Read and review the attached Power Point presentations.  Once done answer the following question;

Describe the cultural health customs of the Egyptian and Filipino cultures and how they influence the delivery community health care.

As you can see I’m giving you one question to elaborate.  present your assignment in an APA format on an Arial 12 font word document.  A minimum of 3 evidence based practice references are required.  A minimum of 500 words are required.  

Applying Nursing Theory Discussion

Instructions:

1. Select one of the following scenarios related to a specific nursing. Think about what you would do in the scenario presented and post your ideas.
   
2. Post two discussion questions based on the readings along with your answers.
3. Read and then respond to at least two of your classmate’s postings.

Theorist	Scenario
Florence Nightengale	Using Nightengale’s concepts of ventilation, light, noise, and cleanliness, analyze the setting in which you are practicing nursing (working as an employee or student). Using Nightengale’s theory, evaluate the nursing interventions you have identified for an individual patient in your facility or practice. OR Your hospital patient is an 82 year-old woman. She does not have immediate family and has been living alone in her own home. Her hospitalization was unanticipated; it followed a visit to the emergency room for a burn on her lower leg. The patient has been hospitalized for 14 days. She pleads with you to allow her friend to bring her dog, a 16-year-old Scotty Terrier, to the hospital. She tells you that none of the other nurses have listened to her when she asked them about such a visit. Based on Nightingale’s model, and 13 cannon, what actions would you take for this patient?
Betty Neuman	Martina is a middle-aged Hispanic woman who brings her family to a local free clinic to obtain medical care. She works part time in a restaurant for minimum wage. She lives in a small apartment with her daughter and four preschool children; her daughter speaks only very broken English. Martina’s medical diagnoses are hypertension, arthritis, and depression. Use the Neuman System Model as a conceptual framework to respond to the following: Describe the family as a system. How does the dominant Anglo culture impact on  the family’s stability as a system? What stressors (actual and potential) threaten the family? What additional assessment data are needed related to Martina’s medical diagnoses? What additional assessment data are needed related to the family’s health status? How will cultural differences influence planning for prevention as intervention at primary, secondary, and tertiary levels? OR Using the Neuman System Model, organize a patient care conference in your workplace to deal with a patient situation that has been difficult to manage.  Involve caregivers from nursing and at least one other disicpline to discuss each of the following: What factors comprise the patient’s normal and flexible lines of defense and lines of resistance? What stressors are  causing the problems with this patitent? What is the patient’s reaction to the stressor? What is each discipline’s perspective on the problem or isssues that are involved? How is the situation influenced by the patient’s family system? By the patient’s environment? What would be the ideal coutocme in this situation from each discipline’s perspective?  From the patient’s perspective? What goals would be appropariate to neogotiate with the patient? What primary, secondary, and tertiary prevention-as-interventions would support attainment of these goals?
Imogene King	Think about and write your personal definitions of environment, health, nursing, and person. (Do these sound familiar to you?). Compare your definitions with King’s definitions. How are they similar? How are they different? Are they more alike than different? If they are more alike, develop a plan to use King’s framework and theory more extensively in your paper (and practice). OR Does the philosophy of one of the agencies in which you have practiced encourage the involvement of the patients in their care? If so, does mutual goal setting occur? If not, what changes would you suggest to promote more active involvement of the patients in their own care? Analyze an interaction  you have had with a patient. Were you able to achieve a transaction as King describes it? If so, think about what you did differently with this person? If not, think about the interaction and try to identify why the transaction was not achieved?
Hildegard Peplau	During the therapeutic relationship, patients may distort their perceptions of others. Therefore they may relate to the nurse not on  the basis of the nurse’s realistic attributes, but wholly or chiefly on the basis of interpersonal relationships existing in their environment. With  the patient and nurse roles you have described above, discuss how these distorted perceptions may affect the patient’s care and the nurse-patient relationship. OR Considering the nurse-patient relationship created in question #1 above, discuss the phases and the changing roles that would be considered when working with this patient. Consider experiences in which you would 0r/and would not be able to accomplish the appropriate goals for each phase of the nurse-patient relationship.
Madeleine Leininger	Discuss the usefulness of the Culture Care: Diversity and Universality Theory in the  21st Century to discover nursing knowledge and to provide culturally congruent care. Take into consideration the current trends of consumers of healthcare, cultural diversity factors, and changes in medical and nursing school curricula. Listed below are some examples of trends and changes you may want to consider in your discussion:  The importance of transcultural nursing knowledge in an increasingly diverse world An increase of lay support groups to provide information and sharing of experiences and support for patients and/or families experiencing chronic, terminal, or life-threatening illnesses or treatment modalities from diverse and similar (common) cultures. Use of cultural values, beliefs, health practices, and research knowledge in undergraduate, alternative medicine, herbs, vitamins, minerals, and other over-the-counter medications, which demand a transcultural knowledge base.

NR 443 Assignments & Milestone

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NR 443 Caring for Populations: Milestone 1: Community Windshield Survey Form

Directions: Please refer to the Milestone 1: Community Windshield Survey Guidelines and grading rubric found in Doc Sharing for specific instructions in order to complete the information below. This assignment is worth 150 points.

Type your name above and your answers below directly on this form. Click Save as and save the file with the assignment name and your last name (e.g., “NR443 Windshield Survey Form_Smith”). When you are finished, submit the form to the Week 2 Caring for Populations: Windshield Survey Dropbox by the deadline indicated in your guidelines.

Criteria

1. Community introduction:

Identify the community you will be using for this assignment. It should be the area where you live or the area surrounding your work setting.

1. Windshield survey
2. vitality
3. Indicators of social and economic conditions
4. Health resources
5. Environmental conditions related to health
6. Social functioning
7. Attitude toward healthcare
8. Conclusion:

Provide a summary of your findings and your conclusion. What problems did you identify?

1. References:

OPTIONAL: List any references that you cited.

 

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NR443 Guidelines for Caring for Populations

Milestone 2: Assessment and Diagnosis

Purpose

The purpose of this paper is to provide an opportunity to utilize community assessment strategies, uncover a community health problem, and identify the components of the problem related to the community dynamics.

Course Outcomes

This assignment enables the student to meet the following Course Outcomes.

CO 1. Evaluate the planning of delivery of care to individuals, families, aggregates, and communities in a variety of healthcare settings based on theories and principles of nursing and related disciplines. (PO 1)

CO2. Integrate clinical judgment in professional decision-making and implementation of the nursing process through analysis of community health nursing practice. (PO 4)

CO7. Accept accountability for personal and professional development as part of the life-long learning process. (PO 5)

This paper is expected to be no more than four pages in length (not including the title page and reference list). Typical papers are usually three pages. Below are the requirements for successful completion of this paper.

• Introduction: This should catch the reader’s attention with interesting facts and supporting sources and include the purpose statement of the paper. This should be no more than one or two paragraphs.
• Community: Identify the community by name that you will be using for this paper and provide a brief, general description of the community. Your community should be the area where you live or work. This should be one or two paragraphs.
• Demographic and epidemiological data: Compile a range of demographic (population description) and epidemiological (causes of health problems and death) data for your community by examining census reports, vital statistic reports, city records, morbidity and mortality reports, and other agency sources. Using these data, describe the community and the problem. Compare your community data to state or national data. This comparison will help to identify a community health problem specific to your community. A summary of these data should beno more than one page.
• Windshield survey: Provide a brief summary of the findings from your first assignment. Make sure to discuss elements that link your observations to your identified problem. This should be no more than one or two paragraphs.
• Problem: Using the assessment data, identify the problem that you consider to be a priority concern. Provide a rationale for your choice and relate your choice to one of the Healthy People 2020 specific numbered objectives. Healthy People objectives are located within a topic area under the Objectives page. Your rationale should also include why this is specifically a problem in your community. This should be no more than three paragraphs. Include support of your rationale with at least two scholarly sources such as professional journal articles related to your problem.
• Summary: The summary paragraph of your paper should include a statement about the problem, the population at risk for this problem, and the major direct or indirect factors that contribute to this problem. This information should be no more than one or two paragraphs.
• Reference page: All references cited within the paper should be included on a separate References page.

Guidelines

• Application: Use Microsoft Word 2010™ to create this assignment.
• Use the categories above as APA headings for the sections of your paper.
• Length: This paper is expected to be no more than four pages in length (not including the title page and reference list). Typical papers are three pages.
• Submission: Submit your file via the basket in the Dropbox: Caring for Populations: Assessment and Diagnosis by 11:59 p.m. MT Sunday of Week 4.
• Technical writing: APA format is required. Review APA tutorials in Doc Sharing and use the resources of Smarthinking for writing tutors.
• Do not use first person (I, me, my, our) in this paper. Make the community the subject even in your windshield survey summary.
• Save your paper with your last name in the document title (e.g., “Smith Assessment and Diagnosis”).
• Late submission: See the course policy on late submissions.

Best Practices in Preparing the Paper

The following are best practices in preparing this project.

• Complete the demographic, epidemiologic, and windshield survey prior to choosing a problem to focus on.
• Choose a nursing problem specific to your community.
• Make sure all elements of the paper are addressed and headings for each category are included.
• Review directions thoroughly.
• Cite all sources within the paper as well as on the References page.
• Proofread prior to final submission.
• Check for spelling and grammar errors prior to final submission.
• Use the A column of the rubric below to ensure that you have included all the needed elements.
• Abide by the CCN academic integrity policy.

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NR 443 Milestone 3: Intervention and Evaluation

Purpose

The purpose of this PowerPoint presentation is to provide an opportunity to develop a community health nursing intervention and evaluation tool for your identified community health problem (described in Milestone 2: Assessment and Diagnosis) and identify the components of the nursing process as it applies to a community or population.

Course Outcomes

Scenario

You are a Community/Public Health Nurse (C/PHN) working in your setting of choice. You have identified a community health problem and have analyzed the data collected from your windshield survey and assessment & diagnosis assignments (the first two milestones). You have decided on one nursing intervention and need your organization’s approval for funding of this intervention. Your leadership team has agreed to listen to your proposal.

Directions

• Choose a community health nurse setting. Some examples of settings are school nurse, parish nurse, home health nurse, nurse working in the health department (be specific to what area in the health department, e.g., WIC, STD clinic, health promotion, maternal-child health, etc.)
• Introduction: Introduce the identified problem, the purpose of the presentation, and reiterate at least one or two important findings that demonstrate this problem in your community (average of 1–2 slides)
• Proposed Intervention: Propose one community health nursingintervention that would address one or more of the major direct or indirect factors that contribute to the problem. Keep in mind the Public Health Intervention Wheel (Nies& McEwen, p. 14, figure 1-3) as your framework (average of 3-4 slides). Your intervention needs to be specific:

o Who is your target population?

o Where is this intervention taking place?

o Will it take place one time or multiple times?

o How will you reach out to your target population?

• How will you get your target population involved?

o What is the CH Nurses role in this intervention?

o Will you collaborate with anyone (e.g., physician’s office, church, local resources, etc.?)

o Is anyone else involved besides yourself (C/PHN)?

• If yes, are they paid or volunteers?

o What level(s) of prevention is your intervention addressing (primary, secondary and/or tertiary prevention)?

• Intervention Justification: Justify why the problem and your nursing interventions should be a priority.

o Based on what you have found in the literature, discuss why these interventions are expected to be effective. Include summarized information from at least two professional scholarly sources related to your interventions (average of 2-3 slides).

• Proposed Evaluation: Your presentation must include at least one proposed quantitative or qualitative evaluation method that you would use to determine whether your intervention is effective. It should include the method you would use along with desired outcomes. Outcome measurement is a crucial piece when implementing interventions. There is a helpful tool in Doc Sharing to assist you with understanding qualitative and quantitative methods of evaluation. (average of 2-3 slides)

o Include discussion about the long-term and short-term impact on your community if the intervention is successful. Keep in mind your desired outcomes when analyzing the evaluation.

• Summary: The summary should reiterate the main points of the presentation and conclude with what you are asking to be accomplished, e.g., “Based on ABC, it is imperative our community has XYZ. Thank you for your consideration.”
• In addition to the slides described above, your presentation should include a title slide, and reference slide. Remember, you are presenting to your leadership team, so the slides should include the most important elements for them to know in short bullet pointed phrases. You may add additional comments in the notes section to clarify information for your instructor.

Guidelines

• Application: Use Microsoft PowerPoint 2010.
• Length: The PowerPoint slide show is expected to be no more than 20 slides in length (not including the title slide and reference list slide).
• Submission: Submit your files via the basket in the Dropbox: “Caring for Populations: Intervention and Evaluation” by 11:59 p.m. Sunday of Week 6.
• Save the assignment with your last name in the file title. Example: “Smith Intervention and Evaluation”
• Late Submission: See the course policy on late submissions.
• Tutorial: If needed, Microsoft Office has many templates and tutorials to help you get started.

Best Practices in Preparing PowerPoint

The following are best practices in preparing this project:

• Be creative, but realistic with your intervention and evaluation tool.
• Incorporate graphics, clip art or photographs to increase interest.
• Slides should be easy to read with short bullet points and large font.
• Review directions thoroughly.
• Cite all sources within the slide show as well as on the reference page.
• Proofread prior to final submission.
• Spell check for spelling and grammar errors prior to final submission.
• Abide by the CCN academic integrity policy.

A nurse on a medical/surgical unit has made the same medication error two days in a row. As the nurse manager, describe how you would decide whether this is a systems problem, or a problem related to the individual nurse. In either case, explain how you (the manager) should correct the problem.

This is shared only with your instructor.  Minimum 250  words.  

• No title page needed
• One full page typed and double spaced is equivalent to 250 words (your minimum required)
• References and citations should be scholarly, peer-reviewed (no blogs, WIKI, or other school of nursing website) written in Current APA Style

  

Question 1

You note from the patient’s history that she has had pain with internal rotation of her right shoulder.

This will most likely affect which of the following activities?

Brushing the back of her short hair

Fastening her bra behind her back  

Mopping the floor

Reaching an item off the top shelf of her closet, over her head.

Question 2

While assessing an adult client’s jaw, the nurse hears a clicking popping sound, and the client expresses pain in the joint.

The nuse should further assess the client for:

Previous facial fracture

Bruxism  

Temporomandibular Joint Dysfunction

Degenerative disease

Question 3

A nurse is assessing a client’s strength muscular strength.  The client has full strength in his arms.