APRNs need to be aware of social determinants of health (SDOH) when assessing, diagnosing, counseling (teaching) and prescribing (medication, supplements, treatments, therapies, referrals, etc.) for their patients. This assignment demonstrates a clinical application of population health concepts.
Examine and report findings for a patient using the BIG GEMS framework. The patient can be one from your current nursing position, NP clinical rotation, a family member, friend or yourself. Some examples of health issues to be considered in the BIG GEMS framework include among others, hypertension, diabetes, coronary artery disease, obesity, rheumatoid arthritis, gastroesophageal reflux, etc.
The only condition that cannot be used is Asthma, as it is the example in the text. Use text example (pages 14-15) as an exemplar (excellent report).
BIG GEMS Report Format: Do not use a title page
Save as Word document: Your Name-Section-BIGGEMS.docx Format:
Clinical Scenario – include patient’s age, living arrangements, comorbidities
Identify Health Issue – include hallmark signs and symptoms and pathophysiology
Behavior
Infections
Genetics
Geography
Environment
Medical care
Socioeconomic-cultural
I have attached part of the chapter that I think would be helpful. it has the Asthma example there that you can use as a guideline
Create a Power Point Presentation to discuss the following
Sgt. Eddie Johns leaned back against the chair in the outpatient orthopedic clinic. His head was killing him! He wasn’t sure which was worse, the “morning after” headache or not being able to sleep at night. At least when he had a few beers under his belt so he could catch a few hours of sleep. It had been like this since he was air evacuated back stateside from Afghanistan after the roadside bomb went off. He was thankful that he had only broken his leg in a couple of places and gotten a bad bump on the head. They called that traumatic brain injury but he didn’t know what that was and really didn’t believe them anyway. He was still thinking just fine. His friend Joe wasn’t so lucky! How was Joe going to learn to walk on those artificial legs? He was still in the hospital in Washington, DC. That was pretty far from his home. Eddie wished he could visit Joe. They had been in the same platoon for 9 months. But, Eddie was glad that he had been able to come back to his own home town for outpatient treatment. It took an hour to get here but at least he could see his girl almost every day. Sure he had moved back in with his mom but it was easier to have someone to help him get around and cook for him. It was a bummer that he couldn’t work right now. He guessed it didn’t matter much since he really didn’t have a job to go back to. He had been replaced at the plant. They said they would find something for him to do once he could get around more easily. Eddie sure hoped the doc would take the pins out of his leg today and give him a clearance to work.
How would the use of the Roy Adaptation Model assist the nurse in planning the continuation of care for Sgt. Johns?
Describe the influence of Roy's Theory in guiding the nurse's actions in promoting Sgt. Johns adjusted self-concept.
From the perspective of the Roy Adaptation Model, why is it important for the nurse to listen to Sgt. Johns' "story" in his own words and not just base her interactions on information from the chart, fellow colleagues, or his family?
Based on Neuman System’s Model, identify at least 4 stressors from the case study. Create a plan of care based on Neuman Systems Model for Sgt. Johns.
Your PowerPoint should include at least 1 outside reference and your book. The presentation should be 10 to 15 slides in length.
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Research the range of contemporary issues teenagers face today. In a 500-750-word paper, choose one issue (besides teen pregnancy) and discuss its effect on adolescent behavior and overall well-being. Include the following in your submission:
Describe the contemporary issue and explain what external stressors are associated with this issue.
Outline assessment strategies to screen for this issue and external stressors during an assessment for an adolescent patient. Describe what additional assessment questions you would need to ask and define the ethical parameters regarding what you can and cannot share with the parent or guardian.
Discuss support options for adolescents encountering external stressors. Include specific support options for the contemporary issue you presented.
Prepare this assignment 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. Refer to the LopesWrite Technical Support articles for assistance.
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MSN degree, APA format 1 page 3 references 1 from walden university library,
Due 3/2/2019 at 7pm EST
Wars and Nightingale
New Fields and Technology
Research and Respect
Past
Earliest nurses were often a response to wars and the need for medical care for injured soldiers. These women were patriotic but not truly educated as nurses and often caused more damage than good related to their lack of basic healthcare knowledge (Keating & DeBoor, 2018). Florence Nightingale was a proponent of nursing education from her own experiences during the Crimean War (Davida, 2012). She influenced some of the first nursing schools with her idea that the education should stand alone and not be associated with an apprenticeship with the teaching hospital (Keating & DeBoor, 2018).
Present
Nurses of today specialize in all sorts of fields from the operating room to pediatrics to hospice to just name a few. This specialization has made the nurse workforce incredibly diverse and nursing educators and programs have had to respond accordingly. Economically, nursing schools have become expensive programs and often difficult to staff as experienced nurse educators retire (Keating & DeBoor, 2018). Immense changes in technology from how a nurse charts to how IVFs are given have dramatically changed how nurses do their work and how they are educated.
Future
Higher education for nurses will continue to evolve with an emphasis on nursing research as well as life-long learning (Laureate, 2012c). The need for evidence-based nursing research will influence healthcare to the extent that the solutions garnered from nursing investigation will be on the same par as medical studies done by providers. This increased respect for nursing could lead to increased interest in nursing as a career and in nursing education overall.
References
Davida, M. (2012). History of nursing education: In our past, lies our future. Retrieved from
http://nursingeducationhistory.org/
Keating, S.B. & DeBoor, S.S. (Ed.). (2018). Curriculum Development and Evaluation in
Nursing (4th Ed.). New York, NY: Springer.
Laureate Education, Inc. (Executive Producer). (2012c). Requirements through the years.
Baltimore, MD: Author.
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As part of the class on Health Policy and Politics, you are required to write a letter to their legislator. The letters to the legislator will be evaluated for content, form, and clarity.
This assignment will help the student become an active participant in the policy-making arena, which directly affects the nursing profession and our country at large. Included are suggestions for effective written communication to your legislator. The importance of letter writing should not be underestimated as it has been rated by Congress as the number one means of communicating with the legislator. Letters that are written to the legislator are usually reviewed by staff and the various view points are tabulated. Letters with significant opinions or information are directed to the legislator for individual consideration. It is important to note that form letters and post cards receive the least amount of attention from the legislator. Therefore, it is most appropriate to create a letter which is thoughtful and reflects an informed opinion.
You (the student) are required to create a letter to the legislator in your home district related to a current senate/house bill. You will choose a current health care legislative issue and draft a well written letter to your legislator discussing your opinion regarding the bill. Search http://mlis.state.md.us/#bill to find a health care related bill of interest to you. Attach a brief summary of the bill along with your letter.
When writing your letter, always refer to the issue by its bill name and number. You can look up the name and address of your local legislator at http://mlis.state.md.us. The following page outlines is a list of specific do’s and don’ts that you should consider when writing to your legislator. See
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Review the links provided below to learn more about Dr. Meleis’ Transitions Theory. Reflect on the many challenges patients face in today’s complex health care system, ranging from lack of access to necessary preventative services, lack of education regarding disease management to much needed medication for tertiary care. Analyze what are the various roles that family nurse practitioners can and/or must play to facilitate change for patients and communities before, during and at the completion of transition?
3-References an citation are required from the videos and Chapter 20 of text book :
Smith M. & Parker M. (2014). Nursing Theories and Nursing Practice. (4th, Ed.) Philadelphia: F.A. Davis Company.
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· Locate a research article that provides data on a chosen topic related to successful clinical prevention for an assigned population (population assigned)
· 20-minute presentation
· Minimum 10 slides (excluding title and reference slide) with speaker notes
· Include
· APA formatted
· At least 3 References within 5 years (1 must be Healthy People 2020)
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Thank you for your initial discussion post. It stimulated my thinking, so thank you for that. Specifically on release of information waivers from patients and I remembered reading in the class cafe that you are from Miami and work in a psychiatric facility. While working in transplant I would, with consent of the patient, have access to their electronic medical record at other hospitals. However, one of the records we were not permitted to enter was the psychiatric evaluation due to the sensitivity of the information contained in those records. What are your thoughts on mental health researchers using the confidential records of mental health patients to further evidenced based practices? I have provided a link for you if you would like to refer to an article.
Renee Scialli
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Analyze the key benefits and/or consequences of practicing in a multicultural city such as Miami, FL. Select one (1) scholarly practice-based article that addresses application of theTheory of Culture Care Diversity and Universality in advanced nursing clinical practice, and after reading the article, create a diagram to document the ways in which the article identifies all components of the theory and its application to clinical and/or advanced nursing practice.
Following is the reference for the scholarly practice-based article that addresses application of the Theory of Culture Care Diversity and Universality that I would like to use for my homework:
Hicks, D. (2012, September-October). Cultural competence and the Hispanic population. MedSurg Nursing, 21(5), 314+. Retrieved from https://link.galegroup.com/apps/doc/A305192239/GPS?u=fl_program&sid=GPS&xid=5896481e
Also is needed to use the text book / Chapter 17
Smith, M., & Parker, M.(2015). Nursing Theories & Nursing Practice. (4th Ed) Philadelphia: F.A. Davis Company
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According to Mokdad & Remington (2010), “health behaviors are a leading cause of illness and death in the United States” (p. 1). Reflecting on this statement, write a paper (3 pages) discussing the importance of being able to measure health behaviors and describing methods to assess health behaviors in a target population.
The following items in particular will be assessed:
Discuss reasons for measuring health behaviors.
Identify at least two methods to assess/measure smoking behaviors among adolescents in your community.
In your opinion, do you agree or disagree that measurement of health behavior is useful for program planning. Defend your position by providing empirical evidence.
Assignment Expectations
Assessment and Grading: Your paper will be assessed based on the performance assessment rubric. You can view it under Assessments at the top of the page. Review it before you begin working on the assignment. Your work should also follow these Assignment Expectations.
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