Nursing Graduate Level Apa Format Discussion Assignment

This assignment is due tomorrow. Please provide this ASAP. 

APA in text citations. No text books references and no older than 5 years.

 
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Nursing Health Assessment Case Study

I have a case study due in my health assessment class. Due in 20hrs. 

 
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Nursing Health Assessment

 

The needs of the pediatric patient differ depending on age, as do the stages of development and the expected assessment findings for each stage. In a 500-750-word paper, examine the needs of a school-aged child between the ages of 5 and 12 years old and discuss the following:

  1. Compare the physical assessments among school-aged children. Describe how you would modify assessment techniques to match the age and developmental stage of the child.
  2. Choose a child between the ages of 5 and 12 years old. Identify the age of the child and describe the typical developmental stages of children that age.
  3. Applying developmental theory based on Erickson, Piaget, or Kohlberg, explain how you would developmentally assess the child. Include how you would offer explanations during the assessment, strategies you would use to gain cooperation, and potential findings from the assessment.

Prepare this assignment according to the 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. 

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

 
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Nursing Health Promotion Wk5disrep

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Topic 1: Faith-Based Nursing

Review Healthy People 2020. Identify objectives that are amenable to parish nurse intervention.

  • Describe how faith communities can contribute to the accomplishment of these national health objectives and accomplish the goal of improving the health of the public.

Faith communities play an essential role in accomplishing the goal of improving the health of the public. “From a socioecological perspective, churches can influence individual behaviors at multiple levels. The existence of social networks and social support through churches provides a context for health promotion programming. Health interventions that incorporate spiritual and cultural contextualization are effective to create change” (King, 2014). Faith communities provide many activities that promote a healthy lifestyle. Due to the strong beliefs in a faith communities make the people of those communities want to follow everything that is promoted by the activities. “Health messages may be perceived as more important and have a more lasting effect on individual behavioral change by making the link between healthy behavior and taking care of God’s child” (King, 2014).

  • How can nurses working in the community form partnerships with parish nurses and faith communities?

It is important for nurses to work with parish nurses and faith communities because they have many free resources that you can provide to a patient in need. “In addition to participating in group and population activities, the FCN meets regularly with the pastoral staff and coordinates with other community leaders. Together, they identify individuals who may require further assessment or support; become aware of issues that need to be clarified, supported, or addressed; and identify individuals, groups, or issues that have not yet become a part of the congregational wellness program” (King, 2014). Working with these nurses will provide our patient with more resources to better their health.

  • How would such partnerships be beneficial?

The partnership between parish nurses and other nurses play an important role in accomplishing the national health objectives. There partnership creates a better opportunity to increase awareness and provide valuable resources to those that need it.

 
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Nursing Health Promotiondiscussion

 

Community, Culture, and Nursing

 

Topic 2: Culturally Competent Care

A broad range of cultures exists in the world today. Nursing professionals often interact with people from cultural backgrounds that differ from their own.

  • Share an experience where you cared for a patient in the healthcare setting who was from a culture different from your own. How did you accommodate this patient’s needs? How would you apply the Purnell Model to future cultural encounters?
  • Which one of the twelve domains of culture from the Purnell Model do you feel is most important? Why?

Citations should conform to APA guidelines.

 
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Nursing Health Promotiondiscussionwk1 19000363

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Public health nursing involves working with communities and populations as equal partners, and focusing on primary prevention and health promotion (Kulbok, Thatcher, Park, Meszaros, 2012). There are many types of public health nurses in the area I live in including home health nurses, health department nurses, free clinic nurses, and home hospice nurses. Community based nursing involves collaboration and partnerships with communities and populations to address health and social conditions and problems.  The nurse I interviewed for this discussion, Jennifer, is a registered nurse who takes home call for Community Hospice, a locally owned hospice service in the Vidalia area.  I have dealt with this facility on a personal and professional level and there is no greater community centered facility in our area more so than Community Hospice.

Q: What are your job responsibilities?

A: As an on-call nurse, my main job is new patient intakes after business hours.  This includes going into the homes of patients who are admitted under hospice care.  During these intake assessments it is my job to record and take vital signs, educate families and patients on the disease, prognosis, treatments, and hospice care, and to ensure that families and patients understand and agree with the plan of care.  On routine visits it is my responsibility to again assess patients, record vital signs, as well as monitor any changes from previous visits and report changes to our providers on staff.

Q: Does a correlation exist between your job description and your practice?

A: Although she has a very clear job description laid out for her, she explains that her duties go far beyond the typical hands on patient care the typical nurse sees in the office or hospital setting.  She explains hospice is a special kind of job where you not only care for the patient but patient’s families as well.  She explains sometimes the care for the patient includes caring for them family and helping them cope with the prognosis of death.

Q: Are you involved in policy formulation that affects client services?

A: Jennifer describes her work environment and boss as exceptional.  All staff are seen as equals and their opinions valued to the fullest.  Each day they have a meeting where all staff who reports to the Hospice House that day go through reports as well as ideas to make their jobs successful.  She states having supportive staff members makes it easy to help policy implementation and change.

Q: Do you belong to a professional organization related to your current job position?

A: Currently Jennifer explains she is not involved in an organization related to hospice care. However there is an organization that several of her fellow employees are members of which is the National Hospice and Palliative Care Organization (NHPCO). This organization’s mission is the largest nonprofit membership organization representing hospice and palliative care programs and professionals in the United States. The organization is committed to improving end-of-life care and expanding access to hospice care with the goal of profoundly enhancing quality of life for people dying in America and their loved ones (NHPCO 2018). This organization helps support and update hospice based nurses on any advances in their area of nursing as well as provide support.

 
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Nursing Health Promotiondiscussionwk1

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Share an experience where you cared for a patient in the healthcare setting who was from a culture different from your own. How did you accommodate this patient’s needs? How would you apply the Purnell Model to future cultural encounters?
Which one of the twelve domains of culture from the Purnell Model do you feel is most important? Why?

Cultural accommodation is a priority in healthcare and daily life. Nursing professionals must willingly adapt to different cultures to provide excellent service. Cultural competence is a requirement that increases awareness of not only patients but also of the socioeconomic status. Paying special attention to the patient’s needs will also build rapport, reassure patient and provide a safe and comfortable environment.
A couple of Asian and Hispanic decent was accompanied to the inpatient rehab unit. The male patient of 86 years was the patient admitted with a left hemorrhagic stroke and right sided weakness. The husband was Spanish and could not follow simple commands in English. The wife was 83 years old and was of Asian descent but spoke fluent Spanish, but could not relate in English. This was proven to be a tough task during the admission process. However, I realized that by smiling and speaking slowly the husband/patient became more cooperative. The uncertainty of asking questions and receiving incomplete or no response was a major concern. Instead of panicking, the idea of utilizing the hospital policy for communication arose. The “blue” phone was the answer to the problem, so it was retrieved from storage and communication was in full effect. This communication device was used to call a medical interpreter instead of relying on a family member.
In addition, the nonverbal communication was a dominant component to displaying cultural competency. Smiling with the patient and wife was sufficient in gaining their trust. The Purnell model helped to certify how important competence, patience and cultural accommodation is. By initiating this model, the nurse will understand that patient population continues to change and become more diverse than once before. The most important domain in the Purnell model is communication because this transcends across all cultures. With proper communication, patients, family and clinical professionals may become more competent and culturally aware.

 
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Nursing Health Promotiondiscussionwk2

 

Epidemiology’s Role in Infectious and Communicable Diseases

As you discovered in this week’s lecture and readings, epidemiology studies various occurrences and health-related states or events that effect the general population. Epidemiologists examine the dispersion of health events in populations and use this knowledge to control and prevent future health problems.

Topic 1: Disease Outbreak

Select an infectious disease and research the CDC website for information about the disease, its natural history, presenting symptoms, and outbreak characteristics. Identify an occurrence of the disease by searching the Internet for recent reports of this disease and compare that episode or occurrence with information from the CDC website.

  • How closely did that outbreak resemble the case definition?
 
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Nursing Health Promotiondiscussionwk3

 

Topic 1: Child and Adolescent Health Risks

As you discovered in this week’s lectures and readings, several populations face multiple health risks across their lifespan. Children and adolescents are a population that is at a higher health risk for obesity. A national movement is underway to reduce risk factors for developing obesity in children. Part of this movement is the “Let’s Move!” campaign, which is a comprehensive and coordinated initiative to prevent childhood obesity. The initiative emphasizes four primary components: healthy schools, access to affordable and healthy food, raising children’s physical activity levels, and empowering families to make healthy choices.

  • Review Healthy People 2020. Identify objectives that will combat childhood and adolescent obesity.
  • Provide suggestions on how community health nurses can contribute to these national health objectives and accomplish the goal of decreasing obesity among this population.
 
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Nursing Health Promotiondiscussionwk3reply 19011149

 

Topic 1: Child and Adolescent Health Risks

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Obesity is not exclusive to adults. Each day, more and more children are finding themselves at risk for overweight and obesity. Childhood obesity often accompanies many of the obesity-related conditions adults affected by obesity often experience, such as type 2 diabetes, hypertension, sleep apnea and more. Recent data shows that up to 80 percent of children affected by obesity will continue to be affected by obesity into adulthood (Lobstein, et all, 2015). Obesity impacts children in a variety of ways. First and foremost, a child’s health is impacted as they have now opened themselves up to a wide variety of health issues – issues that most of us didn’t experience until middle-age. In addition to health implications, there’s also one other area that children face which can be very serious – weight bias and bullying. Kids impacted by obesity often find themselves the target of bullying. This bullying can take place in the classroom, in your neighborhood and even in your own home. It is very important to recognize this type of behavior and address it quickly (Lobstein, et all, 2015). The Obesity Action Coalition (OAC), a nonprofit dedicated to educating and advocating for those affected by obesity, provides valuable resources on weight bullying.

Over the last decades, food has become more affordable to larger numbers of people as the price of food has decreased substantially relative to income and the concept of ‘food’ has changed from a means of nourishment to a marker of lifestyle and a source of pleasure. Clearly, increases in physical activity are not likely to offset an energy rich, poor nutritive diet. It takes between 1–2 hours of extremely vigorous activity to counteract a single large-sized (i.e., >=785 kcal) children’s meal at a fast food restaurant (Lobstein, et all, 2015). Frequent consumption of such a diet can hardly be counteracted by the average child or adult.

It has been hypothesized that a steady decline in physical activity among all age groups has heavily contributed to rising rates of obesity all around the world. Physical activity strongly influenced weight gain in a study of monozygotic twins (Rivera, et all, 2014). Numerous studies have shown that sedentary behaviors like watching television and playing computer games are associated with increased prevalence of obesity. Furthermore, parents report that they prefer having their children watch television at home rather than play outside unattended because parents are then able to complete their chores while keeping an eye on their children (Rivera, et all, 2014). In addition, increased proportions of children who are being driven to school and low participation rates in sports and physical education, particularly among adolescent girls, are also associated with increased obesity prevalence.

Almost all public health researchers and clinicians agree that prevention could be the key strategy for controlling the current epidemic of obesity. Prevention may include primary prevention of overweight or obesity itself, secondary prevention or avoidance of weight regains following weight loss, and prevention of further weight increases in obese individuals unable to lose weight (Rivera, et all, 2014). Until now, most approaches have focused on changing the behavior of individuals on diet and exercise and it seems that these strategies have had little impact on the growing increase of the obesity epidemic.

 
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