It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span.

Evaluate the Health History and Medical Information for Mr. C., presented below.

Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.

Health History and Medical Information

Health History

Mr. C., a 32-year-old single male, is seeking information at the outpatient center regarding possible bariatric surgery for his obesity. He currently works at a catalog telephone center. He reports that he has always been heavy, even as a small child, gaining approximately 100 pounds in the last 2-3 years. Previous medical evaluations have not indicated any metabolic diseases, but he says he has sleep apnea and high blood pressure, which he tries to control by restricting dietary sodium. Mr. C. reports increasing shortness of breath with activity, swollen ankles, and pruritus over the last 6 months.

Objective Data:

1. Height: 68 inches; weight 134.5 kg
2. BP: 172/98, HR 88, RR 26
3. 3+ pitting edema bilateral feet and ankles
4. Fasting blood glucose: 146 mg/dL
5. Total cholesterol: 250 mg/dL
6. Triglycerides: 312 mg/dL
7. HDL: 30 mg/dL
8. Serum creatinine 1.8 mg/dL
9. BUN 32 mg/dl

Critical Thinking Essay

In 750-1,000 words, critically evaluate Mr. C.’s potential diagnosis and intervention(s). Include the following:

1. Describe the clinical manifestations present in Mr. C.
2. Describe the potential health risks for obesity that are of concern for Mr. C. Discuss whether bariatric surgery is an appropriate intervention.
3. Assess each of Mr. C.’s functional health patterns using the information given. Discuss at least five actual or potential problems can you identify from the functional health patterns and provide the rationale for each. (Functional health patterns include health-perception, health-management, nutritional, metabolic, elimination, activity-exercise, sleep-rest, cognitive-perceptual, self-perception/self-concept, role-relationship, sexuality/reproductive, coping-stress tolerance.)
4. Explain the staging of end-stage renal disease (ESRD) and contributing factors to consider.
5. Consider ESRD prevention and health promotion opportunities. Describe what type of patient education should be provided to Mr. C. for prevention of future events, health restoration, and avoidance of deterioration of renal status.
6. Explain the type of resources available for ESRD patients for nonacute care and the type of multidisciplinary approach that would be beneficial for these patients. Consider aspects such as devices, transportation, living conditions, return-to-employment issues.

You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

Prepare this assignment according to the guidelines found in the APA Style Guide. An abstract is not required. 

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

In many states, nurse practitioners are completely autonomous professionals. In other states, however, NPs have a wide range of “restrictive” practice ranging from requirements for a “supervising” physician to requirements for a “collaborative” agreement with a physician.

In this Practicum Journal Assignment, you will examine the requirements of your own state in order to prepare yourself for the realities of practice upon graduation.

Learning Objectives

Students will:

• Analyze state PMHNP practice agreements
• Analyze physician collaboration issues
• Analyze barriers to PMHNP independent practice
• Create plans for addressing state PMHNP practice issues

To Prepare for this Practicum Journal:

• Review practice agreements in your state. (STATE OF MARYLAND)
• Identify at least two physician collaboration issues in your state.

Assignment:

For this Practicum Journal:

• Briefly describe the practice agreements for PMHNPs in your state.

• Explain the two physician collaboration issues that you identified.

• Explain what you think are the barriers to PMHNPs practicing independently in your state.

• Outline a plan for how you might address PMHNP practice issues in your state.

Note: Support your rationale with a minimum of three academic resources less than five years In APA Format Including Introduction and Conclusion  

Actual work where 2 students given their post on this:

Work #1:

Discussion Board – Demand Function

Demand function specifies other factors that management will often consider, including the design and packaging of products, the amount and distribution of the firm’s advertising budget, the size of the sales force, promotional expenditures, the time period of adjustment for any price changes, and taxes or subsidies. For this discussion forum, consider your favorite consumer product (e.g. cell phone, car, cereal, restaurant, hair gel, etc.) and describe the variables that might be part of the demand function (i.e. substitute good, complementary good, income level, advertisement, consumer preference, etc.) for this product. How would you describe the elasticity of demand for this product – is it highly or somewhat elastic or inelastic? Why?

Please find the attachment.

SELECT ONLY ONE QUESTION TO WORK ON!!!!!!!!!!!!!!!!!!!!

·      Follow the discussion questions participation and submission guidelines.

·      Follow the 3 x 3 rule: minimum three paragraphs per DQ, with a minimum of three sentences each paragraph.

·      All answers or discussions comments submitted must be in APA format according to Publication Manual American Psychological Association (APA) (6th ed.) 2009 ISBN: 978-1-4338-0561-5

·      Minimum of two references, not older than 2015.

Chapter 11: Informatics in Professional Nursing Practice

1.  What is your role as a nurse in protecting patient healthcare information?

2.  What needs of populations in your region or state could be addressed with the use of telehealth? What ideas can you envision to assist in the access to and delivery of healthcare services where you live or work?

3.  How can you locate online sources for more information on a new treatment or medications for a health condition you discussed in a nursing class or clinical this week?

4.  What is your role as a nurse in the evaluation of information on the Internet?

5.  Discuss issues of the digital divide. Explore resources in your city and county for the general public to have free Internet access and assistance. What other technologic resources are available for underserved populations?

Administer a safety survey (e.g., the Injury Prevention Program [TIPP] from the American Academy of Pediatrics or develop your own) to assess the home environment of a 6-month-old and a 5-year-old.

1.  Develop a plan of education and anticipatory guidance for the family. 

2. How would you apply this information to a larger population?

150-word minimum/250-word maximum without the references.

·         Minimum of two references in APA format, must have been published within last 3-5 years.