NSG 6005 Week 7 Assignment 1 Discussion SU

NSG 6005 Week 7 Assignment 1 Discussion

Select one of the two questions from the discussion questions listed below .By Week 7, Day 3, respond to the selected discussion question and submit your response to this Discussion Area .
Be sure to respond to the question using the lessons and vocabulary found in the reading .Justify your answers using examples and reasoning .Support your answers with examples and research and cite your research using APA format .
Start reviewing and responding to the postings of your classmates as early in the week as possible .Respond to at least two of your classmates’ posts .Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion .
Discussion Question 1
EP is a fifty-year-old woman who reports experiencing two to three hot flashes per day, occasionally associated with insomnia .She also states she is awakened from sleep about two to three times per week, needing to change her bedclothes and linens due to sweating .Her symptoms began about three months ago, and over that time, her symptoms have worsened to the point where they have become very bothersome .She is concerned about starting any hormonal treatment because she has read news stories that the medication is not safe .She has been successfully treated for depression and is currently doing well on paroxetine .Her current medications include omeprazole 20 mg daily, paroxetine 20 mg, Synthroid 0 .075 mg daily, and hydrochlorothiazide 25 mg daily .Her physical exam is normal; her blood pressure is 128/86, her pulse is 78, and her body mass index (BMI) is 30 .5 .Answer the following questions:
Is there any additional information you would want to collect?
What are the variables you would take into account before deciding how to help her?
What treatment will you recommend?
What nonpharmacological treatment would you suggest?
For medications, include dosages and schedules .Include highlights of patient teaching and/or lifestyle alterations .Support your decisions with at least one reference to a published clinical guideline and one peer-reviewed publication .
Discussion Question 2
VG is a thirty-one-year-old female who comes in for a routine follow-up .She reports that she has been feeling excessive fatigue over the last month .She also notes that she is having some problems at work, not only because of her fatigue but also because of difficulty concentrating .She also notes that she has gained 10 pounds over the last month, and she is unable to identify the cause of the weight gain .She also notes that her periods are a little heavier and more irregular .She is currently taking daily ferrous sulfate and over-the-counter calcium .According to her medical record, she had a TSH level of 4 .2 mIL/L about a year ago .Although this is slightly elevated, no further follow-up was deemed necessary at the time .Repeat blood work today reveals a TSH level of 9 .8 mIL/L and a free T4 of 0 .72 ng/dL .Answer the following questions:
What additional findings on the physical exam would you look for?
What implication does the previous TSH level have?
What therapy would you institute?
If VG becomes pregnant, what adjustment, if any, would be needed in her thyroid medication?

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.

Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.

One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.

I encourage you to incorporate the readings from the week (as applicable) into your responses.

Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately.

In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.

Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).

Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

APA Format and Writing Quality

Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).

Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.

I highly recommend using the APA Publication Manual, 6th edition.

Use of Direct Quotes

I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.

As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.

It is best to paraphrase content and cite your source.

LopesWrite Policy

For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.

Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.

Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?

Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

Late Policy

The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.

Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.

If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.

I do not accept assignments that are two or more weeks late unless we have worked out an extension.

As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

Communication

Communication is so very important. There are multiple ways to communicate with me:

Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.

Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.