APA format 2pages with 3 peer review references Due Friday 8/31/2018 at 7pm EST  Will pay 15 dollars

 

Collecting Comprehensive Health Assessment

            The United states census Bureau’s 2009 data revealed that 37% of individuals age 65 and older have disabilities. This includes adults with disabilities who developed in old age and those who lived with disability from birth or have acquired disability in younger or middle years (Hahn, Aronow, Rosario, & Guenther, 2013). According to Ball, Dains, Flynn, Solomon & Stewart, 2014 the primary objective of the clinician when conducting an interview and physical assessment on a patient, is to discover the details about a patient’s concern, explore expectations, identify underlying worries, and believing them which optimizes your ability to help them. It is important to adapt to the needs of all patients of any age with disabling physical or emotional states (Ball et al., 2015).

Selected Patient for Face-to-Face Interview and Assessment

As a clinician building a health history on a 76-year-old Black/African American male with disabilities living in an urban setting. It is important to be sensitive to cultural differences that may exist between you and the patient that can help avoid miscommunication. To build health history based on ethnicity and to avoid stereotype, when necessary clinicians should modify their habits to foster effective communication, because your first meeting with the patient set the tone for success. Also, the clinician should be honest, flexible and have a desire to help (Ball et al, 2015).  When you first enter the patient’s, space be respectful by greeting the patient, introduce yourself and state the reason for your visit. Acquire written or verbal consent from the patient to collect health history and to conduct an interview. If possible conduct the interview in an uncluttered quiet area. Have the patients’ health record available and utilize all healthcare professionals involved in this patient’s care. Because the patient may lack the ability to give accurate history, having a family member present with the patient’s permission during the interview helps the patient to be more comfortable to provide needed information (Ball et al., 2015). It is important to sit in front of the patient at eye level, speak slowly, clearly and enunciate each word in the patients view for patients with hearing and visual disability (Ball et al., 2015). To conduct the interview, it is important to have written open-ended questions that are short, uncomplicated and pertinent to the patient to avoid overwhelming and confusion. History on the elderly can be more complex so guiding techniques can be used to obtain important information (Kahn et al., 2013).

Health Related Risk

Frailty is increasingly common among our aging population. Assessing level of frailty is very important, because it has a significant impact on individuals and society with increased risk of dependency, disability, hospitalization, institutional placement, and mortality (Harttgen, Kowal, Strulik, Chatterji, & Vollmer 2013). Frailty is characterized by weakness weight loss and low activity. It is considered an at-risk state caused by age –associated accumulation of deficits (Ball et al., 2015). Functional impairment must be assessed.

Functional Mobility Assessment Screening Tool

Functional assessment must be address for the disabled patient by assessing their health risk. Assessing the patient’s ability to perform activities of daily living (ADL), and cognitive, psychological social and sexual limitation should be completed on all older adults or a disabled patient (Ball et al., 2015). Does the patient has difficulty walking standard distance (0 feet or 2 to 3 blocks), difficulty climbing stairs (up and down), difficulty holding and opening small objects, needs assistance with house-keeping, shopping, money management, meal preparation and assistant eating. Interviewer must keep in mind that the patients will hide or overstate their abilities (Ball et al., 2015).

Conclusion

            To build a health history as it relates to ethnicity, information about personal and social history is important to address cultural background, practices, home environment as a youth, education, occupation, current health habits, health coverage and concern about healthcare cost should be collected to avoid the stereotype as they influence the health problem on the patient’s life (Ball et al., 2015). Understanding a person’s life and daily routine can help you to understand how your patient’s lifestyle might affects his healthcare. Also understanding an older patient usual level of functioning and knowing about any recent significant changes are important to providing appropriate healthcare (Paula, Krzysztof, & Ewa, 2018).

References

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2015). Seidel’s guide to

physical examination (8th ed.). St. Louis, MO: Elsevier Mosby.

250 WORDS CITATION AND REFERENCES

Discuss how the concept of “health” has changed overtime. Discuss how the concept has evolved to include wellness, illness, and overall well-being. How has health promotion changed over time? Why is it important that nurses implement health promotion interventions based on evidence-based practice?

Teacher comment:

People’s view on health have changed over the years. Previously people thought they were healthy if they were free of disease and able to work and support their family. With access to health insurance, people are seeing their physicians for annual check-ups where primary prevention is placed as high priority. Vaccinations are emphasized as each new child is brought into the world. Community events are held to teach people about the importance of a healthy diet and exercise regimen. Risk factors are assessed, and monitoring takes place (ie: elevated blood pressure, impaired fasting blood glucose). There is availability of medications to treat many conditions before they cause damage, and this is the role of secondary prevention – detection and treatment. Health care professionals utilize Evidence Based Practice in their care of patients in both health promotion and illness prevention.

New technology—and the application of existing technology—only appears in healthcare settings after careful and significant research. The stakes are high, and new clinical systems need to offer evidence of positive impact on outcomes or efficiencies.

Nurse informaticists and healthcare leaders formulate clinical system strategies. As these strategies are often based on technology trends, informaticists and others have then benefited from consulting existing research to inform their thinking.

In this Assignment, you will review existing research focused on the application of clinical systems. After reviewing, you will summarize your findings. 

To Prepare:

• Review the Resources and reflect on the impact of clinical systems on outcomes and efficiencies within the context of nursing practice and healthcare delivery.
• Conduct a search for recent (within the last 5 years) research focused on the application of clinical systems. The research should provide evidence to support the use of one type of clinical system to improve outcomes and/or efficiencies, such as “the use of personal health records or portals to support patients newly diagnosed with diabetes.”
• Identify and select 5 peer-reviewed articles from your research.

The Assignment: (4-5 pages)

In a 4- to 5-page paper, synthesize the peer-reviewed research you reviewed. Be sure to address the following:

• Identify the 5 peer-reviewed articles you reviewed, citing each in APA format.
• Summarize each study, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described. Be specific and provide examples. 

  

For this project, you will research a population’s health needs and determine how you could meet this need using telehealth.

Through research, determine who, what, where, and how of your project. This consist of an email to the instructor where you will define:

1. Who: define the target population will be for your effort. Consider factors such as age, gender, ethnicity, location and health issues.

2. What: define your goal.

3. Where: decide where your population will be for this effort.

4. How: decide what technologies you will use to deliver your information.

Trust may be something we take for granted until it is injured or destroyed. When that happens, it assumes a new importance. When you think of the people that are important in your life, these are most likely people you trust. We live in a time when we are frequently reminded that trust has to be earned and then reevaluated. Think of some of the public figures that had been trusted and then lost that trust. As you work on this assignment, start developing your trust meter, the instrument that guides you when evaluating trustworthiness. 

 Objectives • Analyze the evolving professional nursing roles of leader/manager within a dynamic health care team • Design unique strategies to promote adaptation to the professional nursing roles. • Utilize the critical thinking process in problem solving and decision making. 

Directions Before completing this assignment, read the first section (pages 1- 26) of Covey’s The Speed of Trust. In this assignment, you will write a short (1-2 pages), opinion paper. The paper is to be based on your own experiences and opinions. You should critically reflect on your personal experiences and apply what you have learned in the module to your current practice. Justify and explain your responses with examples and thorough explanations. Consider your current or past place of employment, and discuss the following: a. The level of excellence at this institution is (select high or low); possibly because of the high/low level of trust the employees have of the administration. This level of trust of administration is illustrated by: b. The level of excellence at this institution is (select high or low); possibly because of the high/low level of trust the administration has of the employees. This level of trust of the employees is illustrated by…..