Do Not use Citations please

Instructions: Read the Case Study below and discuss the questions that follow: 

Aron, a single father, is raising his daughter on his own.

“Naomi is a good girl, you know?” She does her homework, and she likes hanging out with me. She even laughs at my jokes still, but sometimes I worry that she’s going to become anorexic or something,” he says. “She’s not overly thin or anything, but she just doesn’t eat like I think she should. Breakfast is the toughest time. We end up yelling at each other every morning before school with me running behind her as she heads downstairs and out the front door of our building, and me yelling, ‘Here! At least take this!’ and I stuff a banana or an apple in her backpack, while she yells, ‘Dad, you’re embarrassing me!’ Sometimes I look up, and, oh man, she’s right. Sometimes there are other kids at the corner waiting for the bus and here she is, my sweet little Naomi with her crazy dad grabbing at her backpack! Poor baby, but it drives me crazy that she won’t eat!”

1.      As soon as the nutritionist mentions breakfast, Aron throws his hands up and says, “No, don’t even talk about it, man! Breakfast is like our worst thing! She’s such a picky eater, and mornings are her worst time.” What advice can you offer?

2.      Aron’s income is 25% below the poverty level for the United States. He asks, “How do I find out if Naomi is eligible for reduced-price school lunches?” What might you advise Aron?

3.      As it turns out, Naomi does qualify for reduced-price lunches at her school. However, things don’t go very well. She often comes home from school hungry. Aron, who can find only part-time work 3 nights a week, meets her at the door most days and is distressed, he says, to find that “her stomach is actually growling, and she’s all weak and listless. She’s asked if she can go back to packing a lunch, even though my lunches aren’t very good. Usually, all we have in the cupboard is some pantry food such as peanut butter, saltines, and raisins.” When he asks her why she wants “our lousy lunch stuff,” she says, “Everybody sees who gets the ‘poor kid’ lunches. I get made fun of.” 

Suppose you are the school nurse at Naomi’s school. Brainstorm about ways you might support students like Naomi.

Consider the role and responsibilities of school nurses—on the levels of both the individual child and the family, as well as their influence on their particular educational system and the community at large.

The purpose of this assignment is to state a clinical/practice question and explore the literature pertaining to your clinical/practice problem. You may use the question you developed in the previous module.  additionally, you may use this in future course including your capstone.  When conducting a literature review, the goal is to obtain a representative sample of the literature which describes the concepts related to the phenomenon of interest and the research results applicable to the clinical/practice question and identify what gaps need to be further researched. 

This assignment is due Wednesday, Week 6, by 11:59 PM EST.  This assignment is worth 20% of Course Grade.

Instructions:

1.  Please follow the rubric below
   • You can use the rubric criteria as headings and subheadings for your paper
   • Rubric:  Construction of a Clinical Practice Question & Literature Review Rubric.docxActions
2. Your work for this paper can be used to build upon your capstone project and a publishable manuscript
3. Write your paper in APA 7th edition professional paper format
   • Sample APA 7th edition professional paper:  APA 7th Edition Professional Paper (APA Style).pdfActions
4. Paper length is no more than 8 pages excluding references and title page

Lesson 7

Read pages 1-5 of the case study, “Statins Stat!” (see attached pdf below), and answer the following questions.

1.       Why are high density lipoproteins (HDLs) considered the “good cholesterol”? In your answer explain specifically what HDLs do that cause it to be considered the “good cholesterol”.

2.       Why are low density lipoproteins (LDLs) considered the “bad cholesterol”? In your answer explain specifically what LDLs do that cause it to be considered the “bad cholesterol”.

3.       What is the role of the phospholipid monolayer at the outer surface of lipoprotein particles? (Question 1 of case study)

4.       Why are cholesterol, cholesteryl esters, and triglycerides preferentially contained inside lipoprotein particles? (Question 2 of case study)

5.       What are the two sources of cholesterol in the human body?

6.       What is a “committed step” in a biochemical pathway? (Question 3 of case study)

7.       Looking at Figure 4 of case study (the reaction pathway from acetyl-CoA), which enzyme is likely to be the target of the statin mevastatin? (Question 6 of case study)

8.       What are four (4) ways that HDL levels can be increased in the body?

9.       What type of inhibitor (non-competitive OR competitive) are statins with respect to HMG-CoA reductase enzyme activity? Explain why.

10.    How were cholesterol-lowering statin drugs first discovered?

You will earn 10 pts for correctly answering each question (total points earned is 100).  You may use the Internet and/or your textbook to assist you, but please DO NOT copy your answers directly from the Internet or textbook.

Cover Letter

A significant part of a registered nurse’s job involves communicating with patients and providing emotional support. A successful cover letter should emphasize examples of your bedside manner and empathy as well as your emotional stability and composure in difficult situations.

 Follow these steps to create your customized entry-level, registered nurse cover letter:

You are applying for a job at Kindred Hospital in South Florida. Research the unique needs, characteristics, and culture of the hospital. 
1. Specify how you’re a good fit for the position. (10 points)
2. Highlight your specialties and skills which set you apart from other nurses, paying particular attention to those that required additional training. (10 points)
3. Don’t neglect soft skills that are highly relevant to a position as a registered nurse, such as problem solving, teamwork, communication, and leadership. (5 points)
4. Carefully proofread your cover letter before submitting to make sure all contact information is correct and that there are no misspellings.(5 points)

Week 2 Discussion

• Choose two concepts in the theory you choose last week and describe:
  • How are the concepts defined in general (from other references)? 
  • How does the theorist define each of the concepts you have chosen?
  • How do those concepts apply to your clinical practice? Give concrete examples. To support your work, use the textbooks from your course and also use the South University Online Library, citing your sources in your work and providing references for the citations in APA format.

Remember to list two concepts – and remember that theories are derived from conceptual models and are comprised of concepts and propositions. The only concepts that are common to all nursing theories, in some shape or form, are patient, nurse, health, and environment – which we discussed last week.

This week, select two concepts that are unique to your selected theory from last week – but they CANNOT be one of the four metaparadigm concepts – person, nurse, health or environment.

This is weeks one discussion please use this as a reference like stated above 

Basic four metaparadigms’ concepts

A metaparadigm is an arrangement of thoughts or speculations that structure the way a training works. These hypotheses consist of four essential ideas for a nursing discipline that address the patient all in all, the health and environment of the patient, the condition of the patient and the nursing duties. While there are a few distinctive nursing hypotheses, these four vital nursing metaparadigms point to an all-encompassing care perspective where four intelligent parts are associated with the prosperity and restorative health of a man.

Patient:

The patient component of the metaparadigm focuses on the patient. In any event, in addition, the individual association includes relatives and various meetings vital to the patient. The care structure considers the otherworldly and social needs of the individual and the needs of medical services as well. How the individual collaborates with these physical and social associations is credited with the subsequent health outcome. The preface is that the individual is involved with constructive individual associations in dealing with his health and prosperity with pride and self-protection.

Environment:

The environment portion of nursing metaparadigms environment and society that affects the patient. The earth is made up of internal and external impacts, and fights that there is a health and health heading for how a man constantly communicates with his environment. Collaborations with families, partners and other people, as well as physical and social factors such as monetary conditions, geographical areas, culture, social associations and innovation, are a part of the world. In order to improve her health status, this metaparadigm segment conjectures that a person can change her ecological components.

Health:

The fourth metaparadigms in the health segment allude to the level of health and human services a patient has. This health component is described as one in a consistent state of motion with distinct measurements. Health covers the life expectancy and hereditary cosmetics of a man, and how physical, passionate, scholarly, social and other-worldly prosperity for the most extreme medical benefits is incorporated into human services. The hypothesis is that these factors influence the state of prosperity of the patient.

Nurse:

The nursing component of the metaparadigm includes the transmission of the patient’s ideal health outcomes through a common relationship in a sheltered and mindful condition. The nursing segment applies learning standards, skills, innovation, coordinated efforts, competent judgment and correspondence to fulfill duties and responsibilities in achieving the most ideal quiet health outcome situation. This nursing part appreciates a high level of administration and coordinates for persistent prosperity with other metaparadigm segments.

Theory:

Practice theory is used in nursing to consider the duality of practice and atmosphere and establish a proposal within that interpretation that asserts the interdependence of the metaparadigm realms of nursing practice and environment. In a discipline, the Metaparadigm principles comprise the core problems. Fawcett has described human beings (patients as a whole), the environment, health and nursing as the four core principles of nursing that need to be comprehensively established. The human portion of the metaparadigm reflects on the treatment recipient. The treatment structure addresses the person’s spiritual and social interests as well as clinical care needs. The environmental component of nursing metaparadigms reflects on the patient’s climate. This metaparadigm aspect theorizes that a person may change her environmental factors to enhance her health status. The wellbeing portion of the four metaparadigms relates to the level of access to health and health services that a patient has and includes the lifetime and genetic composition of an individual, and how physical, physiological, behavioral, social and spiritual well-being is implemented for full health benefits into health care. The nursing part of the metaparadigm includes supplying the patient with optimum health effects in a shared partnership in a healthy and caring atmosphere (Dupree, 2018). 

References:

Dupree D. (2018, December 27). Four basic Metaparadigm concepts in nursing. Career Trend. https://careertrend.com/13373959/fourbasic-metaparadigm-concepts-in-nursing

DELIKTAS, A., KORUKCU, O., AYDIN, R., & KABUKCUOGLU, K. (2019). Nursing StudentsʼPerceptions of Nursing Metaparadigms. Journal of Nursing Research, 27(5), 1. https://doi.org/10.1097/jnr.0000000000000311