NSG- Principles of Assessment for RNs

  

Head-to-Toe Assessment

For this assignment, perform a complete head-to-toe assessment on someone of your choice or a hypothetical person who has at least two (2) systems issues. Use the head-to-toe template here (see attachment) to document your assessment (add more lines as needed). In a Microsoft Word document of 4-5 pages (in addition to the template) formatted in APA style, discuss the remaining criteria for the assignment. Please note that the title and reference pages should not be included in the total page count of your paper.

In your paper, address each of the following criteria:

· Use the template and include:

o System being assessed.

o Detailed review of each system with normal and abnormal findings.

o For any system for which you do not have equipment, explain how you would do the assessment.

o Normal laboratory findings for client age.

· An analysis of age-specific risk reduction health screening and immunizations.

· Two differential diagnoses (diseases) associated with possible abnormal findings.

· A plan of care (including two priority-nursing diagnoses, interventions, evaluation).

· Pharmacological treatments that can be used to address health issues for this client.

· Client and age appropriate evidenced-based practice strategies for health promotion.

On a separate references page, cite all sources using APA format. 

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4076W7D2

Poverty and Community

  • What is the poverty level in your community?
  • How many people live below the poverty level in your community?
  • What does this mean for your community (what issues arise from the poverty level and the number of people below the poverty level)?

Justify your answers with resources. 

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Case study Analysis

 74-year-old male with a history of hypertension and smoking is having dinner with his wife when he develops sudden onset of difficulty speaking, with drooling from the left side of his mouth, and weakness in his left hand. His wife asks him if he is all right and the patient denies any difficulty. His symptoms progress over the next 10 minutes until he cannot lift his arm and has trouble standing. The patient continues to deny any problems. The wife sits the man in a chair and calls 911. The EMS squad arrives within 5 minutes. Upon arrival in the ED, the patient‘s blood pressure was 178/94, pulse 78, and regular, PaO2 97% on room air. Neuro exam – Cranial nerves- Mild left facial droop. Motor- Right arm and leg extremity with 5/5 strength. Left-arm cannot resist gravity, left leg with mild drift. Sensation intact. Neglect- Mild neglect to left side of body. Language- Expressive and receptive language intact. 

 

Explain the following:

  • Both the neurological and musculoskeletal pathophysiologic processes that would account for the patient presenting these symptoms.
  • Any racial/ethnic variables that may impact physiological functioning.
  • How these processes interact to affect the patient.
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Power point presentation

Create a power point presentation based on the main topics of the following paper.

Power point has to be 14 slides plus the cover page and the reference page.

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Thoughts 

Functional patterns are the history of a patient that a nurse receives upon admission. Functional patterns consist of their previous health history and also what has occurred since arriving at the hospital also can be described as course since admission. This information is so beneficial because it allows a nurse to see what has been done in diagnosis of the individual currently, what needs to be done to assist them and their past medical history that can assist with the current health problem. Functional patterns help a nurse and other health care provider with trending past and current health issues that need to be fixed.

One elimination complexity is pancreatitis. Pancreatitis is rare but it can be a chronic or acute condition that occurs. It is an inflammation of the pancreas that occurs, and it is important to treat so that it does not progress to other problems such as renal failure and sepsis (Whitney, 2018). If a patient was to be admitted with possible pancreatitis; it would be important to not only do a physical assessment but ask patient history and symptoms. Important assessment and history to note would be pain, fever and/or nausea and vomiting in the last few days and abdominal distension (Whitney, 2018). History to be aware of is peptic ulcers, cholelithiasis, hyperlipidemia, cystic fibrosis, drug usage and alcoholism. Being aware of these clinical signs and medical history can assist with proper diagnosis and treatment to prevent further deterioration and complications.

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Discussion, APA 6, 2 References, Similarities Less 5%

Identify a population to assess and develop an evidence-based, primary care health promotion recommendations to deliver in their own communities (Ex: Hispanics-Diabetes, Africanamericans and Prostate Cancer,etc).

This an example of an student Posting:

 Each population has some specific health issues that can require health promotion programs. American Indian population attracts attention in this context because of the specific state of affairs. Although this population has several main health issues for which health promotion can be required, all these issues can be solved by following the directions that cause a generally healthy lifestyle.

According to the U.S. Department of Health and Human Services (n.d.), the main issues in the American Indian population is diabetes, obesity, and tobacco use. Even though those are three different issues, the health promotion for solving them is quite similar. Such promotions have to be generally focused on a healthy lifestyle. This means healthy nutrition – less fat and sweet food and more healthy food and balanced nutrition. The next item is physical activity – starting with such common advice as more walking and ending with making sport a healthy habit. This advice is also helpful for coping with tobacco use. This habit often appears when a person has stress with which it is hard to cope. However, sport is helpful in decreasing the level of stress, and therefore, it can be useful to break the smoking habit. Therefore, one can see that advice directed on causing a healthy lifestyle is helpful for coping with health issues, widespread in the American Indian population.

This way, one can see that even though the American Indian population has several main health issues that can require healthcare promotion programs, all these issues can be solved by following the directions that cause a generally healthy lifestyle. The issues of diabetes, obesity, and tobacco can be solved with healthy nutrition and physical activity.

Reference

U.S. Department of Health and Human Services. Health Promotion. Retrieved 20 March 2020, from https://www.ihs.gov/communityhealth/hpdp/

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Cultural diversity assignment

Explain communication between Jewish Americans population and how does it affect your nursing practice?. Minimum of 230 words.

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Nutrition Health and Wellness.

Write 1-2 pages discussion.

Please see the attachment!

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What are your thoughts 

Elimination complexities consist of the renal, pancreatic, hepatic, biliary and gastrointestinal systems within the body (Whitney, 2018). As one ages, there are normal age-related changes that occur that can affect an individual such as changes in kidney size, decrease in muscle tone of the bladder which can cause urinary retention, frequency and urgency. Other normal age-related changes include dry mouth, difficulty swallowing, slower gastrointestinal mobility which can lead to constipation and also decrease in appetite from decrease in sense and taste of food (Whitney, 2018). There are abnormal problems that can occur such as renal failure, benign prostatic hyperplasia, hepatitis, cholelithiasis, hernias, appendicitis, GI bleeding and GERD (Whitney, 2018).

These elimination complexities can affect daily routines, normalcy and ability to function throughout the day. Urinary frequency and urgency can cause accidents to occur which can lead to embarrassment that they could not make it to the bathroom in time. Constipation can lead to straining when having a bowel movement in turn possible discomfort and hemorrhoids. Decreased appetite can contribute to unneeded or necessary weight loss and cause potentially anorexia of the body and different muscles in the body such as the heart. Other problems can lead to discomfort in daily life and pain until medically treated. Nurse’s play an important role in providing support to the patient’s psychological and emotional needs. Nurses must first assess the situation appropriately and ensure that they are advocating for the patient’s well-being. A major part of nursing is to assist with preventing further deterioration and ensuring continued independence in patient’s lives. An example of preventing further deterioration is education on follow up care and regimens. If the patient is unaware of the medications to take, how to proceed with activity and diet plan and any other outside resources they can be unsuccessful. Therefore, nursing education plays an important role in assisting these individuals and promoting their independence.

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Discussion Prompt  

Why is public health infrastructure important? Does the US have a solid infrastructure, why or why not? 

-Apa style

-references

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