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Communicable Disease Selection

Write a paper (2,000-2,500 words) in which you apply the concepts of epidemiology and nursing research to a communicable disease. Refer to “Communicable Disease Chain,” “Chain of Infection,” and the CDC website for assistance when completing this assignment.

Communicable Disease Selection

Choose one communicable disease from the options below.

1. Chickenpox

2. Tuberculosis

3. Influenza

4. Mononucleosis

5. Hepatitis B

6. HIV

7. Ebola

8. Measles

9. Polio

10. Influenza

Epidemiology Paper Requirements

Address the following:

1. Describe the chosen communicable disease, including causes, symptoms, mode of transmission, complications, treatment, and the demographic of interest (mortality, morbidity, incidence, and prevalence). Is this a reportable disease? If so, provide details about reporting time, whom to report to, etc.

2. Describe the social determinants of health and explain how those factors contribute to the development of this disease.

3. Discuss the epidemiologic triangle as it relates to the communicable disease you have selected. Include the host factors, agent factors (presence or absence), and environmental factors. Are there any special considerations or notifications for the community, schools, or general population?

4. Explain the role of the community health nurse (case finding, reporting, data collection, data analysis, and follow-up) and why demographic data are necessary to the health of the community.

5. Identify at least one national agency or organization that addresses the communicable disease chosen and describe how the organizations contribute to resolving or reducing the impact of disease.

6. Discuss a global implication of the disease. How is this addressed in other countries or cultures? Is this disease endemic to a particular area? Provide an example.

A minimum of three peer-reviewed or professional references is required.

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.

Attachments             NRS-427VN-RS2-CommunicableDiseaseChain.doc

 

Epidemiology Paper – Rubric

No of Criteria: 11  Achievement Levels: 5

Criteria

Achievement   Levels

Description

Percentage

Unsatisfactory

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0.00 %

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Less than   Satisfactory

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75.00 %

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Satisfactory

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83.00 %

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Good

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94.00 %

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Excellent

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100.00 %

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%

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Content

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80.0

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Comprehensive Description of a Communicable   Disease and the Demographic of Interest

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10.0

Demographic   of interest and clinical description are omitted or presented with many   inaccuracies.

Demographic   of interest and clinical description are omitted or presented with many   inaccuracies.

Limited   and/or vague summary of demographic of interest and communicable disease is   provided. Overview does not offer a clear representation of information   necessary for epidemiological study.

Limited   and/or vague summary of demographic of interest and communicable disease is   provided. Overview does not offer a clear representation of information   necessary for epidemiological study.

Overview of   the demographic of interest and clinical description of the communicable   disease is presented with some inaccuracies of the clinical descriptors.

Overview   of the demographic of interest and clinical description of the communicable   disease is presented with some inaccuracies of the clinical descriptors.

Clinical   description of the communicable disease and demographic of interest is   provided. Summary is brief but accurate.

Clinical   description of the communicable disease and demographic of interest is   provided. Summary is brief but accurate.

Overview   describing the demographic of interest and clinical description of the   communicable disease is presented with a thorough, accurate, and clear   overview of all of the clinical descriptors.

Overview   describing the demographic of interest and clinical description of the   communicable disease is presented with a thorough, accurate, and clear   overview of all of the clinical descriptors.

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Determinants of Health and Explanation of   How Determinants Contribute to Disease Development

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10.0

Description   of the determinants of health and their role in disease development is   omitted or presented with many inaccuracies.

Description   of the determinants of health and their role in disease development is   omitted or presented with many inaccuracies.

Paper   partially describes the determinants of health in relation to disease   development.

Paper   partially describes the determinants of health in relation to disease   development.

Paper   identifies the determinants of health in relation to the communicable disease   selected but does not include an explanation of their role in the development   of disease.

Paper   identifies the determinants of health in relation to the communicable disease   selected but does not include an explanation of their role in the development   of disease.

Paper   describes each determinant of health with a comprehensive discussion of their   contribution to disease development and progression.

Paper   describes each determinant of health with a comprehensive discussion of their   contribution to disease development and progression.

Paper   comprehensively discusses the determinants of health in relation to the communicable   disease, explains their contribution to disease development, and provides   evidence to support main points.

Paper   comprehensively discusses the determinants of health in relation to the   communicable disease, explains their contribution to disease development, and   provides evidence to support main points.

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Epidemiologic Triangle (Host Factors, Agent   Factors, and Environmental Factors)

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20.0

Description   of the epidemiologic triangle is omitted or presented with many inaccuracies

Description   of the epidemiologic triangle is omitted or presented with many inaccuracies

The   communicable disease is described with some inaccuracies within the   epidemiologic triangle. A visual description of the factors and interaction   is not present.

The   communicable disease is described with some inaccuracies within the   epidemiologic triangle. A visual description of the factors and interaction   is not present.

The   communicable disease is described accurately and clearly within the context   of the epidemiologic triangle.

The   communicable disease is described accurately and clearly within the context   of the epidemiologic triangle.

The   communicable disease is described accurately within the context of the   epidemiologic triangle. A brief description of factors and interaction is   presented.

The   communicable disease is described accurately within the context of the   epidemiologic triangle. A brief description of factors and interaction is   presented.

The   communicable disease is described thoroughly, accurately, and clearly within   an epidemiological triangle. A visual description of the triangle and how the   components of the model interact is included.

The   communicable disease is described thoroughly, accurately, and clearly within   an epidemiological triangle. A visual description of the triangle and how the   components of the model interact is included.

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Role of the Community Health Nurse and   Importance of Demographic Data

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20.0

Discussion   of the role of the community health nurse is omitted or unclear. An explanation   of why demographic data are necessary to community health is omitted or   unclear.

Discussion   of the role of the community health nurse is omitted or unclear. An   explanation of why demographic data are necessary to community health is   omitted or unclear.

Discussion   of the role of the community health nurse is vague, with no integration of   case finding, reporting, data collecting, data analysis, or follow-up skills.   An incomplete explanation of why demographic data are necessary to community   health is provided.

Discussion   of the role of the community health nurse is vague, with no integration of   case finding, reporting, data collecting, data analysis, or follow-up skills.   An incomplete explanation of why demographic data are necessary to community   health is provided.

Discussion   of the role of the community health nurses is limited, with a brief overview   of skills associated with community assessment and planning. An explanation   of why demographic data are necessary to community health is summarized.

Discussion   of the role of the community health nurses is limited, with a brief overview   of skills associated with community assessment and planning. An explanation   of why demographic data are necessary to community health is summarized.

Discussion   of the role of community health nurse is clear, with a comprehensive   description of skills associated with community assessment and planning. An   explanation of why demographic data are necessary to community health is   presented.

Discussion   of the role of community health nurse is clear, with a comprehensive   description of skills associated with community assessment and planning. An   explanation of why demographic data are necessary to community health is   presented.

Discussion   of the role of the community health nurse is clear, comprehensive, and   inclusive of the community nurse’s responsibilities to primary, secondary,   and tertiary prevention through tasks such as case finding, reporting, data   collection and analysis, and follow-up. A clear explanation of the importance   of demographic data to community health is presented.

Discussion   of the role of the community health nurse is clear, comprehensive, and   inclusive of the community nurse’s responsibilities to primary, secondary,   and tertiary prevention through tasks such as case finding, reporting, data   collection and analysis, and follow-up. A clear explanation of the importance   of demographic data to community health is presented.

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National Agency or Organization That Works   to Addresses Communicable Disease

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10.0

Agency and   description of contribution are omitted.

Agency   and description of contribution are omitted.

An agency or   organization is identified, but discussion is vague or inaccurate in relation   to the communicable disease chosen.

An   agency or organization is identified, but discussion is vague or inaccurate   in relation to the communicable disease chosen.

An agency or   organization is identified, but discussion regarding efforts to address communicable   disease is lacking.

An   agency or organization is identified, but discussion regarding efforts to   address communicable disease is lacking.

An agency or   organization is identified, but discussion regarding efforts to address   communicable disease is brief.

An   agency or organization is identified, but discussion regarding efforts to   address communicable disease is brief.

An agency or   organization is identified. A clear and accurate description of efforts to   address communicable disease is offered.

An   agency or organization is identified. A clear and accurate description of   efforts to address communicable disease is offered.

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Global Implication

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10.0

Global   implication of the disease is omitted or unclear.

Global   implication of the disease is omitted or unclear.

A discussion   of the global implication of the disease is vague, with no integration of how   this is addressed in other countries or cultures and if the disease is   endemic to a particular area. An example is not provided.

A   discussion of the global implication of the disease is vague, with no   integration of how this is addressed in other countries or cultures and if   the disease is endemic to a particular area. An example is not provided.

A discussion   of the global implication of the disease is limited, with some integration of   how this is addressed in other countries or cultures and if the disease is   endemic to a particular area. An example is provided.

A   discussion of the global implication of the disease is limited, with some   integration of how this is addressed in other countries or cultures and if   the disease is endemic to a particular area. An example is provided.

A discussion   of the global implication of the disease is clear, with a comprehensive   description of how this is addressed in other countries or cultures and if   the disease is endemic to a particular area. An example is provided.

A   discussion of the global implication of the disease is clear, with a   comprehensive description of how this is addressed in other countries or   cultures and if the disease is endemic to a particular area. An example is   provided.

A discussion   of the global implication of the disease is clear, comprehensive, and   inclusive with a comprehensive description of how this is addressed in other   countries or cultures and if the disease is endemic to a particular area. An   example is provided.

A   discussion of the global implication of the disease is clear, comprehensive,   and inclusive with a comprehensive description of how this is addressed in   other countries or cultures and if the disease is endemic to a particular   area. An example is provided.

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Organization and Effectiveness

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15.0

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Thesis Development and Purpose

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5.0

Paper lacks   any discernible overall purpose or organizing claim.

Paper   lacks any discernible overall purpose or organizing claim.

Thesis is   insufficiently developed and/or vague, purpose is not clear.

Thesis   is insufficiently developed and/or vague, purpose is not clear.

Thesis is   apparent and appropriate to purpose.

Thesis   is apparent and appropriate to purpose.

Thesis is   clear and forecasts the development of the paper. It is descriptive and   reflective of the arguments and appropriate to the purpose.

Thesis   is clear and forecasts the development of the paper. It is descriptive and   reflective of the arguments and appropriate to the purpose.

Thesis is   comprehensive, contained within the thesis is the essence of the paper.   Thesis statement makes the purpose of the paper clear.

Thesis   is comprehensive, contained within the thesis is the essence of the paper.   Thesis statement makes the purpose of the paper clear.

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Argument Logic and Construction

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5.0

Statement of   purpose is not justified by the conclusion. The conclusion does not support   the claim made. Argument is incoherent and uses noncredible sources.

Statement   of purpose is not justified by the conclusion. The conclusion does not support   the claim made. Argument is incoherent and uses noncredible sources.

Sufficient   justification of claims is lacking. Argument lacks consistent unity. There   are obvious flaws in the logic. Some sources have questionable credibility.

Sufficient   justification of claims is lacking. Argument lacks consistent unity. There   are obvious flaws in the logic. Some sources have questionable credibility.

Argument is   orderly, but may have a few inconsistencies. The argument presents minimal   justification of claims. Argument logically, but not thoroughly, supports the   purpose. Sources used are credible. Introduction and conclusion bracket the   thesis.

Argument   is orderly, but may have a few inconsistencies. The argument presents minimal   justification of claims. Argument logically, but not thoroughly, supports the   purpose. Sources used are credible. Introduction and conclusion bracket the   thesis.

Argument   shows logical progressions. Techniques of argumentation are evident. There is   a smooth progression of claims from introduction to conclusion. Most sources   are authoritative.

Argument   shows logical progressions. Techniques of argumentation are evident. There is   a smooth progression of claims from introduction to conclusion. Most sources   are authoritative.

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

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

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Mechanics of Writing (includes spelling,   punctuation, grammar, language use)

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5.0

Surface   errors are pervasive enough that they impede communication of meaning.   Inappropriate word choice and/or sentence construction are used.

Surface   errors are pervasive enough that they impede communication of meaning.   Inappropriate word choice and/or sentence construction are used.

Frequent and   repetitive mechanical errors distract the reader. Inconsistencies in language   choice, sentence structure, and or word choice are present.

Frequent   and repetitive mechanical errors distract the reader. Inconsistencies in   language choice, sentence structure, and or word choice are present.

Some   mechanical errors or typos are present, but are not overly distracting to the   reader. Correct sentence structure and audience-appropriate language are   used.

Some   mechanical errors or typos are present, but are not overly distracting to the   reader. Correct sentence structure and audience-appropriate language are   used.

Prose is   largely free of mechanical errors, although a few may be present. A variety   of sentence structures and effective figures of speech are used.

Prose   is largely free of mechanical errors, although a few may be present. A   variety of sentence structures and effective figures of speech are used.

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

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

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Format

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5.0

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Paper Format

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2.0

Template is   not used appropriately or documentation format is rarely followed correctly.

Template   is not used appropriately or documentation format is rarely followed   correctly.

Template is   used, but some elements are missing or mistaken, lack of control with   formatting is apparent.

Template   is used, but some elements are missing or mistaken, lack of control with   formatting is apparent.

Template is   used, and formatting is correct, although some minor errors may be present.

Template   is used, and formatting is correct, although some minor errors may be   present.

Template is   fully used. There are virtually no errors in formatting style.

Template   is fully used. There are virtually no errors in formatting style.

All format   elements are correct.

All   format elements are correct.

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

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3.0

Sources are   not documented.

Sources   are not documented.

Documentation   of sources is inconsistent or incorrect, as appropriate to assignment and   style, with numerous formatting errors.

Documentation   of sources is inconsistent or incorrect, as appropriate to assignment and   style, with numerous formatting errors.

Sources are   documented, as appropriate to assignment and style, although some formatting   errors may be present.

Sources   are documented, as appropriate to assignment and style, although some   formatting errors may be present.

Sources are   documented, as appropriate to assignment and style, and format is mostly   correct.

Sources   are documented, as appropriate to assignment and style, and format is mostly   correct.

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

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

Total Percentage      100

 

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Economic Impact of States Declining Medicaid Expansion

With coinciding concerns about health care costs and the imperative to improve quality of care, health care providers and others face difficult decisions in the effort to achieve an appropriate balance. Such decisions often are addressed in the policy arena. How do policymakers evaluate which health care services should be financed through government programs? How do ethics-related questions and other considerations play into this evaluation process? Is it possible to contain costs and provide accessible, high-quality care to all, or is the tension between cost and care inherent in the U.S. health care delivery system? These questions are central to health care financing decisions in the United States.

For this Discussion, you will focus on the policy decision-making process that determines what types of care are covered by public and private insurers and the ethical aspects of such financial decisions.

To prepare:

  • Read the the case study “Economic Impact of States Declining Medicaid Expansion”  page 305 of the Milstead text.
  • Review the information in the Washington Post article “Review of Prostate Cancer Drugs Provenge Renews Medical Cost-Benefit Debate” in the Learning Resources.
  • Consider how policy decisions currently are made about what will and will not be paid for and what changes, if any, could improve the process.
  • Reflect on how the Washington Post example illustrates the tension between cost and care.

Post your analysis and assessment of the ethical and economic challenges related to policy decisions such as those presented in the Washington Post article. How does this type of situation contribute to the tension between cost and care? Substantiate your response with at least two outside resources.

Washington Post article:

http://www.washingtonpost.com/wp-d

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Windshield Survey

A. Windshield Survey

The Windshield Survey is comprised of general qualitative observations that give you a snapshot of the community that you can capture as you drive/walk through the community. The demographic data can be obtained online, through the public library, county or township administration buildings. Please address the following in a narrative format following APA guidelines:

1. Geographical description

 Boundaries, geographical, political, or economic, how is it seen.

 Housing an zoning

 Sign of decay

2. Health Resources

a. Type of services available: health department, private MD, dentist, hospital clinic,

b. pharmacy, health promotion, mental health

c. School and occupational health services

d. Official and voluntary services

e. Self help and support groups

f. Service organizations, faith-based programs

g. Stores (grocery, retail, drug, dry cleaning, etc.

h. Transportation

3. Citizen safety and protective services

a. Police and fire

b. Shelters for victims of abuse

c. Others: neighborhood watch etc.

4. Services provided by senior citizens senior centers, meals on wheels, transportation, day care, long term care.

a. Parks and recreational areas

5. Community welfare services beyond city/state aid as provisions for emergency food, shelter and clothing.

Below please see the rubric that will be used to grade your survey and due date instructions.

Assignment must be presented in an essay style using APA format in the required Arial 12 font with minimum of 1000 words.

If you are unable to comply with the due date, please contact me via e-mail at least 3 days before the due date. Extra time will not be granted after the due date has passed. This assignment will be grade based on the assignment rubric.

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Data Analysis—Small Group Discussion

Discussion: Data Analysis—Small Group Discussion

As a nurse engaged in evidence-based practice, it is important to recognize how statistics and other data analysis tools are used to generate and assess evidence. Most nurses need only a foundational understanding of statistical tools and terminology to understand the majority of research studies. As a nurse, you should be able to recognize the most commonly used statistical tests, how and when they are used, and how significance is determined.

In this Discussion, you examine different types of statistics and statistical tests, when and why these particular tests would be selected for use, and, most importantly, what the results indicate. To this end, you will be assigned to a group by Day 1 of this week. Each group will be assigned one of the five chapters listed in this week’s Learning Resources and will develop a study sheet on their chapter that will be shared with the other groups.

Review the information in your assigned chapter.( CHAPTER 19)-BOOK ATTACHED BELLOW

Look for:

The key concepts of the chapter: Focus on the basic concepts that are important for nurses to understand as they review research studies.

A description of the statistical methods covered in the chapter, 

What they measure, and under what circumstances they are used. 

Identify examples of how the statistical methods have been used in research studies.

        

An explanation of the key statistical tests and how they measure significance (if applicable).

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Professional identity

Reflect back over the past eight weeks and describe how the achievement of the course outcomes in this course have prepared you to meet the MSN program outcome #4, the MSN Essential IV, and the Nurse Practitioner Core Competencies # 7.

Program Outcome #4:  Integrate professional values through scholarship and service in health care. (Professional identity)

MSN Essential IV: Translating and Integrating Scholarship into Practice Recognize that the master’s-prepared nurse applies research outcomes within the practice setting, resolves practice problems, works as a change agent, and disseminates results.

Nurse Practitioner Core Competencies # 7

Health Delivery System Competencies

1. Applies knowledge of organizational practices and complex systems to improve health care delivery.

2. Effects health care change using broad based skills including negotiating, consensus-building, and

partnering.

3. Minimizes risk to patients and providers at the individual and systems level.

4. Facilitates the development of health care systems that address the needs of culturally diverse

populations, providers, and other stakeholders.

5. Evaluates the impact of health care delivery on patients, providers, other stakeholders, and the

environment.

6. Analyzes organizational structure, functions and resources to improve the delivery of care.

7. Collaborates in planning for transitions across the continuum of care.

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bacteria

Answer Critical Thinking Question 2 for Chapter 7 on page 206 and Clinical Application Question 1 for Chapter 8 on page 243. Answers should be submitted in a word document with any associated references used.

Day four assignment

206 question:For each of the following bacteria, explain why is is often resistant to disinfectant

a)Mycobacteriim

b)Pseudomonas

c)Bacillus

question number one chapter 8

Ciprofloxacin erythromycin, and acyclovir are used to treat microbial infections, Ciprofloxacin inhibits DNA gyrase. Erythromycin binds in front of the A site on the 50S subunit of a ribosome Acyclovir is a guanine analog.

a) What steps in protein synthesis are inhibited by each drug?

b) Which drug is more effective against bacteria?why?

c) Which drugs will have effects on the host’s cells?why

d) Use the index to identify the disease for which acyclovir is primarily used . Why is it more effective than erythromycin for treating this diseaese

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Puerto Rican Woman With Comorbid Addiction.

Examine Case Study: A Puerto Rican Woman With Comorbid Addiction. You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes.

At each decision point stop to complete the following:

  • Decision #1
    • Which decision did you select?
    • Why did you select this decision? Support your response with evidence and references to the Learning Resources.
    • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
    • Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different?
  • Decision #2
    • Why did you select this decision? Support your response with evidence and references to the Learning Resources.
    • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
    • Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different?
  • Decision #3
    • Why did you select this decision? Support your response with evidence and references to the Learning Resources.
    • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
    • Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?

Note: Support your rationale with a minimum of three academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement.

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Healthcare policy concern

Healthcare policy concern :Crosswalk safety (Community based concern)

Type of Service

Research Paper

Urgency 6 to 10 hours.

Citation Style

APA Style

No. of Pages/Wordcount

6 page(s)/1650 Words

No. of Sources/References

6

English UK/US/AU?

English US

Description

Paper is about policy concern crosswalk safety in prince georges county (maryland).

Identify community based healthcare policy concern, propose a policy change with evidenced-based foundation, (define: health care policy, role of advocacy and how it can impact healthcare policy, explain how the role of advocacy is consistent with the responsibility of an advance practice nurse. solution to the healthcare concern, positive outcome if implemented, what changes would need to occur, what measurable action will demonstrate a positive outcome, two challengess to implement the proposed solution, and how they can be avoided or resolved.

Please APA format, 6 pages, 6 research-based scholarly references with in the last past 5 years of which 2 references are mpirical evidence from state and county website data. I leave in Maryland (Prince Georges county) . propose a solution, The outcome is to improved health

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Democracies

  ******Due in 8-10 hours.

Discussion 1 (250-300 words, 2-3 credible references in APA)

“Democracies change their policies almost entirely through incremental adjustment. Policy does not move in leaps and bounds” thereby ensuring the stability of government (Miyakawa, 1999, p. 298).

In light of this classic quote, what incremental gains have been made by passage and implementation of the ACA, and what additional reforms will be necessary to move further toward health care access for all?

Reference: Miyakawa, T. (1999). The science of public policy: Essential readings in policy sciences I. New York: Taylor & Francis.

Discussion 2 (250-300 words, 2-3 credible references in APA)

Keeping in mind the case of the home health agency that we have discussed since Module 1. As Sara’s supervisor, how would you approach her case to ensure timely solution is implemented in regards to the concern of disease outbreak? What are the limitations of your approach?

Module 1 Case

Your supervisor told you that she recently received a call from an advocate whom an employee consulted via the Employee Assistance Program because the employee felt that she had been treated unfairly after contracting an illness. She explained that a few months ago, one of your agency’s home health aides, Sara, became ill. Sara had been coughing for approximately six weeks, lost weight without trying, had no appetite, was having difficulty sleeping, and had an intermittent fever. She became concerned and went to see a healthcare professional who diagnosed her with active tuberculosis (TB).

Sara missed a lot of time from work while completing treatment for TB. Her physician cleared her to return to work after she was no longer contagious. Upon returning to work, Sara felt isolated because her boss and co-workers refused to spend time with her. She heard that someone from the agency’s Human Resources Department told her co-workers her diagnosis. The stressful circumstances at work became even worse when another home health aide started to display the same symptoms Sara had.

Your supervisor has asked you to review the entire situation and how it was handled by the agency. Each module includes information about epidemiology, health statistics, public health, health communication and advocacy, health literacy, healthcare delivery systems, the Affordable Care Act, ethical considerations, human resources management, legal aspects, cultural and global perspectives, and financial considerations for the organization.

Your methodology over the next few weeks will be to arrange interviews with the relevant individuals, departments, and agencies, in addition to researching professional and scholarly sources, educational videos, and news articles. You will evaluate the information you gather throughout the course of your investigation in order to determine the best course of action. Ultimately, the information will be used to formulate policies and create an employee education presentation.

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Health History and Medical Information

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. C., 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. C., a 32-year-old single male, is seeking information at the outpatient center regarding possible bariatric surgery for his obesity. He currently works at a catalog telephone center. He reports that he has always been heavy, even as a small child, gaining approximately 100 pounds in the last 2-3 years. Previous medical evaluations have not indicated any metabolic diseases, but he says he has sleep apnea and high blood pressure, which he tries to control by restricting dietary sodium. Mr. C. reports increasing shortness of breath with activity, swollen ankles, and pruritus over the last 6 months.

Objective Data:

  1. Height: 68 inches; weight 134.5 kg
  2. BP: 172/98, HR 88, RR 26
  3. 3+ pitting edema bilateral feet and ankles
  4. Fasting blood glucose: 146 mg/dL
  5. Total cholesterol: 250 mg/dL
  6. Triglycerides: 312 mg/dL
  7. HDL: 30 mg/dL
  8. Serum creatinine 1.8 mg/dL
  9. BUN 32 mg/dl

Critical Thinking Essay

In 750-1,000 words, critically evaluate Mr. C.’s potential diagnosis and intervention(s). Include the following:

  1. Describe the clinical manifestations present in Mr. C.
  2. Describe the potential health risks for obesity that are of concern for Mr. C. Discuss whether bariatric surgery is an appropriate intervention.
  3. Assess each of Mr. C.’s functional health patterns using the information given. Discuss at least five actual or potential problems can you identify from the functional health patterns and provide the rationale for each. (Functional health patterns include health-perception, health-management, nutritional, metabolic, elimination, activity-exercise, sleep-rest, cognitive-perceptual, self-perception/self-concept, role-relationship, sexuality/reproductive, coping-stress tolerance.)
  4. Explain the staging of end-stage renal disease (ESRD) and contributing factors to consider.
  5. Consider ESRD prevention and health promotion opportunities. Describe what type of patient education should be provided to Mr. C. for prevention of future events, health restoration, and avoidance of deterioration of renal status.
  6. Explain the type of resources available for ESRD patients for nonacute care and the type of multidisciplinary approach that would be beneficial for these patients. Consider aspects such as devices, transportation, living conditions, return-to-employment issues.

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.

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