To complete this discussion, you will be logging into The Neighborhood.Click Accessing and Using The Neighborhood for directions to enter the virtual community.Select the link watch the video for further instruction on The Neighborhood.Click Neighborhood to access the neighborhood simulation.Step 1 In The Neighborhood, read:Season 1, Episode 14: Neighborhood News Story, “Family Sues NBH Hospital over visiting hours.”A local family has sued the Neighborhood Hospital over visitation rules in the intensive care unit. A Neighborhood man, Chad Winchester, has filed a lawsuit against the hospital over what has been labeled by some as a case of insensitivity. According to the affidavit, Winchester was not allowed into the intensive care unit to see his mother during what is described as the morning shift change. According to hospital policy, restrictions on the number of visitors and the hours of visitation are made in order to ensure quality of care for the patient. The allegation stated that Winchester left the hospital at that time and his mother, Mary Winchester, died unexpectedly later that day. Winchester contends that the nursing staff prevented him from seeing his mother one last time prior to her passing.Step 2 In an initial post of approximately 150 words, respond to the prompts.Imagine that you are working as an RN on a medical ICU floor. You are tasked to assemble a multidisciplinary team to review the visitation policy in the ICU.Who should be a part of the team and why?Who do you think should lead this team and why?How might the team go about studying the problem and seeking a resolution?What challenges might the multidisciplinary team encounter?Step 3 Read other students’ posts and respond to at least two of them by Friday at 11:59pm MT.In your response posts, cite strategies for facilitating synergy and promoting collaboration among a multidisciplinary team. Cite strategies for resolving some potential conflicts the team might encounter.

The RN to BSN program at Grand Canyon University meets the requirements for clinical competencies as defined by the Commission on Collegiate Nursing Education (CCNE) and the American Association of Colleges of Nursing (AACN), using nontraditional experiences for practicing nurses. These experiences come in the form of direct and indirect care experiences in which licensed nursing students engage in learning within the context of their hospital organization, specific care discipline, and local communities. Note: This is an individual assignment. In 1,000-1,500 words, describe the teaching experience and discuss your observations. The written portion of this assignment should include: Summary of teaching plan - (Diabetes for population  ages between 13yrs old-35yrs old, pre-diabetics and diabetics) Epidemiological rationale for topic Evaluation of teaching experience - Not required Community response to teaching Areas of strengths and areas of improvement

QUESTION 1Scenario 1: Syndrome of Antidiuretic Hormone (SIADH)A 77-year-old female was brought to the clinic by her daughter who stated that her mother had become slightly confused over the past several days. She had been stumbling at home and had fallen twice but was able to walk with some difficulty. She had no other obvious problems and had been eating and drinking. The daughter became concerned when she forgot her daughter’s name, so she thought she better bring her to the clinic. HPI: Type II diabetes mellitus (DM) with peripheral neuropathy x 30 years. Emphysema. Situational depression after death of spouse 6-months ago SHFH: - non contributary except for 40 pack/year history tobacco use. Meds: Metformin 1000 mg po BID, ASA 81 mg po qam, escitalopram (Lexapro) 5 mg po q am started 2 months ago Labs-CBC WNL; Chem 7- Glucose-102 mg/dl, BUN 16 mg/dl, Creatinine 1.1 mg/dl, Na+116 mmol/L, K+4.2 mmol/L, CO237 m mol/L, Cl-97 mmol/L. The APRN refers the patient to the ED and called endocrinology for a consult for diagnosis and management of syndrome of inappropriate antidiuretic hormone (SIADH). Question:1.Define SIADH and identify any patient characteristics that may have contributed to the development of SIADH QUESTION 2Scenario 2: Type 1 DiabetesA 14-year-old girl is brought to the pediatrician’s office by his parents who are concerned about their daughter’s weight loss despite eating more, frequent urination, unquenchable thirst, and fatigue that is interfering with her school activities. She had been seemingly healthy until about 4 months ago when her parents started noticing these symptoms. She admits to sleeping more and gets tired very easily. PMH: noncontributory.Allergies-NKDA FH:- maternal uncle with “some kind of sugar diabetes problem” but parents unclear on the exact disease process SH: denies alcohol, tobacco or illicit drug use. Not sexually active. Labs: random glucose 244 mg/dl. DIAGNOSIS: Diabetes Mellitus type 1 and refers to an endocrinologist for further work up and management plan. Question1.Explain the pathophysiology of the three P’s for (polyuria, polydipsia, polyphagia)” with the given diagnosis of Type I DM.QUESTION 3Scenario 2: Type 1 DiabetesA 14-year-old girl is brought to the pediatrician’s office by his parents who are concerned about their daughter’s weight loss despite eating more, frequent urination, unquenchable thirst, and fatigue that is interfering with her school activities. She had been seemingly healthy until about 4 months ago when her parents started noticing these symptoms. She admits to sleeping more and gets tired very easily. PMH: noncontributory.Allergies-NKDA FH:- maternal uncle with “some kind of sugar diabetes problem” but parents unclear on the exact disease process SH: denies alcohol, tobacco or illicit drug use. Not sexually active. Labs: random glucose 244 mg/dl. DIAGNOSIS: Diabetes Mellitus type 1 and refers to an endocrinologist for further work up and management plan. Question1.Explain the genetics relationship and how this and the environment can contribute to Type I DM.QUESTION 4Scenario 3: Type II DMA 55-year-old male presents with complaints of polyuria, polydipsia, polyphagia, and weight loss. He also noted that his feet on the bottom are feeling “strange” “like ants crawling on them” and noted his vision is blurry sometimes. He has increased an increased appetite, but still losing weight. He also complains of “swelling” and enlargement of his abdomen. PMH: HTN - well controlled with medications. He has mixed hyperlipidemia, and central abdominal obesity. Physical exam unremarkable except for decreased filament test both feet. Random glucose in office 333 mg/dl.Diagnosis: Type II DM and prescribes oral medication to control the glucose level and also referred the patient to a dietician for dietary teaching. Question:1.How would you describe the pathophysiology of Type II DM? QUESTION 5Scenario 4: HypothyroidismA patient walked into your clinic today with the following complaints: Weight gain (15 pounds), however has a decreased appetite with extreme fatigue, cold intolerance, dry skin, hair loss, and falls asleep watching television. The patient also tearfulness with depression, and with an unknown cause and has noted she is more forgetful. She does have blurry vision.PMH: Non-contributory.Vitals: Temp 96.4˚F, pulse 58 and regular, BP 106/92, 12 respirations. Dull facial expression with coarse facial features. Periorbital puffiness noted.Diagnosis: hypothyroidism.Question:What causes hypothyroidism?