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nursing discussion question and need an explanation and answer to help me learn. 35 PAGES APA STYLE 437 Part 1 (3 pages) Cross Cultural Considerations for the Interview and Physical Assessment Process Watch the Cross-Cultural Considerations for the Interview and Physical Assessment Process video Play Discuss the demographics for the area in which you live Choose one ethic group in your area Develop a list of rationales of appropriate cross-cultural considerations that relate to the interview and physical assessment process Discuss three health promotion opportunities that relate to protective and predictive factors within your chosen ethnic Read Chapters 1-3 and Chapter 12 change to chapter 12 in Jarvis, C. (2018). Physical examination and health assessment (8th ed.). St. Louis, MO: Saunders. https://learn.americansentinel.edu/pluginfile.php/950407/course/section/149692/Intro%20to%20SIM%20437%20Cross%20Cultural%20Activity.mp4 Part 2 (3 pages) Health History Watch the health history video: Play Video Complete the History Assignment for Tina Jones before completing the health history assignment. Your assignment requirements will be based on the findings in the Shadow Health assessments. Reminder - You must submit the assessment to receive credit for the activity. Assessments that have not been submitted cannot be verified as complete. In the health history, Tina informed you about her acute foot pain resulting from her infected wound: o Identify two SMART goals for Tina o Identify two evidence-based practice nursing interventions, with rationales for each that relate to this assessment. o If you were to perform this exam within tight time constraints, what tasks, questions and assessments should you identify as priorities for Tina? o Provide relevant examples from personal nursing practice related to taking a health history. Include a minimum of two references to support your evidence-based plan. Support your discussion and opinions with facts, relevant examples from personal nursing practice, and at least two citations from the reading or peer-reviewed professional nursing literature. Remember to use APA 7th edition formatting for all discussion posts and reference citations. Read Chapters 4-12 change to 4-12 in Jarvis, C. (2018). Physical examination and health assessment (8th ed.). St. Louis, MO: Saunders. https://learn.americansentinel.edu/pluginfile.php/950407/course/section/149693/Health%20History%20Activity.mp4 PART 3 (3 PAGES) NUTRITIONAL ASSESSMENT Complete a Nutritional Assessment, using a tool of your choice (such as the Nestle Mini Nutritional Assessment Tool noted blow), on two members of a selected family (one between the age 5-17years and a second aged 21-59). Collect and summarize at least 8 objective and 4 subjective elements for each person. Create an actual or potential problem list, including 4 problems, for both individuals, include 2 health promotion teaching opportunities you would suggest for 1 problem for each individual; a total of 16 objective (8 for each individual) and 8 subjective (4 for each individual) elements, a total of 8 problems (4 for each individual), and 4 health promotion teaching opportunities (2 for each person) for one of the problems for each individual. Nestle Nutrition Assessment.pdf Read Chapters 1-3 and Chapter 12 Jarvis, C. (2018). Physical examination and health assessment (8th ed.). St. Louis, MO: Saunders Baccalaureate Generalist – Nutritional Assessment Description: The baccalaureate-graduate nurse is skilled in completing nutritional assessments across the lifespan. Course Competency(ies): 1) Perform assessments of individuals throughout the lifespan and include spiritual, social, cultural, psychological and physical components. 2) Differentiate between normal and abnormal assessment findings. 4) Synthesize assessment findings using the Digital Clinical Experience (DCE) and in written format using standardized terminology. 5) Demonstrate effective communication with individuals, families and interdisciplinary team members. QSEN Competency(ies): 1) Patient-Centered Care 3) Evidenced-Based Practice Part 4 (3 pages) HEENT/Skin, Hair & Nails Activity Watch the HEENT/Skin, Hair & Nails video Play Video Complete the HEENT Assignment and Skin, Hair, & Nails Assignment for Tina Jones before completing the discussion question. Base your response to the discussion on the findings in the Shadow Health assessments. Reminder - You must submit the assessment to receive credit for the activity. After your HEENT and Skin, Hair, & Nails assessment of Tina: o Discuss what would you include in your end of shift report that relate to the HEENT assessment and the Skin, Hair & Nails assessment performed. o Identify four SMART goals for Tina: 2 SMART goals for HEENT, 2 SMART goals for skin, hair and nails. o Discuss four evidence-based practice nursing interventions (2 for HEENT and 2 for skin, hair, nails), with rationales for each that relate to this assessment (one for each SMART Goal). Read Chapters 13-18 in Jarvis, C. (2018). Physical examination and health assessment (8th ed.). St. Louis, MO: Saunders. https://learn.americansentinel.edu/pluginfile.php/950407/course/section/149695/HEENT-Skin%2C%20Hair%2C%20Nails%20Activity.mp4 Part 5 (3 pages) Respiratory Assessment Activity Watch the respiratory assessment activity video: Play Video Complete the Respiratory Assignment for Tina Jones, including the Sounds Lab, before completing this assignment. Base your discussion/findings for this assignment upon the findings in the Shadow Health assessments. After your respiratory assessment of Tina, differentiate the expected (normal) findings to the findings of Tina Jones’ breathing pattern-discuss this in your assignment. Reminder - You must submit the assessment to receive credit for the activity. Discuss a care plan for Tina based on your assessment findings to include a NANDA nursing diagnosis with three NIC’s and three NOC’s Read Chapters 4, 19 & 32 In Jarvis, C. (2018). Physical examination and health assessment (8th ed.). St. Louis, MO: Saunders. https://learn.americansentinel.edu/pluginfile.php/950407/course/section/149696/Respiratory%20Assessment%20Activity.mp4 Part 6 (3 pages) Cardiovascular and Chest Pain Assessment Activity Complete the Cardiovascular Assignment for Tina Jones and the focused exam: Chest Pain on Brian Foster before completing the assignment. Base your assignment discussion on the findings in the Shadow Health assessments. After completing the assessments: Watch the cardiovascular and chest pain assessment activity video (click on the image): Reminder - You must submit the assessments for both activities to receive credit for the activity. Discuss the priority questions and assessments that you perform for Brian’s chest pain; include at least 3 questions. Discuss the priority questions and assessments that you perform for Tina’s cardiovascular assessment include at least 3 questions. Detail the differences in your approach to the cardiovascular/chest pain assessments and questioning with Tina and Brian. Discuss a care plan for Brian based on your assessment findings to include a NANDA nursing diagnosis with three NIC’s and three NOC’s. Play Video Read Chapters 20-21 in Jarvis, C. (2018). Physical examination and health assessment (8th ed.). St. Louis, MO: Saunders. https://learn.americansentinel.edu/pluginfile.php/950407/course/section/149697/Cardiovascular%20and%20Chest%20Pain%20Activity.mp4 Part 7 (3 pages) Abdominal Assessment and Abnormal Pain Activity Watch the abdominal and abnormal pain assessment activity video. Play Video Complete the Abdominal Assessment for Tina Jones and the focused exam: Abnormal Pain on Ester Parks before completing this assignment. Base your assignment discussion on the findings in the Shadow Health assessments. Discuss your assessment findings for Tina Discuss your assessment findings for Esther Reminder - You must submit the assessments for both activities to receive credit for the activity Identify three SMART goals for Tina based upon your abdominal assessment Identify three SMART goals for Ester based upon your abnormal pain assessment Describe three priority health promotion opportunities for Tina with rationale Describe three priority health promotion opportunities for Esther Read Chapters 22, 25-27 in Jarvis, C. (2018). Physical examination and health assessment (8th ed.). St. Louis, MO: Elsevier. https://learn.americansentinel.edu/pluginfile.php/950407/course/section/149698/Abdominal%20Assessment%20and%20Abnormal%20Pain%20Activity.mp4 Part 8 (3 pages) Musculoskeletal and Neurological Assessment Activity After your musculoskeletal and neurological assessment of Tina discuss the following in your assignment: Watch the musculoskeletal and neurological assessment activity video. Play Video Remember to submit your musculoskeletal assessment and neurological assessment. Discuss your musculoskeletal assessment findings. Discuss your neurological assessment findings. Discuss what would you include in your end of shift report that relates to your assessment findings for your musculoskeletal assessment. Discuss what would you include in your end of shift report that relates to your assessment findings for your neurological assessment. Discuss what tasks, questions and assessment are priorities in your musculoskeletal exam of Tina if you were to perform this assessment with tight time constraints. Discuss what tasks, questions and assessment are priorities in your neurological exam of Tina if you were to perform this assessment with tight time constraints. Discuss three patient education/health promotion opportunities for Tina that relate to the musculoskeletal system. Discuss three patient education/health promotion topics for Tina that relate to the neurological system. Read Chapters 23-24 In Jarvis, C. (2018). Physical examination and health assessment (8th ed.). St. Louis, MO: Elsevier. https://learn.americansentinel.edu/pluginfile.php/950407/course/section/149699/Musculoskeletal%20and%20Neurological%20Assessment%20Activity.mp4 Part 9 (3 pages) Pediatric Health Assessment Activity After your pediatric assessment of Danny Rivera discuss the following in your assignment: Watch the pediatric health assessment activity video Play Video After your pediatric assessment of Danny Rivera discuss the following in your assignment: Remember to submit your pediatric assessment. Discuss your pediatric assessment findings to include what abnormal findings did you identify? Discuss how the adult and child assessment differ to include the following: o Communication o Approach for obtaining objective data from a pediatric client o Approach for obtaining subjective data from a pediatric client Discuss the role of the parent/caregiver in the care of the child throughout the pediatric age range. Describe three patient education/health promotion opportunities for Danny related to your assessment findings. Read Chapter 29 in Jarvis, C. (2018). Physical examination and health assessment (8h ed.). St. Louis, MO: Elsevier. https://learn.americansentinel.edu/pluginfile.php/950407/course/section/149700/Pediatric%20Health%20Assessment%20Activity.mp4 Part 10 (3 pages) Hospital Discharge Evidence-based discharge teaching is critical in promoting health and impacting readmissions. Complete the Hospital Discharge Activity in Shadow Health. Create an audio/visual presentation using PowerPoint in VoiceThread in which you provide discharge instructions for Tina. In this patient-centered final project you will provide Tina with education about effective self-care to prevent readmission. Remember to use accessible, professional language demonstrating caring behaviors with use of therapeutic communication as you anticipate any questions or concerns Tina might have. Be sure to include specific tools and resources (such as apps, support groups, handouts, credible web sources) to support health promotion and the management of her care. Use a minimum of four scholarly references to cite the current evidence-based practices to support your content. Please view the VoiceThread Guide in this module for instructions. Watch the hospital discharge activity video: Play Video Include discharge teaching with evidence-based practice (EBP) instructions and specific resources for the following six areas: Diabetes - Include diet and nutrition, exercise, blood glucose monitoring (signs and symptoms of hypo/hyperglycemia), and preventing complications (infections, dehydration) Asthma - Include EBP about identifying and avoiding triggers, long-term management, and management of exacerbations Wound care - Include EBP about monitoring and cleansing her wound with bid dressing changes Activity - Include EBP about activity level, ambulation, use of air boot, and injury prevention (modifying environment) Medications - Include instructions about indications, side effects (how to monitor and manage), and administration. albuterol MDI 2 puffs every four hours as needed insulin glargine 10 units subcutaneous at bedtime metformin 850 mg by mouth twice a day linezolid 600 mg PO Q12hours for 10 days oxycodone 5 mg/acetaminophen 500 mg by mouth three times a day as needed for pain promethazine 25 mg every four hours as needed for nausea insulin lispo sliding scale for blood glucose as following: 70-130=0 units 131-180=2 units 181-240=4 units 241-300=6 units 301-350=8 units 351-400=10 units and call your doctor 6. Follow up - Include information about preventative and routine health care recommendation exams/appointments and when to seek urgent medical care (going to ER or notifying primary care provider). https://learn.americansentinel.edu/pluginfile.php/950407/course/section/149701/Hospital%20Discharge.mp4 PART 11 (3 PAGES) PHYSICAL ASSESSMENT REFLECTION ACTIVITY Please consider your learning and growth in this course that you base on your own personal self-reflection. Write a reflective journal discussing significant, intriguing details, including the “Aha!” factors from your virtual simulation experience. Provide at least six specific examples and learning moments from the weekly physical assessment and self-reflection activities. Discuss how this practice experience changed your knowledge, skills, or attitudes. When appropriate, rich use of figurative language and imagery to convey ideas. Watch the physical assessment reflection activity video: Play Video You do not need to use references for this reflection activity. Please use APA 7th edition formatting for your essay. Washington students must submit a video of each assessment completed in Shadow Health https://learn.americansentinel.edu/pluginfile.php/950407/course/section/149702/Physical%20Assessment%20Reflection%20Activity.mp4 Requirements: 35