Assigned Reading

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Seidel’s guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.
Chapter 3, “Examination Techniques and Equipment”This chapter explains the physical examination techniques of inspection, palpation, percussion, and auscultation. This chapter also explores special issues and equipment relevant to the physical exam process.

Chapter 8, “Growth and Nutrition”In this chapter, the authors explain examinations for growth, gestational age, and pubertal development. The authors also differentiate growth among the organ systems.

Chapter 5, “Recording Information”  (Previously read in Week 1)This chapter provides rationale and methods for maintaining clear and accurate records. The text also explores the legal aspects of patient records.

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Student checklist: Health history guide. In Seidel’s guide to physical examination (9th ed.). St. Louis, MO: Elsevier Mosby.
Credit Line:  Seidel’s Guide to Physical Examination, 9th Edition by Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. Copyright 2019 by Elsevier Health Sciences. Reprinted by permission of Elsevier Health Sciences via the Copyright Clearance Center.

Centers for Disease Control and Prevention. (2018). Childhood overweight and obesity. Retrieved from http://www.cdc.gov/obesity/childhood

This website provides information about overweight and obese children. Additionally, the website provides basic facts about obesity and strategies to counteracting obesity.

Chaudhry, M. A. I., & Nisar, A. (2017). Escalating health care cost due to unnecessary diagnostic testing. Mehran University Research Journal of Engineering and Technology, (3), 569.

This study explores the escalating healthcare cost due the unnecessary use of diagnostic testing. Consider the impact of health insurance coverage in each state and how nursing professionals must be cognizant when ordering diagnostics for different individuals.

Dains, J. E., Baumann, L. C., & Scheibel, P. (2019). Advanced health assessment and clinical diagnosis in primary care (6th ed.). St. Louis, MO: Elsevier Mosby.
Credit Line: Advanced Health Assessment and Clinical Diagnosis in Primary Care, 6th Edition by Dains, J.E., Baumann, L. C., & Scheibel, P. Copyright 2019 by Mosby. Reprinted by permission of Mosby via the Copyright Clearance Center.

Chapter 1, “Clinical Reasoning, Evidence-Based Practice, and Symptom Analysis”
This chapter introduces the diagnostic process, which includes performing an analysis of the symptoms and then formulating and testing a hypothesis. The authors discuss how becoming an expert clinician takes time and practice in developing clinical judgment.

Gibbs , H., & Chapman-Novakofski, K. (2012). Exploring nutrition literacy: Attention to assessment and the skills clients need. Health, 4(3), 120–124.

This study explores nutrition literacy. The authors examine the level of attention paid to health literacy among nutrition professionals and the skills and knowledge needed to understand nutrition education.

Martin, B. C., Dalton, W. T., Williams, S. L., Slawson, D. L., Dunn, M. S., & Johns-Wommack, R. (2014). Weight status misperception as related to selected health risk behaviors among middle school students. Journal of School Health, 84(2), 116–123. doi:10.1111/josh.12128
Credit Line: Weight status misperception as related to selected health risk behaviors among middle school students by Martin, B. C., Dalton, W. T., Williams, S. L., Slawson, D. L., Dunn, M. S., & Johns-Wommack, R., in Journal of School Health, Vol. 84/Issue 2. Copyright 2014 by Blackwell Publishing. Reprinted by permission of Blackwell Publishing via the Copyright Clearance Center.

Noble, H., & Smith, J. (2015) Issues of validity and reliability in qualitative research . Evidence Based Nursing, 18(2), pp. 34–35.

Seidel, H. M., Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2011). History subjective data checklist. In Mosby’s guide to physical examination (7th ed.). St. Louis, MO: Elsevier Mosby.
Credit Line: Mosby’s Guide to Physical Examination, 7th Edition by Seidel, H. M., Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. Copyright 2011 by Elsevier. Reprinted by permission of Elsevier via the Copyright Clearance Center.

This History Subjective Data Checklist was published as a companion to Seidel’s Guide to Physical Examination (8th ed.) by Ball, J. W., Dains, J. E., & Flynn, J.A. Copyright Elsevier (2015). From https://evolve.elsevier.com

Sullivan, D. D. (2019). Guide to clinical documentation (3rd ed.). Philadelphia, PA: F. A. Davis.
Chapter 2, “The Comprehensive History and Physical Exam” (Previously read in Week 1)
Chapter 5, “Pediatric Preventative Care Visits” (pp. 91 101)

 

When seeking to identify a patient’s health condition, advanced practice nurses can use a diverse selection of diagnostic tests and assessment tools; however, different factors affect the validity and reliability of the results produced by these tests or tools. Nurses must be aware of these factors in order to select the most appropriate test or tool and to accurately interpret the results.

Not only do these diagnostic tests affect adults, body measurements can provide a general picture of whether a child is receiving adequate nutrition or is at risk for health issues. These data, however, are just one aspect to be considered. Lifestyle, family history, and culture—among other factors—are also relevant. That said, gathering and communicating this information can be a delicate process.

 

Include the following:

• An explanation of the health issues and risks that are relevant to the child you were assigned.
• Describe additional information you would need in order to further assess his or her weight-related health.
• Identify and describe any risks and consider what further information you would need to gain a full understanding of the child’s health. Think about how you could gather this information in a sensitive fashion.
• Taking into account the parents’ and caregivers’ potential sensitivities, list at least three specific questions you would ask about the child to gather more information.
• Provide at least two strategies you could employ to encourage the parents or caregivers to be proactive about their child’s health and weight.
• Based on the risks you identified, consider what further information you would need to gain a full understanding of the child’s health. Think about how you could gather this information in a sensitive fashion.
• Consider how you could encourage parents or caregivers to be proactive toward the child’s health

The Assignment

Case #2:  75-year-old non-English speaking female recently diagnosed with breast cancer

Assignment (4 pages, not including title and reference pages):

 

Review the feedback on the change proposal professional presentation and make required adjustments to the presentation. Present your evidence-based intervention and change proposal to an interprofessional audience of leaders and stakeholders. Be prepared to answer questions and accept feedback.

After presenting your capstone project change proposal, write a 250-350 word summary of the presentation. Include a description of the changes that were suggested by your preceptor before your presentation and how you incorporated that feedback. Describe how this interprofessional collaboration improved the effectiveness of your presentation. Include a description of the feedback and questions from your audience after your presentation, and how this experience will affect your professional practice in the future.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

Assigned Personality Disorder:

     

Personality Disorder:  Antisocial Personality Disorder 

Anxiety Disorder:  SOCIAL ANXIETY DISORDER (SOCIAL PHOBIA) 

Neurocognitive Disorders:  Vascular Neurocognitive Disorder 

Sleep Wake:  Hypersomnia

To prepare for this Discussion:

• By Day 5 of Week 2, your Instructor will have assigned      you a personality disorder, which will be your focus for your initial post      for this Discussion.
• Review the Learning Resources.

Post:

• Explain the diagnostic criteria for your assigned      personality disorder.

• Explain the evidenced-based psychotherapy and      psychopharmacologic treatment for your assigned personality disorder.

• Describe clinical features from a client that led you      to believe this client had this disorder. Align the clinical features with      the DSM-5 criteria.

Note: Support your rationale with a minimum of three academic resources less than five years in APA format, including introduction and conclusion 

Required Resources

Read/review the following resources for this activity:

Link (Word doc): Weeks 6 & 7 CCC Part 7 TemplatePreview the document (Use this template to complete the assignment.)

Introduction: Communication Change Challenge (CCC) Part 7

In Part 7, you will finally try out your new communication behaviors in both planned and unplanned situations.

Part 7 requires up to a 2-week window of time to complete because it requires you to implement your new behaviors and to observe, record, and analyze the impact. As a result, this part was assigned during Week 6, so you need to use all conversations from Week 6 and Week 7.

For Part 7 of the project, you will do the following:

plan a minimum of 3 situations in which you will implement your new communication behavior over a time span of 2 weeks (during Weeks 6 and 7).

Maintain a dated journal narrative to describe what happened in both planned and unplanned circumstances, including your thoughts on how well you performed the behavior.

Instructions

Include the following items in Part 7 of your report:

7A. Planning

Create a list of at least 3 specific planned situations in which you will implement your new behaviors over a time span of 2 weeks, from Week 6 and Week 7. Note: You should also implement your new behaviors in any unplanned situations when you have the opportunity to do so.

7A1. 1st planned conversation

7A2. 2nd planned conversation

7A3. 3rd planned conversation

7B. Evaluation of Planned Conversations

Evaluate your performance each time you attempt your new behavior in new planned situations. As you proceed with this phase of the project, be prepared for potential problems.

You may reach periodic plateaus in which you are not changing as dramatically as you would like.

You may discover that your goal statement is not accurate and that you were trying to increase the wrong behaviors.

You may also find that by merely monitoring the frequency of your goal behavior, your problem disappears.

In any case, remain flexible and keep working. If necessary, revise your goal statement, change your target behavior, and promise yourself a reward for reaching some goal. The goal is communication behavior change, and there are many avenues for achieving and maintaining that change.

Write a dated narrative journal evaluation that describes in detail what occurred upon implementation of your new communication behaviors in planned circumstances. Address the 3 or more planned opportunities as you described them in 7A. Be sure to address the following questions in your evaluation for each conversation:

7B1. What seemed to work for you?

7B2. What did not seem to work?

7B3. In what situations were you most successful?

7B4. What behaviors would you like to perform again?

7B5. What will you do differently the next time?

7C. Evaluation of Unplanned Conversations

Evaluate your performance each time you attempt your new behavior in new unplanned situations. Write a dated narrative journal evaluation that describes in detail what occurred upon implementation of your new communication behaviors in unplanned circumstances. Aim to explain 2 or 3 unplanned conversations. Be sure to address the following questions in your evaluation for each conversation:

7C1. What seemed to work for you?

7C2. What did not seem to work?

7C3. In what situations were you most successful?

7C4. What behaviors would you like to perform again?

7C5. What will you do differently the next time?

Writing Requirements (APA format)

Length: 2-3 pages (not including title page or references page)

1-inch margins

Double spaced

12-point Times New Roman font

Title page

Grading

This activity will be graded based on W7 CCC Grading Rubric.

Course Outcomes (CO): 2, 3, 4, 5

Due Date: By 11:59 p.m. MT on Sunday