, smooth even respirations, bilateral lungs clear to auscultation, CV: Regular rate and rhythm, S1S2 present, no murmurs, Pulse present, equal bilaterally Abd: Abdomen protuberant, soft, nontender, bowel sounds normoactive, umbilicus healed GU: Scrotum with smooth rugae, circumsized penis with urethral meatus midline, testes present bilaterally MSK: Bilateral extremities symmetrical, moves all extremities freely, Barlow and Ortolani negative. Neuro: Active, alert, sucking, rooting reflex intact, moro reflex intact, stepping reflex intact, tonic reflex intact and symmetrical, grasp reflex intact Skin: Warm, smooth, congruent with genetic background. Elastic turgor. No lesions noted, mucous membranes moist, pink and intact. diaper area without any rash. Hearing/Vision: Eyes track objects. Turns head to familiar voice Infant Well Visit Shadow health documentation

Assessment

Normal findings for a 2 months old male baby. Head with normal development, normal size, and growing speed. Well nourished. No abnormal findings on cardiopulmonary systems. Ortho: Barlow and Ortolani were normal, no Signs pf hip problems. Moro reflex normal for the age. Infant Well Visit Shadow health documentation . Milestones within age for normal development.

Well child check Feeding difficulties

Plan

Continue breastfeeding. Appointment in 2 months, unless needed before for abnormal findings. Monitor mother health, physical and mental. Vaccination as per CDC.

Surveillance for next visit Vitamin D drops 400 IU 1 drop daily Continue with breastfeeding, develop a structured feeding schedule and begin using breast pump in between feedings so you have milk to supplement your infant when you are at school. Consultation with a lactation specialist to improve feeding practices, develop appropriate feeding schedules and provide support. Never leave unattended, Continue with back to sleep, Vaccines administered today-HepB, RV, DTaP, PCV13, IPV and HiB. Your infant may be a little fussy today and develop a low grade fever. Notify the office for any high fevers, vaccine site reactions, rashes. Call 911 if develops difficulty breathing Return for weight check in 3-4 weeks and then for 4 month old well child visit Anticipatory Guidance: Social Language & Self Help: Will begin to turn head towards familiar voices. Will look to parent to reassure him when he is upset. He will begin to associate you as the person who consoles him when he is upset. Verbal Language: Will begin making extended cooing sounds. Will become more organized. Gross Motor: Will begin to support self on elbow and wrists. Encourage tummy time to build upper body strength and neck strength. Will begin to roll from stomach to back Fine motor: Infant Well Visit Shadow health documentation  Will begin to notice he has fingers and will grasp objects with his whole hand. Parent and family health: Make sure you have your postpartum check up. Take time to care for yourself. Infant behavior: Hold, cuddle, talk and sing to your infant. It is a good time to start reading to help with brain development. Pay attention to your infant’s cues for sleep. Keep a schedule. Tummy time throughout the day when awake. Find calming techniques he will respond to. Important to never shake or hit your baby. Nutrition: It is too early for any food other than breast milk. Anticipate 5-6 wet diapers a day and 3-4 stools per day. Continue your prenatal vitamin and a healthy diet. Safety: Continue with rear-facing infant seat in the backseat. Set your water heater to 120 degrees F. Do not leave your infant alone. As he begins to roll, you will need to keep a hand on him when on the changing table, etc. Infant Well Visit Shadow health documentation

Get Professional Help At Reasonable Costs. We Write Essays, Research Papers, And Assignments for all Students.

Score Higher Make an order Today

Is this the question you were looking for? If so, place your order here to get started!

Zachary LaFontaine Treatment Plan Shadow Health

Zachary LaFontaine Treatment Plan Shadow Health

Treatment Plan: 11 Of 16 (68.75%)

Problem Selection
6 out of 9

Primary Diagnosis

Review Your Answers For The Problem Selection Activities. You Receive One Point For Each Correct Diagnosis, And One Point For Each Correct Evidence Linked To A Correct Diagnosis. If There Are Multiple Correct Diagnoses, You Will Also Receive A Point For Correctly Selecting Which Diagnosis Is The Primary Diagnosis.

Learner Selection Model Documentation

 Diagnosis: Encounter for routine child health examination with abnormal findings

 Identified as primary

Evidences:

 Ms. LaFontaine reports that the reason for the visit is a well-child exam

Learner Rationale:

nothing

Score: 2 out of 3

 Diagnosis: Encounter for routine child health examination with abnormal findings

Primary: Yes

Evidences:

Ms. LaFontaine reports that the reason for the visit is a well-child exam

Model Rationale:

The primary diagnosis is the reason for the patient’s visit. Because Ms. LaFontaine has indicated she has brought Zachary in for his well-child exam, the correct primary diagnosis is “Encounter for routine child health examination with abnormal findings.” As a primary care provider, it is critical to properly code the reason for Zachary’s visit so it can be covered by insurance.

Check out another post by our paper writing experts aimed at assisting students on Adolescent Sports Evaluation Shadow Health Documentation

Additional Diagnosis

Learner Selection Model Documentation

 Diagnosis: Feeding Difficulty

Evidences:

 Breasts are not always empty after feeding

 Falling asleep while breastfeeding

 Feeding sessions of insufficient length

 Mother does not perceive enough time to feed

 Mother does not consume enough calories

Learner Rationale:

I really found a normal developed infant

Score: 4 out of 6

 Diagnosis: Feeding Difficulty

Evidences:

Breasts are not always empty after feeding

Drop in weight percentile for age

Feeding sessions of insufficient length

Less frequent than normal elimination

Mother does not perceive enough time to feed

Model Rationale:

A delay or reduction in developmentally appropriate weight gain indicates that Zachary has a problem related to feeding, nutrition, or digestion, as does his somewhat infrequent eliminations. Daanis reports that her breasts do not always feel empty after feedings, which could be an indication that Zachary is experiencing mechanical problems with latching or that Daanis cannot express breast milk. However, Daanis also reports that she does not feel like she has enough time to feed Zachary, and describes feeding sessions that are shorter than recommended. This leads to “Feeding difficulty” being the correct additional diagnosis. Kerzner B et al. (2015). A practical approach to classifying and managing feeding difficulties. Pediatrics, 135(2): 344.

Plan of Care
5 out of 7

Review Your Answers For The Plan Of Care Activity. You Must Select “Yes” Or “No” For Each Of The Seven Care Actions. You Will Receive One Point For Determining The Correct Answer For Each Care Action.

Learner Selection Model Documentation
Pharmacological Intervention

Selected: No

Learner Rationale:

No for the infant. In the other hand, the mother will need suplements such as multivitamis

Score: 0 out of 1

Recommended: Yes

Zachary may be deficient in Vitamin D, which is critical for infant bone and tooth development. Vitamin D deficiency is common in children who are breastfed, as breast milk contains no Vitamin D. You will recommend an OTC Vitamin D supplement to Daanis for Zachary to take.

Non-Pharmacological Intervention

Selected: Yes

Learner Rationale:

Infant nutrition, and breast feeding education.

Score: 1 out of 1

Recommended: Yes

You will talk to Daanis about acquiring a breast pump and planning an effective feeding schedule. A more structured feeding schedule and the use of a breast pump will allow Daanis to fully meet Zachary’s nutritional needs while also maintaining her own well being.

Educate Guardian

Selected: Yes

Learner Rationale:

as above

Score: 1 out of 1

Recommended: Yes

Providing education to patients’ guardians is a key component of pediatric practice. Clearly communicating to guardians what care their children need and why improves adherence and outcomes.

Preventive Screening and Intervention

Selected: No

Learner Rationale:

not need it

Score: 0 out of 1

Recommended: Yes

At two months, Zachary is due for several vaccines: Hepatitis B (HepB), Rotavirus (RV), Diphtheria, Tetanus and Acellular pertussis (DTaP), Pneumococcal conjugate (PCV13), Inactivated poliovirus (IPV), and Haemophilus influenzae (HiB). You will talk to Daanis about the need for these vaccines and administer them with her consent.

Diagnostic Testing: Labs and Imaging

Selected: No

Learner Rationale:

not need it

Score: 1 out of 1

Recommended: No

As the patient’s diagnosis is evident, no further diagnostic testing is needed.

Referral of Care

Selected: Yes

Learner Rationale:

Breastfeeding education. Mother health, caloric intake, supplements or vitamis use.

Score: 1 out of 1

Recommended: Yes

A lactation specialist will allow Daanis to improve her feeding practices and integrate her challenging schedule with Zachary’s nutritional and emotional needs. You will refer Daanis to a lactation specialist that is in network with Indian Health Services.

Continued Care and Follow-up

Selected: Yes

Learner Rationale:

in 2 months of before if needed.

Score: 1 out of 1

Recommended: Yes

Because Zachary is lagging developmentally, it would not be appropriate to wait for his four-month wellness visit to see if the interventions you have selected are working. You will schedule a follow-up appointment with Daanis to make sure that the interventions have resolved Zachary’s feeding problems and that he is gaining weight in a developmentally appropriate way.

Get Professional Help At Reasonable Costs. We Write Essays, Research Papers, And Assignments for all Students.

Order an Excellent Essay today

Is this the question you were looking for? If so, place your order here to get started!

Adolescent Sports Evaluation Shadow Health Documentation

Adolescent Sports Evaluation Shadow Health Documentation

Vitals

Vitals Current Visit
Height 157.4 cm
Weight 49.9 kg
BMI 20
Temp (<38° C) 36.6° C
HR (60-100) 78
RR (12-20) 16
BP 112/70

 

Documentation / Electronic Health Record

My Provider Notes

Student Documentation Model Documentation

Subjective

Ms. Monroe is a 13 year old female presenting for a preparticipation evaluation so she can play soccer this year. Past Medical History: No current medical problems. Tonsillectomy as a child. Medications: No prescription medications. Takes multivitamin and apple cider vinegar. Nutrition: Eats a Mediterranean diet and avoids sweets, processed foods, and white carbs. Skips lunch 1-2 times a week. Physical Activity: Plays soccer on weekends. Family Medical History: No family history of genetic heart problems. Review of Systems HEENT: Denies eye, vision, and hearing problems. Cardiovascular: Denies chest pain during exercise, hear problems. Respiratory: Denies breathing problems during exercise. Musculoskeletal: Denies joint or muscle injuries. Genitourinary: Denies starting menses.

Check out another post by our paper writing experts aimed at assisting students on Samantha Monroe Shadow Health Treatment Plan

 

ORDER SHADOW HEALTH, EXAM OR WRITTEN PAPER HERE

Ms. Monroe is a 13 year old female who presents today for her sports preparticipation evaluation so she can play soccer this year. She had her annual well visit 6 months ago. Past Medical History: No current medical concerns. Had a tonsillectomy as a child. Denies any missing organs. Medications: Currently not taking any prescription medications, Daily Multivitamin and drinks Apple Cider Vinegar, 1 tablespoon a day with water. No known medication allergies Nutrition: Eats a Mediterranean diet and avoids sweets, “white carbs” and processed foods. Skips lunch 1-2 times a week for the last month. Physical Activity: Plays recreational soccer on the weekends, but really wants to play for her school team. Family Medical History: Denies history of any family members with genetic heart conditions, denies any family members with early cardiac death. Social History: Reports following a Mediterrranean diet, avoiding “white carbs”, and processed foods. Skips lunch 1-2 times a week. Feels like she needs to lose her baby fat so she can look like her friends. Feels like she does not fit in and wants to look athletic. Review of Systems HEENT: Denies eye problems, vision difficulties, and hearing problems. Cardiovascular: Denies any chest pain during exercise, denies history of cardiac issues, denies any prior cardiac tests. Respiratory: Denies shortness of breath during exercise. Musculoskeletal: Report sprained ankle at age 10. Denies any current muscle or joint injuries. Neurological: Denies syncope with exercise, positive for intermittent dizziness 1-2 times after skipping lunch. Denies head injury or concussions, denies numbness, tingling or weakness. Integumentary: Denies rashes. Genitourinary: Denies starting menses.

Objective

Vitals: H 62 in., W 49.9 kg, BP 112/70, T 36.6C, HR 78 RR 16 General: Pleasant 13-year old in no acute distress. HEENT: Symmetrical head. Eyes PERLA, EOM intact. Neck with full ROM Respiratory: Symmetrical chest rise and fall, lungs clear to auscultation. CV: S1, S2 present, RRR, no murmurs or gallops. Abd: No bruit in abdomen aorta. MSK: Symmetrical bilateral extremities. Full ROM. Skin: Warm, no rash or lesions. Neuro: Alert and oriented x3, intact balance, steady gait.

Vital signs: Length=62 in., Weight=49.9 kg, BMI= 20, Blood pressure=112/70, Temp=36.6C, Heart rate= 78/min, Resp=16 breaths/min General: Well-appearing 13-year-old in no acute distress. Upright posture without tension or rigidity, clothing clean and appropriate for season HEENT Head: Symmetrical Eyes: PERRLA, EOM intact, peripheral vision equal to examiner, vision 20/20 bilaterally Neck: Neck with full ROM Resp: Symmetrical chest rise and fall, smooth even respirations, bilateral lungs clear to auscultation CV: Regular rate and rhythm, S1S2 present, no murmurs, pulse present, equal bilaterally Abd: Abdomen aorta with no bruit noted MSK: Bilateral extremities symmetrical, FROM equally strength 5+ all extremities, Adam’s forward bend-equal iliac crest height, expected curvature of spine, scapula equal height, cervical spine full range of motion, lumbar spine-full range of motion, trapezius strength +5 bilaterally Neuro: Alert and oriented x3, balance intact, sensation intact Skin: Warm, smooth, congruent with genetic background. Elastic turgor. No lesions noted Hearing/Vision: Vision 20/20 uncorrected. Hearing intact

Assessment

Pre-participation sports physical Inappropriate diet and eating habits

Pre-Participation Sports Physical Inappropriate diet and eating habits

Plan

Pre-participation sports physical 1. Clear to participate in sports Inappropriate diet and eating habits Educate on healthy nutrition Discuss strategies for reducing shame around eating, weight. Educate on detecting problematic eating behaviors. RTC in 4 weeks for reevaluation.

Preparticipation physical 1. Clear to participate in sports Inappropriate diet and eating habits 1. Will provide education on healthy nutrition and the effects of nutrition on her body. 2. Discuss the potential life threatening problems caused by improper nutrition. 3. Healthy diet includes 3 meals a day and healthy snack options especially when exercising. 4. Discuss strategies for reducing shame around eating, weight and self-perception. Coping mechanisms around self-esteem and body image to include journaling, support group, relaxation, stress management, positive self talk and affirmations. 5. Limit media intake and refrain from watching shows on weight loss or dieting. 6. Educate on identifying problematic eating behaviors. Anticipatory Guidance Safety: Review sports safety measures including female athlete triad, injury prevention, sunscreen and sun protection, diet and nutritional supplements Follow-up Return to the clinic in 4 weeks to reevaluate nutrition and eating habits.

With Regards,

Dennis Gitonga Muriuki.

Get Professional Help At Reasonable Costs. We Write Essays, Research Papers, And Assignments for all Students.

Let us write your essay no plagiarism, Adolescent Sports Evaluation Shadow Health Documentation

Is this the question you were looking for? If so, place your order here to get started!

Samantha Monroe Shadow Health Treatment Plan

Samantha Monroe Shadow Health Treatment Plan

Treatment Plan: 21 Of 21 (100.00%)

Problem Selection

8 out of 8

Primary Diagnosis

Review Your Answers For The Problem Selection Activities. You Receive One Point For Each Correct Diagnosis, And One Point For Each Correct Evidence Linked To A Correct Diagnosis. If There Are Multiple Correct Diagnoses, You Will Also Receive A Point For Correctly Selecting Which Diagnosis Is The Primary Diagnosis.

Learner Selection Model Documentation

 Diagnosis: Pre-Participation Sports Physical

 Identified as primary

Evidences:

 Samantha reports the reason for her visit is a sports physical

Learner Rationale:

The patient indicates that she came for a sports physical.

Score: out of 3

 Diagnosis: Pre-Participation Sports Physical

Primary: Yes

Evidences:

Samantha reports the reason for her visit is a sports physical

Model Rationale:

The primary diagnosis is the reason for the patient’s visit. Because Samantha has indicated she is in the office for her sports physical, the correct primary diagnosis is Pre-Participation Sports Physical. As a primary care provider, it is critical to properly code the reason for Samantha’s visit so it can be covered by insurance.

Check out another post by our paper writing experts aimed at assisting students on Adolescent Sports Evaluation Samantha Monroe Shadow Health Transcript

Additional Diagnosis

Learner Selection Model Documentation

 Diagnosis: Inappropriate Diet and Eating Habits

Evidences:

 Samantha reports a desire to lose baby fat

 Samantha reports dizziness

 Samantha reports wanting to look more athletic

 Samantha reports skipping lunch once or twice each week

Score: out of 5

 Diagnosis: Inappropriate Diet and Eating Habits

Evidences:

Samantha reports a desire to lose baby fat

Samantha reports dizziness

Samantha reports wanting to look more athletic

Samantha reports skipping lunch once or twice each week

Model Rationale:

Samantha’s desire to lose baby fat and appear more athletic, as well as her diet modifications, are clear indications that Samantha’s diagnosis pertains to Inappropriate Diet and Eating Habits. This subjective data, along with Samantha’s normal weight range and healthy BMI collected during physical examination, indicate that Samantha’s problematic behavior is not severe enough to meet the criteria of other eating-related diagnosis or disorders. Therefore, Inappropriate Diet and Eating Habits is the correct additional diagnosis at this time. American Psychiatric Association. (2017). Feeding and Eating Disorders. In Diagnostic and statistical manual of mental disorders (5th ed.). https://doi.org/10.1176/appi.books.9780890425596.dsm10

ORDER SHADOW HEALTH, EXAM OR WRITTEN PAPER HERE

Plan of Care

7 out of 7

Review Your Answers For The Plan Of Care Activity. You Must Select “Yes” Or “No” For Each Of The Seven Care Actions. You Will Receive One Point For Determining The Correct Answer For Each Care Action.

Learner Selection Model Documentation
Pharmacological Intervention

Selected: No

Learner Rationale:

No disease or problem was indicated by the patient

Score: out of 1

Recommended: No

This selection is not appropriate. Samantha did not indicate any illness or problem during her sports physical that would require Pharmacological Intervention.

Non-Pharmacological Intervention

Selected: Yes

Learner Rationale:

You should discuss with the patient about her food and dieting habits.

Score: out of 1

Recommended: Yes

Because you’ve uncovered some eating and body issues during Samantha’s visit, it is appropriate to perform Non-Pharmacological Interventions. You will talk to Samantha and Jackie about their attitudes and habits around food, dieting, and body image in order to interrupt Samantha’s disordered habits before they become more problematic. A more intuitive, holistic approach to healthy living will allow Samantha to shift her focus away from restrictive eating and weight loss towards a lifestyle that supports her well being.

Educate Patient

Selected: Yes

Learner Rationale:

Patient should be taught to take care of her own health.

Score: out of 1

Recommended: Yes

When a pediatric patient is old enough to take responsibility for their own care, you must educate them as well as their guardian. Clearly communicating to a patient and their guardian what care they need and why improves adherence and outcomes.

Preventive Screening and Intervention

Selected: No

Learner Rationale:

Samantha already got preventive screening during her 134-year old well visit.

Score: out of 1

Recommended: No

This selection is not appropriate. Samantha already had her 13-year-old well visit where she was vaccinated and screened for preventative care.

Diagnostic Testing: Labs and Imaging

Selected: No

Learner Rationale:

No conditions were indicated that would require testing.

Score: out of 1

Recommended: No

This selection is not appropriate. Samantha did not indicate any conditions or issues that would require labs or testing.

Referral of Care

Selected: No

Learner Rationale:

This selection is not appropriate.

Score: out of 1

Recommended: No

This selection is not appropriate. It’s important to follow-up with Samantha about your initial intervention strategies before referring the patient out for specialized care.

Continued Care and Follow-up

Selected: Yes

Learner Rationale:

A follow-up appointment is essential to see how the patient is complying with non-pharmacological interventions

Score: out of 1

Recommended: Yes

Given Samantha’s inappropriate eating habits and body image concerns, a follow-up appointment to see how well she is adhering to the non-pharmacological interventions is an appropriate selection.

Non-Pharmacological Intervention

6 out of 6

Learner Selection Model Documentation
Discuss life-threatening health problems caused by eating disorders, such as heart failure, bone loss, hair and tooth loss, and loss of menses.

Selected: Yes

Learner Rationale:

Score: out of 1

Recommended: Yes

Given Samantha’s lack of knowledge around the consequences of eating disorders, it is critical she understand the long-term consequences of poor nutrition. Samantha’s diagnosis of Inappropriate Diet and Eating Habits requires that Samantha understand the potential risks she is taking with her behavior. Therefore, Discuss Life-threatening Health Problems is an appropriate selection at this time.

Discuss limiting Samantha’s media intake, including unfollowing fitness accounts on social media and refraining from watching shows about weight loss or dieting.

Selected: Yes

Learner Rationale:

Score: out of 1

Recommended: Yes

Given that Samantha mentioned social media and peer pressure as influencing her body image and self-esteem, it is critical she limits her exposure to media that promotes dieting, weight loss, fitness, and idealized or unrealistic bodies. Samantha’s diagnosis of Inappropriate Diet and Eating Habits requires a holistic approach that considers the cultural factors that may influence her. Therefore, Limiting Media Intake is the appropriate selection at this time.

Discuss with Samantha various ways to track her calorie intake, including apps and food diaries, to ensure she meets her recommended caloric intake.

Selected: No

Learner Rationale:

Score: out of 1

Recommended: No

Given best practices and the details of Samantha’s case, this is an inappropriate intervention. Taking into account all of Samantha’s signs and symptoms, it is not appropriate to encourage Samantha to fixate further on calories or food intake. Eating Disorder Foundation. (n.d.). About eating disorders. https://eatingdisorderfoundation.org/learn-more/about-eating-disorders

Educate Samantha on identifying problematic eating behaviors, including skipping meals on purpose, misusing laxatives, counting calories, or purging via exercise or vomiting.

Selected: No

Learner Rationale:

Score: out of 1

Recommended: No

Given best practices and the details of Samantha’s case, this is an inappropriate intervention; however, Samantha could be educated on problematic eating behaviors, including in-depth examples like misusing laxatives or purging via exercise or vomiting may unintentionally give the patient more strategies to continue covert disordered eating. Eating Disorder Foundation. (n.d.). About eating disorders. https://eatingdisorderfoundation.org/learn-more/about-eating-disorders

Increase knowledge of coping mechanisms for low self-esteem and poor body image, including journaling, support groups, relaxation and stress management, positive self-talk, and affirmations.

Selected: Yes

Learner Rationale:

Score: out of 1

Recommended: Yes

Given Samantha’s poor body image, desire to lose weight, and her tendency to compare herself to her peers, it is critical she develop positive coping mechanisms to build a more neutral, if not positive, approach to her body. Coping mechanisms may include journaling, support group, relaxation and stress management, positive self-talk, and affirmations. Samantha’s diagnosis of Inappropriate Diet and Eating Habits requires a patient-centered empathetic approach. Therefore, Increase Knowledge of Coping Mechanisms is the appropriate selection at this time.

Inform Samantha that if she sets her mind to it, she can overcome her body issues and low-self esteem through proper diet and exercise.

Selected: No

Learner Rationale:

Score: out of 1

Recommended: No

Given best practices and the details of Samantha’s case, this is an inappropriate intervention. Disordered eating arises from complex, overlapping factors such as culture, fatphobia, peer pressure, and anxiety. Informing Samantha that she can simply choose to overcome her low self-esteem is not a patient-centered intervention. Eating Disorder Foundation. (n.d.). About eating disorders. https://eatingdisorderfoundation.org/learn-more/about-eating-disorders

Education

In your own words, discuss life-threatening health problems related to disordered eating with Samantha and Ms. Monroe.

Learner Response Model Response
Forcing yourself to diet or skip meals can make you very sick because strong bones teeth, and hair require adequate nutrition. Eating as much as you should is a very important part of staying healthy. Forcing yourself to diet or skip meals can make you very sick. Strong bones, hair, and teeth all require sufficient nutrition and calories. Eating well is important for development. You mentioned feeling self-conscious about not having your period yet, but you’re developing at a normal rate. Eating regularly will help you stay on track to develop properly, which includes getting your period. Also, you’re a soccer player — that requires a lot of energy and stamina. Eating plenty of food allows you to perform on the field and helps protect you from injury and overexertion. As an athlete, a student, and a young woman, having three meals of balanced food a day will help you achieve your goals.

Oh, um yeah. That makes sense. I don’t want any of that to happen.

Thank you. This is pretty concerning so we’ll take this very seriously.

In your own words, discuss limiting media intake with Samantha and Jackie.

Learner Response Model Response
You should limit media exposure and remember that your body deserves to be fed, cared or, regardless of the size. Samantha, you mentioned social media and your friends’ follower count as influencing your body-image. We’re going to talk about social media and strategies you can use to protect your mental health and body-image. It’s critical you limit your exposure to media sources that promote diet culture, fad diets, weight loss, fitness goals, and idealized, unrealistic bodies. Instead of focusing on how you look in comparison to others, try to reframe those thoughts and remind yourself that your body isn’t a problem to be solved or punished. When you see images, articles, or TV shows that make you feel bad, turn them off and remember your body deserves to be fed, cared for, and appreciated, regardless of its size.

Yeah, I mean I don’t want an eating disorder or anything like that. I just thought thinking like that was pretty normal, but I guess not.

We’re just both going to have to rethink how we see our bodies and talk about nutrition. I don’t want to see my daughter struggle with her self-esteem.

In your own words, discuss increasing knowledge of coping mechanisms with Samantha and Jackie.

Learner Response Model Response
You can try journalling, relaxation and stress management techniques, and affirmations Now we’re going to talk about some specific coping strategies you can use to interrupt negative thoughts about yourself and work towards a more neutral, if not positive, approach to your body. You can try journaling, relaxation and stress management techniques, replacing negative self-talk with positive things you like and appreciate about yourself, and affirmations. A good affirmation for you might be, “All bodies deserve to be fed and watered,” or “All bodies deserve care and praise.” You can also consider going to a support group for teens looking to build-up their self-esteem. Body image and disordered eating can significantly impact a person’s anxiety levels and sense of control over their lives. Try using these coping strategies the next time you have anxious, controlling, or restrictive thoughts about your body or food.

Yeah, that make sense. It’s not like I want to feel this way, you know?

I’m just glad we figured out that this was an issue. I had no idea.

Get Professional Help At Reasonable Costs. We Write Essays, Research Papers, And Assignments for all Students.

Order an Excellent Essay today, Samantha Monroe Shadow Health Treatment Plan

Is this the question you were looking for? If so, place your order here to get started!