The purpose of this assignment is to demonstrate the skills of the professional nurse as an educator. You are to prepare a patient scenario based on the required assigned topic. You will choose an already developed and reliable mHealth app to use in the education of your patient.

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Course Project Milestone 1 Guidelines

Updated 11/2019

Purpose

The purpose of this assignment is to demonstrate the skills of the professional nurse as an educator. You are to prepare a patient scenario based on the required assigned topic. You will choose an already developed and reliable mHealth app to use in the education of your patient.

Course Outcomes

This assignment enables the student to meet the following Course Outcomes.

CO1: Describe patient-care technologies as appropriate to address the needs of a diverse patient population. (PO1)

CO5: Identify patient care technologies, information systems, and communication devices that support safe nursing practice. (PO5)

Points

The entire project is worth 600 points. Milestone 1 is worth 150 points of this total.

 

Required Assigned Topic for the focus of your paper

• Person with Asthma OR breathing issues. Note: You will create a scenario based on this required assigned topic.

Requirements and Guidelines

  • Download the required Milestone 1 TemplateLinks to an external site.. Save it to your computer with the file name: Your Last Name NR361 Milestone 1.docx.
  • Write a patient scenario using the Required Assigned Topic.
    • Make sure to include a disease process, diagnosis, OR identify a patient with a desire to maintain good health and prevent illness and who would benefit from an already developed and reliable mHealth app.
  • Describe in detail content planned for teaching this patient in the scenario.
    • Include the nurse’s assessment of learning needs and readiness to learn.
  • Identify a mHealth app that could benefit the patient.
    • Describe the app including the mHealth app name, purpose, intended audience, mobile device(s) upon which it will operate, where to download or obtain it. Add any other information you believe would be pertinent to this situation.
    • Include a working link if it is to be downloaded from a website.
    • Make sure to add a citation for this mHealth app in APA format.
  • You are required to complete the Milestone 1 Template using the productivity tools required by Chamberlain University, which is Microsoft Office Word 2013 (or later version), or Windows and Office 2011 (or later version) for MAC. You must save the file in the “.docx” format. Do NOT save as Word Pad. A later version of the productivity tool includes Office 365, which is available to Chamberlain students for FREE by downloading from the student portal at http://my.chamberlain.eduLinks to an external site.

 

  • Carefully review the grading rubric criteria for Milestone 1 and type directly on your saved Milestone 1 Template.
  • The instructor will score Milestone 1 and provide feedback and a clear statement regarding the required assignment topic:
    • Accepted,
    • Accepted with revisions needed, OR
    • Not accepted.

If the Milestone 1 assignment needs revisions or is not accepted, the instructor will indicate if the student should communicate further revisions to the instructor. No additional points will be earned for revisions to Milestone 1 issue, but these revisions will greatly enhance success on later milestones.

The post The purpose of this assignment is to demonstrate the skills of the professional nurse as an educator. You are to prepare a patient scenario based on the required assigned topic. You will choose an already developed and reliable mHealth app to use in the education of your patient. appeared first on Infinite Essays.

Cardiovascular

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Week 3: Case Discussion: Cardiovascular

Total Points Possible:  100

DISCUSSION CONTENT
Category Points % Description
Application of Course Knowledge 50 50% Post contributes clinically accurate perspectives/insights applicable to the results from the physical exam and diagnoses. Initial post includes the most likely diagnosis/specific treatment plan given case study information supported by rationale and answers all questions presented in the case. Demonstrates course knowledge/assigned readings by: linking tests/interventions accurately to diagnoses, applies learned knowledge specifically to the symptoms and patient information using original dialogue i.e., little to no direct quotes.
Evidence Based resources 20 20% Discussion post supported by evidence from appropriate sources published within the last five years. Focus of journal articles represents a logical link between the article content and the case study information.  In-text citations and full references are provided.
Interactive Dialogue 20 20% Presents case study findings and responds substantively to at least one peer including evidence from appropriate sources, and all direct faculty questions posted. Substantive posts contribute new, novel perspectives to the discussion using original dialogue (not quotes from sources)
       
  90 90% Total CONTENT Points= 90 pts
DISCUSSION FORMAT
Category Points % Description
Organization 5 5% Discussion post presented in a logical, meaningful, and understandable sequence. Headings reflect separation of criterion outlined in assignment guidelines.

**Direct quote should not exceed 15 words & must add substantively to the discussion
APA/Grammar/Spelling 5 5% Discussion post has minimal grammar, spelling, syntax, punctuation and APA* errors. Direct quotes (if used) is limited to 1 short statement** which adds substantively to the post.

* APA style references and in text citations are required; however, there are no deductions for errors in indentation or spacing of references. All elements of the reference otherwise must be included.
  10 10% Total FORMAT Points= 10 pts
      DISCUSSION TOTAL= 60 points

 

 

Requirements:

Setting: large rural clinic; family practice clinic that employs physicians, physician assistants and nurse practitioners.

You open the chart to review for your next patient, and you see it is Lorene M. Lorene is a 60 year-old African American female with a history of hypertension and known documented metabolic syndrome following lifestyle changes per her request. You note she is not due for a follow up at this time, so you look at the chief complaint.

CC: Shoulder discomfort and SOB with exercise 3 days ago.

You enter the room and introduce yourself to Lorene who is sitting in the chair. You ask what brings her in today. She smiles, shaking her head and says “My daughter made me come, I feel fine. I am way too busy to be here today. Since my last visit, three months ago, I joined a gym and with the support of my daughter, we are going two days a week.” However, three days ago Lorene felt short of breath while in dance class. She developed what she calls as “a discomfort” that radiated back and up between her shoulder blades while at the peak of her exercise routine. She also felt a little nauseous and sweaty. Once she stopped dancing, all symptoms resolved in about 3 minutes and they have not re-occurred.

PMHx: Reports general health as good. She has been trying to lose weight through exercise and avoiding processed foods. She admits that food is a large part of her background and heritage in social activities and so it is difficult to make healthy choices. She had been feeling great since starting to work out and has lost 2 inches around the abdomen. She describes having lots of energy until this episode three days ago.  Now she is a little concerned because she feels a little more tired than usual. She has not participated in anything strenuous and has not worked out since

Childhood/previous illnesses: chicken pox.

Chronic illnesses: Hypertension, Metabolic Syndrome, and Dyslipidemia.(Lifestyle management was initiated per patient preference) Gestational Diabetes with 3 pregnancies managed with Insulin

Surgeries: T and A, cholecystectomy

Hospitalizations: None aside from surgeries listed above

Immunizations: Does not receive the flu shot.

Allergies: Reports remote Hx allergy to metformin. Describes a GI disturbance.

Blood transfusions: None

Current medications: None. Stopped Lisinopril one month ago as she read that it can cause a cough as one if its side effects. Prefers to get the BP under control with diet and exercise.

Social History: Married for 20 years. Children are grown and have moved out of the house but all live locally and are close to their parents. Lorene works full time as a CEO of a successful marketing company and travels often for work. She eats out a lot while entertaining business clients. She enjoys beer and wine and the occasional “social” cigarette when she gets together once weekly with her girlfriends.

Family History: Parents are deceased. Father had lung cancer and mother died from complications of a stroke due to complications of diabetes type 2. Brother died at 44 from malignant melanoma. Other sister and brother are healthy but they also have diagnoses of metabolic syndrome.

PE:

Height: 5’8″ weight: 220 pounds; BMI 33.5 vital signs: BP 146/90 P 70 Sao2 97% Random glucose finger stick in office: 130mgs/dl

General: African American female in NAD. Alert, oriented, and cooperative. Pain: 0/10 at present

Skin: Skin warm, dry, and intact. Skin color is light skinned brown, no cyanosis or pallor.

HEENT: Head normo-cephalic. Hair thick and distribution even throughout scalp.

Eyes: Sclera clear. Conjunctiva: white, PERRLA, EOMs intact. No AV nicking noted.

Ears: Tympanic membranes gray and intact with light reflex noted. Pinna and tragus non-tender

Nose: Nares patent without exudate. Sinuses non-tender to palpation, Right-sided Deviation

Throat: Oropharynx moist, no lesions or exudate. Teeth in poor repair, gums reddened and receding, filled cavities noted. Tongue smooth, pink, no lesions, protrudes in midline.

Neck supple. No cervical lymphadenopathy or tenderness noted. Thyroid midline, small and firm without palpable masses. Mild JVD in recumbent position

Lungs: Lungs clear to auscultation bilaterally. Respirations unlabored. No rashes or vesicles noted on chest.

CV: Heart S1 and S2 noted, RRR, no murmurs, noted. No parasternal lifts, heaves, and thrills. Peripheral pulses equally bilaterally. PMI 5th ICS displaced 4cm laterally. Trace edema in lower extremities.

Abdomen: Abdomen round, soft, with bowel sounds noted in all four quadrants. No organomegaly noted.

 

Labs from 3 months ago:

AIC 6.4%

Fasting glucose 135mgs/dl

Total Cholesterol: 230

Triglycerides 180mgs/dl Ldl 180 Hdl 38

 

· EKG today in office

 

 

Week 3 Discussion Questions:

1. What Leads Demonstrate the ST Depression?

2. Is Lorene Hypertensive per ACA 2017 Guidelines? Compare the ACA guidelines to JNC 8 guidelines and discuss what treatment you recommend for her BP and why.

3. What is the Primary diagnosis causing Lorene’s chest pain? Include ICD 10 codes (no differentials)

4. What other secondary diagnoses does Lorene have that should be addressed? (Include the rationale and a reference for your diagnoses)

5. Design a treatment plan and discuss how each intervention is applicable to Lorene’s case. Consider the following interventions:

· Labs

· Durable Medical Equipment Diagnostic tests- discuss the goal/purpose

· Any consultation with outside providers/services

· Medications- discuss why you chose each specific medication

· Referrals- who and why

· Follow up- why and when

· Education- specific and measureable

· Lifestyle Changes- specific to her cultural preferences, values and beliefs

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Prepare a paper on the implementation of Section 404 of the Sarbanes-Oxley Act of 2002. Discuss how accountants within an organization are involved in helping their organizations comply with this section. Describe also how accountants in public accounting

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Prepare a paper on the implementation of Section 404 of the Sarbanes-Oxley Act of 2002. Discuss how accountants within an organization are involved in helping their organizations comply with this section. Describe also how accountants in public accounting and consulting are affected by this section of SOX.

 TJ, a 32-year-old pregnant lesbian, is being seen for an annual physical exam and has been having vaginal discharge. Her pregnancy has been without complication thus far. She has been receiving prenatal care from an obstetrician. She received sperm from a local sperm bank. She is currently taking prenatal vitamins and takes over the counter Tylenol for aches and pains on occasion. She has a strong family history of diabetes. Gravida 1; Para 0; Abortions 0 

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 TJ, a 32-year-old pregnant lesbian, is being seen for an annual physical exam and has been having vaginal discharge. Her pregnancy has been without complication thus far. She has been receiving prenatal care from an obstetrician. She received sperm from a local sperm bank. She is currently taking prenatal vitamins and takes over the counter Tylenol for aches and pains on occasion. She has a strong family history of diabetes. Gravida 1; Para 0; Abortions 0 

 

May 2012, Alice Randall wrote an article for The New York Times on the cultural factors that encouraged black women to maintain a weight above what is considered healthy. Randall explained—from her observations and her personal experience as a black woman—that many African-American communities and cultures consider women who are overweight to be more beautiful and desirable than women at a healthier weight. As she put it, “Many black women are fat because we want to be” (Randall, 2012).

Photo Credit: Getty Images

Randall’s statements sparked a great deal of controversy and debate; however, they emphasize an underlying reality in the healthcare field: different populations, cultures, and groups have diverse beliefs and practices that impact their health. Nurses and healthcare professionals should be aware of this reality and adapt their health assessment techniques and recommendations to accommodate diversity.

In this Discussion, you will consider different socioeconomic, spiritual, lifestyle, and other cultural factors that should be taken into considerations when building a health history for patients with diverse backgrounds. Your Instructor will assign a case study to you for this Discussion.

To prepare:

  • Reflect on your experiences as a nurse and on the information provided in this week’s Learning Resources on diversity issues in health assessments.
  • By Day 1 of this week, you will be assigned a case study by your Instructor. Note: Please see the “Course Announcements” section of the classroom for your case study assignment.
  • Reflect on the specific socioeconomic, spiritual, lifestyle, and other cultural factors related to the health of the patient assigned to you.
  • Consider how you would build a health history for the patient. What questions would you ask, and how would you frame them to be sensitive to the patient’s background, lifestyle, and culture? Develop five targeted questions you would ask the patient to build his or her health history and to assess his or her health risks.
  • Think about the challenges associated with communicating with patients from a variety of specific populations. What strategies can you as a nurse employ to be sensitive to different cultural factors while gathering the pertinent information?
By Day 3 of Week 2

Post an explanation of the specific socioeconomic, spiritual, lifestyle, and other cultural factors associated with the patient you were assigned. Explain the issues that you would need to be sensitive to when interacting with the patient, and why. Provide at least five targeted questions you would ask the patient to build his or her health history and to assess his or her health risks.

The post  TJ, a 32-year-old pregnant lesbian, is being seen for an annual physical exam and has been having vaginal discharge. Her pregnancy has been without complication thus far. She has been receiving prenatal care from an obstetrician. She received sperm from a local sperm bank. She is currently taking prenatal vitamins and takes over the counter Tylenol for aches and pains on occasion. She has a strong family history of diabetes. Gravida 1; Para 0; Abortions 0  appeared first on Infinite Essays.