1. FORMAT

Typed, accurately spelled, grammatically correct and formal essay style. Start with an introduction paragraph introducing the topic, and end with a conclusion/summary paragraph. Use a title page, abstract page, and a running header. Attach reference list using APA format. Cite references in the body of the paper using APA format.

CULTURAL ASSESSMENT ( TO REFLECT AFRICAN CULTURE)

Discuss your personal beliefs/practices regarding the following:

What is your definition of health? What health promotion practices do you practice?

What do you believe is/are the cause(s) of illness? (physical illness, mental illness, genetic defects, etc.)

How you manage symptoms when they arise and when do you seek care? (pain, dyspnea, nausea/vomiting, constipation/diarrhea, fatigue, depression)

Do you use any home or folk remedies? Did your parents or grandparents use any home or folk remedies?

What are your personal beliefs/practices regarding food? (usual meal pattern, food beliefs & rituals, usual diet, food prohibitions, food prescriptions during illness)

How would you describe communication patterns in your family? (Language, non-verbal communication, greetings, orientation toward time, tone of voice, privacy, decision-making, gender issues, family relationship structure, expectations of children, decision making, etc.)

What birth and death rituals do you practice in your family? (Pregnancy care, labor practices, role of laboring woman, role of father, type of delivery, breastfeeding, birth recuperation, circumcision, etc.)(Preparation of body, home vs. hospital, special needs, care of the body, attitudes toward organ donation/autopsy)

How are the elderly cared for in your family?

What are your usual religious/spiritual practices? How do your spiritual beliefs apply to your health?

ANALYSIS OF CULTURE

Identify what culture, religion and ethnicity you predominantly identify with (three separate items). Research what your textbook and at least one internet source says about your culture, religion, and ethnicity. Discuss 2 ways where your beliefs/practices are similar to what is written about your culture/religion/ethnicity. Discuss 2 ways where your beliefs/practices are different. (Discuss is more than list – this is comparing and contrasting which is analysis). Cite references. This is not comparing your culture to a different culture – it is comparing your actual cultural beliefs to those written about your culture in references.

ANALYSIS OF CULTURAL BIAS

Discuss two patients you have taken care of in the past who had different ethnicities/cultural beliefs than you. Briefly introduce these patients, discuss these differences and identify any potential cultural biases that might have impacted your ability to care for these clients in a non-judgmental manner or made it difficult to care for them in a non-judgmental manner. It does not mean that you did not take care of them in a non-judgmental manner. If you have no experience taking care of patients in the past with different ethnicities/cultural beliefs, you can substitute this area with the following:  Look up 2 cultures that are interesting to you and briefly discuss the differences with your cultural beliefs and identify any potential cultural biases that might impact your ability to care for these patients in a non-judgmental manner. At least one paragraph each.

CULTURAL COMPETENCE

This assignment is an analysis of a selected neuropsychological disorder. This topic choice will be used to complete the Week One Assignment (Topic Selection), Week Two Assignment (Outline of Final Project), and the Week Five Assignment (Final Project).  Select a neuropsychological disorder for comprehensive analysis from the following list, based on the Diagnostic and Statistical Manual 5 (DSM-5):

1. Schizophrenia
2. Major depressive disorder
3. Bipolar disorder
4. Anxiety
   • Choose and focus on one of the anxiety disorders, e.g., generalized anxiety disorder or social anxiety disorder.
5. Post-traumatic Stress Disorder
6. Obsessive-Compulsive Disorder
7. Substance use disorder (substance abuse and addiction)
   • Provide both an overview of this topic plus a focus on a single drug of your choice.
8. Neurodevelopmental disorder (autism spectrum disorder or attention-deficit hyperactivity disorder)
9. Neurocognitive disorder
   • Choose and focus on one of the neurocognitive disorders, e.g., one of the dementias.
10. Neurological disorder
    • Choose and focus on one neurological disorder, e.g., multiple sclerosis, spinal bifida.
11. Sleep-wake disorder
    • Choose and focus on one of the sleep-wake disorders.
12. Feeding and eating disorder
    • Choose and focus on one of the feeding and eating disorders.
13. Sexual dysfunction or gender dysphoria disorder
    • Choose and focus on one of the disorders in these categories.
14. Other neuropsychosocial disorder
    • This option must be approved in advance by the instructor before your assignment is submitted.

In keeping with the focus of this class, the emphasis of your paper will be on the neuroscience aspects of the disorder, to include:

• Theories of etiology (causes)
• Associated factors in development of the disorder (genetic, environmental, familial, lifestyle)
• Pathology (abnormalities of physical structure and function, including genetic and biochemical aspects)
• Treatment options (pharmacologic and nonpharmacologic, with rationales for use based on current understanding of the disorder)
• Diagnostic and research technologies employed in clinical diagnosis, care, and basic science research  

Your research will include two to three peer-reviewed sources that provide evidence-based information regarding the biologic and psychological features of the disorder. Refer to the Final Project guidelines, which can be found in Week Five of your online course or in the “Components of Course Evaluation” section of this guide, for more details on the components that should be included in this analysis   

Writing the Selection of Final Project Topic

The Assignment:

1. Must be two to three double-spaced pages in length, and formatted according to APA style as outlined.

Assignment:

Part 1: Complete Shadow Health: Shadow Health Skin, Hair, and Nails.

Submit your Lab Pass from the Skin, Hair, and Nails single-system exam into the Lab Pass dropbox.

You will complete the exercise above via ShadowHealth assessment, you may attempt each exercise as often as you would like. Once you have achieved at least 80% for each exercise (which will give you full credit on the lab), please download and save the LabPass document, and upload the PDF document to the Lab Pass dropbox.

M7 Shadow Health Assignment UMBO – 2, 3

M7 Shadow Health Assignment PLG – 1, 7

M7 Shadow Health Assignment CLO –1, 5

Part 2: **Signature Assignment**

Holistic Assessment of the Older Adult

This assignment is a voice over PowerPoint recording of 13-15 minutes.

For the PowerPoint and recorded presentation, create a presentation that addresses each of the following points/questions. Be sure to completely answer all the prompts or questions for each bullet point. Use clear headings that allow your professor to know which bullet you are addressing on the slides in your presentation. Support your content with at least four (4) scholarly sources throughout your presentation, referencing in APA style. Include title and references slides in the presentation. Follow best practices for PowerPoint presentations related to text size, color, images, effects, wordiness, and multimedia enhancements. Ensure that you have permission from your older adult to conduct the health assessment and ensure that they are not identified on the PPT. Review the Signature Assignment rubric criteria for this assignment.

Part 1: Assessment: Choose an adult (65 years or older) friend or relative and perform a holistic health assessment. Clearly discuss your discovered holistic health assessment data. Your assessment should include the following parts for the holistic assessment:

General Health History
Physiological Assessment
Psychological Assessment
Social Assessment
Cultural Assessment
Developmental Assessment
Spiritual Assessment
Part 2: Interpretation (Abnormality and Coping)

Choose one abnormality from the data gained in the assessments and discuss possible reasons/causes for the abnormality.
How does this abnormality impact the other areas of the patient’s life?
Discuss the client’s stress and coping mechanisms.
Are they healthy?
What recommendations and improvements could be made that are individualized for this person?
Part 3: Teaching Plan: Create a teaching plan that addresses the client holistically by applying the assessment data you have analyzed.

Describe at least one client goal for each of the six categories (each category should have a goal) (physical, psychological, social, cultural, developmental, and spiritual).
Discuss one strategy per goal you would use to teach your client about each individual goal
Explain how you will evaluate if your teaching was effective

Title Slide (1 slide)
Objective Slide (1 slide)
Assessment
General Health History (1slide)
Physical (1 slide)
Psychological (1 slide)
Social (1 slide)
Cultural (1 slide)
Developmental (1 slide)
Spiritual (1 slide)
Interpretation (Abnormality and Coping)
Abnormality, Reasons/Causes, Impact on Life (1 slide)
Stress, Coping, Recommendations (1 slide)
Teaching Plan
Physical Goal and Teaching Strategy (1 slide)
Psychological Goal and Teaching Strategy (1 slide)
Social Goal and Teaching Strategy (1 slide)
Cultural Goal and Teaching Strategy (1 slide)
Developmental Goal and Teaching Strategy (1 slide)
Spiritual Goal and Teaching Strategy (1 slide)
Evaluation Plan (1 slide)
References (1 slide)
Assignment Expectations:

Length: PPT of 19-21 slides; Recording 13-15 min

Structure: Include a title slide, objective slide, content slides, and reference slide in APA format. Recording is of PPT slides, with voice only.

References: Use appropriate APA style in-slide citations and references for all resources. A minimum of four (4) scholarly sources are required.

Rubric: This assignment uses a rubric for scoring. Please review it as part of your assignment preparation and again prior to submission to ensure you have addressed its criteria at the highest level.

Format: Save your assignment as an mp4 or share the link to the recording

File name: Name your saved file according to your first initial, last name, and the assignment number (for example RHall Assignment 1.docx)

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Reading list:

Evidence-Based Practice in Nursing and Healthcare

• “Clinically Appraising Qualitative Evidence for Clinical Decision Making”

Journal Readings

Please retrieve and read the following Journal articles from the Library. Articles can be located through a search in the CINAHL database, OVID database, Course Resources, or by using the link at the end of the reference if provided.

A guide to critical appraisal of evidence

Fineout-Overholt, Ellen PhD, RN, FNAP, FAAN

Nursing Critical Care: May 2019 – Volume 14 – Issue 3 – p 24-30

doi: 10.1097/01.CCN.0000554830.12833.2f

Fielding, J., Fielding, N., & Hughes, G. (2013). Opening up open-ended survey data using qualitative software. Quality and Quantity, 47(6), 3261-3276.

Rothwell, E. (2010). Analyzing focus group data: Content and interaction. Journal for Specialists in Pediatric Nursing, 15(2), 176–180.

Ryan, F., Coughlan, M., & Cronin, P. (2007). Step-by-step guide to critiquing research. Part 2: Qualitative research. British Journal of Nursing (BJN), 16(12), 738–744.

Ryan, F., Coughlan, M., & Cronin, P. (2007). Step-by-step guide to critiquing research. Part 2: Qualitative research. British Journal of Nursing (BJN), 16(12), 738–744.Smith, J., & Firth, J. (2011). Qualitative data analysis: The framework approach. Nurse Researcher, 18(2), 52–62.

Web Resources

Revisit NCQA website, specifically the Patient Experiences area.

• National Committee on Quality Assurance. (2015). retrieved from http://www.ncqa.org/Programs/Recognition/Practices/ PatientCenteredMedicalHomePCMH/
  DuringEarnItPCMH/OtherPCMHResources/Element6BPatientExperienceFAQs.aspx

Practice

1. Read the following article “Making the Critical Appraisal for Summaries of evidence-based medicine: critical appraisal of summaries of evidence.”
2. Evaluate the six research techniques used in qualitative research, keeping in mind the four general areas for evaluating a qualitative study.

“Scientific and Analytic Approaches to Advanced Evidence-Based Practice” Clinical Question Search Assignment

Purpose:

The purpose of this assignment is to give you a practical application to implement your compelling clinical question idea, supported by the evidence-based research you have obtained during your systematic review. You will apply evidence-based research findings discovered from your clinical question, and then integrate those to support your suggested change in nursing practice.

Directions:

1. Identify your refined clinical question.
2. Provide a summary of the database used.
3. Determine an evidence-based quantitative article from the search that contains an evidence-based randomized control trial.
4. Summarize the case study selected.
5. Describe the study approach, sample size, and population studied.
6. Apply the evidence from this review to your practice specifically in your overview.
7. Evaluate the outcomes, identifying the validity and reliability.
8. Discuss if the study contained any bias.
9. Determine the level of evidence identified in the review.
10. The length should be no less than 10 pages in APA 7th edition format.