Include APA formatted in-text citations and reference page. References must be published in the last 5 yrs. Medical dictionaries and textbooks are excellent references. Websites must be .gov, .org, and .edu. NO .com websites. NO patient education websites (Mayo, Cleavland clinic).
Students must follow HIPAA guidelines in the clinical setting and outside of clinical setting.
- First violation of HIPAA will receive a point deduction on the assignment. Any violations will have a black highlight through the violation when returned.
- Second violation – Student will receive a zero on the assignment and be placed on probation.
(See full policy in the Nursing Student Handbook.)
- Nursing Management: Describe what complete holistic nursing cares would be for the typical patient with your assigned resident’s primary diagnosis. This should come from a textbook or reputable source (approved by instructor). Cite reference.
- Collaborative Health Care: Describe the interprofessional teams that may be involved in the care of a patient with the primary diagnosis of your assigned resident. How can nursing support these disciplines? (ex: Physical Therapy, Occupational Therapy, Speech, Social Work, Case Management) Cite reference.
- Head to Toe assessment:
| General Survey/Skin | Objective: |
| Subjective: | |
| Head and Neck, Eyes, Ears, Nose, Throat | Objective: |
| Subjective: | |
| Respiratory | Objective: |
| Subjective: | |
| Cardiovascular | Objective: |
| Subjective: | |
| Abdominal | Objective: |
| Subjective: | |
| Elimination | Objective: |
| Subjective: | |
| Musculoskeletal | Objective: |
| Subjective: | |
| Neurological | Objective: |
| Subjective: | |
| Vital Signs/Pain | Objective: |
| Subjective: | |
| Social, Cultural, Spiritual | Objective: |
| Subjective: | |
| Erickson’s Developmental Tasks cite reference | |
| Maslow’s Hierarchy of Needs cite reference | |
- Nursing Process
| Analyze your head to toe assessment findings in the section above. List three abnormal findings. (3)
1. 2. 3.
Determine a priority concern for your resident. Explain why you chose this. Remember concerns are not a medical diagnosis. (2)
|
| Create a plan related to your priority concern. What is the goal? What outcome are you striving for to promote, maintain or restore your resident’s health? Be specific and discuss outcomes that you believe are obtainable during your 4 week clinical experience. It should be something you are able to do or assist with as the student nurse. (2) |
| Take action. Determine three nursing interventions that address your priority concern and provide rationale on how the interventions promote your resident’s health. Discuss how they will be implemented. These should come from a medical reference. (6) Cite reference
1. 2. 3. |
| Evaluate the effectiveness of each intervention for your priority assessment concern. Did the intervention promote, maintain or restore health? (3)
1. 2. 3. |
| Evaluate the overall progression towards the goal for your priority concern for your assigned resident. Was the goal achieved? Why or why not? Would you keep this goal or change it? (1) Make sure you address each question. |
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