Parts 1 and 2  have the same questions. However, you must answer with references and different writing, always addressing them objectively, as if you were different students. Similar responses in wording or references will not be accepted. 
APA format
1) Minimum 12 pages  (No word count per page)-   Follow the 3 x 3 rule: minimum of three paragraphs per page 
You must strictly comply with the number of paragraphs requested per page.  
The number of words in each paragraph should be similar
Part 1: minimum 3 pages (70 hours)
Part 2: minimum 3 pages (70 hours)
Part 3: minimum 6 pages (90 hours)
Submit 1 document per part
2)¨******APA norms
        The number of words in each paragraph should be similar
        Must be written in the third person
         All paragraphs must be narrative and cited in the text- each paragraph
         The writing must be coherent, using connectors or conjunctive to extend, add information, or contrast information. 
         Bulleted responses are not accepted
         Don’t write in the first person 
  Do not use subtitles or titles      
         Don’t copy and paste the questions.
         Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph
Submit 1 document per part
3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks) 
********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)
4) Minimum 3 references (APA format) per part not older than 5 years  (Journals, books) (No websites)
Parts 1 and 2:  Minimum 4 references (APA format) per part not older than 5 years  (Journals, books) (No websites) 
All references must be consistent with the topic-purpose-focus of the parts. Different references are not allowed 
5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next
 Example:
Q 1. Nursing is XXXXX
Q 2. Health is XXXX
Q3. Research is…………………………………………………. (a) The relationship between……… (b) EBI has to
6) You must name the files according to the part you are answering: 
Example:
Part 1.doc 
Part 2.doc
__________________________________________________________________________________
 Parts 1 and 2  have the same questions. However, you must answer with references and different writing, always addressing them objectively, as if you were different students. Similar responses in wording or references will not be accepted. 
Part 1:  Advanced Primary Care of Family I 
Topic Men’s Health
SUBJECTIVE
John presents to the primary care practice for his 6 – month checkup. He has been seen here every 3 – 6 months over the past six years. John is a 72 – year – old man who is generally healthy and has well-managed hypertension and coronary artery disease. In addition to his semi-annual visits to the practice, he also sees a cardiologist annually.
During this visit, his review of the systems is negative. He denies shortness of breath ( SOB ), dyspnea on exertion, chest pain, palpitations, headaches, dizziness, nausea, vomiting, or diarrhea. He complains of a little urinary hesitancy and difficulty starting his stream. This has been going on for “some time now” he says it doesn’t bother him much, and he’s getting used to it. He denies pain and burning on urination. He denies a history of urinary tract infections or problems with his prostate gland. His bowels are regular, with an occasional need for prune juice or Metamucil. He is sexually active with his wife, and his sexual function is adequate with the assistance of oral erectile agents.
Past Medical and Surgical History: Hypertension, erectile dysfunction, dyslipidemia.
Social History: John lives at home with his wife and works part-time at a local grocery store. He has a son and a daughter who are married professionals who live close by. He has five grandchildren.
He has an occasional social drink but does not smoke. His income comes primarily from social security and a small pension from his previous career as a banker. He also supplements his income with his part-time job. He is very involved with his family and attends Catholic services weekly. He is in generally good health and visits his primary care provider every six months for a follow-up of his chronic medical illnesses.
Family History: His family is healthy. Both parents are deceased. His father died in his fifties of a heart attack. His mother recently died at age 92.
Medications: HCTZ, 25 mg; Lisinopril, 20 mg; Lipitor, 20 mg every day (QD); Metamucil and Cialis as needed
Allergies: NKDA.
OBJECTIVE
General: Awake, alert, and oriented. Erect posture. He appears clean and well-kept. Clothes are appropriate.
Vital Signs: He is 5 ft 9 inches and weighs 180 lbs. BP: 164/92; P: 110. 02 sat 99%. He is afebrile with a temperature of 97.8.
Eyes: Clear sclera; PERRLA. Ears: Mild wax buildup; clear and intact tympanic membranes bilaterally. Mouth: Intact oral mucosa.
Respiratory: Lungs are clear with no adventitious sounds.
Cardiac: Regular heart rate, S1/S2; no abnormal heart sounds.
Abdomen: Soft, non-tender, and bowel sounds are present in all four quadrants. His abdomen has no scars or
lesions, and his umbilicus is midline.
Skin: Dry and intact.
Extremities: No pedal edema; positive pedal pulses.
Neuromuscular: 2 + deep tendon reflexes bilaterally and equal strength. Gait is normal, with a full range of motion of all extremities.
Rectal: Digital rectal examination ( DRE ) reveals no abnormalities.
1. Which diagnostic or imaging studies should be considered to assist with or confirm the diagnosis? (One paragraph)
a. Explain
2. Give the three most likely differential diagnosis (One paragraph)
a. why?
3. Plan of treatment (One paragraph)
a. Pharmacology
b. Non-pharmacology
4. Does the patient’s psychosocial history impact how you might treat this patient? (One paragraph)
a. Explain
5. Explain the best treatment options for this patient with each of the differentials (One paragraph)
6. Give two examples of  standardized guidelines that could be use to assess or treat this case (One paragraph)
Part 2:  Advanced Primary Care of Family I 
Topic Men’s Health
SUBJECTIVE
John presents to the primary care practice for his 6 – month checkup. He has been seen here every 3 – 6 months over the past six years. John is a 72 – year – old man who is generally healthy and has well-managed hypertension and coronary artery disease. In addition to his semi-annual visits to the practice, he also sees a cardiologist annually.
During this visit, his review of the systems is negative. He denies shortness of breath ( SOB ), dyspnea on exertion, chest pain, palpitations, headaches, dizziness, nausea, vomiting, or diarrhea. He complains of a little urinary hesitancy and difficulty starting his stream. This has been going on for “some time now” he says it doesn’t bother him much, and he’s getting used to it. He denies pain and burning on urination. He denies a history of urinary tract infections or problems with his prostate gland. His bowels are regular, with an occasional need for prune juice or Metamucil. He is sexually active with his wife, and his sexual function is adequate with the assistance of oral erectile agents.
Past Medical and Surgical History: Hypertension, erectile dysfunction, dyslipidemia.
Social History: John lives at home with his wife and works part-time at a local grocery store. He has a son and a daughter who are married professionals who live close by. He has five grandchildren.
He has an occasional social drink but does not smoke. His income comes primarily from social security and a small pension from his previous career as a banker. He also supplements his income with his part-time job. He is very involved with his family and attends Catholic services weekly. He is in generally good health and visits his primary care provider every six months for a follow-up of his chronic medical illnesses.
Family History: His family is healthy. Both parents are deceased. His father died in his fifties of a heart attack. His mother recently died at age 92.
Medications: HCTZ, 25 mg; Lisinopril, 20 mg; Lipitor, 20 mg every day (QD); Metamucil and Cialis as needed
Allergies: NKDA.
OBJECTIVE
General: Awake, alert, and oriented. Erect posture. He appears clean and well-kept. Clothes are appropriate.
Vital Signs: He is 5 ft 9 inches and weighs 180 lbs. BP: 164/92; P: 110. 02 sat 99%. He is afebrile with a temperature of 97.8.
Eyes: Clear sclera; PERRLA. Ears: Mild wax buildup; clear and intact tympanic membranes bilaterally. Mouth: Intact oral mucosa.
Respiratory: Lungs are clear with no adventitious sounds.
Cardiac: Regular heart rate, S1/S2; no abnormal heart sounds.
Abdomen: Soft, non-tender, and bowel sounds are present in all four quadrants. His abdomen has no scars or
lesions, and his umbilicus is midline.
Skin: Dry and intact.
Extremities: No pedal edema; positive pedal pulses.
Neuromuscular: 2 + deep tendon reflexes bilaterally and equal strength. Gait is normal, with a full range of motion of all extremities.
Rectal: Digital rectal examination ( DRE ) reveals no abnormalities.
1. Which diagnostic or imaging studies should be considered to assist with or confirm the diagnosis? (One paragraph)
a. Explain
2. Give the three most likely differential diagnosis (One paragraph)
a. why?
3. Plan of treatment (One paragraph)
a. Pharmacology
b. Non-pharmacology
4. Does the patient’s psychosocial history impact how you might treat this patient? (One paragraph)
a. Explain
5. Explain the best treatment options for this patient with each of the differentials (One paragraph)
6. Give two examples of  standardized guidelines that could be use to assess or treat this case (One paragraph)
 
Part 3: Capstone project
Topic: Prevention of Pulmonary Embolism Using DVT Prophylaxis post bariatric Surgery
According to Part 3 (File attached)
1. Create a MAP-IT (Check MAP-IT stands) (Five paragraphs)
a. M- Mobilize (One paragraph)
b. A- Asses (One paragraph)
c. P- Plan (One paragraph)
d. I- Implement (One paragraph)
e. T- Track (One paragraph)
2. Framework:  Human Caring Theory  (Three paragraphs)
a. Explain the Framework (One paragraph)
 b. Explain how  Human Caring Theory  is the most appropriate health promotion/disease prevention theoretical or conceptual model that best serves as the guiding framework for the proposal (Two paragraph)
3. Outcomes (Two paragraphs) 
a. Describe the intended outcomes concurrent with the SMART goal approach 
 4. Detailed Plan (Four paragraphs) 
a. Provide a detailed plan for the evaluation for each outcome. 
5. Barriers / Challenges (Two paragraphs) 
a. Describe possible barriers/challenges to implementing the proposed project (One paragraph)
b. Describe the strategies to address these barriers/challenges(One paragraph) 
6.  Conclusion (Two paragraphs) 
a. Share your insights about this strategy and your expectations regarding achieving your goals.  (One paragraph)
b. Make a comprehensive conclusion summarizing the pap3r and providing a call to action for the nurses. (One paragraph)