What were your differential diagnoses? Provide a minimum of three possible diagnoses. List them from highest priority to lowest priority. What was your primary diagnosis and why?

Select a patient that you examined during the last four weeks. With this patient in mind, address the following in a SOAP Note:

Subjective: What details did the patient provide regarding or her personal and medical history?
Objective: What observations did you make during the physical assessment?
Assessment: What were your differential diagnoses? Provide a minimum of three possible diagnoses. List them from highest priority to lowest priority. What was your primary diagnosis and why?
Plan: What was your plan for diagnostics and primary diagnosis? What was your plan for treatment and management, including alternative therapies? Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters, as well as a rationale for this treatment and management plan.
Reflection notes: What would you do differently in a similar patient evaluation?

(THE TOPIC HERE IS URINARY TRACT INFECTION (UTI) )

please use this format

Comprehensive SOAP Template

Patient Initials: Age: Gender: F

Introduction –Purpose:

SUBJECTIVE DATA:

Chief Complaint (CC):

History of Present Illness (HPI):

Medications:

Allergies: Seafood, iodine

Past Medical History (PMH):

Past Surgical History (PSH): Denies.

Sexual/Reproductive History (Obstetric):

Personal/Social History:

Immunization History and Preventive Care:

Significant Family History:

.

Review of Systems:

General:

HEENT:

Respiratory:

Cardiovascular:

Breasts:

Gastrointestinal:

Genitourinary:

Musculoskeletal:

Psychiatric:

Neurological:

Dermatological:

Hematological and Lymphatic:

Endocrine:

Allergy and Immunology:

OBJECTIVE DATA:

Physical Exam:

Vital signs:

General appearance:

HEENT:

Neck:

Lymphatics:

Breasts:

Chest:

Heart:

Abdomen:

Neurological:

Musculoskeletal:

Extremities:

Skin:

Labs, X-rays, and Diagnostics

ASSESSMENT:

Priority Diagnosis

Differential Diagnosis

For each priority diagnosis, list at least three differential diagnoses, each of which must be supported with evidence and guidelines. For holistic care, you need to include previous diagnoses and indicate whether these are controlled or not controlled. These should also be included in your treatment plan.

PLAN:

Treatment Plan: If applicable, include both pharmacological and non-pharmacological strategies, alternative therapies, follow-up recommendations, referrals, consultations, and any additional labs, x-ray, or other diagnostics. Support the treatment plan with evidence and guidelines.

Health Promotion: Include exercise, diet, and safety recommendations, as well as any other health promotion strategies for the patient/family. Support the health promotion recommendations and strategies with evidence and guidelines.

Disease Prevention: As appropriate for the patient’s age, include disease prevention recommendations and strategies such as fasting lipid profile, mammography, colonoscopy, immunizations, etc. Support the disease prevention recommendations and strategies with evidence and guidelines.

REFLECTION:Reflect on your clinical experience, and consider the following questions: What did you learn from this experience? What would you do differently? Do you agree with your preceptor based on the evidence?

James is 17 years old and hence in regard to the law, he should not enter into any binding contract.

BUSINESS LAW
Name
Course
Institution
Instructor
Date

Scenario 1 (7 marks)
Issue
Is Hi-Fi dealer entitled to re-possess the stereo sound system;
When James signed the contract and did not pay the last installment as agreed;
When James entered into contract with the company while still a minor
Rules
James is 17 years old and hence in regard to the law, he should not enter into any binding contract. However, an exclusion clause is provided where a minor is allowed to enter into a binding contract for basic and most important items such as food, medical services, and medicine. In the case of Nash v. Inman [1908] 2 KB 1) Nash supplied clothes to Inman, who was a minor. However, the minor did not pay for the goods supplied (Kurer, 2002). Therefore, the supplier went ahead and failed for a law suit. Since Nash was considered a minor, the issues of the case were; firstly, whether the goods so supplied were categorized as necessary. Secondly, if the answer for the first question was No, then it was to be determined whether the contract was in essence enforceable at law. Thirdly, it was also to be demonstrated that on whom does the onus to prove or disapprove the extent, or the necessity of the goods supplied.
Therefore, this case was held that “Necessaries means goods or services suitable to the condition in life of minor, or any other person incapable of forming contract for himself, and as to his actual requirements at the time of sale and delivery (Roberts, 2013).” This meant that the goods were not only considered as suitable and necessary to the condition in the life of a minor, but also are in need by the minor in its actual sense. This implies that he must not be already having enough supply for the goods. Further, it was indicated that the burden of proof that the item contracted for was on necessity lied on the plaintiff, regardless of how difficult it would be to proving that it was needed by the defendant, who was a minor.
According to the English law, Incompetent person is obligated to compensate the supplier of necessity goods by paying a reasonable price for such necessities. However, if the necessities supplied are not services instead of goods, then the recovery action lies against estate of such a person and not against the minor (Andrews, 2011). Therefore, based on this information, the court held for the defendant due to the absence of any substantial evidence for the plaintiff. Due to the fact that the plaintiff was not able to provide that the clothes delivered were essentially needed as necessary goods by the minor, the court observed that this contract was not the one for the necessity. Hence, it was void.
Application
It is indubitably clear that contracts which do not exhibit all the essential principles for a valid contract are deemed null and void. Additionally, contracts with all the principles except one are also deemed void and hence cannot be executed. Hi-fi dealer needed to understand the exclusion clause effectively before venturing into contract. In this case, buying a vehicle is demonstrated as a necessary item since he would not be able to go to school without driving, for the reason that there was no any alternative. Without a Stereo sound system, James would still travel comfortable. It is therefore regarded as not a basic or necessary requirement. This is therefore, demonstrated that Hi-Fi was negligent of James’ age before entering into contract. Any individual entering into contract should be above the age of 18 and hence considered as a minor.
Conclusion
With this information, it is credible to demonstrate that Hi-Fi dealer will not have an option but to count the losses since there was no valid contract in the first place.
Scenario 2
Issue
In this scenario, it is observed that James is 18 years old. Therefore, he is entitled to sue and be sued and can enter into a binding contract. Legally, he is considered as a major. However, in regard to this case, it is indicated at the entrance that the car owners park their car at their own risk. Additionally, at the back of the ticket, it is also marked that the management will not be held liable in case of any damages or los occurring. James found his car stereo system has been stolen, and the management denies the liability. Therefore, it should be determined be determined that given all those factors, whether James should sue the management.
Rule
Firstly, it is evident that this is a private owned car park serving the public with car parking services. In essence, people pay for parking cars at the car park. Therefore, the management has the responsibility to take care of the owners’ property as part of the services. In the case of case of Olley v Marlborough Court Hotel [1949] 1 KB 532, Mrs. Olley was a long staying customer in the hotel. She is used to leave the room key on a rack behind the reception. She noticed one day that her coat had been stolen from her room. When she asked to be repaid for the loss, the management was reluctant and instead led her to a disclaimer notice which stated that the proprietors will not be held liable for the lost articles and can only be accepted if they were handed over to managers on duty to safe custody.
The court held that, the hotel had failed to take reasonable care required of them to safeguard the client’s properties. In regard to the disclaimer, the court stated that it was not part of contract and thus no reliance should be placed upon it.
Application
In this case, James has the right to sue the management for his stolen stereo sound system. It is evidence that the loss that occurred is due to the management negligence. The management ought to have practiced care of the clients properties. Therefore, they will held liable.
Conclusion
From the Mrs. Olley case, it is also quite clear that the disclaimer wasn’t known to Mrs. Olley and thus cannot be part of conditions forming contracts. Analyzing the statement in the disclaimer notice, it is evident that disclaimer notices put in the bedrooms are used to protect themselves in case of loss in the bedrooms. This calls for a question whether it was to form a part and a condition of contract (Carper, & McKinsey, 2011). For it to be used, it has to exhibit all the other principles of contracts being adhered to. In this case therefore, the hotel was to be held liable since a customer would have had a change of decision if it was included in the conditions forming a contract. It was held therefore that the hotel was to be liable and had to pay Mrs. olley of the jacket lost within their premises. This thereof ore gives us the basis to determine the James case. It will also be held that the parking attendants failed to exercise due care expected of them in taking care of James vehicle. They are guilty and should pay for the loss of the stereo system.
3.
Issue
Does rose have an obligation to pay James for the work he did for him?
Does James have a right to sue Rose for failing to pay him for the work he did?
Was there a valid contract
Rule
Understandably, a contract existed between James and Rose since both had an agreement under offer and acceptance contract. In the case of Italian companies verses EACI in EUs Marco polo II program [1994] 1 KB 649, it was proposed that the Italian company was to export ceramic to Spain with a consideration of EUR 400 million. In the event, the demand for exporting the ceramics to Spain decreased because of the global economic crisis. EACI received request from Italian company to suspend the implementation of this action and after a long period of time, the Italian company had not embarked on carrying out the implementation and have not communicated to the EACI. EACI on the other hand terminated the grand since the company had not proceeded in implementation. They therefore send them a request to them to write a report and request for a final payment within sixty days.
Italian company on receiving the notice only sends for a request for EUR two million shillings. This was to be paid six months later. EACI viewed this was becoming so late. Filing the case in a court, the Italian company complaint that the EACI had acted unfairly. In response to the same, EACI responded that the Italian company delayed in submitting the request and thus the payments was justified by its final attempts made in good faith. In absence of the final report requested, the EACI did not know exactly what the exact figure was supposed to be paid which was to be determined trough the report. It therefore found that the Italian company files a report so that the amount can be determined. For now, the Italian company had no right of suing and the EACI wasn’t liable for not paying.
Application
James was to paint the house, and his aunt agreed to pay him after he completed. This was offer and acceptance condition being fulfilled. Moreover, intention to create legal relationship was evidenced since them the only relationship of coming together was to paint the house and be paid the money. None the less, being an aunt did not amount to taking advantage of breaching the contract.
Also, there was a lawful consideration since both parties had agreed to offer James $2000. Moreover, both parties had the capacity to enter into a valid contract that also validates the contract. James proved to be competent when he did a very satisfying job for his client. In conclusion, James ought to be compensated since he possessed all the qualities required into a contract. It is, therefore, advisable that Rose, James cousin should pay for whatever work done by James.
This case is concluded as from the case between Italian companies verses EACI in EUs Marco polo II program. In this contract, it was proposed that the Italian company was to export ceramic to Spain with a consideration of sh EUR 400 million. In the event, the demand for exporting the ceramics to Spain decreased because of the global economic crisis. EACI received request from Italian company to suspend the implementation of this action and after a long period of time, the Italian company had not embarked on carrying out the implementation and have not communicated to the EACI. EACI on the other hand terminated the grand since the company had not proceeded in implementation. They therefore send them a request to them to write a report and request for a final payment within sixty days.
Italian company on receiving the notice only sends for a request for EUR two million shillings. This was to be paid six months later. EACI viewed this was becoming so late. Filing the case in a court, the Italian company complaint that the EACI had acted unfairly (Jain, 2000). In response to the same, EACI responded that the Italian company delayed in submitting the request and thus the payments was justified by its final attempts made in good faith. In absence of the final report requested, the EACI did not know exactly what the exact figure was supposed to be paid which was to be determined through the report. It therefore found that the Italian company files a report so that the amount can be determined. For now, the Italian company had no right of suing and the EACI wasn’t liable for not paying.
Conclusion
In this regard, James work was satisfactorily and rose is liable to pay James.

References
Andrews, N. (2011). Contract law. Cambridge: Cambridge University Press.
Carper, D. & McKinsey, J.M.K., 2011. Understanding the Law Sixth., US.
Jain, R., 2000. Business Regulatory Framework Latest., Delhi: V.K Publications.
Kurer, M., 2002. Warranties and Disclaimers,
Manby, B. (2010). Citizenship law in Africa a comparative study (2nd ed.). New York, NY: Open Society Foundations, Africa Governance Monitoring and Advocacy (AfriMAP), Open Society Justice Initiative.
Roberts, S. (2013). Contract Law.

Small, fine-boned Grey, with a white strip from her nose, running down her chin and then down her belly Medium-length hair Body Paragraph 2: Personality Alternately playful, cuddly, and anti-social Frequently prefers to be near, but not with, a person Does not like to be alone When she thinks she is alone, she will cuddle a while with the first person she sees Loves to attack people's hands and shoe

  • Small, fine-boned
  • Grey, with a white strip from her nose, running down her chin and then down her belly
  • Medium-length hair

Body Paragraph 2: Personality

  • Alternately playful, cuddly, and anti-social
  • Frequently prefers to be near, but not with, a person
  • Does not like to be alone
  • When she thinks she is alone, she will cuddle a while with the first person she sees
  • Loves to attack people’s hands and shoes

Body Paragraph 3: Habits

  • Is definitely a creature of habit
  • To signal that she wishes to be taken outside or that she is not finished playing, she pounces on a person’s calf
  • Once something occurs in one place, it must occur only in that place from now on
    • Because she was once played with underneath the living room table, she will run under the table when she sees someone take out one of her toys
    • Has one specific spot in the living room in which she likes to have her belly rubbed; outside of that spot, she will bite the hand of a person who tries to rub her belly

Your thesis will identify the subject of your description and should make some statement about that subject. What is the single main idea that you want your reader to remember about the thing or person you are describing? That’s your thesis statement!

A thesis might be a lesson you learned from your subject or a strong emotional reaction to your subject. For example, if your description is about your well-beloved car, you might say that this car represents your desire to have the best things in life. Writing about an animal, you might say that owning a dog taught you responsibility. Possibilities abound. Considering why you chose to write about your subject and what importance that subject has to you will guide you to a thesis statement.

In your conclusion, refer back to your thesis, indicating again what significance your subject holds for you. The conclusion is your opportunity to talk about why this subject is important.

What should you avoid doing?

  • Avoid conversational words and phrases. Do not begin sentences with “Well,…” as in, “Well, I was sure wrong about how long the hike would take”. Such an opening is informal and wrong for an academic essay—even when that essay is a less formal description.
  • Avoid talking directly to readers (“As you might have guessed, I was tired and sore by the end of the hike”).

Discussion: Scholarly Writing and Plagiarism As a nurse embarking on an advanced degree, you are developing the characteristics of a scholar-practitioner, which includes strong communication skills.

Discussion: Scholarly Writing and Plagiarism

As a nurse embarking on an advanced degree, you are developing the characteristics of a scholar-practitioner, which includes strong communication skills. Writing in a scholarly manner involves supporting your thoughts with evidence from the literature and appropriately using APA formatting.

One of the challenges of scholarly writing is paraphrasing the thoughts of others in your work. Paraphrasing, and correctly citing the original author for his or her ideas, allows you to take the ideas of others, summarize them, and incorporate them into your own writing.

When summarizing the ideas of others, it is important to avoid plagiarizing (copying the words and ideas of others as though they were your own). In addition to expanding your knowledge of APA, this week’s Learning Resources help you to distinguish between paraphrasing and plagiarizing.

  • Analyze nursing and counseling theories to guide practice in psychotherapy*
  • Summarize goals and objectives for personal practicum experiences*
  • Select one nursing theory and one counseling theory to best guide your practice in psychotherapy.
  • Explain why you selected these theories. Support your approach with evidence-based literature.
  • Develop at least three goals and at least three objectives for the practicum experDiscussion: Scholarly Writing and Plagiarism

    As a nurse embarking on an advanced degree, you are developing the characteristics of a scholar-practitioner, which includes strong communication skills.

    ience in this course.

Question 1. 1. Which of the following best describes the pain associated with osteoarthritis? (Points : 2)

Question

Question 1. 1. Which of the following best describes the pain associated with osteoarthritis? (Points : 2)

Constant, burning, and throbbing with an acute onset

Dull and primarily affected by eposure to cold and barometric pressure

Begins upon arising and after prolonged weight bearing and/or use of the joint

Begins in the morning and limits continued ambulation

Question 2. 2. Your 63-year-old Caucasian woman with polymyalgia rheumatica (PMR) will begin treatment with corticosteroids until the condition has resolved. You look over her records and it has been 2 years since her last physical eamination and any laboratory or diagnostic tests as she relocated and had not yet identified a health-care provider. In prioritizing your management plan, your first orders should include: (Points : 2)

Recommending she increase her dietary intake of Calcium and Vitamin D

Ordering once a year bisphosphonate and a proton pump inhibitor

Participate in a fall prevention program

Dual-energy -ray (DEA) scan and updating immunizations

Question 3. 3. In providing health teaching related to dietary restrictions, the nurse practitioner should advise a patient with gout to avoid which of the following dietary items: (Points : 2)

Green leafy vegetables

Beer, sausage, fried seafood

Sugar

Gluten and bread items

Question 4. 4. A 33-year-old female reports general malaise, fatigue, stiffness, and pain in multiple joints of the body. There is no history of systemic disease and no history of trauma. On physical eamination, the patient has no swelling or decreased range of motion in any of the joints.She indicates specific points on the neck and shoulders that are particularly affected. She complains of tenderness upon palpation of the neck, both shoulders, hips, and medial regions of the knees. The clinician should include the following disorder in the list of potential diagnoses: (Points : 2)

Osteoarthritis

Rheumatoid arthritis

Fibromyalgia

Polymyalgia rheumatica

Question 5. 5. A 46-year-old female complains of fatigue, general malaise, and pain and swelling in her hands that has gradually worsened over the last few weeks. She reports that pain, stiffness, and swelling of her hands are most severe in the morning. On physical eamination, you note swelling of the metacarpophalangeal joints bilaterally. These are common signs of: (Points : 2)

Osteoarthritis

Rheumatoid arthritis

Scleroderma

Sarcoidosis

Question 6. 6. Which of the following statements about osteoarthritis is true? (Points : 2)

It affects primarily weight-bearing joints

It is a systemic inflammatory illness

The metacarpal phalangeal joints are commonly involved

Prolonged morning stiffness is common

Question 7. 7. The most appropriate first-line treatment for an acute gout flare is (assuming no kidney disease or elevated bleeding risk): (Points : 2)

Indomethacin 50 mg thrice daily for 2 days; then 25 mg thrice daily for 3 days

Doycycline 100 mg twice daily for 5 days

Prednisolone 35 mg four times a day for 5 days

Ice therapy

Question 8. 8. A 34-year-old female presents with fever, general malaise, fatigue, arthralgias and rash for the last 2 weeks. On physical eamination, you note facial erythema across the nose and cheeks. Serum diagnostic tests reveal positive antinuclear antibodies, anti-DNA antibodies, elevated C-reactive protein and erythrocyte sedimentation rate. The clinician should include the following disorder in the list of potential problems: (Points : 2)

Fibromyalgia

Sarcoidosis

Systemic lupus erythematosus

Rheumatoid arthritis

Question 9. 9. Your 66-year-old male patient has recently started treatment for metabolic syndrome and is currently taking the following medications: an ACE inhibitor and beta blocker for treatment of hypertension. He is also taking a statin medication, simvastatin for hyperlipidemia, and a biguanide, metformin, for type 2 diabetes. The patient complains of myalgias of the legs bilaterally and blood work shows elevated serum creatine kinase. Which of the medications can cause such a side effect? (Points : 2)

Beta blocker

ACE inhibitor

Statin medication

Metformin

Question 10. 10. A 20-year-old male construction worker is eperiencing new onset of knee pain. He complains of right knee pain when kneeling, squatting, or walking up and down stairs. On physical eamination, there is swelling and crepitus of the right knee and obvious pain with resisted range of motion of the knee. He is unable to squat due to pain. Which of the following disorders should be considered in the differential diagnosis? (Points : 2)

Joint infection

Chondromalacia patella

Prepatellar bursitis

All of the above

Question 11. 11. A 17-year-old male complains of severe right knee pain. He was playing football when he heard a “pop” at the moment of being tackled and his knee “gave away” from under him. On physical eamination, there is right knee swelling and decreased range of motion. There is a positive anterior drawer sign. These findings indicate: (Points : 2)

Knee ligament injury

Osgood-Schlatter disease

Prepatellar bursitis

Chondromalacia patella

Question 12. 12. A 55-year-old patient complains of lower back pain due to heavy lifting at work yesterday. He reports weakness of the left leg and paresthesias in the left foot. On physical eamination, the patient has diminished ability to dorsifle the left ankle. Which of the following symptoms should prompt the clinician to make immediate referral to a neurosurgeon? (Points : 2)

Straight leg raising sign

Lumbar herniated disc on -ray

Loss of left sided patellar refle

Urinary incontinence

Question 13. 13. Your patient is a 43-year-old female golfer who complains of arm pain. On physical eamination, there is point tenderness on the elbow and pain when the patient is asked to fle the wrist against the clinician’s resistance. These are typical signs of: (Points : 2)

Carpal tunnel syndrome

Osteoarthritis of the wrist

Epicondylitis

Cervical osteoarthritis

Question 14. 14. Which of the following describes the pathology of De Quervain’s tenosynovitis? (Points : 2)

Irritation of a tendon located on the radial side of the wrist, near the thumb

Impingement of the median nerve, causing pain in the palm and fingers

Fluid-filled cyst that typically develops adjacent to a tendon sheath in the wrist

Ulnar nerve compression at the olecranon process

Question 15. 15. What is the most common cause of hip pain in older adults? (Points : 2)

Osteoporosis

Osteoarthritis

Trauma due to fall

Trochanteric bursitis

Question 16. 16. A 43-year-old female was in a bicycling accident and complains of severe pain of the right foot. The patient limps into the emergency room. On physical eamination, there is no point tenderness over the medial or lateral ankle malleolus. There is no foot tenderness ecept at the base of the fifth metatarsal bone. According to the Ottawa foot rules, should an -ray of the feet be ordered? (Points : 2)

Yes, there is tenderness over the fifth metatarsal

No, there is not tenderness over the navicular bone

Yes, the patient cannot bear weight on the foot

A and C

Question 17. 17. 38-year-old Asian male, Mr. Chen, with past medical history significant for prehypertension who has recently taken up softball presents with three to five weeks of shoulder pain when throwing overhead. Ice minimally alleviates pain. Medications: Naproen minimally alleviates shoulder pain. Allergies: Penicillin-associated rash. Family history: Brother has rheumatoid arthritis.

Which of the following musculoskeletal causes of shoulder pain would merit urgent diagnosis and management? (Points : 2)

Adhesive capsulitis

Septic subacromial bursitis

Impingement of the supraspinatus tendon

Calcific tendinopathy

Question 18. 18. If Mr. Chen had restricted passive as well as active ROM of the shoulder, what problems involving the shoulder might you consider? (Points : 2)

Adhesive capsulitis

Rotator cuff tear

Tendinopathy of the long head of the biceps

Rotator cuff impingment

Question 19. 19. What is the essential dynamic stabilizer of the shoulder joint? (Points : 2)

Labrum

Rotator muscle group

Glenohumeral ligaments

Teres major muscle

Question 20. 20. Given Mr. Chen’s repetitive overhead activities, some injury to his rotator cuff muscle group is most likely. Of the following eam findings, which one would not support the diagnosis of rotator cuff tendinopathy? (Points : 2)

Positive Apley’s Scratch test

Weakness and pain with empty can testing

Limited active ROM

Inability to raise arm above his head

Question 1.

1. Your patient has been using chewing tobacco for 10 years. On physical eamination, you observe a white ulceration surrounded by erythematous base on the side of his tongue. The clinician should recognize that very often this is: (Points : 2)

Malignant melanoma

Squamous cell carcinoma

Aphthous ulceration

Behcet’s syndrome

Question 2.

2. Which of the following would be considered a “red flag” that requires more investigation in a patient assessment? (Points : 2)

Colon cancer in family member at age 70

Breast cancer in family member at age 75

Myocardial infarction in family member at age 35

All of the above

Question 3.

3. The pathophysiological hallmark of ACD is: (Points : 2)

Depleted iron stores

Impaired ability to use iron stores

Chronic uncorrectable bleeding

Reduced intestinal absorption of iron

Question 4.

4. It is important to not dilate the eye if ____ is suspected. (Points : 2)

Cataract

Macular degeneration

Acute closed-angle glaucoma

Chronic open-angle glaucoma

Question 5.

5. A 66-year-old patient presents to the clinic complaining of dyspnea and wheezing. The patient reports a smoking history of 2 packs of cigarettes per day since age 16. This would be recorded in the chart as: (Points : 2)

50 2-pack years

100-pack years

50-year, 2-pack history

100-pack history

Question 6.

6. When teaching a group of older adults regarding prevention of gastroesophageal reflu disease symptoms, the nurse practitioner will include which of the following instructions? (Points : 2)

Raise the head of the bed with pillows at night and chew peppermints when symptoms of heartburn begins.

Raise the head of the bed on blocks and take the proton pump inhibitor medication at bedtime.

Sit up for an hour after taking any medication and restrict fluid intake.

Avoid food intolerances, raise head of bed on blocks, and take a proton pump inhibitor before a meal.

Question 7.

7. A 56-year-old male complains of anoreia, changes in bowel habits, etreme fatigue, and unintentional weight loss. At times he is constipated and other times he has episodes of diarrhea. His physical eamination is unremarkable. It is important for the clinician to recognize the importance of: (Points : 2)

CBC with differential

Stool culture and sensitivity

Abdominal -ray

Colonoscopy

Question 8.

8. Dan G., a 65-year-old man, presents to your primary care office for the evaluation of chest pain and left-sided shoulder pain. Pain begins after strenuous activity, including walking. Pain is characterized as dull, aching; 8/10 during activity, otherwise 0/10. Began a few months ago,

intermittent, aggravated by eercise, and relieved by rest. Has occasional nausea. Pain is retrosternal, radiating to left shoulder, definitely affects quality of life by limiting activity. Pain is worse today; did not go away after he stopped walking. BP 120/80. Pulse 72 and regular. Normal heart sounds, S1 and S2, no murmurs. Which of the following differential diagnoses would be most likely? (Points : 2)

Musculoskeletal chest wall syndrome with radiation

Esophageal motor disorder with radiation

Acute cholecystitis with cholelithiasis

Coronary artery disease with angina pectoris

Question 9.

9. A common auscultatory finding in advanced CHF is: (Points : 2)

Systolic ejection murmur

S3 gallop rhythm

Friction rub

Bradycardia

Question 10.

10. Which of the following symptoms is common with acute otitis media? (Points : 2)

Bulging tympanic membrane

Bright light refle of tympanic membrane

Increased tympanic membrane mobility

All of the above

Question 11.

11. Rheumatic heart disease is a complication that can arise from which type of infection? (Points : 2)

Epstein-Barr virus

Diphtheria

Group A beta hemolytic streptococcus

Streptococcus pneumoniae

Question 12.

12. In eamining the mouth of an older adult with a history of smoking, the nurse practitioner finds a suspicious oral lesion. The patient has been referred for a biopsy to be sent for pathology. Which is the most common oral precancerous lesion? (Points : 2)

Fictional keratosis

Keratoacanthoma

Lichen planus

Leukoplakia

Question 13.

13. Jenny is a 24 year old graduate student that presents to the clinic today with complaints of fever, midsternal chest pain and generalized fatigue for the past two days. She denies any cough or sputum production. She states that when she takes Ibuprofen and rest that the chest

pain does seem to ease off. Upon eamination the patient presents looking very ill. She is leaning forward and states that this is the most comfortable position for her. Temp is 102. BP= 100/70. Heart rate is 120/min and regular. Upon auscultation a friction rub is audible. Her lung

sounds are clear. With these presenting symptoms your initial diagnosis would be: (Points : 2)

Mitral Valve Prolapse

Referred Pain from Cholecystitis

Pericarditis

Pulmonary Embolus

Question 14.

14. Which of the following findings should trigger an urgent referral to a cardiologist or neurologist? (Points : 2)

History of bright flash of light followed by significantly blurred vision

History of transient and painless monocular loss of vision

History of monocular severe eye pain, blurred vision, and ciliary flush

All of the above

Question 15.

15. Helicobacter pylori is implicated as a causative agent in the development of duodenal or gastric ulcers. What teaching should the nurse practitioner plan for a patient who has a positive Helicobacter pylori test? (Points : 2)

It is highly contagious and a mask should be worn at home.

Treatment regimen is multiple lifetime medications.

Treatment regimen is multiple medications taken daily for a few weeks.

Treatment regimen is complicated and is not indicated unless the patient is symptomatic.

Question 16.

16. The best evidence rating drugs to consider in a post myocardial infarction patient include: (Points : 2)

ASA, ACE/ARB, beta-blocker, aldosterone blockade

ACE, ARB, Calcium channel blocker, ASA

Long-acting nitrates, warfarin, ACE, and ARB

ASA, clopidogrel, nitrates

Question 17.

17. The most common cause of eye redness is: (Points : 2)

Conjunctivitis

Acute glaucoma

Head trauma

Corneal abrasion

Question 18.

18. A specific eam used to evaluate the gall bladder is: (Points : 2)

Psoas sign

Obturator sign

Cullens sign

Murphy’s sign

Question 19.

19. An 82-year-old female presents to the emergency department with epigastric pain and weakness. She admits to having dark, tarry stools for the last few days. She reports a long history of pain due to osteoarthritis. She self-medicates daily with ibuprofen, naprosyn, and

aspirin for joint pain. On physical eamination, she has orthostatic hypotension and pallor. Fecal occult blood test is positive. A likely etiology of the patient’s problem is: (Points : 2)

Mallory-Weiss tear

Esophageal varices

Gastric ulcer

Colon cancer

Question 20.

20. Which of the following is not a contributing factor to the development of esophagitis in older adults? (Points : 2)

Increased gastric emptying time

Regular ingestion of NSAIDs

Decreased salivation

Fungal infections such as Candida

Question 21.

21. Susan P., a 60-year-old woman with a 30 pack year history, presents to your primary care practice for evaluation of a persistent, daily cough with increased sputum production, worse in the morning, occurring over the past three months. She tells you, “I have the same thing, year after year.” Which of the following choices would you consider strongly in your critical thinking process? (Points : 2)

Seasonal allergies

Acute bronchitis

Bronchial asthma

Chronic bronchitis

Question 22.

22. A 59-year-old patient with history of alcohol abuse comes to your office because of ‘throwing up blood”. On physical eamination, you note ascites and caput medusa. A likely cause for the hematemesis is: (Points : 2)

Peptic ulcer disease

Barrett’s esophagus

Esophageal varices

Pancreatitis

Question 23.

23. Which disease process typically causes episodic right upper quadrant pain, epigastric pain or chest pain that can last 4-6 hours or less, often radiates to the back (classically under the right shoulder blade) and is often accompanied by nausea or vomiting and often follows a

heavy, fatty meal. (Points : 2)

Acute pancreatitis

Duodenal ulcer

Biliary colic

Cholecystitis

Question 24.

24. Mr. A presents to your office complaining of chest pain, mid-sternal and radiating to his back. He was mowing his lawn. He reports the pain lasting for about 8 minutes and went away after sitting down. What is his most likely diagnosis based on his presenting symptoms? (Points : 2)

Acute MI

GERD

Pneumonia

Angina

Question 25.

25. In addition to the complete blood count (CBC) with differential, which of the following laboratory tests is considered to be most useful in diagnosing ACD and IDA? (Points : 2)

Serum iron

Total iron binding capacity

Transferrin saturation

Serum ferritin

Question 26.

26. If it has been determined a patient has esophageal reflu, you should tell them: (Points : 2)

They probably have a hiatal hernia causing reflu

They probably need surgery

They should avoid all fruit juices

Smoking, alcohol, and caffeine can aggravate their problem

Question 27.

27. Which of the following imaging studies should be considered if a pulmonary malignancy is suspected? (Points : 2)

Computed tomography (CT) scan

Chest -ray with PA, lateral, and lordotic views

Ultrasound

Positron emission tomography (PET) scan

Question 28.

28. 2. (*There are multiple questions on this eam related to the following scenario. Be sure to read the whole way through to the question.)

Mr. Keenan is a 42-year-old man with a mild history of GERD and a remote history of an appendectomy, presenting with an acute onset of significant right upper-quadrant abdominal pain and vomiting. His pain began after a large meal, was unrelieved by a proton-pump inhibitor,

was unlike his previous episodes of heartburn, but upon questioning, reports milder, prodromal episodes of similar post-prandial pain. His pain seems to radiate to his back. Despite a family history of cardiac disease, he reports no classic anginal signs or chest pain. He furthermore

denies respiratory or pleuritic signs and denies fever, night sweats, and unintended weight loss. Finally, there are no dermatologic signs, nor genitourinary symptoms.

When all lab work is returned within normal limits, what is the most practical imaging study to order, considering cost, availability, and sensitivity? (Points : 2)

Abdominal upright and flat plate -ray

Abdominal MRI

Abdominal CT scan with contrast

Abdominal ultrasound

Question 29.

29. Emphysematous changes in the lungs produce the following characteristic in COPD patients? (Points : 2)

Asymmetric chest epansion

Increased lateral diameter

Increased anterior-posterior diameter

Pectus ecavatum

Question 30.

30. (*There are multiple questions on this eam related to the following scenario. Be sure to read the whole way through to the question.)

Mr. Keenan is a 42-year-old man with a mild history of GERD and a remote history of an appendectomy, presenting with an acute onset of significant right upper-quadrant abdominal pain and vomiting. His pain began after a large meal, was unrelieved by a proton-pump inhibitor,

was unlike his previous episodes of heartburn, but upon questioning, reports milder, prodromal episodes of similar post-prandial pain. His pain seems to radiate to his back. Despite a family history of cardiac disease, he reports no classic anginal signs or chest pain. He furthermore

denies respiratory or pleuritic signs and denies fever, night sweats, and unintended weight loss. Finally, there are no dermatologic signs, nor genitourinary symptoms. The chosen imaging study reveals: “GB normal in size without wall-thickening, but with 5-6 stones with shadowing. Common bile duct not dilated. Liver is homogenous and normal in size. Pancreas and kidneys are normal.” What is the most effective therapeutic/management option at this point? (Points : 2)

Trial of ursodiol

‘Watchful waiting’

Surgical consult

HIDA scan

Question 31.

31. A 26-year-old, non-smoker, male presented to your clinic with SOB with eertion. This could be due to: (Points : 2)

Eercise-induced cough

Bronchiectasis

Alpha-1 deficiency

Pericarditis

Question 32.

32. (*There are multiple questions on this eam related to this scenario. Be sure to read the whole way through to the question.)

Mr. Keenan is a 42-year-old man with a mild history of GERD and a remote history of an appendectomy, presenting with an acute onset of significant right upper-quadrant abdominal pain and vomiting. His pain began after a large meal, was unrelieved by a proton-pump inhibitor,

was unlike his previous episodes of heartburn, but upon questioning, reports milder, prodromal episodes of similar post-prandial pain. His pain seems to radiate to his back. Despite a family history of cardiac disease, he reports no classic anginal signs or chest pain. He furthermore

denies respiratory or pleuritic signs and denies fever, night sweats, and unintended weight loss. Finally, there are no dermatologic signs, nor genitourinary symptoms. Of the following lab studies, which would provide little help in determining your differential diagnosis? (Points : 2)

Abdominal plain films

Liver function tests

Amylase/lipase

Urinalysis

Question 33.

33. A 22-year-old female comes to your office with complaints of right lower quadrant abdominal pain, which has been worsening over the last 24 hours. On eamination of the abdomen, there is a palpable mass and rebound tenderness over the right lower quadrant. The clinician should recognize the importance of: (Points : 2)

Digital rectal eamination

Endoscopy

Pelvic eamination

Urinalysis

Question 34.

34. A nurse practitioner reports that your patient’s abdominal -ray demonstrates multiple air-fluid levels in the bowel. This is a diagnostic finding found in: (Points : 2)

Appendicitis

Cholecystitis

Bowel Obstruction

Diverticulitis

Question 35.

35. Your patient is a 78-year-old female with a smoking history of 120-pack years. She complains of hoarseness that has developed over the last few months. It is important to eclude the possibility of: (Points : 2)

Thrush

Laryngeal cancer

Carotidynia

Thyroiditis

Question 36.

36. Functional abilities are best assessed by: (Points : 2)

Self-report of function

Observed assessment of function

A comprehensive head-to-toe eamination

Family report of function

Question 37.

37. Essential parts of a health history include all of the following ecept: (Points : 2)

Chief complaint

History of the present illness

Current vital signs

All of the above are essential history components

Question 38.

38. An 86-year-old patient who wears a hearing aid complains of poor hearing in the affected ear. In addition to possible hearing aid malfunction, this condition is often due to: (Points : 2)

Acoustic neuroma

Cerumen impaction

Otitis media

Ménière’s disease

Question 39.

39. Upon assessment of respiratory ecursion, the clinician notes asymmetric epansion of the chest. One side epands greater than the other. This could be due to: (Points : 2)

Pneumothora

Pleural effusion

Pneumonia

Pulmonary embolism

Question 40.

40. When interpreting laboratory data, you would epect to see the following in a patient with Anemia of Chronic Disease (ACD): (Points : 2)

Hemoglobin <12 g/dl, MCV decreased, MCH decreased Hemoglobin >12 g/dl, MCV increased, MCH increased

Hemoglobin <12 g/dl, MCV normal, MCH normal Hemoglobin >12 g/dl, MCV decreased, MCH increased

There is a shortage of qualified police applicants in departments across the United States.

Shortage of Qualified Police Applicants
Students Name
Institution
Date

Introduction
There is a shortage of qualified police applicants in departments across the United States. Various departments are desperately mislaying manpower as a result of the diminishing numbers of officers and new recruits. The enforcement agencies find it hard not only to identify and hire qualified candidates but also to retain them. This is as a result of the poor perception people hold about police officers. Many individuals do not view Law Enforcement as a desirable career anymore (“Why it may be increasingly hard to find police officers”, 2018). The problem of recruiting and retaining individuals in the police departments is well documented. The shortage of qualified applicants can be attributed to the low shrinking pays, disqualifying behaviors, lack of physical fitness, credit issues, high risks.
First, individuals do not want to work as police officers because of the low pays offered by the job. Many first time job seekers in the United States are individuals who have earned college degrees. Therefore the salaries offered by the Law Enforcement may not actually reflect the expectations of these new generation of job seekers. The low payments prompts them to look for other available options in the private sectors.
Another challenging factor faced by recruitment agencies is the evolving acceptances for petty crimes and illegal drug use by the entire society. As the society embraces the use of bhang and other drugs such as heroin, cocaine, and mandrax, the young generation involve in activities that will eventually bar them from getting a criminal justice employment. The Law Enforcement requires individuals who abide by the laws of land because it involves maintaining law and order in the society.
The other challenge for getting the qualified police applicant is the lack of physical fit among many youths. The prevailing sedentary lifestyle has led to many cases of obesity among the younger generation. This implies that most of these individual do not engage in physical activity to keep fit. Therefore it is hard for recruitment agency to settle for these individuals whose fitness level is low. Police work requires rigorous work that require an individual to meet certain weight and physical fitness standards.
The hire-ability has also been affected by credit issues. Most recruitment agencies always conduct a credit check analysis when background investigation is ongoing. It is not easy for agencies to hire individuals who are so indebted so much so that they are unable to meet their needs with the available salary they will earn. Those who have substantial debts that have been converted to collections may also not be considered.
The favorable country’s economy as also provided many individuals with more career choices. With a good economy the job market is definitely blossoming hence people are provided with a wider range of carriers to choose from. The police departments are not able to provide the package provided by other professions in private sectors offer. Accrued benefits and general pay have greatly diminished in the most departments. The growth rate of both the detectives and police have been described as slower than average by the Bureau of Labor and Statistics. Their percentage growth stands at 4% while the regular rate has hit 7% for other professions.
The younger generation also want a work-life that is well balanced and flexible. This is contrary to the work ethics of the police officers who work at night and during holidays. The Law Enforcement job entails a lot of emergencies that may require police officers to be alert and standby. It also has a lot of risks because it involves use of guns. There are operations that are very risky and can lead to loss of lives. This makes many people avoid the Law Enforcement even more.
However, the Law Enforcement agencies can still counter the decreasing pool of potential police by applying the necessary strategies. The first strategy that can work well is sensitizing those individuals who don’t qualify because of unfitness about the need to plan early. There is a high requirement for qualified officers, therefore those willing to get recruited into the police departments have plenty opportunities and options to get hired. It is not possible to change the past and therefore planning early to stay qualified is the only way to avoid mistakes of the past.
Interested individuals should be reminded that when it comes to Law Enforcement, petty mistakes can result into long-term consequences. The bottom line is that criminal justice careers requires people who are well mannered. There are a lot of benefits that can be accrued from the police jobs. Working in the Law Enforcement provides you with the opportunity to save lives on a daily basis, you become a problem solver, you help people make better choices, and the compensations and benefits are also favorable.
The Law Enforcement should also consider raising the salaries and improve the working environment of the Police Officers. This serves to boost morale of those who may be willing to join the police departments. Young job seekers should also be made to know that be importance of trading lower pays for an earlier and hypothetically much more rewarding retirement condition when their carrier is over (Giblin & Galli, 2017). The police departments should also provide flexible schedules by allowing officers time off requests regularly especially when they want to go have special time with their families. The criteria for giving the time offs should also be conducted in a fair and flexible manner (“Readers respond: Strategies to combat the recruitment & retention crisis”, 2018). The officers should also be provided with state-of-the-art equipment because this is what the young generation wants.
The Law Enforcement should also tackle the issue of fear. This can be done by building a better relationship between the police officers and the individuals they serve. The touchy-feely policies hated by most officers must be implemented in order to bridge the gap that exist between the police officers and the civilians. If this is not done, it will be very hard to squeeze the juice in this lemon. Everyone in the society should be motivated by what bring people together than the differences we have. Ignoring our similarities only breeds contempt.
Conclusion
The law enforcement has been hit with the crisis of recruitment qualified candidates due to factors such as the diminishing pays, the disqualifying behaviors, lack of physical fitness, credit issues among other factors. Everyone venturing into the job market expects good pay and a favorable working environment. Therefore if the Law Enforcement wishes to attract more applicants, it must come up with reforms aimed at changing the lifestyle of police officers. This can be done through mentorship programs aimed at explaining to the community about the benefits of working as a police officer (Keenan, 2017). Providing the officers with flexible schedules and state-of-the-art equipment can also help attract more applicants.

References
Readers respond: Strategies to combat the recruitment & retention crisis. (2018). Retrieved from https://www.policeone.com/recruitment-retention-crisis/articles/470246006-Readers-respond-Strategies-to-combat-the-recruitment-retention-crisis/
Why it may be increasingly hard to find police officers. (2018). Retrieved from https://www.nbcnews.com/news/us-news/police-shortage-hits-cities-small-towns-across-country-n734721
Keenan, R. (2017). The Shortfall of Qualified Applicants and the Generational Implications that Impact Law Enforcement.
Giblin, M. J., & Galli, P. M. (2017). Compensation as a Police Candidate Attraction Tool: An Organizational-Level Analysis. Police Quarterly, 20(4), 397-419.

Instructions:Nurse scholars have claimed that nursing is both a discipline and a profession. In order to understand these claims, we must first know what it means for nursing to have a "unique body of knowledge."

I need a 2 page of paper in APA format:

Instructions:Nurse scholars have claimed that nursing is both a discipline and a profession. In order to understand these claims, we must first know what it means for nursing to have a “unique body of knowledge.” If we assume that nursing does, indeed, possess a unique body of knowledge, we can claim that nursing is a “basic science,” rather than an “applied science.” Despite these claims, debate continues about nursing as discipline, profession, and science. Is nursing a discipline? A profession? Is nursing a basic science and/or applied science? In your initial post, state what you think about nursing as discipline, profession, and science. Explore the literature beyond that assigned to you for this week’s readings to help you formulate your position. Include your reference(s) in both your initial post and your reply posts. You should include the following:What is a discipline? What is a profession? What’s the difference? What are examples of each?Does nursing fit the criteria for a “discipline” and “profession”?What is a “basic science”? What is an “applied science”? What’s the difference?Is nursing a “basic” or “applied” science? Support your statements with scholarly references. You may use those from the assigned readings on the course Blackboard site, but you must also select and use (via your literature search) a minimum of 1 reference outside of assigned readings.
Present your posts and replies in a professional, scholarly manner. Use the APA publication manual to format citations and references.

Please follow the instruction and answer all question.

Hypothyroidism is six times more common in women than men, and is most common in older women (Carson, 2009). A thorough physical assessment should be completed.

Reply to Amanda

Do you take any medications?

Some medications (Lithium) are notorious for causing hypothyroid.

Have you ever been diagnosed with a thyroid disorder?

Surgeries to the thyroid may result in hypothyroid.

Are you allergic to anything?

Relevant to treatment regimen.

Have you experienced any significant life changes? Additional stress etc?

Depression may manifest similar symptoms.

PE:

Hypothyroidism is six times more common in women than men, and is most common in older women (Carson, 2009). A thorough physical assessment should be completed. Clinical signs and symptoms may include paleness, brittle appearing hair and skin, elevated blood pressure, and bradycardia (Carson, 2009). The patient may have a “puffy” appearance to her face, irregular periods, and report sustained fatigue (Roberts et al, 2009).

Differential Diagnoses

Anemia, Depression

Diagnostics

TSH – Will be elevated in Hypothyroid

Free T4 – Result will be low in Hypothyroid

Cholesterol – Often elevated with Hypothyroid

CBC – To rule out anemia

CMP – To monitor other electrolytes

EKG – to assess for any blocks, prolonged QRS, or electrolyte abnormalities

Treatment

Patients with symptomatic hypothyroidism should be treated to prevent long-term complications (Roberts et al, 2004) Depending on the results of her TSH & T4 I would initiate a daily regimen of Levothyroxine. 4-6 weeks after the initiation of Levothyroxine I would recheck the patients TSH. After the TSH has reached a therapeutic level – I would recheck it again in 6 months.

References

Carson, M. (2009). Assessment and management of patients with hypothyroidism. Nursing Standard (through 2013), 23(18), 48-56; quiz 58. Retrieved from https://prx-herzing.lirn.net/login?url=https://search.proquest.com/docview/219883523?accountid=167104 (Links to an external site.)Links to an external site.

Roberts, C. G. P., & Ladenson, P. W. (2004). Hypothyroidism. The Lancet, 363(9411), 793-803. doi:http://dx.doi.org/10.1016/S0140-6736(04)15696-1

reply to Quiana

What additional questions should you ask the patient and why?

Some questions include:

How much weight has been gained? What kinds of meals/foods do you typically take? Do you exercise?
Quantifying the amount of weight provides perspective. A gain of 5 lbs does not carry the urgency that a 20 lb weight gain does. Asking about her lifestyle habits can offer some insight into factors that can aggravate what sounds like hypothyroidism. This creates teachable opportunities for improving lifestyle habits.
Are you still menstruating and if so, how regularly?
This can rule out pregnancy or hormone changes that precipitate menopause. Also, with hypothyroidism, this condition can disrupt a normal menstrual cycle. For a woman in menopause, hypothyroid symptoms can be masked or ignored when it is assumed that it is a lack of ooestrogen that is causing her concerns (Baisier, Hertoghe, & Eeckhaut, 2000).
Bowel habits, specifically any problem with constipation?
(Chaker, Bianco, Jonklaas, & Peeters, 2017)
Any hx of depression?
Her reported complaints are common findings for hypothyroid but they can also be related to depression. Though the rate of depression in hypothyroid patients is >60% (Bathla & Singh, 2016), the patient should be screened for depression. Her symptoms could be psychosomatic.

What should be included in the physical examination at this visit?

Included items to address are skin for dryness, hair for thinning or irregular growth pattern, eyes for exopthalmus, neck/throat and thyroid for possible goiter, cardiac sounds for bradyarrhythmias, and also for peripheral manifestations like delayed relaxation of deep tendon reflexes (Chaker, et al., 2017).

What are the possible differential diagnoses at this time?

Hypothyroidism
Depression
Anemia
What tests should you order and why?
TSH and free T3 and T4
EKG
CMP
CBC
Lipid Panel
A depression screen can be done in office

Hypothyroidism can increase lipids and alter cardiac function (Chaker, et al., 2017). EKG may reveal cardiac abnormalities. CBC can reveal anemia. The metabolic panel can reveal diabetes or problems with hepatic or renal function. Hypothyroidism continues to be researched as far as the specific link to renal and hepatic dysfunction (Chaker, et al., 2017). The depression screen serves, like the other lab orders, to exclude causes of her symptoms. The most obvious test is a thyroid panel. To assess the circulating amount of hormone in the body is to judge her thyroid function.

How should this patient be managed?

Pending the diagnosis, the patient should be encouraged to complete all lab work in a timely fashion. Since these labs can be resulted within 24hrs, if not same day, that would be my biggest priority for completion. For hypothyroidism, pending the thyroid results, the patient should start on hormone replacement with a drug like levothyroxine. Often, levothyroxine 50-100mcg is a starting dose (Dunphy, Winland-Brown, Porter, & Thomas, 2015), it should be taken daily, on an empty stomach, in the morning. She should return in about 1 mo to reassess symptoms and lab value. If the patient is difficult to manage, due to comorbid conditions or lack of therapeutic response, endocrine may be consulted.

References

Baisier, W. V., Hertoghe, J., & Eeckhaut, W. (2000). Thyroid insufficiency. is TSH measurement the only diagnostic tool? Journal of Nutritional & Environmental Medicine, 10(2), 105-113. Retrieved from https://prx-herzing.lirn.net/login?url=https://search.proquest.com/docview/215623935?accountid=167104

Bathla, M., & Singh, M. (2016). Reply to “how prevalent are depression and anxiety symptoms in hypothyroidism?”. Indian Journal of Endocrinology and Metabolism, 20(6) doi:http://dx.doi.org/10.4103/2230-8210.192913

Chaker, L., Bianco, A. C., Jonklaas, J., & Peeters, R. P. (2017). Hypothyroidism. The Lancet, 390(10101), 1550-1562. doi:http://dx.doi.org/10.1016/S0140-6736(17)30703-1

Dunphy, L. M., Winland-Brown, J. E., Porter, B. O., & Thomas, D. J. (2015). Primary care: The art and science of advanced practice nursing, (4th ed.). [VitalSource Bookshelf version]. Retrieved from https://bookshelf.vitalsource.com/books/9780803655621

Posted: a year ago
Due: 18/03/2019
Budget: $12

.Select a common (or not so common) illness or condition that affects a specific ethnic group. 2.Identify two (2) CAM therapies that patients are likely to try before seeking (or in addition to) allopathic, osteopathic, or ayurvedic medical intervention for the illness or condition.

CO1: Identify theories, concepts, and beliefs related to transcultural nursing. (PO1)

We encounter patients after they have explored various avenues of self-help. At times, these avenues involve the use of complementary and alternative medicine (CAM). Our readings this week are very helpful.

1.Select a common (or not so common) illness or condition that affects a specific ethnic group.

2.Identify two (2) CAM therapies that patients are likely to try before seeking (or in addition to) allopathic, osteopathic, or ayurvedic medical intervention for the illness or condition.

3.Discuss the effectiveness of each therapy you identified.

Note: Do not discuss an illness or condition about which a classmate has already posted. The diversity will lead to a more robust discussion. There are many examples you may discuss, including sickle-cell disease in African Americans, constipation in the elderly people, or the use of Reiki for mental and emotional healing by Japanese people. Think of others from your practice settings or prelicensure experiences.

Describe six sources of internal evidence that could be used in providing data to demonstrate improvement in outcomes.

Assignment Expectations:

Length: 1000 – 1500 words
Structure: Include a title page and reference page in APA format. These do not count towards the minimum word count for this assignment. Your essay must include an introduction and a conclusion.
References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of one (1) scholarly source and the textbook are required for this assignment.

Think about the concepts that you have studied so far and identify how they might relate to you.

Final Project: Part III

In Part III of the Final Project you develop a cumulative reflection of your experience in this course.

To prepare for this Assignment:

  • Think about the concepts that you have studied so far and identify how they might relate to you.
  • Consider how you have grown in knowledge and perspective since the beginning of the course.
  • Think about the ways in which you use math in your everyday life that you may not have been aware of before this course.
  • Reflect on any changes in the way you view math now versus when you began this course. If nothing changed, reflect on why.

Assignment: Prepare a 2- to 3-page paper demonstrating your understanding of how mathematical thinking can be applied to your personal and professional life.

  • Identify three skills you have acquired or improved upon in this course (this includes the two you have already identified in previous assignments).
  • Explain how these skills can be applied in two of the following areas: your personal, academic, and/or professional life.
  • Include an example to support and/or represent each of the skills you have identified.
  • Describe two skills you would like to improve upon.
  • Identify how improving these skills will help you in your personal, academic, and/or professional life.
  • Cite any resources you may have used.
  • 2 Skills I already Identified were Time management and Organizing, Need to come up with another skill that help imporve in this course?

Submit your Final Project: Part III by Day 6.