NR 512 Reflections on Second Life Experiences
NR 512 Reflections on Second Life Experiences
Reflections on Second Life Experiences
You are working in Second Life now completing a number of activities. What do you see as a benefit to augmenting course assignments through the use of a virtual learning environment (VLE)? NR 512 Reflections on Second Life Experiences
Discussion Part One (graded)
You meet your first patient of the morning. A.K. is a 65-year-old Caucasian male who you are seeing for the first time. Both wife and daughter are present.
Background
He reports that he has had an 18-pound unintentional weight loss in the last 2 months “I am just not hungry anymore, and when I do eat, I get full so fast. In fact, it is really hard to eat, and I don’t eat nearly as much as usual, even though I eat 3 times every day”. He also reports feeling more tired than usual. “I am not sleeping very well. My wife wakes me up when I am snoring, or when she thinks I am not breathing. I used to have sleep apnea, but I don’t think I have it anymore. Besides, that mask is so horrible to wear.” He reports day time somnolence. He reports that he is at the clinic today because of his wife and daughter’s concern about his weight loss and loss of appetite. NR 512 Reflections on Second Life Experiences
PMH
Mr. A.K. has a history of hypertension, cataracts, and osteoarthritis.
Current medications:
Ibuprofen 600 mg po TID
Lisinopril 20 mg po QD
Hydrochlorothiazide 25 mg PO QD
Simvastatin 20 mg po QD
Vitamin D3 50,000 units po weekly
Omeprazole 40 mg po QD
Sudafed 50 mg po TID prn
Surgeries
April 2010-Right cataract extraction with Intraocular Lens Placement
June 2010- Left cataract extraction with Intraocular Lens Placement
November 2011-Left total knee arthroplasty
Allergies: No known drug or food allergies. Allergies to latex causing difficulty breathing and to bee stings, causing widespread edema and airway obstruction. NR 512 Reflections on Second Life Experiences
Vaccination History
He receives annual flu shots “most of the time”. His last one was 18 months ago.
Received a Pneumovax “the day I turned 65”.
His last TD was greater than 10 years ago.
Has not had the herpes zoster vaccine.
Social history
He has an 8th grade education and is a retired concrete finisher. He lives with his wife of 45 years and his daughter lives next door. He enjoys working in his back yard garden and recently tripped over the garden hose last week where his neighbor had to come and help him up. NR 512 Reflections on Second Life Experiences
Family history
Both parents are deceased. Father died of a heart attack at the age of 80; mother died of breast cancer at the age of 76. He has one daughter who is 45 years old and has hypertension. Hypertension, coronary artery disease, and cancer runs in the family.
Habits
He drinks one 4 ounce glass of red wine nightly; previous smoker of 30 years; he quit for 10 years, and is now smoking ¼ pack per day for the last 6 months. NR 512 Reflections on Second Life Experiences
Discussion Part One:
Provide the differential diagnoses (DD) with rationale
Description
Final Project by reviewing and editing your Assignments to create a cohesive paper. Add an Introduction and Rationale for the study. Your Final Project should be 4–6 pages in length.
Note: This is not a “cut and paste exercise.” During the term, you have developed all of the groundwork for your Final Project, but now you must create a cohesive document. For example, although stakeholders may be mentioned, it would not be necessary—and could be unwise—to include all of the detail that may have been considered in the design phase. As another example, simply pasting in the logic model with no explanation would not prove enlightening for any reader who is unfamiliar with the logic model process.
Below, you will find an outline of topics that should be addressed in your Final Project. You are not required to exactly follow this outline; however, you must be certain that each component is clearly addressed in your final design.
Although your project for this course is only a design document and not a full report, you will find it useful to review your Learning Resources. Many of the same points and principles apply equally well at the research design stage. NR 512 Reflections on Second Life Experiences
Your Final Project will include the following elements:
Problem definition and intervention description
Logic model or logframe
Development of indicators
- Data collection strategy
- Evaluation design, needs assessment, or formative or summative impact evaluation
- Data analysis strategy
- Stakeholder requirements