1. Twin brothers living in the same household have almost the same lifestyle. They eat the same food, exercise five times a week, and meditate regularly. However, the younger twin learned recently that he has been diagnosed with lung disease. Based on your readings and research so far, what could have contributed to this diagnosis? Provide in-text citation(s) to support your explanation.

2. For this reflective discussion:  Reflect upon two concepts that you learned in this course.

• What are the concepts? What insight or ideas did you gain from learning each of these concepts? Were there aspects of the concepts that you would challenge?
• What is the importance of these concepts to public health? How will you use this new wisdom in your current or future career?
• Optional: Offer feedback on how the course and/or facilitation of the course can be improved.

Reflection is a mental process that challenges you to use critical thinking to examine the course information, analyze it carefully, make connections with previous knowledge and experience, and draw conclusions based on the resulting ideas. A well-cultivated critical thinker raises vital questions and problems, formulating them clearly and precisely; gathers and assesses relevant information, using abstract ideas to interpret it effectively; comes to well-reasoned conclusions and solutions, testing them against relevant criteria and standards; thinks open-mindedly within alternative systems of thought, recognizing and assessing, as need be, their assumptions, implications, and practical consequences; and communicates effectively with others in figuring out solutions to complex problems. (Paul & Elder, 2008)

250 words per question

APRN Protocol contract negotiation Presentation: (20% of Grade) 

Students will develop a PowerPoint with no more o 6 slides explaining the part of a 

APRN protocol or contract negotiation. The student will obtain a copy of the contract 

from preceptor or the internet and will demonstrated with examples their 

understanding of contract development. 

referred to :

AANP NP Contract Sample:

 http://www.aanp.org/imag es/documents/publication s/ContractNegotiations.pdf 

State of Florida Example ARNP protocol  

http://floridasnursing.gov/f orms/arnp-protocolformat.pdf 

 

 

 

I need a comment for each paragraph

Paragraph 1

 

Health education plays a central role in health promotion. This is because in order to promote healthy living, it is important for individuals to understand why they are engaging in healthy behavior. For example, for an individual to go out of their way to become physically active and avoid junk food, they should have an incentive to do so. Health education provides this incentive as individuals learn of the association between a sedentary lifestyle/ junk food and diseases like diabetes and obesity.  The nursing process is inherently tied to patient health education. This is because part of the nursing duties is to fight for patient advocacy. This means that nurses should ensure that their patients are properly informed about their health in order to make health-centered decisions. A contemporary issue that a family may experience today is a family struggling with obesity. The nurse can address the issue by first meeting with the family together, and then with each member individually. The nurse should focus on health education and discuss the implications of obesity, such as diabetes, high blood pressure, and heart disease. They should inform the family about how much they can positively affect their lives through the addition of regular exercise and healthy eating habits. A critical role of the nurse is to develop realistic health goals for the family and to provide a real plan that can help the family to achieve these goals.

Paragraph 2

According to the World Health Organization (WHO) (2018b), health promotion is “the process of enabling people to increase control over, and to improve their health” (para 1). Health education is defined as “any combination of learning experiences designed to help individuals and communities improve their health, by increasing their knowledge or influencing their attitudes” (World Health Organization [WHO], 2018a, para 1). Nurses are actively involved in both health promotion and health education, providing education that is necessary to help patients achieve control over the promotion of their own health. Similar to all other nursing functions, health education is provided by using the nursing process. The nurse will assess, diagnose, plan, implement, and evaluate to provide the proper health education to the patients. This process can vary from person to person, but the basic foundation stays the same. Some patients have to have revisions so it can get out of order. An acronym we learned in nursing school for the nursing process is ADPIE. It’s really stuck with me over the years, making it easy to remember. A Contemporary issue that many faces globally includes hurricane’s, and forest fires. Even though these can’t be prevented, there are plans that can be devised, resources that can be offered, and tools that can be used to assist with preparation and help to work toward achieving wellness goals. Some local issues some patients face can include, environmental issues like illicit drugs or a high crime neighborhood, lack of transportation making it hard to get to their appointments.

In a short essay (500-750 words), answer the Question at the end of Case Study 2. Cite references to support your positions.  Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.  This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.  You are required to submit this assignment to Turnitin.Ms. A. is an apparently healthy 26-year-old white woman. Since the beginning of the current golf season, Ms. A has noted increased shortness of breath and low levels of energy and enthusiasm. These symptoms seem worse during her menses. Today, while playing in a golf tournament at a high, mountainous course, she became light-headed and was taken by her golfing partner to the emergency clinic. The attending physician’s notes indicated a temperature of 98 degrees F, an elevated heart rate and respiratory rate, and low blood pressure. Ms. A states, “Menorrhagia and dysmenorrheal have been a problem for 10-12 years, and I take 1,000 mg of aspirin every 3 to 4 hours for 6 days during menstruation.” During the summer months, while playing golf, she also takes aspirin to avoid “stiffness in my joints.”  Laboratory values are as follows: Hemoglobin = 8 g/dl Hematocrit = 32% Erythrocyte count = 3.1 x 10/mm RBC smear showed microcytic and hypochromic cells Reticulocyte count = 1.5% Other laboratory values were within normal limits.  Question Considering the circumstances and the preliminary workup, what type of anemia does Ms. A most likely have? In an essay of 500-750 words, explain your answer and include rationale.

40.0 % Accurate identification of anemia classification and rationale.

40.0 % Explanation of patient diagnosis with rationale from case findings. Outside sources and/or medical and nursing references used to support conclusions.

 Heart;Blood Vessels

  Anterior cross section showing the valves and chambers of the heart
What blood-tight partition divides the left heart from the right heart?

Which portion of the ECG represents a small deflection sometimes seen just after the T wave, representing the final phase of ventricular repolarization?

Does heart size increase or decrease with age? why?
Make a chart describing the characteristics of the following types of chest pain:

1. Angina
2. Esophageal
3. Pain from a peptic ulcer
4. Biliary
5. Arthritis or bursitis
6. Cervical
7. Musculoskeletal (chest)
8. Psychoneurotic

A patient is complaining of prolonged fever, signs of neurologic dysfunctions, and the sudden onset of congestive heart failure. What should be expected?

Name the five traditionally designated auscultatory areas

Is the absence of S3 and S4 an unusual finding?

Splitting of S2 is greatest during which part of respiration? 

Describe a pericardial friction rub.

Not all murmurs are the result of valvular defects. Name four other causes of murmurs

Which four cardiac defects make up the tetralogy of Fallot?

TY is a 67-year-old female patient who presents for follow-up for her hypertension and hyperlipidemia. Her PMH includes a diagnosis of aortic stenosis diagnosed 2 years ago, IBS, and a seizure disorder. Her family history includes her father, who died at age 55 years of a myocardial infarction and her mother, who is deceased, who had hypertension, diabetes, and coronary artery disease. Her social history is positive for smoking 1 PPD for 30 years; she quit 9 years ago. She is negative for alcohol and drug use. She lives in a two-bedroom condominium on one floor.

On examination, describe the murmur that you would hear for aortic stenosis.

Describe the cause of aortic stenosis. What is the cause for TY?

If TY’s past medical history did not include a diagnosis of aortic stenosis as well as cardiac risk factors, what other causes are there for a heart murmur?

If TY’s past medical history did not include a diagnosis of aortic stenosis as well as cardiac risk factors, describe a subaortic stenosis.

  Palpation of arterial pulses: Carotid, Brachial,  Radial, Femoral, Popliteal, Dorsalis pedis,  Posterior tibial.Define arterial blood pressure

Define arterial blood pressure

Which variables contribute to the characteristics of the pulses?

A pregnant patient (32 weeks’ gestation) is having difficulty with dependent edema and painful varicosities. What can you suggest to help this patient’s problem?

What should you do if you have trouble finding the patient’s pulse? 

Describe the scale of 0 to 4 with regard to the amplitude of the pulse

If a patient experiences pain in the calf muscles, which artery is probably obstructed? 

What two values are recorded for the blood pressure? 

What is the mechanism behind cardiac tamponade? 

Where are the most common places for venous ulcers to appear?

TB is a 56-year-old female patient with Raynaud phenomenon. Her past medical history includes spinal stenosis, systemic lupus erythematosus, bipolar disorder, and overactive bladder.

A-Differentiate the primary and secondary types of Raynaud phenomenon.

B-In the patient’s initial presentation what would be the chief complaint if the patient had primary Raynaud phenomenon? Secondary Raynaud phenomenon?

C-Based on TB’s presentation, what assessment results would you expect to find? What if is she had primary Raynaud phenomenon?