Ideas for Course Enterprise Milestone 1:Properly being HistoryPurposeThe pupil will obtain a properly being historic previous on a ready, non-related, grownup participant in an effort to generate written documentation that is clear and appropriate.Course OutcomesThis mission permits the scholar to satisfy the subsequent course outcomes:CO #Three: Take advantage of environment friendly communication when performing a properly being analysis. (PO #Three)CO #4: Decide educating/finding out desires from the properly being historic previous of an individual. (PO #2)CO #5: Uncover the expert obligations involved in conducting a whole properly being analysis and providing relevant documentation. (PO #6)PointsThis mission is value a whole of 175 elements.Due DateThe Course Enterprise Milestone 1: Properly being Historic previous mission is to be submitted to the Dropbox by Sunday, 11:59 p.m. MT on the end of this Week 4. The foundations and grading rubric may be current in Doc Sharing. Put up inquiries to the Q&A Dialogue board. Contact your instructor in case you need further Help.DisclaimerThe focus of this mission is on talking particulars all through the written shopper file. When taking a properly being historic previous on an exact shopper, it is necessary that the information is appropriate. Please inform the person you are interviewing that they do NOT should disclose data that they wish to maintain confidential. If the interviewee decides to not share data, please write, “Does not have to disclose.”Directions1. Uncover an grownup who is not going to be related to you who’s ready to Help you to take a properly being historic previous.2. Get hold of the NR305_Milestone1_Form from Doc Sharing. You may kind your options instantly into this Phrase doc. Your paper does NOT should adjust to APA formatting, nonetheless, you are anticipated to be clear in your communication by means of the usage of acceptable medical terminology, grammar and spelling.Three. Overview the examples in Chapter 10 of your textbook to attain notion into how one can doc the properly being historic previous. Steer clear of phrases like ceaselessly, improved, elevated, decreased, good, poor, common, or WNL as they may have completely totally different meanings for numerous of us. Instead, doc the actual data that led you to these conclusions, e.g., 3x/day as an alternative of “ceaselessly,” or consuming 4 servings of greens/day as an alternative of “increased” vegetable servings.4. Save the file by clicking “Save as” and together with your last determine to the file determine, e.g., “NR305_Milestone1_Form_Smith”5. Submit the completed sort to the Dropbox by Sunday, 11:59 p.m. MT on the end of Week 4. Please put up questions inside the weekly Q & A Boards so your full class would possibly view the options.Grading CriteriaCategoryPointspercentDescriptionBiographical Info106Date of properly being historic previous, client’s initials, age, date of starting, birthplace, gender, marital standing, race, religion, occupation, medical insurance coverage data, provide of information, and the reliability of the provision. Do NOT embody determining data equal to phone numbers, sort out, and many others.Present Properly being Historic previous/ Illness159Causes for in search of care, properly being patterns, and properly being targets.Properly being Beliefs and Practices159Properly being beliefs and practices along with components that have an effect on their healthcare alternatives, related traits, habits or acts that affect a client’s properly being.Medication159Use of prescription medicines, over-the-counter medicines and/or any herbals. Embody determine, dose, objective, size, frequency and desired or undesired outcomes of each of the medicines.Earlier Historic previous159Childhood diseases, immunizations, allergy signs, blood transfusions, foremost ailments, accidents, hospitalizations, labor and deliveries, surgical procedures, and use of alcohol, tobacco and illicit drugs.Emotional Historic previous159Consists of particulars about any psychological, emotional, or psychiatric properly being points.Family Historic previous159Overview of properly being historic previous of the daddy, mother, sibling(s) and grandparents to search out out if any genetic or familial patterns of properly being or illness may affect current properly being standing.Psychosocial/ Occupational Historic previous159Consists of particulars about occupational historic previous, educational stage, and financial background.Roles and Relationships159Particulars in regards to the client’s roles and relationships; along with determining an enormous totally different and help methods (buddies, neighbors, membership members, clergy, church members and members of the healthcare crew)Ethnicity and Custom106Client’s ethnicity and custom, and bodily and social traits that have an effect on healthcare alternatives.Spirituality53Client’s non secular and religious desires. (Spirituality refers again to the individual’s sense of self in relation to others and a greater being.)Self-Concept53Consists of information on how they view their self-worth and plans for the long term.Overview of Packages2012Focus is to uncover current and earlier particulars about each physique system and its organs. Ask regarding the system function and any irregular indicators or indicators, listening to gathering particulars in regards to the helpful patterns of each system.Readability of writing53Content material materials is organized logically and clearly understandable. Documentation is obvious and appropriate. Phrases like ceaselessly, improved, elevated and decreased not used, as an alternative current explicit examples.Entire175 pts100%A high quality paper will meet or exceed all of the above requirements.Grading RubricAssignment CriteriaExceeds Minimal RequirementsMeets Minimal RequirementsPartially Meets or Does Not Meet Minimal RequirementsBiographical Info10 pointsAll required requirements included. No errors.10 pointsNo a few required components missing8 pointsMore than two required components missing.Zero-7 pointsPresent Properly being Historic previous/Illness15 pointsAll required requirements included. No errors.12-15 pointsNo higher than three required components missing5-11 pointsMore than three required components missing.Zero-4 pointsHealth Beliefs and Practices15 pointsAll required requirements included. No errors.12-15 pointsNo higher than three required components missing5-11 pointsMore than three required components missing.Zero-4 pointsMedications15 pointsAll required requirements included. No errors.12-15 pointsNo higher than three required components missing5-11 pointsMore than three required components missing.Zero-4 pointsPast Historic previous15 pointsAll required requirements included. No errors.12-15 pointsNo higher than three required components missing5-11 pointsMore than three required components missing.Zero-4 pointsEmotional Historic previous15 pointsAll required requirements included. No errors.12-15 pointsNo higher than three required components missing5-11 pointsMore than three required components missing.Zero-4 pointsFamily Historic previous15 pointsAll required requirements included. No errors.12-15 pointsNo higher than three required components missing5-11 pointsMore than three required components missing.Zero-4 pointsPsychosocial/ Occupational Historic previous15 pointsAll required requirements included. No errors.12-15 pointsNo higher than three required components missing5-11 pointsMore than three required components missing.Zero-4 pointsRoles and Relationships15 pointsAll required requirements included. No errors.12-15 pointsNo higher than three required components missing5-11 pointsMore than three required components missing.Zero-4 pointsEthnicity and Custom10 pointsAll required requirements included. No errors.10 pointsNo a few required components missing8 pointsMore than two required components missing.Zero-7 pointsSpirituality5 pointsAll required requirements included. No errors.5 pointsNo a few required components missing4 pointsMore than two required components missing.Zero-Three pointsSelf-Concept5 pointsAll required requirements included. No errors.5 pointsNo a few required components missing4 pointsMore than two required components missing.Zero-Three pointsReview of Packages20 pointsAll required requirements included. No errors.16-20 pointsNo higher than three required components missing did not embody particulars about helpful patterns of each system.10-15 pointsMore than three required components missing. Entire physique methods and/or helpful patterns missing.Zero-9 pointsClarity of writing5 pointsOrganized logically and written clearly with good structure4-5 pointsLacks some group & readability. Makes use of phrases equal to ceaselessly, elevated, decreased.2-Three pointsLacks logical group; troublesome to study. Makes use of phrases equal to ceaselessly, elevated, decreased.Zero-1 pointsTotal Elements Potential = 175 pointsCourse Enterprise Milestone 1: Properly being Historic previous FormYour Title: Date:Your Instructor’s Title:Directions: Seek advice from the Milestone 1: Properly being Historic previous ideas and grading rubric current in Doc Sharing to complete the information beneath. This mission is value 175 elements, with 5 elements awarded for readability of writing, which suggests utilizing appropriate grammar, spelling and medical language.Kind your options on this sort. Click on on “Save as” and save the file with the mission determine and your last determine, e.g., “NR305_Milestone1_Form_Smith” If you end up accomplished, submit the form to the Milestone #1 Dropbox by the deadline indicated in your ideas. Put up questions inside the Q&A Dialogue board or contact your instructor if in case you could have questions on this mission.Disclaimer:The primary focus of this mission is on talking particulars all through the written shopper file. When taking a properly being historic previous on an exact shopper, it is necessary that the information is appropriate. Please inform the person you are interviewing that they do NOTneed to disclose data that they wish to maintain confidential. If the interviewee decides to not share data, please write, “Does not have to disclose.”BIOGRAPHICAL DATA (10 pts)Date:Initials:Age:Date of starting:Birthplace:Gender:Marital standing:Race:Religion:Occupation:Medical medical insurance:Provide of information:Reliability of provide of information:PRESENT HEALTH HISTORY/ILLNESS (15 pts)Trigger for in search of care:Properly being patterns:Properly being targets:HEALTH BELIEFS AND PRACTICES (15 pts)Beliefs and practices:Components influencing healthcare alternatives:Related traits, habits or acts:MEDICATIONS (15 pts)Prescription medicines:Over-the-counter medicines:Herbals:PAST HISTORY (15 pts)Childhood diseases:Immunizations:Allergic reactions:Blood transfusions:Major ailments:Accidents:Hospitalizations:Labor and deliveries:Surgical procedures:Use of alcohol:Use of tobacco:Use of illicit drugs:EMOTIONAL HISTORY (15 pts)Psychological, emotional or psychiatric points:FAMILY HISTORY (15 pts)Father:Mother:Siblings:Grandparents:PSYCHOSOCIAL/ OCCUPATIONAL HISTORY (15 pts)Occupational historic previous:Tutorial stage:Financial background:ROLES AND RELATIONSHIPS (15 pts)Necessary others:Help methods:ETHNICITY AND CULTURE (10 pts)Ethnicity and custom:Bodily and social traits that have an effect on healthcare alternatives:SPIRITUALITY (5 pts)Religious and religious desires:SELF-CONCEPT (5 pts)View of self-worth:Future plans:REVIEW OF SYSTEMS (20 pts)Pores and pores and skin, hair, nails:Head, neck, related lymphatics:Eyes:Ears, nostril, mouth, and throat:Respiratory:Breasts and axillae:Cardiovascular:Peripheral vascular:Abdomen:Urinary:Reproductive:Musculoskeletal:Neurologic:Ideas for Course Enterprise Milestone 2:Nursing Assessment and Care Plan AssignmentPurposeThis train is perhaps a continuation of the Milestone 1: Properly being Historic previous that you just simply submitted in Week 4. On this part of the mission you will take the information you gathered, analyze the data, and develop a nursing care plan.Course OutcomesThis mission permits the scholar to satisfy the subsequent course outcomes:CO #Three: Take advantage of environment friendly communication when performing a properly being analysis. (PO #Three)CO #4: Decide educating/finding out desires from the properly being historic previous of an individual. (PO #2)CO #5: Uncover the expert obligations involved in conducting a whole properly being analysis and providing relevant documentation. (PO #6)PointsThis mission is value a whole of 250 elements.Due DateThe mission is to be submitted to the Dropbox by Sunday, 11:59 p.m. MT on the end of Week 6.Put up inquiries to the weekly Q & A Dialogue board. Contact your instructor in case you need further Help.See the Course Insurance coverage insurance policies regarding late assignments. Failure to submit your paper to the Dropbox on time would possibly finish in a deduction of things.Directions1. Get hold of the NR305_Milestone2_Form from Doc Sharing. You may kind your options instantly into this Phrase doc. Your paper does NOT should adjust to APA formatting; nonetheless, you are anticipated to utilize acceptable grammar, spelling, syntax and write in full sentences.2. Save the file by clicking “Save as” and together with your last determine to the file determine, e.g., “NR305_Milestone2_Form_Smith”Three. Submit the completed sort to the Dropbox by Sunday, 11:59 p.m. MT on the end of Week 6. Please put up questions inside the weekly Q & A Boards so your full class would possibly view the options.Grading CriteriaCategoryPointspercentDescriptionANALYZE THE DATAAreas for focused analysis3012Current an overview of those areas of power and weak level well-known on the Properly being Analysis, Properly being Historic previous. Do not go into component on this half.Client’s strengths3012Broaden on areas acknowledged as strengths related to the person’s complete properly being. Help your conclusions with data from the textbook.Areas of concern3012Broaden on areas beforehand acknowledged as irregular and those that place the person at properly being hazard. Help your observations with data from the textbook.Properly being educating topics3012What properly being education desires have you ever ever acknowledged? Help your statements with data from the Properly being Historic previous and information out of your textbook.NURSING CARE PLANDiagnosis3012Write one nursing Assessment that shows a priority need for this particular person. Sorts of diagnoses embody an illness, hazard for illness or a wellness Assessment.Plan3012Write one purpose and one measurable anticipated consequence related your nursing Assessment. Make clear why this purpose and consequence is a priority. Embody cultural consideration of the consumer. As an illustration, African Persons are at bigger hazard for hypertension and any prehypertensive blood stress readings must be addressed.Intervention3012Write as many nursing orders or nursing interventions that you just simply need in an effort to acquire the top consequence. Current the rationale for each intervention listedAssessment3012You won’t have an opportunity to carry out your care plan so you’ll be able to’t think about the effectiveness of your nursing orders/interventions. Instead contact upon what you’d seek for in an effort to think about your effectivenessCLARITY OF WRITING104Use appropriate grammar, spelling and medical languageTotal250 pts100%A high quality paper will meet or exceed all of the above requirements.Grading RubricAssignment CriteriaAOutstanding or highest stage of performanceBVery good or extreme stage of performanceCCompetent or satisfactory stage of performanceFPoor or failing or unsatisfactory stage of performanceAnalyze the DataAreas for focused analysis30 pointsIdentifies all strengths and weaknesses27-30 pointsOverlooks no more than 1 power and/or 1 weak level25-26 pointsOverlooks higher than 1 power and 1 weak level22-24 pointsOverlooks higher than 2 strengths and a few weak level areas; merchandise not included0-21Client’s strengths30 pointsUses textbook (cites provide) to validate all traits acknowledged as strengths27-30 pointsUses textbook (cites provide) to validate all nonetheless 1 trait acknowledged as a power25-26 pointsUses provide to validate strengths, nonetheless not the textbook22-24Does not validate acknowledged strengths0-21Areas of concern30 pointsUses textbook (cites provide) to validate all traits acknowledged as concerns27-30 pointsUses textbook (cites provide) to validate all nonetheless 1 trait acknowledged as a precedence25-26 pointsUses provide to validate concerns, nonetheless not the textbook22-24Does not validate acknowledged concerns0-21Properly being educating topics30 pointsIdentifies all areas of data deficit contained in Properly being Historic previous; validates findings using textbook (cites provide)27-30 pointsIdentifies all nonetheless 1-2 knowledge deficits contained in Properly being Historic previous; validates findings using textbook (cites provide)25-26 pointsFails to find out Three areas of data deficit contained in Properly being Historic previous; validates findings using textbook (cites provide)22-24Does not validate findings with textbook0-21Nursing Care PlanDiagnosis30 pointsDiagnosis accurately written in NANDA phrases and shows an illness, hazard for illness or a wellness Assessment.27-30 pointsDiagnosis not written in NANDA phrases or does not replicate an illness, hazard for illness or a wellness Assessment.25-26 pointsDiagnosis not written in NANDA phrases and does not reflectan illness, hazard for illness or wellness Assessment.22-24Assessment is not going to be documented0-21Plan30 pointsGoal life like; consequence measurable and timed. Cultural issues are acknowledged and addressed.27-30 pointsGoal life like nonetheless consequence not measurable or timed. Cultural issues are principally addressed25-26 pointsGoal significantly life like; consequence not measurable or timed. Cultural issues are barely addressed.22-24Goal is not going to be documented; cultural issues normally are usually not adequately addressed0-21Intervention30 pointsInterventions will help in achievement of consequence; sound, rationale supplied27-30 pointsInterventions will help in achievement of consequence; rationale supplied nonetheless not primarily sound25-26 pointsInterventions incomplete and rationale supplied nonetheless not primarily sound22-24Interventions will not help consequence achievement; no rationale provided0-21Assessment30 pointsCriteria listed to completely think about effectiveness of properly being education27-30 pointsCriteria listed principally evaluates effectiveness of properly being education25-26 pointsCriteria listed partially evaluates effectiveness of properly being education22-24No Assessment requirements listed0-21CLARITY OF WRITING10 pointsNo grammar, spelling, or syntax errors. Writes logically in full sentences.10 pointsNo higher than 2 errors of any type8-9 points2-Three errors of any type6-7 points3 or further errors of any type0-5 pointsTotal Elements Potential = 250 pointsCourse Enterprise Milestone #2: Nursing Assessment and Care Plan FormYour Title: Date:Your Instructor’s Title:Directions: Seek advice from the Milestone 2: Nursing Assessment and Care plan ideas and grading rubric current in Doc Sharing to complete the information beneath. This mission is value 250 elements, with 10 elements awarded for readability of writing, which suggests utilizing appropriate grammar, spelling and medical language.Kind your options on this sort. Click on on “Save as” and save the file with the mission determine and your last determine, e.g., “NR305_Milestone2_Form_Smith” If you end up accomplished, submit the form to the Milestone 2 Dropbox by the deadline indicated in your ideas. Put up questions inside the Q&A Dialogue board or contact your instructor if in case you could have questions on this mission.1: Analyze Analysis Info:Primarily based totally on the properly being historic previous data, decide the subsequent:A. Areas for focused analysis (30 elements)Current a fast overview of those areas of power and weak level well-known from Milestone 1: Properly being Historic previous.B. Client’s strengths (30 elements)Broaden on areas acknowledged as strengths related to the person’s complete properly being. Help your conclusions with data from the textbook.C. Areas of concern (30 elements)Broaden on areas beforehand acknowledged as irregular and those that place the person at a properly being hazard. Help your observations with data from the textbook.D. Properly being educating topics (30 elements)Decide properly being education desires. Help your statements with data from the Properly being Historic previous and information out of your textbook.2: Nursing Care PlanNext, plan your care based totally in your analysis of your analysis data:A. Assessment (30 elements)Write one nursing Assessment that shows a priority need for this particular person. Take into account a wellness Assessment is an opportunity.B. Plan (30 elements)Write one purpose and one measurable anticipated consequence related to your nursing Assessment. Make clear why this purpose and consequence is a priority. Embody cultural issues for this shopper.C. Intervention (30 elements)Write as many nursing orders or nursing interventions that you just simply need in an effort to acquire the top consequence. Current the rationale for each intervention listed.D. Assessment (30 elements)You may not carry out your care plan so you’ll be able to’t think about the effectiveness of your nursing interventions. Instead, contact upon what you’d seek for in an effort to think about your effectiveness.

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