A researcher based in Miami wants to learn about the experiences of homeless people in the United States by conducting interviews with them. He plans to conduct in-person interviews with the homeless people he samples. He is having trouble deciding how to draw a representative sample of homeless people because homeless people are difficult to find, often move from place to place, and are often cycled in and out of homelessness. The researcher has one year and a $5,000 grant with which to conduct his interviews.

Your task is to help this researcher.

1. What is the population he wants to generalize to?
2. What are possible sampling frames (sources) from which he can draw his sample?
3. What do you think would be a good/realistic sample size?
4. What sampling methods would you suggest he uses? Why?
 

Pick any Chronic Disease from Weeks 6-10 (See Syllabus) Diseases and Disorders of the  Gastrointestinal System • Gastritis • Gastroesophageal Reflux Disease • Hemorrhoids • Hepatic Encephalopathy • Hepatitis • Irritable Bowel Syndrome (IBS) • Pancreatic Cancer • Pancreatitis • Peptic Ulcer Disease (ZollingerEllison Syndrome) • Salmonella Infection   Addison Disease • Cushing Syndrome • Diabetes • Graves’ Disease • Hyper-, Hypoparathyroidism • Hyper-,Hypothyroidism • Myasthenia Gravis • Syndrome ofInappropriate Antidiuretic  Hormone Secretion 

Must use the sample template for your soap note, keep this template for when you start clinic 

Follow the MRU Soap Note Rubric as a guide

Use APA format and must include minimum of 2 Scholarly Citations.

Soap notes will be uploaded to Moodle and put through TURN-It-In (anti-Plagiarism program)

Turn it in Score must be less than 50% or will not be accepted for credit, must be your own work and in your own words. You can resubmit, Final submission will be accepted if less than 50%. Copy paste from websites or textbooks will not be accepted or tolerated. Please see College Handbook with reference to Academic Misconduct Statement.

The use of tempates is ok with regards of Turn it in, but the Patient History, CC, HPI, The Assessment and Plan should be of your own work and individualized to your made up patient.  

Case Study 2: Selective Abortion and IVF

Case Study Assignments (45 points each, see rubric) 

Greg and Abigail Grossman, an older couple who were patients of Mrs. Clemmons (a nurse in a clinic specializing in assisted reproduction), were finally successful in their third attempt at IVF. Mrs. Grossman’s pregnancy test was positive 2 weeks after the procedure, and her hormone levels were very high, indicating that more than one embryo was viable. Indeed, by the fourth month of pregnancy, five fetuses could be seen on ultrasound, and all seemed to be developing normally. The clinic had followed the usual procedure of implanting more than one embryo in order to increase the chance that at least some would survive. Although implanting as many as five is uncommon, some people wanting to increase the probability of at least one successful pregnancy do transfer that many, especially if the woman is older and previous attempts have failed. 

At this point, the clinic physician recommended that the Grossmans reduce the pregnancy to two fetuses to ensure their survival, to prevent the birth of premature infants needing costly neonatal nursery services for weeks after the birth, and to avoid potential harm (cardiac overload) to Mrs. Grossman. The procedure would be a selective abortion of three of the fetuses. 

The Grossmans were horrified by this information and did not know what to do. They asked Mrs. Clemmons to help them make their decision. To be honest, she found it very hard to see couples faced with this type of choice. She shared their grief when they failed to become pregnant through sometimes several IVF procedures. Each IVF attempt was hard on the woman’s health, hard on the marriage relationship, and expensive. Many couples used their retirement savings or took huge loans to pay for the treatment and then had no idea how they would pay for the child’s college education. Once a woman became pregnant, it seemed a cruel twist to then recommend killing some of the fetuses so that others would have a better chance at healthy births—especially when it took such a great effort to have any fetuses in the first place! She found the potential for selective abortion one of the most undesirable aspects of IVF. Even though this possibility was explained to couples before beginning IVF, she had not observed one case in which a couple who made the decision to selectively abort did not experience serious emotional trauma and did not later question their decision. Two of the clinic’s couples had, in fact, lost their remaining fetuses a few weeks after elective abortion procedures. How could Mrs. Clemmons best help the Grossmans through this difficult decision? 

1. If a couple could make a selective abortion choice based on sexual preference, what would prohibit some other couple from making a selective abortion choice based on genetic endowments such as blue eyes and blond hair, or mental intelligence? 

2. What role should nurses have in discussing the limits of technological advances and the morality of their uses?

” Roles and Responsibilities”

1-Family Nurse Practitioners are becoming more widely recognized by the public as a source for primary care, and can perform many of the same services as physicians. According to U.S. News & World Report, a nurse practitioner (NP) is the seventh-best job overall and the fifth-best career in health care. what’s behind the prominent standing, meaning what makes the NP role an outstanding career? As a future NP, please describe the roles and responsibilities of the FNP?

2- The ANCC Family Nurse Practitioner board certification examination is a competency based examination that provides a valid and reliable assessment of the entry-level clinical knowledge and skills of nurse practitioners. This certification aligns with the Consensus Model for APRN Regulation: Licensure, Accreditation, Certification and Education. Click and review the following link https://www.nursingworld.org/our-certifications/family-nurse-practitioner/. What is the eligibility for the FNP certification?.