Commitment Essay Assignment | Online Assignment

Commitment Creates Method
A commitment is an unbending intention, a single-mindedness of purpose that promises to
overcome all obstacles, regardless of how you may feel at any particular moment. During
the summer between my sophomore and junior years in college, I learned the power of
commitment.
That summer, I used all of my savings to visit my college roommate in Hawaii. While there, I
met a remarkable young woman, and we spent 12 blissful days getting to know each other.
Always bear in mind that your own resolution to succeed is more important than
any one thing.
Abraham Lincoln
One of my desires was to have a wonderful love relationship, so I promised to return to
Hawaii during Christmas break. However, back in college 6,000 miles away, my commitment
was seriously tested. I had no idea how, in just three months, I could raise enough money to
return to Hawaii. Committed to my dream, though, I spent weeks inventing and rejecting one
scheme after another. (Though I didn’t realize it at the time, I was actually using the Wise
Choice Process to find my best option.)
Then one day, I happened upon a possible solution. I was glancing through Sports
Illustrated magazine when I noticed an article written by a student athlete from Yale
University. Until that moment, all I’d had was a commitment. When I saw that article, I had a
plan. A long shot, yes, but a plan, nonetheless: Maybe the editors of Sports Illustrated would
buy an article about the sport I played, lightweight football (now called “sprint” football).
Driven by my commitment, I worked on an article every evening for weeks. Finally, I
dropped it in the mail and crossed my fingers.
A few weeks later, my manuscript came back, rejected. On the printed rejection form,
however, a kind editor had handwritten, “Want to try a rewrite? Here’s how you might
improve your article.…”
I spent another week revising the article, mailed it directly to my encouraging editor, and
waited anxiously. Christmas break was creeping closer. I had just about given up hope of
returning to Hawaii in December.
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When you have a clear intention, methods for producing the desired results will
present themselves.
Student Handbook, University of Santa Monica
Then one day my phone rang, and the caller identified himself as a photographer from
Sports Illustrated. “I’ll be taking photos at your football game this weekend. Where can I
meet you?”
And that’s how I learned that my article had been accepted. Better yet, Sports Illustrated
paid me enough money to return to Hawaii. I spent Christmas on the beach at Waikiki, with
my girlfriend on the blanket beside me.
Suppose I hadn’t made a commitment to return to Hawaii? Would reading Sports Illustrated
have sparked such an outrageous plan? Would I, at 20 years of age, have ever thought to
earn money by writing a feature article for a national magazine? Doubtful!
What intrigues me as I recall my experience is that the solution for my problem was there all
the time; I just couldn’t see it until I made a commitment.
By committing to our dreams, we program our brains to look for solutions to our problems
and to keep us going when the path gets rough. Whenever you’re tempted to look for
motivation outside yourself, remember this: Motivation surges up from a commitment to a
passionately held purpose.
Chapter 3:

Title of Assignment:

Module 6: Endocrine pathophysiology

Purpose of Assignment:

Complications from endocrine disorders can result in wide systemic effects. Analyzing disorders related to endocrine for the nurse is complex and orders provided to treat the client’s condition can sometimes be puzzling. Consideration of an endocrine case study will help the student learn the complexities of understanding the pathophysiology of an endocrine disorder

Course Competency(s):

• Determine pathophysiologic alterations that affect the reproductive and endocrine systems

Content:

Diabetes case study

A 21-year old female (A.M) presents to the urgent care clinic with symptoms of nausea, vomiting, diarrhea, and a fever for 3 days. She states that she has Type I diabetes and has not been managing her blood sugars since she’s been ill and unable to keep any food down. She’s only tolerated sips of water and juices. Since she’s also been unable to eat, she hasn’t taken any insulin as directed. While helping A.M. from the lobby to the examining room you note that she’s unsteady, note that her skin in warm and flushed and that she’s drowsy. You also note that she’s breathing rapidly and smell a slight sweet/fruity odor. A.M. has a challenge answering questions but keeps asking for water to drink.

You get more information from A.M. and learn

• She had some readings on her glucometer which were reading ‘high’
• She vomits almost every time she takes in fluid
• She hasn’t voided for a day but voided a great deal the day before
• She’s been sleeping long hours and finally woke up this morning and decided to seek care

Current labs and vital signs:

1. What is the pathophysiology for the condition you believe A.M. has?
2. Relate the etiology and clinical manifestations for the condition you identified for A.M.

The practitioner at the urgent care facility makes the decision that A.M. needs to go to the hospital by ambulance.  Once at the Emergency Department (ED), the ED physician orders these items:

1. 1000 ml Lactated Ringer’s (LR) IV stat
2. 36 units NPH (Humulin N) and 20 units regular (Humulin R) insulin SQ now
3. CBC with differential; CMP: blood cultures X2 sites; clean-catch urine for UA and C&S; stool for ova and parasites; Clostridium difficile toxin, and C&S; serum lactate; ketone; osmolality; ABGs on room air
4. 1800 calorie, carbohydrate controlled diet
5. Bed rest
6. Acetaminophen (Tylenol) 650 mg orally Q4 hrs PRN
7. Furosemide (Lasix) 60 mg IV push now
8. Urinary output every hour
9. VS every shift

The orders above — which are questionable related to her condition and which are appropriate?

3. What are the expected treatments for this condition?

Instructions:

Summarize the questions above and formulate what may be happening with A.M. and how you would improve her condition.

Use two evidence-based articles from peer-reviewed journals or scholarly sources to support your findings. Be sure to cite your sources in-text and on a References page using APA format. http://rasmussen.libanswers.com/faq/208365

Case study adapted from:

Harding, M.M. & Snyder, J.S. (2015). Winningham’s critical thinking cases in nursing: Medical-surgical, pediatric, maternity, and psychiatric. Retrieved from: https://ebookcentral.proquest.com/lib/ras/detail.action?docID=2072336.

Grading Rubric: