1) Minimum 4 full pages

                    

2)¨******APA norms, please use headers

All paragraphs must be narrative and cited in the text- each paragraphs

            Bulleted responses are not accepted

            Dont write in the first person 

Dont copy and pase the questions.

Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

3) It will be verified by Turnitin and SafeAssign

4) Minimum 6 references not older than 5 years

 

5) Identify your answer with the numbers, according to the question.

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

______________________________________________

 

1) Choose a family in your community (Florida-Miami) and conduct a family health assessment addressing the questions below.

1. Family composition.

Type of family, age, gender and racial/ethnic composition of the family.

2. Roles of each family member. Who is the leader in the family? Who is the primary provider? Is there any other provider?

3. Do family members have any existing physical or psychological conditions that are affecting family function?

4. Home (physical condition) and external environment; living situation (this must include financial information). How the family support itself.

For example, working parents, children or any other member

5. How adequately have individual family members accomplished age-appropriate developmental tasks?

6. Do individual family member’s developmental states create stress in the family?

7. What developmental stage is the family in? How well has the family achieve the task of this and previous developmental stages?

8. Any family history of genetic predisposition to disease?

9. Immunization status of the family?

10. Any child or adolescent experiencing problems

11. Hospital admission of any family member and how it is handled by the other members?

12. What are the typical modes of family communication? It is affective? Why?

13. How are decisions make in the family?

14. Is there evidence of violence within the family? What forms of discipline are use?

15. How well the family deals with crisis?

16. What cultural and religious factors influence the family health and social status?

17. What are the family goals?

18. Identify any external or internal sources of support that are available?

19. Is there evidence of role conflict? Role overload?

20. Does the family have an emergency plan to deal with family crisis, disasters?

2) Identify 3 nursing diagnosis and develop a short plan of care using the nursing process.

Coxiella burnetti
Background

The life cycle of Coxiella burnetii wasn’t described until 1981, although the bacterium had been recognized more than 40 years earlier. Observations made by many researchers were finally assembled to show that this bacterium has a more complex life cycle than most. See if you can propose a life cycle for this bacterium from the information provided.

Coccoid and bacillary forms of Coxiella burnetii were first described in 1938. Subsequently, other researchers described round particles that passed through bacteriological filters (0.45 µm) and were capable of infecting guinea pig cells.

In 1981, electron microscopy studies of Coxiella revealed a large cell variant (LCV) and a small cell variant (SCV). The LCV has inner and outer membranes separated by a periplasm containing little peptidoglycan. The SCV lacks a periplasm and has a large peptidoglycan layer. LCVs develop a dense area in the periplasm at one end of the cell when nutrients are depleted or the pH increases. This area contains DNA and ribosomes.

In one study, suspensions of C. burnetii were put in distilled water, exposed to sonication (high-frequency vibration used to disrupt cells), and incubated at 45° C for 3 hr. Only SCVs were present after this treatment. Coxiella undergo binary fission in a host cell phagolysozyme. LCVs metabolize and divide more rapidly than SCVs.

* Please be sure to submit your answers to the following questions as an attachment to the dropbox within this week’s assignment section.

1.  Propose a life cycle for Coxiella.

2.  Why do Coxiella show variable Gram stain results-that is, they may stain gram-positive or gram-negative? Should they be classified as gram-positive or gram-negative?

3.  What disease does C. burnetii cause? Why can this disease be transmitted by airborne routes while other (closely related) rickettsia require insects and ticks for transmission to humans?