Category: Nursing

Genitourinary System Assessment Essay

Describe a patient with a genitourinary symptom or group of symptoms; such as incontinence, burning on urination, irregular menses, pain in the scrotum, erectile dysfunction, and so on. Do not limit yourself to these; for example, there are different types of incontinence. What questions would you ask as part of your focused assessment? What history might be associated with the symptom, if any? What are the known risk factors for this condition? What physical examination techniques would you use? What patient education would you give to the patient? Find a nursing journal article about these symptoms.

Purpose The purpose of this PowerPoint presentation is to provide an opportunity to develop a community health nursing intervention and evaluation tool for your identified community health problem (described in Milestone 2: Assessment and Diagnosis) and identify the components of the nursing process as it applies to a community or population. Course Outcomes Scenario You are a Community/Public Health Nurse (C/PHN) working in your setting of choice. You have identified a community health problem and have analyzed the data collected from your windshield survey and assessment & diagnosis assignments (the first two milestones). You have decided on one nursing intervention and need your organization’s approval for funding of this intervention. Your leadership team has agreed to listen to your proposal. Directions · Choose a community health nurse setting. Some examples of settings are school nurse, parish nurse, home health nurse, nurse working in the health department (be specific to what area in the health department, e.g., WIC, STD clinic, health promotion, maternal-child health, etc.) · Introduction: Introduce the identified problem, the purpose of the presentation, and reiterate at least one or two important findings that demonstrate this problem in your community (average of 1–2 slides) · Proposed Intervention: Propose one community health nursing intervention that would address one or more of the major direct or indirect factors that contribute to the problem. Keep in mind the Public Health Intervention Wheel (Nies & McEwen, p. 14, figure 1-3) as your framework (average of 3-4 slides). Your intervention needs to be specific: o Who is your target population? o Where is this intervention taking place? o Will it take place one time or multiple times? o How will you reach out to your target population? § How will you get your target population involved? o What is the CH Nurses role in this intervention? o Will you collaborate with anyone (e.g., physician’s office, church, local resources, etc.?) o Is anyone else involved besides yourself (C/PHN)? § If yes, are they paid or volunteers? o What level(s) of prevention is your intervention addressing (primary, secondary and/or tertiary prevention)? · Intervention Justification: Justify why the problem and your nursing interventions should be a priority. o Based on what you have found in the literature, discuss why these interventions are expected to be effective. Include summarized information from at least two professional scholarly sources related to your interventions (average of 2-3 slides). · Proposed Evaluation: Your presentation must include at least one proposed quantitative or qualitative evaluation method that you would use to determine whether your intervention is effective. It should include the method you would use along with desired outcomes. Outcome measurement is a crucial piece when implementing interventions. There is a helpful tool in Doc Sharing to assist you with understanding qualitative and quantitative methods of evaluation. (average of 2-3 slides) o Include discussion about the long-term and short-term impact on your community if the intervention is successful. Keep in mind your desired outcomes when analyzing the evaluation. · Summary: The summary should reiterate the main points of the presentation and conclude with what you are asking to be accomplished, e.g., “Based on ABC, it is imperative our community has XYZ. Thank you for your consideration.” · In addition to the slides described above, your presentation should include a title slide, and reference slide. Remember, you are presenting to your leadership team, so the slides should include the most important elements for them to know in short bullet pointed phrases. You may add additional comments in the notes section to clarify information for your instructor. Guidelines · Application: Use Microsoft PowerPoint 2010. · Length: The PowerPoint slide show is expected to be no more than 20 slides in length (not including the title slide and reference list slide). · Submission: Submit your files via the basket in the Dropbox: “Caring for Populations: Intervention and Evaluation” by 11:59 p.m. Sunday of Week 6. · Save the assignment with your last name in the file title. Example: “Smith Intervention and Evaluation” · Late Submission: See the course policy on late submissions. · Tutorial: If needed, Microsoft Office has many templates and tutorials to help you get started. Best Practices in Preparing PowerPoint The following are best practices in preparing this project: · Be creative, but realistic with your intervention and evaluation tool. · Incorporate graphics, clip art or photographs to increase interest. · Slides should be easy to read with short bullet points and large font. · Review directions thoroughly. · Cite all sources within the slide show as well as on the reference page. · Proofread prior to final submission. · Spell check for spelling and grammar errors prior to final submission. · Abide by the CCN academic integrity policy. Grading Rubric: Caring for Populations: Intervention and Evaluation (250 points) Criteria A (92–100%) Outstanding or highest level of performance B (84–91%) Very good or high level of performance C (76–83%) Competent or satisfactory level of performance F (0–75%) Poor or failing or unsatisfactory level of performance Pts Problem identification 10 points Presentation includes at least one slide that introduces the problem and significant findings in the community (9–10 points) Problem is introduced but lacks support with findings (8 points) Supportive findings discussed but problem identification not clear. (7 points) Problem is not introduced and does not have significant community findings (0–6 points) /10 Proposed intervention 85 points One community health nursing intervention is proposed that would address one or more of the major direct or indirect factors that contribute to the problem. Intervention includes specifics: *Where is this intervention taking place?” *Will it take place one time or multiple times? *How will you reach your target population? *How will you involve your target population? Will you collaborate with anyone (e.g., physician’s office, church, local resources, etc.) CHN role? Is anyone else involved besides yourself (C/PHN)? *What level(s) of prevention are you addressing? *Community setting is clear. (78–85 points) One intervention is proposed but is missing one or two specific details. (71–77 points) Intervention is missing more than two specific details. (65–70 points) Intervention is not proposed or insufficient. (0–64 points) /85 Intervention justification and application of evidence-based literature 30 points Includes at least one slide that discusses why this intervention should be a priority based on two scholarly findings.Two or more quality references from professional literature are cited that clearly support your rationale. (28–30 points) Includes slide stating why the intervention should be a priority.Two references cited but information in the reference may be biased or not directly relevant to your rationale. (25–27 points) Intervention justification inadequate or fewer than two references cited. (23–24 points) Lacks slide on intervention justification. No references cited. (0–22 points) /30 Evaluation 85 points Presentation includes at least one proposed quantitative or qualitative evaluation method and desired outcomes. Long-term and short-term impact on your community if the intervention is “successful” discussed. (78–85 points) At least one evaluation method described but lacks discussion on long and short-term impact on community (71–77 points) Long and short term impact on community discussed, but evaluation method unclear. (65–70 points) Presentation lacks clear evaluation method and future impact. (0–64 points) /85 Summary 20 points Includes at least one summary slide that reiterates the problem and purpose of the presentation. (19–20 points) Summary does not clearly reiterate the problem OR purpose. (17–18 points) Lacks reiteration of problem AND purpose. (15–16 points) Summary slide not present. (0–14 points) /20 Overall presentation 10 points Presentation is presented in a clear and logical manner. PowerPoint is appealing to the eye and includes creativity. Font is easy to read. (9–10 points) Presentation is accurate and covers most elements but lacks creativity. (8 points) Presentation lacks flow and creativity or is difficult to follow. (7 points) Presentation lacks any attempt at organization and comes across as chaotic. (0–6 points) /10 Mechanics 10 points Includes title slide (1) Grammar, punctuation, and sentence structure are correct. (3) References properly cited within the paper (2) Reference page includes all citations. (2) Evidence of spell and grammar check. (2) (9–10 points) Title slide incomplete Minimal errors in grammar, punctuation and/or sentence structure noted Citations are present but not in correct format References are present, with minimal errors in format (8 points) Missing title slide Multiple grammar and punctuation errors noted (7 points) Title slide and citations are missing References are missing or incomplete No evidence of proof-reading prior to submitting paper (0–6 points) /10 Total points:

Describe a patient with an abdominal symptom or group of symptoms, such as bloating, flatus, and eructation; constipation; nausea and vomiting; diarrhea; or abdominal pain. Do not limit yourself to these examples. Remember that there are different types and locations of abdominal pain. What questions would you ask as part of your focused assessment? What history might be associated with the symptom, if any? What are the known risk factors for this condition? What physical examination techniques would you use? What patient education would you give the patient? Find a nursing journal article about these symptoms.

Choose one area of the head and neck and then select a common complaint (symptom or group of symptoms) patients may have in that area. For example, you may select headaches, earaches, ringing in the ears (tinnitus), sinus drainage and pain, sore throat and cough, and so on. Do not limit yourself to these examples. What questions would you ask as part of your focused assessment? What history would be associated with the symptom? What are the risk factors for this condition? What physical examination techniques would you use? What patient education would you give the patient? Find a nursing journal article about this symptom or condition.

Describe a patient with an abnormal skin symptom or group of symptoms such as a rash, an itch, redness, a lesion, or wounds. Do not limit yourself to these examples. What questions would you ask as part of your focused assessment? What history might be associated with the symptom, if any? What are the known risk factors for this condition? What physical examination techniques would you use? What patient education would you give the patient? Find a nursing journal article about these symptoms.

The Older Adult Essay Paper

Jean is a 68-year-old female admitted for a total hip replacement. In her interview you learn that she has a history of obstructive sleep apnea (OSA) with a neck circumference of 16 inches and snores much of the night. She is 5’7” and weighs 265 pounds. She states she is sleepy throughout the day. Her other medical history includes: hypertension treated with angiotensin II receptor blockers (ARB), Diabetic with an Hgb A1c over 8%. Hypercholesteremia treated with a Statin drug. Coronary Artery Disease (CAD) with a history of a drug eluting cardiac stent placed 14 months ago and currently on Plavix and ASA. History of gastroesophageal reflux disease (GERD) and is on Prilosec. Her husband has a history of cerebral vascular accident (CVA) several years ago. What medications should she take pre-op and what should she hold? Should Jean be allowed to continue ASA pre-operatively? Should cardiology be consulted on this matter? What are Jean’s risks for diabetes complications? What concerns do you have about her social support system?

Casey is a 17-year-old high school student admitted to the ER with a compound fracture of the left leg obtained falling at the local skateboard park while practicing for a national competition. He has never been hospitalized before. His mother has been notified and is on her way. The EMTs gave him morphine and he reports his pain level as “okay.” What part of the interview and examination can be done prior to his mother’s arrival? As you enter the room for the first time, what should you observe as part of the general survey? As you complete his history, what areas are especially important? What are the important developmental considerations for Casey?

Nutritional Assessment Nursing Essay

Yulang Lei, an 82-year-old Vietnamese man, was admitted to your floor with dehydration and a urinary tract infection following a fall at home. He is alert and oriented, but weak. He appears frail. His admission history includes the following. He lives alone; his wife died 6 months ago. He states he ran a traditional Vietnamese family, unlike his children, who are married and have now moved away. His wife did all the cooking and he hasn’t had much of an appetite since she died. He eats rice and some vegetables, but rarely “bothers to cook meat for just one person.” Usual daily activity is reading the Vietnamese community newspaper with his morning tea for breakfast. He says he usually eats lunch, but can’t remember what he usually eats. He has rice and a few vegetables for dinner. You notice that his clothes fit very loosely. He states he weighed 140 pounds at his doctor’s office 5 months ago. When you weigh him, he weighs 123 pounds and is 5’8″ tall. Look at the list of nursing diagnoses in Appendix A of your text. What nursing diagnoses would you choose for Mr. Lei? What additional questions would you ask to confirm your diagnosis? What physical examination and laboratory findings would you expect Mr. Lei to have? What psychosocial and cultural factors should you consider when assessing Mr. Lei?

John, a 46-year-old African-American male presents for admission to your hospital for hemi-colectomy for colon polyps. He is complaining of chronic back pain. Patient is on disability from work related injury. History of two (2) previous back surgeries with relief of numbness in RLE but pain has not been relieved. His current medications include Methadone, Neurontin and Norco. John states he takes Benadryl PM every night in addition to his prescribed medications. John is a smoker and smokes 1 PPD. John confides in you that he is considering a spinal cord stimulator for the chronic pain. What risk factors does John have for risk of opioid withdrawal during this hospitalization? Is there a stigma connected to being disabled and or methadone? Does the nurse need to be concerned about acetaminophen use? What are the differences in acute and chronic pain?

Understanding cultural phenomena is essential to the completion of an accurate health assessment. Please choose a cultural group from Table 4.1 from your text and describe the cultural differences pertinent to that group. Remember, the table may not include all cultural groups. Let’s try to include all the groups listed in the discussion, so please do not choose a group that has already been done. To expedite this, please use the group name in the title of your post.