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Chapter 1 Introduction to Health Assessment and Social Determinants of Health.
Chapter 1 Introduction to Health Assessment and Social Determinants of Health.
Physical Examination and History Taking is relevant to the diverse healthcare arena. Nurses are at the front lines, coordinating and providing holistic patient care in many healthcare delivery systems. The ever-changing world and complex patient needs to allow nursing to coordinate and provide holistic care for patients in many venues.
Nurses oversee the holistic care of patients. The nurse’s initial role in health assessment is to collect accurate health data.
Below is a brief nursing encounter with a newly admitted patient:
Mrs. J is admitted with a change in mental status. Her family has noticed many changes in her behavior this past week. She was found wandering around her neighborhood without any shoes on. When her daughter called on the phone, Mrs. J kept asking, “Who is this?” She is unable to state the date or name of the current president. She is unsteady on her feet and needs assistance getting to the bathroom. She is having some difficulty feeding herself (which the family is unaware of being a problem).
-After reading about this nurse encounter, answer the following questions:
-Discuss the nurse’s role in assessment. Which assessment would be a priority to assess?
List pertinent questions that should be asked of the patient and the family members.
What nursing diagnosis would be a priority for this patient, given her current state
Directions:
-Initial Post: Your post should be within a range of 75-150 words (Think about a Twitter post).
Review Josie King’s case. Determine how the outcome of this case could have been prevented if the following strategies would have been applied:
-What factors contributed or may have contributed to Josie King’s death?
-With those contributing factors in mind, how could Josie’s death have been prevented, and what process changes would you recommend to avoid a similar tragedy?
-How could the hospital and its providers have given Sorrel King more power over how Josie was treated?
-Put yourself in the shoes of one of the clinicians who cared for Josie. How would you have reacted when Sorrel said, “You did this to her, and now you must fix her”?
-What can you do to make patients feel respected and included in decisions about their health care?
Reflection
Discuss persistent quality care problems in nursing practice.
-Is there an accepted “culture of missing care”? If so, who is responsible for its evolution?
-How should missed nursing care be handled (if at all)?
6. The post should be at least 300 words. Observe APA 7th edition
1. Select a nurse that historically contributed to the profession’s advancement.
Describe the background of the nurse selected.
Discuss the significant social issues occurring at the time the nurse lived.
Describe two contributions the nurse made in practice, including explaining how these two unique contributions influenced current nursing practice.
2. View the videos of Florence Nightingale and Mary Seacole.
Video: Florence Nightingale
Compare and contrast three significant similarities and three major differences in their values, personalities, and practice philosophy. Which nurse leader do you identify with and why?
3. Diversity in nursing.
What would be the benefits of having greater diversity in the nursing workforce today?
Compare and contrast the concepts of inclusion and equity when promoting population-specific positive nursing outcomes.
4. The post should be at least 300 words. Observe APA 7th edition
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