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This is a Collaborative Learning Community (CLC) assignment.

Some patients will seek out alternative medicinal practices when treating diseases; therefore, it is important to know how alternative or herbal medications interact with prescription medications. Knowing how to navigate finding information on potential interactions is important in preventing complications when prescribing medications.

Groups will select a common disease and perform research on both conventional and alternative medicine treatment options. Using CAM as your primary resource, create a 8-10 slide PowerPoint presentation that addresses the following items:

1. Identify the disease.

2. Identify the patient population that is most affected by this disease.

3. Identify complementary and alternative medicine resources and guidelines.

4. Evaluate the safety and effectiveness of complementary and alternative therapies.

5. Identify any common interactions of alternative and nonpharmaceutical medications with prescribed medications.

Include slide notes (150-250 words for each slide).

You are required to cite Four to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Watch the following videos, then complete the required assignment. Review the document in Course Resources for instructions on accessing the videos.

Lab 1

OSCE Clinical Skills

Chest Pain 14:53  

Upon completion of watching the video write up the scenario into a SOAP format. Is there anything you would do differently on your plan?  

Lab 2

OSCE Clinical Skills

Shortness of Breath 26:53

Upon completion of watching the video write up the scenario into a SOAP format. Is there anything you would do differently in your plan?

Case Study: Mrs. J.

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. 

 Identify and discuss the following:

• what is known/not known about the topic and the gap in knowledge the study is intended to fill.
• the research design, purpose of the study, and setting.
• Use the article below 

Ethics and Evidence-Based Research

Write a 1250-1500 word essay addressing each of the following points/questions. Be sure to completely answer all the questions for each bullet point. There should be three main sections, one for each bullet below. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least two (2) sources using citations in your essay. Make sure to cite using the APA writing style for the essay. The cover page and reference page in correct APA do not count towards the minimum word amount. Review the rubric criteria for this assignment.

Part 1: Describe why ethical safeguards designed for clinical research may not be feasible or appropriate for evidence-based practice or evidence-based practice implementation projects.

Part 2:  Review the sectioned headed, Two Ethical Exemplars in Chapter 22 of the textbook (Melnyk and Fineout-Overholt, 2015, pages 518-519). Discuss three main ethical controversies related to implementing Evidence-Based Quality Improvement (EBQI) Initiatives. Describe how these controversies relate to the four core ethical principles.

Part 3: Identify which ethical principles may be in conflict with the concept of “patients having an ethical responsibility in improving healthcare.” Discuss how these conflicts may be resolved.

Assignment Expectations:

Length: 1250 – 1500 words
Structure: Include a title page and reference page in APA format. These do not count towards the minimum word count for this assignment. Your essay must include an introduction and a conclusion.
References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of two (2) scholarly sources are required for this assignment

PLEASE SEE ATTACHMENT FOR HOW MANY WORDS AND GUIDELINES OF THIS ASSIGNMENT!!!!!!!

Most healthcare treatment options are voluntary, meaning that a patient has the right to refuse care, even if it is in their best interest to comply. However, in some cases, psychiatric treatment can be mandatory. Involuntary treatment (which is also referred to as “assisted treatment”) is typically implemented when patients have been diagnosed with a severe mental disorder and pose a danger to themselves or others. Although the stipulations vary by state, all fifty states allow for some form of involuntary treatment for mental illness. Be sure to support your answers to the following questions with research.

• Is involuntary care ethical?
• Do patients with severe mental illness have the mental capacity to refuse or consent to treatment?
• Should patients be forced to take medications, be hospitalized, or undergo therapy against their will? If so, what should be the consequence for refusal?
• Are there better ways to encourage patients to adhere to their treatment plan?

Callista Roy case study

A 23-year-old male patient is admitted with a fracture of C6 and C7 that has resulted in quadriplegia. He was injured during a football game at the university where he is currently a senior. His career as a quarterback had been very promising. At the time of the injury, contract negotiations were in progress with a leading professional football team.

1. Use Roy’s criteria to identify focal and contextual stimuli for each of the four adaptive modes.

2. Consider what adaptations would be necessary in each of the following four adaptive modes: (1) physiological, (2) self-concept, (3) interdependence, and (4) role function.

3. Create a nursing intervention for each of the adaptive modes to promote adaptation.

 One of the five elements of emotional intelligence is self-awareness. Explain why emotional intelligence is crucial for effective leadership. Discuss what behaviors someone with a high degree of self-awareness would demonstrate within the context of leading and managing groups. Provide an example. 

 this is due in 5 hours…… no late work…. must have done in 5 hours……

Choose a topic from the  list below that is of interest to you and review two scholarly articles that explores different aspects of your topic.  (your textbook may not be used as one of your sources ). 

For example, if your topic is asthma, you might find an article that discusses where elementary school age children should store  inhalers;  in their backpacks or the nurse’s office.  You may find a different article that suggests there are more cases of children with asthma from lower income levels  compared to children in other income levels.   Some information will be the same, what is asthma, causes of asthma, etc.  Each article will also contain article specific information, inhalers and income levels.  

Scholarly articles may be found in the Long Beach City College Library Databases.  Others may be found on the internet:

Scholarly Resources

• Look for publications from a professional organization.
• Websites with a .org or .net

Your report,

• Identify each article by title, author(s), periodical or journal, issue, date.
• Give a summary of each article.  Include definitions and various perspectives on the topic.
• In what ways do the article relates to the other.   Identify how the articles agree or disagree on various aspects of the topic?  
• Summarize how each article broadened your understanding of your topic of interest.

Your report needs to be between 2 1/2 – 4 pages in length and double spaced.

Choose a topic of interest from the list below: 

asthma

autism

finding a good preschool

whole language vs. phonetics

Common Core

teen popularity and cliques

anorexia nervosa

cyber bullying

sex education in schools

schools that handout condoms

relationship between bullies and bully-victims and attachment

public school vs. private school

girl brains and boy brains- what’s the difference?

nerds vs. jocks and cheerleaders

sports programs for girls

Scholarly Resources that may be helpful

• Look for publications from a professional organization.
• Use databases such as JSTOR (Links to an external site.) that contain only scholarly sources.
• Use databases such as Academic Search Complete (Links to an external site.) or other EBSCO databases that allow you to choose “peer-reviewed journals”.
• See whether Ulrich’s Periodicals Directory (Links to an external site.) indicates that it is a Refereed Journal

Edit question’s attachments.. 

HOMEWORK ASSIGNMENT

The WHO has published an important document titled, “Social Determinants of Health—The Solid Facts.” It states:

Even in the most affluent countries, people who are less well off have substantially shorter life expectancies and more illnesses than the rich. Not only are these differences in health an important social injustice, they have also drawn scientific attention to some of the most powerful determinants of health standards in modern societies. They have led in particular to a growing understanding of the remarkable sensitivity of health to the social environment and to what have become known as the social determinants of health.

http://www.euro.who.int/__data/assets/pdf_file/0005/98438/e81384.pdf

1. In your opinion, are social determinants of health more important for a health educator to understand than the biological/genetic determinants of health? 

2. Additionally, if the social determinants of health are so critical to one’s health outcomes how can health education improve the social environment/condition of persons most affected by social determinants? Please post your response by the end of this module and critique the response of at least one other student. Please provide at least two paragraphs for your response.

PLEASE SEE ATTACHMENT FOR READING ATTACHMENT