Health Assessment of the Toddler, Preschool, and School-Aged Child
Child abuse and maltreatment are not limited to a particular age—it can occur in the infant, toddler, preschool, and school-age years.
A.Choose one of the four age groups and outline the types of abuse most commonly seen among children of that age.
B.Describe warning signs and physical and emotional assessment findings the nurse may see that could indicate child abuse.
C.Discuss cultural variations of health practices that can be misidentified as child abuse.
D.Describe the reporting mechanism in your state and nurse responsibilities related to the reporting of suspected child abuse.
2. A.Compare the physical assessment of a child to that of an adult.
B. In addition to describing the similar/different aspects of the physical assessment, explain how the nurse would offer instruction during the assessment, how communication would be adapted to offer explanations, and what strategies the nurse would use to encourage engagement
Healthcare Policy and Ethics
In this discussion board post, you’ll respond to the following case study from the perspective of a hospital president:
The board of trustees has directed you to organize a new cancer center. One of the requirements to get that done is to incorporate the operations of an oncology service. This service would administer chemotherapy and other clinical cancer services. The oncology physician at this point is an independent practitioner and has been for several years. He will not agree to be a hospital employee, but he is willing to lease office space from the hospital’s new cancer center building.
The one other matter the oncologist insists on is that his net income not be negatively influenced by his association with the new cancer center. If the oncologist joins the new cancer center, his lab work would transfer to your hospital, as well as all its income. This represents a significant portion of the doctor’s income, and thus, with all other things being equal, would negatively impact his net income. Your hospital is in a somewhat rural area and this is the only oncologist within 400 miles. If this doctor does not join the project, the project would be delayed for months at least, and there would be the risk that there would be no cancer center in the long run.
The doctor does have some expenses at his present location that he would not have at the cancer center. All facility costs would transfer to the hospital, as well as lab costs. At his present facility, the doctor pays rent and other costs. The one area that appears to best protect the doctor’s income is the facility cost. You could charge him a rent that would offset part of his loss of income from the lab service. The rest you could make up in salary for being the cancer center’s medical director.
The cancer center will also have a radiation oncologist, a doctor who provides radiation treatments for cancer patients. This doctor does not have the lab complications that the medical oncologist has. In fact, this doctor will sell you his business and accept his earnings from the business as his income. Rent is not an issue because the space is the hospital’s property as well as the business that operates in it.
You’ve considered offering lower rent to the medical oncologist, but recent federal law requires you to charge him a market level rent. Now you wonder if there’s some other way you could sweeten his deal -- and whether that would be ethical.
In your initial discussion board post, consider these questions:
.What ethical issues are involved in this negotiation?
.Would the greater good be served if you cancelled the cancer center because of the doctor’s demands?
.How would you try to attract the doctor to be a part of the project and still maintain legal and ethical standards?
.How far would you be willing to go?
.What point would you not cross and why, stated in ethical terms?
Your initial post should be 8 - 10 sentences in length and include an APA-style references list. Respond to two other students in 4 - 6 sentences, being sure to cite course material in APA style to either support or refute their stances
Discussion
Once you have selected a PICOT question discuss your strategies for conducting a systematic search/review of the literature in order to answer your question. Explain how you will critically appraise the literature you have selected to determine the best evidence for this assignment.
(go to the EBP appraisal list in Melnyck's book and the link here is also helpful: https://libguides.daemen.edu/EBP/appraise)
Expectations Excellent PICOT look at this site: https://acimedical.wordpress.com/2012/07/26/complications-with-negative-pressure-wound-therapy-abstract-and-introduction/
less
Initial Post:
· Length: A minimum of 250 words, not including references
· Citations: At least one high-level scholarly reference in APA format from within the last 5 years
My PICOT Question
For elderly patients above 60 years with pressure ulcers (P) will the negative pressure wound therapy (I) as opposed to standard moist wound therapy (C) improve the healing of the pressure ulcer (O) during their two-week stay at the hospital (T)
Off-Label Drug Use in Pediatrics
The unapproved use of approved drugs, also called off-label use, with children is quite common. This is because pediatric dosage guidelines are typically unavailable, since very few drugs have been specifically researched and tested with children.
When treating children, prescribers often adjust dosages approved for adults to accommodate a child’s weight. However, children are not just “smaller” adults. Adults and children process and respond to drugs differently in their absorption, distribution, metabolism, and excretion.
Children even respond differently during stages from infancy to adolescence. This poses potential safety concerns when prescribing drugs to pediatric patients. As an advanced practice nurse, you have to be aware of safety implications of the off-label use of drugs with this patient group.
To Prepare
· Review the interactive media piece in this week’s Resources and reflect on the types of drugs used to treat pediatric patients with mood disorders.
· Reflect on situations in which children should be prescribed drugs for off-label use.
· Think about strategies to make the off-label use and dosage of drugs safer for children from infancy to adolescence. Consider specific off-label drugs that you think require extra care and attention when used in pediatrics.
Write a 1-page narrative in APA format that addresses the following:
· Explain the circumstances under which children should be prescribed drugs for off-label use. Be specific and provide examples.
· Describe strategies to make the off-label use and dosage of drugs safer for children from infancy to adolescence. Include descriptions and names of off-label drugs that require extra care and attention when used in pediatrics.
Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references
Reflecting on Case management and home health services
Please consider how you have developed the knowledge, skills, and attitudes that enable your achievement of the Course Goals listed in the syllabus. Then write a minimum of a 1000 word APA-style essay reflecting on how this course has helped you achieve these goals.
Finally, submit the assignment into the drop-box
Reply to my peers
Begin reviewing and replying to peer postings/responses early in the week to enhance peer discussion. See the rubric for participation points. Participate in the discussion by asking a question, providing a statement of clarification, providing viewpoints with a rationale, challenging aspects of the discussion, or indicating relationships between two or more lines of reasoning in the discussion. Always use constructive language, even in criticism, to work toward the goal of positive progress.
Peer 1
Topic 1: Health Promotion: Using one of the health issues identified for your community, discuss health promotion areas at two of the three levels primary, secondary, or tertiary promotion.
For the public health nurse and the overall public health well-being it is important to use the three levels of health prevention to care for a community. The three levels of health prevention are primary, secondary and tertiary. Each health problem or potential problem can be broken down into these levels for appropriate implementation of interventions. Primary prevention promotes health and protects against threats to health, secondary prevention detects and treats health problems, and tertiary prevention limits the further negative effects of a health problem (Stanhope & Lancaster, 2020).
In 2019, heart disease was the second leading cause of mortality in my local community (Georgia Department of Public Health, 2019). For my local community, primary prevention interventions could include counseling on smoking cessation, teaching on a healthy heart diet and teaching on the importance of physical activity. Secondary prevention interventions could include teaching medication compliance, obtaining cholesterol screening, obtaining blood pressure screening and BMI screening. Tertiary prevention interventions could include establishing a community-based clinic to facilitate monitoring and treatment of individuals who are diagnosed with heart disease to prevent further heart function decline.
Reference:
Georgia Department of Public Health [DPH]. (2019). Retrieved from: https://oasis.state.ga.us/gis/TrendableMaps/agsBirthTrend.aspx
Stanhope, M., & Lancaster, J. (2020). Public health nursing: Population-centered health care in the community (10 th ed.). Elsevier. https://doi.org/https://digitalbookshelf.southuniversity.edu/#/books/9780323582247
Peer 2
One of the health issues that I have identified in my community is Diabetes and the two levels of prevention I looked at were primary and secondary. As far a primary prevention it was believed at one point that type 2 diabetes was attributed to genetics and environmental factors. But after much research, it can be prevented through diet and lifestyle modifications. Maintaining a healthy weight and avoiding excessive weight gain is essential to diabetes prevention. Overall a healthy diet, increasing physical activity, avoiding a sedentary lifestyle, moderate alcohol consumption, and avoiding smoking can prevent diabetes.
Secondary preventions focus on screening and testing. It is important for good glycemic control, this means getting your HGA1C checked. A person needs to have good lipid control, that means checking lab work and giving patient statins or other medication if necessary. Another preventive measure is blood pressure control and treatment of hypertension. Regular eye doctor visits are essential in order to prevent retinopathy. Also, aspirin use, regular dental care, regular foot care, weight reduction, smoking cessation, and vaccination are preventive measures as well.
References
Diabetes mellitus type 2 secondary prevention. (2020, October 23). Retrieved November 05, 2020, from https://www.wikidoc.org/index.php/Diabetes_mellitus_type_2_secondary_prevention
Schulze, M. B., & Hu, F. B. (2005). Primary prevention of diabetes: what can be done and how much can be prevented?. Annual review of public health, 26, 445–467. https://doi.org/10.1146/annurev.publhealth.26.021304.144532"
power point
The objective of assignment is to provide a power point presentation about vaccines including the Flu vaccine in the pediatric population. The primary goal as an FNP is to educate parents about the importance of vaccination, and understanding their beliefs and preference by being cultural sensitive in regards this controversial topic.
The presentation must include a minimum of 8 slides with a maximum of 10 slides. This presentation must include a “Voice Presentation” and the following headings: Introduction, Clinical Guidelines EBP per CDC, Population and Risk Factors, Education, Conclusion. APA 7
Rubric:
Introduction (20%) Clearly identifiesthe topic and Establishes goals and objectives of presentation
Risks Factors (10%) The population is identified and addressed as well the topic(s) and issue(s)
Research Content EBP Clinical Guidelines Analysis (20%) Presents an insightful and through analysis of the issue (s) identified. Excellent Clinical guidelines
Body and Content (20)% Makes appropriate and powerful connections between the issue(s) identified and the concept(s) studied. Very creative and Supports the information with strong arguments and evidence. Provided 8-10 slides *Voice attached in all slides.
Education (10%) Presents detailed, realistic, and appropriate recommendations and education including parents/patient.
Conclusion (10%) Excellent Conclusion clearly supported by the information presented
APA Including Grammar and Spelling (10%) Excellent used of the APA guidelines and consistently cite sources. No grammar errors. References with 5 years.
Off-Label Drug Use in Pediatrics
The unapproved use of approved drugs, also called off-label use, with children is quite common. This is because pediatric dosage guidelines are typically unavailable, since very few drugs have been specifically researched and tested with children.
When treating children, prescribers often adjust dosages approved for adults to accommodate a child’s weight. However, children are not just “smaller” adults. Adults and children process and respond to drugs differently in their absorption, distribution, metabolism, and excretion.
Children even respond differently during stages from infancy to adolescence. This poses potential safety concerns when prescribing drugs to pediatric patients. As an advanced practice nurse, you have to be aware of safety implications of the off-label use of drugs with this patient group.
To Prepare
· Review the interactive media piece in this week’s Resources and reflect on the types of drugs used to treat pediatric patients with mood disorders.
· Reflect on situations in which children should be prescribed drugs for off-label use.
· Think about strategies to make the off-label use and dosage of drugs safer for children from infancy to adolescence. Consider specific off-label drugs that you think require extra care and attention when used in pediatrics.
Write a 1-page narrative in APA format that addresses the following:
· Explain the circumstances under which children should be prescribed drugs for off-label use. Be specific and provide examples.
· Describe strategies to make the off-label use and dosage of drugs safer for children from infancy to adolescence. Include descriptions and names of off-label drugs that require extra care and attention when used in pediatrics.
Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references.
Discussion
Changes to reimbursement and payment structures over the last few years have proven to be challenging to home health agencies. Discuss why home health agencies must examine their practices and payor mix to remain viable in today’s environment.
Your initial posting should be 250 to 350 words in length and utilize at least one scholarly source other than the textbook.
Reflecting on Case management and home health services
Please consider how you have developed the knowledge, skills, and attitudes that enable your achievement of the Course Goals listed in the syllabus. Then write a minimum of a 1000 word APA-style essay reflecting on how this course has helped you achieve these goals.
Finally, submit the assignment into the drop-box.
