week 2Discharge Teaching Plan FormYour Name: Date:Your Instructor’s Name:Purpose:The focus of this assignment is identifying patient’s needs and analysis and synthesis of details within the written client record and planning an appropriate discharge plan with necessary patient teaching of the disease process.Points:This assignment is worth a total of 100 points.Directions: Please refer to the Discharge Teaching Plan Guidelines found in Doc Sharing for details about how to complete this form. Remember there is a 6 page maximum limit on this assignment.Type your answers on this form. Click “Save as” and save the file with the assignment name and your last name, e.g., “NR305_Discharge_Teaching_ Plan_Form_Smith” When you are finished, submit the form to the Teaching Plan Dropbox by the deadline indicated in your guidelines. Post questions in the Q&A Forum or contact your instructor if you have questions about this assignment.Look at the EXAMPLE in the first assessment area. This is NOT an all-inclusive response and you will need to add your responses as well. Please be sure to review your guidelines.Assessment areaNeed(s) identified.Teaching technique or approach to problem identified.Describe content.Rationale for choosing this technique/approach.Example:Special/age related needsThese are some ideas, there may be others that you identify.· Age, lives alone, is non-compliant with diet.· Expected aging changes such as decreased hearing, visual difficulties.· Red appears to not understand his glucose numbers and how that relates to his diet and insulin administration.· Home health nurse to assist Red and family in proper insulin management and administrationIdeas for teaching methods/approach based on the scenario and problems noted. You may have identified others.· Teach importance of diet and insulin management to Red and family and how to better manage his diabetes.· Use videos, audio and teach back methods. It may even be helpful to assure proper reading of the glucometer and administration of the insulin by Red or his family.Provide a brief rationale on why you chose these particular technique/approaches.For example, Red may have poor eyesight due to the diabetes and needs audio and demonstration with return demonstration. He may not be able to see the lines on the insulin syringe.Cognitive issuesPhysical barriersMedicationsNutritionRoles and RelationshipsSelf-conceptWound careResources/ referrals neededweek 3Family Genetic History FormYourName: Date:Your Instructor’s Name:Purpose: This assignment is to help you gain insight regarding the influence of genetics on an individual’s health and risk for disease. You are to obtain a family genetic history on a willing, nonrelated, adult participant.Disclaimer:When taking a family genetic history on an actual client, it is essential that the information is accurate. Please inform the person you are interviewing that they do NOT need to disclose information that they wish to keep confidential. If the adult participant decides not to share information, please write, “Does not want to disclose.”Directions: Refer to the Family Genetic History guidelines and grading rubric found in Doc Sharing to complete the information below. This assignment is worth 100 points.Type your answers on this form. Click “Save as” and save the file with the assignment name and your last name, e.g., “NR305_Family_Genetic_History_Form_Smith”.When you are finished, submit theform to theFamily Genetic History Dropbox by the deadline indicated in your guidelines. Post questions in the Q&A Forum or contact your instructor if you have questions about this assignment.1: Family Genetic History (35 points):Develop a family genetic history that includes,at a minimum, three generations of your chosen adult’s family, including grandparents, parents, and the adult’s generation. If the adult has any children, include them as the fourth generation. **PLEASE NOTE: This assignment is to reveal the potential impact of the family’s health on the adult participant. You do not need to identify anyone who is not biologically related to the adult except for a spouse or significant other.You do not need to use symbols, but instead write brief descriptions for each person. Each description should include the following information: first name, birthdate, death date, occupation, education, primary language, and a health summary, including any medical diagnoses. An example is below:Family MemberDescriptionPaternal grandfatherFirst and last initials:RLBirthdate:1921Death date:1981Occupation:Retired as a coal minerEducation:6th gradePrimary language:EnglishHealth summary:He was diagnosed with chronic lung disease, diabetes, and hypertension. He died from a heart attack.Paternal grandmotherFirst and last initials:MLBirthdate:1932Death date:1998Occupation:House wifeEducation:Does not want to disclosePrimary language:EnglishHealth summary:Diagnosed with chronic lung disease from smoking cigarettes. Died from heart failure.This example points to common problems among this generation on both sides of the family. Consider the implications this would have for the adult participant’shealth if these were that person’s family members.Complete the family genetic history form below. Indicate if any information is N/A (not applicable) or unknown. Indicate any information the person did not want to disclose by noting “Does not want to disclose.”Family MemberDescriptionPaternal grandfatherFirst and last initials:Birthdate:Death date:Occupation:Education:Primary language:Health summary:Paternal grandmotherFirst and last initials:Birthdate:Death date:Occupation:Education:Primary language:Health summary:FatherFirst and last initials:Birthdate:Death date:Occupation:Education:Primary language:Health summary:Father’s siblings (write a brief summary of any significant health issues)Maternal grandfatherFirst and last initials:Birthdate:Death date:Occupation:Education:Primary language:Health summary:Maternal grandmotherFirst and last initials:Birthdate:Death date:Occupation:Education:Primary language:Health summary:MotherFirst and last initials:Birthdate:Death date:Occupation:Education:Primary language:Health summary:Mother’s siblings (write a brief summary of any significant health issues)Adult ParticipantFirst and last initials:Birthdate:Death date:Occupation:Education:Primary language:Health summary:Adult participant’s siblings (write a brief summary of any significant health issues)Adult participant’s spouse/significant otherFirst and last initials:Birthdate:Death date:Occupation:Education:Primary language:Health summary:Adult participant’s children (write a summary for each child, up to four children)Child #1 first and last initials:Birthdate:Death date:Occupation:Education:Primary language:Health summary:Child #2 first and last initials:Birthdate:Death date:Occupation:Education:Primary language:Health summary:Child #3 first and last initials:Birthdate:Death date:Occupation:Education:Primary language:Health summary:Child #4 first and last initials:Birthdate:Death date:Occupation:Education:Primary language:Health summary:2. Evaluation of family genetic history (25 points)Evaluate the impact of thefamily’s genetic history on your adult participant’s health. For example, if the adult participant’s mother and both sisters have diabetes, hypertension, or cancer, what might that mean for the adult participant’s future health?3. Planning for future wellness (35 points)Plan changes based on the evaluation of the adult participant’sfamily’s health history that will promote an optimal level of wellness both now and in the future. Include what information you would provide to the adult participant regarding the results of the family genetic history. week 4Course Project Milestone #1: Health History FormYour Name: Date:Your Instructor’s Name:Directions: Refer to the Milestone 1: Health History guidelines and grading rubric found in Doc Sharing to complete the information below. This assignment is worth 175 points, with 5 points awarded for clarity of writing, which means the use of proper grammar, spelling, and medical language.Type your answers on this form. Click “Save as” and save the file with the assignment name and your last name, e.g., “NR305_Milestone1_Form_Smith”. When you are finished, submit the form to the Milestone #1 Dropbox by the deadline indicated in your guidelines. Post questions in the Q&A Forum or contact your instructor if you have questions about this assignment.Disclaimer:The focus of this assignment is on communicating details within the written client record. When taking a health history on an actual client, it is essential that the information is accurate. Please inform the person you are interviewing that they do NOT need to disclose information that they wish to keep confidential. If the interviewee decides not to share information, please write, “Does not want to disclose.”BIOGRAPHICAL DATA (10 pts)Date:Initials:Age:Date of birth:Birthplace:Gender:Marital status:Race:Religion:Occupation:Health insurance:Source of information:Reliability of source of information:PRESENT HEALTH HISTORY/ILLNESS (15 pts)Reason for seeking care:Health patterns:Health goals:HEALTH BELIEFS AND PRACTICES (15 pts)Beliefs and practices:Factors influencing healthcare decisions:Related traits, habits or acts:MEDICATIONS (15 pts) (Please refer to your assignment guidelines.)Prescription medications:Over-the-counter medications:Herbals:PAST HISTORY (15 pts)Childhood diseases:Immunizations:Allergies:Blood transfusions:Major illnesses:Injuries:Hospitalizations:Labor and deliveries:Surgeries:Use of alcohol:Use of tobacco:Use of illicit drugs:EMOTIONAL HISTORY (15 pts)Mental, emotional or psychiatric problems:FAMILY HISTORY (15 pts)Father:Mother:Siblings:Grandparents:PSYCHOSOCIAL/ OCCUPATIONAL HISTORY (15 pts)Occupational history:Educational level:Financial background:ROLES AND RELATIONSHIPS (15 pts)Significant others:Support systems:ETHNICITY AND CULTURE (10 pts)Ethnicity and culture:Physical and social characteristics that influence healthcare decisions:SPIRITUALITY (5 pts)Religious and spiritual needs:SELF-CONCEPT (5 pts)View of self-worth:Future plans:REVIEW OF SYSTEMS (20 pts)(Please refer to your assignment guidelines and chapter 4 of your text. This is NOT a physical assessment.)Skin, hair, nails:Head, neck, related lymphatics:Eyes:Ears, nose, mouth, and throat:Respiratory:Breasts and axillae:Cardiovascular:Peripheral vascular:Abdomen:Urinary:Reproductive:Musculoskeletal:Neurologic:week 6Course Project Milestone #2: Nursing Diagnosis and Plan of Care FormYourName: Date:Your Instructor’s Name:Directions: Refer to the Milestone 2: Guidelines found in Doc Sharing to complete the information below. This assignment is worth 250 points, with 10 points awarded for clarity of writing, which means the use of proper grammar, spelling, and medical language.Type your answers on this form. Click “Save as” and save the file with the assignment name and your last name, e.g., “NR305_Milestone2_Form_Smith”.When you are finished, submit theform to the Milestone 2 Dropbox by the deadline indicated in your guidelines. Post questions in the Q&A Forum or contact your instructor if you have questions about this assignment.1: Analyze Assessment Data:Based on the health history information, identify the following:A. Areas for focused assessment (30 points)Provide a brief overview of those areas of strength and weakness noted from Milestone 1: Health History.B. Client’s strengths (30 points)Expand on areas identified as strengths related to the person’s overall health. Support your conclusions with data from the textbook.C. Areas of concern (30 points)Expand on areas previously identified as abnormal and those that place the person at a health risk. Support your observations with data from the textbook.D. Health teaching topics (30 points)Identify health education needs. Support your statements with facts from the Health History and information from your textbook.2: Nursing Plan of CareNext, plan your care based on your analysis of your assessment data:A. Diagnosis (30 points)Write one nursing diagnosis that reflects a priority need for this person. Remember a health promotion diagnosis is a possibility.B. Plan (30 points)Write one goal and one measurable expected outcome related to your nursing diagnosis. Explain why this goal and outcome is a priority. Include cultural considerations for this client.C. Intervention (30 points)Write as many nursing orders, or nursing interventions, that you need in order to achieve the outcome. Provide the rationale for each intervention listed.D. Evaluation (30 points)You will not carry out your care plan so you cannot evaluate the effectiveness of your nursing interventions. Instead, comment on what you would look for in order to evaluate your effectiveness.
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