Community Assessment

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Using a variety of instruments (Windshield Survey, Community Assessment Tool, Screening interviews, etc.) while in your community, you will assess the community location. This will lead to a list of identified, prioritized health needs and your recommendations for intervention.

You will complete a windshield survey of your community. The objective of a windshield survey is to assess a community in a short, simple way, compiling data to help form an analysis of that community. Simply put, a windshield survey is the equivalent of a community head-to-toe assessment. There are 6 elements that should be included in your windshield survey (See Community Assessment Template Download Community Assessment Template). You will drive through your community and document your findings on a PowerPoint presentation. Take pictures of your community to enhance your PowerPoint presentation.

  1. After studying Module 3: Lecture Materials & Resources, familiarize yourself with the instruments for:
    • A Windshield Survey (Website Resource 15C, p. 425).
    • The Community Assessment Tool applied to Phenomenological Communities (Website Resource 15A, p. 425).
    • You may also wish to review Chapter 13, Box 13-1 (p. 343) for examples of assessments that may be appropriate for your community population, since the Community Assessment Tool includes some screening data and information from clients.
  2. Plan how you will obtain the information for the assessments.
    • Conduct a Windshield Survey assessment.
    • Drive around your community and take pictures.
    • Create a PowerPoint presentation No more than 10 slides addressing each area of the windshield study.

 

  • The ppresentation is to be clear and concise and students will lose points for improper grammar, punctuation and misspelling.
  • Incorporate a minimum of 3 current (published within the last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work. Journal articles and books should be referenced according to APA style (the library has a copy of the APA Manual).
  •  should be formatted per APA and references should be current

Gastrointestinal

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Discuss what is happening on a cellular level with the disease process. Be careful to realize that patients have co-morbidities and you may need to discuss the other diseases impact on the pathophysiology and care of the patient.  Three (3) resources after 2008 are required along with APA format. 

GASTROINTESTINAL TRACT BLEEDING

Patient Profile

Maria, a 48 year-old woman was transferred from emergency department (ED) to transitional care unit (TCU) with a diagnosis of probable gastrointestinal (GI) tract bleeding and abdominal pain. Patient c/o nausea and vomiting blood x2 weeks.

Subjective Data:

-Has a history of alcohol abuse

-Has a history of poorly controlled peptic ulcer disease due to non-compliance with treatment

-Is overweight, but recently lost 10 pounds

-Work as an admission coordinator at local junior college

-Live with her spouse, who was recently diagnosis with prostate cancer

-Recently experienced the death of a her mother from cardiac arrest

  Physical Examination:

                        B/P = 77/41 HR 49 RR 16 T (tympanic) 37.9 (100.2) O2 Sats 98% RA

                        Lungs clear to auscultation, S-3 heart sound to auscultation

Diaphoretic, short of breath, anxious

  
Laboratory Studies

NA 157 Serum K (potassium (3.0)

Hgb 7.6 HCT: 22.8 PLTs 138

RBC 3.32 WBC 11.6

Critical Thinking Questions:

1. Briefly explain the pathophysiology of the development of GI tract bleeding. What is the etiology associated with acute GI tract bleeding?

2. Identify common causes of GI tract bleeding and list predisposing factors specific to Maria.

3. Discriminate between the characteristics of upper and lower GI tract bleeding.

4. What complications did Maria experience?

5. Which factors determine whether blood products will be administered to a patient with GI tract bleeding?

6. Maria Hgb and Hct values dropped. Discuss the drop in Hgb and Hct values in relation to Maria blood loss.

7. If Maria continues to have active bleeding from the GI tract despite conservative management, what other medical procedures might be implement and why?

 

Genetics

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Discuss what is happening on a cellular level with the disease process. Be careful to realize that patients have co-morbidities and you may need to discuss the other diseases impact on the pathophysiology and care of the patient.  Three (3) resources after 2008 are required along with APA format. 

Jane and Jackie, 30 year old twin sisters, adopted when they were two years old, lived mirrored lives to this point. They do everything together, from having a double wedding, living next door to each other, and making any appointments, medical or social together.

Today they made an appointment with their OB/GYN. Information was as follows:

Jane Information: Jackie’s Information:

BP 115/70 BP 165/96

HR 70 HR 96

Resp. 20 Resp, 22

Temp 98.6 Temp 99.2

N/A Normal U/A + Hematuria

+ Proteinuria

Weight No gain Weight +15 pounds

C/O Intermittent Headache C/O Has lower back and stomach

at times relieved with pain at times and is relieved also

Tylenol by Tylenol.

Other: This individual is noted to have

some loss of muscle mass in her

arms and legs and less subcutaneous

tissue overall.

1. At this point, what do your think is the problem with Jackie? Why is this problem co common in women? What test would you request to confirm your diagnosis?

The physician uses the ultrasound to assess Jackie’s back and abdomen. He finds that her kidneys are about 4 times larger than normal and appear to have numerous fluid filled cysts noted. At this point he asks BOTH sisters to see a nephrologist and to be scheduled for MRI’s of the kidneys. The MRI showed that Jackie’s kidneys were indeed larger and filled with cysts. Jane’s kidneys were somewhat larger than normal, and no cysts were present at this time.

2. What problem do you anticipate that Jackie has now? How was it acquired?

3. Why did Jackie gain so much weight over the last year?

4. Why does Jackie have high blood pressure and the UTI?

5. Why were both sisters requested to have this test.

The sisters went to see the nephrologists who requested that they have MRI’s of the brain and an echocardiogram. Jane’s MRI and echocardiogram were normal. Jackie’s brain MRI and echocardiogram were not. Jackie had a cerebral angiogram that followed which confirmed complications of her disease process, an Intracranial aneurysm and Mitral regurgitation. Jackie undergoes a procedure called Coil Embolization Therapy to resolve the aneurysm.

6. What is an Intracranial aneurysm? How does Coil Embolization Therapy resolve the problem.? Please be specific of the procedure.

7. What is Mitral Valve Prolapse and how will it affect Jackie’s health care needs before procedures in the future?

8. What education is needed to be shared with these sisters related to their children having this condition in the future?

Neafsey. P. (2010).Sisters for life:
Case Mysteries in Pathophysiology. Englewood:

Morton Publishing Company

gmt/2015

WORKPLACE ENVIRONMENT ASSESSMENT

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Clearly, diagnosis is a critical aspect of healthcare. However, the ultimate purpose of a diagnosis is the development and application of a series of treatments or protocols. Isolated recognition of a health issue does little to resolve it.

In this module’s Discussion, you applied the Clark Healthy Workplace Inventory to diagnose potential problems with the civility of your organization. In this Portfolio Assignment, you will continue to analyze the results and apply published research to the development of a proposed treatment for any issues uncovered by the assessment.

To Prepare:

  • Review the Resources and examine the Clark Healthy Workplace Inventory, found on page 20 of Clark (2015).
  • Review the Work Environment Assessment Template*.
  • Reflect on the output of your Discussion post regarding your evaluation of workplace civility and the feedback received from colleagues.
  • Select and review one or more of the following articles found in the Resources:
    • Clark, Olender, Cardoni, and Kenski (2011)
    • Clark (2018)
    • Clark (2015)
    • Griffin and Clark (2014)

*Template completed in the Week 7 discussion should not be submitted with this assignment.

The Assignment (3-6 pages total):

Part 1: Work Environment Assessment (1-2 pages)

  • Review the Work Environment Assessment Template you completed for this Module’s Discussion.
  • Describe the results of the Work Environment Assessment you completed on your workplace.
  • Identify two things that surprised you about the results and one idea you believed prior to conducting the Assessment that was confirmed.
  • Explain what the results of the Assessment suggest about the health and civility of your workplace.

Part 2: Reviewing the Literature (1-2 pages)

  • Briefly describe the theory or concept presented in the article(s) you selected.
  • Explain how the theory or concept presented in the article(s) relates to the results of your Work Environment Assessment.
  • Explain how your organization could apply the theory highlighted in your selected article(s) to improve organizational health and/or create stronger work teams. Be specific and provide examples.

Part 3: Evidence-Based Strategies to Create High-Performance Interprofessional Teams (1–2 pages)

  • Recommend at least two strategies, supported in the literature, that can be implemented to address any shortcomings revealed in your Work Environment Assessment.
  • Recommend at least two strategies that can be implemented to bolster successful practices revealed in your Work Environment Assessment.

nursing

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Week 4 Module 4: A Deeper Look at Prevention and Aggregates

Module Overview

During week four, you will complete course activities related to prevention and aggregates while taking a deeper dive when looking at aggregates and prevention.

Overall Topics

· Aggregates

· Primary, Secondary, and Tertiary Levels of Prevention – you do read about this during Weeks 1 & 2 and in Nies & McEwen’s text, Chapter 1, however this week you will add to your knowledge level about population health prevention levels. SMSU Nursing uses the four levels of prevention: primary, secondary, tertiary, and quaternary. Be aware that some sources use three levels of prevention, and some sources use four levels of prevention!

Module Learning Objectives

By the end of this week, students will:

· Describe what an aggregate population means.

· Describe an aggregate population.

· Describe the meanings of primary, secondary, tertiary prevention, and quaternary prevention.

· Explain examples of primary, secondary, tertiary, and quaternary prevention.

Learning Assignments

1. Complete Aggregate and Prevention Worksheet

2. View Virtual Module: Leibold (2021) Levels of Prevention at

https://softchalkcloud.com/lesson/serve/SVWNzCadZevUMA/html

3. Read: Minnesota Department of Health. (2019). Public health interventions (PopulationBased).


https://www.health.state.mn.us/communities/practice/research/phncouncil/docs/PHInterv


entionsHandout.pdf

4. Read: Minnesota Department of Health. Population-Based Practice at

https://www.health.state.mn.us/communities/practice/ta/phnconsultants/docs/0303phn_po


pbasedpractice.pdf

5. Complete items in the Module 4 content folder

Items Due

1. Complete Aggregate and Population worksheet assignment due to assignment drop box on //23 by 9/17/23 by 11:59 pm

2. **Start thinking about your community assessment project. This is a time to start conducting your windshield/walking survey and setting up your key informant interview (refer to Week 6 module instructions as well as the course syllabus)

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Nursing Chapter 3a-assignment

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Page 1 of 2 Leadership and Management Theory

“People may not remember what you said, but they remember the way

you made them feel.” Maya Angelou

Emotional Intelligence (EI)

Introduction to Emotional Intelligence
Emotions play a big role in our lives; they help to guide decisions for the world around
us and influence our interactions with others. Accordingly, emotions are also shaped
from the external world. Emotional intelligence brings control to our everyday emotions
and will affect every aspect of our lives. The ability to control one’s emotions and use
them in a healthy manner can be life-changing. Emotional intelligence combines
emotional and social skills to navigate through organizations and relationships, as well
as deal with emotional stress. It is a skill that can be learned and strengthened, bringing
great success to an individual’s personal and professional life. With an emotionally
intelligent team, maximum success can be achieved.

Defining Emotional Intelligence
Every day we face situations in which we emotionally react. Emotional intelligence (EI)
brings cognition to emotional responses. It involves recognizing, understanding, and
managing our own emotions, as well as recognizing, understanding, and influencing the
emotions of others. This includes being aware of the emotions that drive specific
behaviors. It does not mean denying personal feelings, but rather identifying and
reasoning with them. Developing emotional intelligence is especially important in the
workplace, as it teaches professional and empathetic communication.

The Importance of Emotional Intelligence
Emotional intelligence is incredibly valuable to many major aspects of our lives, our
mental and physical health, professional success, and personal relationships. There are
many positive traits that come from emotional intelligence. In business, emotional
intelligence will cultivate motivation, change, and leadership. It encourages us to step
away from an autopilot mode and become better at navigating through the many social
complexities in life. Respectively, emotional intelligence will help us to create a healthy
and balanced lifestyle. Signs of low emotional intelligence include:
• Having a victim mentality
• Being unaccepting of feedback
• Dwelling on mistakes
• Difficulty listening and connecting
• Often quick to make judgments

Page 2 of 2 Leadership and Management Theory

Who Needs It?

Humans are wired for connection; these connections consist of social interactions full of
emotions. Essentially, identifying and building emotional intelligence is important for
everyone. High emotional intelligence is a hiring trait desired by leading corporations,
and to some extent, more important than IQ. Emotional intelligence provides a strong
foundation for humans to reflect on their emotional responses, including when
managing feelings of stress or overwhelm, creating a collaborative environment, and
having difficult conversations with others. It is the key to achieving success in any
leadership role. When emotional intelligence is lacking from one individual in the
workplace, it affects everyone else within the organization. These repercussions can
include a lower company morale, and decrease in productivity and performance. A
positive work environment requires employees who are willing to coach and motivate
one another, in which emotional intelligence is the foundation.

What Are Emotions?

Since emotional intelligence is all about the management and control of emotions, it is
advantageous to understand what emotions are and why they matter. Although we all
share the same emotions, we do not all experience these emotions the same way.
Emotions are natural reactions that we experience, in response to a situation, mood, or
connection. They signal a change that has occurred within us, or in our environment.
The six basic human emotions, also known as primary emotions, are happiness,
sadness, surprise, fear, disgust, and anger. Emotions may be momentary or long-lived.
There are three key elements of emotions, including the subjective experience (how
someone experiences an emotion), the physiological response (how their body reacts to
this emotion), and the behavioral/expressive response (how they behave in response to
this emotion). Emotions will guide decisions, help us to avoid danger, and motivate
action. Our daily lives are influenced on whether we are feeling happy, sad, or bored.

Practical Illustration
Shawn was in charge of hiring the new marketing analyst. He was looking for an
employee who was knowledgeable in this field, along with great social skills and
emotional control. After reading a few resumes, he had two strong prospects that he
chose to interview. The first candidate, Hunter, had many years of experience. Although
he had a lot of knowledge to bring to the team, he did not demonstrate strong
leadership and interpersonal skills. Shawn’s second prospect, Leah, did not have many
years of experience. Leah understood the essentials for the position, and assured
Shawn that she was willing to learn and transition with the company. She was confident,
empathetic, and professional. The positive impact that Leah left on Shawn had helped
to guide his decision. He believed that Leah was perfect for the position, and would
share her enthusiastic attitude with the rest of the team.

Discussion

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Initial Post Instructions

The Discussions in this course are set up deepen your understanding of the material as you make real world connections and employ creative thinking. To get the most from these discussions, full engagement is expected on the part of the student. Be sure to stop by the discussion section frequently, not only to post, but to read the postings of your peers and instructor. Engaging with your peers and learning together is key to this experience. For you initial post, choose one of the options below:

Option 1:

A growing concern in agricultural and food chemistry is the presence of residues in food. We use many forms of organic chemicals in agriculture and food chemistry and there is growing concern as to how safe these materials are. Choose an organic chemical used in agricultural of food chemistry and report on the functional groups contained in your compound, the uses of the compound, and the safety of that compound. This research will require one or more

Option 2:

Choose a compound that is classified as an ether, aldehyde, ketone, ester, or alcohol, or amide. Report on important applications of this compound using at least one outside source. Next, write the condensed structural formula of a simple molecule with an ether, aldehyde, ketone, ester, or alcohol functional group for your peers to name (do not give away the answer!).

Writing

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 Discussion 1

Language barrier can be a problem in hospitals. 

Discussion 2 

Peplau’s theory of interpersonal relationships discusses 4 phases of the nurse-patient 

Hum Ecology & Environment w1

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Hum Ecology & Environment week 1 discussion.

Instructions

Pick any one question and respond in an original discussion post by midnight, Day 4 of Week 1.

After the initial post, you must provide substantive responses to 
at least 2 of your classmates’ posts and remain 
active on at least 2 additional days during Week 1.

There are 2 parts to this week’s discussion forum – Answer both parts in the same post.

First:

Introduce yourself to your peers. State how far along you are in the program, where you work, your future goals, and any experiences you would like to share. Brief info about me so you can develop a brief introduction: (Heidi Lugo, I’ll be graduating in March 2024, I work at Mercy Hospital in 7c med-surgical floor, goals (become a nurse practitioner))

Next, pick 
one of the two questions and answer.

1. How would you explain climate change to someone? What aspects would you include, and why? Next, how does climate change intersect with race and gender in its impact on people's health? Support your post with data. Lastly, can you think of areas impacted by climate change that the unit did not cover? How can nurses help in addressing this environmental concern? (USLOs 1.1, 1.2, 1.3, 1.4)

OR

2. Pick two recent events in the past five years that you think are climate-change-related and describe them briefly. Next, discuss why you consider them as environmental concerns. What measures could be taken at individual and institutional levels to prevent such events from occurring again? And how can nurses advocate for addressing this ecological concern? (USLOs 1.1, 1.2)

 

Each week, your discussion will be graded on a point scale. To successfully complete each weekly discussion assignment, you will need to address all items included in the discussion topic/question 
thoroughly.

Your input should be in your own words (to avoid plagiarism), demonstrating your understanding and comprehension of the topic. Be sure to support all your posts (initial post + responses) with specific references to the assigned readings, lecture material, and other relevant research you find appropriate in APA format.

LAST DISCUSSION

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Go back to the discussion topic in Week 1 and review your discussion posts.

Have any of your thoughts or concepts of trends in nursing have changed since week 1.  Please share specific examples.

THIS IS WHAT I POSTED IN WEEK 1:

In my opinion when I think of nursing issues and trends, I think of the nursing staff shortages, increase in patient ratios, nursing advocacy, growth of telehealth, and advances in technology in the field.  In this present time, things are changing rapidly and with that comes change in the field as well.  An example is telehealth, which allows patients to have consults via phone/video with a medical professional.  Nurses are also exploring IT nursing with all these new technical advances.  Which brings to nurses also leaving the clinical setting for a nonclinical nursing career which leads to shortages in the hospitals with this growth of nonclinical nursing careers.