NUR 606 Week 6 Discussion 1 Question-Based Discussion

NUR 606 Week 6 Discussion 1 Question-Based Discussion

Due: In an effort to facilitate scholarly discourse, create your initial post by Day 3, and reply to at least two of your classmates, on two separate days, by Day 7.

Grading Category: Discussions

Initial Post

It is understood that thoughtful responses to your topic question(s) will take some time and thought. Please organize your thoughts before creating your initial post. To assist you in your work for this discussion, please use the worksheet linked in each of the team threads to organize your thoughts. Then simply copy and paste the text from the document into your initial post.

Based on your assigned team, create an initial post by answering ALL questions for your assigned case (Team A, B, or C), making sure to address all components of all questions.

By Day 3, post your initial response to your assigned case study as a new discussion thread. Please be sure to number the questions addressed and include all components of each question in your response. Each initial response must have a reference, including at least two scholarly references other than your textbook or course materials. Your post should be limited to 500 to 750 words and comprehensively address the questions posed.

Team A

1. Describe the three stages of hemostasis.
2. Explain the difference between the terms microcytic and megaloblastic. Identify one condition where each may occur.
3. Compare the general effects of the general states of anemia and polycythemia in terms of hemoglobin level, hematocrit, general appearance, and possible complications. There can be different causes for these conditions. Compare their general presentation, regardless of cause.
4. In patients with leukemia, the mouth and mucosa of the digestive tract are usually inflamed and ulcerated because of anemia, the effects of chemotherapy, and the presence of infections, such as candidiasis. Explain how this situation would affect food and fluid intake, and list some possible subsequent effects on the patient with leukemia.

Important information for writing discussion questions and participation

Welcome to class

Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to

I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly. I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you.

Please, be advised I do NOT accept any assignments by email. If you are having technical issues with uploading an assignment, contact the technical department and inform me of the issue. If you have any issues that would prevent you from getting your assignments to me by the deadline, please inform me to request a possible extension. Note that working fulltime or overtime is no excuse for late assignments. There is a 5%-point deduction for every day your assignment is late. This only applies to approved extensions. Late assignments will not be accepted.

If you think you would be needing accommodations due to any reasons, please contact the appropriate department to request accommodations.

Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.

Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.

I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!

Hi Class,

Please read through the following information on writing a Discussion question response and participation posts.

Contact me if you have any questions.

Important information on Writing a Discussion Question

• Your response needs to be a minimum of 150 words (not including your list of references)
• There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
• Include in-text citations in your response
• Do not include quotes—instead summarize and paraphrase the information
• Follow APA-7th edition
• Points will be deducted if the above is not followed

Participation –replies to your classmates or instructor

• A minimum of 6 responses per week, on at least 3 days of the week.
• Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
• Each response needs to be at least 75 words in length (does not include your list of references)
• Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
• Follow APA 7th edition
• Points will be deducted if the above is not followed

• Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
• Here are some helpful links
• The is a great resource

Team B

1. State three major functions of plasma proteins, and list the component responsible for each.
2. Explain the difference between petechiae and ecchymoses. Identify one condition where each may occur.
3. Explain how a deep vein thrombosis in a large vein in the leg can result in a life-threatening condition such as a stroke or myocardial infarction.
4. Katie has been diagnosed with leukemia, and she is wondering if it is safe to go to the dentist. Her WBC and platelet counts are still low from chemotherapy. What are the risks associated with invasive procedures while her counts are decreased? How would you explain these to Katie? Include discussion of why bleeding and multiple opportunistic infections are common in patients with leukemia.

Team C

1. Predict those organs that would be expected to have a large capillary network. What criteria did you use in making this prediction?
2. Explain the difference between leukocytosis and erythrocytosis. Identify one condition where each may occur.
3. Explain how DIC develops, and identify three signs of its development.
4. You are taking care of John, a 55-year-old male who has recently been diagnosed with myelodysplastic syndrome. He asks you what this means and if he is going to die. How will you explain the pathophysiology of this condition to John? What can you share with him about prognosis?

Replies

Select posts from two peers that addressed a case from a different team than you. For example, students from Team A reply to one post from Team B and one post from Team C. Each reply must use at least one scholarly reference other than your textbook.

Thinking about your certification track and anticipated practice area:

• Describe a patient that you might encounter where you could apply the information learned in your peer’s post.
• What “signs” and “symptoms” would you expect this patient to exhibit? Identify at least four, describe the finding, and classify each as subjective or objective data.

Please refer to the for details on how this activity will be graded. The described expectations meet the passing level of 80%. Students are directed to review the Discussion Grading Rubric for criteria which exceed expectations.

Posting to the Discussion Forum

1. Select the appropriate Thread.
2. Select Reply.
3. Create your post.
4. Select Post to Forum.

Please use this thread to create your reply posts, as indicated in the forum instructions.

1. Describe the three stages of hemostasis.
2. Explain the difference between the terms microcytic and megaloblastic. Identify one condition where each may occur.
3. Compare the general effects of the general states of anemia and polycythemia in terms of hemoglobin level, hematocrit, general appearance, and possible complications. There can be different causes for these conditions. Compare their general presentation, regardless of cause.
4. In patients with leukemia, the mouth and mucosa of the digestive tract are usually inflamed and ulcerated because of anemia, the effects of chemotherapy, and the presence of infections, such as candidiasis. Explain how this situation would affect food and fluid intake, and list some possible subsequent effects on the patient with leukemia.

1. Describe the three stages of hemostasis.

Hemostasis is the process of stopping bleeding. This occurs in three steps. First, in response to injury, the blood vessel vasoconstricts or spasms. This decreases blood flow to the area. Secondly, the thrombocytes adhere to underlying tissue at the site of the injury. Platelet plugs form during this step if the blood vessel is small. Finally, the blood clotting/ coagulation mechanism is activated. A cascade reaction by the different clotting factors occurs here to form a blood clot (Hubert & Van Meter, 2018).

2. Explain the difference between the terms microcytic and megaloblastic. Identify one condition where each may occur.

Microcytosis is when the red blood cell (RBC) size is smaller than the normal range. (Gotter, 2019). A condition where this may occur is in iron-deficiency anemia. Megaloblastic anemia is a form of anemia where the red blood cells are larger than normal and there is a decrease in the number of those cells. This is usually due to acquired deficiency in vitamin B12 or folic acid. Pernicious anemia is a type of megaloblastic anemia (Boston Children’s Hospital, 2017).

3. Compare the general effects of the general states of anemia and polycythemia in terms of hemoglobin level, hematocrit, general appearance, and possible complications. There can be different causes for these conditions. Compare their general presentation, regardless of cause.

In anemia, the hemoglobin and hematocrit levels are low. This can be due to a deficiency of a required nutrient such as iron, bone marrow function is impaired when there is excessive blood loss or a significant destruction of erythrocytes. The general appearance in patients with anemia are fatigue, pallor, dyspnea, and tachycardia, and chest pain (if severe). Possible complications for anemia are oxygen deficit, congestive heart failure if there is a significant reduction in oxygen supply to the heart, and decreased regeneration of epithelial cells may cause inflammation and ulcers in the digestive tract.

Polycythemia is when there is an increased number of erythrocytes. This causes the hemoglobin and hematocrit levels to be high. Patients with polycythemia appear plethoric and cyanotic. These patients are overfilled with blood. There is a bluish-red tone of the skin and mucosa. Patients may also experience pruritus, dyspnea, headaches, and visual disturbances. Possible complications from polycythemia are increased blood pressure, hepatomegaly, thrombosis and infarctions throughout the body, congestive heart failure, and joint pain if the uric acid levels are high (Hubert & Van Meter, 2018).

4. In patients with leukemia, the mouth and mucosa of the digestive tract are usually inflamed and ulcerated because of anemia, the effects of chemotherapy, and the presence of infections, such as candidiasis. Explain how this situation would affect food and fluid intake and list some possible subsequent effects on the patient with leukemia.

Food and fluid intake is limited in patients with leukemia who are experiencing an inflamed and ulcerated digestive tract, effects of chemotherapy, and the presence of infections such as candidiasis. This is because patients do not want to eat and drink if they do not feel well or know it will cause them pain and discomfort. This can lead to dehydration, weight loss, fatigue, fever, kidney stones, as well as an overall impaired ability to get better. The body requires hydration and nutrients to function, and if the body is deprived of that, it cannot do its intended job.

References:

Gotter, A. (2019). Everything You Need to Know About Microcytic Anemia. Healthline. https://www.healthline.com/health/microcytic-anemia

Hubert, R. J., & VanMeter, K. C. (2018). Pathophysiology Online for Gould’s Pathophysiology for the Health Professions (6th ed.). Elsevier.

Megaloblastic Anemia | Boston Children’s Hospital. (2017). Megaloblastic Anemia. https://www.childrenshospital.org/conditions-and-treatments/conditions/m/megaloblastic-anemia

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