Chamberlain College of Nursing
NR361
Course Project Milestone 1 Template
Directions: Prior to completing this template, carefully review Course Project Milestone 1
Guidelines. After saving the document to your comput
...
Chamberlain College of Nursing
NR361
Course Project Milestone 1 Template
Directions: Prior to completing this template, carefully review Course Project Milestone 1
Guidelines. After saving the document to your computer, type your answers directly on this
template and save again. This assignment is due by Sunday end of Week 2 by 11:59 p.m.
Mountain Time.
Name: ______Lishan Brown_________
Assignmen
t
Criteria
NOTE: See Milestone 1 Rubric for details required in each area.
Scenario
for
Milestone
Assignmen
t:
Scenario is
clear and
concise,
including a
disease
process,
diagnosis,
OR identify
a patient
with a
desire to
maintain
good health
and prevent
illness.
Include the
nurse’s
assessment
of learning
needs and
readiness to
learn.
50 points
Patient, Erica James, comes into the doctor’s office stating that she is going to
be turning 30 years old this year and would like to obtain a physical to make
sure she is in good health going into her 30’s.
On assessment, patient is 172 lbs.; height is 5 foot 3 inches; vision is 20/25;
BMI-30.5
Vital signs are documented as: BP-101/68; Temperature- 97.7 °’; Heart Rate67/min; Respiration-17/min; SaO2- 100%; Pain score-0.
On inspection of the lungs, lungs sounds were clear.
Patient stated that she has one child (8 years old) via C-Section, not currently
taking contraceptives and not currently sexually active.
Patient has no known allergies, nonsmoker, non-drinker. Patient stated that she
does not currently exercise. Patient eats mainly Caribbean foods, fast foods and
skips breakfast. Patient’s family history includes breast cancer.
Patient stated that she wants to lose at least 30 pounds and improve her diet.
Patient stated that she has friends who have serious health issues related to
obesity and doesn’t want the same to happen to her. Patient stated she is ready
to take the necessary steps in order to be healthier, not only for herself but also
her child. Patient also requested a thorough blood work up and a referral to the
gynecologist.
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Chamberlain College of Nursing
NR361
Education:
Describe in
detail
content
planned for
teaching
this patient
in the
scenario.
40 points
- Education for this patient would include a return demonstration on how
to properly inspect breasts for lumps. A breast self-exam can be done in
the shower, in front of the mirror or laying down in bed. According to
the National Breast Cancer Foundation (2016), to perform a self breast
exam in the shower, use “the pads of your fingers, move around your
entire breast in a circular pattern moving from the outside to the center,
checking the entire breast and armpit area. Check both breasts each
month feeling for any lump, thickening, or hardened knot”.
- Education on foods that provide a healthy balanced diet. A handout on
important foods she should eat and water consumption. Food
alternatives and substitutions to fell fuller faster. Foods such as nuts and
protein should be implemented in her daily regimen. Foods the patient
should avoid or limit the amount of in her diet. Foods that are
considered healthy fats will be provided to the patient as well.
- A weight loss exercise regimen with different exercises aimed at muscle
toning can be provided to the patient. Exercises may include running on
the treadmill, wei
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