Medicine

The purpose of this assignment is to make explicit to yourself (primarily) and the reader, your developing and evolving identity as a professional nurse, at this point in time. To do this you will write a personal story that is focused on your development and exemplifies your self-authorship of becoming a baccalaureate-prepared nurse. Use this assignment as a time for self-reflection as a practitioner in nursing and tell your story based on your socialization and professional development in nursing. Criteria for the Philosophy and Vision for Nursing assignment: I. Journey through your development of nursing ideals, and discuss prior notions and beliefs about nursing. Describe where you were when you started and became socialized into nursing. Reflect upon what you have learned and “unlearned” regarding your notions or beliefs about nursing. Describe your core values, such as: moral courage, compassion, respect, integrity and how these may have changed as you moved through your journey as a baccalaureate student. II. Looking through a new lens as a baccalaureate prepared nurse, write a personal statement that describes your philosophy and vision for nursing. This is an opportunity to craft a clear picture of your thinking with regard to your newly earned designation as a BS prepared RN: Identify the major values, attributes, and concepts you now embody as critical to your development as a professional in nursing. Examine how your philosophy of nursing either changed or strengthened as you progressed throughout the baccalaureate nursing program. Explain how these embodied values have now changed your views of nursing. Identify specific principles or concepts of selected nursing theories, standards of practice and/or IOM recommendations that provide a framework for your personal philosophy of nursing and clearly state what draws you to choosing and embracing them. Discuss your vision for the future of nursing and where you envision nursing evolving. This assignment is approximately 3-4 pages in length. Title page, 2-level headings, citations in text, and reference list must be in APA format.

Please describe how COVID-19 has impacted your pathway to becoming a Physician Assistant. The questions below will help you get started, but do not limit your responses to only these considerations. Academic: Did your school move to an online-only curriculum? Were you able to interact with your professors? Did you have to leave an academic program stateside or abroad? Did your school require you to move to the Pass/Fail grading system? Did your original GRE exam get canceled or delayed? Were there Other academic barriers? Professional: Did you hold a job? Did you have to go out and seek new job opportunities? Did you lose a job? Were there other financial or professional barriers that you faced? Personal: Did you have to move out of a house or dorm? Did you have to cancel travel plans? Did you modify your planned experiences related to healthcare or volunteer opportunities? Did you seek out volunteer opportunities that arose from the crisis?

The field of nursing has changed over time. In a 750?1,000 word paper, discuss nursing practice today by addressing the following: Explain how nursing practice has changed over time and how this evolution has changed the scope of practice and the approach to treating the individual. Compare and contrast the differentiated practice competencies between an associate and baccalaureate education in nursing. Explain how scope of practice changes between an associate and baccalaureate nurse. Identify a patient care situation and describe how nursing care, or approaches to decision?making, differ between the BSN?prepared nurse and the ADN nurse. Discuss the significance of applying evidence?based practice to nursing care and explain how the academic preparation of the RN?BSN nurse supports its application. Discuss how nurses today communicate and collaborate with interdisciplinary teams and how this supports safer and more effective patient outcomes. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.  You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Interdisciplinary Paper/Care PlanAssignment Patient Gender/Race Medical condition Situation 1- 69-year old Female Diabetes and heart disease Patient has fallen 3 times in Nursing Home 2- 95-year old Male Depression and anorexia Patient is forgetful and lives alone 3- 73-year old Transgender BPH with hematuria Patient has stage 4 Cancer 4- 102-year old Stage 3 Decubitus ulcer and HOH Patient is widowed and lives in ALF 5- 87-year old Non-Hispanic White Alzheimer’s disease with new dentures Patient is currently employed supporting a family 6- 61-year old 7- Hispanic Arthritis and new colostomy Patient is homeless 8- African American History of Tuberculosis and is legally blind Patient just arrived to the United States and has no health insurance 9- Asian Bipolar and is a smoker of 2 packs of cigarettes a day Patient lives his son and 3 grandchildren 10- White Deaf and mute newly diagnosed with Hyperlipidemia Patient lives in acute care facility 11- Pacific Islander Left BKA and PTSD Patient is wheelchair bound living at home alone Research and organize literature for the Interdisciplinary paper due in week 14. Incorporate health outcomes of the health promotion, detection of disease and disease prevention. Organize an interdisciplinary plan of care for your client and the delivery of safe and effective care. Choose a patient, a gender, a medical condition and a situation of patient condition and their disease process and apply standards that are evidenced based which help support for the protection of your client. Incorporate concepts from Care of the Aging weekly powerpoints and the book-Gerontological Nursing and Healthy Aging (Toughy & Jett, 2018). Paper should be 3 pages not including title and reference page. Paper should follow APA guidelines with a minimum of 5 references within 5 year span.

The Case of the Sweaty Salesman – Michael is a 30-year old salesman who spends approximately 4 days each week traveling to visit with customers in his region. During his routine physical he casually mentions to his physician that he seems to be sweating more profusely than normal and most rooms that once were comfortable are now too “hot”. He thought that it was simply due to the change in seasons and companies being slow to turn down the thermostats from the winter temperatures, however this problem seems to persist even when he is at home. A room that his wife and children find to be comfortable causes him to sweat profusely. Michael also reports that he seems to be loosing weight even though his appetite has increased. He also complains that he has a shortened attention span and that he always wants to be moving around. Despite the fact that he feels fatigued, Michael claims to have difficulty sleeping and seems to have more frequent bowel movements, occasionally accompanied by diarrhea. The physician checks Michael’s medical history and finds that indeed he has lost 15 pounds since his last physical. Wanting to rule out the possibility of infection with the human immunodeficiency virus (HIV), the physician asks Michael questions about his sexual history and practices and finds that he is not at risk for HIV infection. Also in checking his chart, the physician finds that Michael has a negative history for chronic illnesses, does not smoke, and has a low risk for cardiovascular disease. He does however have a positive family history for autoimmune diseases. His father suffers from idiopathic thrombocytopenia, his mother has been diagnosed with rheumatoid arthritis and his oldest sister was recently diagnosed with systemic lupus erythematosus. Results of Michael’s physical examination were within normal ranges with the exception of the following: he demonstrated tachycardia, loud heart sounds, and apparent cardiac arrhythmias accompanied by slight hypertension. These arrhythmias were confirmed by electrocardiogram to be supraventricular in origin. Michael’s eyeballs appeared large and protruding and his hair was fine and soft. He was also beginning to demonstrate some degree of alopecia. Michael was also observed to have palmar erythema. Palpation of the neck revealed the presence of goiter. Results of blood tests indicated elevated concentrations of thyroid hormones (thyroxin and triiodothyronine), hypercalcemia, and decreased circulating concentrations of lipids. Based on the physical characteristics and the results of the blood tests, Michael’s physician suspected that Michael was suffering from some form of hyper-thyroidism and sent him to an endocrinologist to confirm the initial diagnosis. Following the initial consultation and examination, the endocrinologist ordered tests to determine whether Michael was indeed hyperthyroid. The test results indicated an elevation in the concentration of thyroid hormones in the blood and the presence of thyroid-stimulating antibodies. These antibodies specifically stimulate the thyroid gland by binding with the thyroid stimulating hormone receptor located on the plasma membrane of the follicular cells of the thyroid gland. Based on these results, the endocrinologist concluded that Michael had Grave’s disease, a form of hyperthyroidism believed to be autoimmune in nature. Michael was presented with a number of possible treatment options. These included treatment with chemicals (propylthiouracil and methimazole) that decrease the production of thyroid hormones by the thyroid gland, radioisotopic destruction of the thyroid gland by the use of 131I, and surgical removal of the thyroid gland. After considering all the options, especially the possible effects of radiation on gamete development, Michael chose surgery. Following successful surgery, Michael was prescribed synthetic thyroid hormone to ensure that his body was receiving adequate thyroid hormone and told to return within 2 months for a follow-up evaluation of circulating thyroid hormone concentrations. He was also cautioned to carefully monitor his calcium intake. 1 Define the bold terms in the text. autoimmune diseases: thrombocytopenia: rheumatoid arthritis: alopecia: erythema: hypercalcemia: hyperthyroidism: 2 Thyroid hormones exert their effects on cells in a manner similar to steroid hormones; describe the mechanism of action of thyroid hormones. 3 Evaluate why an imbalance in thyroid hormones have such widespread effects on the body? 4 Propose two ways that allow diagnosis of Michael’s symptoms as goiter. 5 Analyze why calcium homeostasis would be impaired in response to removal of the thyroid gland? 6 Explain why 131I could be used to specifically destroy the thyroid gland and have minimal effects on other cells and tissues in the body? 7 Knowing that Michael and his wife may want to have more children infer/ explain why it was ruled out to use highly radioactive isotope for the destruction of the thyroid gland ? 8 Define the terms ‘Graves Disease’ and ‘goiter’ and explain what causes ‘each. [Goiter has more than one cause.]

Develop an Ayurvedic nutrition program for weight loss. Give details of the 8 factors affecting food, and general dietary guidelines and design an Ayurvedic food program for weight loss which includes all the Ayurvedic food groups. Design some of the Ayurvedic lifestyle changes which you would suggest for the condition of overweight (page length for this paper can be 5-6 pages long). Style format for all written assignments Submit the documents as Word (.doc or .docx) files. The document should be double-spaced, 12 point Times Roman or Courier Fonts. Use APA 6th or 7th edition to format the paper and cite references. References: Frawley, D., & Lad, V. (1992). The yoga of herbs: An ayurvedic guide to herbal medicine. Lotus Press. Ninnivaggi F. (2010). Ayurveda: A comprehensive guide to traditional Indian medicine for the west. Praeger.