What do you think needs to take precedence in Community Health Nursing in the next five to fifteen years?
Identify a non-profit organization you would like to know more about in your community 2. Research their website and any other information available on line to become familiar with who they are and what they do. Some might be associated with a national organization. Some questions to guide this work are:
What is their mission?
What is their vision?
What are their main programs?
Are there specific health care issues that they advocate for or against?
What are some of the laws that affect the population being served?
Is there any upcoming legislation with which they are particularly concerning themselves?
How does the organization incorporate the voices of the representative group/ population referred to in (b) in its decision making?
How are they funded?
How are the funds distributed?
A. Investigate one of the following disease processes: traumatic brain injury, depression, obesity, asthma, or heart disease.
1. Analyze the pathophysiology of the disease process you selected in part A.
2. Discuss the standard of practice for the selected disease process.
a. Discuss the evidence-based pharmacological treatments in your state and how they affect management of the selected disease in your community.
b. Discuss clinical guidelines for assessment, diagnosis, and patient education for the selected disease process.
c. Compare the standard practice for managing the disease within your community with state or national practices.
3. Discuss characteristics of and resources for a patient who manages the selected disease well, including access to care, treatment options, life expectancy, and outcomes.
a. Analyze disparities between management of the selected disease on a national and international level.
4. Discuss three or four factors (e.g., financial resources, access to care, insured/uninsured, Medicare/Medicaid) that contribute to a patient being able to manage the selected disease
a. Explain how a lack of the factors discussed in part A4 leads to an unmanaged disease process.
i. Describe characteristics of a patient with the selected disease that is unmanaged.
B. Analyze how the selected disease process affects patients, families, and populations in your community.
1. Discuss the financial costs associated with the selected disease process for patients, families, and populations from diagnosis to treatment.
C. Discuss how you will promote best practices for managing the selected disease in your current healthcare organization.
1. Discuss three strategies you could use to implement best practices for managing the selected disease in your current healthcare organization.
2. Discuss an appropriate method to evaluate the implementation of each of the strategies from part C1.
You are a registered nurse working at the Early Childhood Clinic with a view to commencing the Child and Family Health Nurse educational pathway. It is your 6th week and you are growing in confidence every day. This morning, the Clinical Nurse Consultant suggests you take charge of the next case and report back to her.
Emma’s Story: A 34-year-old woman Emma presents with her four-year-old daughter Lucy, for examination. Emma is six months pregnant with her third child and has a partner Michael, who is often away on contract work. Emma’s family live interstate and she has been in the area for only 6 weeks. Michael’s retired parents live locally, are supportive and Emma has a good relationship with them. Emma is worried about Lucy because she is a ‘fussy eater’ and would like you to weigh her. She also asks you what immunisations Lucy will need in preparation for starting school.
On examination Lucy’s height is 105cm and her weight is 15.5kgs. A head-to-toe physical assessment finds no abnormalities.
Emma then tells you about her 14-year-old son Josh, who is about to start Year 9. She discloses that she is anxious about him fitting in at the new school. Josh misses his close friends as well as his father Michael, who is currently working away in another state (WA) on contract. Michael isn’t due back for three months but is hoping to eventually find work locally.
Emma looks tired and during your interactions with her she becomes teary and talks about her fears. With the new baby coming, she is worried about how she will cope with Lucy, who can be very energetic, oppositional and hard to control.
Assessment: Discuss the above case study and demonstrate support for healthy families from the perspective of the role of the Registered Nurse.
The discussion MUST be supported with evidence (preferably academic journal articles…referencing page numbers). You MUST include:-
1. Consideration of Lucy and Josh’s physical, cognitive and psychosocial development.
2. A description of the developmental milestones you would expect for a 4-year-old girl and a 14-year-old boy to have achieved.
3. A family assessment including consideration of the factors influencing Emma and her family.
4. Identified potential problems for Emma and her family.
5. Description of the required family-centred nursing care including communication/interviewing strategies that will assist with relationship building with Emma and her family.
6. Meetings and referrals you would arrange with the multidisciplinary team and other appropriate health care professional/agencies.
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