Conc of Pathophys Case Study 1

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Assignment Instructions:

· Review the case study scenario below and the client’s family history and medical profile information from unit 1.

· Next, write a 6-8-page paper analysis of the client (including title and reference page) according to the assignment specifications, outline, and grading rubric.

Case Study 1 Scenario:

Client, Sarah Collins, has chronic kidney disease. She receives dialysis twice a week. Today when Mrs. Collins arrives at the dialysis clinic, the nurse assesses Mrs. Collins and notes her blood pressure is 145/90 mm Hg and she has gained three pounds since her last visit. Mrs. Collins tells the nurse she was trying earlier to walk to her mailbox at the end of the driveway and couldn’t because she was out of breath. Mrs. Collins’ husband and 16-year-old grandson are at the clinic with her.

Case Study Analysis Assignment Outline:

 The case study analysis paper should include the following sections with responses and rationales for all the prompts.

Introduction (3-5 paragraphs)

Provide an overview of the pathophysiology of the disease exhibited by the client. Include:

· What additional assessment findings would you look for?

· What lab abnormalities would you expect to see?

· What diagnostics would you anticipate the healthcare team ordering?

· Provide a rationale for your answers.

Implications for Self-Care (2 paragraphs)

· Consider Maslow’s hierarchy of needs and describe where the client falls in that hierarchy and how this will impact care and healing.

· How does this disease process impact the client’s and/or their care provider’s ability to care for themselves?

Patient Education Strategy (2-3 paragraphs)

· Identify 3-5 appropriate nursing interventions and teaching points for your client based on the pathophysiology and assessment findings.

· Describe the educational strategies that should be incorporated when building a plan of care for your client.

· Support with rationale.

Interdisciplinary Collaboration (2-3 paragraphs)

· Identify 2-4 interdisciplinary team members who need to be included in the care of the client. Include rationale.

· Consider the care the client will need while inpatient and upon discharge.

· Consider nutrition, community services, and financial implications.

Conclusion

· Summarize the key concepts of this disease process and client case study scenario.

References

· A minimum of three references should be used in this paper.

· References should be no more than five years old.  Exceptions include seminal works, such as original publications by nurse theorists. 

· One reference must be your textbook,

· One reference must be from a peer-reviewed journal,

· One reference must be from an authoritative website such as the CDC, NIH or Healthy People 2030.

Assignment Specifications:

· Name the paper with a File Naming Protocol: When you save the paper, name it: LastName_NSG 3300_CaseStudyAnalysis_1.docx

· Paper reflects clinical and professional client/cases, and no references to personal or family issues.

APA Formatting

· All papers should be written in APA formatting. This paper should include:

· Formal components, such as a title page, and APA formatting with an introductory and conclusion paragraph that summarizes the key concepts

· APA-formatted  level headings

· APA margin, font, and paragraph spacing

· Include page numbers

· Appropriate in-text reference citations

· A reference page, in correct APA format

HUM 1050 – Introduction to Literature

Unit 4 Discussion (9/25-10/1) Evaluating Film

For this discussion, you should view the film  Away from her (Egoyan et al., 2006). This week we will use the Munro short story “The bear came over the mountain? (2013) as the criteria against which to evaluate the film  Away from her (Egoyan et al., 2006). You will be making a judgment based on the evidence from the story and the film to evaluate how well the film depicts the story and how well the story and the film depict Alzheimer’s.

· Do you think the film accurately depicts the characters in the short story?

· Do you think that the film justifies the themes of the story?

· Does the film accurately depict Alzheimer’s?

· Does the film present as overly sentimental?

· Do you prefer the film or the short story?

You should DO THREE SEPARATE POSTS ON THIS CONTENT ACTIVITY

References

Egoyan, A. Hirst, V., Iron, D. Mankoff, D. Urdl, S. Weiss, J. (Producers), & Polley, S. (Director). (2006).

Away from her. [Motion picture]. Canada: Foundry Film

Munro, A. (2013, Oct 21). The bear came over the mountain.  The New Yorker.

https://www.newyorker.com/magazine/2013/10/21/the-bear-came-over-the-mountain-2

All citations from the film should be: (Egoyan et al., 2006).

Add timestamp number to citations with direct quotes from the film.

Add a para. number to citations with direct quotes from the story.

Preparing the Discussion

You are a family nurse practitioner working in an outpatient primary care office of a large hospital system. The practice has been operating for over 15 years, and many of the administrative and clinical staff were hired when the practice opened. You have been in the practice for less than 3 months. In that short amount of time, you have witnessed several of the clinical staff engaging in heated arguments with each other, sometimes in patient areas. You overhear an argument occurring today between two staff. You pick up a patient’s chart and notice a very low blood pressure that the medical assistant failed to notify you about. When you confront the MA, she states that she was going to report the vital signs to you when she became engaged in the heated argument you overheard and forgot to notify you.

Unfortunately, this pattern of behavior is not unusual in this practice. Working with staff who cannot cooperate effectively can negatively influence your ability to spend time with patients, can impede the flow of patients through the office, and could impact patient safety.

Case Study Responses: 

1. Analyze the case study for potential issues for members of the healthcare team from office conflict. Contrast the potential effects for each member of the healthcare team based on the required readings from the week. Discuss the potential ethical and legal implications for each of the following practice members:

· Medical assistant

· Nurse Practitioner

· Medical Director

· Practice

2. What strategies would you implement to prevent further episodes of potentially dangerous patient outcomes?

3. What leadership qualities would you apply to effect positive change in the practice? Focus on the culture of the practice.

4. A scholarly resource must be used for EACH discussion question each week.