FAMILY HEALTH ASSESSMENT
After you have read chapter 20 of the class textbook and review the PowerPoint presentation, choose a family in your community and conduct a family health assessment addressing the questions below:
1. Family composition.
Type of family, age, gender and racial/ethnic composition of the family.
2. Roles of each family member. Who is the leader in the family? Who is the primary provider? Is there any other provider?
3. Do family members have any existing physical or psychological conditions that are affecting family function?
4. Home (physical condition) and external environment; living situation (this must include financial information). How the family support itself.
For example, working parents, children or any other member
5. How adequately have individual family members accomplished age-appropriate developmental tasks?
6. Do individual family member’s developmental states create stress in the family?
7. What developmental stage is the family in? How well has the family achieve the task of this and previous developmental stages?
8. Any family history of genetic predisposition to disease?
9. Immunization status of the family?
10. Any child or adolescent experiencing problems
11. Hospital admission of any family member and how it is handled by the other members?
12. What are the typical modes of family communication? It is affective? Why?
13. How are decisions make in the family?
14. Is there evidence of violence within the family? What forms of discipline are use?
15. How well the family deals with crisis?
16. What cultural and religious factors influence the family health and social status?
17. What are the family goals?
18. Identify any external or internal sources of support that are available?
19. Is there evidence of role conflict? Role overload?
20. Does the family have an emergency plan to deal with family crisis, disasters?
THEN:
Identify 3 nursing diagnosis and develop a short plan of care using the nursing process.
Requirements:
- APA format on a 12 Arial font
- 4 evidence-based practice references besides the class textbook are require and must be quoted in the assignment
- A minimum of 1000 words are required, excluding the first and reference page (Websites can be used but will not count toward grading).
- . You must identify two family problems and present a nursing care plan using the nursing process addressing the problems.
Textbook:
Nies, Mary A., McEwen, Melanie (2015). Community/Public Health Nursing. Promoting the Health of the Populations. (6th ed).
ISBN: 978-0323-18819-7
Publication Manual American Psychological Association (APA) (6th ed.).
2009 ISBN: 978-1-4338-0561-5
Signature assignment
For your assignment, please consider you have developed the knowledge, skills, and attitudes that enable your achievement of the nurse administrator competencies. Then write a minimum of 1000 word APA style essay, describing how this course has helped you achieve these outcomes and describe your quality improvement project that you will carry into your Capstone course. ( my project is on fall precaution). Include a minimum of ten (10) references with citations.
Courses in the Nursing Administrator specialty tract focus on achievement of these core competencies:
ASSESSMENT: The nurse administrator collects comprehensive data pertinent to the issue, situation, or trends.
IDENTIFIES ISSUES, PROBLEMS, OR TRENDS: The nurse administrator analyzes the assessment data to determine the issues, problems, or trends.
OUTCOMES IDENTIFICATION: The nurse administrator identifies expected outcomes for a plan individualized to the situation.
PLANNING: The nurse administrator develops a plan that prescribes strategies and alternatives to attain expected outcomes.
IMPLEMENTATION: The nurse administrator coordinates and implements the identified plan.
HEALTH TEACHING AND HEALTH PROMOTION: The nurse administrator employs strategies to foster health promotion, health teaching, and the provision of other educational services and resources.
CONSULTATION: The nurse administrator provides consultation to influence the identified plan, enhance the abilities of others, and effect change.
EVALUATION: The nurse administrator evaluates progress towards attainment of outcomes.
Geriatric care/ nursing home
Identify a quality improvement opportunity in your organization or practice. In a 1,250-1,500 word paper, describe the problem or issue and propose a quality improvement initiative based on evidence-based practice. Apply ""The Road to Evidence-Based Practice"" process, illustrated in Chapter 4 of your textbook, to create your proposal.
Include the following:
Provide an overview of the problem and the setting in which the problem or issue occurs.
Explain why a quality improvement initiative is needed in this area and the expected outcome.
Discuss how the results of previous research demonstrate support for the quality improvement initiative and its projected outcomes. Include a minimum of three peer-reviewed sources published within the last 5 years, not included in the course materials or textbook, that establish evidence in support of the quality improvement proposed.
Discuss steps necessary to implement the quality improvement initiative. Provide evidence and rationale to support your answer.
Explain how the quality improvement initiative will be evaluated to determine whether there was improvement.
Support your explanation by identifying the variables, hypothesis test, and statistical test that you would need to prove that the quality improvement initiative succeeded
APA style essay for nursing student
Identify a quality improvement opportunity in your organization or practice. In a 1,250-1,500 word paper, describe the problem or issue and propose a quality improvement initiative based on evidence-based practice. Apply ""The Road to Evidence-Based Practice"" process, illustrated in Chapter 4 of your textbook, to create your proposal.
Include the following:
Provide an overview of the problem and the setting in which the problem or issue occurs.
Explain why a quality improvement initiative is needed in this area and the expected outcome.
Discuss how the results of previous research demonstrate support for the quality improvement initiative and its projected outcomes. Include a minimum of three peer-reviewed sources published within the last 5 years, not included in the course materials or textbook, that establish evidence in support of the quality improvement proposed.
Discuss steps necessary to implement the quality improvement initiative. Provide evidence and rationale to support your answer.
Explain how the quality improvement initiative will be evaluated to determine whether there was improvement.
Support your explanation by identifying the variables, hypothesis test, and statistical test that you would need to prove that the quality improvement initiative succeeded.
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.
Rubric
Attempt Start Date: 24-Feb-2020 at 12:00:00 AM
Due Date: 01-Mar-2020 at 11:59:59 PM
Maximum Points: 150.0.
Nursing field
Describe what distinguishes your passion for nursing and identify the three most important attributes of an exemplary nurse. Explain how you will demonstrate these attributes throughout the remainder of your training and career.
Research Critiques and PICOT Statement
Prepare this assignment as a 1,500-1,750 word paper using the instructor feedback from the previous course assignments and the guidelines below.
PICOT Question
Revise the PICOT question you wrote in the Topic 1 assignment using the feedback you received from your instructor.
The final PICOT question will provide a framework for your capstone project (the project students must complete during their final course in the RN-BSN program of study).
Research Critiques
In the Topic 2 and Topic 3 assignments, you completed a qualitative and quantitative research critique on two articles for each type of study (4 articles total). Use the feedback you received from your instructor on these assignments to finalize the critical analysis of each study by making appropriate revisions.
The completed analysis should connect to your identified practice problem of interest that is the basis for your PICOT question.
Refer to ""Research Critiques and PICOT Guidelines - Final Draft."" Questions under each heading should be addressed as a narrative in the structure of a formal paper.
Proposed Evidence-Based Practice Change
Discuss the link between the PICOT question, the research articles, and the nursing practice problem you identified. Include relevant details and supporting explanation and use that information to propose evidence-based practice changes.
General Requirements
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
Foundational Neuroscience
The Psychiatric mental health practitioners and the staff are supposed to have a very strong foundational neuroscience. The knowledge is useful to help them to diagnose and even treat the treatments of the different psychiatric disorders that are reported. Psychiatric mental health practitioners help in the medications in the process of the treatments of the mental health disorder as well as their impacts on the nervous systems at large. This paper will help to explain the spectrum in the action of the agonist to the antagonist, then compare the works of the ion gated ways and channels to the g couple proteins as well as the roles of the epigenetics that are used in the pharmacologic works and actions.
Most of the involved agents of pharmacological agents work through either being agonist being antagonist receptors that are used to responding to the chemical messengers that are included in the process of neurotransmitters. The agonist is used to bind to the receptors as well as activate the receptor and hence leading to the production of the effects in the cell or the involved biological response (Stefanska & MacEwan, 2015). The pharmacologic agonist binds and even activate the receptors that are called neurotransmitter in the brain like the dopamine receptors which is involved in the schizophrenia.
On the other side, the antagonist will serve by binding to the receptors and then blocking the involved receptors for binding to the agonist without ant biological responses and their effects on the cells. The antagonist stabilizes the receptors which are in the inactive state which is also the same states to the receptors states that are the agonist absence. The other ion gated channels as well as the g couple proteins that are used to represent the two major groups of the receptors of the neurotransmitters (Stahl & Stahl, 2013).
The two groups show the signals transductions mechanism. The ion gated channels are termed as the ion channels that are open while they are responding to the ligand binding. Once the ion gated makes the channels open then the membrane will depolarize and then activating the voltage hated ion that is on the channels to open. When that happens it will make the ions to flow through the involved membranes and then activate the action potential progresses so that to help transmit down the neuron.
While in that activated state, the ions gated channels receptors help to induce changes at a very fast speed within a millisecond in the involved postsynaptic membrane permeability and even the involved potential. The G protein as then the cell surface receptors which are used to share common signaling methods and the structure. All the involved G proteins will bind to the nucleotide guanosine triphosphate (GTP) will hydrolyze and form the guanine diphosphate (GDP).
The GDP will bind to the G protein is the action when the G proteins that are attached to the GDP is inactive. The postsynaptic response that is used by the G protein and the activations which occurs in a slower time than the ion gated channels, this occurs at the time that is in second or even minutes. These are since the G proteins receptors will help to regulate the closing as well as the opening of the ion channels in the indirect ways. The g protein may use the protein kinase so that to establish the sequence that will help to inactivate or activate.
Epigenetics is the genetic data that is always above or even beyond the information that is usually coded by the genetic code. Epigenetics signature has been used to underlie the developmental, diseases and the healthy human changes physiologically which are used to regulate the developments as well as the maintenance of the disease and the phenotype of the healthy cells (Stahl, 2000). Epigenetics regulation that is done by the gene activity is used in the maintenance of the normal cells phenotypic activity and it is used to play a very significant role in the diseases and their developments like Alzheimer’s disease as well as schizophrenia.
There are new other drugs that are used to regulate the epigenetic process and the mechanism so that to help to treat the illness in human beings. For example in schizophrenia the treatments use the antipsychotic drugs which are used to reduce the levels of dopamine in the human brains, this helps to indicate the ways the drugs are used to alter the epigenetic homeostasis and hence inducing the pharmacogenomic effects.
The knowledge that is learned about the concepts of foundational neuroscience will help in the prescription of the medication to the patients. The knowledge that is learned will boost the understanding of the mechanisms of the actions of the pharmacotherapy agents used in the treatments of the involved mental disorders (Hnasko & Edwards, 2012). The example is the treatments of Alzheimer’s disease, the other mental health professional and the practitioners should be aware of the actions of the antipsychotics, cholinesterase inhibitors, and antipsychotics.
When we have an understanding of the mechanisms the actions of the medications are very vitals in the entire process of the treatment of Alzheimer’s disease as well as the symptoms of psychotic which comes with the aggressiveness that is given as they block dopamine. The individual with better attention, the memory as well as then it will help to moderate the severe case of Alzheimer’s disease. I will like to look at the issue of the cholinesterase inhibitors with the Namenda that are used to regular he involved activities of the glutamate, which is the chemical that is used in the processing of the information their storage and the retrieval.
References
Stahl, S. M., & Stahl, S. M. (2013). Stahl's essential psychopharmacology: neuroscientific basis and practical applications. Cambridge university press.
Stefanska, B., & MacEwan, D. J. (2015). Epigenetics and pharmacology. British journal of pharmacology, 172(11), 2701-2704.
Stahl, S. M. (2000). Neuroscientific basis and practical applications. Essential psychopharmacology, 2nd edn. Cambridge University Press, New York, 316-317.
Hnasko, T. S., & Edwards, R. H. (2012). Neurotransmitter corelease: mechanism and physiological role. Annual review of physiology, 74, 225-243.
OPIOD ADDICTION/SUBSTANCE USE DISORDERS
View the following TedMed Talk and answer the following questions.
Why Do Our Brains Get Addicted - Neuroscientist Nora Volkow, director of the National Institute on Drug Abuse at the NIH, applies a lens of addiction to the obesity epidemic.
https://www.youtube.com/watch?v=Mnd2-al4LCU&feature=youtu.be
1. Discuss the concept Volkow notes of addiction as a moral failure.
2. Relate this concept to EACH of the following: the patient, the nurse, the therapist, and the family.
Must be in APA and must include at least 2 nursing journal articles plus the attached video as reference
Research components
Welcome to SamplesThe focus of this week’s assignment is identifying research components. You will be responsible for reviewing two articles (listed below) and completing the following tasks for each one:
Summarize each article utilizing the Week 2 research template.
Identify and describe the problem, purpose, and hypothesis or research questions of each study.
Analyze and discuss the significance of the research to nursing practice.
Identify two details to support the research as qualitative or quantitative.
NOTE: If a component is absent, student receives a zero for that component.
Cite all sources in APA format.
Students with the last name beginning with M-Z
Park, M., Cho, S., & Hong, H. (2015). Prevalence and perpetrators of workplace violence by nursing unit and the relationship between violence and the perceived work environment. Journal of Nursing Scholarship, 47(1), 87-95. doi: 10.1111/jnu.12112
Turk, M., Fapohunda, A., & Zoucha, R. (2015). Using photovoice to explore Nigerian immigrants’ eating and physical activity in the United States. Journal of Nursing Scholarship, 47(1), 16-24. doi: 10.1111/jnu.12105 page
Case Study
I’m here for a medication refill because I ran out of my medicines”.
HPI: Mrs. Allen is a 68-year-old African American who presents to the clinic for prescription refills. The patient indicates that she has noticed shortness of breath which started about 3 months ago. The SOB gets worse with exertion, especially when she is walking fast, and it is resolved when she is resting. She reports that she is also bothered by shortness of breath that wakes her up intermittently during her sleep. Her symptoms of shortness of breath resolve after sitting upright on 3 pillows. She also has lower leg edema pitting 1+ which started 2 weeks ago. She indicates that she often feels light headed at times with intermittent syncope episodes while going up a flight of stairs, but it resolves after sitting down to rest. She has not tried any over the counter medications at home.
She started taking her medications, but failed to refill the prescriptions because she cannot afford the medications as she only works part-time and lives alone. In addition, she reports that she does not think taking all these medications would help her condition anyway.
PMH: Primary Hypertension, Previous history of MI 1 year ago
Surgeries:
1 year ago-Left Anterior Descending (LAD) cardiac stent placement
Allergies: Penicillin
Vaccination History: Up-to-date
Social history:
High school graduate married and no children. Drinks one 4-ounce glass of red wine daily. She is a former smoker and stopped 5 years ago.
Family history:
Both parents are alive. Father has history of MI and valvular heart disease; mother alive and cardiac history is unknown. He has one brother who is alive and has history of MI 5 years ago at age 52.
ROS:
Constitutional: Lightheaded and faint with exertion. Respiratory: Shortness of breath with exertion. + Orthopnea. Cardiovascular: + 2 pitting leg edema for 3 weeks.
Psychiatric: Non-contributory.
Physical examination:
Vital Signs: Height: 5 feet 1 inches Weight: 175 pounds BMI: 32, Obese, BP 160/92, T 98.0, P 111, R 22 and non-labored
HEENT: Normocephalic/Atraumatic, Bilateral cataracts; PERRLA, EOMI; Teeth intact. Negative for gum disease. NECK: Neck supple, no palpable masses, no lymphadenopathy, no thyroid enlargement. LUNGS: + Mild Crackles on inspiratory phase not clearing with cough. Equal breath sounds. Symmetrical respiration. No respiratory distress. HEART: Normal S1 with S2 during expiration. An S4 is noted at the apex; + systolic murmur noted at the right upper sternal border without radiation to the carotids. Pulses are 2+ in upper extremities and 2+ in pedal pulses bilaterally. 2+ pitting edema to her knees noted bilaterally. ABDOMEN: No abdominal distention. Nontender. Bowel sounds + x 4 quadrants. No organomegaly. Normal contour; No palpable masses. GENITOURINARY: No CVA tenderness bilaterally. GU exam deferred. MUSCULOSKELETAL: + Heberden's nodes at the DIP joints, hands. + Crepitus, bilateral knees. Slow gait but steady. No Kyphosis. PSYCH: Normal affect. Cooperative. SKIN: No rashes. Positive for dry skin.
Labs: Hgb 13.2, Hct 38%, K+ 4.0, Na+137, Cholesterol 228, Triglycerides 187, HDL 37, LDL 190, TSH 3.7, glucose 98.
A:
Primary Diagnosis: Congestive Heart Failure (CHF)
Secondary Diagnoses: Primary Hypertension, Obesity, Osteoarthritis (OA)
Differential Diagnosis: Peripheral Vascular Disease (PVD)
Plan:
Medications: Tylenol 650 mg PO Q4 hours as needed for arthritis pain
Labs: UA; Brain natriuretic peptide (BNP); LFTs and TSH; 12-lead EKG, Chest X-ray; Initial 2D echo with Doppler; Ankle-brachial index.
Additional lab results: Echo results 1 week ago: Left ventricular EJ Fraction decreased to 35 %
BNP – not available.
As a future FNP, you need to determine the medications for CHF/ASCVD. (Arteriosclerotic Cardiovascular Disease).
Questions:
1. According to the ACC/AHA guidelines, what medications should this patient be prescribed?
2. Does he need medication(s) given his history of MI?
