Assessment Tools, Diagnostics, Growth, Measurement, and Nutrition in Adults and ChildrenundefinedMany experts predict that genetic testing for disease susceptibility is well on its way to becoming a routine part of clinical care. Yet many of the genetic tests currently being developed are, in the words of the World Health Organization (WHO), of “questionable prognostic value.”undefined—Leslie Pray, PhDundefinedObesity remains one of the most common chronic diseases in the United States. As a leading cause of United States mortality, morbidity, disability, healthcare utilization and healthcare costs, the high prevalence of obesity continues to strain the United States healthcare system (Obesity Society, 2016).  More than one-third (39.8%) of U.S. adults have obesity (CDC, 2018). The estimated annual medical cost of obesity in the U.S. was $147 billion in 2008 U.S. dollars; the medical costs for people who are obese were $1,429 higher than those of normal weight (CDC, 2018).undefinedAccording to the Centers for Disease Control and Prevention (CDC), the rate of childhood obesity has tripled in the past 30 years, with an estimated 13.7 million children and adolescents considered obese (CDC, 2018). When seeking insights about a patient’s overall health and nutritional state, body measurements can provide a valuable perspective. This is particularly important with pediatric patients. Measurements such as height and weight can provide clues to potential health problems and help predict how children will respond to illness. Nurses need to be proficient at using assessment tools, such as the Body Mass Index (BMI) and growth charts, in order to assess nutrition-related health risks and pediatric development while being sensitive to other factors that may affect these measures. Body Mass Index is also used as a predictor for measurement of adult weight and health.Assessments are constantly being conducted on patients, but they may not provide useful information. In order to ensure that health assessments provide relevant data, nurses should familiarize themselves with test-specific factors that may affect the validity, reliability, and value of these tools.undefinedThis week, you will explore various assessment tools and diagnostic tests that are used to gather information about patients’ conditions. You will examine the validity and reliability of these tests and tools. You will also examine assessment techniques, health risks and concerns, and recommendations for care related to patient growth, weight, and nutrition.undefinedLearning ObjectivesundefinedStudents will:undefinedEvaluate validity and reliability of assessment tools and diagnostic testsAnalyze diversity considerations in health assessmentsApply concepts, theories, and principles related to examination techniques, functional assessments, and cultural and diversity awareness in health assessmentApply assessment skills to collect patient health historiesundefinedAssignment 1: Case Study Assignment: Assessment Tools and Diagnostic Tests in Adults and ChildrenundefinedWhen seeking to identify a patient’s health condition, advanced practice nurses can use a diverse selection of diagnostic tests and assessment tools; however, different factors affect the validity and reliability of the results produced by these tests or tools. Nurses must be aware of these factors in order to select the most appropriate test or tool and to accurately interpret the results.undefinedNot only do these diagnostic tests affect adults, body measurements can provide a general picture of whether a child is receiving adequate nutrition or is at risk for health issues. These data, however, are just one aspect to be considered. Lifestyle, family history, and culture—among other factors—are also relevant. That said, gathering and communicating this information can be a delicate process.undefinedFor this Assignment, you will consider the validity and reliability of different assessment tools and diagnostic tests. You will explore issues such as sensitivity, specificity, and positive and negative predictive values. You will also consider examples of children with various weight issues. You will explore how you could effectively gather information and encourage parents and caregivers to be proactive about their children’s health and weight.undefinedTo PrepareundefinedReview this week’s Learning Resources and consider factors that impact the validity and reliability of various assessment tools and diagnostic tests. You also will review examples of pediatric patients and their families as it relates to BMI.Option 2 (Child), consider what health issues and risks may be relevant to the child in the health example.Based on the risks you identified, consider what further information you would need to gain a full understanding of the child’s health. Think about how you could gather this information in a sensitive fashion.Consider how you could encourage parents or caregivers to be proactive toward the child’s health.Assignment (3–4 pages, NOT including title and reference pages):TOPIC 5-year-old Asian girl of normal weight with obese parents who is home schoolMAKE A Child Health Case off of information provided: MUST Include the following:An explanation of the health issues and risks that are relevant to the child you were assigned.Describe additional information you would need in order to further assess his or her weight-related health.Identify and describe any risks and consider what further information you would need to gain a full understanding of the child’s health. Think about how you could gather this information in a sensitive fashion.Taking into account the parents’ and caregivers’ potential sensitivities, list at least three specific questions you would ask about the child to gather more information.Provide at least two strategies you could employ to encourage the parents or caregivers to be proactive about their child’s health and weight.

nstructionsFinal Project Information Throughout this course, you will complete assignments that lead up to a final project. The project, titled “Consultant to the Client Organization,” is based on a scenario presented below. It may be helpful to refer back to this scenario as you complete each assignment.Consultant to the Client OrganizationFig Technologies is a global technology solutions firm with offices around the globe. Fig Technologies’ corporate headquarters is just outside Mobile, Alabama. Fig recently acquired several smaller firms in different regions to expand its products and service lines. Assimilating the processes, systems, and human capital has presented a significant challenge. The leadership has chosen to bring in an outside firm to address concerns. You are the consultant from that firm, The Solution Group. In each of the assignments in this course, you will be given a scenario to address the concern that is presented. You will be expected to develop assessment, analysis, and research in order to support your proposed solution. Often, you will be asked to present the top three solutions for the concern and support your answer. Use of course materials (textbook and required readings) and external credible materials is strongly encouraged. The scenario is not intended to have a set answer but to develop critical thinking on what can often be very emotional and opinion-based topics. Consider carefully your position and how you will support the proposed solutions. Grading will not require simply meeting format standards and word count. It will require substantive content, research, and critical thinking. Each assignment will be a section of a comprehensive report that will be submitted to the Fig Technologies Executive Leadership Council (ELC) in written form in Unit VII. The presentation will be made in Unit VIII. Consider as you work on each assignment how it will fit into the final report that will be sent to the ELC for review. The final report will include recommendations for continued improvement regarding managing diversity in the organization. The project serves as an opportunity to stretch your thinking and your organizational skills whether you are a business or human resources major. Working in an organization or being contracted to an organization will require this type of thinking from you as to how you will handle diversity issues within an organization. The project and the course will allow you to build a solid foundation to build upon while also enriching your resource library on the topic for future business world opportunities. Click here to download a copy of these instructions for the project scenario. Fair Treatment of EthnicitiesThe Executive Leadership Council (ELC) has authorized The Solution Group, (the company you work for) to assess assimilation of recent transfers into the workplace environment in the newly opened IT division of Fig Technologies in Tyler, Texas. The Tyler IT division was aligned with its counterparts in Qatar and Germany. In an effort to assimilate the newly formed virtual teams, a contingent from each of the three offices went to the other offices for a two-month immersion. The purpose of the short-term exchange was to learn culture, process, and systems. Some hostilities have been reported in all three offices by team members as to difficulties with the visiting team members. The ELC wants more information. Your objective is to determine how to assess the assimilation progress of workers to different people and cultures. Is there acceptance? What are possible roadblocks and obstacles (e.g., language, common terminology, customs, and work ethics). As a consultant, how would you complete this assessment and report results? Your assignment instructions are as follows: Introduce the composition of the three 10-member teams in each of the sites. You do not need names, though you should develop an ethnically diverse team of locals and visitors from the other respective worksites and national cultures. Explore the differences in culture, perspective, and experience of your team. Include whether the work culture in these countries is individualistic or collective. This section should be 200 words, approximately half of a page. Develop a short assessment tool in order to measure assimilation. Tools may include one of the following: a survey (no more than 10 questions), an interview (no more than 10 questions), or natural observation (approximately half of a page, including a copy of the assessment tool questions). The CSU Online Library is a great place to find information about research questions. Assessment and results: Develop a one and a half-page summary of your assessment results and how you determined these results based on the answers. The results must address the challenges of these three dynamic cultures and perspectives working together in a live, onsite, and remote environment. Also, identify the demographic data and cultures that make up the organization and how these relate to the U.S. population. Show how you will analyze and use this data in your assessment. Present your three approaches for improving assimilation onsite. Support your approaches. This section should be approximately half of a page. Your completed homework assignment should be three to four pages in length, not counting your references page. No title page is required. The report will require you, as the hired consultant, to review briefly the cultures in play in this scenario. What would be challenges these teams might face? Work ethics, religions, systems, cognitive processes, and cultural dynamics are all factors.You are required to use at least two outside sources for this assignment—one of which may be the textbook. You are encouraged to use the CSU Online Library. All sources used, including the textbook, must be referenced; paraphrased and quoted material must have accompanying citations. All references and citations used must be in APA style.

Create a 3-5-page submission in which you develop a PICO(T) question for a specific care issue and evaluate the evidence you locate, which could help to answer the question.PICO(T) is an acronym that helps researchers and practitioners define aspects of a potential study or investigation. It stands for:P – Patient/population/problem.I – Intervention.C – Comparison (of potential interventions, typically).O – Outcome(s).T – Time frame (if time frame is relevant).The end goal of applying PICO(T) is to develop a question that can help guide the search for evidence (Boswell Cannon, 2015). From this perspective, a PICO(T) question can be a valuable starting point for nurses who are starting to apply an evidence-based model or EBPs. By taking the time to precisely define the areas in which the nurse will be looking for evidence, searches become more efficient and effective. Essentially, by precisely defining the types of evidence within specific areas, the nurse will be more likely to discover relevant and useful evidence during their search.You are encouraged to complete the Vila Health PCI(T) Process activity before you develop the plan proposal. This activity offers an opportunity to practice working through creating a PICO(T) question within the context of an issue at a Vila Health facility. These skills will be necessary to complete Assessment 3 successfully. This is for your own practice and self-assessment and demonstrates your engagement in the course.Demonstration of ProficiencyBy successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:Competency 1: Interpret findings from scholarly quantitative, qualitative, and outcomes research articles and studies.Explain the findings from articles or other sources of evidence.Competency 2: Analyze the relevance and potential effectiveness of evidence when making a decision.Identify sources of evidence that could be potentially effective in answering a PICO(T) question.Explain the relevance of the findings from chosen sources of evidence to making decision related to a PICO(T) question.Competency 3: Apply an evidence-based practice model to address a practice issue.Define a practice issue to be explored via a PICO(T) approach.Competency 5: Apply professional, scholarly communication strategies to lead practice changes based on evidence.Communicate using writing that is clear, logical, and professional with correct grammar and spelling using current APA style.ReferenceBoswell, C., Cannon, S. (2015). Introduction to nursing research. Burlington, MA: Jones Bartlett Learning.Professional ContextAs a baccalaureate-prepared nurse, you will be responsible for locating and identifying credible and scholarly resources to incorporate the best available evidence for the purposes of enhancing clinical reasoning and judgement skills. When reliable and relevant evidence-based findings are utilized, patients, health care systems, and nursing practice outcomes are positively impacted.PICO(T) is a framework that can help you structure your definition of the issue, potential approach that you are going to use, and your predictions related to the issue. Word choice is important in the PICO(T) process because different word choices for similar concepts will lead you toward different existing evidence and research studies that would help inform the development of your initial question.ScenarioFor this assessment, please use an issue of interest from your current or past nursing practice.If you do not have an issue of interest from your personal nursing practice, then review the optional Case Studies presented in the resources and select one of those as the basis for your assessment.InstructionsFor this assessment, select an issue of interest an apply the PICO(T) process to define the question and research it.Your initial goal is to define the population, intervention, comparison, and outcome. In some cases, a time frame is relevant and you should include that as well, when writing a question you can research related to your issue of interest. After you define your question, research it, and organize your initial findings, select the two sources of evidence that seem the most relevant to your question and analyze them in more depth. Specifically, interpret each source’s specific findings and best practices related to your issues, as well explain how the evidence would help you plan and make decisions related to your question.If you need some structure to organize your initial thoughts and research, the PICOT Question and Research Template document (accessible from the “Create PICO(T) Questions” page in the Capella library’s Evidence Based Practice guide) might be helpful.In your submission, make sure you address the following grading criteria:Define a practice issue to be explored via a PICO(T) approach.Identify sources of evidence that could be potentially effective in answering a PICO(T) question.Explain the findings from articles or other sources of evidence.Explain the relevance of the findings from chosen sources of evidence to making decision related to a PICO(T) question.Communicate using writing that is clear, logical, and professional with correct grammar and spelling using the current APA style.Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:Assessment 3 Example [PDF].Additional RequirementsYour assessment should meet the following requirements:Length of submission: Create a 3–5-page submission focused on defining a research question and interpreting evidence relevant to answering it.Number of references: Cite a minimum of four sources of scholarly or professional evidence that support your findings and considerations. Resources should be no more than 5 years old.APA formatting: Format references and citations according to the current APA style.

Use the Google Play Store for Android devices or the Apple iTunes App Store for Apple devices to search for the medical application as determined by the table above.In order to complete the following guided appraisal, download the app to a mobile device (smartphone or tablet). The apps are free and do not require purchase to complete this assignment.Provide proof of download by attaching a screenshot of the device screen in JPEG or PDF format to the assignment upload tab (in addition to submitting this assignment). Following the general instructions below for smartphone devices (specific device instructions may vary):Android 4.0 and Newer: (Galaxy SIII, Galaxy S 4, Galaxy Note, HTC One, Nexus phones, Droid phones)Any Android phone running Ice Cream Sandwich (4.0) or later can easily take a screenshot. Hold the Power and Volume Down buttons together until the screen flashes and you hear the shutter sound. The screenshot image will appear in your Gallery app, usually inside the Screenshots folderiPhoneThe method for taking a screenshot in iOS has been the same since version 2.0. Hold the Power (Sleep/Wake) and Home buttons together until the screen flashes and you hear the shutter sound. The screenshot image will appear in your Photos app under Camera Roll.PART 2: Answer the Medical App Critical Appraisal questions thoughtfully and comprehensively. Use the criteria headings on this outline as the headings on your properly APA- formatted paper.NAME: What is the name of the app?AUTHOR: Who created, developed, or maintains the app? Explain.ENDORSEMENT: Is the app licensed by the Food and Drug Administration, other government agency, or endorsed by an academic institution or medical professional organization? Explain.OPERATION: Which platform (mobile or web-based) is suitable for the app and why?AESTHETICS: Is the information displayed in a way that is easy to navigate? Is it easy to use? Can you use it without instructions? Explain.PURPOSE: What is the intended purpose or use of the app?CLINICAL DECISION MAKING: What influence does the app have on clinical decision making? Explain.SAFETY: Is there potential for patient harm? Explain.PRIVACY/SECURITY: Does the app have privacy statement or setting? Is there a clear privacy policy stating information will be encrypted and not shared with third parties? Does the app share information on social networks? Are users notified in the event of a breach of privacy and health information? Explain.USER: For whom is the app intended (providers, patients, or others)? Explain.DISTRIBUTION: Is it designed for local use or wider distribution? Explain.CREDIBILITY: How credible are the sources of information? How do you know? Explain.RELEVANCE: How current is the information in the app? When was the last update? Is the content consistent with evidence-based literature or best practices/standards of care? Explain.PART 3: Provide one example of an appropriate patient or clinical scenario for this app. The example should include the following details:Patient Age-population (Pediatric, Adult, Geriatric)Clinical Setting (Hospital, Private Practice, Extended Living Facility)History of Present Illness and Diagnosis or ConditionProvide a detailed description of the app in your example. When will the app be implemented (at the Point-of-care or elsewhere)? Who will use the app? What potential impact will it have on the scenario? Incorporate the critical appraisal information from Part 2. Provide one evidence-based scholarly article as a reference to support clinical decision making.This assignment will be graded on the quality of the information, inclusion of one evidence-based scholarly resource, use of citations, use of Standard English grammar, and organization based on the required components (see the paper headings and content details in Part 1).The length of the paper is to be between 1,000 and 1,500 words, excluding title page and reference list.Create this assignment using Microsoft (MS) Word. You can tell that the document is saved as a MS Word document because it will end in “.docx.”APA format is required in this assignment, explicitly for in-text citations and the reference list. Use 12-point Times New Roman font with 1-inch margins and double spacing. See the APA manual for details regarding proper citation. See resources under Course Resources, “Guidelines for Writing Professional Papers” for further clarification.* Scholarly Sources: Only scholarly sources are acceptable for citation and reference in this course. These include peer-reviewed publications, government reports, or sources written by a professional or scholar in the field. The textbooks and lessons are NOT considered to be outside scholarly sources. For the threaded discussions and reflection posts, reputable internet sources such as websites by government agencies (URL ends in .gov) and respected organizations (often ends in .org) can be counted as scholarly sources. The best outside scholarly source to use is a peer-reviewed nursing journal.  You are encouraged to use the Chamberlain library and search one of the available databases for a peer-reviewed journal article.  The following sources should not be used: Wikipedia, Wikis, or blogs.  These websites are not considered scholarly as anyone can add to these. Please be aware that .com websites can vary in scholarship and quality.  For example, the American Heart Association is a .com site with scholarship and quality.  It is the responsibility of the student to determine the scholarship and quality of any .com site.  Ask your instructor before using any site if you are unsure. Points will be deducted from the rubric if the site does not demonstrate scholarship or quality. Current outside scholarly sources must be published with the last 5 years.  Instructor permission must be obtained BEFORE the assignment is due if using a source that is older than 5 years.

The Essay Three writing project requires you to a write an definition essay in which you provide the meaning of the the term stereotype threat by making use of the things that are listed directly below:
1. Ideas expressed by social psychologist Claude Steele. Such ideas can come from the Hidden Braininterview or any of the articles by Steele that are listed on the web page where the Hidden Braininterview can be accessed (go here to access that web page).
2. Ideas about crime, punishment, or justice — or ideas having to do with any combination of the themes of crimes, punishment, or justice. Ideas about these themes can be represented by personal experience (yours or someone else’s) or by anything else that is relevant.
3. Elements found in the young adult novel I’m Not Dying with You Tonight. Such elements can include actions, setting, characters, scenes, dialogue, symbolism, themes, phrases, or any combination of these elements and more.
Your completed essay will therefore be layered with content that relates to items 1, 2, and 3. How and where you include this content within the body of your essay is up to you; even so, your paper should be organized logically. Can your essay have other layers? The answer is yes. In fact, your definition essay can include historically, socially, or culturally relevant content that goes beyond what you are required to include in your essay, such as, perhaps, something that comes from the B-CU panel discussion featuring Kimberly Jones and Gilly Segal.
What is the purpose of a definition essay? A definition essay is what it sounds like: it is a paper designed to give a definition in an elaborated form. That said, it is an extended definition of a term that uses the structure of an essay to provide meaning, so it has an introduction, body, and conclusion just like other essays do.
Now let’s consider what a thesis statement might look like for the Essay Three assignment. What follows are two examples for your consideration.
Thesis Statement for Paper A: The thought patterns of the black and white female protagonists in the novel I’m Not Dying with You Tonight represent at times the definition of the concept known as stereotype threat.
Thesis Statement for Paper B: In this paper, I will show that while one way to provide the meaning of stereotype threat is to use Claude Steele’s definition, there are scenes from the novel I’m Not Dying with You Tonight and situations from my own life that also provide other ways to convey the meaning of this term.
The student writing Paper A could develop a paper that is akin to a psychoanalysis of Lena and Campbell. Paper A could therefore examine how the novel depicts what’s going on in the two characters’ heads in order to show how the internal workings of the two characters’ minds illustrate the concept of stereotype threat as articulated by Claude Steele. Paper A would also touch on crime, punishment, or justice, depending on whichever one of these three themes is relevant.
The student writing Paper B could compare what Claude Steele says stereotype threat is to the student’s own unique definition of the term. In so doing, the student writing Paper B could match Steele’s definition to a version of the definition created by the student that makes use of specific scenes from the novel and specific situations from the student writer’s own life. Paper B would also touch on crime, punishment, or justice, depending on whichever one of these three themes is relevant.
You should try to come up with your own original thesis statement. (Go here for a video tutorial on how to write a definition essay)
Regardless of what your paper’s thesis is, your definition essay must also include:
*At least 1800 words of double-spaced content that is written in a 12-point, Times New Roman font.
*In-text citations from the novel I’m Not Dying with You Tonight.
*At least one in-text citation that is specifically about or specifically from Claude Steele’s work focusing on stereotype threat. This in-text citation can either come from the Hidden Brain interview or one of the articles by Steele listed on the web page containing the audio interview.
*A thesis or position statement in the first paragraph of your essay. Your paper’s first paragraph should be an overview or map for the entire paper itself.
*Proper paragraphing. Every paragraph should therefore have a topic sentence and other sentences that provide supporting details.
^A conclusion paragraph or area that leaves the reader with a point to ponder.
*A separate Works Cited page that is in addition to the 1,800 essay that you are required to submit.
Other considerations:
No one quote used by you needs to be more than three lines long, so every quote that you use can be a group of words that spans one to three lines in a paragraph. In other words, avoid using block quotes that are four lines or longer. The quoted material you use should have an introductory element to lead into the quote and parenthetical reference that comes after the quote. For example: Wright’s novel states, “Somebody tried to leap at him, but was caught by the policemen and held back” (337). In the example of the quote that is given here, the three words come right before the the comma (Wright’s novel states) and the quotation itself are introductory words that lead into the quote, and the parentheses flanking the number 337 represent the parenthetical references. A parenthetical references always comes after the ending quotation mark and before the period that completes the sentence.  All the individual quotes used in your paper should be a variation of the example I have given here — an introductory word or set of words, then a comma, then the quote before the parenthetical reference.
Your paper should not merely be a plot analysis or something akin to a book report. In other words, avoid doing an extensive summary of what happens in the novel by Jones and Segal.Stereotype threat