Conduct an assessment of health promotion while applying the nursing process and evidence based research to disseminate findings to course colleagues
Goal:
To conduct an assessment of health promotion while applying the nursing process and evidence based research to disseminate findings to course colleagues.
Case:
Jessica is a 32 y/old math teacher who presents to the ER with a friend for evaluation of sudden decrease of vision in the left eye. She denies any trauma or injury. It started this morning when she woke up and has progressively worsened over the past few hours.
She had some blurring of her vision 1 month ago and thinks that may have been related to getting overheated, since it improved when she was able to get in a cool, air-conditioned environment. She has some pain if she tries to move her eye, but none when she just rests. She is also unable to determine colors. She denies tearing or redness or exposure to any chemicals. Nothing has made it better or worse.
She denies fever, chills, night sweats, weight loss, fatigue, headache, changes in hearing, sore throat, nasal or sinus congestion, neck pain or stiffness, chest pain or palpitations, shortness of breath or cough, abdominal pain, diarrhea, constipation, dysuria, vaginal discharge, swelling in the legs, polyuria, polydipsia, and polyphagia.
Patient is alert; she appears anxious. BP 135/85 mm Hg; HR 64bpm and regular, RR 16 per minute, T: 98.5F. Visual acuity 20/200 in the left eye and 20/30 in the right eye. Sclera white, conjunctivae clear. Unable to assess visual fields in the left side; visual fields on the right eye are intact. Pupil response to light is diminished in the left eye and brisk in the right eye. The optic disc is swollen.
Full range of motions; no swelling or deformity. Mental status: Oriented x 3. Cranial nerves: I-XII intact; horizontal nystagmus is present. Muscles with normal bulk and tone; Normal finger to nose, negative Romberg. Intact to temperature, vibration, and two-point discrimination in upper and lower extremities. Reflexes: 2+ and symmetric in biceps, triceps, brachioradialis, patellar, and Achiles tendons; no Babinski.
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Conduct an assessment of health promotion while applying the nursing process and evidence based research to disseminate findings to course colleagues
Submission Instructions:
Complete a comprehensive history and Physical Examination.
What physical findings are you looking for to help determine a presumptive nursing diagnosis?
Support your findings with peer reviewed articles.
Presentation is original work and logically organized in current APA style. Incorporate a minimum of 4 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work.
Power point presentation with 8 -10 slides, excluding the tile slide and the reference slide. The presentation is clear and concise and students will lose points for improper grammar, punctuation, APA and misspelling.
Speaker notes expanded upon and clarified content on the slides.
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The purpose of this assignment is to provide the student with an opportunity to explore the nurse practitioner (NP) practice requirements in his/her state of practice, NP competencies and leadership skills to develop a plan to support professional development.
Activity Learning Outcomes
Through this assignment, the student will demonstrate the ability to:
1. Examine roles and competencies of advanced practice nurses essential to performing as leaders and advocates of holistic, safe, and quality care. (CO1)
2. Analyze essential skills needed to lead within the context of complex systems. (CO3)
3. Explore the process of scholarship engagement to improve health and healthcare outcomes in various settings. (CO4)
Due Date
Assignment should be submitted to the Week 4 Roles in APN Professional Development Plan dropbox by Sunday 11:59 p.m. MST at the end of Week 4.
When the assignment is placed in the dropbox, it will automatically be submitted to Turnitin. You may submit the assignment one additional time before the due date to lower the Turnitin score. If you choose to resubmit, the second submission will be considered final and subject to grading. Once the due date for the assignment passes, you may not resubmit to lower a Turnitin score.
This assignment will follow the late assignment policy specified in the course syllabus.
Students are expected to submit assignments by the time they are due. Assignments submitted after the due date and time will receive a deduction of 10% of the total points possible for that assignment for each day the assignment is late. Assignments will be accepted, with penalty as described, up to a maximum of three days late, after which point a zero will be recorded for the assignment.
In the event of a situation that prevents timely submission of an assignment, students may petition their instructor for a waiver of the late submission grade reduction. The instructor will review the student’s rationale for the request and make a determination based on the merits of the student’s appeal. Consideration of the student’s total course performance to date will be a contributing factor in the determination. Students should continue to attend class, actively participate, and complete other assignments while the appeal is pending.
Total Points Possible: 200
Requirements
A Week 4 Paper Template to be used for your assignment is required for this assignment.
1. The APN Professional Development Plan paper is worth 200 points and will be graded on the quality of the content, use of citations, use of Standard English grammar, sentence structure, and overall organization based on the required components as summarized in the directions and grading criteria/rubric.
2. Submit the paper as a Microsoft Word Document, which is the required format at Chamberlain University. You are encouraged to use the APA Academic Writer and Grammarly tools when creating your assignment.
3. Follow the directions below and the grading criteria located in the rubric closely. Any questions about this paper may be posted under the Q & A Forum or emailed to your faculty.
4. The length of the paper should be 5-8 pages, excluding title page and reference page(s).
5. Support ideas with a minimum of 3 scholarly resources. Scholarly resources do not include your textbook. You may need to use more than 3 scholarly resources to fully support your ideas.
6. You may use first person voice when discussing information specific to your personal practice or skills.
7. Current edition APA format is required with both a title page and reference page(s). Use the following as Level 1 headings to denote the sections of your paper (Level 1 headings use upper- and lower-case letters and are bold and centered):
· APN Professional Development Plan (This is the paper introduction. In APA format, a restatement of the paper title, centered and bold serves as the heading of the introduction section)
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APN Professional Development Plan Paper
· APN Scope of Practice
· Nurse Practitioner (NONPF) Core Competencies
· Leadership Skills
· Conclusion
Directions
1. Introduction: Provide an overview of what will be covered in the paper. Introduction should include general statements on scope of practice, competencies, and leadership, and identification of the purpose of the paper.
2. APN Scope of Practice: Research the Nurse Practice Act and APN scope of practice guidelines for the state in which you intend to practice after graduation. (Example: Students who intend to practice in California must research the California Nurse Practice Act and relevant Board of Registered Nursing regulations, such as obtaining a DEA number, and prescriptive requirements). Describe the educational, licensure, and regulatory requirements for that state in your own words.
Identify whether your state allows full, limited, or restricted NP practice. Discuss NP prescriptive authority in your state. Provide support from at least one scholarly source. Source may be the regulatory body that governs nursing practice in your state. (Students who intend to practice in California, include the use of written standard procedures that guide nurse practitioner practice in the state and physician supervision ratios).
3. Nurse Practitioner (NONPF) Core Competencies: Review the NONPF Core Competencies. Describe two competency areas you believe to be personal strengths and two competency areas in which you have opportunities for growth. Discuss two scholarly activities you could do during the master’s program to help yourself achieve NP competencies. Provide support from at least one scholarly source. Source may be NONPF Core Competencies document provided via the link in the week 2 readings.
4. Leadership Skills: Analyze three leadership skills required to lead as an NP within complex systems. Describe two strategies you could use to help you develop NP leadership skills. Provide support from at least one scholarly source. Textbooks are not considered scholarly sources.
5. Conclusion: Provide a conclusion, including a brief summary of what you discussed in the paper.
ASSIGNMENT CONTENT
Category
Points
%
Description
Introduction
16
8%
Provides an overview of what will be covered in the paper. Introduction should include: 1. general statements on scope of practice. 2. general statements on NP competencies. 3. general statements on leadership. 4. identification of the purpose of the paper.
APN Scope of Practice
72
36%
1. Identify the intended state of practice after graduation.2. Describe the educational, licensure, and regulatory requirements for state. 3. Identify whether the state allows full, limited, or restricted NP practice. 4. Discuss NP prescriptive authority in the state. Provides support from at least one scholarly source. Source may be the regulatory body that governs nursing practice in the state.
Nurse Practitioner (NONPF) Core Competencies
38
19%
1. Describe two competency areas believed to be student’s personal strengths. 2. Describes two competency areas in which student has opportunities for growth. 3. Discuss two scholarly activities to do during the master’s program to help student achieve NP competencies. Provide support from at least one scholarly source. Source may be NONPF Core Competencies document provided via the link in the week 2 readings.
Leadership Skills
38
19%
1. Analyze three leadership skills required to lead as an NP within complex systems. 2. Describe two strategies student could use to help develop NP leadership skills. Provide support from at least one scholarly source.
Conclusion
16
8%
Provide a conclusion, including a brief summary of what was discussed in the paper.
180
90%
Total CONTENT Points= 180 points
ASSIGNMENT FORMAT
Category
Points
%
Description
APA Formatting
10
5%
Formatting follows current edition APA Manual guidelines for 1. title page 2. body of paper (including citations and headings) 3. reference page
Writing Mechanics
10
5%
Writing mechanics follow the rules of grammar, spelling, word usage, punctuation, and other aspects of formal written work as found in the current edition of the APA manual. The length of the paper is at least 5 pages but no more than 8 pages.
How to write a nursing discussion post for your nursing class (Nursing Discussion Post Writing), Steps to Complete a Substantive Discussion, and Steps to Complete a peer response.
Nursing discussion post Writing In this post, we will be discussing how to write a nursing discussion post. This type of post is common in online nursing programs and can be used to discuss a variety of topics related to nursing.
Allied health professionals are confronted with different death and dying practices. An effective allied health professional recognizes the importance of understanding different cultural practices, and learns how to evaluate the death, dying, and spiritual beliefs and practices across the cultures.
Read the two specified case histories and choose one for this assignment.
Chapter 4, “Stories of Abby: An Ojibwa Journey” and Chapter 14, “Stories of Shanti: Culture and Karma,” by Gelfland, Raspa, and Sherylyn, from End-of-Life Stories: Crossing Disciplinary Boundaries (2005), from the GCU Library.
Identify your role as a health care professional in supporting Abby’s or Shanti’s dying rituals, and in creating strategies for displaying respect while still providing quality care. Identify communication strategies necessary in caring for your select person. Integrate your strategies as you develop a care plan describing how you would approach the situation and care for the patient. Review the “Care Plan” template prior to beginning.
Include the following in your care plan:
Communication: family and patient
Treatment options that align with the specific culture
Education: family and patient
Family roles in the process
Spiritual beliefs
Barriers
Cultural responses
Any additional components that you feel would need to be addressed (from your perspective as a health care professional)
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Different Death And Dying Process
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
Gestational diabetes mellitus (GDM) is a condition in which a hormone made by the placenta prevents the body from using insulin effectively. Glucose builds up in the blood instead of being absorbed by the cells.
Obesity is defined as a complex, chronic disorder of having an excessive fat accumulation of approximately 20% above the baseline weight associated with gender, age, and height. Obesity isn’t just a cosmetic concern. It’s a medical problem that increases the risk of other diseases and health problems, such as heart disease, diabetes, high blood pressure, and certain cancers.
Hypertension (High blood pressure (BP)), is defined as persistent systolic blood pressure (SBP) greater than or equal to 140 mm Hg, diastolic blood pressure (DBP) greater than or equal to 90 mm Hg, or current use of […]
Bipolar disorder, formerly called manic depression, is a mental health condition that causes extreme mood swings, including emotional and lows. When one becomes depressed, he/she may feel sad or hopeless and lose interest or pleasure […]
Bowel obstruction is a serious problem that happens when something blocks the bowels, either the large or small intestine. It’s also known as an intestinal obstruction. If the digestive system comes to a grinding halt, a person can’t have a bowel movement or pass gas.
Chronic constipation is infrequent bowel movements or difficult stools that persist for several weeks or longer. Constipation is generally described as having fewer than three bowel movements a week. Though occasional constipation is very common, some people experience chronic constipation that can interfere with their ability to go about their daily tasks.
What are the components of an annual exam for an adolescent patient
For this assignment, you will review the latest evidence-based guidelines, cite your sources in your work and provide references for the citations in APA format.
Discussion:
You are a Family Nurse Practitioner working in a community health center. You are seeing a 14-year-old adolescent patient for an annual visit. The patient’s mother is also present during the visit and notes that the patient’s grades in school have been declining. Her son is also hanging out with a group of kids that she has concerns about. The mother has concerns about what is going on with her son. Answer the following questions using course resources (texts) and two other evidence-based sources (current guidelines and/or scholarly articles that are within a 3-5 year time frame).
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What are the components of an annual exam for an adolescent patient
1. What are the components of an annual exam for an adolescent patient?
2. Is the mother required to be present during your exam?
3. Describe 1 health promotion idea that you would discuss with your middle adolescent patient. Why is this idea important?
4. What are some screening tools that might be of importance in this situation? (hint: do you suspect drug or alcohol abuse here?)
Gestational diabetes mellitus (GDM) is a condition in which a hormone made by the placenta prevents the body from using insulin effectively. Glucose builds up in the blood instead of being absorbed by the cells.
Obesity is defined as a complex, chronic disorder of having an excessive fat accumulation of approximately 20% above the baseline weight associated with gender, age, and height. Obesity isn’t just a cosmetic concern. It’s a medical problem that increases the risk of other diseases and health problems, such as heart disease, diabetes, high blood pressure, and certain cancers.
Hypertension (High blood pressure (BP)), is defined as persistent systolic blood pressure (SBP) greater than or equal to 140 mm Hg, diastolic blood pressure (DBP) greater than or equal to 90 mm Hg, or current use of […]
Bipolar disorder, formerly called manic depression, is a mental health condition that causes extreme mood swings, including emotional and lows. When one becomes depressed, he/she may feel sad or hopeless and lose interest or pleasure […]
Bowel obstruction is a serious problem that happens when something blocks the bowels, either the large or small intestine. It’s also known as an intestinal obstruction. If the digestive system comes to a grinding halt, a person can’t have a bowel movement or pass gas.
Chronic constipation is infrequent bowel movements or difficult stools that persist for several weeks or longer. Constipation is generally described as having fewer than three bowel movements a week. Though occasional constipation is very common, some people experience chronic constipation that can interfere with their ability to go about their daily tasks.
Caring for the Woman Experiencing Complications During Pregnancy
Case Study: Christina Diaz
Scenario:
Christina Diaz is a 16-year-old primigravida who arrives at the prenatal clinic for her first prenatal visit. Christina’s last menstrual period was approximately16 weeks ago. During the initial history, Christina tells the nurse that she is feeling fat and unattractive. She states that she has noticed ugly stretch marks and awful color changes on her breasts and abdomen.
Critical Thinking Questions
1. What is the priority nursing diagnosis at this time?
2. What is the expected outcome associated with this diagnosis?
3. Describe the teaching/learning needs related to the scenario that correspond to the priority nursing diagnosis.
4. List interventions with rationales that correspond to the priority nursing diagnosis.
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Caring for the Woman Experiencing Complications During Pregnancy
Case Study: Elizabeth Fong
Scenario:
Elizabeth Fong is a 37-year-old primigravida with a twin pregnancy at 30 weeks of gestation. She arrives at the prenatal clinic for her regular checkup. Elizabeth reports that during the past several days she has been experiencing low back pain, difficulty breathing, and the sensation that her abdomen has “expanded.” She complains of fatigue and difficulty finding a position of comfort while resting. Elizabeth states that the twins are active. Elizabeth’s fundal height measures 36 centimeters. The fetal heart rates are as follows: Twin A = 140 bpm; Twin B = 134 bpm.
Elizabeth’s laboratory data from 1 week ago reveal the following findings:
Hemoglobin: 9.2 g/dL.
Serum ferritin level: 10 mg /dL.
1-hour glucose challenge test: 130 mg/dL.
A sonogram performed during this visit shows a closed cervix, normal fetal growth, and excessive amniotic fluid.
Critical Thinking Questions
1. What is the priority nursing diagnosis at this time?
2. What are the expected outcomes associated with this diagnosis?
3. Describe the teaching/learning needs related to the scenario that correspond to the priority nursing diagnosis.
4. List interventions with rationales that correspond to the priority nursing diagnosis.
The post below includes 100 Good Examples of PICOT Questions for NPs and papers in different subject areas such as diabetes, mental health, falls, emergency nursing, pregnancy, hypertension and nursing burnout. PICOT question examples diabetes
How to write a nursing discussion post for your nursing class (Nursing Discussion Post Writing), Steps to Complete a Substantive Discussion, and Steps to Complete a peer response.
Nursing discussion post Writing In this post, we will be discussing how to write a nursing discussion post. This type of post is common in online nursing programs and can be used to discuss a variety of topics related to nursing.
