• Review this week’s media presentation on the gastrointestinal system.
• Review Chapter 35 in the Huether and McCance text.  Identify the normal pathophysiology of gastric acid stimulation and  production.
• Review Chapter 37 in the Huether and McCance text.  Consider the pathophysiology of gastroesophageal reflux disease (GERD),  peptic ulcer disease (PUD), and gastritis. Think about how these  disorders are similar and different.
• Select a patient factor different from the one you  selected in this week’s Discussion: genetics, gender, ethnicity, age, or  behavior. Consider how the factor you selected might impact the  pathophysiology of GERD, PUD, and gastritis. Reflect on how you would  diagnose and prescribe treatment of these disorders for a patient based  on this factor.
• Review the “Mind Maps—Dementia, Endocarditis, and  Gastro-oesophageal Reflux Disease (GERD)” media in the Week 2 Learning  Resources. Use the examples in the media as a guide to construct a mind  map for gastritis. Consider the epidemiology and clinical presentation  of gastritis.

To Complete

Write a 2- to 3-page paper that addresses the following:

• Describe the normal pathophysiology of gastric acid  stimulation and production. Explain the changes that occur to gastric  acid stimulation and production with GERD, PUD, and gastritis disorders.
• Explain how the factor you selected might impact the  pathophysiology of GERD, PUD, and gastritis. Describe how you would  diagnose and prescribe treatment of these disorders for a patient based  on the factor you selected.
• Construct a mind map for gastritis. Include the  epidemiology, pathophysiology, and clinical presentation, as well as the  diagnosis and treatment you explained in your paper.

Instructions: Read Which Is the Most Influential Work of Art Of the Last 100 Years (Plagens, Peter, Newsweek, 7/2/2007, Vol. 150, Issue 2) and review ‘Picasso and American Art’ (Associated Press, 2006). These resources better explain how artists were influenced and inspired by other artists, social influences and cultures, including Picasso himself while painting “Les Demoiselles d’Avignon”. Write a 1-2 page paper discussing the following topics:

• How art was understood, appreciated and shared historically, both by artists and the general public
• How the discovery and appreciation of art has changed due to advances in technology
• How social and political happenings have influenced artists

You may use resources from the Rasmussen library. Use APA format for proper citation.

t 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.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Examine Case Study: An African American Child Suffering From Depression. 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?
• Also include how ethical considerations might impact your treatment plan and communication with clients

Rubric:

Assignment exceeds expectations. All topics are addressed with a minimum of 75% containing exceptional breadth and depth about each of the assignment topics.

A clear and comprehensive purpose statement is provided which delineates all required criteria.

Demonstrates the ability to critically appraise and intellectually explore key concepts.

Demonstrates and applies exceptional support of major points and integrates 2 or more credible outside sources, in addition to 2-3 course resources to suppport point of view.

Synthesizes and justifies (defends, explains, validates, confirms) information gleaned from sources to support major points presented. Applies meaning to the field of advanced nursing practice.

Paragraphs and sentences follow writing standards for structure, flow, continuity and clarity

Uses correct grammar, spelling, and punctuation with no errors.

Uses correct APA format with no errors.

References:

Stahl, S. M. (2013). Stahl’s essential psychopharmacology: Neuroscientific basis and practical applications (4th ed.). New York, NY: Cambridge University Press.

Note: To access the following chapters, click on the Essential Psychopharmacology, 4th ed tab on the Stahl Online website and select the appropriate chapter. Be sure to read all sections on the left navigation bar for each chapter.

• Chapter 6, “Mood Disorders”
• Chapter 7, “Antidepressants”

References:

Stahl, S. M. (2014b). The prescriber’s guide (5th ed.). New York, NY: Cambridge University Press.

Note: To access the following medications, click on the The Prescriber’s Guide, 5th ed tab on the Stahl Online website and select the appropriate chapter. Be sure to read all sections on the left navigation bar for each chapter.

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).