Effective communication is vital to constructing an accurate and detailed patient history. A patient’s health or illness is influenced by many factors, including age, gender, ethnicity, and environmental setting. As an advanced practice nurse, you must be aware of these factors and tailor your communication techniques accordingly. Doing so will not only help you establish rapport with your patients, but it will also enable you to more effectively gather the information needed to assess your patients’ health risks.

For this Discussion, you will take on the role of a clinician who is building a health history for a particular new patient assigned by your Instructor.

To prepare:

With the information presented in Chapter 1 of Ball et al. in mind, consider the following:

· By Day 1 of this week, you will be assigned a new patient profile by your Instructor for this Discussion.  Note: Please see the “Course Announcements” section of the classroom for your new patient profile assignment.

· How would your communication and interview techniques for building a health history differ with each patient?

· How might you target your questions for building a health history based on the patient’s social determinants of health?

· What risk assessment instruments would be appropriate to use with each patient, or what questions would you ask each patient to assess his or her health risks?

· Identify any potential health-related risks based upon the patient’s age, gender, ethnicity, or environmental setting that should be taken into consideration.

· Select  one of the risk assessment instruments presented in Chapter 1 or Chapter 5 of the  Seidel’s Guide to Physical Examination text, or another tool with which you are familiar, related to your selected patient.

· Develop  at least five targeted questions you would ask your selected patient to assess his or her health risks and begin building a health history.

Assignment

Post a summary of the interview and a description of the communication techniques you would use with your assigned patient. Explain why you would use these techniques. Identify the risk assessment instrument you selected, and justify why it would be applicable to the selected patient. Provide at least five targeted questions you would ask the patient.

Case Assigned:

19 year old black male athlete on scholarship with muscle pain

Student’s name: Yaimi Quintana Marrero

Course: MSN 5270 Advanced Theoretical Perspectives for Nursing

Instructor’s name: Leanne Trigoura DPN-C, FNP-BC, ARNP, MSN

Date: January. 25, 2023

Nurse theorist Hildegard Peplau defines the surrogate role as an essential but often overlooked element of nursing today. This role, according to Peplau, is “the temporary, interactive, psychosocial relationship between the nurse and the patient that was designed to help the patient gain insight, understanding and control of his or her feelings, attitudes and behavior.” The purpose of the surrogate role is to serve as a bridge between the patient and the nursing care team, allowing the nurse to bridge gaps in patient education and provide psychological support to patients when needed.

While this role is not frequently mentioned in nursing practice literature today, I believe it is still relevant in today’s nursing practice. Nurses today still serve as wells of knowledge and support for their patients. In some cases, nurses are even more vital than before, given the formidable complexity of today’s medical supply chain and its effects on patient care. As surrogates, nurses can provide necessary educational resources, help patients understand their diagnosis, and offer emotional support.

In addition to this traditional role, I believe the surrogate role can also be expanded to include more contemporary functions. For example, nurses can now play the role of the patient’s advocate, helping them obtain necessary medical services, navigating through complex insurance systems, and supporting them in decisions regarding care. Nurses can even help patients access services beyond traditional healthcare, such as helping them find alternative medicine options or connecting them with community resources.

Ultimately, I believe that the surrogate role is still relevant to nursing practice, although it may take different forms than in the past. Nurses are well-equipped to serve as invaluable lifelines for their patients, helping them traverse the increasingly complex medical system and providing emotional support. With this understanding of their potential as surrogate guides, nurses can equip themselves with the knowledge and competencies necessary to serve their patients best and adjust to the ever-changing modern healthcare landscape.

In conclusion, while the surrogate role defined by Peplau may not be frequently discussed in recent nursing literature, it is still an essential aspect of nursing practice. Nurses should endeavor to provide emotional and psychological support for patients and advocate for their needs. However, it is also essential to acknowledge that the nurse’s role has evolved, and the focus of nursing practice has shifted with the advancement of technology and evidence-based practice. Therefore, nurses need to continue to adapt and evolve to meet the changing needs of their patients and the healthcare system.

References

Daneau, S., Bourbonnais, A., & Legault, A. (2020). Surrogates’ end‐of‐life decision‐making process in nursing homes for residents with a neurocognitive disorder: An integrative review.  International Journal of Older People Nursing,  15(1), e12274.

Moss, K. O., Douglas, S. L., Baum, E., & Daly, B. (2019). Family surrogate decision-making in chronic critical illness: A qualitative analysis.  Critical care nurse,  39(3), e18-e26.

Vogelsang, L. (2022). Peplau’s Theory of Interpersonal Relations: Application to Asynchronous Nursing Education.  Canadian Journal of Nursing Informatics,  17(3-4).

Wasaya, F., Shah, Q., Shaheen, A., & Carroll, K. (2021). Peplau’s theory of interpersonal relations: A case study.  Nursing Science Quarterly,  34(4), 368-371.

Student’s name: Yaimi Quintana Marrero

Course: MSN 5270 Advanced Theoretical Perspectives for Nursing

Instructor’s name: Leanne Trigoura DPN-C, FNP-BC, ARNP, MSN

Date: January. 25, 2023

Nurse theorist Hildegard Peplau defines the surrogate role as an essential but often overlooked element of nursing today. This role, according to Peplau, is “the temporary, interactive, psychosocial relationship between the nurse and the patient that was designed to help the patient gain insight, understanding and control of his or her feelings, attitudes and behavior.” The purpose of the surrogate role is to serve as a bridge between the patient and the nursing care team, allowing the nurse to bridge gaps in patient education and provide psychological support to patients when needed.

While this role is not frequently mentioned in nursing practice literature today, I believe it is still relevant in today’s nursing practice. Nurses today still serve as wells of knowledge and support for their patients. In some cases, nurses are even more vital than before, given the formidable complexity of today’s medical supply chain and its effects on patient care. As surrogates, nurses can provide necessary educational resources, help patients understand their diagnosis, and offer emotional support.

In addition to this traditional role, I believe the surrogate role can also be expanded to include more contemporary functions. For example, nurses can now play the role of the patient’s advocate, helping them obtain necessary medical services, navigating through complex insurance systems, and supporting them in decisions regarding care. Nurses can even help patients access services beyond traditional healthcare, such as helping them find alternative medicine options or connecting them with community resources.

Ultimately, I believe that the surrogate role is still relevant to nursing practice, although it may take different forms than in the past. Nurses are well-equipped to serve as invaluable lifelines for their patients, helping them traverse the increasingly complex medical system and providing emotional support. With this understanding of their potential as surrogate guides, nurses can equip themselves with the knowledge and competencies necessary to serve their patients best and adjust to the ever-changing modern healthcare landscape.

In conclusion, while the surrogate role defined by Peplau may not be frequently discussed in recent nursing literature, it is still an essential aspect of nursing practice. Nurses should endeavor to provide emotional and psychological support for patients and advocate for their needs. However, it is also essential to acknowledge that the nurse’s role has evolved, and the focus of nursing practice has shifted with the advancement of technology and evidence-based practice. Therefore, nurses need to continue to adapt and evolve to meet the changing needs of their patients and the healthcare system.

References

Daneau, S., Bourbonnais, A., & Legault, A. (2020). Surrogates’ end‐of‐life decision‐making process in nursing homes for residents with a neurocognitive disorder: An integrative review.  International Journal of Older People Nursing,  15(1), e12274.

Moss, K. O., Douglas, S. L., Baum, E., & Daly, B. (2019). Family surrogate decision-making in chronic critical illness: A qualitative analysis.  Critical care nurse,  39(3), e18-e26.

Vogelsang, L. (2022). Peplau’s Theory of Interpersonal Relations: Application to Asynchronous Nursing Education.  Canadian Journal of Nursing Informatics,  17(3-4).

Wasaya, F., Shah, Q., Shaheen, A., & Carroll, K. (2021). Peplau’s theory of interpersonal relations: A case study.  Nursing Science Quarterly,  34(4), 368-371.

• Assume that you are leading a staff development meeting on regulation for nursing practice at your healthcare organization or agency.
• Review the NCSBN and ANA websites to prepare for your presentation.

The Assignment: (8- to 9-slide PowerPoint presentation)

Develop a 8- to 9-slide PowerPoint Presentation that addresses the following:

• Describe the differences between a board of nursing and a professional nurse association.
• Describe the board for your specific region/area.
  • Who is on the board?
  • How does one become a member of the board?
• Describe at least one state regulation related to general nurse scope of practice.
  • How does this regulation influence the nurse’s role?
  • How does this regulation influence delivery, cost, and access to healthcare?
  • If a patient is from another culture, how would this regulation impact the nurse’s care/education?
• Describe at least one state regulation related to Advanced Practice Registered Nurses (APRNs).
  • How does this regulation influence the nurse’s role?
  • How does this regulation influence delivery, cost, and access to healthcare?
• Has there been any change to the regulation within the past 5 years? Explain.
• Include Speaker Notes on Each Slide (except on the title page and reference page)

-In order Erickston’s stage of Growth?

Trust vs mistrust

Autonomy vs. shame and doubt

Initiative vs guilt

Industry vs. inferiority

Identify vs. Identity confusion

Intimacy vs. Isolation

Generality vs. stagnation

Integrity vs. despair

-What are the 4 anomalies? Ventricular hypertrophy, pulmonary stenosis, overriding aorta, VSD

-Cystic fibrosis diagnostic test: quantitative sweat chloride test

-What should the nurse administer with meals and snacks? Pancreatic enzymes

-What are the 3 things we assess with the abdomen? Sequence is inspect, auscultate, palpate

-what measurement is most important lab test for fluid overload in child weight? Hemoglobin A1C and cholesterol

–What is the cause of Kowasaki disease? It is unknown. (Fever**, strawberry tongue, rash, redness of eyes) If left untreated, Kowasaki Disease can lead to heart issues

-What are symptoms of second stage of pertussis? Known as Paroximal is red face and

protruding tongue

https://nurseslabs.com/pediatric-nclex-questions/

www.atitesting.com (standard quizzes) Newborn 1, 2 and final

https://www.registerednursern.com/nurse/pediatric-nclex/

https://www.youtube.com/watch?v=TtI5WfAcCwY

APA format

1) Minimum 9 pages  (No word count per page)-   Follow the 3 x 3 rule: minimum of three paragraphs per page ( minimum 300 words per page)

You must strictly comply with the number of paragraphs requested per page.  

The number of words in each paragraph should be similar

Part 1: minimum 3 pages (24 hours)

Part 2: minimum 2 pages (24 hours)

Part 3: minimum 1 page (20 hours)

Part 4: minimum 1 page  (20 hours)

Part 5: minimum 1 page (24 hours)

Part 6: minimum 1 page (24 hours)

Submit 1 document per part

2)¨******APA norms

        The number of words in each paragraph should be similar

        Must be written in the third person

All paragraphs must be narrative and cited in the text- each paragraph

The writing must be coherent, using connectors or conjunctive to extend, add information, or contrast information.

Bulleted responses are not accepted

Don’t write in the first person

  Do not use subtitles or titles      

         Don’t copy and paste the questions.

Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

Submit 1 document per part

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks)

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 3 references (APA format) per part not older than 5 years  (Journals, books) (No websites)

All references must be consistent with the topic-purpose-focus of the parts. Different references are not allowed

5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

Q3. Research is…………………………………………………. (a) The relationship between……… (b) EBI has to

6) You must name the files according to the part you are answering: 

Example:

Part 1.doc

Part 2.doc

__________________________________________________________________________________

Part 1: Family health promotion

Check File “Part 1”

Purpose: Identify the social determinates of health (SDOH) contributing to the family’s health status and create a plan of action to incorporate health promotion strategies for this family

1. Introduction (One paragraph)

2. Describe the SDOH that affect the family health status (One paragraph).

3. What is the impact of these SDOH on the family? (One paragraph)

b. Discuss why these factors are prevalent for this family

4. Based on the information gathered through the family health assessment

a. Recommend age-appropriate screenings for each family member (One paragraph).

b. Explain the expected screening outcomes (One paragraph)

5. Choose a health model to assist in creating a plan of action (One paragraph).

a. Explain the health model

b. Explain why the model is the best option for this family

6. Using the model

a. Outline the steps for a family-centered health promotion (One paragraph).

b. Describe strategies for communication (One paragraph).

7. Conclusion (One paragraph)

Part 2: Family health promotion

Topic: Drug and alcohol abuse

Population: Adolescents.

1. Introduction  (One paragraph)

3. Describe the topic and population risk (One paragraph)

3. Discuss how this topic adversely affects the population  (One paragraph).

4. How does health disparity affect this population?  (One paragraph)

5. Explain two evidence-based approaches that can optimize health for this population since the topic   (One paragraph).

6. How do these approaches minimize health disparity among affected populations?  (One paragraph)

Part 3: Culture in nursing

A nurse on a surgical unit mentions that she would like to know more about various cultures and how to take care of patients with diverse cultural backgrounds.

1. Explain what Andrews/Boyle TIP Model is (One paragraph)

2. How could you use the Andrews/Boyle TIP Model to support her wish to provide culturally competent care?  (One paragraph)

3. Give an example of how the surgical nurse might use the Andrews/Boyle TIP Model in her everyday practice. (One paragraph)

Part 4: Nursing Leadership

1. Describe the managerial decision-making model?   (One paragraph)

2. What are attributes you admire in a leader?   (One paragraph)

3. What leadership attributes do you see in yourself?   (One paragraph)

Part 5: Inclusive recreation services (Write in the first person)

Topic: Consider Psychological and Physical Barriers

Often people with disabilities experience barriers to leisure due to the perspectives of leisure professionals not as a result of their disability.  Negative attitudes are found to be directly associated with negative leisure experiences.  It is important to review and recognize the differences between these leisure experiences.  As a coach or leisure professional it’s a fine balance of knowing when to use reactance; extrinsic motivation (winning a trophy, prizes, food) vs. intrinsic motivation (playing because you love it); mastery orientation (motivated by failing) instead of promoting helplessness orientation (giving up because failed); setting up responsive environments; emphasizing indirect competition vs. direct competition; and how to influence degree interest and challenge for optimum success.

Check:

1. Explain the video   (One paragraph)

2. Explain anything on the videos surprised you   (One paragraph)

3. Make a conclusion   (One paragraph)

Part 6: Inclusive recreation services (Write in the first person)

Topic: Consider Psychological and Physical Barriers

Often people with disabilities experience barriers to leisure due to the perspectives of leisure professionals not as a result of their disability.  Negative attitudes are found to be directly associated with negative leisure experiences.  It is important to review and recognize the differences between these leisure experiences.  As a coach or leisure professional it’s a fine balance of knowing when to use reactance; extrinsic motivation (winning a trophy, prizes, food) vs. intrinsic motivation (playing because you love it); mastery orientation (motivated by failing) instead of promoting helplessness orientation (giving up because failed); setting up responsive environments; emphasizing indirect competition vs. direct competition; and how to influence degree interest and challenge for optimum success.

Check:

1. Explain the video   (One paragraph)

2. Explain anything on the videos surprised you   (One paragraph)

3. Make a conclusion   (One paragraph)