Genogram Analysis Paper
Write a typed analysis of your family including: (40%)
This assignment must be submitted into Blackboard as a word document.
Focus on patterns (i.e.) diseases that repeat across generations.
Indicate the significant rules and roles present in your family.
Identify if any patterns have stopped at certain points within your family.
Share only the information you are comfortable with disclosing.
Heartbeat and Pulse Rate Biology Assignment
Heartbeat and Pulse Rate
Experiment #1
Discussion:
| History of Stethoscopes
Rene Laennec of France invented the first stethoscope in 1816 to protect the modesty of one of his female patients. This first stethoscope was fashioned from several sheets of paper rolled to form a cylinder. Prior to this invention, physicians listened to heart and lung sounds by pressing an ear to their patient’s chest. The stethoscope increased the range of sounds that were audible and was more acceptable to patients. The earliest models were monaural (physicians listened with only one ear.) A variety of materials and designs were used in the attempt to conduct sound efficiently. In 1837, Dr. Oliver Wendell Holmes returned from medical studies in Paris and urged his fellow American physicians to increase their use of stethoscopes. By the mid 1840s, the stethoscope had become integral to the practice of medicine in the United States. 11. Rene Laennec (1781-1826) Although numerous styles were introduced during the last half of the nineteenth century, by the 1860s most physicians had switched to the basic design that is used today. This stethoscope, designed by George Cammann, was binaural. Cammann found that “The power of conduction is greatly increased by the reception of the sounds simultaneously into both ears.” In addition to conducting sound more efficiently, a binaural instrument helps the listener block out external noise. The shape and composition of the ear and chest pieces have changed throughout the century, but the binaural style has remained. The two types of chest pieces used are the bell, which primarily transmits low sounds, and the diaphragm, which detects high frequency sounds. In 1926, the first workable combination of bell and diaphragm was designed and became the prototype for stethoscopes used today. |
One of Laënnec’s original stethoscopes, made of wood and brass. Image from the U.S. National Library of Medicine.
The importance of the stethoscope’s contribution arose from the fact that it was not possible to listen with the ear on the chest of a woman. It was actually unthinkable that a man could place his ear in contact with a woman’s chest and the instrument served above all to avoid this.
Materials:
1 cardboard tube from a paper towel roll.
Procedure:
Experiment #1
1) Pair up with a friend or family member and listen to your partner’s heartbeat by placing the tube over the partner’s heart.
2) Count the number of beats per 30 seconds. Add this number together twice to find out how many times each minute the person’s heart beats.
3) Have your partner run in place for one minute, then listen again. Write down what you heard and calculate the new beats per minute.
4) Switch so your partner does the same technique on you. When submitting the data for Experiment 1, include gender and age for yourself and your partner.
Experiment #2
Resting heart rate or pulse rate (while standing up.)
1) Place your index finger over the radial artery in your wrist OR over the carotid artery in your neck.
2) DO NOT PRESS HARD, especially on the carotid!
3) The regular beating that you feel is the increase in pressure during each heart contraction.
4) Count the number of pulses (beats) in a 15 second interval.
5) Multiply the number of pulses by 4 to get the total beats/minute.
Your 15 second pulse count ________ X 4 = __________
Heart beats/minute X 4 = ____________
Determine your Fitness ranking from the table below and record information .
Fitness Ranking from Table below:
| Descriptive Ranking | Percentile Rank | Men’s Pulse (beats/min) | Women’s Pulse (beats/min) |
| superior | 100 | 49 | 54 |
| 95 | 52 | 56 | |
| 90 | 55 | 60 | |
| excellent | 85 | 57 | 61 |
| 80 | 60 | 64 | |
| 75 | 61 | 65 | |
| above average | 70 | 63 | 66 |
| 65 | 64 | 68 | |
| 60 | 65 | 69 | |
| average | 55 | 67 | 70 |
| 50 | 68 | 72 | |
| 45 | 69 | 73 | |
| below average | 40 | 71 | 74 |
| 35 | 72 | 76 | |
| 30 | 73 | 78 | |
| poor | 25 | 76 | 80 |
| 20 | 79 | 82 | |
| 15 | 81 | 84 | |
| very poor | 10-5 | 84 – 89 | 86 – 90 |
Benefits of Bariatric Surgery
Annottated Bibliography
150-200 words per source
10 sources
Project Purpose Statement Background and Significance and PICOT Formatted Clinical Project Question
APRN advanced practice registered nurse’s role and preventions other than medical knowledge
This week’s assignment is STEP 2 – Project Purpose Statement, Background & Significance, and PICOT Formatted Clinical Project Question.
A selected topic from the approved list: Identification of perceived barriers to care of women seeking treatment for depression in primary care and depression management.
PICOT question: in women’s care and treatment for depression, how would the implementation of a depression screening and education program in rural primary care affect patients with this program to cope with depression better within 3 months?
The student will answer the items below in a Word doc and submit to the assignment link. Provide a title that conveys or describes the assignment.
Project Purpose Statement – Provide a declarative sentence or two which summarizes the specific topic and goals of the project.
Background and Significance – State the importance of the problem and emphasize what is innovative about your proposed project. Discuss the potential impact of your project on your anticipated results to the betterment of health and/or health outcomes.
PICOt formatted Clinical Project Questions – Provide the Population, Intervention, Comparison, Expected Outcomes and timeframe for the proposed project.
References – Cite references using APA 6th ed format.
Since your capstone proposal has to be an intervention, you want to do more than identify the barriers impeding women from seeking treatment but you may want to look at provider adherence to implementing EBP practice in treating depression (Primary care providers’ adherence to treatment guidelines for the management of depression in a rural clinic) or propose a more efficient screening tool for depression and identify how to assess that tools effectiveness (Improvement of screening rates for depression in a primary care clinic).
Cultural Competence and Values
In order to be successful in this assessment you need to complete the following
3, In the discussion section it is said that excellence at cultural competence is linked to our personal values.
Imagine that you are a WIC Womens Infant and Children nutritionist working at the local county health department
Developing a protocol to manage a nutritional deficiency
Imagine that you are a WIC (Women’s, Infant & Children) nutritionist working at the local county health department. A female in her mid-twenties was referred to you because she not only qualified for the WIC program due to her previous pregnancy (her child is now 16 months old and is
formula/bottle fed), but also because she is planning to become pregnant in a few months. Her name is Jane, and she was referred to you because her previous OB/GYN annual exam and blood test results revealed that she is severely anemic. What protocol would you design to help Jane manage her nutritional deficiency? What other foods or vitamin and/or mineral supplements would you recommend to Jane? Why?
Requirements
This Assignment needs to be at least 2 pages in length (around 500 words), written in APA format, and must include at least two references.
Unit outcomes addressed in this Assignment:
Describe the general characteristics of vitamins. Indicate population groups for whom vitamin-mineral supplements may be necessary.
Explain the role of minerals in regulating body processes.
Discuss factors that affect the absorption of minerals.
Describe the clinical effects of a deficiency or excess of each mineral.
Grading Rubric:
1. Design a realistic protocol to help Jane manage her nutritional deficiency.
2. Recommend other foods or vitamin and supplements to Jane.
3. Justify reasoning for your decisions by including outside references.
Developing a protocol to manage a nutritional deficiency
Imagine that you are a WIC (Women’s, Infant & Children) nutritionist working at the local county health department. A female in her mid-twenties was referred to you because she not only qualified for the WIC program due to her previous pregnancy (her child is now 16 months old and is
formula/bottle fed), but also because she is planning to become pregnant in a few months. Her name is Jane, and she was referred to you because her previous OB/GYN annual exam and blood test results revealed that she is severely anemic. What protocol would you design to help Jane manage her nutritional deficiency? What other foods or vitamin and/or mineral supplements would you recommend to Jane? Why?
Requirements
This Assignment needs to be at least 2 pages in length (around 500 words), written in APA format, and must include at least two references.
Unit outcomes addressed in this Assignment:
Describe the general characteristics of vitamins. Indicate population groups for whom vitamin-mineral supplements may be necessary.
Explain the role of minerals in regulating body processes.
Discuss factors that affect the absorption of minerals.
Describe the clinical effects of a deficiency or excess of each mineral.
Grading Rubric:
1. Design a realistic protocol to help Jane manage her nutritional deficiency.
2. Recommend other foods or vitamin and supplements to Jane.
3. Justify reasoning for your decisions by including outside references.
Shadow Health Focused Exam Abdominal Pain
Within the Shadow Health platform, complete the Focused Exam: Abdominal Pain. The estimated average time to complete this assignment is 1 hour and 25 minutes. Please note, this is an average time. Some students may need longer.
This clinical experience is a focused exam. Students have one opportunity to complete this assignment and score at the Proficiency level. Upon completion, submit the lab pass through the assignment dropbox.
Students successfully scoring within the Proficiency level in the Digital Clinical Experience will earn a grade of 100 points. Students who do not pass the performance-based assessment and scoring within the Proficiency level will receive a failing grade (68 points).
Please review the assignment in the Health Assessment Student Handbook in Shadow Health prior to beginning the assignment to become familiar with the expectations for successful completion.
55 Year Old Female Patient Review the provided patient visit information You are provided with the subjective and objective exam findings
The assignment is a paper, which is to be written in APA format using the provided assignment template. The paper shall not exceed 10 pages, excluding title page and references.
NR601 _week 5 case study paper template_Nov 19.docxPreview the document
Case Study Patient – March 2020 Preview the document
Review the provided patient visit information. You are provided with the subjective and objective exam findings. As the provider, you are to diagnose the case study patient and develop the management plan for this case study patient. Keep in mind this is a complex patient who has more than one diagnosis, which is common in primary care.
Use the provided case study template for your paper. Review the APA Manual to adhere to APA formatting.
Introduction: briefly discuss the purpose of this paper. (no more than 5 sentences)
Assessment: review the provided case study information.
Identify the primary and secondary diagnosis for the patient. Each diagnosis will include the following information:
ICD 10 code.
A brief pathophysiology statement which is no longer than two sentences, paraphrased, includes common signs and symptoms of the diagnosis, and proper citation.
The patient’s pertinent positive and negative findings, including a brief 1-2 sentence statement, which links the subjective and objective findings (including lab data and interpretation).
An evidence-based rationale statement, which summarizes why the diagnosis was chosen.
Do not include quotes, paraphrase all scholarly information, and provide an in-text citation to your scholarly reference. Use the Reference Guidelines document for information on scholarly references.
Plan: (there are five (5) sections to the management plan)
Diagnostics. List all labs and diagnostic tests you would like to order. Each test includes a rationale statement following the listed lab, which includes the diagnosis requiring the test, the purpose of the test and how the test results will contribute to your management plan. Each rationale statement is cited. Include all future follow up labs for each listed diagnosis.
Medications: Each medication is listed in prescription format. Each prescribed and OTC medication is linked to a specific diagnosis and includes a paraphrased EBP rationale for prescribing.
Education: section includes personalized detailed education on all five (5) subcategories: diagnosis, each medication purpose and side effects, diet, personalized appropriate exercise recommendations, and warning signs for diagnosis and medications if applicable. All education steps are linked to a diagnosis, paraphrased, and include a paraphrased EBP rationale. Review the NR601 Clinical SOAP note guideline for more detailed information.
Referrals: any recommended referrals are appropriate to the patient diagnosis and current condition, is linked to a specific diagnosis, and includes a paraphrased EBP rationale with in text citation. Review the ADA guidelines for specific follow up recommendations.
Follow up: Follow up includes a specific time, not a time range, to return to PCP office for next scheduled appointment. Includes EBP rationale with in text citation.
Assessment of Comorbidities: in this section students will review the ADA Standards of Medical Care in Diabetes (the guidelines) Assessment of Comorbidities section on comorbidities subsection and choose one listed comorbidity. Students will discuss the significance of and the relationship between the patient’s primary diagnosis and the chosen comorbidity, explaining how one diagnosis affects the other diagnosis. Any
recommended screening, diagnostic testing, and referrals are also included.
Medication costs: in this section students will research the costs of all prescribed and OTC monthly medications that you have prescribed and that the patient is currently taking that you would like to continue. Students may use Good Rx, Epocrates, or another resource (students may use local pharmacy websites) which provides medication costs. Students will list each medication, the monthly cost of the medication and the
reference source. Students will calculate the monthly cost of the case study patient’s prescribed and OTC medications and provide the total costs of the month’s medications. Reflect on the monthly cost of the medications prescribed. Discuss if prescriptions were adjusted due to cost.
Discuss if will you use medication pricing resources in future practice.
Elder Communication & Reminiscence Experience
On at least one occasion reminisce with a selected resident about some “FIRST” in his or her life or some special event that has occurred in his or her life. The resident MUST be a client in the clinical facility age be >65 years of age. Reminisce as long as you can, while keeping them comfortable and without overtiring the resident. The length of the assignment is left up to the student as long as all of the essentials in the grading rubric are covered. Please make sure this assignment is typed and uploaded to the appropriate drobox.
| Score: | Potential | Student’s Actual |
|
15 | |
|
10 | |
|
5 | |
|
10 | |
|
20 | |
|
10 | |
|
10 | |
|
10 | |
|
10 | |
| Final: |
Examples of topics that could be discussed: Please choose ONE of these topics.
Demographic Data:
Participant’s Initials: Date of Birth: M/Y__/___ Gender: ___
Marital Status: Current: yes Previous: Residence: Own Home_yes___ Rent _________Apt_____ _Single Residence__
Lives with Someone Whom_________daughter___________
Religious Preference: christian Ethnic Background: African american Race: black
Significant Other: Number of Children: 5
Grandchildren: 4 Greats:
Number of relatives within 60 mile radius:
Occupation: civil servant Previous: yes Current:
Source of income:
Hobbies/Interests:
Mode of Transportation: self driving Education
Vital Signs: TPR:___98,90,18____________BP: _____144/89________
Current Medical Status:___________ Summarize how the above data is affected by the individual’s age.
What changes and losses have been experienced as this participant has aged?
