Windshield Surveys
Welcome to Samples pageWith the use of public transportation or by driving a vehicle around the community, you can assess the common characteristics of the community of your selected aggregate. Key observations to make during a windshield survey include the following:
Age and condition of the homes in the community
Location and condition of parks and other recreational areas
Amount of space between homes and businesses
Neighborhood hangouts
Transportation in the community
Quality of streets and sidewalks
Types/numbers of stores and other businesses
People out in the community
Race/ethnicity
Cleanliness of the community
Billboards or other media displays
Places of worship
Availability of services—doctor, dentist, social centers, recreation centers, hospitals
.
In addition to the data collected in the windshield survey, include the following information about your aggregate:
Name of the aggregate
Geographical location and size
Population
A brief history
Explain, giving at least two reasons, why you selected this particular aggregate for your Capstone project
Informatics in healthcare
Welcome to SamplesWrite an essay addressing each of the following points/questions. Be sure to completely answer all the questions for each number item. There should be three sections, one for each item number below, as well the introduction (heading is the title of the essay) and conclusion paragraphs. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least three (3) citations in your essay. Make sure to reference the citations using the APA writing style for the essay. The cover page and reference page do not count towards the minimum word amount. Review the rubric criteria for this assignment.
Identify one aspect of big data and data mining that is interesting to you. Explain the concept and how it might bring value to healthcare.
Describe the concept of continuity planning. If you were the director or manager for your current workplace, describe the preparedness program you would recommend.
Locate an article discussing the use of informatics in healthcare education of the general public or of nursing students. Discuss the benefits and drawbacks to using technology in this situation and recommendations from the author. Do you feel this use of technology is a viable method of educating (the public or nursing students)? Why or why not?
Assignment Expectations:
Length: 500 words per essay prompt/section (1500 total for this assignment)
Structure: Include a title page and reference page in APA style. These do not count towards the minimal word amount for this assignment. All APA Papers should include an introduction and conclusion.
References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least three (3) scholarly sources to support your claims.
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 a Microsoft Word document (.doc or .docx) or a PDF document (.pdf)
File name: Name your saved file according to your first initial, last name, and the module number (for example, “RHall Module 1.docx”) page
Nursing Theory and Conceptual Model Presentation
This is a Collaborative Learning Community (CLC) assignment.
Nursing theories are tested and systematic ways to implement nursing practice. Select a nursing theory and its conceptual model. Prepare a 10-15 slide PowerPoint in which you describe the nursing theory and its conceptual model and demonstrate its application in nursing practice. Include the following:
Provide three evidence-based examples that demonstrate how the nursing theory supports nursing practice. Provide support and rationale for each.
NOte: You needto do it this assigment in power point. You can do it in 3 slides. The Nursing theory is the Florence Nightingale.
See the rubric attached file for details.
Family Health Assessment assignment
Refer back to the interview and evaluation you conducted in the Topic 2 Family Health Assessment assignment. Identify the social determinates of health (SDOH) contributing to the family's health status. In a 750-1,000-word paper, create a plan of action to incorporate health promotion strategies for this family. Include the following:
Describe the SDOH that affect the family health status. What is the impact of these SDOH on the family? Discuss why these factors are prevalent for this family.
Based on the information gathered through the family health assessment, recommend age-appropriate screenings for each family member. Provide support and rationale for your suggestions.
Choose a health model to assist in creating a plan of action. Describe the model selected. Discuss the reasons why this health model is the best choice for this family. Provide rationale for your reasoning.
Using the model, outline the steps for a family-centered health promotion. Include strategies for communication.
Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria.
Prepare this assignment according to the guidelines found in the APA
People of African American Heritage The Amish
Welcome to SampRead chapter 6 and 7 of the class textbook and review the attached PowerPoint presentation. Once done answer the following questions;
1. Discuss the cultural development of the African American and Amish heritage in the United States.
2. What are the cultural beliefs of the African American and Amish heritage related to health care and how they influence the delivery of evidence-based healthcare?
A minimum of 2 evidence-based references (besides the class textbook) no older than 5 years is required. You must post 2 replies to any of your peer's postings. A minimum of 500 words (excluding the first and references page) is required. Grammar and spelling will be count when grading the answers.les page
Informatics and Quality
Access the ""Why Not the Best?"" weblink: http://www.whynotthebest.org.
Click on the ‘Map’ tab at the top. Use the drop-down menus at the top right to select ‘Utilization and Costs’,. In the next drop-down menu to the right, select ‘Standardized Risk Adjusted Per Capita Costs’. Select State HRR. You will see a color-coded map. Pick a state other than your own and click on it. Put your cursor over the counties to see the costs in each area. Take note of the state, location (area) and costs.
Go to the Census Bureau website using this link: https://www.census.gov/quickfacts/fact/table/US/PST045217 link is also in the syllabus. You will see a box up top that says ""Quick Facts"" this is where you need to go for this assignment.
Select the same geographical area you used for the Why Not the Best website (or as close as possible).
Answer with an initial posting to one of the questions sets below. Note clearly in your discussion if you are answering a question from Option A or Option B. You may respond to classmate’s discussion in either Option A and Option B.
Option A:
Based on your searches of the two databases, what type of comparisons or assumptions can you make about the health care and demographics in your selected area?
Do you feel that this type of reporting truly meets the concept of ‘transparency’ in reporting?
How does this type of access to publicly available databases help or hurt health care delivery as a whole?
How can you use this data in your current clinical practice?
Option B:
Do you feel that this type of reporting truly meets the concept of ‘transparency’ in reporting? Defend your position with references.
How do you, in your area of practice, contribute to the data that is publicly reported? If you work in an area without reporting (school nurse, community nurse), find out what data you do collect and where it is reported.
How does this type of access to publicly available databases help or hurt health care delivery as a whole?
How does the data help guide healthcare resource distribution in a given area?
Your responses to your classmates should be of scholarly discourse. Research some aspect of their recording, research the topic, and respond with new information of elaboration on their point of view. Support your position with at least one scholarly resource in each post
InfoTech in a Global Economy
What are the two most important competencies needed by public managers to interface with policy informatics project?
2.What are the two most important competencies required by policy informatics analyst?
Multicultural communication
Write a 650-1300 word response to the following questions:
Explain multicultural communication and its origins.
Compare and contrast culture, ethnicity, and acculturation.
Explain how cultural and religious differences affect the health care professional and the issues that can arise in cross-cultural communications.
Discuss family culture and its effect on patient education.
List some approaches the health care professional can use to address religious and cultural diversity.
List the types of illiteracy.
Discuss illiteracy as a disability.
Give examples of some myths about illiteracy.
Explain how to assess literacy skills and evaluate written material for readability.
Identify ways a health care professional may establish effective communication.
Suggest ways the health care professional can help a patient remember instructions.
Delivering Effective Presentations
As a DNP-prepared nurse, you will likely encounter many different methods of disseminating the findings and implications of an evidence-based project. Each method has unique benefits. As discussed in this course, oral presentations can be an effective medium for delivering the findings of DNP projects.
For this Discussion, consider what makes an oral presentation effective. How might presentation approaches vary for an academic presentation versus a practice-based presentation?
To prepare:
Review various forms of disseminating the findings of an evidence-based project, as well as strategies for delivering effective presentations in this week’s Learning Resources.
If applicable, reflect on your experiences practicing with colleagues in a small group and presenting in other professional or academic situations. Conduct additional research as necessary to enhance your awareness of what makes a presentation most effective.
Consider how the needs or dispositions of the intended audience may inform your presentation
PLEASE ANSWER TO THE QUESTIONS
Share two or more insights related to presentation approaches and explain how this information may be used to promote the delivery of an effective DNP Project presentation. Be sure to note any considerations related to the intended audience that are important
Assessing Musculoskeletal Pain
Welcome to Samples pageThe body is constantly sending signals about its health. One of the most easily recognized signals is pain. Musculoskeletal conditions comprise one of the leading causes of severe long-term pain in patients. The musculoskeletal system is an elaborate system of interconnected levers that provides the body with support and mobility. Because of the interconnectedness of the musculoskeletal system, identifying the causes of pain can be challenging. Accurately interpreting the cause of musculoskeletal pain requires an assessment process informed by patient history and physical exams.
In this Discussion, you will consider case studies that describe abnormal findings in patients seen in a clinical setting.
To prepare:
· You will be assigned to one of the following specific case study.
· Your Discussion post should be in the Episodic/Focused SOAP Note format rather than the traditional narrative style Discussion posting format. Refer to Chapter 2 of the Sullivan text and the Episodic/Focused SOAP Template in the Week 5 Learning Resources for guidance. Remember that all Episodic/Focused SOAP notes have specific data included in every patient case.
· Review the following case study.
Case 2: Ankle Pain
A 46-year-old female reports pain in both of her ankles, but she is more concerned about her right ankle. She was playing soccer over the weekend and heard a ""pop."" She is able to bear weight, but it is uncomfortable. In determining the cause of the ankle pain, based on your knowledge of anatomy, what foot structures are likely involved? What other symptoms need to be explored? What are your differential diagnoses for ankle pain? What physical examination will you perform? What special maneuvers will you perform? Should you apply the Ottawa ankle rules to determine if you need additional testing?
Please use soap template below:
Episodic/Focused SOAP Note Template
Patient Information:
Initials, Age, Sex, Race
S.
CC (chief complaint) a BRIEF statement identifying why the patient is here - in the patient’s own words - for instance ""headache"", NOT ""bad headache for 3 days”.
HPI: This is the symptom analysis section of your note. Thorough documentation in this section is essential for patient care, coding, and billing analysis. Paint a picture of what is wrong with the patient. Use LOCATES Mnemonic to complete your HPI. You need to start EVERY HPI with age, race, and gender (e.g., 34-year-old AA male). You must include the seven attributes of each principal symptom in paragraph form not a list. If the CC was “headache”, the LOCATES for the HPI might look like the following example:
Location: head
Onset: 3 days ago
Character: pounding, pressure around the eyes and temples
Associated signs and symptoms: nausea, vomiting, photophobia, phonophobia
Timing: after being on the computer all day at work
Exacerbating/ relieving factors: light bothers eyes, Aleve makes it tolerable but not completely better
Severity: 7/10 pain scale
Current Medications: include dosage, frequency, length of time used and reason for use; also include OTC or homeopathic products.
Allergies: include medication, food, and environmental allergies separately (a description of what the allergy is ie angioedema, anaphylaxis, etc. This will help determine a true reaction vs intolerance).
PMHx: include immunization status (note date of last tetanus for all adults), past major illnesses and surgeries. Depending on the CC, more info is sometimes needed
Soc Hx: include occupation and major hobbies, family status, tobacco & alcohol use (previous and current use), any other pertinent data. Always add some health promo question here - such as whether they use seat belts all the time or whether they have working smoke detectors in the house, living environment, text/cell phone use while driving, and support system.
Fam Hx: illnesses with possible genetic predisposition, contagious or chronic illnesses. Reason for death of any deceased first degree relatives should be included. Include parents, grandparents, siblings, and children. Include grandchildren if pertinent.
ROS: cover all body systems that may help you include or rule out a differential diagnosis You should list each system as follows: General: Head: EENT: etc. You should list these in bullet format and document the systems in order from head to toe.
Example of Complete ROS:
GENERAL: No weight loss, fever, chills, weakness or fatigue.
HEENT: Eyes: No visual loss, blurred vision, double vision or yellow sclerae. Ears, Nose, Throat: No hearing loss, sneezing, congestion, runny nose or sore throat.
SKIN: No rash or itching.
CARDIOVASCULAR: No chest pain, chest pressure or chest discomfort. No palpitations or edema.
RESPIRATORY: No shortness of breath, cough or sputum.
GASTROINTESTINAL: No anorexia, nausea, vomiting or diarrhea. No abdominal pain or blood.
GENITOURINARY: Burning on urination. Pregnancy. Last menstrual period, MM/DD/YYYY.
NEUROLOGICAL: No headache, dizziness, syncope, paralysis, ataxia, numbness or tingling in the extremities. No change in bowel or bladder control.
MUSCULOSKELETAL: No muscle, back pain, joint pain or stiffness.
HEMATOLOGIC: No anemia, bleeding or bruising.
LYMPHATICS: No enlarged nodes. No history of splenectomy.
PSYCHIATRIC: No history of depression or anxiety.
ENDOCRINOLOGIC: No reports of sweating, cold or heat intolerance. No polyuria or polydipsia.
ALLERGIES: No history of asthma, hives, eczema or rhinitis.
O.
Physical exam: From head-to-toe, include what you see, hear, and feel when doing your physical exam. You only need to examine the systems that are pertinent to the CC, HPI, and History. Do not use “WNL” or “normal.” You must describe what you see. Always document in head to toe format i.e. General: Head: EENT: etc.
Diagnostic results: Include any labs, x-rays, or other diagnostics that are needed to develop the differential diagnoses (support with evidenced and guidelines)
A.
Differential Diagnoses (list a minimum of 3 differential diagnoses).Your primary or presumptive diagnosis should be at the top of the list. For each diagnosis, provide supportive documentation with evidence based guidelines.
P.
This section is not required for the assignments in this course (NURS 6512) but will be required for future courses.
References
You are required to include at least three evidence based peer-reviewed journal articles or evidenced based guidelines which relates to this case to support your diagnostics and differentials diagnoses. Be sure to use correct APA 6th edition formatting.
Resource for reference
Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Seidel's guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.
Chapter 4, “Vital Signs and Pain Assessment” (Previously read in Week 6)
Chapter 22, “Musculoskeletal System”
This chapter describes the process of assessing the musculoskeletal system. In addition, the authors explore the anatomy and physiology of the musculoskeletal system.
Dains, J. E., Baumann, L. C., & Scheibel, P. (2019). Advanced health assessment and clinical diagnosis in primary care (6th ed.). St. Louis, MO: Elsevier Mosby.
Credit Line: Advanced Health Assessment and Clinical Diagnosis in Primary Care, 6th Edition by Dains, J.E., Baumann, L. C., & Scheibel, P. Copyright 2019 by Mosby. Reprinted by permission of Mosby via the Copyright Clearance Center.
Chapter 22, “Lower Extremity Limb Pain”
This chapter outlines how to take a focused history and perform a physical exam to determine the cause of limb pain. It includes a discussion of the most common tests used to assess musculoskeletal disorders.
Chapter 24, “Low Back Pain (Acute)”
The focus of this chapter is the identification of the causes of lower back pain. It includes suggested physical exams and potential diagnoses.
Sullivan, D. D. (2019). Guide to clinical documentation (3rd ed.). Philadelphia, PA: F. A. Davis.
Chapter 2, ""The Comprehensive History and Physical Exam"" (""Muscle Strength Grading"") (Previously read in Weeks 1, 2, 3, 4, and 5)
Chapter 3, ""SOAP Notes""
This section explains the procedural knowledge needed to perform musculoskeletal procedures.
Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Musculoskeletal system: Student checklist. In Seidel's guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.
Credit Line: Seidel's Guide to Physical Examination, 9th Edition by Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. Copyright 2019 by Elsevier Health Sciences. Reprinted by permission of Elsevier Health Sciences via the Copyright Clearance Center.
Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Musculoskeletal system: Key points. In Seidel's guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.
Credit Line: Seidel's Guide to Physical Examination, 9th Edition by Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. Copyright 2019 by Elsevier Health Sciences. Reprinted by permission of Elsevier Health Sciences via the Copyright Clearance Center.
Katz, J. N., Lyons, N., Wolff, L. S., Silverman, J., Emrani, P., Holt, H. L., … Losina, E. (2011). Medical decision-making among Hispanics and non-Hispanic Whites with chronic back and knee pain: A qualitative study. BMC Musculoskeletal Disorders, 12(1), 78–85.
This study examines the medical decision making among Hispanics and non-Hispanic whites. The authors also analyze the preferred information sources used for making decisions in these populations.
Smuck, M., Kao, M., Brar, N., Martinez-Ith, A., Choi, J., & Tomkins-Lane, C. C. (2014). Does physical activity influence the relationship between low back pain and obesity? The Spine Journal, 14(2), 209–216. doi:10.1016/j.spinee.2013.11.010
Shiri, R., Solovieva, S., Husgafvel-Pursiainen, K., Telama, R., Yang, X., Viikari, J., Raitakari, O. T., & Viikari-Juntura, E. (2013). The role of obesity and physical activity in non-specific and radiating low back pain: The Young Finns study. Seminars in Arthritis & Rheumatism, 42(6), 640–650. doi:10.1016/j.semarthrit.2012.09.002
Document: Episodic/Focused SOAP Note Exemplar (Word document)
Document: Episodic/Focused SOAP Note Template (Word document)
Optional Resource
LeBlond, R. F., Brown, D. D., & DeGowin, R. L. (2014). DeGowin’s diagnostic examination (10th ed.). New York, NY: McGraw Hill Medical.
Chapter 13, “The Spine, Pelvis, and Extremities” (pp. 585–682)
In this chapter, the authors explain the physiology of the spine, pelvis, and extremities. The chapter also describes how to examine the spine, pelvis, and extremities."
