In this module, you begin laying the foundation for your academic and professional success. Your efforts begin with a vision that includes your own definition of success. Your vision may vary from those of your colleagues, but this does not mean you have to take these first steps alone.
SEARCH-BASED QUESTIONS
Topic Gestational Hypertension & Preeclampsia ACOG Practice Guideline #222
Please provide a personal statement that addresses your background, reasons for transferring, and the personal, academic and professional objectives you hope to achieve if admitted into University. (Maximum 1500 characters)*
0 word 0/1500
LINKING AREAS OF FOCUS INTO FUTURE PLANS FOR THE DNP
So I chose Schizophreniform Disorder on pages 96-104
Name:
Introduction
Janet is a 38-year-old mother of three who has experienced gradual weight gain after the birth of each of her children. Janet is 5 feet 4 inches tall and currently weighs 235 pounds. She works as an accountant sitting at a desk all day crunching numbers. Her days are long, and her job is stressful.
Janet states that she does not engage in regular exercise, feels tired, and does not have much time to prepare healthy meals. On her way home, she often stops for fast food take-out for herself and family. Since she feels tired often, she drinks 24 ounces of cola daily to keep her “energized.” For breakfast, she loves to stop at Dunkin Donuts for her donut and coffee. After dinner, she consumes 2 bowls of chocolate ice cream to manage her stress.
At bedtime, Janet has trouble falling asleep and gets about 5 hours of sleep a night. Her children report that she snores loudly.
Her recent physical at the doctor revealed that Janet is prediabetic with the following lab results:
Blood pressure = 170/90 mmHg
Cholesterol = 250 mg/dl
LDL Cholesterol = 172 mg/dl
HDL Cholesterol = 38 mg/dl
Fasting blood glucose = 110 mg/dl
Number of calories ingested = 2858
Number of calories expended = 1090
Part A. Summary
Summarize Janet’s issues and constraints.
Part B. Discussion Questions
Answer the following questions in complete sentences.
1. Based on Janet’s height and weight, what BMI category does this place her in? How does this affect her daily life?
2. Looking at the number of calories Janet has ingested and expended, will Janet be in energy balance, energy deficit, or energy excess? Explain why.
3. Based on Janet’s lab values, is Janet at risk for heart disease? Explain what factors are putting Janet at risk.
4. Identify
3 environmental factors that have put Janet in an energy imbalance. With
each environmental factor,
explain how each factor is causing the energy imbalance.
|
Environmental Factor |
Causes |
5. To help Janet with long term weight loss, there are
three areas that Janet needs to adjust according to your textbook. What are the three areas?
With
each area, explain two
specific ways to accomplish this based on Janet’s habits. Be sure to provide workable solutions for her considering the constraints you identified in Part A.
|
Area to Adjust |
How to Accomplish |
Part C: Debrief
Based on what you learned in this course, what is the root cause of Janet’s symptoms and lab values? What is the role that nutrition plays in this cause? Explain your answer.
Re-read Two Points of View–Are High Protein, Low Carbohydrate Diets Good for You? in your text. Then answer the following prompts:
Read the following case study and answer the reflective questions. Please provide evidence-based rationales for your answers. APA, 7th ed. must be followed.
Preparing the Discussion
You are a family nurse practitioner working in an outpatient primary care office of a large hospital system. The practice has been operating for over 15 years, and many of the administrative and clinical staff were hired when the practice opened. You have been in the practice for less than 3 months. In that short amount of time, you have witnessed several of the clinical staff engaging in heated arguments with each other, sometimes in patient areas. You overhear an argument occurring today between two staff. You pick up a patient's chart and notice a very low blood pressure that the medical assistant failed to notify you about. When you confront the MA, she states that she was going to report the vital signs to you when she became engaged in the heated argument you overheard and forgot to notify you.
Unfortunately, this pattern of behavior is not unusual in this practice. Working with staff who cannot cooperate effectively can negatively influence your ability to spend time with patients, can impede the flow of patients through the office, and could impact patient safety.
Case Study Responses:
1. Analyze the case study for potential issues for members of the healthcare team from office conflict. Contrast the potential effects for each member of the healthcare team based on the required readings from the week. Discuss the potential ethical and legal implications for each of the following practice members:
· Medical assistant
· Nurse Practitioner
· Medical Director
· Practice
2. What strategies would you implement to prevent further episodes of potentially dangerous patient outcomes?
3. What leadership qualities would you apply to effect positive change in the practice? Focus on the culture of the practice.
4. A scholarly resource must be used for EACH discussion question each week.
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