One of the five elements of emotional intelligence is self-awareness. What behaviors would someone with strong self-awareness demonstrate within the context of leading and managing groups? Provide an example.
Discuss how the concept of “health” has changed overtime. Discuss how the concept has evolved to include wellness, illness, and overall well-being. How has health promotion changed over time? Why is it important that nurses implement health promotion interventions based on evidence-based practice?
See attachments.
The case scenario provided will be used to answer the discussion questions that follow.
Case Scenario
Mr. C., a 32-year-old single man, is seeking information at the outpatient center regarding possible bariatric surgery for his obesity. He reports that he has always been heavy, even as a small child, but he has gained about 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 with sodium restriction. He current works at a catalog telephone center.
Objective Data Height: 68 inches; Weight 134.5 kg BP: 172/96, HR 88, RR 26 Fasting Blood Glucose: 146/mg/dL Total Cholesterol: 250mg/dL Triglycerides: 312 mg/dL HDL: 30 mg/dL
Critical Thinking Questions
What health risks associated with obesity does Mr. C. have? Is bariatric surgery an appropriate intervention? Why or why not?
Mr. C. has been diagnosed with peptic ulcer disease and the following medications have been ordered: Magnesium hydroxide/aluminum hydroxide (Mylanta) 15 mL PO 1 hour before bedtime and 3 hours after mealtime and at bedtime. Ranitidine (Zantac) 300 mg PO at bedtime. Sucralfate/Carafate 1 g or 10ml suspension (500mg / 5mL) 1 hour before meals and at bedtime.
The patient reports eating meals at 7 a.m., noon, and 6 p.m., and a bedtime snack at 10 p.m. Plan an administration schedule that will be most therapeutic and acceptable to the patient. Assess each of Mr. C.’s functional health patterns using the information given. (Hint: 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.) What actual or potential problems can you identify? Describe at least five problems and provide the rationale for each.
MEDICAL MYSTERY FOR CHAPTER 2: Maddy
Her mother noticed that Maddy was not eating well and seemed to be sick more often than her brothers. She had more than her share of respiratory infections, and despite all the antibiotics, these conditions persisted. Maddy’s mother noticed that her stools sometimes smelled bad, but their general practitioner said that this was probably due to a change in her diet. Despite regular visits to the doctor, Maddy’s chest was always congested. Recently, the doctor found some polyps in her nose and said that Maddy had developed an allergy that was the most likely reason for all her symptoms. Her mother was not satisfied and became worried because Maddy was not gaining weight and was very lethargic. Even during simple play with her brothers, she was always out of breath. Finally, Maddy’s mother decided to seek out a pediatric specialist.
THE EVALUATION
When I saw Maddy at our outpatient clinic at the children’s hospital, I noticed that she was underweight and looked ill. She also appeared dehydrated, so I decided to admit her for inpatient care. Her mother said that Maddy was the only sickly child in the family and that there was nothing unusual in their family history. A chest x-ray revealed that Maddy has had recurrent lung infections, so I ordered additional x-rays of her thoracic cavity. I decided to also evaluate the amount of salt in the sweat on Maddy’s skin. While I waited for these results, I also decided to do some genetic tests on a sample of Maddy’s blood. When these test results came back, I asked that the other children in the family be evaluated using the sweat test. Their results did not reveal unusually high levels of salt.
THE DIAGNOSIS
I had the difficult task of telling Maddy’s mother that her daughter has cystic fibrosis (CF). An inherited condition, CF affects the cells that produce mucus, sweat, saliva, and digestive juices. Normally, these secretions are thin and slippery, but in CF, a defective gene causes the secretions to be thick and sticky. Instead of acting as a lubricant, the secretions plug up tubes, ducts, and passageways, especially in the pancreas and lungs. Difficulty in breathing is the most common presentation, along with excess salt in the sweat and foul-smelling, greasy stools.
Both of Maddy’s parents turned out to be carriers of the CF gene. Because the gene is recessive, it can only produce the disease if a child receives the gene from each parent. Maddy was unlucky enough to have this happen.
THE TREATMENT
Although CF shortens the life span of those it affects, early diagnosis and a comprehensive treatment plan can improve both survival rate and quality of life. I told Maddy’s mother that her daughter would need antibiotics for her lung infections and physical therapy to help her cough up the thick secretions. In addition, I prescribed some medications that would make her breathing easier. I recommended that the mother give Maddy special enzymes to allow her to absorb food better, and encouraged her to give Maddy a high-calorie diet. I told her that Maddy must be regularly seen in the CF clinic and that other treatment options would be discussed in due time.
CASE CLOSED
When I saw Maddy again 6 months later, both she and her mother were still learning to live with her condition and with her daily medical regimen. Maddy continues to be small for her age, but is not shy about expressing her opinions. Her older brothers have become very protective of their little sister now that they realize how vulnerable she is to lung infections. Although only about half of those diagnosed with CF as infants or young children live beyond their late twenties, this percentage is rising as an increasing number of patients survive into adult life. It is possible that in the future, she will be a candidate for a lung transplantation, which might extend her life considerably.
Discussion Questions Cystic fibrosis is a genetic disorder. What does this mean? Can you name two other genetic disorders? The doctor requested x-rays of Maddy’s thoracic cavity. What is this? The CF gene is recessive. What does this mean?
The practice of using herbal supplements dates back thousands of years. Today, there is a renewal in the use of herbal supplements among American consumers. However, herbal supplements are not for everyone. In fact, some herbal products may cause problems for people treatments for chronic ailments. Because they are not subject to scrutiny by the FDA or other governing agencies, the use of herbal supplements is controversial.
Herbal supplements are products made from plants for use in the treatment and management of certain diseases and medical conditions. Many prescription drugs and over-the-counter medicines are also made from plant derivatives. These products contain only purified ingredients and, unlike herbal supplements, are closely regulated by the FDA. Herbal supplements may contain entire plants or plant parts. Herbal supplements come in all forms: dried, chopped, powdered, capsule, or liquid, and can be used in various ways. Please address the followings:
1. Discuss advantages and disadvantages of dietary supplements, including adverse reactions, drug-drug interactions, drug-food interactions, and specific laboratory issues that may arise from using these products.
2. Discuss the position of the FDA and other governmental agencies on over the counter herbal supplements. Support your post with at least 2 evidenced-based guidelines published within the last 5 years.
APA 6th edition format.
Please review the following website for an example of an early childhood program: Primrose School at East Lake
In your paper: a.Explain how the role of the administrator is different from that of the teacher in program and curriculum planning.
b. Describe the learning and developmental needs of your chosen age group.
c. Analyze how your program will address the cognitive, social, emotional, and physical development of children in this age group (give specific curricular ideas for each area of development) as well as classroom management and the daily schedule.
d.Explain how your program aligns with the philosophy, vision, and mission statements you created in Week One.
e. Discuss how your program aligns with NAEYC’s indicators of effective curriculum, as outlined in Chapter 4 and found in the article, “Where We Stand on Curriculum, Assessment, and Program Evaluation.” The paper should be five to six pages in length, in addition to the title page and the reference page. Use at least one scholarly source in addition to your text and the NAEYC article. Your paper should also be formatted according to APA style as outlined in the Ashford Writing Center.
Original work only!!!
In China and Kramer (2014) reading, chapter 5 the authors discuss personal knowing and it’s on nursing theory and nursing practice. Chin, P. & Kramer, M. (2014) Integrated Theory and Knowledge Development in Nursing: Theory and Process. (9th Ed.);Elsevier.
1. What is personal knowing; how does your personal knowing affect your personal professional development?
2. Identify and discuss 2 professional strengths and 2 weaknesses that you have?
3. How can you apply nursing theory to Address your weaknesses and further develop your strength?
4. Be sure to supplement your discussion with personal and professional experiences.
MUST INCLUDE PEER REVIEWED JOURNAL TO SUPPORT YOUR POSITION
APA 6th ed. Include references and citations
Assignment 4.1: Urinary System Anatomy and Physiology
This assignment supports the following lesson objectives: Identify the anatomical structures of the urinary system and their functions Describe the composition of urine Explain the physiology of the urinary system
Assignment Overview
This presentation assignment explores the anatomy and physiology of the urinary system.
Deliverables
· A five-slide PowerPoint presentation
Activity Details
Perform the following tasks:
Step 1: Create a PowerPoint presentation
Create a five-slide PowerPoint presentation that covers the following topics:
o Anatomy of the urinary system
o Path of urine formation
o Composition of urine
Conduct research as necessary and include images in your slides (cite your sources). Be concise. Put detailed notes in the notes section of each slide.
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