Concept Of Nursing Metaparadigm

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Nursing Theory

Identify your specialty area of professional practice (Use Family Nurse Practitioner). Select a nursing theory from the list of specialty track specific theories provided in the lesson plan or one of your own findings (Use the Synergy Model of Patient Care). Address the following: (1) briefly identify concepts of the nursing metaparadigm (remember the selected theory may not include all four concepts); (2) provide an example how the theory could be used to improve or evaluate the quality of practice in your specific setting.

Use articles starting 2014 – present

 
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Concept Of Health

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Discuss how the concept of “health” has changed overtime.  Discuss how the concept has evolved to include wellness, illness, and overall well-being.  How has health promotion changed over time? Why is it important that nurses implement health promotion interventions based on evidence-based practice? Compare and contrast the three different levels of health promotion (primary, secondary, tertiary).  Discuss how the levels of prevention help determine educational needs for a patient.

 
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Concepts Of Population Based Practice And Community

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                                   Competency 2 Assessment

Instructions: This Competency Assessment will allow you to apply concepts of population-based practice and community as partners.
For this course Competency Assessment, you will need to conduct a community assessment using assessment and evaluation tools, identify principles of community-based participatory research, and describe data sources using mixed methods for evaluation in a particular community context.

Many of you have traveled and participated in international/global immersion experiences, or a local practice where you may be an outsider (not a member of the community for whom you are caring). Others of you may aspire to practice in international settings. Also, in this unit, you have been introduced to the idea of genetics/genomic risks.

For this assignment, submit your assignment in which you do the following:

1. State two issues that may be of concern among vulnerable populations and possible solutions to combat such issues. 

Please Note! 

My 2 Vulnerable Populations are: 

a. Children of low-income families 

b. The Mentally disabled 

Emphasis should be focused on the following topics:

· Increase school dropout.

· Use of Drugs.

· Low quality of health/Poor health outcomes/Inadequate healthcare/ poor healthcare

· Increase risk of chronic health conditions such as diabetes.

· Increase mental health needs

2. Succinctly describe the relationship between health literacy and population health outcomes. 

3. What has been your experiences understanding 1) and 2).  

4. As you process some of the ethical issues and concerns about ethical engagement highlighted in the readings and media offerings for this unit

Please identify how you will ensure your engagement is helpful rather than well intended but ineffective (or worse).

· Submit your reflection by the last day of this unit.

(min. 5 pages- not including cover page or references)

 

Studies of parenting find that low family income and maternal hardship hamper children’s cognitive and social competence. 14 Moreover, parents in poor living environments have difficulty nurturing and protecting their children, increasing the likelihood that children will gravitate into activities and peer associations leading to school dropout, premature sexual experience, use of drugs, and other deviant behavior. 15 Family deprivations also increase the probability of abuse and neglect of children, who then seek to escape the household early, associate with inappropriate peers, form tenuous sexual partnerships, have early pregnancies, and often replicate the pattern of inadequate parenting they experienced as children. 16

Recommendation

Payments to health plans and providers should promote quality health care and improved health and functional status for all patients, including vulnerable populations. Adjusting payments for differences in health or functional status is especially important for Medicare, Medicaid, and other payers that have significant enrollment of individuals with chronic illness or disability so that health plans and providers have an incentive for developing innovative models of care that best serve these individuals

Additional investment should be provided for developing, evaluating, and supporting effective health care delivery models designed to meet the specific needs of vulnerable populations. The lack of evidence of effective approaches to enhance the health and functional status of persons with chronic illness or disabilities suggests the need for significant additional investment in research and innovation for health care and rehabilitation programs serving these patients. In addition, telemedicine and similar innovations, incentives for health care professionals to practice in underserved areas, and enhanced availability of prehospital emergency services should be assessed as approaches for improving the access to care of those facing geographic barriers to appropriate care.

Please kindly use the preferred Resources Below

Preferred Resources

Required

· Beagan, B. L. (2015). Approaches to culture and diversity: A critical synthesis of occupational therapy literature. Canadian Journal of Occupational Therapy, 82(5), 272–282. doi:10.1177/0008417414567530

· The ACE Score. (n.d.). Retrieved October 30, 2018, from http://www.acestudy.org/the-ace-score.html

· Centers for Disease Control and Prevention. (2016). Adverse childhood experiences (ACEs). Retrieved fromhttp://www.cdc.gov/violenceprevention/acestudy/

· Anda, R. F., Felitti, V. J., Bremner, J. D., & Walker, J. D. (2006). The enduring effects of abuse and related adverse experiences in childhood: A convergence of evidence from neurobiology and epidemiology. European Archives of Psychiatry and Clinical Neuroscience, 256(3), 174–186. doi:10.1007/s00406-005-0624-4

· California Newsreel. (n.d.). Race: The power of an illusion. Retrieved October 30, 2018, from http://www.pbs.org/race/000_General/000_00-Home.htm

· Population Health Forum. (n.d.). Retrieved October 30, 2018, from https://depts.washington.edu/eqhlth/index.htm

Another great resources which will assist is this link…. This is the heart of competency 2:

reflect on your experiences – along with writing about them in your journal entries… https://acestoohigh.com/aces-101/

 Optional

· Children’s Resilience Network. (n.d.). Resilience trumps ACEs. Retrieved October 30, 2018, fromhttp://resiliencetrumpsaces.org/

· World Health Organization. (2003). Social determinants of health: The solid facts (2nd ed.). R. Wilkinson, & M. Marmot (Eds.). Copenhagen, DK: World Health Organization. Copenhagen, DK: Author. Retrieved from http://www.euro.who.int/__data/assets/pdf_file/0005/98438/e81384.pdf

· Institute of Medicine and National Research Council. (2013a). BOX S-1: Recommendations related to research. In U.S. health in international perspective: Shorter lives, poorer health. Washington, DC: The National Academies Press. Retrieved fromhttps://www.nap.edu/read/13497/chapter/2#7

· Institute of Medicine and National Research Council. (2013b). Summary. In U.S. health in international perspective: Shorter lives, poorer health. Washington, DC: The National Academies Press. Retrieved fromhttps://www.nap.edu/read/13497/chapter/2

· DeMilto, L., & Nakashian, M. (2016). Using social determinants of health data to improve health care and health: A learning report. M. McKaughan (Ed.). Princeton, NJ: Robert Wood Johnson Foundation. Retrieved fromhttp://www.rwjf.org/en/library/research/2016/04/using-social-determinants-of-health-data-to-improve-health-care-.html

· Brainstorm Media [YouTube Movies]. (2016, July 28). Paper tigers [Video file]. Retrieved fromhttps://www.youtube.com/watch?v=iV3wzUhJSKs

· Flemmer, N., Dekker, L., & Doutrich, D. (2014). Empathetic partnership: An interdisciplinary framework for primary care practice. The Journal for Nurse Practitioners, 10(8), 545–551. https://doi.org/10.1016/j.nurpra.2014.04.009

· Commission on Social Determinants of Health. (2007). Achieving health equity: From root causes to fair outcomes. Retrieved from http://apps.who.int/iris/bitstream/10665/69670/1/interim_statement_eng.pdf

· Issel, L. M., & Wells, R. (2017). Health program planning and evaluation: A practical, systematic approach for community health (4th ed.). Burlington, MA: Jones & Bartlett Learning.

o Chapter 3, “Community Health Assessment for Program Planning” (pp. 59–90)

o Chapter 4, “Characterizing and Defining the Health Problem” (pp. 91–120)

· Kaplan, R. M., Spittel, M. L., & David, D. H. (Eds.). (2015). Population health: Behavioral and social science insights (AHRQ Publication No. 15-0002). Rockville, MD: Agency for Healthcare Research and Quality, National Institutes of Health. Retrieved from https://www.ahrq.gov/sites/default/files/publications/files/population-health.pdf

o Introduction, “Innovations in Population Health Research: The Challenge” (pp. 1–14)

o Section 1, “Demographic and Social Epidemiological Perspectives on Population Health” (pp. 15–104)

o Section 2, “Influence of Policies Focused on Behavioral Risk Factors” (pp. 105–218)

Note: Unless otherwise specified, you will access these readings from the University of St. Augustine Library databases.

Required

Israel, B. A., Coombe, C. M., Cheezum, R. R., Schulz, A. J., McGranaghan, R. J., Lichtenstein, R., . . . Burris, A. (2010). Community-based participatory research: A capacity-building approach for policy advocacy a

 
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Concepts For Clinical Judgment

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Read the article “Thinking Like a Nurse: A Research-Based Model of Clinical Judgment in Nursing” by Christine Tanner, which is linked below:

Link to article

In at least three pages, answer the following questions:

  1. What do you feel are the greatest influences on clinical judgment? Is it experience, knowledge, or a combination of those things?
  2. In your opinion, what part does intuition play in clinical judgment? How do you think you’ll be able to develop nursing intuition?

Additional sources are not required but if they are used, please cite them in APA format.

 
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Concepts And Theories

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Discussion post

 
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Conduct An Interview Of A Client Who Is Taking Multiple Medications Polypharmacy

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Many people in the US, particularly the elderly, take more than one prescribed medication. CDC (2014) reported that between 2009 and 2012 nearly 48% of persons asked used at least one prescription drug, 22% used three or more prescription drugs, and nearly 11% used five or more.

In a recent study published by the Mayo Clinic, seven out of 10 Americans take at least one prescription drug. The most commonly prescribed drug is antibiotics — taken by 17 percent of Americans — followed by antidepressants and opioids — each taken by 13 percent of Americans. In addition, findings showed that:

  • Even more staggering than the CDC findings, currently more than half of Americans take two prescription medications, and 20 percent of Americans are on at least five prescription medications.
  • More women than men receive prescription medications.
  • Antidepressant prescriptions are more common among women than men, and are most common among women ages 50 to 64.

When people take multiple medications, there is a greater risk for confusion about which medications are taken, when they are taken, and what they are being taken for. There is also a higher risk for drug interactions and increased side effects and adverse reactions.

Sometimes because of the sheer number of medications being prescribed, they may be forgotten, become too much of a bother, or a financial burden which can significantly impact client compliance and lead to poor health outcomes.

In this written assignment, you will be conducting an interview of a client who is taking multiple prescribed medications (three or more) and submitting a written paper describing the findings from the interview. You will then develop a Client Teaching Plan. Your instructor will assist you in the selection of the client. You must achieve a “pass” in this assignment to satisfactorily fulfill the requirements for the Pharmacology course.

The three parts of this assignment are:

Conduct an interview of a client who is taking multiple medications (polypharmacy). You must prepare the client before the interview by explaining why you are conducting the interview. You can say “my assignment is to find out about the medications you are taking so I can determine if you need more information about what you are taking”. You must always get permission from the client to conduct the interview and you must tell the client how the information will be used. You can say, “I will not be using your name in the information I share and I will be submitting it to my instructor only for this student assignment”. If there is important information that needs to be communicated to you, your doctor, family, or nurse, my instructor will assist me in following up on this”. Tell the client you will take no more than 30-45 minutes for the interview.

There may be a family member or significant other present during the interview. That is fine. Be sure to identify who answered a question and if possible always have the client answer first. Always thank the client (and others) when you complete the interview.

Do not use recording equipment for this interview. Have a notepad and pencil or pen and explain that you will be taking notes. When the interview is over, go to a quiet place and take some time to fill in any information you did not jot down. If you wait, you will not remember.

When setting the environment for the interview, make sure the client (and others) is comfortable and you are comfortably seated facing the client. If possible, do the interview in a quiet place.

Ask questions slowly giving the client time to answer. Pay attention to the client’s hearing and ability to respond to the questions. Be sure your non-verbal communication demonstrates you are calm and relaxed.

Use the following interview question guidelines when conducting the interview. Be aware that the client may not be able to answer each of the questions with detailed information. Collect as much information as the client is able and willing to give you. Remember you are the interviewer so you will be collecting information and not making any comments about the information shared by the client except to ask for further clarification if you are not sure what was said or need more detail if it is available.

  1. What medications are you taking?
    (Before the interview research each of the medications. In your paper include the reason for each medication, the drug classification, the route of administration, the dose, and possible side effects/adverse reactions).

    For the following questions, paraphrase the client’s answers for your written paper.

  2. How long have you taken each these medications?
  3. Do you know why you are taking these medications?
  4. Who told you about the medications and why you need to take them? Were you able to ask any questions about the medications and if so were they answered so you understood what was said?
  5. How do you feel about taking these medications?
  6. Are you taking other medication purchased “over the counter” such as in a drug store? If so, what is it and why are you taking it.
  7. How and when do you take your medications?
  8. Do you have any difficulty taking the medications? If so, what happens and how do you deal with any difficulties.
  9. Have you ever felt any uncomfortable feelings and/or body reactions to taking these medications? If so, what were they and how were they handled?
  10. If you had the above reaction, did they take you off the medication and/or replace it with another medication? Were you told why this happened?
  11. Do you have any reason not to take the medications?
  12. Have you ever not taken the medication? If so, what was the reason?

Ask a final question about whether the client would like to tell you anything further about their medications.

Write a paper describing your research and findings about the medications being taken and the results of the interview. Report your findings in a 3-5 page written paper. In your paper include the reason for each medication, the drug classification, the route of administration, the dose, and possible side effects/adverse reactions.

Use accurate and appropriate spelling and grammar and APA Editorial Format for sources used in your written paper.

Develop a teaching plan for this client based on your findings. Based on the findings from the interview, develop a 2-3 page teaching plan to include the following:

  1. List one goal for this teaching plan
  2. Describe two to three teaching resources that might be used
  3. Identify two teaching strategies that can be used based on the client interviewed
  4. List specific client instructions regarding the medications and what adverse reactions they should be aware of/and what to do
  5. Identify at least one factor that may negatively influence adherence to the medications and how it can be overcome
  6. If, appropriate, describe how the family might be involved in ensuring the client is on a proper and safe medication regime
 
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Conduct An Analysis Of The Elements Of The Research Article You Identified

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identify and read one peer-reviewed research article focused on a topic in your specialty field that interests you. 

Review the article you selected and reflect on the professional practice use of theories/concepts described by the article. 

The Assignment: conduct an analysis of the elements of the research article you identified. 

Be sure to include the following: Your topic of interest. 

A correctly formatted APA citation of the article you selected, along with link or search details. 

Identify a professional practice use of the theories/concepts presented in the article.

 Analysis of the article using the “Research Analysis Matrix” section of the template 

Write a 1-paragraph justification stating whether you would recommend this article to inform professional practice.

 Write a 2- to 3-paragraph summary that you will add to your Academic Success and Professional Development Plan that includes the following: 

Describe your approach to identifying and analyzing peer-reviewed research. 

Identify at least two strategies that you would use that you found to be effective in finding peer-reviewed research. 

Identify at least one resource you intend to use in the future to find peer-reviewed research.

 
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Conduct A Cultural Self Assessment

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Conduct a cultural self-assessment. In order to understand culture and cultural diversity, it is important that you understand your own culture and heritage. Using the tables that are located throughout Chapter 2 of your textbook (one for each domain of the Purnell Model for Cultural Competence, Table 2-1 to Table 2-12), answer these questions as they relate to you. Remember, you are answering these questions from your personal perspective, so there is no right or wrong response. Explain why you do or do not adhere to the dominant cultural practices and beliefs of the ethnic group(s) with which you primarily identify. Although the information on this self-assessment paper is strictly confidential, if you do not wish to self-disclose a specific area from the Organizing Framework, indicate so instead of just not addressing it. You are not required to provide citations/references in this paper. Attention should be paid to grammar, spelling, and punctuation. This assignment must be in an APA formatted essay.

Purnell, L., & Paulanka, B. (2013). Transcultural health care: A culturally competent approach (4th ed.). Philadelphia: F. A. Davis. (Chapter 2)

  • Chapter 2: The Purnell Model for Cultural Competence

 
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Conclusion 19301623

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I need a one page conclusion for a “Total Knee Replacement – Stand Pivot Transfer” essay ,  font  Time New Romas,  size 12, and double spacing.

 
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Conceptual Models Or Theories

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 Select one of the conceptual models or theories described in chapter 6. Formulate a research question and one to two hypotheses that could be used empiraclly to test the utility of the conceptual framework or model in nursing practice. 

 
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