SOCW 6090 Week 10 Final Case of Bob

SOCW 6090 Week 10 Final Case of Bob

SOCW 6090 WK10 Assgn 2 Final Project

The sign of an effective clinician is the ability to identify the criteria that distinguish the diagnosis from any other possibility (otherwise known as a differential diagnosis). An ambiguous clinical diagnosis can lead to a faulty course of treatment and hurt the client more than it helps. Using the DSM-5 and all of the skills you have acquired to date, you assess a client.

This is a culmination of learning from all the weeks covered so far.

To prepare: Use a differential diagnosis process and analysis of the Mental Status E in the case provided by your instructor to determine if the case meets the criteria for a clinical diagnosis. /orders/www.youtube.com/watch?v=RdmG739KFF8 

By Day 7

Submit a 4- to 5 pgs in which you: (PLEASE ANSWER EVERY BULLET POINT)

• Provide the full DSM-5 diagnosis. Remember, a full diagnosis should include the name of the disorder, ICD-10-CM code, specifiers, severity, and the Z codes (other conditions that may need clinical attention).
• Explain the full diagnosis, matching the symptoms of the case to the criteria for any diagnoses used.
• Identify 2–3 of the close differentials that you considered for the case and have ruled out. Concisely explain why these conditions were considered but eliminated.
• Identify the assessments you recommend to validate treatment. Explain the rationale behind choosing the assessment instruments to support, clarify, or track treatment progress for the diagnosis.
• Explain your recommendations for initial resources and treatment. Use scholarly resources to support your evidence-based treatment recommendations.
• Explain how you took cultural factors and diversity into account when making the assessment and recommending interventions.
• Identify client strengths, and explain how you would utilize strengths throughout treatment.
• Identify specific knowledge or skills you would need to obtain to effectively treat this client, and provide a plan on how you will do so.

CASE of BOB

INTAKE DATE: November 2021

DEMOGRAPHIC DATA:

This is a voluntary intake for this 24 year old Jamaican male. Bob has had several psychiatric hospitalizations in the past. Bob has been married for 5 years. His wife, Rayona was born and raised in the United States. He has one son 5 years old and one daughter, 3 years old. Bob has had difficulty in jobs and has not been at any job longer than one year. Bob immigrated to the United States with his parents when he was 6 years old.

CHIEF COMPLAINT:

“My wife is complaining about my behavior. I do not see what the issue is”.

HISTORY OF ILLNESS:

Bob reports first seeking psychiatric treatment when he was sixteen years old. He was prescribed anti-depressants, but does not remember what kind. Since they helped his mood he remained on anti-depressants for four years. At twenty years old he attempted suicide after his wife threatened to leave him. He was hospitalized in a psychiatric unit for thirty days. At that time Bob was put on Depakote, with continued success for three years. He stopped taking the Depakote 1 years ago.

In September 2021 Bob returned to his psychiatrist because he was becoming depressed again, feeling sad, fearful and suicidal. He was given Trintellex. During the next few weeks Bob felt on top of the world. He then would have angry outbursts. His wife asked him to leave the home. He then took an overdose of Klonopin.

More recently Rayona was getting concerned about their financial state because Bob would constantly be buying big items that they could not afford. They would have arguments about this all the time. Bob was rarely sleeping because he was up shopping at night on the Internet. This had no effect on his ability to work.

SUBSTANCE USE HISTORY:

At twenty one Bob began drinking. His use of alcohol continued increasingly until about 6 months ago. He reports never planning on drinking as much as he did but once he started he was compelled to drink until he passed out. He stopped drinking after attending outpatient treatment for 16 weeks. He began drinking in September 2021 again, Bob indicates, to cope with the marital difficulties.

PSYCHOSOCIAL HISTORY:

Bob reports growing up as uneventful. His mother separated from his father on several occasions. His mother made all the decisions and his father played a more passive role.

Bob is the only child from his parents’ union. He has an older brother from his mother’s previous marriage. Bob does not have any contact with his brother. Bob was initially considered an underachiever in the early years of school. He had trouble being in fights with other kids because they used to make fun of his wrinkled clothes.

Bob has no legal history. He worked in the family business through high school and college. He became a project coordinator at his next job. He stayed there six months years.

MEDICAL HISTORY:

Bob states he had the usual childhood vaccinations and no major illnesses as a child. He currently is physically fit and healthy.

FAMILY ISSUES AND DYNAMICS:

Bob reports that he is happy in his marriage and does not know why his wife has so much trouble with him. He believes his wife has become more distant from him over the past several years which he doesn’t like. Their fighting has increased. Bob reports his wife is frustrated with his lack of energy and fatigue which has, recently, been impacting their social life and activities with the children.

MENTAL STATUS EXAM:

Bob presents as a neatly dressed male who appears younger than his stated age. Facial expressions are appropriate to thought content. Motor activity is appropriate. Thoughts are logical and organized. There is no evidence of hallucinations or delusions. Bob admits to a history of suicidal ideation, gestures and attempts. His mood is depressed. During the interview Bob talked fast. Bob is oriented to time, place and person. His intelligence appears above average.

ADDITIONAL INSTRUCTIONS FOR THE CLASS

SCORE A+ WITH HELP FROM OUR PROFESSIONAL WRITERS – SOCW 6090 WK10 Assgn 2 Final Project – SOCW 6090 Week 10 Final Case of Bob

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. SOCW 6090 Week 10 Final Case of Bob

• 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. SOCW 6090 WK10 Assgn 2 Final Project

• 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

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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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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SOCW 6090 Week 10 – Assignment: Final Project

SOCW 6090 Week 10 – Assignment: Final Project

SOCW 6090 WK10 Assgn 2

SOCW 6090 WK10 Assgn 2 Final Project

SOCW 6090 WK10 Assgn 2 Final Project

The sign of an effective clinician is the ability to identify the criteria that distinguish the diagnosis from any other possibility (otherwise known as a differential diagnosis). An ambiguous clinical diagnosis can lead to a faulty course of treatment and hurt the client more than it helps. Using the DSM-5 and all of the skills you have acquired to date, you assess a client.

This is a culmination of learning from all the weeks covered so far.

To prepare: Use a differential diagnosis process and analysis of the Mental Status E in the case provided by your instructor to determine if the case meets the criteria for a clinical diagnosis. /orders/www.youtube.com/watch?v=RdmG739KFF8 

By Day 7

Submit a 4- to 5 pgs in which you: (PLEASE ANSWER EVERY BULLET POINT)

• Provide the full DSM-5 diagnosis. Remember, a full diagnosis should include the name of the disorder, ICD-10-CM code, specifiers, severity, and the Z codes (other conditions that may need clinical attention).
• Explain the full diagnosis, matching the symptoms of the case to the criteria for any diagnoses used.
• Identify 2–3 of the close differentials that you considered for the case and have ruled out. Concisely explain why these conditions were considered but eliminated.
• Identify the assessments you recommend to validate treatment. Explain the rationale behind choosing the assessment instruments to support, clarify, or track treatment progress for the diagnosis.
• Explain your recommendations for initial resources and treatment. Use scholarly resources to support your evidence-based treatment recommendations.
• Explain how you took cultural factors and diversity into account when making the assessment and recommending interventions.
• Identify client strengths, and explain how you would utilize strengths throughout treatment.
• Identify specific knowledge or skills you would need to obtain to effectively treat this client, and provide a plan on how you will do so.

CASE of BOB

INTAKE DATE: November 2021

DEMOGRAPHIC DATA:

This is a voluntary intake for this 24 year old Jamaican male. Bob has had several psychiatric hospitalizations in the past. Bob has been married for 5 years. His wife, Rayona was born and raised in the United States. He has one son 5 years old and one daughter, 3 years old. Bob has had difficulty in jobs and has not been at any job longer than one year. Bob immigrated to the United States with his parents when he was 6 years old.

CHIEF COMPLAINT:

“My wife is complaining about my behavior. I do not see what the issue is”.

HISTORY OF ILLNESS:

Bob reports first seeking psychiatric treatment when he was sixteen years old. He was prescribed anti-depressants, but does not remember what kind. Since they helped his mood he remained on anti-depressants for four years. At twenty years old he attempted suicide after his wife threatened to leave him. He was hospitalized in a psychiatric unit for thirty days. At that time Bob was put on Depakote, with continued success for three years. He stopped taking the Depakote 1 years ago.

In September 2021 Bob returned to his psychiatrist because he was becoming depressed again, feeling sad, fearful and suicidal. He was given Trintellex. During the next few weeks Bob felt on top of the world. He then would have angry outbursts. His wife asked him to leave the home. He then took an overdose of Klonopin.

More recently Rayona was getting concerned about their financial state because Bob would constantly be buying big items that they could not afford. They would have arguments about this all the time. Bob was rarely sleeping because he was up shopping at night on the Internet. This had no effect on his ability to work.

SUBSTANCE USE HISTORY:

At twenty one Bob began drinking. His use of alcohol continued increasingly until about 6 months ago. He reports never planning on drinking as much as he did but once he started he was compelled to drink until he passed out. He stopped drinking after attending outpatient treatment for 16 weeks. He began drinking in September 2021 again, Bob indicates, to cope with the marital difficulties.

PSYCHOSOCIAL HISTORY:

Bob reports growing up as uneventful. His mother separated from his father on several occasions. His mother made all the decisions and his father played a more passive role.

Bob is the only child from his parents’ union. He has an older brother from his mother’s previous marriage. Bob does not have any contact with his brother. Bob was initially considered an underachiever in the early years of school. He had trouble being in fights with other kids because they used to make fun of his wrinkled clothes.

Bob has no legal history. He worked in the family business through high school and college. He became a project coordinator at his next job. He stayed there six months years.

MEDICAL HISTORY:

Bob states he had the usual childhood vaccinations and no major illnesses as a child. He currently is physically fit and healthy.

FAMILY ISSUES AND DYNAMICS:

Bob reports that he is happy in his marriage and does not know why his wife has so much trouble with him. He believes his wife has become more distant from him over the past several years which he doesn’t like. Their fighting has increased. Bob reports his wife is frustrated with his lack of energy and fatigue which has, recently, been impacting their social life and activities with the children.

MENTAL STATUS EXAM:

Bob presents as a neatly dressed male who appears younger than his stated age. Facial expressions are appropriate to thought content. Motor activity is appropriate. Thoughts are logical and organized. There is no evidence of hallucinations or delusions. Bob admits to a history of suicidal ideation, gestures and attempts. His mood is depressed. During the interview Bob talked fast. Bob is oriented to time, place and person. His intelligence appears above average.

ADDITIONAL INSTRUCTIONS FOR THE CLASS

SCORE A+ WITH HELP FROM OUR PROFESSIONAL WRITERS – SOCW 6090 WK10 Assgn 2 Final Project

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. SOCW 6090 WK10 Assgn 2 Final Project

• 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

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

SOCW 6121 Week 11 Discussion Post Responses

SOCW 6121 Week 11 Discussion

Provide discussion post responds to the colleagues by explaining whether you agree or disagree that the techniques identified by your colleague will result in successful termination. Identify potential consequences of early termination for families and groups. 

Colleague #1 (KC SOB Jones)

Comparison of the termination process between treatment groups and family sessions:

When a worker chooses to engage in the termination process, it is because the group has successfully completed the goals that they established during the beginning stages. Determining termination is also dependent on the emotions, satisfaction, and comfort displayed by the members and the worker combined. According to Toseland & Rivas (2017), it is important that group’s do not spend too much time in treatment, as excess time can reduce empowerment strategies and can cause members to dwell on the negatives. This theory can be applied to both treatment groups and family sessions, as being in treatment for a long period of time can bring up information that is not relevant, therefore causing more turmoil. When a worker chooses to end the group, regardless of whether it is a treatment group or family session, the worker assures that the members are stable and set up with resources to aid them beyond the group and into everyday life.

Explain how you would evaluate readiness to terminate group and family treatment, identifying similarities and differences between the evaluations of the two types of treatment.

When applied to treatment groups, effective termination would solely rely on completion of treatment plan goals. According to Toseland & Rivas (2017), after a treatment plan is implemented, a worker should assure that the plan has proven to be “maintained and generalized to other important aspects of members lives” (p. 402). Similarly, termination of family groups should assure that there is a balance among the family system, regardless of the environment. Additionally, when evaluating whether to terminate, for each group I would have the members reflect on their time in the group and the progress they have made from the beginning. By engaging in reflection the members can note their accomplishments and strengthen their self-determination (Toseland & Rivas, 2017). For families however, I would have the family reflect as a whole on how their communication has improved since the beginning of the group while also having them note significant positive changes.

Describe the techniques you would use to terminate a treatment group and how these may be the same or different than the techniques you would use to terminate a family intervention:

To terminate a treatment group, I assure that resources were set up for each member so that they could successfully maintain treatment outside of the group setting. I would remind the group of their success thus far and the skills to utilize if they have feelings of relapse outside of the group. Additionally, I would highly emphasize to client’s the importance of using their community resources and support system’s to resolve any situations in the future (Toseland & Rivas, 2017). The termination with a family group would be similar to a treatment group, however I would briefly go over all the communication techniques discussed throughout each session. Additionally, I would encourage members of each group to seek individual therapy in the future if they felt there were problems to still be addressed or that they needed a more individualized approach to addressing emotions and behaviors.

Toseland, R. W., & Rivas, R. F. (2017). An introduction to group work practice (8th ed.). Boston, MA: Pearson.

Colleague#2 (Townie)

Post a comparison of the termination process between treatment groups and family sessions.

• In treatment groups, the ending process consists of changes that have been made, individually, are stabilized and plans are made to maintain those gains (Toseland & Rivas, 2017). In the family sessions, when it is time to terminate, depending on how well the sessions were, the participants may be relieved that the sessions are ending. This writer believes that it would be important to end with a safety plan that lists the things learned and/or discussed in the sessions, for future references with the family members. Having something tangible that they can use when issues arise would be beneficial.

Explain how you would evaluate readiness to terminate group and family treatment, identifying similarities and differences between the evaluation of the two types of treatment.

• This writer would begin working towards termination right at the beginning of the sessions. Having the conversations in the beginning about how things will look post termination is important and helps with creating goals. For example: if this writer has a group for AODA, the goal at the very beginning would be to prepare for how life will be post termination of the group; i.e.- how the group members will live, the coping skills that they will use, etc..and those would be the focal points in our sessions. Same with family treatment- this writer would use the “crystal ball” method right away. “If you had a crystal ball that showed you how you wanted your family to look, what would that look like?” If the client wants their family to have open communication where everyone feels heard and respected. Well, that would be the goal that we are working towards and once that goal is starting to be demonstrated both at the group sessions and out, we can look at termination.

Describe the techniques you would use to terminate a treatment group and how these may be the same or different than the techniques you would use to terminate a family intervention.

• Termination of group, both family and treatment would consist of a party! Termination should not be looked at as a dreadful situation but as a celebration of the progress and growth that each individual person has made. Resolving any remaining conflicts would be important, as this writer would never want to leave things unresolved. It would be the primary duty for the worker to help each member maintain their motivation, commitment and responsibility to implement and continue to carry on their tasks post termination (Toseland & Rivas, 2017). Having a follow up session is also important, just to check in. This writer would suggest not being manipulated into carrying a group or family treatment session longer than what’s needed, as this could possibly cause more damage then good. Being mindful and able to know and/or pick up when a person isn’t ready to terminate and being able to identify whether the need for termination is warranted, is definitely something that the social worker would need to be able to assess.

Reference        

Toseland, R. W., & Rivas, R. F. (2017). An introduction to group work practice (8th ed.). Boston, MA: Pearson.

ADDITIONAL INSTRUCTIONS FOR THE CLASS

SCORE A+ WITH HELP FROM OUR PROFESSIONAL WRITERS – SOCW 6121 Week 11 Discussion Post Responses

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

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

NURS 6501 Module 1 Assignment: Case Study Analysis SOLVED

NURS 6501 Module 1 Assignment: Case Study Analysis SOLVED

WEEK #2 TOPIC- CASE STUDY ANALYSIS

Scenario 1: A 49-year-old patient with rheumatoid arthritis comes into the clinic with a chief complaint of a fever. Patient’s current medications include atorvastatin 40 mg at night, methotrexate 10 mg po every Friday morning and prednisone 5 mg po qam. He states that he has had a fever up to 101 degrees F for about a week and admits to chills and sweats. He says he has had more fatiguethan usual and reports some chest pain associated with coughing. He admits to having occasional episodes of hemoptysis. He works as a grain inspector at a large farm cooperative. After extensive work-up, the patient was diagnosed with Invasive aspergillosis.

An understanding of cells and cell behavior is a critically important component of disease diagnosis and treatment. But some diseases can be complex in nature, with a variety of factors and circumstances impacting their emergence and severity.

Effective disease analysis often requires an understanding that goes beyond isolated cell behavior. Genes, the environments in which cell processes operate, the impact of patient characteristics, and racial and ethnic variables all can have an important impact.

NURS_6501_Module1_Case Study_Assignment_Rubric

Readings

McCance, K. L. & Huether, S. E. (2019). Pathophysiology: The biologic basis for disease in adults and children (8th ed.). St. Louis, MO: Mosby/Elsevier.

·  Chapter 1: Cellular Biology; Summary Review

·  Chapter 2: Altered Cellular and Tissue Biology: Environmental Agents(pp. 46-61; begin again with Manifestations of Cellular Injury pp. 83-97); Summary Review

· Chapter 3: The Cellular Environment: Fluids and Electrolytes, Acids, and Bases,

· Chapter 4: Genes and Genetic Diseases (stop at Elements of formal genetics); Summary Review

· Chapter 5: Genes, Environment-Lifestyle, and Common Diseases (stop at Genetics of common diseases); Summary Review

· Chapter 7: Innate Immunity: Inflammation and Wound Healing

· Chapter 8: Adaptive Immunity (stop at Generation of clonal diversity); Summary Review

· Chapter 9: Alterations in Immunity and Inflammation (stop at Deficiencies in immunity); Summary Review

· Chapter 10: Infection (stop at Infectious parasites and protozoans); (start at HIV); Summary Review

· Chapter 11: Stress and Disease (stop at Stress, illness & coping); Summary Review

· Chapter 12: Cancer Biology (stop at Resistance to destruction); Summary Review

· Chapter 13: Cancer Epidemiology (stop at Environmental-Lifestyle factors); Summary Review 

Note: You previously read these chapters in Week 1 and you are encouraged to review once again for this week.

Justiz-Vaillant, A. A., & Zito, P. M. (2019). Immediate hypersensitivity reactions. In StatPearls. Treasure Island, FL: StatPearls Publishing. Retrieved from /orders/www.ncbi.nlm.nih.gov/books/NBK513315/

ADDITIONAL INSTRUCTIONS FOR THE CLASS

SCORE A+ WITH HELP FROM OUR PROFESSIONAL WRITERS – NURS 6501 Module 1 Assignment: Case Study Analysis SOLVED

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. NURS 6501 Module 1 Assignment: Case Study Analysis SOLVED

• 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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NURS 6501: Advanced Pathophysiology week 1 Discussion

NURS 6501: Advanced Pathophysiology week 1 Discussion

Streptococcal pharyngitis (Strep Throat)

There are several disorders that may mimic strep throat (Gottlieb, Long, Koyfman, 2018). However, I am confident that treating this patient for strep throat is a good decision.  Research indicates that strep throat may be genetically -connected, particularly among children who get strep throat frequently. It is believed that an antibody deficiency aberrant TFh cell is involved (Dan et al, 2019) NURS 6501: Advanced Pathophysiology week 1 Discussion: Alterations in Cellular Processes.

The cause of strep throat is group A hmoltic Streptococcus. Children may be at risk of developing strep throat for a number of reasons such as socializing crowded  places at school where someone else is infected, brushes their teeth where moist bacteria is found on uncleaned toothbrushes, and contaminated foods.In most cases, Beta-hemolytic streptocccus leads to acute pharyngiti NURS 6501: Advanced Pathophysiology week 1 Discussion: Alterations in Cellular Processes. The body initiates an inflamamatory response in the pharynx, which ultimately results in fever, pain vasodilation edema, and tissue swelling.

On the cellular level, the involvement of epithelial cells, neutrophils, macrophages, and dendritic cells , all secret inflammatory mediators. Th1 and Th17 responses  are involved in adaptive immunity in both murine models of GAS pharyngitis and tissues in the tonsil (Soderholm, Barnett, Sweet, & Walker, 2018). Another characteristic would not change my response to diagnosing this illness. This was a relatively strong case for strep throat. NURS 6501: Advanced Pathophysiology week 1 Discussion: Alterations in Cellular Processes

References

Dan, J., Daughton, C., Kendric, K., Al-Kolla, R., Kaushik, K.  (Feb. 2019). Recurrent group A Streptococcus tonsillitis is an immunosusceptibility disease involving antibody deficiency and aberrant TFH cells. Science Translational Medicine, 11, 478. doi:10.1126/scitranslmed.aau3776.

Gottlieb, M; Long, B; Koyfman, A (May 2018). Clinical Mimics: An Emergency Medicine-Focused Review of Streptococcal Pharyngitis Mimics. The Journal of Emergency Medicine. 54 (5): 619–629. doi:10.1016/j.jemermed.2018.01.031

.Soderholm, A.T., Barnett, T.C., Sweet, M.J.,  & Walker, M.J. (2018). Group A streptococcal pharyngitis: Immune responses involved in bacterial clearance and GAS-associated immunopathologies. J Leukoc Biol.,103(2):193‐213. doi:10.1189/jlb.4MR0617-227RR

Responses

Thank you for sharing with us, your discussion post and I would like to offer a few pointers. Strep throat, also known as streptococcal pharyngitis, is caused by a bacterium called Group A streptococcus (GAS) (Centers for Disease Control and Prevention, 2018).  After infecting an individual, GAS lives in the nose or throat and can be easily transmitted as droplet infection through coughing and sneezing. Children are most susceptible to this disease because they tend to congregate in large groups as they play and are not up to the task on matters of hand hygiene.

Like you pointed out, studies have shown that recurrent infections of strep throat could point to a genetic connection. The antibody specific to fighting GAS is anti-streptococcal pyrogenic exotoxin (Anti-SpeA) and lack of it or any genetic alteration in the body of a child makes them vulnerable to infections.  “Recurrent Tonsillitis children exhibited reduced antibody responses to an important GAS virulence factor, streptococcal pyrogenic exotoxin A (SpeA)” (Dan et al, 2019). Children who are born with genetically transmitted immunocompromising conditions are also prone to infections like these. Cases include HIV, hemophilia, leukemia, neutropenia, and systemic lupus erythematosus (SLE).

References

Centers for Disease Control and Prevention (2018). GroupA streptococcal (GAS) Disease. Retrieved from /orders/www.cdc.gov/groupastrep/diseases-public/strep-throat.html

Dan, J, M., Havenar-Daughton, C  Kendric, k., Al-Kolla, R., Kaushik, K., Rosales, S. L., Anderson, E. L., LaRock, C. N., Vijayanand, N., Seumois, G., Layfield, D., Cutress, R. I., Ottensmeier, C. H., Lindestam, C. S., Alessandro A. S., Nizet, V., Bothwell, M., Brigger, M., 

& Crotty, S.(2019). Recurrent group A Streptococcus tonsillitis is an immune susceptibility disease involving antibody deficiency and aberrant TFH cells. Science translational medicine 11(478). Retrieved from /orders/www.ncbi.nlm.nih.gov/pmc/articles/PMC6561727/

Great post! It is very true that many illnesses exist that mimic these respiratory symptoms and as nurse practitioners it will be important for us to distinguish between these different illnesses in order to properly treat our patients. Mayo clinic (2019) states the two important tests to help confirm or rule out strep throat is a rapid antigen test or a throat culture. The Provider took the important step of testing the little boy and it came back positive for strep. As you mentioned Strep throat is caused by group A Streptococcus, which is a bacteria, and the appropriate course of treatment for this infection is antibiotic. Per the CDC the common course of treatment is antibiotics, usually penicillin or amoxicillin (2018). Although we did not get the information on the little boy’s allergies, this is an important step when prescribing any medication. It is possible the little boy had never had this medication before, but when he took the medication, he had a severe allergic reaction. There are different levels of allergic reaction but to be considered anaphylaxis there must be a rapid onset of symptoms that may lead to death (Reber, Hernandez, & Galli, 2017). Based off the patient’s rapid allergic response and it was affecting his airway and work of breathing this could be considered an anaphylactic reaction. The characteristic of having an allergy to penicillin or amoxicillin would have changed the course of treatment. There are alternative antibiotics that can be used to treat strep throat, which include narrow spectrum cephalosporins. This was a great scenario in order to learn more about the immune and inflammatory response, but also the important tests and questions to ask when treating our patients.

CDC. (2018, November 01). Group A Strep. Retrieved June 03, 2020, from /orders/www.cdc.gov/groupastrep/diseases-hcp/strep-throat.html

Mayo Clinic. (2018, September 28). Strep Throat. Mayo Clinic. /orders/www.mayoclinic.org/diseases-conditions/strep-throat/diagnosis-treatment/drc-20350344.

Reber, L. L., Hernandez, J. D., & Galli, S. J. (2017). The pathophysiology of anaphylaxis. Journal of Allergy and Clinical Immunology, 140(2), 335-348. doi:http://dx.doi.org.ezproxy.liberty.edu/10.1016/j.jaci.2017.06.003

Discussion: Alterations in Cellular Processes

For this Discussion, you examine a case study and explain the disease that is suggested. You examine the symptoms reported and explain the cells that are involved and potential alterations and impacts.

To prepare:

• By Day 1 of this week, you will be assigned to a specific scenario for this Discussion. Please see the “Course Announcements” section of the classroom for your assignment from your Instructor.

By Day 3 of Week 1

Post an explanation of the disease highlighted in the scenario you were provided. Include the following in your explanation:

• The role genetics plays in the disease.
• Why the patient is presenting with the specific symptoms described.
• The physiologic response to the stimulus presented in the scenario and why you think this response occurred.
• The cells that are involved in this process.
• How another characteristic (e.g., gender, genetics) would change your response.

Read a selection of your colleagues’ responses.

By Day 6 of Week 1

Respond to at least two of your colleagues on 2 different days and respectfully agree or disagree with your colleague’s assessment and explain your reasoning. In your explanation, include why their explanations make physiological sense or why they do not

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit! NURS 6501: Advanced Pathophysiology week 1 Discussion: Alterations in Cellular Processes

Streptococcal Pharyngitis

Strep throat is also known as streptococcal pharyngitis.It is an infection of the throat, pharynx, and tonsils caused by a bacteria called Group A streptococcus (GAS) or streptococcus pyogenes. It is commonly diagnosed with a rapid strep test or throat culture (Cohen, Bertille, Cohen,

& Chalumeau,2016). The rapid strep test is indicated when other differential diagnoses have been eliminated; If symptoms are unclear, a throat culture is more reliable due to the rapid strep test, also showing positive for carriers. The case study indicated a positive rapid strep test for the patient, in addition to presenting signs and symptoms hence the diagnosis of strep throat. Strep throat is highly contagious. The bacteria typically enter the body through the respiratory tract and mouth and spread through direct contact with respiratory droplets from an infected person’s cough, saliva, or sneezes (Centers for Disease Control and Prevention, 2018). It also spreads through

indirect contact by sharing of eating utensils like cup or spoons and touching contaminated surfaces and then touching the mouth or nose. NURS 6501: Advanced Pathophysiology week 1 Discussion: Alterations in Cellular Processes

The Role of Genetics in Strep Throat

Strep throat is commonly seen in children between the ages of three and 15 (American Academy of Family physicians, 2016). The strep A bacteria is highly contagious, and because of its mode of spread, children are more susceptible, especially children in groups. However, some children may have recurring strep throat infections, which may be related to genetics that prevent or disrupt activation of the immune response that helps fight against infections (La Jolla Institute, 2019). Dan, Havenar-Daughton, and Crotty (2019), indicated that children with recurrent strep throat infection were found to have a family history of tonsillectomy, suggesting possible hereditary traits that predispose children to a recurrent strep throat infection.

In humans, when an infectious agent enters the respiratory tract, it is recognized by pattern recognition receptors (PRRs), after which a series of the immune response is activated. The innate and adaptive immunity may be activated in response to infection; if adaptive immunity is activated, a specific antibody is developed to fight against that specific infection. A study by La Jolla Institute, (2019), found a decreased level of the anti-streptococcal pyrogenic exotoxin (anti-SpeA) in some children. Anti-speA is an antibody specific to the streptococcal A bacteria’s antigen, thus indicating a genetic alteration in the development or activation

of the anti-SpeA, which could increase the susceptibility of some children to a recurrent strep throat infection.

PhysiologicalResponse to the Stimulus

The streptococcus A Beta hemolytic bacteria gains entrance into the body through the mouth or the upper respiratory tract and attaches to the upper resp system walls, releasing its toxins. The cell surface of the strep A bacteria contains the M-proteins and hyaluronidase, which promotes adhesion to epithelial cells, attack host cells, and also promotes the spread of the bacteria causing more toxins to be released (Todar, 2015). When these toxins are released, they activate the inflammatory response. Some of these toxins released also cause hemolysis and slow down the process of phagocytosis, thereby making the immune system work harder to fight the infection (Todar, 2015).

The incubation period for streptococcal pharyngitis is2-5 days after which more symptoms begin to manifest (Centers for Disease Control and Prevention, 2018). The presence of phagocytic cells and the toxins in the blood intensify the inflammatory response; the toxins and inflammatory response trigger systemic symptoms such as fever, swelling, and redness of the tonsils and pharynx, production of exudates, palatal petechiae, anterior cervical lymphadenopathy, and sore throat similar to the symptoms of the patient in this case study. The inflammatory response occurred as a defense mechanism against microorganisms in the body. The inflammatory process is characterized by swelling, fever, pain, and redness, which may be local or systemic, depending on the severity of the response needed to fight against the infection (McCance, & Huether, 2019). In the case of strep throat, the symptoms could be mild, moderate or severe. Patients could also be asymptomatic. Some of the physiologic responses, as seen in this scenario, could also be a result of the toxins from the strep pyogenes for example, hyaluronidase released from the microorganism destroys hyaluronic acid causing local inflammation. NURS 6501: Advanced Pathophysiology week 1 Discussion: Alterations in Cellular Processes

Streptococcal pharyngitis can be self-limiting and may resolve by itself within a few days; however, to avoid complications, treatment is recommended with antibiotics. Penicillin or amoxicillin is the recommended antibiotic to treat strep throat unless the patient is allergic to penicillin (Centers for Disease Control and Prevention, 2018). In this scenario, the patient was

prescribed amoxicillin 500mg every 12 hours for ten days; the patient reportedly took the first dose when he got home and complained of swollen tongue and lips, difficulty breathing, and audible wheezing. The patient experienced an anaphylactic reaction to amoxicillin, evidenced by swelling of tongue and lips as well as shortness of breath, anaphylactic reactions are life-threatening and should be treated immediately. This patient will need to be prescribed a different antibiotic to treat the streptococcus pharyngitis. NURS 6501: Advanced Pathophysiology week 1 Discussion: Alterations in Cellular Processes

Cells involved in the process

The cells involved in the process are commensurate with the cells involved in immune response, including the inflammatory process, innate, and adaptive immune response. Some of these cells include; neutrophils, lymphocytes (T-cells and B-cells), macrophages, dendritic, and mast cells around the Respiratory tract (McCance, & Huether, 2019) NURS 6501: Advanced Pathophysiology week 1 Discussion: Alterations in Cellular Processes.

How Gender or genetics affects streptococcal pharyngitis

Streptococcus pharyngitis can affect all age groups, but it is more common in children age three to 15; this is especially true in school-aged children (Centers for Disease Control and Prevention, 2018). Due to the mode of transfer, people, seen in large groups are more susceptible to contracting strep throat, especially children whose immune system is yet to be mature. Genetics play an important role in the infection with strep throat, strep throat can be self-limiting because the immune system can fight against the infection. However, it is recommended to treat with antibiotics due to the risk of overworking the immune system and leading to complications such as rheumatic fever, which occurs as a result of the immune system attacking cells that are similar to group A streptococcus even after the infection has been resolved.

After the immune response is activated to fight streptococcus pyogenes, the adaptive immune system develops specific antibody against the strep A antigen, therefore when reinfection occurs, the body is able to recognize and fight the infection more quickly, the individuals with the compromised immune system are at risks for recurrent infection because they may have a delayed or inadequate immune response, for example, individuals congenital neutropenia may be unable to produce sufficient B-cells and T-cells needed for normal immune response. Also, some genetically inherited conditions may deter the production of antibodies in response to infections; this could be seen with individuals who have genetically transmitted immune deficiencies like HIV or lupus. NURS 6501: Advanced Pathophysiology week 1 Discussion: Alterations in Cellular Processes

References

American Academy of Family physicians (2016). Strep throat. American Family Physician,

94(1). Retrieved from /orders/eds-b-ebscohostcom.ezp.waldenulibrary.org/eds/pdfviewer/pdfviewer?vid=13&sid=bf175544-1fe1-479f-8327-40e4926963d1%40pdc-v-sessmgr03

Centers for Disease Control and Prevention (2018). GroupA streptococcal (GAS) Disease. Retrieved from /orders/www.cdc.gov/groupastrep/diseases-public/strep-throat.html

Cohen, J. F, Bertille, N., Cohen, R., & Chalumeau, M.(2016). Rapid antigen detection test for group A streptococcus in children with pharyngitis. Cochrane Database of Systematic Reviews, 7. DOI:10.1002/14651858.CD010502.pub2. NURS 6501: Advanced Pathophysiology week 1 Discussion: Alterations in Cellular Processes

Dan, J, M., Havenar-Daughton, C  Kendric, k., Al-kolla, R., Kaushik, K., Rosales, S. L., Anderson, E. L., LaRock, C. N., Vijayanand, N., Seumois, G., Layfield, D., Cutress, R. I., Ottensmeier, C. H., Lindestam, C. S., Alessandro A. S., Nizet, V., Bothwell, M., Brigger, M., 

& Crotty, S.(2019). Recurrent group A Streptococcus tonsillitis is an immune susceptibility disease involving antibody deficiency and aberrant TFH cells. Science translational medicine 11(478). Retrieved from /orders/www.ncbi.nlm.nih.gov/pmc/articles/PMC6561727/

La Jolla Institute for Immunology (2019). Why strep throat comes back. Science& Children, 56(7), 10–11.Retrieved from /orders/eds-a-ebscohost-com.ezp.waldenulibrary.org/eds/pdfviewer/pdfviewer?vid=4&sid=4f92c9ec-71cf-4939-900b-61dd7f1c1e65%40sdc-v-sessmgr01

McCance, K. L. & Huether, S. E. (2019). Pathophysiology: The biologic basis for disease in adults and children. Innate Immunity: Inflammation and wound healing. (8th ed., pp 191-217). St. Louis, MO: Mosby/Elsevier.

Todar, K (2015). Streptococcus pyogenes and StreptococcalDisease (page 2). Retrieved from

http://textbookofbacteriology.net/streptococcus_2.html   NURS 6501: Advanced Pathophysiology week 1 Discussion: Alterations in Cellular Processes

ADDITIONAL INSTRUCTIONS FOR THE CLASS

SCORE A+ WITH HELP FROM OUR PROFESSIONAL WRITERS – NURS 6501: Advanced Pathophysiology week 1 Discussion

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. NURS 6501: Advanced Pathophysiology week 1 Discussion

• 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

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

NURS 6051 Week 1 Pathophysiology Discussion

NURS 6051 Week 1 Pathophysiology Discussion

Examine the case study below and explain the disease that is suggested. Examine the symptoms reported and explain the cells that are involved and potential alterations and impacts.

An 83-year-old resident of a skilled nursing facility presents to the emergency department with generalized edema of extremities and abdomen. History obtained from staff reveals the patient has history of malabsorption syndrome and difficulty eating due to lack of dentures. The patient has been diagnosed with protein malnutrition. 

Write 1-page explaining disease in the scenario you were provided. Include the following in your explanation:

• The role genetics plays in the disease.
• Why the patient is presenting with the specific symptoms described.
• The physiologic response to the stimulus presented in the scenario and why you think this response occurred.
• The cells that are involved in this process.
• How another characteristic (e.g., gender, genetics) would change your response.

 Answers all parts of the Discussion question(s) with reflective critical analysis and synthesis of knowledge gained from the course readings for the module and current credible sources.

Supported by at least three current, credible sources.

Written clearly and concisely with no grammatical or spelling errors and fully adheres to current APA manual writing rules and style. 

Guidelines

· The response accurately and thoroughly describes the patient symptoms. The response includes accurate, clear, and detailed reasons, with explanation for the symptoms supported by evidence and/or research, as appropriate, to support the explanation.

· The response includes an accurate, complete, detailed, and specific analysis of the genes that may be associated with the development of the disease.

· The response includes an accurate, complete, detailed, and specific explanation of the process of immunosuppression and the effect it has on body systems.

· Paragraphs and sentences follow writing standards for flow, continuity, and clarity. A clear and comprehensive purpose statement, introduction, and conclusion are provided that delineate all required criteria.

ADDITIONAL INSTRUCTIONS FOR THE CLASS

SCORE A+ WITH HELP FROM OUR PROFESSIONAL WRITERS – NURS 6051 Week 1 Pathophysiology Discussion

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. NURS 6051 Week 1 Pathophysiology Discussion

• 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

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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Module 03 Case Study – Assessment of Pregnant Client

Module 03 Case Study – Assessment of Pregnant Client

Purpose of Assignment

• Utilize the appropriate technology and/or references/resources, demonstrating accurate use, in order to access reliable data and information that support evidence-based practice in the care of diverse clients during pregnancy.
• Differentiate the various components of basic physiological needs as it relates to pregnancy and health practices, including but not limited to associated concepts of.
• Evaluate data and information gathered during client care, simulated scenarios, and/or case studies related to promoting nutritional health during pregnancy, nursing care strategies to address the common discomforts of pregnancy, essential components and standards of prenatal care, fetal growth and development stages in order to determine knowledge and wisdom gained through critical thought processes to optimize client outcomes and quality improvement.
• Demonstrate a basic understanding of communication practices necessary for client-centered care and interdisciplinary collaboration in terms of knowledge, skills, and attitudes.

Competency

Apply appropriate nursing care interventions for clients during pregnancy, labor, and birth.

Scenario

You are a registered nurse (RN) working in a Women’s OB/GYN Clinic. Elizabeth Jones, 37 years old, presents to the prenatal clinic after missing her last 2 menstrual cycles. Her home pregnancy test was positive. An ultrasound at the clinic confirms pregnancy. Gestational age is calculated to be 10 weeks. An initial assessment of Ms. Jones’s medical and obstetrical history is as follows.

Obstetric/Gynecologic (OB/GYN) history: Uncomplicated spontaneous vaginal delivery at 39.2 weeks (3 years ago); Cesarean section x 1 at 37.5 weeks for non-reassuring fetal heart tones (1.5 years ago); abnormal Papanicolau (PAP) smear x2, + human papilloma virus (HPV), colposcopy within normal limits

Medical history: Chronic hypertension (HTN) x 5 years;

Allergies: Penicillin

Social history:

• (+) tobacco, “occasional” per client (pt), <5 per/day currently, has smoked “off and on” for 15 years
• (+) cocaine use, states she has not used any cocaine/drugs for > 1 year; (-) alcohol use
• Abusive partner with first pregnancy, states she has a new partner x 4 years
• Depression, currently not taking meds for treatment (tx)

Medications: Prenatal vitamins; Labetalol 200mg BID;

Family history: Insulin-dependent diabetes mellitus (mother); HTN and heart disease (father); breast cancer (maternal grandmother, deceased)

Instructions

Write a two to three-page analysis of this scenario that answers the following questions:

1. What should the nurse consider related to caring for a client with a history of domestic abuse, drug use, sexually transmitted diseases and depression?
2. Document the considerations of yourself as the professional nurse in regards to self-awareness; be aware of attitudes, values and beliefs that you hold related to clients from different social backgrounds so that care is not affected negatively.
3. What conditions are in Mrs. Jones history that would cause concern during pregnancy, labor, and birth?
4. What concerns should be discussed with Ms. Jones before she leaves her appointment?

Each answer to your question should include the following:

• A correct answer with thorough development of the topic
• Gives clinical examples
• Include evidence from scholarly sources
• Appropriate use of medical terminology

Format

• Standard American English (correct grammar, punctuation, etc.)
• Logical, original and insightful
• Professional organization, style, and mechanics in APA format
• Submit document through Grammarly to correct errors before submission

ADDITIONAL INSTRUCTIONS FOR THE CLASS

SCORE A+ WITH HELP FROM OUR PROFESSIONAL WRITERS – Module 03 Case Study – Assessment of Pregnant Client

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. Module 03 Case Study – Assessment of Pregnant Client

• 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

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