For this assignment you will review a single scholarly article  in the APUS Library and summarize what it says about a specific infant and toddler disorder of your choice (Infantile Autism, Tay-Sachs Disease, Sickle Cell Anemia and Cerebral Palsy are some examples).  This 2-3 page paper must be a review of scholarly research, not commercial Psychology Today, Wikipedia or WebMD style publications or self-help or parent support organization material (the latter is very valuable to families in need of easy to digest and access information, but isn’t applicable to this assignment). 

Specific Instructions for this assignment can be found in the attached document. The grading rubric is listed below.

IMPORTANT: A Turnitin Originality Report will be generated for this assignment. Your originality report must show a score of 15% or less excluding the bibliography and quotes in the amount permitted by the assignment instructions.  Any report with an Originality Report between 20 and 29% will be scored with a significant point reduction. Any paper receiving an Originality Score of 30% or greater will be scored with a grade of 0 with no opportunity to resubmit. Additional information on Turnitin can be found in the Student Services section of the APUS Library. .

Grading Rubric for this Assignment

 

Topic	Possible points	Points earned
Introduction/Description of Disorder	20
Appropriate Journal Article Selected	10
Article Summary
–          Focus of the research	5
–          Description of hypothesis	5
–          Description of how study was conducted	10
–          Description of results	5
Review of article
–          Potential problems of methodology	10
–          Three ideas inspired in you by the article	10
–          Description of the impact of the research	10
Writing Mechanics	10
APA format	5
TOTAL POINTS POSSIBLE   140	100

     

Case   Study: Mr. M.

 

It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span.

Evaluate the Health History and Medical Information for Mr. M., presented below.

Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.

Health History and Medical Information

Health History

Mr. M., a 70-year-old male, has been living at the assisted living facility where you work. He has no know allergies. He is a nonsmoker and does not use alcohol. Limited physical activity related to difficulty ambulating and unsteady gait. Medical history includes hypertension controlled with ACE inhibitors, hypercholesterolemia, status post appendectomy, and tibial fracture status postsurgical repair with no obvious signs of complications. Current medications include Lisinopril 20mg daily, Lipitor 40mg daily, Ambien 10mg PRN, Xanax 0.5 mg PRN, and ibuprofen 400mg PRN.

Case Scenario

Over the past 2 months, Mr. M. seems to be deteriorating quickly. He is having trouble recalling the names of his family members, remembering his room number, and even repeating what he has just read. He is becoming agitated and aggressive quickly. He appears to be afraid and fearful when he gets aggressive. He has been found wandering at night and will frequently become lost, needing help to get back to his room. Mr. M has become dependent with many ADLs, whereas a few months ago he was fully able to dress, bathe, and feed himself. The assisted living facility is concerned with his rapid decline and has decided to order testing.

Objective Data

1. Temperature: 37.1 degrees C

2. BP 123/78 HR 93 RR 22 Pox 99%

3. Denies pain

4. Height: 69.5 inches; Weight 87 kg

Laboratory Results

1. WBC: 19.2 (1,000/uL)

2. Lymphocytes 6700 (cells/uL)

3. CT Head shows no changes since previous scan

4. Urinalysis positive for moderate amount of leukocytes and cloudy

5. Protein: 7.1 g/dL; AST: 32 U/L; ALT 29 U/L

Critical Thinking Essay

In 750-1,000 words, critically evaluate Mr. M.’s situation. Include the following:

1. Describe the clinical manifestations present in Mr. M.

1. Based on the information presented in the case scenario, discuss what primary and secondary medical diagnoses should be considered for Mr. M. Explain why these should be considered and what data is provided for support.

2. When performing your nursing assessment, discuss what abnormalities would you expect to find and why.

3. Describe the physical, psychological, and emotional effects Mr. M.’s current health status may have on him. Discuss the impact it can have on his family.

4. Discuss what interventions can be put into place to support Mr. M. and his family.

5. Given Mr. M.’s current condition, discuss at least four actual or potential problems he faces. Provide rationale for each.

You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

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.   

RUBRIC

1. Clinical Manifestations of Mr. M.

Subjective and objective clinical manifestations are detailed. The clinical manifestations are accurate and clearly report the observed and perceived signs and symptoms. 10pts

2. Diagnoses and Secondary Diagnosis

A detailed discussion on what primary and secondary medical diagnoses should be considered for Mr. M. is presented. Strong rationale and reliable data are used to explain why the diagnoses are relevant and should be considered.  10pts

3. Explanation of Expected Abnormalities During Nursing Assessment

A thorough discussion of abnormalities a nurse would expect to find during a nursing assessment is presented. Strong rationale and evidence are provided for support. 15pts

4.  Effects of Health Status on Physical, Psychological, and Emotional Aspects of Patient and Family 

A thorough discussion of the effects of the health status on the physical, psychological, and emotional aspects of the patient, and the impact the health status has on the family, is presented. Strong support for the discussion is provided. 15pts

5. Intervention for Support

All relevant interventions that can be put into place to support Mr. M. and his family are thoroughly discussed.  15pts

6. Actual and Potential Problems Based on the Condition

Four or more actual or potential problems faced by the patient are thoroughly discussed. The posed problems are clearly related to his condition. Strong rationale is provided and supports the discussion. 15pts

7. Theses Development and Purpose

Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.  5pts

8. Argument Logic and Construction

Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative  5pts

9. Mechanics of Writing (includes spelling, punctuation, grammar, language use)  5pts

Writer is clearly in command of standard, written, academic English.  5pts

10.  Paper Format (use of appropriate style for the major and assignment) 

All format element are correct 2pts

11.  Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)

Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error 3pts

TOTAL MARKS 100%

 

Discussion 1: Contributing to Community Recovery

The damaging effects of disaster on mental health and the increased vulnerability to addiction of survivors are well documented. The most common conditions that follow a disaster are post-traumatic stress disorder, anxiety, depression, grief, and an increase in substance abuse and addictive behaviors (Beaudoin, 2011; Cepeda, Valdez, Kaplan, & Hill, 2010; Johnson & Fendrich, 2009).

As a helping professional, it is essential that you become familiar with federal and local regulations that can impact your role in community recovery.

For this Discussion, review the two scenarios below. Choose one of the scenarios and reflect on the ways in which government and community organizations might contribute to the treatment of addiction.

Scenario A: You are the director of a local addiction treatment center in a West Coast metropolitan area that has experienced an earthquake of major magnitude. The earthquake has caused a large loss of life and destruction of property. The entire metropolitan infrastructure is disrupted, including transportation, sanitation, emergency medical care, and power. People are unable to get to work, children are unable to attend school, and people are confused and frightened. Many mental health and substance abuse facilities have been destroyed, so their services will be interrupted for a long time. A large number of citizens are left homeless, without jobs, and are dealing with the trauma of the event and loss of family and friends. The level of destruction is so vast and far reaching that it will be several months to a year before life returns to what the community could consider normal.

Scenario B: You are the director of a local addiction treatment center in a small Midwestern town of 20,000. A tornado has struck the community, cutting a path of destruction through the entire town and causing hundreds of thousands of dollars in property damage. More devastating, the tornado has resulted in a huge loss of life, including the deaths of over 100 children who were in the local elementary school. Many families are left homeless and grieving over the loss of their property, businesses, friends, and loved ones. The loss of such a large number of children has a particularly serious impact on the emotional well-being of the town’s citizens.

 

1. ultural Perspectives on Death Systems

This question serves as a minor antecedent activity to your capstone research/problem paper whereby you are asked to write the literature review portion of a research/problem paper “exploring the death and dying rituals, practices, burial methods, and beliefs about the afterlife for a culture other than the Anglo-American culture.”

In this WK3 activity, you will explore your own family’s culture regarding death practices and death systems – from your own heritage (ex. Jamaica, Hawaii, Japan, Korea, China, Spain, Mexico, Cuba, France, Africa, a specific Native American tribe, etc.). Although death comes for every culture around the world, each one has its own unique rituals and memorials for their loved ones. In at least one robust paragraph, describe the beliefs and traditions about death, rituals for burial, funerals and ceremonies, grieving practices, music, dance, etc. for your ancestral culture; and in one paragraph describe the death systems of your family culture – certifications, notifications, autopsies, capital punishment, suicide, homicide, organ transplantation and donation… 

This website may serve to get you started:

https://dying.lovetoknow.com/Category:Death_in_Cultures_Around_the_World

___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

1. Healthcare and End-of-Life Issues
2. In one robust paragraph, compare and contrast Hospice vs. Nonhospice palliative care:

____________________________________________________________________________________________________________________________________________________________

1. Complete the chart below with the reality that contradicts the myth provided:

Death and Dying Myths

Emerging Reality in America

You will become more afraid of death as you grow toward old age and your death becomes more imminent.

Terminal patients go through predictable stages as they approach death.

A sudden or unexpected death has more adverse effects on the survivors than does a death that is expected.

Older men are likely to die at home, and older women are more likely to die in institutional settings such as hospitals and nursing homes.

Among those adults whose spouses die, elderly widows and widowers are much more likely to die themselves a short time later.

Hospice utilizes morphine to euthanize people.

Being Mortal Chs. 5 AND 6 (Provide brief responses to the questions below)

• What comes to mind when Guwande outlined the Three Plagues of nursing home existence: boredom, loneliness and helplessness?
• In the story of Sarah and Rich Monopoli, Sara underwent excruciating treatment right to the end. What attitudes and approaches used by this couple do you admire, or agree with, and with which do you disagree? If you were Sara’s doctors, what would you do differently? As a family member or close friend, what conversation would you have with them, or should you just “mind your own business”?  What were the tradeoffs of Sara’s continued treatments? What did it buy her?
• Dr. Gawande quotes statistics that show 25% of Medicare spending goes to the 5% of patients in the last stages of life. How should priorities be set? With catastrophic illness, the trend seems to indicate high costs during the onset of the illness, a leveling off of costs during the mid-stages, and skyrocketing costs during the last stages of life. Yet, the extreme or even experimental measures do not always improve the quality of life, or even prolong life. How can we avoid ICUs that turn out to be, as one doctor commented, “a warehouse for the dying”?
• Why did the addition of animals trigger so many improvements among residents?
• Nurse Creed is a hospice nurse, skilled in her profession. Summarize her strategies as she spoke with her families. Do you agree with her apparent priorities? What personal traits do you think contribute to someone choosing and being successful at this nursing specialty?

Questions derived from the following site:

http://www.transforminghealth.org/stories/Being%20Mortal%20discussion%20questions.pdf

 

Creating a Plan of Care

Utilizing the information you have gathered over the last four weeks regarding the specific illness group you identified, this week, you will create a plan of care for your chronic illness group.

In a Microsoft Word document of 5-6 pages formatted in APA style, (this page requirement includes the holistic care plan). Include the following in your plan:

• Provide a brief introduction describing the chronically ill group you selected and rationale for selecting this illness and the participants.
  • Clearly identify the Healthy People 2020 topic chosen and why this topic was selected.
• Develop a holistic plan of care including patient, family and friends acceptance of the diagnosis, coping and impact on plan of care.
• Summarize the information gathered in each week (Weeks 1–4) over 2 to 3 pages. This is should not to be copied and pasted from previous assignments.
• Create a care plan for your chronic illness group organized using the following headings:
  • Nursing Diagnoses (at least 3 related to topic and interview results)
  • Assessment Data (objective and subjective)
  • Interview Results
  • Desired Outcomes
  • Evaluation Criteria
  • Actions and Interventions
  • Evaluation of Patient Outcomes
• Identify strategies for the family or caregiver in the care plan and provide your rationale on how they will work.

Support your responses with examples and information from library resources, textbook and lectures.

On a separate references page, cite all sources using APA format. Helpful APA guides and resources are available in the South University Online Library. Below are guides that are located in the library and can be accessed and downloaded via the South University Online Citation Resources: APA Style page. The American Psychological Association website also provides detailed guidance on formatting, citations, and references at APA Style.