1. Submit an essay of the developed action plan for a community educational project. The project plan should include 2 (two) goals and objectives based on your topic from Healthy People 2020, an implementation plan for implementing these activities, a budget (if necessary, not required), a justification for the project, a description of where and when the plan will be implemented, and a description of the teaching materials which will be utilized during the execution of the project. Then recommend nursing actions/interventions to improve the health concern and achieve your stated goals and objectives. Discuss potential public and private partnerships that could be formed to implement your recommendations and create a timeline (i.e. 3 month, 6 month) for potential expected outcomes.

The assignment should be written in an APA-formatted essay. The essay should be between 1250 and 1500 words in length and include at least two scholarly sources other than provided materials.

M4 Assignment UMBO – 1, 2, 4

St. Theresa Chinese Catholic School

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· Identify three barriers that may prevent the provision of optimally healthy meals for the select population.

· Barriers may include

§ Geographic location

§ Health of the population

§ Culture of the population and surrounding community

§ Socioeconomic challenges

§ Available food choices

§ Other barriers, as identified

· Include in-text citations to support barriers.

 Read section on Christianity and answer one of the questions at the end or one of the following bonus questions. (Be sure to indicate which question you are answering.) 

Bonus Questions:

1. Describe 1-2 primary doctrines or key beliefs about Jesus. How does this make Christianity unique among the world religions?

2. What makes Christianity unique among the world religions? Be sure to mention 2-3 characteristics in your response.

3. The resurrection of Jesus is a highly debated topic among religion scholars. In what ways does the Christian message hinge on the resurrection? Please explain your answer.

 

Submission Instructions:

• Your response must be at least one substantive paragraph and must demonstrate evidence of reading . formatted and cited in current APA style. 
• Your response should be clear and concise. The one paragraph limit dictates that the point of the exercise is not to give a final answer to the question posed. You have a single paragraph to write for each question; make it a great one. 

 

0130: Admission nurses note (RN): Client arrived via EMS from long-term-care for evaluation of “low blood sugar.” Pt. arrived confused (alert and oriented X 1) and is a known diabetic. Finger stick was 45. Orange juice and crackers, given repeat finger stick 104. Pt now alert and oriented X 4. Report from the charge nurse at the long-term-care facility indicates that the client has been having frequent bouts of hypoglycemia.

0530: (RN) Foley catheter inserted for incontinence–pt. “too weak” to get up to the bathroom and is experiencing bouts of incontinence.

600 mL clear yellow urine noted. The nurse indicates that the ER is “very busy” and “short-staffed.” 0545 (Admitting Physician) See history and physical. Pt. admitted to the medical-surgical service for evaluation of recurrent hypoglycemia.

View the ER chart before the pt. is transferred to the floor:

0730: (RN) Report is given to RN on 3 North.

Emergency Department Chart

Client: Mabel Simpson

DOB: 4/23/1941

Admission Date 8/16/2019

Medical Diagnosis: recurrent hypoglycemia

Allergies: None

Vitals/ Data Collection: Temp.- 97.3 PO

History: Diabetes (insulin dependent)  

Medications: Insulin R titrated to finger sticks

Allergies: None

Vitals/ Data Collection: Pulse- 68

History: Hypertension

Medications: Furosemide 20 MG twice per day

Allergies: None

Vitals/ Data Collection: Respirations- 18

History: Atrial Fibrillation

Medications: Warfarin 5 Mg Mon, Wed, Fri 2 Mg Tues, Thurs

Allergies: None

Vitals/ Data Collection: Blood Pressure- 122/86

History: Rheumatoid Arthritis   

Medications: Enalapril 5 Mg once per day

Allergies: None

Vitals/ Data Collection: No C/O pain

History: Mild Heart Failure (class 1)

Medications: Proventil inhaler as needed for wheezing

Allergies: None

Vitals/ Data Collection: Alert and oriented X 4

History: Former Smoker- smoked 1 pack per day X 40 years- last smoked 10 years ago

Medications: Methotrexate 2.5 Mg per day

Allergies: None

Vitals/ Data Collection: Lungs: No adventitious sounds

History: Appendectomy as a child

Medications: Tylenol 650 Mg as needed for pain or fever

Allergies: None

Vitals/ Data Collection: + Bowel sounds

History: Mobility (baseline): able to ambulate slowly with minimal assist

Clear yellow urine draining from Foley catheter in adequate amts.

Medications: 

Allergies: None

Vitals/ Data Collection: Clear yellow urine draining from Foley catheter in adequate amts.

History: 

Medications: 

Allergies: None

8/16/2019

10:00: (RN) Pt received on 3 North. Alert and oriented X 4. Fingerstick 81. Eating breakfast. Offering no complaints.

8/17/2019 (Medical Assistant)

0130: Sleeping Soundly

0700: (LPN) alert and oriented Finger stick 124. Offering no complaints. Medications given as ordered. Foley catheter draining cloudy yellow urine- RN notified.

1100: (Case Manager note): Pt. alert and oriented. Blood sugar stable. Will speak to the physician about discharge tomorrow morning.

1300: (Physical Therapy): Ambulated to the hallway 200 feet. Ambulates slowly- baseline as per long-term-care facility charge nurse. Recommend physical therapy after discharge, however, ambulated well enough for discharge.

1600: (LPN) Pt found to be confused (alert and oriented X 1). RN notified. Fingerstick 130. Vitals 97.5 (axillary), 110, 24, 98/64

1800: (Medical assistant) 400 cc’s emptied from catheter bag.

0100: (RN) Pt confused and combative. Attempting to pull out her IV and repeatedly removing her gown. Pt’s physician was paged- ordered Lorazepam 1 MG IM. Medicated as ordered and slept the remainder of the night with no incident.

0700: (RN) Pt awake and alert but combative. Finger stick-124. Vitals: 98.9 (axillary), 116, 28, 90/55

1730: (LPN) Unable to administer medication. Pt appears extremely confused. RN notified.

1200: (LPN) Pt’s daughter at bedside. Daughter indicates that her mother is not normally confused and is concerned that she may have had a stroke and notes that her mom feels “very warm.” RN notified. Foley catheter draining cloudy urine.

1230: (Medical Assistant) Vital signs: T 103.6 (rectal), P=130, BP=84/43, resp rate=28

1300: (RN) Rapid response called (because of the change in condition) and client transferred to the ICU.

Update: The client spent 3 days in the ICU but unfortunately did not recover.

Please answer the following questions:

1. Why did this client become confused and combative? (5-10 sentences)
2. What pivotal decision made in the ER directly caused this client’s worsening condition? (1-2 sentences)
3. What type of incontinence did this client have? Explain your answer. (5-10 sentences)
4. What factors in the client’s medical history contributed to the client’s change in condition? (5-10 sentences)
5. How did communication (or lack thereof) contribute to the poor outcome for this client? (5-10 sentences)

Please  choose a CAM Therapy that you would have wanted to experience in the  course. Once you have chosen a therapy, each student will write a paper  that will address the following information:

1.  Explain why you have selected the therapy and also include ailments  (signs and symptoms, ex: stress, back pain etc.) that you are currently  experiencing.

2.  Discuss the theories of the therapy that you have chosen  in your paper.

3. Compare and contrast the various benefits and possible side effects of the alternative therapy.

 4. Evaluate current published works and research on the alternative therapy.

5. Discuss cultural and religious beliefs that are part of the alternative therapy.

 6. Discuss the controversy over the use of alternative therapy in terms of political concerns and issues for the public safety.

7. Maximum 2 pages in length.

7. Please submit assignment in a Word Document.