All posts by : chebby

The scenario is that of an 86-year-old Asian male patience that depend on his daughter for financial assistance, and in taking care of him . However, his daughter is a widow without enough resources or the ability to fully take care of her father. She is poor herself. Improving the quality of life for the old Asian male by identifying his most important health needs and recommendation through thorough health assessment is key. Older adults being more vulnerable to diseases due to low immunity, should be considered for a safe socioeconomic, cultural, spiritual and lifestyle that may prolong their life.

  The first step is for the Nurse Practitioner to develop a respectful and trusting relationship with the patient, in other to obtain a detailed and accurate health history, making sure to use available translator if the patient does not speak English. The future PMHNP should engage in effective communication, such as patience and active listening because the Patient may need more time to process information before answering questions. Also, the NP should not use judgmental or non-patronizing language, in other to develop a connection with the patient (Ball, 2015).

Specific socioeconomic, spiritual, lifestyle, and other cultural factors related to the health of the patient

Socioeconomic factors: The 86 year old man is financially unable to provide for himself, and is dependent on his daughter, who is a widow and is financially unable to provide for her father, therefor, the patient is socio-economically poor, and may lack a good living standard in relation of having balanced diet, meeting medical expenses and other maintenance that may improve his quality life. The NP has to consider these socio-economic factors while assessing the Patient.

Lifestyle Factor: due to low income status, and lack of financial support from his daughter, the 86 year old Asian man most like lives a low and poor quality of life, which may have contributed to his detoriating health status, lack of of constant medial care, good nutrition and clean healthy environment. The treatment and recommendation from the NP should factor the patient’s lifestyle during treatments.

Cultural factors: Culturally, Asians are known to be very reserved and secretive when it comes to personal health. Such strong cultural factor may influence the patient’s decision is not open about his needs to his daughter and subsequently, to a healthcare professional, The NP must figure out a way to gain his trust. Also, culturally, Asians are mostly group-oriented people that place importance on family connection as the primary source of identity (Carteret, 2010). Asian children are also known to take care of their elderly parents, but in this scenario, the patient’s daughter is equally poor and has difficulty fulfilling her role of a provider and may create emotional burden both for both parties. Religious and cultural practices such as Buddhism for Asians should also be incorporated in managing health.

The Nurse Practitioner may need to make referral to community resources to additional financial and physical needs for the patient and his daughter. The NP should maintain cultural sensitivity while assessing the patient.

Applying cultural competency and diversity are two important factors to consider in treating patients. As an NP, we should have knowledge of different cultural backgrounds, and apply it to the unique needs of the patients while delivering high-quality care. Being culturally competent helps in developing a trusting relationship between the patient and health care provider. This includes being reflective and aware of your own feelings, biases, experiences, and lack of knowledge (Ball, 2015). Cultural competence in nursing involves being curios of, and respect for a patient’s beliefs and values (Ball, 2015).

 Targeted questions:

1. Can you tell me about your current medical history and concern?
2. What is your source(s) of income?
3. Have you inquired with the county offices regarding additional financial and medical resources?
4. What specific things make you feel like you are being a burden?
5. Do you need assistance with activities of daily living such as eating, bathing, toileting, or getting dressed? 

References:

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2015). Seidel’s guide to physical examination (8th ed.). St. Louis, MO: Elsevier Mosby.

Carteret, M. (2010). Cultural Values of Asian Patients and Families. Divi. Retrieved from

Cultural Values of Asian Patients and Families

Centers for Disease Control and Prevention. (2015). Cultural competence. Retrieved from

https://npin.cdc.gov/pages/cultural-competence

Dains, J. E., Baumann, L. C., & Scheibel, P. (2016). Advanced health assessment and clinical diagnosis in primary care (5th ed.). St. Louis, MO: Elsevier Mosby.

REPLY QUOTE EMAIL AUTHOR 

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.  

 Provide specific examples of potential issues at each stage of the SDLC and explain how the inclusion of nurses may help address these issues. Then, explain whether you had any input in the selection and planning of new health information technology systems in your nursing practice or healthcare organization and explain potential impacts of being included or not in the decision-making process. 

Approximately 15% of female cancer in the United States is of the breast, second to skin cancer. Discuss with your peers when a patient presents to you with a breast mass, what are your differentials? What is your plan of care for a patient who presents with a breast mass, both cancerous and noncancerous?

choose a nursing theory and research an article that includes a nursing theory and its utilization in nursing practice or nursing research. Write a two paragraph summary of the article highlighting the application of the selected nursing theory to nursing practice and reaserach 

Article should be current, peer reviewed and within a five year span.

-Use APA format for your references and citations

submit trough turn it in 

We are getting deeper into the fall semester to remind you of the services the Library & Learning Resource Center has to offer. They provide instructional sessions, which include APA formatting, Ask-an-MRU Librarian chat feature, and research instruction. These sessions can be personalized to your needs. Please feel free to contact  Sherry Cortes either at [email protected], 912-433-6200, Katia Nunez at [email protected], 305-442-9223, ext. 6018 and 6045, and the general library at [email protected]. They will provide assistance for upcoming assignments that require APA and literature research 

4.1 Annotated Bibliography

Attached Files:

•  Evidence Based Practice Annotated Bibliography Template (1).docx (13.209 KB)
•  NRS 3713 Evidence Based Practice Annotated Bibliography Grading Rubric(1).docx (16.055 KB)

An annotated bibliography should be completed according to the following guidelines.  The assignment should be created by completing the Annotated Bibliography Template. The bibliography should contain five articles focused on the topic you selected for your PICO question. The articles should be written for primary, original, singular research studies with the majority based in the United States. Literature reviews and/or systematic reviews ARE NOT acceptable. The articles must be from peer reviewed NURSING journals and all must be within the last five years (2016,2017,2018,2019,2020). 

For each article, the template should be completed fully. 

Research design would include (but not limited to): experimental, non-experimental, correlational, descriptive, retrospective and etc. Please refer to your text.

Relevance would reveal how closely the information in the article is related to your topic.

Accuracy of the the source includes whether; the source is unbiased, provides evidence, includes information that is repeated in other sources, and provides adequate references.

Quality of the source would examine; the author’s credentials, whether the source was supported by experts in the field, and whether the concepts of the article were fully developed.

All five articles should be submitted to the 4.2 Article Submission link below separately from your Annotated Bibliography.

This Annotated Bibliography is due by Monday of Week 5, 11:59 PM CST.

Please review and adhere to the Annotated Bibliography Rubric for an optimal score.

Clinical Case Presentations: (25% 0f Grade)
Students must post one interesting case . The case should be an unusual diagnosis, or a complex case that required in-depth evaluation on the student’s part. The case should be posted in the SOAP format, with references for the patient diagnosis, differential diagnoses (there should be at least 3), and the treatment plan.  The posting does not have to be written in APA format, but should be written with correct spelling and grammar. References should be in APA format. The selected references should reflect current evidence – dated within the past 5 years.

Clinical Case Grading Criteria: The evaluation of the presentation is based on the following:

Criteria

1)Chief Complaint & pertinent history 10 points

2)Pertinent exam and diagnostics 10 points

3)Working diagnosis with supporting criteria 5 points

4)Management plan 5 points

5)Epidemiological data – cited from literature 10 points

6)Evidenced based rationale for treatment (literature based) 10 points

7)Analysis of self-care and family issues r/t diagnosis and treatment plan 20 points

8)Evaluation parameters to be used (or were used) to determine outcomes 10 points

9)Identify major “lessons learned” and how it may affect your future practice 20 points

FINAL: Total 100 points

-PLEASE NO PLAGIARISM

– REQUIRE APA FORMAT JUST IN REFERENCES.

-Guide by the upload EXAMPLE FOR FORMAT, AND Just ADD THE INFORMATION I wrote in this box, FROM 1 TO 8, the rest can be REMOVED. GUIDE FOR FORMAT.

-SELECT AN INTERESTING DIAGNOSIS , THAT ALLOW YOU TO DEVELOP AN IMPORTANT CASE.

I NEED THE WORK FOR TUESDAY 10/13/2020

Hi group, I worked on the bullet point for key results of the sample and if p-values were noted.

• The key results for the study: Significant Results of sample
• According to the results, a total 134 participants completed the study 92 males and 42 females. The average age of the participants were 61 years old. Based on the sample, 54 percent of the participants were veterans, 16 percent were military personnel and 30 percent were dependents. No civilians
•  There were no significant differences except for the age and the participants lost during the study. The younger population ranging 18-29 had the highest attrition rate with 48 percent compared to the participants 65 and older had an attrition rate of 15 percent
• Based on the pre-test and post-test control group design, the control group participants were hospitalized for an average of 15 days for pretest and 23 days for post-test. The intervention group was hospitalized for an average of 14 days for pretest and 10 days for post-test.- Wilcoxon signed rank test compared the pre-test and post test scores.
• Results: PTSD severity: no p-values, logistic regression and X2 was used.
• There was a significant difference between control and experimental group and PTSD symptoms based on using the IES-R cutoff of 24.
• Avoidance= X2: 28.05
• Intrusion X2: 38.83
• Hyperarousal X2: 14.17
• PTSD severity: X2: 28.29
• Group differences: after further analysis were significant X2 of 23.26
• Clinical concern for PTSD in 35 total participants
  • 5 : diary intervention group
  • 30: control group

I NEEED JUST FEW LINES OF REPONSE TO THIS POST

no more than 21% plagiarims

Your analysis should address how EBP might (or might not) help reach the Quadruple Aim, including each of the four measures of:

1. Patient experience

2. Population health

3. Costs

4. Work life of healthcare providers