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September 18, 2024
September 18, 2024

NRS490 Practicum Reflective Journal

Students are required to maintain weekly reflective narratives throughout the course to combine into one course-long reflective journal that integrates leadership and inquiry into current practice as it applies to the Professional Capstone and Practicum course.

 

NRS490 Practicum Reflective Journal

 

In your journal you will reflect on the personal knowledge and skills gained throughout this course. The journal should address a variable combination of the following, depending on your specific practice immersion clinical experiences:

 

New practice approaches,

 

Intra professional collaboration,

 

Health care delivery and clinical systems,

 

Ethical considerations in health care,

 

Population health concerns,

 

The role of technology in improving health care outcomes,

 

Health policy

 

Leadership and economic models

 

Health disparities

 

Students will outline what they have discovered about their professional practice, personal strengths and weaknesses that surfaced, additional resources and abilities that could be introduced to a given situation to influence optimal outcomes, and finally, how the student met the competencies aligned to this course.

 

While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be 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. Please refer to the directions in the Student Success Center.

NRS490 Practicum Reflective Journal

 

Students are required to maintain weekly reflective narratives throughout the course to combine into one course-long reflective journal that integrates leadership and inquiry into current practice as it applies to the Professional Capstone and Practicum course.

 

In your journal you will reflect on the personal knowledge and skills gained throughout this course. The journal should address a variable combination of the following, depending on your specific practice immersion clinical experiences:

 

New practice approaches

 

Intraprofessional collaboration

 

Health care delivery and clinical systems

 

Ethical considerations in health care

 

Population health concerns

 

The role of technology in improving health care outcomes

 

Health policy

 

Leadership and economic models

 

Health disparities

 

Students will outline what they have discovered about their professional practice, personal strengths and weaknesses that surfaced, additional resources and abilities that could be introduced to a given situation to influence optimal outcomes, and finally, how the student met the competencies aligned to this course.

 

While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be 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. Please refer to the directions in the Student Success Center.

September 18, 2024
September 18, 2024

Personal Philosophy of Nursing

Use the questions in the table in chapter 3 on page 101 of your textbook as a guide as you write your personal philosophy of nursing. The paper should be three typewritten double spaced pages following APA style guidelines. The paper should address the following:

 

Personal Philosophy of Nursing

 

Introduction that includes who you are and where you practice nursing,

Definition of Nursing,

Assumptions or underlying beliefs,

Definitions and examples of the major domains (person health and environment) of nursing

Summary that includes,

How are the domains connected? What is your vision of nursing for the future?,

What are the challenges that you will face as a nurse? What are your goals for professional development?,

Grading criteria for the Personal Philosophy of Nursing Paper:

 

Introduction                                                                            10%

 

Definition of Nursing                                                                20%

 

Assumptions and beliefs                                                         20%

 

Definitions and examples of domains of nursing                        30%

 

Summary                                                                               20%

 

Total              100%

Personal Philosophy of Nursing

 

Use the questions in the table in chapter 3 on page 101 of your textbook as a guide as you write your personal philosophy of nursing. The paper should be three typewritten double spaced pages following APA style guidelines. The paper should address the following:

 

Introduction that includes who you are and where you practice nursing

Definition of Nursing

Assumptions or underlying beliefs

Definitions and examples of the major domains (person, health, and environment) of nursing

Summary that includes:

How are the domains connected? What is your vision of nursing for the future?

What are the challenges that you will face as a nurse? What are your goals for professional development?

Grading criteria for the Personal Philosophy of Nursing Paper:

 

Introduction                                                                            10%

 

Definition of Nursing                                                                20%

 

Assumptions and beliefs                                                         20%

 

Definitions and examples of domains of nursing                        30%

 

Summary                                                                               20%

 

Total              100%

Use the questions in the table in chapter 3 on page 101 of your textbook as a guide as you write your . The paper should be three typewritten double spaced pages following APA style guidelines. The paper should address the following:

 

Introduction that includes who you are and where you practice nursing

Definition of Nursing

Assumptions or underlying beliefs

Definitions and examples of the major domains (person, health, and environment) of nursing

Summary that includes:

How are the domains connected? What is your vision of nursing for the future?

What are the challenges that you will face as a nurse? What are your goals for professional development?

Grading criteria for the Personal Philosophy of Nursing Paper:

 

Introduction                                                                            10%

 

Definition of Nursing                                                                20%

 

Assumptions and beliefs                                                         20%

 

Definitions and examples of domains of nursing                        30%

 

Summary                                                                               20%

 

Total              100%

September 18, 2024
September 18, 2024

Case Study & Moral Status

Based on “Case Study: Fetal Abnormality” and other required topic study materials, write a 750-1,000-word reflection that answers the following questions:

 

Case Study & Moral Status

 

What is the Christian view of the nature of human persons and which theory of moral status is it compatible with?

 

How is this related to the intrinsic human value and dignity?

 

Which theory or theories are being used by Jessica, Marco, Maria, and Dr. Wilson to determine the moral status of the fetus? What from the case study specifically leads you to believe that they hold the theory you selected?

 

How does the theory determine or influence each of their recommendations for action?

 

What theory do you agree with? Why? How would that theory determine or influence the recommendation for action?

 

Remember to support your responses with the topic study materials.

 

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

 

This assignment uses a rubric.

 

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

 

Rubric

 

Explanation of the Christian view of the nature of human persons and the theory of moral status that it is compatible is clear, thorough, and explained with a deep understanding of the connection between them. Explanation is supported by topic study materials. 30%

 

The theory or theories that are used by each person to determine the moral status of the fetus is explained clearly and draws insightful relevant conclusions. Rationale for choices made is clearly supported by topic study materials and case study examples. 15%

Explanation of how the theory determines or influences each of their recommendations for action is clear, insightful, and demonstrates a deep understanding of the theory and its impact on recommendation for action. Explanation is supported by topic study materials. 15%

 

Evaluation of which theory is preferable within personal practice along with how that theory would influence personal recommendations for action is clear, relevant, and insightful. 10%

 

Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.

 

Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.

Writer is clearly in command of standard, written, academic English.

All format elements are correct.

 

Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.

Case Study & Moral Status

 

Based on “Case Study: Fetal Abnormality” and other required topic study materials, write a 750-1,000-word reflection that answers the following questions:

 

What is the Christian view of the nature of human persons and which theory of moral status is it compatible with?

 

How is this related to the intrinsic human value and dignity?

 

Which theory or theories are being used by Jessica, Marco, Maria, and Dr. Wilson to determine the moral status of the fetus? What from the case study specifically leads you to believe that they hold the theory you selected?

 

How does the theory determine or influence each of their recommendations for action?

 

What theory do you agree with? Why? How would that theory determine or influence the recommendation for action?

 

Remember to support your responses with the topic study materials.

 

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

 

This assignment uses a rubric.

 

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

 

Rubric

 

Explanation of the Christian view of the nature of human persons and the theory of moral status that it is compatible is clear, thorough, and explained with a deep understanding of the connection between them. Explanation is supported by topic study materials. 30%

 

The theory or theories that are used by each person to determine the moral status of the fetus is explained clearly and draws insightful relevant conclusions. Rationale for choices made is clearly supported by topic study materials and case study examples. 15%

Explanation of how the theory determines or influences each of their recommendations for action is clear, insightful, and demonstrates a deep understanding of the theory and its impact on recommendation for action. Explanation is supported by topic study materials. 15%

 

Evaluation of which theory is preferable within personal practice along with how that theory would influence personal recommendations for action is clear relevant and insightful. 10%,

 

Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.,

 

Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.,

Writer is clearly in command of standard written academic English.,

All format elements are correct.,

 

Sources are completely and correctly documented as appropriate to assignment and style and format is free of error.

September 18, 2024
September 18, 2024

Patient’s Spiritual Needs Case

In addition to the topic study materials, use the chart you completed and questions you answered in the Topic 3 about “Case Study: Healing and Autonomy” as the basis for your responses in this assignment.

Patient's Spiritual Needs Case

 

Answer the following questions about a patient’s spiritual needs in light of the Christian worldview.

 

In 200-250 words, respond to the following:  Should the physician allow Mike to continue making decisions that seem to him to be irrational and harmful to James or would that mean a disrespect      of a patient’s autonomy? Explain your rationale.,

 

In 400-450 words, respond to the following: How ought the Christian think about sickness and health? How should a Christian think about medical intervention?, What should Mike as a      Christian do?, How should he reason about trusting God and treating James in relation to what is truly honoring the principles of beneficence and nonmaleficence in James’s care?,

 

In 200-250 words, respond to the following: How would a spiritual needs assessment help the physician assist Mike determine appropriate interventions for James and for his family or others      involved in his care?,

 

Remember to support your responses with the topic study materials.,

 

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

 

This assignment uses a rubric. You are required to submit this assignment to LopesWrite.

 

Rubric:

 

  1. Decisions that need to be made by the physician and the father are analyzed from both perspectives with a deep understanding of the complexity of the principle of autonomy. Analysis is supported by the case study, topic study materials, or Topic 3 assignment responses. 20%

 

  1. Decisions that need to be made by the physician and the father are analyzed with deep understanding of the complexity of the Christian perspective, as well as with the principles of beneficence and nonmaleficence. Analysis is supported by the case study, topic study materials, or Topic 3 assignment responses. 20%

 

  1. How a spiritual needs assessment would help the physician assist the father determine appropriate interventions for his son, his family, or others involved in the care of his son is clearly analyzed with a deep understanding of the connection between a spiritual needs assessment and providing appropriate interventions. Analysis is supported by the case study, topic study materials, or Topic 3 assignment responses. 30%

 

  1. Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear. 7%

 

  1. Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative. 8%

 

  1. Writer is clearly in command of standard, written, academic English. 5%

 

  1. All format elements are correct. 5%

 

  1. Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error. 5%

 

There are three different parts to this paper:

 

  • Part one deals with Mike’s decision-making capabilities.

 

  • Part two deals with how to think issues related to sickness and health.

 

  • Part three deals with a spiritual assessment.

 

 

Read “Doing a Culturally Sensitive Spiritual Assessment: Recognizing Spiritual Themes and Using the HOPE Questions,” by Anandarajah, from AMA Journal of Ethics(2005).

https://journalofethics.ama-assn.org/article/doing-culturally-sensitive-spiritual-assessment-recognizing-spiritual-themes-and-using-hope/2005-05

 

Read “End of Life and Sanctity of Life,” by Reichman, from American Medical Association Journal of Ethics, formerly Virtual Mentor (2005). http://journalofethics.ama-assn.org/2005/05/ccas2-0505.html

September 18, 2024
September 18, 2024

Shadow Health Mental health

Write a 1000-word APA reflection essay of your experience with the Shadow Health virtual assignment(s). At least two scholarly sources in addition to your textbook should be utilized. Answers to the following questions may be included in your reflective essay:

Shadow Health Mental health

 

What went well in your assessment?

What did not go so well? What will you change for your next assessment?

What findings did you uncover?

What questions yielded the most information? Why do you think these were effective?

What diagnostic tests would you order based on your findings?

What differential diagnoses are you currently considering?

What patient teaching were you able to complete? What additional patient teaching is needed?

Would you prescribe any medications at this point? Why or why not? If so, what?

How did your assessment demonstrate sound critical thinking and clinical decision making?

Shadow Health Mental health

 

Write a 1000-word APA reflection essay of your experience with the Shadow Health virtual assignment(s). At least two scholarly sources in addition to your textbook should be utilized. Answers to the following questions may be included in your reflective essay:

What went well in your assessment?

What did not go so well? What will you change for your next assessment?

What findings did you uncover?

What questions yielded the most information? Why do you think these were effective?

What diagnostic tests would you order based on your findings?

What differential diagnoses are you currently considering?

What patient teaching were you able to complete? What additional patient teaching is needed?

Would you prescribe any medications at this point? Why or why not? If so, what?

How did your assessment demonstrate sound critical thinking and clinical decision making?

Shadow Health Mental health

 

Write a 1000-word APA reflection essay of your experience with the Shadow Health virtual assignment(s). At least two scholarly sources in addition to your textbook should be utilized. Answers to the following questions may be included in your reflective essay:

What went well in your assessment?,

What did not go so well? What will you change for your next assessment?,

What findings did you uncover?,

What questions yielded the most information? Why do you think these were effective?,

What diagnostic tests would you order based on your findings?,

What differential diagnoses are you currently considering?,

What patient teaching were you able to complete? What additional patient teaching is needed?,

Would you prescribe any medications at this point? Why or why not? If so, what?

How did your assessment demonstrate sound critical thinking and clinical decision making?

 

September 18, 2024
September 18, 2024

Forensic Nursing Case Study

Amanda J. is a forensic nurse who has been trained as a sexual assault nurse examiner (SANE). Amanda works part-time in the emergency room, where she occasionally examines victims of rape and sexual assault. Amanda also works part-time as a consultant for a local domestic-violence shelter for women and children. Every year Nurse Amanda helps to organize a Walk to Prevent Domestic Violence in her community. Proceeds raised from the walk go toward the domestic-violence shelter. Nurse Amanda provides literature about domestic violence at the walk as well as at other organizations in town.

 

Forensic Nursing Case Study

Questions

  1. Which levels of prevention does Nurse Amanda address in her practice?
  2. Primary only
  3. Secondary only
  4. Tertiary only
  5. Two of the above
  6. All of the above
  7. None of the above

 

  1. What are the most common types of trace evidence of victims of violence including those who are raped?

 

  1. The concepts in forensic nursing theory include, but are not confined to, safety, injury, presence, perceptivity, victimization, and justice. How might Nurse Amanda address these concepts in her nursing practice?

Forensic Nursing Case Study

 

Amanda J. is a forensic nurse who has been trained as a sexual assault nurse examiner (SANE). Amanda works part-time in the emergency room, where she occasionally examines victims of rape and sexual assault. Amanda also works part-time as a consultant for a local domestic-violence shelter for women and children. Every year Nurse Amanda helps to organize a Walk to Prevent Domestic Violence in her community. Proceeds raised from the walk go toward the domestic-violence shelter. Nurse Amanda provides literature about domestic violence at the walk as well as at other organizations in town.

Questions

  1. Which levels of prevention does Nurse Amanda address in her practice?
  2. Primary only
  3. Secondary only
  4. Tertiary only
  5. Two of the above
  6. All of the above
  7. None of the above,

 

  1. What are the most common types of trace evidence of victims of violence including those who are raped?,

 

  1. The concepts in forensic nursing theory include but are not confined to safety injury presence perceptivity victimization and justice., How might Nurse Amanda address these concepts in her nursing practice?,

 

September 18, 2024
September 18, 2024

Community Nurse Leader Case

Ann T. is the state school nurse consultant. Nurse Ann provides guidance for school nurses across the state and organizes policy development for school nursing. Many of Nurse Ann’s hours are spent communicating by phone, face-to-face, or by e-mail with nurses and families who have questions regarding health services in the schools.

Community Nurse Leader Case

 

Terry L. contacts Nurse Ann. This is Terry’s first year as a school nurse, and she is working in a rural high school. She is worried about delegating medication administration to unlicensed personnel. “What exactly can be delegated, to whom, and how should I document it?” asks Nurse Terry.

 

Nurse Ann explains to Terry that some state laws specify who may delegate tasks, and the State Board of Nursing gives advice on which nursing tasks can be delegated. Nurse Ann tells Terry where on the Internet she can find these laws along with advisory opinions, and she e-mails copies to Terry. Nurse Ann shows Terry how to use the delegation decision tree and discusses some of Nurse Terry’s more challenging delegation issues. Nurse Terry must then use the materials to decide what she is comfortable delegating. Nurse Ann also gives Nurse Terry some sample training materials and documentation forms that other nurses in the state are currently using.

Questions

  1. Which type of consultation model did Nurse Ann use? Explain your answer.,

 

  1. What can Nurse Ann do to reduce for other school nurses the confusion that surrounds delegation in school nursing?,

 

  1. What should Nurse Ann do to communicate effectively with the nurses and families whom she encounters?,

 

Community Nurse Leader Case

 

Ann T. is the state school nurse consultant. Nurse Ann provides guidance for school nurses across the state and organizes policy development for school nursing. Many of Nurse Ann’s hours are spent communicating by phone, face-to-face, or by e-mail with nurses and families who have questions regarding health services in the schools.

 

Terry L. contacts Nurse Ann. This is Terry’s first year as a school nurse, and she is working in a rural high school. She is worried about delegating medication administration to unlicensed personnel. “What exactly can be delegated, to whom, and how should I document it?” asks Nurse Terry.

 

Nurse Ann explains to Terry that some state laws specify who may delegate tasks, and the State Board of Nursing gives advice on which nursing tasks can be delegated. Nurse Ann tells Terry where on the Internet she can find these laws along with advisory opinions, and she e-mails copies to Terry. Nurse Ann shows Terry how to use the delegation decision tree and discusses some of Nurse Terry’s more challenging delegation issues. Nurse Terry must then use the materials to decide what she is comfortable delegating. Nurse Ann also gives Nurse Terry some sample training materials and documentation forms that other nurses in the state are currently using.

Questions

  1. Which type of consultation model did Nurse Ann use? Explain your answer.

 

  1. What can Nurse Ann do to reduce for other school nurses the confusion that surrounds delegation in school nursing?

 

  1. What should Nurse Ann do to communicate effectively with the nurses and families whom she encounters?

 

September 18, 2024
September 18, 2024

Poverty & Homelessness Case Study

The community of Finnytown has identified the need for a shelter to serve homeless women and children. Finnytown currently has a homeless shelter for men. Women and children can obtain health care services there but are not allowed to stay overnight. The Finnytown health care task force performed a community assessment that revealed that a higher number of homeless men than women reside in Finnytown, but the percentage of homeless women is steadily increasing. Results further showed that more women with children than men are living in poverty. The task force speculated that many women who are living in poverty are being overlooked and thus are becoming women without homes.

Poverty & Homelessness Case Study

 

The task force and the community of Finnytown decide to open a homeless shelter for women and children. The new shelter will primarily serve women with children who are homeless or in poverty. Georgia B. is the community health nurse who is a member of the task force team. Nurse Georgia and other health care professionals are charged with planning health care services for women with children to be provided at the new homeless shelter.

Questions

What common health problems should Nurse Georgia and the task force be aware of when planning health services to be provided at the new shelter?,

 

What effects of poverty on the health of children should Nurse Georgia and the task force be aware of when planning appropriate services?,

 

  1. After the shelter opens Nurse Georgia becomes one of the nurses who works in the clinic.,

 

What strategies are important for Nurse Georgia to implement when working with this population?,

Poverty & Homelessness Case Study

 

The community of Finnytown has identified the need for a shelter to serve homeless women and children. Finnytown currently has a homeless shelter for men. Women and children can obtain health care services there but are not allowed to stay overnight. The Finnytown health care task force performed a community assessment that revealed that a higher number of homeless men than women reside in Finnytown, but the percentage of homeless women is steadily increasing. Results further showed that more women with children than men are living in poverty. The task force speculated that many women who are living in poverty are being overlooked and thus are becoming women without homes.

 

The task force and the community of Finnytown decide to open a homeless shelter for women and children. The new shelter will primarily serve women with children who are homeless or in poverty. Georgia B. is the community health nurse who is a member of the task force team. Nurse Georgia and other health care professionals are charged with planning health care services for women with children to be provided at the new homeless shelter.

Questions

What common health problems should Nurse Georgia and the task force be aware of when planning health services to be provided at the new shelter?

 

What effects of poverty on the health of children should Nurse Georgia and the task force be aware of when planning appropriate services?

 

  1. After the shelter opens, Nurse Georgia becomes one of the nurses who works in the clinic.

 

What strategies are important for Nurse Georgia to implement when working with this population?

 

September 17, 2024
September 17, 2024

Child and Adolescent Health

Glenda R. is a parish nurse for Holy Cross Catholic Church. The church’s youth group teacher has overheard several of the 13- and 14-year-old teenagers talking about dating and sexual behaviors. The youth group teacher invites the parish nurse to speak to the group about sex and abstinence. Nurse Glenda sends letters to the parents describing when she will speak to the group about these topics and what will be discussed. Parents who would like their child to attend this class are asked to fill out the permission form.

 

Child and Adolescent Health

 

On the night of the class, 18 of the 20 youth group members arrive for the class with their consent forms in hand. The room is set up with chairs in a circle and a computer with projector next to Nurse Glenda’s chair. Using pictures on the computer, Nurse Glenda illustrates the basic anatomy of the reproductive system and discusses what should be expected during puberty. Most of the class time is then spent discussing reasons for abstinence, how to know when you are ready for sex, and how to say no if you are not.

Questions

  1. Which teaching intervention designed to gather questions and feedback about the lesson would be most effective for this age group?,
  2. A confidential question box passed around for students to submit any questions they have about sex., Each student is asked to write something on a piece of paper even if it is not a question or a comment and to place it inside the box., Nurse Glenda reviews the papers and answers questions at the end of the class.,
  3. An open forum where students raise their hands and ask questions. Nurse Glenda responds appropriately.,
  4. A survey completed at the end of the class that students give to Nurse Glenda as they leave.,

 

  1. After the class has been given, Nurse Glenda talks to the parents and the church’s religious education teacher. Nurse Glenda believes that she can do more with this age group and would like to offer her services to them. She suggests that an evening of preventive screenings should be offered. What should Nurse Glenda screen for in this group of teenagers?

 

  1. How can Nurse Glenda use interactive health communication (IHC) to reinforce the lesson?
September 17, 2024
September 17, 2024

Family Health Risk Case Study

The M. family consists of Mr. M. (Harry) Mrs. M. (Shirley) 18-year-old Annie 15-year-old Michelle 13-year-old Sean and 7-year-old Bobby. Harry is the pastor of Faith Baptist Church, where he has served for the past 15 years. Shirley is a housemother and is the primary caretaker for the children.

 

Family Health Risk Case Study

 

For the past year, Shirley has felt tired and “rundown.” At her annual physical, Shirley describes her symptoms to her physician. After several tests, Shirley is diagnosed with stomach cancer. Shirley starts to cry and says, “How will I tell my family?”

 

Shirley’s primary physician refers the family to Trisha F., a mental health nurse specialist. Nurse Trisha calls the household and speaks to Shirley. Nurse Trisha tells Shirley that she was referred by the physician, and she can help Shirley cope with the diagnosis. Shirley confides in Trisha that it has been 2 weeks since she received the diagnosis, but she has yet to tell her husband and children. Shirley asks Trisha if she can help her tell her family and explain what it all means. Nurse Trisha makes an appointment to go to the M. household and facilitate the family meeting.

Questions

  1. Use the five interacting variables (physiological psychological sociocultural developmental and spiritual) of the Neuman Systems Model to assess the family’s ability to adapt to this life event., Think of one question Nurse Trisha can ask the family regarding each variable.,

 

  1. Is this life event a normative event or a nonnormative event?,

 

 

  1. Which phase of the home visit has Nurse Trisha reached (initiation phase previsit phase in-home phase termination phase or post visit phase)?,Family Health Risk Case Study

     

    The M. family consists of Mr. M. (Harry) Mrs. M. (Shirley) 18-year-old Annie 15-year-old Michelle 13-year-old Sean and 7-year-old Bobby. Harry is the pastor of Faith Baptist Church, where he has served for the past 15 years. Shirley is a housemother and is the primary caretaker for the children.

     

    For the past year, Shirley has felt tired and “rundown.” At her annual physical, Shirley describes her symptoms to her physician. After several tests, Shirley is diagnosed with stomach cancer. Shirley starts to cry and says, “How will I tell my family?”

     

    Shirley’s primary physician refers the family to Trisha F., a mental health nurse specialist. Nurse Trisha calls the household and speaks to Shirley. Nurse Trisha tells Shirley that she was referred by the physician, and she can help Shirley cope with the diagnosis. Shirley confides in Trisha that it has been 2 weeks since she received the diagnosis, but she has yet to tell her husband and children. Shirley asks Trisha if she can help her tell her family and explain what it all means. Nurse Trisha makes an appointment to go to the M. household and facilitate the family meeting.

    Questions

    1. Use the five interacting variables (physiological, psychological, sociocultural, developmental, and spiritual) of the Neuman Systems Model to assess the family’s ability to adapt to this life event. Think of one question Nurse Trisha can ask the family regarding each variable.

     

    1. Is this life event a normative event or a nonnormative event?

     

     

    1. Which phase of the home visit has Nurse Trisha reached (initiation phase, previsit phase, in-home phase, termination phase, or postvisit phase)?