Feb 23, 2024 NR 305 Week 2 Discussion Assessment for Health Promotion
NR 305 Week 2 Discussion Assessment for Health Promotion
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)
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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.
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)
Discussion
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!)
Discussion Questions (DQ)
• Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.• Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.• One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.• I encourage you to incorporate the readings from the week (as applicable) into your responses.
Weekly Participation
• Your initial responses to the mandatory DQ do not count toward participation and are graded separately.• In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.• Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
Check Out Also: N305 Week 1 Discussion Exploring the Nurse’s Role in Health Assessment• Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.
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NR 305 Week 2 Discussion Assessment for Health Promotion
APA Format and Writing Quality
• Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).• Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.• I highly recommend using the APA Publication Manual, 6th edition.
Use of Direct Quotes
• I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.• As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.• It is best to paraphrase content and cite your source.
LopesWrite Policy
• For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
• Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.• Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?• Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.
Late Policy
• The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.• Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.• If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.• I do not accept assignments that are two or more weeks late unless we have worked out an extension.• As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.
Communication
• Communication is so very important. There are multiple ways to communicate with me:o Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.o Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.
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