Instructions for this assignment follow the case study…
First: Go to 
http://www.time.com/time/nation/article/0,8599,218445,00.html
and thoroughly read this article. 
You are a nurse caring for Andrea Yates at the facility where she is being held ten years later. 
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 is explained within the article.
Medications information reveals that…
Andrea has been prescribed the following:
Lithium, 150 mg immediate release capsules po three times daily
Tegretol, 100 mg po three times daily
Multivitamin, one tablet daily

No recent diagnostic tests are available. 
Psychotherapy orders reveal that…
Andrea attends group therapy twice a week, and individual counseling sessions with her assigned psychotherapist three times a week. While she continues to make what is described as “good progress”, Andrea has difficulty sleeping. She becomes agitated at times and this increases as the reality of her criminal act against her children sets in. She is also quite anxious at certain times of the day and has begun to exhibit OCD (obsessive compulsive disorder) characteristics again like washing her hands until they become raw. 
Written Assignment 4
Assignment Four
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 Friday, December 9th. Late submissions will NOT be accepted. 
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 member should participate equally within this assignment. Send any questions you have to me directly 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.	20		
Identified the primary nursing diagnosis (must be NANDA approved) that can be treated effectively and ethically by complementary and/or alternative medicine modalities. 	10		
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.
	25		
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		
Total Score	100		

      							 TOTAL POINTS AVAILABLE	   100
     						              TOTAL POINTS EARNED                _____