Description of RA:

In this assignment, you will analyze a case study including pertinent assessment, diagnosis, and intervention for the individual. This assessment includes a focus on the patient and family’s cultural beliefs and values that impact nursing care. In addition, the case study given below incorporates intra- and interprofessional collaboration to provide quality care.

Background:

Incorporating cultural care is an essential function for nurses. It is incumbent upon nurses to learn general information about the patient’s culture and then seek salient information from each patient and their family in order to provide patient and family-centered care. Additionally, it is critical that nurses not only thoroughly assess the patient but also provide appropriate referrals based on an understanding of the role of other health care professionals.

Directions:

1. Read the following case study and answer the questions posed. Please note that while an ethnicity is identified, you may choose a different ethnicity that is either of interest to you or one that you see in your work environment.
2. Prepare a Microsoft PowerPoint presentation that incorporates an introduction as well as a summary related to the case study.

You are working from 6:00 p.m. to 6:00 a.m. as an RN in the emergency department of a large metropolitan hospital. At 2:00 a.m., a 26-year-old Middle Eastern** woman is admitted by ambulance with multiple head, arm, and leg lacerations as well as bruises in various stages of healing. She was found in the apartment she shares with her 28-year-old Middle Eastern** boyfriend and her 3 children. After police were called to the scene based on a neighbor’s report of yelling, screaming, and excessive noise next door, police have the boyfriend in custody and report that he was drunk and resisted arrest.

Your patient is alert and oriented x3 (refers to the person, place, and time orientation) and her vital signs are stable. She complains of (c/o) a “really bad headache” and when asked what happened she looks down and states, “I fell while getting out of the bathtub.” She repeatedly asks about her children—“Where are my kids? Are they ok?” Your patient also says, “Where is my boyfriend? I need to see him. Is he alright? I don’t want him to be mad at me.” X-rays reveal no current fractures but there is an evidence of multiple healed fractures. You notice that the patient has vaginal bleeding and red handprints on both thighs. You suspect sexual as well as physical abuse.

**or choose an ethnicity of special interest to you

Tasks:

Answer the following questions related to the case study:

• What do you understand about the chosen culture that may relate to this situation? What additional information concerning the patient and family’s culture must be assessed?
• Describe essential therapeutic communication strategies to use in this situation.
• How do you address the questions your patient is asking about her children and her boyfriend?
• What additional assessment data needs to be collected?
• What are your legal responsibilities in this situation?
• How will you respond if the patient refuses to admit that she is a victim of intimate partner violence (IPV)?
• What referrals should be made if the patient admits she is a victim of IPV? What actions will you take if she refuses to admit to IPV?
• Identify the functions of a Sexual Assault Nurse Examiner (SANE) including interprofessional collaboration.

The final submission should be a Microsoft PowerPoint presentation of 15–20 slides. You should utilize a minimum of three classmate-reviewed scholarly references to support the case study analysis. References should be no more than five years old. The PPT must be clear, concise, logical, and organized; demonstrate ethical scholarship in accurate representation and attribution of sources; and display accurate spelling, grammar, and punctuation.

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In previous modules, you used GFHP guidelines to interview the selected family and to compile and analyze information about their health patterns. Based on your analysis, you also identified four unhealthy patterns for the family.

Tasks:

Now you will discuss the developmental stages of the family members and four expected behavioral outcomes. Additionally, you will create a health-promotion and disease-prevention strategy for your selected family.

In a 2- to 3-page report, post your response to the following:

• Discuss the developmental stages of the family members.
• Discuss 4 expected behavioral outcomes.
• Create a health promotion and disease-prevention strategy which outlines:
  • Suggested lifestyle changes
  • Suggested dietary modifications
  • Medical screening needs
  • Complementary therapies
  • Suggested educational tools

  Support your findings with examples and scholarly references. Apply APA standards to citation of sources.

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Life as we know it will change for the next generation, and those changes must be accounted for in child development. Today, television and media, the changing nuclear family, and new parenting styles play a large part in the life of a child. Research tells us that viewing violent television programs or playing violence-themed games contributes to increased aggressiveness in children. We also know that the break-up of the nuclear family and “super-parenting” can have detrimental effects on a child’s emotional and social development. It may sound difficult, but as a caregiver, you will need to find the positive influences that can enhance development and learning in all situations. Explain what you can do to help prevent the negative influences of media, parenting, and the nuclear family, and ensure their positive influence on child growth and development. Share your own beliefs about these three areas, and how you will avoid any personal bias in your approach.

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Using 3 academic resources complete an Early Reading Plan for Nicole that is 600-750-words. I prefer that you dedicate one paragraph to each of the numbered items below and that you include a heading for each paragraph that includes the numbered topic that you are addressing. You will use the scenario below & research, to include the following:

1. Nicole’s areas of strengths and areas needing intervention.
2. Three academic goals for Nicole that is detailed and measurable.
3. For each stated goal, describe a strategy to implement with a rationale that explains how the strategy is designed to help Nicole achieve that goal. Be sure goals and strategies describe collaboration and are appropriate for different learning experiences across different subject matters. Cite two to three research sources that support your decision-making.
4. For one of the stated goals, identify and describe one hands-on activity that will assist Nicole in achieving that goal.
5. How Nicole’s progress on each goal will be assessed, including timeframes and tools.
6. Reference page

Scenario

Student: Nicole is 13 years old in the 8th grade

Nicole is an athletic eighth grader who attends a suburban middle school and lives at home with both parents and an older brother who is a senior in high school. She plays on the girls’ basketball team, has several friends, and generally enjoys everything about school. She does particularly well in science and social studies, but always does best when materials are read aloud and hands-on activities are assigned. Nicole struggles mostly in language arts class. She currently reads at a rate of 55 words per minute. Her language arts teacher, Ms. Checkovich, has identified that Nicole has difficultly decoding unfamiliar words and her positive attitude is beginning to dwindle the harder the material gets. Ms. Checkovich has met with Nicole’s father, who has said that he has noticed the decrease in her attitude, too, and he is willing to do whatever possible to support her. Both parents work varying hours as Nicole’s father works as a nurse at a local hospital and her mother works as an assistant manager at a restaurant.

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Week 3 – Assignment

Future Direction of Health Care

In a three- to five-page paper:

• Describe a minimum of five challenges from the list below that are defining the future strategic direction of health care.
  • Proposed health care reform and legislation
  • Information technology advancements such as the electronic medical record (EMR)/ electronic health record (EHR)
  • Accreditation, quality of healthcare, and organizational compliance
  • Economics, including third party payers, future funding, rising costs, the Medicare and Medicaid programs
  • Access to health care including the uninsured and those in the poverty levels
  • Public entities in controlling the demand aspects of health service
  • Market shares and advancing age of population
  • Maintaining a skilled workforce
  • Pay for performance
• Describe how an organization can adapt its direction and strategies to effectively address these challenges.

Your paper must be three to five double-spaced pages (excluding title and reference pages) and formatted according to APA style as outlined in the Ashford Writing Center. Utilize a minimum of two scholarly sources that were published within the last five years. One source must be obtained from the Ashford University Library. All sources must be documented in APA style as outlined in the Ashford Writing Center.

Carefully review the Grading Rubric (Links to an external site.)Links to an external site. for the criteria that will be used to evaluate your assignment.

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