1) Minimum 6 full pages  (Follow the 3 x 3 rule: minimum three paragraphs per part)

             Part 1: Minimum 1 page

             Part 2: minimum 1 page

             Part 3: Minimum 3 pages

             Part 4: minimum 1 page

Submit 1 document per part

2)¨******APA norms

          All paragraphs must be narrative and cited in the text- each paragraph

          Bulleted responses are not accepted

          Don’t write in the first person 

          Don’t copy and paste the questions.

          Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

Submit 1 document per part

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks) 

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 3 references per part not older than 5 years

Part 3: Minimum 5 references per part not older than 5 years

5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

6) You must name the files according to the part you are answering: 

Example:

Part 1.doc 

Part 2.do

__________________________________________________________________________________

Part 1: Pathophysiology

Identify a common perceptual, neurological, or cognitive issue 

1. discuss contributing factors. 

2. Outline steps for prevention or health promotion for the patient and family.

Part 2: Pathophysiology

1. Discuss characteristic findings for a stroke 

2. Discuss how it affects the lives of patients and their families. 

3. Discuss the nurse’s role in supporting the patient’s psychological and emotional needs. 

4. Provide an example.

Part 3: Pathophysiology

Health History

Mr. M., a 70-year-old male, has been living at the assisted living facility where you work. He has no know allergies. He is a nonsmoker and does not use alcohol. Limited physical activity related to difficulty ambulating and unsteady gait. Medical history includes hypertension controlled with ACE inhibitors, hypercholesterolemia, status post appendectomy, and tibial fracture status postsurgical repair with no obvious signs of complications. Current medications include Lisinopril 20mg daily, Lipitor 40mg daily, Ambien 10mg PRN, Xanax 0.5 mg PRN, and ibuprofen 400mg PRN.

Case Scenario

Over the past 2 months, Mr. M. seems to be deteriorating quickly. He is having trouble recalling the names of his family members, remembering his room number, and even repeating what he has just read. He is becoming agitated and aggressive quickly. He appears to be afraid and fearful when he gets aggressive. He has been found wandering at night and will frequently become lost, needing help to get back to his room. Mr. M has become dependent with many ADLs, whereas a few months ago he was fully able to dress, bathe, and feed himself. The assisted living facility is concerned with his rapid decline and has decided to order testing.

Objective Data

1. Temperature: 37.1 degrees C
2. BP 123/78 HR 93 RR 22 Pox 99%
3. Denies pain
4. Height: 69.5 inches; Weight 87 kg

Laboratory Results

1. WBC: 19.2 (1,000/uL)
2. Lymphocytes 6700 (cells/uL)
3. CT Head shows no changes since previous scan
4. Urinalysis positive for moderate amount of leukocytes and cloudy
5. Protein: 7.1 g/dL; AST: 32 U/L; ALT 29 U/L

Questions:

 1.Describe the clinical manifestations present in Mr. M.

2. Based on the information presented in the case scenario, discuss what primary and secondary medical diagnoses should be considered for Mr. M. 

a. Explain why these should be considered and what data is provided for support.

3. When performing your nursing assessment, discuss what abnormalities would you expect to find and why. (Write in the first person) 

4. Describe the physical, psychological, and emotional effects Mr. M.’s current health status may have on him. 

a. Discuss the impact it can have on his family.

5. Discuss what interventions can be put into place to support Mr. M. and his family.

6. Given Mr. M.’s current condition, discuss at least four actual or potential problems he faces. Provide rationale for each.

1. Chronic pain: Treatment options and efficacy
2. CRF: Prevention/treatment in diabetic patients
3. Rheumatoid arthritis: Risks/benefits of latest treatments
4. IBS: diagnosis and treatment

• Select three relevant and appropriate scholarly articles that address the topic you chose.
• Present a thorough literature review of the three articles by summarizing, synthesizing, and evaluating the materials.
• Incorporate citations into your body paragraphs; incorporate the essential and most relevant supporting evidence eloquently and appropriately.
• Present your writing in a clear, organized manner.
• Demonstrate understanding of the content presented in the articles.
• Use proper APA format with proper citations. Review APA Citations Here

In this assignment, you will examine the clinical manifestations, pathophysiology, and developmental considerations for Type 1 and Type 2 diabetes mellitus.  Consider the developmental implications of Type 1 diabetes on children and Type 2 diabetes on adults.

Step 1 Locate at least one professional, evidence-based resource to support your response.

 Step 2 Download the worksheet Endocrine Disorders Attached.

 Step 3 Complete the worksheet.

• In the header row of the table, enter names of the disorders.
• In the remaining rows of the table, enter a description of the disorder, the clinical manifestations, the underlying pathophysiology, and developmental considerations (consider the age of onset with respect to the physiological, psychological, and social implications of the disease).  
• Be sure to cite all sources used to complete the worksheet and provide a reference using proper APA formatting.

PLEASE CHECK THE GRANDING  RUBRIC 

Practicum Case Scenario/ Study The following outlines general instructions for a case scenario/study submission. Please remember not to include any HIPPA information. Concerns and questions related to care should be included. Include references to treatment plans using APA format You can use https://nurseslabs.com/ or your choice. Completion of the case study counts toward the practicum experience. Case studies are expected to be a minimum of 500 words, detailed and comprehensive. 

In this case, this patient is seeking care for increased blood pressure, complaining of severe headache, and feeling dizzy. The patient has not been compliant with her blood pressure medication due to not being able to afford it for the last 2 months. 

NURSING 2021 Case Scenario/Study

Student Name: 

Submission Date: 

Case Study:

Patient Initials, Age, Gender

Subjective information from the patient (History of Present Illness/Symptoms)

Current Medications 

Medical History – Medical Problems

Objective findings from physical examination

Vital Signs, Weight, Height, BMI

Focused examination findings based on diagnoses being addressed.

Assessment

ICD-10 Diagnosis (include ICD-10 code) for contact dermatitis. 

Nursing Diagnoses https://nurse.org/resources/nursing-diagnosis-guide/

Or  https://nurseslabs.com/

Plan

Care Plan based on the diagnosis.

Include specific nursing care planning for patients to include.

Potential issues with achieving quality, comprehensive care.

Information on best practice care considerations.

Care outcomes from current treatment

Possible side effects of medications or treatments

Patient education planning/instructions

Care outcomes

Plans for a follow-up to review response to treatment.

References: APA format must be within the last 5 years.

Assume you are a nurse manager on a unit where a new nursing documentation system is to be implemented. You want to ensure that the system will be usable and acceptable for the nurses impacted. You realize a nurse leader must be on the implementation team.

To Prepare:

• Review the steps of the Systems Development Life Cycle (SDLC) and reflect on the scenario presented.
• Consider the benefits and challenges associated with involving a nurse leader on an implementation team for health information technology.

The Assignment: (2-3 pages not including the title and reference page)

In preparation of filling this role, develop a 2- to 3-page role description for a graduate-level nurse to guide his/her participation on the implementation team. The role description should be based on the SDLC stages and tasks and should clearly define how this individual will participate in and impact each of the following steps:

• Planning and requirements definition
• Analysis
• Design of the new system
• Implementation
• Post-implementation support
• Use APA format and include a title page and reference page.
• Use the Safe Assign Drafts to check your match percentage before submitting your work.