Part 1: Pathophysiology

1.  Discuss how elimination complexities can affect the lives of patients and their families.

2. Discuss the nurse’s role in supporting the patient’s psychological and emotional needs.

3. Provide an example.

Part 2: Pathophysiology

1. Discuss how functional patterns help a nurse understand the current and past state of health for a patient.

2. Using a condition or disease associated with an elimination complexity, provide an example.

Part 3: Pathophysiology

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 a 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.

a. Discuss whether bariatric surgery is an appropriate intervention.

3. Assess each of Mr. C.’s functional health patterns using the information given.

a. 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.

a. 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.

a.  Consider aspects such as devices, transportation, living conditions, return-to-employment issues.

Part 4: Primary of care of children

Topic: Otitis media

Focusing on the pediatric patient

1. Explain the pediatric condition, include:

a. Pathophysiology

b. Physical exam findings

c. 3 Differential diagnoses and rationale

d. Management plan to focus on pharmacotherapy agents based upon evidence-based practice guidelines

2. Discuss the current evidence-based recommendations by leading pediatric experts and professional organizations.

3.Discuss on guidelines for pediatric healthcare providers prescribing medications to the young pediatric patient.

Part 5: Advance Family Practicum

Parts 5 and 6 are the same question, however, you must answer both questions with references and different writing always addressing them objectively, that is as if you were two different people. Similar responses in wording or references will not be accepted.

Topic: Health care reform and role of NP

According to these resources and others, answer:

1. How Healthcare reform is impacting primary care from your role as NP?

https://www.ajmc.com/contributor/sophia- bernazzani/2016/03/how-healthcare-reform-is-impactingprimarycare

2. What the health is going from 2018 to now?

Healthcare reform 101: What health is going on in 2018?

https://www.youtube.com/watch?v=cwTWhwWLzHQ

3. How the transformation of health care and the change of roles in health care affect NPs and patients?

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5266427/pdf/ornur3612.pdf

Part 6: Advance Family Practicum

Parts 5 and 6 are the same question, however, you must answer both questions with references and different writing always addressing them objectively, that is as if you were two different people. Similar responses in wording or references will not be accepted.

Topic: Health care reform and role of NP

According to these resources and others, answer:

1. How Healthcare reform is impacting primary care from your role as NP?

https://www.ajmc.com/contributor/sophia- bernazzani/2016/03/how-healthcare-reform-is-impactingprimarycare

2. What the health is going from 2018 to now?

Healthcare reform 101: What health is going on in 2018?

https://www.youtube.com/watch?v=cwTWhwWLzHQ

3. How the transformation of health care and the change of roles in health care affect NPs and patients?

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5266427/pdf/ornur3612.pdf