NR 305 Week 2 Discussion Assessment for Health Promotion
Chamberlain University NR 305 Week 2 Discussion Assessment for Health Promotion– Step-By-Step Guide
This guide will demonstrate how to complete the Chamberlain University NR 305 Week 2 Discussion Assessment for Health Promotion assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.
How to Research and Prepare for NR 305 Week 2 Discussion Assessment for Health Promotion
Whether one passes or fails an academic assignment such as the Chamberlain University NR 305 Week 2 Discussion Assessment for Health Promotion depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.
After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.
How to Write the Introduction for NR 305 Week 2 Discussion Assessment for Health Promotion
The introduction for the Chamberlain University NR 305 Week 2 Discussion Assessment for Health Promotion is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.
How to Write the Body for NR 305 Week 2 Discussion Assessment for Health Promotion
After the introduction, move into the main part of the NR 305 Week 2 Discussion Assessment for Health Promotion assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.
Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.
How to Write the Conclusion for NR 305 Week 2 Discussion Assessment for Health Promotion
After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.
How to Format the References List for NR 305 Week 2 Discussion Assessment for Health Promotion
The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.
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NR 305 Week 2 Discussion Assessment for Health Promotion
This week’s graded topics relate to the following Course Outcomes (COs).
CO 1 – Utilize prior knowledge of theories and principles of nursing and related disciplines to explain expected client behaviors, while differentiating between normal findings, variations, and abnormalities. (PO 1)
CO 2 – Recognize the influence that developmental stages have on physical, psychosocial, cultural, and spiritual functioning. (PO 1)
CO 4 – Identify teaching/learning needs from the health history of an individual. (PO 2)
Sample Answer for NR 305 Week 2 Discussion Assessment for Health Promotion
As the school nurse working in a college health clinic, you see many opportunities to promote health. Maria is a 40-year-old Hispanic who is in her second year of nursing school. She complains of a 14-pound weight gain since starting school and is afraid of what this will do to both her appearance and health if the trend continues. After conducting her history, you learn that she is an excellent cook and she and her family love to eat foods that reflect their Hispanic heritage. She is married with two school-age children. She attends class a total of 15 hours per week, plus she must be present for 12 hours of labs and clinical. She maintains the household essentially by herself and does all the shopping, cooking, cleaning, and chauffeuring of the children. She states that she is lucky to get 5 hours of sleep per night, but that is okay with her. She drinks coffee all morning to “keep her going.” She lives 1 hour from campus and commutes each day, and often drinks diet cola to “stay awake.” When asked what she does to relax and de-stress, Maria states she “doesn’t even have time to think about that.”
Maria’s vitals today are as follows; T 98.6, R 20, HR 88, BP 148/90
Using the lesson and text as your guide, answer the following questions.
What additional assessment data (subjective and/or objective) would you like to gather from Maria?
What actual health concerns and risk factors have you identified?
What are some opportunities to promote health and wellness for Maria?
Write one nursing diagnosis for Maria (actual, wellness or risk), based on one of the health concerns or opportunities you have identified. (Please use one of the formulas outlined in the text and lesson!)
With regard to additional assessment data, first, I would repeat Maria’s blood pressure to confirm that this number is accurate; then I would ask Maria about her previous weight and measure her current height and weight. If she was underweight in the past, a 14-pound weight gain, over the course of one year, may not be a problem. However, if this recent weight gain puts Maria near or in the overweight category, then her health may be at risk. I would ask Maria about family medical history, her own past and current medical history, surgical history, allergies, immunizations, current medications, and any current symptoms. I would then perform a head-to-toe assessment with a focus on any areas where Maria is experiencing symptoms. I would also ask about Maria’s current psychological state: How does she feel about her current schedule? Is she overwhelmed or anxious? In addition, I would gather information about Maria’s current support system: Is her spouse supportive, and would it be possible for her spouse to help with some of Maria’s responsibilities at home? I would also gather more detailed information about Maria’s eating habits: when she eats (times of day), what she eats (home-cooked meals or fast food), how often she eats, etc.
If Maria’s blood pressure is indeed accurate, then Maria is clearly hypertensive at this time. Her increased blood pressure could be related to increased stress and/or increased consumption of caffeine. A family history of hypertension could also put Maria at risk. If Maria’s weight gain continues, she could be at risk for developing a nutrition imbalance; this can put her at risk for heart disease, diabetes, and impaired physical mobility. In addition, if Maria does not find a way to manage her stress and get more sleep, this will contribute to the aforementioned health concerns and could lead to other health concerns and burn out.
Maria’s increased systolic blood pressure, consumption of multiple caffeinated beverages per day, recent weight gain, hectic schedule, insufficient amount of sleep, and lack of stress relief all provide opportunities to promote health and wellness. After establishing Maria’s preferred learning style and drawing on any knowledge she may currently have on these subjects, I would provide Maria with information that she can understand and apply to her life. Keeping in mind the importance of proper verbal and non-verbal communication, I would present this information in a non-judgmental manner with a focus on helping Maria achieve optimum health (Weber & Kelley, 2018). I would teach Maria about the risks and complications associated with hypertension and how it can be managed or prevented. I would council Maria about the importance of adequate water intake and a balanced diet; I would also educate Maria about the dangers of increased caffeine and sugary drink consumption and how these can worsen hypertension and put her at risk for other health issues. If possible, I would refer Maria to a registered dietitian or nutritionist. I would try to help Maria understand the importance of stress management by showing her how stress has impacted her health so far and how it can continue to affect her future health if it is not addressed. I would also provide Maria with suggestions for time management, and perhaps a weekly schedule template, so that Maria can plainly see how her time is spent and where it may be possible to include more time for self-care and sleep. I would also encourage Maria to talk with her spouse and other family members, if possible, so that she can share what she is going through and perhaps get some help from them.
Quite a few nursing diagnoses can be applied to Maria’s case. I have decided to focus on stress management, as I have found this to be an area that is frequently overlooked or under-addressed. By no means am I prioritizing this area of diagnosis over any other, this is merely the one I chose to use. The diagnosis I chose is as follows: Stress Overload r/t increase in educational responsibilities compounded with household responsibilities AMB decreased hours of sleep and stated inability to find time to relax and de-stress.
References:
Weber, J.R. & Kelley, J.H. (2018). Health Assessment in Nursing (6th ed.). Wolters Kluwer.
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Sample Answer 2 for NR 305 Week 2 Discussion Assessment for Health Promotion
After reading about Maria, I would like to obtain some more subjective data from her including both her personal and family medical history including any history of high blood pressure. What medications she takes both prescribed and OTC and if she smokes, consumes any alcohol or takes any illicit or recreational drugs. I’d like to ask her if she experiences any headaches, visual changes, or nausea due to consumption or decrease in consumption of caffeine. I would like to know if and how much water she drinks. Due to her excessive caffeine intake, I’d ask her if she has experienced any increased irritability, nervousness, or anxiety. I would ask what time of day she stops consuming caffeine. I’d ask if she has noticed any changes to her bowel or bladder habits such as urinary frequency, bladder weakness, loose stools and when her last bowel movement was. I would ask her to tell me more about what she typically eats in a day including snacks. I would ask her to describe her nightly routine regarding sleep, if she has trouble falling and/or staying asleep and if she is aware of any factors that may be interfering with her sleep. I would also like to ask her about her caregiver role, her spouse’s role, cultural/spiritual beliefs, and support systems. I would ask what her coping mechanisms are when dealing with stress. For objective data obtain her current height and weight to calculate her BMI using the standard adult body mass index (BMI) chart (Weber & Kelley, 2018). I would perform a head-to-toe assessment focusing on her overall appearance, eyes, mouth/mucous membranes, signs of fatigue, skin integrity/turgor and auscultate her heart, lungs, and bowel sounds.
Identifiable health concerns and risk factors are Maria’s sleep deprivation, increased resting heart rate and elevated blood pressure. I’m concerned about her excessive consumption of caffeine. I’m also concerned about her risk for caregiver stress and lack of sleep and inattentiveness to self-care. Opportunities for health promotion are many. I would encourage Maria to keep a separate food and sleep journal so she can physically see what she is eating and drinking in a typical day and last time she eats/drinks and can keep track of when she falls asleep, wakes up, and how rested she feels. I would also suggest using a phone app to record these things to offer a more convenient option. I would then educate Maria on the effects of caffeine on health, mood, weight and sleep. Sleep deprivation is a known side effect of caffeine consumption (O’Callaghan, 2018). Maria reports she uses caffeine to help her “stay awake” and although caffeine may increase performance, it is usually consumed by those who are fatigued and in turn disrupts their sleep pattern (O’Callaghan, 2018). I would encourage Maria to avoid or significantly limit her consumption of caffeine and if she is unwilling to stop drinking caffeine altogether, I would encourage her to stop drinking it at least 4-6 hours before bed to help ensure better sleep. I would also encourage her to stop eating at least 2-3 before bed to assist with weight loss and better digestion prior to sleep. I would encourage her to increase her consumption of water and stress the importance of proper hydration. I would encourage her to discuss her caregiver responsibilities and stress with her family and suggest involving them in sharing in some of tasks. Since her children are school-aged, they can assist her around the house by dividing chores and may enjoy helping her prepare meals also as a way of both how to destress and lightening her load by putting a spin on the task as quality family time. Educate the client about the importance of self-care and provide techniques for relaxation. I would encourage her to incorporate at least 20-30 minutes a day to exercise by walking, possibly after dinner with family and/or stretching prior to bed help her body wind down from the day before sleeping. The nursing diagnosis I would apply to Maria’s situation would be: Fatigue related to caregiver/student responsibilities and over consumption of caffeine as evidenced by patient appearance and verbal reports of dissatisfaction of health status and poor sleep pattern
O’Callaghan, F., (2018). Effects of caffeine on sleep quality and daytime functioning. Risk Management and Health Care Policy 11, 263-271.
Weber, J.R., & Kelley, J.H. (2018). Health assessment in nursing (6th ed.). Wolters Kluwer.
Sample Answer 3 for NR 305 Week 2 Discussion Assessment for Health Promotion
I would want to collect more subjective and objective data from Maria. As for subjective, I would want to hear her describe her emotional state. (i.e. happy, stressed, sad) I would want to collect data regarding her personal health history and her family health history. It would also be helpful to know her values and beliefs in addition to her family relationships and support system. Lastly, I would want her to describe her daily routine, bedtime routine, and a typical eating routine. Additional objective data I would want to collect would be her current weight, blood work, including cholesterol and blood glucose, skin turgor, and reflexes.
I would identify her sleep deficit and caffeine use as immediate health concerns. Her 14 lb weight gain is definitely a risk factor for heart and circulation issues. I would also consider the amount of work that she assumes responsibility for is a risk to her sense of well being.
In order to promote health and wellness for Maria, we will first have to identify ways her family can contribute to lightening her stress load. Maria could meet with her family members and find ways to distribute the household work. This could allow her time for relaxation, studying or light exercise. We could also discuss teaching her family the recipes that she likes to cook. This would also provide quality time with her family, thus relieving the stress of feeling she has to do it all. We could explore technology to help her relax, such as apps on her phone for 10 minute meditations, or using the reading feature on her electronic school books to listen to her reading assignments while taking a leisurely walk. Lastly, we could explore strategies to promote a more restful sleep. In my office setting, we often discuss sleep hygiene, which can help improve one’s psychological and physiologic well-being. (Jaffe & Engelke, 2018)
My nursing diagnosis for Maria would focus on her sleep deficit. Therefore, using the formula in our textbook, I would write an actual nursing diagnosis. (Janet R. Weber Rn Edd & Kelley, 2018, Tables 5-1) My nursing diagnosis for Maria would be, Sleep Deficit, related to demands of household and schoolwork, as manifested by average sleep time of 5 hours, and patient’s dependence on caffeine to, “keep her going”, and “stay awake” throughout the day.
References
Jaffe, S., & Engelke, Z. (2018). Patient Education: Teaching Adult Patients Good Sleep Hygiene (Sleep Habits) Techniques (D. Pravikoff, Ed.). CINAHL Nursing Guide.
Janet R. Weber Rn Edd & Kelley, J. H. (2018). Health assessment in nursing (6th ed.). Lww.
Sample Answer 4 for NR 305 Week 2 Discussion Assessment for Health Promotion
I imagine many of you can relate to Maria’s scenario in one way or another! I know I can. For that reason, it would be important to me to carefully consider the questions I ask and not assume I understand what she is going through. I look forward to reading your thoughts on this week’s discussion!
Please remember that this is a nursing assessment class so while mentioning the labs or consults is okay, this is not in our scope of practice to “order”… unless there are protocols in your facilities you might discuss. I am looking for nursing assessments and nursing interventions when asked.
Remember that this week, you may start posting for credit on Sunday 7/12. You need a minimum of two posts due Sunday 7/19 by 11:59 pm MT.
Here are a few tips:
- Per the rubric, you need to cite one class source and one outside source sometime within your posts.
- Also, your response should add new information to further the discussion rather than repeating what your peer stated or saying: “I agree”.
- Responses should be more than 60 words and should not contain a quotation that is more than 25% of your post. When you use too many quotations, this raises flags for plagiarism. You should have a maximum of one citation per every four sentences and a maximum of one direct quote per post.
- You also need to make sure you cite your references in your writing and not simple list them at the end (I hope this makes sense). See example below:
As stated by Professor Wills, be sure that you don’t simply list your references but also include them in your writing.
Following the tips mentioned above will help you maximize points. I look forward to more stimulating discussions!
Kind Regards, Professor Wills
Reference:
Professor Wills, Chamberlain College of Nursing