Category: Nursing homework help

“A 35-year-old white male with a history of morbid obesity with disabilities in rural setting”
In order to determine a patient’s medical state, personal information must be gathered from them during a patient assessment, with an emphasis on their medical history, physical examination, and current illnesses.
An effective treatment depends on accurate patient data collected during an evaluation. In order to create a medical status that can accurately diagnose and treat health problems while utilizing medical jargon, clinicians must collect crucial pieces of patient history. Health information about a patient is fictitious data about their symptoms and interactions with doctors that is kept private and secret. The role of the physician in creating a health history for a 35-year-old Caucasian male with morbid obesity and impairments in a rural setting will be discussed in this study.
Communication and interview techniques for building a health history.
It’s crucial to develop efficient communication in order to obtain an adequate health record. The patient in the conversation is a 35-year-old Caucasian male who lives in a rural region and has a history of morbid weight and handicap. Astute learning, the capacity to adapt to the patient’s level of knowledge, empathy, the capacity to assess the patient’s answers, the avoidance of medical jargon, and a leaning toward a particular religion or gender orientation are all qualities that the clinician must possess. To determine whether an interpretation is necessary, it is critical to understand the patient’s kind and degree of disability as well as the type of communication modality that will be employed (Merker et al., 2021). Because each patient is different, everyone deserves a different evaluation. Social factors including age, gender, ethnicity, and environment all have an impact on how patients are interviewed in order to compile a thorough health history. To get accurate patient medical condition and information, building trust is crucial. It is crucial to establish effective contact with this patient in order to win his trust and accurately measure the effects of his health on both his health and his impairment as a result of the aforementioned causes.
Target your questions for building a health history.
The patient in the scenario is a person with morbid obesity and a disability, which helps to construct a medical status. The evaluation will be influenced by the type of disability, which will also determine the communication strategy to be utilized and whether a family member or interpreter has to be present throughout the interview. Instead of focusing just on lifestyle counseling and medical therapy, clinicians should focus on understanding the causes of a patient’s health record, including social difficulties, and providing patient-centered care to effectively address a patient’s condition (Shen et al., 2018). Depending on the patient’s level of handicap, the targeted questions will be determined. The first step in compiling an accurate and thorough patient history and physical is efficient communication. For the best possible care, it is crucial to take a patient’s socioeconomic determinants of health into account when conducting an interview. A patient who has a history of morbid obesity and impairment and lives in a remote area can ask: “What obstacles do you have in getting the health care and treatment you need?” The patient’s orientation state must be ascertained by asking questions to obtain personal data such as date of birth, gender, and social position such as, “Are you married?” Who are your roommates? health insurance, physical environment, transportation, employment, and societal values are all factors. The establishing of a good connection between the therapist and the patient will be helped by these inquiries.
What kind of support would you receive from friends and family?
-How have you found your neighborhood?
What resources does your society have available?
What do you believe would make your life easier in terms of leading a healthier one?
What risk assessment instruments would be appropriate to use with each patient, or what questions would you ask each patient to assess his or her health risks?
Establishing the patient’s trust and confidence is crucial when dealing with morbid obesity and handicap since it will help with communication, promote self-esteem, and give the patient the privacy he needs due to the psychological effects of obesity. paying great attention to the environmental and genetic factors that affect obesity. Obtaining information and facilitating assessments of his diet, interests, and behavioral changes, as well as inquiring about and comprehending his issues, are some helpful techniques. It is challenging to evaluate an obese patient due to the restrictions and changes in body composition from what is thought of as a normal weight. To determine his risk of heart disease, it is helpful to calculate his Body Mass Index (BMI) depending on his weight. When patients have enough data access and efficient diagnostic communications, they are best equipped to participate in their healthcare.
The instruments and questions listed below are general risk assessment tools that could be used with a variety of patients (Lloyd-Jones et al., 2019).
The Centers for Disease Control and Prevention (CDC)’s Behavioral Risk Factor Surveillance System (BRFSS) questionnaire asks about several health risks, including eating habits, physical activity level, and smoking behaviors.
The Heart Attack Risk Calculator from the American Heart Association (AHA) estimates a person’s chance of suffering a heart attack during the following ten years.
Potential health-related risks based on the patient’s age, gender, ethnicity, or environmental setting.
Based on the patient’s age, gender, ethnicity, and rural location, several health-related issues should be assessed. For instance, the patient’s advanced age increases their vulnerability to illnesses including arthritis, heart disease, and cerebrovascular disease. The absence of medical care and/or the accessibility of emergency responders may also put the patient at a higher risk of suffering in a rural place (Ball et al., 2019).
In addition, the patient’s gender and ethnicity may put them at a higher risk for developing illnesses. For instance, women are more likely than men to get arthritic, cardiovascular, and stroke conditions, while minorities are more likely to develop diabetes and high blood pressure.
Select one of the risk assessments instruments.
The patient in question is susceptible to a number of health issues, including diabetes, cardiovascular disease, and obesity. The patient would undoubtedly benefit from a health risk assessment by being informed of particular risk areas and how to reduce those risks. One such system of assessment is the Framingham Risk Score (Ball et al., 2019). Based on a person’s age, gender, blood pressure, cholesterol, and smoking history, this tool estimates their 10-year chance of developing heart disease. A specific preventative strategy might be created based on the patient’s risk. The Reynolds Risk Score, which forecasts the likelihood of having a stroke, and the Adult Treatment Panel III (ATP III), which assesses the likelihood of developing heart disease, are other risk assessment tools that could be helpful for this patient.
Develop at least five targeted questions you would ask your selected patient to assess his or her health risks and begin building a health history.
Do you live by yourself?
The answer to this question helps the clinician understand the patient’s living situation and the dangers he or she may face if unable to care for themselves.
How do you commute or transfer?
Justification: The physician will learn about the dangers of transferring patients as well as the constraints that come with being obese and disabled.
How do you meet your daily needs, first?
The purpose of this question is to determine whether the patient needs assistance and who in the patient’s family or social network is a source of support.
Are you in possession of an advance directive?
Knowing who the patient has designated to make decisions for him when he is unable to do so due to his health issue or disability is the justification.
Do you find it difficult to seek medical care?
Because of his size and disabilities, getting to a doctor’s appointment may be challenging. The clinician will do an assessment to see if the patient needs help scheduling appointments and arranging transportation to get medical care.
References
Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Seidel’s Guide to Physical Examination: An Interprofessional Approach (9th ed.). St. Louis, MO: Elsevier Mosby.
Bickley, L. S., Szilagyi, P. G., Hoffman, R. M., & Soriano, R. P. (2020). Bates’ Pocket Guide To Physical Examination And History Taking. Lippincott Williams & Wilkins.
Lloyd-Jones, D. M., Braun, L. T., Ndumele, C. E., Smith Jr, S. C., Sperling, L. S., Virani, S. S., & Blumenthal, R. S. (2019). Use of risk assessment tools to guide decision-making in the primary prevention of atherosclerotic cardiovascular disease: a special report from the American Heart Association and American College of Cardiology. Circulation, 139(25), e1162-e1177.
Merker, V. L., Plotkin, S. R., Charns, M. P., Meterko, M., Jordan, J. T., & Elwy, A. R. (2021). Effective provider-patient communication of a rare disease diagnosis: A qualitative study of people diagnosed with schwannomatosis. Patient Education and Counseling, 104(4), 808-
Shen, M. J., Peterson, E. B., Costas-Muñiz, R., Hernandez, M. H., Jewell, S. T., Matsoukas, K., & Bylund, C. L. (2018). The effects of race and racial concordance on patient-physician communication: a systematic review of the literature. Journal of Racial and Ethnic Health Disparities, 5(1), 117-140.
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Describe how using information technology and data mining can affect the quality of health care.
Using two Quality Performance indicators, provide a comparison and contrast example of how information technology and data have changed patient care outcomes.

Spiritual nursing is instrumental to the provision of holistic care. One of the tools that can be used to evaluate spirituality is AMEN (Affirm, Meet, Educate, No Matter What). This tool is instrumental in helping patients navigate a poor prognosis. Nurses can use AMEN to engage their patients and families in difficult conversations about the religious beliefs of the patient during such scenarios. This way, the patient preserves their hope and faith since their belief has been affirmed despite the nature of the prognosis (Cosentino et al., 2020). It also allows nurses to confirm that they are supportive to the patients no matter what happens to them in the course of their treatment. Another tool that can be used to evaluate spirituality is Brief Serenity Scale. This tool is mostly effective for patients with organ failure. It can also be used for individuals with chronic illnesses. Using this scale to evaluate a patient’s spirituality allows them to have inner peace regardless of their situation (Cosentino et al., 2020). This way, the patient and their family members become content with the prognosis.
Another tool that can be used to evaluate spirituality is the level of cultural competence among the nurses. Hu et al. (2019) note that cultural and religious differences may affect the ability of nurses to extend spiritual care. However, if the nurses are culturally competent, they will understand the essence of finding a person who can offer spiritual care to their patients (Hu et al., 2019). The frequency at which spiritual care is extended is also an important evaluation tool for spirituality. This means that nurses must recognize patient cues in regards to receive spiritual care (Hu et al., 2019). Nurses must also be willing to support patients in meeting the specifics of spiritual care. This way, they will have advanced spirituality in nursing practice and towards their patients.
One of the student learning outcomes that have been achieved through this discussion is the evaluation of nursing models which focus on the spiritual wellbeing of patients. The evaluation of such models demonstrates that there is more to nursing care beyond the medical and physical care offered to patients. The discussion demonstrates that patients who are spiritual tend to have lesser suicidal or depressive thoughts. Understanding that aspect of healthcare is important since it challenges nurses to offer more than physical healing and focus on the spiritual and emotional wellbeing of their patients. Thus, this discussion allows one to understand the essence of spirituality in nursing care.

200 words and one scholarly reference

The surrogate role is not one that is frequently mentioned in recent nursing practice literature. Is that role as defined by Peplau relevant to nursing practice as currently experienced. If so, in what way. If not, why?
400words with at least two scholarly references no older than 5 years

For this, answer the following:
What are the Pros and Cons to telehealth?
How will you approach and perform a telehealth assessment?
What are the limits to telehealth?
What is the difference between the provider’s need for a successful telehealth visit versus the Patient’s perspective?
Submission Instructions
The document is to be clear and concise and students will lose points for improper grammar, punctuation, and misspelling.
It should be formatted per current APA 7 ed and 4 pages in length, excluding the title, abstract (MUST HAVE ONE), and references page.
Incorporate a minimum of 6 current (published FROM 2019 UP TO NOW) scholarly journal articles or primary legal sources (statutes, court opinions), OR BOOKS within your work.
Formatted and cited in current APA style 7 ed with support from at least 6 academic sources which need to be journal articles or books from 2019 up to now. NO WEBSITES allowed for reference entry. Include doi, page numbers, etc. Plagiarism must be less than 5%. WILLL BE CHECKED.

theory of attachment, what behaviors would a nurse attempt to stimulate when working with parent to promote health attachment?

Describe your clinical experienceas a student advanced practice registered nurse (APRN) at a family health clinic treating pediatric patients for this week.
Did you face any challenges, any success? If so, what were they?
Describe the assessment of a patient, detailing the signs and symptoms (S&S), assessment, plan of care, and at least 3 possible differential diagnosis with rationales.
Mention the health promotion intervention for this patient.
What did you learn from this week’s clinical experience that can beneficial for you as an advanced practice nurse?
Support your plan of care with the current peer-reviewed research guideline.
Submission Instructions:
Post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

Practice – QSEN Institute
As we have discussed previously in your program, the Quality and Safety Education for Nurses (QSEN) Institute looks to improve the quality and safety of patient care through education.
Review the QSEN Competencies to remind yourself about how they drive quality by explaining the knowledge, skills, and attitudes nurses need to thrive in a changing healthcare environment.
Look at Table 2 in “Quality and Safety Education for Nurses (QSEN): The Key Is Systems Thinking” from this week’s University Library Resources. As you review the table, consider the following question:
How is the systems thinking in the article linked to the work of regulators and accreditors to drive quality and safety?
Summarize your answer in 350 words.
Submit your assignment.

You will select one research report with a qualitative design and one with quantitative design and answer the following questions regarding the following categories:
Discuss what is meant by the term Qualitative Research
Briefly, describe the characteristics of qualitative research and identify nursing issues/phenomena that lend themselves to a qualitative research approach.
Compare and contrast three different qualitative research methodologies.
Briefly, discuss the strengths and weaknesses of qualitative research evidence for informing nursing practice.
Communicate how this research design used in research.
The study, sampling, data collection, analysis, rigor, findings and limitations
Identify the purpose of the study.
Briefly, describe the design of the study and explain why you think it is either appropriate or inappropriate to meet the purpose.
Identify ethical issues related to the study and how they were/were not addressed.
Identify the sampling method and recruitment strategy that was used.
Discuss whether sampling and recruitment were appropriate to the aims of the research.
Identify the data collection method(s) and discuss whether the method(s) is/are appropriate to the aims of the study.
Identify how the data was analyzed and discuss whether the method(s) of analysis is/are appropriate to the aims of the study.
Identify four (4) criteria by which the rigor of a qualitative project can be judged.
Discuss the rigor of this study using the four criteria.
Briefly, describe the findings of the study and identify any limitations.
Use the information that you have gained from your critique of the study to discuss the trustworthiness and applicability of the study. Include in your discussion any implications for the discipline of nursing.
Discuss what you understand by the term Quantitative Research – Use the following dot points to guide your discussion (give reasons for your argument and support with references):
Describe the characteristics of quantitative research.
Identify nursing issues/phenomena that lend themselves to a quantitative research approach
Differentiate between observational and interventional research designs and also between experimental and quasi-experimental designs.
Briefly, outline the difference between inferential and descriptive statistics and their relationship to levels of measurement.
Communicate how this research design used in research.
Critique the Quantitative Research Report – Use the following headings to guide your critique (in all discussions and explanations give reasons for your argument and support with references):
The study
Identify the purpose and design of the study.
Explain what is meant by ‘blinding’ and ‘randomization’ and discuss how these were addressed in the design of the study.
Identify ethical issues related to the study and how they were/were not addressed.
Sampling
Explain the sampling method and recruitment strategy that was used.
Discuss how the sample size was determined – include in your discussion an explanation of terms used.
Data collection
Briefly, outline how the data was collected and identify any data collection instrument(s).
Define the terms validity and reliability and discuss how the validity & reliability of the instruments were/were not addressed in this study and why this is important.
Data analysis
Outline how the data were analyzed.
Identify the statistics used and the level of measurement of the data described by each statistical test – include in your discussion an explanation of terms used.
Findings and limitations
Briefly, outline the findings and identify any limitations of the study
Use the information that you have gained from your critique of the study to briefly discuss the trustworthiness and applicability of the study. Include in your discussion an explanation of the term statistical significance and name the tests of statistical significance used in this study.

Read the case study about Borderline Personality Disorder and answer the following questions in your initial posting:
How would you use therapeutic communication and principles of cognitive behavioral therapy with the client?
Describe your assessment process. What are some likely co-morbid conditions? List one nursing diagnosis and an appropriate nursing intervention.