Denver College of Nursing

NUR 335 Practicum Assignment 5.1

Health Promotion Assessment Worksheet

A health promotion assessment is a targeted assessment where the nurse assesses for health risks and education gaps that can be improved through health promotion interventions

Use this worksheet to interview an individual. There is a section at the bottom for you to add additional assessment information. Document your findings on the worksheet

Demographics

Initials: ________________

Age:___________________

Sex: ___________________

Primary Language Spoken: _______________

Cultural Background:____________________

______________________________________

General Health

How would you rate your general health?

Have you had a wellness checkup with a healthcare provider in the past year?

Have you ever been told by a health care provider that you have a chronic disease such as hypertension, diabetes, heart disease, stroke, arthritis or kidney disease?

In the past month, have you had pain on more than three days that impacted your ability to perform your normal daily activities?

If yes:

· Where was the pain located?

· What have you tried to relieve the pain?

How would you rate the quality of your sleep?

· How many hours do you regularly sleep in a night?

· Do you ever wake up before you wanted to?, you have problems falling asleep?

Medications

Are you currently taking medicine for any chronic condition?

· Do you know what the medication is used to treat?

· Have you missed doses of your medication in the last week?

Women Only:

Are you pregnant or planning on becoming pregnant in the next year?

A mammogram is an x-ray of each breast to look for breast cancer. Have you ever had a mammogram?

· If yes, when was your last mammogram?

A Pap test is a test for cancer of the cervix. Have you ever had a Pap test?

· If yes, when was your last Pap test?

Men Only:

A PSA test is a test for cancer of the prostate. Have you ever had a PSA test?

· If yes, when was your last PSA test?

Lifestyle

Do you now smoke cigarettes every day, some days or not at all?

· If you are currently smoking, have you tried to quit?

· If yes, what methods have you used to quit smoking?, Were the methods successful?

For the questions below consider the past week in your answer:

Write a 4-5 page analysis paper with two additional templates in which you evaluate team member performance at the practicum site, including your own, against best practices of effective health care teams. Recommend evidence-based strategies to improve your performance and the performance of other team members. Practicum site is a hospital

 

Topic for capstone

patients with a serious mental illness (SMI) hospitalized in inpatient psychiatric hospitals are a challenging safety problem. Early identification of aggressive behaviors is vital to helping nursing staff develop proactive interventions that focus on prevention. Structured risk assessments identify the level of risk and allow for early interventions.

Introduction

Team effectiveness is a phrase we all use, but all define differently. For this assessment, we will define team effectiveness as: “The capacity a group of individuals has to accomplish their own and their shared goals and objectives” (Katzenbach, & Smith, 1993). This definition clearly acknowledges duality. Teams are groups with shared goals. Simultaneously and unavoidably, teams consist of individuals; each individual has goals of his or her own.

Every team member has three responsibilities to ensure the proper balance between shared and individual goals:

• Commit to the team’s shared goals. If you cannot make that commitment, do not be on the team.
• Meet your individual needs. You need to be able to be assertive, state what you need, and find ways to pursue your doctoral project’s goals in accordance with the team’s pursuit of the shared goal.
• Support every other team member. This means considering and even accommodating others, at times, so that they can accomplish their goals.

Even a strong doctoral project with a precisely delineated project charter can fail if the team implementing the project is poorly functioning. The same holds true for any project, work or otherwise.

To help ensure the completion, quality, and effectiveness of your doctoral project, in this assessment you will write a 4- to 5-page analysis paper—with two templates. In your paper, you will:

• Describe evidence-based practices of effective health care teams.
• Evaluate team member performance at your practicum site, including your own, against these best practices.
• Recommend evidence-based strategies to improve less than optimal team behaviors, including your own.

Remember that you too are a member of this team. Devoting time, energy, and attention to your personal development in this area is a building block for extending your influence. You can only lead or influence others to the extent you can lead yourself.

Reference

Katzenbach, J. R., & Smith, D. K. (1993). The wisdom of teams: Creating the high-performance organisation. Boston: Harvard Business School Press.

Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

• Competency 3: Apply relationship-building values and principles of team dynamics to plan, deliver and evaluate patient/population-centered care, health programs, and policies that are safe, timely, effective, effective and equitable.
  • Describe evidence-based best practices of effective health care teams.
  • Analyze team performance at practicum site against best practices of effective health care teams.
  • Recommend evidence-based strategies to improve less than optimal team behaviors that could negatively impact project completion, effectiveness, and quality.
  • Assess personal performance against best practices of effective health care teams.
  • Recommend evidence-based strategies to address less than optimal personal team behaviors that could negatively affect project completion, effectiveness, and quality.
• Competency 4: Address assessment purpose in a well-organized text, incorporating appropriate evidence and tone in grammatically sound sentences.
  • Create a clear, well-organized, professional analysis paper that uses appropriate tone and is generally free from errors in grammar, punctuation, and spelling.
  • Integrate relevant sources to support arguments, correctly formatting citations and references using APA style.

In  this Week  you will have a case study. For this case study, you will examine a case study and analyze the symptoms presented. You will identify the elements that may be factored in the diagnosis, and you will explain the implications to patient health.

If your last name starts with A-M, please discuss this case.

A 32-year-old female presents to the ED with a chief complaint of fever, chills, nausea, vomiting, and vaginal discharge. She states these symptoms started about 3 days ago, but she thought she had the flu, has begun to have LLQ pain and notes bilateral lower back pain. And denies dysuria, foul-smelling urine, or frequency. States she is married and has sexual intercourse with her husband. PMH negative.

Labs: CBC-WBC 18, Hgb 16, Hct 44, Plat 325, ­ Neuts & Lymphs, sed rate 46 mm/hr, C-reactive protein 67 mg/L CMP wnl

Vital signs T 103.2 F Pulse 120 Resp 22 and PaO2

99% on room air. Cardio-respiratory exam WNL with the exception of tachycardia but no murmurs, rubs, clicks, or gallops. Abdominal exam + for LLQ pain on deep palpation but no rebound or rigidity. Pelvic exam demonstrates copious foul-smelling green drainage with reddened cervix and + bilateral adenexal tenderness. + chandelier sign. Wet prep in ER + clue cells and gram stain in ER + gram negative diplococci.

In particular, explain the following:

The factors that affect fertility (STDs).

Why inflammatory markers rise in STD/PID.

Why prostatitis and infection happens. Also explain the causes of systemic reaction.

Why a patient would need a splenectomy after a diagnosis of ITP.

Anemia and the different kinds of anemia (i.e., micro and macrocytic).

If the bullet point does not respond to your case, please do not address it.

Assignment (3- to 4-page case study analysis)

In your Case Study Analysis related to the scenario provided, explain the following:

• Both the neurological and musculoskeletal pathophysiologic processes that would account for the patient presenting these symptoms.

• Any racial/ethnic variables that may impact physiological functioning, How these processes interact to affect the patient.

Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The sample paper provided at the Walden Writing Center provides an example of those required elements

RUBRIC

Written Expression and Formatting – Paragraph Development and Organization:

Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction are provided that delineate all required criteria.

Written Expression and Formatting – English Writing Standards: Correct grammar, mechanics, and proper punctuation.

Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list

Evidence based intervention method.

Identifying a population and the intervention need is the first step in evidence based intervention. The selected population in this case is African Americans living in Hialeah. Florida. Life expectancy of the selected population has drastically reduced due to heart diseases and complications in the past ten years The Hispanic/Latino Population In Hialeah, Florida,. Heart diseases is a major concern in the African Americans especially in this region. It is the leading cause of mortality in Hialeah (Mendy, Vargas & El-sadek, 2016). A lot of health disparities are faced by the selected population. This is because the population lacks proper formal education which results in illiteracy in matters concerning their health. In addition, the lack of formal education means that majority of the population cannot get formal employment due to lack of skills further leading to poverty.

From this assessment, it is clear that the selected population needs an intervention to reduce disparities in health care. There exist differences among races in terms of health care. However, from research it is clear that most adults in the selected area have relatively poor cardiac health (Short, Gamble & Mendy, 2013). The aim of Healthy People 2020 is to improve cardiovascular health by treatment. Detection and prevention of associated risk factors (Short et al., 2013). Prevention can be done by smoking cessation, maintaining a healthy weight, physical exercises. And eating healthy (Short et al., 2013).

Detecting the disease can be done by regular checkups according to the schedule laid out by the physician. Hypertension, hypercholesterolemia. Diabetes and hypertension are the associated risks of the disease that can be treated. Educating the population on treatment, detection and prevention of the associated risk factors of the heart disease can aid in implementing a prevention plan.

Ways in which the intervention method addresses the CLAS standards.

The intervention plan I have selected seeks to detect, prevent and treat risk factors linked to the cardiac disease. All interventions included address the standards of CLAS by continuous improvement, accountability and promoting engagement. Treatments, detection and prevention strategies encourage patient centered care and patient involvement. In order to achieve the intended goal of the intervention the selected population will have to be educated on the heart disease. It is important for the people to understand risk factors of the disease in order to be better prepared. Medium language of communication will be simple English. Further explanation of medical terminologies will be used in case the selected population is having difficulties understanding them. Goal here is to use the simplest language to make the population better understand the medical issue at hand. The Intervention plan will also seek to address standards of communication used in CLAS.

Professional experience on the topic.

According to my experience heart disease is a prevalent issue in many African American communities. It is attributed to poor health literacy. For instance, majority of the population is not aware of the different ways of preventing detecting and treating the heart disease and other associative factors. I view it as part of my duty as a professional to educate families and individuals on how to prevent the disease. Reason being I also have members of my family too affected by the cardiac disease. So the issue is of importance to me. By educating others I get to help in stabilizing and maintaining the disease.

As a professional I have also observed that humanity at large is a creature of habit. A patient may be educated and have a deeper understanding of the potential risks associated with the disease but will not pay attention. It is not until a scary event happens that an individual will want to change their behavior and lifestyle. For example, it may take a patient to suffer from a heart attack for them to completely quit smoking. Therefore, it is crucial for patients to be reminded time and again the risk factors associated with the disease. Further, patients who have gone through a near fatal experience can share their experiences in order to reinforce the idea. It is a good way for individuals to learn of what they are putting at risk.

References:

Chamberlain College of Nursing. (2020). NR-704 Week 1: Leading culturally and linguistically

appropriate healthcare. Retrieved from [Online lesson]. Downers Grove, IL; Adtalem.

Mendy, Vincent L.; Vargas, Rodolfo; El-sadek, Lamees. PLoS ONE. 8/12/2016, Vol. 11 Issue 8, p1-9. 9p. DOI: 10.1371/journal.pone.0161194., Database: Academic Search Complete

Short, Vanessa L.; Gamble, Abigail; Mendy, Vincent. Preventing Chronic Disease, 11/21/2013,

Vol. 10, p1-9, 9p, 3 Charts. Publisher: National Center for Chronic Disease Prevention & Health

Promotion., Database: Complementary Index