Instructions for this assignment follow the case study…
The 25-year-old mother of a three-year-old was scheduled for induction to deliver twin boys at her community hospital. Her pregnancy was uncomplicated, except that the non-presenting twin was in a breech presentation. In planning the delivery, the obstetrician requested portable ultrasound equipment and asked Anesthesia to be on hand.
The patient is being induced today by pitocin per IV drip titrated. The patient requests no pain medication at this time, but is flexible in those wishes “if it gets too tough”. 
Note: You are treating the patient during labor, not post-delivery.
At your time of care at change of shift, physical assessment reveals…
Neuro: AAOx3, follows all commands and exhibits equal strength in all extremities.
Pulmonary: Bilateral breath sounds with decreased bases. 
GI: No complaints, abdomen soft, nontender with active bowel sounds, gravid uterus.
GU: Denies any GU problems. 
CV: Regular heart right. Pulse ox 98%. Fingernails pink. No complications at this time. 
Vitals Pulse 88, BP 154/88, Respiratory rate 22, temp. 98.4 F. Height 5’4", weight 182 lb.
History reveals that…
Ms. M.M. has been smoking 1ppd for the past 10 years. She states she tried to quit, but just kept gaining weight. Ms M. M. began taking herbal diet pills 2 weeks ago in an attempt to lose weight. She doesn’t like to exercise because it is "embarrassing".
Medications information reveals that…
 Ms. M.M. states that she takes an OTC herbal weight loss supplements that the sales clerk said is "just as good or better than ephedra". She states that she takes 1 tablet QID.

Diagnostic Studies reveal that…
CXR is normal.
Blood chemistry and hematology are normal. 
EKG rhythm strip reveals that…

Footnote:
Following induction via pitocin, the first twin was delivered vaginally, without difficulty. When the obstetrician encountered problems delivering the second fetus, he re-confirmed that it was still a breech presentation. During an attempt to turn the baby via internal cephalic version, the obstetrician intentionally ruptured the membranes. The umbilical cord was wrapped around the baby’s feet and lower body. As the obstetrician further attempted to re-position the baby head-first for a vaginal delivery, the cervix contracted on his hand. The anesthesiologist, who had been called away, was called back to administer nitrous oxide to relax the uterus for further attempts to reposition the baby.
No ultrasound equipment was present in the delivery room, so the nurse monitored the fetal heart rate with a hand held device. At one point, while the obstetrician was attempting to reposition the second twin, the fetal heart rate dropped to 43 BPM. After eight minutes and no success at turning the fetus, the obstetrician called for a C-section.
The baby was born with very low Apgars, no gag reflex, and an EEG demonstrated severe brain damage. He was diagnosed with spastic quadriplegia, was blind, and died five months after birth.
Instructions for Module 8, Assignment 3
Assignment Three
Create a Power Point and APA paper (1000 words) WITH YOUR DESIGNATED GROUP.  Your group has been assigned the case study above. The Power Point is to follow the guidelines provided in the grading grid that follows, as is the APA paper. Post your Power Point presentation and paper to the appropriate forum in the Discussion Board before Sunday, December 5th. Late submissions will NOT be accepted, so begin working on this project early in the semester. 
Be sure to utilize your group room for all discussion and work regarding this assignment, as your instructor will note each student’s participation within the project, or lack thereof! Suggestion for success: One student needs to look at the required components of the assignment as listed in the grading grid and create a list of sections that each student can be assigned. Post this list as a thread in your group room. Then students can pick and choose which section most interests them. You should also assign someone to add all of the information into the grading grid, as well as put the Power Point together, and proof the APA paper. Each group members should participate equally within this assignment. Post any questions you have to your instructor at phood@lakeviewcol.edu .  Good luck!

GRADING GRID
ASSIGNMENT #5: CAM Power Point Presentation and APA Paper
             Required Components of Paper                                            Points                     Points 
            		                                                                  Earned                 Available
Included a thorough summary of the patient’s history, including all current and past information available, signs and symptoms, and a thorough discussion of the pathophysiology of the primary medical diagnosis.	15		
Identified the primary nursing diagnosis (must be NANDA approved) that can be treated effectively and ethically by complementary and/or alternative medicine modalities. 	5		
Identified appropriate traditional approaches to treatment for this patient’s medical, emotional, and spiritual condition. Include medications (see the list provided in the case study), physical therapy, and any other treatments that would be acceptable. 	10		
Identified appropriate complementary and alternative (CAM) approaches to treatment for this patient’s medical, emotional, and spiritual condition. Include a minimum of three CAM modalities. 	10		
Integrated an appropriate introduction for the entire presentation with excellent choice of words and flow.	5		
Integrated an appropriate conclusion for the entire presentation with excellent choice of words and flow.	5		
Appropriate level grammar, phrase and slide structure, APA format (citations on slides as needed as well as a title and reference slide), etc. applied within the Power Point presentation as well as within paper.	10		
Used a minimum of ten appropriate references (nursing journals unless otherwise approved, less than five years old) with reference slide at the end of the presentation.	10		
Length 15 to 18 slides. Must include a title slide as well as a reference slide, both properly formatted. For APA paper, 1000 words (950 to 1050 words are allowed without deduction; 1 point will be subtracted for each 50 words under or over the limit of 950-1050)	5		
Group Score	75		
Individual Score (as evidenced by completed returned forms – see below)	25		

      							 TOTAL POINTS AVAILABLE	   200
     						              TOTAL POINTS EARNED                _____