Nursing homework 9


Vaccination for Infants and Children Worksheet

Complete the following –using references provided in pediatric prep information. (5 points )

Age

Recommended Childhood Vaccines

Include route of administration

(oral, IM or Subcutaneous)

And indicate if a combination vaccine is indicated.

Special Considerations for Age and Vaccine

Site of Administration, Angle of Insertion, and Needle and Syringe Size, etc.

Within 12 hours of Birth

2 months

4 months

6 months

12 months

15-18 months

2 years

5 years

11-12 years

16 years

Infants 6 months to 18 years of age

2

Review the technique, sites, angle of insertion, correct sized syringe and needle, combination vaccines, and recommended vaccines for each age group. Here are a few questions to get you thinking… (points 2.5)

1. A 15 month old child is to be immunized.

a. What immunizations will you consider him/her?

b. List supplies needed for these immunizations.

c. What size syringe will you select for these immunizations? What size needle?

d. What angle of insertion will you use in administering these immunizations?

2. A 6 month old infant is to receive all her recommended vaccines today.

a. What is the name of the combination vaccine used that is given at this visit and what are the 3 components?

b. Which site do you select for her injections?

c. What do you tell the child’s parents before they leave the clinic?

3. A seventh grader requests an MMR booster

a. What questions will you ask to determine if he/she is an appropriate candidate?

b. What will you tell the student (client) before he/she leaves the clinic?

Journal

 Use this Journal to reflect on your clinical strengths and opportunities for improvement, the progress you made, and what insights you will carry forward into your next class

Week 7 Discussion

The use of spirituality in nursing practice is not new.  However, it is more studied and utilized in a more structured format in nursing.  Identify and discuss tools used to evaluate spirituality.

Please include 400 words in your initial post with two scholarly articles  by Wednesday midnight and 200 words in two answers to your peers by Saturday midnight. 

Care of the older person part 2

Copyright © 2022 The Open College (Version 10)

Module Title Care of the Older Person

Module Code 5N2706

Assessment Technique Skills Demonstration

Weighting 60%

Assessment Details:

In this assessment you are required to write 3 comprehensive reports on the below skills undertaken
within the care setting with a Client /Service User.

1. An outing or indoor activity {examples of outing: trip to cinema, garden centre, park,

examples of indoor: cookery, cards, storytelling, arts & craft etc.}

2. A Reminiscence Session {examples: looking at old film, photo album, talking about past events

in client’s life, school days etc.}

3. A Health Promotion Activity: {examples: Diet, Oral Hygiene, Exercise, hand hygiene, etc}

In the reports you are required to illustrate good client care practice that you will implement in future
practice. In each of the reports you need to illustrate understanding and knowledge of your role in
promoting safe practices, client independence, support, autonomy and dignity during the planning
and implementation of the activities.

Your reports will be assessed on the following:

• Thorough organisation and preparation of the task, including identification of clients’ needs.

(15 marks)

• Careful execution of the task. (15 marks)

• Effective communication throughout the task. (10 marks)

• Effective use of relevant safety and health practices. (10 marks)

• Comprehensive record of the task. (10 marks)

Copyright © 2022 The Open College (Version 10)

Instructions:

For each Skill Report you can:

1. Choose one of the case studies profiles below to complete the reports and follow the
guidelines provided to complete same. The below case studies are a brief overview of a client
and you are free to interpret and expand upon the client history, background if you wish.

OR

2. Complete the assessment on a service user you have cared for during work placement or
family member/relative you have cared for in the home, whereby you have been involved in
assisting them with a recreational / therapeutic activity.

Case Study One

James Brown is a 75-year-old male who was admitted into the nursing home in January 2020. Previous
to this Mr Brown was in St Vincent’s hospital following a stroke where he spent six months. Following
the stroke Mr Brown now uses a rollator. He has no difficulties transferring himself and needs no
assistance. He is partially paralysed on the left side of his body, and sometimes his speech is a little
slurred. Mr Browns wife and son visited every few days. Prior to his retirement Mr Brown worked in
Dublin Dockyards and had a keen interest in swimming, hill walking and crossword puzzles.

Case Study Two

Alice Jones is 81 years old and was admitted to the residential home in 2019 from her home where
she lived with her husband. Alice was diagnosed with dementia in 2016, she is forgetful and has a
history of wandering and this increases her vulnerability. Unfortunately, Alice’s care needs could not
be met at home due to her dementia. This cognitive decline also impacts on her physical and social
ability as she requires support to maintain her daily activities of living. This includes personal care,
nutrition, safety, mobility and guidance.

Case Study Three

Mary Walsh is 74 years of age, she is a widow of ten years, she has one daughter and one son, her son
resides in Australia. Mary is currently residing in a nursing home and she has been diagnosed with
dementia and is in the early stages. As an effect Mary suffers from short term memory loss. Mary also
has restricted mobility as a result of a fall two years ago and suffered a fractured hip. Mary’s physical
ability all though restricted is quite good. Mary uses a rollator for short to medium distance and a
wheelchair for long distance or when going out, she has full mobility with her upper body and regularly
attends physiotherapy.

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Case Study Four

Annie Smith is an 84-year-old lady who still very much enjoys the activities of daily living. Annie has
cognitive impairment and mobilises with the aid of a rollator; she also has arthritis and wears a hearing
aid in her right ear. Annie has a regular diet and fluids and has a good appetite. Annie takes a lot of
pride in her appearance and likes to wear nice clothes and to have her hair done. Annie is a widow;
she has no children but has led a very full and active life and was very engaged in social activities
throughout her life. Annie lived on her own for a number of years upon the death of her husband and
attended a day centre which she enjoyed greatly. It was noticed by the staff in the day centre and her
home care team that Annie was becoming more forgetful and confused and was leaving her home
and forgetting how to return. The difficulty in maintaining her safety in the home was one of the main
reasons that Annie entered the nursing home.

Additional guidelines for Skills Demonstration

The below Structure must be followed for each Skills Demonstration report & specific points to be
addressed.

Title of Activity_______________

❖ Client Profile: {in this section provide details on the following: name, age, illness / disability,
level of independence}

❖ Rational for the chosen activity: {why did you choose this activity and how would you or did
you involve the client in the decision-making process}

❖ Preparation of the activity: {for example: materials, time, venue, transport etc. and discussion

with supervisor/person in charge}

❖ Communication: {what communication techniques are used to meet the needs of the client,

such as verbal, non-verbal skills and written}

❖ Health and Safety: {in this section address safety measures and infection control that must be

implemented and give rationale}

❖ Implementation of the Activity: {in this section outline from start to finish the activity itself,

you can do this in steps e.g., step 1, 2, 3 and so on. It is important to place emphasis on good

client care, support provided, promotion of independence and interaction, client feedback}

❖ Reflection: {in this section reflect on the benefits of activity for the client and outline future

recommendations to promote recreational activities}

Copyright © 2022 The Open College (Version 10)

Specific Guidelines & Important Information

1. Word Count: 500-600 words per Skills report (+/-10%).

2. Your skill reports must be written in first person only.

3. Write in past tense if based on past experiences from placement / working with family

member.

4. Write in future tense if based on the case study provided.

5. In your reports it is important to emphasize good client care, addressing how client’s privacy,

dignity, independence, empathy, respect and positive self-image of clients would be

promoted and maintained during the activity.

6. Ensure reports are structured using the headings above.

7. Reports do not require research information or supportive references.

For final presentation of your work please ensure:

• Accuracy of information supplied.

• Written in correct context and professional.

• Correct structure applied.

• Quality of Presentation

• Grammatical correctness and proper spelling

• Professional vocational language is used.

Your work must also protect the anonymity of the client and organisation, thus all names must be
changed. This must be stated clearly in your work.

Please note: if you do go over your word count deduction will be at tutor discretion, based on the
relevance of the information submitted.

Where applicable, in the skill report work can be supported with images of
activities/material/equipment/ environment BUT NO IMAGES OF CLIENT CAN BE SUBMITTED.

Please note failure to adhere to all of the above, may result in deduction of marks.

Any results issued are provisional and subject to confirmation from the QQI External Authenticator.

Health policy help

An advocacy letter is a way to influence the ideas and views of legislators or
decision makers within an organization. It allows the writer to maintain contact
with the legislator or decision maker, to keep the issue high on the priority list when
the writer cannot meet with them personally.

Overview of the nursing theory

Nursing theories are tested and systematic ways to implement nursing practice. Select a nursing theory and its conceptual model. Prepare a 15-18-slide PowerPoint in which you describe the nursing theory and its conceptual model and demonstrate its application in nursing practice. Include the following:

  1. Describe how this nursing theory is applied or integrated using examples of three evidence-based practices.

You are required to cite a minimum of three sources to complete this assignment. Sources must be appropriate for the assignment and relevant to nursing practice.  

Diversity and Health Assessments

  

Post an explanation of the specific socioeconomic, spiritual, lifestyle, and other cultural factors associated with the patient you were assigned. 

Explain the issues that you would need to be sensitive to when interacting with the patient, and why. 

Provide at least five targeted questions you would ask the patient to build his or her health history and to assess his or her health risks.

Case Study 

John Green, 33 year-old Caucasian male, presents to the office to establish as a new patient. John’s natal sex is female but he identifies as a male. He transitioned from female to male 2 years ago. He has made a full transition with family and socially last year. He just moved back home and is unemployed at this time. He has been obtaining testosterone from the internet to give to himself. He has not had any health care since he decided to change other than getting his suppression medications through Telehealth 3 months ago. His past medical history includes smoking 2 packages of cigarettes per day for the last 10 years, smokes 3-6 marijuana joints every weekend (has an active green card), and does suffer from depression episodes. He is HIV positive for the last 3 years but remains virally suppressed at his last blood draw 6 months ago. He has been feeling very weak over the last few weeks which prompted him to move back home with his parents. He takes Biktarvy once daily that comes in the mail for free, tolerates it well, and 100 mg Testosterone IM every 7 days. His PMH is non-contributory. No past medical history. He has never been married. No significant family history. He is worried since moving back home and unemployed he will be a burden on his family, and he thinks his health may be declining.

Rubric 

Answers all parts of the Discussion question(s) with reflective critical analysis and synthesis of knowledge gained from the course readings for the module and current credible sources. Supported by at least three current, credible sources. Written clearly and concisely with no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.

BHA320 Module 4

9/26/23, 6:49 AM SLP – BHA320 Management of Health Programs (2023AUG14FT-1)

https://tlc.trident.edu/d2l/le/content/201244/viewContent/5060146/View 1/2

Module 4 – SLP

HEALTH CARE OPERATIONS AND QUALITY

Assignment Overview

According to the Agency for Healthcare Research and Quality (2002), “a central goal
of healthcare quality improvement is to maintain what is good about the existing
healthcare system while focusing on the areas that need improvement” (para. 2).
This assignment will familiarize you with the quality improvement (QI) approaches
and models that health care administrators can effectively apply.

SLP Assignment

You are a junior administrator in a hospital. You have been asked by HR to do a
presentation to introduce new administrative hires to quality improvement.

To create your presentation, please locate the following book in the Trident Library:

Nash, D. (2019). The healthcare quality book: Vision, strategy, and tools. (4th ed.)
Chicago, IL: Health Administration Press. Retrieved from Trident Online Library.

Review Chapter 1, Overview of Healthcare Quality. There are five
approaches/models of quality improvement discussed in Chapter 1.

Create a 6- to 8-slide PowerPoint (PPT), not including your introduction or reference
slide, to discuss three of the five approaches/models of quality improvement
discussed. Your presentation should address the following explicitly:

1. Explain the importance of using quality improvement in healthcare.

2. Highlight the steps, stages, or processes of the three selected
approaches/models and provide an operational example for each that could be
applicable in a health care clinical or administrative setting.

SLP Assignment Expectations

1. Speaker notes, citations, and a reference slide are required. Your speaker’s notes
should expand on the information presented in your slides.

2. Conduct additional research to gather sufficient information to support the
information presented in the PPT.

Listen

9/26/23, 6:49 AM SLP – BHA320 Management of Health Programs (2023AUG14FT-1)

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3. Support your paper with peer-reviewed articles, with at least 3 references. Use
the following link for additional information on how to recognize peer-reviewed
journals:
http://www.angelo.edu/services/library/handouts/peerrev.php

4. You may use Purdue OWL to assist in formatting your assignment:
https://owl.english.purdue.edu/owl/resource/560/01/

Peer Response 2

Be sure to provide 2 APA citations of the supporting evidence-based peer-reviewed articles you selected to support your thinking.

****1 paragraph for each peer response and 2 citations.********

Please be sure to follow EACH AND EVERY BULLET POINT.

(TOPIC is based on the peer that’s being reviewed)

Please do not plagiarize nor reword another person’s assignment that has been previously submitted.

Look at the attachment for responses that are needed!!!

informed consent elements

Discuss the elements of informed consent. Provide a clinical example about what can happen when some elements are not adhered to.