...Personal Impact: Multiple Sclerosis Nbiyea N. Conley University of Phoenix NUR/427 Multiple Sclerosis Multiple Sclerosis or MS is a chronic as well as progressive disease of the central nervous system. MS effects primarily women, between the ages of 20 and 40. MS is not a curable disease and the exact cause is unknown. It has been shown that Multiple Sclerosis has a major connection with genetics, environment, pathogens and vitamin D deficiencies. There are four types of Multiple Sclerosis relapsing remitting multiple sclerosis, secondary progressive multiple sclerosis, primary progressive multiple sclerosis, and progressive relapsing multiple sclerosis. My sister whom is 20 years old was diagnosed with multiple sclerosis in January of 2015. She simply took a shower one day and couldn’t determine the temperature of the water on her right side. She has never been one to complain so there was a definite concern from my entire family. Her gait remained steady, she has not has any falls at home. So my mother and I which are both nurses wrote it off as just general fatigue cause by her college final exams. After visit to the emergency room, spinal taps, MRIs and series of other test it was confirmed she had Multiple Sclerosis. I can remember the day the neurologist confirmed the diagnosis and that she had lesions on her brain. She looked at my mother and said “I have always tried to be a good person, why is this happening to me”. Since her diagnosis a series of things...
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...Nurs 427 dq 1-1 What is your idea of a healthy community? Provide specific examples. What do healthy communities have in common? How would you provide care for a community if your idea of a healthy community does not match your community's definition of a healthy community? Maurer & Smith (2009), stated, “A healthy community is one in which residents are happy with their choice of location and which exhibits characteristics that would draw others to their location. The majority of community residents are relatively functional for their age and health status” (p. 394). My idea of a healthy community is to live by a good school district and most people want to move to this area, and no homeless people on the major streets that are begging for money. As cited in National Network of Public Health Institutes (NNPHI) 2013, the healthy community characteristics included the following: Equity, a strong economy& employment opportunities, health care & preventive health services, housing/shelter, opportunities for active living, transportation, access to healthy food, a stable and sustainable ecosystem & environment, safety, education, an empowered population, healthy child development, and healthy public policy (NNPHI, 2013). NNPHI further stated, “These healthy community characteristics most often mentioned are not directly related to physical health. They are what we now call the social determinants of health, such as employment opportunities...
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...Personal Impact Paper Addonica Jackson NUR/427 July 8, 2014 Debra Ayer Personal Impact Paper Crohn's disease (CD) is a chronic inflammatory bowel disease affecting any part of the gastrointestinal tract from the mouth to the anus, although the ileum, colon and perineum are most commonly involved (Hart, A. & Ng, S., 2011). CD is more widespread among adolescents and young adults between the ages of 15 - 35. According to Mayo Clinic Staff, "Researchers believed that a number of factors, such as heredity and a malfunctioning immune system, play a role in the development of Crohn's disease." In CD the patient develops inflammation to the wall of the bowel that causes scarring or the inflammation can penetrate through the wall of the bowel and causes a fistula. Some symptoms of CD are persistent diarrhea, abdominal pain and cramps, rectal bleeding, decrease appetite, weight loss and constipation. In order to protect the patient's privacy I will use the initial AJ. I obtained verbal permission from AJ and her mom to interview her. I chose CD because over the past 6 months I have seen the great financial, personal and social impact CD has on AJ and her family. This paper will also address AJ's learning process and educational experience regarding CD. It will also outline the change motivators AJ used and recommend theories of learning and motivation. AJ, a 21 year old nursing student was experiencing frequent bouts of abdominal pain, loose stool and hyperactive bowel...
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...Patient Education Plan NUR 427 Sidoney Roache Ulcerative Colitis Patient Education Plan Patient Description Larry Garcia is a 45 year old sales representative with 3 children. He has been married for 18 yrs to Monica, who is 8 yrs. his junior. Mr. Garcia has come to the emergency department reporting abdominal pain, cramping and frequent diarrhea with blood and pus in his stool for the past 2 days. He also has been having difficulty absorbing fluids and nutrients and as a result lost 4 1bs. His symptoms started at age 22 along with lactose intolerance. Larry is Caucasian and of Jewish descent. His regular diet consists of whole-grain breads with eggs for breakfast and for lunch he eats a bagel with cheese and some whole milk. Every Wednesday Larry eats cereal for breakfast and has pasta for lunch. He has a history of abdominal pain for the past 10 years. Mr. Garcia’s preferred learning style is visual as he explained in the initial interview. He learning style is visual because he prefers to read the material independently. He does not absorb verbal information easily. Introduction to the disease process for the Patient Education Plan: The disease process usually begins in the rectosigmoid area and spreads proximally. Pathologic change starts with degeneration of the reticulin fibers beneath the epithelial mucosa. This causes occlusion of the subepithelial capillaries and infiltration of the lamina propria with lymphocytes, leukocytes, eosinophils...
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...Bloom’s Taxonomy Eric Peppers, RN NUR/427 Version 4 Health and Chronic Disease Management October 22, 2012 Aimee Yager, RN, MSN, CPNP Bloom’s Taxonomy In 1956, Benjamin Bloom led a consortium of researchers to identify domains associated with educational learning activities. The domains were labeled cognitive, affective and psychomotor. Nursing education is driven by patient outcomes. In the modern era, healthcare providers are not only reimbursed for their care through a series of audits which gather information to justify the patient stay, but are also graded by surveying agencies on their quality of care. This focus has crossed over into the training level of nurses. When I think of Bloom’s application in nursing education, I recall the care plans we developed as student nurses. I do not recall specifically learning about Bloom’s Taxonomy, however this current research into the subject has caused much reflection, which leads me to the conclusion we were taught this concept. Critical thinking is at the heart of self-care just as much as it is at the heart of nursing. Larkin proposed, “some researchers argue critical thinking cannot be taught”, (Larkin and Burtin, 2008). Cognitive Domain The knowledge-based domain of the taxonomy is the cognitive domain. The learner is expected to gain knowledge from various types of stimuli including but not limited to oral, written or graphic information. Utilizing instructions, they should be able to carry out a task....
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...Diabetes Case Study Reflection NUR 427 February 23rd, 2015 Amy Highland Diabetes Case Study Reflection The graded assignment and feedback discussed the missed opportunity for education in consistently following Jenna’s recommended dietary changes. Her noncompliance was due to a lack of understanding of the pathophysiology of Type 2 Diabetes. As a 14 year old, Jenna displayed feelings of resentment and being singled out in her family. Familial education may have proved beneficial for Jenna and her family. Dietary education that included the whole family would have helped the entire family to gain an understanding of the disease process and the need for lifestyle changes. Jenna and her family need education on signs and symptoms of hyperglycemia. The WebMD (2015) websites list the below signs and symptoms: •High blood glucose. •High levels of sugar in the urine. •Frequent urination. •Increased thirst. Jenna and her family also need education on the signs and symptoms of hypoglycemia. The WebMD (2015) websites list the below signs and symptoms: •Confusion. •Dizziness. •Feeling shaky. •Hunger. •Headaches. •Irritability. •Pounding heart; racing pulse. •Pale skin. Describing each of the signs and symptoms and how they would be displayed by a patient would ensure that Jenna and her mother understand when medical intervention may be needed. The opportunity for Jenna to attend support groups amongst her peers would have given Jenna a platform to discuss her...
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...Bloom’s Research and Response Janet Ibrahim NUR/427 April 13, 2015 Trecia Jones Bloom’s Research and Response The use of Bloom’s Taxonomy of Education in nursing education provides a guideline for data collection, data analysis evaluation and implementation of a working plan. In other words, it maps out the critical thinking process. Critical thinking is a valuable skill that nurses must have to provide quality nursing care as well as being accountable and responsible for educating patients in health care settings. There has been extensive research conducted on Bloom’s Taxonomy of Education and its use in Nursing Education. For example, in secondary school most of us are taught to memorize information for testing purposes. (Concialdi, 2013). We have to recall certain facts or pieces of information and not having to apply information to reach a certain outcome or goal. In nursing, Bloom’s Taxonomy allows students to use knowledge taught to critically think In 1956, Benjamin Bloom and his colleagues developed Bloom’s Taxonomy, a classification of learning objectives within education. Using Bloom’s Taxonomy as a framework to develop lesson plans and measurable educational objectives will ensure that all facets of the patient’s health needs are addressed in the educational phase of nursing care and serves as a foundation for the beginnings of educational research. The taxonomy is divided into three domains, the cognitive, affective and psychomotor. Within the three domains...
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...Blooms Research and Response Carrie Cherrie NUR/427 July 2, 2015 Lois Manning Blooms Research and Response Blooms taxonomy was created in 1956 under the leadership of educational psychologist Dr. Benjamin Bloom. (The Cognitive Domain, n.d.) An essential goal in nursing is to continue education to enhance the nurse’s ability to improve patient care outcomes. Bloom’s theory of education provides the guidelines to promote higher forms of thinking, such as analyzing and evaluating rather than just remembering facts. (The Cognitive Domain, n.d.) The revised Bloom theory provides the framework for nurses to transfer their knowledge to everyday practice. The application of research conducted in Bloom’s taxonomy on nursing education focuses on teaching, organize lesson plan, assess and evaluate. The application of the research is also used to create learning objectives and instructional outlines for written educational materials. (Su & Osisek, 2011) For example, nurses have to teach patients about different disease processes and need to have the knowledge to know how to effectively teach a patient. Bloom identified three domains of educational activities or learning categories. The three domains are cognitive, affective, and psychomotor. The first domain is cognitive, which involves knowledge and the development of intellectual skills. (Su & Osisek, 2011) There are six major categories of cognitive processes, ranging from the simplest to complex. The...
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...Type 2 diabetes in Hispanic adults Gerald Jean University of phoenix NUR/427 July1, 2014 Week 1 Type 2 diabetes in Hispanic adults Chronic disease is very significant in the health care professions. When considering the model it gives us the ability to assess, implement, and evaluates the effectiveness of the care we delivered to our patients in the daily basis. Type 2 diabetes is a progressive, chronic illness that affects a lot of Americans in many ethnic groups, but it is found that Hispanic adults have the highest percentage of developing type 2 diabetes (American academy of nurse Practitioners, 2007). The purpose of this paper is to motivate Hispanic adults to adopt healthy behaviors, increase motivation, and build skills, to enhance a positive health practices and self- management. According to American Diabetes Association, 2014, type 2 diabetes is the fifth leading cause of death in Hispanic American. Also it is estimated that by 2025 the percentage of Hispanic living with this chronic illness will increase to 18 %( ADA, 2014). As a registered nurse it is our responsibility to educate the patients how to maintain a healthy lifestyles by motivativating them to resist for optimal health, and supporting them in changing their lifestyle to maintain a better health. We have to do our best so they can meet their ultimate goals. When consider working with patients...
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...Bloom's Research and Response NUR/427 January 20, 2015 Trecia D. Jones, MSN, RN, CNL Bloom's Research and Response According to Bloom’s Taxonomy of Learning Domains, learning is divided into three main domains: cognitive is the thinking domain, affective is the emotion and feeling domain, and psychomotor is the physical and kinesthetic domain. Included in each domain is a taxonomy or classification. The taxonomies proceed from the simplest to most complex levels of the domain. The Cognitive Domain The cognitive domain includes content knowledge and the development of intellectual skill. There are six levels in the cognitive domain: knowledge, comprehension, application, analysis, synthesis, and evaluation. Knowledge is remembering or retrieving previously learned material. Verbs that describe this level of learning include: arrange, define, describe, list, memorize, recognize, and select. Comprehension is the ability to compose meaning from the material. Verbs that describe this level of learning are: explain, record, classify, summarize, and illustrate. Application is the competence to use the learned material or to implement material in new and concrete situations. Verbs used in this level of learning are use, apply, solve, produce, implement, and perform. Analysis is the ability to break down or to distinguish the parts of the material into its components so that its organizational structure is understood. Keywords at this level of learning are as follows: analyze...
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...Diabetes Case Study (Part 1) Elizabeth Tamayo, Melissa Gonzales, Eroshnie Singh NUR/427 January 15, 2014 Jeanette Moore Diabetes Case Study (Part 1) In the biography of Jenna Riley, Jenna is a fourteen-year-old female who lives in a single parent home with her younger brother and mother. Jenna’s mother works in the afternoon and Jenna is left to care for herself and her younger brother. With little adult supervision, Jenna’s eating habits fall out of control and there is a lack of physical activity. When Jenna is stressed, she binge eats and even becomes a closet eater hiding food under her bed. Jenna develops symptoms such as frequent urination and weight gain. During a visit to the school nurse, it is discovered that Jenna has dark pigmentation on the back of Jenna’s neck. The school nurse suggests a physical examination by her family doctor. After having an exam from her family practitioner, her lab work reveals that Jenna is diabetic and her physician diagnoses her with type II diabetes. It is also noted that Jenna’s father and grandmother have diabetes. Jenna and her mother meet with a certified diabetic educator. Nutrition, physical activity, monitoring of blood glucose, and drug therapy are discussed and monitored in follow up visits. According to the 2011 National Diabetes fact sheet reported by the Center for Disease Control (CDC) 25.8 million Americans have diabetes and 8.3% of the United States population do not know they have diabetes. The estimated...
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...Bloom's Taxonomy and its use in Nursing Education NUR/427 October 27, 2014 Dr. Shannon Smith Bloom's Taxonomy and its use in Nursing Education Registered Nurses (RN) make a commitment to being life-long learners. It is imperative that we stay up-to-date and current on standard practice in order to provide optimal education to our patients in managing chronic illness and disease. The origination, revision and domains: cognitive, affective, and psychomotor aspects of Bloom’s taxonomy in education and its use in nursing education will be the main focus of the following essay. In 1956, Benjamin Bloom along with a group of other educational psychologists published Bloom’s Taxonomy of Educational Objectives. Educators of health use Bloom’s taxonomy to classify skills and learning objective for students. A revision of bloom's taxonomy by Anderson and Krathwohl in 2001 offers a range of three domains for learning which include cognitive, affective and psychomotor (Larkin and Burton, 2008). This system remains more effective to adult learners and is widely used by nurses for patient education. According to (Su and Osisek, 2011), education that is practical, relevant, and organized focusing on the problems and tasks that are applied to real life is preferred by the adult learner. Using this system allows nurses to plan for educational opportunities to a particular problem that is clear, concise and is easily understood by the patient. Using this system also allows documenting...
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...Bloom’s Research and Response Ralph Guzman NUR/427 June 1, 2012 Professor Smith Bloom’s Research and Response Teaching is something that goes hand-in-hand with nursing. As the teaching role for the Registered Nurse (RN) expands so must the nurse’s teaching skills through continuing education. Because of the diversity of patient population, hospitals and public heath settings the RN should be well prepared to effectively teach patients from all walks of life ie., education, age, culture, religion, etcetera (Crosby, 1977). This essay will go over Bloom’s taxonomy of education and its use in nursing education, the applications of the nursing research conducted on nursing education and will touch on the three domains outlined in Bloom’s taxonomy. In 1956 Benjamin Bloom along with educators from the University of Chicago developed Bloom’s taxonomy of educational objectives. There are three domains in Blooms taxonomy: cognitive, affective and psychomotor. Cognitive : In the cognitive domain learners , which for the purpose of this paper would be a patient, patients would be expected to retrieve information from long-term memory such as knowing what medications are used for and what the side effects might be for that specific medication. After being taught, patients would be expected to be able to verbalize the meaning of oral , graphic or written information; such as being able to verbalize how to recognize the signs and symptoms...
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...Bloom's Taxonomy Gina Hern-Martinez NUR/427 Bloom's Taxonomy Bloom’s taxonomy is a categorization of the levels of learning and thought processes. It shows the progression of learning from simple remembering of information to understanding, application, analysis, evaluation and creativity. (“How to Use Bloom’s Taxonomy”, 1999-2013). Nurses use the three domain of cognitive, affective, and psychomotor to help with nursing education and patients with chronic diseases on a daily basis. This paper will describe the research and application on how to manage patients with chronic disease and the three domain of Bloom’s Taxonomy. Bloom’s Taxonomy offers a framework for meeting nursing education goals. It is also a tool that nurses can use to educate their patients with chronic diseases, to ensure that what is thought is focused, clear, has standard of evaluation and is well documented. One of the essential goals for taking care of patients with chronic disease is to enhance nurses’ ability to improve patient care outcomes. Toward this goal, learners need to transfer learned knowledge to actual practice. Achieving effective transfer requires knowledge of thinking paradigms in relation to specific subject content. Educators can facilitate knowledge transfer by developing instructional designs that incorporate subject content and cognitive processes related to the use of the subject content. (SLACK Incorporated, 2011). Chronic diseases are diseases of long duration and...
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...Bloom’s Taxonomy of Education as related to Nursing Education Lora L McCabe NUR 427 Bloom’s Taxonomy of Education as related to Nursing Education According to "Bloom's Taxonomy Of Learning Domains" (2013), “Bloom's Taxonomy was created in 1956 under the leadership of educational psychologist Dr. Benjamin Bloom in order to promote higher forms of thinking in education, such as analyzing and evaluating, rather than just remembering” (1). There three domains of learning are cognitive, affective, and psychomotor. We will explore these learning domains and the relationship to patient education. Cognitive Domain Cognitive domain refers to knowledge and intellect. There are 6 categories that make up cognitive domain that range from simple to complex. Mastering these must occur in order for full comprehension. These are knowledge, comprehension, application, analysis, synthesis, and evaluation. These would be related to teaching a patient with a chronic disease process by giving them the knowledge to improve and then they make the needed changes to improve their state of health. The factual information would be supplied first, such as the needed medication, lifestyle change, testing, and the anticipated effects. Comprehension would include the patient’s ability to explain why the medication was needed, what improvements would happen with the lifestyle change. Application would be the patient making the needed changes and being able to modify the behavior for better...
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