Telehealth services.

Describe the need for Telehealth services. Explain the difference between Synchronous Telehealth and Asynchronous Telehealth. 

Find an article that discusses another new or upcoming technology change. Discuss the main points of the article related to the technology (remember to cite the article). Then explain how nursing will be directly impacted by this new technology listing one positive and one possible downside.

  • Title Slide (1 slide)
  • Objective Slide (1 slide)
  • Need for Telehealth services. (2 slides)
  • Difference between Synchronous Telehealth and Asynchronous Telehealth. (1 slide)
  • Personal opinions of Telehealth. (1 slide)
  • Article on new or upcoming technology change, with main points regarding technology. (remember to cite the article) (2 slides)
  • How nursing is impacted by the new technology discussed in the article.  (2 slides)
  • References (1 slide)

case management

Case Study: Mrs. Adams, a 68-year-old widow who was referred to case management upon discharge from the hospital based on her physician’s recommendation that she is not able to care for herself independently. Her diagnosis is diabetes, hypertension, and breast cancer. She is 5 days’ post-op from a right sided mastectomy.   Mrs. Adams apartment is located in a low-income area of the city where crime is prevalent.  Upon assessment by the Community Health Nurse, Mrs. Adams apartment was in disorder with minimal airflow or light. Her clothes appeared unchanged and she had no food in the apartment.  The small apartment also housed 3 cats and a small dog who Mrs. Adams considers family since the death of her husband 1 year ago. Mrs. Adams complains of pain and draining from her surgical site and a broken air conditioner.

  • Using Nightingale’s Environmental Theory, what actions would the nurse take upon the first assessment? What are the five essential components?
  • What would be an appropriate plan of care be for Mrs. Adams? How would you prioritize the care plan?
  • Apply Nightingale’s Environmental Theory to an area of  nursing practice?  What patient-population would benefit from this approach?  Support this practice change with at least one evidenced-based article.

evidence-based practice

For this discussion, reflect on the content discussed this week related to the history of nursing, theories, caring, and evidence-based practice. How does nursing history, theories, caring, and evidence-based practice assist with developing yourself as a nursing professional?

Use at least one credible resource to support your initial discussion post and response posts. For example, a credible resource could be the State Board of Nursing website, a textbook, or a journal article.

Use in-text citations and list your references in APA format at the end of your initial discussion post and response posts.

Please make your initial post by midweek and respond to at least one other student’s post by the end of the week. Please check the Course Calendar for specific due dates.

Alzheimer’s disease

As you begin your first clinical site rotation, the preceptor asks you about the ethical treatment of clients with Alzheimer’s disease. You are not sure of how to respond, so she suggests you review the Belmont Report. You see that this report has three principles: beneficence, justice, and respect for persons.

  • Select one of these principles and describe why it is essential to you as a professional nurse when caring for clients with Alzheimer’s Disease and their family
  • Describe a possible scenario that reflects how nursing services are applied with the principle that you selected.
Response Posts

Response Post 1: After reviewing the post of your colleagues, select one that has chosen a Belmont Report principle different than your own and comment on how it is different yet complementary to the principle you selected.

Response Post 2: Find a classmate that has chosen the same principle yet described a different scenario. Describe how your classmate’s case may or may not reflect the two Belmont Report principles that he or she did not highlight.

Please make your initial post by midweek, and respond to at least two other student’s post by the end of the week. All posts require references AND in-text citations in full APA format. Information must be paraphrased and not quoted. Please check the Course Calendar for specific due dates. NOTE: Finalized postings must be submitted by deadlines. Any edits after deadline will be counted as late submissions and deducted accordingly. If you need to make any corrections for clarity’s sake only, you can write an addendum as a reply to yourself. The initial post will still be the one receiving full grade.

Telehealth technology

Discussion Question:

Telehealth technology has extended the arms of traditional health care delivery into homes, clinics, and other environments outside the bricks and mortar of hospitals. Will the increased use of these telehealth technology tools be viewed as “de-humanizing” patient care or will they be viewed as a means to promote more contact with healthcare providers and new ways for people to “stay connected” (as online disease support groups), thereby creating better long-term disease management and patient satisfaction?

Content includes additional or novel points beyond the intent of the prompt.  References are sufficient, scholarly in nature, and are formatted correctly in APA format.

Advanced Practice Nurse.

Explain how to measure and monitor the quality of care delivered and the outcomes achieved by an Advanced Practice Nurse.

Submission Instructions:

  • Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

critical appraisal of literature

Goal: Conduct a critical appraisal of literature that demonstrates an understanding of quantitative research.

Using Chapter 18 Table 18-1 Summary of Major Content Sections of a Research Report and Related Critical Appraisal Guidelines, write a critique of a quantitative research article that you have read related to your clinical practice.

Submission Instructions:

  • The work  is to be clear and concise and students will lose points for improper grammar, punctuation and misspelling.
  • The work should be formatted per current APA and 2-3 pages in length, excluding the title page, abstract,  and references page.
  • Incorporate a minimum of 3 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work.

comprehensive health assessment

  • Give two examples with rationale for each.

     Obtaining a family history is a vital component of a comprehensive health assessment to determine health risks and needs. For example, an 19 year old female presents to clinic for her first annual comprehensive health and physical examination. She has not seen a primary care physician since she was established with her pediatrician as a minor. She has never been to a gynecologist. She recently lost her mother to breast cancer and has no other immediate family. She believes her grandmother passed away from some form of gynecological cancer. She denies ever being screened for BRCA. By discovering past family history, it is extremely important to refer this patient for genetic testing and cancer screening. If family history was not addressed, the risk for cancer would not have ever been discovered.

Obtaining a social history is also a vital component of a comprehensive health assessment to determine health risks and  needs. For example, a patient presents to clinic with complaints of recent shortness of breath and cough with hematuria present. During collection of a social history, he denies smoking or other inhalants. He is currently unemployed. However, it is determined during inquiry that he was a welder in a chemical plant and has previously been exposed to asbestos. In addition, it is discovered that his insurance is ending due to a loss of job related to his recent symptoms and inability to work. A risk factor for cancer was discovered due to the collection of a social history. Also, the need for social work and case management arose to aid in the facilitation of workman’s compensation, financial assistance, and health insurance.

health risks

How can we identify health risks, strengths, and needs in our comprehensive health assessment? 

When conducting a comprehensive health assessment, it provides you with a snapshot of the patient’s health status and the health risk of empaneled patients. For example, the Comprehensive Geriatric Assessment (CGA). Stensvik et al. (2022) noted that “CGA is performed at varying levels of intensity in different settings; accordingly, its content may vary with healthcare settings” (p. 2). In addition, a comprehensive health assessment identifies health problems that could be treated properly for better health outcomes. Due to specialties in healthcare each specialty has a systemic evaluation of the older adult/adult/adolescent/child/infant, accompanied by an individual care plan. These specific care plans provide the patients’ goals of care, who is responsible for obtaining these goals, and an obtainable/realistic timeline to achieve these goals/outcomes. Health assessment is a process involving systematic collection and analysis of health-related information on patients for use by patients, clinicians, and health care teams to identify and support beneficial health behaviors and mutually work to direct changes in potentially harmful health behaviors. In addition, comprehensive health assessments provide insight on health risk integrated with health education programs. Stensvik et al. (2022) noted that “The CC-approach promotes a person-centered care perspective since it involves individualized interventions aiming at assessing unmet needs and health problems, thereby the potential to modifying NPS” (p. 2). In relation to the CC-approach as future providers we need to continue to effectively use comprehensive health assessments. This is evident by reviewing feedback and follow-up support for patients.