You are required to write a critical analysis of the disease of your choice.
Included in this analysis, you will need to explain how the disease you chose
affects the various body systems where relevant .
The following relevant and concise information must (if pertinent) be included in your write up. Topic selection is within the systems being covered in the course

• Name of disease
• History of the disease
• Description of disease
• Anatomy of the system(s) involved
• Effects on other body systems
• Cause of disease
• Signs and symptoms
• Diagnosis of the disease
• Complications, if any
• Treatment and side effects

Conclusion should include the following:

• Brief mention of current or proposed research that may significantly impact the
• Prevention strategies if any
• Your insight / opinion

NOTE: you must focus on the anatomy & physiology of the disease/disorder. Cover
the normal anatomy & physiology of the organ system affected and then state what the
disease/disorder does to this organ system, and other organ systems. In other words, if
you are picking meningitis, I do not want you to go too much in detail about the
bacteria that causes it but how the bacteria escapes our body’s defenses and what the
bacteria does to other tissues.
Suggested Topics for the Paper:  (Obtain Instructor’s approval of your topic)
Below listed systems are covered in Bio 111, so topic selection MUST be within these systems.

1. The Cell Membrane/physiology: Cystic Fibrosis and other membrane related disorders.
2. Integumentary System / Skin: common diseases, disorders and pathologies of skin including color disorders
3. Bone: common diseases, disorders and pathologies of bone
4. Joints: common diseases and disorders e.g. Rheumatoid Arthritis. Etc.’
5. Muscle Tissue: Skeletal – neuromuscular junction, action of blocking agents at NMJ, Cardiac, Smoot
6. Endocrine – System: common diseases, disorders and syndromes
7. Nervous System: System: common diseases, disorders and syndromes: Brain, Spinal Cord, Autonomic Nervous System
8. General Senses
9. Special Senses: Eye: common refractive errors, diseases and disorders including causes of blindness, Ear: common hearing disorders, including causes of deafness
10. Any tropical disease related to the above systems

• You need to contact your instructor with the disease that you wish to write on for approval.
• ONLY ONE DISEASE PER STUDENT, so send in your requests early to get your choice.

Purpose:
Routine daily activities are no longer automatic and effortless for an individual who becomes
physically challenged. The purpose of this activity is to have students gain an appreciation of the
daily activities for someone living with a physical disability.
Objective:
The student will examine the impact of being physical challenged by participating in mock ADL
situations.
The student will examine the perceptions, emotions and reaction to being physically challenged
that may manifest while performing a typical ADL activity.
The student will identify and develop skills of observation as the patient performs a therapeutic
activity.
The student will list the sequence of actions that make up an ADL task.
Procedure:
Working in pairs, students will role play the 4 situations listed below. During this activity, one
student will role play the patient and the other student will observe. Students will then reflect on
the activity by completing a 2 page paper.
Situation 1: Patient with Unilateral Upper Extremity Weakness
• Student to don and doff large shirt and button it closed with the non-dominant hand.
• Student to don an arm sling and place on dominant upper extremity with non-dominant hand
only.
• Student to open and close a peanut butter jar and jam jar with one hand, prepare a PB & J
sandwich, spreading contents on bread slice with the non-dominant upper extremity.
• Student to fold towel with the non-dominant hand only.
• Student to unbutton the shirt and remove the arm sling with one hand
Situation 2: Patient with Hemiplegia Propelling a Wheelchair
• Student to propel a wheelchair, using only the non-dominant upper and lower extremity. Student
to negotiate the campus environment as well as the community environment.
Situation 3: Patient with Hemianopsia (visual field restriction impairment)
• Student will wear glasses that have the right visual field obscured.
• Student will stack cups in a 4, 3, 2, 1 pyramid pattern. The activity will be timed using a
stopwatch.
• Students will negotiate an obstacle course.
• Students will throw and catch a plastic beach ball.
Situation 4: Patient with a Speech Impairment
Student one will communicate to their partner, without speaking or writing, the following
messages.
• “I am hungry”.
• “I have to go to the bathroom.”
• “My car had a flat tire today”.
Student two will communicate to their partner, without speaking, the following messages.
• “I am tired and need to go back to bed”
• “My back hurts when I lean forward”.
• “My left arm is weak and the right arm is strong”
Reflection:
Students will write a full 2 page paper reflecting on this experience. The paper will consist of
.5”margins, Times New Roman 12 point font, double spaced. The following questions will be
answered regarding each situation:
1. Describe the most difficult activity for each situation and explain why this was challenging.
2. Describe the strategies/adaptations you used to accomplish each activity.
3. Describe the feeling(s) you experienced during each situation.
4. Identify at least 1 safety issue that presented during each situation.
5. How has this experience impacted your future work as a PTA?

How do you measure NP performance in quality management (1,100 words). Which metrics will you use.
Purpose
The purpose of this assignment is to have students research the measurement tools of NP performance.  Through the use of quality patient outcomes, student will list and discuss three different patient interventions and how  they would specifically measure the outcomes and how these primary care interventions result in improved patient outcomes and cost savings for the practice. In addition, students will discuss how these interventions result in improved patient ratings.

 Requirements:

The National Committee for Quality Assurance (NCQA) was formed to ensure quality of patient care and measurement of patient outcomes with set standards.
Healthcare Effectiveness Data and Information Set (HEDIS) is a performance measurement tool used by millions of health insurance plans. There are 6 domains of care:

• Effectiveness of Care.
• Access/Availability of Care.
• Experience of Care.
• Utilization and Risk Adjusted Utilization.
• Health Plan Descriptive Information.
• Measures Collected Using Electronic Clinical Data Systems

You may access the 6 domains of care by clicking this link:
(NCQA, n.d. https://www.ncqa.org/hedis/ (Links to an external site.))
As an APN, productivity will be an important measurement for the practice to determine reimbursement and salary. Fee-for-service practices will require a set number of patients per day to maintain productivity. A capitated practice will require the APN to have a large panel of patients but also will focus on controlling costs. This can be accomplished through effective primary care that is accessible, convenient for the patients and has a method of measuring quality of care.
Write a formal paper in APA format with title page, introduction, the three required elements below, conclusion and reference page.
You are now employed as an FNP in primary care. Choose one performance measure from one of the six domains of care, i.e. Adult BMI Assessment, Prenatal and Postpartum care, etc.
Develop three different patient interventions for that one performance measure and how you would specifically implement the intervention and measure the outcomes for that particular performance measure in clinical practice.
How would these primary care interventions result in improved patient outcomes and cost savings for the practice?
How can these interventions result in improved NP patient ratings?