Case Study
J.G., a 49-year-old man, was assessed in the emergency department (ED) 4 days ago. He was diagnosed
with alcohol intoxication and released after 8 hours to his brother’s care. He was readmitted to the ED 12 hours ago with a gastrointestinal (GI) bleed and is being transferred to the intensive care unit (ICU). His diagnosis is upper GI bleed and alcohol intoxication. You are assigned to J.G. for the remainder of your shift. According to the ED notes, his admission vital signs (VS) were 84/56, 110, and 26, and he was vomiting bright red blood. He was given IV fluids and transfused 2 units of packed red blood cells (PRBCs) in the ED. On initial assessment, you note that J.G.’s VS are 98.7°F (37°C), 174/98, 110, respirations 24. He has a slight tremor in his hands, is diaphoretic, and appears anxious. He reports a headache and appears flushed. According to the chart, there was no report of vomiting, frank red blood, or melena in the stools for the past 5 hours. In response to your questions, J.G. denies he has an alcohol problem but later admits to drinking a fifth of vodka daily for the past 2 months. He admits to having seizures while withdrawing from alcohol in the past. He tells you that he “just can’t help it” and has strong urges to drink but that he never means “to drink very much.” He has had trouble keeping a job over the past several months.
What would be helpful for J.G.’s healthcare provider to know regarding J.G.’s substance use history?
As you further assess J.G.’s history, what areas related to social determinants of health should you focus on?
What chronic health problems are associated with alcohol use disorder? Develop a teaching plan that addresses the chronic health problems with alcohol use disorder. Use evidence to support your plan.
Which members of the interprofessional team should be involved in J.G.’s care and how?
What laboratory tests might be ordered to assess for nutrition deficiencies or other medical problems J.G. is experiencing?
What types of health promotion and referrals will be discussed with J.G. before his discharge from the hospital?
G. is referred to the local Alcoholics Anonymous (AA) program. What strategies can be implemented to increase his likelihood of attendance at these meetings? Support your answer with literature.
Please justify your answers by using the information from your Jarvis e-book and your assigned lessons. Use of references is necessary to support your responses.
Instructions:
This assignment is due on Sunday of Week 4 by 11:59 PM CST.
Submission Instructions:
Submit a Word document for this assignment.
Grading Rubric
Your assignment will be graded according to the grading rubric.
Reference:
Harding, M., & Snyder, J. S. (2020). Clinical reasoning cases in nursing (7th ed. ) Elsevier.
Rubric
Module 4 Health Assessment Case Study Rubric 2024
Module 4 Health Assessment Case Study Rubric 2024
Criteria Ratings Pts
This criterion is linked to a Learning OutcomeQuestion #1
Includes what would be helpful for the healthcare provider to know regarding J.G.’s substance use history.
5 pts
Exceeds Expectations
Question is answered completely and in detail. Justifications are provided.
4 pts
Meets Expectations
Answer is complete, but brief Some justifications are present.
3 pts
Partially Meets Expectations
Answer is complete but brief. No justifications are provided.
0 pts
Question not answered
5 pts
This criterion is linked to a Learning OutcomeQuestion #2
Addresses the social determinants of health the nurse should focus on.
5 pts
Exceeds Expectations
Question is answered completely and in detail. Justifications are provided.
4 pts
Meets Expectations
Answer is complete, but brief Some justifications are present.
3 pts
Partially Meets Expectations
Answer is complete but brief. No justifications are provided.
0 pts
Question not answered
5 pts
This criterion is linked to a Learning OutcomeQuestion #3
Addresses chronic health problems and develops a researched, evidence-based teaching plan.
5 pts
Exceeds Expectations
Question is answered completely and in detail. Justifications are provided. In-text citations are included and are correctly formatted.
4 pts
Meets Expectations
Answer is complete, but brief Some justifications are present and in-text citations are missing.
3 pts
Partially Meets Expectations
Answer is complete but brief. No justifications or in-text citations are provided.
0 pts
Question not answered
5 pts
This criterion is linked to a Learning OutcomeQuestion #4
Includes the members of the interprofessional team that should be involved.
5 pts
Exceeds Expectations
Question is answered completely and in detail. Justifications are provided.
4 pts
Meets Expectations
Answer is complete, but brief Some justifications are present.
3 pts
Partially Meets Expectations
Answer is complete but brief. No justifications are provided.
0 pts
Question not answered
5 pts
This criterion is linked to a Learning OutcomeQuestion #5
Includes the lab tests to evaluated nutritional deficiencies and medical problems.
5 pts
Exceeds Expectations
Question is answered completely and in detail. Justifications are provided.
4 pts
Meets Expectations
Answer is complete, but brief Some justifications are present.
3 pts
Partially Meets Expectations
Answer is complete but brief. No justifications are provided.
0 pts
Question not answered
5 pts
This criterion is linked to a Learning OutcomeQuestion #6
Addresses the types of health promotion and referrals
5 pts
Exceeds Expectations
Question is answered completely and in detail. Justifications are provided.
4 pts
Meets Expectations
Answer is complete, but brief Some justifications are present.
3 pts
Partially Meets Expectations
Answer is complete but brief. No justifications are provided.
0 pts
Question not answered
5 pts
This criterion is linked to a Learning OutcomeQuestion #7
Provides researched, evidence-based strategies to increase attendance at A.A. meetings.
5 pts
Exceeds Expectations
Question is answered completely and in detail. Justifications are provided. In-text citations are included and are correctly formatted.
4 pts
Meets Expectations
Answer is complete, but brief Some justifications are present and in-text citations are missing.
3 pts
Partially Meets Expectations
Answer is complete but brief. No justifications or in-text citations are provided.
0 pts
Question not answered
5 pts
This criterion is linked to a Learning OutcomeSpelling, grammar and APA formatting
Paper follows APA formatting guidelines for content, citations, and references. Paper is written at a BSN level with minimal grammatical and spelling errors.
5 pts
Exceeds Expectations
Less than 5 combined errors in APA formatting, spelling or grammar.
4 pts
Meets Expectations
Between 5 and 10 combined errors in APA formatting, spelling and grammar.
3 pts
Partially Meets Expectations
Between 10 and 15 combined errors in APA formatting, spelling and grammar.
2 pts
Needs Improvement
Between 15 and 19 combined errors in APA formatting, spelling and grammar.
0 pts
No Marks
5 pts
This criterion is linked to a Learning Outcome2-HS-12-E. Critical Thinking: Analyze research findings that influence evidence-based practice nursing
Analyze research findings that influence evidence-based practice nursing
threshold: 2.0 pts
3 pts
Highly Proficient
2 pts
Proficient
1 pts
Emerging Proficient
0 pts
Not Proficient
—
This criterion is linked to a Learning Outcome5-HS-12-J. Diversity, Equity, and Inclusion: Integrate professional values, ethical, and legal aspects of nursing into one’s professional practice
Integrate professional values, ethical, and legal aspects of nursing into one’s professional practice
threshold: 2.0 pts
3 pts
Highly Proficient
2 pts
Proficient
1 pts
Emerging Proficient
0 pts
Not Proficient
—
This criterion is linked to a Learning Outcome4-HS-12-B. Valuing: Evaluate principles of prevention and health promotion when providing care to individuals, families, and communities
Evaluate principles of prevention and health promotion when providing care to individuals, families, and communities
threshold: 2.0 pts
3 pts
Highly Proficient
2 pts
Proficient
1 pts
Emerging Proficient
0 pts
Not Proficient
—
Total Points: 40
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“Addressing Substance Use Disorder and Social Determinants of Health: A Case Study of J.G.” “Developing an Evidence-Based Teaching Plan for Promoting Health and Addressing Nutritional Deficiencies in Patients with Alcohol Use Disorder” “Promoting Wellness: Strategies for Prevention and Health Promotion in Caregiving”
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Title: Balancing Ethical and Social Responsibilities with Financial Objectives: Strategies and Success Stories from Companies
How can businesses strike a balance between their ethical and social responsibilities, such as environmental and social welfare, while still meeting their financial objectives and shareholder expectations?
What are some practical strategies and examples of companies that have successfully achieved this balance? -
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“Exploring the Impact of Social Media on Adolescent Well-Being: Limitations in Research and the Role of Scripture”
Plz replay to this DB
After reviewing various articles on the topic of social media, it became clear that although substantial information has been gathered about the impact social media has on users, the research has its limitations in terms of methodology. One thing that is clear, is how social media can have negative effects, specifically among adolescents. Social media has been generally studied with a focus on self-objectification, self-esteem, and depressive symptoms in adolescents.
The article, “Toward Improved Methods in Social Media Research”, by Griffioen, et al. (2020), features objective data, ecological validity, and the ability to test causality as an important step to draw conclusions about the effect of social media on well-being. This work also underlines the role of social media and how it contains a large range of functionalities. Accordingly, the experiences people have when interacting with social media can vary greatly. The authors also discuss “screen time” and how it needs to be replaced with designs, methods, and analytical techniques that can differentiate between different kinds of social media activities. For example, users can interact with others by sharing pictures, music, feelings, activities, etc. However, the excessive time spent on social media, can interfere with an adolescent getting adequate rest and thus their sleep is disrupted. Studies show that lack of sleep cause depressive symptoms as well as other life disruptions.
The article, “A meta-analysis of the association between adolescent social media use and depressive symptoms”, by Ivie et al., (2020) highlights studies previously conducted that reveal how social media has been linked to depressive symptoms in adolescents. The research included a metanalysis, which found a small correlation between social media and depressive symptoms. The authors underscore that the prevalence of adolescent major depressive episodes (MDEs) has increased from 8.7% in 2005 to 11.3% in 2014, which caused a public health concern. This study also emphasizes the need for parent involvement in mitigating some of these negative effects. One suggestion debated is for parents to regulate time spent on social media.
One limitation noted after reviewing this week’s readings is that much of the research gathered is based on self-reporting and this makes it harder to come to conclusions about social media’s impact on an individual’s wellbeing. Griffioen, et al. (2020) stated that researchers can delve deeper into the various aspects of social media to be able to determine why and when social media may affect well-being. In addition, future research on social media use, should take into consideration selection biases pertaining to the platform(s) being studied.
Scripture provides truths, which can be applied to the subject of social media and how it can enhance our knowledge in social interactions. Adolescents are impressionable and some use social media to influence others. Scripture underlines the importance of looking to God for the truth of our inherit value. 1 Corinthians 26-27, states “Brothers and sisters, think of what you were when you were called. Not many of you were wise by human standards; not many were influential; not many were of noble birth. But God chose the foolish things of the world to shame the wise; God chose the weak things of the world to shame the strong.” -
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Title: Strategic Analysis of Company X
Please follow the asignment brief step by step based on the company from the presentation and email provided. Harvard style references and arial 12.
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Title: “Effective Parenting: Styles, Attachment, and Discipline Techniques”
Parenting
Workshop Project: Parenting styles, attachment, discipline techniques (e.g.,
natural and logical consequences)
Project Overview:
·
Choose a topic
related to parenting – My topic is “Parenting styles, attachment,
discipline techniques (e.g., natural and logical consequences)”
1.
Find research
articles (minimum 2) and additional resources (minimum 1) to help you learn
what the research says about this topic.
2.
Choose an
audience: parents/caregivers, parenting educators, or a specific population
(e.g., foster and/or adoptive parents, parents of adolescents, etc.).
3.
Create an outline
for your presentation/workshop
4.
Create a workshop/presentation
that shares the research you found with your target audience.
Step: Find research-based resources to help you learn about your topic.
You must use at least three resources:
· Minimum
of 2 peer-reviewed journal articles.
The best places to go for peer-reviewed journal articles are websites like:
scholar.google.com
· Minimum of 1 other type of resource from a reputable
source (e.g., National Association for the Education of Young Children,
Centers for Disease Control, American Academy of Pediatrics, a University or
University Extension program). This resource could also include your textbooks,
lectures, or other resources from class.
Step : Create your workshop! ( use the outline to guide you)
Your workshop must include:
· Introduction:
Introduction of you, your topic, the audience for your topic, and the purpose
of your workshop.
·
Review
learning objectives: read the 2-3
learning objectives you created for the workshop.
· Research overview: An overview of the research you found. Why is this topic important and
what does the research say? Please use APA formatting for your in-text
citations and references page.
· Specific strategies: Share 3 specific strategies based on research
that your target audience can try at home or professionally. Explain how your
audience can implement these strategies.
· Additional resources: Where can your audience find more information? Provide
three or more resources from reputable sources where your audience can learn
more.
· Engagement activities: includes at least 2 activities/prompts to keep the
audience engage.
· Reference list:
includes a reference list in APA at the end of the presentation. -
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Title: My 72-Hour Home Go-Bag: Prepared for Any Disaster
Here are the steps for your initial post:
1. Use the lists available at the Ready.gov website, FEMA, or the Red Cross website to gather items for your 72-hour home go-bag. Add additional items that you think will be useful and essential for your family. (You are not required to purchase items, but you may if you choose.)
2. Post a picture of all of the items you have gathered for your go-bag. Make sure your name is included somewhere in the picture (you can write your name on a piece of paper and include that in the picture, or add your student ID badge). For the sake of personal and family privacy, keep personal/private items out of the photograph; you may list them (e.g., prescription medications).
You must take and submit a picture of your own items! You may not post a picture from the internet or any other source.
Examples of common go-bag items include:
Water: one gallon per person per day (3-day supply)
Food: non-perishable, easy-to-prepare items (3-day supply)
Change of clothing (3-day supply)
Sanitation and personal hygiene items
Medications (7-day supply) and medical items (if not applicable, place a visible note card stating – NO Medications)
Cell phone with chargers
Flashlight
First aid kit
Battery-powered or hand-crank radio
Extra batteries
Multi-purpose tool
Extra Cash
Folder labeled “Copies of personal documents” (medication list and pertinent medical information, proof of address, deed/lease to home, passports, birth certificates, insurance policies)
Emergency blanket
Map(s) of the area
Additional Items for pets:
Water
Food
Rabies certificate
Extra collar/leash
Additional items for infants:
Water
Formula/food
Diapers
Wet wipes
Along with your photo, include the following information:
A discussion of the items in your home go-bag – what is present and what is missing.
A brief explanation of the demographic considerations and potential disaster hazards in your area and why you included certain items.
Your family, pets, and living situation considerations and why you included certain items.
Are you prepared to help others in your community in the event of a disaster? -
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“Ethical Dilemmas in End-of-Life Decision Making: A Case Study Analysis and Proposed Solution” “Building Interdisciplinary Relationships: A Proposed Solution for a Case Study”
I choose the Case study from list End of Life Decision Making for this assignment. I have included the case study. An example page and a Scoring guide.
Develop a solution to a specific ethical dilemma faced by a health care professional by applying ethical principles. Describe the issues and a possible solution in a paper of 3-5 pages.
The requirements outlined below correspond to the grading criteria in the scoring guide. At a minimum, be sure to address each point. In addition, you are encouraged to review the performance-level descriptions for each criterion to see how your work will be assessed.
For this assessment, develop a solution to a specific ethical dilemma faced by a health care professional. In your assessment:
Select one of the case studies presented in the Assessment 03 Supplement: Applying Ethical Principles [PDF] Download Assessment 03 Supplement: Applying Ethical Principles [PDF]resource.
Note: The case study may not supply all of the information you need. In such cases, you should consider a variety of possibilities and infer potential conclusions. However, please be sure to identify any assumptions or speculations you make.
Summarize the facts in the selected case study and use the three components of an ethical decision-making model to analyze an ethical problem or issue and the factors that contributed to it.
Identify which case study you selected and briefly summarize the facts surrounding it. Identify the problem or issue that presents an ethical dilemma or challenge and describe that dilemma or challenge.
Identify who is involved or affected by the ethical problem or issue.
Access the Ethical Decision-Making Model media piece and use the three components of the ethical decision-making model (moral awareness, moral judgment, and
nd ethical behavior) to analyze the ethical issues.
Apply the three components outlined in the Ethical Decision-Making Model media.
Analyze the factors that contributed to the ethical problem or issue identified in the case study.
Describe the factors that contributed to the problem or issue and explain how they contributed.
Apply academic peer-reviewed journal articles relevant to an ethical problem or issue as evidence to support an analysis of the case.
In addition to the readings provided, use the Capella library to locate at least one academic peer-reviewed journal article relevant to the problem or issue that you can use to support your analysis of the situation. The NHS-FPX4000: Developing a Health Care Perspective Library Guide will help you locate appropriate references. You will select at least one current scholarly or academic peer-reviewed journal articles published during the past 3–5 years that relate to your topic.
Cite and apply key principles from the journal article as evidence to support your critical thinking and analysis of the ethical problem or issue.
Review the Think Critically About Source Quality resource.
Assess the credibility of the information source.
Assess the relevance of the information source.
Discuss the effectiveness of the communication approaches present in a case study.
Describe how the health care professional in the case study communicated with others.
Assess instances where the professional communicated effectively or ineffectively.
Explain which communication approaches should be used and which ones should be avoided.
Describe the consequences of using effective and non-effective communication approaches.
Discuss the effectiveness of the approach used by a professional to deal with problems or issues involving ethical practice in a case study.
Describe the actions taken in response to the ethical dilemma or issue presented in the case study.
Summarize how well the professional managed professional responsibilities and priorities to resolve the problem or issue in the case.
Discuss the key lessons this case provides for health care professionals.
Apply ethical principles to a possible solution to an ethical problem or issue described in a case study.
Describe the proposed solution.
Discuss how the approach makes this professional more effective or less effective in building relationships across disciplines within his or her organization.
Discuss how likely it is the proposed solution will foster professional collaboration.
Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.
Apply the principles of effective composition.
Determine the proper application of the rules of grammar and mechanics.
Write using APA style for in-text citations, quotes, and references.
Determine the proper application of APA formatting requirements and scholarly writing standards.
Integrate information from outside sources into academic writing by appropriately quoting, paraphrasing, and summarizing, following APA style.
Your assessment should also meet the following requirements:
Length: 3–5 typed, double-spaced pages, not including the title page and reference page.
Font and font size: Times New Roman, 12 point.
APA tutorial: Use the APA Style Paper Tutorial [DOCX] for guidance.
Written communication: Use correct spelling, grammar, and punctuation.
References: Integrate information from outside sources to include at least two references (the case study and an academic peer-reviewed journal article) and three in-text citations within the paper.
APA format: Follow current APA guidelines for in-text citation of outside sources in the body of your paper and also on the reference page -
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Proposal for the Implementation of a Nurse Informaticist Role in Health Care Organizations
The chief nursing officer (CNO) and human resources (HR) manager have asked you to include the headings below in your proposal and to be sure to address the bullets following each heading. Remember that you will emphasize the focus of the new nurse informaticist position as described in the Assessment 01 Supplement: Nursing Informatics in Health Care [PDF] Download Assessment 01 Supplement: Nursing Informatics in Health Care [PDF]resource.
Nursing Informatics and the Nurse Informaticist
What is nursing informatics?
What is the role of the nurse informaticist?
Nurse Informaticists and Other Health Care Organizations
What is the experience of other health care organizations with nurse informaticists?
How do these nurse informaticists interact with the rest of the nursing staff and the interdisciplinary team?
Impact of Full Nurse Engagement in Health Care Technology
How does fully engaging nurses in health care technology impact:
Patient care?
Protected health information (security, privacy, and confidentiality)?
In this section, you will explain evidence-based strategies that the nurse informaticist and interdisciplinary team can use to effectively manage patients’ protected health information, particularly privacy, security, and confidentiality. Evidence-based means that they are supported by evidence from scholarly sources.
Workflow?
Costs and return on investment?
Opportunities and Challenges
What are the opportunities and challenges for nurses and the interdisciplinary team with the addition of a nurse informaticist role?
How can the interdisciplinary team collaborate to improve quality care outcomes through technology?
Summary of Recommendations
What are 3–4 key takeaways from your proposal about the recommended nurse informaticist role that you want the CNO and the HR manager to remember?
This is the section where the justification for the implementation of the nursing informaticist role is addressed. Remember to include evidence from the literature to support your recommendation.
Written communication: Ensure written communication is free of errors that detract from the overall message.
Submission length: 4–5 double-spaced pages, in addition to title and references pages.
Font: Times New Roman, 12 point.
Citations and References: Cite a minimum of three current scholarly and/or authoritative sources to support your ideas. In addition, cite a minimum of one current professional blog or website to support your central ideas. Current means no more than five years old.
APA formatting: Be sure to follow APA formatting and style guidelines for citations and references. For an APA refresher, consult the Evidence and APA page on Campus. -
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“Spicing Up Swiss Tourism: The Integration of Indian Cuisine for a Enhanced Tourist Experience”
TITLE
Global Palates, Local Flavors: How Switzerland is Integrating Indian Food into its Tourist Experience
Aim
To analyse how the Swiss Tourism industry is integrating Indian cuisine into its offering to enhance the overall tourist experience for Indian visitors.
Research Question
How is the Swiss Tourism industry integrating Indian cuisine into its offering to enhance the overall tourist experience for Indian visitors?
Hypothesis
H1 – The integration of Indian cuisine into the Swiss tourism industry offering will enhance the overall tourist experience for Indian visitors (3), leading to increased economic benefits (2)
H2 – The integration of Indian cuisine into the Swiss tourism industry offering will lead to an increase in cultural exchange. (2)
Method : Mixed method
Quantitative Analysis : Online survey of Indian traveller’s experience in Switzerland with respect to Indian Food in the different tourism experience
Qualitative Analysis :
Interviews of Tour Managers conducting Indian Group Tours
Interviews of the Restaurant Managers and staff
Interviews of TOur Operaters