Discuss & explain the biological theories of aging.
(((the book name is: Gerontological Nursing and Healthy Aging.
the book chapters are Chapter 3 – Biological Theories of Aging & Age Related Physical Changes.
Chapter 4 – Psychosocial, Spiritual, and Cognitive Aspects of Aging.)))
1-select a nursing article and identify the methodology used in the article and why the author(s) chose that methodology.
note: I need to submit the article and explanation ( minimum of 250 words, reference- utilize APA style)
Find a statistic that is expected to be normally distributed (e.g. height of adult men).
· Sample 30 people regarding their value related to this statistic (e.g. ask them “How tall are you?”) and record your results.
Sampling 30 people is not optional. You must have at least 30 values of the statistic you choose.
· Use StatCrunch to create a histogram of your results.
· Post the question you asked and the histogram you created. Are your results normally distributed? Why or why not?
Application of Professional Concepts in Clinical
Learning Outcomes:
1. Relate how caring and advocacy principles are used in client-centered care.
2. Identify the impact of collaboration among the members of the health care team.
Introduction
: Clinical rotations are a critical component of your experiential learning education and are one of
the foundations for professional nursing practice. This assignment asks that you consider the professional
concepts studied this term in the context of your clinical experience.
Instructions / Questions
1. Identify a patient care situation that you participated in or closely observed members of the interdisciplinary
team participate in during your clinical experience this semester.
a. Briefly describe the clinical situation in a clear, objective and professional manner.
b. Do not use names or other clearly identifying information (use descriptor such as ‘Nurse A’, ‘the
patient’ or initials, ‘the patient’s spouse’, ‘Dr. K.’, etc.)
2. Discuss how
two
professional nursing concepts from NSG 130 were applied in this clinical situation. Include
how the concepts you select are related (see samples on Canvas and text books).
Reply to the following prompts:
a. Discuss the impact of effective and/or ineffective application of the concepts on the clinical situation.
b. Describe any other nursing knowledge, skill or attitude that was applicable to this situation such as
professional nursing standards (ANA), QSEN, or concepts from other courses (safety, infection prevention,
anatomy and physiology, cultural knowledge, etc.)
3. Briefly describe how this experience will help inform your future clinical practice as a nursing student or an
RN.
4. APA –This assignment requires personal reflection on the application of professional nursing concepts in your
clinical rotation and therefore may be written in the first person. Other APA guidelines apply. The length of
the paper needs to be adequate and the content of high quality. In the evaluation, the assignment quality will
be weighed heavier than quantity. The paper should include at least one reference and should be about 200–
300 words in length (not including references). You’re course texts are a good source to reference, or you
may reference a professional journal article or professional standard.
Submission and Due Dates:
Before submitting the assignment, review the APA tips and sample template in
Canvas. The paper is due no later than 2330 on Friday, November 22
nd
, by 2330.
Submit paper to electronically to the instructor (T. Granger) per
instructions (pending).
Application of Professional Concepts Rubric
Criteria
40 Points
Exceeds Expectations
37-40
Meets Expectations
32-36
Below Expectations
20-31
Fails to Meet Expectations
0-19
Content is
Addresses the
Topic
The student’s reflection
and response to the
prompts/topic are
presented in a clear
manner; The topic is
thoroughly addressed;
The paper is
immediately interesting
and it is supported with
detail.
The student’s reflection
relates to the instruction
prompts/topic; the
student satisfactorily
addresses the topic;
Detail is provided. It may
take a re-reading to
understand.
The student minimally
addresses or veers from
addressing the
prompts/topic. Little
detail is offered: it is
difficult to follow and
understand.
Fails to meet the criteria by
disregard for the expectations
stated in the instructions;
Does not address the
prompts/topic; The reader
can not follow the paper at
any length.
Criteria
30 Points
Exceeds Expectations
27-30
Meets Expectations
24-26
Below Expectations
15-23
Fails to Meet Expectations
0-14
Organization
& Use of
Language
Content is easy to read.
The paragraphs are clear
and with sufficient
detail. Ideas are
connected and free of
grammatical and
technical errors.
Content organization is
satisfactory. The
paragraphs are
moderately clear and
with some detail. Has less
than three grammatical
and/or technical errors.
The content is not
satisfactorily organized.
The paragraphs are
disconnected, ideas are
included which do not
relate and have little or
no supporting details.
Contains three or more
grammatical and/or
technical errors.
Fails to meet the expectations
stated in the instructions. Lack
of organization detracts from
understanding. Paragraphs
are disjointed, rambling
and/or lack transition of
thoughts. Contains numerous
grammatical, punctuation
and/or spelling errors. Uses
jargon and/or is not
professional.
Criteria
30 Points
Exceeds Expectations
27-30
Meets Expectations
24-26
Below Expectations
15-23
Fails to Meet Expectations
0-14
APA Format,
References
Follows APA guidelines,
correct use of citations
within the paper and
correct references. Is
appropriate in length as
described for the
assignment. Succinct
and scholarly paper.
Follows APA guidelines
with minor (less than
three) errors in the body,
citations or references. It
is the appropriate length
as described for the
assignment.
Paper does not follow
APA guidelines and/or
contains numerous
(three to six) errors in
the body, citations or
references. Is
significantly longer or
shorter than described
for the assignment.
Paper does not reflect APA
guidelines and/or contains
greater than six errors in the
body, citations or references.
Is unacceptably longer or
shorter than described for the
assignment. Fails to meet the
expectations stated in the
instructions
Application of Professional Concepts in Clinical
Learning Outcomes:
1. Relate how caring and advocacy principles are used in client-centered care.
2. Identify the impact of collaboration among the members of the health care team.
Introduction
: Clinical rotations are a critical component of your experiential learning education and are one of
the foundations for professional nursing practice. This assignment asks that you consider the professional
concepts studied this term in the context of your clinical experience.
Instructions / Questions
1. Identify a patient care situation that you participated in or closely observed members of the interdisciplinary
team participate in during your clinical experience this semester.
a. Briefly describe the clinical situation in a clear, objective and professional manner.
b. Do not use names or other clearly identifying information (use descriptor such as ‘Nurse A’, ‘the
patient’ or initials, ‘the patient’s spouse’, ‘Dr. K.’, etc.)
2. Discuss how
two
professional nursing concepts from NSG 130 were applied in this clinical situation. Include
how the concepts you select are related (see samples on Canvas and text books).
Reply to the following prompts:
a. Discuss the impact of effective and/or ineffective application of the concepts on the clinical situation.
b. Describe any other nursing knowledge, skill or attitude that was applicable to this situation such as
professional nursing standards (ANA), QSEN, or concepts from other courses (safety, infection prevention,
anatomy and physiology, cultural knowledge, etc.)
3. Briefly describe how this experience will help inform your future clinical practice as a nursing student or an
RN.
4. APA –This assignment requires personal reflection on the application of professional nursing concepts in your
clinical rotation and therefore may be written in the first person. Other APA guidelines apply. The length of
the paper needs to be adequate and the content of high quality. In the evaluation, the assignment quality will
be weighed heavier than quantity. The paper should include at least one reference and should be about 200–
300 words in length (not including references). You’re course texts are a good source to reference, or you
may reference a professional journal article or professional standard.
Submission and Due Dates:
Before submitting the assignment, review the APA tips and sample template in
Canvas. The paper is due no later than 2330 on Friday, November 22
nd
, by 2330.
Submit paper to electronically to the instructor (T. Granger) per
instructions (pending).
Application of Professional Concepts Rubric
Criteria
40 Points
Exceeds Expectations
37-40
Meets Expectations
32-36
Below Expectations
20-31
Fails to Meet Expectations
0-19
Content is
Addresses the
Topic
The student’s reflection
and response to the
prompts/topic are
presented in a clear
manner; The topic is
thoroughly addressed;
The paper is
immediately interesting
and it is supported with
detail.
The student’s reflection
relates to the instruction
prompts/topic; the
student satisfactorily
addresses the topic;
Detail is provided. It may
take a re-reading to
understand.
The student minimally
addresses or veers from
addressing the
prompts/topic. Little
detail is offered: it is
difficult to follow and
understand.
Fails to meet the criteria by
disregard for the expectations
stated in the instructions;
Does not address the
prompts/topic; The reader
can not follow the paper at
any length.
Criteria
30 Points
Exceeds Expectations
27-30
Meets Expectations
24-26
Below Expectations
15-23
Fails to Meet Expectations
0-14
Organization
& Use of
Language
Content is easy to read.
The paragraphs are clear
and with sufficient
detail. Ideas are
connected and free of
grammatical and
technical errors.
Content organization is
satisfactory. The
paragraphs are
moderately clear and
with some detail. Has less
than three grammatical
and/or technical errors.
The content is not
satisfactorily organized.
The paragraphs are
disconnected, ideas are
included which do not
relate and have little or
no supporting details.
Contains three or more
grammatical and/or
technical errors.
Fails to meet the expectations
stated in the instructions. Lack
of organization detracts from
understanding. Paragraphs
are disjointed, rambling
and/or lack transition of
thoughts. Contains numerous
grammatical, punctuation
and/or spelling errors. Uses
jargon and/or is not
professional.
Criteria
30 Points
Exceeds Expectations
27-30
Meets Expectations
24-26
Below Expectations
15-23
Fails to Meet Expectations
0-14
APA Format,
References
Follows APA guidelines,
correct use of citations
within the paper and
correct references. Is
appropriate in length as
described for the
assignment. Succinct
and scholarly paper.
Follows APA guidelines
with minor (less than
three) errors in the body,
citations or references. It
is the appropriate length
as described for the
assignment.
Paper does not follow
APA guidelines and/or
contains numerous
(three to six) errors in
the body, citations or
references. Is
significantly longer or
shorter than described
for the assignment.
Paper does not reflect APA
guidelines and/or contains
greater than six errors in the
body, citations or references.
Is unacceptably longer or
shorter than described for the
assignment. Fails to meet the
expectations stated in the
instructions
Application of Professional Concepts in Clinical
Learning Outcomes:
1. Relate how caring and advocacy principles are used in client-centered care.
2. Identify the impact of collaboration among the members of the health care team.
Introduction
: Clinical rotations are a critical component of your experiential learning education and are one of
the foundations for professional nursing practice. This assignment asks that you consider the professional
concepts studied this term in the context of your clinical experience.
Instructions / Questions
1. Identify a patient care situation that you participated in or closely observed members of the interdisciplinary
team participate in during your clinical experience this semester.
a. Briefly describe the clinical situation in a clear, objective and professional manner.
b. Do not use names or other clearly identifying information (use descriptor such as ‘Nurse A’, ‘the
patient’ or initials, ‘the patient’s spouse’, ‘Dr. K.’, etc.)
2. Discuss how
two
professional nursing concepts from NSG 130 were applied in this clinical situation. Include
how the concepts you select are related (see samples on Canvas and text books).
Reply to the following prompts:
a. Discuss the impact of effective and/or ineffective application of the concepts on the clinical situation.
b. Describe any other nursing knowledge, skill or attitude that was applicable to this situation such as
professional nursing standards (ANA), QSEN, or concepts from other courses (safety, infection prevention,
anatomy and physiology, cultural knowledge, etc.)
3. Briefly describe how this experience will help inform your future clinical practice as a nursing student or an
RN.
4. APA –This assignment requires personal reflection on the application of professional nursing concepts in your
clinical rotation and therefore may be written in the first person. Other APA guidelines apply. The length of
the paper needs to be adequate and the content of high quality. In the evaluation, the assignment quality will
be weighed heavier than quantity. The paper should include at least one reference and should be about 200–
300 words in length (not including references). You’re course texts are a good source to reference, or you
may reference a professional journal article or professional standard.
Submission and Due Dates:
Before submitting the assignment, review the APA tips and sample template in
Canvas. The paper is due no later than 2330 on Friday, November 22
nd
, by 2330.
Submit paper to electronically to the instructor (T. Granger) per
instructions (pending).
Application of Professional Concepts Rubric
Criteria
40 Points
Exceeds Expectations
37-40
Meets Expectations
32-36
Below Expectations
20-31
Fails to Meet Expectations
0-19
Content is
Addresses the
Topic
The student’s reflection
and response to the
prompts/topic are
presented in a clear
manner; The topic is
thoroughly addressed;
The paper is
immediately interesting
and it is supported with
detail.
The student’s reflection
relates to the instruction
prompts/topic; the
student satisfactorily
addresses the topic;
Detail is provided. It may
take a re-reading to
understand.
The student minimally
addresses or veers from
addressing the
prompts/topic. Little
detail is offered: it is
difficult to follow and
understand.
Fails to meet the criteria by
disregard for the expectations
stated in the instructions;
Does not address the
prompts/topic; The reader
can not follow the paper at
any length.
Criteria
30 Points
Exceeds Expectations
27-30
Meets Expectations
24-26
Below Expectations
15-23
Fails to Meet Expectations
0-14
Organization
& Use of
Language
Content is easy to read.
The paragraphs are clear
and with sufficient
detail. Ideas are
connected and free of
grammatical and
technical errors.
Content organization is
satisfactory. The
paragraphs are
moderately clear and
with some detail. Has less
than three grammatical
and/or technical errors.
The content is not
satisfactorily organized.
The paragraphs are
disconnected, ideas are
included which do not
relate and have little or
no supporting details.
Contains three or more
grammatical and/or
technical errors.
Fails to meet the expectations
stated in the instructions. Lack
of organization detracts from
understanding. Paragraphs
are disjointed, rambling
and/or lack transition of
thoughts. Contains numerous
grammatical, punctuation
and/or spelling errors. Uses
jargon and/or is not
professional.
Criteria
30 Points
Exceeds Expectations
27-30
Meets Expectations
24-26
Below Expectations
15-23
Fails to Meet Expectations
0-14
APA Format,
References
Follows APA guidelines,
correct use of citations
within the paper and
correct references. Is
appropriate in length as
described for the
assignment. Succinct
and scholarly paper.
Follows APA guidelines
with minor (less than
three) errors in the body,
citations or references. It
is the appropriate length
as described for the
assignment.
Paper does not follow
APA guidelines and/or
contains numerous
(three to six) errors in
the body, citations or
references. Is
significantly longer or
shorter than described
for the assignment.
Paper does not reflect APA
guidelines and/or contains
greater than six errors in the
body, citations or references.
Is unacceptably longer or
shorter than described for the
assignment. Fails to meet the
expectations stated in the
instructions
Application of Professional Concepts in Clinical
Learning Outcomes:
1. Relate how caring and advocacy principles are used in client-centered care.
2. Identify the impact of collaboration among the members of the health care team.
Introduction
: Clinical rotations are a critical component of your experiential learning education and are one of
the foundations for professional nursing practice. This assignment asks that you consider the professional
concepts studied this term in the context of your clinical experience.
Instructions / Questions
1. Identify a patient care situation that you participated in or closely observed members of the interdisciplinary
team participate in during your clinical experience this semester.
a. Briefly describe the clinical situation in a clear, objective and professional manner.
b. Do not use names or other clearly identifying information (use descriptor such as ‘Nurse A’, ‘the
patient’ or initials, ‘the patient’s spouse’, ‘Dr. K.’, etc.)
2. Discuss how
two
professional nursing concepts from NSG 130 were applied in this clinical situation. Include
how the concepts you select are related (see samples on Canvas and text books).
Reply to the following prompts:
a. Discuss the impact of effective and/or ineffective application of the concepts on the clinical situation.
b. Describe any other nursing knowledge, skill or attitude that was applicable to this situation such as
professional nursing standards (ANA), QSEN, or concepts from other courses (safety, infection prevention,
anatomy and physiology, cultural knowledge, etc.)
3. Briefly describe how this experience will help inform your future clinical practice as a nursing student or an
RN.
4. APA –This assignment requires personal reflection on the application of professional nursing concepts in your
clinical rotation and therefore may be written in the first person. Other APA guidelines apply. The length of
the paper needs to be adequate and the content of high quality. In the evaluation, the assignment quality will
be weighed heavier than quantity. The paper should include at least one reference and should be about 200–
300 words in length (not including references). You’re course texts are a good source to reference, or you
may reference a professional journal article or professional standard.
Submission and Due Dates:
Before submitting the assignment, review the APA tips and sample template in
Canvas. The paper is due no later than 2330 on Friday, November 22
nd
, by 2330.
Compose a 250-500 word essay describing your reasons for undertaking study in nursing at The George Washington University, your academic objectives, career goals, and related qualifications. Your essay should address Why nursing? Why now? Why GW?
Create your Assignment submission and be sure to cite your sources if needed, use APA style as required, and check your spelling.
Assignment:
Case Study:
Mrs. Adams, a 68-year-old widow who was referred to case management upon discharge from the hospital based on her physician’s recommendation that she is not able to care for herself independently. Her diagnosis is diabetes, hypertension, and breast cancer. She is 5 days’ post-op from a right sided mastectomy. Mrs. Adams apartment is located in a low income area of the city where crime is prevalent. Upon assessment by the Community Health Nurse, Mrs. Adams apartment was in disorder with minimal airflow or light. Her cloths appeared unchanged and she had no food in the apartment. The small apartment also housed 3 cats and a small dog who Mrs. Adams considers family since the death of her husband 1 year ago. Mrs. Adams complains of pain and draining from her surgical site and a broken air conditioner.
The assignment should be completed in APA format, as an essay of between 1000 and 1500 words. The paper should include at least 2 outside references and the textbook. The paper should be in APA format with a title page, level headings, and reference page, please see the Shell that I have included in this module. 1st person is not acceptable in APA papers, make sure to keep this is 3rd person.
COPY AND PASTE LINK..
SIGN IN
https://digitalbookstream.com/thank-you/?order=65784&key=wc_order_5b9bb3cdec84e
ITS OKAY 8TH AND 9TH EDITION US SIMILAR
Caring throughout the lifespan (Chapters 8-14)
Video: https://www.youtube.com/watch?v=OccwFOcS13M
You will find all information to answer this assignment in Chapter 8-14 of your Fundamentals of nursing textbook 9th edition. All references and citations for this assignment should be from this textbook ONLY. Answers without citations will not be graded. The assignment has a video to watch. Please watch the video and provide an answer based on what the video states. You might have to copy and paste the video link.
Elaborate each of your answers with information from your textbook and include citations from the text book.
Some questions have a video link that specifically addresses that topic and will help you answer the questions.
ALL VIDEOS IN ASSIGNMENTS CAN ALSO BE ACCESSED IN MULTI-MEDIA LINKS
Answers that do not include citations will result in a zero grade for the whole assignment.
**Please remember that all answers should be in your own words**
I understand that asking everyone to add a page number is not your traditional APA that most are used to, however as your instructors, we require this in order to verify where you are getting your information.
{Research has found that “romantic partners maintain both biased and realistic views of a core relationship trait: physical attractiveness” ((Potter, Perry, Hall, & Stockert, 2017, pp. 200-210).
OR
Potter, Perry, Hall, & Stocker (2017) found that “romantic partners maintain both biased and realistic views of a core relationship trait: physical attractiveness” (p. 210.}
We do require that you provide a complete APA reference at the end of each answer. Most are doing this, however, there are some that are not.You do not have to include the page number in this reference, only in your intext citation.See examples below. Answers that do not contain correct references will not be graded.
Example below
{Potter, P. A., Perry, A. G., Hall, A., & Stockert, P. A. (2017). Fundamentals of nursing (9th ed.). St. Louis, MO: Mosby Elsevier.}
Question 1 Points: 4.00
1) Describe the physical development of children.Include information on Weight, height, dentition, Language and fine and gross motor development
2) What type of toys or play activity would you recommend to parents for each age group?
3) How does playtime foster gross motor, fine motor, and language development?
4) What age-appropriate discipline measures for children can you give to new parents
Your answer should cover the following stages of development.
a) Infancy ( 0-12months) 150 words
b) Toddler (1-3) 150 words
c) Preschool (3-6) 150 words
d) School age (6-12) 150 words
e) Adolescence (12-19) 150 words
Below is a video lecture to assist you in understanding these age groups
https://www.youtube.com/watch?v=iDZYRvpUykw&t=1729s
This answer should be answered in full with the specified word count
Question 2 Points: 1.00
A nurse has been assigned to perform an assessment on a newborn who is 18 hours old. The student reviews the reflexes that are supposed to be present. Which reflexes should be present in the newborn? What is the significance if one reflex is absent?
https://www.youtube.com/watch?v=ARZD9Qid9lU
Question 3 Points: 1.00
What are some reasons that young adults engage in risky behavior, and what effect can such behavior have on their development
150 word count
Question 4 Points: 1.00
Discuss recommended feeding patterns for a pregnant woman, lactating woman, newborns and older infants.
**hint**
Look in the ATI Nutrition textbook. For this question ONLY, you can reference this book
Question 5 Points: 1.00
Discuss at least three concerns related to adolescence
*hint*
Look at health risk factors (substance abuse, eating disorders etc…
This question should be complete and 100-150 words.Please cite and reference as instructed.
Question 6 Points: 3.00
Describe the physical and psychosocial development and changes of
a) Young adults
b) Middle adults
c) Older adults
Your answer should reference theories associated with adult development.
This question should be complete and 300-350 words.Please cite and reference as instructed.
Question 7 Points: 3.00
Identify at least three health concerns of;
a) Young adults
b) Middle adults
c) Older adults
Which points would you include in an educational program to help young and middle adults maintain a healthy lifestyle.
Which points would you include in an educational program to help older adults maintain physical health.
Your answer should include education on health promotion including preventative and primary interventions.
This question should be complete and 300-350 words.Please cite and reference as instructed.
Question 8 Points: 3.00
1) Identify 3 biologic theories of aging
2) Identify 3 psychosocial theories of aging
3) What 4 factors can contribute to longevity?
This question should be complete and 300-350 words.Please cite and reference as instructed.
Question 9 Points: 4.00
1) Identify nursing problems related to changes in psychosocial health in older adults
2) What are the forms of dementia and possible causes of these conditions?
3) What additional health care concerns does the presence of dementia create?
4) What specific suggestions could you give a 75-year-old patient to help prevent cognitive deterioration
This question should be complete and 300-350 words.Please cite and reference as instructed.
Disc wk 2/50/woman.
Britt/classmate ;post/needs to be respond a comment…..
A 50-year-old woman is admitted with chief complaints of headache and decreased range of motion in her neck. She also complains of vertigo, hearing loss in one ear, profuse sweating, and uncontrollable eye movements. Her past medical history indicates that she was in a motor vehicle accident three day before her admission.
What specific diagnostic examinations would you recommend? Why?
What conditions should be ruled out? Why?
How would you distinguish between these conditions? What are the possible causes of these symptoms?
With chief complaints of headache and neck stiffness post MVA, I would first order a CT of the brain and cervical spine. This imaging would be pertinent to rule out possible CVA, brain injury, and neck fracture. There is also a strong chance that the patient has whiplash or a concussion. More information would have to be given to determine if the patient actually hit her head, or if she was rear-ended, to direct plan of care.
The patient does exhibit some symptoms of a concussion, so this must be ruled out. “The signs of a concussion may include: memory problems, confusion, drowsiness or feeling sluggish, dizziness, double vision or blurred vision, abnormal eye movement, headache, nausea or vomiting, sensitivity to light or noise, balance problems, slowed reaction to stimuli, post traumatic vertigo, or dizziness that lasts up to several months” (Healthline Media Editorial Team, 2017). A traumatic brain injury must be ruled out as well especially since the patient exhibits with the symptom of profuse sweating. “Sweating disorders after traumatic brain injury are common with multifactorial causes including injuries, tumors, infarcts, or hemorrhages of the brain or medulla” (Garg, A. Malhotra, R., 2016). Whiplash would also be a possible diagnosis and is very common after MVAs. This would be the less severe diagnoses. “About 80% of the cases of whiplash injuries recover within a few months. However, about 15-20% (about 40,000 cases per year) develop “late whiplash injury syndrome”. This syndrome involves complaints including neck pain, headache, vertigo, hearing loss and tinnitus. Hearing loss, tinnitus and dizziness are the main ontological symptoms of whiplash” (Arches Natural Products, 2018).
Along with imaging, it would be priority to conduct a thorough neuro exam and assess cranial nerves. I would ask if the patient is on any anticoagulants and have basic blood work drawn. Once this data is gathered, the physician should be able to narrow it down and form an accurate diagnosis to treat the patient.
Arches Natural Products (2018). Tinnitus Library: Head and Neck Injuries Cause Tinnitus: Part Two. Retrieved from: https://www.tinnitusformula.com/library/head-and-neck-injuries-cause-tinnitus-part-two/
Garg A, Malhotra R (2016) Sweating Disorder after Traumatic Brain Injury. J Anesth Clin Res 7:695. doi: 10.4172/2155-6148.1000695
Healthline Media Editorial Team (2017). Healthline Newsletter: Concussion. Retrieved from https://www.healthline.com/health/concussion
Jarvis, C. (2016). Physical Examination and Health Assessment, 7th Edition. [South University]. Retrieved from https://digitalbookshelf.southuniversity.edu/#/books/9781455728107/
I need quality work only
In nurses perceptive.
Narrative notes must have in text citation
Week 2/Discussion 2/ my post
While interviewing and examining a 17-year-old male, you discover a white patch on his buccal mucosa and slanting palpebral fissures in his eyes. He also states during the interview that he plays baseball and is hoping to earn an athletic scholarship to college.
When the 17-year-old boy says he plays baseball and would like to get an athletic scholarship for college, we can suspect that he spends a lot of time in the field, exposed his self to sun and has been exposed to smokeless tobacco which is prevalent in the baseball sport. An increased use of smokeless tobacco use in sports, mainly in baseball is been reported in 2016 (Jarvis, 2016). ), “Leukoplakia is chalky white, thick raised patch with well-defined borders.” This is attached firmly to the buccal mucosa, even if you scraping hard it will not come off. You can also see it in individual who are heavily tobacco user as well as alcohol (Jarvis, 2016). White patches in the mouth also called excessive Candida you may see it in patient with weak immune system, steroid inhaler user, and HIV infection, use of broad-spectrum antibiotics, leukemia, and malnutrition.Slight upward or downward slanting of palpebral fissures normally occurs on a familial basis or in groups such as people of Asian descent. So in this case the slating palpable fissures in his eyes found during the assessment can be suspect that this patient is Asian or is an Asian descent. In non-Asians, the palpebral fissures are horizontal (Jarvis, 2008). Usually when narrowed, upward slanted palpebral fissures are present it could be indication of Down syndrome. In this case this 17-year-old boy should have been ruled out earlier than the age of 17. I would conduct a cranial nerve examination using Snellen chart test for visual acuity to see if there are any deficits in the optic nerve. Patients near vision could also be assessing (Jarvis, 2016). An ophthalmoscope consult should be place to “examine the ocular fundus to determine the color, size, and shape of the optic disc” (Jarvis, 2016, p. 644). I will also get order for a CT scan to rule out ICP if during retina exam patient’s margins of the optic disc become blurred and indistinct. I would first want to initially suspect that the patient has papilledema, also known as a choked disc which is an increase in cranial pressure (ICP) (Jarvis, 2016).
As a Health care professionals we are educated and trained on strategies to teach patients and family members about this condition. First and foremost, would be for the patient to have genetic testing done to confirm a Down syndrome diagnosed. If the test results are positive, then the health care professional can provide the family and patient with the appropriate resources and specialty professionals to aid them in coping with their new diagnosis. The one most important thing that a health care professional can do is to empower the patient and family. This can be accomplished by carrying out interventions in a manner in which family members acquire a sense of control over their own efforts to meet their needs. Health care professionals can also enable families by creating opportunities for family members to become more competent and self-sustaining with respect to their abilities to mobilize their social networks to get their needs met and attain desired goals (Cohen, 2013). It is important to also let the patient know that his career of playing baseball may be limited in college may grossing diminish if other manifestations of condition sets in later in life.
Some special considerations that can help to educate the patient and family on health promotion and disease intervention would include continuous monitoring measures, including yearly audiologic assessment and yearly ophthalmologic assessment, ongoing management of manifestation of the disorder and related conditions, as well as discussion of issues identified with the move into adulthood. If it were discovered that the patient has developed the habit of using smokeless tobacco, I would educate him on the harmful effects of smokeless tobacco such as the increase risk for cancer, and encourage him to seek out measures to quit. I would also remind him that at the age of 17 it is illegal to obtain to tobacco products and that he could jeopardize his chances of playing baseball on the collegiate level via an athletic scholarship if caught breaking the law. Furthermore, I would encourage this patient to seek alternative measure to quit smoking, and pick up healthier habits like chewing sugar free gum in place of using smokeless tobacco.
References
Cohen, W. I. (2003). Health Care Guidelines for Individuals with Down Syndrome-1999 Revision. Down Syndrome, 237-245. doi:10.1002/0471227579.ch17
Jarvis, C. (2016). Physical examination & health assessment. (7th ed.). St. Louis: Elsevier.
Jarvis, C. (2008). Pocket companion for physical examination and health assessment. (5thed.). St. Louis: Elsevier.
PROFESSOR QUESTION/NEEDS TO ANSWER TO PROFESSOR BASE ON MY POST.
For our 1st pt-
The diagnosis of whiplash is a key differential diagnosis for our first patient. When we consider the patients complaints; HA, decreased ROM in the neck, vertigo, loss of hearing to one ear, sweating and uncontrollable eye movements, along with the recent possible mechanism of injury; the MVA whiplash does fit a possible diagnosis for this patient. When we think of the causes of whiplash, we think of a force strong enough to whip the patients neck backward and forward, placing a great deal of stress on the neck muscles and ligaments. What additional differential diagnosis is appropriate for our first patient, based on the S/S?
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