Discussion all Week
Paper , Order, or Assignment Requirements

The topic this week asks you to apply what you have learned to the following case study.
As the school nurse working in a college health clinic, you see many opportunities to promote health. Maria is a 40-year-old Hispanic who is in her second year of nursing school. She complains of a 14-pound weight gain since starting school and is afraid of what this will do to both her appearance and health if the trend continues. After conducting her history, you learn that she is an excellent cook and she and her family love to eat foods that reflect their Hispanic heritage. She is married with two school-age children. She attends class a total of 15 hours per week, plus she must be present for 12 hours of labs and clinical. She maintains the household essentially by herself and does all the shopping, cooking, cleaning, and chauffeuring of the children. She states that she is lucky to get 6 hours of sleep per night, but that is okay with her. She lives 1 hour from campus and commutes each day. Using Healthy People 2020 and your text as a guide, answer the following questions.
1. What additional information would you like to gather from Maria?
2. What are Maria’s real and potential health risks?
3. Why is Maria’s culture important when obtaining the health assessment?
4. Pick one of Maria’s health risks. What would be one reasonable short-term goal for this risk?
5. What nursing interventions would you incorporate into Maria’s plan of care to assist her with meeting your chosen goal? Please provide rationale for your selections..
Your home health agency has received an order from a local hospital to evaluate and treat an elderly woman being discharged from its medical surgical unit.
Millie Gardner, an 83-year-old female patient, is being discharged home today to the care of her husband Fred (87 years old) following a 9-day hospitalization for pneumonia, dehydration, and failure to thrive. She has a history of hypertension (HTN), Type II Diabetes, and cerebral vascular accident (CVA) with left-sided weakness. Patient is alert and oriented but does have periods of forgetfulness during the overnight hours. Patient has intermittent incontinence of bowel and bladder and requires assistance with all activities of daily living (ADLs).
Medications:
• Lopressor
• Lisinopril
• Plavix
• Metformin
• Novolin R per sliding scale *NEW*
• Multivitamin
• Colace
• Zithromax *NEW*
Upon arrival you are greeted by Champ, the couple’s rambunctious miniature Doberman pinscher dog. Millie is in her wheelchair staring blankly out the window, and Fred is busy in the kitchen preparing the couple’s lunch.
• Based on the scenario above, please use the general survey process to describe the areas that you would be observing immediately upon entry to the home.
• What, if any, concerns related to Millie’s skin and nutritional status do you have?
• What nursing interventions will you include in the plan of care to address these concerns?
• What teaching strategies will you use to educate Millie and Fred on the new medications?
• Using the SBAR, please include the information that you will communicate to the physician’s office at the completion of the visit.

Discussion 3
Randy Adams is a 38-year-old male patient of Dr. Joseph Reynolds who was admitted yesterday morning for 24-hour observation for mild concussion following a motor vehicle accident. Randy lost consciousness during the accident and was very confused when he arrived in the ER after EMS transport. He is an Iraq war veteran and he seemed to think after the accident that this all happened in Iraq. Dr. Reynolds is concerned that Randy has some residual problems from a couple of explosive incidents that occurred while he was in Iraq. The physician is unsure whether Randy’s current symptoms are from the car accident or from prior injuries so he has referred him for consultations to both a neurologist and to a behavioral health specialist.
Based on the above please discuss the following.
1. Pathophysiology of concussive injuries and treatment
2. Neurological assessment tools used in your current practice setting (if not presently working, please describe one used during prior employment or schooling)
3. Current best practices associated with post-traumatic stress disorder (PTSD)
4. Nursing interventions you would include in this patient’s plan of care

Esther Jackson is a 56-year-old black female who is 1-day post-op following a left radical mastectomy. During morning rounds, the off-going nurse shares with you during bedside report that the patient has been experiencing increased discomfort in her back throughout the night and has required frequent help with repositioning. She states that the patient was medicated for pain approximately 2 hours ago but is voicing little relief and states that you might want to mention that to the doctor when he rounds later this morning. With the patient appearing to be in no visible distress, you proceed on to the next patient’s room for report.
Approximately 1 hour later, you return to Ms. Jackson’s room with her morning pills and find her slumped over the bedside stand in tears. The patient states, “I don’t know what is wrong, I don’t feel right. My back hurts and I’m just so tired. What is wrong with me?” The patient refuses to take her medications at this time stating that she is starting to feel sick to her stomach.
Just then the nursing assistant comes into the patient’s room to record Ms. Jackson’s vital signs, you take this opportunity to quickly research the patient’s medication record to determine if she has a medication ordered for nausea. Upon return, the nursing assistant hands you the following vital signs: T 37, R 18, and BP 132/54, but states she couldn’t get the patient’s pulse because “it is all over the place.”
Please address the following questions related to the scenario.
1. What do you suspect is the cause of the patient’s symptoms?
2. Describe the course of action that you will take to confirm this suspicion and prevent further decline.
3. What further assessments, lab values, and tests will likely be ordered for this patient and how often? If testing is to be completed more than once, please explain the rationale for doing so.
4. While you are caring for this patient, how will you ensure that the needs of your other patients are being met?

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

Wk4 Assignment
Paper , Order, or Assignment Requirements

Thematic Backpack Plan
As educators, we want to encourage active participation among the diverse and busy families we work with in ways that consider their various structures, needs, lifestyles, and schedules. We teach children about health, wellness, nutrition, and safety in school; however, we want to offer families support for continuing this education in the home. Thematic backpacks, which are sent home with children for a week throughout the year, either on a rotating schedule or a sign-out system, is one idea for how to engage families at home. Thematic backpacks include materials, parent information, games, manipulatives, and other resources all centered on a teacher-created thematic plan to explore the contents in a fun and engaging way at home with the family. Children love these, and family members can be involved in learning at home when it is convenient for them.
Create a plan for the development of a health, wellness, nutrition, and safety unit backpack that you can send home with your families. For this assignment, only the written plan is required; however, you are encouraged to create this resource as you develop the plan. The purpose of the backpack is to encourage families to explore the areas of health, wellness, nutrition, and safety at home.
The requirements for your written plan are as follows:
1. Introduction letter (no longer than one page):
o Explain the purpose of the backpack. This should be written in a family-friendly form and be visually appealing. You may wish to use colored font, graphics, or pictures to set the tone for a fun and engaging experience.
2. Health:
o Describe one idea, activity, or game centered on an important health concept for families to explore. For example, you may include a sorting game that has pictures or text of sick/hurt children. Families can sort into two piles: “Okay to go to school” or “Stay home.” Example pictures/text could include runny nose, fever, scraped knee, sneezing, band-aid, etc. Try to think about creative fun ideas that allow families to explore the topic and materials.
3. Wellness:
o Describe one idea, activity, or game centered on an important wellness concept for families to explore. For example, you may include ideas for a family exercise night or an outdoor scavenger hunt.
4. Nutrition:
o Describe one idea, activity, or game centered on an important nutrition concept for families to explore. For example, you may include a healthy recipe book, a recipe to make a healthy snack together, or a grocery store game.
5. Safety:
o Describe one idea, activity, or game centered on an important safety concept for families to explore. For example, you might include a composition notebook in the backpack and encourage children and families to draw a picture of something that they do safely or draw a picture of a safety practice they follow at home.

Read More

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

Written Assignment 6150
Paper , Order, or Assignment Requirements

1. Identify a particular program or area of practice that you would like to explore such as one of the following: job training programs for those leaving incarceration, nutrition programs for pregnant teens, special in-school tutoring programs for at-risk youth, and programs designed to help empower communities (reducing crime in communities, limiting the establishment of bars in communities, increasing urban gardening to provide food, etc.). Note: These are just examples and are not intended to limit your options.
2. Identify and analyze three articles from current literature that inform the program or practice area you selected through theory or issue-specific research.
3. Write a 8- to 10- page paper (including title and reference pages) that explains the history of the program or practice area you selected, its current status, and how it is evolving today within a region or country of your choice. Then, describe any policies that govern the program or practice you selected. Finally, explain how you would like the program or practice to move forward in order to positively change an individual, an organization, or a community.

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

Essay – Plato, Descartes, and The Matrix
Paper , Order, or Assignment Requirements

In this unit, we have been discussing how we “know.” The modern American philosopher, Hilary Putnam, popularized a well-known thought experiment highlighting the problem of skepticism and our knowledge of reality. To understand Putnam’s experiment, we need to consider how we normally obtain knowledge of reality. Our knowledge of reality usually begins with sensory input. While each of our five senses perceives the world according to their individual means, we will use seeing as an example. Light is reflected off of objects and enters through our eyes, which focus an image of these objects to the back of our eyeball, where it hits our optic nerve. Our nerve transforms this image into electrical/neural impulses that travel through the optic nerve up to where it is plugged into the brain. The brain then processes these impulses where they are transformed into an image in our mind. What our minds experience is an image of the outside world, similar to how a television projects an image captured by a television camera.

In Putnam’s thought experiment, you imagine that your brain has been severed from the nerves connecting it to your senses (eyes, ears, nose, etc.) and has been removed from your skull and placed in a vat filled with the nutritional fluid necessary to keep your brain alive and functioning. Electrical wires have been spliced into your sensory nerves that are connected to the sensory inputs in your brain. The other ends of these wires are connected to the outputs of a giant super computer. A man sits at the keyboard of this super computer, inputting data. This data is transformed into electrical/neural impulses that travel through the spliced wire/sensory nerves and into your brain. The brain processes this information as if it were from your senses. Hence, you have whatever image the man at the keyboard wants you to have. Suppose he inputs data that you are sitting in a café in France, drinking an espresso. He includes all the usual sensory data, including the smell and taste of the coffee, the hardness of the chair and table, the cool breeze blowing by, the sounds of the traffic, and the view of the Eiffel Tower. You experience all of this exactly as if you are really there. In such a situation, you would have no idea that you (or at least your brain) are actually sitting in some vat in some laboratory.

In 1999, Putnam’s thought experiment became the basis of a megahit movie, The Matrix. However, Putnam was not the first to suggest that there may be a problem with perceiving and knowing reality. A number of philosophers have wrestled with this problem. This brings us to your assignment, described below.

In Module/Week 5’s Reading & Study folder, there are 3 short readings. Your assignment is to read them and then write an essay of at least 600 words (in current MLA, APA, or Turabian format) addressing some of the questions listed below (in the “Questions to Consider” section). You must address the first question; then, choose 1 of the other questions to address also.

While you are free to quote from sources, quotations will not count towards the minimum word count. Plagiarism of any kind will result in a 0 for the assignment and may result in being dropped from the course.

A note about the readings: The first reading is a synopsis of The Matrix. If you have seen the movie, this will function as a review for you. If you have not seen the movie, you may choose to do so. However, you should know that the movie is rated R for language and violence. It is not necessary to view the movie to fulfill the assignment, as the synopsis is enough to consider the questions. The second reading comes from Plato’s classic work, The Republic. It is in the form of a dialogue between Socrates and Glaucon, a brother of Plato, and contains the famous cave allegory. The third and final reading is a section from Meditation I, from Meditations on First Philosophy by Rene Descartes, who offers some reasons to doubt his senses.

Questions to Consider

1. Compare and contrast The Matrix with the readings from Plato and Descartes. What are some similarities and differences?

2. Can we prove that the world we are experiencing is real? How do we know we are not dreaming, living in a Platonic cave, or trapped in some sort of matrix?

3. At the end of the cave allegory, Socrates implies that most men would want to escape the cave and see reality as it really is. However, in his betrayal of Morpheus, Cypher implies that it is better to live in the artificial world of the Matrix. Which is better: the harshness of reality, or the “ignorance is bliss” of illusion? Defend your answer.

4. Since much of our knowledge is based on sensory experience, and since our senses are imperfect and can be deceived, can we ever be certain that our beliefs are true? Defend or explain your answer.

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"