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Two methods of evaluating evidence are quantitative and qualitative analysis

Qualitative analysis research is concerned with analyzing data, comparing metrics or data sets. Criteria is or uses formal instruments and prediction. Results and variable are objective. Methodologies involve hypothesis and theories to be verified through data and fact finding and data comparison.

Qualitative research is concerned with processes and meanings, patient perception and experience. Criteria is difficult to measure, requires interpretation and empathetic understanding. Results and variables are contextual. Methods used involve field work, records of behaviors, use of subjective devices such as interviews, drawing and journaling.

 For this assignment, you will conduct a nutritional assessment on someone who is 18 years of age or older, analyze their current diet, and provide education to improve any nutritional deficits as well as to meet their stated nutritional goals. See the document Client Assessment Assignment Guidelines for information and the grading rubric for this assignment.  No plagiarism!! APA 7th edition format 3-4 pgs. Attached you will find the 24 hr food recall and the instructions. The clients goal is to lose weight!

1. Discuss how you would teach a male to do a STE, and a female how to do a SBE.

2. Please provide a definition for the following terms:

     Flexion, Extension, Supination, Pronation, Eversion, Inversion, abduction and adduction

3. It is important to know ones self prior to caring for others. Please describe one of your internal conflicts and what you can do about it?

4. Please describe the different ages and the risks associated with concussions

5. Please document a how you would do a complete musculoskeletal assessment.

This is an essay exam. Please answer the following questions. Each question is worth 25points. You must use your own words.

List the objective(s) met and briefly describe 8 activities you completed during each time period. for that week in the Total Hours for This Time Frame column. Journal entries are due in Weeks; include your Time Log with all hours logged (for current and previous weeks) each time you submit a journal entry.

#1.  The mother of a 10-year-old girl has brought her to the clinic based on concerns expressed by the school nurse.  The teacher has noted times when the girl appears to be daydreaming; however, after the nurse witnessed a few of these incidents, she has recommended the child be evaluated for absence seizures.  The mother is not totally convinced that is true, however, is willing to find out.

     A.  How would you respond to this mother?

     B.  What patient centered care will be appropriate here?

     C.  What safety measures should the parents be encouraged to follow?

#2. You are assessing a child’s vision and notice the child is unable to correctly answer her questions when shown the Ishihara color plates.  When questioning the mother, you discover that the child has not understood the colors but the mother has just assumed the child was slow.

     A.  How would you proceed?

     B.  What care would you provide in this case?

     C.  How will you know the nursing care plan was effective for this child?

#3.  The parents have brought their 3-year-old son to the clinic for an evaluation.  They are concerned something is wrong because he cannot seem to move like he used to and is having difficulty climbing up and down the stairs.

     A.  How would you respond?

     B.  What patient-centered care should you develop?

     C.  You recognize that this patient will need assistance from other departments.  Which additional team members will be able to assist this patient and his family?

#4.  A mother has brought her 4-year-old daughter to the emergency department.  She didn’t realize her husband had sprayed the lawn with a pesticide and allowed their daughter to play in the yard.  She now comes in with complaints of nausea, vomiting, difficulty breathing, and confusion.

     A.  How would you respond?  What are you initial interventions?

     B.  How can you help the family?

     C.  What are some nursing diagnoses that would be appropriate for this situation?

#5.  The parents are in denial demanding a second opinion.  The physician has just informed them their 2-year-old son has a glioblastoma.  Devastated, they ask the nurse, “How can this happen to us?”

     A.  How would you respond?

     B.  What are some nursing diagnoses you would identify in this situation (more than 1 please)

     C.  What are some expected outcomes related to your nursing diagnoses? (should have an outcome for every diagnoses)

 Culture is one of the organizing concepts upon which nursing is based and defined. As healthcare providers, nurses must implement their knowledge of cultural, ethnic, and social diversity to develop a culturally sensitive nursing practice. This enables nurses to be more effective in initiating nursing assessments and serving as a patient advocate.

Background:
       Leininger (2014) defines culture as a set of values, beliefs, and traditions that are led by a specific group of people and handed down from generation to generation. Culture is learned, shared, values transmitted, a way of life, and practices of a particular group that guides day-to-day thinking, decisions, and actions.

       Technological advances have transformed our social world into what Marshall McLuhan termed a global village. In other words, we need to think of the entire world when we talk about our social environment. Computers, satellites, and communication technology have brought the world closer together and made cross-cultural encounters an everyday occurrence.

       Cultural competence is the ability to provide holistically effective care to patients who come from different cultures. In nursing, there is a requirement to be sensitive to communication, both verbally and non-verbally. It is an evolving process that depends on self-awareness, knowledge, attitude, and development and application of skills. Nurses should never make assumptions about their patient’s beliefs; for example, stating that all Jehovah’s Witnesses will refuse blood transfusions is a generalization.

       Being culturally insensitive can lead to stereotyping, discrimination, racism, and prejudice. Some cultures do not call elders by their first names. Nurses should always ask how the patient wants to be addressed. Some cultures would not allow a male nurse to examine a female patient so the team should be aware of this cultural issue. People may have different beliefs about medical care and treatment in the United States, and the nurse needs to offer respect and gain knowledge of the patient’s situation.

       In the healthcare systems of today, healthcare providers are diverse. Nurses have much to offer from their own culture. Culture is universal and dynamic. It is taught to other members of the health care team as a matter of sharing. Distinctions between culture, ethnicity, race, and religion may be confusing. Think of it this way, you are a member of the subculture of the student, you are also a member of an ethnic group, (e.g. Portuguese-American from the Azores), a racial group (white, African American), and a religion (Roman Catholic, Jewish), each with its own set of beliefs and values. So, your culture is a blend of all of those characteristics (Treas & Wilkinson, 2014).

Scholarly Paper:

There is one scholarly paper due in this course. It is recommended that students prepare for this paper each week.

1. Select a culture that you wish to investigate.
2. Research the health beliefs and practices of the culture selected.
3. Use the questions from the Guidelines for Cultural and Social Diversity and Ethnicity in Canvas to formulate a scholarly paper about the culture that a nurse could use as a reference to provide culturally sensitive care to a member of the ethnic group.
4. Discuss how you would implement the use of this reference.

GUIDELINES FOR CULTURAL AND SOCIAL DIVERSITY AND ETHNICITY Fall 2018-1.docx

Length of paper 8-10 pages or whatever it takes to concisely discuss your ideas excluding title page, references, and appendices.

TURNITIN is enabled and it is the student’s responsibility to check the Turnitin score after submitting the paper. If the score is greater than 20% the student must revise the paper to bring the score down below 20%.

Follow APA format and style guidelines in APA manual 6th ed.  i.e. Title page with “Running head:”, shortened title, and pagination; all in-text citations MUST have a reference and all references MUST have in-text citations; Direct quotes from sources other than classic articles (Nightingale,etc.) should be minimal.  All references must be peer-reviewed from literature searches and have a publication date within the last 5 years. Dictionaries and Drug Reference books can be used for information gathering only but are NOT appropriate references.  Most “.com” and “.net” websites are not reliable sources. Newspaper articles and news media are not reliable sources and therefore not acceptable references for the purposes of this paper.

Soap Note 1 Acute Conditions

Follow the MRU Soap Note Rubric as a guide:

Use APA format and must include minimum of 2 Scholarly Citations.

Soap notes will be uploaded to Moodle and put through TURN-It-In (anti-Plagiarism program)

Turn it in Score must be less than 50% or will not be accepted for credit, must be your own work and in your own words. You can resubmit, Final submission will be accepted if less than 50%. Copy paste from websites or textbooks will not be accepted or tolerated. Please see College Handbook with reference to Academic Misconduct Statement.

Must use the sample templates for your soap note, keep this template for when you start clinicals. 

The use of tempates is ok with regards of Turn it in, but the Patient History, CC, HPI, The Assessment and Plan should be of your own work and individualized to your made up patient.  

Attention Wizard Kim week 7 Discussion & Assignment. 

Week 7 Discussion on Optimization in Health Services, 2 pages. 

Week 7 Assignment on Optimization Using Health Care Examples 

Rubrics 

Scenarios:

A researcher wants to know why individuals in Community A have a higher rate of a rare form of cancer when compared to those living in Community B. To find out the reasons for the differences in cancer rates in these two communities, the investigator surveyed residents about their lifestyle, noted the types of businesses that were present in the community and searched medical records. The researcher found that the headquarters for the Toxico Chemical Plant is located in Community A, there is a higher rate of cigarette smoking in this community and residents tended to delay or skip going to the doctor for an annual checkup. In Community B, the largest employer was a department store and on average, residents did not smoke as much as residents from Community A. However, like individuals from Community A, Community B residents tended to delay or skip their annual checkups with their doctor.   

Retrieved from http://ori.hhs.gov/education/products/sdsu/eg_desc.htm

Instructions:

1. Read the scenario above and answer the following questions:
   1. What makes this a descriptive study?
   2. What type of data collection method was used in this scenario?  What type of collection methods are usually used in descriptive studies?
   3. Why did the researcher collect information about the lifestyle of community residents? What about the type of businesses present in each community? Medical records?
   4. Can the investigator establish that the chemical plant and cigarette smoking are the cause for the higher rate of cancer among those in Community A?
   5. Can the investigator establish that lower smoking rates and the absence of a chemical factory explain the lower rate of cancer among those in Community B?

Discussion Question

Begin your discussion by sharing your problem statement and research question. Next, discuss your sampling plan. In addition, discuss your research design. Consider the following as you craft your response.

Sampling

· How will the sample be selected?

· What type of sampling method is used? Is it appropriate to the design?

· Does the sample reflect the population as identified in the problem or purpose statement?

· Is the sample size appropriate? Why or why not?

· To what population may the findings be generalized? What are the limitations in generalizability?

Research design

· What type of design will be used?

· Does the design seem to flow from the proposed research problem, theoretical framework, literature review, and hypothesis?