Module 03 Discussion – Nutrition and Weight Status
Discussion Topic
Directions:
Review all the materials discussed in this and the preceding module. After reading the information and guidelines, discuss why nutrition and weight status are important for health. Post one reference you used for the evidence-based information you are discussing.
Choose a topic related to nursing education. You are to identify an issue, need, gap, or opportunity associated
with:
a. any issue in nursing education at any level (e.g. pre-licensure; post-licensure, graduate);
b. nursing education as it relates to a selected patient population; or
c. nursing education as it relates to healthcare administration.
This Discussion has 3 parts:
Compare hypotension, hypertension, and hypotensive shock in the following areas: clinical manifestations, risk factors, differentials, diagnosis, and management/treatment recommendations. Next answer these questions:
What are the transmission and pathophysiology of the conditions?
What are the primary medical concerns for patients with these conditions?
What might be the primary psychosocial concerns for patients with these conditions?
What are the implications of these conditions for critical care and advanced practice nurses?
300-400 words. APA format.
Please see the attachment for instructions
Name: Linda McCarthy
Age: 86 years
Provider: K. Townsend MD
Codestatus: DNI
BMI: 24.1
Allergies: penicillin, atorvastatin, red dye, latex
Admitweight: 145 lbs (65.8kg)
Linda McCartchy had a rough night. She was pretty restless and only slept two hours.
This morning she was having an issue with her hearing aids not working. They kept
whistling. I went to change the batteries, but she was out of them. Her family will be
bringing them in later today.
Nursing Assessments and notes
11/1
0700
Neuro/Cognitive: Alert and oriented to person and place. She intermittently
confused and called staff by the names of her children. Speech raspy. 4/5
strength in all extremities.
Cardiovascular: S1 and S2 heart sound present. Heart rate regular and even.
No edema was noted. Pedal pulses +2, radial pulses +3. Capillary refill less
than 3 seconds.
Respiratory: Even, regular, unlabored. Lung sounds wheezing through all
lung fields. Chronic dry cough. Wears 2 L via nasal cannula chronically.
Gastrointestinal: BS present x 4 quadrants. Abdomen soft, non-distended,
non-tender. Last bowel movement 2 days ago.
Genitourinary: Occasional stress incontinence.
Integumentary: Scattered bruising. Various stages of healing.
Sensory: Hard of hearing. Wears hearing aids and glasses.
11/1
0730
ADLs: Independent with utensil holders
Activity: Ambulated 100 feet with a roller walker
11/1
0830
Nursing Note: Client resting quietly in bed. Looking out the window, not
responding to staff prompts for verbal interaction. Moves all extremities
appropriately. Morning medications were administered without difficulty. Able
to state name but unsure of her birthday. Up in the hall with physical therapy.
Shuffling gait with use of a rolling walker.
11/1
1100
Nursing Note: RN called to bedside. The client stated that the staff took her
favorite earrings. Earrings were found in the client’s tissue box at the bedside.
11/1
2015
Nursing Note: Client evening hygiene offered. The client begins yelling, “No!
No! No!” as staff offer to assist with teeth brushing and denture care. Attempts
were made to deescalate the client and place her hearing aids so that she
could hear the conversation. The client begins attempting to hit and bite staff.
Client sitting in bed. Staff leave room to reduce stimulation.
11/1
2015
Neuro/Cognitive: Alert, oriented to self only. She believes it is 1965 and that
there are strangers in her house. Client calling out for her mother. Extremely
hard of hearing with hearing aids in place.
11/2
0700
Nursing Note: The client is awake in bed, staring around her room, rubbing
her eyes, and frequently yawning. Noted to have redness and purulent
drainage from right eye. Provider notified; prescriptions received.
11/2
0900
Nursing Note: Appetite poor, ate 5 small bites only, Drank a cup of juice.
Weight down. Will encourage protein supplement drinks between meals.
Date Intake Source & Amount
11/1 0700 Oral 240 mL
11/1
0900
Client Information:
Medical History: Presbyopia, bilateral cataracts, Alzheimer’s dementia,
hearing loss, hypertension, hyperlipidemia, osteoarthritis, ambulatory
dysfunction, chronic obstructive pulmonary disease
Medications:
● Rivastigmine 6 mg by mouth twice daily
● Lisinopril 20 mg by mouth daily
● Ezetimibe 10 mg by mouth daily
● Simvastatin 40 mg by mouth daily
● Docusate sodium 100 mg by mouth daily
● Polyethylene glycol 17 g by mouth daily – diluted in 8 oz of beverage
● Duloxetine 60 mg by mouth daily
● Artificial tears 1-2 drops into eyes PRN for dry eyes
● Oxygen 2L/NC PRN for difficulty breathing
11/2 0730 Prescriptions:
● Ciprofloxacin ocular ointment 0.5-inch right eye three times
daily
Margo is a 49-year-old divorced woman who works as a bank teller. She tells her primary care provider (PCP) that she feels tired all the time and that she is gaining weight because she has no interest in her usual exercise activities, and that she has been overeating, even though she is often not really hungry. She notices that she has difficulty falling asleep at night and awakens around 4 a.m. most mornings, without her alarm, and cannot go back to sleep even though she still feels tired. She finds little joy in her life but cannot pinpoint any particular concern or event causing this problem. The PCP asks Angela to fill out a Beck’s Depression Scale, which indicates she has moderate depression.
instructions: It is a discussion post, one page to one page and a half is long enough. APA format. must have 3 references please.
You will conduct a professional interview with a staff nurse and a staff nurse leader ( charge nurse, shift lead, house supervisor, etc) to discover their intra/inter-professional communications styles. It will be important to incorporate learning objectives regarding therapeutic communication styles including their method of caring, assertive, and responsible communication in your discussion/analysis of the interview.
The paper should utilize APA 7th format using Times New Roman 12pt font and include a title page. There should be less than 10% of direct quotations used in your paper, sources should be paraphrased and cited appropriately. The use of headings should be incorporated in the paper design. Additionally, provide citation for the personal communication with the interviewees (use initials only). Support from at least 3 peer reviewed journal articles in addition to your textbooks must be used. Use initials and avoid the use of patient names, staff names, and facility names for HIPPA compliance. Complete the Contact Information Form for Experiential Learning for all individuals interviewed and submit with your completed assignment to the drop box Sunday by 11:59pm.
You should use headings and subheadings from the Instructions to set up your paper
The following information should be included in your interview:
Description the facility i.e.: a large metropolitan hospital, rural nursing home or urban clinic
Staff Nurse Interview
Interview a staff nurse regarding:
· What (s)he perceives are the main communication issues/barriers
· how they communicate with patients,
· how they communicate with colleagues
· how they communicate with leadership/administration.
Nurse Manager Interview
Interview a nurse in a leadership/administrative position regarding:
· What the manager perceives as the main communication issues/barriers
· how they communicate with patients,
· how they communicate with colleagues, and
· how they communicate with leadership/administration.
Describe your findings in no more than 2 pages using terms and vocabulary from course learning. Relates each interview question to content learned in the class by providing analysis and synthesis of question and response and includes minimum of one citation per question- you may cite the texts & or other peer reviewed journal articles.
Analysis of Interviews
· Cohesive analysis of part I & II. Clearly describe your main findings/ communication styles
· List at least 3 actions that would improve communication/ remove barriers. supported with 3 citations- you may cite the texts & or other peer reviewed journal articles.
Conclusion- Write a one-two paragraph conclusion summarizing importance of Intra/interpersonal communication
References- Create an APA reference page including all paraphrased and quoted sources.
|
Element |
Element Fully Addressed |
Element Partially Addressed |
Element In-sufficiently Addressed |
Points possible |
Points Earned |
|
Part I: Staff Nurse Interview (this should be approximately 1 page of the paper length) and follows APA 7th ed. Format. |
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· Introduction : includes importance of Interprofessional communication and description of facility |
2 |
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· Asks the 4 assigned questions during interview that relate to course content/learning objectives: 2 points · Appropriately and adequately summarizes interview responses (not verbatim) 4 points |
6 |
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Minimum : one citation per question- you may cite the text &/or other source(s) 8 pts
|
8 |
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Part II: Staff Nurse Manager Interview: (this should be approximately 1 page of the paper length) and follows APA 7th ed. Format. |
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· Asks the 4 assigned questions during interview that relate to course content/learning objectives: 2pts · Appropriately and adequately summarizes interview responses (not verbatim) 4 pts |
6 |
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· Relates each interview question to content learned in the class by providing analysis and synthesis of question and response and includes: Minimum : one citation per question- you may cite the text &/or other source(s) 8 pts |
8 |
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|
Analysis of Interviews |
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· Cohesive analysis of part I & II. Clearly describe your main findings of the interviews. 4pts · List at least 3 actions that would improve communication/ remove barriers supported by 3 citations 6 pts |
10 |
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· Conclusion: summarizes importance of Intra/Interpersonal communication 4 pts |
4 |
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Spelling, Grammar, 7th ed. APA Format |
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· Free of spelling, typographical, & grammatical errors, cites interviewee . Uses headings and subheadings from the Instructions 4 pts · Reference Page Complete and follows APA format 2 pts · Includes contact information forms (2) |
6 |
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|
Total |
50 |
SOCIAL DETERMINANTS OF HEALTH
Introduction: Use Walden White paper or the CDC
According to the Centers for Disease Control and Prevention (2022), “Social determinants of health (SDOH) are the nonmedical factors that influence health outcomes. They are the conditions in which people are born, grow, work, live, and age, and the wider set of forces and systems shaping the conditions of daily life… SDOH are one of three priority areas for Healthy People 2030, along with health equity and health literacy. Healthy People 2030 sets data-driven national objectives in five key areas of SDOH: healthcare access and quality, education access and quality, social and community context, economic stability, and neighborhood and built environment. Some examples of SDOH included in Healthy People 2030 are safe housing, transportation, and neighborhoods; polluted air and water; and access to nutritious foods and physical health opportunities”.
https://www.cdc.gov/about/sdoh/index.html
To Prepare:
· Reflect on the concept of social determinants of health as presented in the resources.
· Contemplate whether digital inclusion or broadband access should be added to the 5 key areas of social determinants of health.
· Using the optional outside resources or other peer reviewed journal articles, consider how electronic health records, mobile health, patient portals, or telemedicine can impact and be impacted by the social determinants of health.
Post a description of your views on whether or not digital inclusion or broadband access should be added as a key area to the social determinants of health. Be specific and provide examples that support your position. Explain how electronic health records, mobile health, patient portals, or telemedicine can impact and be impacted by the social determinants of health. Support your explanation with the required or optional resources.
LEARNING RESOURCES
· McGonigle, D., & Mastrian, K. G. (2022).
Nursing informatics and the foundation of knowledge (5th ed.). Jones & Bartlett Learning.
· Chapter 14, “The Electronic Health Record and Clinical Informatics” (pp. 293–316)
· Chapter 15, “Informatics Tools to Promote Patient Safety, Quality Outcomes, and Interdisciplinary Collaboration” (pp. 323–349)
· Chapter 16, “Patient Engagement and Connected Health” (pp. 357–378)
· Chapter 17, “Using Informatics to Promote Community/Population Health” (pp. 383–397)
· Chapter 18, “Telenursing and Remote Access Telehealth” (pp. 403–432)
· Benda, N. C., Veinot, T. C., Sieck, C. J., & Ancker, J. S. (2020).
Broadband internet access is a social determinant of health!Links to an external site..
American Journal of Public Health,
110(8), 1123-1125. https://doi.org/10.2105/AJPH.2020.305784
· Dykes, P. C., Rozenblum, R., Dalal, A., Massaro, A., Chang, F., Clements, M., Collins, S. …Bates, D. W. (2017).
Prospective evaluation of a multifaceted intervention to improve outcomes in intensive care: The Promoting Respect and Ongoing Safety Through Patient Engagement Communication and Technology Study
Download Prospective evaluation of a multifaceted intervention to improve outcomes in intensive care: The Promoting Respect and Ongoing Safety Through Patient Engagement Communication and Technology Study.
Critical Care Medicine, 45(8), e806–e813. doi:10.1097/CCM.0000000000002449
· HealthIT.gov. (2018c).
What is an electronic health record (EHR)?Links to an external site.
Retrieved from
https://www.healthit.gov/faq/what-electronic-health-record-ehr
· Rao-Gupta, S., Kruger, D. Leak, L. D., Tieman, L. A., & Manworren, R. C. B. (2018).
Leveraging interactive patient care technology to Improve pain management engagementLinks to an external site..
Pain Management Nursing, 19(3), 212–221.
· Sieck, C. J., Sheon, A., Ancker, J. S., Castek, J., Callahan, B., & Siefer, A. (2021).
Digital inclusion as a social determinant of healthLinks to an external site..
NPJ Digital Medicine,
4(1), 52. https://doi.org/10.1038/s41746-021-00413-8
· Skiba, D. (2017).
Evaluation tools to appraise social media and mobile applicationsLinks to an external site..
Informatics, 4(3), 32–40.
· Sharma, P., & Patten, C. A. (2022).
A need for digitally inclusive health care service in the United States: Recommendations for clinicians and health care systemsLinks to an external site..
Permanente Journal,
26(3). https://doi.org/10.7812/TPP/21.156
Journal/Overview -The journal document should be 3-4 pages in length. No citations are required, and no specific formatting is needed. Utilize appropriate grammar and mechanics of writing.
Refer to the journal submission you completed in Unit 1 and reflect on the following:
Topic: The use of pharmacology in advanced practice.
1. How has your knowledge of pharmacology changed?
2. Do you find yourself thinking about medication use in your current employment differently? Why or why not?
3. Explain how your appreciation of the advanced practice role changed or did not change?
How do you envision using the knowledge from this course in your future advanced practice role?
You must complete this Journal submission before the Unit 10 Quiz will open.
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