Head-to-Toe Assessment  For this assignment, perform a complete head-to-toe assessment on one of your chosen participants. Your analysis should include the following:      
•Topical headings to delineate systems.   

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

•Detailed review of each system with normal and abnormal findings, along with normal laboratory findings for client age.    

•An analysis of age-specific risk reduction, health screen, and immunizations.  

  •Your expectation of normal findings and what might indicate abnormal findings in your review of systems.    

•The differential diagnosis (disease) associated with possible abnormal findings.  

  •A plan of care (including nursing diagnosis, interventions, evaluation).   

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

•Pharmacological treatments that can be used to address health issues for this client.   Provide your answers in a 6- to 7-page Microsoft Word document.   Support your responses with examples.   On a separate references page, cite all sources using APA format.      

•Use this APA Citation Helper as a convenient reference for properly citing resources.   

 •This handout will provide you the details of formatting your essay using APA style.   

 •You may create your essay in this APA-formatted template.

1. Prepare for Final Paper

Topic: Ethical Conduct of Research (Outcomes 1,6): 20 hours

• Select a healthcare related research study. Identify the sample population. Analyze and critique the study to identify if sampling method reflects ethical principles including consent, conditions of the participants, study approved by IRB, 
• Minimum 20 pages excluding title and reference page. 
• APA format

Final paper will be submitted through TURNIT in™.

Papers MAY NOT show evidence of similarity beyond 20% excluding reference pages!

Papers that reflect over 20% SIMILARITIES will be assigned a ZERO. There is NO opportunity for late or re-submitted work!

POWER POINTS 

Topic  Ethical Conduct of Research 

· Deliver a 15-20 minutes ,10-15 slides(excluding tittle and reference slides)

· Provide visual aids(in addition to power points i,e informational,handouts,scholary videos, display boards

· APA format

· Use a minimum of five scholarly references.

·  

 

Please review the following website for an example of an early childhood program: Primrose School at East Lake

In your paper: a.Explain how the role of the administrator is different from that of the teacher in program and curriculum planning.

b. Describe the learning and developmental needs of your chosen age group.

c. Analyze how your program will address the cognitive, social, emotional, and physical development of children in this age group (give specific curricular ideas for each area of development) as well as classroom management and the daily schedule.

d.Explain how your program aligns with the philosophy, vision, and mission statements you created in Week One.

e. Discuss how your program aligns with NAEYC’s indicators of effective curriculum, as outlined in Chapter 4 and found in the article, “Where We Stand on Curriculum, Assessment, and Program Evaluation.” The paper should be five to six pages in length, in addition to the title page and the reference page. Use at least one scholarly source in addition to your text and the NAEYC article. Your paper should also be formatted according to APA style as outlined in the Ashford Writing Center.

Comment 1

  Evidence-based practice (EBP) promotes quality, safe, and cost-effective outcomes for patients, families, healthcare providers, and the healthcare system. It evolves from the integration of the best research evidence with clinical expertise and patients’ needs and values (Grove, Gray & Burns, 2015. 5th ed).

       EBP incorporates the needs and values of the patient and the patient’s need(s) might focus on health promotion, illness prevention, acute or chronic illness management, rehabilitation, and/or a peaceful death. In addition, patients bring values or unique preferences, expectations, concerns, and cultural beliefs to the clinical encounter. With EBP, patients and their families are encouraged to take an active role in the management of their health values (Grove, Gray & Burns, 2015. 5th ed).

Infection control in cancer patient with low immunity using evidence-based practice: Hand hygiene using soap and water or an antiseptic hand rub for all patients and their caregivers.

 Wearing protective gowns for expected body fluid contamination, use of gloves when contact with blood, body fluids, excretions, or secretions are expected.

 Limitation in the number of visitors and restrictions in visitors with symptoms of respiratory infection should be allowed. Environmental interventions such as keeping windows closed, using negative-pressure rooms, and using high-efficiency particulate air (HEPA) filters

 Contact precautions for patients known to be colonized or infected with resistant organisms (American Nurse Today, 2011).

Evidence-based practices related to central-line patency: Needleless connectors with neutral/zero fluid displacement during access and de-access, prophylactic antimicrobial lock solutions instead of heparin or saline solution and standing orders for managing catheter occlusions (American Nurse Today, 2011).

Comment 2

Through nursing research, empirical knowledge can be developed to improve nursing care, patient outcomes, and the healthcare delivery system. For example, nurses need a solid research base to implement and document the effectiveness of selected nursing interventions in treating particular patient problems and promoting positive patient and family outcomes. Also, nurses need to use research findings to determine the best way to deliver healthcare services to ensure that the greatest number of people receive quality, safe care.

Our Hospital is currently trying to achieve the Magnet status. There has been a big push for nurses with an associate degree to earn their bachelor’s degree.

You may be required to review the literature as part of a course assignment or project in the clinical setting, especially projects in Magnet hospitals. Nurses in Magnet hospitals must implement evidence-based practice, identify problems, and assist with data collection for research studies (American Nurses Credentialing Center [ANCC], 2013). Reviewing the literature is a first step in implementing evidence-based practice and identifying problems.

  

Discussion: Diversity and Health Assessments

In May 2012, Alice Randall wrote an article for The New York Times on the cultural factors that encouraged black women to maintain a weight above what is considered healthy. Randall explained—from her observations and her personal experience as a black woman—that many African-American communities and cultures consider women who are overweight to be more beautiful and desirable than women at a healthier weight. As she put it, “Many black women are fat because we want to be” (Randall, 2012).

Randall’s statements sparked a great deal of controversy and debate; however, they emphasize an underlying reality in the health care field: different populations, cultures, and groups have diverse beliefs and practices that impact their health. Nurses and health care professionals should be aware of this reality and adapt their health assessment techniques and recommendations to accommodate diversity.

In this Discussion, you will consider different socioeconomic, spiritual, lifestyle, and other cultural factors that should be taken into considerations when building a health history for patients with diverse backgrounds.

Case 1

JC, an at-risk 86-year-old Asian male is physically and financially dependent on his daughter, a single mother who has little time or money for her father’s health needs. He has a hx of hypertension (HTN), gastroesophageal reflux disease (GERD), b12 deficiency, and chronic prostatitis. He currently takes Lisinopril 10mg QD, Prilosec 20mg QD, B12 injections monthly, and Cipro 100mg QD. He comes to you for an annual exam and states “I came for my annual physical exam, but do not want to be a burden to my daughter.”

Case 2

TJ, a 32-year-old pregnant lesbian, is being seen for an annual physical exam and has been having vaginal discharge. Her pregnancy has been without complication thus far. She has been receiving prenatal care from an obstetrician. She received sperm from a local sperm bank. She is currently taking prenatal vitamins and takes Tylenol over the counter for aches and pains on occasion. She a strong family history of diabetes. Gravida 1; Para 0; Abortions 0.

Case 3

MR, a 23-year-old Native American male comes in to see you because he has been having anxiety and wants something to help him. He has been smoking “pot” and says he drinks to help him too. He tells you he is afraid that he will not get into Heaven if he continues in this lifestyle. He is not taking any prescriptions medications and denies drug use. He has a positive family history of diabetes, hypertension, and alcoholism.

To prepare:

· Reflect on your experiences as a nurse and on the information provided in this week’s Learning Resources on diversity issues in health assessments.

· Select one of the three case studies. Reflect on the provided patient information.

· Reflect on the specific socioeconomic, spiritual, lifestyle, and other cultural factors related to the health of the patient you selected.

· Consider how you would build a health history for the patient. What questions would you ask, and how would you frame them to be sensitive to the patient’s background, lifestyle, and culture? Develop five targeted questions you would ask the patient to build his or her health history and to assess his or her health risks.

· Think about the challenges associated with communicating with patients from a variety of specific populations. What strategies can you as a nurse employ to be sensitive to different cultural factors while gathering the pertinent information?

By Day 3

Write Plsease include subheading

an explanation of the specific socioeconomic, spiritual, lifestyle, and other cultural factors associated with the patient you selected. 

Explain the issues that you would need to be sensitive to when interacting with the patient, and why. 

Provide at least five targeted questions you would ask the patient to build his or her health history and to assess his or her health risks.