Goal: To conduct an assessment of health promotion while applying the nursing process and evidence based research to disseminate findings to course colleagues. Case: Jessica is a 32 y/old math teacher who presents to the ER with a friend for evaluation of sudden decrease of vision in the left eye. She denies any trauma or injury. It started this morning when she woke up and has progressively worsened over the past few hours. She had some blurring of her vision 1 month ago and thinks that may have been related to getting overheated, since it improved when she was able to get in a cool, air-conditioned environment. She has some pain if she tries to move her eye, but none when she just rests. She is also unable to determine colors. She denies tearing or redness or exposure to any chemicals. Nothing has made it better or worse. She denies fever, chills, night sweats, weight loss, fatigue, headache, changes in hearing, sore throat, nasal or sinus congestion, neck pain or stiffness, chest pain or palpitations, shortness of breath or cough, abdominal pain, diarrhea, constipation, dysuria, vaginal discharge, swelling in the legs, polyuria, polydipsia, and polyphagia. Patient is alert; she appears anxious. BP 135/85 mm Hg; HR 64bpm and regular, RR 16 per minute, T: 98.5F. Visual acuity 20/200 in the left eye and 20/30 in the right eye. Sclera white, conjunctivae clear. Unable to assess visual fields in the left side; visual fields on the right eye are intact. Pupil response to light is diminished in the left eye and brisk in the right eye. The optic disc is swollen. Full range of motions; no swelling or deformity. Mental status: Oriented x 3. Cranial nerves: I-XII intact; horizontal nystagmus is present. Muscles with normal bulk and tone; Normal finger to nose, negative Romberg. Intact to temperature, vibration, and two-point discrimination in upper and lower extremities. Reflexes: 2+ and symmetric in biceps, triceps, brachioradialis, patellar, and Achiles tendons; no Babinski. Submission Instructions: Complete a comprehensive history and Physical Examination. What physical findings are you looking for to help determine a presumptive nursing diagnosis? Support your findings with peer reviewed articles. Presentation is original work and logically organized in current APA style. Incorporate a minimum of 4 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work.

When faced with a problem, what do you do to solve it? This assignment asks you to apply a six-step to problem solving process to a specific problem scenario. You will write a paper that presents a synthesis of your ideas about solving the problem using this systematic approach. As Voltaire said, "No problem can withstand the assault of sustained thinking."Choose one (1) of the problem scenarios as a topic choice for your paper (Note: Your professor must approve your topic choice before you begin work on the assignment.)Scenario 2: Your child comes home from school with an assignment sheet for a school project. He / she is very excited about the project and begins work immediately, doing research on the Internet and gathering materials. You read over the assignment sheet and notice that your child is not including all of the required items in the project, and you have some ideas for how to improve the quality of the presentation. You recently read an article in a parenting magazine about the importance of a child developing responsibility for his/ her own learning. You recall the many ways in which your parents took over your school projects. You, on the other hand, want to encourage your child's confidence in his / her ability to complete a project independently. The next day, you are at the grocery store when you see a parent of a student in your child's class. That parent has spent over $30 in supplies for the science project and is taking a day off of work to put the pieces of the project together.Review the six-step problem solving process outlined in the webtext, based on the article "The Problem Solving Process" located at http://www.gdrc.org/decision/problem-solve.html:Step One: Define the problemStep Two: Analyze the problemStep Three: Generate optionsStep Four: Evaluate optionsStep Five: Make your decisionStep Six: Implement and reflectWrite a four to five (4-5) page paper in which you:Define the problem in the scenario that you have chosen.Analyze the problem in the scenario.Generate options for solving the problem in the scenario.Evaluate the options for solving the problem.Decide on the best option for solving the problem.Explain how you will implement the decision made and reflect on whether this option was the most effective.The paper should follow guidelines for clear and organized writing:Include an introductory paragraph and concluding paragraph.Address main ideas in body paragraphs with a topic sentence and supporting sentences.Adhere to standard rules of English grammar, punctuation, mechanics, and spelling.