STEP 1 – Topic

Post your topic for the PowerPoint Presentation here.

Instructions:

1. Post your CAM topic for the PowerPoint Presentation in both the Subject line and Body of this discussion.
2. Each student has to work on a different topic.
3. Below is a list of some possible topics. There is also the Additional Types of Manual Therapy list.  Look over the lists and think about other topics or techniques in CAM.
   • Acupuncture
   • Water Therapy
   • Rolfing Herb
   • Therapy Yoga

STEP 2 – PPTs

Instructions:

1. Submit your 8 – 10 slide PowerPoint presentation summarizing the type of CAM you selected from STEP 1.
2. When you prepare your PowerPoint, be sure that the viewer will know the following six (6) items:
   1. What the CAM practice actually is?
   2. Who are its practitioners?
   3. How it is typically used?
   4. Why people use this type of CAM?
   5. Its current status in the Medical world.
   6. What evidence is there that supports its use?
3. If you use graphics in your presentation, please be sure that they are small in size and suitable for the PowerPoint format.
4. Title your presentation with the subject of your presentation, and attach it in this Discussion Forum.
5. Be sure to:
   • Proofread your PowerPoint Presentation before submitting. You will not be able to edit once you submit.
   • Type the title of your presentation in the subject line.
   • Use standard English grammar and spelling in your responses.

Discussion 4

Gastrointestinal Function:
R.H. is a 74-year-old black woman, who presents to the family practice clinic for a scheduled appointment. She complains of feeling bloated and constipated for the past month, some-times going an entire week with only one bowel movement. Until this episode, she has been very regular all of her life, having a bowel movement every day or every other day. She reports straining most of the time and it often takes her 10 minutes at a minimum to initiate a bowel movement. Stools have been extremely hard. She denies pain during straining. A recent colonoscopy was negative for tumors or other lesions. She has not yet taken any medications to provide relief for her constipation. Furthermore, she reports frequent heartburn (3–4 times each week), most often occur-ring soon after retiring to bed. She uses three pillows to keep herself in a more upright position during sleep. On a friend’s advice, she purchased a package of over-the-counter aluminum hydroxide tablets to help relieve the heartburn. She has had some improvement since she began taking the medicine. She reports using naproxen as needed for arthritic pain her hands and knees. She states that her hands and knees are extremely stiff when she rises in the morning. Because her arthritis has been getting worse, she has stopped taking her daily walks and now gets very little exercise.

Case Study Questions

1. In your own words define constipation and name the risk factors that might lead to develop constipation. List recommendations you would give to a patient who is suffering from constipation. You might use a previous experience you might have.
2. Based on the clinical manifestations on R.H. case study, name and explain signs and symptoms presented that are compatible with the constipation diagnosis. Complement your list with signs and symptoms not present on the case study.
3. Sometimes as an associate diagnosis and a complication, patients with constipation could have anemia. Would you consider that possibility based on the information provided on the case study?

Endocrine Function:
C.B. is a significantly overweight, 48-year-old woman from the Winnebago Indian tribe who had high blood sugar and cholesterol levels three years ago but did not follow up with a clinical diagnostic work-up. She had participated in the state’s annual health screening program and noticed that her fasting blood sugar was 141 and her cholesterol was 225. However, she felt “perfectly fine at the time” and could not afford any more medications. Except for a number of “female infections,” she has felt fine until recently. Today, she presents to the Indian Hospital general practitioner complaining that her left foot has been weak and numb for nearly three weeks and that the foot is difficult to flex. She denies any other weakness or numbness at this time. However, she reports that she has been very thirsty lately and gets up more often at night to urinate. She has attributed these symptoms to the extremely warm weather and drinking more water to keep hydrated. She has gained a total of 65 pounds since her last pregnancy 14 years ago, 15 pounds in the last 6 months alone.

Case Study Questions

1. In which race and ethnic groups is DM more prevalent? Based on C.B. clinical manifestations, please compile the signs and symptoms that she is exhibiting that are compatible with the Diabetes Mellitus Type 2 diagnosis.
2. If C.B. develop a bacterial pneumonia on her right lower lobe, how would you expect her Glycemia values to be? Explain and support your answer.
3. What would be the best initial therapy non-pharmacologic and pharmacologic to be recommended to C.B?

Submission Instructions:

• You must complete both case studies.
• Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

 You are to begin a bibliography review on your drug of choice (famotidine) for a PowerPoint Presentation  and Scholarly Writing Project.  

Review a minimum of five academic articles and begin to map out your research on the drug famotidine by creating a table that includes the information you found on famotidine including the author, the date, article name, location of the published source, and page number. 

The purpose is for you to educate your colleagues on the drug you have selected, famotidine. The project must include information about the:

· Drug pharmacology, pharmacokinetics

· Brand name

· Generic name

· Dosing

· Indications for use

· Side effects

· Contraindications

· Pregnancy class

· You must also perform a cost analysis of the drug.

· Provide a patient case study on a patient in which you would utilize the drug you have selected and include at least two peer-reviewed evidence-based studies related to the drug.

· Describe the appropriate patient education. 

· What is your role as a Nurse Practitioner for prescribing this medication to this patient on your case study presentation?

· Describe the monitoring and follow-up.

1. Describe the family structure of some East Indian Hindu families and the effect the family organization may have on health-seeking behavior.
2. What are the contributing factors that lead to the high birth rate in Haiti and among Haitian immigrants? 
3. List religious needs a Jewish client may have while being hospitalized with which nursing staff can assist. 

 Your initial post should be at least 500 words, formatted, and cited in current APA style with support from at least 2 academic sources. 

Choose one cultural group reviewed within this course. Using Giger and Davidhizar's Transcultural Assessment Model, perform a comprehensive assessment of how your selected cultural group’s beliefs and practices might impact healthcare decision-making, treatment adherence, your communication, your interventions, and your education to align with the patient's cultural values and preferences. 

• The assignment should be formatted per current APA and 4-5 pages in length, excluding the title and references page. Incorporate a minimum of 5 current (published within the last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work.

 This Module’s Discussion asks you to consider how the Walden mission and vision as well as the College of Nursing's mission and vision apply to your professional and academic goals. You will also begin to identify individuals and teams who can help you along the way as you begin designing the “blueprint”—your Academic Success and Professional Development Plan—that will guide you toward your own vision for academic and professional success. Finally, you will explain the importance of networking and how it can help you achieve your professional and academic goals. 

• Review the Walden and College of Nursing mission and vision statements, Walden’s goals and University Outcomes, and the MSN Program Learning Outcomes presented in this Module's Learning Resources.
• Reflect on your professional and academic goals as they relate to your program/specialization.
• Consider how the information in these resources fit with your own goals and to your becoming a scholar-practitioner.
• Also consider academic and professional individuals and teams with whom you may collaborate in support of your efforts as a student at the university and as a professional within your organization and career.
• Consider the importance of networking and how it may help you achieve your professional and academic goals.