In the lecture for the week, a theory was identified. “Knowledge as a component of the socio-cultural orientation basic conditioning factor enhances the prevention of hazards” is a theory from a major nursing framework.  Identify the framework and provide an example of how other applications of this theory may occur in nursing practice. For example, you may say that education may enhance the reduction of free-throw rugs in an elderly person’s home which will prevent falls.  Tie the concepts together by clearly defining them and how they could be measured. Find an instrument, survey, or tool in the literature that could be used to measure the concept. For example, if you are measuring pain, you might use the Faces Pain Scale-Revised, at the following link: https://www.iasp-pain.org/Education/Content.aspx?ItemNumber=1519 

Expectations

• Length: A minimum of 250 words, not including references
• Citations: At least one high-level scholarly reference in APA format from within the last 5 years
• Due: 5/17/21

An elderly widow who just lost her spouse. 

Subjective: A patient presents to your primary care office today with chief complaint of insomnia. Patient is 75 YO with PMH of DM, HTN, and MDD. Her husband of 41 years passed away 10 months ago. Since then, she states her depression has gotten worse as well as her sleep habits. The patient has no previous history of depression prior to her husband’s death. She is awake, alert, and oriented x3. Patient normally sees PCP once or twice a year. Patient denies any suicidal ideations. Patient arrived at the office today by private vehicle. Patient currently takes the following medications: 

• Metformin 500mg BID 
• Januvia 100mg daily 
• Losartan 100mg daily 
• HCTZ 25mg daily 
• Sertraline 100mg daily 

Current weight: 88 kg

Current height: 64 inches

Temp: 98.6 degrees F

BP: 132/86 

By Day 3 of Week 7

Post a response to each of the following:

• List three questions you might ask the patient if she were in your office. Provide a rationale for why you might ask these questions. 
• Identify people in the patient’s life you would need to speak to or get feedback from to further assess the patient’s situation. Include specific questions you might ask these people and why. 
• Explain what, if any, physical exams, and diagnostic tests would be appropriate for the patient and how the results would be used. 
• List a differential diagnosis for the patient. Identify the one that you think is most likely and explain why. 
• List two pharmacologic agents and their dosing that would be appropriate for the patient’s antidepressant therapy based on pharmacokinetics and pharmacodynamics. From a mechanism of action perspective, provide a rationale for why you might choose one agent over the other. 
• For the drug therapy you select, identify any contraindications to use or alterations in dosing that may need to be considered based on the client’s ethnicity. Discuss why the contraindication/alteration you identify exists. That is, what would be problematic with the use of this drug in individuals of other ethnicities?
•  indicate any therapeutic changes that you might make based on possible outcomes that may happen given your treatment options chosen. 

I had started the discharge project on CVA stroke but it is not completed. Please complete it using the rubric and instruction. There is also a sample project from last year about diverticulitis. Please use the attached text books to assist. the patient is fictional. this is a final project and worth 20%. 

Thank you for your help. 

Part 3 – Next Steps

Balancing School and Life – My Quality of Life Self-Care Plan. The purpose of developing this Plan is to set a framework and a plan to maintain wellness and to stay motivated and engaged throughout your Program. Doing this will help you achieve success during your coursework and as a professional nurse.

The goal of the Project is to help you become self-aware and reflective as a means of identifying personal self-care strategies that will increase your energy and help you manage your stress. The Project will give you a chance to learn how this is accomplished as you will be doing similar work with clients during the Program and as a professional nurse to assist them in the same way.

Share in a 2 – 3 page paper, the following (also attach the completed form):

Note: When you are finished besides submitting your plan, be sure to put the Plan where you can see it to remind you to continue to reflect on how you are doing and to motivate you to use the self-care strategies.

Use the Quality of Life Self-Care Wheel Plan for Intention and Action to make your intention (commitments) to take action throughout your Program to stay balanced. Re-assess your scores and write them into this Plan. Then make your intention and identify at least one action for each that you know you can maintain throughout your Program and even as a practicing nurse. Identify any new strategies that you think will “fit” better than what you have been doing and describe why.

Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.

Save your assignment as a Microsoft Word document. (Mac users, please remember to append the ‘.docx’ extension to the filename.) The name of the file should be your first initial and last name, followed by an underscore and the name of the assignment, and an underscore and the date. An example is shown below:

Jstudent_exampleproblem_101504

Need Help? Click here for complete drop box instructions.

Assignment Overview

Select a vulnerable population in your community. To do this, conduct  a windshield survey in your community. A windshield survey is completed  by observing a population by looking out of a window of your car (or a  bus, or riding your bike) to identify a vulnerable population in your  community. Conduct research on your chosen population via the Internet  and by calling or visiting your local health department. Develop a  PowerPoint presentation to communicate your observations and research.  An example listing of vulnerable populations has been included for your  consideration.

Assignment Details:

Perform the following tasks:

• Complete the reading assignment and the interactive lesson before attempting this assignment
• Attend the instructor session to prepare for this assignment.
• Complete the Windshield survey.
• From the vulnerable population observed, research the population 
  • Identify the vulnerable population in detail.
  • Identify health risks and needs of the vulnerable population.
  • Identify resources that are available and those needed but not available.
  • Describe service gaps/interventions that could be used (primary, secondary, tertiary) that could fill gaps in resources.
  • Summarize your findings for each of the different categories.
• Prepare a PowerPoint presentation to communicate your observations and research.
• Include the proper file naming convention: PRN208_wk10_assn_jsmith_mmddyyyy
• Vulnerable Populations to consider from the textbook:

Poor and homeless persons

Pregnant adolescents

Migrant workers and immigrants

Severely mentally ill individuals

Substance abusers

Abused individuals and victims of violence

Persons with communicable disease

People at risk of disease transmission

Persons who are HIV positive

Persons with Hepatitis B virus

Populations at risk of a sexually transmitted disease

Other suggestions:

Elderly

Children

Battered/abused women

Women with high risk pregnancies

Women with no risk to prenatal care

Recovering substance abuse

Substance abuse

Community Research PowerPoint

• Prepare a power point presentation that identifies each of the following.
• Include and introduction, citation and reference slide.

I. Population; Describe in detail:

1. Demographics
2. Religion
3. Ethnicity
4. Culture
5. Employment
6. Socioeconomic status
7. Health/Lifestyle Behavior

II. Health Risks; Identify and explain:

1. Health promotion
2. Health risks
3. Specific health needs
4. Include what resources are required to ensure health

III. Resources; Identify and describe the following availability in the community

1. Resources to meet population need
2. Programs to meet population need
3. Services to meet population need

IV. Service Gaps/Interventions.

1. Identify services that are not currently available but would be valuable and improve outcomes for the vulnerable population. List as: 
   1. Primary interventions
   2. Secondary interventions
   3. Tertiary interventions

V. Summary; Summarize research plans to address:

1. Health promotion
2. Health risks
3. Actual health issues

For this assignment, conduct a community observation to assess a vulnerable population. See the assignment details for complete assignment instructions.

Select Next to complete the  NCLEX Review Questions.

Rubric

 Week 10 Assignment      Week 10 Assignment     Criteria Ratings        Pts              This criterion is linked to a Learning Outcome  Populations Describe in  detail. Include all of the following criteria: demographics, religion,  ethnicity, culture, employment, socioeconomic status and  health/lifestyle behaviors             20 to >17.0 pts                  Exceeds Expectations 85% – 100% • Describe population in detail, uses all criteria and/or includes additional  data.         17 to >14.0 pts                  Meets Expectations 70% – 84% • Describe population including 75% of criteria.         14 to >0 pts                  Needs Work <70% • Describe population superficially, uses less than 50% of criteria.         20 pts
         This criterion is linked to a Learning Outcome  Health Risks Identify and  explain health promotion, health risks, and health needs specific to  each group. Include what resources they require to ensure health.             30 to >25.5 pts                  Exceeds Expectations 85% – 100% • Include health promotion needs, health risks, and actual health issues for population.         25.5 to >21.0 pts                  Meets Expectations 70% – 84% • Include actual health issues and risks, does not address health promotion needs.         21 to >0 pts                  Needs Work <70% • Include actual health issues, does not address health risks or health promotion needs.         30 pts
         This criterion is linked to a Learning Outcome  Resources Identify and describe the resources, programs, services that are currently available in the community to meet the health needs.             30 to >25.5 pts                  Exceeds Expectations 85% – 100% • Identify  8-10 resources • All descriptions of resources are detailed and accurate         25.5 to >21.0 pts                  Meets Expectations 70% – 84% • Identify  5-7 resources • Most of the descriptions of resources  are detailed and accurate         21 to >0 pts                  Needs Work <70% • Identify less than 5 resources. • Few of the descriptions of resources are detailed and accurate         30 pts
         This criterion is linked to a Learning Outcome  Service Gaps/Interventions Identify  services that are not currently available but would be valuable. Select  primary, secondary, and tertiary interventions that could improve health  outcomes for each group.             30 to >25.5 pts                  Exceeds Expectations 85% – 100% • Identify 5 or more services that would be helpful • Include interventions from all 3 levels of prevention.         25.5 to >21.0 pts                  Meets Expectations 70% – 84% • Identify 3-4 services that would be helpful • Include interventions from 2 levels of prevention.         21 to >0 pts                  Needs Work <70% • Identify 1-2 services that would be helpful • Include interventions from 1 level of prevention.         30 pts
         This criterion is linked to a Learning Outcome  Summary Summarize research and plans to address health promotion, health risks, and actual health issues.             30 to >25.5 pts                  Exceeds Expectations 85% – 100% • Comparison of the vulnerable population is thorough and in depth. • Include all criteria listed above.         25.5 to >21.0 pts                  Meets Expectations 70% – 84% • Description of the vulnerable population is superficial • Include 75% of criteria listed above.         21 to >0 pts                  Needs Work <70% • Description of the population is minimal or absent. • Include less than 75% of criteria listed above.         30 pts
         This criterion is linked to a Learning Outcome  Grammar, Spelling, and Punctuation              10 to >8.5 pts                  Exceeds Expectations 85% – 100% • 1 or 2 grammar, spelling, punctuation errors, and/or typographical errors. • All references and citations in proper APA format.         8.5 to >7.0 pts                  Meets Expectations 70% – 84% • Minimal errors. • Few typographical  errors • 75% or more of references and citations in proper APA format.         7 to >0 pts                  Needs Work <70% • Multiple errors • Many typographical errors. • Less than 50% of references and citations in proper APA format.         10 pts