Public Health Nurse Assessment

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Performing a public health nursing assessment is a critical first step in determining health needs and appropriate interventions to meet them. For this assignment you perform a public health nursing assessment using the Public Health Nursing Tool (PHNAT) included in Chapter 3 of the textbook, complete an assessment on a selected population. You are free to use your setting/population of interest discussed in Topic 3 DQ1 or choose another population of interest.

Using the assessment framework provided by the PHNAT, develop a 1,250-1,500 report summarizing your assessment findings and identifying the public health needs for your selected population. Your summary should include the following:

  1. Resources to identify and engage stakeholders, define your diverse community
  2. Collection and analysis of data regarding diverse community health issues
  3. Summary of how the documentation of the above could be disseminated to the community and its stakeholders

The Role Of The DNP Scholar In Preparing For Change

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  • As our population continues to rise along with life expectancy, large cadres of nursing practice and research scholars are needed to address the pressing healthcare issues in our society.  Utilization of nursing inquiry and the ability to translate evidence into practice for the betterment of patient care and overall outcomes is key.  Additionally, they are well prepared to address system challenges and concerns and implement changes for improvement here as well. The work of the cadre will enhance the translation of evidence into practice, with the utilization of learned quality improvement methodologies aimed to both improve and transform the delivery of healthcare (Trautman et al., 2018).

    In an effort to lead clinical innovation the cadre needs to become strong leaders and influencers.  They are positioned to negotiate and work highly groups to effect change with the implementation of any or all aspects of nursing inquiry (Fuller & Hansen, 2019).  Forming professional relationships through networking is also beneficial.  These relationships afford the person leading change a consortium of resources to support and assist with change.

    Simply implementing a change in any type of environment is rarely successful and/or sustainable.  Providing the audience with the evidence and outcomes when implementing a desired change in practice is important.  We as healthcare workers should be providing care with a patient centered approach and possess a common desire to attain high quality and safety outcomes.  As leaders of change, we must possess strong self-awareness along with the characteristic of approachability and adaptability.  As we implement changes, we along with our teams, can identify limitations and make adjustments according for optimal results.

    I need a comment for this post at least 2 paragraphs and use 2 sources no later than 5 years.

Pathophysiology Self Reflection

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Student Course Self-Reflection (Guided Essay)

 

Pathophysiology Class

 

Learners must complete a final applied self-reflection essay on their performance of the course based on the documents and artifacts provided in the performance portfolio. This essay must include at least 5 paragraphs and be limited to a maximum of 2 pages.

 

1. What have you learned in the course that will help you continue to grow as a professional in your chosen career?

2. Which specific assignment for this course was your best work? Name one. What makes it your best work? What did you learn by creating it? What does it say about you as a student in regards to your degree concentration? How do you plan to use it in your field?

3. In which area(s) will you likely continue to strengthen your knowledge or competencies?

4. Which strategies did you use to learn the material in this course?, Which were the most effective? Why?

5. How did your communication skills improved with this course? Discuss new vocabulary, the style of the profession (writing and oral), others.

Nursing Case Study: Urinary Tract Infection

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Case Study: Urinary Tract Infection

You are working in an extended care facility when M.Z.’s daughter brings her mother in for a week’s stay while she goes on a planned vacation. M.Z. is an 89-year-old widow with a 4-day history of non- localized abdominal pain, incontinence, new-onset mental confusion, and loose stools. Her most current vital signs are 118/60, 88, 18, 98.4° F (37.4° C). The medical director ordered a post void catheterization, which yielded 100mL of cloudy urine that had a strong odor, and several lab tests on admission. Urine culture and sensitivity results are pending; the other results are shown in the chart.

Chart View Laboratory Test Results:

Complete metabolic panel: Within normal limits except for the following results:

BUN 25mg/dL Sodium 131mEq/L

Potassium 3.2mEq/L

White blood cell count 11,000/mm3

Urinalysis Appearance Cloudy Odor Foul

pH 6.9

Protein Negative

Nitrites Positive

Crystals Negative

WBCs 6 per low-power field

RBCs 3

  1. What condition do the lab reports point toward?
  2. Which assessment findings are typical of an older adult with the condition in Question 1?
  3. Considering her history and laboratory results, what other condition is a possibility?

4.The medical director makes rounds and writes orders to start an IV of D5 ½NS at 75mL/hr. and insert a Foley catheter to gravity drainage. Because M.Z. is unable to take oral medications, the medical director orders ciprofloxacin (Cipro) 400mg q12h IV piggyback (IVPB). Are the type of fluid and rate appropriate for M.Z.’s age and condition? Explain.

5. While the IVPB ciprofloxacin is being administered, which adverse effects might occur?

6. You enter the room to start the IV infusion and insert the Foley catheter and find that the nursing assistive personnel (NAP) has taken M.Z. to the bathroom for a bowel movement. M.Z. asks you to help her, and, as you open the door, you observe her wiping herself from back to front. What do you need to do at this time?

7. Because M.Z. has been having diarrhea, what special instructions should you give the NAP assigned to give basic care to M.Z.?

Case Study Progress:

The next day, you are the nurse assigned to M.Z.’s care. You notice that the NAP emptying the gravity drain is not wearing personal protection devices. You also observe that the drainage port of the drainage bag was contaminated during the process because the NAP allowed it to touch the floor.

8. What issues need to be considered in protecting M.Z.’s safety? Describe your actions in working with the nursing assistant.

9. As you assess M.Z., you notice that her catheter tubing is not secured. Why does the tubing need to be secured, and where is the correct place for the catheter tubing?

10. What changes, if any, will be made to the antibiotic therapy?