Purpose

To work with a team of professionals, select appropriate nursing interventions within the LPN scope of practice, and recognize serious complications.

 

Competency

Explain care for the client with lower respiratory disorders.

 

Instructions

Read the case study below and answer the questions. Site any sources using APA format. Nursing Interventions within the LPN scope of practice, and Recognize Serious Complications.

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The Story

You are an LPN working in a community health clinic on a team of professionals that includes a medical assistant, RN, and nurse practitioner. The clinic is just opening for the day on a day that is particularly hot and humid. A woman runs into the clinic with an older gentleman yelling “he can’t breathe.” The client appears flushed (reddened skin), is unable to speak, and appears very short of breath.  Nursing Interventions within the LPN scope of practice, and Recognize Serious Complications. The client’s wife tells you that he has “emphysema” and refuses to put the air conditioning on in their home because he is afraid the electric bill will be too high. She also tells you that he ran out of his medications, including his inhalers and prednisone, almost 2 weeks ago. The client has a respiratory rate of 44 and an O2 Sat. of 84% on room air. His blood pressure is 168/100.

 

Question 1: List two nursing interventions that should be done immediately. (2-3 sentences)

Question 2: What environmental factor(s) do you think contributed to the client’s current situation? (2-3 sentences)

Question 3: What danger could the client face by abruptly stopping prednisone? (5-10 sentences)

Question 4: Explain why compliance is important in managing chronic diseases such as COPD? (5-10 sentences)

Question 5: After this client is stabilized and his breathing improves. What should be addressed with him on his next clinic visit? (5-10 sentences) Nursing Interventions within the LPN scope of practice, and Recognize Serious Complications.

 

 

 

Part I:

View the videos listed below:

• Technique: Empathetic Response (#3)
• Technique: Empowering the Patient (#6)
• Use of Understandable Language (#8)
• Use of Non-Stigmatizing Language (#9)
• Interprofessional Communication (#12)
• Working With Medical Interpreters (#24)

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Part II

In a written document:

• Summarize the communication techniques observed in the videos.
• Explain how the communication techniques improved the interactions between the clients and the nurses, including rationales and examples.
• Include references and citations in APA format and style. Client Communication Strategy Nursing homework help

 

Unit 3-Psychiatric Interview Components. Due 1-17-24. 4 references. 500w initial response and 500w peer response.
Initial Response
Instructions:
• In review of the content and material related to a psychiatric mental health assessment interview, what components were surprising for you or different from your previous nursing experience intake information?
• How will this information be helpful to initiate a therapy treatment plan for a client?
Please be sure to validate your opinions and ideas with citations and references in APA format. Unit 3-Psychiatric Interview Components Assignment

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Peer Response
Instructions:
Please read and respond to at least two of your peers’ initial postings. You may want to consider the following questions in your responses to your peers:

Compare and contrast your initial posting with those of your peers.
How are they similar or how are they different?
What information can you add that would help support the responses of your peers?
Ask your peers a question for clarification about their post.
What most interests you about their responses?
Please be sure to validate your opinions and ideas with citations and references in APA format.

In a review of the content and material related to a psychiatric mental health assessment interview, what components were surprising for you or different from your previous nursing experience intake information?
Answer:
A psychiatric mental health assessment interview gathers information from a patient or client for diagnosis, treatment planning, and case formulation. It involves asking questions about the patient’s presenting problem, history, mental status, risk factors, and other relevant domains. Unit 3-Psychiatric Interview Components Assignment
Some components of a psychiatric mental health assessment interview that may be surprising or different from a previous nursing experience intake information are:
• Open-ended and closed-ended questions elicit symptoms, understand the patient’s life history, and assess their safety risks. Open-ended questions allow patients to express themselves freely, while close-ended questions can help confirm or rule out specific diagnoses. Unit 3-Psychiatric Interview Components Assignment
• The balance of empathy and objectivity in the interview. The interviewer should show genuine interest and respect for the patient, maintain a professional distance, and avoid being judgmental or biased.
• The consideration of the diagnostic criteria for psychiatric disorders, as well as the differential diagnosis and comorbidity of mental health problems. The interviewer should be familiar with the current classification systems, such as the DSM-5 or the ICD-10, and use them as a guide to formulate a diagnosis.
• The adaptation of the interview to the specific setting and situation of the patient. For example, in an emergency room, the interview may be brief and focused on the crisis event, while in an outpatient clinic, the interview may be more comprehensive and longitudinal. Unit 3-Psychiatric Interview Components Assignment

So where can a counselor begin? The initial interview can be used most productively to focus on the client’s goals or lack of them. The therapist may begin by asking any of these questions: “What do you expect from counseling? Why are you here? What do you want? What do you hope to leave with? How is what you are currently doing working for you? What aspects of yourself or your life situation would you most like to change?” When a person seeks a counseling relationship with you, it is important to cooperatively discover what this person is expecting from the relationship. If you try to figure out in advance how to proceed with a client, you may be depriving the client of the opportunity to become an active partner in her or his own therapy. Why is this person coming in for counseling? It is the client’s place to decide on the goals of therapy. It is important to keep this focus in mind so that the client’s agenda is addressed rather than an agenda of your own. Unit 3-Psychiatric Interview Components Assignment

Nursing information 6051

Respond to these discussion post below by offering one or more additional interaction strategies in support of the examples/observations shared or by offering further insight to the thoughts shared about the future of these interactions.

200 words. APA format. 2 intext citation 2 reference each post

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6050

The Patient Protection and Affordable Care Act (ACA) is a comprehensive healthcare reform program that was signed into law in the United States in 2010. Its primary goals are to improve access to healthcare, improve treatment quality, and reduce costs. Concerns about the politics and execution of the ACA focus on perceived competing government objectives. Political affiliations substantially impact the healthcare system because of diverse opinions about the impact of local, state, and federal policies on societal well-being (Engel, 2020; Milstead, J. A., & Short, 2019). Politicians must make credible promises to moderate their programs, with elections frequently serving as decision-making procedures for enacting opposing policy perspectives. Nursing information 6051

Policy divergence and convergence become conceivable in a repeating election framework as politicians attempt to establish credibility and build reputations. If voters and competing parties see significant costs as discouraging deviations from moderate commitments, obtaining some policy variance becomes more achievable (Engel, 2020). Legislators’ re-election directly impacts ACA provisions, particularly health insurance costs for younger persons and adults covered by Medicaid under ACA standards. Legislative decisions motivated by re-election might result in the withdrawing of subsidies and Medicaid funds, resulting in a loss of consumer protection.

Analyzing voters’ perspectives can considerably impact legislative leaders’ decisions to propose or oppose national policies, particularly those affecting Medicare and Medicaid coverage. Voting analyses contribute to the obstacles in leaders’ policy choices, restricting public alternatives and interfering with congressional decisions, particularly those affecting Medicare and Medicaid coverage for adults (Winder, 2019). This interference derives from the difficulties of managing political issues to secure re-election. Nursing information 6051

In conclusion, the debate highlights the complex interplay between political objectives and healthcare policies, with politicians balancing votes and financial reasons. The Affordable Care Act (ACA) is a perfect example of a cost-benefit analysis that goes beyond economics and into political capital, demonstrating the varied nature of legislative decision-making in healthcare.

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6051

Nursing informations is a signifiant part of nursing care, it helps and aids in workflow, communication and helps ua nurses determine different wants.  We do this all while focusing on the best patient outcome and patient care if first and foremost the goal.  Technology has become a vital part in the field of nursing today compared to when some of us graduated and had paper charts to communicate and care for our patients.  From working in the ER, I know with the most recent update to the EHR which was engineered by the informatics team we have now more precise documentation on the problem the patient is there for at hand and not just a random bunch of charting that didn’t pertain to the complaints they were being seen for.  This has immensely helped the staff with the charting and has cut down on some of us staying late and catching up because there was so much to chart on and some of it was repeated over and over.  When the team does come up with something new for charting they make sure that we are well educated on the need and why it needs to be done this way.  Nursing information 6051

Nursing informatics functional interaction between individuals, teams, patients and different departments guarantees exceptional quality of care and it is across the board performed well.  For example, we just had the team of informatics put into place the need for labeling and cosigning the labeling of high risk medications because of a near miss fatal drug error.  This is being well received through all departments and it is taking getting used to when to have your partner cosign with you and make sure there is no room for error.    A few ways that there can be error is a delay in the communication of inaccurate data and not communicating the critical results of labs in a timely manner, and just plain not communicating amongst the team.  I feel that informatics seem to help us communicate what is to be communicated more effectively and appropriately among the team members and patients overall,  (Grenuk,2019).    In one of healthcare systems that I work in we use the secure chat system which enables us as the healthcare team as a whole to send a secure chat on patient and orders from the provider can also be received from this.  Nurses that have continued their education in the specialized area of informatics help to solve problems and apply telecommunication and prepare healthcare providers for the information area with proper skills and collaboration of the overall team.

References:

Grenuek, J., 2019.  Nursing Informatics Improves Patient Care. www.tigerconnect.comLinks to an external site.

McGonigle, D., & Mastrian, K. (2021). Nursing Informatics and the Foundation of Knowledge (5th ed.). Jones & Bartlett Learning. Nursing information 6051

 

Health Indicators Assignment

You must identify the topic you have selected, the age group, the population or cultural group, and the Healthy People 2023 Leading Health Indicator that is aligned with the topic you have selected.

this assignment state that your topic must align with the leading health indicators as outlined by healthy people 2030.

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Purpose

This assignment allows the learner to apply knowledge gained about health promotion concepts and strategies, enhance written communication skills, and demonstrate a beginning understanding of cultural competency. Health Indicators Assignment

Course outcomes:  This assignment enables the student to meet the following course outcomes:

1. Discuss the professional nurse’s role in health promotion activities. (PO 1 and 2)
2. Discuss health promotion, illness prevention, health maintenance, health restoration, and rehabilitation in relation to the nurse’s role in working with various populations. (PO 1, 2, and 8)
3. Identify health promotion strategies throughout the life span. (PO 1, 2, and 4)

Due date: Your faculty member will inform you when this assignment is due. The Late Assignment Policy applies to this assignment.

Total points possible: 100 points

Preparing the assignment

Follow these guidelines when completing this assignment. Speak with your faculty member if you have questions.

• Identify a health problem or need for health promotion for a particular stage in the life span of a population from a specific culture in your area. Health Indicators Assignment
• Choose one of the Leading Health Indicator (LHI) priorities from Healthy People. https://health.gov/healthypeople/objectives-and-data/leading-health-indicators
• Research a topic related to health and wellness associated with one of the Healthy People topic areas.
• Submit your topic to the instructor for approval at least 2 weeks prior to the final assignment due date, but earlier if desired. All topics must be approved.
• You will develop an educational health promotion project addressing the population/culture in your area.
• Use TurnItIn in time to make any edits that might be necessary based on the Similarity Index prior to submitting your paper to your faculty. Consult with your faculty about the acceptable Similarity Index for this paper.
• For writing assistance, visit the Writing Center page https://mychamberlain.sharepoint.com/sites/StudentResourceCenter/WC.
• Include the following sections (detailed criteria listed below and in the Grading Rubric).
  1. Introduction and Conclusion- 15 points/15%
     • Introduction establishes the purpose of the paper and describes why topic is important to health promotion in the target population in your area.
     • Introduction stimulates the reader’s interest. Health Indicators Assignment
     • Conclusion includes the main ideas from the body of the paper.
     • Conclusion includes the major support points from the body of the paper.
  2. Relate Topic to Target Population- 25 points/25%
     • Describes the topic and target cultural population.
     • Includes statistics to support significance of the topic.
     • Explains how the project relates to the selected Healthy People topic area.
     • Applies health promotion concepts.
  3. Summary of Articles- 25 points/25%
     • A minimum of three (3) scholarly articles, from the last 5 years, are used as sources.
     • Articles meet criteria of being from scholarly journals and include health promotion and wellness content.
     • At least one article is related to the chosen cultural group.
     • Summaries all key points and findings from the articles.
     • Includes statistics to support significance of the topic.
     • Discusses how information from the articles is used in the Health Promotion Project, including specific examples. Health Indicators Assignment
  4. Health Promotion Discussion – 25 points/25%
     • Describes approaches to educate the target population about the topic.
     • The approaches are appropriate for the cultural target population.
     • Identifies specific ways to promote lifestyle changes within the target population.
     • Applies health promotion strategies.
  5. APA Style and Organization – 10 points/10%
     • TurnItIn is used prior to submitting paper for grading.
     • Revisions are made based on TurnItIn originality report.
     • References are submitted with assignment.
     • Use current APA format and is free of errors.
     • Grammar and mechanics are free of errors.
     • Paper is 3-4 pages, excluding title and reference pages.
     • Information is organized around required components and flows in a logical sequence. Health Indicators Assignment

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Grading Rubric

Criteria are met when the student’s application of knowledge within the paper demonstrates achievement of the outcomes for this assignment.

Assignment Section and Required Criteria (Points possible/% of total points available)	Highest Level of Performance	High Level of Performance	Satisfactory Level of Performance	Unsatisfactory Level of Performance	Section not present in paper
Introduction and Conclusion (15 points/15%)	15 points	13 points	12 points	8 points	0 points
Required criteria 1.    Introduction establishes the purpose of the paper and describes why topic is important to health promotion in the target population in your area. 2.    Introduction stimulates the reader’s interest. 3.    Conclusion includes the main ideas from the body of the paper. 4.    Conclusion includes the major support points from the body of the paper.	Includes no fewer than 4 requirements for section.	Includes no fewer than 3 requirements for section.	Includes no fewer than 2 requirements for section.	Includes 1 or fewer requirements for section.	No requirements for this section presented.
Relate Topic to Target Population (25 points/25%)	25 points	20 points	15 points	10 points	0 points
Required criteria 1.    Describes the topic and target cultural population. 2.    Includes statistics to support significance of the topic. 3.    Explains how the project relates to the selected Healthy People topic area. 4.    Applies health promotion concepts.	Includes no fewer than 4 requirements for section.	Includes no fewer than 3 requirements for section.	Includes no less than 2 requirements for section.	Includes 1 or fewer requirements for section.	No requirements for this section presented.
Summary of Articles (25 points/25%)	25 points	23 points	21 points	10 points	0 points
Required criteria 1.    A minimum of three (3) scholarly articles, from the last 5 years, are used as sources. 2.    Articles meet criteria of being from scholarly journals and include health promotion and wellness content. 3.    At least one article is related to the chosen cultural group. 4.    Summaries all key points and findings from the articles. 5.    Includes statistics to support significance of the topic. 6.    Discusses how information from the articles is used in the Health Promotion Project, including specific examples. Health Indicators Assignment	Includes no fewer than 6 requirements for section.	Includes no fewer than 5 requirements for section.	Includes no fewer than 4 requirements for section.	Includes 1-3 requirements for section.	No requirements for this section presented.
Health Promotion Discussion (25 points/25%)	25 points	23 points	21 points	10 points	0 points
Required criteria 1.    Describes approaches to educate the target population about the topic. 2.    The approaches are appropriate for the cultural target population. 3.    Identifies specific ways to promote lifestyle changes within the target population. 4.    Applies health promotion strategies.	Includes no fewer than 4 requirements for section.	Includes no fewer than 3 requirements for section.	Includes no fewer than 2 requirements for section.	Includes 1 or fewer requirement for section.	No requirements for this section presented.
APA Style and Organization (10 points/10%)	10 points	9 points	8 points	4 points	0 points
Required criteria 1.    TurnItIn is used prior to submitting paper for grading. 2.    Revisions are made based on TurnItIn originality report. 3.    References are submitted with assignment. 4.    Uses current APA format and is free of errors. 5.    Grammar and mechanics are free of errors. 6.    Paper is 3-4 pages, excluding title and reference pages. 7.    Information is organized around required components and flows in a logical sequence. Health Indicators Assignment	Includes no fewer than 7 requirements for section.	Includes no fewer than 6 requirements for section.	Includes no fewer than 5 requirements for section.	Includes 1-4 requirements for section.	No requirements for this section presented.
Total Points Possible = 100 points