The purpose of this discussion is to review assessment techniques, identify subjective and objective information related to a focused system, and introduce clinical reasoning

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Objective
The purpose of this discussion is to review assessment techniques, identify subjective and objective information related to a focused system, and introduce clinical reasoning. Please read through the entire discussion instructions and example posts prior to your initial post as you will be building on the responses of your peers.

Report to the virtual clinic and select ONE of the occupied exam rooms. Note that each exam room has its own thread for discussion. Read the chief complaint and review any information already shared by your peers to build on the identified patient case. Identify one additional unique health history or subjective symptom as well as one objective exam finding. Provide scholarly support to discuss the physical assessment technique used to identify the objective finding and compare and contrast characteristics of normal and abnormal findings. Each student will copy and paste the most recent developing case to build upon their initial post. Please do not copy the scholarly support. See Example.

Your initial post should include evidence of review of the course material, websites, and literature through proper citations using APA format.

Virtual Clinic Exam Rooms

Room 1: 16yo Raena Regis reports history of headache
Room 2: 35yo Rhoda Regis reports right wrist pain
Room 3: 73yo Renata Regis reports general achiness
(See Response Post Instructions and Example before beginning the Discussion.)

Response Posts
Return to the virtual clinic and select TWO of the occupied exam rooms. Review the documented subjective and objective history. Provide scholarly support to identify a differential diagnosis based on the reported findings. Include additional subjective or objective data that would support this diagnosis.

Example – Shows a developing case and does not include required scholarly support
Initial Post:

Room 1: 72yo Ralph Regis reports intermittent abdominal pain
Student 1:

HPI: 72yo Ralph Regis reports intermittent abdominal pain localized to the LLQ
PE: T-99.8; BP 148/86, P-84, R-16
Student 2:

HPI: 72yo Ralph Regis reports intermittent aching abdominal pain rated 5/10 localized to the LLQ
PE: T-99.8; BP 148/86, P-84, R-16
ABD: Bowel sounds active
Student 3:

HPI: 72yo Ralph Regis reports aching intermittent abdominal pain rated 5/10 localized to the LLQ. Pain started three days ago after eating popcorn.
PE: T-99.8; BP 148/86, P-84, R-16
ABD: Bowel sounds active; abdomen soft with tenderness to palpation in LLQ
Student 4:

HPI: 72yo Ralph Regis reports aching intermittent abdominal pain rated 5/10 localized to the LLQ. . Pain started three days ago after eating popcorn. Last BM two days ago.
PE: T-99.8; BP 148/86, P-84, R-16
ABD: Bowel sounds active; abdomen soft with tenderness to palpation in LLQ; LLQ dull to percussion

CASE STUDY: An Older Immigrant Couple: Mr. and Mrs. Arahan Mr. and Mrs. Arahan, an older couple in their seventies

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CASE STUDY: An Older Immigrant Couple: Mr. and Mrs. Arahan Mr. and Mrs. Arahan, an older couple in their seventies, have been living with their oldest daughter, her husband of 15 years, and their two children, ages 12 and 14. They all live in a middle-income neighborhood in a suburb of a metropolitan city. Mr. and Mrs. Arahan are both college educated and worked full-time while they were in their native country. In addition, Mr. Arahan, the only offspring of wealthy parents, inherited a substantial amount of money and real estate. Their daughter came to the United States as a registered nurse and met her husband, a drug company representative. The older couple moved to the United States when their daughter became a U.S. citizen and petitioned them as immigrants. Since the couple was facing retirement, they welcomed the opportunity to come to the United States. The Arahans found life in the United States different from that in their home country, but their adjustment was not as difficult because both were healthy and spoke English fluently. Most of their time was spent taking care of their two grandchildren and the house. As the grandchildren grew older, the older couple found that they had more spare time. The daughter and her husband advanced in their careers and spent a great deal more time at their jobs. There were few family dinners during the week. On weekends, the daughter, her husband, and their children socialized with their own friends. The couple began to feel isolated and longed for a more active life. Mr. and Mrs. Arahan began to think that perhaps they should return to the home country, where they still had relatives and friends. However, political and economic issues would have made it difficult for them to live there. Besides, they had become accustomed to the way of life in the United States with all the modern conveniences and abundance of goods that were difficult to obtain in their country. However, they also became concerned that they might not be able to tolerate the winter months and that minor health problems might worsen as they aged. They wondered who would take care of them if they became very frail and where they would live, knowing that their daughter had only saved money for their grandchildren’s college education. They expressed their sentiments to their daughter, who became very concerned about how her parents were feeling. This older couple had been attending church on a regular basis, but had never been active in other church-related activities. The church bulletin announced the establishment of parish nursing with two retired registered nurses as volunteers. The couple attended the first opening of the parish clinic. Here, they met one of the registered nurses, who had a short discussion with them about the services offered. The registered nurse had spent a great deal of her working years as a community health nurse. She informed Mr. and Mrs. Arahan of her availability to help them resolve any health-related issues. Reflective Questions 1. What strategies could be suggested for this older adult couple to enhance their quality of life? 2. What community resources can they utilize? 3. What can the daughter and her family do to address the feelings of isolation of the older couple? 4. What health promotion activities can ensure a healthy lifestyle for them?

 

Imagine you are a senator preparing for this year’s policy agenda. You must rank, from the highest priority to the lowest priority, the following social aging concerns to determine which issue should be your major focus.

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Imagine you are a senator preparing for this year’s policy agenda. You must rank, from the highest priority to the lowest priority, the following social aging concerns to determine which issue should be your major focus. Include an explanation for your ranking choices that can be understood by ordinary constituents as well as make sense to professionals in the field.

  • Fall prevention program
  • HIV/AIDS interventions
  • Social isolation
  • Mental health services gap

Your initial post should be 300 to 500 words, with one to two supporting references included.

Is Quarantine Consistent with Ethical Principles?

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Is Quarantine Consistent with Ethical Principles?

Your readings cover ethical principles. After reading the Week 2 Content section-Ethics of Quarantine, analyze the ethics of public health issues by discussing whether the use of quarantine in a given situation is consistent with ethical principles.

Your response must include the following:

1) What are some ethical principles that should be considered?

2) Of the ones that you have researched, select one and explain why that principle is important to medical and public health officials.

3) What are some issues that may arise if these principles are not applied when implementing quarantine?

Most be at least 250 words  and supported by at least two references

Name five continuous, five discrete, and five categorical variables. Which ones are you going to use in your practicum?

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After reading chapters 2,3 and 4, please answer the following question.

Name five continuous, five discrete, and five categorical variables. Which ones are you going to use in your practicum?

Answer to another student. The answer should be also three paragraphs with three sentences.

Authors Denise F. POLIT

CHERYL

 

Discussion: Evidence Base in Design

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Discussion: Evidence Base in Design

When politics and medical science intersect, there can be much debate. Sometimes anecdotes or hearsay are misused as evidence to support a particular point. Despite these and other challenges, however, evidence-based approaches are increasingly used to inform health policy decision-making regarding causes of disease, intervention strategies, and issues impacting society. One example is the introduction of childhood vaccinations and the use of evidence-based arguments surrounding their safety.

In this Discussion, you will identify a recently proposed health policy and share your analysis of the evidence in support of this policy.

List three (3) strategies for active case finding Describe outbreak control measures

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Objectives

  • List three (3) strategies for active case finding
  • Describe outbreak control measures
  • Prepare a statement for media during an outbreak situation
  • Identify critical components of an outbreak investigation report

Instructions

  1. Complete each question in the case study. It is recommended to answer each question in sequential order since you are performing an outbreak investigation.
  2. You can use classroom or online resources to answer the questions, such as CDC or local health departments.
  3. You can answer the questions directly in the Word Document (attached to assignment). Please save your file as LastName_FirstName_PBHE426_Case Study 1.
  4. Please put your name in the document header.
  5. Submit your completed assignment in the Classroom Assignment – Case Study One.
  6. This assignment is to be completed individually. The assignment will have “group” or “team” activities. You need to complete all questions in the case study, but you can exclude the in-class portions, such as writing responses on flip-charts.

What challenges do medical facilities face when trying to become more culturally competent? What kinds of assumptions do providers sometimes make about people from other cultures?

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Initial post:

Reflect on the assigned readings for this module. 

What challenges do medical facilities face when trying to become more culturally competent? What kinds of assumptions do providers sometimes make about people from other cultures? What factors may cause providers to relate to patients in a biased manner? What can healthcare organizations do to ensure cultural competence among their employees? Citations needed.

Responding to your classmates:

When responding to your classmates, evaluate their responses. Do you agree or disagree with their suggestions, and why? Citations needed.

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Using research, identify two ethical principles or theories that are most pertinent to your place of work or the situation you witnessed.

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Respond to the following prompts using research and your own personal experience.

  • Think of an ethical issue that has occurred at your workplace or that you have witnessed in your nursing experience.
  • Using research, identify two ethical principles or theories that are most pertinent to your place of work or the situation you witnessed.
  • Discuss how these principles came into play and what role, if any, you played in the situation or what you observed in relation to these principles.
  • For this post, you must show research in your writing using in-text citations and show your reference in 7th. ed. APA.

Implementing change on a nursing unit (Student must incorporate an example and a change theory)

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The purpose of this assignment is to synthesize and apply the knowledge you gained in class into a well-written research paper. For this assignment, you will conduct research and write a paper containing the two elements:

Part I: Choose one of the listed topics

  • Implementing change on a nursing unit (Student must incorporate an example and a change theory)
  • Leadership traits for successfully managing in the clinical arena.
  • Quality improvement in the nursing unit or system
  • Mentorship in nursing
  • Preceptor programs for nursing leaders
  • Solving incivility in the work place, How can a nurse manager help? (conflict resolution)
  • Legal Issues within the nursing unit
  • Promotion of ethical behaviors within the nursing unit (student must create a plan and implementation strategy)
  • Nursing Unit Strategic Planning
  • Compare and contrast the following new roles for the changing health care arena:
    • Nurse Navigators, Clinical Nurse Leaders, and Leaders in Patient-Centered Care

Part II: Evaluate how the topic applies to 2 of the following course competencies.

  • Integrate concepts related to leadership into the professional nursing role.
  • Analyze the philosophy, goals, and organizational structure of a healthcare system in relationship to the delivery of quality healthcare.
  • Compare selected theories of leadership, management, and organizations in relation to healthcare agencies.
  • Identify how collaborative leadership styles might be utilized in various community agencies to enhance the role of the nurse leader.
  • Examine change theory, change management, conflict resolution, and strategies to promote innovation.
  • Explain principles of continuous quality improvement (CQI) and the process of quality planning, improvement, and control.
  • Discuss the management process and its impact on the delivery of optimal healthcare.
  • Analyze how accountability, advocacy, and collaboration augment the management of care.
  • Describe the meaning of teamwork in respect to the health care team
  • Identify the essential components of a business plan
  • Analyze various organization structure/management theories as they relate to nursing practice

In addition to the assignment specifics above, your paper should:

  • Be 3-4 pages, not including the title and reference pages.
  • Source(s) should be integrated into the paragraphs. Use in-text citations pointing to evidence in the literature that supports your ideas.
  • Incorporate a minimum of two (2) peer-reviewed sources into your paper.
  • Use current APA format to style your paper and to cite your sources.
  • Include a title page and a reference page listing the sources you used. Be sure to plan enough time for proofreading and editing.

Attached are pictures of the rubric to follow. Thank you!