A 52-year-old male patient who is a house painter presents to the office reporting chronic fatigue and mild chest pain. When he is painting, the chest pain is relieved after taking a break. He reports that the pain usually lasts 5 minutes or less and occasionally spreads to his left arm before subsiding.
      The patient was last seen 3 years ago by you, and you recommended diet changes to manage mild hyperlipidemia, but the patient has gained 30 pounds since that time. The patients medical history includes anxiety, vasectomy, cholecystectomy, and mild hyperlipidemia. The patient does not smoke or use other tobacco or nicotine products.
      The patient cares for his wife, who has multiple sclerosis and requires 24-hour care. His daughter and grandson also live with the patient. His daughter assists with the care of his wife, and his job is the major source of income for the family.

      The initial vital signs are: blood pressure 158/78, heart rate 87, respiratory rate 20, and body mass index 32. As part of the diagnostic work-up, an ECG, lipid levels, cardiac enzymes, and C-reactive protein (CRP) are ordered. The patient reports that he does not have time to be sick and says that he needs to take care of everything during this visit so he can return to work and care for his wife.

1. What additional information should you obtain about the pain the patient is experiencing?
2. What additional physical assessments need to be completed for this patient?
3. What considerations are important to remember if the CRP level is elevated for the patient?
4. What differential diagnoses should be considered for the patient (4 minimum)?
5. What patient teaching will be incorporated into the visit to modify the patients risk factors?
6. How will you respond to the patients statement that he doesnt have time to be sick and needs to take care of everything during this visit?

Include Title Page, Introduction, Headings, and References.

REFERENCES (APA 7th ed. formatting, at least 3-4 peer-reviewed scholarly articles, current within the past 5 years.)

The paper should be written at a Master’s level, be APA 7 formatted, and will be checked by Turn-it-in and Grammarly for plagiarism.

Chosen topic is Health Care Reform: Dismantling the ACA. This is a Professional Issue Paper. Textbook should be used. Must use a minimum of 6 peer-reviewed articles/books/scholarly references, websites can be used in addition to support topic. I would prefer for the paper to reflect the view that there is a need for significant change to the U.S. healthcare system and the ACA has left many americans in a unique healthcare disparity pointing out how many people are still uninsured and unable to afford their medications, treatments, and how this impacts their health. Would like to propose necessary changes or suggest better ideas.

A needs assessment was conducted in a long term care facility regarding knowledge, confidence level ,attitude and use of nonpharmacologic approaches in dementia person.

The result: more education is needed in the facility.

Their confidence level with working with people with dementia varies.

the more years working and the more experienced  at the facility, they are more equipped to identify behavioral and psychological symptoms of dementia and provide better care.

What type of educational program that can be included to address confidence and knowledge.

  National descriptive data about certified nursing assistant, licensed practical nurses and registered nurses in terms of education

The instructions for the work is included in the file plus an example ( but not related to the topic). A synapsis of the topic is on top.

Implication for advanced nursing practice
1. Nursing practice
2. Healthcare outcomes
3. Healthcare delivery
4. healthcare policy
5. future research

EACH SUBTYPES 4 TO 5 SENTENCES MORE OR LESS

INTRODUCTION OUTLINE (DRAFT)
_______________________________________________________________________________________________
The following is an outline of the thesis introduction which is entitled, Introduction, Chapter 1.
Community Health Research
Thesis Chapter 1
On the cover page of the thesis, write the research question, running head, and other pertinent information.
      2.  Background – Write a few sentences summarizing the background of the qualitative study
Theoretical Background Write a few sentences explaining the model, framework, or theory used to support the research? Write one sentence about the target population, where the study will be conducted, how will the population be recruited, and explain the type of study being conducted.
Purpose of the Study Write one sentence why the research is important, target population, type of study, recruitment, location, and the number of participants.
Significance Write one sentence explaining the contributions of the study.
    6.  Specific Aims -What did the study attempt to determine? Give three specific aims of the study. Start the sentence by saying,
To determine ..
To determine .
To determine
        7.  Terminology List the terminology you think is useful to have the readers understand the material. The original article critique assignment was changed to INTRODUCTION OUTLINE (DRAFT) TBA due to the transition of in-person classes to online.

Below are assignments that were done in class to help with the thesis that needs use
NAME –    Francina
AREA OF INTEREST    -Breast Cancer
POPULATION / SAMPLE    -Women
Recruitment Selection Criteria    18-44 age
Select Exposures/Risk Factors/ -Race, genetics, use of health care services.   
What is unique about your study? -Why women of color at risk?   
Themes for the Literature Review/Chapter 2 -Race, genetics, use of health care services, family history, tobacco, obesity.

any article can be used on Breast Cancer- google scholar