nursing

Case Study: Mr. C.

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, located in the Student Success Center. 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.

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Advance Primary Care III

  Your Nursing Philosophy as an ARNP

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Selecting research

 What are the criteria for selecting qualitative versus quantitative   resources in relation to your literature review? Which is quantitative research so important to nursing research?

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DQ12

Re: Topic 1 DQ 2  Great post also in 2010 the Institute of Medicine(IOM) issued the Future  of Nursing leading  changes in Advancing Health (Institute of Medicine, 2010a)The report not  only informs and highlightes the needs for changes in nursing education  to meet the  changing face fo healthcare but also recommends  the nursing profession increase  the number of registered nurses (RNs) with bachelors degree in nursing (BSN) to 80% by the year 2020(IOM,2010a).The increase in complexity of care is one of the many reasons  driving the IOM recommendation.(NursingLicense.org,2016)with facilities believing that the associate  degree nurses are well trained to manage the day -to -day task  but healthcare today requires more than what is  taught in ADN program. Need APA RERENCE AND INTEX CITATION FOR THIS RESPONSE

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A person centered approaches and services user involvement in health and social care

Part 1 – Assignment Brief:

1. Produce a critical and evaluative essay on service user involvement.

2. Reference should be made to theoretical concepts of service user involvement, with a critical evaluation of its impact on delivery/development of care services.

3. Articulate the person-centred approach in health and social care and critically appraise its importance for service providers.

4. Make links with and critically analyse themes/theory of power and empowerment throughout this essay.

In addition, the marking tutor will be looking for evidence of the following:

· Does the essay cover the main points of the topic logically?

· Is the essay presented in an appropriate context?

· Is the essay coherent and well-structured?

· Is there evidence of personal research in relation to the topic beyond material covered in class?

· Is there evidence of understanding of the topic?

Part 2:

 

Assessment Number

2

 

Assessment Type (and weighting)

15-20 mins Oral assessment –   Presentation (30%)

 

Assessment Name

Person Centred Approach – A Case Study

 

Assessment Submission Date

Printed and   electronic copy of presentation submitted to tutor on day

Learning Outcomes Assessed: 

 

LO4: Recommend, justify and   discuss appropriate strategies to implement a

person centred approach with reference to a specific experience / case

study

Part 2 – Assignment Brief:

Please use the oral assessment format provided for the development of your case study 

Presentation

1. You are required to deliver a presentation using a specific experience or case

study

2. You are required to collate and analyse information from scholarly and non

scholarly materials

Your presentation will address the following criteria:

• Introduce your case study

• Justify why it is important to implement a person centred approach in case of interest interest

• Discuss approach service user involvement strategies that relate and underpin the identified case study

• Consider the recommendations for practice, for a person centred approach, relevant to case study

• Draw some conclusions

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Prospectus Draft Revision.

Please make revision in the prospectus checklist assignment based on my professor feedback. For now, she wants to only focus on (1) the problem statement, (2) the practice focus question, (3) the social change.

I’m also attaching a copy of the previous prospectus draft  which the professor returned to me with her feedback. Also, I included an outline of the project in the file section (see attached file).

Include as many scholarly references (at least 10) as needed and cite often.

APA format required.

Due on Sunday 10/06/19 by 12pm America/New York time.

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Power Point about Paperwork reduction act

What is paperwork reduction act?

Definition?

Objectives?

Function?

Relation with healthcare policy and delivery system.

Power Point

turinitin report attached

Apa Format

minimum 10 slides

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question

2 postsCAT: Brainstorm & discussion. ( points considered for participation)

Class, what is the most vulnerable population that you work with, specific to your facility and specialty? Please elaborate and give me an example of a situation in which you served this population, the outcome, and the continuing education provided.

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nursing theory (Theory of Human-becoming)

 1-Reflect on the tenets of the Theory of Humanbecoming and its core concepts and assumptions.

2-Then compare and contrast how the core concepts currently apply to your nursing practice versus how you anticipate they will relate to your future practice as a family nurse practitioner. Please identify at least 2 specific assumptions of the theory in your discussion as outlined in your textbook.

APA style. Minimum 250 words. 3 references.

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Evidence-Based Practice Project: Intervention Presentation on Diabetes

CLC – Evidence-Based Practice Project: Intervention Presentation on Diabetes 

  • My Group
  • Group Forum

This is a Collaborative Learning Community (CLC) assignment.As a group, identify a research or evidence-based article published within the last 5 years that focuses comprehensively on a specific intervention or new treatment tool for the management of diabetes in adults or children. The article must be relevant to nursing practice.Create a 5 slide PowerPoint presentation on the study’s findings and how they can be used by nurses as an intervention. Include speaker notes for each slide and additional slides for the title page and references.
Digital Diabetes Management Application Improves Glycemic Outcomes in People With Type 1 and Type 2 Diabeteshttps://journals.sagepub.com/doi/full/10.1177/1932296817747291
Provide a descriptive and reflective discussion of how the new tool or intervention can be integrated into nursing practice. Provide evidence to support your discussion.
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.While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

CLC – Evidence-Based Practice Project—Intervention Presentation on Diabetes

No of Criteria: 9 Achievement Levels: 5CriteriaAchievement LevelsDescriptionPercentageUnsatisfactory0.00 %Less than Satisfactory75.00 %Satisfactory79.00 %Good89.00 %Excellent100.00 %Content80.0     Article5.0The article is omitted or fails to meet the assignment criteria.The article fails to meet most of the assignment criteria; the article is not relevant to nursing practice.The article is published in the last 5 years and has a general focus on an intervention or treatment tool for managing diabetes in adults or children. The article has some application to nursing practice.The article is published in the last 5 years, has a focus on an intervention or treatment tool for managing diabetes in adults or children. The article has general application to nursing practice.The article is published in the last 5 years, has a focus on an intervention or treatment tool for managing diabetes in adults or children. The article has direct application to nursing practice.Intervention or Treatment Tool and Specific Patient Population of Study5.0Intervention, or treatment tool, and the specific patient population used in the study are omitted or inaccurate.An incomplete summary of the intervention, or treatment tool, and the specific patient population used in the study is presented. There are significant gaps and inaccuracies.A summary of the intervention or treatment tool and the specific patient population used in the study is presented. Some aspects require more detail for clarity. There are minor inaccuracies.A description of the intervention or treatment tool and the specific patient population used in the study is presented. Minor detail is needed for clarity or accuracy.A thorough description of the intervention or treatment tool and the specific patient population used in the study is presented.Summary of Article15.0The summary is omitted or fails to meet the assignment criteria.A partial summary of the article is presented. There are major omissions. The summary fails to accurately represent the main idea for a specific patient population, the clinical findings, or the relevance to diabetes and nursing practice.A summary of the article is presented. The summary generally presents the main idea for a specific patient population, the clinical findings, and the relevance to diabetes and nursing practice. There are some inaccuracies. More information is needed.A summary of the article is presented. The summary presents the main idea for a specific patient population, the clinical findings, and the relevance to diabetes and nursing practice. Some detail or information is needed for clarity.A thorough summary of the article is presented. The summary accurately presents the main idea for a specific patient population and the clinical findings, and clearly illustrates relevance to diabetes and nursing practice.Inclusion of the Psychological, Cultural, and Spiritual Aspects15.0Explanation of why the psychological, cultural, and spiritual aspects are important to consider for patient who has been diagnosed with diabetes is omitted.A partial explanation of why the psychological, cultural, and spiritual aspects is important to consider for a patient who has been diagnosed with diabetes is presented. The explanation contains significant omissions and inaccuracies. Reasoning or rationale is not provided for support.A general explanation of why the psychological, cultural and spiritual aspects is important to consider for a patient who has been diagnosed with diabetes is presented. The explanation contains some omissions and inaccuracies. General reasoning or rationale is provided for support.An explanation of why the psychological, cultural, and spiritual aspects is important to consider for a patient who has been diagnosed with diabetes is presented. The explanation contains adequate reasoning or rationale provided for support. Some detail is needed for clarity.A compelling explanation for why the psychological, cultural and spiritual aspects is important to consider for a patient who has been diagnosed with diabetes is presented. The explanation is well-developed and contains strong reasoning and rationale for support.Presentation of Content40.0The content lacks a clear point of view and logical sequence of information. Includes little persuasive information. Sequencing of ideas is unclear.The content is vague in conveying a point of view and does not create a strong sense of purpose. Includes some persuasive information.The presentation slides are generally competent, but ideas may show some inconsistency in organization and/or in their relationships to each other.The content is written with a logical progression of ideas and supporting information exhibiting a unity, coherence, and cohesiveness. Includes persuasive information from reliable sources.The content is written clearly and concisely. Ideas universally progress and relate to each other. The project includes motivating questions and advanced organizers. The project gives the audience a clear sense of the main idea.Organization, Effectiveness, and Format20.0     Layout5.0The layout is cluttered, confusing, and does not use spacing, headings, and subheadings to enhance the readability. The text is extremely difficult to read with long blocks of text, small point size for fonts, and inappropriate contrasting colors. Poor use of headings, subheadings, indentations, or bold formatting is evident.The layout shows some structure, but appears cluttered and busy or distracting with large gaps of white space or a distracting background. Overall readability is difficult due to lengthy paragraphs, too many different fonts, dark or busy background, overuse of bold, or lack of appropriate indentations of text.The layout uses horizontal and vertical white space appropriately. Sometimes the fonts are easy to read, but in a few places the use of fonts, italics, bold, long paragraphs, color, or busy background detracts and does not enhance readability.The layout background and text complement each other and enable the content to be easily read. The fonts are easy to read and point size varies appropriately for headings and text.The layout is visually pleasing and contributes to the overall message with appropriate use of headings, subheadings, and white space. Text is appropriate in length for the target audience and to the point. The background and colors enhance the readability of the text.Language Use and Audience Awareness (includes sentence construction, word choice, etc.)5.0Inappropriate word choice and lack of variety in language use are evident. Writer appears to be unaware of audience. Use of primer prose indicates writer either does not apply figures of speech or uses them inappropriately.Some distracting inconsistencies in language choice (register) or word choice are present. The writer exhibits some lack of control in using figures of speech appropriately.Language is appropriate to the targeted audience for the most part.The writer is clearly aware of audience, uses a variety of appropriate vocabulary for the targeted audience, and uses figures of speech to communicate clearly.The writer uses a variety of sentence constructions, figures of speech, and word choice in distinctive and creative ways that are appropriate to purpose, discipline, and scope.Mechanics of Writing (includes spelling, punctuation, grammar, language use)5.0Slide errors are pervasive enough that they impede communication of meaning.Frequent and repetitive mechanical errors distract the reader.Some mechanical errors or typos are present, but they are not overly distracting to the reader.Slides are largely free of mechanical errors, although a few may be present.Writer is clearly in control of standard, written, academic English.Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)5.0Sources are not documented.Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.Sources are documented, as appropriate to assignment and style, and format is mostly correct.Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.Total Percentage  100

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