Week 9 Final Research Paper: Disease and Nutrition

The purpose of this assignment is to synthesize and apply the knowledge you gained in class into a well-written research paper. For this assignment, you will conduct research and write a paper containing three parts:

1. Part I: Analyze diet
2. Part II: Evaluate how the patient’s diet affects:
   • The person’s health (anatomy)
   • The progression of the illness (pathophysiology)
   • Common medications associated with the disease
3. Part III: Create patient SMART goals and an evidence-based plan of care (patient education)

Begin by viewing the patient profiles and assignment details in the the Worksheets, Forms, and Templates area at left. Choose one patient profile and use it to complete Parts I–III of the assignment.

In addition to the assignment specifics, your paper should: 

• Be 4–5 pages, not including the title and reference pages.
• Source(s) should be integrated into the paragraphs. Use in-text citations pointing to evidence in the literature and supporting your ideas.
• Incorporate a minimum of two peer-reviewed sources into your paper.
• Use current APA format to style your paper and to cite your sources. Follow the list structure of the sample paper for the section on calculations. You can download a sample paper in the Worksheets, Forms, and Templates area at left.
• Include a title page and a reference page listing the sources you used. Be sure to plan enough time for proofreading and editing.

Review the rubric for further information on how your assignment will be graded.

Due: Sunday, 11:59 p.m. (Pacific time)

Points: 220

      Week 5 Discussion Prompt 2           

Evidence-based practice is extremely important in nursing. Throughout your master’s program, you will complete research on various topics. Knowing how to construct a strong problem statement and complete a critical analysis of the available information to write a literature review is essential.

This week, you will write a problem statement and perform a literature review in preparation for your ethical issues debate presentation. Share your problem statement in this discussion so that you can review each other’s work and provide peer-to-peer feedback. Also, describe what you think are the most important learning takeaways from the literature review resources you reviewed.

Follow the instructions in the bullets below to direct you where to find resources on problem statements and literature reviews:

• Go to the Student Resources tab on the top of your Blackboard page.
• Click on Writing Resources.
• Click on Research and Writing.
• Click on Writing Strategies.
• Then view:       
  • Writing a Problem Statement
  • What is a Literature Review
  • Conducting a Literature Review

The electronic portfolio assignment requires the use of Rasmussen Optimal Resume Electronic Portfolio resource. The student may choose  to download prior quarter assignments that comply with the following transferable skills and additional requirements :

• Personal mission statement
• Resume
• Letters of recommendation if applicable
• Certifications if applicable
• Critical Thinking
• Team Collaboration
• Diversity
• Informatics
• Digital fluency
• Communication

Case #1: Jane

Jane is a 42-year-old G4P2103. Jane is divorced and works long, hard hours as a real estate agent. Jane was having irregular and heavy menses for 6 months, and then they abruptly stopped 3 months ago. Jane has been having nausea and vomiting for 6 weeks but attributed it to having the flu recently. She also admits to gaining about 10 pounds in the last few months and experiencing breast tenderness. Jane comes to the clinic today to discuss menopause symptoms and treatment. During the visit, a urine pregnancy test came back positive. During the exam, you palpate a 16-week-size uterus and get fetal heart tones of 165. Jane is in disbelief. 

Case #2: Natalie

Natalie is a 27-year-old G4P0120. Natalie is married; she and her husband both work two part-time jobs to cover the bills. Natalie presents to your office at about 20 weeks gestation for her initial OB visit. Natalie states she has not been evaluated prior to today for the pregnancy because of lack of funds and ability to get off work. Natalie also complains of multiple yeast infections during this pregnancy. During your interview with Natalie, you find she has no known medical diagnoses, she is not taking medications, she is a smoker, and she has a negative surgical history. Natalie’s OB history includes two spontaneous losses at 8 and 12 weeks gestation and a loss of a 32 weeks infant following premature rupture of membranes. The 32-week infant was 7 pounds; lived 24 hours; and experienced hypoglycemia, respiratory distress, and ultimately died of sepsis. Natalie tells you she waited to seek prenatal care until this point because she did not have enough money to pay for the visit. She and her husband are still paying off medical expenses from the death of their 32-week infant. She tells you that she probably would have waited longer, but she keeps getting these terrible yeast infections. On exam, you note a fundal height of 26 weeks and urine dip reveals 1+ leukocytes, 1+ protein, trace blood and 3+ glucose.

Case #3: Katie

Katie is a 17-year-old G1P0. She presents to your office with four missed periods in a row. Katie is a high school student; she is in the 10th grade. She lives with her mother and four siblings. You ask Katie about the father of the baby and she tells you he states, “that baby is not mine.” They are not speaking to each other right now. Katie tells you she has been “vomiting a lot and her stomach hurts when she pees.” A urine pregnancy test comes back positive. Katie is so confused because she has been using douching after intercourse as her method of birth control. Katie’s past medical history is positive for chlamydia twice in the last year. She was treated at the Health Department but never went back for a follow up. Katie has had no surgeries and is on no medication. When asked, Katie states her last known weight was about 120 lbs. Katie’s V/S are BP 110/70, temp 102.5, weight 107. You note enlarged cervical lymph nodes, FHTs are 160, and fundal height is 18. Katie’s urine reveals 2+ ketones, 2+ nitrates, and 3+ leukocytes.

Case #4: Sara

Sara is a 32-year-old G1P1001. She presents to your office for a 6-week postpartum check following a normal vaginal delivery of a healthy baby girl. Sara had an 18-hour labor with Pitocin augmentation and delivered a 7 pound 2 oz. girl with a second-degree laceration repaired with sutures. Sara spent 2 days in the hospital and was discharged home with her infant and husband. Over the last few weeks, Sara has called the office multiple times with questions about breastfeeding and her sutures healing. Upon walking into the exam room to see Sara, you see her baby in the stroller crying and Sara sitting on the exam table crying into her hands. 

Download and complete the Pregnancy Case Review Chart. 

• Make sure to address all sections. Do NOT leave any section blank.
• Include relevant subjective and physical objective findings.
• Identify appropriate diagnostic and laboratory testing needed.
• List at least three differential diagnoses with rationales for choosing.
• Identify usual medications, treatments, or patient education needed.
• Determine referrals for collaborative care.
• Provide evidence-based references in APA formatting. Consult with the Writing Center as needed.

Assignment Requirements

Before finalizing your work, you should:

Be sure to read the Assignment description carefully (as displayed above).

• Consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary.
• Utilize spelling and grammar check to minimize errors.
• Follow the conventions of Standard English (correct grammar, punctuation, etc.)
• Be well ordered, logical, and unified, as well as original and insightful
• Displays superior content, organization, style, and mechanics.
• Use Evidence-Based Practice guidelines.
• Utilize APA formatting.

 Student Course Self-Reflection (Guided Essay)Learners must complete a final applied self-reflection essay on their performance of the course based on the documents and artifacts provided in the performance portfolio. This essay must include at least 5 paragraphs and be limited to a maximum of 2 pages.
1.What have you learned in the course that will help you continue to grow as a professional in your chosen career?
2.Which specific assignment for this course was your best work? Name one. What makes it your best work? What did you learn by creating it? What does it say about you as a student inregards to your degree concentration? How do you plan to use it in your field?
3.In which area(s) will you likely continue to strengthen your knowledge or competencies?
4.Which strategies did you use to learn the material in this course?,Which were the most effective? Why?
5.How did your communication skills improved with this course? Discuss new vocabulary, the style of the profession (writing and oral), others