Hi 

I completed my two pages paper and would like someone to correct my sentence structure and proofread.  I already used grammarly to correct.  NO need to correct my reference.  The question for the paper is:

” Give an example of the clinical manifestations of a hemorrhagic stroke, based on the anatomy/location of the bleed? Explain why the symptoms would be seen based on the anatomy and physiology. “

This is my paper:

A 62-year-old man has a history of chronic atrial fibrillation and has been taking aspirin daily for the past four years (Runchey & McGee, 2010). While working at his workshop 2 hours earlier, the patient had an abrupt onset of severe headache (Runchey & McGee, 2010). Ten minutes later, the patient had difficulty holding the tools in his left hand and needed assistance to get to the car (Runchey & McGee, 2010). The patient at the emergency department had a new onset of left side weakness, very high blood pressure at 200/108 mmHg, elevated heart rate at 104, a dense left hemiparesis, vomits twice, and positive Babinski responds (Runchey & McGee, 2010). The CT result showed that the patient had cerebral hemorrhage due to leakage of blood into the brain (Runchey & McGee, 2010). The present symptoms of severe headache, vomiting, bilateral Babinski signs, and neck stiffness indicated that the patient had a hemorrhagic stroke (Runchey & McGee, 2010). The study of Ojaghihaghighi, Vahdati, Mikaeilpour, and Ramouz (2017) also pointed out that patients who experienced a hemorrhagic stroke can develop in a few minutes with clinical manifestations including acute onset of headache, vomiting, and severe increase in blood pressure.

Normally, the brain receives blood from two major pairs of arteries, which branch throughout the brain tissue and supply a constant flow of oxygen, glucose, and nutrient to the brain cell for their function (Rink & Khanna, 2011). When a hemorrhagic stroke occurs, it shows an abnormal bleeding abrupt or rupture of the normal blood flow (McCance & Huether, 2019). The bleeding can occur either within the brain or between the brain and the skull (Harvard Health Publishing, 2019). There are two major hemorrhagic strokes include intracerebral hemorrhage and subarachnoid hemorrhage. Intracerebral hemorrhage occurs when there is a broken blood vessel within the brain due to high blood pressure, excessive alcohol use, smoking cigarettes, and the use of cocaine or amphetamines (Harvard Health Publishing, 2019). The most common location is at the bifurcations in or near the circle of Willis (McCance & Huether, 2019). The intracerebral hemorrhage usually happens in a certain part of the brain, such as the basal ganglia, cerebellum, brain stem, or cortex (Rink & Khanna, 2011). With long-standing high blood pressure and a lot of stress on the artery wall, it causes the artery ruptures and start to bleed out of the cerebral circulation (Harvard Health Publishing, 2019). The symptoms can worsen over a period of 30 to 90 minutes, including sudden weakness, inability to speak, vomiting, difficulty walking, and inability to control eye movement (Harvard Health Publishing, 2019). 

For subarachnoid hemorrhage, the bleeding from a damaged blood vessel causes blood to accumulate the brain’s surface and fills a portion of the space between the brain and the skull (Harvard Health Publishing, 2019). Patients with head trauma and brain aneurysm are the most common cause of subarachnoid hemorrhage (Cleveland Clinic, 2020). Blood escapes from defective or injured vasculature into the subarachnoid space (McCance & Huether, 2019). The bleeding into the subarachnoid hemorrhagic space due to aneurysm rupture leads to vasospasm and brain ischemia (Zhang, Tao, Feng, & Chen, 2017). When blood flows into the cerebrospinal fluid, it increases the brain’s pressure and causes immediate headache. The subarachnoid hemorrhage symptoms include a very severe headache, loss of consciousness, stiff neck, seizure, confusion, nausea and vomiting, and inability to look at a bright light (Harvard Health Publishing, 2019). Therefore, the bleed location, along with the symptoms, indicates the kind of hemorrhagic stroke of a patient.

NOTE: I attached the file, but can’t open.  I am not sure why?

Instructions

Course Project Overview

Developing an Instructional Unit

This project will help you focus on the important concepts presented throughout the course. For this project, you will be expected to develop three lesson plans as part of an instructional unit on a subject of your choice focusing on one disease. The project will contain one lesson plan focused on education of a patient, one on family education, and one on staff development. The plans should demonstrate a logical approach to teaching, communicate what is to be taught and how, and outline how objectives are to be evaluated. At a minimum, each final lesson must contain the following components:

Introduction:

·  Provide the title of the lesson.

·  Identify and describe the learners.

o  Include Learner Assessment: educational level, developmental level, readiness to learn, etc.

·  Describe the educational setting: (staff development, patient education, family education, etc.).

·  Purpose and rationale for the lesson(s).

·  Describe the philosophical or theoretical basis for teaching approaches used in the lesson.

Statement of goals and objectives:

·  Write broad instructional goals for the educational experience.

·  Write behavioral objectives based on Bloom’s taxonomy.

Instructional methods and evaluation of learning—for each objective:

·  Describe the lesson content.

·  Provide a sequence for teaching activities.

·  Describe instructional strategies.

·  Indicate time allotted for each activity.

·  Describe the instructional resources (materials, tools, etc.) to be used.

·  Describe how the learning will be evaluated.

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 

Attached- a sample lesson plan

Digestive Disorder

1. For the digestive disorder that you have been assigned. 

1. You can review your Textbook and visit these links:  

https://www.niddk.nih.gov/health-information/digestive-diseases

http://www.webmd.com/

1. Describe the disorder of Hiatal Hernia (in 150-300 words). In your description include:
   1. Causes
   2. Risk factors
   3. Symptoms
   4. Treatments
   5. Risk reduction behaviors

 Feel free to include pictures or diagrams

As always, please check for grammar and spelling errors.

HCA320 Assignment Mod 1

Assignment:

Population Health Advocacy

Human trafficking, extreme poverty, preventable diseases, the opioid crisis and the lack of adequate low-income housing are a few current societal concerns worthy of social change. Nurses and healthcare leaders are in a good position to shape and influence health care policy.

Think of a cause you believe in strongly. Access the website of your elected officials either at the local, state, or federal level using the following link: https://www.usa.gov/elected-officials/ or use the website of your choice. Explore some of the issues and committees your legislators are involved in and select at least one that interest you or align with your beliefs. You may also contact your legislator’s office and speak to his or her legislative assistant by calling the U.S. Capitol switchboard operator at (202) 224-3121 for the Senate and (202) 225-3121 for the House. Legislator assistants are very knowledgeable about the legislator’s agenda and can provide a wealth of information. 

This assignment will be at least 1500 words or more. This week reflect on advocacy, collaborative partnerships with other health care practitioners and stakeholders, and the policy making process and write a paper that addresses the following:

• Describe      the policy issue, policy problem of interest or a particular bill that      your legislator has introduced
• Elaborate      on why the policy matters and what you can possibly do to strengthen the      policy? 
• Briefly      define the role you would play as an advocate for the healthcare consumer      and healthcare professionals.
• Explain      how the policy impacts the public at large or a particular      population. 
• What      stakeholders would you collaborate with to promote the cause? 

Assignment Expectations

Length: 1500-2000 words in length

Structure: Include a title page and reference page in APA format. These do not count towards the minimal word amount for this assignment.  Your essay must include an introduction and a conclusion.

References: Use the 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.