1) Minimum 7 full pages (Follow the 3 x 3 rule: minimum three paragraphs per part)

              Part 1: Minimum 1 page

              Part 2: minimum 1 page

              Part 3: minimum 1 page

              Part 4: minimum 1 page

              Part 5: minimum 1 page

              Part 6: minimum 1 page

              Part 7: minimum 1 page

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 3 references per part not older than 5 years

5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next

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: Community Nursing

The school nurse has a unique role in the provision of school health services for children with special health needs, including children with chronic illnesses and disabilities with various degrees of severity. This case describes the role of the school nurse caring for a child with type 1 diabetes.

Susan has two students with type 1 diabetes in her school, one requires blood glucose monitoring and daily insulin injections, while the other has a continuous insulin infusion pump. The incidence of type 1 diabetes presents a complex challenge to school healthcare providers. Type 1 diabetes ranks as the second most common chronic illness in childhood, second only to asthma. The American Diabetes Association (ADA, 2015) reports that about 193,000 Americans under age 20 live with diabetes and 17,900 are diagnosed with type 1 diabetes annually, and another 5,300 with type 2 diabetes. Children with diabetes are considered disabled and as such are protected under federal laws that prohibit discrimination against children with disabilities. Studies show that the majority of school personnel have an inadequate understanding of effective diabetes management. It is best for the student to monitor blood glucose and respond to the results as quickly as possible to avoid possible complications.

1. When the school nurse is unavailable, who is legally responsible for providing care to a child with diabetes? 

2. Explain why

Part 2:  Nursing and the Aging Family 

Vision and Hearing

1. Describe the signs and symptoms of the following vision disorders in the elderly:  detached retina, and corneal ulcers 

2. List two nursing interventions with rationale for each disorder ( detached retina, and corneal ulcers)

Endocrine Function: 

3. Summarize the effects of aging on endocrine function in the elderly.

Part 3:Advanced Primary Care of Family

Topic: Hispanics-Diabetes

1. Identify a population to assess and develop an evidence-based, primary care health promotion recommendations to deliver in their own communities.

Part 4: Physiology 1

 Topic: polycystic ovary syndrome (PCOS).

1. Describe the pathophysiology, 

2. Describe the clinical manifestations

3. Describe the evaluation, and treatment

Part 5: Physiology 2

1. Discuss Grave’s Disease and the systemic manifestations and treatment of hyperthyroidism. 

2. Describe the pathophysiology, clinical manifestations, evaluation, and treatment of hypothyroidism.

Part 6: Pharmacology 1

1.  Discuss the recommendations of JNC-7 and JNC-8, with regard to health outcomes and practice implications.

Part 7: Pharmacology 2

1. Discuss medications to treat GERD. 

2. What specifically should patients be taught about these medications to prevent adverse side effects?

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 Mrs. J., 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

Mrs. J. is a 63-year-old married woman who has a history of hypertension, chronic heart failure, and chronic obstructive pulmonary disease (COPD). Despite requiring 2L of oxygen/nasal cannula at home during activity, she continues to smoke two packs of cigarettes a day and has done so for 40 years. Three days ago, she had sudden onset of flu-like symptoms including fever, productive cough, nausea, and malaise. Over the past 3 days, she has been unable to perform ADLs and has required assistance in walking short distances. She has not taken her antihypertensive medications or medications to control her heart failure for 3 days. Today, she has been admitted to the hospital ICU with acute decompensated heart failure and acute exacerbation of COPD.

Subjective Data

1.  Is very anxious and asks whether she is going to die.

2.  Denies pain but says she feels like she cannot get enough air.

3.  Says her heart feels like it is “running away.”

4.  Reports that she is exhausted and cannot eat or drink by herself.

Objective Data

1.  Height 175 cm; Weight 95.5kg.

2.  Vital signs: T 37.6C, HR 118 and irregular, RR 34, BP 90/58.

3.  Cardiovascular: Distant S1, S2, S3 present; PMI at sixth ICS and faint: all peripheral pulses are 1+; bilateral jugular vein distention; initial cardiac monitoring indicates a ventricular rate of 132 and atrial fibrillation.

4.  Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82%.

5.  Gastrointestinal: BS present: hepatomegaly 4cm below costal margin.

Intervention

The following medications administered through drug therapy control her symptoms:

1.  IV furosemide (Lasix)

2.  Enalapril (Vasotec)

3.  Metoprolol (Lopressor)

4.  IV morphine sulphate (Morphine)

5.  Inhaled short-acting bronchodilator (ProAir HFA)

6.  Inhaled corticosteroid (Flovent HFA)

7.  Oxygen delivered at 2L/ NC

Critical Thinking Essay

In 750-1,000 words, critically evaluate Mrs. J.’s situation. Include the following:

1.  Describe the clinical manifestations present in Mrs. J.

2.  Discuss whether the nursing interventions at the time of her admissions were appropriate for Mrs. J. and explain the rationale for each of the medications listed.

3.  Describe four cardiovascular conditions that may lead to heart failure and what can be done in the form of medical/nursing interventions to prevent the development of heart failure in each condition.

4.  Taking into consideration the fact that most mature adults take at least six prescription medications, discuss four nursing interventions that can help prevent problems caused by multiple drug interactions in older patients. Provide a rationale for each of the interventions you recommend.

5.  Provide a health promotion and restoration teaching plan for Mrs. J., including multidisciplinary resources for rehabilitation and any modifications that may be needed. Explain how the rehabilitation resources and modifications will assist the patients’ transition to independence.

6.  Describe a method for providing education for Mrs. J. regarding medications that need to be maintained to prevent future hospital admission. Provide rationale.

7.  Outline COPD triggers that can increase exacerbation frequency, resulting in return visits. Considering Mrs. J.’s current and long-term tobacco use, discuss what options for smoking cessation should be offered.

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. 

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance. 

Book: Grand Canyon University. (Ed.). (2018). Pathophysiology: Clinical applications for client health.

URL:

https://www.gcumedia.com/digital-resources/grand-canyon-university/2018/pathophysiology_clinical-applications-for-client-health_1e.php

Due date: Friday 27

Explain how health care reform has helped shift the focus from a disease-oriented health care system to one of wellness and prevention. Discuss ways in which health care will continue this trend and explain the role of nursing in supporting and facilitating this shift.

DUE DATE: THURSDAY 26

Discussion 1

Provide examples of experimental and nonexperimental research design. Contrast the levels of control applied to each.

Discussion 2 

Describe sampling theory and provide examples to illustrate your definition. Discuss generalizability as it applies to nursing research.

TOPIC TO BE WRITTEN ON IS IN THE UPLOADED DOUMENT

Outline

You will want to delete ALL the blue text in this outline and replace it with information specific to your topic. Please use in-text APA citations throughout your outline. Show me what sources you’re using in your paper and whereyou’re using them. Your outline should be detailed; writing your rough draft from your outline should be easy. 

I.  Introduction– 

a.  Point 1: Introduce the topic with background information and define terminology. Go from broad to specific. Think of your introduction as an upside-down triangle. 

b.  Point 2: Get more specific here. 

c.  Point 3: Get even MORE specific here.

d.  Thesis statement: Your final sentence should mention that the paper will discuss ethical arguments surrounding your topic.

II.  Body Paragraph 1 – Technical aspects of your topic—

a.  Topic Sentence: Your topic sentence goes here. In this paragraph, you will talk about what we need to know in order to understand your topic.  Your audience needs to know the “what” before you talk about ethical arguments. For example, I can’t properly argue that we need more PPE masks to fight COVID-19 if I don’t first tell my audience what PPE is and what COVID-19 is.

b.  Additional detail 1: ________________________________________

c.  Additional detail 2:________________________________________

d.  Additional detail 3:________________________________________

III.  Body Paragraph 2 – Description of public policy debates surrounding your topic—

a.  Topic Sentence: Your topic sentence goes here. In this paragraph, you’ll give additional background/history of the topic—what laws exist? Are there monumental cases? You want to set up the debate. If I want to argue that additional money needs to be allocated for PPE, I need to let my audience know why there isn’t enough PPE in the first place. What laws or policy decisions led to the place we’re currently in? What are some monumental cases (for example, Brittany Maynard for PAS or Roe v. Wade for abortion).

b.  Additional detail 1:________________________________________

c.  Additional detail 2:________________________________________

d.  Additional detail 3:________________________________________

IV.  Body Paragraph 3 – Why is ___ Ethical? 

a.  Topic Sentence: What is one “side” of the debate? Make sure that you’re making ethical arguments here. Instead of “reporting” what one side believes, I want you to make the argument. You’ll be saying something like “PAS is considered ethical because of A, B, and C.”  

b.  Supporting detail: Here you’ll explain your first reasons why your issue is ethical. For every supporting detail, you’ll want to have a fact taken from a source. For example, if I am arguing that PAS is ethical because it supports the principle of autonomy, I want to bring in a source that talks about autonomy. I want to cite that source here (author, date).

c.  Explanation of supporting detail #1: After that, you will have a sentence or two that explains the connects the “source” or “fact” back to your topic sentence. Let’s say that your first supporting detail was that X% of people file for bankruptcy each year. You have to tell me how that connects to your argument that health care access should be expanded. Is it unethical that X% of people go bankrupt for something out of their control? If so, you want to state that. 

d.  Supporting detail 2: Repeat the above supporting detail #2. 

e.  Explanation of supporting detail #2: Repeat the above supporting detail #2.

f.  Supporting detail 3: Repeat the above supporting detail #3.

g.  Explanation of supporting detail #3: Repeat the above supporting detail #3.

V.  Body Paragraph 4 – The Other Side

a.  Topic Sentence: Write your topic sentence here. In this paragraph, you will outline the points made by the “other side” and tell me why their thinking is wrong. 

b.  Supporting detail 1: What is one reason why people think about ___ differently? For example, maybe their religious views tell them that PAS is unethical. Explain that point and cite your source. 

c.  Refute supporting detail #1: After that, tell me what YOUR side would say about that. Why is this thinking incorrect, incomplete, or flat out wrong? For example, you might talk about how religious views should be respected, but s unethical to based laws on one groups religious beliefs. You might use a citation here as well. 

d.  Supporting detail 2: Give me another premise used by the other side. Citation, please! 

e.  Refute of supporting detail #2: Refute it. 

f.  Supporting detail 3: Give me another premise used by the other side.

g.  Refute supporting detail #3: Refute it.

VI.  Opinion and Conclusion 

a.  Restate your thesis: Give me a one sentence recap. What was this paper about? 

b.  Statement of Opinion (don’t use “I”/first person). Here you will reiterate what the most ethical position is. 

c.  Give me a brief summary of why this is the case 2-3 sentences here. You might want to consider rephrasing the reasons why ___ is ethical and the reasons why the other side is wrong. 

d.  Concluding sentence/statement Give me a one sentence, final take away. 

References

Author’s Last Name, First initial. Middle initial. (Year). Title of article. Journal Title, Volume Number(Issue number), Page numbers. 

WCU. (2020). Week #: Scenario Title. In PHIL 434: Medical Ethics and Issues: Spring 2020 [Video]. Retrieved from learn.westcoastuniversity.edu