NRS 434 Shadow Health Digital Clinical Experience Orientation
Sample Answer for NRS 434 Shadow Health Digital Clinical Experience Orientation Included After Question
Description
Objectives:
- Apply evidence-based practice to health promotion for
- Examine environmental factors that increase risk to infant
- Propose health promotion strategies for the
Study Materials
Description:
Read Chapter 1 in Health Assessment: Foundations for Effective Practice. Use the Appendix as needed to complete your assignments.
Unit III: Systems Assessment and Management of Disorders
Description:
Read “Unit III: Systems Assessment and Management of Disorders,” in the online eBook, Comprehensive Neonatal Nursing Care (5th ed.), edited by Kenner and Lott (2013), available through the GCU Library.
WHO Growth Standards Are Recommended for Use in the U.S. for Infants and Children 0 to 2 Years of Age
Description:
Review “WHO Growth Standards Are Recommended for Use in the U.S. for Infants and Children 0 to 2 Years of Age” (2010), located on the Centers for Disease Control and Prevention (CDC) website.
GCU Library Tutorial
Description:
View the GCU Library tutorial.
Optional: Breastfeeding
Description:
For additional information, the following is recommended:
“Breastfeeding,” located on the National Women’s Health Information Center website. Familiarize yourself with the reasons why breastfeeding is important and the resources that are available for patients.
Optional: Family History Resources
Description:
For additional information, the following is recommended:
“Family History Resources,” located on the Centers for Disease Control and Prevention (CDC) website.
Optional: Never Shake a Baby Educational Video
Description:
For additional information, the following is recommended:
“Never Shake a Baby Educational Video,” by warrenman4u (2008), located on the YouTube website. In particular, familiarize yourself with prevention of abuse.
Optional: 14 Diseases You Almost Forgot About Thanks to Vaccines
Description:
For additional information, the following is recommended:
Tasks
The growth, development, and learned behaviors that occur during the first year of infancy have a direct effect on the individual throughout a lifetime. For this assignment, research an environmental factor that poses a threat to the health or safety of infants and develop a health promotion that can be presented to caregivers.
Create a 10-12 slide PowerPoint health promotion, with speaker notes, that outlines a teaching plan. For the presentation of your PowerPoint, use Loom to create a voice over or a video. Include an additional slide for the Loom link at the beginning, and an additional slide for references at the end.
In developing your PowerPoint, take into consideration the health care literacy level of your target audience, as well as the demographic of the caregiver/patient (socioeconomic level, language, culture, and any other relevant characteristic of the caregiver) for which the presentation is tailored.
Include the following in your presentation:
- Describe the selected environmental Explain how the environmental factor you selected can potentially affect the health or safety of infants.
- Create a health promotion plan that can be presented to caregivers to address the environmental factor and improve the overall health and well-being of
- Offer recommendations on accident prevention and safety promotion as they relate to the selected environmental factor and the health or safety of
- Offer examples, interventions, and suggestions from evidence-based At least three scholarly resources are required. Two of the three resources must be peer-reviewed and no more than 6 years old.
- Provide readers with two community resources, a national resource, and a Web-based resource. Include a brief description and contact information for each
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.
Refer to the resource, “Loom,” located in the Student Success Center, for additional guidance on recording your presentation.
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.
You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.
Lopes Write Policy
For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.
Late Policy
The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.
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Communication
Communication is so very important. There are multiple ways to communicate with me:
Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.
Important information for writing discussion questions and participation
Welcome to class
Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to
I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly. I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you.
Please, be advised I do NOT accept any assignments by email. If you are having technical issues with uploading an assignment, contact the technical department and inform me of the issue. If you have any issues that would prevent you from getting your assignments to me by the deadline, please inform me to request a possible extension. Note that working fulltime or overtime is no excuse for late assignments. There is a 5%-point deduction for every day your assignment is late. This only applies to approved extensions. Late assignments will not be accepted.
If you think you would be needing accommodations due to any reasons, please contact the appropriate department to request accommodations.
Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.
Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.
I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!
Hi Class,
Please read through the following information on writing a Discussion question response and participation posts.
Contact me if you have any questions.
Important information on Writing a Discussion Question
- Your response needs to be a minimum of 150 words (not including your list of references)
- There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
- Include in-text citations in your response
- Do not include quotes—instead summarize and paraphrase the information
- Follow APA-7th edition
- Points will be deducted if the above is not followed
Participation –replies to your classmates or instructor
- A minimum of 6 responses per week, on at least 3 days of the week.
- Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
- Each response needs to be at least 75 words in length (does not include your list of references)
- Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
- Follow APA 7th edition
- Points will be deducted if the above is not followed
- Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
- Here are some helpful links
- Student paper example
- Citing Sources
- The Writing Center is a great resource
A Sample Answer For the Assignment: NRS 434 Shadow Health Digital Clinical Experience Orientation
Title: NRS 434 Shadow Health Digital Clinical Experience Orientation
Data Identification and Reliability
Ms. Jones is a pleasant 28-year-old single African American woman who is scheduled for a pre-employment physical.
She is the primary source of inforShemation regarding the history.
Ms. Jones provides information freely and unambiguously.
Speech is precise and logical.
Throughout the interview, she maintains eye contact.
Surveys in General
Ms. Jones is alert and oriented on the examination table, seated upright, and appears to be in no apparent distress.
She is well-nourished, well-developed, and appropriately dressed and groomed.
Justification for Visit
“I came in because my new job requires that I have a recent physical exam in order to qualify for health insurance.”
The Present Illness’s History
Ms. Jones recently began working at Smith, Stevens, Stewart, Silver & Company.
Prior to beginning employment, she must obtain a pre-employment physical.
Today, she denies having any immediate concerns.
Her most recent healthcare visit occurred four months ago, when she visited Shadow Health General Clinic for her annual gynecological exam.
Ms. Jones states that during her visit with the gynecologist, she was diagnosed with polycystic ovarian syndrome and prescribed oral contraceptives, which she is tolerating well.
She has type 2 diabetes, which she manages through diet, exercise, and the medication metformin, which she began taking five months ago.
At the moment, she is experiencing no adverse effects from her medication.
She reports feeling well, taking better care of herself than in the past, and looking forward to starting the new job.
Medications
- 850 mg metformin PO BID (last use: this morning)
- Drospirenone and ethinyl estradiol PO on a biweekly basis (last use: this morning)
- Albuterol 90 mcg/spray MDI 1-3 puffs Q4H on an as-needed basis (last use: yesterday)
- Acetaminophen 500-1000 mg PO qid (headaches) • Ibuprofen 600 mg PO qid (menstrual cramps: last taken 6 weeks ago)
Allergies
Penicillin causes a rash
- Denies allergies to food and latex • Allergic to cats and dust
When exposed to allergens, she reports having a runny nose, itchy and swollen eyes, and worsening asthma symptoms.
Medical Background
At the age of two and a half, asthma was diagnosed.
She uses her albuterol inhaler during exacerbations, such as when she is around dust or cats.
Her most recent asthma attack occurred yesterday, which she managed with her inhaler.
She was last hospitalized for asthma during her senior year of high school.
Never have I been intubated.
Diabetes type 2, diagnosed at the age of 24.
She started metformin five months ago and initially experienced some gastrointestinal side effects that have since resolved.
Her blood sugar is monitored once daily in the morning, with an average reading of around 90.
She has a history of hypertension, which she was able to control through diet and exercise.
There will be no surgeries.
OB/GYN: Menarche at the age of eleven.
At the age of 18, she had her first sexual encounter with a man and self-identifies as heterosexual.
Never had a child.
I had my last period two weeks ago.
PCOS was diagnosed four months ago.
Cycles have been regular (every four weeks) for the last four months (since initiating Yaz), with moderate bleeding lasting five days.
Has established a new male relationship; sexual contact has not been initiated.
She intends to use condoms while engaging in sexual activity.
I tested negative for HIV/AIDS and sexually transmitted infections (STIs) four months ago.
Maintaining Good Health
I had my last Pap smear four months ago.
Three months ago, I had my last eye exam.
Five months ago, I had my last dental exam.
2 years ago, I tested negative for PPD.
Immunizations: A tetanus booster was administered within the last year; influenza vaccinations are not current; and human papillomavirus vaccinations were administered.
She claims to be up to date on childhood vaccines and to have received the meningococcal vaccine in preparation for college.
Safety:
Has smoke detectors installed in the home, drives with a seatbelt, and does not ride a bike.
Makes use of sunscreen.
Guns that once belonged to her father are still in the house, locked away in her parent’s room.
- Mother: 50 years old, hypertension, and elevated cholesterol
- Father: died in a car accident a year ago at the age of 58; he had high blood pressure, high cholesterol, and type 2 diabetes.
- Brother (Michael, 25) is obese; • Sister (Britney, 14) suffers from asthma.
- Maternal grandmother: died of a stroke at the age of 73, Alcowith a history of hypertension and high cholesterol.
- Maternal grandfather: died of a stroke at the age of 78, with a history of hypertension and high cholesterol.
- Paternal grandmother: still alive at the age of 82, suffering from hypertension
- Paternal grandfather died of colon cancer at the age of 65, with a family history of type 2 diabetes • Paternal uncle: alcoholism • No family history of mental illness, other cancers, sudden death, kidney disease, sickle cell anemia, or thyroid problems
Socioeconomic History
Never married and never had children.
Since age 19, she has lived independently. Currently, she lives with her mother and sister in a single family home, but will soon move into her own apartment.
Will begin her new position at Smith, Stevens, Stewart, Silver & Company in two weeks.
She enjoys socializing with friends, reading, participating in Bible studies, volunteering at her church, and dancing.
Tina is an active member of her church and speaks highly of her family and social support network.
She asserts that her family and church assist her in dealing with stress.
There will be no tobacco.
Cannabis use between the ages of 15 and 21.
No history of cocaine, methamphetamines, or heroin use.
Alcohol is consumed when “out with friends, 2-3 times per month,” with no more than three drinks per episode.
Breakfast is typically a frozen fruit smoothie with unsweetened yogurt; lunch is typically vegetables with brown rice or a sandwich on whole wheat bread or low-fat pita; dinner is typically roasted vegetables and a protein; and snack is typically carrot sticks or an apple.
Denies coffee consumption but admits to drinking 1-2 diet sodas per day.
No recent international travel.
There will be no pets.
Four to five times per week, engages in mild to moderate exercise such as walking, yoga, or swimming.
Mental Health History
Reports indicate that reduced stress and enhanced coping abilities have alleviated previous sleep problems.
Denies current depression, anxiety, or suicidal thoughts.
Attentive and aware of person, place, and time.
Well-groomed, converses easily, and is cooperative.
The atmosphere is pleasant.
There are no facial tics or fasciculations.
Speech is fluid, and words are unambiguous.
SYSTEMS REVIEW – GENERAL
Illness, fatigue, fevers, chills, or night sweats are not recent or frequent.
Declares a recent 10-pound weight loss as a result of dietary changes and increased exercise.
HEENT\sSubjective
No current headaches are reported, and there is no history of head injury or acute visual changes.
There are no complaints of eye pain, itching, redness, or dryness.
Corrective lenses are worn.
The last time I saw an optometrist was three months ago.
No general ear problems are reported, as well as no change in hearing, ear pain, or discharge.
No change in smell, sneezing, epistaxis, sinus pain or pressure, or rhinorrhea is reported.
There areo reported problems with the mouth in general, changes in taste, dry mouth, pain, sores, or issues with the gums, tongue, or jaw.
There are no current dental concerns; the most recent dental visit was five months ago.
No difficulty swallowing, sore throat, changes in voice, or swollen nodes are reported.
Objective
The head is normalocephalic and trauma-free.
Bilateral eyes with an even distribution of hair on the lashes and eyebrows, lesions-free lids, and no ptosis or edema.
Pink conjunctiva, no lesions, and a white sclera.
PERRLA in both directions.
EOMs are bilaterally intact, with no nystagmus.
On the right, mild retinopathic changes.
Fundus on the left with sharp disc margins and no hemorrhages.
Snellen: 20/20 vision in the right eye, 20/20 vision in the left eye with corrective lenses.
Bilaterally, TMs are intact and pearly gray, with a positive light reflex.
Bilaterally, whispered words are heard.
The frontal and maxillary sinuses are not palpable.
Nasal mucosa is moist and pink, and the septum is in the midline.
Oral mucosa is moist but free of ulcers or lesions, and the uvula rises to the midline during phonation.
Gag reflex unaffe. Gag refleccted.
No evidence of caries or infection in the dentition.
Bilaterally, 2+ tonsils.
Thyroid gland is smooth and free of nodules; there is no goiter.
There is no lymphadenopathy.
Subjective
Reports of no shortness of breath, wheezing, chest pain, dyspnea, or cough in the respiratory system.
Objective
With respiration, the chest is symmetrical and clear to auscultation bilaterally without coughing or wheezing.
Throughout, resonant to percussion.
Spirometry performed in the office: FVC 3.91 L, FEV1/FVC ratio 80.56 percent.
Subjective Cardiovascular Reports: There wGere no palpitations, tachycardia, easy bruising, or edema.
Objective
Regular heart rate, S1 and S2, without murmurs, gallops, or rubs.
Without bruit, bilateral carotids are equal.
PMI was performed at the midclavicular line, fifth intercostal space, with no heaves or lifts.
Bilateral peripheral pulses are equal, capillary refill time is less than three seconds.
There is no peripheral edema.
swell
Abdominal\sSubjective
No nausea, vomiting, pain, constipation, diarrhea, or excessive flatulence reported.
There are no food intolerances.
Genitourinary: No dysuria, nocturia, polyuria, hematuria, flank pain, vaginal discharge, or itching has been reported.
Objective
Protruding, symmetrical abdomen with no visible masses, scars, or lesions, and coarse hair from pubis to umbilicus.
In all four quadrants, bowel sounds are normoactive.
Throughout, tympanic to percussion.
There is no tenderness or resistance to palpation.
There is no organomegaly.
There is no tenderness associated with CVA.
Subjective Musculoskeletal Reports the absence of muscle pain, joint pain, muscle weakness, or swelling.
Objective
Upper and lower extremities on both sides are free of swelling, masses, or deformity and have full range of motion.
There is no discomfort associated with movement.
Subjective Neurological Reports No dizziness, lightheadedness, tingling, loss of coordination or sensation, seizures, or sense of disequilibrium.
Strength 5/5 bilaterally in the upper and lower extremities.
Bilaterally, normal graphesthesia, stereognosis, and rapid alternating movements.
Cerebellar function tests are normal.
DTRs 2+ and equal in the upper and lower extremities bilaterally.
Bilateral plantar surfaces have decreased sensation to monofilament.
Hair, Skin, and Nails
Subjective
Reports indicate that oral contraceptives improved acne.
The skin on the neck has ceased darkening, and the appearance of facial and body hair has improved.
She reports having a few moles but no changes in her hair or nails.
Objective
On the face, scattered pustules and facial hair on the upper lip; on the posterior neck, acanthosis nigricans.
The extremely low birth weight refers to the weight of a baby below 1000g at birth(Subramanian, 2014). The ELBW babies are premature newborns, usually born at 27 weeks gestational age or younger (Subramanian, 2014).The low birth weight is caused by premature birth and intrauterine growth restrictions. Other risk factors related to low birth weight are smoking, alcohol, drugs, teen pregnancy, multiple births, and race (Boston Children’s Hospital, n.d.). This is very stressful for parents of low weight babies, especially when they have more children. Low weight babies usually have more needs and special care due to their breathing issues as well as possible brain bleeds, infections and cardiac problems.
” In 2020, preterm birth affected 1of every 10 infants born in the United States. The preterm birth rate declined 1% in 2020 from 10.2% in 2019 to 10.1% in 2020.Racial and ethnic differences in preterm birth rates remain. In 2020 the rate of preterm birth among African-American women (14.4%) was about 50 percent higher than the rate of preterm birth among white or Hispanic women (9.1% and 9.8% respectively).” (CDC).
John Muir Health and Stanford Children’s Health formed a partnership to bring comprehensive children’s specialty services closer to home. Together they do research and deliver innovative services and unparalleled family -centered care. Pediatric Intensive Care Unit (PICU) is the only intensive care unit in Contra Costa County.
Refences
John Muir Health Pediatric Specialty Clinic
CDC-Center for Disease Control and Prevention