...Caring for Populations: Assessment and Diagnosis Introduction Beautiful green fields of alfalfa, soy beans, and corn, big wide blue skies, clean clear water in the form of rivers, lakes, streams, and babbling brooks, cows and horses basking in the full day sun in pastures filled with wild flowers, and some of the most amazingly detailed rolling hills carved by the glaciers one could ever lay their eyes upon. This is Wisconsin, clean air, friendly people, and wonderful schools and healthcare. One could only fall in love. Each place has its beauty, each its special place in the hearts of those who reside there. Even with a feeling of home, one wonders what challenges face each community. Just like with maintaining a home, if left in ill repair it will surely crumble to the ground, as is also true for the people who live within these communities. They too need up-keep via access to education and healthcare. This paper wishes to complete an assessment and diagnosis of healthcare needs in just one small community, Blair Wisconsin. Community Blair was originally founded in the 1850’s on the banks of the Trempealeau River. The majority of the population of Blair is as it was in the 1800’s, primarily Norwegian, with a small group of German’s. Farming is Wisconsin, but within city limits there are many dual income families, single household families, and retirees. Services available in Blair include the following. There is one long term care...
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...Outline I: Family Assessment Summary findings of the family Assessment Watson’s Theory of human caring-Influences clinical thought and action in community and public health nursing II: Diagnosis according to the Family Assessment results Nutritional guidelines-Overweight, Blood pressure and diabetes Link each diagnosis to a Healthy People 2020 LHI. Conducting a comprehensive and holistic assessment of participant family with consideration of the windshield Survey and Current research & develop a plan for the family & determine diagnosis. 3-5Legal and ethical considerations with the potential solutions/actions III: Nursing plan Describe how you plan to advocate for the family within their community and involve the family members in becoming partners in their own health. Explain how the family’s health may be affected by family structure and roles. Identify family values that may be different from your own values and how this may affect the interventions. Educational tools and the benefits Compile a list of topics and resources for the family’s health education needs, and explain why these resources were chosen Additional attachments IV: V: Clinical Log for time spent conducting the Family Assessment Completed Family Assessment including survey questions and family answers Works Cited Appendixes VI: VII Currently in the health care industry, Nurses are dealing with biomedical and ethical dilemmas constantly arisen. It is clear that...
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...She was unable to state the day or place. She mumbled and appeared to be preoccupied. I completed the confusion assessment method (CAM) test. She was CAM positive for delirium. She had features of acute fluctuation of mental status, inattention, and changes in baseline mental status. The inattention assessment was completed by performing the SAVEAHAART test. She was unable to squeeze my hand as requested. The lungs were clear in all fields. S1S2 were auscultated without a murmur. Negative peripheral edema/jugular venous distention was noted. We began to look for sources of infection. She was not febrile and was without complaints of pain, cough, or urinary frequency. A complete blood count, urinalysis, electrolytes, CRP, and urinalysis was ordered. These results were to be called to Dr....
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...The purpose of this paper is to discuss three nursing diagnoses related to AL and his family living in a suburban community in Staten Island, New York. Interventions and outcomes will be expected for each diagnosis and will be integrated into the care plan and educational program specially designed for the chosen family. Family Assessment AL is a 65 year old man with an Italian ethnic background. He is a smoker who has been recently diagnosed with Type II Diabetes Mellitus, mild obesity, and a history of coronary artery disease with one stent last year. His physician stated he is borderline diabetic that could be managed through diet and lifestyle modifications, and could not advance if he is compliant with suggested regimens. He lives in a two-family residence with his wife, and his father who lives in the side apartment downstairs. He has two adult children who live within close range and visit several times a week. Jean Watson’s Theory of Human Caring When caring for a special population group within a community, the nurse must integrate clinical thought to assimilate specifically designed interventions for patients. Nurses must be conscious of their responses and actions that may inadvertently affect the patient’s response. Jean Watson’s Theory of Human Caring uses a contemporary, holistic framework designed by using multiple disciplines to care for individuals and those within a community. Experienced nursing professionals are familiar with Watson’s theory viewing...
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...family is usually considered to be the hallmark of society, with establishing a set of rules, beliefs, and values to lAccording to Stanhope and Lancaster (2012) States that, a family nursing assessment, identifies family problem areas and from strengths that help to build interventions, so as to promote and maintain good health. Assessment of the Family: The family that I choose to conduct an assessment consists of a family of four (4), Two (2) adults and two (2) children ranging from age five through nine. J.H Sr. age a forty (40) doting father and husband solely carry the family's financial responsibility on his own, from a salary typical of a minimum wage. J.H recently diagnosed with Diabetes Mellitus and sometimes appears melancholy due to his recent diagnosis, but tries to muster a smile when someone is looking. K.H age thirty-five (35) and a stay at home Page 2 of 9 Grammarly Report generated on Mon, 27 Jul 2015 20:11 Grammarly mother who care for the home and the children. J.H Jr., age nine (9) attends the nearby intermediate school and his sister five (5) year old S.H who is in kindergarten. Using the Friedman's family assessment tool to conduct the necessary data the following protocol were followed to achieve the highest quality assessment. A consent...
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...Family Nursing Diagnosis and Assessment September 3, 2012 University of Phoenix Nursing 405 Ginger Witherington After spending time with my family and assessing their daily activities it is very apparent that they all need help coping and finding a solution to the growing problem within their home. By using the Friedman Family Assessment as a guideline to identify the structural framework of this particular family, nursing diagnosis and interventions can be drawn as a guide to help with the healing process of their family. According to Healthy People 2020, one particular goal is the “Reduce substance abuse to protect the health, safety, and quality of life for all, especially children”. (Healthy People, 2020). Alcohol and drug abuse is a pattern that is accompanied by failure to fulfill responsibilities such as work and family and can have harmful personal, physical and emotional consequences that lead to the downfall of family. The population that I believe most effected by substance abuse in the family is the children. When there is long term abuse, complications that arise are violence, domestic abuse and fatal accidents such as overdose or the results of drinking and driving. From the nursing standpoint there are several interventions and strategies that can be instrumental in helping a family in crisis. Giving necessary support, providing educational resources and counseling resources are just three small areas that are important for the nurse to provide...
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...Vulnerable Population in the Workplace Jack Daniel NUR 440 Health Assessment and Promotion for Vulnerable Populations 20 December, 2010 Dawn Talbert MSN, RN, BC-FNP The purpose of this paper is to develop the awareness of the healthcare disparities for the Hispanic population. The aspects of why the Hispanic population is a vulnerable population will be shown. There are numerous barriers to healthcare for Hispanic patients and the healthcare provider; this paper will discuss only two of these barriers. Two interventions will be shown to aid the healthcare provider in bring down the barriers to efficacious healthcare for Hispanic patients. Three or more concepts from this course will be incorporated into this paper. Awareness of the healthcare disparities is critical to understanding when attempting to take down the barriers to equal healthcare for the vulnerable Hispanic population. The deficiencies are well researched and documented. In 2003, the Institute of Medicine of the National Academies issued Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care, which reported that minorities are less likely than whites to receive health services, including clinically necessary procedures, even when controlling for insurance status, patient income, and other access-related factors. Cultural bias can affect clinical decision-making. The authors found evidence that stereotyping, biases, and uncertainty on the part of health care providers...
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...abilities to prevent illnesses and injuries, alleviating suffering, through Diagnosis and treatment of human response and advocacy in care of individuals/family/communities and population. As nurses, we render care to our patients, recognizing that, as patients, they are always sick. We practice to treat, by protecting them from any further exposure that will prolong the illnesses. We promote good health by practicing infection control principles. Techniques, as the work, documented, from the pioneers, such as Florence Nightingale, our work is evidenced, by the continued decrease of hospitalization. By being educated as a nurse, we practice by using technologies learnt. As a result of the researches done, we gain that knowledge of how to prevent the spread of diseases, of how to prevent further illnesses. We promote wellness, by teaching the patients we serve, about the purpose of that particular medication. We teach and instruct them, on how the medication works, to help to cure the sickness, and the need to comply with the course of actions. Because of the knowledge gained, as a nurse to practice, we are able to help that patient, maintain their health, because, we are able to teach them that, that course of antibiotics, need to be taken for the full amount of days, even if they are feeling better. We practice the nursing process, by finding out what is wrong(assessment) formulates a diagnosis, do further research as necessary, recognize our problems, then formulate...
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...The purpose of this paper is to discuss three nursing diagnoses related to AL and his family living in a suburban community in Staten Island, New York. Interventions and outcomes will be expected for each diagnosis and will be integrated into the care plan and educational program specially designed for the chosen family. Family Assessment AL is a 65 year old man with an Italian ethnic background. He is a smoker who has been recently diagnosed with Type II Diabetes Mellitus, mild obesity, and a history of coronary artery disease with one stent last year. His physician stated he is borderline diabetic that could be managed through diet and lifestyle modifications, and could not advance if he is compliant with suggested regimens. He lives in a two-family residence with his wife, and his father who lives in the side apartment downstairs. He has two adult children who live within close range and visit several times a week. Jean Watson’s Theory of Human Caring When caring for a special population group within a community, the nurse must integrate clinical thought to assimilate specifically designed interventions for patients. Nurses must be conscious of their responses and actions that may inadvertently affect the patient’s response. Jean Watson’s Theory of Human Caring uses a contemporary, holistic framework designed by using multiple disciplines to care for individuals and those within a community. Experienced nursing professionals are familiar with Watson’s theory viewing...
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...Assessment and Diagnosis Student’s Name University Affiliation Introduction Lehigh County is one of the counties located in the Lehigh Valley and has a population of more than three hundred thousand. The large population ensures that there is a large field for making assessment of the health needs of the individuals in the County. The assessment in the county can be done using the demographic and the epidemiological data in the process of identifying the health risks. The population’s information can be collaboratively used in addressing the factors that affect the health of the community and the health problems that come over to the county. The paper uses the community assessment strategies to uncover the community health problems and make the identification of the components of the community health nursing of Lehigh County. Community overview The community of choice is Lehigh County which is located in the Lehigh Valley, the county houses a large number of families and therefore a number of health issues can be seen in the county. The health needs of the people living in the Lehigh County can therefore be discussed and the factors that influence the health of individuals, families, aggregates and even the communities. The assessment is done by the use of the demographic and the data for the spread and the control of diseases in the county (Raukar et al., 2014). Demographic data The detailed Lehigh Valley demographic report includes the population changes that has...
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...2010 Edition Nursing: Scope and Standards of Practice Second Edition [pic] American Nurses Association Silver Spring, Maryland 2010 Library of Congress Cataloging-in-Publication data The American Nurses Association (ANA) is a national professional association. This ANA publication ( Nursing: Scope and Standards of Practice) reflects the thinking of the nursing profession on various issues and should be reviewed in conjunction with state board of nursing policies and practices. State law, rules, and regulations govern the practice of nursing, while Nursing: Scope and Standards of Practice guides nurses in the application of their professional skills and responsibilities. Published by Nursesbooks.org The Publishing Program of ANA http://www.Nursesbooks.org/ American Nurses Association 8515 Georgia Avenue, Suite 400 Silver Spring, MD 20910-3492 1-800-274-4ANA http://www.NursingWorld.org Design: Typesetting: Printing: Editorial services: © 2010 American Nurses Association. All rights reserved. No part of this book may be reproduced or utilized in any form or any means, electronic or mechanical, including photocopying and recording, or by any information storage and retrieval system, without permission in writing from the publisher. Contents Contributors Overview of Content Foundational Documents of Professional Nursing Audience for This Publication Scope of Nursing Practice Definition of Nursing ...
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...2010 Edition Nursing: Scope and Standards of Practice Second Edition [pic] American Nurses Association Silver Spring, Maryland 2010 Library of Congress Cataloging-in-Publication data The American Nurses Association (ANA) is a national professional association. This ANA publication ( Nursing: Scope and Standards of Practice) reflects the thinking of the nursing profession on various issues and should be reviewed in conjunction with state board of nursing policies and practices. State law, rules, and regulations govern the practice of nursing, while Nursing: Scope and Standards of Practice guides nurses in the application of their professional skills and responsibilities. Published by Nursesbooks.org The Publishing Program of ANA http://www.Nursesbooks.org/ American Nurses Association 8515 Georgia Avenue, Suite 400 Silver Spring, MD 20910-3492 1-800-274-4ANA http://www.NursingWorld.org Design: Typesetting: Printing: Editorial services: © 2010 American Nurses Association. All rights reserved. No part of this book may be reproduced or utilized in any form or any means, electronic or mechanical, including photocopying and recording, or by any information storage and retrieval system, without permission in writing from the publisher. Contents Contributors Overview of Content Foundational Documents of Professional Nursing Audience for This Publication Scope of Nursing Practice Definition of Nursing ...
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...Caring for Populations Milestone 2 Chamberlain College of Nursing NR443: Community Health Nursing 01/29/2016 Caring for Populations Milestone 2 The prosperity of a community stems from its dynamics which include health, safety, business, and social integration. The community that I would like to discuss is the Briarwood neighborhood from Queens, New York. This community flourishes as an urban setting but still expresses its connection to mother nature with its very own botanical gardens and public parks. The parks provide not only recreational activities for the community but a moment of serenity from the everyday ruckus of the urban lifestyle. I will be assessing the community based on the demographic and epidemiological data that is gathered from the United States Census Bureau. Community Overview Briarwood, Queens is located in New York state and has an urban environment. It is well populated with small businesses, banks, restaurants, and medical facilities. There are numerous educational facilities such as: private and public schools, and public libraries. The neighborhood has a well-established public commuting service run by the MTA (Metropolitan Transit Authority); residents have access to the subway, as well as busses. The community is diverse in culture and race, with residents from many different regions of the world. The residential area of Briarwood is comprised of building complexes, as well as private housing units. Overall, the Briarwood community is...
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...optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations. There are six essential features of professional nursing: 1. Provision of a caring relationship that facilitates health and healing, 2. Attention to the range of human experiences and responses to health and illness within the physical and social environments, 3. Integration of objective data with knowledge gained from an appreciation of the patient or group's subjective experience, 4. Application of scientific knowledge to the processes of diagnosis and treatment through the use of judgment and critical thinking, 5. Advancement of professional nursing knowledge through scholarly inquiry, and 6. Influence on social and public policy to promote social justice. As a profession we are guided in our daily responses to patients by the knowledge of our purpose and responsibilities as caregivers. We are fortunate to have an accepted definition of our profession so the people we care for can better understand our purpose and goals. Our profession is hard to describe in words or definitions. It encompasses so much more than is apparent to our patients and families. The knowledge and experiences we use in our actions, assessments, evaluations, education and documentation is continually growing. In the metaparadigm theories of nursing...
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...PERIPHERAL ARTERIAL DISEASE 2 Purpose The purpose of this proposal is to determine the relationship between uncontrolled diabetes mellitus (DM) and the development of peripheral arterial disease (PAD) in patients who are >60 years old in Macon, Georgia. Problem Statement With the ongoing rise of the diagnosis of diabetes in the American population, the prevalence of PAD is also rising in these same patients. As noted by the Centers for Disease Control and Prevention (CDC) in 2012, the prevalence of adults with diagnosed diabetes in Bibb County, Georgia has risen to 11.6% (this percentage is the same in all of the surrounding counties of Bibb). PAD is defined as a gradual reduction or complete occlusion of blood flow, from the arteries, to the legs (Amer, Alsadany, Tolba, and Omar, 2013). Diabetes is a significant risk factor for the development of PAD, in addition to cardiovascular disease, hypertension, hyperlipidemia, tobacco use, obesity, and age greater than 60 years. The development of PAD in patients with diabetes is reported to be as much as 30% of the population. Unfortunately, the majority of patients with poorly controlled diabetes also suffer from diabetic neuropathy, which limits their ability to feel pain in their feet and legs, which non-diabetics notice more readily (Premanath & Raghunath, 2010). Review of Literature There are numerous research articles that discuss the management of patients...
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