The purpose of this assignment is to facilitate a dialogue about the student’s practicum rotation with the class.
Through this assignment, the student will:
The student must submit the initial post to the Week 1 Discussion Board by 11:59pm MT on Wednesday.
**To view the grading criteria/rubric, please click on the 3 dots in the upper in the box at the end of the solid gray bar, above the discussion board title, and then Show Rubric.
REFERENCES AND PEER RESPONSES ARE NOT REQUIRED (Really!)
Week 1: Readings
Due Sunday by 11:59pm Points None
Schuiling, K. D., & Likis, F. E. (2017). Women’s gynecologic health (3rd ed.). Jones and Bartlett Publishers.
Chapter 5: Gynecological Anatomy & Physiology
Chapter 6: Gynecological History and Physical Examination
Chapter 7: Periodic Screening and Health Maintenance
Chapter 11: Contraception
Chapter 15: Breast Conditions
Chapter 29: Anatomy and Physiologic Adaptations of Normal Pregnancy
Chapter 30: Diagnosis of Pregnancy and Overview of Prenatal Care
Clinical site information
Feelings about clinical rotation
As my preceptor is a family medicine physician, I have been seeing patients of all ages. I am still trying to get comfortable with interactions with babies and children as I have very limited experience with pediatrics, do not have children, and have always worked with adult patients NR 602 Week 1 Clinical Site Discussion. Interacting with and providing care for young patients has been a learning curve for me.
Women’s health is another area I am not confident in, so I will continue to try to seek out experiences in this area when they arise at the office NR 602 Week 1 Clinical Site Discussion. I am hoping with this course I will become more familiar in pediatrics and women’s health issues so that I will become for confident in those areas and in the care of these patients.
Barriers to success in completing clinical requirements
Having other students at my clinical site can be a barrier since it can affect what days I can come into the office. Luckily, it is a very busy practice and the site limits the number of students who can come per day. This helps so that we are able to see patients consistently throughout the day. Another barrier is that I am still working, which limits the days that I can go into clinical.
Since I did have difficulty getting my hours during the last clinical, I requested some vacation days throughout this course so that I will be able to make up some hours and to ensure that I am able to complete the 125 hours needed NR 602 Week 1 Clinical Site Discussion.
Another barrier to completing clinical requirements is that my preceptor does not routinely do women’s health assessments, such as Pap smears and IUD insertions. He is willing to do Pap smears in the office, especially if we request some women’s health experiences. As long as there are available patients, I think I will be able to obtain some clinical experiences in this area.
Once you have completed the iHuman Case on STI, submit your Case Study completion score sheet here. You may resubmit your completion score sheet as needed.
If you have not completed the iHuman Activity yet, please go to the NR 602 Week 2 Submission iHuman Case 2 assignment, for assignment requirement and access to iHuman.
In NR602, iHuman assignments will be assessed in the following areas: History Taking, Physical Exam, Differential Diagnoses, Rank diagnoses, MNM (must not miss) Diagnoses, Order tests, Final Diagnosis, and Management Plan.
Each of these sections must be completed, including the EMR section, for the assignment to be considered complete.
A score of 80% or better is your target with this NR 602 Week 2 Submission iHuman Case 2 assignment. You will have (2) two attempts; the highest score of two attempts will be taken as the final grade.
This criterion is linked to a Learning Outcome
Assignment Content
Virtual Patient Encounter75.0 pts
ExcellentStudent achieves a score of 80-100% on the assigned iHuman activity.68.0 pts
Very GoodStudent achieves a score of 70-79% on the assigned iHuman activity.62.0 pts
SatisfactoryStudent achieves a score of 55-69% on the assigned iHuman activity NR 602 Week 2 Submission iHuman Case 2.38.0 pts
Needs ImprovementStudent achieves a score of 30-54% on the assigned iHuman activity.0.0 pts
UnsatisfactoryStudent achieves a score of 0-29% on the assigned iHuman activity.75.0 ptsThis criterion is linked to a Learning Outcome
Late Penalty Deductions
Students are expected to submit assignments by the time they are due. NR602 Week 2 Submission iHuman Case 2 Assignments submitted after the due date and time will receive a deduction of 10% of the total points possible for that assignment for each day the assignment is late. Assignments will be accepted, with penalty as described, up to a maximum of three days late, after which point a zero will be recorded for the assignment. Quizzes and discussions are not considered assignments and are not part of the late assignment policy.0.0 pts
Manual Deduction0.0 pts
Manual Deduction0.0 ptsTotal Points: 75.0NR 602 Discussion 1Include the following sections (detailed criteria listed below and in the Grading Rubric):Read the following article from the Chamberlain library and address the questions below.
Sacks, & Peca, E. (2020). Confronting the culture of care: A call to end disrespect, discrimination, and detainment of women and newborns in health facilities everywhere. BMC Pregnancy and Childbirth,?20(1), 249–249. https://doi.org/10.1186/s12884-020-02894-z
Sacks, E., & Peca, E. (2020). Confronting the culture of care: a call to end disrespect, discrimination, and detainment of women and newborns in health facilities everywhere. BMC Pregnancy and Childbirth, 20(1), 249–249. https://doi.org/10.1186/s12884-020-02894-z
NPs can play a pivotal role in advocating for and participating in comprehensive health education initiatives. This involves collaborating with schools, community organizations, and healthcare institutions to implement educational programs that address the specific needs of marginalized women and children (Baah et al., 2020). Topics include reproductive health, preventive care, nutrition, and mental health awareness. By promoting health education, NPs empower marginalized women with knowledge, enabling them to make informed decisions about their health. Education serves as a preventive measure, reducing the incidence of health problems and contributing to the overall well-being of women and their children.
NPs should take the initiative to develop and participate in community outreach programs that target marginalized populations. The outreach programs must focus on providing accessible healthcare services, including vaccinations, prenatal care, and health screenings. Collaborating with local organizations and community leaders is crucial to reaching those who face barriers to accessing healthcare (Baah et al., 2020). Community outreach programs address the social determinants of health by bringing healthcare services directly to marginalized communities. By fostering relationships with community members, NPs help build trust and bridge gaps in healthcare access, leading to early intervention and improved health outcomes.
NPs can actively engage in ongoing cultural competence training to enhance their understanding of diverse cultural practices, beliefs, and values. This involves staying informed about the cultural backgrounds of patients, respecting diversity, and tailoring healthcare services accordingly. Additionally, NPs can advocate for the integration of cultural competence training within healthcare institutions and educational programs (Sacks & Peca, 2020). Cultural competence is essential in providing patient-centered care. By acknowledging and respecting the cultural diversity of marginalized women and children, NPs can establish effective communication, build rapport, and ensure that healthcare services are culturally sensitive. This, in turn, contributes to a more positive healthcare experience and outcomes.
Health policies at various levels can either contribute to or alleviate the marginalization of women, children, and childbearing families. For example, policies related to funding for maternal and child health programs, accessibility of healthcare services, and support for vulnerable populations play a crucial role in shaping health outcomes. The role of federal, state and local health policy is instrumental in shaping the healthcare landscape and, unfortunately, can contribute to the marginalization of women, children, and childbearing families.
Understanding these policy dynamics is crucial for addressing health disparities and promoting equitable access to care. For example, at the federal level, policies related to funding, insurance coverage, and program implementation have a substantial impact on marginalized populations. For instance, the Affordable Care Act (ACA) brought about significant changes, including Medicaid expansion, which positively affected many low-income individuals, including pregnant women and children. However, politics can also result in policy changes that adversely affect marginalized groups. Reductions in funding for maternal and child health programs or alterations to Medicaid eligibility criteria can limit access to essential services, exacerbating health disparities (Sacks & Peca, 2020).
States have autonomy in healthcare policymaking, leading to variations in services and coverage. State decisions regarding Medicaid expansion, family planning programs, and reproductive health services significantly influence the well-being of marginalized women and childbearing families. States that choose not to expand Medicaid, for example, may leave vulnerable populations without access to crucial prenatal care and maternity services (Sacks & Peca, 2020). Additionally, state-level restrictions on family planning services and reproductive rights can disproportionately affect low-income women.
Local health policies, including those established by municipalities or healthcare institutions, play a role in shaping the day-to-day experiences of marginalized populations. Accessibility to healthcare facilities, community health programs, and the availability of culturally competent care are influenced by local policies. Limited resources in certain areas may result in inadequate infrastructure, leading to disparities in healthcare access for women, children, and families in underserved communities.
The impact of these policies on marginalized groups can be multifaceted. Positive policies that enhance access to prenatal care, maternal health services, and childhood vaccinations contribute to better health outcomes (Sacks & Peca, 2020). However, negative policies, such as restrictive reproductive rights or cuts to public health programs, can perpetuate health disparities. Marginalized women and children may face barriers such as limited access to affordable healthcare, inadequate educational resources, and a lack of preventive services, resulting in poorer health outcomes and perpetuating cycles of disadvantage.
One policy that impacts marginalized groups at the federal level is the Title X family planning program. Title X, enacted in 1970, provides federal funding for family planning services to help ensure access to comprehensive reproductive health care, including contraception, screening for sexually transmitted infections (STIs), and preventive health services.
Title X has a significant impact on marginalized groups, including low-income individuals and communities with limited access to healthcare services. The program aims to provide affordable and confidential family planning services, with a focus on those who may not otherwise have access to such care. Title X positively impacts marginalized women and families by offering essential reproductive health services, enabling family planning decision-making, and supporting preventive care (HHS, 2021). It helps reduce unintended pregnancies and contributes to better maternal and child health outcomes. However, changes in Title X funding and policies, such as the imposition of the gag rule in 2019, have posed challenges. This rule prohibits healthcare providers receiving Title X funds from providing information or referrals for abortion services, limiting comprehensive reproductive health counseling.
The Title X family planning program impacts marginalized groups both positively and negatively, with its intended goals of providing affordable reproductive health services, but also facing challenges and controversies that affect access to comprehensive care.
Baah, F. O., Teitelman, A. M., & Riegel, B. (2020). Marginalization: Conceptualizing patient vulnerabilities in the framework of social determinants of health—An integrative review. Nursing Inquiry, 26(1), e12268. https://doi.org/10.1111/nin.12268
HHS. (2021). Title X service grants. HHS Office of Population Affairs. https://opa.hhs.gov/grant-programs/title-x-service-grants
Sacks, E., & Peca, E. (2020). Confronting the culture of care: a call to end disrespect, discrimination, and detainment of women and newborns in health facilities everywhere. BMC Pregnancy and Childbirth, 20(1). https://doi.org/10.1186/s12884-020-02894-z
Address the following questions:
What resources are available in your community to assist with concerns such as those faced by your virtual patient? (Roanoke,Va.) see below
What are the reporting requirements for your state, and to whom would you report??Abuse
Include the following components:
H.K. is a 2-year-old male with a medical history significant for Down syndrome and atrial-septal defect that was repaired who was brought into the clinic by his mother for abdominal pain for 2 days and one episode of vomiting last night. Mother states that he has been lethargic, has fewer wet diapers and no bowel movement for one day due to his decrease in appetite.
Mother states that the patient had fallen off the bed while napping. No medications have been given for the pain.
Problem Statement: H.K. is a 2-year-old male with a medical history significant for Down syndrome and atrial-septal defect that was repaired who was brought into the clinic by his mother for abdominal pain for 2 days with 1 episode of vomiting last night. Mother states that symptoms began after the patient fell from the bed while taking a nap.
She states that he has been lethargic, has decreased wet diapers daily with dark and strong-smelling urine and no bowel movement for one day and has had a decrease in appetite. Upon assessment, the patient is listless and has poor eye contact. Skin is pale, cool, and slightly mottled. Diffuse diaper rash noted. Faint circumferential macular discoloration at wrists consistent with aging ligature marks.
Ecchymoses overlying epigastrium measuring 10cm in diameter in an oval shape. Hypoactive BS x 3. Distended, firm abdomen. Diffuse tenderness on palpation with associated guarding. 2cm, reducible umbilical hernia. No medications have been given to the patient.
The goal of this project is to evaluate areas that have been demonstrated to be highly related with student achievement, such as stress management, dedication to education, learning techniques, and academic skills, in order to encourage success in the NP program.
Through this assignment, students will receive information to help support attainment of program outcomes:
Sunday 11:59 p.m. MT of Week 3
CEAP-NP Survey: Chamberlain University has created an academic evaluation for Post-Licensure MSN-NP students called CEAP-NP NR602 Week 3 CEAP-NP Survey Paper. The CEAP-NP examines factors that have been linked to student performance, such as stress management, dedication to education, learning techniques, and academic skills. The evaluation will take about 15 minutes to complete. The survey must be completed before the end of week 3 at 11:59 p.m. MT.
By the end of Week 4, students will have received a personalized report with survey findings to their Chamberlain email addresses. Please evaluate your report and apply the targeted actions as a whole to improve academic achievement NR602 Week 3 CEAP-NP Survey Paper. The confirmation number you will receive after completion of the survey is for your records only; you do not need to provide this number to your professor nor do you need to upload it anywhere in Canvas.
The submission within Canvas is not needed with your CEAP-NP survey report. If you have any questions about your report, email Dr. Tennille Curtis, Assistant Dean at tcurtis@chamberlain.edu.
Also Read:NR602 Week 5 Evaluation of Marginalized Women Paper
NR602 Primary Care of the Childbearing and Childrearing Family Papers
NR602 Week 7: Submission: iHuman Case 5
NR602 Week 6: Activity: iHuman Case 4 Assignment
NR602 Week 4 Pediatric Clinical Pearl Case Study Assignment
The assignment’s goal is to help students recognize the behaviors and interactions that frequently take place during the well-child exam’s health history section. By employing efficient, impartial, and nonjudgmental communication, students may create plans to enhance anticipatory advice and health education NR602 Week 4: Pediatric Clinical Pearl Case Study Assignment.
Through this assignment, the student will demonstrate the ability to:
Synthesize information in which addresses child health promotion, developmental surveillance, observation of parent-child interaction, anticipatory guidance, social determinants of health and/or cultural competence.
This assignment will follow the late assignment policy specified in the course syllabus.
Students are expected to submit assignments by the time they are due. Assignments submitted after the due date and time will receive a deduction of 10% of the total points possible for that assignment for each day the assignment is late. Assignments will be accepted, with penalty as described, up to a maximum of three days late, after which point a zero will be recorded for the assignment. NR602 Week 4: Pediatric Clinical Pearl Case Study Assignment
Students may ask their teacher for a waiver of the late submission grade decrease if a circumstance prohibits timely submission of an assignment. The teacher will go at the student’s justification for the request and make a decision based on the appeal’s merits. The determination will take into account the student’s overall course performance up to that point. While the appeal is being considered, students should keep coming to class, participating in discussions, and doing other projects. NR602 Week 4: Pediatric Clinical Pearl Case Study Assignment
Total Points Possible: 100
You must complete tables for 5 categories/issues
According to CDC (2023), the early years of a child’s life play a crucial role in shaping their health and development. Optimal development is evidence that a child, irrespective of their abilities or special health care needs, can thrive in environments that cater to their social, emotional, and educational requirements. A secure and loving home, a family engaging in activities such as play, singing, reading, and communication, proper nutrition, regular exercise, and adequate sleep are important to a child’s well-being, fostering happiness, health, and optimal growth and development. In the given clinical scenario, the nurse engages with a parent to discuss various aspects of the child’s health and development: Cognitive Developmental Milestones, Physical Developmental Milestones, Social-Emotional Developmental Milestones, Safety, and Environmental Health Risks.
Cognitive development is pivotal in a child’s overall growth, influencing their ability to perceive, learn, and interact with the world. In the clinical scenario, the parent expresses concern over the child’s struggles with completing a puzzle, indicating a potential gap in cognitive milestones. The positive interaction of attempting to engage the child in cognitive activities reflects a proactive approach to addressing developmental concerns. However, it shows the importance of anticipatory guidance in cognitive development. The American Academy of Pediatrics (AAP) emphasizes the significance of providing age-appropriate cognitive stimulation to foster a child’s cognitive abilities (Yogman et al., 2021).
To address this, the nurse plays a crucial role in acknowledging the parent’s concerns, which validates the parent’s observations and establishes a foundation of trust and collaboration. By recognizing the developmental milestones, the nurse can recognize the variability of cognitive milestones among children. This helps alleviate the parent’s doubts, assuring them that every child progresses uniquely. Moreover, offering alternative activities is a principle of anticipatory guidance. Suggesting activities that cater to the child’s developmental stage fosters a sense of accomplishment in the child and showcases the nurse’s commitment to providing practical solutions.
Physical development is a fundamental component of a child’s holistic well-being, encompassing nutrition, exercise, and oral health. In the clinical context, the parent’s practices regarding the child’s consumption of sugary drinks and dental hygiene are evidence of a negative interaction, allowing the child to consume sugary drinks throughout the day, which raises concerns about its effects on oral health. Excessive sugar intake is associated with an increased risk of dental cavities and gum problems. This negative behavior underscores the need for guidance to promote healthier habits.
Conversely, the positive interaction of the parent brushing the child’s teeth twice a day is a demonstration of commitment to dental hygiene. Establishing good oral care habits at an early age is crucial for preventing dental problems and ensuring a child’s overall health. To address the negative behavior and enhance positive practices, anticipatory guidance is essential. The World Health Organization (WHO) provides recommendations on oral health, emphasizing the importance of limiting sugary food and drink consumption (Loveren, 2020). In providing anticipatory guidance, the nurse should acknowledge the existing routine of brushing the child’s teeth. Recognition of positive behaviors fosters a collaborative and supportive environment.
Professional and ethical communication is integral to guiding parents effectively. The nurse must acknowledge the existing routine, recognizing the efforts the parent is already making. By doing so, the nurse establishes a foundation of respect and understanding. State the importance of oral health, linking it to broader physical well-being, and offer alternatives to sugary drinks. This ensures that the communication is not only professional but also ethical. It avoids a judgmental tone, recognizing that parents may have varying levels of knowledge and resources. Providing alternatives rather than criticism empowers parents to make informed decisions about their child’s health.
Social-emotional development is a cornerstone in molding a child’s personality, influencing their ability to form relationships, express emotions, and interact with the social world. In the scenario, the parent shows concerns regarding the child’s reluctance to exhibit affectionate behaviors. The positive interaction where the parent attempts to engage the child in affectionate activities, is a commendable effort to address and understand the child’s social-emotional needs.
However, this interaction also shows the importance of providing guidance and support in fostering healthy social-emotional development. To address the parent’s worry, the nurse should have a conversation that involves discussing normal variations in child behavior and refer the parent to resources such as the Centers for Disease Control and Prevention (CDC) to learn developmental milestones. This allows parents to contextualize their child’s behaviors in a broader framework, helping them understand the social-emotional development of different children.
Ensuring the safety of a child is a responsibility that encompasses various aspects of the environment and parental practices. The negative interaction involves inconsistent storage of cigarettes, which poses a potential risk to the child. Cigarettes contain nicotine, and their accessibility to a child can result in accidental ingestion, posing severe health risks. This behavior shows the need for anticipatory guidance to address potential dangers in the child’s environment. On the positive side, the parent demonstrates awareness of the need for safety gates, indicating an approach to creating a secure living space for the child. This positive behavior is a commendable step towards preventing accidents where the child might be exposed to potential hazards.
To address the negative interaction and enhance positive safety practices, anticipatory guidance should be provided. Emphasis should be placed on consistent storage of harmful substances, such as cigarettes, in a secure and inaccessible location. Acknowledging the challenge faced by the parent in consistently storing cigarettes is crucial. This recognition ensures a non-judgmental approach, acknowledging the complexities of daily life and potential lapses in safety measures. The nurse should clearly state the risks associated with inconsistent storage of harmful substances, providing education on the importance of maintaining a safe environment for the child.
The non-judgmental approach is vital in fostering effective communication. Parents, when confronted with safety concerns, may feel defensive or overwhelmed. By acknowledging the challenge and providing education in a supportive manner, the nurse encourages a collaborative relationship with the parent, promoting a shared commitment to the child’s safety.
Understanding and mitigating environmental health risks are crucial for a child’s well-being. The negative interaction involves the child’s potential access to medication. On the positive side, the parent has the Poison Control number readily available. Anticipatory guidance should emphasize secure medication storage, referencing resources like the Consumer Product Safety Commission (CPSC). The nurse should acknowledge the challenge, state the risks, and provide solutions, ensuring an ethical and professional communication approach.
Holistic child health assessment involves addressing cognitive, physical, and social-emotional milestones, ensuring safety, and mitigating environmental health risks. Utilizing evidence-based guidelines and maintaining a professional and ethical communication strategy are essential for providing comprehensive and effective care. The nurse’s role is not only to address immediate concerns but also to empower parents with the knowledge and skills necessary for their child’s optimal development and well-being.
CDC. (2023, June 19). Child development basics. Centers for Disease Control and Prevention. https://www.cdc.gov/ncbddd/childdevelopment/facts.html
Loveren. (2020). Sugar restriction for caries prevention: Amount and frequency. Which is more important? Caries Research, 53(2), 168–175. https://doi.org/10.1159/000489571
Yogman, M., Garner, A., Hutchinson, J., Hirsh-Pasek, K., Golinkoff, R. M., Baum, R., Gambon, T., Lavin, A., Mattson, G., Wissow, L., Hill, D. L., Ameenuddin, N., Chassiakos, Y. (Linda) R., Cross, C., Boyd, R., Mendelson, R., Moreno, M. A., Radesky, J., Swanson, W. S., … MBE. (2021). The power of play: A pediatric role in enhancing development in young children. Pediatrics, 142(3), e20182058. https://doi.org/10.1542/peds.2018-2058
This criterion is linked to a Learning OutcomeTable #1
The student includes all of the required elements:20.0 pts
ExcellentAll 6 elements are present.19.0 pts
Very Good5 elements are present.18.0 pts
Satisfactory4 elements are present.10.0 pts
Needs Improvement3-4 elements are present.0.0 pts
Unsatisfactory0-1 elements are present.20.0 ptsThis criterion is linked to a Learning Outcome Table #2
The student includes all of the required elements:20.0 pts
ExcellentAll 6 elements are present.19.0 pts
Very Good5 elements are present.18.0 pts
Satisfactory4 elements are present.10.0 pts
Needs Improvement3-4 elements are present.0.0 pts
Unsatisfactory0-1 elements are present.20.0 ptsThis criterion is linked to a Learning Outcome Table #3
The student includes all of the required elements:20.0 pts
ExcellentAll 6 elements are present.19.0 pts
Very Good5 elements are present.18.0 pts
Satisfactory4 elements are present.10.0 pts
Needs Improvement3-4 elements are present.0.0 pts
Unsatisfactory0-1 elements are present.20.0 ptsThis criterion is linked to a Learning Outcome Table #4
The student includes all of the required elements:20.0 pts
ExcellentAll 6 elements are present.19.0 pts
Very Good5 elements are present.18.0 pts
Satisfactory4 elements are present.10.0 pts
Needs Improvement3-4 elements are present.0.0 pts
Unsatisfactory0-1 elements are present.20.0 ptsThis criterion is linked to a Learning Outcome Table #5
The student includes all of the required elements:20.0 pts
ExcellentAll 6 elements are present.19.0 pts
Very Good5 elements are present.18.0 pts
Satisfactory4 elements are present.10.0 pts
Needs Improvement3-4 elements are present.0.0 pts
Unsatisfactory0-1 elements are present.20.0 ptsThis criterion is linked to a Learning Outcome Late penalty deductions
Students are expected to submit assignments by the time they are due. Assignments submitted after the due date and time will receive a deduction of 10% of the total points possible for that assignment for each day the assignment is late. Assignments will be accepted, with penalty as described, up to a maximum of three days late, after which point a zero will be recorded for the assignment. Quizzes and discussions are not considered assignments and are not part of the late assignment policy.NR602 Week 4: Pediatric Clinical Pearl Case Study Assignment0.0 pts
Manual deduction0.0 pts
Manual deduction0.0 ptsTotal Points: 100.0NR602 Week 5 Activity iHuman Case 3 Assignment
The iHuman assignments provide students with an opportunity to experience clinical scenarios that are relevant to the lesson content through virtual patient encounters. iHuman is a highly interactive and a dynamic way to enhance your learning. NR602 Week 5: Activity: iHuman Case 3 Assignment
Through this assignment, the student will demonstrate the ability to:
Students need to complete the first attempt of the assigned iHuman case by Wednesday 11:59pm MT. Faculty will provide feedback to the student by Friday of the same week. The student has the option of 1 additional attempt to improve their score by Sunday 11:59pm MT at the end of week 5. There will only be a total of 2 attempts max per each iHuman assigned case.
Assignment submission is expected from students on time. The amount of points that may be earned for an assignment will be reduced by 10% for each day it is submitted beyond the due date and hour. Assignments will be accepted up to three days late with the specified penalty; after that time, a zero will be recorded for the assignment. NR602 Week 5: Activity: iHuman Case 3 Assignment
In the case that an emergency prevents them from submitting an assignment on time, students may petition their teacher for a waiver of the late submission grade reduction. The instructor will consider the student’s explanation for the request and reach a conclusion based on the merits of the appeal. The decision will take the student’s overall course performance into consideration. Students should continue showing up to class, engaging in discussions, and working on other assignments while the appeal is being reviewed. NR602 Week 5: Activity: iHuman Case 3 Assignment
Total Points Possible: 75 Points
In NR602, iHuman assignments will be assessed on the following areas: History Taking, Physical Exam, Differential Diagnoses, Rank diagnoses, MNM (must not miss) Diagnoses, Order tests, Final Diagnosis, Management Plan. A score of 80% or better is your target with this assignment. You will have (2) two attempts; the highest score of two attempts will be taken as the final grade. NR602 Week 5: Activity: iHuman Case 3 Assignment
NR602 Week 5 Evaluation of Marginalized Women Paper
The purpose of this assignment is to
This assignment enables the student to meet the following course outcomes:
Note: This assignment will follow the late assignment guidelines specified in the course syllabus. It is a TurnItIn assignment.
Total Points Possible: 150
This paper should clearly and comprehensively identify the disease or population health problem chosen. The problem must be an issue in your geographic area and a concern for the population you will serve upon graduation with your degree. The paper should be organized into the following sections:
Choose one topic from the following list:
What additional OLDCART and ROS information would you like? Why?
Differential diagnoses with rationale?
Further history and ROS needed to more fully develop your differential diagnoses?
Please add the following to your response:
Primary diagnoses and differential diagnosis with rational and the following in brief for your primary diagnosis:
Also Read:
NR602 Week 3: CEAP-NP Survey Paper
NR602 Primary Care of the Childbearing and Childrearing Family Papers
NR602 Week 7: Submission: iHuman Case 5
NR602 Week 6: Activity: iHuman Case 4 Assignment
NR602 Week 5 Evaluation of Marginalized Women Paper
As a Nurse practitioner, one of the best methods of mitigating the social impacts on marginalized women is to advocate for developing policies that protect women against discrimination (Baah et al., 2019). These policies should empower them and allow them to have access to healthcare. The policies will develop a comfortable and welcoming environment, improve overall quality care, and increase emotional safety for women. There are numerous policies at the state, government, and local levels which prevent women from accessing healthcare.
For instance, single motherhood, mental illnesses, and substance abuse disorders tend to make it difficult for women to access treatments compared to men. Since the main role of nurse practitioners is to advocate for all patients, it is critical to ensure that women are protected from discrimination and marginalization when accessing healthcare (Weitzel et al., 2020).
Nurses can also develop women-friendly healthcare services that provide patient-centered care and help physicians and nurses build trust with the women. It will ensure that the health services are accessible to them and allow them to discuss their health issues with their healthcare providers. Nurses also need to ensure that the hospital staff is culturally competent to develop a culturally safe environment where marginalized women can receive care in hospitals and their communities.
It is also important for nurses to find ways to mitigate the social determinants of health, such as income level for women (Weitzel et al., 2020). Since most of them do not have enough income, nurses can mobilize charity organizations and hospitals to reimburse their female patients with fair and childcare services to attend appointments, identify language skills, and document language preferences for better care provision.
Policies at the government, state, and local levels play a critical role in helping marginalized women and minority families to receive care. Numerous discriminative and unjust structural policies limit the ability of women to access care and increase the quality of healthcare for minority families (Prodan?Bhalla & Browne, 2019). The state policies encourage structural racism in social and healthcare service delivery, which means marginalized women receive poorer quality of care than men in the same social ranking. Therefore, when women are denied services, they have to live and endure the pain of their illnesses since healthcare providers do not discriminate over social and healthcare services with the dignity and respect they need.
Women face numerous stressors, cumulative sexism, and racism when accessing healthcare services, especially during biological processes that undermine mental and physical health. These policies can promote women in accessing employment opportunities leading to reduced income levels, which often lead to higher employment rates and a lack of opportunities to get educated (Baah et al., 2019). Nurses can advocate for better policies from the state, government, and local levels to eliminate injustices toward marginalized women.
Various populations in the United States experience greater health disparities compared to the others. However, the main cause for the disparities varies from fundamental health differences across segment population status to factors that impact health policies and inequalities, which are the health determinants (Prodan?Bhalla & Browne, 2019). With so many policies implemented that directly impacts marginalized groups, healthcare policies have the most significant impact. They are funded at the federal level to ensure affordable and quality healthcare for all (Weitzel et al., 2020). The policy guarantees universal healthcare to all citizens regardless of their financial status.
When the government or states implement policies, they often directly impact marginalized groups either positively or negatively. The policies are often implemented to directly influence sectors or individuals within the specific community that the policy is designed for (Prodan?Bhalla & Browne, 2019). Therefore, the policies will impact how communities relate and face their day-to-day activities with the basis of operating under the new policies. For example, some policies affect the marginalized group negatively, such as those that deny women employment opportunities hence minimizing their source of income.
An example of such policies is the nondiscrimination policies for the equal employment opportunity act implemented in the late 1970s and early 1980s. These policies aimed to reduce the wage gap and allow women to enjoy equal opportunities in the work sector as men (Weitzel et al., 2020). On the other hand, although such policies harmed women directly, they still had some positive impact, such as accessible healthcare through the implementations of programs such as medicare. It ensured easy access to healthcare even to lower-income groups, older adults, and disabled groups. In other words, the policies guarantee that communities can effectively access quality and affordable care irrespective of their financial standings in society.
Baah, F. O., Teitelman, A. M., & Riegel, B. (2019). Marginalization: Conceptualizing patient vulnerabilities in the framework of social determinants of health—An integrative review. Nursing Inquiry, 26(1), e12268.
Prodan?Bhalla, N., & Browne, A. J. (2019). Exploring women’s health care experiences through an equity lens: Findings from a community clinic serving marginalised women. Journal Of Clinical Nursing, 28(19-20), 3459-3469. https://doi.org/10.1111/jocn.14937
Weitzel, J., Luebke, J., Wesp, L., Graf, M. D. C., Ruiz, A., Dressel, A., & Mkandawire-Valhmu, L. (2020). The role of nurses as allies against racism and discrimination: An analysis of key resistance movements of our time. Advances in Nursing Science, 43(2), 102-113.
Submit your Case Study completion score form here once you have finished the iHuman Case on Pediatric Asthma. Your completion score sheet may be submitted again if necessary.
Please visit the Week 5: iHuman Activity page if you haven’t finished it yet. Assignment: iHuman Case on Pediatric Asthma for access to iHuman and for the purposes of the assignment. NR602 Week 5: Submission: iHuman Case 3
History taking, physical examination, differential diagnoses, rank diagnoses, MNM (must not miss) diagnoses, ordering tests, final diagnosis, and management plan are the areas in which iHuman assignments in NR602 will be evaluated.
Each of these sections must be completed including the EMR section for the assignment to be considered complete.
A score of 80% or better is your target with this assignment. You will have (2) two attempts; the highest score of two attempts will be taken as the final grade. NR602 Week 5: Submission: iHuman Case 3
This criterion is linked to a Learning OutcomeAssignment Content
Virtual Patient EncounterNR602 Week 5: Submission: iHuman Case 375.0 pts
ExcellentStudent achieves a score of 80-100% on the assigned iHuman activity.68.0 pts
Very GoodStudent achieves a score of 70-79% on the assigned iHuman activity.62.0 pts
SatisfactoryStudent achieves a score of 55-69% on the assigned iHuman activity.38.0 pts
Needs ImprovementStudent achieves a score of 30-54% on the assigned iHuman activity.0.0 pts
UnsatisfactoryStudent achieves a score of 0-29% on the assigned iHuman activity.75.0 ptsThis criterion is linked to a Learning OutcomeLate Penalty Deductions
Students are expected to submit assignments by the time they are due. Assignments submitted after the due date and time will receive a deduction of 10% of the total points possible for that assignment for each day the assignment is late. Assignments will be accepted, with penalty as described, up to a maximum of three days late, after which point a zero will be recorded for the assignment. Quizzes and discussions are not considered assignments and are not part of the late assignment policy.NR602 Week 5: Submission: iHuman Case 30.0 pts
Manual Deduction0.0 pts
Manual Deduction 0.0 ptsTotal Points: 75.0Address the following questions:
Include the following components:
Pt. scenario:
H.K. is a 2-year-old male with a medical history significant for Down syndrome and atrial-septal defect that was repaired who was brought into the clinic by his mother for abdominal pain for 2 days and one episode of vomiting last night. Mother states that he has been lethargic, has fewer wet diapers and no bowel movement for one day due to his decrease in appetite.
Mother states that the patient had fallen off the bed while napping. No medications have been given for the pain.
Problem Statement: H.K. is a 2-year-old male with a medical history significant for Down syndrome and atrial-septal defect that was repaired who was brought into the clinic by his mother for abdominal pain for 2 days with 1 episode of vomiting last night. Mother states that symptoms began after the patient fell from the bed while taking a nap. She states that he has been lethargic, has decreased wet diapers daily with dark and strong-smelling urine and no bowel movement for one day and has had a decrease in appetite. Upon assessment, the patient is listless and has poor eye contact. Skin is pale, cool, and slightly mottled. Diffuse diaper rash noted. Faint circumferential macular discoloration at wrists consistent with aging ligature marks.
Ecchymoses overlying epigastrium measuring 10cm in diameter in an oval shape. Hypoactive BS x 3. Distended, firm abdomen. Diffuse tenderness on palpation with associated guarding. 2cm, reducible umbilical hernia. No medications have been given to the patient.
In Roanoke, Virginia, there are several resources available to assist children with disabilities who also undergo abuse. For example, Carilion Clinic offers pediatric emergency services, and given H.K.’s medical history of Down syndrome and atrial-septal defect, the specialized care available at Carilion Clinic is important for the child’s well-being (Carilion Clinic, 2023). Pediatric cardiology specialists provide targeted interventions and ongoing care to manage H.K.’s cardiac condition, ensuring optimal health outcomes. Similarly, H.K. can receive comprehensive medical attention tailored to his unique health profile, ensuring diagnosis and effective management of his presenting symptoms.
Access to these healthcare facilities is evidence of Roanoke’s commitment to providing top-tier medical care for pediatric patients. In addition to medical services, Roanoke has resources to support families in crisis or facing challenges related to child welfare. The Roanoke Department of Social Services offers programs and support for families experiencing child abuse or neglect (Roanoke, 2024). They provide assistance, intervention, and resources to ensure the safety and well-being of children in the community.
The Roanoke Department of Social Services offers programs and support services, such as providing assistance, intervention, and resources to safeguard the safety and well-being of children within the community (Roanoke, 2024). Families in distress can avail themselves of various support programs administered by the Roanoke Department of Social Services, including counseling services, parenting classes, and access to community resources to address underlying issues contributing to child welfare concerns. The department operates in close collaboration with other local agencies and organizations to ensure a coordinated and comprehensive response to instances of child abuse or neglect.
By Virginia law, healthcare professionals serve as mandated reporters of child abuse or neglect. This stipulates that any individual who has reasonable grounds to suspect that a child is subjected to abuse or neglect must report such concerns to the local Department of Social Services or the Child Protective Services hotline (Roanoke, 2024). Importantly, reports can be submitted anonymously, ensuring confidentiality for the reporter.
The physical findings observed in H.K.’s case, including ligature marks, ecchymoses, and abdominal tenderness, are all indications for immediate reporting to safeguard his safety and well-being. These are suggestive of potential abuse or neglect, necessitating intervention to mitigate any further harm. The reporting process entails providing information and details regarding suspected abuse or neglect to the designated authorities (Roanoke, 2024). This includes thorough documentation of the observed physical findings, relevant medical history, and any additional information deemed critical to the case. This allows for a thorough investigation and implementation of appropriate intervention measures to protect the child from harm.
Carilion Clinic. (2023). Visitroanokeva.com. https://www.visitroanokeva.com/listings/carilion-clinic/5998/
Roanoke. (2024). Benefits programs. Roanokeva.gov. https://www.roanokeva.gov/383/Benefits-Programs
Through virtual patient interactions, the iHuman assignments provide students the chance to participate in clinical scenarios that are pertinent to the course material. iHuman is a dynamic and highly engaging approach to improve your learning NR602 Week 6: Activity: iHuman Case 4 Assignment.
Through this assignment, the student will demonstrate the ability to:
Students need to complete the first attempt of the assigned iHuman case by Wednesday 11:59pm MT. Faculty will provide feedback to the student by Friday of the same week. The student has the option of 1 additional attempt to improve their score by Sunday 11:59pm MT at the end of week 6. There will only be a total of 2 attempts max per each iHuman assigned case NR602 Week 6: Activity: iHuman Case 4 Assignment.
Assignments are expected to be turned in on time by students. For each day an assignment is late, 10% of the potential points will be deducted. This rule applies to both late and early submissions. Up to three days late, assignments will be accepted with the specified penalty; beyond that, the grade for the assignment will be zero.
Students may ask their teacher for a waiver of the late submission grade decrease if an emergency prevents them from submitting an assignment on time. The teacher will go at the student’s justification for the request and make a decision based on the appeal’s merits NR602 Week 6: Activity: iHuman Case 4 Assignment.
The determination will take into account the student’s overall course performance up to that point. While the appeal is being considered, students should keep coming to class, participating in discussions, and doing other projects.
Total Points Possible: 75 Points
In NR602, iHuman assignments will be assessed on the following areas: History Taking, Physical Exam, Differential Diagnoses, Rank diagnoses, MNM (must not miss) Diagnoses, Order tests, Final Diagnosis, Management Plan. A score of 80% or better is your target with this assignment. You will have (2) two attempts; the highest score of two attempts will be taken as the final grade NR602 Week 6: Activity: iHuman Case 4 Assignment.
Burns, C.E. (2020). Pediatric Primary Care (7th ed.). Saunders Elsevier
Hay, W., Levin, M., Deterding, R., & Abzug, M. (2018). Current diagnosis and treatment: Pediatrics (24th ed.). McGraw Hill.
Kliegman, R., Stanton, B., St. Geme, J., & Schor, N. (2016). Nelson textbook of pediatrics (20th ed.). Elsevier Saunders.
Marcdante, K., & Kliegman, R. (2019). Nelson essentials of pediatrics (7th ed.). Saunders.
McCance, K.L. & Huether, S.E (2015). Pathophysiology: The biologic basis for disease in adults & children (7th ed.). Mosby.
What further OLDCART and ROS information is important today specific to their chief complaints? What are their chief complaints/concerns?
What are the differential diagnoses based on the chief complaints for Lily and Riley with rationale?
Case Study Discussion – Part 2
Assessment
Primary diagnoses for Lily and Riley with rationale
Differential diagnoses with rationale
Plan for one primary diagnoses based on one current evidence-based journal article
Further diagnostic work-up not included above
Medications
Referrals
Conservative measures
Patient education
Follow-up plan
Case Study Discussion – Part 3
Written summation of case in SOAP format.
Also Read:
NR602 Week 5 Evaluation of Marginalized Women Paper
NR602 Primary Care of the Childbearing and Childrearing Family Papers
NR602 Week 7: Submission: iHuman Case 5
NR602 Week 6: Activity: iHuman Case 4 Assignment
NR602 Week 7: Submission: iHuman Case 5
Submit your Case Study completion score sheet here once you have finished the iHuman Case on Constipation/Encopresis. Your completion score sheet may be submitted again if necessary.
Visit the Week 7: Activity: Constipation/Encopresis assignment for the assignment requirements and access to iHuman if you have not yet finished the iHuman activity NR602 Week 7: Submission: iHuman Case 5.
History taking, physical examination, differential diagnoses, rank diagnoses, MNM (must not miss) diagnoses, ordering tests, final diagnosis, and management plan are the areas in which iHuman assignments in NR602 will be evaluated. NR602 Week 7: Submission: iHuman Case 5
Your goal for this assignment is to receive a score of 80% or above. The highest score from your (2) two tries will be used to determine your final grade.
For the assignment to be deemed finished, all of these sections—including the EMR section—must be filled out. NR602 Week 7: Submission: iHuman Case 5
This criterion is linked to a Learning OutcomeAssignment Content
Virtual Patient Encounter75.0 pts
ExcellentStudent achieves a score of 80-100% on the assigned iHuman activity.68.0 pts
Very GoodStudent achieves a score of 70-79% on the assigned iHuman activity.62.0 pts
SatisfactoryStudent achieves a score of 55-69% on the assigned iHuman activity.38.0 pts
Needs ImprovementStudent achieves a score of 30-54% on the assigned iHuman activity.0.0 pts
UnsatisfactoryStudent achieves a score of 0-29% on the assigned iHuman activity.75.0 ptsThis criterion is linked to a Learning OutcomeLate Penalty Deductions
Students are expected to submit assignments by the time they are due. Assignments submitted after the due date and time will receive a deduction of 10% of the total points possible for that assignment for each day the assignment is late. Assignments will be accepted, with penalty as described, up to a maximum of three days late, after which point a zero will be recorded for the assignment. Quizzes and discussions are not considered assignments and are not part of the late assignment policy.NR602 Week 7: Submission: iHuman Case 50.0 pts
Manual Deduction0.0 pts
Manual Deduction0.0 ptsTotal Points: 75.0Please prepare yourself to complete the well-woman exam and one of the well-child exams of your choosing. NR602 Week 7: Submission: iHuman Case 5
Per patient- give additional HPI information and questions you would like as well as PMH, Family History, and ROS. Begin to lay out the objective portion of your note for each patient.
What is your differential diagnosis list for this visits thus far with rational for each of your two patients?
For the child you choose, please list all of the appropriate anticipatory guidance that should be done at a well visit for that age. Expand on one of the topics from your list and provide the education you would offer with citations. NR602 Week 7: Submission: iHuman Case 5
For the patients you have chosen what are your primary and secondary diagnoses now with ICD-10 codes with rationale?
What other diagnostics, preventive screenings, or preventive health actions are you considering for your patients at this time and why?
Written summation of case in SOAP format.
Also Read:
NR602 Week 3: CEAP-NP Survey Paper
NR602 Week 5 Evaluation of Marginalized Women Paper
NR602 Primary Care of the Childbearing and Childrearing Family Papers
NR602 Week 6: Activity: iHuman Case 4 Assignment
Midpoint Stakeholder PowerPoint Presentation Guidelines
The purpose of this assignment is to
This assignment enables the student to meet the following Course Outcomes.
(CO 3): Integrate effective communication techniques and relationship management in the role of an informatics nurse specialist. (PO 3)
Due Date
Submit to the Dropbox by Sunday, 11:59 p.m. MT by end of Week 7.
After completion of the initial implementation and execution of the project plan, which was designed in NR640 Nursing Informatics Project Management and Practicum, determine what comprises the most relevant data and evidence that support your proposal for changing and /or addressing the issue you have identified Chamberlain College of Nursing NR642 Nursing Informatics Concluding Experience I.
What do the stakeholders need to know to understand and appreciate your project? Develop a concise outline presenting the topic, existing literature, and proposed change of the problem or concern. The Execution/Implementation of Project Summary submitted in Week 1 and Nursing Informatics Capstone Research Plan submitted in Week 3 should guide you in creating a PowerPoint presentation based on your project Chamberlain College of Nursing NR642 Nursing Informatics Concluding Experience I.
There is also a PPT template in Doc Sharing that will assist with the development of the presentation. This presentation must be succinct and to the point, because you are presenting to key stakeholders and leadership who may only give you 10–15 minutes for your presentation and will ask a number of questions Chamberlain College of Nursing NR642 Nursing Informatics Concluding Experience I.
The following should be incorporated into the presentation.
See the PPT template in Doc Sharing that will assist with the development of the presentation.