How much time do you think is appropriate for an APN to spend with a patient and their family on the initial encounter?  

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1.  How much time do you think is appropriate for an APN to spend with a patient and their family on the initial encounter?
2.   do you think communication is being an important and vital process to developing a trusting and therapeutic relationship.
3. Do you think  direct clinical practice is the central competency of the seven core competencies for advanced practice nurses
4.  When confronted with an ethical dilemma, what do you think is the first step to make? Do you consult the team right away?
I need 4 separated word message for each question. Should be at least 120 words for each question. Not need APA format. Only answer the questions. Please must include at least 4 references. one reference for each of the question.

Discuss how the age of the female patient, demographics, race, and lifestyle will drive your exam and plan of care

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MN577 Discussion Board: Women’s Health Focus

No Plagiarism please.
Will need minimum of 300 words, APA Style, double spaced, times new roman, font 12, and and Include: (3 references within years 2015-2018) with intext citations.
 
The purpose of this unit is to focus on performing the necessary components of the women’s health exam and to learn to identify crucial exams and necessary age appropriate screenings for the women’s health client.
Discuss how the age of the female patient, demographics, race, and lifestyle will drive your exam and plan of care. (Pap smear screening)
Give examples and support with evidence-based practice. (Create plan of care for a young African American women that is sexually active, use example of higher incidence rate of cervical cancer in African-American women, also mention the benefit of HPV vaccinations).

Asthma

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A Synthesis paper on the topic of Asthma is needed. I provided a rubric to address the concepts in the left hand column and included additional information below.
4 pages (1000 words) excluding title and reference page.

Needed on or before 06/07/18.

4-8 references

Thank You,

Major Paper Rubric 100 points

This rubric will be used to grade your major paper. .

  Levels of Achievement
Criteria Excellent Good Fair Poor
Content  Epidemiology Definition Pathophysiology 20%  18.6 to 20 points
Identifies the issue and why the topic is important to explore. Determinants of health covered in detail and supported by research. –Topic interesting, of appropriate breadth for length of paper & an appropriate topic for research. –Support for thesis complex, complete, & in-depth. –Writer involved with subject, not merely doing an assignment. –Clear and appropriate organization, with effective transitions, introduction, and conclusion.		 17 to 18.59 points
Topic somewhat broad or narrow for length of paper and /or a questionable topic for research. –Determinants of health addressed but minimally supported. –Support for thesis sufficient, but lacking in depth or complexity. –Organization, transitions, introduction, and conclusion slightly lacking clarity and/or appropriateness.		 15 to 16.9 points
Topic too broad or narrow for length of paper. –Support for thesis is not substantially sufficient. –Organization, transitions, introduction, and conclusion are inconsistent, lacking clarity and depth		 0 to 14.9 points
Topic too broad or narrow for length of paper and/or a poor topic for research. –Support for thesis barely sufficient, and/or. –Organization, transitions, introduction, and conclusion lacking clarity and/or appropriateness. Poor transitions, introduction and/or conclusion.
Quality of Research/Review of Literature
20%		 18.6 to 20 points
All components of the paper aea addressed and researched in depth , evidence- based and beyond the obvious revealing new insights		 17 to 18.59 points
All components of the paper are addressed are researched in depth, evidenced -based but lacking any new insights		 15 to 16.9 points
Incomplete/sketchy addressing of paper components, miminal inclusion of evidenced-based practice		 0 to 14.9 points
Some components of paper missing or not addressed Differential diagnoses, management and patient education are missing or not appropriate.
Diagnoses 10% 9.3 to 10 points
More than 3 appropriate differential diagnoses identified and throughly discussed.		 8.5 to 9.29 points
3 apppropriate differential diagnoses identified and throughly discussed.		 7.5 to 8.49 points
3 appropriate differential diagnoses are identified but are not throughly discussed.		 0 to 7.49 points
< 3 appropriate differential diagnoses are identified or 3 differential diagnoses identified but not appropriate and not throuhgly discussed.
Plan of Care/Interventions 20%  18.6 to 20 points
Management including pharmacological and nonpharmacologica interventions and patient education are identified, evidenced-based and throughly discussed.		 17 to 18.59 points
.Management including pharmacological and nonpharmacologica interventions and patient education are identified evidenced-based and but not throughly discussed.		 15 to 16.9 points
Management including pharmacological and nonpharmacological interventions and patient education are skecthy and/or not evidenced-based and/or not throughly discussed.		 0 to 14.9 points
Management including pharmacological and nonpharmacological interventions and patient education are not included or presented but inappropriate.

  Levels of Achievement
Criteria Excellent Good Fair Poor
Role of the FNP related to the topic chosen 15%  13.95 to 15 points
Synthesizes the role of the FNP into the chosen topic based upon ANCC core competencies. EBP guidelines provide the basis for management		 12.75 to 13.9 points
Describes the role characteristics of the FNP in relation to the chosen topic. General management strategies identified.		 11.25 to 12.74 points
Role of FNP addressed but related tangentially to the chosen topic. Management strategies identified but not specific to the case study or referenced from EBP documents.		 0 to 11.24 points
Role of FNP superficially addressed, incomplete or inappropriate management strategies addressed. Poor documentation of strategies. No EBP documentation.
Grammar/ Mechanics 10% 9.3 to 10 points
2 or less errors in format or punctuation or capitalization. –Consistent and appropriate voice. — Sophisticated and precise word choice. Paragraph size appropriate –No spelling errors. No slang. –No errors in agreement, pronouns/antecedents, or tense. –Met all style and min/max page requirements		 8.5 to 9.29 points
4 or less errors in format, punctuation, or capitalization. — Voice mostly consistent and appropriate. Lengthy paragraphs — Fairly effective word choice. –No more than 2 spelling errors. –Fewer than 1 errors in agreement, pronouns/antecedents, or tense. –Met most style and min/max page requirements		 7.5 to 8.49 points
6 or less errors in format, punctuation or capitalization. Voice somewhat consistent and appropriate. Errors distract from readability. Lengthy paragraphs — Correct word choice. –More than 3 spelling errors. –More than 2 errors in agreement, pronouns/antecedents, or tense. Failed to meet style and/or min/max page requirements		 0 to 7.49 points
Many errors in format, punctuation, or capitalization. Paper fails to flow in a logical sequence. Failed to meet style and/or min/max page requirements.
Bibliography 5 % 4.65 to 5 points
Sources reliable and properly cited. A minimum of 8 references (>6 EBP journal articles. All references correctly cited in the paper and the bibliography. All information relevant to topic.		 4.25 to 4.64 points
Sources reliable and properly cited but has secondary references. A minimum of 8 references (<6 EBP journal articles. All references correctly cited in the paper and the bibliography. Information relevant to topic.		 3.75 to 4.24 points
Sources reliable and properly cited. Articles do not substantially support your topic. 8 references (>6 EBP journal articles. All information relevant to topic.		 0 to 3.74 points
Second hand sources and incorrectly cited. Does not have a minimum of 8 references and/ or have less than 6 EBP journal articles. Most of l information not relevant to topic.

what provides the patient with strength and hope?

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This assignment requires you to interview one person and requires an analysis of your interview experience.
Part I: Interview
Select a patient, a family member, or a friend to interview. Be sure to focus on the interviewee’s experience as a patient, regardless of whom you choose to interview.
Review The Joint Commission resource found in topic materials, which provides some guidelines for creating spiritual assessment tools for evaluating the spiritual needs of patients. Using this resource and any other guidelines/examples that you can find, create your own tool for assessing the spiritual needs of patients.
Your spiritual needs assessment survey must include a minimum of five questions that can be answered during the interview. During the interview, document the interviewee’s responses.
The transcript should include the questions asked and the answers provided. Be sure to record the responses during the interview by taking detailed notes. Omit specific names and other personal information through which the interviewee can be determined.
Part II: Analysis
Write a 500-750 word analysis of your interview experience. Be sure to exclude specific names and other personal information from the interview. Instead, provide demographics such as sex, age, ethnicity, and religion. Include the following in your response:

  1. What went well?
  2. Were there any barriers or challenges that inhibited your ability to complete the assessment tool? How would you address these in the future or change your assessment to better address these challenges?
  3. How can this tool assist you in providing appropriate interventions to meet the needs of your patient?
  4. Did you discover that illness and stress amplified the spiritual concern and needs of your interviewee? Explain your answer with examples.

Submit both the transcript of the interview and the analysis of your results. This should be submitted as one document. The interview transcript does not figure into the word count.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.
This benchmark assignment assesses the following competencies:
CONHCP Program Competencies for the RN-BSN:
5.2: Assess for the spiritual needs and provide appropriate interventions for individuals, families, and groups.
RUBRIC:
Tool for Assessing the Spiritual Needs of Patients CONHCP: 5.2
Tool for assessing the spiritual needs of patients is present and focuses on experiences of patients. The tool uses effective methods for gathering data that produces the results intended. A clear transcript of the interview is provided.
Analysis of Interview Experience
An analysis of the interview experience is included and addresses all of the points included in the assignment instructions. The analysis shows a deep understanding of the connections.
Thesis Development and Purpose
Thesis and/or main claim are comprehensive. The essence of the paper is contained within the thesis. Thesis statement makes the purpose of the paper clear.
Argument Logic and Construction
Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.
Mechanics of Writing (includes spelling, punctuation, grammar, language use)
Writer is clearly in command of standard, written, academic English.
Paper Format (use of appropriate style for the major and assignment)
All format elements are correct.
Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)
Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.
QUESTIONS

  • Who or what provides the patient with strength and hope?
  • Does the patient use prayer in their life?
  • How does the patient express their spirituality?
  • How would the patient describe their philosophy of life?
  • What type of spiritual/religious support does the patient desire?
  • What is the name of the patient’s clergy, ministers, chaplains, pastor, rabbi?
  • What does suffering mean to the patient?
  • What does dying mean to the patient?
  • What are the patient’s spiritual goals?
  • Is there a role of church/synagogue in the patient’s life?
  • How does your faith help the patient cope with illness?
  • How does the patient keep going day after day?
  • What helps the patient get through this health care experience?
  • How has illness affected the patient and his/her family?