What are your concerns for this patient?

DDevry NR305 Week 1 DQ 1 & DQ 2 Latest 2016 Jan.DQ 1Healthy People Initiative (graded)As the school nurse working in a college health clinic, you see many opportunities to promote health. Maria is a 40-year-old Hispanic woman who is in her second year of nursing school. She complains of a 14-pound weight gain since starting school and is afraid of what this will do to both her appearance and health if the trend continues. After doing her history, you learn that she is an excellent cook and she and her family love to eat foods that reflect their Hispanic heritage. She is married with two school-age children. She is in class a total of 15 hours per week, plus 12 hours of labs and clinical. She maintains the household essentially by herself and does all the shopping, cooking, cleaning, and chauffeuring of the children. She states that she is lucky to get six hours of sleep per night, but that is okay with her. She lives one hour from campus and commutes each day. Using.healthypeople.gov/”>Healthy People 2020and your text as a guide:What additional information would you like to gather from Maria?What are Marias real and potential health risks?Why is Marias culture important when obtaining the health assessment?Pick one of Marias health risks. Would you classify Marias problem as first-level priority, second-level priority, third-level priority, or a collaborative problem? What would be one reasonable short-term goal for this risk?DQ 2Cultural Bias (graded)Understanding cultural phenomena is essential to the completion of an accurate and holistic health assessment. Please review a cultural group from Table 2-3 (p. 20) from your text and describe the cultural differences pertinent to that group (you may have to do some additional searching). Remember, the table may not include all cultural groups. Lets try to include all the countries within the groups listed in the discussion, so please do not choose a group that has already been done. To expedite this, please use the group name in the title of your post.Devry NR305 Week 2 DQ 1 & DQ 2 Latest 2016 Jan.DQ 1Pain Assessment: The Fifth Vital Sign (graded)John, a 46-year-old African American male presents for admission to your hospital for hemi colectomy for colon polyps. He is complaining of chronic back pain. Patient is on disability from work-related injury. History of two previous back surgeries with relief of numbness in RLE, but pain has not been relieved. His current medications include Methadone, Neurontin, and Norco. John states he takes Tylenol PM every night in addition to his prescribed medications. John is a smoker and smokes 1 PPD. John confides in you that he is considering a spinal cord stimulator for the chronic pain.What risk factors does John have for risk of opioid withdrawal during this hospitalization?Is there a stigma connected to being disabled and/or methadone?Does the nurse need to be concerned about acetaminophen use?What are the differences in acute and chronic pain?DQ 2Nutritional Assessment (graded)Red Yoder is an 80-year-old farmer who lives alone in the farmhouse where he grew up. It is located 20 miles outside of town. Red has been a widower for 10 years. Red rarely cooks for himself and mainly eats packaged or processed foods. His son, Jon, manages the farm now, but Red is still involved in the decision making. Red’s current medical problems include insulin-dependent diabetes complicated by an open foot wound. He also has some incontinence and difficulty sleeping.Red is awaiting a visit from the home health nurses. He relates that he has an open wound on his big toe that developed after walking in a new pair of shoes. When his daughter-in-law, Judy, saw the wound, she called the family doctor, who suggested a visit by the wound care nurse, who works with the home health agency. Red agreed as long as his VA benefits cover the costs. Red is aware that his son and daughter-in-law have concerns about him living alone, but Red insists that while he needs a little help from Jon and Judy at times, he is still capable of caring for himself. What are Reds strengths? What are your concerns for this patient? What is the cause of your concern? What information do you need? What are you going to do about it? What is Red experiencing?Devry NR305 Week 3 DQ 1 & DQ 2 Latest 2016 Jan.DQ 1General Survey and Health History (graded)Casey is a 17-year-old high school student admitted to the ER with a compound fracture of the left leg obtained when falling at the local skateboard park while practicing for a national competition. He has never been hospitalized before. His mother has been notified and is on her way. The EMTs gave him morphine and he reports his pain level as okay.What part of the interview and examination can be done prior to his mothers arrival?As you enter the room for the first time, what should you observe as part of the general survey?As you complete his history, what areas are especially important?What are the important developmental considerations for Casey?DQ 2The Older Adult (graded)As you recall, our older patient, Red Yoder, with whom you met in Week 2, is preparing for discharge from the hospital since his wound required intravenous antibiotics and wound care. Jon (Reds son) thinks that Red should move in with him for now, but Red is sure he is able to care for himself and insists that his confusion was due to the fact that he did not have his glasses or hearing aids for the last week. You have identified discharge teaching needs for him. This morning, however, in report the night nurse has shared Patient is alert and oriented; vital signs stable. Fasting blood sugar this morning is 118. Red had his usual night of sleep. He was up several times to go to the bathroom. Since his catheter was removed yesterday, he has urgency incontinence. He is able to ambulate to the bathroom, but he is weak. You administer his AM medications and note that he has some difficulty grasping the water cup and needs assistance holding it. Mr. Yoder states he needs to go to the bathroom and when you assist him up to his feet, he seems a bit unsteady. He takes several steps and tells you he needs to sit down. How much, if any, functional decline has occurred while Red was hospitalized and how will this affect his recovery? What are the risks and benefits of Red living with Jon and Judy? What are the risks or benefits of Red living at home after discharge? If services are in place, would it be considered a safe discharge? Considering all aspects of aging, what are the best and appropriate options for Red at this time?Devry NR305 Week 4 DQ 1 & DQ 2 Latest 2016 Jan.DQ 1Assessment of the Skin (graded)William Smaile is a 65-year-old man who presents to his general practitioners office with complaint of right forearm swelling, redness, and pain. He was recently discharged from the hospital where he had been receiving intravenous antibiotics for a respiratory infection.Subjective DataPain level is a 5/10 location = right forearm, achingRetired foreman at a local industrial plantObjective DataVital signs: BP 150/68, T 37 degrees Centigrade, P 80, R 16Swelling and reddened right forearm, warm to touch+ pulses, brachial and radial (R)+2 capillary refill fingers right handWhat other assessments should be included for this patient?From your readings, what is the most probable cause of the swelling?What is your nursing diagnosis?What would be included in the nursing care plan?What interventions might be included in the plan of care for this patient?DQ 2Assessment of the Head, Neck, and Regional Lymphatics (graded)Describe the characteristics of the lymph nodes associated with the disease states listed below: (Choose one.) Acute infection Chronic inflammation CancerDevry NR305 Week 5 DQ 1 & DQ 2 Latest 2016 Jan.DQ 1Assessment of the Abdomen (graded)Kevin Valeri is a 64-year-old man who presents to the gastroenterologists office with constipation and abdominal bloating.Subjective DataPain level is a 4/10 location = right lower abdomenRetired EngineerStates he has been going to the bathroom with the help of laxatives, but not having regular movementsAppetite is decreased, some nauseaPMH: depression, anxiety, chronic constipationObjective DataVital signs: T 37 degrees Centigrade, P 64, R 16, BP 124/58Bowel sounds hypoactive in all four quadrantsMedications: Lamictal 200mg daily, Lexapro 10 mg dailyWeight = 210 lbs, last visit weight = 195What other assessments should be included for this patient?What questions should the nurse ask with regard to the abdominal pain?From the readings, subjective data, and objective data, what is the most probable cause of the abdominal pain?What should be included in the plan of care?What interventions should be included in the plan of care for this patient?DQ 2Assessment of the Genitourinary System (graded)Choose one topic and respond: Discuss three ways of creating an environment that provides psychological comfort for both patient and practitioner when conducting an examination and assessment of the Genitourinary system. Discuss medications that can affect the sexual performance of an aging adult male, possibly resulting in withdrawal from sexual activity. Discuss circumcision and the arguments for and against it. Discuss its associated religious connections.Devry NR305 Week 6 DQ 1 & DQ 2 Latest 2016 Jan.DQ 1Assessment of Cardiac Status (graded)Georgina Graves is a 42-year-old female who presents to the provider’s office with fatigue.Subjective DataPMH: none, (except gynecological issues)Significant family history of heart diseaseFatigue started about 2 months ago, getting worseRelieved with rest, exacerbated with activityDenies chest painC/O shortness of breath on exertionSmoker 1 PPDObjective DataVital signs: T 37 P 100 R 18 BP 110/54Lungs: clearO2 Sat = 94%Skin = cool to touchCV = heart rate regular, positive peripheral pulses, ECG = intermittent complete left bundle branch block (New Finding)EdemaMedications: Premarin 0.3 mg po/dayWhat other questions should the nurse ask about the fatigue?What other assessments would be necessary for this patient?What are some causes of fatigue?What should be included in the plan of care?Based on the readings, what is the most likely cause of fatigue for this patient?DQ 2Assessment of Respiratory Status (graded)Nelson Carson is a 62-year-old man who presents to his private practitioners office with a hacking, raspy cough.Subjective DataPMH: HTN, CADCough is productive, bringing up green, thick phlegmRunny nose, sore throatNo history of smoking or seasonal allergiesComplains of fatigueObjective DataVital signs: T 37 P 72 R 14 BP 134/64Lungs: + Rhonchi bilateral upper lobes, wheezesO2 Sat = 98%Medications: Metoprolol 25 mg per day, ASA 325 mg/dailyWhat other questions should the nurse ask about the cough?What nursing diagnoses can be derived from the data?What should be included in the plan of care?What risk factors are associated with this age group?Based on the readings, what is the most likely cause of cough for this patient?Devry NR305 Week 7 DQ 1 & DQ 2 Latest 2016 Jan.DQ 1Assessment of the Musculoskeletal System (graded)Jonah Kotter is a 5-year-old male preschooler who presents to the pediatrician’s office for complaints that his leg hurts.Subjective DataPMH negativeImmunizations: Up to dateNo medicationsNo allergiesPain: 3/5 on pain scaleAttends KindergartenDoes not remember injuring legObjective DataVital signs: T 37 degrees Centigrade, P 94, R 18, BP 100/70Lungs: clearHeart rate and rhythm regularMoving all extremities+ Range of motion legs and armsStrength 5/5 in all extremitiesWhat other questions should the nurse ask?What techniques are helpful to incorporate in assessing a patient in this age group?What are a few of the major differences in the musculoskeletal assessment of a child?What should be included in the plan of care?Based on the readings, what is the most likely cause of leg pain for this patient?DQ 2Assessment of the Neurological System (graded)Read the case study below and respond to two of the questions below. Make sure you respond to a classmate as well, before the week ends.Katherine Trembly is a 67-year-old woman who presents to the neurologists office after referral from her PCP (primary care provider) for a seizure.Subjective DataPMH: Seizure, hypertension, anxietyRetired book keeperC/o being tiredPeriods of unresponsiveness to verbal stimuliObjective DataVital signs: T 37 degrees Centigrade, P 80, R 18, BP 174/84Lungs: clearO2 Sat = 98%Heart rate regular, + peripheral pulsesWhat other questions should the nurse ask?What techniques are helpful to incorporate in assessing a patient in this age group?What are some of the more common conditions that may cause seizure activity in this age group?What diagnostic tools will the physician use to diagnose this condition?What should be included in the plan of care?Devry NR305 Week 8 Discussion Latest 2016 Jan.Rapid Assessment of a Client (graded)Give an example of a rapid assessment of a client and provide a SBAR report to a classmate. Remember to include all concepts of patient safety, standard precautions, and professional standards.ORFinish the story on our subject, Mr. Red Yoder, who is a patient you met in Week 2 and wrote a teaching plan on. What do you think his status might be today? Remember to include all concepts of patient safety, standard precautions, and professional standards.evry NR305 Week 2 Discharge Teaching Plan Latest 2016Discharge Teaching Plan FormYour Name: Date:Your Instructors Name:Purpose:The focus of this assignment is identifying patients needs and analysis and synthesis of details within the written client record and planning an appropriate discharge plan with necessary patient teaching of the disease process.Points:This assignment is worth a total of 100 points.Directions: Please refer to the Discharge Teaching Plan Guidelines found in Doc Sharing for details about how to complete this form.Remember there is a 6 page maximum limit on this assignment.Type your answers on this form. Click Save as and save the file with the assignment name and your last name, e.g., NR305_Discharge_Teaching_ Plan_Form_Smith When you are finished, submit the form to the Teaching Plan Dropbox by the deadline indicated in your guidelines. Post questions in the Q&A Forum or contact your instructor if you have questions about this assignment.Look at the EXAMPLE in the first assessment area. This is NOT an all-inclusive response and you will need to add your responses as well. Please be sure to review your guidelines.Assessment areaNeed(s) identified.Teaching technique or approach to problem identified.Describe content.Rationale for choosing this technique/approach.Example:Special/age related needsThese are some ideas, there may be others that you identify. Age, lives alone, is non-compliant with diet. Expected aging changes such as decreased hearing, visual difficulties. Red appears to notunderstand his glucose numbers and how that relates to his diet and insulin administration. Home health nurse to assist Red and family in proper insulin management and administrationIdeas for teaching methods/approach based on the scenario and problems noted. You may have identified others. Teach importance of diet and insulin management to Red and family and how to better manage his diabetes. Use videos, audio and teach back methods. It may even be helpful to assure proper reading of the glucometer and administration of the insulin by Red or his family.Provide a brief rationale on why you chose these particular technique/approaches.For example, Red may have poor eyesight due to the diabetes and needs audio and demonstration with return demonstration. He may not be able to see the lines on the insulin syringe.Cognitive issuesPhysical barriersMedicationsNutritionRoles and RelationshipsSelf-conceptWound careResources/ referrals neededDevry NR305 Week 3 Family Genetic History Latest 2016Family Genetic History FormYourName: Date:Your Instructors Name:Purpose: This assignment is to help you gain insight regarding the influence of genetics on an individuals health and risk for disease. You are to obtain a family genetic history on a willing, nonrelated, adult participant.Disclaimer:When taking a family genetic history on an actual client, it is essential that the information is accurate. Please inform the person you are interviewing that they do NOT need to disclose information that they wish to keep confidential. If the adult participant decides not to share information, please write, Does not want to disclose.Directions: Refer to the Family Genetic History guidelines and grading rubric found in Doc Sharing to complete the information below. This assignment is worth 100 points.Type your answers on this form. Click Save as and save the file with the assignment name and your last name, e.g., NR305_Family_Genetic_History_Form_Smith.When you are finished, submit theform to theFamily Genetic History Dropbox by the deadline indicated in your guidelines. Post questions in the Q&A Forum or contact your instructor if you have questions about this assignment.1: Family Genetic History (35 points):Develop a family genetic history that includes,at a minimum, three generations of your chosen adults family, including grandparents, parents, and the adults generation. If the adult has any children, include them as the fourth generation. **PLEASE NOTE: This assignment is to reveal the potential impact of the familys health on the adult participant. You do not need to identify anyone who is not biologically related to the adult except for a spouse or significant other.You do not need to use symbols, but instead write brief descriptions for each person. Each description should include the following information: first name, birthdate, death date, occupation, education, primary language, and a health summary, including any medical diagnoses. An example is below:Family MemberDescriptionPaternal grandfatherFirst and last initials:RLBirthdate:1921Death date:1981Occupation:Retired as a coal minerEducation:6th gradePrimary language:EnglishHealth summary:He was diagnosed with chronic lung disease, diabetes, and hypertension. He died from a heart attack.Paternal grandmotherFirst and last initials:MLBirthdate:1932Death date:1998Occupation:House wifeEducation:Does not want to disclosePrimary language:EnglishHealth summary:Diagnosed with chronic lung disease from smoking cigarettes. Died from heart failure.This example points to common problems among this generation on both sides of the family. Consider the implications this would have for the adult participantshealth if these were that persons family members.Complete the family genetic history form below. Indicate if any information is N/A (not applicable) or unknown. Indicate any information the person did not want to disclose by noting Does not want to disclose.Family MemberDescriptionPaternal grandfatherFirst and last initials:Birthdate:Death date:Occupation:Education:Primary language:Health summary:Paternal grandmotherFirst and last initials:Birthdate:Death date:Occupation:Education:Primary language:Health summary:FatherFirst and last initials:Birthdate:Death date:Occupation:Education:Primary language:Health summary:Fathers siblings (write a brief summary of any significant health issues)Maternal grandfatherFirst and last initials:Birthdate:Death date:Occupation:Education:Primary language:Health summary:Maternal grandmotherFirst and last initials:Birthdate:Death date:Occupation:Education:Primary language:Health summary:MotherFirst and last initials:Birthdate:Death date:Occupation:Education:Primary language:Health summary:Mothers siblings (write a brief summary of any significant health issues)Adult ParticipantFirst and last initials:Birthdate:Death date:Occupation:Education:Primary language:Health summary:Adult participants siblings (write a brief summary of any significant health issues)Adult participants spouse/significant otherFirst and last initials:Birthdate:Death date:Occupation:Education:Primary language:Health summary:Adult participants children (write a summary for each child, up to four children)Child #1 first and last initials:Birthdate:Death date:Occupation:Education:Primary language:Health summary:Child #2 first and last initials:Birthdate:Death date:Occupation:Education:Primary language:Health summary:Child #3 first and last initials:Birthdate:Death date:Occupation:Education:Primary language:Health summary:Child #4 first and last initials:Birthdate:Death date:Occupation:Education:Primary language:Health summary:2. Evaluation of family genetic history (25 points)Evaluate the impact of thefamilys genetic history on your adult participants health. For example, if the adult participants mother and both sisters have diabetes, hypertension, or cancer, what might that mean for the adult participants future health?3. Planning for future wellness (35 points)Plan changes based on the evaluation of the adult participantsfamilys health history that will promote an optimal level of wellness both now and in the future. Include what information you would provide to the adult participant regarding the results of the family genetic history.Devry NR305 Week 4 Course Project Milestone #1 Latest 2016Course Project Milestone #1: Health History FormYour Name: Date:Your Instructors Name:Directions: Refer to the Milestone 1: Health History guidelines and grading rubric found in Doc Sharing to complete the information below. This assignment is worth 175 points, with 5 points awarded for clarity of writing, which means the use of proper grammar, spelling, and medical language.Type your answers on this form. Click Save as and save the file with the assignment name and your last name, e.g., NR305_Milestone1_Form_Smith. When you are finished, submit the form to the Milestone #1 Dropbox by the deadline indicated in your guidelines. Post questions in the Q&A Forum or contact your instructor if you have questions about this assignment.Disclaimer:The focus of this assignment is on communicating details within the written client record. When taking a health history on an actual client, it is essential that the information is accurate. Please inform the person you are interviewing that they do NOT need to disclose information that they wish to keep confidential. If the interviewee decides not to share information, please write, Does not want to disclose.BIOGRAPHICAL DATA (10 pts)Date:Initials:Age:Date of birth:Birthplace:Gender:Marital status:Race:Religion:Occupation:Health insurance:Source of information:Reliability of source of information:PRESENT HEALTH HISTORY/ILLNESS (15 pts)Reason for seeking care:Health patterns:Health goals:HEALTH BELIEFS AND PRACTICES (15 pts)Beliefs and practices:Factors influencing healthcare decisions:Related traits, habits or acts:MEDICATIONS (15 pts) (Please refer to your assignment guidelines.)Prescription medications:Over-the-counter medications:Herbals:PAST HISTORY (15 pts)Childhood diseases:Immunizations:Allergies:Blood transfusions:Major illnesses:Injuries:Hospitalizations:Labor and deliveries:Surgeries:Use of alcohol:Use of tobacco:Use of illicit drugs:EMOTIONAL HISTORY (15 pts)Mental, emotional or psychiatric problems:FAMILY HISTORY (15 pts)Father:Mother:Siblings:Grandparents:PSYCHOSOCIAL/ OCCUPATIONAL HISTORY (15 pts)Occupational history:Educational level:Financial background:ROLES AND RELATIONSHIPS (15 pts)Significant others:Support systems:ETHNICITY AND CULTURE (10 pts)Ethnicity and culture:Physical and social characteristics that influence healthcare decisions:SPIRITUALITY (5 pts)Religious and spiritual needs:SELF-CONCEPT (5 pts)View of self-worth:Future plans:REVIEW OF SYSTEMS (20 pts)(Please refer to your assignment guidelines and chapter 4 of your text. This is NOT a physical assessment.)Skin, hair, nails:Head, neck, related lymphatics:Eyes:Ears, nose, mouth, and throat:Respiratory:Breasts and axillae:Cardiovascular:Peripheral vascular:Abdomen:Urinary:Reproductive:Musculoskeletal:Neurologic:Devry NR305 Week 6Course Project Milestone #2 Latest 2016Course Project Milestone #2: Nursing Diagnosis and Plan of Care FormYourName: Date:Your Instructors Name:Directions: Refer to the Milestone 2: Guidelines found in Doc Sharing to complete the information below. This assignment is worth 250 points, with 10 points awarded for clarity of writing, which means the use of proper grammar, spelling, and medical language.Type your answers on this form. Click Save as and save the file with the assignment name and your last name, e.g., NR305_Milestone2_Form_Smith.When you are finished, submit theform to the Milestone 2 Dropbox by the deadline indicated in your guidelines. Post questions in the Q&A Forum or contact your instructor if you have questions about this assignment.1: Analyze Assessment Data:Based on the health history information, identify the following:A. Areas for focused assessment (30 points)Provide abriefoverview of those areas of strength and weakness noted from Milestone 1: Health History.B. Clients strengths (30 points)Expand on areas identified as strengths related to the person’s overall health. Support your conclusions with data from the textbook.C. Areas of concern (30 points)Expand on areas previously identified as abnormal and those that place the person at a health risk. Support your observations with data from the textbook.D. Health teaching topics (30 points)Identify health education needs. Support your statements with facts from the Health History and information from your textbook.2: Nursing Plan of CareNext, plan your care based on your analysis of your assessment data:A. Diagnosis (30 points)Writeonenursing diagnosis that reflects a priority need for this person. Remember a health promotion diagnosis is a possibility.B. Plan (30 points)Writeonegoal andonemeasurable expected outcome related to your nursing diagnosis. Explain why this goal and outcome is a priority. Include cultural considerations for this client.C. Intervention (30 points)Write as many nursing orders, or nursing interventions, that you need in order to achieve the outcome. Provide the rationale for each intervention listed.D. Evaluation (30 points)You will not carry out your care plan so you cannot evaluate the effectiveness of your nursing interventions. Instead, comment on what you would look for in order to evaluate your effectiveness.Devry NR305 Week 1 DQ 1 & DQ 2 Latest 2016 Jan.DQ 1Healthy People Initiative (graded)As the school nurse working in a college health clinic, you see many opportunities to promote health. Maria is a 40-year-old Hispanic woman who is in her second year of nursing school. She complains of a 14-pound weight gain since starting school and is afraid of what this will do to both her appearance and health if the trend continues. After doing her history, you learn that she is an excellent cook and she and her family love to eat foods that reflect their Hispanic heritage. She is married with two school-age children. She is in class a total of 15 hours per week, plus 12 hours of labs and clinical. She maintains the household essentially by herself and does all the shopping, cooking, cleaning, and chauffeuring of the children. She states that she is lucky to get six hours of sleep per night, but that is okay with her. She lives one hour from campus and commutes each day. Using.healthypeople.gov/”>Healthy People 2020and your text as a guide:DQ 2Cultural Bias (graded)Understanding cultural phenomena is essential to the completion of an accurate and holistic health assessment. Please review a cultural group from Table 2-3 (p. 20) from your text and describe the cultural differences pertinent to that group (you may have to do some additional searching). Remember, the table may not include all cultural groups. Lets try to include all the countries within the groups listed in the discussion, so please do not choose a group that has already been done. To expedite this, please use the group name in the title of your post.Devry NR305 Week 2 DQ 1 & DQ 2 Latest 2016 Jan.DQ 1Pain Assessment: The Fifth Vital Sign (graded)John, a 46-year-old African American male presents for admission to your hospital for hemi colectomy for colon polyps. He is complaining of chronic back pain. Patient is on disability from work-related injury. History of two previous back surgeries with relief of numbness in RLE, but pain has not been relieved. His current medications include Methadone, Neurontin, and Norco. John states he takes Tylenol PM every night in addition to his prescribed medications. John is a smoker and smokes 1 PPD. John confides in you that he is considering a spinal cord stimulator for the chronic pain.DQ 2Nutritional Assessment (graded)Red Yoder is an 80-year-old farmer who lives alone in the farmhouse where he grew up. It is located 20 miles outside of town. Red has been a widower for 10 years. Red rarely cooks for himself and mainly eats packaged or processed foods. His son, Jon, manages the farm now, but Red is still involved in the decision making. Red’s current medical problems include insulin-dependent diabetes complicated by an open foot wound. He also has some incontinence and difficulty sleeping.Red is awaiting a visit from the home health nurses. He relates that he has an open wound on his big toe that developed after walking in a new pair of shoes. When his daughter-in-law, Judy, saw the wound, she called the family doctor, who suggested a visit by the wound care nurse, who works with the home health agency. Red agreed as long as his VA benefits cover the costs. Red is aware that his son and daughter-in-law have concerns about him living alone, but Red insists that while he needs a little help from Jon and Judy at times, he is still capable of caring for himself. What are Reds strengths? What are your concerns for this patient? What is the cause of your concern? What information do you need? What are you going to do about it? What is Red experiencing?Devry NR305 Week 3 DQ 1 & DQ 2 Latest 2016 Jan.DQ 1General Survey and Health History (graded)Casey is a 17-year-old high school student admitted to the ER with a compound fracture of the left leg obtained when falling at the local skateboard park while practicing for a national competition. He has never been hospitalized before. His mother has been notified and is on her way. The EMTs gave him morphine and he reports his pain level as okay.DQ 2The Older Adult (graded)As you recall, our older patient, Red Yoder, with whom you met in Week 2, is preparing for discharge from the hospital since his wound required intravenous antibiotics and wound care. Jon (Reds son) thinks that Red should move in with him for now, but Red is sure he is able to care for himself and insists that his confusion was due to the fact that he did not have his glasses or hearing aids for the last week. You have identified discharge teaching needs for him. This morning, however, in report the night nurse has shared Patient is alert and oriented; vital signs stable. Fasting blood sugar this morning is 118. Red had his usual night of sleep. He was up several times to go to the bathroom. Since his catheter was removed yesterday, he has urgency incontinence. He is able to ambulate to the bathroom, but he is weak. You administer his AM medications and note that he has some difficulty grasping the water cup and needs assistance holding it. Mr. Yoder states he needs to go to the bathroom and when you assist him up to his feet, he seems a bit unsteady. He takes several steps and tells you he needs to sit down. How much, if any, functional decline has occurred while Red was hospitalized and how will this affect his recovery? What are the risks and benefits of Red living with Jon and Judy? What are the risks or benefits of Red living at home after discharge? If services are in place, would it be considered a safe discharge? Considering all aspects of aging, what are the best and appropriate options for Red at this time?Devry NR305 Week 4 DQ 1 & DQ 2 Latest 2016 Jan.DQ 1Assessment of the Skin (graded)William Smaile is a 65-year-old man who presents to his general practitioners office with complaint of right forearm swelling, redness, and pain. He was recently discharged from the hospital where he had been receiving intravenous antibiotics for a respiratory infection.Subjective DataObjective DataDQ 2Assessment of the Head, Neck, and Regional Lymphatics (graded)Describe the characteristics of the lymph nodes associated with the disease states listed below: (Choose one.) Acute infection Chronic inflammation CancerDevry NR305 Week 5 DQ 1 & DQ 2 Latest 2016 Jan.DQ 1Assessment of the Abdomen (graded)Kevin Valeri is a 64-year-old man who presents to the gastroenterologists office with constipation and abdominal bloating.Subjective DataObjective DataDQ 2Assessment of the Genitourinary System (graded)Choose one topic and respond: Discuss three ways of creating an environment that provides psychological comfort for both patient and practitioner when conducting an examination and assessment of the Genitourinary system. Discuss medications that can affect the sexual performance of an aging adult male, possibly resulting in withdrawal from sexual activity. Discuss circumcision and the arguments for and against it. Discuss its associated religious connections.Devry NR305 Week 6 DQ 1 & DQ 2 Latest 2016 Jan.DQ 1Assessment of Cardiac Status (graded)Georgina Graves is a 42-year-old female who presents to the provider’s office with fatigue.Subjective DataObjective DataMedications: Premarin 0.3 mg po/dayDQ 2Assessment of Respiratory Status (graded)Nelson Carson is a 62-year-old man who presents to his private practitioners office with a hacking, raspy cough.Subjective DataObjective DataMedications: Metoprolol 25 mg per day, ASA 325 mg/dailyDevry NR305 Week 7 DQ 1 & DQ 2 Latest 2016 Jan.DQ 1Assessment of the Musculoskeletal System (graded)Jonah Kotter is a 5-year-old male preschooler who presents to the pediatrician’s office for complaints that his leg hurts.Subjective DataObjective DataDQ 2Assessment of the Neurological System (graded)Read the case study below and respond to two of the questions below. Make sure you respond to a classmate as well, before the week ends.Katherine Trembly is a 67-year-old woman who presents to the neurologists office after referral from her PCP (primary care provider) for a seizure.Subjective DataObjective DataGive an example of a rapid assessment of a client and provide a SBAR report to a classmate. Remember to include all concepts of patient safety, standard precautions, and professional standards.ORFinish the story on our subject, Mr. Red Yoder, who is a patient you met in Week 2 and wrote a teaching plan on. What do you think his status might be today? Remember to include all concepts of patient safety, standard precautions, and professional standards.Discharge Teaching Plan FormYour Name: Date:Your Instructors Name:Purpose:The focus of this assignment is identifying patients needs and analysis and synthesis of details within the written client record and planning an appropriate discharge plan with necessary patient teaching of the disease process.Points:This assignment is worth a total of 100 points.Directions: Please refer to the Discharge Teaching Plan Guidelines found in Doc Sharing for details about how to complete this form.Remember there is a 6 page maximum limit on this assignment.Type your answers on this form. Click Save as and save the file with the assignment name and your last name, e.g., NR305_Discharge_Teaching_ Plan_Form_Smith When you are finished, submit the form to the Teaching Plan Dropbox by the deadline indicated in your guidelines. Post questions in the Q&A Forum or contact your instructor if you have questions about this assignment.Look at the EXAMPLE in the first assessment area. This is NOT an all-inclusive response and you will need to add your responses as well. Please be sure to review your guidelines.Assessment areaNeed(s) identified.Teaching technique or approach to problem identified.Describe content.Rationale for choosing this technique/approach.Example:Special/age related needsThese are some ideas, there may be others that you identify. Age, lives alone, is non-compliant with diet. Expected aging changes such as decreased hearing, visual difficulties. Red appears to notunderstand his glucose numbers and how that relates to his diet and insulin administration. Home health nurse to assist Red and family in proper insulin management and administrationIdeas for teaching methods/approach based on the scenario and problems noted. You may have identified others. Teach importance of diet and insulin management to Red and family and how to better manage his diabetes. Use videos, audio and teach back methods. It may even be helpful to assure proper reading of the glucometer and administration of the insulin by Red or his family.Provide a brief rationale on why you chose these particular technique/approaches.For example, Red may have poor eyesight due to the diabetes and needs audio and demonstration with return demonstration. He may not be able to see the lines on the insulin syringe.Cognitive issuesPhysical barriersMedicationsNutritionRoles and RelationshipsSelf-conceptWound careResources/ referrals neededDevry NR305 Week 3 Family Genetic History Latest 2016Family Genetic History FormYourName: Date:Your Instructors Name:Purpose: This assignment is to help you gain insight regarding the influence of genetics on an individuals health and risk for disease. You are to obtain a family genetic history on a willing, nonrelated, adult participant.Disclaimer:When taking a family genetic history on an actual client, it is essential that the information is accurate. Please inform the person you are interviewing that they do NOT need to disclose information that they wish to keep confidential. If the adult participant decides not to share information, please write, Does not want to disclose.Directions: Refer to the Family Genetic History guidelines and grading rubric found in Doc Sharing to complete the information below. This assignment is worth 100 points.Type your answers on this form. Click Save as and save the file with the assignment name and your last name, e.g., NR305_Family_Genetic_History_Form_Smith.When you are finished, submit theform to theFamily Genetic History Dropbox by the deadline indicated in your guidelines. Post questions in the Q&A Forum or contact your instructor if you have questions about this assignment.1: Family Genetic History (35 points):Develop a family genetic history that includes,at a minimum, three generations of your chosen adults family, including grandparents, parents, and the adults generation. If the adult has any children, include them as the fourth generation. **PLEASE NOTE: This assignment is to reveal the potential impact of the familys health on the adult participant. You do not need to identify anyone who is not biologically related to the adult except for a spouse or significant other.You do not need to use symbols, but instead write brief descriptions for each person. Each description should include the following information: first name, birthdate, death date, occupation, education, primary language, and a health summary, including any medical diagnoses. An example is below:Family MemberDescriptionPaternal grandfatherFirst and last initials:RLBirthdate:1921Death date:1981Occupation:Retired as a coal minerEducation:6th gradePrimary language:EnglishHealth summary:He was diagnosed with chronic lung disease, diabetes, and hypertension. He died from a heart attack.Paternal grandmotherFirst and last initials:MLBirthdate:1932Death date:1998Occupation:House wifeEducation:Does not want to disclosePrimary language:EnglishHealth summary:Diagnosed with chronic lung disease from smoking cigarettes. Died from heart failure.This example points to common problems among this generation on both sides of the family. Consider the implications this would have for the adult participantshealth if these were that persons family members.Complete the family genetic history form below. Indicate if any information is N/A (not applicable) or unknown. Indicate any information the person did not want to disclose by noting Does not want to disclose.Family MemberDescriptionPaternal grandfatherFirst and last initials:Birthdate:Death date:Occupation:Education:Primary language:Health summary:Paternal grandmotherFirst and last initials:Birthdate:Death date:Occupation:Education:Primary language:Health summary:FatherFirst and last initials:Birthdate:Death date:Occupation:Education:Primary language:Health summary:Fathers siblings (write a brief summary of any significant health issues)Maternal grandfatherFirst and last initials:Birthdate:Death date:Occupation:Education:Primary language:Health summary:Maternal grandmotherFirst and last initials:Birthdate:Death date:Occupation:Education:Primary language:Health summary:MotherFirst and last initials:Birthdate:Death date:Occupation:Education:Primary language:Health summary:Mothers siblings (write a brief summary of any significant health issues)Adult ParticipantFirst and last initials:Birthdate:Death date:Occupation:Education:Primary language:Health summary:Adult participants siblings (write a brief summary of any significant health issues)Adult participants spouse/significant otherFirst and last initials:Birthdate:Death date:Occupation:Education:Primary language:Health summary:Adult participants children (write a summary for each child, up to four children)Child #1 first and last initials:Birthdate:Death date:Occupation:Education:Primary language:Health summary:Child #2 first and last initials:Birthdate:Death date:Occupation:Education:Primary language:Health summary:Child #3 first and last initials:Birthdate:Death date:Occupation:Education:Primary language:Health summary:Child #4 first and last initials:Birthdate:Death date:Occupation:Education:Primary language:Health summary:2. Evaluation of family genetic history (25 points)Evaluate the impact of thefamilys genetic history on your adult participants health. For example, if the adult participants mother and both sisters have diabetes, hypertension, or cancer, what might that mean for the adult participants future health?3. Planning for future wellness (35 points)Plan changes based on the evaluation of the adult participantsfamilys health history that will promote an optimal level of wellness both now and in the future. Include what information you would provide to the adult participant regarding the results of the family genetic history.Devry NR305 Week 4 Course Project Milestone #1 Latest 2016Course Project Milestone #1: Health History FormYour Name: Date:Your Instructors Name:Directions: Refer to the Milestone 1: Health History guidelines and grading rubric found in Doc Sharing to complete the information below. This assignment is worth 175 points, with 5 points awarded for clarity of writing, which means the use of proper grammar, spelling, and medical language.Type your answers on this form. Click Save as and save the file with the assignment name and your last name, e.g., NR305_Milestone1_Form_Smith. When you are finished, submit the form to the Milestone #1 Dropbox by the deadline indicated in your guidelines. Post questions in the Q&A Forum or contact your instructor if you have questions about this assignment.Disclaimer:The focus of this assignment is on communicating details within the written client record. When taking a health history on an actual client, it is essential that the information is accurate. Please inform the person you are interviewing that they do NOT need to disclose information that they wish to keep confidential. If the interviewee decides not to share information, please write, Does not want to disclose.BIOGRAPHICAL DATA (10 pts)Date:Initials:Age:Date of birth:Birthplace:Gender:Marital status:Race:Religion:Occupation:Health insurance:Source of information:Reliability of source of information:PRESENT HEALTH HISTORY/ILLNESS (15 pts)Reason for seeking care:Health patterns:Health goals:HEALTH BELIEFS AND PRACTICES (15 pts)Beliefs and practices:Factors influencing healthcare decisions:Related traits, habits or acts:MEDICATIONS (15 pts) (Please refer to your assignment guidelines.)Prescription medications:Over-the-counter medications:Herbals:PAST HISTORY (15 pts)Childhood diseases:Immunizations:Allergies:Blood transfusions:Major illnesses:Injuries:Hospitalizations:Labor and deliveries:Surgeries:Use of alcohol:Use of tobacco:Use of illicit drugs:EMOTIONAL HISTORY (15 pts)Mental, emotional or psychiatric problems:FAMILY HISTORY (15 pts)Father:Mother:Siblings:Grandparents:PSYCHOSOCIAL/ OCCUPATIONAL HISTORY (15 pts)Occupational history:Educational level:Financial background:ROLES AND RELATIONSHIPS (15 pts)Significant others:Support systems:ETHNICITY AND CULTURE (10 pts)Ethnicity and culture:Physical and social characteristics that influence healthcare decisions:SPIRITUALITY (5 pts)Religious and spiritual needs:SELF-CONCEPT (5 pts)View of self-worth:Future plans:REVIEW OF SYSTEMS (20 pts)(Please refer to your assignment guidelines and chapter 4 of your text. This is NOT a physical assessment.)Skin, hair, nails:Head, neck, related lymphatics:Eyes:Ears, nose, mouth, and throat:Respiratory:Breasts and axillae:Cardiovascular:Peripheral vascular:Abdomen:Urinary:Reproductive:Musculoskeletal:Neurologic:Devry NR305 Week 6Course Project Milestone #2 Latest 2016Course Project Milestone #2: Nursing Diagnosis and Plan of Care FormYourName: Date:Your Instructors Name:Directions: Refer to the Milestone 2: Guidelines found in Doc Sharing to complete the information below. This assignment is worth 250 points, with 10 points awarded for clarity of writing, which means the use of proper grammar, spelling, and medical language.Type your answers on this form. Click Save as and save the file with the assignment name and your last name, e.g., NR305_Milestone2_Form_Smith.When you are finished, submit theform to the Milestone 2 Dropbox by the deadline indicated in your guidelines. Post questions in the Q&A Forum or contact your instructor if you have questions about this assignment.1: Analyze Assessment Data:Based on the health history information, identify the following:A. Areas for focused assessment (30 points)Provide abriefoverview of those areas of strength and weakness noted from Milestone 1: Health History.B. Clients strengths (30 points)Expand on areas identified as strengths related to the person’s overall health. Support your conclusions with data from the textbook.C. Areas of concern (30 points)Expand on areas previously identified as abnormal and those that place the person at a health risk. Support your observations with data from the textbook.D. Health teaching topics (30 points)Identify health education needs. Support your statements with facts from the Health History and information from your textbook.2: Nursing Plan of CareNext, plan your care based on your analysis of your assessment data:A. Diagnosis (30 points)Writeonenursing diagnosis that reflects a priority need for this person. Remember a health promotion diagnosis is a possibility.B. Plan (30 points)Writeonegoal andonemeasurable expected outcome related to your nursing diagnosis. Explain why this goal and outcome is a priority. Include cultural considerations for this client.C. Intervention (30 points)Write as many nursing orders, or nursing interventions, that you need in order to achieve the outcome. Provide the rationale for each intervention listed.D. Evaluation (30 points)You will not carry out your care plan so you cannot evaluate the effectiveness of your nursing interventions. Instead, comment on what you would look for in order to evaluate your effectiveness.

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