NR 361 Week 2 Assignment Course Project Milestone 1

Ann is a 34-year-old female who is a mother of two, wife, and a Registered Nurse. Ann has decided to go back to school for her bachelor’s degree, she currently works 12 hours - full-time nights and takes care of her chil ...

Ann is a 34-year-old female who is a mother of two, wife, and a Registered Nurse. Ann has decided to go back to school for her bachelor’s degree, she currently works 12 hours - full-time nights and takes care of her children, husband and home, while attending school full time. Ann presents to her physician due to always fatigue and increases weight gain; Ann has noticed as she has gotten older, she is tired most days and has gained 40+ pounds. Her family history has heart and diabetes problems. Ann estimates that she receives 3- 4 hours of sleep during the day and has a decreased level of energy throughout the night. Ann drinks coffee all day and night to help her stay awake to complete homework assignments. Ann’s typical day is she gets home from work around 7:30 after getting kids off to school, falls asleep around 8:30 am and sleeps till around noon gets up to do homework, does a load or two of laundry and starts to cook dinner for her family around 4:30 pm, then gets ready for work around 5:45 pm. Ann has difficulty falling asleep, and her mind won't shut off, she states she feels as if her mind is flipping through channels, she says she’s afraid that she might forget something important. Ann realizes she is exhausted and has noticed a weight gain, despite trying to eat what she believes to be healthy choices. Ann’s lifestyle is hectic and extremely stressful, she states that she needs help with reducing the stress in her life and eating healthy to improve her overall health and fears that if she does not learn how to manage her stress effectively and make better choices, she will fall in to say situation as both her patents HTN, Heart failure and Diabetes, Both of her parents passed away young, mother at age 73 and father at age 75.