Walden NURS3020 All Weeks Discussions

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Walden NURS3020  All Weeks Discussions

Question

NURS3020 Health Assessment

Week 2 Discussion

Caring and
Ethics in Your Practice

Some things
in nursing never change. Caring has been the basic work of nurses from the
genesis of nursing.

Caring and
nursing are inextricably intertwined. For example, caring is defined as,
“feeling and exhibiting concern and empathy for others; showing or having
compassion” (The Free Dictionary by Farlex, 2015, para. 2). Nurse is defined by
Merriam-Webster (2018) as, “a person who cares for the sick or infirm” (para.
3). As these definitions demonstrate, caring is a feeling that also requires an
action.

The theory
of the ethics of care has evolved over time between obligation-based ethics and
responsibility-based ethics. The former asks, “What obligation, if any, do I
have to this person?” In the latter, responsibility-based ethics, the
relationship with others is a given. The only question is how to best meet the
responsibility for effective care.

According to
the Code of Ethics for Nurses, “Optimal nursing care enables the patient to
live with as much physical, emotional, social, and religious or spiritual
well-being as possible” (American Nurses Association, 2015, p. 2).

Caring is
an essential part of patient care. There are four phases of caring. They are
attentiveness, responsibility, competence, and responsiveness. Caring requires
the nurse to put aside personal biases and prejudices to effectuate the four
phases of caring. The four phases of caring suggest that good care demands more
than just good intention; good care. It is a practice of combining activities,
attitudes, and knowledge of the situation.

To Prepare

Review the
Week 2 Discussion Rubric provided in the Course Information area.

Review
Chapters 7–10 and 12–16 in the course text.

Review,
this week’s Resources.

Review this
week’s Writing Resources and Program Success Tools.

Consider
types of caring techniques and strategies that can be used during a health
assessment.

Think about
a time when you had the opportunity to encourage a patient to comply with a
health promotion activity, and whether you did so successfully or not.

By Day 3

Post a
substantive 2-paragraph response (at least 350 words) to one of the options
below. Develop and post cohesive paragraphs, and use evidence to support your
ideas.

Cohesive
paragraphs

Evidence

What caring
techniques/strategy can you use during the health assessment of a patient to
encourage the patient’s adherence to a treatment plan?

Describe an
instance in your practice when you successfully encouraged a patient to comply
with a health promotion activity. If you have not successfully encouraged a
patient to comply with a health promotion activity, how might you have done so
based on what you know now?

By Day 7

Read two or
more of your colleagues’ postings for the Discussion question.

Respond to
at least two of your colleagues in one of the following ways:

Expand upon
the proposed technique(s).

Suggest an
alternative technique to encourage adherence to a treatment plan.

Ask a
clarifying question about a colleague’s proposed technique or strategy, or
about the instance when your colleague successfully encouraged a patient to
comply with a health promotion activity.

Return to
this Discussion in a few days to read the responses to your initial posting.
Note what you have learned and/or any insights you have gained as a result of
the comments your colleagues made.

Provide a
Discussion entry on three different days of the week. See the Discussion Rubric
for more information.

Click on
the Reply button below to reveal the textbox for entering your message. Then
click on the Submit button to post your message.

NURS3020 Health Assessment

Week 3 Discussion

It’s a
Small, Small World

Health
conditions, including heart disease and respiratory infections, have no
borders. What happens in one part of the world has ripple effects through the
other parts, including the United States. Technology has created an even
smaller world, with nurses in instant contact and eager to share information.

You and
your Walden nursing colleagues live and work around this shrinking professional
world. Your nursing experience working with diverse populations presents a rich
opportunity to share your international health perspectives. This exercise is a
growth opportunity in terms of how we see ourselves, the world, and how we
interact with our patients during the health interview and health assessment
process.

In this
week’s Discussion, your stories will illustrate relevant social and cultural
differences among yourselves and your patients. The collective experience will
expand your individual nursing knowledge; improve upon our cultural humility
and perspectives, in order to foster social and culturally-sensitive health
interviews and assessments. This, in turn, contributes to safer and higher
quality outcomes for your patients. Consider how your sensitive care is
expressed through choice of your words, maintaining a distance that is
culturally appropriate, and utilizing other techniques to negotiate through
established social and cultural values. This leads to patient trust and comfort
and a respectful nurse-patient relationship.

To Prepare

Review the
Week 3 Discussion Rubric provided in the Course Information area.

Review
Chapters 8 and 18–20 in the course text.

Review the
article “Many Faces: Addressing Diversity in Health Care,” provided in this
week’s Resources.

Review this
week’s Writing Resources and Program Success Tools.

By Day 3

Post a
substantive 2-paragraph response (at least 350 words) to one of the options
below. Develop and post cohesive paragraphs, and use evidence to support your
ideas.

Cohesive
paragraphs

Evidence

Complete
one of the following options (Option One, Option Two, or Option Three). Use the
Discussion Rubric to develop your post.

Reflect on
your reading from this week, and then address one of the following:

Option One:

Describe an
incident, or incidents, in your own nursing practice in which you expressed
social or cultural sensitivity in order to elicit a competent health history or
assessment. Explain the positive impact your sensitivity had on patient care or
collegial efficacy of patient care.

Option Two:

Describe a
situation in which the absence of social or cultural sensitivity adversely
impacted patient care or collegial efficacy of patient care. How could the
situation been handled to produce a more positive outcome during the health
interview or assessment?

Option
Three:

Describe
one or more situations that illustrate social or cultural humility, or
insensitivity, among your colleagues in a manner that fostered improved peer
cooperation or efficacy of patient care or impeded such care.

By Day 7

Read two or
more of your colleagues’ postings for the Discussion question.

Respond to
at least two of your colleagues in one of the following ways:

Expand upon
their Discussion.

Suggest an
alternative to their viewpoint.

Ask a
clarifying question about a colleague’s proposed technique or strategy.

Return to
this Discussion in a few days to read the responses to your initial posting.
Note what you have learned and/or any insights you have gained as a result of
the comments your colleagues made.

Provide a
Discussion entry on three different days of the week. See the Discussion Rubric
for more information.

Click on
the Reply button below to reveal the textbox for entering your message. Then
click on the Submit button to post your message.

NURS3020 Health Assessment

Week 4 Discussion

Promoting
Nutrition in Older Adults

Older
adults are the fastest growing age group in North America. This demographic is
expected to continue for the next several decades and has demanded increased
attention to promoting and supporting their health and well-being.

Nurses must
be adept in nutrition assessment and education and guiding older adults in
their self-management and care activities. Each nurse needs to understand valid
information sources as they relate to patient’s health literacy skills.

Patients
over the age of 65 are at an increased risk for lower levels of health
literacy. Health literacy is believed to be a stronger predictor of health
outcomes than are social and economic status, education, gender, and age.

A nurse
must know how to overcome multiple barriers when caring for a patient with low
health literacy. Mistrust is one barrier. When the nurse is different from the
patient in terms of age, ethnicity, education, and socio-economic status, the
patient may have difficulty asking questions or be reluctant to disclose
personal information.

To Prepare

Review the
Week 4 Discussion Rubric provided in the Course Information area.

Review
Chapters 11 and 21 in your course text.

Review the
Writing Resources and Program Success Tools.

Review this
week’s Writing Resources and Program Success Tools.

Using the
Nursing Databases in the Walden Library, seek out a professional article that
was published within the past 5 years pertaining to one of the three Discussion
options below. Some topics to look for might include:

Nutrition
and age groups

Abdominal
differences

Reaching a
higher level of care

Health
promotion and patient centered care

Ethics

Population
health

From the
article, pick out three important key points or “take-a-ways.” Be sure to cite
and reference the professional article selected along with other sources of
evidence.

By Day 3

Post a
substantive response (at least 350 words) to one of the following options. Be
sure to use evidence from the readings and include in-text citations. Utilize
essay-level writing practice and skills, including the use of transitional
material and organizational frames. Use the writing resources and the
Discussion Rubric to develop your post.

Evidence

In-text
citations

Essay-level

Transitional
material

Organizational
frames

Option One:

In the
text, you read about the various types of nutritional assessments that can be
utilized during the health history and assessment process. From a professional
article you selected, describe one effective nutritional assessment that can be
used specifically for an older individual in outpatient care clinics,
hospitals, or long-term facilities.

Option Two:

As older
adults live longer, they may have more than one chronic disease. Or, they may
have a health problem that can lead to another condition or injury if not
properly managed. The older adult requires careful nutritional management to
ensure proper care and improve or maintain quality of life. From the
professional article you selected, describe the unique nutritional needs of
this population.

Option
Three:

With the
rapid population increase of older adults and the surge in online health
information, efforts targeted at older adults and their health literacy are
both relevant and crucial to promoting and supporting overall health. From the
professional article you selected, describe effective nurse strategies aimed to
improving the health literacy of this population.

Use the
Walden Writing Center to help you cite correctly:
http://academicguides.waldenu.edu/writingcenter/apa/citations

Use the
Nursing Research Databases in the Walden Library to search for professional
articles: http://academicguides.waldenu.edu/nursingresearch

Learn how
to evaluate resources in the Walden Library:
http://academicguides.waldenu.edu/library/evaluating

By Day 7

Read two or
more of your colleagues’ postings for the Discussion question.

Respond to
at least two of your colleagues in one of the following ways:

Expand upon
their Discussion.

Suggest an
alternative to their viewpoint.

Ask a
clarifying question about a colleague’s proposed technique or strategy.

Return to
this Discussion in a few days to read the responses to your initial posting.
Note what you have learned and/or any insights you have gained as a result of
the comments your colleagues made.

Provide a
Discussion entry on three different days of the week. See the Discussion Rubric
for more information.

Click on
the Reply button below to reveal the textbox for entering your message. Then
click on the Submit button to post your message.

NURS3020 Health Assessment

Week 5 Discussion

Patient-Centered
Care—At First Contact

Nurses and
patient-centered care (PCC) go hand-in-hand. Nurses enjoy taking care of
patients in a holistic, personalized, relationship-based way that honors the
patients’ preferences, needs, and values. In its landmark book, Crossing the
Quality Chasm (2001, p. 40), the Institute of Medicine (IOM) defined
patient-centered care as “…providing care that is respectful and responsive to
individual patient preferences, needs, and values—ensuring that patient values
guide all clinical decisions.”

This is the
last week in which we are reviewing health assessment techniques. We end by
covering cognitive assessments and musculoskeletal and neurological
examinations. The purpose of this discussion is for you to reflect on your relationships
with your patients and to identify ways that you can strengthen your PCC
approaches beyond health interviews and assessments.

As you move
forward in the program, you will learn more about encouraging patients to be
engaged at every level of care design and implementation within the health care
system. After all, PCC is connected to improved quality and patient outcomes,
and you will learn more about that too!

To Prepare

Review the
Week 5 Discussion Rubric provided in the Course Information area.

Review
Chapters 5, 22, and 23 in the course text.

Choose two
of the six dimensions of patient-centered care (PCC), listed below, on which to
focus for this Discussion.

Think about
how you might implement the two dimensions you selected into your health
interview and assessment process in order to improve quality in patient
collaboration and outcomes.

Respect for
patients’ values, preferences, and expressed needs

Coordination
and integration of care through collaboration and teamwork

Accessibility
and free flow of information, communication, and education

Physical
comfort

Sensitivity
to non-medical and the spiritual dimension of care (emotional support)

Involvement
of family and friends

By Day 3

Post a
substantive 3-paragraph response (at least 350 words) discussing the selected
dimensions of patient-centered care.

Be sure to
use evidence from the readings and include in-text citations. Utilize
essay-level writing practice and skills, including the use of transitional
material and organizational frames. Use the writing resources and the
Discussion Rubric to develop your post.

Evidence

In-text
citations

Essay-level

Transitional
material

Organizational
frames

Define the
two dimensions of patient-centered care that you selected.

Describe
how your implementation of the two dimensions in your health interview and
assessment will improve quality in patient collaboration and outcomes.

By Day 7

Read two or
more of your colleagues’ postings for the Discussion question.

Respond to
at least two of your colleagues in one of the following ways:

Expand upon
their Discussion.

Suggest an
alternative to their viewpoint.

Ask a
clarifying question about a colleague’s proposed technique or strategy.

Return to
this Discussion in a few days to read the responses to your initial posting.
Note what you have learned and/or any insights you have gained as a result of
the comments your colleagues made.

Provide a
Discussion entry on three different days of the week. See the Discussion Rubric
for more information.

Click on
the Reply button below to reveal the textbox for entering your message. Then
click on the Submit button to post your message.

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