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Week 1 Discussion 1:
The impact of extremely low birth weight babies (LBWB) on families and communities is substantial. LBWB often require specialized care in neonatal intensive care units (NICUs), which can be a significant stressor for families. The financial burden of medical bills, transportation costs, and potential loss of income due to caring for the baby can strain a family’s resources. Additionally, the long-term impacts of LBWB can include developmental delays and disabilities, necessitating ongoing care and support.
LBWB can be associated with comorbidities such as respiratory distress syndrome (RDS), intraventricular hemorrhage (IVH), patent ductus arteriosus (PDA), and more. These conditions can lead to long-term health issues that require continuous medical attention.
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In terms of disparities, non-Hispanic black mothers are more likely to have LBWB compared to non-Hispanic white mothers. Socioeconomic factors and access to healthcare play a significant role in these disparities.
In my community, we have resources like First 5 LA and Los Angeles County Health Services to support families with LBWB and preterm infants. First 5 LA offers services from prenatal care through age 5, aiming to provide support to all children regardless of their ability to pay. Los Angeles County Health Services have programs for monitoring and early interventions for preterm infants, helping them achieve their developmental milestones.
References:
– Almeida, J., Erbetta, K., Bécares, L., Bettegowda, V. R., & Ahluwalia, I. B. (2018). Racial/Ethnic inequities in low birth weight and preterm birth: The role of multiple forms of stress. Maternal & Child Health Journal, 22(8), 1154–1163. https://doi-org.lopes.idm.oclc.org/10.1007/s10995-018-2500-7
– First 5 LA: https://www.first5la.org
– Health Services Los Angeles County: https://dhs.lacounty.gov/our-services/primary-care/premature-infant/
– March of Dimes: https://www.marchofdimes.org/find-support/topics/birth/low-birthweight
Week 1 Discussion 2:
When assessing a 9-month-old female infant, it’s essential to consider developmental markers and offer recommendations to the mother based on the child’s growth and development. At this age, infants go through rapid physical and cognitive development.
Typically, a 9-month-old should be able to:
– Sit without support
– Crawl or scoot
– Babble, making sounds like “mamama” or “babababa”
– Respond to their name being called
– Show interest in simple games like peek-a-boo
– Begin to feed themselves with their fingers
– Explore objects by banging them together
For this particular infant, her weight falls below the average, which might be due to slow growth. The nurse should advise the mother to continue breastfeeding or formula feeding and introduce age-appropriate solid foods. Foods like mashed banana, oatmeal, and mashed potatoes can be added to her diet. It’s essential to ensure she gets proper nutrition.
The nurse should also encourage proper developmental activities such as tummy time to strengthen her muscles, promote crawling, and eventually help her learn to walk. Assessing her growth and milestones will help identify any potential developmental delays.
Effective communication with the mother is crucial during the assessment. The nurse should provide explanations in a clear and understandable manner. Demonstrating proper feeding techniques and suggesting age-appropriate toys and activities can be helpful.
To encourage engagement, the nurse can interact with the infant during the assessment, making funny faces, or using toys to capture her attention. Engaging with the child in a friendly and playful manner can help build rapport and make the assessment less stressful for both the infant and the mother.
References:
– American Academy of Pediatrics. (2022, August 12). Sample menu for a baby 8 to 12 months old. https://www.healthychildren.org/English/ages-stages/baby/feeding-nutrition/Pages/sample-one-day-menu-for-an-8-to-12-month-old.aspx
– Centers for Disease Control and Prevention. (2022, July 5). What developmental milestones is your 9-month-old reaching? https://www.cdc.gov/ncbddd/actearly/milestones/milestones-9mo.html
Topic 4: Health Assessment Of The Young And Middle-Aged Adult
Max Points:198
Objectives:
- Discuss strategies to reduce at-risk behavior in adults.
- Evaluate assessment of diverse populations.
- Perform and document a comprehensive health assessment.
Assessments
Topic 4 DQ 1
Start Date
Apr 3, 2023, 12:00 AM
Due Date
Apr 5, 2023, 11:59 PM
Points
8
Status
Upcoming
Assessment Description
You are admitting a 19-year-old female college student to the hospital for fevers. Using the patient information provided, choose a culture unfamiliar to you and describe what would be important to remember while you interview this patient. Discuss the health care support systems available in your community for someone of this culture. If no support systems are available in your community, identify a national resource.
Topic 4 DQ 2
Start Date
Apr 3, 2023, 12:00 AM
Due Date
Apr 7, 2023, 11:59 PM
Points
8
Status
Upcoming
Assessment Description
For the middle-aged adult, exercise can reduce the risk of various health problems. Choose two at-risk health issues that regular physical exercise and activity can help prevent and manage. Discuss the prevalence of each of these health problems in society today. Describe measures that you would take as a nurse to assist patients with health promotion measures to incorporate exercise and physical activity into their lives. Include the kind of activities you would recommend, the amount of exercise, and the approach you would use to gain cooperation from the patient. Support your response with evidence-based literature.
Latest Healthcare Research Topics for College Students
Shadow Health: Comprehensive Assessment
Start Date
Apr 3, 2023, 12:00 AM
Due Date
Apr 9, 2023, 11:59 PM
Points
150
Status
Upcoming
Assessment Description
Within the Shadow Health platform, complete the Comprehensive Assessment. The estimated average time to complete this assignment each time is 3 hours. Please note, this is an average time. Some students may need longer.
This clinical experience is a comprehensive exam. Students must score at the level of “Proficient” in the Shadow Health Digital Clinical Experience. Students have three opportunities to complete this assignment and score at the Proficient level. Upon completion, submit the lab pass through the assignment dropbox.
Students successfully scoring within the Proficient level in the Digital Clinical Experience on the first attempt will earn a grade of 150 points; students successfully scoring at the Proficient level on the second attempt will earn a grade of 135 points; and students successfully scoring at the Proficient level on the third attempt will earn a grade of 120 points. Students who do not pass the performance-based assessment by scoring within the Proficient level in three attempts will receive a failing grade (102 points).
If the Proficient level is not achieved on the first attempt it is recommended that you review your answers with the correct answers on the Experience Overview page. Review the report by clicking on each tab to the left titled; Transcript, Subjective Data Collection, Objective Data Collection, Documentation, and SBAR to compare your work. Reviewing this overview and course resources may help you improve your score.
Please review the assignment in the Health Assessment Student Handbook in Shadow Health prior to beginning the assignment to become familiar with the expectations for successful completion.
You are not required to submit this assignment to LopesWrite.
Topic 5: Health Assessment Of The Older Adult
Max Points:258
Objectives:
- Describe characteristics of the aging process.
- Recommend strategies for supporting patients in end-of-life care.
- Apply use of a focused assessment to an assigned individual patient.
Assessments
Topic 5 DQ 1
Start Date
Apr 10, 2023, 12:00 AM
Due Date
Apr 12, 2023, 11:59 PM
Points
8
Status
Upcoming
Assessment Description
Describe the characteristics of the aging process. Explain how some of the characteristics may lead to elder abuse (memory issues, vulnerability, etc.). Discuss the types of consideration a nurse must be mindful of while performing a health assessment on a geriatric patient as compared to a middle-aged adult.
Topic 5 DQ 2
Start Date
Apr 10, 2023, 12:00 AM
Due Date
Apr 14, 2023, 11:59 PM
Points
8
Status
Upcoming
Assessment Description
End-of-life care becomes an issue at some point for elderly patients. Even with the emergence of palliative care programs and hospice programs, most elderly people do not die in their own home as is their preference. What are the reasons for this trend? Discuss what you can do as a nurse to support your patients regarding end-of-life care in accordance with their wishes. Support your response with evidence-based literature.
Benchmark – Human Experience Across the Health-Illness Continuum
Start Date
Apr 10, 2023, 12:00 AM
Due Date
Apr 16, 2023, 11:59 PM
Points
110
Rubric
Status
Upcoming
Benchmark
Requires Lopeswrite
Assessment Description
Research the health-illness continuum and its relevance to patient care. In a 750-1,000-word paper, discuss the relevance of the continuum to patient care and present a perspective of your current state of health in relation to the wellness spectrum. Include the following:
- Examine the health-illness continuum and discuss why this perspective is important to consider in relation to health and the human experience when caring for patients.
- Explain how understanding the health-illness continuum enables you, as a health care provider, to better promote the value and dignity of individuals or groups and to serve others in ways that promote human flourishing and are consistent with the Christian worldview.
- Reflect on your overall state of health. Discuss what behaviors support or detract from your health and well-being. Explain where you currently fall on the health-illness continuum.
- Discuss the options and resources available to you to help you move toward wellness on the health-illness spectrum. Describe how these would assist in moving you toward wellness (managing a chronic disease, recovering from an illness, self-actualization, etc.).
You are required to cite a minimum of three peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.
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 LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.
Benchmark Information
This benchmark assesses the following programmatic competency:
RN-BSN
5.3: Understand the human experience across the health-illness continuum.
Start Date
Apr 10, 2023, 12:00 AM
Due Date
Apr 16, 2023, 11:59 PM
Points
100
Status
Upcoming
Assessment Description
Within the Shadow Health platform, complete the Focused Exam: Abdominal Pain. The estimated average time to complete this assignment is 1 hour and 25 minutes. Please note, this is an average time. Some students may need longer.
This clinical experience is a focused exam. Students have one opportunity to complete this assignment and score at the Proficient level. Upon completion, submit the lab pass through the assignment dropbox.
Students successfully scoring within the Proficient level in the Digital Clinical Experience will earn a grade of 100 points. Students who do not pass the performance-based assessment and scoring within the Proficient level will receive a failing grade (68 points).
Please review the assignment in the Health Assessment Student Handbook in Shadow Health prior to beginning the assignment to become familiar with the expectations for successful completion.
You are not required to submit this assignment to LopesWrite NRS-434VN Health Assessment Full Course GCU.
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