1)  Write down sample nursing diagnoses, interventions, and expected outcomes for the following client:

Elaina, 27 years old, visits a prenatal clinic to confirm a positive pregnancy test. Elaina tells the nurse that she is not married and has no support system. She also states that she is making minimum wage at a restaurant with no health insurance and cannot afford prenatal care. She intends to keep the baby and would rather not tell her partner because “they don’t have that kind of a relationship.” Elaina asks the nurse “If I take good care of myself, why do I need prenatal care?”

#2) Explain how the fetus is affected by tobacco use during pregnancy.  Keeping in mind the 2020 National Health Goals, what are some things you can do as a nurse to promote these goals and carry your ideas out into the community.

#3) You are asked to perform an assessment of a pregnant  woman and her family. Prior to the assessment, devise a list of interview questions to use to assess the woman’s readiness for parenthood and current health status as well as her goals for the pregnancy.

#4) For each of the following QSEN competencies write a list of nursing interventions for promoting fetal and maternal health related to each competency:

         Patient centered care

        Teamwork and collaboration

         Evidence-based practice

        Quality improvement

         Safety

         Informatics.

#5)  List the four major hormones produced in early pregnancy.  Describe what each one does.

Search entries 

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

Submit 1 document per part

2)¨******APA norms, please use headers

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

          Bulleted responses are not accepted

          Dont write in the first person 

          Dont copy and pase the questions.

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

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 5 references  not older than 5 years

5) Identify your answer with the numbers, according to the question.

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

Case Study 1: Disorders of Hepatobiliary and Exocrine Pancreas Function

Robert is a 68-year-old who has dealt with alcoholism for over 30 years. He has cirrhosis and is anemic. His appetite has declined, and he regularly complains of abdominal pain. Recently, while preparing himself a sandwich, he cut his finger deeply with a knife. The wound bled profusely, and he used a kitchen towel to stop the flow. Refusing to go and seek medical assistance, he put ice on his finger and wrapped the towel around it. He sat down in his recliner with his hand over his head and fell asleep.

1.Anemia and clotting disorders are common features of alcoholic liver disease. What are the mechanisms that cause these hematologic disorders?

2.What gastrointestinal bleed is associated with a high mortality rate in those with advanced cirrhosis? What is the pathophysiology of this condition?3

3.Acute pancreatitis is sometimes seen in alcoholics, particularly after binge drinking. Why are tachycardia and hypotension indications of this condition?

4.Why are women more predisposed to alcoholic liver disease than men?

You will write a case study review which includes your critique. This will be worth 30 points total. Create a detailed case study review in an essay APA format and include as your final page a reference list in APA format. Your review should be double-spaced, 2 pages minimum (not including reference list), with correct grammar and spelling. 

The purpose of this summative assignment is to reflect upon the new knowledge you have obtained from this course and apply it to your chosen case study while developing your critical thinking and critique skills. Be sure to consider all information from the course content – discussion board exercises, videos and any additional readings. Revisit readings from your Gilmore text. Put thought into how well you think the case study conducted their assessment, and how you would augment or improve it. Utilizing your knowledge from our course around assessing community needs, provide a detailed description and critique of your case study. Be sure to review your case study carefully to look for any gaps or areas with which improvements could be made, and justify your thinking. Reference additional scholarly resources to reinforce your justification. Be sure to cite your work appropriately.

Provide a brief (1 – 2 paragraph) description of the population and the health concern or issue being addressed. Explain how your chosen case study did, or did not, do in the area of describing the community, justifying the need for conducting the assessment, etc. Describe how your case study did with (or if they omitted) considering learning styles and theories as well as models to promote health education. Describe how your case study assessed groups and/or individuals (if applicable) and if they considered any factors that impact health education. Using your knowledge around each weekly module, discuss three suggestions for improving your case study. You may present an alternative approach or additional steps that you believe would improve the quality of your case study. Consider these prompts as you complete your critique:

• How did the case study identify the issue and explain the importance of the specific topic within the community?
• Did the case study paint a detailed picture of the population?
• Does it include a detailed description including information on demographics, barriers and challenges?
• Does it justify the need to conduct a needs assessment?
• Does it identify and describe community resources and explain why the resources are or are not effective?
• Does it explain any process for collecting data?

Remember to discuss recommendations. As you have done previously in our discussion boards and weekly modules, apply your critical critiquing skills to suggest what improvements are needed. Finish your essay with a summative paragraph which includes your final thoughts around how your suggested improvements would enhance this case study to meet the needs, or “fill in the gaps” and provide assistance to the community or population represented. 

Finally, include in APA format, a list of references. This should include a minimum of 2 references which are scholarly sources of information no previously referenced in the course. You may use any of the resources that were referred to throughout our weekly modules. You may also include your text as a resource in addition to your 2 references.

In order to write a case study paper, you must carefully address a number of sections in a specific order with specific information contained in each. The guideline below outlines each of those sections.

Section

Information to Include

Introduction (one Subheading) (patient and problem)

• Explain who the patient is (Age, gender, etc.)
• Explain what the problem is (What were they diagnosed with, or what happened?)
• Introduce your main argument (What should you as a nurse focus on or do?)

Pathophysiology (Next Subheading)

• Explain the disease (What are the symptoms? What causes it?)

History(Third Subheading)

• Explain what health problems the patient has (Have they been diagnosed with other diseases?)
• Detail any and all previous treatments (Have they had any prior surgeries or are they on medication?)

Nursing Physical Assessment ( Fourth Subheading)

• List all the patient’s health stats in sentences with specific numbers/levels (Blood pressure, bowel sounds, ambulation, etc.)

Related Treatments(Fifth Subheading)

• Explain what treatments the patient is receiving because of their disease

Nursing Diagnosis & Patient Goal(sixth subheading)

• Explain what your nursing diagnosis is (What is the main problem for this patient? What need to be addressed?)
• Explain what your goal is for helping the patient recover (What do you want to change for the patient?)

 Nursing Interventions(seventh subheading)

• Explain how you will accomplish your nursing goals, and support this with citations (Reference the literature)

 Evaluation( 8th subheading)

• Explain how effective the nursing intervention was (What happened after your nursing intervention? Did the patient get better?)

 Recommendations/ Conclusion(last Subheading)

• Explain what the patient or nurse should do in the future to continue recovery/improvement

Your paper should be 3-4 pages in length and will be graded on how well you complete each of the above sections. You will also be graded on your use of APA Style 7th Edition paper and on your application of nursing journals into the treatments and interventions. For integrating nursing journals, remember the following: 

• Make sure to integrate citations into all of your paper
• Support all claims of what the disease is, why it occurs and how to treat it with references to the literature on this disease
• Always use citations for information that you learned from a book or article; if you do not cite it, you are telling your reader that YOU discovered that information (how to treat the disease, etc.)
• At least three scholarly sources on the disease of the case study. At least 3 pages long that is not including the title page and reference page. All subheadings must be in bold. Uploaded a preview of a 7th edition title page. Thanks