Capstone Community Aggregate 

The purpose of this paper is to discuss the creation and implementation of a health promotion project by synthesizing all information collected throughout the RN to BSN completion program. [Put the text of your paper here and the last page of your paper is reserved for the references. Please see the South APA Guidelines and South APA Basics documents to ensure that your references are properly constructed]. 

                                        Introduction & Problem Statement  

[Put the text of your paper here providing an introduction to the problem and a clear statement of what you intended to accomplish with your project. INCLUDE the relevancy of the topic you chose, concerns regarding the issue, how this issue impacts nursing and healthcare.  INCLUDE literature review references and/or current event articles to support your perspective.  

                                                               Trends and Statistics 

 [Put the text of your paper here, presenting relevant trends, etiology of the problem, prevalence & incidence statistics (referencing as appropriate) – USE relates statistics form the CDC or other relevant data information and the last page of your paper is reserved for the references. 

                                                                       Related Sources  

[Put the text of your paper here discussing relevant information to the problem and your project, referencing as appropriate. You must provide at least ONE Peer-Reviewed nursing articles and at least TWO current event articles/internet sites or other forms of media to demonstrate appropriate research. 

                                  The Client: Objective & Subjective Assessment 

[Put the text of your paper here introducing your aggregate and the representative of your aggregate.  In the sections below, you will clearly and concisely describe your client using BOTH subjective and objective information.  

                                                                    Case Study 

[Put the text of your paper here and summarize your findings related to the issues presented by your client and discuss how and intent to improve your client’s health/life.  Include both Objective and Subjective information. 

                                                         Aggregates’ Demographics 

[Put the text of your paper here present the demographics of the aggregate here (remember an aggregate is a GROUP of people, not just one individual) and the last page of your paper is reserved for the references. 

                                                 Gordon’s 11 Functional Health Patterns  

See Appendix B of this paper. You may include your entire Gordon’s information as an appendix, but here you want to SUMARIZE the information and only present items that are relative to the issue you are addressing.  Describe the content of the relevant portions of the Gordon’s here. 

                             Health Perception and Health Management.

[Put the text of your paper here discussing the health perception(s) of the individual that represents your aggregate and his/her current management strategy. 

                                       Nutrition and Metabolism.

[Put the text of your paper here discussing the nutrition and metabolism of the individual that represents you aggregate, if relevant.  If NOT relevant, leave this sub-topic out. 

                                                 Elimination.  

Put the text of your paper here discussing the elimination of the individual that represents you aggregate if relevant.  If NOT relevant, leave this subtopic out.                                                                           Activity and Exercise. 

[Put the text of your paper here discussing the activity and exercise of the individual that represents you aggregate if relevant.  If NOT relevant, leave this subtopic out.  

                                                                    Cognition and Perception. 

[Put the text of your paper here discussing the cognition and perception of the individual that represents you aggregate if relevant.  If NOT relevant, leave this subtopic out. 

                                                                  Sleep and Rest. 

[Put the text of your paper here discussing the sleep and rest of the individual that represents you aggregate if relevant.  If NOT relevant, leave this subtopic out. 

                                                 Self-Perception and Self-Concept. 

[Put the text of your paper here discussing the Self-perception and self-concept of the individual that represents you aggregate if relevant.  If NOT relevant, leave this subtopic out. 

                                                    Roles and Relationships.

 [Put the text of your paper here discussing the roles and relationships of the individual that represents you aggregate if relevant.  If NOT relevant, leave this subtopic out. 

                                     Sexuality and Reproduction. 

[Put the text of your paper here discussing the sexuality and reproduction of the individual that represents you aggregate if relevant.  If NOT relevant, leave this subtopic out.  

                                                  Coping and Stress Tolerance.

 [Put the text of your paper here discussing the coping and Stress Tolerance of the individual that represents you aggregate if relevant.  If NOT relevant, leave this subtopic out. 

                                                             Values and Belief. 

[Put the text of your paper here discussing the values and beliefs of the individual that represents you aggregate if relevant.  If NOT relevant, leave this subtopic out. 

                                                        Windshield Survey

[Put the text of your paper here and describing the relevant finding of your Windshield survey in paragraph form.  You may include your entire windshield survey as an APPENDIX, but in this section, you should present your findings in paragraph format. Concept Map     [Put the text of your paper here describing your concept map.  THIS is an EXAMPLE of a CONCEPT map – yours may be different. 

                                       Genogram: One Individual in Aggregate  

[Put the text of your paper here and describing the genogram of the individual representing your aggregate, if appropriate.  CLEARLY identify your individual in your genograms.  Include children of your aggregate exemplar, if appropriate. 

Paternal Side:   

 Maternal Side:       

                           Plan of the Project Community Stakeholder’s Identified 

[Put the text of your paper here describing the community stakeholders you have identified related to both your aggregate and the individual with whom you are working who represents your aggregate.  

                                      Financial and Political Implications

 [Put the text of your paper here discussing the financial and political implications of your health promotion plan as it relates to both the entire aggregate and the individual that represents your aggregate.  

               Feasibility of the Project Provision of Alternate Plan and Interventions

 [Put the text of your paper here discussing an alternative plan if your initial plan does not work. 

                                            Role of Change Agent

 [Put the text of your paper here discuss the role of a change agent and your specific role as the change agent for your aggregate and for the individual that is representing your aggregate. 

Implementation and Evaluation of the Project Implementation of the Project [Describe in detail what you did and how you did it (your health promotion plan) and the progress made.   

                                 Evaluation of the Project Evaluation: 

Did the project intervention address the original identified problem? [Put the text of your paper here describing and critiquing your health promotion plan – i.e. – DID IT WORK?   WHY or why not????  

                 Implications to Nursing Practice in the Local Community 

 [Put the text of your paper here discussing how your plan can affect (or be used by) nurses practicing in the local community. Provide at least three nursing implications that would affect nursing practice in the local community.  

                      Implications to Nursing Practice and Global Health 

 [Put the text of your paper here discussing how your plan might impact nurses around the world and global health.  Provide at least three nursing implications that would affect nursing practice in terms of global health.   

                                   Summary, Recommendations and Conclusion  

[Put the text of your paper here presenting your recommendations related to your project as well as a summary of the project and your conclusions Please see the South APA Guidelines and South APA Basics documents to ensure that your references are properly constructed].

  

1-Many nurses would probably be surprised at the rates of STD in the elderly population. Sometimes the infection is newly acquired or it could be residual from a prior infection (such as Herpes outbreaks). Ageist attitudes can cause people to think elders are not sexually active, resulting in a failure to recognize their symptoms of STD or give proper patient education.

  

2-A clinician’s knowledge of an elderly patient’s everyday concerns, social circumstances, mental function, emotional state, and sense of well-being helps orient and guide the interview. Asking patients to describe a typical day elicits information about their quality of life and mental and physical function (Brink, 2014). This approach is especially useful during the first meeting. Patients should be given time to speak about things of personal importance. Clinicians should also ask whether patients have specific concerns, such as fear of falling. The resulting rapport can help the clinician communicate better with patients and their family members (Brink, 2014). A mental status examination may be necessary early in the interview to determine the patient’s reliability; this examination should be conducted tactfully so that the patient does not become embarrassed, offended, or defensive (Brink, 2014). Routine screening for physical and psychologic disorders should be done annually, beginning at age 70.

  

3-Disorders that are common among the elderly are frequently missed, or the diagnosis is delayed. Clinicians should use the history, physical examination, and simple laboratory tests to actively screen elderly patients for disorders that occur only or commonly in the elderly; when diagnosed early, these disorders can often be more easily treated (Brink, 2014). Early diagnosis frequently depends on the clinician’s familiarity with the patient’s behavior and history, including mental status. Commonly, the first signs of a physical disorder are mental or emotional. If clinicians are unaware of this possibility and attribute these signs to dementia, diagnosis and treatment can be delayed (Brink, 2014).

  

4-I found myself doing the same thing working on the oncology unit. I would float to the floor as an agency nurse and would automatically get depressed in the report. Hearing all of those sad stories of the young patients and their prognosis. Just to see these young people dying with babies at home, it did something to me. I told my staffing agency to please remove it from my profile. I didn’t care if I was to go hungry, I couldn’t do it. I still cry when I hear a grieving child crying at their mother bedside. It does something to me.

 5-my family had a similar situation to yours. I think it happens to many people. No matter how much they would love to just drop everything and fulfill the wishes of their dying loved one, it’s just not possible. There are still the children to take care of and job obligations. Knowing this helps us to encourage our patient’s family that there are many other ways they can continue to show their love to a dying relative. 

  

6-Thank you for sharing your personal experience with your Grandpa. I can imagine how difficult it must have been for you and your family. I can understand how your mom would have been far too stressed with her grieving process of her partner and then to prepare to go through it all again too soon would have been hard.  I think as families, we do the best we can and hope for the best. As nurses, we have to understand that some families just can’t drop their lives to be at the bedside. It’s not that they don’t care or love the person, it’s just life. 

•     CHAPTER 7–LPN-BSN: An innovative articulation model

1. How was the need determined to initiate this innovative educational program? 
2. Who were the major stakeholders?
3. How was the project conceptualized?
4. How were the program outcomes developed?

• This is my book:  Start on page 167
• Harris, J. L., Roussel, L., Thomas, P. L., & Dearman, C. (2015). Project Planning & Management: A Guide for Nurses and Interprofessional Teams. Jones & Bartlett Publishers.

 No plagiarism will be accepted  

Instructions: Body of textHistory-history of creation/discovery and use-describe the chemical make-up of the drug (i.e., Crack is cocaine hydrochloride powder that has been processed to form a rock crystal that is then usually smoked).

At least half a page.

Production-is the drug natural or synthesized in the lab? 

Ex: designer drug LSD (lab) versus naturally growing mushrooms (natural).  At least half a page. 

Influence on Neurotransmitters and Receptors-Describe what neurotransmitters/receptors/hormones are involved. 

How does the drug influence them? (be specific, i.e., serotonin receptors or even more specific, 5HT). At least half a page.

Effectiveness, Use and/or Abuse-what is the effectiveness of the drug (if it is used clinically) or if illicit, how potent is it (maybe talk here about cutting street drugs with other chemicals like baking soda, etc). 

-is the drug abused? 

If yes describe in terms of prevalence of use and abuse. 

If no describe why-is the drug addictive or does it build a physical tolerance (need to increase the dose to keep working)?

 If yes then how do you stop using it (taper down the dose, etc.). If no, then say why the receptors that it works on do not up or down regulate, etc.).  At least a page. 

Physical, Mental, and Social Benefits/Dangers -Is this drug dangerous or useful or beneficial (physical, to the self,  the repercussions to society, to research, and the field of psychology) describe how and why? 

At least a page.Conclusion -write a brief summary of the main points. -based on the research, is there conflicting data about the drug?

 Is this supported by research? 

Mention any discrepancies in the research that should be addressed.

Make sure you choose one specific drug and its influence on one specific population as we talked about in class.

A research paper is required to pass the course.  A 6 page APA paper based on a related biological psychology topic/phenomenon. On this paper, you will explore the influence and effects of a specific drug e.g. caffeine, alcohol, cocaine, Ritalin, etc.  on a specific target population of interest e.g. young college students, children with ADHD, women with bipolar disorder, young women with anorexia,

Number of Pages: 6 Pages

Page Line Spacing: Double spaced (Default)

Academic Level: College

Paper Format: APA

Use the following Case Scenario, Subjective Data, and Objective Data to answer the Critical Thinking Questions.  Case Scenario  Mrs. J. is a 63-year-old woman who has a history of hypertension, chronic heart failure, and sleep apnea. She has been smoking two packs of cigarettes a day for 40 years and has refused to quit. Three days ago, she had an onset of flu with fever, pharyngitis, and malaise. She has not taken her antihypertensive medications or her medications to control her heart failure for 4 days. Today, she has been admitted to the hospital ICU with acute decompensated heart failure.  Subjective Data 1.Is very anxious and asks whether she is going to die. 2.Denies pain but says she feels like she cannot get enough air. 3.Says her heart feels like it is “running away.” 4.Reports that she is so exhausted she cannot eat or drink by herself.  Objective Data 1.Height 175 cm; Weight 95.5 kg 2.Vital signs: T 37.6 C, HR 118 and irregular, RR 34, BP 90/58 3.Cardiovascular: Distant S1, S2, S3 present; PMI at sixth ICS and faint; all peripheral pulses are 1+; bilateral jugular vein distention; initial cardiac monitoring indicates a ventricular rate of 132 and atrial fibrillation 4.Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82% 5.Gastrointestinal: BS present: hepatomegaly 4 cm below costal margin  Critical Thinking Questions  What nursing interventions are appropriate for Mrs. J. at the time of her admission? Drug therapy is started for Mrs. J. to control her symptoms. What is the rationale for the administration of each of the following medications? 1.IV furosemide (Lasix) 2.Enalapril (Vasotec) 3.Metoprolol (Lopressor) 4.IV morphine sulphate (Morphine)  Describe four cardiovascular conditions that may lead to heart failure and what can be done in the form of medical/nursing interventions to prevent the development of heart failure in each condition.  Taking into consideration the fact that most mature adults take at least six prescription medications, discuss four nursing interventions that can help prevent problems caused by multiple drug interactions in older patients. Provide rationale for each of the interventions you recommend.