John, an overweight 49-year-old man with history of diabetes and hypertension is playing soccer. After half an hour of an intense game, he feels severe chest pain that travels to his lower jaw. He is pale, diaphoretic, and short in breath. Upon arrival to the ER, an ECG was taken and the results show the following (note the changes in leads II, III and aVF):

Choose 3 out of the 5 prompts and answer:

1.  What could be the possible reason for John’s chest pain? Explain your answer based on the clinical information.

2.  How do you know John’s chest pain is heart related? How do you rule out other etiologies of chest pain such as musculoskeletal, pneumonia, and gastric sources?

3.  What actions should John’s teammates have taken at the scene to help him?

4.  How do you differentiate between heart attack and myocardial infarction?

5.  What is TPA? Explain how it relieves the chest pain and how it improves the survival rate in a patient with acute myocardial infarction.

Watch the following YouTube interview with mathematician and Nobel prize winner John Nash Jr. and his son, both diagnosed with schizophrenia.  Answer the questions below regarding John Nash Jr.’s son. 

• Considering the history provided and what you can observe in the video, what symptoms of schizophrenia, positive and negative, does Johnny Nash have? 
• What medications would be prescribed for Johnny Nash, and why?
• Discuss the etiology of schizophrenia.  How does it apply to John and Johnny Nash’s case? 

In nursing practice, accurate identification and application of research is essential to achieving successful outcomes. The ability to articulate research data and summarize relevant content supports the student’s ability to further develop and synthesize the assignments that constitute the components of the capstone project.

The assignment will be used to develop a written implementation plan.

For this assignment, provide a synopsis of the review of the research literature. Using the “Literature Evaluation Table,” determine the level and strength of the evidence for each of the eight research articles you have selected. The articles should be current (within the last 5 years) and closely relate to the PICOT question developed earlier in this course. The articles may include quantitative research, descriptive analyses, longitudinal studies, or meta-analysis articles. A systematic review may be used to provide background information for the purpose or problem identified in the proposed capstone project.     After working with your preceptor to assess organizational policies, create a list of measurable outcomes for your capstone project intervention. Write a list of three to five outcomes for your proposed intervention. Below each outcome, provide a one or two sentence rationale.

The assignment will be used to develop a written implementation plan.While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

You are checking blood pressures at a senior citizen health fair. After you check the blood pressure of an older woman, she asks you about starting an exercise program. She has not been exercising, but some of her friends have told her that she should start to exercise regularly.

• What recommendations do you give her?
• What precautions do you include in your recommendations?

 What strategies would you recommend encouraging culturally competent care of African Americans? 

 Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources 

Your assignment will be graded according to the grading rubric.

Discussion RubricCriteriaRatingsPoints

Identification of Main Issues, Problems, and Concepts

5 points
Distinguished

Identify and demonstrate a sophisticated understanding of the issues, problems, and concepts.

4 points
Excellent

Identifies and demonstrate an accomplished understanding of most of issues, problems, and concepts.

2 points
Fair

Identifies and demonstrate an acceptable understanding of most of issues, problems, and concepts.

1 points
Poor

Identifies and demonstrate an unacceptable understanding of most of issues, problems, and concepts.

5 points

Use of Citations, Writing Mechanics and APA Formatting Guidelines

3 points
Distinguished

Effectively uses the literature and other resources to inform their work. Exceptional use of citations and extended referencing. High level of APA precision and free of grammar and spelling errors.

2 points
Excellent

Effectively uses the literature and other resources to inform their work. Moderate use of citations and extended referencing. Moderate level of APA precision and free of grammar and spelling errors.

1 point
Fair

Ineffectively uses the literature and other resources to inform their work. Moderate use of citations and extended referencing. APA style and writing mechanics need more precision and attention to detail.

0 point
Poor

Ineffectively uses the literature and other resources to inform their work. An unacceptable use of citations and extended referencing. APA style and writing mechanics need serious attention.

3 points