EXPLAIN THE PROCESS FOR COMPLETING A COMPREHENSIVE HEALTH ASSESSMENT.

ITS IMPORTANT TO COVER OR MEET THE COMPETENCES PLS !
PLS READ THE COMPETENCES 

Conduct a health assessment of a population of your choice. Explain the process and summarize the results. 

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
  

Competency 1: Health Assessment – Conduct comprehensive and focused assessments of health and illness parameters in individuals, groups, and vulnerable populations.       

Describe the key elements that make up a health assessment at the community, group, and individual levels.
Explain the process involved in conducting a comprehensive health assessment.
Summarize the findings of a health assessment for a specific population.

Competency 3: Nursing Research and Informatics – Incorporate evidence-based practice interventions (for example, information systems and patient care technologies) as appropriate for managing the acute and chronic care of patients, promoting health across the lifespan.       
Use valid, scholarly research resources relevant to the field of nursing to support information presented.

Competency 5: Communication – Communicate effectively with all members of the health care team, including interdepartmental and interdisciplinary collaboration for quality outcomes.       

Write coherently to support a central idea in appropriate APA format with correct grammar, usage, and mechanics as expected of a nursing professional.

Assessment Instructions 
  
Conduct a health assessment of a population of your choice as you complete the following:

Describe the key elements that make up a health assessment at each of the following levels:      

Community.
Group.
Individual.

Explain the process for completing a comprehensive health assessment.
Summarize the findings of the health assessment you conducted. Be sure you include a brief description of the population you selected.

Additional Requirements

Format: Include a title page and reference. Use APA style and formatting.
Length: This assessment should be approximately 3–5 pages in length. 
References: Cite at least three current scholarly or professional resources.
Font: Use double-spaced, 12-point, Times New Roman font.

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Distinguish the roles of Medicare and Medicaid managed care plans in the healthcare delivery system.

Medicare/Medicaid Managed Care Plans
Write a three- to five-page double-spaced paper (excluding title and reference pages), addressing the following:

Distinguish the roles of Medicare and Medicaid managed care plans in the healthcare delivery system.
Assess the similarities and differences between Medicare and Medicaid managed care plans by comparing (a) strengths, weaknesses, and incentives; (b) commitment to access; and (c) risks to the consumers.
Synthesize two recommendations for improvement, including your justification, of each managed care plan. (You should have a  total of four recommendations for both Medicare and Medicaid managed care plans.)

The Medicare/Medicaid Managed Care Plans assignment

Must be three to five double-spaced pages in length (excluding title and references pages) and formatted according to APA style as outlined in the Ashford Writing Center. (Links to an external site.)Links to an external site.
Must include a separate title page with the following:

Title of paper
Student’s name
Course name and number
Instructor’s name
Date submitted

Must include an introduction and conclusion (Links to an external site.)Links to an external site. paragraph.
Must use at least three scholarly, peer-reviewed, and/or other credible sources in addition to the course text.

The Scholarly, Peer Reviewed, and Other Credible Sources (Links to an external site.)Links to an external site. table offers additional guidance on appropriate source types. If you have questions about whether a specific source is appropriate for this assignment, please contact your instructor. Your instructor has the final say about the appropriateness of a specific source for a particular assignment. Be sure to integrate your research (Links to an external site.)Links to an external site. rather than simply inserting it.

Must document all sources in APA style as outlined here (Links to an external site.)Links to an external site. and here (Links to an external site.)Links to an external site..
Must include a separate references page (Links to an external site.)Links to an external site. that is formatted according to APA style as outlined in the Ashford Writing Center.

Carefully review the Grading Rubric (Links to an external site.)Links to an external site. for the criteria that will be used to evaluate your assignment.

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Jacob is an 87-year-old with bipolar I disorder. He came to the United States from Poland in 1937. He was institutionalized for 2 years in a large mental health facility; currently, he lives in a community mental health center (transitional housing).

Transcultural Perspectives in Mental Health Nursing

Read chapter 10 of the class textbook attached. 

Once done, develop and post an analysis of the following cases;

Case 1 :

1. Stephane, a 15-year-old Haitian refugee who is living at a center for children of refugees has a severe cough and fever. She is curled up in a corner of the community room wrapped in a towel. She looks like she has been crying.

How can the nurse ensure culturally competent care?

List three priorities for the nurse regarding the cultural values, beliefs, and possible practices that Stephane may have.

Case 2:

2. Jacob is an 87-year-old with bipolar I disorder. He came to the United States from Poland in 1937. He was institutionalized for 2 years in a large mental health facility; currently, he lives in a community mental health center (transitional housing).

a. Identify three questions that would be important to ask Jacob on your first encounter.

b. What is the main health issue for Jacob?

What structures are needed in a community to ensure that Jacob will get the care he needs?

APA format word document, Arial 12 

For grading and in Turnitin to verify originality. 

A minimum of 3 evidence-based references besides the class textbook must be used. 

Textbook title

Transcultural Concepts in Nursing Care

Author

Joyceen   S. Boyle; Margaret M. Andrews

A minimum of 700 words is required. Please make sure to follow the instructions as given.

Due Friday July 5th midnight.

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Utilize prior knowledge of theories and principles of nursing and related disciplines to explain expected client behaviors, while differentiating between normal findings, variations, and abnormalities

CO1 Utilize prior knowledge of theories and principles of nursing and related disciplines to explain expected client behaviors, while differentiating between normal findings, variations, and abnormalities. (PO 1)

CO2 Recognize the influence that developmental stages have on physical, psychosocial, cultural, and spiritual functioning. (PO 1)

CO3 Utilize effective communication when performing a health assessment. (PO 3)

CO5 Explore the professional responsibilities involved in conducting a comprehensive health assessment and provide appropriate documentation. (PO 6)

Please choose one of the patient scenarios below. Next, complete a rapid assessment, and provide a SBAR report to a classmate. Remember to include all concepts of patient safety, standard precautions, and professional standards.

1. You are covering for a coworker who is off the floor for lunch, when you suddenly hear a loud crash coming from a nearby patient room. You quickly run in and discover Mr. Johnson who was admitted yesterday with a diagnosis of cerebral vascular accident (CVA) unconscious on the floor between the bed and the bathroom.

2. You are called to the room of 2-year-old Jonah by his mother who states the child has suddenly started breathing very loudly and does not look right. Upon entering the room you quickly recognize that the child is in respiratory distress as his lips are cyanotic and the use of accessory muscles is evident.

3.You are in the process of admitting Ashley, a 27 year old who is 28 weeks pregnant with her first child, to the obstetric unit for complaints of headache, dizziness, and swelling of her lower extremities when she suddenly begins seizing.

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the effective use of patient-care technologies, communication systems, and information systems across the care continuum of a health care system of your choice.

Write 3–4 pages describing the effective use of patient-care technologies, communication systems, and information systems across the care continuum of a health care system of your choice. Add a one-page executive summary your organization could use to disseminate these ideas.
Because a lack of knowledge when using technology can lead to errors in patient care, effective use of technology in health care is paramount to providing a safe health care delivery environment.

 
In the role of a nurse leader, describe the effective use of patient-care technologies across the care continuum in a chosen health care system.
Preparation
Choose any type of health care system, for example, acute, ambulatory, or home health or telehealth.
Directions
Submit the following for this assessment:
Technology Across the Care Continuum
Include the following in your 3–4-page description:

A brief overview of the care continuum in your selected health care system.
Describe the types of patient-care technologies and how they are used across the care continuum in your system. Be sure to include communication and information systems.
Identify strengths and weaknesses in the systems and describe how to manage change and technology to improve patient outcomes.
Support your description of effective patient care with current nursing and informatics theoretical ideas.

Executive Summary
Based on the description above, add a 1-page executive summary that captures the following points:

Current state of technology across the care continuum in your system.
Proposed improvements.
Risks of making or not making changes or improvements.
Recommended next steps.

Additional Requirements

Written communication: Ensure written communication is free of errors that detract from the overall message.
APA formatting: Format resources and citations according to current APA style and formatting guidelines.
Number of resources: Cite a minimum of four peer-reviewed resources.
Length: Submit 4–5 typed, double-spaced pages.
Font and font size: Use Times New Roman, 12 point. 

Scoring guide attached

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EXPLAIN THE RELATIONSHIP BETWEEN FAMILY SYSTEMS AND HEALTHY DEVELOPMENT.

This week you have a short essay to write (approximately 600 words). Please include the word count in your essay. The focus of this essay is about the relationship between family systems and healthy development. There should be 2-3 scholarly references. Please read the instructions carefully for this assignment. Essay 1 Instructions Family Systems Explain in detail (using your readings/presentations from this module/week to support what you say) the relationship between family systems and healthy development. How can one discern a healthy family system? What are the determining factors that distinguish healthy family systems? Discuss the effects of an unhealthy family system on development. Give details on family systems and how they affect physical (neural), emotional, spiritual, and social development. Reference Feldman, R. S. (2014). Development across the life span (Custom 7th ed.). Boston, MA: Pearson. ISBN: 9781269621984. 100% Plagiarism free

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As the country focuses on the restructuring of the U.S. health care delivery system, nurses will continue to play an important role. It is expected that more and more nursing jobs will become available out in the community, and fewer will be available in acute care hospitals.

As the country focuses on the restructuring of the U.S. health care delivery system, nurses will continue to play an important role. It is expected that more and more nursing jobs will become available out in the community, and fewer will be available in acute care hospitals.While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.RUBRIC:Clearly States How the Practice of Nursing and Patient Delivery Will Evolve, While Addressing Relevant Concepts That Include Continuity or Continuum of Care, Accountable Care Organizations, Medical Homes, and Nurse-Managed Health ClinicsMain concept is easily identified, and subconcepts branch appropriately from the main idea. Addresses all of the issues related to the evolving practice of nursing and patient care delivery.Evidence of Feedback and Forecasting of Nursing Role From ColleaguesEvidence of feedback and forecasting of the nursing role from colleagues is described in detail, with relevant personal insight, reflection, or analysis.Use of Vocabulary Regarding Evolving Practice of Nursing and Patient Care DeliveryAll of the recommended terms have been included in the correct context.OriginalityContent shows significant evidence of originality and inventiveness. The majority of the content and many of the ideas are fresh, original, inventive, and based upon logical conclusions and sound research.Mechanics of Writing (includes spelling, punctuation, grammar, and language use)The writer is clearly in command of standard, written academic English.Paper Format (use of appropriate style for the major and assignment)All format elements are correct.Research Citations (in-text citations for paraphrasing and direct quotes, and reference page listing and formatting, as appropriate to assignment)In-text citations and a reference page are complete. The documentation of cited sources is free of error.

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What criteria will be used to determine if the remaining applicable nursing diagnoses have resolved?

Nursing

The RN is updating the plan of care for a patient with a medical diagnosis of pneumonia. The patient was admitted yesterday, with a respiratory rate of 28, crackles in the right middle and lower lobes, a dry cough, and oxygen saturation of 90% on room air. The patient was using a bedside commode until earlier today, because of shortness of breath with any activity. The following nursing diagnoses and outcomes were included in the plan of care at the time of admission:

Nursing diagnosis: Impaired gas exchange related to ventilation perfusion imbalance as evidenced by oxygen saturation of 90%.

Expected outcome: Patient will demonstrate oxygen saturation greater than 95% within 24 hours.

Nursing diagnosis: Ineffective airway clearance related to retained secretions as evidenced by crackles in the right middle and lower lobes.

Expected outcome: Patient will demonstrate clear breath sounds in bilateral upper and lower lobes within 24 hours.

Nursing diagnosis: Ineffective breathing pattern related to hyperventilation as evidenced by shortness of breath and RR of 28 breaths per minute.

Expected outcome: Patient will demonstrate RR between 12-20 breaths per minute within 24 hours.

Nursing diagnosis: Activity intolerance related to imbalance between oxygen supply and demand as evidenced by shortness of breath when ambulating.

Expected outcome: Patient will demonstrate no shortness of breath with ambulation within 24 hours.

The patient has been receiving treatment for the past 24 hours, and currently has a respiratory rate of 20 breaths per minute, crackles in the right lower lobe, breath sounds clear in all other lobes, oxygen saturation of 94% on 2 liters of oxygen via nasal cannula, and denied shortness of breath when ambulating to the bathroom an hour ago.

Initial Discussion Post:

  • How will the RN update the plan of care?
  • Include one intervention to address each of the nursing diagnoses that are still applicable.
  • What criteria will be used to determine if the remaining applicable nursing diagnoses have resolved?

Base your initial post on your readings and research of this topic.Your initial post must contain a minimum of 250 words. References, citations, and repeating the question do not count towards the 250 word minimum.

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Identify the model of nursing care that you observed. Be specific about what you observed, who was doing what, when, how and what led you to identify the particular model.

Directions

Read your text, Finkelman (2016), pp- 111-116.
Observe staff in delivery of nursing care provided. Practice settings may vary depending on availability.
Identify the model of nursing care that you observed. Be specific about what you observed, who was doing what, when, how and what led you to identify the particular model.
Write a 5-7 page paper.
You are required to complete the assignment using the Microsoft Office Word 2013 (or later version)
Review and summarize two scholarly resources (not including your text) related to the nursing care model you observed in the practice setting.
Review and summarize two scholarly resources (not including your text) related to a nursing care model that is different from the one you observed in the practice setting.
Discuss your observations about how the current nursing care model is being implemented. Be specific.
Recommend a different nursing care model that could be implemented to improve quality of nursing care, safety and staff satisfaction. Be specific.
Provide a summary/conclusion about this experience/assignment and what you learned about nursing care models.
Write your paper using APA format using Microsoft Office 2010 or later.
Plagiarism free because your paper will automatically load on to Turn-it-in when you submit.

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The Evolution of EHRs (graded) Discuss the landmark contributions made in the development of the EHR

 The Evolution of EHRs (graded) Discuss the landmark contributions made in the development of the EHR. (Include pioneers and describe their efforts.) EHR Adoption (graded) Discuss the common mistakes found in gaining clinician acceptance of change brought about by an EHR. Suggest strategy to gain clinician acceptance. week 2 From Data to Decisions Using Electronic Health Records (graded) Identify and describe the technology options, issues, and functionality associated with an EDMS. EHR Applications and HIEs (graded) Identify and describe EHR functionality for ambulatory care facilities, considering the key clinical processes performed and data needed in such a facility. week 3 The Strategic Planning Process (graded) Explain and des EHR Project Management (graded) Identify and describe the critical success factors for EHR planning and explain how they impact construction of a migration path. cribe various strategic planning models and how they may apply in different settings. week 4 IS Systems Theory and Needs Assessment (graded) Define the concept of information theory and discuss why it is important to the design of an EHR. Healthcare Process Assessment and Functional Needs Assessment (graded) Identify the importance and scope of process assessment and the possible repercussions if there were no process assessment. week 5 Data Infrastructure Assessment (graded) Describe all the steps in the system development life cycle. Information Technology and Systems Infrastructure Assessment (graded) Understand the difference between the terms confidentiality, privacy, and security when referring to data in a healthcare setting. week 6 EHR Selection and Contract Negotiation (graded) Why is it important to plan in advance of starting an EHR vendor selection process? Please list and discuss the reasons. EHR System Implementation and Ongoing Maintenance (graded) Describe the importance of project planning and management in planning the implementation of an EHR. Application Paper #1 is due this week. Topic: Profile a health information exchange organization. Conduct a search of the Internet, consult professional journals or interview a professional in the field. Research the status of health information exchange implementation in your state. Connect your findings to course objectives. (approximately 2 typed pages) Submit your assignment to the Dropbox located on the silver tab at the top of this page. Application Paper #2 Topic: Research electronic health record functionality standards or certification. Write a paper describing how you would incorporate your findings into the EHR selection and decision-making process. Sources include the HL7 EHR Functional Model, CCHIT certification criteria and other organizations offering EHR certification. (approximately 2 typed pages) Submit your assignment to the Dropbox located on the silver tab at the top of this page. For instructions on how to use the Dropbox, read these or watch thisTutorial See the Syllabus section “Due Dates for Assignments & Exams” for due date informatio ourse Project Outline is due this week. ·         Submit a 1 to 2 page outline with the researched references you will be using to write the Course Project. ·         Feedback on your topic selection and project outline will be provided by the instructor. ·         Submit Outline this week to the appropriate Dropbox. The completed project is due by the end of Week 7. (required) The length of the paper should be approximately 10-12 pages and must include a bibliography and footnotes. The detailed Course Project guidelines and grading criteria can be found in the Course Project page in Course Home. Submit your assignment to the Dropbox located on the silver tab at the top of this page Research your chosen software’s functions and how it works, and critically analyze your findings. Guidelines Name of the productSpecifically, the paper should offer the following information and address these issues: Uses of the product Integration with other information systems User friendliness of data entry and data retrieval Benefits of this particular software over similar types of software The implementation process you would use to implement the EHR Critically analyze your findings Other Content Suggestions: Terminology Philosophical views of the EHR Advantages Reduction of cost Improved quality of care Promote evidence-based medicine Record keeping and mobility Disadvantages Costs Time Governance, privacy, and legal issues Privacy concerns Legal issues Liability Legal interoperability Regulatory compliance Technical Issues Standards Open specifications Customization Long-term preservation and storage of records Synchronization of records E-health and tele-radiology Other Guidelines: Papers must be 12–15 pages in length, (this would be roughly one page per area included in the report), 12-point font, double-spaced, including a cover page, table of contents, introduction, and body of the report, summary or conclusion, and works cited. Even though this is not a scientific writing assignment and is mostly creative in nature, references are still very important. At least six authoritative, outside references are required (anonymous authors or web pages are not acceptable). These should be listed on the last page, titled Works Cited. Appropriate citations are required. All DeVry University policies are in effect, including the plagiarism policy. Papers are due during Week 7 of this course. Any questions about this paper may be discussed in the weekly Q&A Discussion topic. This paper is worth 200 total points and will be graded on quality of research topic, quality of paper information, use of citations, grammar and sentence structure. Milestones A content outline for your paper is due byWeek 3, indicating how you plan to address the above criteria, and the primary sources of information you will use.(required)The name of the software you’ve chosen as the course project topic must be submitted in Week 1. (required) Feedback on your topic selection and project outline will be provided by the instructor. The completed project is due by the end of Week 7. (required) TCO 1) Data compiled from individual patient data fields and formed into information about certain groups of patients is as example of: Structured data Unstructured data Aggregate data Affinity data Question 2. Question : (TCO 2) Which of the following is a gap in a physician office EHR environment where a document imaging system can be of value? Chart conversion to backfill active patient records Communicating with the hospital Overcoming the hybrid record issue Replace the practice management system Question 3. Question : (TCO 3) Which of the following enables point-of-care charting and positive patient identification while maintaining network connectivity: Desktops at nursing stations One terminal for every two hospital rooms Personal digital assistant Wireless computer on wheels Question 4. Question : (TCO 4) The Electronic Signatures in Global and National Commerce Act of 2000, also known as the E-SIGN bill, furthered what aspect of the EHR adoption process? Shelter from Stark Laws Allowed PHI to be transmitted via electronic means Helped make electronic signatures legal Has no effect on the EHR because it only addresses business models not healthcare Question 5. Question : (TCO 5) A key strategy to gain user involvement in an EHR is: Assign as many users as possible to committees Avoid discussing the EHR with users until close to go-live Communicate with users frequently to educate and alleviate concerns Require each user to take a course in the EHR being implemented from the vendor : Question 6. Question : (TCO 6) What is the primary difference between a closed and an open system? Closed systems are designed for use in secure environments whereas the open system can operate in any environment. Closed systems do not interact with the environment while open systems are influenced by the environment. A closed system is for internal use only while the open system works with the Internet. A closed system costs money whereas the open system is free. Question 7. Question : (TCO 7) EHR steering committees are largely comprised of: Consultants IT staff Vender staff Volunteers from various departments Question 8. Question : (TCO 1) As discussed in the textbook, describe some of the consumer awareness and perceptions of the EHR? Question 9. Question : (TCO 2) Please describe Workflow Technology? What does it mean? What tasks can it perform? Question 10. Question : (TCO 3) What is a “Wet” signature, why is it required and what agency requires it? Instructor Explanation: Chapter 3, p. 55. “Wet” signature relates to electronic signature on prescriptions for controlled substances. The signature must be with a pen on paper. Drug Enforcement Administration (DEA) requires it for controlled substances. Question 11. Question : (TCO 4) Describe the meaning of: Rules Engine and Smart Peripherals?

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