Historical factors and the current healthcare dynamics leading to curriculum design, implementation, and evaluation.

Reflect upon the historical factors and the current healthcare dynamics that lead to curriculum design, implementation, and evaluation.

Write a 1500-2000 word essay addressing each of the following points/questions. Be sure to answer all the questions for each bullet point completely. There should be five sections, one for each bullet below. Separate each section in your paper with a clear heading that allows your professor to know which bullet you address in that section of your paper. Support your ideas with at least five (5) sources in your essay.
Make sure to reference the citations using the APA writing style for the essay. The cover page and reference page do not count towards the minimum word amount. Review the rubric criteria for this assignment.

Reflect upon the historical factors and the current healthcare dynamics that lead to curriculum design, implementation, and evaluation.

1-)Conduct a literature search on EBSCO and/or CINAHL related to the history and evolution of nursing curricula.
2.)Summarize two key events. How do past, present, and future events frame curriculum?
3.)Compare and contrast the different types of curricula that prepare entry-level nurses.
4.)Describe two innovative curriculum and/or teaching strategies for implementing the curriculum.
5.)List one or two barriers to implementing a curriculum, identify strategies to overcome the barriers.

Rheumatoid Arthritis
A 48-year-old woman presents with a five-month history of generalized joint pain, stiffness, and swelling, especially in her hands. She states that these symptoms have made it difficult to grasp objects and has made caring for her grandchildren problematic. She admits to increased fatigue, but she thought it was due to her stressful job.
FH: Grandmothers had “crippling” arthritis.
PE: remarkable for bilateral ulnar deviation of her hands as well as soft, boggy proximal interphalangeal joints. The metatarsals of both of her feet also exhibited swelling and warmth.
Diagnosis: rheumatoid arthritis.

Question:
The pt. had various symptoms, explain how these factors are associated with RA and what is the difference between RA and OA?

Pathophysiology of gout
A 68-year-old obese male presents to the clinic with a 3-day history of fever with chills and Lt. great toe pain that has gotten progressively worse. The patient states this is the first time that this has happened, and nothing has made it better, and walking on his right foot makes it worse. He has tried acetaminophen, but it did not help. He took several ibuprofen tablets last night which did give him a bit of relief.
HPI: hypertension treated with Lisinopril/HCTZ .
SH: Denies smoking. Drinking: “a fair amount of red wine” every week. General appearance: Ill appearing male who sits with his right foot elevated.
PE: remarkable for a temp of 100.2, pulse 106, respirations 20 and BP 158/92. Right great toe (first metatarsal phalangeal [MTP]) is noticeably swollen and red. Unable to palpate to assess range of motion due to extreme pain. CBC and Complete metabolic profile revealed WBC 15,000 mm3 and uric acid 9.0 mg/dl.
Diagnoses the patient with acute gout.

Question:
Explain the pathophysiology of gout.

Explain why a patient with gout is more likely to develop renal calculi.

Challenges of leading change in healthcare

Demonstrate a critical understanding and analysis on the challenges of leading change and innovation across complex systems within health and care

Philosophies of Women and People of various Cultures

Many women have pushed back against these accusations and misogynistic views, sparking an intellectual revolution in the process. For a long time, philosophy was seen as a boy’s club, but with Simone de Beauvoir’s views, Harriet Taylor Mill, Hypatia of Alexandria, and others, that prejudice has been dispelled. A diverse perspective is sometimes required to make progress, and a fabulous idea can originate from anybody, anywhere.

Males have definitely controlled the philosophical discourse, Marjorie, especially in terms of whose voices were taken seriously. Men have long defined women as different and. often, less than. Are female philosophers caught within a “Catch 22”? Are they marginalized as long as their gender is highlighted, as long as they continue to be called “female philosophers” instead of just philosophers? Do we ever append male to the philosopher, or do we see that as the default?

Of course, this raises some very big issues about sex and gender, with sex being defined as biological differences between males and females and gender being described as the cultural constructs that the culture attachs to sex. And we often mistake one for the other, mistake cultural constructions for biological differences.

Ursula Le Guin’s classic, award-winning science fiction novel The Left Hand of Darkness imagines a world without gender. That world’s inhabitants are not just genderless, but sexless for most of the time (on a regular cycle they become one gender or the other, not always the same gender each cycle, during which they can have sex and even reproduce). What is particularly interesting is that the story is told from the perspective of a man from Earth. And he repeatedly misreads people on this planet (sometimes to his great detriment) because he cannot get past his own assumptions about gender.

This brings us back to the issue of universality here on Earth. Do we often mistake the male experience as the universal experience?