Category: Health Care and Life Sciences : Nursing

Select three disorders from this list.
Multiple Sclerosis (MS)
Parkinson’s Disease
Alzheimer’s Disease
Restless Leg Disorder
ALS
Create a concept map incorporating the three disorders you selected, depicting the pathos, etiologies, clinical manifestations, and medication management between them.
Be sure to include the following.
How does the neuropathophysiology differ between the three?
What complications can occur with these disorders?
Differentiate the pharmacological management between them.
Include at least one clinical resource as a reference.

1. Education on how the assigned condition affects the client
2. Goals of therapy of the assigned condition
3. Nursing interventions of the assigned condition specific to the client

In the first paragraph identify the roles and responsibilities of the community health nurse.
In the next paragraph identify the roles and responsibilities of the faith-based community nurse.
In the following paragraph compare the roles and responsibilities of the two positions.

The topic for the paper is the use of cluster case in adult patients specifically related to preventing interruptions during sleep and the importance of sleep for inpatient recovery. This is going to be the topic ongoing over several weeks and will have assignments to follow. must have at least 2 references from the last 5 years (2019-2023).

1. Please see attachment for instructions/rubric.
2. I have also attachment my “DNP Preliminary Project Proposal” where you can locate info for this paper under the “Project Purpose Statement” section and more.
3. Reference must be within 5 years old. 
4. Disregard the peer cross-post section.

Review the case Learning Resources and the case study excerpt presented. Reflect on the case study excerpt and consider the therapy approaches you might take to assess, diagnose, and treat the patient’s health needs. 
Case: An elderly widow who just lost her spouse.
Subjective: A patient presents to your primary care office today with chief complaint of insomnia. Patient is 75 YO with PMH of DM, HTN, and MDD. Her husband of 41 years passed away 10 months ago. Since then, she states her depression has gotten worse as well as her sleep habits. The patient has no previous history of depression prior to her husband’s death. She is awake, alert, and oriented x3. Patient normally sees PCP once or twice a year. Patient denies any suicidal ideations. Patient arrived at the office today by private vehicle. Patient currently takes the following medications:
Metformin 500mg BID
Januvia 100mg daily
Losartan 100mg daily
HCTZ 25mg daily
Sertraline 100mg daily
Current weight: 88 kg
Current height: 64 inches
Temp: 98.6 degrees F
BP: 132/86

Instruction
Chapter 15 is included in Part C of your text, titled “Member of the Discipline of Nursing.” Your words, actions, conduct, and fulfillment of your nursing responsibilities demonstrate the degree to which you value nursing. Describe your reaction to the concept of “Member of the Discipline of Nursing.” What does membership in this profession mean to you? What is your response when someone asks you what a nurse does and how you like being a nurse? How do you respond when someone expresses interest in becoming a nurse? How would you describe the public’s image of nursing?

Instruction
Chapter 15 is included in Part C of your text, titled “Member of the Discipline of Nursing.” Your words, actions, conduct, and fulfillment of your nursing responsibilities demonstrate the degree to which you value nursing. Describe your reaction to the concept of “Member of the Discipline of Nursing.” What does membership in this profession mean to you? What is your response when someone asks you what a nurse does and how you like being a nurse? How do you respond when someone expresses interest in becoming a nurse? How would you describe the public’s image of nursing?

LAB ASSIGNMENT: ASSESSING THE ABDOMEN
A male went to the emergency room for severe midepigastric abdominal pain. He was diagnosed with AAA ; however, as a precaution, the doctor ordered a CTA scan.
Because of a high potential for misdiagnosis, determining the precise cause of abdominal pain can be time consuming and challenging. By analyzing case studies of abnormal abdominal findings, nurses can prepare themselves to better diagnose conditions in the abdomen.
In this Lab Assignment, you will analyze an Episodic note case study that describes abnormal findings in patients seen in a clinical setting. You will consider what history should be collected from the patients as well as which physical exams and diagnostic tests should be conducted. You will also formulate a differential diagnosis with several possible
TO PREPARE
Review the Episodic note case study your instructor provides you for this week’s Assignment. Please see the “Course Announcements” section of the classroom for your Episodic note case study.
•    With regard to the Episodic note case study provided:
o    Review this week’s Learning Resources, and consider the insights they provide about the case study.
o    Consider what history would be necessary to collect from the patient in the case study.
o    Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis?
o    Identify at least five possible conditions that may be considered in a differential diagnosis for the patient.
THE ASSIGNMENT
1.    Analyze the subjective portion of the note. List additional information that should be included in the documentation.
2.    Analyze the objective portion of the note. List additional information that should be included in the documentation.
3.    Is the assessment supported by the subjective and objective information? Why or why not?
4.    What diagnostic tests would be appropriate for this case, and how would the results be used to make a diagnosis?
5.    Would you reject/accept the current diagnosis? Why or why not? Identify three possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using at least three different references from current evidence-based literature.
In this Assessment 1 Assignment, you will analyze an Episodic Note case study that describes abnormal findings in patients seen in a clinical setting. You will consider what history should be collected from the patients, as well as which physical exams and diagnostic tests should be conducted. You will also formulate a differential diagnosis with several possible conditions. Just add in what you want to this case to make it unique to you. Do not use NA or normal.

ABDOMINAL ASSESSMENT

Subjective:

    CC: “My stomach hurts, I have diarrhea and nothing seems to help.”
    HPI: JR, 47 yo WM, complains of having generalized abdominal pain that started 3
            days ago. He has not taken any medications because he did not know what to
            take. He states the pain is a 5/10 today but has been as much as 9/10 when it
            first started. He has been able to eat, with some nausea afterwards.
    PMH: HTN, Diabetes, hx of GI bleed 4 years ago
    Medications: Lisinopril 10mg, Amlodipine 5 mg, Metformin 1000mg, Lantus 10 units
            qhs
    Allergies: NKDA
    FH: No hx of colon cancer, Father hx DMT2, HTN, Mother hx HTN, Hyperlipidemia,
          GERD
    Social: Denies tobacco use; occasional etoh, married, 3 children (1 girl, 2 boys)

Objective:

    VS: Temp 99.8; BP 160/86; RR 16; P 92; HT 5’10”; WT 248lbs
    Heart: RRR, no murmurs
    Lungs: CTA, chest wall symmetrical
    Skin: Intact without lesions, no urticaria
    Abd: soft, hyperactive bowel sounds, pos pain in the LLQ
    Diagnostics: ?

Assessment:

    Left lower quadrant pain
    Gastroenteritis

PLAN: This section is not required for the assignments in this course (NURS 6512) but

will be required for future courses.

With regard to the SOAP note case study provided, address the following:Analyze the subjective portion of the note. List additional information that should be included in the documentation — The response clearly, accurately, and thoroughly analyzes the subjective portion of the SOAP note and lists detailed additional information to be included in the documentation.
Analyze the objective portion of the note. List additional information that should be included in the documentation. — The response clearly, accurately, and thoroughly analyzes the objective portion of the SOAP note and lists detailed additional information to be included in the documentation.
This criterion is linked to a Learning OutcomeIs the assessment supported by the subjective and objective information? Why or why not? — The response clearly and accurately identifies whether or not the assessment is supported by the subjective and/or objective information, with a thorough and detailed explanation.

ASSESSING AND TREATING PATIENTS WITH ANXIETY DISORDERS
Common symptoms of anxiety disorders include chest pains, shortness of breath, and other physical symptoms that may be mistaken for a heart attack or other physical ailment. These manifestations often prompt patients to seek care from their primary care providers or emergency departments. Once it is determined that there is no organic basis for these symptoms, patients are typically referred to a psychiatric mental health practitioner for anxiolytic therapy. For this Assignment, as you examine the patient case study in this week’s Learning Resources, consider how you might assess and treat patients presenting with anxiety disorders.
THE ASSIGNMENT:
Examine Case Study: A Middle-Aged Caucasian Man With Anxiety. You will be asked to make three decisions concerning the medication to prescribe to this patient. Be sure to consider factors that might impact the patient’s pharmacokinetic and pharmacodynamic processes.
At each decision point, you should evaluate all options before selecting your decision and moving throughout the exercise. Before you make your decision, make sure that you have researched each option and that you evaluate the decision that you will select. Be sure to research each option using the primary literature.
Introduction to the case (1 page)
Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient.
Decision #1 (1 page)
Which decision did you select?
Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.
Decision #2 (1 page)
Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.
Decision #3 (1 page)
Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.
Conclusion (1 page)
Summarize your recommendations on the treatment options you selected for this patient. Be sure to justify your recommendations and support your response with clinically relevant and patient-specific resources, including the primary literature.
Introduction to the case (1 page)Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient. — The response accurately, clearly, and fully summarizes in detail the case for the Assignment…. The response accurately and clearly explains in detail the specific patient factors that impact decision making when prescribing medication for this patient.
Decision #1 (1–2 pages)• Which decision did you select?• Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.• Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.• What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).• Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples. — The response accurately and clearly explains in detail the decision selected…. The response accurately and clearly explains in detail why the decision was selected, with specific clinically relevant resources that fully support the decision selected…. The response accurately and clearly explains in detail why the other two responses were not selected, with specific clinically relevant resources that fully support the response…. The response accurately and clearly explains in detail the outcome the student was hoping to achieve with the selected decision, with specific clinically relevant resources that fully support the response…. The response accurately and clearly explains in detail how ethical considerations impact the treatment plan and communication with patients…. Examples provided fully support the decisions and responses provided.
Decision #2 (1–2 pages)• Which decision did you select?• Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.• Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.• What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).• Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples. — The response accurately and clearly explains in detail the decision selected…. The response accurately and clearly explains in detail why the decision was selected, with specific clinically relevant resources that fully support the decision selected…. The response accurately and clearly explains in detail why the other two responses were not selected, with specific clinically relevant resources that fully support the response…. The response accurately and clearly explains in detail the outcome the student was hoping to achieve with the selected decision, with specific clinically relevant resources that fully support the response…. The response accurately and clearly explains in detail how ethical considerations impact the treatment plan and communication with patients…. Examples provided fully support the decisions and responses provided.
Decision #3 (1–2 pages)• Which decision did you select?• Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.• Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.• What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).• Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples. –The response accurately and clearly explains in detail the decision selected…. The response accurately and clearly explains in detail why the decision was selected, with specific clinically relevant resources that fully support the decision selected…. The response accurately and clearly explains in detail why the other two responses were not selected, with specific clinically relevant resources that fully support the response…. The response accurately and clearly explains in detail the outcome the student was hoping to achieve with the selected decision, with specific clinically relevant resources that fully support the response…. The response accurately and clearly explains in detail how ethical considerations impact the treatment plan and communication with patients…. Examples provided fully support the decisions and responses provided.
Conclusion (1 page)• Summarize your recommendations on the treatment options you selected for this patient. Be sure to justify your recommendations and support your response with clinically relevant and patient-specific resources, including the primary literature. — The response accurately and clearly summarizes in detail the recommendations on the treatment options selected for this patient…. The response accurately and clearly explains a justification for the recommendations provided, including clinically relevant resources that fully support the recommendations provided.