Pharmacology, Community Nursing And Culminating Experience
1) Minimum 6 full pages (Follow the 3 x 3 rule: minimum three paragraphs per part)
Parts 1 and 2 are the same question, however you must answer both questions with references and different writing always addressing them objectively, that is, as if you were two different people. Similar responses in wording or references will not be accepted.
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 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
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 6 references 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
__________________________________________________________________________________
Parts 1 and 2 are the same question, however you must answer both questions with references and different writing always addressing them objectively, that is, as if you were two different people. Similar responses in wording or references will not be accepted.
Part 1: Pharmacology
Anemias
M.W. is a 69-year-old African American man and was referred to clinic for evaluation of increasing shortness of breath.
Past medical history
Chronic renal insufficiency
Hypertension
Congestive heart failure
Diabetes mellitus type 2, poor control
Deep vein thrombosis
Alcohol abuse
Chronic obstructive pulmonary disease with respiratory failure
Family history
Noncontributory
Physical examination
Height 69 inches, weight 205 lb
Blood pressure: 138/88
Pulse 86 beats/min, regular
Lungs clear, neck supple negative for jugular venous distention
Lower extremities +1 edema
Laboratory findings
Scr = 2.8 K+ = 5.1
BUN = 56
Na+ = 147
WBC = 5.0
Hb = 8.2
Hct = 24.6
Serum ferritin 189 mg/dL
Social history
Tobacco: 52 pack-years
Alcohol: distant past
Diagnosis: Anemia Of Ckd: Answer the following questions in full sentences using APA citations.
1. List specific goals of treatment for M.W.
2. What drug therapy would you prescribed? Why?
3. What are the parameters for monitoring success of therapy?
4. Discuss specific patient education based on the prescribed therapy.
5. List one or two adverse reactions for the selected agent that would cause you to change therapy.
6. What over-the-counter and/or alternative medications would be appropriate for M.W.?
7. What dietary and lifestyle changes would you recommended for M.W.?
Part 2: Pharmacology
Anemias
M.W. is a 69-year-old African American man and was referred to clinic for evaluation of increasing shortness of breath.
Past medical history
Chronic renal insufficiency
Hypertension
Congestive heart failure
Diabetes mellitus type 2, poor control
Deep vein thrombosis
Alcohol abuse
Chronic obstructive pulmonary disease with respiratory failure
Family history
Noncontributory
Physical examination
Height 69 inches, weight 205 lb
Blood pressure: 138/88
Pulse 86 beats/min, regular
Lungs clear, neck supple negative for jugular venous distention
Lower extremities +1 edema
Laboratory findings
Scr = 2.8 K+ = 5.1
BUN = 56
Na+ = 147
WBC = 5.0
Hb = 8.2
Hct = 24.6
Serum ferritin 189 mg/dL
Social history
Tobacco: 52 pack-years
Alcohol: distant past
Diagnosis: Anemia Of Ckd: Answer the following questions in full sentences using APA citations.
1. List specific goals of treatment for M.W.
2. What drug therapy would you prescribed? Why?
3. What are the parameters for monitoring success of therapy?
4. Discuss specific patient education based on the prescribed therapy.
5. List one or two adverse reactions for the selected agent that would cause you to change therapy.
6. What over-the-counter and/or alternative medications would be appropriate for M.W.?
7. What dietary and lifestyle changes would you recommended for M.W.?v
Part 3: Community Nursing
Lorrie is 16 years old and 75 pounds overweight. Her father is a school bus driver who was recently diagnosed with type 2 diabetes and cardiovascular disease. Her mother works for a sewing company. She is overweight with high LDL levels. She is taking two antihypertensive medications at present time. At a recent health science fair at Lorrie’s school, a student-led screening clinic documented Lorrie’s blood pressure at 140/92 mm Hg. The family immigrated from Honduras 5 years ago and they do not have health insurance.
During health science fair, the following data was recorded: 55% of the students with BMI 25.0 to <30 and 15% of the students with BMI 30.0 or higher.
Consider yourself a community health nurse.
(The research paper is not a question-and-answer document / format. Use the following questions as a guidance for your research paper).
1. Is obesity a major health issue in the United States?
2. According to the National Health and Nutrition Examination Survey (NCHS, CDC; BRFSS, 2012), how is obesity defined?
3. What is your role as a community nurse?
4. What risk factors should be explored for Lorrie’s family for cardiovascular disease?
a. Mention social determinants of health in this case. Incorporate the concepts of health promotion and risk reduction.
5. Would you apply any of the behavioral change models to address health promotion and risk reduction in this case (theoretical frameworks of behavioral change / models discussed on Chapter 5 of textbook). Describe your selection.
6. Public health nurses use statistics to demonstrate the need for obesity program development and community interventions. According to the most recent CDC data: What data were identified about obesity in children and adults?
7. Is there a necessity of planning a community nursing intervention? How will you do that? Will you work alone or in collaboration / teamwork? Will you look for funding? How?
8. If you decide to do a community intervention. How would you evaluate the community-level intervention(s)?
9. Will you use social marketing to change health behaviors or beliefs, social or cultural norms, or community standards to improve health or benefit society. Which resources will you use?
10. Mention research studies that support any of the above (1 through 9) (mention at least 3 research studies in the paper).
Part 4:NURS 692A Culminating Experience
The role of the nurse educator is to facilitate learning, encourage collaboration, help students learn how to learn, and encourage the spirit of inquiry.
1. What part does research and investigation into specific issues, problems and trends play in the role of nurse educator?
2. What competencies and skill sets are required for managing change that is based on research?
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