Instructions:

    Follow the 3 x 3 rule: minimum three paragraphs per DQ (each question) with a minimum of three sentences each paragraph 

    All answers or discussions comments submitted must be in APA format according to Publication Manual American Psychological Association (APA) (7th ed.)

     Minimum of two (2) references , (each question) not older than 2015.

Q1: Name five continuous, five discrete, and five categorical variables. Which ones are you going to use in your practicum?

Q2: An adult patient with a chronic myelogenous leukemia sits down with you to discuss his questions and concerns about his upcoming bone marrow transplant. He has already received some educational materials and participated in a family conference during which health team members described the procedure and potential complications. He has been told that he has a risk of graft rejection or graft versus host disease (GVHD), but he does not understand the distinction.

a.  What are the similarities between graft versus host disease and graft rejection?

b.  What are the pathophysiologic differences between graft versus host disease and graft rejection?

c.   How would these differences be manifested clinically?

Studies have shown a protective effect of mild to moderate GVHD in cancer patients who have had a bone marrow transplant. Based on your understanding, can you explain these findings?

Refer back to the interview and evaluation you conducted in the Topic 2 Family Health Assessment assignment. Identify the social determinates of health (SDOH) contributing to the family’s health status. In a 750-1,000-word paper, create a plan of action to incorporate health promotion strategies for this family. Include the following:

1. Describe the SDOH that affect the family health status. What is the impact of these SDOH on the family? Discuss why these factors are prevalent for this family.
2. Based on the information gathered through the family health assessment, recommend age-appropriate screenings for each family member. Provide support and rationale for your suggestions. 
3. Choose a health model to assist in creating a plan of action. Describe the model selected. Discuss the reasons why this health model is the best choice for this family. Provide rationale for your reasoning.
4. Using the model, outline the steps for a family-centered health promotion. Include strategies for communication.

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.  An abstract is not required.

Beryl is a 50 year old woman with Hypertension who is attending a Healthy Heart Workshop at her local Community Health Centre.  Beryl’s blood pressure is 160/95, she is 150cms in height and her weight is 105kg.  Beryl reports that she drinks two to three glasses of wine per night, eats a lot of take away foods as she’s too busy with her executive management job to think about cooking. She is a single mother caring for three school aged children to always cook. She states that she rarely exercises due to lack of time.  Beryl visited her GP last week after feeling unwell.  Pathology was taken and Beryl’s GP report shows that her total cholesterol is 6 mmol/L, Low Density Lipoprotein 3.1 mmol/L and High Density Lipoprotein  0.8mmol/L. The GP commenced Beryl on medications but she states “I keep forgetting to take them, my life is just so stressful at the moment. I really don’t have time to be here, I need to be at work”. 

Lesson Evaluation

The effective nurse educator employs a variety of formative and summative techniques during curriculum implementation to monitor student learning. A well-developed lesson plan employs both formative and summative assessments. A nurse educator should plan to use data from these assessments to guide instruction.

Concept maps describe the relationships between concepts and allow for an improved understand through critical thinking and analysis. 

To understand the link between formative and summative assessment strategies, develop a concept map describing the flow of assessment strategies throughout your own lesson plan. 

Be creative in your design. 

A rationale should be included for your choice of assessments.

Use the Topic Materials and your own research, to develop your concept map. Include the following criteria to create your concept map for this assignment:

1. Description of one formative assessment strategy to be used in lesson plan with rationale.

2. Explanation of how the data from the formative assessment will guide your instruction.

3. Description of one summative assessment strategy to be used in the lesson plan with rationale.

4. Explanation of how the data from the summative assessment will guide your future lesson plan revisions.

5. Description of the instructor satisfaction survey to be administered to students.

6. Explanation of how data from the instructor satisfaction survey will guide your teaching practice.

Cite two or three peer‐reviewed/scholarly resources no more than 5 years old in your paper.

Prepare this assessment 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. A link to the LopesWrite technical support articles is located in Course Materials if you need assistance.

I need a 2 or 3 sentence comment for each paragraph

Paragraph 1

Today’s family reaches beyond the traditional definition and encompasses societal units of single-parent families; lesbian , bisexual, gay, transgender, queer, and questioning (LBGTQ+) families’ children raised by grandparents or other relatives; multigenerational units; and people who are together out of friendship and love, not bloodlines”. It is important to understand the family dynamics of the patient, their roles and relationships so nurses can better understand family structure and their involvement. Involving families in care and education can enhance patient compliance. Family members can affect health of an individual based on their social characteristics, culture, the influences from their neighborhood, community and society (Sharma, 2013). Health seeking behaviors and preferences may also be influences by family structure and the changing dynamics of family composition can impact lifestyles and heath related risk factors (Sharma, 2013). Nurses have a powerful position to create a therapeutic relationship with patients and families and involving those who influence the health and wellbeing of an individual in efficient, quality health care (Ponte, et al., 2007). Nurses who are confident in their ability to acknowledge family structure and what patients and families need, can successfully implement actions to encourage high quality care. “The family influences on each other can be engaged to assist patients and family members make choices and changes for better health”

Paragraph 2

The definition of “family” has evolved over generations and expanded from the traditional male and female married couple and their children living under one roof to that of the modern way in which people are interacting with each other and carrying out relationships. Coinciding with the way people are relating to one and other today, the definition a family has broaden to “societal units of single-parent families; lesbian, bisexual, gay, trans gender, queer, and questioning (LBGTQ+) families; children raised by grandparents or other relatives; multi generational units; and people who are together out of friendship and love, not bloodlines. The form and function of the family dynamics directly influence the overall health of an individual. This is why understanding the different family structures and not assuming the “non-traditional” structure will enable the nurse to make accurate assessments on the health care needs of the individual as well as identifying gaps to meeting those needs and formulating a plan while honoring their preferences, beliefs and values. Understanding the family structure will give the nurse insight to the plan for aftercare and how well the goals will be met in the home setting. The family systems theory takes a look at the family as a whole system rather than individual members to study the family processes and problems. However, each family member has their own individual role, feelings, behaviors and goals that influence the rest of the family. Considering the family system will help nurses understand the interaction of the family because any “modification by an individual within the system can change the family’s finances, health, housing, communication, and dreams. Once a change is made within the member of the family then the dynamics in the whole system start to shift, which can result in either positive outcomes for everyone or create stressors and tensions for the other members to adapt to. Involving the whole family in the assessment and planning of care will create an environment of support and encouragement, promote education and increase the probability of healthier, positive behaviors.