opic: Case Study – Assessment of Pregnant Client

READ CAREFULL TO COMPLETE THIS ASSIGNMENT CORRECTLLY

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Purpose of Assignment

· Utilize the appropriate technology and/or references/resources, demonstrating accurate use, in order to access reliable data and information that support evidence-based practice in the care of diverse clients during pregnancy.

· Differentiate the various components of basic physiological needs as it relates to pregnancy and health practices, including but not limited to associated concepts of.

· Evaluate data and information gathered during client care, simulated scenarios, and/or case studies related to promoting nutritional health during pregnancy, nursing care strategies to address the common discomforts of pregnancy, essential components and standards of prenatal care, fetal growth and development stages in order to determine knowledge and wisdom gained through critical thought processes to optimize client outcomes and quality improvement.

· Demonstrate a basic understanding of communication practices necessary for client-centered care and interdisciplinary collaboration in terms of knowledge, skills, and attitudes.

 

Competency

Apply appropriate nursing care interventions for clients during pregnancy, labor, and birth.

 

Scenario

You are a registered nurse (RN) working in a Women’s OB/GYN Clinic. Elizabeth Jones, 37 years old, presents to the prenatal clinic after missing her last 2 menstrual cycles. Her home pregnancy test was positive. An ultrasound at the clinic confirms pregnancy. Gestational age is calculated to be 10 weeks. An initial assessment of Ms. Jones’s medical and obstetrical history is as follows.

 

Obstetric/Gynecologic (OB/GYN) history: Uncomplicated spontaneous vaginal delivery at 39.2 weeks (3 years ago); Cesarean section x 1 at 37.5 weeks for non-reassuring fetal heart tones (1.5 years ago); abnormal Papanicolau (PAP) smear x2, + human papilloma virus (HPV), colposcopy within normal limits

 

Medical history: Chronic hypertension (HTN) x 5 years;

 

Allergies: Penicillin

 

Social history:

· (+) tobacco, “occasional” per client (pt), <5 per/day currently, has smoked “off and on” for 15 years

· (+) cocaine use, states she has not used any cocaine/drugs for > 1 year; (-) alcohol use

· Abusive partner with first pregnancy, states she has a new partner x 4 years

· Depression, currently not taking meds for treatment (tx)

 

Medications: Prenatal vitamins; Labetalol 200mg BID;

 

Family history: Insulin-dependent diabetes mellitus (mother); HTN and heart disease (father); breast cancer (maternal grandmother, deceased)

 

Instructions

Write a two to three-page analysis of this scenario that answers the following questions:

1. What should the nurse consider related to caring for a client with a history of domestic abuse, drug use, sexually transmitted diseases and depression?

1. Document the considerations of yourself as the professional nurse in regards to self-awareness; be aware of attitudes, values and beliefs that you hold related to clients from different social backgrounds so that care is not affected negatively.

1. What conditions are in Mrs. Jones history that would cause concern during pregnancy, labor, and birth?

1. What concerns should be discussed with Ms. Jones before she leaves her appointment?

 

Each answer to your question should include the following:

. A correct answer with thorough development of the topic

. Gives clinical examples

. Include evidence from scholarly sources

. Appropriate use of medical terminology

 

Format

. Standard American English (correct grammar, punctuation, etc.)

. Logical, original and insightful

. Professional organization, style, and mechanics in APA format

 

NO CONSIDERATION FOR PLAGIARISM

APA FORMAT AND INDEX CITATION

PLEASE WRITE FROM NURSING PROSPECTIVE

 

DUE Wednesday AT 10AM

 

 

 

 

FOLLOW ALL Rubric Details CAREFULLY TO GAIN FULL POINTS

 

· Question 1

21% of total grade

Mastery: Advanced or exceeds achievement

Answers question correctly with thorough development of the topic. Gives clinical examples. Includes research in the answer.

11.55

Proficiency: Clear/effective achievement

Answers question correctly. Demonstrates solid understanding of the topic. Gives examples without research.

10.74

Competence: Adequate/basic achievement

Answers question correctly. Demonstrates basic understanding of the topic. Does not give examples.

9.7

Emerging: Limited or growing achievement

Answers question incorrectly. Demonstrates little understanding of the topic. Does not give examples.

7.51

· Questions 2 & 3

21% of total grade

Mastery: Advanced or exceeds achievement

Answers question correctly with thorough development of the topic. Gives clinical examples. Includes research in the answer.

11.55

Proficiency: Clear/effective achievement

Answers question correctly. Demonstrates solid understanding of the topic. Gives examples without research.

10.74

Competence: Adequate/basic achievement

Answers question correctly. Demonstrates basic understanding of the topic. Does not give examples.

9.7

Emerging: Limited or growing achievement

Answers question incorrectly. Demonstrates little understanding of the topic. Does not give examples.

7.51

· Question 4

21% of total grade

Mastery: Advanced or exceeds achievement

Answers question correctly with thorough development of the topic. Gives clinical examples. Includes research in the answer.

11.55

Proficiency: Clear/effective achievement

Answers question correctly. Demonstrates solid understanding of the topic. Gives examples without research.

10.74

Competence: Adequate/basic achievement

Answers question correctly. Demonstrates basic understanding of the topic. Does not give examples.

9.7

Emerging: Limited or growing achievement

Answers question incorrectly. Demonstrates little understanding of the topic. Does not give examples.

7.51

· Tone

18% of total grade

Mastery: Advanced or exceeds achievement

Uses consistent professional tone with excellent use of medical terminology.

9.9

Proficiency: Clear/effective achievement

Tone is professional. Good use of medical terminology.

9.21

Competence: Adequate/basic achievement

Tone is professional. Inconsistent use of medical terminology.

8.32

Emerging: Limited or growing achievement

Tone is consistently unprofessional with poor use of medical terminology.

6.44

· Spelling and Grammar

10% of total grade

Mastery: Advanced or exceeds achievement

Demonstrates an exemplary application of spelling and grammar.

5.5

Proficiency: Clear/effective achievement

Displays proper grammar application and writing contains minimal to no spelling errors. May contain rare improper uses of words (ex., their vs. there), a misplaced modifier, or a run-on sentence, but does not detract from the overall understanding of the sentence and/or paragraph.

5.12

Competence: Adequate/basic achievement

Spelling and grammar errors occur but are inconsistent. Paragraphs and sentences are coherent but may exhibit spelling errors, run-on’s or fragments, and/or improper verb tense usage.

4.62

Emerging: Limited or growing achievement

Spelling and grammar contain substantial errors that makes sentences and/or paragraphs incoherent.

3.58

· APA Style

9% of total grade

Mastery: Advanced or exceeds achievement

APA citations are free of style and formatting errors.

4.95

Proficiency: Clear/effective achievement

Errors in APA citations are less noticeable and do not detract from the ability to locate the original source (for example, a missing or misused comma or period, missing parentheses, author name not properly abbreviated, indentation is misaligned).

4.6

Competence: Adequate/basic achievement

Errors in APA citations are noticeable and may detract from the ability to locate the original source (for example, no title provided, year of publication is missing, no punctuation).

4.16

Emerging: Limited or growing achievement

Citations do not follow APA Style. Quotations, paraphrases, and summaries are not cited, or there is no attempt to cite them using APA style.

3.22

 

Discuss your own philosophy of aging.

When do you think a person becomes elderly?
What do you think of older people?
Are they active, senile, debilitated, etc.?
Provide a description of an elderly person that you know

Identify regulatory agencies that regulate health and the health care  system within the US, create a table listing your 5 regulatory agencies  and address the following:

1. Describe the agency, level of regulatory authority (local, state,  federal), scope of regulatory authority, and role within the US  healthcare system.
2. Address relevance of the organization or the organization’s authority to the APRN/DNP graduate.
3. Describe relevance to specialty area, area of practice, or setting of practice. For an example, mental health.

Submission Requirements: 

• In the table, write the 3 criteria above and respond to them.
• The table is to be clear and concise and students will lose points for improper grammar, punctuation and misspelling.
• The table is to be complete and thorough. It should include all items indicated in the assignment.
• Incorporate at least 3 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work.

The purpose of this assignment is to create an educational program that supports the implementation of risk management strategies in a health care organization.

In this assignment, you will develop an outline for an “in‐service”‐style educational risk management program for employees of a particular health care organization that will then form the basis for a PowerPoint presentation in Topic 5. Select your topic for this educational session from one of the proposed recommendations or changes you suggested in the Risk Management Program Analysis – Part One assignment to enhance, improve, or secure compliance standards in your chosen risk management plan example.

Create a 500‐750-word comprehensive outline that communicates the following about your chosen topic:

1. Introduction: Identify the risk management topic you have chosen to address and why it is important within your health care sector.
2. Rationale: Illustrate how this risk management strategy is lacking within your selected organization’s current risk management plan and explain how its implementation will better meet local, state, and federal compliance standards.
3. Support: Provide data that indicate the need for this proposed risk management initiative and demonstrate how it falls under the organization’s legal responsibility to provide a safe health care facility and work environment.
4. Implementation: Describe the steps to implement the proposed strategy in your selected health care organization.
5. Challenges: Predict obstacles the health care organization may face in executing this risk management strategy and propose solutions to navigate or preempt these potentially difficult outcomes.
6. Evaluation: Outline your plan to evaluate the success of the proposed risk management program and how well it meets the organization’s short-term, long-term, and end goals.
7. Opportunities: Recommend additional risk management improvements in adjacent areas of influence that the organization could or should address moving forward.

You are required to incorporate all instructor feedback from this assignment into Educational Program on Risk Management Part Two ‐ Slide Presentation assignment in Topic 5. To save time later in the course, consider addressing any feedback soon after this assignment has been graded and returned to you. It may be helpful to preview the requirements for the Topic 5 assignment to ensure that your outline addresses all required elements for submission of the final presentation.