Category: Nursing

1. Select an historical nursing figure that interests you. Your interest might be related to the period of time in history that they lived, their particular field of interest, or their special accomplishments. 2. To learn more about this person you must complete a literature search. To accomplish this you may use the library data base: e.g. CINAHL Type in keyword and find 3-5 articles scholarly sources (books, articles, or professional website) published within the past 6 years. Websites must be from sponsoring professional organizations in nursing. Reference list and citations must be in APA format 3. Write an outline to follow. Here are the general categories to help you organize your thoughts: a. General introduction of the individual and the area of interest or particular accomplishment that you plan to discuss b. The purpose of the paper, clearly state what you intent to accomplish through this paper c. The body of the paper (middle) includes: i. Major points you want to make about the individual, the specific accomplishment/s of the individual, their contribution to changes in health care, healthcare systems, and/or social justice. Be sure that each point is supported by the literature and referenced using APA format. ii. Your reflection of the impact of this person on your perception of nursing particularly new ideas related to your role as a nurse. iii. Examine your values and beliefs in relation to those of the historical leader or theorist, any similarities in nursing metaparadigm, and implications for nursing practice How are the similar? Why did you choose him/her? d. The conclusion: A summary of your main points 4. You must use APA format 5. Make sure that you include a. A title page b. A running head c. Page numbers d. Citations in the body of your paper to avoid plagiarism e. A reference list.

Assessing the Nervous System Case Study Assignment

Choose one common complaint (symptom or group of symptoms) related to the neurological system. For example, you may select syncope, hand tremors, seizures, right/left-sided weakness or paralysis, abnormalities of gait or posture, changes in mental status, 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 to the patient?

Find a nursing journal article about this symptom or condition.

Assessment of the Skin Case Study

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

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?

General Survey and Health History

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 Case Study Assignment

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?

Pain Assessment Essay Assignment

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?

Cultural Bias Essay Assignment

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.

Healthy People Initiative Essay

As the school nurse working in a college health clinic, you see many opportunities to promote health. Maria is a 40-year-old Hispanic woman who is in her second year of nursing school. She complains of a 14-pound weight gain since starting school and is afraid of what this will do to both her appearance and health if the trend continues. After doing her history, you learn that she is an excellent cook and she and her family love to eat foods that reflect their Hispanic heritage. She is married with two school-age children. She is in class a total of 15 hours per week, plus 12 hours of labs and clinical. She maintains the household essentially by herself and does all the shopping, cooking, cleaning, and chauffeuring of the children. She states that she is lucky to get 6 hours of sleep per night, but that is okay with her. She lives 1hour from campus and commutes each day. Using .healthypeople.gov/”>Healthy People 2020as a guide:

What additional information would you like to gather from Maria?

What are Maria’s real and potential health risks? Pick one of Maria’s health risks.

What would be one reasonable short-term goal for this risk?

Effective communication when performing a health assessment

Purpose The student will read an assigned nursing article and write a critique related to a selected topic. Course Outcomes This assignment enables the student to meet the following course outcomes: CO #3: Utilize effective communication when performing a health assessment. (PO #3) CO #5: Explore the professional responsibilities involved in conducting a comprehensive health assessment and providing appropriate documentation. (PO #6) Points This assignment is worth a total of 100 points. Due Date The completed Journal Article Review file is to be submitted to the Dropbox by 11:59 p.m. MT Sunday of Week 2. Post questions to the weekly Q & A Forum. Contact your instructor if you need additional assistance.See the Course Policies regarding late assignments. Failure to submit your paper to the Dropbox on time may result in a deduction of points. Directions 1. Download the following article from the Chamberlain library. See “Searching Databases-Tips for finding Assigned Articles.docx” from the Doc Sharing tab if you are unfamiliar with downloading articles from the library. The APA formatted reference is below: Fawcett, T., & Rhynas, S. (2012) Taking a patient history: The role of the nurse. Nursing Standard, 26(24), 41-46. The elements of the reference are: Authors: Fawcett, T., & Rhynas, S. Date: 2012 Title: Taking a patient history: the role of the nurse. Journal: Nursing Standard, Volume 26, Issue 24, pages 41-46. 2. Read the article carefully and take notes. Highlight important points in the article that are helpful to you and other students. 3. Use Microsoft Word 2010 (or later) to type the paper. 4. The length of the paper is to be no longer than four (4) pages excluding title page and reference page. Extra pages will not be read and will not count toward your grade. 5. APA format is required. Include a title page and a reference page. The body of the paper should have four sections with these headings: a. Introduction b. Summary of the Article c. Evaluation of the Article d. Conclusion 6. Use scholarly writing including correct English grammar, syntax and sentence structure. 7. Submit the paper to the Journal Article Review basket in the Drop Box by Sunday, 11:59 p.m. MT, at the end of Week 2. Please post questions about this assignment to the weekly Q & A Forums so the entire class may view the answers. week 3 Guidelines for Family Genetic History Assignment Purpose This assignment is to help you gain insight regarding the influence of genetics on an individual’s health and risk for disease. You are to obtain a family genetic history on a willing, non-related, adult participant. Course Outcomes This assignment enables the student to meet the following course outcomes: CO #3: Utilize effective communication when performing a health assessment. (PO #3) CO #5: Explore the professional responsibilities involved in conducting a comprehensive health assessment and providing appropriate documentation. (PO #6) Points This assignment is worth a total of 100 points. Due Date The Family Genetic History Assignment is to be submitted at the end of Week 3. There is a MS Word document form in Doc Sharing that you need to download, fill in, and submitto the Family Genetic History Dropboxby Sunday, 11:59 p.m. MT at the end of Week 3. Post questions to the weekly Q & A Forum. Contact your instructor if you need additional assistance.See the Course Policies regarding late assignments. Failure to submit your paper to the Dropbox on time may result in a deduction of points. Disclaimer When taking a family genetic history on an actual client, it is essential that the information is accurate. Please inform the person you are interviewing that they do NOT need to disclose information that they wish to keep confidential. If the adult participant decides not to share information, please write, “Does not want to disclose.” Directions 1. Refer to the examples in Chapter 10 of your textbook discusses development of a genogram. 2. Download the NR305_Family_Genetic_History_Form from Doc Sharing. You will document the adult participant’s family genetic history using this MS Word document. 3. Complete the family genetic history using the information that the adult participant is willing to share with you. The focus of this course is on the normal “healthy” individual so your paper does not need to contain much medical/nursing detail. Refer to your textbook or the internet to learn what impact the family’s health history may have on the adult participant’s personal state of wellness both now and in the future. This paper does not require APA formatting, but you are expected to write clearly and use proper grammar and spelling. Developing a pictorial genogram using symbols to identify certain relationships, e.g., divorced, sibling, deceased, etc., may provide more insight, however, drawing may be difficult to accomplish with MS Word, therefore you are not expected to use symbols, lines or other drawing elements. Instead, describe the relationships among the various people in the adult participant’s family’s genetic history. Remember, the goal is not to learn how to draw with Word, but to gather information about the family and recognize its significance to the adult participant and that person’s health. 4. Save the completed form by clicking on “Save as” and add your last name to the file name, e.g., “NR305_Family_Genetic_History_Form_Smith” 5. Submit the completed form to the Family Genetic History basket in the Dropbox by Sunday, 11:59 p.m. MT at the end of Week 3. Please post questions about this assignment to the weekly Q & A Forums so the entire class may view the answers. Grading Criteria Category Points % Description Family Genetic History 35 35 Develop a family genetic history that includes the adult participant’s grandparents, parents, the adult participant, the adult participant’s spouse/significant other, and any children that the adult participant may have. You do NOT need to use symbols or other drawing elements, but instead describe each person mentioned and their relationships. Evaluation of Family Genetic History 25 25 Evaluate the impact of the family’s history on the adult participant’s health. For example, if the mother and both her sisters have diabetes, hypertension or cancer, what might that mean for the future health of the adult participant? Planning for Future Wellness 35 35 Plan changes based on the evaluation of the adult participant’s family genetic history that will promote an optimal level of wellness both now and in the future. Scholarly writing 5 5 Use proper grammar, spelling and medical language. Total 100 pts 100% A quality paper will meet or exceed all of the above requirements. Grading Rubric Assignment Criteria Meets Criteria Partially Meets Criteria Does Not Meet Criteria Family Genetic History (35 pts) All required criteria included; no errors 32-35 points Three or four generations included in the history; information is provided about each person but lacks detail about relationships and/or health information 27-31 points No history or fewer than three generations included; no relationships described or no health information provided 0-26 points Evaluation of Family Genetic History (25 pts) Evaluation complete; thoroughly covers all required elements 23-25 points Evaluation addresses only one or two of apparent health risks within the history 21-22 points Evaluation missing; more than two health risks not addressed 0-20 points Planning for Future Wellness (35 pts) Plan for wellness incorporates all areas of risk within the family genetic history, demonstrating critical thinking; answered all required questions 32-35 points Plan for wellness demonstrated basic understanding of the family genetic history; answered all but one of the required questions 27-31 points Plan for wellness does not demonstrate basic understanding of the family genetic history or is missing 0-26 points Scholarly writing (5 pts) No grammar, spelling, or syntax errors. Writes in complete sentences. 5 points No more than two errors of any type 4 points Three or more errors of any type 0-3 points Total Points Possible = 100 points Family Genetic History Form Your Name: Date: Your Instructor’s Name: Purpose: This assignment is to help you gain insight regarding the influence of genetics on an individual’s health and risk for disease. You are to obtain a family genetic history on a willing, non-related, adult participant. Disclaimer:When taking a family genetic history on an actual client, it is essential that the information is accurate. Please inform the person you are interviewing that they do NOT need to disclose information that they wish to keep confidential. If the adult participant decides not to share information, please write, “Does not want to disclose.” Directions: Refer to the Family Genetic History guidelines and grading rubric found in Doc Sharing to complete the information below. This assignment is worth 100 points. Type your answers on this form. Click “Save as” and save the file with the assignment name and your last name, e.g., “NR305_Family_Genetic_History_Form_Smith” When you are finished, submit the form to the Family Genetic History Dropbox by the deadline indicated in your guidelines. Post questions in the Q&A Forum or contact your instructor if you have questions about this assignment. 1: Family Genetic History (35 points): Develop a family genetic history that includes, at a minimum, three generations of your chosen adult’s family including grandparents, parents, and the adult’s generation. If the adult has any children, include them as the fourth generation. **PLEASE NOTE: This assignment is to reveal the potential impact of the family’s health on the adult participant. You do not need to identify anyone who is not biologically related to the adult except for a spouse/significant other. You do not need to use symbols but instead write brief descriptions for each person. Each description should include the following information: first name, birthdate, death date, occupation, education, primary language, and a health summary including any medical diagnoses. An example is below: Family Member Description Paternal grandfather First and last initials: RL Birthdate: 1921 Death date: 1981 Occupation: Retired as a coal miner Education: 6th grade Primary language: English Health summary: He was diagnosed with chronic lung disease, diabetes, and hypertension. He died from a heart attack. Paternal grandmother First and last initials: ML Birthdate: 1932 Death date: 1998 Occupation: House wife Education: Does not want to disclose Primary language: English Health summary: Diagnosed with chronic lung disease from smoking cigarettes. Died from heart failure. This example points to common problems among this generation on both sides of the family. Consider the implications this would have for the adult participant’s health if these were that person’s family members. Complete the family genetic history form below. Indicate if any information is N/A (not applicable) or unknown. Indicate any information the person did not want to disclose by noting “Does not want to disclose.” Family Member Description Paternal grandfather First and last initials: Birthdate: Death date: Occupation: Education: Primary language: Health summary: Paternal grandmother First and last initials: Birthdate: Death date: Occupation: Education: Primary language: Health summary: Father First and last initials: Birthdate: Death date: Occupation: Education: Primary language: Health summary: Father’s siblings (write a brief summary of any significant health issues) Maternal grandfather First and last initials: Birthdate: Death date: Occupation: Education: Primary language: Health summary: Maternal grandmother First and last initials: Birthdate: Death date: Occupation: Education: Primary language: Health summary: Mother First and last initials: Birthdate: Death date: Occupation: Education: Primary language: Health summary: Mother’s siblings (write a brief summary of any significant health issues) Adult Participant First and last initials: Birthdate: Death date: Occupation: Education: Primary language: Health summary: Adult participant’s siblings (write a brief summary of any significant health issues) Adult participant’s spouse/significant other First and last initials: Birthdate: Death date: Occupation: Education: Primary language: Health summary: Adult participant’s children (write a summary for each child, up to four children) Child #1 first and last initials: Birthdate: Death date: Occupation: Education: Primary language: Health summary: Child #2 first and last initials: Birthdate: Death date: Occupation: Education: Primary language: Health summary: Child #3 first and last initials: Birthdate: Death date: Occupation: Education: Primary language: Health summary: Child #4 first and last initials: Birthdate: Death date: Occupation: Education: Primary language: Health summary: 2. Evaluation of family genetic history (25 points) Evaluate the impact of the family’s genetic history on your adult participant’s health. For example, if the adult participant’s mother and both sisters have diabetes, hypertension, or cancer, what might that mean for the adult participant’s future health? 3. Planning for future wellness (35 points) Plan changes based on the evaluation of the adult participant’s family’s health history that will promote an optimal level of wellness both now and in the future. Include what information you would provide to the adult participant regarding the results of the family genetic history.