Create a concept map for this case study using this template.

NUR2571_Module 04_Concept Map

Include diagnostic data and medical orders that you expect to be ordered on the patient.

T.J., a 30-year-old African American client, is in his last year of law school and is clerking for a prestigious law firm. He and his fiancé plan to marry as soon as he graduates. During the last week he has had four dizzy spells and a headache at the base of his skull upon awakening for the last 2 days. His father has a history of hypertension, so T.J. is aware that his symptoms may indicate high blood pressure. On his way home from work, T.J. stops by the clinic and asks the nurse to check his blood pressure. The nursing assessment yields the following data.

Subjective data: States he has had four dizzy spells and has awakened with a headache in the occipital lobe the last two mornings. T.J. has 1 glass of wine at lunch and 2-3 beers in the evening to relax from the tension of school and work. Most of his meals are at fast-food establishments and have a high fat content. T.J. does not smoke. He used to jog 4 mornings a week but quit when he started clerking. He has had nocturia for the last 3 weeks. He is not taking any medication. T.J. states he is concerned about having hypertension because he does not want to take medication.

Objective data: T 98.6°F(37°C), AP 78 beats/min, R 16 breaths/min, BP 142/92 mm Hg, Wt 190 lbs (optimum weight 160). No edema noted in hands, feet, or legs.

 

Overview

Assessment is the first step in the nursing process. During this step, a licensed Registered Nurse gathers information about a client’s physiological, psychological, sociological, and spiritual status.

Instructions

The first part of the Nursing Process Project requires you to complete the assessment section on the Nursing Process Project (1).docx Download Nursing Process Project (1).docxNursing Process Project template. Follow these steps to complete this part of the project.

Step 1: Select a movie character to use as your fictitious client throughout the project. Any character will work for this project.

Step 2: Find a movie clip of this character performing an action or task to use for your assessment.

Step 3: Review the movie clip you selected to help you identify the content needed for the assessment.

• What do you notice about the character or the environment in the clip?
• What does the character look like?
• How would you describe the character’s
  • Physical build
  • Voice
  • Hair, skin, etc.
  • Mobility
  • Hygiene
  • Nutritional status
• Does the character use any verbal or nonverbal cues that provide additional information you can use for your assessment?

Step 4: Complete the Assessment section of the Nursing Process Project template Download Nursing Process Project template. If a category is non-applicable, write NA in that section of the template.

Step 5: Submit your Nursing Process Project template completed through the Assessment section.

 

Directions:

Initial Post:

For your initial post, select one current nursing quantitative research article that may be translated into evidence-based practice. Review the article and complete the worksheet provided. Your analysis will include the required elements of the research process. Identify the steps or elements of the study. Determine the strengths and limitations of the research study including the components of rigor. Evaluate the credibility and meaning of the study findings. Attach the completed worksheet to your initial discussion post.

Module 04 Discussion Worksheet.docx

Replies to Classmates:

• Review the quantitative articles selected by a minimum of two classmates. Access the article through the permalink provided in the worksheet.
• Describe one area of the critical appraisal you found incomplete including a supporting rationale
• Describe one area of the critical appraisal which provided new knowledge.
• Describe the new knowledge gained including how you will apply in future critical appraisals of research.

Resources

• How to read an article
• Where do I find permanent links?
• How do I find quantitative nursing articles?
• How do I find articles about nursing best practices?
• SON Research Guide
• Quantitative Studies

Please make your initial post by midweek, and respond to at least two other student’s post by the end of the week. Please check the Course Calendar for specific due dates.

Reply 

One of the tools that I need to implement to address SDOH is indices. Based on the analysis, the
Health Opportunity Index (HOI) is a univariate method that can be utilized more effectively to recognize
and  comprehend  the  complex  interactions  of  intricate  social  determinants  of  health  (SDH)  at  the  census
tract  level  that  affect the  ability to attain optimal  health.  The  vulnerability index for  each  census tract  is
found  by  adding  up  the  number  of  flags  in  that  area.  The  Robert  Wood  Johnson  Foundation  and  the
Commonwealth Fund developed this tool. When calculating the HOI, people use a method called principal
component analysis, which is a kind of data reduction, to identify the influence SDH has on optimum health
in  lower  census  areas.  People  highlight  the  potential  effectiveness  of  using  13-input  factors  to  derive  a
reinforced metric of health (HOI) score to help recognize the most vulnerable members of society during
the current pandemic (Ataguba & Ataguba, 2020). This is done amid continuing health inequities and
the  current  COVID-19  pandemic.  As  indicated,  the  findings  pinpointed  census  tracts  associated  with
populations at risk for unequal COVID-19-related health outcomes.
The HOI is one example of a tool that can be used to illustrate how the SDOH can improve the
health of a community as a whole. The Health Outcomes Index (HOI) is a way to find the local factors that
lead to bad health outcomes. To better target health improvement efforts, the HOI can be used to pinpoint
low-performing areas and eliminate health inequalities (Ataguba & Ataguba, 2020). This way, census
tracts with the poorest values for diverse health outcomes were easily identified using convergence analysis.
Based  on  our  findings,  the  HOI  composite  score  and  the  creation  of  additional  scores  may  guide
mitigation/intervention practices, potentially allowing for more precise targeting of mitigation/intervention
tactics for susceptible populations during outbreaks like the current pandemic. 

 Powerpoint

Describe the risks inherent with online websites and/or social media. Identify opportunities for effective use of online health information websites and/or social media.

Your presentation should include the following:

1. One social media in health care or public online health information site.
2. An overview of the use.
3. Their benefits and risks of use.
4. Your recommendations for nursing regarding appropriate use.

Submission Instructions:

• Presentation is original work and logically organized in current APA style including citation of references.
• Incorporate a minimum of 4 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work. 
• PowerPoint presentation with 7-8 slides, excluding the tile slide and the reference slide.
• The presentation is clear and concise and students will lose points for improper grammar, punctuation and misspelling.
• Speaker notes expanded upon and clarified content on the slides.