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. 

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

Friday December 11

Healthcare organizations continually seek to optimize healthcare performance. For years, this approach was a three-pronged one known as the Triple Aim, with efforts focused on improved population health, enhanced patient experience, and lower healthcare costs.

More recently, this approach has evolved to a Quadruple Aim by including a focus on improving the work life of healthcare providers. Each of these measures are impacted by decisions made at the organizational level, and organizations have increasingly turned to EBP to inform and justify these decisions.

To Prepare:

• Read the articles by Sikka, Morath, & Leape (2015); Crabtree, Brennan, Davis, & Coyle (2016); and Kim et al. (2016) provided in the Resources.
• Reflect on how EBP might impact (or not impact) the Quadruple Aim in healthcare.
• Consider the impact that EBP may have on factors impacting these quadruple aim elements, such as preventable medical errors or healthcare delivery.

To Complete:

Write a brief analysis (no longer than 2 pages) of the connection between EBP and the Quadruple Aim.

Your analysis should address how EBP might (or might not) help reach the Quadruple Aim, including each of the four measures of:

• Patient experience
• Population health
• Costs
• Work life of healthcare providers

One will “attend” online of course due to COVID guidelines a classical concert. I have a list from my Professor that he has compiled that are sutiable that I can give once the bid is completed. And then a report must be completed. I am attaching the “guidelines.”

Chapter 5: Education and Socialization to the Professional Nursing Role

1.  As a nursing student, do you share the values of commitment to public service, autonomy, commitment to lifelong learning and education, and the belief in the dignity and worth of each person? Do nurses with whom you have interacted demonstrate these values?

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.

APA style (in text citation, reference)

Plagiarism FREE

TASK

Post your initial response to the topic below.

Topic 

Technology and Teaching

Identify technology you would include within a patient education scenario.

a. Provide information related to setting, patient, and topic

b. Discuss your rationale for choosing a technology tool

c. Explain your lesson and how you would evaluate learning.

As in all assignments, cite your sources in your work and provide references for the citations in APA format. Support your work, using your course lectures and textbook readings. Helpful APA guides and resources are available in the University Online Library. Below are guides that are located in the library and can be accessed and downloaded via the  University Online Citation Resources: APA Style page. The American Psychological Association website also provides detailed guidance on formatting, citations, and references at APA Style.

reply1

When researching information, many, as have I, use Google scholar and the Internet for obtaining articles and information relevant to the topic of choice. After looking over many databases, there is a noticeable difference in information and resources that are available depending on what is used. The two database engines that seem relevant in providing support towards my capstone project proposal are PubMed and Cochrane library. PubMed is one source that is free and gives users access to millions of published articles related to health and biomedicine (GCU, n.d.). Biomedicine is useful in nursing and will be for the capstone project because it applies principles of biology and biochemistry to health research and practice. This is important as it gives health professionals supportive and evidence-based data to guide them during care. PubMed provides citations for articles, and additional database such as MEDLINE, PMC, NIH, and NCBI. In addition, Grand Canyon University shares the Cochrane library, which has high quality information that can help health professionals make relevant and sound decisions, using one of the six databases or groups it comprises (GCU, n.d.). For the use of the proposal, Cochran library will provide me with controlled trials, economy, technology, and reviews of relevant health sources. Together they make up strong collab for executing an assignment or goal. Although using common Internet search engines can be useful, they may provide articles that are or may not be scholarly, are opinion based, commercial, conflicted funded, or not supported by evident sources. 

Reference

Grand Canyon University. (n.d.). Searching in Library Databases. https://libguides.gcu.edu/Nursing/journals

reply2

When doing research to develop an evidence-based practice project proposal, it is imperative that your data comes from reputable databases that give dependable research for your proposal. Peer reviewed and critically appraised articles from an creditable database ensures that your research is valid. Using Google Scholar or another website source does not provide the same credibility. According to Rada, (2020) Google Scholar is not a valid source because it is not a reliable way to filter current best evidence from unsubstantiated or non-scientifically supervised sources (Rada, 2020.)

The Grand Canyon library has a wide range of databases to use for my Capstone project. I like the CINAHL and Cochrane Library databases for my project. I choose CINAHL because it is a research tool for health professionals containing access to nursing and other health journals and articles. This database covers information to help numerous health specialties in their research (CINAHL, 2020). I feel it will offer different perspectives and multi-disciplinary views of the problem that I am proposing to change.

The other database that I will use is the Cochrane Library. It provides a collection of databases containing different types of high-quality, independent evidence to inform healthcare decision-making (Cochrane Library, 2020). Both library databases make valuable information more accessible, to be used in decision making (GCU, 2019).

CINHAL Database. (2020). The Cumulative Index to Nursing and Allied Health Literature. Retrieved from https://health.ebsco.com/products/the-cinahl-database

Cochrane Library. (2020). Retrieved from https://www.cochrane library.com

Grand Canyon University Library. (2019). Evidence based practice research guides. Retrieved from https://libguides.gcu.edu/Nursing

Rada, G. (2020). EBM. Retrieved from https://bestpractice.bmj.com/info/toolkit/discuss-ebm/what-is-the-best-evidence-and-how-to-find-it/

PLEASE USE THE LINK PROVIDED BELOW WHICH IS THE PDF VERSION OF THE TEXTBOOK TO VIEW THE DISCUSSION QUESTIONS AT THE END OF CHAPTER 3/ASSIST IN ANSWERING THE QUESTIONS: 

https://drive.google.com/file/d/1Lho7gBgscbBQ1CFC16v6zMPSPHm2iDDV/view

**PDF FORMAT**

** HIGHLIGHT THE NUMBER OF WORDS AFTER EACH CHAPTER**

** 20 PARAGRAPHS TOTAL**

On Page 1: 

Discussion Question 2—Please write 4 paragraphs with each paragraph containing 50-60 words.

On Page 2: 

Discussion Question 3—Please write 4 paragraphs with each paragraph containing 50-60 words.

On Page 3: 

Discussion Question 7—Please write 4 paragraphs with each paragraph containing 50-60 words.

On Page 4: 

Discussion Question 8—Please write 4 paragraphs with each paragraph containing 50-60 words.

On Page 5: ***USE ATTACHED POWERPOINT FOR THIS QUESTION***

Slide 3—Several key Equal Employment Opportunity laws are listed. 

Write one paragraph to fully describe how the 4th Amendment applies to human resources issues. 

Write one paragraph to fully describe how the 5th Amendment applies to human resources issues. 

Write one paragraph to fully describe how the 14th Amendment applies to human resources issues. 

Write one paragraph to fully describe how the Family Medical Leave Act applies to human resources issues. 

Each paragraph should contain 50-60 words.

Module 4 – SLP

INTERNATIONAL AND COMPARATIVE HEALTH POLICY:
OPPORTUNITIES AND LESSONS FOR THE UNITED STATES

The World Health Organization (WHO) is instrumental in monitoring the health of people, including special populations, around the world. With input from countries, WHO establishes goals and benchmarks for health goals.

Review the background reading for this module and conduct your own research. After you have done so, write a position paper on the importance of having a global body that monitors health, helps guide international policy, and helps establish country-level benchmarks.

Be sure to cite reliable sources and utilize the reference below for setting up your paper. You must use the outline in the reference below.

Reference: Xavier University Library. (2014). How to write a position paper. Retrieved from http://www.xavier.edu/library/students/documents/position_paper.pdf

SLP Assignment Expectations

1. Limit your response to no more than 2 pages, single-spaced.
2. Conduct additional research to gather sufficient information to justify/support your analysis.
3. Support your proposal with a minimum of 3 reliable sources. At least 2 of the sources should be peer-reviewed articles. Use the following link for additional information on how to recognize peer-reviewed journals: http://www.angelo.edu/services/library/handouts/peerrev.php
4. Please use the following resource for evaluating information found on the internet: https://www.library.georgetown.edu/tutorials/research-guides/evaluating-internet-content
5. You may use the following source to assist in your formatting your assignment: https://owl.english.purdue.edu/owl/resource/560/01/.

Please see attachment for the assignment guidelines. 

In recent years, many widespread infectious disease outbreaks have occurred. Some of these diseases have been domestic epidemics (measles, hepatitis, etc.) and others have been of global concern (Coronavirus, Ebola, H1N1, etc.). Preventing the spread of infectious disease is everyone’s responsibility.

1) What can you do on a day-to-day basis to prevent the spread of disease in your home, in your workplace, and public areas?

2) Regardless of methods to decrease spread of infectious diseases, pathogens are everywhere.  Would it make sense to focus on strengthening your own immune system to increase the effectiveness of which it can handle exposure to these pathogens?  If so, what are some ways in which you could do this?

Anatomy &Physiology