Day: November 4, 2020

An understanding of the factors surrounding womens and mens health, infections, and hematologic disorders can be critically important to disease diagnosis and treatment in these areas. This importance is magnified by the fact that some diseases and disorders manifest differently based on the sex of the patient.

Effective disease analysis often requires an understanding that goes beyond the human systems involved. The impact of patient characteristics, as well as racial and ethnic variables, can also have an important impact..

An understanding of the symptoms of alterations in systems based on these characteristics is a critical step in diagnosis and treatment of many diseases. For APRNs, this understanding can also help educate patients and guide them through their treatment plans.

SCENARIO :
A 14-year-old female is brought to the Urgent Care by her mother who states that the girl has had an abnormal number of bruises and funny looking red splotches on her legs. These bruises were first noticed about 2 weeks ago and are not related to trauma. Past medical history not remarkable and she takes no medications. The mother does state the girl is recovering from a bad case of mono and was on bedrest at home for the past 3 weeks. The girl noticed that her gums were slightly bleeding when she brushed her teeth that morning. 

Labs at Urgent Care demonstrated normal hemoglobin and hematocrit with normal white blood cell (WBC) differential. Platelet count of 100,000/mm3 was the only abnormal finding. The staff also noticed that the venipuncture site oozed for a few minutes after pressure was released. The doctor at Urgent Care referred the patient and her mother to the ED for a complete work up of the low platelet count including a peripheral blood smear for suspected immune thrombocytopenia purpura (ITP).

QUESTIONS TO ADDRESS:
Why a patient would need a splenectomy after a diagnosis of ITP.
Anemia and the different kinds of anemia (i.e., micro and macrocytic).

RUBRIC:

Develop a  2-page case study analysis, examining the patient symptoms presented in the case study. Be sure to address the following as it relates to the case you were assigned

Explain why a patient would need a splenectomy after a diagnosis of ITP

Explain anemia and the different kinds of anemia (i.e., micro and macrocytic).

Written Expression and Formatting – Paragraph Development and Organization:

Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focusedneither long and rambling nor short and lacking substance.

A clear and comprehensive purpose statement and introduction are provided that delineate all required criteria.
Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running heads, parenthetical/in-text citations, and reference list.

As an accelerated Nursing student who will be taking both undergraduate and graduate-level classes over the course of your program, it is expected that you possess solid academic/scholarly writing skills. To demonstrate this proficiency, you are required to write and submit a paper in this course.

Investigate a future role in nursing that is interesting to you.  Write a two-three page paper, plus title and reference pages, describing your topic.
Provide some discussion/analysis/context of why this role is of interest to you.
Please format paper per APA guidelines for formatting and citation of sources as failure to do so will strongly impact your grade. Papers containing excessive formatting, organizational or grammatical errors will be given an unsatisfactory grade and students will be referred to the GWU Academic Writing Center for writing assistance. Proof of a meeting with the Writing Center will allow the student (with an unsatisfactory grade) to earn 5 additional points on the paper grade.
First-person Point of View (POV) is acceptable as long as the tone is scholarly vs. conversational. Remember to follow grammatical rules for paragraph structure, spelling, and punctuation.
Include at least three current, peer-reviewed scholarly references FROM THE NURSING LITERATURE in your paper (no older than five years).
Remember to include a title and reference page per APA guidelines.

Sample paper provided.

Required Assignment Topic
Select ONE of the Health Conditions or Health Behaviors for the focus of your assignment through the Healthy People 2030 link below. Uploaded is the template to use for this project. This is the best thing to use

https://health.gov/healthypeople/objectives-and-data/browse-objectives (Diabetes)

Write a patient scenario using the Required Assignment Topic.
Make sure to include a Healthy People 2030 Health Condition (Diabetes)  in the scenario for a patient with a desire to maintain or achieve good health and prevent illness and who could benefit from an already developed and reliable mHealth app.

Choose a scholarly peer-reviewed journal article published within the last 5 years and related to the health condition or health behavior in your scenario. . Cite this in APA 7th edition format in this section of the assignment.

Describe in detail the plan for teaching this patient in the scenario.
Include the nurse’s assessment of learning needs and readiness to learn.

Identify a mHealth app that could benefit the patient, considering the teaching/learning needs you identified.
Describe the app including the mHealth app name, purpose, intended audience, mobile device(s) upon which it will operate, and where to download or obtain it. Add any other information you believe would be pertinent to this situation.
Include a working link if it is to be downloaded from a website in the area indicated on the template. 
Make sure to add a citation for this mHealth app in APA format.  The directions and example of how to cite a mobile app are located on page 340 of the APA Manual, 7th edition.