Read through the following case study. In this case study you are the primary care nurse on a busy medical-surgical floor. Answer the questions utilizing the section�s PowerPoint presentation and readings. Submit your assignment in a Word document using proper APA formatting. Please refer to the Grading Rubric for Discussions.
Mrs. Paul is a 48-year old woman dying of end-stage liver disease and chronic renal failure. She is fatigued and has experienced significant weight loss, despite significant edema. She was diagnosed with colon cancer three years ago.
Mrs. Paul�s family is very upset and wants aggressive interventions done to help improve her appetite, curb her weight loss (she has lost 18 pounds in the last 4 weeks) and prevent nausea/vomiting. Her physician believes that one of the contributing factors to her fatigue is that her hemoglobin and hematocrit are low. She has receive 4 units of packed red blood cells over the past 2 weeks. The patient stats that the fatigue continues, despite the blood transfusions. She has intractable nausea and vomiting and, as a result, she is frequently admitted to the hospital. As the nurse on the medicine unit you are admitting and assessing Mrs. Paul during her most recent admission. The medical unit staff is very upset with Mrs. Paul�s family. The patient�s primary doctor and oncologist have not taken an active role in discussing palliative care with the patient or the family. One of your peers that has been caring for Mrs. Paul during frequent her frequent admissions states: �this family and patient deserve better-someone needs to be truthful with them so they know that their loved one is dying.�Questions to answer:
Discuss your evaluation process in this case regarding: fatigue, weight loss, nausea, and vomiting.Based on you assessments identify what management strategies you would use. What issues would you want to discuss with the interdisciplinary team?Considering Mrs. Paul�s and her family�s needs and concerns, what strategies and interventions might you consider in her nursing plan of care?How would you approach the physician about entertaining the possibility of palliative care for the patient and her family?Case Continued
Ms. Paul has four children (ages 15, 17, 21, 25). You happen to have a conversation with the two youngest children, as they have come to the hospital after school to visit their mother. Their mother has gone to radiology for a CT-scan and you (the bedside nurse) decide that this would be a good time to talk with her children. The youngest confides in you that she knows her mother is dying. �I saw her vomit blood before we brought her to the hospital.� �We used to put puzzles together, but she is too tired anymore.� �Is my mother going to die?�Questions to answer:
How would you respond to the 15-year old daughter?What other members of the interdisciplinary team would you want to contact to assist with the family?

 

Research the health-illness continuum and its relevance to patient care. In a 750-1,000 word paper, discuss the relevance of the continuum to patient care and present a perspective of your current state of health in relation to the wellness spectrum. Include the following:
Examine the health-illness continuum and discuss why this perspective is important to consider in relation to health and the human experience when caring for patients.
Reflect on your overall state of health. Discuss what behaviors support or detract from your health and well-being. Explain where you currently fall on the health-illness continuum.
Discuss the options and resources available to you to help you move toward wellness on the health-illness spectrum. Describe how these would assist in moving you toward wellness (managing a chronic disease, recovering from an illness, self-actualization, etc.).
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.

Advanced registered nursing graduates are entering the profession at dynamic time when roles and scope of practice are shifting based on developments in legislation and policy in response to the evolving needs of the health care system. Professional nursing organizations play an important role in making sure the perspectives of advanced registered nurses are heard, and in supporting nurse specialties in their efforts to expand their scope of practice and their full participation throughout the health care system.
For this assignment, you will conduct research on the current scope of practice for your specialty and efforts that are being made to expand that scope and the role of the advanced nurse in positively influencing the health care system. Write a 1,250-1,500-word paper that includes the following:
A discussion of the scope of your future role as an advanced registered nurse, including any regulatory, certification, or accreditation agencies that define that scope.
A discussion of three professional nursing organizations that you think are most influential in advancing the scope and influence of advanced nursing. Of these organizations, evaluate the one that you would most like to join. How do its goals and mission fit in with your worldview and philosophy of care? How might membership in this organization improve your practice?
A discussion of a controversial or evolving issue that is most likely to affect your scope of practice or role in the next few years. How do you think this issue could influence the profession and other stakeholders, and why does it matters to the advanced registered nurse?
You are required to cite five to 10 sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

Details:
Write a 750-1,000-word assignment that gives a general overview of commonly used substance use disorder treatment approaches. In addition, you are to select two common approaches and compare their similarities and differences.
Include the following in your assignment:

A brief description of common empirically researched substance use disorder treatments listed in the topics readings such as (MI, CBT, and SF). Include a minimum of two treatment descriptions.
A discussion about the differences of each treatment listed
A discussion about which method you would prefer to use and why
A minimum of two scholarly sources

Consider using the following level-one APA headings in your paper to help organize the content:

Overview of Treatment Approaches to Addictions Counseling
Treatment Differences
Preferred Method and Rationale

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.
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 Turnitin. Refer to the directions in the Student Success Center.
This assignment assesses the following programmatic competency: 4.1: Assess valid and reliable research to answer questions for an identified problem, concern, or professional counseling intervention.
This assignment meets the following CACREP Standard: 2.F.3.h: A general framework for understanding differing abilities and strategies for differentiated interventions.

Question 1
What is the difference between a sociopath and a psychopath? Provide an example to support both and explain why they are good examples.
Question 2
What types of policy strategies derived from rational choice and routine activities theories do you think would be most effective? Which types would be least effective?