health history interview

According to a 2011 Gallup poll, nurses are ranked as the most trusted professionals in the United States. One of the most admired nursing skills is the ability to put patients at ease. When patients enter into a healthcare setting, they are often apprehensive about sharing personal health information. Caring nurses can alleviate the hesitance of patients and encourage them to be forthcoming with this information.

The initial health history interview can be an excellent opportunity to develop supportive relationships between patients and nurses. Nurses may employ a variety of communication skills and interview techniques to foster strong bonds with patients. And to effectively facilitate the diagnostic process. In conducting interviews, advanced practice nurses must also take into account a range of patient-specific factors that may impact the questions they ask, how they ask those questions, and their complete assessment of the patient’s health.

This week, you will consider how social determinants of health such as age, gender, ethnicity, and environmental situation impact the health and risk assessment of the patients you serve. You will also consider how social determinants of health influence your interview and communication techniques as you work in partnership with a patient to gather data to build an accurate health history.

The Global Burden of Disease Study

“The Global Burden of Disease Study” is conducted by the Institute for Health Metrics and Evaluation and published in The Lancet journal. It captures and analyzes data on many major causes of mortality and morbidity from almost every country. The study allows researchers and practices to compare countries. And also help individual countries prioritize major health issues and risk factors with available resources. Review the background of the study by exploring the Institute for Health Metrics and Evaluation website as well as the various Global Burden of Disease (GBD) reports found in The Lancet journal. Create a PowerPoint presentation (five to seven slides, not including your title or references slide. That addresses one of the top five causes of mortality and morbidity from the Global Burden of Disease Study (GBD). Select the health issue based on a specific country of interest and include the following in your presentation

  1. Evidence and statistics supporting it as a major health issue. Such as the Disability Adjusted Life Years or other measures of mortality and morbidity. Indicate which country you selected.

2.   Four major risk factors related to the health issue.

3.   Potential gaps or limitations in the data

4.   Three social or economic opportunities to control or reduce the prevalence of this issue (reference the connection to the United Nations’ Sustainable Development Goals).

5. Points of interest regarding this leading cause of mortality and morbidity related to the country you selected.

cause of mortality and morbidity

For the presentation, use Loom to create a video. Refer to the topic Resources for additional guidance on recording your presentation with Loom. To submit your video, you can either upload the video directly, embed your video into a Word document, or put the link to your video in a Word document and submit the document.

Refer to the resource, “Creating Effective PowerPoint Presentations,” located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Gynecologic Health

Gynecologic Health

 

 

 

Select a patient that you examined as a nurse practitioner student during the last three weeks of clinical on OB/GYN Issue. With this patient in mind, address the following in a SOAP Note 1 OR 2 PAGES :

 

Subjective: What details did the patient provide regarding her personal and medical history?

 

Objective: What observations did you make during the physical assessment?

 

Assessment: What were your differential diagnoses? Provide a minimum of three possible diagnoses. List them from highest priority to lowest priority. What was your primary diagnosis and why?

 

Plan: What was your plan for diagnostics and primary diagnosis? What was your plan for treatment and management, including alternative therapies? Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters for this patient , as well as a rationale for this treatment and management plan.

 

Very Important:  Reflection notes: What would you do differently in a similar patient evaluation?

 

 

 

Reference

 

Gagan, M. J. (2009). The SOAP format enhances communication. Kai Tiaki Nursing New Zealand, 15(5), 15.

 

Tharpe, N. L., Farley, C., & Jordan, R. G. (2013). Clinical practice guidelines for midwifery & Women’s health (4th ed.). Burlington, MA: Jones & Bartlett Publishers.

 

 

 

Chapter 6, “Care of the Well Woman Across the Life Span” ,“Care of the Woman Interested in Barrier Methods of Birth Control” (pp. 275–278)

 

Chapter 7, “Care of the Woman with Reproductive Health Problems”

 

“Care of the Woman with Dysmenorrhea” (pp. 366–368)

 

“Care of the Woman with Premenstrual Symptoms, Syndrome (PMS), or Dysphoric Disorder (PMDD)” (pp. 414–418)

nursing advocacy in the clinical setting

Choose a patient-care situation in which the RN should intervene and advocate for the patient. An example of such a situation might be when a patient has not been given complete informed consent. Include the following in your paper: Describe the clinical situation concisely and descriptively. It can be an actual situation or a hypothetical one. Apply the Bioethical Decision Making Model Click for more options to the specific clinical ethical situation that you choose. Address each section of the model in your paper. Conclude with a discussion of nursing advocacy in the clinical setting and the nurse’s role as a patient advocate. Your paper should be 4-5 pages. You must reference and cite 1-2 scholarly sources other than your text. Include a title page and a reference page to cite your text and adhere to APA formatting.

Identification Of Issue Significant To Nursing Practice

Identification Of Issue Significant To Nursing Practice

The Institute of Medicine has stated a goal that 90% of practice be evidence-based by 2020.  According to HealthyPeople.gov, the United States is currently at approximately 15%. Discuss two barriers that might hold nursing practice from achieving this goal and suggest ways in which identified barriers may be addressed.

 

Using 200-300 words APA format with at least two references. Sources must be published within the last 5 years. There should be a mix between research and your reflections. Add critical thinking in the posts along with research. Apply the material in a substantial way.

the gastrointestinal (GI) system

The content covered so far includes the following:

Subjective, objective, assessment, and plan (SOAP) notes; physical examsS; history taking; head, eyes, ears, nose, and throat (HEENT); respiratory; and cardiovascular systems, in addition to the gastrointestinal (GI) system content that we are covering this week..

This GI system content this week will focus on the abdomen. The abdomen houses important organs such as the liver, spleen, intestines, pancreas, and the stomach. There are millions of office visits that abdominal complaints are responsible for each year. This week will look at common GI complaints related to the history, assessment findings, diagnostic testing, and differential diagnoses for the chief complaint.

key responsibilities of the nurse educator

Discussion Question:

Student assessment and evaluation are key responsibilities of the nurse educator. These processes provide students information for the student to improve and enhance performance. Evaluation of the student is often conducted at the end of a course, as an afterthought, and some consider this to be a less than ideal time for this to occur. Do you agree or disagree with that statement? Support your response from the textbook or scholarly literature.

 

Discussion Question:

 

Student assessment and evaluation are key responsibilities of the nurse

educator. These processes provide students information for the student to

improve and enhance performance. Evaluation of the student is often

conducted at the end of a course, as an af

terthought, and some consider this

to be a less than ideal time for this to occur. Do you agree or disagree with

that statement? Support your response from the textbook or scholarly

literature.

 

 

Discussion Question:

Student assessment and evaluation are key responsibilities of the nurse

educator. These processes provide students information for the student to

improve and enhance performance. Evaluation of the student is often

conducted at the end of a course, as an afterthought, and some consider this

to be a less than ideal time for this to occur. Do you agree or disagree with

that statement? Support your response from the textbook or scholarly

literature.

 

the compensation of the chief executive of the health care organization

the compensation of the chief executive of the health care organization

Hospital executives often come under scrutiny for the salaries and benefits they receive. According to a recent IRS survey related to chief executive officer salaries, of more than 500 hospitals, the national average income was $490,000. In addition, the salaries of hospital and other health industry executives have come under scrutiny in Congress. For-profit hospitals, which make up about 30% of hospitals, do not have to publicly disclose how much the executives at each facility earn, but nonprofit hospitals must provide that information on the IRS form 990, which are public documents.

By law, hospitals are required to show that such compensation is “reasonable” when compared to pay at other similar institutions. If you were a board member of a healthcare organization, what other determinants besides the salary of other chief executives would you want information on before you determined the compensation of the chief executive of the health care organization whose board you are on? In addition, how do the responsibilities of chief executives compare to the responsibilities of other healthcare employees? Do these responsibilities warrant a substantially higher salary? Defend your answer.

400 words APA format atleast 3 references within last 3years

Alterations in Cellular Processes

Discussion: Alterations in Cellular Processes

At its core, pathology is the study of disease. Diseases occur for many reasons. But some, such as cystic fibrosis and Parkinson’s Disease. Occur because of alterations that prevent cells from functioning normally.

Understanding of signals and symptoms of alterations in cellular processes is a critical step in diagnosis. And treatment of many diseases. For the Advanced Practice Registered Nurse (APRN). This understanding can also help educate patients and guide them through their treatment plans.

For this Discussion,

you examine a case study and explain the disease that is suggested. You examine the symptoms reported. And explain the cells that are involved and potential alterations and impacts.

Scenario 1: A 16-year-old boy comes to clinic with chief complaint of sore throat for 3 days. Denies fever or chills. PMH negative for recurrent colds, influenza, ear infections or pneumonias. NKDA or food allergies. Physical reveals temp of 99.6 F, pulse 78 and regular with respirations of 18. HEENT normal with exception of reddened posterior pharynx with white exudate on tonsils that are enlarged to 3+. Positive anterior. And posterior cervical adenopathy. Rapid strep performed in office was positive. His HCP wrote a prescription for amoxicillin 500 mg po q 12 hours x 10 days disp #20. He took the first capsule when he got home and immediately complained of swelling of his tongue and lips. Difficulty breathing with audible wheezing. 911 was called and he was taken to the hospital. Where he received emergency treatment for his allergic reaction.

Post an explanation of the disease highlighted in the scenario you were provided. Include the following in your explanation:

  • The      role genetics plays in the disease.
  • Why      the patient is presenting with the specific symptoms described.
  • The      physiologic response to the stimulus presented in the scenario and why you      think this response occurred.
  • The      cells that are involved in this process.
  • How      another characteristic (e.g., gender, genetics) would change your      response.

Review of Current Healthcare Issues

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Discussion week 1

Discussion: Review of Current Healthcare Issues

If you were to ask 10 people what they believe to be the most significant issue facing healthcare today. You might get 10 different answers. Escalating costs? Regulation? Technology disruption?

These and many other topics are worthy of discussion. Not surprisingly, much has been said in the research, within the profession. And in the news about these topics. Whether they are issues of finance, quality, workload, or outcomes, there is no shortage of changes to be addressed.

In this Discussion, you examine a national healthcare issue. And consider how that issue may impact your work setting. You also analyze how your organization has responded to this issue.

To Prepare:

  • Review the Resources and select one current      national healthcare issue/stressor to focus on.
  • Reflect on the current national healthcare      issue/stressor you selected and think about how this issue/stressor may be      addressed in your work setting.

https://www.proquest.com/docview/2074233170?account=14872

https://oce-ovid-com.ezp.waldenulibrary.org/article/00000446-201802000-00024/HTML

https://oce-ovid-com.ezp.waldenulibrary.org/article/00006216-201807000-00009/HTML

https://human-resources-health.biomedcentral.com/track/pdf/10.1186/s12960-016-0154-3.pdf

Post a description of the national healthcare issue/stressor you selected for analysis, and explain how the healthcare issue/stressor may impact your work setting. Then, describe how your health system work setting has responded to the healthcare issue/stressor, including a description of what changes may have been implemented. Be specific and provide examples.