Tag: Nursing

  • [Solved] WK7 DISCUSSION1 HP-213

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    COMPLETE WORK WITH 250 WORDS – ## WK7DISCUSSION1HP-213.odt **## WK7DISCUSSION1HP-213.odt** ## Thumbnails/thumbnail.png WK7 DISCUSSION1 HP-213 ##### Services and Procedures within the Medicine Section As a medical coder, precision and accuracy are key when looking up codes. It is very important to fa…

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    COMPLETE  WORK WITH 250 WORDS

    – ## WK7DISCUSSION1HP-213.odt

    **## WK7DISCUSSION1HP-213.odt**

    ## Thumbnails/thumbnail.png

    WK7 DISCUSSION1 HP-213

    ##### Services and Procedures within the Medicine Section

    As a medical coder, precision and accuracy are key when looking up codes. It is very important to familiarize yourself with this process and each section of CPT. There are several types of minor procedures and services located in the Medicine section of the CPT manual. Take a few moments to review the Medicine Section Table of Contents that precedes the guidelines and answer the following questions:

    Expand your knowledge of the services and procedures highlighted in the Medicine section.

    Include the following aspects in the discussion:

    – Select one Medicine section subheading of interest and list it

    – Provide two coding examples from the subheading identified and include both the codes and the description of each

    – Report any parenthetical notes that are associated with the two Medicine codes you selected

    – Discuss what types of modifiers may be appropriate to use with the codes selected. Do not use the same code examples as your peers.

    250 WORDS

    **## WK7DISCUSSION1HP-213.odt**

    ## Thumbnails/thumbnail.png

    WK7 DISCUSSION1 HP-213

    ##### Services and Procedures within the Medicine Section

    As a medical coder, precision and accuracy are key when looking up codes. It is very important to familiarize yourself with this process and each section of CPT. There are several types of minor procedures and services located in the Medicine section of the CPT manual. Take a few moments to review the Medicine Section Table of Contents that precedes the guidelines and answer the following questions:

    Expand your knowledge of the services and procedures highlighted in the Medicine section.

    Include the following aspects in the discussion:

    – Select one Medicine section subheading of interest and list it

    – Provide two coding examples from the subheading identified and include both the codes and the description of each

    – Report any parenthetical notes that are associated with the two Medicine codes you selected

    – Discuss what types of modifiers may be appropriate to use with the codes selected. Do not use the same code examples as your peers.

    250 WORDS

  • [Solved] DB WK 4B

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    – ## DBWK4B.docx **## DBWK4B.docx** **There are many possible sources of literature available (e.g., the West Coast University library electronic databases, such as Medline, Cinahl, and PubMed). Which specific scholarly articles did you use and why did you choose them for your topic?** **EXAMPLE I F…

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    – ## DBWK4B.docx

    **## DBWK4B.docx**

    **There are many possible sources of literature available (e.g., the West Coast University library electronic databases, such as Medline, Cinahl, and PubMed). Which specific scholarly articles did you use and why did you choose them for your topic?**

    **EXAMPLE I FOUND:**

    MEDLINE is a great resource for medical research because it is authoritative, peer-reviewed, and complete (as much as possible, anyway). MEDLINE is authoritative because it permits you to see who exactly conducted the research, who wrote the results, and even where the research was conducted. The journals included in MEDLINE must target health professionals and researchers as their audience and publish original research.

    All research in MEDLINE is
    **peer-reviewed**. Peer-reviewers try to make sure that the research was well-designed, that the statistics are accurately represented, and that the research is worthy of being shared, i.e. authoritative.

    MEDLINE is also complete. It's not complete in the sense that there is nothing left to add. But, it is complete in the sense that it goes back through the decades so that you can see how research on a topic has progressed.

    The information entered for each journal article citation in MEDLINE includes:

    · Article title

    · Author(s)

    · Journal name

    · Volume and issue

    · Year

    · Page numbers

    · An abstract/summary (usually)

    · An abstract/summary (usually)

    Indexers also provide additional information about an article's content by adding check tags, publication types, and Medical Subject Headings (MeSH) to each record in the database.

    **## DBWK4B.docx**

    **There are many possible sources of literature available (e.g., the West Coast University library electronic databases, such as Medline, Cinahl, and PubMed). Which specific scholarly articles did you use and why did you choose them for your topic?**

    **EXAMPLE I FOUND:**

    MEDLINE is a great resource for medical research because it is authoritative, peer-reviewed, and complete (as much as possible, anyway). MEDLINE is authoritative because it permits you to see who exactly conducted the research, who wrote the results, and even where the research was conducted. The journals included in MEDLINE must target health professionals and researchers as their audience and publish original research.

    All research in MEDLINE is
    **peer-reviewed**. Peer-reviewers try to make sure that the research was well-designed, that the statistics are accurately represented, and that the research is worthy of being shared, i.e. authoritative.

    MEDLINE is also complete. It's not complete in the sense that there is nothing left to add. But, it is complete in the sense that it goes back through the decades so that you can see how research on a topic has progressed.

    The information entered for each journal article citation in MEDLINE includes:

    · Article title

    · Author(s)

    · Journal name

    · Volume and issue

    · Year

    · Page numbers

    · An abstract/summary (usually)

    · An abstract/summary (usually)

    Indexers also provide additional information about an article's content by adding check tags, publication types, and Medical Subject Headings (MeSH) to each record in the database.

  • [Solved] problem focused soap note 682 wk4

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    – ## TemplateFNPSOAPNote-1-1.docx **## TemplateFNPSOAPNote-1-1.docx** **FNP SOAP Note Template** Use this template for Comprehensive Notes (H&Ps) and Problem-Focused Notes (Episodic/progress notes). For the Problem-Focused Notes, _only_ include pertinent problem-focused information related to the ch…

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    Assignment Prompt & Instructions

    – ## TemplateFNPSOAPNote-1-1.docx

    **## TemplateFNPSOAPNote-1-1.docx**

    **FNP SOAP Note Template**

    Use this template for Comprehensive Notes (H&Ps) and Problem-Focused Notes (Episodic/progress notes). For the Problem-Focused Notes,
    _only_ include pertinent problem-focused information related to the chief concern (CC).

    **Demographic Data**

    · Patient age and gender identity

    · MUST BE HIPAA compliant

    **Subjective**

    **Chief Complaint (CC)**

    · Place the complaint in Quotes

    · Brief description -only a few words and in the patient’s words … “My chest hurts,” “I cannot breath,” or “I passed out,” etc.

    **History of Present Illness (HPI)**– the
    **reason for the appointment today**

    · Use the OLD CARTS acronym to document the eight elements of a chief concern (CC): Onset, Location/radiation, Duration, Character, Aggravating factors, Relieving factors, Timing, and Severity)

    · Briefly describe the general state of health prior to the problem.

    · Are Activities of Daily Living (ADL) impacted by the current problem?

    **Past Medical History**:

    · List current and past medical diagnoses

    **Past Surgical History**:

    · List all past surgeries

    **FAMILY HISTORY:**

    · Include medical/psychiatric problems to include 3 generations (parents, grandparents, siblings, or
    direct relatives.

    **Current Medications:**

    · Include current prescription(s), over-the-counter medications, herbal/alternative medications as well as vitamin/supplement use.

    **ALLERGIES**: Include medications, foods, and chemicals such as latex.

    **Immunizations History:** list current immunization status and address deficiency

    **Preventative health History: (** See Table below – Appendix A)

    **SOCIAL HISTORY:**

    ·
    **Include** nutrition, exercise, substance use (details of use: caffeine, EtOH, illicit drug use), sexual history/preference, financial problems, legal issues, kids, and history of abuse, including sexual, emotional, or physical.

    ·
    **Employment/Education:** occupation (type), exposure to harmful agents, highest school achievement

    **REVIEW OF SYSTEMS:**

    · A ROS is a question-seeking inventory by body systems to identify signs and/or symptoms that the patient may be experiencing or has experienced that may or may not correlate with the CC.

    *If a + finding is found not related to the cc this may represent an additional problem that will need to be detailed in the HPI.

    · Must include any physical complaint(s) by the body system that is relevant to the treatment and management of the current concern(s).
    **List only the pertinent body systems specific to the CC.**

    ·
    Remember to include pertinent positive and negative findings when detailing the ROS related to a chief concern (cc).

    ·
    Do not repeat the information provided in HPI

    · Use the format below when detailing the ROS

    **ROS:**

    General:

    Eyes:

    Ears, nose, mouth & throat:

    Cardiovascular:

    Respiratory:

    Gastrointestinal:

    Skin & Breasts:

    Musculoskeletal:

    Allergic:

    Immunologic:

    Endocrine:

    Hematopoietic/Lymphatic:

    Genitourinary:

    Neurological:

    Psychiatric/Mental Status:

    **Objective**

    PHYSICAL EXAMINATION:

    VITAL SIGNS: Blood pressure. Heart rate (regular or irregular). Respirations. SaO2 (on room air or O2). Temperature. Weight. Height.

    *Document the presence of any internal/external devices (IV, Central lines, NGTs, G-tubes, Ostomies, urinary catheters) and dates of placement.

    General:

    Eyes:

    Ears, nose, mouth & throat:

    Cardiovascular:

    Respiratory:

    Gastrointestinal:

    Skin & Breasts:

    Musculoskeletal:

    Allergic:

    Immunologic:

    Endocrine:

    Hematopoietic/Lymphatic:

    Genitourinary:

    Neurological:

    Psychiatric/Mental Status:

    **Pertinent Diagnostic Test Results:**

    **Assessment (Diagnosis)**

    Differential Diagnosis (DDx)

    · Include two (2) differential diagnoses you considered but did not select as the final diagnosis. Why were these 2 diagnoses not selected? Support with pertinent positive and negative findings for each differential with an evidence-based guideline(s) (required).

    Working or Final Diagnosis:

    · Final or working diagnosis (1) (including ICD-10 code)

    · Provide a rational explanation supported by evidenced-based guidelines (required). List the pertinent positive and negative symptoms/signs that support your final diagnosis.

    **Plan**

    Treatment (Tx) Plan: pharmacologic and/or nonpharmacologic

    · Pharmacologic -include full prescribing information for each medication(s) ordered

    · Refill Provided: Include full prescribing information for each medication(s) refilled and the correlating diagnosis related to the refill.

    Patient Education:

    · Include specific education related to each medication prescribed.

    · Was risk versus benefit of current treatment plan addressed for medication(s) and interventions? Was the patient included in the medical decision making and in agreement with the final plan

    · NPs should not be prescribing non-FDA approved medications or medications related to off-label use. If a physician prescribed a non-FDA-approved medication for working diagnosis or recommended off-label use was education provided and was the risk to benefit of the medication(s) addressed in the patient’s education?

    Prognosis Good, Fair, or Poor?

    · Indicate the patient’s prognosis: Good, Fair, Poor

    · Provide support for your selected prognosis

    Referral/Follow-up

    · Did you recommend follow-up with PCP, or other healthcare professionals?

    · When is the subsequent follow-up?

    Disposition:

    · Indicate the disposition of the patient.

    · Was the patient sent home, Emergency room via EMS, etc.

    · Include rationale for the follow-up recommendation or referral

    Reference(s)

    · Include APA formatted references for written assignments.

    · Minimum 2 references are required from evidence-based resources.

    · Oral assignments should include verbally articulated evidence-based guideline(s) used to prepare the oral presentation.

    APPENDIX A

    **PREVENTATIVE CARE SCHEDULE (Example – not all-inclusive)**

    | | | | |
    | — | — | — | — |
    | Preventive Care | Date | Result | Referrals Made |
    | Pap | | | |
    | Mammogram | | | |
    | A1C | | | |
    | Eye Exam | | | |
    | Monofilament Test | | | |
    | Urine<br>Microalbumin | | | |
    | Diet/Lifestyle Modifications | | | |
    | Digital Rectal Exam (DRE) | | | |
    | PSA | | | |
    | Colonoscopy or FOBT | | | |
    | Dexa Scan | | | |
    | CXR | | | |
    | BNP | | | |
    | ECG | | | |
    | Echo | | | |
    | Stress <br>Test | | | |
    | | | | |
    | Vaccines | | | |
    | | | | |
    | | | | |
    | | | | |
    | | | | |
    | | | | |

    **## TemplateFNPSOAPNote-1-1.docx**

    **FNP SOAP Note Template**

    Use this template for Comprehensive Notes (H&Ps) and Problem-Focused Notes (Episodic/progress notes). For the Problem-Focused Notes,
    _only_ include pertinent problem-focused information related to the chief concern (CC).

    **Demographic Data**

    · Patient age and gender identity

    · MUST BE HIPAA compliant

    **Subjective**

    **Chief Complaint (CC)**

    · Place the complaint in Quotes

    · Brief description -only a few words and in the patient’s words … “My chest hurts,” “I cannot breath,” or “I passed out,” etc.

    **History of Present Illness (HPI)**– the
    **reason for the appointment today**

    · Use the OLD CARTS acronym to document the eight elements of a chief concern (CC): Onset, Location/radiation, Duration, Character, Aggravating factors, Relieving factors, Timing, and Severity)

    · Briefly describe the general state of health prior to the problem.

    · Are Activities of Daily Living (ADL) impacted by the current problem?

    **Past Medical History**:

    · List current and past medical diagnoses

    **Past Surgical History**:

    · List all past surgeries

    **FAMILY HISTORY:**

    · Include medical/psychiatric problems to include 3 generations (parents, grandparents, siblings, or
    direct relatives.

    **Current Medications:**

    · Include current prescription(s), over-the-counter medications, herbal/alternative medications as well as vitamin/supplement use.

    **ALLERGIES**: Include medications, foods, and chemicals such as latex.

    **Immunizations History:** list current immunization status and address deficiency

    **Preventative health History: (** See Table below – Appendix A)

    **SOCIAL HISTORY:**

    ·
    **Include** nutrition, exercise, substance use (details of use: caffeine, EtOH, illicit drug use), sexual history/preference, financial problems, legal issues, kids, and history of abuse, including sexual, emotional, or physical.

    ·
    **Employment/Education:** occupation (type), exposure to harmful agents, highest school achievement

    **REVIEW OF SYSTEMS:**

    · A ROS is a question-seeking inventory by body systems to identify signs and/or symptoms that the patient may be experiencing or has experienced that may or may not correlate with the CC.

    *If a + finding is found not related to the cc this may represent an additional problem that will need to be detailed in the HPI.

    · Must include any physical complaint(s) by the body system that is relevant to the treatment and management of the current concern(s).
    **List only the pertinent body systems specific to the CC.**

    ·
    Remember to include pertinent positive and negative findings when detailing the ROS related to a chief concern (cc).

    ·
    Do not repeat the information provided in HPI

    · Use the format below when detailing the ROS

    **ROS:**

    General:

    Eyes:

    Ears, nose, mouth & throat:

    Cardiovascular:

    Respiratory:

    Gastrointestinal:

    Skin & Breasts:

    Musculoskeletal:

    Allergic:

    Immunologic:

    Endocrine:

    Hematopoietic/Lymphatic:

    Genitourinary:

    Neurological:

    Psychiatric/Mental Status:

    **Objective**

    PHYSICAL EXAMINATION:

    VITAL SIGNS: Blood pressure. Heart rate (regular or irregular). Respirations. SaO2 (on room air or O2). Temperature. Weight. Height.

    *Document the presence of any internal/external devices (IV, Central lines, NGTs, G-tubes, Ostomies, urinary catheters) and dates of placement.

    General:

    Eyes:

    Ears, nose, mouth & throat:

    Cardiovascular:

    Respiratory:

    Gastrointestinal:

    Skin & Breasts:

    Musculoskeletal:

    Allergic:

    Immunologic:

    Endocrine:

    Hematopoietic/Lymphatic:

    Genitourinary:

    Neurological:

    Psychiatric/Mental Status:

    **Pertinent Diagnostic Test Results:**

    **Assessment (Diagnosis)**

    Differential Diagnosis (DDx)

    · Include two (2) differential diagnoses you considered but did not select as the final diagnosis. Why were these 2 diagnoses not selected? Support with pertinent positive and negative findings for each differential with an evidence-based guideline(s) (required).

    Working or Final Diagnosis:

    · Final or working diagnosis (1) (including ICD-10 code)

    · Provide a rational explanation supported by evidenced-based guidelines (required). List the pertinent positive and negative symptoms/signs that support your final diagnosis.

    **Plan**

    Treatment (Tx) Plan: pharmacologic and/or nonpharmacologic

    · Pharmacologic -include full prescribing information for each medication(s) ordered

    · Refill Provided: Include full prescribing information for each medication(s) refilled and the correlating diagnosis related to the refill.

    Patient Education:

    · Include specific education related to each medication prescribed.

    · Was risk versus benefit of current treatment plan addressed for medication(s) and interventions? Was the patient included in the medical decision making and in agreement with the final plan

    · NPs should not be prescribing non-FDA approved medications or medications related to off-label use. If a physician prescribed a non-FDA-approved medication for working diagnosis or recommended off-label use was education provided and was the risk to benefit of the medication(s) addressed in the patient’s education?

    Prognosis Good, Fair, or Poor?

    · Indicate the patient’s prognosis: Good, Fair, Poor

    · Provide support for your selected prognosis

    Referral/Follow-up

    · Did you recommend follow-up with PCP, or other healthcare professionals?

    · When is the subsequent follow-up?

    Disposition:

    · Indicate the disposition of the patient.

    · Was the patient sent home, Emergency room via EMS, etc.

    · Include rationale for the follow-up recommendation or referral

    Reference(s)

    · Include APA formatted references for written assignments.

    · Minimum 2 references are required from evidence-based resources.

    · Oral assignments should include verbally articulated evidence-based guideline(s) used to prepare the oral presentation.

    APPENDIX A

    **PREVENTATIVE CARE SCHEDULE (Example – not all-inclusive)**

    | | | | |
    | — | — | — | — |
    | Preventive Care | Date | Result | Referrals Made |
    | Pap | | | |
    | Mammogram | | | |
    | A1C | | | |
    | Eye Exam | | | |
    | Monofilament Test | | | |
    | Urine<br>Microalbumin | | | |
    | Diet/Lifestyle Modifications | | | |
    | Digital Rectal Exam (DRE) | | | |
    | PSA | | | |
    | Colonoscopy or FOBT | | | |
    | Dexa Scan | | | |
    | CXR | | | |
    | BNP | | | |
    | ECG | | | |
    | Echo | | | |
    | Stress <br>Test | | | |
    | | | | |
    | Vaccines | | | |
    | | | | |
    | | | | |
    | | | | |
    | | | | |
    | | | | |

  • [Solved] Clinical Reflection Journal #5- Nursing Hw

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    Based on your knowledge of the population you serve (Miami, FL); a community health nurse teaching health promotion must include the social determinants of health into the caring for clients, planning any activity or health interventions. [Social Determinants of Health – Healthy People 2030 | healt…

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    Assignment Prompt & Instructions

    Based on your knowledge of the population you serve (Miami, FL); a community health nurse teaching health promotion must include the social determinants of health into the caring for clients, planning any activity or health interventions. [Social Determinants of Health – Healthy People 2030 | health.govLinks to an external site.](https://health.gov/healthypeople/priority-areas/social-determinants-health)
    https://odphp.health.gov/healthypeople/priority-areas/social-determinants-health
    1. Please provide at least one intervention that is most likely to positively influence the client's adoption of a new healthy behavior.
    2. Relate the intervention you chose to one of the Social Determinants of Health, why you chose this topic?

  • [Solved] Nursing ASSIGNMENT

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    – ## WEEK9ASSIGNMENTPRACTFocusedSOAPNoteandPatientCasePresetation.docx **## WEEK9ASSIGNMENTPRACTFocusedSOAPNoteandPatientCasePresetation.docx** Focused SOAP Note and Patient Case Presetation, Part 1 FOCSED SOAP NOTES AND PATIENT CASE PRESENTATION: Prepared: Review the **Kaltura button** from the **C…

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    – ## WEEK9ASSIGNMENTPRACTFocusedSOAPNoteandPatientCasePresetation.docx

    **## WEEK9ASSIGNMENTPRACTFocusedSOAPNoteandPatientCasePresetation.docx**

    Focused SOAP Note and Patient Case Presetation, Part 1

    FOCSED SOAP NOTES AND PATIENT CASE PRESENTATION:

    Prepared: Review the
    **Kaltura button** from the
    **Classroom Support Center** (accessed via the
    **Help** button) for help creating your self-recorded Kaltura video.

    · Select an
    adult patient that you examined during the last 4 weeks who presented with a disorder
    other than the disorder present in your Week 3 Case Presentation.

    · Create a Focused SOAP Note on this patient using the template provided in the Learning Resources. There is also a completed Focused SOAP Note Exemplar provided to serve as a guide to assignment expectations.

    **Please Note:**

    · All SOAP notes must be signed, by your Preceptor.

    **Note:** Electronic signatures are not accepted.

    · When you submit your note, you should include the complete focused SOAP note as a Word document and PDF/images of the completed assignment signed by your Preceptor.

    · You must submit your SOAP note using Turnitin.

    **Note:** If both files are not received by the due date, faculty will deduct points per the Walden Grading Policy.

    · Then, based on your SOAP note of this patient, develop a video case study presentation. Take time to practice your presentation before you record.

    · Include at least five scholarly resources to support your assessment, diagnosis, and treatment planning.

    · Ensure that you have the appropriate lighting and equipment to record the presentation.

    SED SOAP NOTES AND PATIENT CASE PRESENTATION

    **## WEEK9ASSIGNMENTPRACTFocusedSOAPNoteandPatientCasePresetation.docx**

    Focused SOAP Note and Patient Case Presetation, Part 1

    FOCSED SOAP NOTES AND PATIENT CASE PRESENTATION:

    Prepared: Review the
    **Kaltura button** from the
    **Classroom Support Center** (accessed via the
    **Help** button) for help creating your self-recorded Kaltura video.

    · Select an
    adult patient that you examined during the last 4 weeks who presented with a disorder
    other than the disorder present in your Week 3 Case Presentation.

    · Create a Focused SOAP Note on this patient using the template provided in the Learning Resources. There is also a completed Focused SOAP Note Exemplar provided to serve as a guide to assignment expectations.

    **Please Note:**

    · All SOAP notes must be signed, by your Preceptor.

    **Note:** Electronic signatures are not accepted.

    · When you submit your note, you should include the complete focused SOAP note as a Word document and PDF/images of the completed assignment signed by your Preceptor.

    · You must submit your SOAP note using Turnitin.

    **Note:** If both files are not received by the due date, faculty will deduct points per the Walden Grading Policy.

    · Then, based on your SOAP note of this patient, develop a video case study presentation. Take time to practice your presentation before you record.

    · Include at least five scholarly resources to support your assessment, diagnosis, and treatment planning.

    · Ensure that you have the appropriate lighting and equipment to record the presentation.

    SED SOAP NOTES AND PATIENT CASE PRESENTATION

  • [Solved] Teaching Project Presentation- Nursing HW

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    Create a Power Point **Teaching Project Presentation- My topic has been about stroke (community is Miami, FL)** **1.** Title of the project. 2. Introduction (what is essential to learn about this issue). You may present statistics such as mortality, morbidity, incidence, and prevalence). 3. Findi…

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    Assignment Prompt & Instructions

    Create a Power Point
    **Teaching Project Presentation- My topic has been about stroke (community is Miami, FL)**
    **1.** Title of the project.
    2. Introduction (what is essential to learn about this issue). You may present statistics such as mortality, morbidity, incidence, and prevalence).
    3. Findings of your assessment: why do you believe the topic is essential for the audience? Please indicate the learning objectives. After the presentation, the participant will:
    4. Include barriers and assets for your specific population. What can you teach to empower the population to take a proactive stand for wellness?
    5. The presentation should be age, cultural, and health literacy-appropriate.
    6. The health teaching presentation should provide accurate, evidence-based information to the participant.
    7. The teaching presentation should have examples of outcomes, what happens if I change…., if I don't.
    8. The presentation should have examples of how to do the intended behavior.
    8. The presentation should have time for participants to ask questions and make comments.
    9. The presentation should have a section that evaluates the audience's attainment of the education objectives.
    \
    TeachingProjectPresentation.pdf](https://www.sweetstudy.com/files/teachingprojectpresentation-pdf "TeachingProjectPresentation.pdf")

  • [Solved] focused note

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    – ## GIfocusednote.docx **## GIfocusednote.docx** Episodic Visit: Gastrointestinal or Genitourinary Condition Focused Note Focused Notes are a way to reflect on your practicum experiences and connect the experiences to the learning you gain from your weekly Learning Resources. Focused Notes, such as…

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    Assignment Prompt & Instructions

    – ## GIfocusednote.docx

    **## GIfocusednote.docx**

    Episodic Visit: Gastrointestinal or Genitourinary Condition Focused Note

    Focused Notes are a way to reflect on your practicum experiences and connect the experiences to the learning you gain from your weekly Learning Resources. Focused Notes, such as the ones required in this practicum course, are often used in clinical settings to document patient care.

    For this Assignment, you will work with a pediatric patient with gastrointestinal or genitourinary condition that you examined during the last 3 weeks, and complete a Focused SOAP Note Template in which you will gather patient information, relevant diagnostic and treatment information, and reflect on health promotion and disease prevention in light of patient factors, such as age, ethnic group, past medical history (PMH), socio-economic status, cultural background, etc. In this week’s Learning Resources as well as prior week’s resources, please refer to the Focused Note resources for guidance on writing Focused Notes.

    **Note**: All Focused Notes must be signed, and each page must be initialed by your preceptor. When you submit your Focused Notes, you should include the complete Focused Note as a Word document and pdf/images of each page that is initialed and signed by your preceptor. You must submit your Focused Notes using Turnitin.

    **Note**: Electronic signatures are not accepted. If both files are not received by the due date, faculty will deduct points per the Walden Late Policies.

    Resources

    Be sure to review the Learning Resources before completing this activity.
    Click the weekly resources link to access the resources.

    [**WEEKLY RESOURCES**](https://waldenu.instructure.com/courses/172095/modules/items/6936939)

    **To prepare:**

    · Review the Focused Note Checklist provided in this week’s Learning Resources and consider how you will develop your Focused Note for this week’s Assignment.

    · Use the Focused SOAP Note Template found in the Learning Resources for this week to complete this Assignment.

    · Select a patient with gastrointestinal or genitourinary condition that you examined during the last 3 weeks. With this patient in mind, address the following in a Focused Note.

    **Assignment**

    · Subjective: What details did the patient or parent provide regarding the personal and medical history? Include any discrepancies between the details provided by the child and details provided by the parent as well as possible reasons for these discrepancies.

    · Objective: What observations did you make during the physical assessment? Include pertinent positive and negative physical exam findings. Describe whether the patient presented with any growth and development or psychosocial issues.

    · Assessment: What were your differential diagnoses? Provide a minimum of three possible diagnoses. List them from highest priority to lowest priority and include their ICD-10 codes for the diagnosis. What was your primary diagnosis and why?

    · Plan: What was your plan for diagnostics and primary diagnosis? What was your plan for treatment and management? Include pharmacologic and non-pharmacologic treatments, alternative therapies, and follow-up parameters as well as a rationale for this treatment and management plan.

    · Reflection notes: What was your “aha” moment? What would you do differently in a similar patient evaluation?

    **Note**: Your Focused Note Assignment must be signed by Day 7 of Week 9.

    By Day 7

    **Submit** your Gastrointestinal or Genitourinary Condition Focused Note Assignment. (
    **Note**: You will submit two files, your Focused Note Assignment, and a Word document of pdf/images of each page that is initialed and signed by your preceptor by Day 7 of Week 9.)

    submission information

    Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the
    **Turnitin Drafts** from the
    **Start Here** area.

    1. To submit your completed assignment, save your Assignment as
    **WK9Assgn2+last name+first initial.**

    2. Then, click on
    **Start Assignment** near the top of the page.

    3. Next, click on
    **Upload File** and select
    **Submit Assignment** for review.

    Rubric

    **PRAC_6541_Week9_Assignment2_Rubric**

    | | | |
    | — | — | — |
    | PRAC_6541_Week9_Assignment2_Rubric |
    | **Criteria** | **Ratings** | **Pts** |
    | This criterion is linked to a Learning OutcomeOrganization of Write-up | **10 to >6.0 ptsExcellent** All information organized in logical sequence; follows acceptable format and utilizes expected headings.<br> <br>**6 to >3.0 ptsGood** Information generally organized in logical sequence; follows acceptable format and utilizes expected headings.<br> <br>**3 to >0.0 ptsFair** Errors in format; information intermittently organized. Headings are used some of the time.<br> <br>**0 ptsPoor** Errors in format; information disorganized. Headings are not used appropriately. | 10 pts |
    | This criterion is linked to a Learning OutcomeThoroughness of History | **20 to >15.0 ptsExcellent** Thoroughly documents all pertinent history components for type of note; includes critical as well as supportive information.<br> <br>**15 to >11.0 ptsGood** Documents most pertinent examination components.<br> <br>**11 to >7.0 ptsFair** Documents some pertinent examination components.<br> <br>**7 to >0 ptsPoor** Physical examination cursory; misses several pertinent components. | 20 pts |
    | This criterion is linked to a Learning OutcomeHistory of Present Illness | **10 to >6.0 ptsExcellent** Thoroughly documents all 8 aspects of HPI and pertinent other data relevant to chief complaint. Includes critical as well as supportive information.<br> <br>**6 to >4.0 ptsGood** Documents at least 6 aspects of the HPI and pertinent other data relevant to chief complaint. Includes critical information.<br> <br>**4 to >2.0 ptsFair** Documents at least 4 aspects of HPI and some data pertinent to chief complaint. Lacks some critical information or rambling in history.<br> <br>**2 to >0 ptsPoor** Missing many aspects of HPI and pertinent data. Critical information missing. | 10 pts |
    | This criterion is linked to a Learning OutcomeThoroughness of Physical Exam | **10 to >7.0 ptsExcellent** Thoroughly documents all pertinent examination components for type of note.<br> <br>**7 to >4.0 ptsGood** Documents most pertinent examination components.<br> <br>**4 to >2.0 ptsFair** Documents some pertinent examination components.<br> <br>**2 to >0 ptsPoor** Physical examination cursory; misses several pertinent components. | 10 pts |
    | This criterion is linked to a Learning OutcomeDiagnostic Reasoning | **10 to >7.0 ptsExcellent** Assessment consistent with prior documentation. Clear justification for diagnosis. Notes all secondary problems. Cost effective when ordering diagnostic tests.<br> <br>**7 to >4.0 ptsGood** Assessment consistent with prior documentation. Clear justification for diagnosis. Notes most secondary problems.<br> <br>**4 to >2.0 ptsFair** Assessment mostly consistent with prior documentation. Fails to clearly justify diagnosis or note secondary problems or orders inappropriate diagnostic tests.<br> <br>**2 to >0 ptsPoor** Assessment not consistent with prior documentation. Fails to clearly justify diagnosis or note secondary problems or orders inappropriate diagnostic tests. | 10 pts |
    | This criterion is linked to a Learning OutcomeTreatment Plan/Patient Education | **20 to >15.0 ptsExcellent** Treatment plan addresses all issues raised by diagnoses, excellent insight into patient’s needs. Medications prescribed are appropriate and full prescription is included. Evidence based decisions. Cost effective treatment.<br> <br>**15 to >10.0 ptsGood** Treatment plan addresses most issues raised by diagnoses. Medications prescribed are appropriate but include 1 or 2 error in writing prescription.<br> <br>**10 to >5.0 ptsFair** Treatment plan fails to address most issues raised by diagnoses. Medications are inappropriate or include 3 or more errors in writing prescription.<br> <br>**5 to >0 ptsPoor** Minimal treatment plan addressed. Medications are inappropriate or poorly written prescription. | 20 pts |
    | This criterion is linked to a Learning OutcomePatient Education / Follow Up / Reflection | **10 to >8.0 ptsExcellent** Patient education addresses all issues raised by diagnoses, excellent insight into patient’s needs. Follow up plan in appropriate and reflects acuity of illness. Reflection is thoughtful and in depth.<br> <br>**8 to >5.0 ptsGood** Patient education addresses most issues raised by diagnoses. Follow up plan is appropriate but lacks specifics Reflection is thoughtful and in depth.<br> <br>**5 to >3.0 ptsFair** Patient education fails to address most issues raised by diagnoses. Follow up plan is lacking specifics or is inappropriate for patient acuity. Reflection is brief, vague. and does not discuss anything that would have been done in addition to or differently.<br> <br>**3 to >0 ptsPoor** Minimal patient education addressed. Follow up plan is inappropriate Reflection is absent. | 10 pts |
    | This criterion is linked to a Learning OutcomeWritten Expression and Formatting English writing standards: Correct grammar, mechanics, and proper punctuation. Professional language utilized | **5 ptsExcellent** Uses correct grammar, spelling, and punctuation with no errors. Professional language utilized.<br> <br>**4 ptsGood** Contains a few (1-2) grammar, spelling, and punctuation errors. Contains a few errors (1 or 2) in professional language use.<br> <br>**2 ptsFair** Contains several (3-4) grammar, spelling, and punctuation errors. Contains several errors (3 -4) in professional language use.<br> <br>**0 ptsPoor** Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding. Contains many errors in professional language use. | 5 pts |
    | This criterion is linked to a Learning OutcomeScholarly References and Clinical Practice Guidelines. The assignment includes a minimum of 3 scholarly references that are not older than 5 years. Clinical practice guidelines are included if applicable. | **5 ptsExcellent** Contains parenthetical/in-text citations and at least 3 evidenced based references less than 5 years old are listed. Clinical practice guidelines are cited if applicable.<br> <br>**4 ptsGood** Contains parenthetical/in-text citations and at least 2 evidenced based references less than 5 years old are listed. Clinical practice guidelines are cited if applicable.<br> <br>**2 ptsFair** Contains parenthetical/in-text citations and at least 1 evidenced based reference less than 5 years old is listed. Clinical practice guidelines are not cited if applicable.<br> <br>**0 ptsPoor** Contains no parenthetical/in-text citations and 0 evidenced based references listed. Clinical practice guidelines are not cited if applicable. | 5 pts |

    **## GIfocusednote.docx**

    Episodic Visit: Gastrointestinal or Genitourinary Condition Focused Note

    Focused Notes are a way to reflect on your practicum experiences and connect the experiences to the learning you gain from your weekly Learning Resources. Focused Notes, such as the ones required in this practicum course, are often used in clinical settings to document patient care.

    For this Assignment, you will work with a pediatric patient with gastrointestinal or genitourinary condition that you examined during the last 3 weeks, and complete a Focused SOAP Note Template in which you will gather patient information, relevant diagnostic and treatment information, and reflect on health promotion and disease prevention in light of patient factors, such as age, ethnic group, past medical history (PMH), socio-economic status, cultural background, etc. In this week’s Learning Resources as well as prior week’s resources, please refer to the Focused Note resources for guidance on writing Focused Notes.

    **Note**: All Focused Notes must be signed, and each page must be initialed by your preceptor. When you submit your Focused Notes, you should include the complete Focused Note as a Word document and pdf/images of each page that is initialed and signed by your preceptor. You must submit your Focused Notes using Turnitin.

    **Note**: Electronic signatures are not accepted. If both files are not received by the due date, faculty will deduct points per the Walden Late Policies.

    Resources

    Be sure to review the Learning Resources before completing this activity.
    Click the weekly resources link to access the resources.

    [**WEEKLY RESOURCES**](https://waldenu.instructure.com/courses/172095/modules/items/6936939)

    **To prepare:**

    · Review the Focused Note Checklist provided in this week’s Learning Resources and consider how you will develop your Focused Note for this week’s Assignment.

    · Use the Focused SOAP Note Template found in the Learning Resources for this week to complete this Assignment.

    · Select a patient with gastrointestinal or genitourinary condition that you examined during the last 3 weeks. With this patient in mind, address the following in a Focused Note.

    **Assignment**

    · Subjective: What details did the patient or parent provide regarding the personal and medical history? Include any discrepancies between the details provided by the child and details provided by the parent as well as possible reasons for these discrepancies.

    · Objective: What observations did you make during the physical assessment? Include pertinent positive and negative physical exam findings. Describe whether the patient presented with any growth and development or psychosocial issues.

    · Assessment: What were your differential diagnoses? Provide a minimum of three possible diagnoses. List them from highest priority to lowest priority and include their ICD-10 codes for the diagnosis. What was your primary diagnosis and why?

    · Plan: What was your plan for diagnostics and primary diagnosis? What was your plan for treatment and management? Include pharmacologic and non-pharmacologic treatments, alternative therapies, and follow-up parameters as well as a rationale for this treatment and management plan.

    · Reflection notes: What was your “aha” moment? What would you do differently in a similar patient evaluation?

    **Note**: Your Focused Note Assignment must be signed by Day 7 of Week 9.

    By Day 7

    **Submit** your Gastrointestinal or Genitourinary Condition Focused Note Assignment. (
    **Note**: You will submit two files, your Focused Note Assignment, and a Word document of pdf/images of each page that is initialed and signed by your preceptor by Day 7 of Week 9.)

    submission information

    Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the
    **Turnitin Drafts** from the
    **Start Here** area.

    1. To submit your completed assignment, save your Assignment as
    **WK9Assgn2+last name+first initial.**

    2. Then, click on
    **Start Assignment** near the top of the page.

    3. Next, click on
    **Upload File** and select
    **Submit Assignment** for review.

    Rubric

    **PRAC_6541_Week9_Assignment2_Rubric**

    | | | |
    | — | — | — |
    | PRAC_6541_Week9_Assignment2_Rubric |
    | **Criteria** | **Ratings** | **Pts** |
    | This criterion is linked to a Learning OutcomeOrganization of Write-up | **10 to >6.0 ptsExcellent** All information organized in logical sequence; follows acceptable format and utilizes expected headings.<br> <br>**6 to >3.0 ptsGood** Information generally organized in logical sequence; follows acceptable format and utilizes expected headings.<br> <br>**3 to >0.0 ptsFair** Errors in format; information intermittently organized. Headings are used some of the time.<br> <br>**0 ptsPoor** Errors in format; information disorganized. Headings are not used appropriately. | 10 pts |
    | This criterion is linked to a Learning OutcomeThoroughness of History | **20 to >15.0 ptsExcellent** Thoroughly documents all pertinent history components for type of note; includes critical as well as supportive information.<br> <br>**15 to >11.0 ptsGood** Documents most pertinent examination components.<br> <br>**11 to >7.0 ptsFair** Documents some pertinent examination components.<br> <br>**7 to >0 ptsPoor** Physical examination cursory; misses several pertinent components. | 20 pts |
    | This criterion is linked to a Learning OutcomeHistory of Present Illness | **10 to >6.0 ptsExcellent** Thoroughly documents all 8 aspects of HPI and pertinent other data relevant to chief complaint. Includes critical as well as supportive information.<br> <br>**6 to >4.0 ptsGood** Documents at least 6 aspects of the HPI and pertinent other data relevant to chief complaint. Includes critical information.<br> <br>**4 to >2.0 ptsFair** Documents at least 4 aspects of HPI and some data pertinent to chief complaint. Lacks some critical information or rambling in history.<br> <br>**2 to >0 ptsPoor** Missing many aspects of HPI and pertinent data. Critical information missing. | 10 pts |
    | This criterion is linked to a Learning OutcomeThoroughness of Physical Exam | **10 to >7.0 ptsExcellent** Thoroughly documents all pertinent examination components for type of note.<br> <br>**7 to >4.0 ptsGood** Documents most pertinent examination components.<br> <br>**4 to >2.0 ptsFair** Documents some pertinent examination components.<br> <br>**2 to >0 ptsPoor** Physical examination cursory; misses several pertinent components. | 10 pts |
    | This criterion is linked to a Learning OutcomeDiagnostic Reasoning | **10 to >7.0 ptsExcellent** Assessment consistent with prior documentation. Clear justification for diagnosis. Notes all secondary problems. Cost effective when ordering diagnostic tests.<br> <br>**7 to >4.0 ptsGood** Assessment consistent with prior documentation. Clear justification for diagnosis. Notes most secondary problems.<br> <br>**4 to >2.0 ptsFair** Assessment mostly consistent with prior documentation. Fails to clearly justify diagnosis or note secondary problems or orders inappropriate diagnostic tests.<br> <br>**2 to >0 ptsPoor** Assessment not consistent with prior documentation. Fails to clearly justify diagnosis or note secondary problems or orders inappropriate diagnostic tests. | 10 pts |
    | This criterion is linked to a Learning OutcomeTreatment Plan/Patient Education | **20 to >15.0 ptsExcellent** Treatment plan addresses all issues raised by diagnoses, excellent insight into patient’s needs. Medications prescribed are appropriate and full prescription is included. Evidence based decisions. Cost effective treatment.<br> <br>**15 to >10.0 ptsGood** Treatment plan addresses most issues raised by diagnoses. Medications prescribed are appropriate but include 1 or 2 error in writing prescription.<br> <br>**10 to >5.0 ptsFair** Treatment plan fails to address most issues raised by diagnoses. Medications are inappropriate or include 3 or more errors in writing prescription.<br> <br>**5 to >0 ptsPoor** Minimal treatment plan addressed. Medications are inappropriate or poorly written prescription. | 20 pts |
    | This criterion is linked to a Learning OutcomePatient Education / Follow Up / Reflection | **10 to >8.0 ptsExcellent** Patient education addresses all issues raised by diagnoses, excellent insight into patient’s needs. Follow up plan in appropriate and reflects acuity of illness. Reflection is thoughtful and in depth.<br> <br>**8 to >5.0 ptsGood** Patient education addresses most issues raised by diagnoses. Follow up plan is appropriate but lacks specifics Reflection is thoughtful and in depth.<br> <br>**5 to >3.0 ptsFair** Patient education fails to address most issues raised by diagnoses. Follow up plan is lacking specifics or is inappropriate for patient acuity. Reflection is brief, vague. and does not discuss anything that would have been done in addition to or differently.<br> <br>**3 to >0 ptsPoor** Minimal patient education addressed. Follow up plan is inappropriate Reflection is absent. | 10 pts |
    | This criterion is linked to a Learning OutcomeWritten Expression and Formatting English writing standards: Correct grammar, mechanics, and proper punctuation. Professional language utilized | **5 ptsExcellent** Uses correct grammar, spelling, and punctuation with no errors. Professional language utilized.<br> <br>**4 ptsGood** Contains a few (1-2) grammar, spelling, and punctuation errors. Contains a few errors (1 or 2) in professional language use.<br> <br>**2 ptsFair** Contains several (3-4) grammar, spelling, and punctuation errors. Contains several errors (3 -4) in professional language use.<br> <br>**0 ptsPoor** Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding. Contains many errors in professional language use. | 5 pts |
    | This criterion is linked to a Learning OutcomeScholarly References and Clinical Practice Guidelines. The assignment includes a minimum of 3 scholarly references that are not older than 5 years. Clinical practice guidelines are included if applicable. | **5 ptsExcellent** Contains parenthetical/in-text citations and at least 3 evidenced based references less than 5 years old are listed. Clinical practice guidelines are cited if applicable.<br> <br>**4 ptsGood** Contains parenthetical/in-text citations and at least 2 evidenced based references less than 5 years old are listed. Clinical practice guidelines are cited if applicable.<br> <br>**2 ptsFair** Contains parenthetical/in-text citations and at least 1 evidenced based reference less than 5 years old is listed. Clinical practice guidelines are not cited if applicable.<br> <br>**0 ptsPoor** Contains no parenthetical/in-text citations and 0 evidenced based references listed. Clinical practice guidelines are not cited if applicable. | 5 pts |

  • [Solved] Week 4 discussion

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    Answer all questions/criteria with explanations and detail: – Define what person-centered care means to you. – Describe how you will apply the following principles in your future role as an advanced practice nurse. – holistic nursing – cultural humility – self-reflection – Communicate using respectf…

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    Assignment Prompt & Instructions

    Answer all questions/criteria with explanations and detail:
    – Define what person-centered care means to you.
    – Describe how you will apply the following principles in your future role as an advanced practice nurse.
    – holistic nursing
    – cultural humility
    – self-reflection
    – Communicate using respectful, collegial language and terminology appropriate to advanced nursing practice. Communicate with minimal errors in English grammar, spelling, syntax, and punctuation.

  • [Solved] Famint

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    Executive Solution Overview

    – Describe the family structure. Include individuals and any relevant attributes defining the family composition, race/ethnicity, social class, spirituality, and environment. – Summarize the overall health behaviors of the family. Describe the current health of the family. – Based on your findings, …

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    Assignment Prompt & Instructions

    – Describe the family structure. Include individuals and any relevant attributes defining the family composition, race/ethnicity, social class, spirituality, and environment.
    – Summarize the overall health behaviors of the family. Describe the current health of the family.
    – Based on your findings, describe at least two of the functional health pattern strengths noted in the findings.
    – Discuss three areas in which health problems or barriers to health were identified?
    – Your assignment must include an eco-map and a genogram – as shown in the required textbook.

  • [Solved] NUR 601 Module 4

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    Executive Solution Overview

    – ## NUR601Module4Discussion.docx **## NUR601Module4Discussion.docx** Module 4 Discussion ![icon](https://www.sweetstudy.com/questions/nur-601-module-4)**_Health Promotion in the Prenatal & Infant Population_** For this Discussion, your instructor will assign you a case number. | | | | — | — | |…

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    Assignment Prompt & Instructions

    – ## NUR601Module4Discussion.docx

    **## NUR601Module4Discussion.docx**

    Module 4 Discussion

    ![icon](https://www.sweetstudy.com/questions/nur-601-module-4)**_Health Promotion in the Prenatal & Infant Population_**

    For this Discussion, your instructor will assign you a case number.

    | | |
    | — | — |
    | | **Case 3** |
    | **Cases** | A.V. is a nurse practitioner working with the public health department. Community assessments reveal that one rural community has a high rate of teenage pregnancy. A.V. conducts parenting classes at the local high school and aims to reach first-time expectant parents. Her goal is to provide parents with information about what to expect of a new baby and basic care for the infant.<br>She realizes that continuity with education may be an issue. Many of her previous classes began with high attendance at the beginning of her 12-week sessions. Over time, interest began to fade, and participation declined. She tries a different approach with the current series of lectures. She reduces the session to 6 weeks and changes the format to one hour of lecture combined with questions and answers, with the second hour consisting of interactive demonstration. |
    | **Questions for the case** | What recommendations would you give to a group of expectant teenagers that are attending to your Health Promotion and Disease Prevention educational sessions regarding breastfeeding.<br>Include recommendation in how to increase the duration to this activity. |

    Once you received your case number; answer the specific question on the table above. Then, continue to discuss the 2 topics listed below for your case:

    1.
    **Describe the relationship between culture and growth and development. Assess whether all growth and development milestones should be applied to all children regardless of cultural background.**

    2.
    **Design a teaching plan for parents regarding injury prevention during infancy. In your teaching plan you must include the home of an infant injury proof.**

    Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources within the last 5 years. Your initial post is worth 8 points.

    ## image1.png

    **## NUR601Module4Discussion.docx**

    Module 4 Discussion

    ![icon](https://www.sweetstudy.com/questions/nur-601-module-4)**_Health Promotion in the Prenatal & Infant Population_**

    For this Discussion, your instructor will assign you a case number.

    | | |
    | — | — |
    | | **Case 3** |
    | **Cases** | A.V. is a nurse practitioner working with the public health department. Community assessments reveal that one rural community has a high rate of teenage pregnancy. A.V. conducts parenting classes at the local high school and aims to reach first-time expectant parents. Her goal is to provide parents with information about what to expect of a new baby and basic care for the infant.<br>She realizes that continuity with education may be an issue. Many of her previous classes began with high attendance at the beginning of her 12-week sessions. Over time, interest began to fade, and participation declined. She tries a different approach with the current series of lectures. She reduces the session to 6 weeks and changes the format to one hour of lecture combined with questions and answers, with the second hour consisting of interactive demonstration. |
    | **Questions for the case** | What recommendations would you give to a group of expectant teenagers that are attending to your Health Promotion and Disease Prevention educational sessions regarding breastfeeding.<br>Include recommendation in how to increase the duration to this activity. |

    Once you received your case number; answer the specific question on the table above. Then, continue to discuss the 2 topics listed below for your case:

    1.
    **Describe the relationship between culture and growth and development. Assess whether all growth and development milestones should be applied to all children regardless of cultural background.**

    2.
    **Design a teaching plan for parents regarding injury prevention during infancy. In your teaching plan you must include the home of an infant injury proof.**

    Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources within the last 5 years. Your initial post is worth 8 points.

    ## image1.png