1)  Minimum 15 slides with  speaker notes and 3 full pages

              Part 1: Minimum 15 slides with  speaker notes (All slides)

              Part 2: minimum 3 full pages

Submit 1 document per part

2)¨******APA norms

          All paragraphs must be narrative and cited in the text- each paragraphs

          Bulleted responses are not accepted

          Dont write in the first person 

          Dont copy and pase the questions.

          Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

         Submit 1 document per part

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks) 

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 6 references per part not older than 5 years

5) Identify your answer with the numbers, according to the question.

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

6) You must name the files according to the part you are answering: 

Example:

Part 1.doc 

Part 2.doc 

__________________________________________________________________________________

Part 1: 

Suppose you are interviewing a person who works at The Palace at home in Miami, based on the questions in File 2 and supposes your interviewee’s answers. These answers should be evidenced in the PowerPoint

This assignment consists of both an interview and a PowerPoint (PPT) presentation.

Assessment/Interview

Select a community of interest in your region. Perform a physical assessment of the community.

Place: The palace at home

Location: Miami

Community: Elderly

Perform a direct assessment of a community of interest using the “Functional Health Patterns Community Assessment Guide.” (See File 1).

Interview a community health and public health provider regarding that person’s role and experiences within the community.

Interview Guidelines

Interviews can take place in-person, by phone, or by Skype.

Develop interview questions to gather information about

1) The role of the provider in the community and the health issues faced by the chosen community.

Compile key findings from the interview, including the interview questions used, and submit these with the presentation (Power point).

____________________________________________________________________________-

PowerPoint Presentation

Create a PowerPoint presentation of 15 slides with notes (slide count does not include title and references slide) describing the chosen community interest.

Include the following in your presentation:

1) Description of community and community boundaries:

 A. The people and the geographic

B. Geopolitical, financial, educational level; ethnic 

C. Phenomenological features of the community, as well as types of social interactions; common goals and interests; and barriers, and challenges

D. Including any identified social determinates of health.

2) Summary of community assessment:

(a) funding sources 

(b) partnerships.

3) Summary of interview with community health/public health provider (See the first instruction).

a) Identification of an issue that is lacking or an opportunity for health promotion (Elderly people).

4) A conclusion summarizing your key findings and a discussion of your impressions of the general health of the community.

Part 2: 

Research public health issues on the “Climate Change” or “Topics and Issues” pages of the American Public Health Association (APHA) website.

Investigate a public health issue related to an environmental issue within the U.S. health care delivery system and examine its effect on a specific population.

Write a word policy brief that summarizes the issue, explains the effect on the population, and proposes a solution to the issue.

Follow this outline when writing the policy brief:

1. Describe the policy health issue. 

Include the following information: 

(a) what population is affected, 

(b) at what level does it occur (local, state, or national), 

(c) evidence about the issues supported by resources.

2. Create a problem statement.

3. Provide suggestions for addressing the health issue caused by the current policy. 

(a) Describe what steps are required to initiate policy change. 

(b) Include necessary stakeholders (government officials, administrator) and budget or funding considerations, if applicable.

4. Discuss the impact on the health care delivery system.

Fluid, Electrolyte, and Acid-Base Balance
1. You are a nurse who frequently cares for post-surgical patients in your hospital unit. Most of the medical-surgical patients have IV fluids infusing during their admission. Due to the frequent use of IV fluids on your floor, understanding fluid balance and electrolyte function is primary to your nursing practice. 
a. What conditions might lead to the development of hypovolemia?
b. How would the amount of patient fluid loss be determined?
c. Describe how hypovolemia and third-space fluid shifts correlate.
d. Outline the major difference between hypovolemia and third-space fluid shift.
e. Which conditions can result in third-space fluid shift?
2. You are a nurse in a nonsurgical cardiac unit caring for a 92-year-old patient who has two sons, 15 grandchildren, and 49 great-grandchildren. She lives in assisted living and has a history of congestive heart failure (CHF). She consistently struggles with balancing her fluids and electrolytes and has an affinity for dill pickles and sauerkraut. While hospitalized, she remains on a fluid restriction—much to her chagrin, as she loves ice cream. 
a. What within her history would indicate she was at risk for hypervolemia?
b. How would dill pickles and sauerkraut impact her fluid volume?

c. What body areas offer observational evidence of excessive interstitial extracellular fluid (ECF)?
d. Why would your patient be on a strict fluid restriction while hospitalized?
e. Outline nursing interventions used while a patient is on fluid restriction.

PLEASE follow the instructions. Answer each question in the order it appears and separately. This is the bibliography to guide you:

 1.Potter, P.A., &Perry, A. G. (2017). Fundamentals of Nursing: Concepts, Process, and Practice (9th ed.). St. Louis: MO:  Mosby. ISBN: 9780323327404.  

1)  Minimum 20 slides with  speaker notes

              Part 1: Minimum 8 slides with  speaker notes (All slides)

              Part 2: minimum 12 slides with  speaker notes (All slides) 

Submit 1 document per part

2)¨******APA norms

          All paragraphs must be narrative and cited in the text- each paragraphs

          Bulleted responses are not accepted

          Dont write in the first person 

          Dont copy and pase the questions.

          Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

         Submit 1 document per part

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks) 

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 6 references per part not older than 5 years

5) Identify your answer with the numbers, according to the question.

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

6) You must name the files according to the part you are answering: 

Example:

Part 1.doc 

Part 2.doc 

__________________________________________________________________________________

Part 1:  Type II Diabetes

In the presentation of your chosen topic, be sure to examine the pathophysiological factors that influence the incidence and manifestations of acute, episodic, and chronic diseases in populations across the lifespan

 1. Pathophysiology

2. Risk factors and causes

3. Possible consequences

4. Prevention Strategies

5. Treatment Modalities

Part 2: 

Mr. X, a 42-year-old male presents to your primary care practice today complaining of low back pain.

History – Mr. X states that he has had chronic low back pain since he had a skiing accident about 10 years ago. Three days ago, he felt a pulling sensation in his lower back after moving some boxes. The pain intensity increased over the subsequent 24 hours and is now steady, aching in nature, at 3-4 out of 10. Mr. X also has Type2 diabetes, which is well controlled on metformin with a HGA1c of 5.6. He has a history of DVT 4 months ago for which he takes Coumadin, INR is WNL. He is followed by a specialist for this problem. He recently started taking two OTC products; kava kava for what he describes as “anxiety” and CoEnzyme Q10 on the advice of a friend.

Social – Mr. X is a smoker, 1 pack per week for 15 years. No alcohol or drug use. He is employed as an accountant and has medical insurance. He is divorced.

PE/ROS – Complains of low back stiffness and pain on movement with occasional spasms related to moving in certain directions. You note he has mild difficulty getting onto the exam table but gait is normal. He denies weakness/numbness/tingling of legs, no radiation, no change in bowel or bladder habits. BMI 27. All range of motion of the back is decreased by 25%. Straight leg lift is negative bilaterally, DTR intact. All other systems WNL.

Medications:
Metformin 1000mg ER one tab daily – Type II Diabetes controlled

Coumadin 5 mg. daily – Hx of DVT – Controlled

Kava Kava 50 mg. tid – Self-medication for anxiety

CoQ10 – 200 mg. daily. – Self-medication for unknown reason

Assignment Directions:

1. Provide a diagnosis for the patient and and and justify your reasons for the diagnosis based on scientific articles

2. Provide a treatment plan specifically for this patient

   (a) Pharmacologic 

   (b) Non-pharmacologic.

3. Comment on the use of OTC products in relation to Mr. X’s current chronic and acute disease diagnoses and medications. 

   (a) Include drug-drug interactions and side effect profiles.

4. Provide an education plan for Mr. X

Clinical case presentation should be in a SOAP format. Same SOAP format you use to submit your notes on Typhon. But you must make sure the information provided bellow is included or added for the purpose of this paper.

It should be written in correct gramma, no APA but the references.

References must be on APA format at the end of your papers corresponding to the citations throughout your paper.

An unusual case means a challenging case to you.

From the soap you will use:

• Chief complain and history of present disease 
• Exam and diagnostic tests ( labs , images)
• Dx impression supported by signs and symptoms 
• Management as on soap I sent : meds, tests if any ordered, education, follow up
• Evidence based rationale for treatment. Like aspirin is an antiplatelet use to … and it’s reference 
• Epidemiological data with reference. For example angina. Go to the CDC website and look for percent of populations affected, distribution with USA population. 
• Analysis of self care and family issues r/t diagnosis and tx plan related to your Dx. Ex. Patient is poor compliant with medication and no family support. First choice of antianginal tx not use because lack of insurance coverage and use —-instead 
• Evaluate parameters to determine outcome. Use same as the shorts and long term goals on our RN care plans but more treatment and prevention related. 
• Major lesson learned from the case and how may affect your future practice. This analysis is your experience. 

Attached it is the Soap Note template

and information that can be use to do the soap note