The nurse practitioner (NP) is working at a health clinic in a homeless shelter during the early evening. A 48-year-old African American man approaches the practitioner and asks to have his blood pressure taken, saying that he has not had it checked “in a while”. The man appears to be in some type of distress and experiencing pain. The man walks slowly, using a guarded manner, and he appears diaphoretic. His mucous membranes also appear pale. The patient’s blood pressure is 210/98. The patient reports that he has not been diagnosed with hypertension previously. The patient reveals that he has severe abdominal pain that is radiating to his back. The nurse finds a heart rate of 110, respirations 30 with shallow inspirations, and temperature 102.2°F. The patient’s skin is cool and clammy. The patient reports a history of alcoholism, homelessness, and lack of access to health care. He says that the symptoms have been present and worsening over 3 days. The man says he thinks he might have pancreatitis again, which he had “a couple of years ago”. The NP recommends that the man should be seen at a hospital for his condition, but the patient says he does not have health insurance, so he does not want to go. The NP proceeds with a physical examination, finding severe abdominal pain in the epigastric area, yellowed sclera, no abdominal distention, and hypoactive bowel sounds. The clinic is equipped with basic materials but no means to conduct lab or radiologic testing. Discuss the following: Considering the patient’s homelessness and lack of insurance, what action should the practitioner take? When the patient asks why his condition cannot be managed outside of the hospital, how should the practitioner respond? When the patient arrives at the hospital for further diagnostic work-up, what tests will likely be performed to evaluate the patient’s condition? How will the severity of the pancreatitis be assessed when the patient is hospitalized? How should the patient’s condition be managed when hospitalized? What patient education should be included after the pancreatitis is resolved?

Your essay is 700 words on more, 12 point font, double-spaced.“Museum Visit Essay.” For your essay, cover the following: -What was your favorite, or most positive part, about MFAH (buildings, people, etc., not counting ----->( you can talk about the building and the structure of the MFAH) Museum Fine Arts Houston. the art); what did you like, what did MFAH do well?(( you can come up with ideas of what did u like when u visit a museum)))-What was most intimidating, hard to understand, or off-putting about MFAH? (anything that u might find hard to understand from a museum u have attended)-What was your favorite artwork or artworks? Why? 1.The Elder Sister | The Museum of Fine Arts, Houston2.Portrait Of Paul Hugot By Gustave Caillebotte.3 Moulin Rouge Art by Henri de Toulouse-Lautrec -What artwork or art areas (galleries) did you like the least? Can you tell me why? Michel Dorigny - Hagar and the Angel Man with Hand Plow | The Museum of Fine Arts, Houston-What did we do in class that made a difference in your visit? Any “Ah-ha” moments from ( Make up any moments )-something you saw at MFAH that connected with something from class? -How would you describe MFAH to a friend to get them to go visit?

Advocacy: Purpose and Different TypesExamine what advocacy is, and the purpose of advocacy when working with clients.Assess how advocacy specifically relates to children and their families. Be certain to provide examples of advocacy for children and their families.Explore the different types of advocacy. In your answer, discuss whether or not there is one particular type of advocacy that you think is most beneficial when working with children and their families.Find an advocacy organization for children and families in your community, or your state. Discuss the organization and determine what type of advocacy the organization offers for its clients. In your answer, conclude whether or not the organization seems to be beneficial and effective for children and families. Also be sure to recommend any changes you would make to the organization as it relates to advocacy.Advocacy: Purpose and Different TypesExamine what advocacy is, and the purpose of advocacy when working with clients.Assess how advocacy specifically relates to children and their families. Be certain to provide examples of advocacy for children and their families.Explore the different types of advocacy. In your answer, discuss whether or not there is one particular type of advocacy that you think is most beneficial when working with children and their families.Find an advocacy organization for children and families in your community, or your state. Discuss the organization and determine what type of advocacy the organization offers for its clients. In your answer, conclude whether or not the organization seems to be beneficial and effective for children and families. Also be sure to recommend any changes you would make to the organization as it relates to advocacy.