RUA: Health Promotion Project

TOPIC: Early and Middle Childhood

E-BOOK: Potter, P.A., Perry, A. G., Stockert, P. & Hall, A. (2021). Fundamentals of Nursing (10th ed.). Elsevier.

Required Uniform Assignment: Health Promotion Paper Guidelines

Purpose

This assignment allows the learner to apply knowledge gained about health promotion concepts and strategies, enhance written communication skills, and demonstrate a beginning understanding of cultural competency. 

Course outcomes:

This assignment enables the student to meet the following course outcomes:

1. Discuss the professional nurse’s role in health promotion activities. (PO 1 and2) 

3.Discuss health promotion, illness prevention, health maintenance, health restoration, and rehabilitation in relation to the nurse’s role in working with various populations. (PO 1,2, and 8)

Preparing the assignment 

Follow these guidelines when completing this assignment. Speak with your faculty member if you have questions.

1)Identify a health problem or need for health promotion for a particular stage in the life span of a population from a specific culture in your area. 

2)Choose one of the Leading Health Indicators (LHI) priorities from Healthy People 2020: 

https://www.healthypeople.gov/2020/Leading-Health-Indicators

 APA, formatting, or grammar assistance, visit the APA Citation & Writing page located at 

https://library.chamberlain.edu/APA.

8)Include the following sections (detailed criteria listed below and in the Grading Rubric):

a.Introduction and Conclusion

•Introduction establishes the purpose of the paper and describes why the topic is important to health promotion in the target population in your area. 

•Introduction stimulates the reader’s interest. 

•Conclusion includes the main ideas from the body of the paper.

•Conclusion includes the major support points from the body of the paper. 

b.Relate Topic to Target Population

•Describes the topic and target cultural population. 

•Includes statistics to support the significance of the topic.

•Explains how the project relates to the selected Healthy People 2020 topic area. 

•Applies health promotion concepts. 

c.Summary of Articles-

•A minimum of three (3) scholarly articles, from the last 5 years, are used as sources.  

•Articles meet the criteria of being from scholarly journals and include health promotion and wellness content.

•At least one article is related to the chosen cultural group.  

•Summarizes all key points and findings from the articles.

•Includes statistics to support the significance of the topic.

7.Identify health promotion strategies throughout the lifespan. (PO 1,2, and 4)

Required Uniform Assignment: 

Health Promotion Paper Guidelines NR222Health Promotion Project Guidelines V4Revised: 

•Discusses how information from the articles is used in the Health Promotion Project, including specific examples. 

d.Health Promotion Discussion

•Describes approaches to educate the target population about the topic. 

•The approaches are appropriate for the cultural target population.

•Identifies specific ways to promote lifestyle changes within the target population.

•Applies health promotion strategies.  

e.APA Style and Organization 

•TurnItIn is used prior to submitting a paper for grading.

 •Revisions are made based on the TurnItIn originality report. 

•References are submitted with the assignment.

•Uses current APA format and is free of errors.

•Grammar and mechanics are free of errors.

•Paper is 3-4 pages, excluding title and reference pages.

•Information is organized around required components and flows in a logical sequence.

Required criteria

1.Introduction establishes the purpose of the paper and describes why topics important to health promotion in the target population in your area.

2.Introduction stimulates the reader’s interest. 

3.Conclusion includes the main ideas from the body of the paper.

4.Conclusion includes the major support points from the body of the paper. 

Relate Topic to Target Population

1. Describes the topic and target cultural population.

2.Includes statistics to support the significance of the topic.

3.Explains how the project relates to the selected Healthy People 2020 topic area.

4.Applies health promotion concepts.

Summary of Articles

1.A minimum of three (3) scholarly articles, from the last 5 years, are used as sources.  

2.Articles meet the criteria of being from scholarly journals and include health promotion and wellness content.

3.At least one article is related to the chosen cultural group.  

4.Summarizes all key points and findings from the articles.

5.Includes statistics to support the significance of the topic.

6.Discusses how information from the articles is used in the Health Promotion Project, including specific examples. 

Health Promotion Discussion

1. Describes approaches to educate the target population about the topic. 

2.The approaches are appropriate for the cultural target population.

3.Identifies specific ways to promote lifestyle changes within the target population.

4.Applies health promotion strategies.

APA Style and Organization

1.TurnItIn is used prior to submitting the paper for grading. 

2.Revisions are made based on the TurnItIn originality report.

3.References are submitted with the assignment.

4.Uses current APA format and is free of errors.

5.Grammar and mechanics are free of errors.

6.Paper is 3-4pages, excluding title and reference pages.

7.Information is organized around required components and flows in a logical sequence.

 

1.  Do you think that the four metaparadigm concepts constitute an adequate framework for organizing all nursing knowledge?

2.  Is everything you do as a nurse related to either person, nurse, environment, and/or health?

3.  Do the four metaparadigm concepts apply to all cultures and nationalities in the U.S. and throughout the world?

4.  Share your personal definitions of ‘person’, ‘health’, ‘environment’, and ‘nursing’. How might other nurses’ definitions help you improve your nursing practice? 

5. How might Virginia Henderson’s 14 Components of Nursing help you organize and analyze patient data when providing nursing care? Are Henderson’s Components still applicable in today’s high-tech healthcare environment? Explain.

 What type of drug should you prescribe based on your patient’s diagnosis? How much of the drug should the patient receive? How often should the drug be administered? When should the drug not be prescribed? Are there individual patient factors that could create complications when taking the drug? Should you be prescribing drugs to this patient? How might different state regulations affect the prescribing of this drug to this patient? 

 These are some of the questions you might consider when selecting a treatment plan for a patient.   

 Please see the instruction:

Please follow the attached rubric details as indicated.

Zero (0) plagiarism, No less than five (5) References, and no more than 5 years.

As an advanced practice nurse prescribing drugs, you are held accountable for people’s lives every day. Patients and their families will often place trust in you because of your position. With this trust comes power and responsibility, as well as an ethical and legal obligation to “do no harm.” It is important that you are aware of current professional, legal, and ethical standards for advanced practice nurses with prescriptive authority. Additionally, it is important to ensure that the treatment plans and administration/prescribing of drugs is in accordance with the regulations of the state in which you practice. Understanding how these regulations may affect the prescribing of certain drugs in different states may have a significant impact on your patient’s treatment plan. In this Assignment, you explore ethical and legal implications of scenarios and consider how to appropriately respond.

To Prepare

• Review the Resources for this module and consider the legal and ethical implications of prescribing prescription drugs, disclosure, and nondisclosure.
• Review the scenario assigned by your Instructor for this Assignment.
• Search specific laws and standards for prescribing prescription drugs and for addressing medication errors for your state or region, and reflect on these as you review the scenario assigned by your Instructor.
• Consider the ethical and legal implications of the scenario for all stakeholders involved, such as the prescriber, pharmacist, patient, and patient’s family.
• Think about two strategies that you, as an advanced practice nurse, would use to guide your ethically and legally responsible decision-making in this scenario, including whether you would disclose any medication errors.

Write a 2- to 3-page paper that addresses the following:

• Explain the ethical and legal implications of the scenario you selected on all stakeholders involved, such as the prescriber, pharmacist, patient, and patient’s family.
• Describe strategies to address disclosure and nondisclosure as identified in the scenario you selected. Be sure to reference laws specific to your state.
• Explain two strategies that you, as an advanced practice nurse, would use to guide your decision making in this scenario, including whether you would disclose your error. Be sure to justify your explanation. 
• Explain the process of writing prescriptions, including strategies to minimize medication errors.

HERE IS THE SCENARIO BELOW:

 Scenario: As a nurse practitioner, you prescribe medications for your patients. You make an error when prescribing medication to a 5-year-old patient. Rather than dosing him appropriately, you prescribe a dose suitable for an adult.  

topics- Select one of the community nursing diagnosis (Health promotion needs for specific population )

Develop at least one program goal and two related outcomes. Discuss the rationale for your selection of the priority problem.

100-word minimum/200-word maximum without the references.

Minimum of two references (the course textbook can be one of the references) in APA format, articles chosen must have been published within last 3-5 years.

APA Style 

CASE STUDY Week 7 Conservation Model

Yolanda is a 55-year-old married African American mother of two adult children who has a history of breast cancer. She was diagnosed with fibromyalgia 2 years ago, after years of unexplained muscle aches and what she thought was arthritis. The diagnosis was a relief for her; she was able to read about it and learn how to care for herself. Over the past 2 months, Yolanda stopped taking all of her medicine, because she was seeing a new primary care provider and wanted to start her care at “ground zero.” In addition to her family responsibilities, she is completing her degree as an English major. At the time of her clinic appointment, she told the nurse practitioner that she was having the worst pain possible.

Using Levine’s conservation model, the nurse practitioner completes a comprehensive assessment in preparation for developing a plan of care. A thorough assessment of characteristics of the internal and external environments is performed, with assessment of the adequacy of the adaptive fit that Yolanda has achieved in response to the changing environmental conditions produced by this health challenge. Nursing care is planned using the conservation principles. Yolanda’s diagnosis of fibromyalgia was based on the cluster of presenting symptoms (pain, fatigue, and sleeplessness) and the exclusion of other illnesses.

The assessment of the internal environment (physiological and pathophysiological processes) was performed by a thorough physical examination and various laboratory and diagnostic tests. Yolanda’s tests results were within normal limits.

The external environment includes perceptual, operational, and conceptual factors. Perceptual factors are perceived through sensory input. Yolanda reported a history of unexplained fatigue and sensations of pain for years. She recently stopped her medications “to clean my body out.” However, she reported that the pain became unbearable and was making it difficult for her to sleep. She noted that when she sleeps at least 6 hours a night, her pain is less intense. With the current insomnia, her pain is very intense.

Operational factors are threats within the environment that the patient cannot perceive through the senses. Yolanda reported severe pain in response to both the cold weather and changes in barometric pressure.

The conceptual environment includes cultural and personal values about health care, the meaning of health and illness, knowledge about health care, education, language use, and spiritual beliefs. In response to breast cancer, Yolanda developed her spirituality through prayer and reading the Bible. She believes this is how she is getting through the painful moments of her current illness.

Conservation of energy focuses on the balance of energy input and output to prevent excessive fatigue. Yolanda complains of a fatigue that just “comes over me.” She has difficulty doing housework. A day of work usually means 1 day in bed because of extreme fatigue. Her hemoglobin level and hematocrit are normal; her oxygen saturation is also within normal limits. These normal physiological assessments are typical in patients with fibromyalgia.

Conservation of structural integrity involves maintaining the structure of the body to promote normal functioning. Fibromyalgia treatment focuses on reducing symptoms. Yolanda’s symptoms could not be traced to any physical or structural alteration, yet she reports severe pain and fatigue. It is important to acknowledge the reality of the symptoms and work with the patient to determine whether activities of daily living result in changes in the pattern of illness. In addition, Yolanda thinks she is going through menopause (a normal physiological change in body structure), and she is having trouble determining whether her symptoms are menopause or fibromyalgia.

With continued questioning, Yolanda revealed that she was diagnosed with irritable bowel syndrome several years earlier. This condition presents further risks to structural integrity. She is not worried about constipation but is concerned about sudden diarrhea. She is afraid to go to school, fearing embarrassment because she might have an “accident.” Interventions to conserve structural integrity include interventions to promote normal bowel function and optimize Yolanda’s nutritional status.

Personal integrity involves the maintenance of one’s sense of personal worth and self-esteem. Yolanda reported that she “lost control” when she was diagnosed with breast cancer. A dear friend convinced her to go to church and encouraged her to use prayer. When feeling sorry for herself, she would go into her bedroom and read her Bible, cry by herself, and pray. She believes that prayer and Bible reading helped her heal. She continues to pray and read her Bible to gain the strength she needs to live with her illness. She also believes that she needs to be able to laugh at aspects of her situation; humor helps her feel better. She actively seeks health information, as indicated by her quest to learn about her diagnosis of fibromyalgia. She is most upset about not being able to walk as she used to walk. One of her favorite pastimes was shopping for shoes at the mall, which now is difficult for her.

Social integrity acknowledges that the patient is a social being. Yolanda is a married mother of two grown children. She conceals many of her feelings from her children but does share with her husband, who is supportive. Among the ways that he cares for her are to take her places she needs to go (such as grocery shopping) and to make sure she gets to her health care appointments on time.

An initial plan of care for Yolanda includes interventions based on the four conservation principles:

• Conservation of energy: (1) Discuss strategies to balance rest and activity; (2) discuss strategies to help her achieve restful sleep; (3) discuss both nonpharmacological and pharmacological approaches to manage pain; and (4) assess her nutritional intake to ensure adequate energy stores.

• Conservation of structural integrity: (1) Discuss any needed modifications of activities to prevent injury; (2) assess diet to identify whether any foods exacerbate gastrointestinal symptoms; (3) discuss the normal physiological process of menopause, including associated symptoms; and (4) consider additional laboratory work or referrals to evaluate hormone levels and assess whether additional treatment is indicated to relieve menopause symptoms.

• Conservation of personal integrity: (1) Validate the illness experience; (2) encourage continued use of prayer, Bible reading, and humor to help her feel better; and (3) discuss strategies to help her manage her anxiety related to the irritable bowel syndrome, including both nonpharmacological and pharmacological approaches.

• Conservation of social integrity: (1) Praise Yolanda for the strong family relationships that she has built and encourage her to continue to work together with her family to optimize her health; (2) with Yolanda’s permission, talk with her husband to answer his questions about her condition and discuss how they can continue to work together to improve her health; and (3) praise Yolanda for continuing to seek achievement of her goal of completing her English degree and discuss strategies to manage the irritable bowel syndrome and manage problems to help her feel more confident about going to school.

In Yolanda’s follow-up care, these outcomes suggest effective adaptation that is conserving wholeness and integrity:

• Feels rested, with 6 hours of uninterrupted sleep

• Reduction in pain and fatigue

• Distinguishes symptoms of menopause from symptoms of fibromyalgia

• Collaborates with health care providers to manage symptoms of menopause

• Reports comfort as a result of prayer, Bible reading, and humor

• Minimal adverse bowel symptoms and adequate nutritional intake

• Healthy relationships with family and friends.

• Attends school and participates in other social activities with minimal limitations.

*This case study was developed from a fibromyalgia study (Schaefer, 2005). A fictitious name was used to protect privacy and anonymity.

Critical thinking questions

1. Are there any aspects of Yolanda’s care that you would add to the plan as you consider nursing care with the conservation principles?

2. Keep a reflective journal about a personal health or illness experience and apply the conservation model to that experience.

3. As you consider application of the conservation principles in question 2, what aspects of care are assessed that previously were not included in your plans of care?

4. Use the perspective of the conservation model to identify what may be missed in simulation experiences of nursing practice. What does it capture that other perspectives miss?

5. Suggest how you might begin to develop your style of nursing practice using the conservation model.