1. Create an infographic teaching tool for the community educational project. View these links on how to create infographics: 

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Submit an 8 X 11.5 color (one page Word or pdf. document) infographic teaching tool for your chosen community. Please also submit a reference page in APA format with at least two references you used as sources for the information on the infographic.

Each response 200 words

1) 

Learning is the process of taking in new information and applying it to a situation or demonstrating it to others.  The ability to learn is possessed by humans, and animals; some learning is immediate, and at times a single event can induce something will never forget (e.g. being burned by a hot stove), but much skill and knowledge accumulates from repeated experiences.  My presentation will utilize more than one way of learning, I will have video, audio; from my power point slide, handouts, pictures, and demonstration activities.  The handout will be in English and Spanish, the power point slide will be shown slowly and interpreted by my selected leader to state what I say in Spanish.  

            During the past few weeks, I have interviewed several people from different age groups and received some feed back on their level of understanding.  I will make sure my handouts and infographics are very simple and not overly crowded.  Upon setting my tables up for my audience, I am going to make sure the groups are mixed amongst age group.  All ages at each table, not allowing all teens at one table or all adults; etc.  Women, men, and young adults at each table is my goal to establish a more conducive learning environment.   

            Having my handouts in simple colorful form, will grasps my audience attention; but more importantly having it in the language they understand best is going to be more productive and increase my chances of delivering my message effectively.  I am going to show pictures of the more commonly used blood pressure medication and show them where they can research and learn about the blood pressure pills, they are prescribed.  I will work on decreasing the use of Google to find out about hypertension and blood pressure medications; by giving them medical website that are designed by medical physicians.

            One of my goals, that I am still working on; is the importance of investing in a blood pressure monitor, if they can afford one.  I will also give them a list of stores that usually have a blood pressure station, such as Walmart and CVS.  I am going to also discuss with the apartment manager the possibility of keeping a blood pressure monitor in the office where residents and come in and utilize it to take their blood pressure on site.  Anyone that gets an extremely high reading, will be encouraged to come next door to the hospital.     

Clark, M. J. (2015). Population and community health nursing (6th ed.). Boston, MA: Pearson

2) 

This is very delicate part of the project because there many variables. People learn in a variety of different ways and situations. It is important to keep in mind that in order to reach the majority of people in the community it is good to try to be respectful and understanding to everyones needs. When preparing my presentation, I will take into consideration my audience. My audience will predominately be younger individuals. The presentation should be focused with that in mind. Young people will have different focuses in relation to older adults. Adolescents have different reasons for drug use from adults. Adolescents will often try drugs in a social situation. They feel pressured to do something they normally would not do. Friends that are often using drugs and want to be like them. Adults on the other hand use drugs to deal with stress or anxiety. Another reason Adults use is to deal with chronic pain. What ever their incentive for using drugs, it is unhealthy and dangerous. What is needed is education. They need to understand what these substances are doing to their bodys and how they can get help. In order to get the message to them delivery of the information must be interesting and pertinent to the audience. The presentation should be given in a way that all can understand the underlying meaning of what is being talked about. Content must be appropriate for the listening audience.

Another important factor in the presentation is to maintain interest. Time plays a big point of presentations. Having the presentation last for a long time presents a risk of effectiveness and success (Wellstead, Whitehurst, Gundogan & Agha, 2017). It is also important to have the audience interact during the presentation. This ensures that material is being heard and allows for response from those present.  The presenter should attempt to maintain eye contact with the group. The presenter should have attractive visual aids. It is helpful that speaker use different voice techniques to maintain interest in the topic. It is always a good idea to finish with a recap and clarify information previously discussed. Finally, asking if there are any questions is always a good idea to have handouts and pamphlets. These will summarize the main points of the presentation. It will also serve as reference material. Names of treatment centers and counseling opportunities will be available at a quick glance.  This information can be helpful to the user, family or friends.

                                                                                References

Wellstead, G., Whitehurst, K., Gundogan, B., & Agha, R. (2017). How to deliver an oral

presentation. International journal of surgery. Oncology, 2(6), e25.

https://doi.org/10.1097/IJ9.0000000000000025

 

Understanding family structure and style is essential to patient and family care. Conducting a family interview and needs assessment gathers information to identify strengths, as well as potential barriers to health. This information ultimately helps develop family-centered strategies for support and guidance.

This family health assessment is a two-part assignment. The information you gather in this initial assignment will be utilized for the second assignment in Topic 3.

Develop an interview questionnaire to be used in a family-focused functional assessment. The questionnaire must include three open-ended, family-focused questions to assess functional health patterns for each of the following:

1. Values/Health Perception
2. Nutrition
3. Sleep/Rest
4. Elimination
5. Activity/Exercise
6. Cognitive
7. Sensory-Perception
8. Self-Perception
9. Role Relationship
10. Sexuality
11. Coping

Select a family, other than your own, and seek permission from the family to conduct an interview. Utilize the interview questions complied in your interview questionnaire to conduct a family-focused functional assessment. Document the responses as you conduct the interview.

Upon completion of the interview, write a 750-1,000-word paper. Analyze your assessment findings. Submit your questionnaire as an appendix with your assignment.

Include the following in your paper:

1. Describe the family structure. Include individuals and any relevant attributes defining the family composition, race/ethnicity, social class, spirituality, and environment.
2. Summarize the overall health behaviors of the family. Describe the current health of the family.
3. Based on your findings, describe at least two of the functional health pattern strengths noted in the findings. Discuss three areas in which health problems or barriers to health were identified.
4. Describe how family systems theory can be applied to solicit changes in family members that, in turn, initiate positive changes to the overall family functions over time.

Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

Nurses must be able to knowledgeably plan services for individuals, families and the community.  In order to effectively plan, it is essential that you are aware of the resources specific to the community a client resides in to allow for identification of health-related resources and to understand gaps in services. A windshield survey is conducted from a car and provides a visual overview of a community. Conditions and trends in the community that could affect the health of the population should be noted. This data provides background and context for working with individuals and families in their community.  Information gathered from this survey should be added to this template.  Please complete and copy & paste to the homework section no later than 2/22/20.  Make sure to include data (i.e. statistical, informational, geographic), along with a reference page. 

  

NOTE: Please no plagiarism, 3 to 5 pages, this is for school admission,  I am already a practicing baccalaureate prepared nurse, and finally I am pursuing a Family Nurse Practitioner now.

How to answer the essay question
 

The essay question needs to address the following topics:

Why have you chosen to pursue nursing as a career?

What qualities and attributes do you believe you possess that will enable you to perform effectively as a student and later as a practicing baccalaureate prepared nurse?

How can nursing address and improve global healthcare needs?

TITLE: NASAL FRACTURE

EXAMPLE: SOAP NOTE

  

Soap Note # Main Diagnosis ( Exp: H&P Note #3 DX: Hypertension)

Student Name

Miami Regional University

Date of Encounter:

Preceptor/Clinical Site:

Clinical Instructor: Dr. Rafael Camejo

  

Soap Note # Main Diagnosis ( Exp: Soap Note #3 DX: Hypertension)

PATIENT INFORMATION

Name: Mr. DT

Age: 68-year-old

Gender at Birth: Male

Gender Identity: Male

Source: Patient

Allergies: PCN, Iodine

Current Medications: 

Atorvastatin tab 20 mg, 1-tab PO at bedtime

ASA 81mg po daily

Multi-Vitamin Centrum Silver

PMH: Hypercholesterolemia

Immunizations: Influenza last 2018-year, tetanus, and hepatitis A and B 4 years ago.

Preventive Care: Coloscopy 5 years ago (Negative) 

Surgical History: Appendectomy 47 years ago.

Family History: Father- died 81 does not report information

 Mother-alive, 88 years old, Diabetes Mellitus, HTN

Daughter-alive, 34 years old, healthy

Social History: No smoking history or illicit drug use, occasional alcoholic beverage consumption on social celebrations. Retired, widow, he lives alone.

Sexual Orientation: Straight

Nutrition History: Diets off and on, Does not each seafood 

Subjective Data:

Chief Complaint: headaches that started two weeks ago

Symptom analysis/HPI:

The patient is 65 years old male who complaining of episodes of headaches and on 3 different occasions blood pressure was measured, which was high (159/100, 158/98 and 160/100 respectively). Patient noticed the problem started two weeks ago and sometimes it is accompanied by dizziness. He states that he has been under stress in his workplace for the last month. Patient denies chest pain, palpitation, shortness of breath, nausea or vomiting.

Review of Systems (ROS)

CONSTITUTIONAL: Denies fever or chills. Denies weakness or weight loss. NEUROLOGIC: Headache and dizziness as describe above. Denies changes in LOC. Denies history of tremors or seizures. 

HEENT: HEAD: Denies any head injury, or change in LOC. Eyes: Denies any changes in vision, diplopia or blurred vision. Ear: Denies pain in the ears. Denies loss of hearing or drainage. Nose: Denies nasal drainage, congestion. THROAT: Denies throat or neck pain, hoarseness, difficulty swallowing.

RESPIRATORY: Patient denies shortness of breath, cough or hemoptysis.

CARDIOVASCULAR: No chest pain, tachycardia. No orthopnea or paroxysmal nocturnal

dyspnea.

GASTROINTESTINAL: Denies abdominal pain or discomfort. Denies flatulence, nausea, vomiting or

diarrhea.

GENITOURINARY: Denies hematuria, dysuria or change in urinary frequency. Denies difficulty starting/stopping stream of urine or incontinence.

MUSCULOSKELETAL: Denies falls or pain. Denies hearing a clicking or snapping sound.

SKIN: No change of coloration such as cyanosis or jaundice, no rashes or pruritus.

Objective Data:

VITAL SIGNS: Temperature: 98.5 F, Pulse: 87, BP: 159/92 mmhg, RR 20, PO2-98% on room air, Ht- 64, Wt 200 lb, BMI 25. Report pain 2/10.

GENERAL APPREARANCE: The patient is alert and oriented x 3. No acute distress noted. NEUROLOGIC: Alert, CNII-XII grossly intact, oriented to person, place, and time. Sensation intact to bilateral upper and lower extremities. Bilateral UE/LE strength 5/5.

HEENT: Head: Normocephalic, atraumatic, symmetric, non-tender. Maxillary sinuses no tenderness. Eyes: No conjunctival injection, no icterus, visual acuity and extraocular eye movements intact. No nystagmus noted. Ears: Bilateral canals patent without erythema, edema, or exudate. Bilateral tympanic membranes intact, pearly gray with sharp cone of light. Maxillary sinuses no tenderness. Nasal mucosa moist without bleeding. Oral mucosa moist without lesions,. Lids non-remarkable and appropriate for race.

Neck: supple without cervical lymphadenopathy, no jugular vein distention, no thyroid swelling or masses.

CARDIOVASCULAR: S1S2, regular rate and rhythm, no murmur or gallop noted. Capillary refill < 2 sec.

RESPIRATORY: No dyspnea or use of accessory muscles observed. No egophony, whispered pectoriloquy or tactile fremitus on palpation. Breath sounds presents and clear bilaterally on auscultation.

GASTROINTESTINAL: No mass or hernia observed. Upon auscultation, bowel sounds present in all four quadrants, no bruits over renal and aorta arteries. Abdomen soft non-tender, no guarding, no rebound no distention or organomegaly noted on palpation

MUSKULOSKELETAL: No pain to palpation. Active and passive ROM within normal limits, no stiffness.

INTEGUMENTARY: intact, no lesions or rashes, no cyanosis or jaundice.

ASSESSMENT:

Main Diagnosis

Essential (Primary) Hypertension (ICD10 I10): Given the symptoms and high blood pressure (156/92 mmhg), classified as stage 2. Once the organic cause of hypertension has been ruled out, such as renal, adrenal or thyroid, this diagnosis is confirmed (Codina Leik, 2015). Diagnosis is based on the clinical evaluation through history, physical examination, and routine laboratory tests to assess risk factors, reveal identifiable causes and detect target-organ damage, including evidence of cardiovascular disease (Domino et al,. 2017).

Differential diagnosis:

Renal artery stenosis (ICD10 I70.1)

Chronic kidney disease (ICD10 I12.9)

Hyperthyroidism (ICD10 E05.90)

PLAN:

Labs and Diagnostic Test to be ordered:

CMP

Complete blood count (CBC)

Lipid profile

Thyroid-stimulating hormone (TSH)

Urinalysis with Micro

Electrocardiogram (EKG 12 lead)

Pharmacological treatment: 

Hydrochlorothiazide tab 25 mg, Initial dose: 25 mg orally once daily. 

Lisinopril 10mg PO Daily

Non-Pharmacologic treatment: 

Weight loss

Healthy diet (DASH dietary pattern): Diet rich in fruits, vegetables, whole grains, and low-fat dairy products with reduced content of saturated and trans l fat

Reduced intake of dietary sodium: <1,500 mg/d is optimal goal but at least 1,000 mg/d reduction in most adults

Enhanced intake of dietary potassium

Regular physical activity (Aerobic): 90150 min/wk

Tobacco cessation

Measures to release stress and effective coping mechanisms.

Education

Provide with nutrition/dietary information.

Daily blood pressure monitoring log at home twice a day for 7 days, keep a record, bring the record on the next visit with her PCP

Instruction about medication intake compliance. 

Education of possible complications such as stroke, heart attack, and other problems.

Patient was educated on course of hypertension, as well as warning signs and symptoms, which could indicate the need to attend the E.R/U.C. Answered all pt. questions/concerns. Pt verbalizes understanding to all

Follow-ups/Referrals

Follow up appointment 1 weeks for managing blood pressure and to evaluate current hypotensive therapy.

No referrals needed at this time.

References

Domino, F., Baldor, R., Golding, J., Stephens, M. (2017). The 5-Minute Clinical Consult 2017

(25th ed.). Print (The 5-Minute Consult Series).

Codina Leik, M. T. (2014). Family Nurse Practitioner Certification Intensive Review (2nd ed.). 

ISBN 978-0-8261-3424-0

NOTE: PLEASE APA FORMAT OF THE REFERENCE, AND ORIGINAL

 

dentify what issues may arise with the prescriptive authority of controlled substances and how you may avoid these situations?

Whenever there is a prescriptive authority of controlled substances, there is likely to be an abuse of the same by drug administrators. This has been demonstrated by the case of Heather Alonso, who was an advanced practice registered nurse (APRN) and used her position to prescribe controlled substances under the Medicare drug program. Nurse practitioners are not supposed to prescribe schedule 2 drugs since there is a high potential that they will be abused. Such issues mainly arise when medical practitioners compromise their practice and administer highly controlled substances contrary to rules and regulations, mainly because they receive hefty payments for the same.

To control the administration of controlled substances, the first step that must be taken is to ensure that a diagnostic workup is conducted (Young, 2018). The diagnostic workup will enable physicians to properly diagnose a patient before administering any drug. In the case of Heather Alonso, many of the patients were not being reviewed hence leading to prescriptions being administered wrongly. The second step that must be taken is to utilize prescription databases and obtain a medical history of the patient. The database will give information on whether the patient has received medication from multiple doctors. Screening for drug seeking is also necessary as it will enable one to establish if the patient is genuine or they are just abusing drugs.  Also, states can revamp their prescription drug monitoring programs (PDMP) which will have better standards for monitoring the administrati0n of controlled drugs (Perrone & Nelson, 2012). All the drugs which fall under schedule 2-5 are monitored. This will enable the states to understand whether stricter control and surveillance is needed. Through the PDMP, surprise audits can be done at the premises of drug administrators to check whether the necessary guidelines are being followed.This will lead to better monitoring and control when it comes to administration of controlled substances.

References

Young, J. (2018).Best Practices When Prescribing Controlled Substances. Retrieved from

Perrone, J., & Nelson, L. S. (2012). Medication reconciliation for controlled substancesan ideal prescription-drug monitoring program. New England Journal of Medicine, 366(25), 2341-2343.

Comprehensive Health History in which you examine how social determinants of health such as age, gender, ethnicity, and environmental situations impact the health and risk assessment of the patients you serve. Also, consider how social determinants of health influence your interview and communication techniques as you work in partnership with a patient to gather data to build an accurate health history.

take on the role of a clinician who is building a health history for a particular new patient assigned by your Instructor.

With the information presented in Chapter 1 of Ball et al. in mind, consider the following:

• How would your communication and interview techniques for building a health history differ with each patient?
• How might you target your questions for building a health history based on the patients social determinants of health?
• What risk assessment instruments would be appropriate to use with each patient, or what questions would you ask each patient to assess his or her health risks?
• Identify any potential health-related risks based upon the patients age, gender, ethnicity, or environmental setting that should be taken into consideration.
• Select one of the risk assessment instruments presented in Chapter 1 or Chapter 5 of the Seidel’s Guide to Physical Examination text, or another tool with which you are familiar, related to your selected patient.
• Develop at least five targeted questions you would ask your selected patient to assess his or her health risks and begin building a health history.

Post a summary of the interview and a description of the communication techniques you would use with your assigned patient. Explain why you would use these techniques. Identify the risk assessment instrument you selected, and justify why it would be applicable to the selected patient. Provide at least five targeted questions you would ask the patient.

APA citation 3 to 4 References within 5 years

 Reflect on a case from your past clinical experiences and consider how a patients pharmacokinetic and pharmacodynamic processes may alter his or her response to a drug.

•  Consider the principles of pharmacokinetics and pharmacodynamics.
• Reflect on your experiences, observations, and/or clinical practices from the last 5 years and think about how pharmacokinetic and pharmacodynamic factors altered his or her anticipated response to a drug.
• Consider factors that might have influenced the patients pharmacokinetic and pharmacodynamic processes, such as genetics (including pharmacogenetics), gender, ethnicity, age, behavior, and/or possible pathophysiological changes due to disease.
• Think about a personalized plan of care based on these influencing factors and patient history in your case study.

Post a description of the patient case from your experiences, observations, and/or clinical practice from the last 5 years. Then, describe factors that might have influenced the pharmacokinetic and pharmacodynamic processes of the patient you identified. Finally, explain the details of the personalized plan of care that you would develop based on influencing factors and patient history in your case. Be specific and provide examples.

APA Citation 4 to 5 References within 5 years

In this assignment, you will assess a current semi-direct or indirect nursing situation that is in need of change. Observe a healthcare environment, focusing on areas of nursing process that are inefficient, unsafe, or problematic in nature. Diagnose the problem and choose a nursing change theory that suits the change you want to make. Propose a detailed plan based on your chosen change theory, explaining how to implement change. Develop criteria to evaluate the effectiveness of the plan and include a timeline for your change proposal. Finally, reflect on how your change affects the nursing profession