NSG 6420 Online Nursing Discussion -

NSG 6420 Online Nursing Discussion

Sample Answer for NSG 6420 Online Nursing Discussion Included After Question

NSG 6420 Online Nursing Discussion

Description

. Respond to at least two posts by the end of the week.

POST 1: Dana posted Aug 18, 2022 2:51 AM

Question 1: What questions should you ask the patient/ family to further assess?

Older adults are fragile, and hence physician should be sensitive to the kind of questions they ask when assessing them. A thorough geriatric health history is important to compile significant information related to the patient’s chief complaint. This patient’s chief complaint include unintentional weight loss, self-reported exhaustion, weakness, slow walking speed, and low physical activity. In assessing this patient, I would start by asking questions such as how many times does he eat in a day, what do the meals mainly consist of, as well as whether he is able to make his own food or able to feed himself. Also, I would consider asking this patient whether there is any illness or conditions that might change the food he eats, and whether he has enough money to buy food. Besides, asking whether he eats alone or with someone else, as well as asking whether he is having any gastrointestinal issues such as nausea, vomiting, or diarrhea would have been important to lead the correct differential diagnoses. Many things such as lean body mass, slower metabolism and increased body fat are known to cause nutritional changes in older adults (Tilly, 2017). Social factors are significant contributors to unintentional weight loss.

Question 2: What screening tools would be appropriate in this case?

Considering this patient’s symptoms of frailty and weakness, one tool that can be used to assess his functionality is the SPICE tool for geriatric syndrome. The SPICE tool is used to assess for patient’s sleep disturbances, problems with eating and feeding, confusion, evidence of falls, and skin breakdown (Fulmer et al., 2019). To further assess his frailty level, a screening tool known as FRAX (Fracture Risk Assessment Tool) can be used to estimate his probability of incurring hip or other major osteoporotic fracture (Whitlock et al., 2019). Also, nutrition screening tools such as the Malnutrition Universal Screening Tool (MUST) and the Malnutrition Screening Tool (MST) would be appropriate to assess his malnutrition risk (Dent et al., 2019). Other screening tools appropriate for this patient include BMP, liver function tests, thyroid function tests and glucose measurement.

Question 3: Do you have concerns with frailty in this patient? If so, why?

My concerns for this patient are mainly related to his frailty symptoms of unintended weight loss, self-reported exhaustion, weakness, slow-walking speed, and low physical activity. Due to these symptoms, my concern is that he may be at high risk for infection and declining health because his immune system does not work that well. Even the simplest type of infection has the potential to cause harm or death of the patient.

Question 4: What referrals should be made, if any, on this patient?

Referrals would be necessary for this patient, even if the laboratory test showed no signs of progressive illness. The first would be referral to dietician to help him with his eating. A dietician would help this patient come up with a plan to regain and maintain his weight, as well as improve his overall nutritional status. Patients who report unintentional weight loss need more calories, proteins and other nutrients. Also, referring this patient to a therapist or a counselor would be appropriate to establish whether the signs of malnutrition are related to depression. Malnutrition and depression have been found to closely link (Wei et al., 2018). Patient who are malnourished due to bad eating habits are likely to end to being depressed. t him at risk for dehydration, falls, mental status changes, metabolic disturbances and muscle wasting (Dunphy, 2017).

What referrals should be made, if any, on this patient?

A consultation with the dietitian or nutritionist would assist this patient and depending on what diagnostic test, labs and studies show, would determine if any further referrals are needed. Consultation for depression, malignancy, and or physical and or occupational therapy may also assist this patient depending on diagnostic findings.

References

Dunphy, L., Winland-Brown, J., Porter, B., & Thomas, D. (2017). Primary care: The art and science of advanced practice nursing with Davis Edge (5th ed.). F. A. Davis. ISBN: 9780803667181

Kennedy-Malone, L., Fletcher, K. & Martin-Plank, L. (2018). Advanced practice nursing in the care of older adults (2nd ed.). F.A. Davis. ISBN: 9780803666610

POST 2: Daimel posted Aug 18, 2022 4:52 PM

What questions should you as the patient/family ask to further assess?

The questions I would ask this patient/family are when did these symptoms start, his level of orientation, is he recovering from an illness, any fever chills or malaise, is he depressed, in pain or are there any sentinel events such as a death of a loved one? Is he experiencing any changes in taste, smell or having difficulty swallowing or chewing? What other symptoms has he noticed or is he experiencing any gastrointestinal disturbances such as reflux, nausea, vomiting, diarrhea or constipation. Is he capable of preparing meals, what are his sleep habits, diet, use of alcohol, tobacco, recreational drugs and if he uses herbal remedies? Lastly I would ask if he has been without food due to any financial hardship or situation?

What screening tools would be appropriate in this case?

The screening tools that would be appropriate in this case would be a head-to-toe assessment- assessing his sense of smell, taste, his ability to swallow and chew, his teeth and tongue should be assessed for caries and lesions and an assessment of his abdomen, GI, GU, and musculoskeletal system would assist in ruling out differential diagnoses. I would use screening tools such as the mini mental status test to assess for dementia, assess for depression and pain, use the functional assessment and FRAIL tool and would order laboratory tests to assess for metabolic or pathologic disease processes (Kennedy-Malone, 2018).

Do you have concerns with frailty in this patient? If so, why?

Yes, I have issues with frailty with this patient because lack of nutritious meals and fluids can lead to muscle wasting, electrolyte imbalances, and nutritional deficits that can put him at risk for dehydration, falls, mental status changes, metabolic disturbances and muscle wasting (Dunphy, 2017).

What referrals should be made, if any, on this patient?

A Sample Answer For the Assignment: NSG 6420 Online Nursing Discussion

Title: NSG 6420 Online Nursing Discussion

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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