Clinical For Community And Public Health Nursing 2025

Care Plan Choose a community setting of your preference and create a patient scenario. Keep in mind this is a community and public health nursing clinical course therefore, your care plan should address a public health concern. Planning nursing is nursing action plans to be implemented to address the problems within their nursing diagnosis has been determined with the aim of fulfilling the needs of the client. So public health nursing care plan is based on pre-defined nursing diagnoses and nursing plan drawn up should include the formulation of objectives, plans nursing actions to be performed and the criteria for assessing the results of the achievement of objectives. The steps in the planning of public health nursing are as follows: Identify alternative nursing actions. Set techniques and procedures to be used. Involve community participation in planning through village community consultation activities, or mini workshops. Consider the community resources and facilities available. Actions to be implemented must be able to meet the requirement, which was felt by the public. Leads to the objectives to be achieved. Action must be realistic. Arranged sequentially. ***Follow example attached to this assignment! You must utilize the attached form to complete the assignment. This assignment is an individual assignment and everyone must turn in one care plan before the end of class.

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Peer’s Response 2025

1. Explore this initiative in detail and share your thoughts on the plan. As an obstetric nurse practitioner, I chose the tweet related to Rethinking Race in Medicine. The American College of Obstetricians and Gynecologists decided to remove the guidelines for treating iron deficiency anemia for the African American population(“Anemia in Pregnancy,” 2021). They state that having such policies promote health inequalities. Untreated anemias in pregnancy can lead to higher needs of blood transfusions and maternal deaths. The actual practice of not treating black women with a lower threshold came from the idea of avoiding overtreatment. In 1990, population-based treatments became more popular, including high blood pressure guidelines. Algorithms are now commonly used as guidance in medical practice (Bottino, 2020). In Canada, the incidence of anemia pregnancy is more than 30%, with several complications associate with this disorder (Malinowski & Murji, 2021). 2. Discuss your thoughts about the Tweet and whether you can support the initiative or not. Be sure to use evidence in support of your position. In my opinion, treatment should be offered to everyone regardless of their race. Education also needs to be extensive. Many patients are not anemic because of a racial disposition, but because of a lack of a good diet, not taking prenatal vitamins, and not properly caring for themselves. I support the initiative of healthcare providers treating everyone fairly and despise racist choices. Conditions as high blood pressure that are treated depending on the individual’s race, since one DNA might metabolize one medication than others, should not be politicized. Iron deficiency anemia is acquired due to a diet poor in iron-rich foods, heavy menses, short intervals between pregnancies, and gastrointestinal diseases affecting absorption (“Anemia in Pregnancy,” 2021). 3. Within the political climate of government today, does this initiative have any hope of moving forward? Share your position based on the evidence. We are in a great position to improve this type of guideline. It is ultimately up to the patients to improve their lifestyles and make better choices for themselves. Removing the race from the algorithm will allow everyone to be treated for a specific range of blood results. Once the provider orders Iron supplementation, it is the patient’s responsibility to comply by taking the medication and improving her diet. 4. Compose a Tweet (no more than 140 characters) that adequately addresses your response to the original post and share this Tweet in the discussion What do lentils, quinoa, peanut butter, and cereals have in common? They are Iron-rich foods. Eating a healthy diet in conjunction with taking your prenatal multivitamins every day will prevent you from becoming anemic. Postpartum Hemorrhage is the number one cause of maternal death in the world. Together we can improve this statistic for a healthy mom, healthy baby. #healthymom #healthybaby. Danay Sosa References Anemia in Pregnancy. (2021). Obstetrics & Gynecology , 138 (2), e55-e64. doi: 10.1097/aog.0000000000004477 Bottino, C. (2020). Rethinking race in medical decision making. Bioethics , 34 (5), 447-449. doi: 10.1111/bioe.12755 Malinowski, A., & Murji, A. (2021). Iron deficiency and iron deficiency anemia in pregnancy. Canadian Medical Association Journal , 193 (29), E1137-E1138. doi: 10.1503/cmaj.210007

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Planing 2025

Evaluation reports are often provided to funders, staff, and other key stakeholders once an evaluation has been completed. Imagine you are preparing an evaluation report after completion of your program evaluation. What information would you include in the report? How could you use the findings from your evaluation to engage stakeholders and build support for your program?

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How To Write An EBP Literature Review 2025

Instructions: Implementing evidence into practice requires nurses to identify, critically appraise and synthesize research. this may require a comprehensive literature review. Please respond to the following questions: In your own words, discuss what “evidence” means to you. What are “journal articles” and “Peer Review”? In your own words, describe in detail what a literature review is and how it is useful when making clinical decisions? Discuss in detail the major purposes of doing a literature review. Discuss the various criteria that a good literature review will have. What does the acronym IMRaD stand for? Create an original posting with a minimum of 250-300 words. Back up your arguments with reliable evidence.

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Management Of Patients With Chest And Lower Respiratory Tract Disorders 2025

Case Study, Chapter 23, Management of Patients With Chest and Lower Respiratory Tract Disorders 1. Harry Smith, 70 years of age, is a male patient who is admitted to the medical-surgical unit with acute community-acquired pneumonia. He was diagnosed with paraseptal emphysema 3 years ago. The patient smoked cigarettes one pack per day for 55 years and quit 3 years ago. The patient has a history of hypertension, and diabetes controlled with oral diabetic agents. The patient presents with confusion as to time and place. The family stated that this is a new change for the patient. The admission vital signs are as follows: blood pressure 90/50 mm Hg, heart rate 101 bpm, respiratory rate 28 breaths/min, and temperature 101.5°F. The pulse oximeter on room air is 85%. The CBC is as follows: WBC 12,500, platelets 350,000, HCT 30%, and Hgb 10 g/dL. ABGs on room air are pH 7.30, PaO2 55, PaCO2 50, HCO3 25. Chest x-ray results reveal right lower lobe consolidation, presence of apical bullae, flattened diaphragm, and a small pleural effusion in the right lower lobe. Lung auscultation reveals severely diminished breath sounds in the right lower lobe and absence of breath sounds at the base. The breath sounds in the rest of the lungs are slightly decreased. The patient complains of fatigue and shortness of breath and cannot finish a short sentence before the respiratory rate increases above the baseline and his nail beds and lips turn a bluish tinge and the pulse oximetry decreases to 82%. The patient is diaphoretic and is using accessory muscles. The patient coughs weakly, but he does not raise any sputum. (Learning Objective 3) What nursing assessment findings support the diagnosis of pneumonia? What diagnostic findings support the diagnosis of pneumonia? What NANDA nursing diagnoses should the nurse formulate for the patient? What goals should the nurse develop for the patient? What overall interventions should the nurse provide? 2. Marie Perez, a 53-year-old patient, is day 1 after a gastric bypass. She complains of shortness of breath; her respiratory rate is 30 breaths/min, heart rate is 110 bpm, pulse oximetry 89% on room air, temperature is 100°F, and her blood pressure is 90/50 mm Hg. She complains of feeling anxious and having stabbing chest pain which gets worse with inspiration. She complains that she feels like she is going to pass out or possibly die. (Learning Objective 7) What could possibly be going on with the patient and what measures should the nurse provide immediately? What risk factors does the patient have for a pulmonary embolus? What measures are appropriate to manage a pulmonary embolism? What measures are appropriate to help the patient in this case study prevent the reoccurrence of a pulmonary embolism?

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