Assignment: Gastrointestinal Tract
Assignment: Gastrointestinal Tract
Assignment: Gastrointestinal Tract
Assignment: Gastrointestinal Tract
Assignment: Gastrointestinal Tract
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Question Description
Gastrointestinal Tract: Disorders of Motility
Jamie is a 3-month-old female who presents with her mother for
evaluation of “throwing up.” Mom reports that Jamie has been throwing up
pretty much all the time since she was born. Jamie does not seem to be
sick. In fact, she drinks her formula vigorously and often acts hungry.
Jamie has normal soft brown bowel movements every day and, overall,
seems like a happy and contented baby. She smiles readily and does not
cry often. Other than the fact that she often throws up after drinking a
bottle, she seems to be a very healthy, happy infant. A more precise
history suggests that Jamie does not exactly throw up—she does not heave
or act unwell—but rather it just seems that almost every time she
drinks a bottle she regurgitates a milky substance. Mom thought that she
might be allergic to her formula and switched her to a hypoallergenic
formula. It didn’t appear to help at all, and now Mom is very concerned.
Cases like these are not uncommon. The mother was concerned and thinking
her daughter may have an allergy; she changed to a different formula.
However, sometimes babies have immature GI tracts that can lead to
physiology reflux as they adapt to normal life outside the uterus.
Parents often do not consider this possibility, prompting them to change
formulas rather than seeking medical care. As in the case study above,
GI alterations can often be difficult to identify because many cause
similar symptoms. This same issue also arises with adults—adults may
present with symptoms that have various potential causes. When
evaluating patients, it is important for the advanced practice nurse to
know the types of questions he or she needs to ask to obtain the
appropriate information for diagnosis. For this reason, you must have an
understanding of common GI disorders such as gastroesophageal reflux
disease (GERD), peptic ulcer disease (PUD), and gastritis.
To Prepare
Review this week’s media presentation on the gastrointestinal system.
Review Chapter 35 in the Huether and McCance text. Identify the normal
pathophysiology of gastric acid stimulation and production.
Review Chapter 37 in the Huether and McCance text. Consider the
pathophysiology of gastroesophageal reflux disease (GERD), peptic ulcer
disease (PUD), and gastritis. Think about how these disorders are
similar and different.
Select a patient factor different from the one you selected in this
week’s Discussion: genetics, gender, ethnicity, age, or behavior.
Consider how the factor you selected might impact the pathophysiology of
GERD, PUD, and gastritis. Reflect on how you would diagnose and
prescribe treatment of these disorders for a patient based on this
factor.
Review the “Mind Maps—Dementia, Endocarditis, and Gastro-oesophageal
Reflux Disease (GERD)” media in the Week 2 Learning Resources. Use the
examples in the media as a guide to construct a mind map for gastritis.
Consider the epidemiology and clinical presentation of gastritis.
To Complete
Write a 2 page paper that addresses the following:
Describe the normal pathophysiology of gastric acid stimulation and
production. Explain the changes that occur to gastric acid stimulation
and production with GERD, PUD, and gastritis disorders.
Explain how the factor you selected might impact the pathophysiology of
GERD, PUD, and gastritis. Describe how you would diagnose and prescribe
treatment of these disorders for a patient based on the factor you
selected.
Construct a mind map for gastritis. Include the epidemiology,
pathophysiology, and clinical presentation, as well as the diagnosis and
treatment you explained in your paper.
APA
2 pages/600 words
3 sources..not older than 2012
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.
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