NR304 Health Assessment II

Chamberlain College of Nursing

NR304 Health Assessment II

1

Teaching Brochure Guidelines

PURPOSE

The purpose of this assignment is to allow students to integrate their knowledge of health assessment as it related to a medical diagnosis and teaching needs. Students will develop a tri-fold or bi-fold brochure for a client that will provide information about a specific disease, the related symptoms, and the management approaches.

COURSE OUTCOMES

This assignment enables the student to meet the following course outcomes:

CO2. Identify teaching/learning needs from the health history of an individual. (PO#2, PO#5). Explain expected client behaviors while differentiating between normal findings, variations, and abnormalities. (PO#1)

DUE DATE: Sunday December 9, 2018 by 11:59 pm. ALL LATE PROCEDURE Policy WILL BE STRICLTY ADHERED TO – NO EXCEPTIONS!

TOTAL POINTS POSSIBLE: 100 POINTS

REQUIREMENTS

1. Research a disease process using two scientific articles from nursing journals.

2. Develop a teaching brochure which could be given to a client who is newly diagnosed with this disease to help them understand the signs and symptoms, disease process, and management approaches.

Sections to include:

· Introduction

· Subjective Findings

· Objective Findings

· Description of Disease (brief)

· Risk Factors/Causes

· Management

· Medications (Note: You have not taken your pharmacology course yet, so please do not focus on medication treatment. Under this section please add only one sentence “Your practitioner may recommend over the counter medications or prescription medications to treat your disease.” But, please do not go into any additional detail.)

· Conclusion

3. Include at least one image and up to three images that would help the client understand classic symptoms of the disease process. This picture should assist the class in better understanding the disease process.

4. Include your references on the back of the brochure in APA format.

5. Submit your brochure on time to the Dropbox (I will not accept emailed copies). Be sure to save the electronic file with your last name and first initial and the diagnosis you are describing.

PREPARING THE BROCHURE

1. Identify appropriate articles for review.

2. Begin to search for images in your textbook or online (make sure you reference your source).

3. Begin the project as soon as possible, allowing yourself plenty of time to make it look good. This means the brochure should be print ready. I expect these to look professional which means you need to spend some time on it.

DIRECTIONS AND GRADING CRITERIA

CategoryPoints%Description
Format2027Brochure is developed as a bi-fold or tri-fold brochure. Submitted on time and properly labeled. Written for the appropriate age group. References are in APA format and include at least 2 nursing journal articles. Includes at least one and up to three appropriate images and the image source is acknowledged. Note this more than 25% of your grade – follow directions!
Definition of Medical Diagnosis105.5Defines the medical diagnosis clearly and concisely.
Subjective Findings1013.5Clearly identifies the common subjective findings and key history questions. Differentiates subjective from objective.
Objective Findings1513.5Clearly identifies the common objective findings and key physical exam techniques. Includes pertinent procedures and laboratory findings. Differentiates objective from subjective.
Risk Factors/ Causes1513.5Clearly identifies individuals at risk for the medical diagnosis, including modifiable and non-modifiable risk factors.
Management1513.5Includes a concise summary of the management approach for the disease process in terms that a client can understand.
Creativity1513.5Impress me!
100100A quality brochure will meet or exceed the above requirements.
 
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Research a health care

Research a health care organization or a network that spans several  states within the U.S. (Example: United Healthcare, Vanguard, Banner  Healthcare, etc.).

Harvard Business Review Online and Hoover’s Company Records, found  in the GCU Library, are useful sources. You may also find pertinent  information on your organization’s webpage.

Review “Singapore Airlines Case Study.”

Prepare a 1,000-1250-word paper that focuses on the organization or  network you have selected.

Your essay should assess the readiness of the health care  organization or network in addressing the health care needs of  citizens in the next decade, and include a strategic plan that  addresses issues pertaining to network growth, nurse staffing,  resource management, and patient satisfaction. Provide a comparison to  the health care organization or network and the Singapore Airlines.  Include any cultural issues that may influence the practices listed above.

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

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

You are required to submit this assignment to LopesWrite. Please refer  to the directions in the Student Success Center.

 
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Somatic Symptom Disorders

Individuals with somatic symptom disorders tend to have considerable difficulty with how they experience and appraise their bodily symptoms. The illness and the dysfunctional focus and behavior around the illness can assume a central role in the person’s life.

Somatic symptom disorders were originally thought of as “hysterical,” without legitimate medical causation, or as hypochondriasis. Though thinking has changed, negative judgments about unfounded illnesses can still be attached to individuals with these disorders. The boundary between medical and emotional problems can be further blurred. In some cases, an individual labeled with one of these illnesses may simply be experiencing a developing medical condition that has not yet been well defined. For all of these reasons, social workers need to take particular care in diagnosing somatic symptom disorders and in providing a fully biopsychosocial and multidisciplinary approach.

In this Answer, you describe what that approach might look like for one client.

QUESTION:

To prepare: Imagine that Jennifer Brea, whose TEDTalk (TED Conferences, LLC, 2016) you watched, is referred to you for ongoing supportive therapy when her psychiatry consultant decides that she does not have a conversion disorder. Despite the psychiatrist’s opinion, her primary care physician ignores that consult and labels Jennifer as having a somatic symptom disorder anyway.

Submit a 5-minute recorded PowerPoint (5–7 slides) in which you address the following:

  • 1. Explain in a concise professional manner how you would conduct your first meeting with Jennifer. Identify specific steps you would take to understand her circumstance and needs.
  • 2. Explain how you would proceed with her medical team in terms of advocacy for her as a client believed to have this condition.
  • 3. Explain why you would need to take a biopsychosocial approach to her ongoing care.
  • 4. Explain what social, family, vocational, Internet, and medical supports you would explore to help with her longer-term stabilization.
  • 5. Analyze the controversy in diagnosing a mental disorder based on unexplained physical symptoms. Within your analysis, consider how power and privilege influence who provides the diagnoses and which groups are more likely to be diagnosed with certain disorders. Explain your thoughts on this debate
 
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Ethics In Health Care Interview

Contact a health care professional and arrange to conduct an interview. Use the interview to understand the ethical perspective of the health care professional regarding the following:

  1. How does the health care professional define ethical challenges?
  2. How does the health care professional handle ethical challenges?

Write a 1,250-1,500 word paper based on the interview in which you address the following:

  1. Explain the application of ethics in the health care environment of the interviewee.
  2. Compare and contrast the interviewee’s answers with what you have learned in this course.
  3. Include additional resources that support, reinforce, or even challenge your findings and observations.

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

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

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

 
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Health And Wellness Assessment

Choose 2 of the 5 attached profiles and write at least a 525- to 1,050-word Health and Wellness Summary for each individual.

In your summary, include the following topics:

  • An initial assessment of the person’s health based on the profile characteristics.
  • Risk factors that this person may face.
  • At least 2 suggestions to improve their specific health and wellness.
  • 2 web resources you may send this person to consult based on your suggestions
 
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End of Life Care

End of Life Care.

Choose 1 focal point from each subcategory of practice, education, research and administration and describe how the APRN can provide effective care in end of life management.

Using the American nurses association position statement, recommendations for improvement in end of life management focuses on practice, education, research and administration. Listed below are steps that nurses can take to overcome barriers in healthcare practice.

Practice

1. Strive to attain a standard of primary palliative care so that all health care providers have basic knowledge of palliative nursing to improve the care of patients and families.

2. All nurses will have basic skills in recognizing and managing symptoms, including pain, dyspnea, nausea, constipation, and others.

3. Nurses will be comfortable having discussions about death, and will collaborate with the care teams to ensure that patients and families have current and accurate information about the possibility or probability of a patient’s impending death.

4. Encourage patient and family participation in health care decision-making, including the use of advance directives in which both patient preferences and surrogates are identified.

Education

1. Those who practice in secondary or tertiary palliative care will have specialist education and certification.

2. Institutions and schools of nursing will integrate precepts of primary palliative care into curricula.

3. Basic and specialist End-of-Life Nursing Education Consortium (ELNEC) resources will be available.

4. Advocate for additional education in academic programs and work settings related to palliative care, including symptom management, supported decision-making, and end-of-life care, focusing on patients and families.

Research

1. Increase the integration of evidence-based care across the dimensions of end-of-life care.

2. Develop best practices for quality care across the dimensions of end-of-life care, including the physical, psychological, spiritual, and interpersonal.

3. Support the use of evidence-based and ethical care, and support decision-making for care at the end of life.

4. Develop best practices to measure the quality and effectiveness of the counseling and interdisciplinary care patients and families receive regarding end-of-life decision-making and treatments.

5. Support research that examines the relationship of patient and family satisfaction and their utilization of health care resources in end-of-life care choices.

Administration

1. Promote work environments in which the standards for excellent care extend through the patient’s death and into post-death care for families.

2. Encourage facilities and institutions to support the clinical competence and professional development that will help nurses provide excellent, dignified, and compassionate end-of-life care.

3. Work toward a standard of palliative care available to patients and families from the time of diagnosis of a serious illness or an injury.

4. Support the development and integration of palliative care services for all in- and outpatients and their families.

 
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Health Care Management

Due Week 3 and worth 130 points

You are the manager of a new primary care clinic located about twenty five (25) miles outside of a small city (population of 50,000). With five (5) family physicians, two (2) nurse practitioners, two (2) physicians’ assistants (PAs), and twenty (20) clinical support staff consisting of RNs, LPNs, and CMAs, the clinic provides primary care services to a diverse community of people living and working outside the city limits. Originally a rural area, the community has been growing and now includes promising opportunities in employment, education, and comfortable living spaces for young families. However, there are still many residents who struggle to make ends meet with older farms that have belonged to families for generations.   

The central city includes two (2) large acute care facilities, and one (1) tertiary care facility that is known for its excellent pulmonary care. Both acute care hospitals provide the usual services such as labor and delivery, outpatient surgery, chronic diseases care, etc. and have fully equipped ancillary departments, such as lab and radiology. Up until this point, the residents have used the facilities’ emergency departments for routine illnesses and conditions when their private physicians were not readily available.

Write a five to seven (5-7) page paper in which you:

  1. Analyze some of the key social, political, and economic factors that have led to the proliferation of urgent care facilities and primary care practices over the last 20-30 years.
  2. Create a comprehensive mission statement for the clinic, and discuss how it will facilitate the provision of quality services.
  3. Analyze and discuss one (1) or more directions the clinic might take to grow its business. Determine what factors you would consider when deciding what services to provide in-house and which ones to affiliate with other institutions.
  4. Decide how you will determine if the clinic is meeting its goals. Identify three (3) performance measurements you could use to evaluate the success of the clinic’s services. Begin by naming a goal, and then identify a quantifiable measurement you could use for each to determine if you are coming close or falling short of the goal.
  5. Determine how you would then address whatever opportunities for improvement seem to exist and what processes you would put in place.
  6. Use at least three (3) quality resources in this assignment. Note: Wikipedia and similar Websites do not qualify as quality resources.
  7. Format your assignment according to the following formatting requirements:
    1. This course requires use of Strayer Writing Standards (SWS). The format is different than other Strayer University courses. Please take a moment to review the SWS documentation for details.
    2. Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page is not included in the required page length.
     
    1. Include a source list. Citations and sources must follow SWS format. The source list is not included in the required page length.

The specific course learning outcomes associated with this assignment are:

  • Analyze the critical management issues, purpose, functions, and performance measures of different departments within healthcare organizations.
  • Examine the political, economic, and social forces that have influenced the organizational foundations of the United States healthcare system.
  • Explain how public policy has shaped the development of the U.S. healthcare system.
  • Use technology and information resources to research issues in health services organization management.
  • Write clearly and concisely about health services organization management using proper writing mechanics.
  • Use technology and information resources to research issues in health services organization management.
  • Write clearly and concisely about health services organization management using proper writing mechanics.
 
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THE FOUNDATION OF HEALTH CARE LAW IN THE U.S.

Assignment Overview

This assignment gives students the opportunity to review and dissect a legal decision, to identify its different elements, the types of laws, and basis for the decision. For this assignment, be sure to carefully read Chapter 1 from the text book as well as the case below, Simkins v. Moses H. Cone Memorial Hospital. You may need to do additional research for the final question, to support your analysis.

Simkins v. Moses H. Cone Memorial Hospital, 323 F. 2d 959 (1963). Retrieved from https://www.leagle.com/decision/19631282323f2d95911029

Case Assignment

After carefully reviewing the required readings, answer the following questions. Copy the questions directly from the assignment and answer them each separately.

  1. Identify and explain the four sources of law in the United States and give an example of each.
  2. What is the citation for the Simkins case? Label each part of the citation.
  3. Define what are majority and dissenting opinions. Identify who drafted each for this case.
  4. At what level of the judiciary was this case decided?
  5. Identify and explain the legal statute that was examined in this case and its relevance.
  6. Constitutional law was also a factor in the decision. Identify and discuss the Amendments that were addressed and their importance to this case.
  7. The reach of this case was limited. Why is that?
  8. What is the relevance for health administrators in studying a case such as Simkins? There is no one answer for this, but be sure to provide your critical analysis and support it with reliable sources.

Assignment Expectations

  1. Conduct additional research to gather sufficient information to justify/support your analysis.
  2. Limit your response to a maximum of 4 pages (title and reference page is not included in page number count).
  3. Support your paper with peer-reviewed articles, with at least 3-4 references. Use the following link for additional information on how to recognize peer-reviewed journals: http://www.angelo.edu/services/library/handouts/peerrev.php.
  4. You may use the following source to assist in formatting your assignment: https://owl.english.purdue.edu/owl/resource/560/01/.
  5. For additional information on reliability of sources, review the following source: https://nccih.nih.gov/health/webresources.
  6. This assignment will be graded based on the content in the rubric.
 
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