Health Assessment In Nursing Free-Samples for Students-Myassignment

Question: You are to complete the admission Assessment for Kasim. Answer: Assessment of the patient situation Patients name: Mr. Kasim AL-Mutar is the name of the client in the scenario. It gives an idea who the person we are dealing with, in implementing the plan of care to avoid misunderstanding when implementing using diagnosis(Forbes, 2015). Gender: he is an old man. Some conditions are gender specific. Age: he is a 49 year old man; age related condition can give a clue on the client management. Also patients needs and management differ with age. Complaint: the patient is complaining of RUQ abdominal pain, vomiting and fever. This is diagnosed as cholecystitis. The medical diagnosis gives the baseline for the management of the client(Jensen, 2014). This complaint is atypical since it mostly affects women as a result to the hormonal composition (estrogen effects on the liver). Also age since it is identified with elderly men of above 75 years of age. Young men are usually asymptomatic. Collecting cues Mr. Kasim AL-Mutar has a HR 126b/min, BP100/45mmHg, temperature of 38.8 severe abdominal pain with last episode of vomiting 2 hours ago. He is also pale with dry mucous membranes and reports a tip shoulder pain rating 7/10. Past medical history and history of use of certain medication is missing in the handing over information(Lewis, 2014). The condition can be a recurrent one may be due to unresponsive to the treatment given earlier or secondary to a certain ailment. Use of over the counter medication gives a direction for the management of the patient pertaining drug interaction and preventing any overdose if the same drug is to be used(Levett-Jones, (2013).). Process information Cholecystitis is the blockage of fluid flow out of the gallbladder by the gallstones causing irritation and swelling of the gallbladder. The patient usually presents with fever, vomiting, pain in the right upper quadrant of the abdomen, nausea and tenderness over the abdomen when touched(Levett-Jones, (2013).). The client presenting with fever, vomiting, right upper quadrant abdominal pain, severe pain at the tip of the shoulder is expected with a client with cholecystitis. Assessment of this client should reveal the following: Clay-colored stool due to absence of the urobilinogen to color the stool, amber urine as a result of excess bilirubin in circulation, jaundice due to unconjugated bilirubin in circulation(LeMone, (2013). Hyperactive bowel sounds due to the increased peristalsis to bypass the undigested fat. Hyper resonant sound on the right upper quadrant of the abdomen due to increased fluid retention in the gallbladder. Tenderness in the right upper quadrant due to the obstructed fluid flow and the inflammatory process (rebound tenderness)(Alfaro-LeFevre, 2014). There is also high temperature as a cardinal sign of the inflammatory process in the gallbladder. Increased apical pulse due to loss of fluid though vomiting, decreasing the cardiac output, as a compensatory mechanism. Problems and issues Cardiovascular system The client is looks pale, presents with dry mucous membranes. The peripheral radial pulse is rapid and pounding while apical pulse is 122b/min. Paleness, increased apical pulse and rapid and pounding peripheral pulse on the client are associated with the decreased cardiac output(Gordon, 2016). ). Also the dry mucous membranes and the clients request for water indicate the lower hydration status of the client. The client is at risk for neurological deterioration due to decreased tissue perfusion(Holland, 2013). Differences in assessment findings for unaffected individual; Assessment technique Assessment findings for cholecystitic client Assessment finding for non cholecystitic client. Inspection Pallor and dry mucous membranes. No pallor and the mucous membranes are pink and moist. Palpation The peripheral pulse is rapid and pounding. The peripheral pulse is palpable and rhythmic. Auscultation The apical pulse is greater than 100b/min. The apical pulse is within the normal rate of 80-100b/min Gastrointestinal system The client experiences pain on the RUQ of the abdomen, nausea and vomiting, there is distention on the right upper quadrant of the abdomen (right and left upper quadrant are asymmetrical)(LeMone, (2013). The bowel movements are increased due to the peristaltic activity working against the undigested fats in the system on auscultation. Also abdominal tenderness and pain is experienced. There is shifting from dull to resonant sound in the right upper quadrant. Acute pain and tenderness is associated with the inflammatory processes in the gallbladder(Gordon, 2016). ). Discomfort caused by the distended abdomen due to the inflammatory process and the fluid accumulation(Gordon, 2016). ). Differences in assessment findings for unaffected individual; Assessment technique GIT assessment findings for acholecystitic client GIT assessment findings for non cholecystitic client. Inspection Distension of the right upper quadrant, asymmetrical The abdomen is symmetrical and Auscultation Increased frequency of the bowel movement. The bowel movement is between is heard between 2-5 seconds. Percussion Pain, and shifting of dull to resonant sound No pain felt on percussion, dull sound is heard. Palpation Abdominal tenderness, organomegally, pain, The organs are soft rounded and no signs of tenderness nor pain. Detail assessment. Biographic data; this is the information that identifies the client like name, age, gender and any other information per the institutional policy(Crisp, 2012). For example, Mr.Kasim AL-Mutar 49 year old man. Chief complain-this is the brief statement in the persons own words for the reasons for seeking healthcare provider(Daines, (2016). ). Mr. Kasim presents following the two days right upper quadrant abdominal pain, fever and vomiting. History of present concern-this is the chronological record of the reasons for seeking health care from the time symptoms started to date(Daines, (2016). ). Mr.Kasim presents with the RUQ abdominal pain and a sharp tip shoulder pain which has lasted for two days. He rate pain on the scale of 7/10. Past medical illness- these are past health event that might have residual event on the current health status. It includes the hospitalization, current medication, allergies and hospitalizations. Mr.Kasims past medical history is missing. Family history-it outlines the conditions that are genetically bound. A genogram clearly shows the information of the family bound illnesses. Lifestyle and health practices profile: it deals with client human response like nutrition, exercise/activity, sleep pattern, medication and substance use, education and environment he lives(Jensen, 2014). This gives an insight of the possible contributing factors to the current health status of an individual. Developmental milestone: a level with a particular problem is identified and comparison made with the normal parameters in the psychosocial developmental stages by Ericksons. Review of systems This is systematic assessment to determine any deviation from normal body functions(Jensen, 2014). Musculoskeletal system- the client experience dry mucous membranes. Neurologic- determine any signs of confusion and lethargy. Respiratory identifying any signs of respiratory distress or shortness of breath. Cardiovascular-feelings of palpitation, heart murmurs and pallor like in mr.Kasim due to decreased cardiac output. Gastrointestinal the patient is experiencing nausea and vomiting, there is abdominal distention. Genitourinary the amount of urine output, discomfort in urination and urgency or hesitancy is noted. Physical examination Complete examination of the client from head to toe noting any deviation from the normal anatomical or physiological functions of the body structure(Forbes, 2015). Inspection, palpation, auscultation and percussion are the four techniques used when conducting physical examination that apply to all the body system in the stated order except in the abdominal assessment (inspection, auscultation, percussion and palpation)(Treas, (2014)). This is to avoid eliciting bowel movement on palpation before auscultation. In conclusion, the patient hydration status is to be met to cater for the decreased cardiac output. Pain management is important to ensure that the clients comfort is addressed as well as maintaining optimal temperature while managing Nursingthe inflammatory process. The overall objective is to improve patients quality of care with an aim of restoring persons maximum functionality. References Alfaro-LeFevre, R. (2014). . Applying nursing process: The foundation for clinical reasoning.: . Philadelphia: Wolters Kluwer Health/Lippincott Williams Wilkins. Crisp, J. T. (2012). Potter Perry's Fundamentals of Nursing - AUS Version. . London: : Elsevier Health Sciences. Daines, J. B. ((2016). ). Advanced health assessment and clinical diagnosis in primary care. mosby: st.lous. Forbes, H. . (2015). Jarviss physical examination and health assessment (Australian and newzealand). Chatswood: Saunders/Elsevier. Gordon, M. (2016). ). Manual of nursing diagnoses (13th ed. Burlington, . Holland, K. . (2013). . Nursing: Decision making skills for practice.: . Oxford: Oxford printing press. Jensen, S. (2014). Nursing health assessment: A best practice approach. (2nd ed.). . Philadelphia:: wolter Kluwer health/Lippicott Williama wikins. LeMone, P. B.-J. ((2013). Medical-Surgical Nursing . Sydney: Pearson Education Australia. Levett-Jones, T. ((2013).). Clinical reasoning: Learning to think like a nurse. Frenchs Forest, NSW: : pearsons Australia. Lewis, P. . ( 2014). . Weber Kelleys health assessment in nursing (2nd Australia and New zealand). North ryde: Lippicott Williams and Wilkins. Treas, L. S. ((2014)). Basic nursing: Concepts, skills, reasoning. . Philadelphia, : PA: F.A. Davis Company.

Writing a Sample of Historiographical Essay

Writing a Sample of Historiographical EssayIf you are looking for a history writing sample, why not use a sample of historiographical essay? This type of essay is designed to provide a quick introduction to a topic and a more detailed version can be found online. So if you're looking for the most basic outline of how history works, this could be a great way to get started.It's always a good idea to write down a plan first. The plan will allow you to make a concrete timeline for your history writing assignment. By doing this, you'll have a better understanding of what you need to do from start to finish to get your history assignment completed. Plus, by seeing a timeline on paper, you'll be able to see where you stand at any point in time.The first idea to think about is the topic. So, many of the topics that historians write about involve major events and change the world in some way. And while it may seem like a very broad topic, you can still break it down into smaller ideas.The se cond idea is to decide which information or ideas you want to include in your writing. For example, if you were trying to understand the history of slavery, you might want to include some historical information as well as recent stories about the subject. Of course, you also want to include other important information and ideas such as how slavery is perceived now. So choosing a topic doesn't mean you have to stick with the subject at all costs.Once you have a good idea of the topic, it's time to write your outline. To do this, you need to decide what kind of material you need to include in your essay. How much information and ideas can you fit into just one page? How much information and ideas should you be including in each chapter? This is an important decision to make because if you decide you only need one chapter, you can include just enough to cover that chapter without going over your allotted word count.How much time do you have to get done? This is another consideration, b ecause if you don't have enough time to do everything, you can look for a sample of historiographical essay. In addition, if you don't want to waste time writing a huge manuscript, it might be best to choose a sample of historiographical essay that is a chapter at a time. You can break your document up into chapters, then break it up into sections, then break it up into paragraphs. A sample of historiographical essay will give you a quick overview of what you need to accomplish to get your project finished.By using a sample of historiographical essay, you can get a quick outline and get your project written. Then, once you've written your own sample, you can revise your sample and get a more detailed version to make your history writing assignment complete. In the end, it's really a matter of finding what fits best into your writing style.

Diversity and Multiculturalism in Team Settings

Diversity is the state of being composed in different elements and variety, and also different people from different cultural setting, different counties, race, and gender.Advertising We will write a custom essay sample on Diversity and Multiculturalism in Team Settings specifically for you for only $16.05 $11/page Learn More It can be uncomplicated or difficult depending on how it is viewed. Multiculturalism on the other hand, means acceptance, appreciation and consideration of multiple cultures and differences. This paper seeks to assess the tradeoffs of diversity and multiculturalism in team settings with regards to health care management. In health care management, it is very important to have diverse and multicultural employees. We cannot set aside multiculturalism because we all need health care. Unfairness while selecting the workforce is not good because it leads to discrimination. Multiculturalism is important because work teams from difference cultures might have a unique outlook to the problem which will be of much help to the health care system. According to Griffin (2010), patients will feel much appreciated when their treatment is viewed from their cultural and traditional settings. This attracts the target market because they will view the company as non-discriminative. When diversity is involved, it is much cheaper compared to others because costs go down as the target market becomes bigger and it becomes affordable to the poor. The more the health care becomes multicultural, the more they are able to reach a large number of people in different states. In order to provide better health services to patients outside the dominant culture, health practitioners must focus on these three approaches: awareness, knowledge, and skills (Parvis, 2003). Awareness can be achieved by putting into place staff training that gives a chance for self- reflection, which necessarily includes looking at one’s own culture, biases a nd reactions to diverse health values and cultures. Understanding of the outlook, value, beliefs, and behaviors of different cultural groups, with the huge group of cultural, ethnic, national and religious groups such as the Unites States is relevant in health care management. With pressures such as socioeconomic status and groups differences, it is difficult to learn a set of uniting facts or cultural norms. Thus, educational information is extremely useful in directing the health care provider to ask relevant questions within each personal cultural background.Advertising Looking for essay on social sciences? Let's see if we can help you! Get your first paper with 15% OFF Learn More The third approach is skills which are put into place in order to cater for customers’ needs. These approaches help the patient’s knowledge of their illness or state and allow health care providers to change their style and meet patient’s particular needs. Each health care provider should take into consideration these three approaches in order to meet each patient’s demand. Failure to meet these demands might lead to misunderstanding and reduced quality of health care because of miscommunication. However, there are several reasons as to why it might be irrelevant to have diverse work team in the health care management. The health care givers may develop cultural bias and hence discriminate others thus leading to poor services. Communication barrier is another factor which is mainly due to the difference in native language of the health care givers. This hinders communication especially in decision making process and thus less productivity. Furthermore, it might be difficult for team members to understand each other and thus leading to slow implementation of health care plans. In conclusion, having a multinational team is about increasing awareness, tolerance, skills, knowledge, and hence reducing conflict. Santana (2003) expounds that team building roles like supporting, summarizing, participation, communication and problem solving should be put into place in order to have a strong diverse team who will meet customer’s needs irrespective of cultural differences. This will benefit the team, the customer and the entire organization because having a work team that reflects company values and customer needs is a good in business, hence hiring and supporting diverse and multicultural workforce is good for the health care organization. References Griffin, W.R. (2010). Management. Mason, OH: Cengage Learning.Advertising We will write a custom essay sample on Diversity and Multiculturalism in Team Settings specifically for you for only $16.05 $11/page Learn More Parvis, L. (2003). Diversity and Effective Leadership in Multicultural Work Places†. Journal of Environmental Health, 65: 37-38. Santana J. (2003, August 18). Learn to Harness the Full Potential of Diverse Work Force. TechRe public. Retrieved from https://www.techrepublic.com/ This essay on Diversity and Multiculturalism in Team Settings was written and submitted by user Darian Walls to help you with your own studies. You are free to use it for research and reference purposes in order to write your own paper; however, you must cite it accordingly. You can donate your paper here.

Free Essays on All Quiet On The Western Front

All Quiet on the Western Front By: Erich Maria Remarque This tale of war takes place in a time where death and violence were part of people’s everyday lives. The battles fought during WWI were both brutal and grueling; the fighting lasted for a total of four years. During this time of war many young men were forced to defend their countries and in most cases this resulted in giving up your life in honor of your country. For most of these young it would be the first and last time that they would see combat and were a little naive before entering the war. They had hopes of honoring their countries and defeating the enemy, but during this war many of them came to realize that the battles they were engaging in would turn out to be pointless as neither side was gaining anything from the war. Millions and millions of casualties resulted from this war with no real outcomes except for the fact that many countries population sizes largely decreased. For Paul Baumer the story began when he was convinced to join the army by his schoolmaster when he was just a teenager. A this time I do not thin that Paul knew what he was getting himself into and would learn this listen very quickly once he joined the war. Paul went under strict training and during this time he was able to make new friendships that would come to be all he would have. When Paul was ready he took to the front lines where he would battle in trench warfare. This was a brutal type of warfare that consisted of long intertwining trenches more than six feet into the ground at some spots and was very cold, dirty, disease filled, and bloody. This first look at how the war was really being fought must have scared all of the young men and opened their eyes as to the way war really was, and that war was not as glorious as it would have been made out to be before they got to the front lines. Luckily Paul received guidance from a veteran of war named Stanislaus Katczinsky w... Free Essays on All Quiet On The Western Front Free Essays on All Quiet On The Western Front All Quiet on the Western Front By: Erich Maria Remarque This tale of war takes place in a time where death and violence were part of people’s everyday lives. The battles fought during WWI were both brutal and grueling; the fighting lasted for a total of four years. During this time of war many young men were forced to defend their countries and in most cases this resulted in giving up your life in honor of your country. For most of these young it would be the first and last time that they would see combat and were a little naive before entering the war. They had hopes of honoring their countries and defeating the enemy, but during this war many of them came to realize that the battles they were engaging in would turn out to be pointless as neither side was gaining anything from the war. Millions and millions of casualties resulted from this war with no real outcomes except for the fact that many countries population sizes largely decreased. For Paul Baumer the story began when he was convinced to join the army by his schoolmaster when he was just a teenager. A this time I do not thin that Paul knew what he was getting himself into and would learn this listen very quickly once he joined the war. Paul went under strict training and during this time he was able to make new friendships that would come to be all he would have. When Paul was ready he took to the front lines where he would battle in trench warfare. This was a brutal type of warfare that consisted of long intertwining trenches more than six feet into the ground at some spots and was very cold, dirty, disease filled, and bloody. This first look at how the war was really being fought must have scared all of the young men and opened their eyes as to the way war really was, and that war was not as glorious as it would have been made out to be before they got to the front lines. Luckily Paul received guidance from a veteran of war named Stanislaus Katczinsky w...

The Impact Of Healthcare Reforms Essay Example | Topics and Well Written Essays - 750 words

The Impact Of Healthcare Reforms - Essay Example However, Avraham, Dafny, and Schanzenbach (2012) found a positive and significant impact of reforms aimed at improving healthcare quality in HMOs, which resulted in an increase in coverage among workers and reduction of tort related lawsuits. Precisely, reforms on the general set of ports between 1998 and 2006 reduced payable premiums of employer-sponsored self-insured health care programs by about 2.1%. While no significant reductions were found in fully insured plans under HMOs, caps on noneconomic damages and collateral source reforms had the greatest impact. Therefore, this suggests that American workers have benefited from the reforms by spending less on aggregate health costs/premiums as a percentage of personal income. Blue Cross Blue Shield (BCBS, 2010) noted that collaboration among health plans to share client details through regional and statewide information systems significantly helped to reduce time and office practice expenses. Mission Statement for Aetna International Aetna International is global healthcare provider with its head quarter in USA and continental offices in Europe, Asia, and Africa. The company has been providing healthcare services in the last 3 decades with demonstrated excellence and customer satisfaction. Within America, Aetna is one of the many HMO service providers and offers both self-sponsored managed medical care plans as well as travel insurance.  The company offers three categories of healthcare plans including individual, corporate, and blended healthcare plans.

Research Integration Essay Example | Topics and Well Written Essays - 1000 words

Research Integration - Essay Example The volume of data and evidence that was synthesized to come up with the guidelines is quite many which make it quite proper and important to nursing practice. Moreover, many experts were involved in developing this practice guideline such as microbiologists who play crucial roles in the treatment of AOM. To make the article more acceptable is the use of simple language that is easy to understand by all healthcare specialists. It highly recommends the concept of watchful waiting as the best option in handling AOM complications. Block, S. L. (1997). Causative Pathogens, Antibiotic Resistance And Therapeutic Considerations in Acute Otitis Media. Pediatric Infectious Disease Journal, 16, 449–456. This source can be classified as a filtered information article owing to its approach to the handling of AOM. In essence, it reviews and gives a summary of proceedings in a symposium that discussed pertinent issues that are related to increased antibiotic resistance to AOM. In terms of t he kind of evidence, it falls under evidence summary because it delineates different recommendations of handling cases of AOM. Owing to the large volume of evidence surmised in this article, it is quite appropriate and suited for nursing practice. Moreover, it tackles different cases of AOM which may be caused by different pathogens in synergy which makes some AOM cases complicated. In such scenarios, the article is of the opinion that treatment and administration of antibiotics should only be started after the causative pathogens have been positively identified. This in turn ensures that cases of antibiotic resistance are reduced because some antibiotics are not effective in handling some causative pathogens of AOM. Kelley, P. E., Friedman, N., Johnson, C. (2007). Ear, nose, and throat. In W. W. Hay, M. J. Levin, J. M. Sondheimer, & R. R. Deterding (Eds.), Current Pediatric Diagnosis And Treatment (18th ed., pp. 459–492). New York: Lange Medical Books/McGraw-Hill. This is a filtered source because it gives an in depth analysis of different microbial infections that infect around the throat region. It has been noted that the different infections that occur within this region and affect the eyes, nose throat are caused by common or similar pathogens. It follows then that chances are high that infection in any of the parts will automatically lead infection of the other parts. This article can also be classified as evidence based guideline that tables diagnostic procedures as well as the treatment of AOM infections. The suitability of the source for nursing practice is found in the in depth analysis of different methods of handling cases of AOM. In addition, the article provides a chart or diagrammatic representation on how to handle this infection at each step of its progress. McCracken, G. H. (1998). Treatment of Acute Otitis Media In An Era Of Increasing Microbial Resistance. Pediatric Infectious Disease Journal, 17, 576–579. Information is synth esized and analyzed about the rising resistance of pathogens that causes antibiotics to. Moreover, a guideline is also provided that gives the way forward on how to handle these complications and as such the source is a filtered source. In terms of evidence, it can be classified as

Reliability and Validity Essay Example for Free

Reliability and Validity Essay Evaluating human services is a task that can be very complex. People can have different interpretations of the same event. Another concern is that people are not always honest. Therefore, human services will gain from effective, high quality evaluations of data collection methods. This requires that the data collection methods supply accurate and dependable information. This paper will define and describe 2 concepts of measurement known as reliability and validity,-provide examples and supporting facts as to how these concepts apply to data collection in human services, and evaluate the importance of the validity and reliability of data collection methods and instruments. Funding for many non-profit human services organizations are dependent on the precise results of research and statistics gathered through various processes of data collection. Reliability and validity are two criterions that are used to judge the functions of research designs and measurements. These criterions are something that should be looked at before, during, and after research to show the relevance and significance of human services. Using the example of a weight scale is the perfect way to confer the idea of reliability and validity. If an individual of 150lbs. weighs themselves several times and gets several different readings, the scale being used can be considered unreliable. Now if that scale also reads 125 each time, it is rather reliable but invalid. However, the consistent, accurate reading of 150lbs. each time indicates that this scale is not only reliable, but also valid. When thinking about validity, it is important to evaluate if the research is doing what it is supposed to do. According to Rosenthal and Rosnow (2008), â€Å"The measure in question might be a psychological test of some kind, a group of judges who rate things, a functional MRI scanner for monitoring brain activity, or any other instrument or measuring tool†(Chapter 6). Is the data collected dependable? Does the correlation make sense? All of these questions are in reference to the design of the research, and validity is specifically tied to the soundness and force of that design. Conclusion and internal validity refer directly to relationships drawn between correlating factors and the end results. According to Measurement Of Validity Types (2006), â€Å"Conclusion validity is the degree to which conclusions reached about relationships in data are reasonable† (Conclusion Validity). Studies that have shown a link between convicts in the prison system and the lifestyles encountered by children of single parents would be one example of conclusion validity. If the conclusion is valid, a direct link will be made between two correlating factors. Internal validity is specifically concerned with casual relationships while conclusion validity is concerned with relationships in general (Measurement Of Validity Types, 2006). Observing that certain factors may be linked to certain outcomes, and examining all the possible links of an outcome is the main goal of internal validity. Another look at reliability will help in considering the precision of these predictions. Reliability represents the idea of accuracy, dependability, and consistency in research. Can the results be referred to as concrete? Are there any loopholes in the research? Has the research communicated the proper information and does everything correlate? These are questions that would be directed at examining the reliability of research. Test-Retest and Inter-rater reliability are two ways to measure the results of research. When multiple people are given assessments of some kind or are the subjects of some test, then similar people under the same circumstances should lead to scores that are similar or duplicates (Types Of Reliability, 2011). This is the idea of inter-rater reliability. Another mode of reliability is the administration of the same test among different participants and expecting the same or similar results (Types Of Reliability, 2011). This is known as Test-retest reliability. This method of measurement might be used to make determinations about the effectiveness of a school exam or personality test (Types Of Reliability, 2011). Surveys and other methods of research present the appropriate avenues for data collection. Data collection and measurement methods are used in human services to help organizations achieve leadership capacity and to achieve high performance outcomes. Agencies that track the effectiveness of their services through field studies and surveys will have a record of techniques that have worked best to fulfill mission goals. The evidence of such reported facts will come in handy in terms of funding, policy efforts, and keeping professionals educated. From psychological and behavioral aspects, interviews, test groups, and random assignment are just a few ways to collect data in controlled and uncontrolled environments. Human services use these methods to apply theory to real life situations. Human services depends on the effective analysis and measurements of research. Personal interpretations of measurements can be confusing. Therefore, reliability and validity are two ideas that refer to rating the effectiveness of research techniques. This paper has defined and described the two concepts of measurement known as reliability and validity, provided examples and supporting facts as to how these concepts apply to data collection in human services, and has evaluated the importance of the validity and reliability of data collection methods and instruments. Human services agencies rely on research to remain knowledgeable and capable of providing appropriate services to disadvantaged populations.