...plan of care or intervention can be implemented or evaluated, the nurse conducts an assessment, collecting subjective and objective data from an individual. The data collected are used to determine areas of need or problems to be addressed by the nursing care plan. This assignment will focus on collecting both subjective and objective data, synthesizing the data, and identifying health and wellness priorities for the person. The purpose of the assignment is twofold. • To recognize the interrelationships of subjective data (physiological, psychosocial, cultural and spiritual values, and developmental) and objective data (physical examination findings) in planning and implementing nursing care • To reflect on the interactive process that takes place between the nurse and an individual while conducting a health assessment and a physical examination COURSE OUTCOMES CO 2: Utilize prior knowledge of theories and principles of nursing and related disciplines to integrate clinical judgment in professional decision-making and implementation of nursing process while obtaining a physical assessment. (POs 4 and 8) CO 3: Recognize the influence that developmental stages have on physical, psychosocial, cultural, and spiritual functioning. (PO 1) CO 4: Utilize effective communication when performing a health assessment. (PO 3) CO 6: Identify teaching/learning needs from the health history of an individual. (POs 2 and 5) DUE DATE Please see the Course Calendar. TOTAL POINTS...
Words: 2990 - Pages: 12
...HISTORY PURPOSE Before any nursing plan of care or intervention can be implemented or evaluated, the nurse assesses the individual through the collection of both subjective and objective data. The data collected are used to determine areas of need or problems to be addressed by the nursing care plan. This assignment will focus on collecting subjective assessment data, synthesizing the data, and on identifying health/wellness priorities based on the findings. The purpose of the assignment is two-fold: To recognize the interrelationships of subjective data (physiological, psychosocial, cultural/spiritual, and developmental) affecting health and wellness To reflect on the interactive process between self and client when conducting a health assessment COURSE OUTCOMES This assignment enables the student to meet the following course outcomes: CO 2. Utilize prior knowledge of theories and principles of nursing and related disciplines to integrate clinical judgment in professional decision-making and implementation of nursing process while obtaining a physical assessment. (PO 4, 8) CO 3. Recognize the influence that developmental stages have on physical, psychosocial, cultural, and spiritual functioning (PO 1) CO 4. Utilize effective communication when performing a health assessment. (PO 3) CO 6. Identify teaching/learning needs from the health history of an individual. (PO 2, 3) DUE DATE: Please See Course Calendar. TOTAL POINTS POSSIBLE: 50 points. PREPARING...
Words: 1661 - Pages: 7
...How to Guide for REFLECTION ------------------------------------------------------------- How to Guide for REFLECTION The National Service-Learning Cooperative ServeAmerica K-12 Clearinghouse Pennsylvania Institute for Environmental and Community Service Learning Northeast Regional Technical Assistance Center Compiled by Lorraine Parrillo Cooperative/Clearinghouse Coordinator Northeast Regional Technical Assistance Center December 5, 1994 Used with their permission INTRODUCTION This module includes a summary of materials currently used to support reflection in the service learning movement. Crucial information presented includes: 1. Introductory materials on Reflection by Diane Hedin and Dan Conrad 2. Reflective teaching techniques using eleven different forms of reflection rather than just using journals and asking how participants feel about service 3. Basic critical thinking skills that may be used in reflection sessions 4. Bibliography Reflection Reflective learning techniques are not the lone providence of service activities. All thinking and dialogue requires some form of reflection if learning is to take place. Individuals need time and reconsideration of events to put facts and ideas into sequence and eventually into a better understanding as to what happened during a specific event. Everyone in their life-time will be required to repeat this process endlessly. Nevertheless, schools do little...
Words: 7889 - Pages: 32
...Summary and Reflection (Part 1 of the Programmatic Assessment) Fleurette Duverglas University of Phoenix NUR/405 - HEALTHY COMMUNITIES: THEORY AND PRACTICE Professor Sharon Baker November 17, 2014 Windshield Survey and Reflection Introduction The fundamental objective of conducting a community assessment is to attain the complete scenario of the region and identify the requirements of the specific community. This assignment is reflection of my windshield survey conducted in North Miami Beach. The client includes a family that consists of five members. The assessment of the community is based on precise and inclusive examination of various aspects that includes history, health care issues of the region, data on the population of community, mediums of communication available, vital statistics, governmental efforts, and attitude and perception of the community members. The community health nursing requires a holistic approach, and the selected five member family needs to be considered with respect to. (Annerbäck, 2012). Community is specifically defined as the “social group of any volume whose members inhabits in specified locality, share government, and often have a similar cultural and historical heritage”. Furthermore, community health can be understood as congregation of combined requirements through identification of problems and administration behaviors within the community itself and between the community and bigger...
Words: 3546 - Pages: 15
...Nursing Reflection The role opportunities for nurses in a community of mostly elderly people, farming as the main occupation, and lack of health resources are endless. According to city-data.com, the adult obesity rate for Conecuh County is 32.6% whereas the state of Alabama is 31%. The rate of child obesity is 18.9% and the state is 13.5% (City-data.com, 2013). The first nursing diagnosis is imbalanced nutrition: more than body requirements (obesity) among residents of my community related to increased food consumption and insufficient energy expenditure for intake. The first goal for this diagnosis is to reduce the prevalence of obesity among the residents. An objective for this goal is that 50% of the obese residents will engage in an exercise plan that will promote adequate weight loss. The interventions for this objective include establishing a community wide exercise program or fitness plan that will promote weight reduction; and develop a meal plan that will enhance weight loss and promote better eating habits. We will work with local health care providers to provide sample menus and meal plans for the citizens who will participate in the weight reduction program. A second objective states that residents will lose 5% of total body weight over a period of six weeks. The interventions used to make this objective a reality include motivating residents by organizing a competition program to see which team can lose the most weight in a specific time period; and establishing...
Words: 1331 - Pages: 6
...Patient and Family Centered Care Kimberley Masterson WGU0713 Stacy Stratton-Mentor Practice Setting Wellington Regional Medical Center is located in Wellington, Florida. It is a 233-bed, acute-care hospital, owned by a subsidiary of Universal Health Services, Inc., a highly respected, healthcare management organization. Wellington Regional Medical Center is owned and operated by a subsidiary of Universal Health Services, Inc.(UHS), a King of Prussia, PA-based company, that is one of the largest healthcare management companies in the nation. Wellington Regional is proud to have provided high-quality healthcare("About Wellington Regional Medical Center - Palm Beach, FL | Wellington Regional Medical Center," n.d.) services to the residents of Palm Beach County since 1986.The Village of Wellington has an approximate census of 60,000 in 2013. (Census.gov). Wellington is located in western Palm Beach County and borders the Florida Everglades. Initially, the land area known today as Wellington, Fl. was developed in 1953 to provide drainage and flood control suitable for agriculture. The area was once the world’s largest strawberry patch. Nevertheless, over time the land has been purchased and sold until 1985 when Lennar homes built on 500 lots. Today, Wellington is an affluent and thriving community that is willing to stake its future on being different.(“Wellington/History of Wellington”.nd) Wellington is recognized as the winter equestrian capital of the world. Wellington...
Words: 6407 - Pages: 26
...A critical reflective account on mentoring and assessing a stu dent in clinical practice The aim of this assignment is to critically reflect on the experience of mentoring and assessing a student in clinical practice. For the purpose of this reflection the Gibbs reflective cycle (1988) will be used. The discussion of the role of the mentor and the effect it can have on the mentor/student relationship will be explored. In turn evaluating the learning environment and moving onto learning and teaching strategies used, reflecting on how they were applied to help the student. Lastly the evaluation of overall performance as a mentor. For the purpose of this work the student will be referred to as ‘A’ to maintain confidentiality and no other names of people or places will be documented . In order to create an environment conducive to learning, the learner must be assisted by the mentor to identify their learning needs (NMC 2006). On the ‘A’ ’s first day, after his orientation, we were able to draw up learning opportunities so that there was an awareness of what ‘A’ hoped to gain from the community experience. The qualities of the mentor are an important element of the learning environment. This includes professional and personal qualities such as professionalism, a friendly nature, understanding and patience (Beskine 2009). Added to this the learner must be made to feel welcome through staff attitudes, this will help the learner to become integrated into the clinical...
Words: 2048 - Pages: 9
...article looks at training programs for group home supervisors that can be used when working with youth that are transitioning from care to independent living. The programs were used in training sessions over the course of 5 months, with eight one-day training sessions. The training sessions took place in Massachusetts. U.S. Department of Health and Human Services, Children's Bureau funded the project (Collins, Hill, Miranda, 2003, p. 43). The purpose of the training programs were to train group home workers in assisting foster care youth in the transition from care to independent living. The authors realized that there's very little attention paid to staff in group homes and training programs toward supervisors. "The training program was, therefore, designed with the assumptions that community-based group home staff members are fundamental to the preparation of youth for later independence," (Collins et al, 2008, p. 43). The training was in collaboration with a school of social work and public care welfare agency. The attendants include a total of 186 that were mainly group home supervisors and workers. Also in attendance were staff of Massachusetts Department of Social Services Adolescent Outreach Program (Collins et al, 2008, p. 44). The training sessions intentionally took in consideration the challenges of transition youth from care to independent living. Four main topics were covered during the training sessions; positive youth development, utilizing relational...
Words: 918 - Pages: 4
...RUNNING HEAD: Book Review Dilemmas, Challenges, and Ethics of Humanitarian Action: Reflections on Médecins Sans Frontières' Perception Project’ – Book Review [Name of the Writer] [Name of the Institution] Dilemmas, Challenges, and Ethics of Humanitarian Action: Reflections on Médecins Sans Frontières' Perception Project’ – Book Review Introduction Ethics comprises key organisational elements in today’s world regardless of the job responsibility that describes oneself and this is why its evaluation is done and relevant implication studied in each sector and industry. Whether it is the provision of humanitarian aid or it is the manufacturing of pharmaceutical drugs, there are certain ethical boundaries that are important to be mindful of so that they are not breached as it comes attached with severe negative consequences. In the light of this argument for the purpose of strengthening it, a book edited by Caroline Abu-Sada named ‘Dilemmas, Challenges, and Ethics of Humanitarian Action: Reflections on Médecins Sans Frontières' Perception Project’ will be reviewed. Discussion As obvious from the book title, Médecins Sans Frontière s' also known as ‘Doctors without Borders’ is used as the case study for the purpose of enlightening the audience of the ethical challenges and moral dilemmas in addition to the ethics that revolve around humanitarian action (Kramer, Soskolne, Mustapha and Al-Delaimy, 2012, a299-301). The prominent theme that characterises...
Words: 1647 - Pages: 7
...Pathopharmacological Foundations for Advanced Nursing Practice Competency Assessment WUT Task 1 Pamela L. Taylor RN-C(OB), BSN Western Governors University June 2016 A. Disease Process For the purpose of discussion of pathopharmacological features of a specific disease process, this paper will provide information related to heart disease in the form of coronary artery disease (CAD). A1. Pathophysiology Analysis Cardiovascular disease (CVD) is the number one cause of mortality worldwide and becoming a steadily more investigated problem due to its prevalence. Much research is going into genetic, inflammatory mechanisms and neuro-hormonal factors related to CVD as scientific knowledge evolves regarding complexity of this broad pathophysiology. Atherosclerosis is the leading cause of the subsection of CVD called CAD. This is a form of arteriosclerosis where there is progressive thickening and hardening of the vessel walls of the two major coronary arteries and their branches. The thickening is an accumulation of lipid-laden macrophages inside the wall of the artery leading to the formation of lesions and plaque buildup (McCance, K. & Huether, S., 2014). When the plaque develops on the coronary artery walls the pumping ability of the heart becomes impaired as oxygen and nutrients needed for heart function may be partially or completely impeded. Complete occlusion of a coronary artery or one of its branches leads to a myocardial...
Words: 4865 - Pages: 20
...companies within that particular industry. However, significant differences in performance exist between companies operating within the same industry that can be explained either by the company's participation in a successful strategic group or by a firm's specific competitive advantages. THE VALUE CHAIN DEFINED The idea of a value chain was first suggested by Michael Porter (1985) to depict how customer value accumulates along a chain of activities that lead to an end product or service. Porter describes the value chain as the internal processes or activities a company performs “to design, produce, market, deliver and support its product.” He further states that “a firm’s value chain and the way it performs individual activities are a reflection of its history, its strategy, its approach to implementing its strategy, and the underlying economics of the activities themselves.” Porter describes two major categories of business activities: primary activities and support activities. Primary activities are directly involved in transforming inputs into outputs and in delivery and after-sales support. These are generally also the line activities of the organization. They include: l inbound logistics—material handling and...
Words: 1997 - Pages: 8
...Using the Person-Environment-Occupation-Performance (PEOP) model, I will discuss the evaluation, interventions, outcomes, and reflections of Mr. J. Mr. J is a 58-year-old right-handed African-American male. He had a stroke in July of 2016, with residual left-sided weakness and balance impairments, and has been readmitted with a new stroke. Mr. J is familiar to me, having been the primary occupational therapist during his previous in-patient rehabilitation admission. Mr. J presented to an acute care hospital on November 8, 2017, status post a mechanical fall resulting in left arm and hip pain, and an unclear report if he had experienced any loss of consciousness. Upon admission to the acute care hospital, Mr. J was also noted to have an...
Words: 1011 - Pages: 5
...professionals that lead hospitals, healthcare systems and other healthcare companies. ACHE is known for their extensive educational programs such as their annual Congress on Healthcare Leadership. ACHE has strived towards the optimal goal of becoming the premier leader for healthcare administrators dedicated to improving the delivery and integrity of health care. These decisions are not just limited to clinical matters, but they include the total patient care experience. Because of emerging healthcare trends and complex health law and ethics, it is imperative that healthcare administrators have a professional organization. CHE is known for its prestigious FACHE® credential, signifying board certification in healthcare management, and its educational programs including the annual Congress on Healthcare Leadership” (American College of Healthcare Executives, n.d.). SELF-ASSESSMENT Self Assessment and The Ethics of Self-Assessment can assist and define those areas that are based on strong ethical ground; areas that you may wish to consider and examine the basis for your responses; and opportunities for further reflection (www.ACHE.org). This Self-Assessment can help medical professionals to recognize those areas in which they have a strong ethical ground; areas that they may wish to examine or survey the basis for their responses; and opportunities for further consideration (www.ACHE.org). Making The American College of Healthcare Executives (ACHE) provides an ethics...
Words: 728 - Pages: 3
...between the rich and the poor, migrants are highly vulnerable to human trafficking and labour exploitation (IOM, 2011, para. 1). About half of Bolivia citizens have migrated inside or outside to other countries; however, Bolivia also receives many immigrants from Brazil, Paraguay, Eastern Europe, and Japan. Some Bolivians migrate to other properties only wanting to return home; however, many stay permanently. Spainish immigrants have the largest portion living in Bolivia. In the earlier days, it was easy to migrate to Spain with not having a visa; however, today it is not as easy to immigrate. The issues for Bolivia migration are that people are worried about increased crime, increased pollution, congestion, and loss of traditional cultural practices and values. Let us take a look at the issues people are worried about. The crime rate is connected to drug-trafficking in rural areas even though it is a big problem in large cities; people are worried about it will come to their community. Pollution is the biggest worry because sewage is released directly into the river without any treatment and this makes it not safe for drinking after the river has passed through a main city. The congestion problem is another major fact for...
Words: 1354 - Pages: 6
...leadership. How the servant leader is inspired and performed his/her job within the health care organization? The paper will also inform readers of how each individual can unleash the servant within described by Larry Spears in his book “Reflections on Leadership.” Everyone has a deep need for serving, sometimes adults find it very difficult to unleash this desire to serve. Having worked in a large Hospital for over five years, it is easy to see why many people get frustrated and depart the health care industry. There are many complicated situations that happen working in healthcare. Throughout the majority of these situations between registered nurses, patient care technicians, and some doctors; there are solutions for dealing with most of those problems. Compassion, empathy, trustworthiness, faithfulness, respect, honesty, integrity, and rapport are all words that will be used frequently within the body of the paper. In my personal quest to better understand how to work well with people in a highly stressful environment as in healthcare, I begin to do my own research on process improvement and better systems that works in the hospitals. I turned my mind to various leadership books on healthcare and process improvements in the hospital setting. Some of the books I read was tremendously inspiring, interesting, as well as educational. After I read approximately ten books on health care leadership, process improvement, steam structure, solving difficult issues with employees...
Words: 2306 - Pages: 10
