Personnel Selection and Development

Personnel Selection and Development

The need for interaction and collaboration with other agencies in service to the mission of the organization is becoming the norm for many human service organizations in all sectors of practice. This need for collaboration affects the way organizational management is practiced.

In your initial post, discuss the importance of hiring and staff development processes that foster teams that are flexible, adaptable, and responsive to trends and forces that influence human service delivery. As a leader developing an adaptable team, what are some qualities you would look for in building a staff organization that is capable of collaborating with other agencies or organizations for optimum service delivery to a specific client population?

UNIT7DISC2

Financial Management and Service Delivery

All organizations, regardless of their sector of practice or size, operate within a budget and an annual financial planning cycle. Many organizations rely on multiple sources of funding.

In your initial post, compare the financial planning processes for a nonprofit organization with those for a government (city, county, state, or federal) agency. Discuss how financial planning and financial constraints can impact collaboration and human service delivery for a specific population (such as substance abuse, mental health, family services, child care, educational programs, health care, the elderly, or disabled populations). What challenges exist when there are restrictions on the use of funds for specific purposes? How do financial reporting practices impact efforts to develop collaboration between programs or agencies?

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We are a professional custom writing website. If you have searched for a question and bumped into our website just know you are in the right place to get help in your coursework.

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1. Click on the  “Order Now” on the Main Menu and a new page will appear with an order form to be filled.

2. Fill in your paper’s requirements in the “PAPER INFORMATION” section and the system will calculate your order price/cost.

3. Fill in your paper’s academic level, deadline, and the required number of pages from the drop-down menus.

4. Click “FINAL STEP” to enter your registration details and get an account with us for record-keeping and then, click on “PROCEED TO CHECKOUT” at the bottom of the page.

100% Reliable Site. Make this your Home of Academic Papers.

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Who We Are 

We are a professional custom writing website. If you have searched for a question and bumped into our website just know you are in the right place to get help with your coursework.

Do you handle any type of coursework?

Yes. We have posted our previous orders to display our experience. Since we have done this question before, we can also do it for you. To make sure we do it perfectly, please fill out our Order Form. Filling the order form correctly will assist our team in referencing, specifications, and future communication.

Is it hard to Place an Order?

  • 1. Click on “Order Now” on the main Menu and a new page will appear with an order form to be filled.
  • 2. Fill in your paper’s requirements in the “PAPER INFORMATION” section and the system will calculate your order price/cost.
  • 3. Fill in your paper’s academic level, deadline, and the required number of pages from the drop-down menus.
  • 4. Click “FINAL STEP” to enter your registration details and get an account with us for record-keeping and then, click on “PROCEED TO CHECKOUT” at the bottom of the page.
  • 5. From there, the payment sections will show, follow the guided payment process and your order will be available for our writing team to work on it.

SCORE A+ WITH HELP FROM OUR PROFESSIONAL WRITERS – 

We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium.

  • Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.

  • Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

  • APA Format and Writing Quality

Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.

  • Use of Direct Quotes

I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.

  • LopesWrite Policy

For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score.

  • Late Policy

The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

  • Communication

Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

  • Guarantee

  • Zero Plagiarism
  • On-time delivery
  • A-Grade Papers
  • Free Revision
  • 24/7 Support
  • 100% Confidentiality
  • Professional Writers

  • Services Offered

  • Custom paper writing
  • Question and answers
  • Essay paper writing
  • Editing and proofreading
  • Plagiarism removal services
  • Multiple answer questions

SCORE A+ WITH HELP FROM OUR PROFESSIONAL WRITERS

We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium.

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Hypertension & Teaching Points Of Antihypertensive Drugs

Hypertension & Teaching Points Of Antihypertensive Drugs

The advanced practice nurse is updating the plan of care of nursing home patients with hypertension.

  1. Briefly describe the therapeutic actions of drugs affecting blood pressure (diuretics, ACE inhibitors, ARBs, CCB, sympathetic nervous system drugs).
  2. What important teaching points should be addressed for patients receiving antihypertensive drugs?

Submission Instructions:

  • Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 3 academic sources.

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    We are a professional custom writing website. If you have searched for a question and bumped into our website just know you are in the right place to get help in your coursework.

    Do you handle any type of coursework?

    Yes. We have posted over our previous orders to display our experience. Since we have done this question before, we can also do it for you. To make sure we do it perfectly, please fill out our Order Form. Filling the order form correctly will assist our team in referencing, specifications, and future communication.

    Hypertension & Teaching Points Of Antihypertensive Drugs

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    ORDER NOW FOR AN ORIGINAL PAPER ASSIGNMENT

    1. Click on the  “Order Now” on the Main Menu and a new page will appear with an order form to be filled.

    2. Fill in your paper’s requirements in the “PAPER INFORMATION” section and the system will calculate your order price/cost.

    3. Fill in your paper’s academic level, deadline, and the required number of pages from the drop-down menus.

    4. Click “FINAL STEP” to enter your registration details and get an account with us for record-keeping and then, click on “PROCEED TO CHECKOUT” at the bottom of the page.

    100% Reliable Site. Make this your Home of Academic Papers.

    ADDITIONAL INSTRUCTIONS FOR THE CLASS

    Who We Are 

    We are a professional custom writing website. If you have searched for a question and bumped into our website just know you are in the right place to get help with your coursework.

    Do you handle any type of coursework?

    Yes. We have posted our previous orders to display our experience. Since we have done this question before, we can also do it for you. To make sure we do it perfectly, please fill out our Order Form. Filling the order form correctly will assist our team in referencing, specifications, and future communication.

    Is it hard to Place an Order?

    • 1. Click on “Order Now” on the main Menu and a new page will appear with an order form to be filled.
    • 2. Fill in your paper’s requirements in the “PAPER INFORMATION” section and the system will calculate your order price/cost.
    • 3. Fill in your paper’s academic level, deadline, and the required number of pages from the drop-down menus.
    • 4. Click “FINAL STEP” to enter your registration details and get an account with us for record-keeping and then, click on “PROCEED TO CHECKOUT” at the bottom of the page.
    • 5. From there, the payment sections will show, follow the guided payment process and your order will be available for our writing team to work on it.

    SCORE A+ WITH HELP FROM OUR PROFESSIONAL WRITERS – 

    We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium.

    • Discussion Questions (DQ)

    Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.

    • Weekly Participation

    Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

    • APA Format and Writing Quality

    Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.

    • Use of Direct Quotes

    I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.

    • LopesWrite Policy

    For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score.

    • Late Policy

    The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

    • Communication

    Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

    • Guarantee

    • Zero Plagiarism
    • On-time delivery
    • A-Grade Papers
    • Free Revision
    • 24/7 Support
    • 100% Confidentiality
    • Professional Writers

    • Services Offered

    • Custom paper writing
    • Question and answers
    • Essay paper writing
    • Editing and proofreading
    • Plagiarism removal services
    • Multiple answer questions

    SCORE A+ WITH HELP FROM OUR PROFESSIONAL WRITERS

    We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium.

    Looking for a Similar Assignment? Order a custom-written, plagiarism-free paper

Case Study 4

Case Study 4

Gastrointestinal Function:
R.H. is a 74-year-old black woman, who presents to the family practice clinic for a scheduled appointment. She complains of feeling bloated and constipated for the past month, some-times going an entire week with only one bowel movement. Until this episode, she has been very regular all of her life, having a bowel movement every day or every other day. She reports straining most of the time and it often takes her 10 minutes at a minimum to initiate a bowel movement. Stools have been extremely hard. She denies pain during straining. A recent colonoscopy was negative for tumors or other lesions. She has not yet taken any medications to provide relief for her constipation. Furthermore, she reports frequent heartburn (3–4 times each week), most often occur-ring soon after retiring to bed. She uses three pillows to keep herself in a more upright position during sleep. On a friend’s advice, she purchased a package of over-the-counter aluminum hydroxide tablets to help relieve the heartburn. She has had some improvement since she began taking the medicine. She reports using naproxen as needed for arthritic pain her hands and knees. She states that her hands and knees are extremely stiff when she rises in the morning. Because her arthritis has been getting worse, she has stopped taking her daily walks and now gets very little exercise.

Case Study Questions

  1. In your own words define constipation and name the risk factors that might lead to develop constipation. List recommendations you would give to a patient who is suffering from constipation. You might use a previous experience you might have.
  2. Based on the clinical manifestations on R.H. case study, name and explain signs and symptoms presented that are compatible with the constipation diagnosis. Complement your list with signs and symptoms not present on the case study.
  3. Sometimes as an associate diagnosis and a complication, patients with constipation could have anemia. Would you consider that possibility based on the information provided on the case study?

Endocrine Function:
C.B. is a significantly overweight, 48-year-old woman from the Winnebago Indian tribe who had high blood sugar and cholesterol levels three years ago but did not follow up with a clinical diagnostic work-up. She had participated in the state’s annual health screening program and noticed that her fasting blood sugar was 141 and her cholesterol was 225. However, she felt “perfectly fine at the time” and could not afford any more medications. Except for a number of “female infections,” she has felt fine until recently. Today, she presents to the Indian Hospital general practitioner complaining that her left foot has been weak and numb for nearly three weeks and that the foot is difficult to flex. She denies any other weakness or numbness at this time. However, she reports that she has been very thirsty lately and gets up more often at night to urinate. She has attributed these symptoms to the extremely warm weather and drinking more water to keep hydrated. She has gained a total of 65 pounds since her last pregnancy 14 years ago, 15 pounds in the last 6 months alone.

Case Study Questions

  1. In which race and ethnic groups is DM more prevalent? Based on C.B. clinical manifestations, please compile the signs and symptoms that she is exhibiting that are compatible with the Diabetes Mellitus Type 2 diagnosis.
  2. If C.B. develop a bacterial pneumonia on her right lower lobe, how would you expect her Glycemia values to be? Explain and support your answer.
  3. What would be the best initial therapy non-pharmacologic and pharmacologic to be recommended to C.B?

Submission Instructions:

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Who We Are
We are a professional custom writing website. If you have searched for a question and bumped into our website just know you are in the right place to get help in your coursework.

Do you handle any type of coursework?

Yes. We have posted over our previous orders to display our experience. Since we have done this question before, we can also do it for you. To make sure we do it perfectly, please fill out our Order Form. Filling the order form correctly will assist our team in referencing, specifications, and future communication.

Is it hard to Place an Order?

ORDER NOW FOR AN ORIGINAL PAPER ASSIGNMENT

1. Click on the  “Order Now” on the Main Menu and a new page will appear with an order form to be filled.

2. Fill in your paper’s requirements in the “PAPER INFORMATION” section and the system will calculate your order price/cost.

3. Fill in your paper’s academic level, deadline, and the required number of pages from the drop-down menus.

4. Click “FINAL STEP” to enter your registration details and get an account with us for record-keeping and then, click on “PROCEED TO CHECKOUT” at the bottom of the page.

100% Reliable Site. Make this your Home of Academic Papers.

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Who We Are 

We are a professional custom writing website. If you have searched for a question and bumped into our website just know you are in the right place to get help with your coursework.

Do you handle any type of coursework?

Yes. We have posted our previous orders to display our experience. Since we have done this question before, we can also do it for you. To make sure we do it perfectly, please fill out our Order Form. Filling the order form correctly will assist our team in referencing, specifications, and future communication.

Is it hard to Place an Order?

  • 1. Click on “Order Now” on the main Menu and a new page will appear with an order form to be filled.
  • 2. Fill in your paper’s requirements in the “PAPER INFORMATION” section and the system will calculate your order price/cost.
  • 3. Fill in your paper’s academic level, deadline, and the required number of pages from the drop-down menus.
  • 4. Click “FINAL STEP” to enter your registration details and get an account with us for record-keeping and then, click on “PROCEED TO CHECKOUT” at the bottom of the page.
  • 5. From there, the payment sections will show, follow the guided payment process and your order will be available for our writing team to work on it.

SCORE A+ WITH HELP FROM OUR PROFESSIONAL WRITERS – 

We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium.

  • Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.

  • Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

  • APA Format and Writing Quality

Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.

  • Use of Direct Quotes

I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.

  • LopesWrite Policy

For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score.

  • Late Policy

The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

  • Communication

Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

  • Guarantee

  • Zero Plagiarism
  • On-time delivery
  • A-Grade Papers
  • Free Revision
  • 24/7 Support
  • 100% Confidentiality
  • Professional Writers

  • Services Offered

  • Custom paper writing
  • Question and answers
  • Essay paper writing
  • Editing and proofreading
  • Plagiarism removal services
  • Multiple answer questions

SCORE A+ WITH HELP FROM OUR PROFESSIONAL WRITERS

We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium.

Looking for a Similar Assignment? Order a custom-written, plagiarism-free paper

Week 2 SOAP NOTE

Week 2 SOAP NOTE

Create a SOAP NOTE using the guidelines and template provided below.

Topic: Menorrhagia on a 18 y/o female patient.

CC: I have been having heavy periods for the past 3 months lasting 10 to 11 days with constant pain in the pelvis area.

Guidelines:

Subjective Information: “CC”, HPI :OPQRST IF f/u: health status since the last visit, response to therapies. PMH, PSH, FH, ROS complete.

Objective Information: Complete physical exam with critical elements related to subjective data.

Assessment: Minimum of 3 differentials supported by S + O data Final diagnosis noted, and optimal and thorough subjective and objective assessment is presented for final diagnosis.

Plan: Diagnostic tests/therapies/follow-up, Patient education, health promotion. Medications listed with dosage/SE/Education/

Analyze quality and relevance of S + O data and the evidence for diagnosis. Use of clinical evidence-based reasoning & literature in designing the plan of care, compare to the plan of care implemented.

SOAP NOTE

Name: Date: Time:
  Age: 18 years Sex: Female
SUBJECTIVE

CC:  I have been having heavy periods for the past 3 month lasting 10 to 11 days with constant pain in the pelvis area.

 

HPI:  (Use OLD CARTS tool)

 

Medications:

 

PMH:

Allergies: 

Medication Intolerances:

Immunizations:

Chronic Illnesses/Major traumas:

Hospitalizations/Surgeries (include delivery of pregnancies here)

 

Family History

 

Social History

 

ROS

General

 

Cardiovascular

 

Skin

 

Respiratory

 

Eyes

 

Gastrointestinal

 

Ears

 

Genitourinary/Gynecological

 

Nose/Mouth/Throat

 

Musculoskeletal

 

Breast

 

Neurological

 

Heme/Lymph/Endo

 

Psychiatric

 

OBJECTIVE
Weight: BMI: Temp: BP:
Height: Pulse: Resp:

General Appearance

 

Skin

 

 

HEENT

 

 

Cardiovascular

 

Respiratory

 

Gastrointestinal

 

Breast

 

Genitourinary

 

Musculoskeletal

 

Neurological

 

Psychiatric

 

Lab Tests (list the results if you have them)

 

Special Tests (done or ordered during the OV)

No special tests ordered.

 

 

 Diagnosis – include the appropriate ICD – 10 Code for each diagnosis used

Primary Diagnosis

Differential Diagnoses (these must be different from the Primary Diagnosis)

 

Plan/Therapeutics (explain fully)

 

 

 Evaluation of patient encounter

ORDER an A++ paper from our MASTERS and DOCTORATE WRITERS

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Who We Are
We are a professional custom writing website. If you have searched for a question and bumped into our website just know you are in the right place to get help in your coursework.

Do you handle any type of coursework?

Yes. We have posted over our previous orders to display our experience. Since we have done this question before, we can also do it for you. To make sure we do it perfectly, please fill out our Order Form. Filling the order form correctly will assist our team in referencing, specifications, and future communication.

Is it hard to Place an Order?

ORDER NOW FOR AN ORIGINAL PAPER ASSIGNMENT

1. Click on the  “Order Now” on the Main Menu and a new page will appear with an order form to be filled.

2. Fill in your paper’s requirements in the “PAPER INFORMATION” section and the system will calculate your order price/cost.

3. Fill in your paper’s academic level, deadline, and the required number of pages from the drop-down menus.

4. Click “FINAL STEP” to enter your registration details and get an account with us for record-keeping and then, click on “PROCEED TO CHECKOUT” at the bottom of the page.

100% Reliable Site. Make this your Home of Academic Papers.

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Who We Are 

We are a professional custom writing website. If you have searched for a question and bumped into our website just know you are in the right place to get help with your coursework.

Do you handle any type of coursework?

Yes. We have posted our previous orders to display our experience. Since we have done this question before, we can also do it for you. To make sure we do it perfectly, please fill out our Order Form. Filling the order form correctly will assist our team in referencing, specifications, and future communication.

Is it hard to Place an Order?

  • 1. Click on “Order Now” on the main Menu and a new page will appear with an order form to be filled.
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  • 3. Fill in your paper’s academic level, deadline, and the required number of pages from the drop-down menus.
  • 4. Click “FINAL STEP” to enter your registration details and get an account with us for record-keeping and then, click on “PROCEED TO CHECKOUT” at the bottom of the page.
  • 5. From there, the payment sections will show, follow the guided payment process and your order will be available for our writing team to work on it.

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We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium.

  • Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.

  • Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

  • APA Format and Writing Quality

Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.

  • Use of Direct Quotes

I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.

  • LopesWrite Policy

For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score.

  • Late Policy

The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

  • Communication

Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

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  • Custom paper writing
  • Question and answers
  • Essay paper writing
  • Editing and proofreading
  • Plagiarism removal services
  • Multiple answer questions

SCORE A+ WITH HELP FROM OUR PROFESSIONAL WRITERS

We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium.

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Conversation 250 Words Apa

Conversation 250 Words Apa

Conversation 250 Words Apa

The Institute of Medicine’s (IOM) landmark publication – The Future of Nursing: Leading Change, Advancing Health has significantly changed the nursing profession. Review the IOM 2010 Report – The Future of Nursing: Leading Change, Advancing Health. Identify and discuss one (1) example of the impact the Future of Nursing report has had on the Advanced Practice Nurse role – Clinician, Educator, Researcher, Administrator, Entrepreneur, Consultant, or Leader. IOM Report Retrieved August 20, 2018 from The Future of Nursing

  • Length: A minimum of 250 words, not including references
  • Citations: At least one high-level scholarly reference in APA from within the last 5 years

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    Is it hard to Place an Order?

    ORDER NOW FOR AN ORIGINAL PAPER ASSIGNMENT

    1. Click on the  “Order Now” on the Main Menu and a new page will appear with an order form to be filled.

    2. Fill in your paper’s requirements in the “PAPER INFORMATION” section and the system will calculate your order price/cost.

    3. Fill in your paper’s academic level, deadline, and the required number of pages from the drop-down menus.

    4. Click “FINAL STEP” to enter your registration details and get an account with us for record-keeping and then, click on “PROCEED TO CHECKOUT” at the bottom of the page.

    100% Reliable Site. Make this your Home of Academic Papers.

    ADDITIONAL INSTRUCTIONS FOR THE CLASS

    Who We Are 

    We are a professional custom writing website. If you have searched for a question and bumped into our website just know you are in the right place to get help with your coursework.

    Do you handle any type of coursework?

    Yes. We have posted our previous orders to display our experience. Since we have done this question before, we can also do it for you. To make sure we do it perfectly, please fill out our Order Form. Filling the order form correctly will assist our team in referencing, specifications, and future communication.

    Is it hard to Place an Order?

    • 1. Click on “Order Now” on the main Menu and a new page will appear with an order form to be filled.
    • 2. Fill in your paper’s requirements in the “PAPER INFORMATION” section and the system will calculate your order price/cost.
    • 3. Fill in your paper’s academic level, deadline, and the required number of pages from the drop-down menus.
    • 4. Click “FINAL STEP” to enter your registration details and get an account with us for record-keeping and then, click on “PROCEED TO CHECKOUT” at the bottom of the page.
    • 5. From there, the payment sections will show, follow the guided payment process and your order will be available for our writing team to work on it.

    SCORE A+ WITH HELP FROM OUR PROFESSIONAL WRITERS – 

    We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium.

    • Discussion Questions (DQ)

    Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.

    • Weekly Participation

    Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

    • APA Format and Writing Quality

    Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.

    • Use of Direct Quotes

    I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.

    • LopesWrite Policy

    For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score.

    • Late Policy

    The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

    • Communication

    Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

    • Guarantee

    • Zero Plagiarism
    • On-time delivery
    • A-Grade Papers
    • Free Revision
    • 24/7 Support
    • 100% Confidentiality
    • Professional Writers

    • Services Offered

    • Custom paper writing
    • Question and answers
    • Essay paper writing
    • Editing and proofreading
    • Plagiarism removal services
    • Multiple answer questions

    SCORE A+ WITH HELP FROM OUR PROFESSIONAL WRITERS

    We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium.

    Looking for a Similar Assignment? Order a custom-written, plagiarism-free paper

Discussion 4 Respond

Discussion 4 Respond

You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your responses must be substantive and not just agreeing with someone’s work. You need to add by explaining more, refuting a point or correcting a point.  a minimum of 150 words and one reference with in text citation, one reference for each respond.

Module 6 Discussion

1. Explain the significance of family and kinship for the Perez family.

Familism is the value of family considerations over individual or community needs, and is a strong value in the Hispanic community (Kemp, 2001). The Perez family lives within close proximity to one another and has a strong reliance on family in day-to-day life, as well as in sickness. Both Mr. and Mrs. Perez rely on their nurse daughter to guide them and advise on their health care and will be present during her father’s pacemaker implant surgery. A family-centered model of medical and health decision-making is more valued than patient autonomy (Kemp, 2001). Mr. Perez is also the main provider for the family. The Perez family places a strong emphasis on family as the major source of one’s protection against hardships in life. Close-knit family relations provide the Perez family with a network of security and support, especially in times of need. The significance of family in Mexican Americans is the most important aspect of life and is believed that what God united cannot be separated by man (Evason, 2018).

2. Describe the importance of religion and God for the Perez family.

Religion and God are very influential and important to the Perez family. The Perez family has numerous spiritual items and symbols in their household and attends mass every Sunday morning. The Perez family believes their health is in the hands of God and prays for the health of the family frequently with handmade bequests. Mr. Perez often visits a curandero for medicinal folk remedies. Curanderos are traditional native healers that use folk remedies such as herbs and ointments to cure physical ailments and to offer relief from bad luck (Evason, 2018). In Mexico, they often combine both religious and supernatural elements or levels.

3. Identify two stereotypes about Mexican Americans that were dispelled in this case with the Perez family.

One stereotype that was dispelled in this case with the Perez family is traditional gender roles. Typically, in the Hispanic culture men are obligated to be the family provider and protector (Nance et al., 2018). Men are expected to be strong, brave, courageous, and good family providers. Mexican American males are stereotyped to have characteristics of being a good spiritual and emotional provider for the family (Nance et al., 2018). Although, Mrs. Perez is the provider of spiritual, physical, and emotional care for the family.

Another stereotype that was dispelled in this case with the Perez family is immigration status. Historically, many Americans hold negative feelings toward immigrants especially as political campaigns and voter initiatives indicate, in the case of Mexican immigrants (Vargas & dePyssler, n.d.). Media misrepresentations of Mexican immigrants play a substantial role in shaping public attitudes and opinions. Except for Mr. Perez all other family members were born in the U.S. The entire Perez family can speak both Spanish and English fluently.

4. What is the role of Mrs. Perez in this family?

Mrs. Perez is the main provider of spiritual, physical, and emotional care for the family. Spiritual care is a type of health care that supports the spirit or soul of a person to help deal with health challenges that your loved one may be facing. Spirituality is a powerful and important source of strength in families. When a family faces a difficult situation, including a health problem, their religious beliefs and practice help them fight feelings of helplessness, restore meaning and order to life situations, and promote regaining a sense of control (Nemours Foundation, 2001). Emotional support is demonstrating care and compassion for others. Being the family’s emotional care provider means helping other family members cope with their emotions and experiences and showing them that they are not alone.

References

Evason, N. (2018). Mexican culture.  The Cultural Atlas. /orders/culturalatlas.sbs.com.au/mexican-culture

Kemp, C. (2001). Culture and the end of life. Hispanic cultures (focus on Mexican Americans).  Journal of Hospice & Palliative Nursing, 3(1), 29-33.

 

 

Discussion 2 (Geanny)

 

The significance of family and kinship for the Perez family

Family is always essential since they provide both financial and emotional assistance. They exhort the patient to maintain optimism and the belief that, despite their illness, they will recover. They supply whatever equipment the hospital needs to care for the patient. Additionally, the family tends to the sick members’ physical needs, such as washing and feeding them. Family comes first, and loyalty is exercised regardless of the circumstances. There is a strong sense of tradition, honor, and loyalty in Mexican family culture. According to Mexican culture, “unity is strength,” and family is of utmost importance. Among Mexicans, family is the most important aspect of life. As a result, family relationships are typically very close. An individual’s family has a significant impact on them, providing a sense of identity, community, and support. Mexicans and Mexican descendents are generally expected to be loyal and committed to their family by putting the interests of the family above their own. In times of need, Mexicans rely on their close family relationships for support and security.

The importance of religion and God for the Perez family.

The Perez family places a high value on religion and God. According to Christian doctrine, God is a healer who provides for people’s necessities. The family prays for recovery and the success of the surgery since Christians believe that God answers prayers if they are believed. Since Perez family are descended  from Mexico,  Mexican Americans place a high value on religion. In order to ensure the best possible familial and professional care, family members took spiritual and secular actions as well as influenced God’s good will for them.

Two stereotypes about Mexican Americans that were dispelled in this case with the Perez family

Social classes have a different household structure in Mexico. Rural and urban households are dominated by nuclear families, but multigenerational living is still prevalent. It is common for children to stay with their parents until they get married or get a job that requires them to move/leave. Mexican Americans enjoy living close to one another, and the Perez family is located in a community where Mexican Americans are the majority. The photos at Mr. Perez’s home and the manner they pray are evidence that Mexican Americans are religious and strongly maintain Christianity.

The role of Mrs. Perez in this family

Mexican culture is largely patriarchal, with men having more authority than women. Regions, socioeconomic classes, as well as rural and urban areas have different gender roles and dynamics. Mrs. Perez provides the family with emotional, spiritual, and physical care. This implies that she offers the family members emotional support as well as spiritual nutrition in the form of teachings, bible verses, and prayers. She also takes care of the family members’ bodily needs. For instance, she will take care of Mr. Perez if he is unable to look after himself, especially following surgery

Reference

Mexican and Mexican Americans’ beliefs about god in relation to disability. (n.d.). /orders/www.researchgate.net/publication/289141787_Mexican_and_Mexican_Americans’_beliefs_abo

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ORDER NOW FOR AN ORIGINAL PAPER ASSIGNMENT

1. Click on the  “Order Now” on the Main Menu and a new page will appear with an order form to be filled.

2. Fill in your paper’s requirements in the “PAPER INFORMATION” section and the system will calculate your order price/cost.

3. Fill in your paper’s academic level, deadline, and the required number of pages from the drop-down menus.

4. Click “FINAL STEP” to enter your registration details and get an account with us for record-keeping and then, click on “PROCEED TO CHECKOUT” at the bottom of the page.

100% Reliable Site. Make this your Home of Academic Papers.

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Who We Are 

We are a professional custom writing website. If you have searched for a question and bumped into our website just know you are in the right place to get help with your coursework.

Do you handle any type of coursework?

Yes. We have posted our previous orders to display our experience. Since we have done this question before, we can also do it for you. To make sure we do it perfectly, please fill out our Order Form. Filling the order form correctly will assist our team in referencing, specifications, and future communication.

Is it hard to Place an Order?

  • 1. Click on “Order Now” on the main Menu and a new page will appear with an order form to be filled.
  • 2. Fill in your paper’s requirements in the “PAPER INFORMATION” section and the system will calculate your order price/cost.
  • 3. Fill in your paper’s academic level, deadline, and the required number of pages from the drop-down menus.
  • 4. Click “FINAL STEP” to enter your registration details and get an account with us for record-keeping and then, click on “PROCEED TO CHECKOUT” at the bottom of the page.
  • 5. From there, the payment sections will show, follow the guided payment process and your order will be available for our writing team to work on it.

SCORE A+ WITH HELP FROM OUR PROFESSIONAL WRITERS – 

We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium.

  • Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.

  • Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

  • APA Format and Writing Quality

Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.

  • Use of Direct Quotes

I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.

  • LopesWrite Policy

For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score.

  • Late Policy

The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

  • Communication

Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

  • Guarantee

  • Zero Plagiarism
  • On-time delivery
  • A-Grade Papers
  • Free Revision
  • 24/7 Support
  • 100% Confidentiality
  • Professional Writers

  • Services Offered

  • Custom paper writing
  • Question and answers
  • Essay paper writing
  • Editing and proofreading
  • Plagiarism removal services
  • Multiple answer questions

SCORE A+ WITH HELP FROM OUR PROFESSIONAL WRITERS

We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium.

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Leadership Week 7

Leadership Week 7

How healthy is your workplace?

ou may think your current organization operates seamlessly, or you may feel it has many issues. You may experience or even observe things that give you pause. Yet, much as you wouldn’t try to determine the health of a patient through mere observation, you should not attempt to gauge the health of your work environment based on observation and opinion. Often, there are issues you perceive as problems that others do not; similarly, issues may run much deeper than leadership recognizes.

There are many factors and measures that may impact organizational health. Among these is civility. While an organization can institute policies designed to promote such things as civility, how can it be sure these are managed effectively? In this Discussion, you will examine the use of tools in measuring workplace civility.

To Prepare:

Review the Resources and examine the Clark Healthy Workplace Inventory, found on page 20 of Clark (2015).

Review and complete the Work Environment Assessment Template in the Resources.

By Day 3 of Week 7

Post a brief description of the results of your Work Environment Assessment. Based on the results, how civil is your workplace? Explain why your workplace is or is not civil. Then, describe a situation where you have experienced incivility in the workplace. How was this addressed? Be specific and provide examples.

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3. Fill in your paper’s academic level, deadline, and the required number of pages from the drop-down menus.

4. Click “FINAL STEP” to enter your registration details and get an account with us for record-keeping and then, click on “PROCEED TO CHECKOUT” at the bottom of the page.

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ADDITIONAL INSTRUCTIONS FOR THE CLASS

Who We Are 

We are a professional custom writing website. If you have searched for a question and bumped into our website just know you are in the right place to get help with your coursework.

Do you handle any type of coursework?

Yes. We have posted our previous orders to display our experience. Since we have done this question before, we can also do it for you. To make sure we do it perfectly, please fill out our Order Form. Filling the order form correctly will assist our team in referencing, specifications, and future communication.

Is it hard to Place an Order?

  • 1. Click on “Order Now” on the main Menu and a new page will appear with an order form to be filled.
  • 2. Fill in your paper’s requirements in the “PAPER INFORMATION” section and the system will calculate your order price/cost.
  • 3. Fill in your paper’s academic level, deadline, and the required number of pages from the drop-down menus.
  • 4. Click “FINAL STEP” to enter your registration details and get an account with us for record-keeping and then, click on “PROCEED TO CHECKOUT” at the bottom of the page.
  • 5. From there, the payment sections will show, follow the guided payment process and your order will be available for our writing team to work on it.

SCORE A+ WITH HELP FROM OUR PROFESSIONAL WRITERS – 

We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium.

  • Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.

  • Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

  • APA Format and Writing Quality

Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.

  • Use of Direct Quotes

I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.

  • LopesWrite Policy

For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score.

  • Late Policy

The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

  • Communication

Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

  • Guarantee

  • Zero Plagiarism
  • On-time delivery
  • A-Grade Papers
  • Free Revision
  • 24/7 Support
  • 100% Confidentiality
  • Professional Writers

  • Services Offered

  • Custom paper writing
  • Question and answers
  • Essay paper writing
  • Editing and proofreading
  • Plagiarism removal services
  • Multiple answer questions

SCORE A+ WITH HELP FROM OUR PROFESSIONAL WRITERS

We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium.

Looking for a Similar Assignment? Order a custom-written, plagiarism-free paper

Discussion 1: Leadership Theories in Practice

Discussion 1: Leadership Theories in Practice

A walk through the Business section of any bookstore or a quick Internet search on the topic will reveal a seemingly endless supply of writings on leadership. Formal research literature is also teeming with volumes on the subject.

However, your own observation and experiences may suggest these theories are not always so easily found in practice. Not that the potential isn’t there; current evidence suggests that leadership factors such as emotional intelligence and transformational leadership behaviors, for example, can be highly effective for leading nurses and organizations.

Yet, how well are these theories put to practice? In this Discussion, you will examine formal leadership theories. You will compare these theories to behaviors you have observed firsthand and discuss their effectiveness in impacting your organization.

To Prepare:

· Review the Resources and examine the leadership theories and behaviors introduced.

· Identify two to three scholarly resources, in addition to this Module’s readings, that evaluate the impact of leadership behaviors in creating healthy work environments.

· Reflect on the leadership behaviors presented in the three resources that you selected for review.

By Day 3 of Week 4

Post two key insights you had from the scholarly resources you selected. Describe a leader whom you have seen use such behaviors and skills, or a situation where you have seen these behaviors and skills used in practice. Be specific and provide examples. Then, explain to what extent these skills were effective and how their practice impacted the workplace.

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Discussion 1: Leadership Theories in Practice

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4. Click “FINAL STEP” to enter your registration details and get an account with us for record-keeping and then, click on “PROCEED TO CHECKOUT” at the bottom of the page.

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ADDITIONAL INSTRUCTIONS FOR THE CLASS

Who We Are 

We are a professional custom writing website. If you have searched for a question and bumped into our website just know you are in the right place to get help with your coursework.

Do you handle any type of coursework?

Yes. We have posted our previous orders to display our experience. Since we have done this question before, we can also do it for you. To make sure we do it perfectly, please fill out our Order Form. Filling the order form correctly will assist our team in referencing, specifications, and future communication.

Is it hard to Place an Order?

  • 1. Click on “Order Now” on the main Menu and a new page will appear with an order form to be filled.
  • 2. Fill in your paper’s requirements in the “PAPER INFORMATION” section and the system will calculate your order price/cost.
  • 3. Fill in your paper’s academic level, deadline, and the required number of pages from the drop-down menus.
  • 4. Click “FINAL STEP” to enter your registration details and get an account with us for record-keeping and then, click on “PROCEED TO CHECKOUT” at the bottom of the page.
  • 5. From there, the payment sections will show, follow the guided payment process and your order will be available for our writing team to work on it.

SCORE A+ WITH HELP FROM OUR PROFESSIONAL WRITERS – 

We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium.

  • Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.

  • Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

  • APA Format and Writing Quality

Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.

  • Use of Direct Quotes

I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.

  • LopesWrite Policy

For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score.

  • Late Policy

The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

  • Communication

Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

  • Guarantee

  • Zero Plagiarism
  • On-time delivery
  • A-Grade Papers
  • Free Revision
  • 24/7 Support
  • 100% Confidentiality
  • Professional Writers

  • Services Offered

  • Custom paper writing
  • Question and answers
  • Essay paper writing
  • Editing and proofreading
  • Plagiarism removal services
  • Multiple answer questions

SCORE A+ WITH HELP FROM OUR PROFESSIONAL WRITERS

We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium.

Looking for a Similar Assignment? Order a custom-written, plagiarism-free paper

Infographics

Infographics

Infographics are visual representations of information. They can include numbers, text, images, or any combination of the three. Just as in traditional writing assignments, infographics  can take on any of the various rhetorical modes — informative, instructive, descriptive, persuasive, etc. Infographics provide a quick way to convey a lot of information. For example, this infographic from the American Association of Nurse Practitioners conveys data related to NPs  much more concisely than another paragraph inserted here could have (/orders/www.aanp.org/all-about-nps/what-is-an-np-2):

Students will create an Infographic on the topic of Advanced Practice Nursing. You will create an infographic that is easily understood by the lay public or general population. The infographic should provide information useful to communicating the “What, Why, When and How” of APN.

  1. Student will select a platform (tool) for building their infographics. There are plenty of great infographic platforms out there. Most are free, but may require that you do set up an account. Check out Infogr.amEasellyPiktochart, and Visme.
  2. Create the Infographic using one of the above platforms.
  3. Post completed infographic in PDF format
  4. Students are not required to purchase a membership to any third party sites. If you cannot download a PDF without purchase, please submit a screenshot(s) of your final product for grading.

    ORDER an A++ paper from our MASTERS and DOCTORATE WRITERS

    Your assignment woes end here!

    Who We Are
    We are a professional custom writing website. If you have searched for a question and bumped into our website just know you are in the right place to get help in your coursework.

    Do you handle any type of coursework?

    Yes. We have posted over our previous orders to display our experience. Since we have done this question before, we can also do it for you. To make sure we do it perfectly, please fill out our Order Form. Filling the order form correctly will assist our team in referencing, specifications, and future communication.

    Is it hard to Place an Order?

    ORDER NOW FOR AN ORIGINAL PAPER ASSIGNMENT

    1. Click on the  “Order Now” on the Main Menu and a new page will appear with an order form to be filled.

    2. Fill in your paper’s requirements in the “PAPER INFORMATION” section and the system will calculate your order price/cost.

    3. Fill in your paper’s academic level, deadline, and the required number of pages from the drop-down menus.

    4. Click “FINAL STEP” to enter your registration details and get an account with us for record-keeping and then, click on “PROCEED TO CHECKOUT” at the bottom of the page.

    100% Reliable Site. Make this your Home of Academic Papers.

    ADDITIONAL INSTRUCTIONS FOR THE CLASS

    Who We Are 

    We are a professional custom writing website. If you have searched for a question and bumped into our website just know you are in the right place to get help with your coursework.

    Do you handle any type of coursework?

    Yes. We have posted our previous orders to display our experience. Since we have done this question before, we can also do it for you. To make sure we do it perfectly, please fill out our Order Form. Filling the order form correctly will assist our team in referencing, specifications, and future communication.

    Is it hard to Place an Order?

    • 1. Click on “Order Now” on the main Menu and a new page will appear with an order form to be filled.
    • 2. Fill in your paper’s requirements in the “PAPER INFORMATION” section and the system will calculate your order price/cost.
    • 3. Fill in your paper’s academic level, deadline, and the required number of pages from the drop-down menus.
    • 4. Click “FINAL STEP” to enter your registration details and get an account with us for record-keeping and then, click on “PROCEED TO CHECKOUT” at the bottom of the page.
    • 5. From there, the payment sections will show, follow the guided payment process and your order will be available for our writing team to work on it.

    SCORE A+ WITH HELP FROM OUR PROFESSIONAL WRITERS – 

    We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium.

    • Discussion Questions (DQ)

    Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.

    • Weekly Participation

    Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

    • APA Format and Writing Quality

    Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.

    • Use of Direct Quotes

    I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.

    • LopesWrite Policy

    For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score.

    • Late Policy

    The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

    • Communication

    Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

    • Guarantee

    • Zero Plagiarism
    • On-time delivery
    • A-Grade Papers
    • Free Revision
    • 24/7 Support
    • 100% Confidentiality
    • Professional Writers

    • Services Offered

    • Custom paper writing
    • Question and answers
    • Essay paper writing
    • Editing and proofreading
    • Plagiarism removal services
    • Multiple answer questions

    SCORE A+ WITH HELP FROM OUR PROFESSIONAL WRITERS

    We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium.

    Looking for a Similar Assignment? Order a custom-written, plagiarism-free paper

Assessment

Assessment

Respond to at least two of your colleagues on 2 different days who were assigned different case studies than you. Analyze the possible conditions from your colleagues’ differential diagnoses. Determine which of the conditions you would reject and why. Identify the most likely condition, and justify your reasoning.

 

Post 1

Sendy Jean Baptiste 

Ankle pain

COLLAPSE

Top of Form

Patient Information:

GP 46 yo black female

S.

CC Ankle pain

HPI: A 46-year-old female reports pain in both of her ankles, but she is more concerned about her right ankle. She was playing soccer over the weekend and heard a “pop.” She is able to bear weight, but it is uncomfortable.

Location: both ankles

Onset: 3 days ago

Character: pressure, aching.

Associated signs and symptoms: pain,

Timing: while playing soccer over the weekend, she heard a pop.

Exacerbating/ relieving factors: Acetaminophen makes the pain better from 7/10 to 4/10

Severity: 4/10 pain scale

Current Medications: Acetaminophen 650 mg OTC for the past 3 days. Daily multivitamins OTC

Allergies: NKA

PMHx: sprained right ankle last July 2021, UTD on immunizations, covid vaccine #1 7/19/2021 Pfizer; Covid vaccine #2 9/01/2021 Pfizer Soc Hx: Single with 3 children 2 boys (twins) 18 yo and a girl 16 yo. High school PE class trainer. Denies smoking, drinks a glass of wine occasionally. Loves playing sports and loves to travel with family.

Fam Hx: Dad decease in a car accident 12 years ago, mom has a history of HTN and hyperlipidemia, both paternal grandfather and paternal grandmother died of cancer. The maternal grandmother has a history of hypertension and hyperlipidemia, the maternal grandfather has a history of CAD, rheumatoid arthritis. All of her children are healthy with no medical issues.

GENERAL:  Denies weight loss, fever, chills, reports weakness and fatigue.

HEENT:  Eyes: Denies visual loss, blurred vision, double vision, or yellow sclerae. Ears, Nose, Throat Denies hearing loss, sneezing, congestion, runny nose, or sore throat.

SKIN:  Denies rash or itching.

CARDIOVASCULAR:  Denies chest pain, chest pressure, or chest discomfort. No palpitations or edema.

RESPIRATORY:  Denies shortness of breath, cough, or sputum.

GASTROINTESTINAL:  Denies anorexia, nausea, vomiting, or diarrhea. No abdominal pain or blood.

GENITOURINARY:  Denies burning on urination. Pregnancy. Last menstrual period unknown.

NEUROLOGICAL:  Denies headache, dizziness, syncope, paralysis, ataxia, numbness, or tingling in the extremities. No change in bowel or bladder control.

MUSCULOSKELETAL:  Ankle pain (both), denies back pain.

HEMATOLOGIC:  Denies anemia, bleeding, or bruising.

LYMPHATICS:  Denies enlarged nodes. No history of splenectomy.

PSYCHIATRIC:  Denies history of depression or anxiety.

ENDOCRINOLOGIC:  Denies reports of sweating, cold, or heat intolerance. No polyuria or polydipsia.

ALLERGIES:  Denies history of asthma, hives, eczema, or rhinitis.

O.

VS: BP 106/82; P 64; R 18; T 96.9; 02 100% Wt 152lbs; Ht 76”

General: Right ankle swollen, unable to walk straight, capillary refill within 3 seconds, no abnormal findings in the left ankle.

 

HEENT: No redness to eyes, Nose clear, symmetric, pink/reddish mucosa. Throat pink, and moist.

SKIN: No signs of rash

CARDIOVASCULAR: no murmurs or abnormal heart sounds auscultated.

RESPIRATORY: No respiratory distress, lungs are clear.

GASTROINTESTINAL: Bowel sounds normoactive, no guarding.

GENITOURINARY: Urine clear and yellow.

NEUROLOGICAL: Cranial nerves present, no sensitivity to light.

MUSCULOSKELETAL: abnormal gait noted due to right ankle injury.

LYMPHATICS: no swelling lymph nodes palpated.

Diagnostic results: X-rays. Doctors use X-rays to rule out a foot fracture or an ankle dislocation. X-rays can also detect arthritis of the foot and the ankle, which can cause pain and swelling.

Anterior drawer test: To assess for ankle instability.

Talar tilt test (or inversion stress maneuver): To assess the integrity of the calcaneofibular ligament

Ottawa Ankle Rules: The Ottawa ankle rules are used to predict whether an x-ray is indicated for a patient presenting with ankle pain. Location of the pain over the malleoli and the ability to bear weight is important in this determination Lau et al. (2018).

A .

Differential Diagnoses

Ankle Sprain:

According to Dains, J. E., Baumann, L. C., & Scheibel, P. (2019), ankle sprain (Inversion or Eversion) The most common mechanism of ankle injury is an inversion force that stresses the lateral ligamentous support of the joint. The lateral ligaments are of greater length than the medial ligaments and are more predisposed to injury. An audible pop or tear implies a rupture or tear of the ligament. Swelling of the ankle within minutes of injury indicates bleeding and soft tissue trauma. Patients with a ligamentous injury will generally be able to walk and bear weight on the injured foot even though it may be uncomfortable. Examine the injured joint by palpating the course and attachment points of the ligaments and perform joint ROM to test for ligamentous integrity.

Sprains cause minimal to moderate pain, increasing 1 to 2 days after the trauma when the inflammatory process begins. A complete disruption that severs the sensory nerve fibers within the structure will cause little pain, whereas a partial injury irritates sensory fibers, and may produce intense pain.

Achilles tendon rupture:

The Achilles tendon is a strong fibrous cord that connects the back of the calf to the heel. Overstretching this tendon can lead to partial or complete (rupture) tear. It is often an injury in recreational sports. Patients will report a jumping, falling, or stepping injury and hearing a pop followed by a sharp pain in the ankle and difficulty ambulating. The patient will not be able to stand on the toes with the affected limb. Ankle swelling may be present.

Ankle injury:

According to Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019), ankle injuries are defined by the kind of tissue — bone, ligament, or tendon — that’s damaged. The ankle is where three bones meet — the tibia and fibula of your lower leg with the talus of your foot. These bones are held together at the ankle joint by ligaments, which are strong elastic bands of connective tissue that keep the bones in place while allowing normal ankle motion. Tendons attach muscles to the bones to do the work of making the ankle and foot move and help keep the joints stable.

Calcaneus Fracture: A fracture of the calcaneus, or heel bone, can be a painful and disabling injury. This type of fracture commonly occurs during a high-energy event.

Subtalar Dislocation: Subtalar dislocation is the disruption of the articulation of both the talocalcaneal and the talonavicular joints with an intact ankle joint mortis.

P. 

This section is not required for the assignments in this course (NURS 6512) but will be required for future courses.

References

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Seidel’s guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.

Dains, J. E., Baumann, L. C., & Scheibel, P. (2019). Advanced health assessment and clinical diagnosis in primary care (6th ed.). St. Louis, MO: Elsevier Mosby.

Lau, B. C., Moore, L. K., & Thuillier, D. U. (2018). Evaluation and management of lateral ankle pain following injury. JBJS Reviews, 6(8), e7-e7. /orders/doi.org/10.2106/jbjs.rvw.17.00143

Sullivan, D. D. (2019). Guide to clinical documentation (3rd ed.). Philadelphia, PA: F. A. Davis.

Bottom of Form

 

Post 2

 

Justin Wilt 

Review of case study 3

COLLAPSE

Top of Form

Patient Information:

AB, 15 yo., Caucasian male

S.

CC- “Dull ache in both knees, and sometimes a clicking in the knees.”

HPI: The patient is a 15 yo Caucasian male presenting to the clinic with report of dull pain, which he reports to be a 5/10, in both knees. There is also a click in one or both knees and a catching sensation under the patella. The patient reports difficulty walking and concentrating when the pain and the sounds occur. The symptoms usually express themselves after walking long distances or sometimes standing too long before sitting down, which usually occur in the daytime. The patient takes either 650 mg Tylenol or 500 mg ibuprofen for the pain, depending on which is available. He feels that Tylenol and ibuprofen dull the pain but do not totally alleviate the pain.

Current Medications: Ibuprofen 500 mg and Tylenol 650 mg PRN.

Allergies: NKA

Past medical hx (PMH): No previous medical history to report,

Past surgical hx (PSH)- Patient reports a history of torn rotator cuff.

Soc hx: Patient does not use tobacco products, alcohol, or illicit drugs. He is the starting 140-pound wrestler on his high school team. He lives with his biological parents and has a younger sister (12 yo). He occasionally works for local farmers doing jobs such as bailing hay, mowing, and feeding livestock. He enjoys going to the local mall with his friends to hang out  and skate in the parking lot.

Immunizations- COVID vaccination (Moderna) 10.23/2021, current flu shots.

Fam hx: Father: 38 yo with a history of Osgood-Schlatter disease; Mother: 36 yo with no previous medical history; Sister: 12 yo with no previous medical history; Maternal grandmother obesity, HTN; Maternal grandfather HTN, obesity, knee replacement age 58; Paternal grandmother died of cancer age 63; Paternal grandfather HTN.

ROS:

General:  Patient reports no fatigue, cough, fever, or chills. Denies problems sleeping. He has not had any recent weight loss or appetite change.

HEENT: Patient denies headaches, dizziness, or confusion. Patient denies problems hearing, tinnitus, or discharge. Patient denies issues with vision or itching, dryness, or pain in the eye.  Patient denies epistaxis, pain, or trouble breathing through his nose. Patient denies soreness in throat, difficulty swallowing, or problems talking. Patient has no pain in the mouth, problems chewing, or changes in taste. Patient denies neck pain, stiffness, or limited ROM.

Cardiovascular:  Denies palpitations, chest pain, SOB, or irregular heartbeat.

Respiratory:  Patient denies cough, difficulty breathing, SOB, or dyspnea upon exertion.

Gastrointestinal: Denies N/V. No changes in bowel movement.

Musculoskeletal: Expresses normal ROM.

Psychiatric: Patient has no history or present diagnosis of psychiatric disorders. Denies depression, anxiety, SI or HI.

 

Physical exam:

Vital Signs:

Blood pressure: 118/76

spO2: 100% room air

HR: 62 bpm

Resp. rate: 14

Temp.: 36.8 Celsius

 

HEENT- Patient does not have headaches or altered sensorium. Eyes are clear, moist conjunctiva, no diplopia, does not wear glasses. Ears equilateral, no hearing loss, tinnitus, or abnormalities. Mouth has no lesions, gum abnormalities, tooth decay, or bleeding. Throat is pink, no swelling, and no pain reported.

 

Respiratory- No crackles, rhonchi, or stridor heard during auscultation. Even, unlabored breathing.

 

Cardiovascular- No murmurs, rubs, gallups, or abnormal heart rhythm detected during auscultation.

Gastrointestinal- Normal bowel sounds heard in all quadrants during auscultationKidneys and spleen not palpable.

 

Skin- No lesions, wounds, or lacerations found during assessment. Warm, dry, and intact.

Musculoskeletal- No swelling, pain, or stiffness in the joints. Normal ROM.

 

Neurological- No neuropathy and neuro checks are normal. Alert and oriented X4. Speaks well.

Diagnostic tests- valgus and varus test (medial and lateral ligament), posterior drawer test (posterior crucial ligament), Lachman test (anterior crucial ligament, anterior drawer test (anterior crucial ligament), pivot shift test (anterior crucial ligament), McMurray test (menisci), arthrometric testing, x-ray, and CT scan.

A .

Meniscal injury- damage to the knee cartilage that provide cushion between the tibia from the femur. Pain, swelling, and locking of the knee joint are hallmarks of this injury. Usually resolved by rest, ice, pain relievers and sometimes surgery (Kraus et al., 2012).

Medial collateral ligament injury- damage to the ligament locate on the inner side of the knee that usually sounds like a pop. Swelling, pain, and a feeling that the knee may “give way” are hallmarks of this injury. Usually resolved by rest, ice, compression, and elevation (RICE) (Hoetzel et al., 2014).

Anterior crucial ligament injury- tissue that connects the femur to the tibia at the knee. Pain and swelling usually followed by inability to move normally or make sudden twists or turns. If it is a full tear surgical intervention is imminent, otherwise physical therapy may be an option (Kraus et al., 2012).

Osgood-Schlatter disease- affects children with growth spurts, especially active children playing sports. There is usually a painful lump below the kneecap that usually resolves on its own (Jones et al., 2000).

Sinding-Larsen-Johansson syndrome- swelling and irritation of the growth plate at the bottom of the knee characterized by swelling, tenderness around the kneecap, or pain that increases with activity or squatting. Usually treated with ice, OTC medication, or physical therapy (Hoetzel et al., 2014).

P. 

This section is not required for the assignments in this course (NURS 6512) but will be required for future courses.

 

References

Ball, J.W., Dains, J.E., Flynn, J.A., Solomon, B.S., & Stewart, R.W. (2019). Head and neck: Key

points. In Seidel’s guide to physical examination: An interprofessional approach (9th ed.).

St. Louis, MO: Elsevier Mosby.

Hoetzel, J., Preiss, A., Heitmann, M.A., & Frosch, K.H. (2014). Knee injuries in children and

adolescents. European Journal of Trauma and Emergency Surgery, 40(1), 23-36.

Jones, D., Louw, Q., & Grimmer, K., (2000). Recreational and sporting injury to the adolescent

knee and ankle: Prevalence and causes. Australian Journal of Physiotherapy, 46(3),

179-88.

Kraus, T., Svehlik, M., Singer, G., Schalamon, J., Zwick, E., & Linhart, W. (2012). The

epidemiology of knee injuries in children and adolescents. Archives of orthopaedic and

trauma surgery, 132(6), 773-779.

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