...I. Course Prerequisites: II. Course Description: NURS 101, BIO 311, CHEM 107/170 This course introduces the student to the scientific principles of foundational concepts, theory and technical skills. Concepts that frame the curricula are introduced: caring behaviors, communication, culturally congruent care, ethical frame work, legal aspects, critical thinking, leadership, research and professional nursing role. Using simulated labs, computer programs and videotapes, the student will develop and master selected psychomotor skills. III. Required Text(s) Potter, P. A., Perry, A. G., Stockert, P., & Hall, A. (2012). Fundamentals of Nursing (8th ed.). St. Louis, MO: Mosby/Elsevier. ISBN: 9780323079334 Perry. A. G., & Potter, P. A. (2009). Clinical nursing skills and techniques (7th ed.). ISBN10:0323052894 Wilkinson, J.M. & Ahern, N. R. (2009). Prentice Hall nursing diagnosis handbook with NIC interventions and NOC outcomes (9th ed.). Pearson: Upper Saddle River, NJ. 1 IV. Recommended/Supplemental Text or Reference Material Potter, P. A., Perry, A. G., Stockert, P., & Hall, A. (2012). Study guide: Fundamentals of Nursing (8th ed.). St. Louis, MO: Mosby/Elsevier. ISBN: 9780323084697 American Psychological Association (2010). Publication manual of the American Psychological Association ( 6th ed.), Washington, DC: Author V. Course Objectives: Upon completion of this course the students will be able to: 1. Use scientific rationale to demonstrate basic psychomotor nursing...
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...possible “(as cited in Parker and Smith, 2010, pg 59) In the Spinal Cord injury and Disorder unit (SCID), the one major component that nurses strive to assist patient in managing is elimination of wastes, one of Virginia Henderson’s component in basic nursing care. The reason why elimination of wastes is one of the main components nursing care for spinal cord nurses is because bowel and bladder elimination may cause severe illnesses among the spinal injury population if proper management does not exist. One of the few major complications that many Spinal Injury patients face is the possibility of going into Autonomic Dysreflexia. Autonomic dysreflexia (AD) “is a potentially life threatening condition that can be considered a medical emergency. It mainly affects people with injuries at T6 or higher.AD requires quick and correct action. Serious AD can lead to a stroke. AD can be cause from variety of noxious stimulus such as but not limited to: Irritation of bladder wall, urinary tract infection, blocked catheter, overfilled collection bag, over-distended or irritated bowel, constipation/impaction, etc” (Autonomic Dysreflexia, n.d.). For this reason, most basic nursing care for spinal injured patients revolves around the management of wastes elimination. The nursing care around bladder and bowel management in SCI is done in many ways. Nursing collaborate with interdisciplinary team as well as the patients and care givers to develop the best plan to care in assisting the patients...
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...Neurological System (Headaches, head injuries, dizziness, convulsions, tremors, weakness, numbness, tingling, difficulty speaking, difficulty swallowing, etc., medications): Patient denies any head injuries, headaches, convulsions, tremors, numbness, tingling, difficulty speaking or swallowing. Patient denies taking any medication in correlation to her neurological system. Patient states, “When I get up sudden I have to wait a moment because I get dizzy.” Head and Neck (Pain, headaches, head/neck injury, neck pain, lumps/swelling, surgeries on head/neck, medications): Patient denies any problems in the head and neck but states, “When I travel I bring a special pillow because my neck gets sore on the wrong pillows.” Patient denies taking medication. Eyes (eye pain, blurred vision, history of crossed eyes, redness/swelling in eyes, watering, tearing, injury/surgery to eye, glaucoma testing, vision test, glasses or contacts, medications): Patient states she has a history of dry macular degeneration and it is being well controlled. Patient uses special eye drops for her eye disease. Patient wears corrective lenses at all times for both reading and sighting with blurred vision occasionally. Negative glaucoma testing 02/15/2014Eye surgery in relation to the macular degeneration 08/13/2013 Ears (Earache or other ear pain, history of ear infections, discharge from ears, history of surgery, difficulty hearing, environmental noise exposure, vertigo, medications): Patient...
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...Family Interview 1. Values and Health Perception A. How would you describe your families overall health? Women- I feel like I am in very good health, with little to no problem Man- I feel like I am in fairly good health, despite being overweight and have back problems. B. What activities does your family do together? We like to swim laps together several times a week. C. Does anyone in your family have unhealthy habits? (etc. smoking, drinking, or recreational drug use) Neither of smoke cigarettes use any recreational drugs. We socially drink on the weekends. Husband reports occasional cigar smoking a couple times a year. 2. Nutrient A. Describe a typical daily diet for your family? We currently do a paleo diet. Which consist of meat, fish, vegetables, and fruit. B. Does one member prepare all meals? Is this task shared? Wife states she primary fix the meals, but that her husband still cooks often. C. How often does your family eat out? When you do are heathy choices made? Women- We eat out on occasion, just depending on the week. Sometimes it’s not at all and other it can be up to two times a week. I do my best to try and stick to my paleo diet when possible Man- I tend to eat out a little more than my wife since I work in a larger town that has fast food and restaurant. I honestly do better with my diet when my wife isn’t around. 3. Sleep rest A. Describe your family’s bedtime routine? We don’t have any special routines...
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...Children’s Functional Health Pattern Assessment Functional Health Pattern Assessment (FHP) | Toddler Erickson’s Developmental Stage: Autonomy VS. Shame | Preschool-Aged Erickson’s Developmental Stage: Initiative VS. Guilt | School-Aged Erickson’s Developmental Stage: Industry VS. Inferiority | Pattern of Health Perception and Health Management: List two normal assessment findings that would be characteristic for each age group. List two potential problems that a nurse may discover in an assessment of each age group. | 1) Good weight gain of four to six pounds per year with a growth in height of 2-4 inches per year. 2) Will have several teeth at this stage and will imitate parents while learning to brush their own teeth. | 1) Good perception of body parts and can name them. 2) Has no illnesses or allergies | 1) School age child may think that they are sick because they are being punished. 2) They are aware of their own body and how it functions | | 1) Decrease weight due to lack of nutrition at this age kids are easily distracted may not want to sit for a meal. 2) Tooth decay from nursing bottle syndrome when the toddler teeth are in frequent contact with sugary drinks, juices and milk. | 1) Dental caries due to no dental care 2) Child has not had any past history of medical evaluations or immunizations. | 1) They may not have good hygiene which can lead to infections. 2) May learn poor health habits from people around...
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...Comp li of F.A ments . Dav is Gordon’s functional health patterns HEALTH PERCEPTION— HEALTH MANAGEMENT PATTERN Death Syndrome, risk for Sudden Infant Energy Field Disturbance Environmental Interpretation Syndrome, impaired Falls, risk for Health Maintenance, ineffective Health-Seeking Behaviors (specify) Infection, risk for Injury (trauma), risk for Latex Allergy Latex Allergy, risk for Noncompliance (specify) Perioperative Positioning Injury, risk for Poisoning, risk for Protection, ineffective Recovery, Delayed Surgical Suffocation, risk for Suicide, risk for Therapeutic Regimen: effective management Therapeutic Regimen: ineffective management Therapeutic Regimen management: readiness for enhanced Therapeutic Regimen: Family, ineffective management Therapeutic Regimen: Community, ineffective management Trauma, risk for Wandering (specify sporadic or continual) NUTRITIONAL— METABOLIC PATTERN Aspiration, risk for Body Temperature, imbalanced, risk for Breastfeeding, effective Breastfeeding, ineffective Breastfeeding, interrupted Dentition, impaired Failure to thrive, adult Fluid Balance, readiness for enhanced Fluid Volume, risk for deficient Fluid Volume Deficient [active loss] Fluid Volume Deficit [regulatory failure] Fluid Volume Deficit, risk for Fluid Volume Excess Fluid Volume Imbalance, risk for Hyperthermia Hypothermia Infant Feeding Pattern, ineffective Latex...
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...Family Health Assessment Shaila Rahman Grand Canyon University Family-Centered Health Promotion NRS-429V Melanie Gray MSN October 19, 2014 Family Health Assessment Gordon's Functional Health Patterns provide a useful structural guideline that help nurse or any health care provider to assess any family’s health status and develop a nursing diagnosis according to their need to improve their quality of life. Through each of these eleven patterns of health assessment, nurse can create a systemic approach and gather information which help them to understand a family values from each prospect of human health status. The health assessment begin with asking two or three open ended questions to a selected family. This family is a young couple who have been married for 11 years. The father is 39 years old and the mother is 36 years old, who stays home with two children. They are 7 and 2 years old. Values/Health Perception Family history begins with the health perception-health management pattern (Edelman, 2013). Based on health perception and value, the family verbalized that they are thankful and blessed with two beautiful healthy children. Mother has occasional migraine headache but no disabilities issues in the family. No one smokes or taking drugs. They do socially drink alcohol but no more than 3-5 drinks a month. They always go for annual health checkups. Kids are up-to-date with immunization. They are Christian. They go to church every Sunday. They value being in healthy...
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...Family Health Assessment Nathalie Alerte Grand Canyon University: NSR 429V August 30, 2015 A family health assessment is a way for a nurse to gather patient data based on health patterns and actions taken by a given family. Certain specifics that are touched by this are family history, cognitive ability, nutrition, etc. 11 areas of focus are addressed per Gordon’s health related behaviors while doing the assessment. This was used to aid the nurse in coming up with certain questions to ask the family (Edelman, 2010). The process helps the nurse to better understand and assess a family’s health issues and needs. The specific family, known as the St-Cyr, is a family of Haitian descent living in Queens, NY. The wife is 48 and the husband is in his early 60’s and they have 5 children, the oldest being 26 and the youngest being 10. The oldest is married and moved out of the house but the rest of the couple’s children live at home. Values, Health Perception The St-Cyr family believe they are a strong and close-knit family with deep religious ties to religion. The father is a deacon at a Protestant church and they hold the household to values based on their religion. They part take in religious activities and dedicate time towards prayers. Mr. St Cyr has congestive heart failure which leaves him extremely fatigued and dyspneic. Mrs, St Cyr is in fairly good health except for minor aches and pain due to arthritis for which she takes Tylenol. Mr, St Cyr takes blood pressure...
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...and frequency of the pain. I would also want to know if she has nausea and vomiting, diarrhea a change in her appetite, did she take any medication to address the pain, ask about change in elimination pattern, feeling of bloating or gas, or a change in weight. I would also ask when was the last time the patient had anything to eat or drink. While taking the history of the patient, I would want to know if they have a history of abdominal pain that could be unrelated to the current pain. Known risk factors would include peritonitis, sepsis, or even death related to the infected appendix. If appendicitis is even suspected, doctors tend remove the appendix to avoid its rupture. If the appendix has formed an abscess, you may have two procedures: one to drain the abscess of pus and fluid, and a later one to remove the appendix. Physical assessment of the abdomen includes inspection, auscultation, percussion, and palpation (D’Amico). Percussion and palpation should be done last to avoid disturbing bowel sounds. Normal bowel sounds should occur from 5 to 30 times per minute. I would also take her temperature to see if there she has an elevated temperature. The following tests are usually used to make the diagnosis. Abdominal exam to detect inflammation Urine test to rule out a urinary tract infection Rectal exam Blood test to see if your body is fighting infection CT scans and/or ultrasound. I would tell the patient appendicitis is an inflammation of the appendix...
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...A comprehensive assessment is done to establish a data base for developmental assessment and for nursing diagnosis and treatment. Information is needed on (1) the development of each functional pattern and anatomical growth, (2) current health patterns, and (3) family health and the home environment in which the infant or child is developing. The questions/items listed below can be used selectively for problem screening. Questions should be directed to the primary care giver. NURSING HISTORY 1. Health-perception – health management pattern Parents’ report of: a. Mother’s pregnancy/labor/delivery history (of this infant, of others)? b. Infant’s health status since birth? c. Adherence to routine health checks for the infant/child? Immunizations? d. Infections/illnesses in the infant/child? Child’s absences from school/day care? e. If applicable: Infant’s/child’s medical problems, treatment, and prognosis? f. If applicable: Actions taken by parents when signs and/or symptoms were perceived? g. If appropriate: Has it been easy to follow doctors’ or nurses’ suggestions? h. Preventive health practices (e.g., diaper change, clean clothes, hand washing)? i. Do parents smoke? Around children? j. Accidents? Types? Frequency? k. Infant’s crib toys (safety)? Child's toys? Carrying safety? Car safety? l. Parents’ safety practices (e.g., household products and medicines) Parents (self): a. Parents’/family’s general health status? Illnesses? Injuries? 2. Nutritional-metabolic...
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...Family Health Assessment August 17, 2012 Family Health Assessment Health organizations, government and public health mainly focuses on health issues, the prevention of illness and the strategies to help people promote health and wellness. Healthy People 2020 progresses toward the goal of achieving healthy and long lives for each individual. Marjorie Gordon proposed functional health patterns to collect data for nursing diagnosis in1987. He developed eleven functional health patterns that help nurses to approach people and obtain data collection and to assess the health patterns of each individual as well as family. Based on the data collection in 11 functional health patterns, nurses can form nursing diagnoses and plan the treatment options as needed for each person and family. Gordon’s health model incorporates all the physical, mental and social aspects in collecting data. Collection of data on all health function pattern is an important tool to formulate nursing diagnoses. Here is the data collection of my family functional pattern regarding health and wellness. Health perception/health management pattern Healthy life styles, eating health foods, exercising and preventing stress are the basic requirements for health and the family members are trying to follow these in daily life. The family shows interest and awareness by getting their regular health checkups every six months. None of our family members have had any medical problems now or in the...
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...NURSING CARE PLAN COURSE: Basic Adult Health CLIENT INITIALS: DATE OF ADMISSION: AGE: GENDER: JL June 13, 2011 85 M HT: WT: ALLERGIES: 140 lbs. NKA CODE STATUS: FULL RACE/ETHNICITY: CULTURAL CONSIDERATIONS: Caucasian None RELIGION/SPIRITUAL CONSIDERATIONS: Unknown OCCUPATION/HOBBIES/RECREATIONAL ACTIVITIES: Retired LIVING SITUATION/WITH WHOM: (home, assisted living, LTC, etc) Lives with daughter. SOCIAL HISTORY: (tobacco, ETOH, illicit drugs, family dynamics) Quit smoking many years ago, no history of ETOH or drug use. NURSING CARE PLAN ADMITTING MEDICAL DIAGNOSIS: Client's principal admitting diagnosis was leukocytosis. Definition: (from Taber’s) “An increase in the number of leukocytes (usually above 10,000/mm3) in the blood. It occurs most commonly in disease processes involving infection, inflammation, trauma, or stress, but it also can result from the use of some medications” (Venes, 2009, p. 1327). Etiology/pathophysiology: ( NOT from Taber’s or Wikipedia) Etiology: Causes of leukocytosis are infection, inflammation, tissue damage, immune reaction, bone marrow problems, medications, and stress (Drug Information Online, 2011). Pathophysiology: “Leukocytosis can be a reaction to various infectious, inflammatory, and, in certain instances, physiologic processes (eg, stress, exercise). This reaction is mediated by several molecules, which are released or regulated in response to stimulatory events that include growth or survival factors (eg, granulocyte...
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...prescribe them as the traditional drug of choice for urinary tract infections and sexually transmitted diseases. Currently, the new development of antibiotics to combat illnesses caused by bacterial resistant strains and have limited the usefulness of Sulfa medications. Objectives Upon successful completion of this presentation you should be able to: • Understand and communicate your knowledge of Sulfonamides mode of action and bacterial resistance • Identify and understand the contra indications, common signs and symptoms of allergic reactions to Sulfonamides. • Identify 3 common trade names for sulfonamides and select indication for use between different patient population. Type and class of Pathogen Sulfonamides have been in use since the 1930's , these drugs are effective against both gram- negative and gram - positive bacteria. Sulfonamides are know as broad spectrum antimicrobial drugs; they are effective against a wide variety of microorganisms most Enterobacteriaceae, Chlamydia trachomatis, Nisseria, Haemophilus influenzae,, Norcardia, E.Coli , P. mirabilis some staphylococci, and many streptococci (with exception of Enterococcus faecalis). They are used for treatment of Protozoan such as Toxoplasma gondii, and mycobacterial. Sulfonamides are use for treatment and prophylaxis of Pneumocytis carinii and Shigella small bowel infections. Mode of Action Sulfonamides are bacteriostatic...
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...429-0101 Grand Canyon University Gordon’s Functional Health Questionnaire Health Perception and Values What is your opinion on alcohol consumption and tobacco use in your family? How important is it for your family to get yearly health exams? Nutrition and Metabolism With regards to your nutritional beliefs, would you rather eat at home or out? Why? How much thought during your meal preparation do you place on the nutritional value of the meal? Sleep and Rest Do you make it a priority to get at least eight hours of sleep? If not, why? Can you describe your sleep habits? Do you wake up during the night frequently or sleep undisturbed. Elimination Explain if you have any bowel problems including black or bloody stools, constipation or diarrhea. Explain any urinary problems including frequency, difficulty or painful urination. Activity and Exercise How important is exercise to your family? How much time do you devote to daily physical activity? Cognitive Have you notice any change in your memory or recollection of daily events? Explain. Have you noticed any problems processing and retaining information at work school or even while having social conversations? Sensory Perception Describe any decreased or heightened sensitivity in regards to your senses? This may include your hearing, touch or taste? Describe any difficulty in your ability to recognized any objects, shapes or colors? Self- Perception Tell me what you see when you look in the mirror. ...
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...Health assessment patterns supporting patient focused care Mary Aguon, RN Grand Canyon University: NRS-429V Introduction As registered nurses, a fundamental objective of the practice is to provide holistic and patient focused care. A diverse population, varying family dynamics, and distinct personal patient preferences serves as a challenge that nurses must overcome on a daily basis. In order to provide the upmost care for patients, nurses must conduct assessments and analyze data to better grasp not only a patients physical state of health, but also to gage their responses mentally and determine what they are capable of doing. One particular method used to aid in providing proper care is Gordon’s 11 functional health patterns, which assist in organizing the assessment aspect of nursing. Incorporating “… this framework for collecting the data base aids in formulating the nursing diagnoses and planning interventions” (Kriegler & Harton, 1992). To better portray the importance of patient assessments in providing greater quality care, the Brown’s were interviewed using Gordon’s functional health patterns touching on all aspects regarding health from spirituality, psychological aspects, life style factors, and more. Assessment One of the essential aspects of the 11 points of the functional health assessment is the perception of health and patterns. Exploration of health perception, “reveal beliefs about health, perceived susceptibility, self-efficacy, and level of...
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