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To meet the application requirements, we kindly request the following items:

1.  Brief Program Description: 50 words or less overview of course content. Must describe target audience and pre-requisites if any. Submit formal needs assessment if applicable. (Target audience to be general Pediatric, General Women’s health nurses, and psychiatric nurses that care for Pediatric and women’s)

2. Behavioral Objective: Use action verbs to express expected learning outcomes. Objectives should be measurable and attainable within the time frame.

Objectives must be relevant to the specific discipline and within scope of practice. Can be written for the whole program or for each individual presentation.

Example:

At the conclusion of this program/presentation the participant will be able to:

1. Describe      current nursing management of the patient with HIV
2. Discuss      the current prevalence of HIV in Florida
3. Examples of verbs: Define, Relate, Distinguish, Analyze,      Differentiate, Calculate, Compare, Relate, Solve, Examine, Judge,      Evaluate, Revise, Assess, Describe, Discuss, Explain, Recognize, Identify,      Use, Demonstrate, Compose, Collect, Create, and Illustrate

3. Any Program Hand-outs/Power Point presentation (15 slides on Pediatric mental health and 15 slides on Women’s mental health) this population is in Miami Dade county.  Use any grafts and pictures or hand outs that may be given. 

4. Delivery Method: Specify teaching method: lecture, panel, group discussion, demonstration, simulation, case presentation, video, PowerPoint presentation

5. CV: updated within 2 years (I will send this)

6.  References: Using APA format list books, journals, magazine articles, and web sites. All references must be no more than 5 years old. 

   Submit a description of the significance of the practice gap, your PICO  question, and the PDFs of the 4 primary research articles you identified from your literature search.  

PICO question     

“Among elderly patients aged 65 and over with chronic renal failure/ESRD, does implementing detailed discharge instruction and outpatient follow- up, compared to traditional discharge without detailed instruction and plans for outpatient follow-up reduce 30-days hospital readmission rate”?

 Criteria

1. Summarize the cultural assessment of your selected country in 1 – 2 paragraphs. 
2. Described similar patterns or themes noticed with the cultural self-assessment (identify your cultural background).
3. Described the differences found with your cultural self-assessment.
4. Described the one new characteristic that was learned about the chosen culture.
5. Explained how the information learned about the chosen culture could be incorporated into the nursing plan of care. Include at least one (1) scholarly resource dated within the past five seven (7) years to support your response. 

 analyze a policy related to your professional practice, organization, or community and compare it to relevant healthcare laws, guidelines, and policies 

Mrs. Demetilla Hernandez is a 63-year-old Cuban woman who seeks consultation at the Liberty health-maintenance organization (HMO) clinic because of weakness, lethargy, and fatigue that she has experienced for the last 2 months. A week ago, while cooking dinner at her daughter, Mariana’s house, she momentarily lost her balance and slipped on the kitchen floor. Although Mrs. Hernandez sustained only a mild bruise on her leg, her daughter insisted on taking her to the clinic for a check-up because of her persistent symptoms.

Mrs. Hernandez, widowed 4 years ago when her husband died of a heart attack, lives with Mariana, aged 40. Mariana is divorced and has three children: Luis, age 15; Carolina, age 10; and Sofia, age 7. Since moving into Mariana’s house, Mrs. Hernandez has been managing the household while Mariana is at work. Mrs. Hernandez prepares the family’s meals, attends to the children when they come home from school, and performs light housekeeping chores. Mariana is employed full-time as a supervisor at the local telephone company. The family, originally from Cuba, has been living in Miami for 12 years. Carolina and Sofia were born in Miami, but Luis came from Cuba with his parents when he was 3 years old. Mrs. Hernandez, who does not speak English, converses with her daughter and grandchildren in Spanish. Although the children and their mother occasionally speak English among themselves, the family’s language at home is Spanish.

At the Liberty HMO clinic, Mrs. Hernandez was diagnosed with essential hypertension and non–insulin-dependent diabetes mellitus. The physician prescribed an oral hypoglycemic drug and advised Mrs. Hernandez to exercise daily and to limit her food intake to 1500 calories a day. Mrs. Hernandez was concerned because she usually prepares traditional Cuban meals at home and was not sure whether she could tolerate being on a diet. Besides, she explained to Mariana, she thought the dishes she prepares are very “healthy.” Proof of that, she stated, is that her three grandchildren are plump and nice-looking. Mrs. Hernandez told her daughter that, instead of buying the prescribed medicine, perhaps she should go to the botanica and obtain some herbs that would help lower her blood sugar.

1. What are the typical Cuban communication patterns you need to be aware of in dealing with Mrs. Hernandez?
2. How would you assist Mrs. Hernandez in developing a plan for a 1500-calorie diet and regular exercise?
3. Would you encourage Mrs. Hernandez to go to the botanica to purchase some herbs? How would you approach her desire to use herbs instead of the prescribed oral hypoglycemic agent?
4. Discuss some common folk practices that Cuban families may use to maintain health or cure common ailments.

Problem-Focused SOAP Note Format

Demographic Data 

• Age and gender (must be HIPAA compliant) 

Subjective 

• Chief Complaint (CC): A short statement about why they are there 
• History of Present Illness (HPI):  Write your HPI in paragraph form. Start with the age, gender, and why they are there (example: 23-year-old female here for…). Elaborate using the acronym OLDCART: Onset, Location, Duration, Characteristics, Aggravating/Alleviating Factors, Relieving Factors, Treatment 
• Past Med. Hx (PMH): Medical or surgical problems, hospitalizations, medications, allergies, immunizations, and preventative health maintenance 
• Family Hx: any history of CA, DM, HTN, MI, CVA?  
• Social Hx: Including nutrition, exercise, substance use, sexual hx, occupation, school, etc. 
• Review of Systems (ROS) as appropriate: Include health maintenance (e.g., eye, dental, pap, vaccines, colonoscopy) 

Objective 

• Vital Signs 
• Physical findings listed by body systems, not paragraph form- Highlight abnormal findings 

Assessment (the diagnosis) 

• At least Two (2) differential diagnoses (if applicable) with rationale and pertinent positives and negatives for each 
• Final diagnosis with rationale, pertinent positives and negatives, and pathophysiological explanation 

Plan 

• Dx Plan (lab, x-ray) 
• Tx Plan (meds): including medication(s) prescribed (if any), dosage, frequency, duration, and refill(s) (if any) 
• Pt. Education, including specific medication teaching points 
• Referral/Follow-up 
• Health maintenance: including when screenings eye, dental, pap, vaccines, immunizations, etc. are next due 

Reference 

• Compare care given to the patient with the National Standards of Care/National Guidelines. Cite accordingly. 

Mrs. Demetilla Hernandez is a 63-year-old Cuban woman who seeks consultation at the Liberty health-maintenance organization (HMO) clinic because of weakness, lethargy, and fatigue that she has experienced for the last 2 months. A week ago, while cooking dinner at her daughter, Mariana’s house, she momentarily lost her balance and slipped on the kitchen floor. Although Mrs. Hernandez sustained only a mild bruise on her leg, her daughter insisted on taking her to the clinic for a check-up because of her persistent symptoms.

Mrs. Hernandez, widowed 4 years ago when her husband died of a heart attack, lives with Mariana, aged 40. Mariana is divorced and has three children: Luis, age 15; Carolina, age 10; and Sofia, age 7. Since moving into Mariana’s house, Mrs. Hernandez has been managing the household while Mariana is at work. Mrs. Hernandez prepares the family’s meals, attends to the children when they come home from school, and performs light housekeeping chores. Mariana is employed full-time as a supervisor at the local telephone company. The family, originally from Cuba, has been living in Miami for 12 years. Carolina and Sofia were born in Miami, but Luis came from Cuba with his parents when he was 3 years old. Mrs. Hernandez, who does not speak English, converses with her daughter and grandchildren in Spanish. Although the children and their mother occasionally speak English among themselves, the family’s language at home is Spanish.

At the Liberty HMO clinic, Mrs. Hernandez was diagnosed with essential hypertension and non–insulin-dependent diabetes mellitus. The physician prescribed an oral hypoglycemic drug and advised Mrs. Hernandez to exercise daily and to limit her food intake to 1500 calories a day. Mrs. Hernandez was concerned because she usually prepares traditional Cuban meals at home and was not sure whether she could tolerate being on a diet. Besides, she explained to Mariana, she thought the dishes she prepares are very “healthy.” Proof of that, she stated, is that her three grandchildren are plump and nice-looking. Mrs. Hernandez told her daughter that, instead of buying the prescribed medicine, perhaps she should go to the botanica and obtain some herbs that would help lower her blood sugar.

1. What are the typical Cuban communication patterns you need to be aware of in dealing with Mrs. Hernandez?
2. How would you assist Mrs. Hernandez in developing a plan for a 1500-calorie diet and regular exercise?
3. Would you encourage Mrs. Hernandez to go to the botanica to purchase some herbs? How would you approach her desire to use herbs instead of the prescribed oral hypoglycemic agent?
4. Discuss some common folk practices that Cuban families may use to maintain health or cure common ailments.

1. Describe diagnostic criteria for nausea and vomiting and treatment recommendations
2. Discuss symptoms of GERD, complications, and drug management
3. Compare and contrast Crohn’s disease and Ulcerative colitis
4. Discuss Diabetes, its causes, symptoms, and treatment 

Submission Instructions:

• Your initial post should be at least 500 words, formatted and cited in the current APA style with support from at least 2 academic sources.