Rev January 2021 MSN5300 Kmrnameteam Palmero

Rev January 2021 Msn5300 Kmrnameteam Palmero

Rev January 2021 Msn5300 Kmrnameteam Palmero

Rev. January 2021 MSN5300 KmR Name:Team Palmero Date: 05/14/2021 PICO Worksheet Define your Question using PICO P Who is the Patient or Population (Ex., age, sex, race, past medical history, etc.) or what is the Problem (Ex., disease process) you are interested in knowing more about? Advanced nursing procedures for patients aged 20 to 65, in low economic statuses experiencing hypertension. I Are you considering an Intervention? (Ex., treatment, diagnostic test, etc.) Is there a specific issue you’d like to investigate? Dietary approach, meditation, and exercise M e t h o d o l o g y If experimental, what research design should be used to compare the intervention group with the comparison (or control) group? o randomized controlled trial o cohort study o case controlled studies o case reports o systematic reviews o meta analysis o editorials/expert opinions Qualitative study of case controlled studies related to study of hypertension.

C Are you trying to Compare or decide between two options (Ex., drugs, a drug and no medication or placebo, or two diagnostic tests?) (Note: Your clinical question does not always need a specific comparison.) ACE inhibitors O What is the Outcome you’d like to achieve? What are you trying to do for the patient? (Ex., relieve or eliminate symptoms? reduce number of adverse events? improve function? improve test scores? To reduce cases of hypertension related issues like heart attack or stroke by ensuring patients receive appropriate and high-quality care. State your Question resulting from PICO: How can advanced nursing procedures for patients aged 20 to 65, in low economic statuses experiencing hypertension get connected to health improvement regardless of limiting social conditions?

List keywords from your PICO question that can be used for your search. Nursing, hypertension, economic statuses, health improvement, social conditions List other criteria –gender, age, year of publication, or language to be used to limit your search. Adults, 20-65, , articles written in English and containing data related to hypertension management List the databases you plan to search: Ex., CINAHL. (Use the databases page from the Library website for suggestions.) NCBI, Science direct, NHS, CINAHL, Medline, PubMed Choose one intervention; otherwise, interaction effect unless that is what you are interested in... For hypertensive patients aged 20-65 and of low SES, is diet (or meditation or exercise) more effective for reducing hypertension than an ace inhibitor? No. Question must be consistent with PICO: Rev. January 2021 MSN5300 KmR Team Members : Luis Caceres Martha Cepero Jacquelin Louis Ismary Morlote Linney Palmero Diorgis Torres Alberto Oramas

Care Plan Grading Rubric--Pediatrics Student Name: _ _________________________________________________ Note: Please be sure to refer to the attached Nursing Care Plan Rubric Instruction Sheet for the appropriate point/ grading assessment. Description Points Received/ Total Points Possible Comments Diagnosis #1 Diagnosis #2 Totals Patient Information and Health Assessments · Complete patient demographics, health assessments, and interventions ____/ 3 Growth and Development: · Identify expected physical, cognitive and psychosocial stages of development and compare to patient’s actual stages of development ____/ 6 Safety Assessment, Discharge Plan, Teaching Needs: · Include expected and actual needs ____/ 3 Nursing Diagnosis ( Include ALL 3 Dx ): · Reflects the primary diagnosis · Appropriate for patient scenario as well as priority level · In acceptable NANDA format · Includes all parts stem, R/T, AEB __ __/ 3 Assessment: · Appropriate for chosen diagnosis Includes objective & subjective historical support diagnosing data ____/3 + ____/3 = ____/ 6 Patient Outcomes: · Specific to the patient diagnosis · Contains the following 4 criteria: measurable, attainable, realistic, and timed · All criteria present for patient’s expected outcome ____/3 + ____/3 = ____/ 6 I ntervention/Implementation: · Includes interventions/ nursing actions directly relating to pt. outcomes · Specific in action, frequency and contain rationale · # of interventions is appropriate to help pt./ family meet their outcomes ____/3 + ____/3 = ____/ 6 Evaluation: · Includes all data that is listed as criteria in outcomes · Outcomes are determined to be met, partially met, or not met · If outcome was not met/ partially met, plan of care is revised/ continued & new evaluation date/time is set ____/3 + ____/3 = ____/ 6 · Total Points: ____/ 39 Deductions for late work are at the discretion of the instructor.

There may be no more than 10% for every day past the indicated due date. NUR 4225- Pediatric Health Nursing GROWTH AND DEVELOPMENT CARE PLAN Student Name: Week: Dates of Care: Patient Demographics and Medical Diagnosis Patient Sex Age Date of Birth Room Medical Diagnosis: Birth History: Prior Hospitalizations: Prior Surgeries: Immunization Status: Allergies: Code Status: BMI: Height with Percentile: Weight with Percentile: Head Circumference (if age appropriate) with Percentile: Language Barriers: Ethnic Origin and Race: Spiritual/Religious influences: Tests, treatments and interventions impacting clinical day’s care: Health Beliefs/Practices (include how they use the health care delivery system, any “folk practices†or at home remedies they try before consulting with RN or MD, use of OTC meds, etc.): Growth and Development: Identify expected physical, cognitive and psychosocial stages of development: Compare patient development to expected age/developmental stage and report any deviations: Erickson’s Stage of Development: Supporting Assessments: Piaget’s Stage of Development: Supporting Assessments: Identify Expected Body Image Changes Associated with the Patient's Developmental Age: Modifying Approaches to Care in Accordance with the Patient's Developmental Stage: Evaluating the Patient's Achievement of Expected Developmental Level and Milestones: Socialization (family & peer relationships, discipline, play): Saftey Assessment and Interventions: Discharge planning (what will the pt/family need to be successful caring for the pt at home) and Teaching Needs (Disease process, medications, safety, style, barriers): Discharge Plan: Teaching Needs: Nursing Diagnoses List the top 3 nursing diagnoses for this patient.

Use NANDA format (diagnosis, related to, as evidenced by) and place the diagnoses in their priority order. Briefly discuss the rationale for this priority order. Use nursing diagnosis that relate to the patient’s growth and development. Priority Nursing Diagnosis Related to As Evidence By Rationale Nursing Management and Intervention Select the two highest priority nursing diagnoses (related to growth and development) and complete the following table. Nursing Diagnosis: Assessment or data collection relative to the nursing diagnosis Patient Outcome (objective, expected or desired outcomes, or evaluation parameters) Interventions/ Implementations Evaluation Nursing Diagnosis: Assessment or data collection relative to the nursing diagnosis Patient Outcome (objective, expected or desired outcomes, or evaluation parameters) Interventions/ Implementations Evaluation 1

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Paper For Above instruction

The provided document contains an extensive array of interrelated nursing and research planning tasks, including the formulation of a PICO question related to hypertension management in low socioeconomic status (SES) adults aged 20-65, along with detailed instructions for a pediatric growth and development care plan. The core assignment tasks involve developing a well-constructed research question based on a specified clinical problem, identifying relevant keywords, choosing suitable research methodologies, and focusing on intervention comparisons—particularly diet, meditation, or exercise versus ACE inhibitors for hypertensive patients. Additionally, the project includes comprehensive pediatric care planning with assessments, diagnoses, outcomes, interventions, and evaluation strategies related to growth and development. The overarching aim is to connect nursing procedures with improving health outcomes amid social determinants of health and to create detailed pediatric care plans grounded in nursing standards and developmental psychology frameworks.

Paper For Above instruction

Addressing the multifaceted aspects of nursing research and pediatric care planning requires a structured approach that integrates current evidence-based practices with individualized patient assessments. This paper explores two principal themes: first, the formulation of a clinical research question centered on hypertension management in adults with low socioeconomic status (SES), and second, the development of a pediatric growth and development care plan aligned with nursing standards.

Part 1: Developing a Clinical Research Question on Hypertension Management

In the context of adult patients aged 20 to 65 years in low SES brackets experiencing hypertension, healthcare providers seek effective strategies that transcend social barriers to improve health outcomes. The PICO framework—Population, Intervention, Comparison, Outcome—serves as a vital tool for crafting targeted research inquiries. In this case, the population is characterized by adults with hypertension within the specified age range and economic limitation. The intervention options include dietary modifications, meditation, and exercise, which are non-pharmacologic strategies often complemented by medical treatments such as ACE inhibitors.

The clinical question posited is: "For hypertensive patients aged 20 to 65 with low SES, is dietary approach, meditation, or exercise more effective than ACE inhibitors in reducing blood pressure?" This question adheres to the PICO components and emphasizes a comparative analysis of lifestyle interventions versus medication. The focus on social determinants reflects contemporary concerns about health equity and access, emphasizing the importance of immune social factors in health improvement.

Keywords derived for literature searches include "nursing," "hypertension," "economic status," "health improvement," and "social conditions." Database searches are planned across multiple credible sources, including PubMed, CINAHL, ScienceDirect, NHS, Medline, and NCBI, ensuring a comprehensive review of current evidence. The selection criteria reinforce targeting adults aged 20-65, articles in English, and data specific to hypertension management.

This systematic exploration aims to identify whether lifestyle modifications can effectively manage hypertension within socioeconomically disadvantaged populations, providing data necessary to inform clinical practice and policy-making. Such evidence could support targeted interventions that reduce reliance on pharmacological therapy, potentially decreasing adverse effects and healthcare costs.

Part 2: Pediatric Growth and Development Care Planning

The second core focus involves creating a pediatric growth and development care plan based on comprehensive patient assessments, developmental psychology frameworks, and nursing standards. The process begins with gathering detailed demographic, medical, social, and cultural information, which informs the subsequent identification of growth and developmental milestones. Erickson’s psychosocial stages and Piaget’s cognitive development stages serve as foundational frameworks for assessing normal progression and deviations.

The care plan is structured around selecting at least three pertinent nursing diagnoses using NANDA standards, prioritized according to clinical relevance and developmental importance. These diagnoses address physical, cognitive, and psychosocial domains, with explicit rationales for their prioritization. For each diagnosis, specific assessment data are collected, and measurable patient outcomes are established, emphasizing attainability, realism, and time-bound goals.

Interventions are tailored to the patient's developmental stage, considering family dynamics, safety, and cultural practices. Strategies include health education, safety interventions, family support, and discharge planning, ensuring that families are equipped to maintain health at home. Continuous evaluation measures whether progress toward developmental milestones and health outcomes is achieved, guiding further care adjustments.

Through this dual focus on adult hypertension management research and pediatric developmental care planning, nursing practice is anchored in evidence-based, culturally competent, and developmentally appropriate care strategies that aim to mitigate social barriers and optimize health outcomes across the lifespan.

References

  • American Nurses Association. (2015). Nursing: Scope and standards of practice (3rd ed.). ANA.
  • Burke, R. V., & Simmons, G. (2018). Care planning for pediatric clients. Journal of Pediatric Nursing, 43, 50-58.
  • Falkner, B. (2017). Hypertension in children and adolescents. Hypertension, 70(5), 834-842.
  • Jiménez-Pavón, D., et al. (2020). Lifestyle interventions for hypertension management. Cochrane Database of Systematic Reviews, (4), CD009784.
  • McGonagle, K. A., & Marton, P. (2019). Social determinants of health and their impact on hypertensive populations. Journal of Community Health Nursing, 36(1), 1-8.
  • National Heart, Lung, and Blood Institute. (2018). Managing high blood pressure: Lifestyle modifications and treatment strategies.
  • Piaget, J. (1952). The origins of intelligence in children. International Universities Press.
  • Supzky, J., & Roberts, J. (2019). Pediatric growth and development assessment. Pediatric Nursing, 45(3), 123-131.
  • World Health Organization. (2019). Social determinants of health. WHO Publications.
  • Zhao, Y., et al. (2021). Effectiveness of lifestyle interventions on hypertension: A systematic review. Medicine (Baltimore), 100(3), e24244.

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