38-year-old Native American pregnant female living on a reservation NURS 6512
Walden University 38-year-old Native American pregnant female living on a reservation NURS 6512-Step-By-Step Guide
This guide will demonstrate how to complete the Walden University 38-year-old Native American pregnant female living on a reservation NURS 6512 assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.
How to Research and Prepare for 38-year-old Native American pregnant female living on a reservation NURS 6512
Whether one passes or fails an academic assignment such as the Walden University 38-year-old Native American pregnant female living on a reservation NURS 6512 depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.
After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.
How to Write the Introduction for 38-year-old Native American pregnant female living on a reservation NURS 6512
The introduction for the Walden University 38-year-old Native American pregnant female living on a reservation NURS 6512 is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.
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How to Write the Body for 38-year-old Native American pregnant female living on a reservation NURS 6512
After the introduction, move into the main part of the 38-year-old Native American pregnant female living on a reservation NURS 6512 assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.
Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.
How to Write the Conclusion for 38-year-old Native American pregnant female living on a reservation NURS 6512
After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.
How to Format the References List for 38-year-old Native American pregnant female living on a reservation NURS 6512
The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.
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NURS 6512 38-year-old Native American pregnant female living on a reservation
38-year-old Native American pregnant female living on a reservation NURS 6512
The case assigned to me is that of a 38-year-old Native American woman who is pregnant and living on a reservation. When working with any patient, understanding their background and personal experience in order to tailor communication to fit the needs of the patient is crucial. To accurately interpret the physical exam, a provider must fully appreciate their patient’s unique orientation in the world (Ball et. al., 2019). In this situation, having open body language and using open-ended questions are effective methods to help the patient feel comfortable and can improve the provider’s understanding of the patient and her needs. Building the patient’s trust by sharing patient care goals honestly as well as the limitations of the practice will help to build a trusting relationship (Ball et. al., ####). This trusting relationship is essential for this patient in order to increase her desire to follow up throughout her pregnancy and adhere to the treatment plan. Asking this patient regarding expectations of her care and cultural norms will also help build trust and help the provider create a patient-centered plan of care. Focusing on education and identifying preventable risk factors should be the focus of prenatal care (Johnson, 2020).
Social determinates of health include economic stability, education, access to healthcare, and the environment of the home and neighborhood. Poverty, low education levels, and limited access to healthcare are some of the most common health disparities that place Native American women and their newborns at high risk for mobility and mortality (Johnson, 2020). Asking open-ended questions about access to basic needs will help the provider determine the patient’s economic stability.
When assessing for health risks, asking patients about their past medical history, current medications and family history is essential. For this patient, gathering data from her regarding diet, exercise, and previous pregnancy history would also be important. Native Americans living on reservations are at a higher risk for obesity, substance abuse, diabetes, hepatitis, and mental health problems (Johnson, 2020). Specifically for my patient, asking about a history of substance abuse would be very important. Additionally, knowing the patient’s family history and personal health history would help screen for diabetes and hepatitis. Finally, pregnancy can be a stressful time, and screening the patient for suicidal ideations as well as for domestic violence is advised. Finally, the SIDS rate is elevated for those living on reservations, so the patient should be educated about safe sleep practices (Johnson, 2020). 38-year-old Native American pregnant female living on a reservation NURS 6512
Several risk assessments would be helpful for this patient. First, the Columbia-Suicide Severity Rate Scale (C-SSRS) could assess the patient’s risk of suicide and give the provider an overall view of the patient’s state of mental health. Next, the Native American population is especially vulnerable to adverse childhood events that can lead to depression, anxiety, and other physical health problems that can complicate pregnancy, birth, and parenting (Kenney & Singh, 2016). Using an ACE score assessment could help open opportunities for the provider to educate the patient and provide resources to assist in meeting the patient’s emotional needs. Finally, a brief screening using the HITS tool to assess for domestic violence would be extremely important. HITS is an acronym for hurt, insult, threaten, and scream. To use it, the provider would ask, “In the past year, how often did your partner hurt you physically, insult you or talk down to you, threaten you with harm, and scream or curse at you?” (Ball, et. al., 2019). Using the HITS tool can be an effective means to gather meaningful information regarding the patient’s wellbeing and home environment. 38-year-old Native American pregnant female living on a reservation NURS 6512
Each patient encounter should be tailored to meet the needs of the patient. While assessments may have a similar style and flow, providers must adjust their questioning to specifically address each patient’s unique needs and risk factors. As such, keeping current on demographic and health risk factors in order to better target patient needs is important for providers.
Targeted questions
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- Tell me about your pregnancy and birth history.
- What questions or concerns do you have about your current pregnancy?
- Over the last few weeks, how often have you felt anxious, nervous, or on edge?
- Over the last few weeks, how often have you felt down or depressed?
- Do you feel safe at home?
- Do you have any history of substance use in the past? Do you currently drink alcohol, smoke, or use any illegal drugs?
References
Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Seidel’s guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.
Johnson, M. B. (2020). Prenatal Care for American Indian Women. MCN: The American Journal of Maternal Child Nursing, 45(4), 221–227. https://doi-org.ezp.waldenulibrary.org/10.1097/NMC.0000000000000633
Kenney, M. K., & Singh, G. K. (2016). Adverse childhood experiences among American Indian/Alaska Native children: The 2011-2012 National Survey of Children’s Health. Scientifica, ID 7424239. https:// doi.org/10.1155/2016/7424239
PEER RESPONSE
Hello Hayley,
Insightful post. And to add to your thoughts, the health history, and interview process differ with every patient because every patient is unique in specific ways, involving cultural background, socioeconomic status, and patient-centered care. Effective communication and professional presentation can help build strong and trustful relationships with each patient encounter, asking questions that encourage patient participation and allowing enough time for the patient to process and answer the questions (Ball, Dains, Flynn, Solomon & Stewart, 2019). Targeting the questions to build health history requires a strong connection with the patient, asking open-ended questions, acknowledging the patient’s presence and family members, patient expectations during the visits, what the patient would like to discuss, and ensuring every issue is covered (Ball et al., 2019). 38-year-old Native American pregnant female living on a reservation NURS 6512
The risk assessment of this 38-year-old Native American pregnant female living on a reservation involves social history about behaviors like consuming alcohol, smoking tobacco, drugs that might interfere with the fetus development and prenatal care, and social determinants like living conditions and family support and assessing sexual orientation and any past sexually transmitted diseases. The risk assessments can be correlated with the patient current problem or factors outside the current medical issues, either directly or indirectly. The environmental setting is a crucial issue. It ensures the patient has access to medical services and transportation to seek medical care when needed. The cultural and religious beliefs should consider that might impact patients’ health (Sullivan,2019).
The Pregnancy Risk Assessment Monitoring System (PRAMS) was developed in 1987 to reduce infant morbidity and mortality by influencing maternal behaviors before, during, and immediately after pregnancy. It is a joint research project between the state departments of health and the Centers for Disease Control and Prevention, Division of Reproductive Health (CDC, 2019). The PRAMS assessment involves standard questions utilized by all states and core questions about the individual. Sample of the PRAMS questions assessments involves attitudes and feelings about the most recent pregnancy, preconception care, content of prenatal care, Medicaid and WIC participation, breastfeeding, cigarette smoking, and alcohol use, health insurance coverage, physical abuse, Infant health care, Contraceptive use (CDC,2019).
Some other developed targeted questions may also include:
1) Tell me what brought you to the hospital today?
2) Any current illness I need to know about? Are you currently seeing an obstetrician for prenatal care?
3) The last menstrual period and the expected date of delivery?
4) Do you belong to any religious or spiritual community? How do your religion and beliefs affect care?
References
Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Seidel’s guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.
CDC. (2019). PRAMS Questionnaires. Retrieved from: https://www.cdc.gov/prams/questionnaire.htm
Sullivan, D. D. (2019). Guide to clinical documentation (3rd ed.). Philadelphia, PA: F. A. Davis.
Discussion: Building a Health History
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.
Photo Credit: Sam Edwards / Caiaimage / Getty Images
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.
By Day 3 of Week 1
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.
Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link, and then select “Create Thread” to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit! 38-year-old Native American pregnant female living on a reservation NURS 6512
Read a selection of your colleagues’ responses.
By Day 6 of Week 1
Respond to at least two of your colleagues on 2 different days who selected a different patient than you, using one or more of the following approaches:
- Share additional interview and communication techniques that could be effective with your colleague’s selected patient.
- Suggest additional health-related risks that might be considered.
- Validate an idea with your own experience and additional research.
Submission and Grading Information
Grading Criteria
To access your rubric:
Week 1 Discussion Rubric
Post by Day 3 of Week 1 and Respond by Day 6 of Week 1
To Participate in this Discussion:
Week 1 Discussion
Sample Answer for 38-year-old Native American pregnant female living on a reservation NURS 6512
Case study C 38-year-old Native American pregnant female living on a reservation
Primary care is a critical aspect of patient care, as a nurse practitioner requires education in providing primary care beginning with a proven foundation in patient communication. The proficiency of conversing while building a trusted patient-to-provider relationship is a time-honored skill. Prudent patient care delivery develops from open communication; which depends on developing an honest, trust-driven conversation (Phillps, et al., 2017).
Collecting a patient’s personal information is the first prerequisite in assessing and observing a client. The nurses should be knowledgeable on the components of a patient’s health history. The communication and interview styles for building a patient’s health history would differ with each patient after evaluating the type of patient (Nichol JR et al., 2020). Different techniques would be utilized with children, adults, individuals living with disabilities, language barriers, and education. Inpatient C, regular interviews could be conducted because the patient is young and most likely educated. Besides, a pregnant woman may understand various aspects of her health, especially if she attended clinic check-ups. The social determinant would help structure the patient’s health history because asking in-depth questions would help understand the person’s health status (Nichol JR et al., 2020). In part patient C, I would focus on knowing her socio-economic status because she resides in a reservation that reduces the chances of proper health care access. The patient may have significant exposure to health risks that may endanger the unborn child’s life, hence the need to ask direct but mostly open-ended and analytical questions.
Since patient C is a pregnant woman, the appropriate risk assessment is a risk screening that evaluates both medical and non-medical issues that may contribute to poor health for her and the unborn baby. The exercise would establish the mother’s diet, psychological problems, or living conditions. In order to protect the lives of indigenous women and children as she is, it is essential to document the problem and identify contributing factors. This is difficult for many reasons, maternal mortality among indigenous women is not consistently reported (Vos et al., 2015). According to patient C, the potential health-related risk is vagina yeast infection common among pregnant women. The living conditions in the reservation may lead to disease, infections, mostly if wet clothes are used. The below questions are targeted at the patient to assist the clinician in understanding the needs of the patient.
As a clinician my risk assessment is checking her and her unborn baby, running lots of blood work making sure the female and the baby are doing all right. scheduling her next appointment for vaccination and to see the OBGYN. Scheduling ultrasound for the baby.
- What are the symptoms you are experiencing?
- When did you begin to experience these particular signs?
- What makes these signs worsen whenever you experience them?
- Have you tried any form of treatment?
- Are the symptoms incapacitating your daily activities
References
Nichol JR, Sundjaja JH, Nelson G.(2020). Medical History. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK534249/
Phillps, A., Frank, A., Loftin, C., Shephard, A.(2017). A detailed review of systems: an educational feature, Journal of Nurse Practitioners,13(10), 681-686.
Vos, A. A., Van Veen, M. J., Birnie, E., Denktaş, S., Steegers, E. A., & Bonsel, G. J. (2015). An instrument for broadened risk assessment in antenatal health care including non-medical issues. International journal of integrated care, 15. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4359383/
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