1 postsRe: Topic 2 DQ 2

The World Health Organization (WHO) is the global public health agency (GCU, 2018). Within the United States government, the Centers for Disease Control and Prevention (CDC) works nationally and globally to protect the public health of the United States (GCU, 2018). The CDC works on behalf of the United States with other partners such as the WHO in programs that aim to protect our nation’s health concerns. Because of the ubiquitous nature of global travel, disease transmission can quickly become a global problem that knows no borders, and therefore often the global health concerns are also national health concerns. The CDC and the WHO decide what public health threats should be reportable and local and state public health departments operate and provide surveillance on a smaller, more local level.

The WHO determined the Sustainable Development Goals to expand the mission of human health rights and health promotion (GCU, 2018). While these SDG factors vary greatly throughout the globe, their existence and persistence can have negative global impacts. War and disease can have large, regional and global impacts that have a ripple effect on the health of other parts of the world. World partners and stakeholders send aid and respond to these events in order to mitigate the potential impact (GCU, 2018). Climate change and climate disasters will continue to grow into a huge challenge to our global health security (Gore, 2017). As climate events occur, so will food scarcity and global migration of species poleward. Civil unrest and power struggles result, leading to conflict. Food scarcity, violence, trauma and mental health impacts, and war all negatively impact social determinants of health (GCU, 2018). Warmer temperatures also favor insects that harbor vector-borne illnesses such as Lyme disease and Zika (Gore, 2017). Climate disasters impact food, contaminate water, and cause trauma and displace people from shelter (Gore, 2017). Combating climate change will be one of the greatest public health challenges of all time.

Case Study: Mr. C. 

 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. 

  

Week 4: Assignment – Application of Concepts from Caring Science

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Points: 300 | Due Date: Week 4, Day 7 | CLO: 3, 4 | Grade Category: Assignments

Assignment Prompt

Summary: A theory can be used to guide practice.  This assignment is an exercise in supporting a clinical practice with theory and evidence.

Directions: Identify an outcome of nursing practice in your area of practice that can be improved.  For example, if you work in home health, you may identify that throw rug use by fall risk patients is too prevalent.  You may be able to use the problem that inspired the theory concepts that you developed in week two. Identify the concept in Watson’s Theory of Caring that could represent or include the outcome.  In our example, the outcome would be the changes in self through the change in the patient’s floor covering practice. Identify a practice that can be changed or implemented that may influence the outcome. Identify the concept in Watson’s Theory of Caring that includes the practice.  In our example, the practice could be to improve the understanding of fall hazards through the engagement in a teaching-learning experience, one of Watson’s Caritas Processes. Identify exactly how these two concepts will be measured with their operational definitions. Develop a proposition between the two. Present your outcome in an APA formatted paper  meeting the University’s standards for a written assignment.

  

Expectations

· Due: Saturday, 11:59 pm PT

· Length: 5 to 7 pages including title and reference pages

· References: 3 to 10.  There should be enough to support the links between the concepts of the problem and the concepts of Watson’s Theory of Caring.

See USU NUR Resear

Week 4: Discussion Question – Watson’s Theory Concepts

Locked before Monday, September 21, 2020 5:00 PM PDT.

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Points: 30 | Due Date: Week 4, Day 3 & 7 | CLO: 1 | Grade Category: Discussions

Discussion Prompt

Find a concept within Watson’s Theory of Caring and a similar concept within any other nursing theory.  Compare the two concepts for similarities and differences. Illustrate how a person reading about a theory can be influenced in their understanding of a theory if they have a different definition of a concept than the author.

  

Expectations

Initial Post:

· Due: wednesday, 11:59 pm PT

· Length: A minimum of 250 words, not including references

· Citations: At least one high-level scholarly reference in APA from within the last 5 years

Peer Responses:

· Due: Thursday, 11:59 pm PT

· Number: A Minimum of 2 to Peer Posts, at least one on a different day than the main post

· Length: A minimum of 150 words per post, not including references

· Citations: At least one high-level scholarly reference in APA per post from within the last 5 years

Discussion: Respond to Posts in Your Own Thread

See USU NUR Discussion Board Rubric for additional details and point weighting.

Rubrics

· USU NUR Discussion Board Rubric

 

Quarter 7 is the final course prior to taking your NCLEX license exam to legally practice the profession of nursing. As a nursing student you have been exposed to theory, clinical experiences, simulations, and skills. To prepare for licensing, what strategies will you employ to ensure a successful NCLEX outcome? Describe 3-4 strategies you will utilize to promote your success.

Your initial response to the post should be 400 words in length and include proper APA formatting when referencing your resources.

Benchmark – Community Teaching Plan: Community Teaching Work Plan Proposal

The benchmark assesses the following competency:

4.2 Communicate therapeutically with patients.

The RN to BSN program at Grand Canyon University meets the requirements for clinical competencies as defined by the Commission on Collegiate Nursing Education (CCNE) and the American Association of Colleges of Nursing (AACN), using nontraditional experiences for practicing nurses. These experiences come in the form of direct and indirect care experiences in which licensed nursing students engage in learning within the context of their hospital organization, specific care discipline, and local communities.

Note:  The teaching plan proposal developed in this assignment will be used to develop your Community Teaching Plan: Community Presentation due in Topic 5. You are strongly encouraged to begin working on your presentation once you have received and submitted this proposal.

Select one of the following as the focus for the teaching plan:

1. Primary Prevention/Health Promotion
2. Secondary Prevention/Screenings for a Vulnerable Population
3. Bioterrorism/Disaster
4. Environmental Issues

Use the “Community Teaching Work Plan Proposal” resource to complete this assignment. This will help you organize your plan and create an outline for the written assignment.

1. After completing the teaching proposal, review the teaching plan proposal with a community health and public health provider in your local community.
2. Request feedback (strengths and opportunities for improvement) from the provider.
3. Complete the “Community Teaching Experience” form with the provider. You will submit this form in Topic 5.

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.

AttachmentsNRS-427VN-RS3-CommunityTeachingWorkPlanProposal.docx