Nutritional Principles in Nursing

NU117/NUR1172 Section 03 Nutritional Principles in Nursing (11 Weeks) – Online Plus – 2023 Fall Quarter

Module 01 Discussion – Dietary Likes and Dislikes Awareness

Discussion Topic

Activity Time:

2 hours

Directions:

Our nutrition and eating patterns are shaped by our perceptions of food; what we have learned to like and dislike, what we feel is healthful, and it is even formed by our family, cultural, and religious beliefs.

For this discussion, list five foods/liquids you like and five foods/liquids you don't like and/or avoid. For each you like, describe why you like them. For example, you might say I like to eat chocolate chip cookies because they remind me of my grandmother.

For the five you do not like to eat/avoid, explain why. For example, you might say I don't eat lima beans because they taste too mushy in my mouth or I don't drink milk because I am lactose intolerant, or I don't eat beef because of religious beliefs.

In addition to explaining why you don't like the five foods/liquids, also include what it would take (if possible) for you to overcome your dislike of the food/liquid.

Please make an initial post by midweek, and respond to at least two other student's posts with substantial details that demonstrate an understanding of the concepts and critical thinking. Remember that your posts must exhibit appropriate writing mechanics including using proper language, cordiality, and proper grammar and punctuation. If you refer to any outside sources or reference materials, be sure to provide proper attribution and/or citation.

Develop a 4-6 page plan that will allow your intervention to be implemented in your target population and setting.

Develop a 4-6 page plan that will allow your intervention to be implemented in your target population and setting. Target population VETERAN. 

TOPIC PREVENTING HOMELESSNESS FOR VETERAN POPULATION

Introduction

Note: Each assessment in this course builds on the work you completed in the previous assessment. Therefore, you must complete the assessments in this course in the order in which they are presented.

Even the best intervention plan will not be effective without a sound and reasonable approach to implementing it. The implementation of the same intervention plan can vary drastically between different care settings, based on the culture of the care setting, the resources available, and the stakeholders involved in the project, as well as the specific policies already in place. A successful implementation plan blends contemporary and emerging best practices and technology with an understanding of the on-the-ground realities of a specific care setting and the target population for an intervention. By synthesizing these various considerations it is possible to increase the likely success of the implementation and continued sustainability of an intervention plan.

Preparations

  • Read Guiding Questions: Implementation Plan Design [DOC]. This document is designed to give you questions to consider and additional guidance to help you successfully complete this assessment.
  • As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.
    • What are the needs of your stakeholders that are relevant to your target population and need?
    • What applicable health care policy and regulations are relevant to your target population and need?
    • How will these considerations impact the development of your Intervention Plan Design assessment?
    • How can you work these considerations into the development of your Implementation Plan Design assessment?

Instructions

Note: The assessments in this course are sequenced in such a way as to help you build specific skills that you will use throughout your program. Complete the assessments in the order in which they are presented.

Your implementation plan design will be the third section of your final project submission. The goal for this is to design a plan that will allow your intervention to be theoretically implemented in your target population and setting. You should be able to preserve the quality improvement outcomes that you designed for your target population and setting while also ensuring that the intervention does not put undue stress on the health care setting’s resources or violate any policies or regulations. Provide enough detail so that the faculty member assessing your implementation plan design will be able to provide substantive feedback that you will be able to incorporate into the final draft of your project.

At minimum, be sure to address the bullet points below, as they correspond to the grading criteria. You may also want to read the scoring guide and the Guiding Questions: Implementation Plan Design document (linked above) to better understand how each criterion will be assessed. In addition to the bullet points below, provide a brief introduction that refreshes the reader’s memory about your problem statement, as well as the setting and context for which this intervention plan was designed before launching into your implementation plan.

Reminder: these instructions are an outline. Your heading for this this section should be Management and Leadership and not Part 1: Management and Leadership.

Part 1: Management and Leadership
  • Propose strategies for leading, managing, and implementing professional nursing practices to ensure interprofessional collaboration during the implementation of an intervention plan.
  • Analyze the implications of change associated with proposed strategies for improving the quality and experience of care while controlling costs.
Part 2: Delivery and Technology
  • Propose appropriate delivery methods to implement an intervention which will improve the quality of the project.
  • Evaluate the current and emerging technological options related to the proposed delivery methods.
Part 3: Stakeholders, Policy, and Regulations
  • Analyze stakeholders, regulatory implications, and potential support that could impact the implementation of an intervention plan.
  • Propose existing or new policy considerations that would support the implementation of an intervention plan.
Part 4: Timeline
  • Propose a timeline to implement an intervention plan with reference to specific factors that influence the timing of implementation.
Address Generally Throughout
  • Integrate resources from diverse sources that illustrate support for all aspects of an implementation plan for a planned intervention.
  • Communicate implementation plan in a way that clearly illustrate the importance of interprofessional collaboration to create buy-in from the audience.

Contraception / IVF

 

  1. Name and explain the levels of human sexual intercourse.
  2. Difference between reproduction and procreation.
  3. What are the two dimensions of intimacy?
  4. Contraception:
    • What is it?
    • What is the intention of contraception?
    • Describe the three types of artificial contraception.
    • Risks / Side effects
    • Bioethical analysis and unfair dynamics of artificial contraception.
  5. Non-Therapeutic sterilization; bioethical analysis
  6. Principle of double effect; explain
  7. Bioethical analysis of:
    • Ectopic pregnancy
    • Cancerous reproductive system with pregnancy
  8. In Vitro Fertilization(IVF):
    • Process
    • Bioethical analysis of IVF
  9. Bioethical analysis of “to have a child”
  10. Read and summarize ERD paragraphs #: 40, 41, 42, 48, 52, 53.

  is to be clear and concise and students will lose points for improper grammar, punctuation, and misspelling.

  • If references are used, please cite properly according to the current APA style.

Ethics

 Use the textbook posted below and answer these questions.

1) In your own words, describe the difference between euthanasia and physician-assisted suicide.

 2) Select an argument for or against either euthanasia or physician-assisted suicide. How would you defend your argument?

short answer assessment

  • Review the Learning Resources for this week in preparation to complete this Assignment.
  • Reflect on the basic function and structure of the neuron in relation to the central nervous system.
  • Reflect on the inter-connectedness between neurons and the central nervous system, including the pathway and distribution of electrical impulses.
  • Reflect on how neurons communicate with each other and review the concept of neuroplasticity.

TO COMPLETE:

Address the following Short Answer prompts for your Assignment. Be sure to include references to the Learning Resources for this week.

  1. In 4 or 5 sentences, describe the anatomy of the basic unit of the nervous system, the neuron. Include each part of the neuron and a general overview of electrical impulse conduction, the pathway it travels, and the net result at the termination of the impulse. Be specific and provide examples.
  2. Answer the following (listing is acceptable for these questions):
    • What are the major components that make up the subcortical structures?
    • Which component plays a role in learning, memory, and addiction?
    • What are the two key neurotransmitters located in the nigra striatal region of the brain that play a major role in motor control?
  3. In 3 or 4 sentences, explain how glia cells function in the central nervous system. Be specific and provide examples.
  4. The synapse is an area between two neurons that allows for chemical communication. In 3 or 4 sentences, explain what part of the neurons are communicating with each other and in which direction does this communication occur? Be specific.
  5. In 3–5 sentences, explain the concept of “neuroplasticity.” Be specific and provide examples.

case

Mr. Smith brings his 4-year-old son to your primary care office. He states the boy has been ill for three days. Mr. Smith indicates that he would like antibiotics so he can send his son back to pre-school the next day.

History – Child began with sneezing, mild cough, and low grade fever of 100 degrees three days ago. All immunizations UTD. Father reports that the child has had only two incidents of URI and no other illnesses.

Social – non-smoking household. Child attends preschool four mornings a week and is insured through his father’s employment. No other siblings in the household.

PE/ROS -T 99, R 20, P 100. Alert, cooperative, in good spirits, well-hydrated. Mildly erythemic throat, no exudate, tonsils +2. Both ears mild pink tympanic membrane with good movement. Lungs clear bilaterally. All other systems WNL.

Do not consider COVID-19 for this patient diagnosis.

For the assignment, do the following:

1. Diagnose the child and describe how you arrived at the diagnosis (i.e. how you ruled out other diagnoses).

2. Provide a specific treatment plan for this patient, pharmacologic and/or nonpharmacologic.

3. Provide a communication plan for how the family will be involved in the treatment plan.

4. Provide resources that Mr. Smith could access which would provide information concerning your treatment decisions.

5. Utilize national standards, your pharm and/or patho book and medical or advanced practice professional sources. Do not use patient-facing sources or general nursing texts to support your diagnosis and treatment.

6. Use references to support your concepts. Utilize correct APA formatting and mechanics of professional communication.

Present this Assignment as a narrative document, with a minimum of 4, and maximum of 5 pages not counting the cover page or reference page. It is not necessary to repeat the facts of the case in your narrative.

Before finalizing your work, you should:

·
Read the Assignment description carefully (as displayed above);

·
Consult the Grading Rubric (under Course Resources) to make sure you have included everything necessary; and

· Utilize 
spelling and 
grammar check to minimize errors.

Your writing assignment should:

· Follow the conventions of 
Standard American English (correct grammar, punctuation, mechanics, etc.);

· Be 
well organized, logical, and 
unified, as well as 
original and insightful;

· Utilize correct APA formatting, 7th edition.

· Submit to, and review results of Turnitin.

Unit 6 Assignment Criteria

Level III

Level II

Level I

Not Present

Criteria 1

Level III Max Points

Points: 8

Level II Max Points

Points: 6.4

Level I Max Points

Points: 4.8

Not Present

0 Points

Making a correct diagnosis

· An accurate diagnosis is provided

· Rationale for arrival at the diagnosis with support from literature

· An accurate diagnosis is provided

· Rationale for the diagnosis is provided without support from literature

· An accurate diagnosis is provided

· Rationale for the diagnosis is not provided

· Does not meet the criteria

Criteria 2

Level III Max Points

Points: 12

Level II Max Points

Points: 9.6

Level I Max Points

Points: 7.2

Not Present

0 Points

Developing a treatment plan

· A correct and specific pharmacologic and non-pharmacologic treatment plan for the case study patient is provided

· A specific treatment plan is provided for the case study patient but is missing less than 50% of pharmacologic and non-pharmacologic treatment.

· A specific treatment plan is provided for the case study patient but is missing more than 50% of pharmacologic and non-pharmacologic treatment.

· Does not meet the criteria

Criteria 3

Level III Max Points

Points: 8

Level II Max Points

Points: 6.4

Level I Max Points

Points: 4.8

Not Present

0 Points

Providing the patient or family with resources

· Three or more patient resources to assist with understanding the treatment plan are provided

· Two patient resources to assist with understanding the treatment plan are provided

· One patient resource to assist with understanding the treatment plan is provided

· Does not meet the criteria

Criteria 4

Level III Max Points

Points: 7

Level II Max Points

Points: 5.6

Level I Max Points

Points: 4.2

Not Present

0 Points

Developing a communication plan

· A communication plan which includes principles of therapeutic communication is included

· A communication plan that does not include principles of therapeutic communication is provided

· Does not meet the criteria

· Does not meet the criteria

Criteria 5

Level III Max Points

Points: 10

Level II Max Points

Points: 8

Level I Max Points

Points: 6

Not Present

0 Points

College-level academic writing

· Professional, peer-reviewed, advanced practice references are used

· Grammar and mechanics of writing demonstrate graduate level work

· Adheres to page number requirements

· The majority of references used are professional, peer-reviewed and advanced practice

· Errors in grammar or mechanics of writing are present but do not interfere with readability

· Adhere to page number requirements

· The minority of references used are professional, peer-reviewed and advanced practice

· Errors in grammar or mechanics of writing are present Which interferes with readability

· Does not adhere to page number requirements

· Does not meet the criteria

Criteria 6

Level III Max Points

Points: 10

Level II Max Points

Points: 8

Level I Max Points

Points: 6

Not Present

0 Points

Citations and Formatting

· Includes a strong attempt to cite all sources using APA style.

· Minor paper formatting errors may occur.

· Minor in-text citation errors may occur.

· All authorship is clear and retrievable.

· Includes an overall attempt at APA formatting and citation style.

· Errors in formatting of citation or sources are present.

· All sources have some form of citation and all citations have a matching source.

· Citations generally make authorship clear.

·  Major errors in citations or source formatting are present.

· Citation or source information may be missing or incorrect.

· Authorship may be unclear.

· Does not meet the criteria

Maximum Total Points

55

44

33

0

Minimum Total Points

45 points minimum

34 points minimum

1 point minimum

0

Journal 2 (6675)

TO PREPARE

  • Refer to the “Population-Focused Nurse Practitioner Competencies” in the Learning Resources, and consider the quality measures or indicators advanced practice nurses must possess in your specialty.
  • Refer to your “Clinical Skills Self-Assessment Form” you submitted in Week 1 and consider your strengths and opportunities for improvement.
  • Refer to your Patient Log in Meditrek; consider the patient activities you have experienced in your practicum experience and reflect on your observations and experiences.

In 450–500 words, address the following:

Learning From Experiences

  • Revisit the goals and objectives from your Practicum Experience Plan. Explain the degree to which you achieved each during the practicum experience.
  • Reflect on the 3 most challenging patients you encountered during the practicum experience. What was most challenging about each? 
  • What did you learn from this experience? 
  • What resources were available?
  • What evidence-based practice did you use for the patients?
  • What would you do differently? 
  • How are you managing patient flow and volume?  How can you apply your growing skillset to be a social change agent within your community?

Communicating and Feedback

  • Reflect on how you might improve your skills and knowledge and how to communicate those efforts to your Preceptor.
  • Answer these questions: How am I doing? What is missing? 
  • Reflect on the formal and informal feedback you received from your Preceptor. 

Nursing LAB ASSIGNMENT: DIFFERENTIAL DIAGNOSIS FOR SKIN CONDITIONS

Week 4

Skin Comprehensive SOAP Note Template

Patient Initials: _______ Age: _______ Gender: _______

SUBJECTIVE DATA:

Chief Complaint (CC):

History of Present Illness (HPI):

Medications:

Allergies:

Past Medical History (PMH):

Past Surgical History (PSH):

Sexual/Reproductive History:

Personal/Social History:

Health Maintenance:

Immunization History:

Significant Family History:

Review of Systems:

General:

HEENT:

Respiratory:

Cardiovascular/Peripheral Vascular:

Gastrointestinal:

Genitourinary:

Musculoskeletal:

Neurological:

Psychiatric:

Skin/hair/nails:

OBJECTIVE DATA:

Physical Exam:

Vital signs:

General:

HEENT:

Neck:

Chest/Lungs:.

Heart/Peripheral Vascular:

Abdomen:

Genital/Rectal:

Musculoskeletal:

Neurological:

Skin:

Diagnostic results:

ASSESSMENT:

PLAN:
This section is not required for the assignments in this course (NURS 6512), but will be required for future courses.

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Community public health

 

 Covid-19 and the Need for Health Care Reform (King, 2020)  NEJM . 

Identify 1 flaw in the US healthcare system that was made evident during the pandemic, and 1 innovation duirng the pandemic that improved health care.

Please read the article above and answer the question in not more than two pages.