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Health history of an individual

Purpose

This week’s graded topics relate to the following Course Outcomes (COs).

  • CO 1 – Utilize prior knowledge of theories and principles of nursing and related disciplines to explain expected client behaviors, while differentiating between normal findings, variations, and abnormalities. (PO 1)
  • CO 4 – Identify teaching/learning needs from the health history of an individual. (PO 2)

The Assignment

Access to mental health services is a hot topic in U.S. Healthcare. Do you know what resources are available for clients seeking care in your own community? Select one mental health related condition from the list below. Conduct a web search to identify health care services within your community aimed specifically at addressing this condition.

Choose one:

  • Depression
  • Suicidal ideation
  • Opioid addiction

Answer the following questions in your post:

  1. When reviewing a client’s health history and physical examination record, what are some findings (subjective and objective) that may indicate a need for further in-depth assessment for the condition you selected above?
  2. Describe a focused specialty assessment tool you could use to screen the client for this condition.
  3. What resources did you find in your community that address this issue? What type of services do they provide? Were there specific resources or services you were hoping to locate, and could not? Please explain.

 

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Milestones in Public Health

Milestones in Public Health
Class, there are many milestones in public health, but two that always come to my mind are vaccination and seat belts! The world’s first vaccine for smallpox was created by Edward Jenner in the late 1700s. Since then, vaccines have been developed for many other preventable diseases. According to Research America (n.d.), the CDC estimates that over the last 20 years, 700,000 children’s deaths have been prevented because of routine vaccination. That’s a large number!

Similarly, the number of motor vehicle deaths per year has largely decreased since the implementation of seat belts. I find this interesting! While developing a vaccine is complicated, as we see from the seatbelt example, an intervention does not need to be complicated to be successful. Hundreds of thousands of lives were saved by a simple invention to ensure people remained safe in their car!

What are some of your favorite public health milestones? Or milestones that you believe were important for public health?

References

Research America. (n.d.). Public Health Milestones. Retrieved from https://www.researchamerica.org/advocacy-action/public-health-thank-you-day/public-health-milestones

Please Use APA format, and include references below 5 years and 150 words

 

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Independent Learning For Nursing Nursing Essay.

Independent Learning For Nursing Nursing Essay.

 

Reflection is a way to look back on what a person experienced on a certain event. The purpose of this reflective essay is for me to mull over on what I have learned from my direct experience on placement. I opt to utilise on this reflective essay “A Model of Structured Reflection” by Driscoll (2007). This Model has three questions, ‘what’, ‘so what’ and ‘now what’ for me to answer and at the same time to ponder about my practice experience; hence I chose to take advantage on Driscoll’s model as it is very handy to apply even with or without a paper and pen, as all I need to bring to mind is the above aforementioned three questions. I will tackle what I think it matters to me most from my two weeks practice placement, share some learning needs from the learning plan and analysing whether I gained knowledge and understanding that can be applied in a new situation (Howatson-Jones, 2010).Independent Learning For Nursing Nursing Essay.

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I was in the ward on my two weeks introductory period of practice experience. On my first day, the Ward Manager introduced me to her team. She had told me that my mentor was not around at that time; hence she handed me over to one of the nurses’ in-charge. As I came on an early shift, I have observed the patients hand over from night staff (Wywialowski, 2003). They printed out a handover sheet for each one of us. At first, I was a bit muddled up on how the night nurse was endorsing the patient, maybe because I am new, and not use to it. There are acronyms that they usually use, and I was telling myself that I have to familiarise the medical terms used so I could understand and comprehend, even I am supernumerary I want to be part of the team whilst learning (Jelphs and Dickinson, 2008). After the handover, the nurse asked me to be with the Health Care Assistant (HCA) at the moment, for me to be acquainted with the patients and adapt with the daily routine. I am fortunate that the HCA was helpful, and she taught me a lot about how to assist patient on personal hygiene. She showed me how to use the Blood Glucose monitor and plot it down on patient’s chart (The Global Diabetes Community, 2013). In addition, she taught me that they usually take the observation every four hourly if the patient is not on close observation. The days have gone by so quick; I was productive on my day to day experience as a student nurse.Independent Learning For Nursing Nursing Essay. I never wasted my time just standing there without accomplishing anything at the end of my shift. With my passion of caring to patients, I become accustomed on dealing with the patient, assisted to go to the toilet, gave a hand to those who are not able to care for themselves, especially the immobilised patients. I became certain on writing down the nursing care plan of a patient (Lloyd, 2010), observed the Nasogastric tube (NGT) (Macmillan Cancer Support, 2013) and Electrocardiogram (ECG) procedures done by the staff nurse and HCA respectively (British Heart Foundation, 2013). I volunteered myself as well to get the take away medication of the patient in the Pharmacy. Furthermore, I have learned how to fill up the Nursing Assessment forms for a new patient admitted; I have done the said forms by means of communicating with the patient and family. I have mentioned the word communicating as there was a non-spoken English patient admitted because of back pain. In complying with the Nursing and Midwifery Council (NMC) Code of Professional Conduct (2010) about confidentiality, I will be using a false name for her. It was hand over to the day staff that English is not her first language; hence, Mrs. C cannot speak and comprehend well. When I went to her bedside to take her vital signs, I asked if she has any pain at the moment, she nodded her head and touched her back (White, 2005). I have seen the grimace caused of pain on her back. I reported to the nurse right away that Mrs. C is in pain, and she is due for another dose of pain killer based on her Drug Chart; as a result, Mrs. C has taken the said medication. I informed Mrs. C with the use of verbal and non-verbal gestures that she will undergo Colonoscopy to check what’s causing her pain (Sully and Dallas, 2010). We waited for her nephew before accompanying them in the Gastroenterology Department as she needs somebody to translate the conversation on her behalf. Since it was my first time to watch a patient doing the procedure, I grabbed the opportunity to request from the Specialist Nurse if I can go inside and observe the procedure which she willingly accepted. I also asked permission from Mrs. C through her nephew; I was grateful when he told me his aunt wanted me to come with her in the colonoscopy room. During the procedure, I sat next to Mrs. C whilst holding her hand as she was feeling uneasy with the endoscope inserted into her anus. The Specialist Nurse has given me a few insights in relation to what she was trying to look inside the colon of Mrs. C. I was privileged for having an exquisite time of basic understanding about Colonoscopy (BUPA, 2011). After the procedure, Mrs. C has given me a hug and was thankful. I smiled and responded that it was my pleasure to help her. We went back to the ward, and before I leave Mrs. C on her bed with the assurance that she was comfortable and safe, her nephew expressed his appreciation for looking after his aunt whilst he was not around. Moreover, Mrs. C told him about me being there rubbing her back when she was in agony. I was overwhelmed on how they recognised my presence of comforting her for a short span of time and without much verbal communication.

On the above scenario, I have achieved one of my learning needs, the effective communication between patient and me as a student nurse. Despite the inability of Mrs. C to express herself verbally, I was so sensitive observing her gestures and actions thus I can extend the appropriate care and assistance she needed. By intently looking at her countenance, I can interpret what she was trying to convey to me; henceforth I was able to address her needs. I have realised how vital is verbal and non-verbal communication in nursing. As a student nurse, I should be sensitive to the patient’s nonverbal message. I should not let language be a hindrance in giving the nursing intervention for the patient to recover and return in optimal health (Andrews and Boyle, 2008). Care of people is the priority of all nurses; this is one of the four principles of NMC Code (2010). The provision of care for the patient should be done in a holistic approach that includes the activities of their daily living (Newton, 1995). A simple act of care means a lot to the patient; consequently, I will put into practice again what I have learned from this in the future.Independent Learning For Nursing Nursing Essay.

Another learning need that I partially accomplished was being able to observe how to perform the Colonoscopy procedure. I partially achieved it because we have no time to explore the method used to find any abnormalities or inflammation from the patient; however, I did some informative readings about the procedure.

To summarise what I have learned on my placement, I was able to see the nurses’ responsibilities. How they manage to give the best nursing interventions in a busy ward. How they collaborate to other health professionals for updating the patients’ care plan. I have proved to myself that most patients usually depend on nurses as they are the one who provide direct care on them (Altman, 2010). I do believe that nursing is a never ending process of learning; thereby ensuring that nurses are up to date with their trainings and education; otherwise the highest possible care for the patients will not be met. As a student, I have to be dedicated, motivated and inspired to achieve my ambitions in life (Maslow, 1954); continually accepting any challenges for my personal development. For the meantime, I will set my goals on what I want to learn; recognising any learning outcome on my learning plan as this will draw me closer to my aspiration, to be a Qualified Nurse (Peate, 2006). My two weeks practice experience was superlative. The Faculty of Nursing in the hospital provided teaching sessions that will develop us to be competent (McNiff, 1993). All the staff in the ward where I worked with were supportive and compassionate. I am looking forward for my next placement, for me to implement what I have learned from my previous one, and be able to identify new learning opportunities. In conclusion, practice placement is a day of experience, a day of new learning.Independent Learning For Nursing Nursing Essay.

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The Holistic Patient Assessment

Assignment Description

Signature Assignment Title: The Holistic Patient Assessment

Part 1: Choose an adult (over the age of 18) friend or relative and perform a holistic health assessment. Clearly document your holistic health assessment data

Your assessment should include the following parts:

  • Health History
  • Physiological Assessment
  • Psychological Assessment
  • Social Assessment
  • Cultural Assessment
  • Developmental Assessment
  • Spiritual Assessment

Part 2: Interpret the findings in your holistic health assessment data according to pathophysiologic disease states.

  • Choose one physiologic abnormality and discuss possible pathophysiologic reasons for the abnormality.
  • Look at the abnormality on a holistic basis.
  • How does this abnormality impact the other areas of the patient’s life, especially those areas discussed in this course?
  • Discuss the client’s stress and coping mechanisms.
  • Are they healthy?
  • What improvements could be made?

Part 3: Create a teaching plan that addresses the client holistically by applying the assessment data you have analyzed.

  • Describe at least one client goal for each of the categories (physical, psychological, social, cultural, developmental, and spiritual).
  • How will you teach the client about the goal?
  • How will you evaluate your teaching?

Part 4: Prepare a PowerPoint presentation for your patient teaching.

  • You should have at least six slides (one for each type of goal – physical, psychological, social, cultural, developmental, and spiritual), in addition to the title slide, objective slide, and references slide.
  • Please be sure to have at least one scholarly source in the PPT.

Assignment Expectations:

  • Length: Essay of 1500 words; PP of 12 content slides (and include a title, objective, and reference slides – these do not count towards the required content slides)
  • Structure: PP as noted above. Essay: Include a title page and reference page in APA format. These do not count towards the minimum word count for the essay part of the assignment. Your essay must include an introduction and a conclusion.
  • References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of three scholarly sources plus the textbook are required.

Total Point Value of Assignment: 500 points

 

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