You see a 3-year-old with hypertension (documented on three different visits) in your primary care clinic.

• Describe the workup, differential diagnoses, assessment, and management.
• How would your plan of care be different if the child were 10 years old?
• What risk factor counseling and advice would you include?

Read “M2 Dimick Sorting out Advance Directives_Journal of AHIMA HL.pdf” attached above. You are a Medical Records Technician at Northwestern Memorial Hospital.  One of your tasks is applying applicable laws, policies, and procedures for ROI. For each scenario, describe the decision you render.  Answer the two questions that follow.

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 Application of Course Knowledge: Answer all questions/criteria with explanations and detail.

1. Reflect on your learning experience in this course. Which concepts stood out to you and made an impact? How do you envision using these concepts in your future nursing practice as a master’s prepared nurse?   

The Hypersensitivity types, along with Urinary disorders stood out to me during this course due to the characteristics of the disease process and risk factors. I feel that I will be able to better diagnose and treat these disorders now that I have a better understanding of how they present and how to treat them. 

1. Describe how course learning activities and assignments will help you achieve Program Outcome 1: Provide high quality, safe, patient-centered care grounded in holistic health principles. 

Throughout this course, I learned how to better assess patient symptoms and signs of disease without being narrow-minded and thinking about all possible scenarios, and not only the ones that stick-out right away. 

1. Describe how course assignments or activities will help you achieve ONE of the sub-competencies from the advanced-level nursing education competencies from AACN Essentials Competency 1.3 Demonstrate clinical judgment founded on a broad knowledge base.

• 1.3d: Integrate foundational and advanced specialty knowledge into clinical reasoning.
• By being able to take assessment information and use it to come up with a diagnosis or disease process through critical thinking, pathophysiology, and previous disease process knowledge, one is able to better diagnose and treat the disease process. Using learned pathophysiology regarding disease processes and system awareness allows the advanced practice nurse to properly diagnose and treat the patient as a whole, including education, disease process, treatment, and follow-up care. 

 Consider one aspect of the future of work and society you would be most excited to see changed. What would need to be understood and/or done differently now in order for your hope for the future to be realised (min. 200 words)?