Assignment 1: Gastrointestinal Tract: Disorders of Motility

Jamie is a 3-month-old female who presents with her mother for evaluation of “throwing up.” Mom reports that Jamie has been throwing up pretty much all the time since she was born. Jamie does not seem to be sick. In fact, she drinks her formula vigorously and often acts hungry. Jamie has normal soft brown bowel movements every day and, overall, seems like a happy and contented baby. She smiles readily and does not cry often. Other than the fact that she often throws up after drinking a bottle, she seems to be a very healthy, happy infant. A more precise history suggests that Jamie does not exactly throw up—she does not heave or act unwell—but rather it just seems that almost every time she drinks a bottle she regurgitates a milky substance. Mom thought that she might be allergic to her formula and switched her to a hypoallergenic formula. It didn’t appear to help at all, and now Mom is very concerned.

Cases like these are not uncommon. The mother was concerned and thinking her daughter may have an allergy; she changed to a different formula. However, sometimes babies have immature GI tracts that can lead to physiology reflux as they adapt to normal life outside the uterus. Parents often do not consider this possibility, prompting them to change formulas rather than seeking medical care. As in the case study above, GI alterations can often be difficult to identify because many cause similar symptoms. This same issue also arises with adults—adults may present with symptoms that have various potential causes. When evaluating patients, it is important for the advanced practice nurse to know the types of questions he or she needs to ask to obtain the appropriate information for diagnosis. For this reason, you must have an understanding of common GI disorders such as gastroesophageal reflux disease (GERD), peptic ulcer disease (PUD), and gastritis.

To Prepare

· Review this week’s media presentation on the gastrointestinal system.

· Review Chapter 35 in the Huether and McCance text. Identify the normal pathophysiology of gastric acid stimulation and production.

· Review Chapter 37 in the Huether and McCance text. Consider the pathophysiology of gastroesophageal reflux disease (GERD), peptic ulcer disease (PUD), and gastritis. Think about how these disorders are similar and different.

· Select a patient factor different from the one you selected in this week’s Discussion: genetics, gender, ethnicity, age, or behavior. Consider how the factor you selected might impact the pathophysiology of GERD, PUD, and gastritis. Reflect on how you would diagnose and prescribe treatment of these disorders for a patient based on this factor.

· Review the “Mind Maps—Dementia, Endocarditis, and Gastro-oesophageal Reflux Disease (GERD)” media in the Week 2 Learning Resources. Use the examples in the media as a guide to construct a mind map for gastritis. Consider the epidemiology and clinical presentation of gastritis.

To Complete

Write a 2- to 3-page paper that addresses the following:

· Describe the normal pathophysiology of gastric acid stimulation and production. Explain the changes that occur to gastric acid stimulation and production with GERD, PUD, and gastritis disorders.

· Explain how the factor you selected might impact the pathophysiology of GERD, PUD, and gastritis. Describe how you would diagnose and prescribe treatment of these disorders for a patient based on the factor you selected.

· Construct a mind map for gastritis. Include the epidemiology, pathophysiology, and clinical presentation, as well as the diagnosis and treatment you explained in your paper.

  hi dear,

 can help me to finish this assignment with good quality and be on time please?

check the example that is attached.

Assignment – Physical Activity Plan Presentation

Physical Activity Plan Presentation (CLO #6)

Develop a presentation outlining a physical activity plan for populations with a medical/physical limitation,  or populations in a specific setting  (e.g.  public school system).  Background information regarding the population and how you will assess the group will be presented.  One activity plan specific to the population chosen will be presented.  Health benefits of the exercise plan for the population will be reviewed.

Charts and handouts to share with the class are encouraged.  Presentations should be 7-10  minutes in length.  Online students will submit recorded presentations. Onsite students will present in-class.

• Example PA Plan Presentation – PowerPoint File (986.9 KB)

– This is an example and not a  “perfect”  presentation.

Thanks,

For this assignment, you will analyze the current health care problem or issue of interest to you (MEDICAL ERRORS THAT HAPPEN BETWEEN PROVIDERS AND PATIENTS, PHARMACISTS, AND PATIENTS ALONE (PATIENT MISUNDERSTANDING)). 

To explore the chosen topic you should use the first four topics of the Socratic Problem-Solving Approach Media for critical thinking These are also linked in the resources of this unit. Start by defining the health care problem or issue on the health care topic of your choice, then provide details about the problems or issues that are part of the chosen topic, and identify causes for the problems or issues. Identify at least three scholarly or academic peer-reviewed journal articles about the topic you are discussing.

Use scholarly information to explain the health care problem or issue you chose. 

1. Assess the credibility of information sources.
2. Assess the relevance of the information sources.
3. Analyze the problem or issue. 
   1. Describe the setting or context for the problems or issues.
   2. Describe the reasons that make the problems or issues important to you.
   3. Identify groups of people affected by the problems or issues.
4. Discuss potential solutions for the problems or issues. 
   1. Describe potential solutions
   2. Provide the pros and cons for one of the solutions you are proposing.
5. Analyze the ethical implications if the potential solution was implemented. 
   1. Describe what would be necessary to implement the proposed solution.
   2. Provide examples from the literature to support the points you are making.
   3. Discuss the pros and cons of implementing the proposed solution from an ethical principle point of view.

Respond to this post with a positive response :

Ask a probing question, substantiated with additional background information, evidence or research.

Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.

Validate an idea with your own experience and additional research.

Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.

Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

Use  references

                                              Main Post

The behavioral risk factor that I selected from the Healthy People 2020 objectives is overweight and obesity among children and adolescents (ages 6 through 19), which has increased significantly over the last three decades (Knickman & Kovner, 2015). Currently, only 36% of Floridians are at healthy weight, and if we stay on our current trend, by 2030, almost 60% will be obese (Florida Health, 2017). Additionally, six out of ten children born today will be obese by the time they graduate from high school (Florida Health, 2017). Five areas in which reform is critically needed in order to prevent obesity are creating safe environments for physical activity, healthy food and beverage choices, message environments, and health care, work and school environments (Knickman & Kovner, 2015). The population-based intervention model describes downstream, midstream and upstream interventions for preventing overweight and obesity among children and adolescents (Knickman & Kovner, 2015).

A downstream health prevention program focuses on changing behaviors at an individual level, rather than preventing risk behaviors (Knickman & Kovner, 2015). Given parents’ influence and control over their children’s diet, physical activity, media use, and sleep, family interventions are a key strategy in the effort to eliminate childhood obesity (Ash, Agaronov, Young, Aftosmes-Tobio & Davison, 2017). An example of a downstream intervention that would be effective is to provide a hand-out for parents and children through the school with helpful tips on reducing screen time, suggestions for healthy food swaps (having an apple instead of chips after school) and suggestions for easy ways to incorporate exercise into your day, such as go for a walk as a family for 20-30 minutes after school each day.

A midstream health prevention program focuses on changing behaviors at a community level, with health promotion programs that are targeted at populations to change or prevent risk factors (Knickman & Kovner, 2015). An example of a midstream intervention that would be effective is to provide school-based sports and physical activity to children each day. Two main individual behavior determinants of health are diet and physical activity (ODPHP, 2018). The school would provide coaches and equipment for children to participate in sports who may not have the ability to otherwise in their home environment.

An upstream health prevention program focuses on developing policies at state and national levels in order to reduce the promotion of unhealthy products and behaviors (Knickman & Kovner, 2015). An example of an effective upstream intervention is the great efforts made in the public-school system to improve the quality of food provided in school lunches, and to eliminate the availability of junk-food to kids. In April 2014, the US Department of Agriculture (USDA) issued new regulations, which took effect in July 2014, banning the sale of all junk-food in schools (Ballaro & Griswold, 2018). The regulations stated that only fruits, vegetables, dairy products, lean-protein foods, and whole-grain items could be sold in cafeterias or vending machines, limiting the maximum calorie count of 200 for snacks and 350 for entrées (Ballaro & Griswold, 2018). Foods containing trans-fats could not be sold, and drinks could contain no more than 35% sugar or fat, and must be limited to water, low- or no-fat milk, and 100% fruit or vegetable juice (Ballaro & Griswold, 2018).

References

Ash, T., Agaronov, A., Young, T., Aftosmes-Tobio, A., & Davison, K. (2017). Family-based childhood obesity prevention interventions: a systematic review and quantitative content analysis. International Journal of Behavioral Nutrition & Physical Activity, 14(1), 1-12. doi:10.1186/s12966-017-0571-2

Ballaro, B., & Griswold, A. (2018). Junk food in schools. Salem Press Encyclopedia. Retrieved from https://ezp.waldenulibrary.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ers&AN=89158234&site=eds-live&scope=site

Florida Health. (2017). Healthy weight. Retrieved from http://www.floridahealth.gov/programs-and-services/prevention/healthy-weight/index.html

Knickman, J. R., & Kovner, A. R. (Eds.). (2015). Health care delivery in the united states (11th ed.). New York, NY: Springer Publishing.

Office of Disease Prevention and Health Promotion. (2018). Determinants of health. Retrieved from https://www.healthypeople.gov/2020/about/foundation-health-measures/Determinants-of-Health

For this paper, 1 page ONLy.   Please make sure you have a title page and at least one reference and a reference page.

Please describe a situation as an LPN  that you have personally experienced (you should have been involved in this situation).  Brieflydescribe the situation in one paragraph, then describe how you might change the situation or outcome,when you are an RN.  You might want to bring up the critical thinking qualities or other factors that you have learned in this class.  Your scenario should be true and it can be about an interaction with another nurse, staff member, or patient.

If you are not an LPN – use an example that relates to a position in health care.

Good luck and feel free to ask me any questions.

Below is the Rubric used to grade your research papers. Please review it and make sure your work reflects all aspects covered in the rubric. You can also use programs like grammarly to check your work for originality

Criteria

  Pts Possible

Title page.

Choose an appropriate title based on the topic.

Your cover page should include a detailed title of the paper, the name of the student, the date, and the name and title of the  instructor.

It should also include a running head, and page numbers. Please review APA format for assistance. 

5

Body and content

Introduction statement. Summarize the theme of the paper

Did you answer all the questions asked and did you include reliable evidence from professional literature including your text book.

Information is arranged logically and ideas connect

Correct in text citation per APA format 

20

Length

The paper should be at least 1 page. No more than 2 pages

5

Format: Your paper should be in APA format as well as;

Double spaced

12 pt. Times New Roman font

All citations and items in the bibliography mush follow the APA citation style

10

Conclusion

Summarizes theme of paper clearly and thoroughly.

5

Spelling, grammar, sentence structure and fluency

Clear and familiar language

5

                     TOTAL

50