Assignment: Peptic Ulcer Disease

Mr. C. has been diagnosed with HTN, Sleep Apnea, and Peptic Ulcer Disease

Bariatric surgery is an option for Mr. C. but without more knowledge of what other interventions he has tried in the past this should be used as a last resort. For instance, does Mr. C. exercise? Has he tried proven weight loss measures, such as Weight Watchers or following a clean eating diet? Are his other health problems being managed? For instance, has he had a sleep study and does he use a Cpap? Bariatric surgery comes with its own host of health related problems. People that have undergone this type of surgery suffer from complications such as Pernicious Anemia, Psychological problems, Addiction, Dumping Syndrome, Malnutrition, and Hypoglycemia (Ferreira, L.M., 2015).

Assignment: Peptic Ulcer Disease

Assignment: Peptic Ulcer Disease

Mr. C. has been diagnosed with peptic ulcer disease and the

The patient reports eating meals at 7 a.m., noon, and 6 p.m., and a bedtime snack at 10 p.m. Plan an administration schedule that will be most therapeutic and acceptable to the patient.

0600: Carafate 1G

0700: Breakfast

1000: Mylanta 15 ml’s

1100: Carafate 1G

1200: Lunch

1500: Mylanta 15 ml’s

1700: Carafate 1G

1800: Dinner

2030: Bedtime Snack

2130: Mylanta 15 ml’s

2230: Zantac 300mg and Carafate 1G

Health-perception: Mr. C. appears to be concerned with his health and has a realistic perception of what he needs to change in order to improve his life. He is seeking information for bariatric surgery and stated that he has always been heavy and that he has gained approximately 100 pounds in the last 2-3 years.Health-management: Mr. C. has HTN, eats a low Sodium diet, and has sleep apnea .Nutritional-metabolic: Has gained approximately 100 pounds in the last 2-3 years, Eats a low Sodium diet,

Elimination: No information provided on this.

Activity-exercise: Patient works at a catalog telephone center but does not list activities or exercise.

Sleep-rest: Patient has sleep apnea

Cognitive-perceptual: From limited information provided appears to be alert and oriented, and has the ability to work at a telephone center.

Self-perception/Self-concept: Mr.C. appears to know he is overweight and is ready to take measures to correct his.

Role-relationship: No information provided

Sexuality-reproductive: No information provided

Coping-stress tolerance: No information provided

Mr. C. is hypertensive and while he tries to control his blood pressure with a sodium restricted diet, he needs additional workup and possibly medication since his blood pressure at the visit was 172/96. Mr. C. also needs a workup for Type II DM as his fasting blood glucose was 146 which is out of normal range. Possibly be treated with Metformin as this will also help with weight loss. Mr. C. has high cholesterol and needs a statin prescribed. Mr. C. needs a Cpap machine if he does not already have one due to his sleep apnea. This will also improve energy levels and help to decrease weight gain. Mr. C. could benefit from a nutrition consult to treat not only his obesity but also help with a cardiac, diabetic diet. Mr. C. could also benefit from the help of a counselor, as he is seeking help for his weight, he may have poor self-esteem which could lead to depression. All patients undergoing bariatric surgery should be treated by a counselor prior to and after surgery due to the change in body image.

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

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.