Category: Uncategorized

Assignment:
ABDOMINAL ASSESSMENT
Subjective:

CC: “My stomach hurts, I have diarrhea and nothing seems to help.”
HPI: JR, 47 yo WM, complains of having generalized abdominal pain that started 3 days ago. He has not taken any medications because he did not know what to take. He states the pain is a 5/10 today but has been as much as 9/10 when it first started. He has been able to eat, with some nausea afterwards.
PMH: HTN, Diabetes, hx of GI bleed 4 years ago
Medications: Lisinopril 10mg, Amlodipine 5 mg, Metformin 1000mg, Lantus 10 units qhs
Allergies: NKDA
FH: No hx of colon cancer, Father hx DMT2, HTN, Mother hx HTN, Hyperlipidemia, GERD

Assignment 1: Lab Assignment: Assessing the Abdomen

Photo Credit: Getty Images/Hero Images
A woman went to the emergency room for severe abdominal cramping. She was diagnosed with diverticulitis; however, as a precaution, the doctor ordered a CT scan. The CT scan revealed a growth on the pancreas, which turned out to be pancreatic cancer—the real cause of the cramping.
Because of a high potential for misdiagnosis, determining the precise cause of abdominal pain can be time consuming and challenging. By analyzing case studies of abnormal abdominal findings, nurses can prepare themselves to better diagnose conditions in the abdomen.
In this Lab Assignment, you will analyze an Episodic note case study that describes abnormal findings in patients seen in a clinical setting. You will consider what history should be collected from the patients as well as which physical exams and diagnostic tests should be conducted. You will also formulate a differential diagnosis with several possible conditions.
To Prepare
Review the Episodic note case study your instructor provides you for this week’s Assignment. Please see the “Course Announcements” section of the classroom for your Episodic note case study.

With regard to the Episodic note case study provided:

Review this week’s Learning Resources, and consider the insights they provide about the case study.
Consider what history would be necessary to collect from the patient in the case study.
Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis?
Identify at least five possible conditions that may be considered in a differential diagnosis for the patient.

The Assignment

Analyze the subjective portion of the note. List additional information that should be included in the documentation.
Analyze the objective portion of the note. List additional information that should be included in the documentation.
Is the assessment supported by the subjective and objective information? Why or why not?
What diagnostic tests would be appropriate for this case, and how would the results be used to make a diagnosis?
Would you reject/accept the current diagnosis? Why or why not? Identify three possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using at least three different references from current evidence-based literature.

Social: Denies tobacco use; occasional ETOH, married, 3 children (1 girl, 2 boys)

Objective:

VS: Temp 99.8; BP 160/86; RR 16; P 92; HT 5’10”; WT 248lbs
Heart: RRR, no murmurs
Lungs: CTA, chest wall symmetrical
Skin: Intact without lesions, no urticaria
Abd: soft, hyperactive bowel sounds, pos pain in the LLQ
Diagnostics: None

Assessment:

Left lower quadrant pain
Gastroenteritis

PLAN: This section is not required for the assignments in this course (NURS 6512)
With regard to the Episodic note case study provided:

Review this week’s Learning Resources, and consider the insights they provide about the case study.
Consider what history would be necessary to collect from the patient in the case study.
Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis?

Identify at least five possible conditions that may be considered in a differential diagnosis for the patient. Remember to use support literature with your explanations, APA writing.
The Assignment

Analyze the subjective portion of the note. List additional information that should be included in the documentation.
Analyze the objective portion of the note. List additional information that should be included in the documentation.
Is the assessment supported by the subjective and objective information? Why or why not?
What diagnostic tests would be appropriate for this case, and how would the results be used to make a diagnosis?
Would you reject/accept the current diagnosis? Why or why not? Identify three possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using at least three different references from current evidence-based literature.

Learning Resources
Required Readings (click to expand/reduce)
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.
Chapter 6, “Vital Signs and Pain Assessment”
This chapter describes the experience of pain and its causes. The authors also describe the process of pain assessment. Chapter 18, “Abdomen”
In this chapter, the authors summarize the anatomy and physiology of the abdomen. The authors also explain how to conduct an assessment of the abdomen.

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.Credit Line: Advanced Health Assessment and Clinical Diagnosis in Primary Care, 6th Edition by Dains, J.E., Baumann, L. C., & Scheibel, P. Copyright 2019 by Mosby. Reprinted by permission of Mosby via the Copyright Clearance Center.
Chapter 3, “Abdominal Pain” This chapter outlines how to collect a focused history on abdominal pain. This is followed by what to look for in a physical examination in order to make an accurate diagnosis.
Chapter 10, “Constipation” The focus of this chapter is on identifying the causes of constipation through taking a focused history, conducting physical examinations, and performing laboratory tests.
Chapter 12, “Diarrhea” In this chapter, the authors focus on diagnosing the cause of diarrhea. The chapter includes questions to ask patients about the condition, things to look for in a physical exam, and suggested laboratory or diagnostic studies to perform.
Chapter 29, “Rectal Pain, Itching, and Bleeding” This chapter focuses on how to diagnose rectal bleeding and pain. It includes a table containing possible diagnoses, the accompanying physical signs, and suggested diagnostic studies.
Colyar, M. R. (2015). Advanced practice nursing procedures. Philadelphia, PA: F. A. Davis.Credit Line: Advanced practice nursing procedures, 1st Edition by Colyar, M. R. Copyright 2015 by F. A. Davis Company. Reprinted by permission of F. A. Davis Company via the Copyright Clearance Center.
These sections below explain the procedural knowledge needed to perform gastrointestinal procedures.

Chapter 107, “X-Ray Interpretation: Chest (pp. 480–487)
Chapter 115, “X-Ray Interpretation of Abdomen” (pp. 514–520)
Note: Download this Student Checklist and Abdomen Key Points to use during your practice abdominal examination.
Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Abdomen: Student checklist. In Seidel’s guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.Credit Line: Seidel’s Guide to Physical Examination, 9th Edition by Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. Copyright 2019 by Elsevier Health Sciences. Reprinted by permission of Elsevier Health Sciences via the Copyright Clearance Center.
Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Abdomen: Key points. In Seidel’s guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.Credit Line: Seidel’s Guide to Physical Examination, 9th Edition by Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. Copyright 2019 by Elsevier Health Sciences. Reprinted by permission of Elsevier Health Sciences via the Copyright Clearance Center.
Document: Midterm Exam Review (Word document)
Optional Resource
LeBlond, R. F., Brown, D. D., & DeGowin, R. L. (2014). DeGowin’s diagnostic examination (10th ed.). New York, NY: McGraw Hill Medical.
Chapter 9, “The Abdomen, Perineum, Anus, and Rectosigmoid” (pp. 445–527)
This chapter explores the health assessment processes for the abdomen, perineum, anus, and rectosigmoid. This chapter also examines the symptoms of many conditions in these areas.
Chapter 10, “The Urinary System” (pp. 528–540)
In this chapter, the authors provide an overview of the physiology of the urinary system. The chapter also lists symptoms and conditions of the urinary system.

Required Media (click to expand/reduce)
Assessment of the Abdomen and Gastrointestinal System – Week 6 (14m)
Accessible player –Downloads–Download Video w/CCDownload AudioDownload Transcript

Online media for Seidel’s Guide to Physical Examination
It is highly recommended that you access and view the resources included with the course text, Seidel’s Guide to Physical Examination. Focus on the videos and animations in Chapter 17 that relate to the assessment of the abdomen and gastrointestinal system. Refer to Week 4 for access instructions on https://evolve.elsevier.com/
PLS USE 6 RESOURCES FOR THIS ASSIGN

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One of the primary purposes of this course is to allow students who are about to complete their programs of study at the Malcolm Baldrige School of Business to demonstrate their familiarity with the Baldrige Core Values. For this assignment, you will write a reflective paper summarizing your experience and discussing how these core values were exhibited in your work, both in this course and throughout your program of study.
Refer to the attached documents for assignment details and grading rubric, and the Baldridge Core Values presentation.
This Assignment will close promptly on Wednesday 11:59pm. Post University runs on East Coast Time. The Reflective Paper is worth 20% of your grade.
NO late work accepted.
Assignment Organization and Clarifications:
Please note this is a reflective paper. It is NOT a summary or explanation of each core value. It is your own personal inflection on which cores values you are currently utilizing, have experience with, have seen demonstrated, will be using in the future, etc. You do not need to select every core value. Select only the ones that are relevant to your reflection. Please do not summarize the unit topics. Discuss unit topics in direct relation to your reflection of your selected core values.
For example, you can reflect by stating “One core value that I have been using at work is focusing on the future. I have been using this core value to motivate my employees/soldiers and provide information on the many opportunities that lie ahead for them.

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One person from team / group submits project documents.
Submit your group’s PowerPoint game.

Project/Live Presentation
Each team will present the collective project work in class as follows:

The team presentation will take about 20 -30 minutes.
(Use can use a separate PowerPoint) 

describe your chosen “game” template.
Show slides on how the game operates.
Each person should describe their “game module”
Discuss any difficulties you had in creating this work and how they were overcome.
Be prepared to answer questions from other teams.

—————————————————————————————————————————————-
Please go through the document named “ISEM570_Project_R12-2” . In the document, it includes Part 1 and Part 2. In Part 1 it includes Step 1 to Step 5 and In Part 2 it includes Step 6 to Step 10.
Already I did Step 1 and Step 3 from Part 1. Rest of the steps needs to be completed
Topics to be covered:
Change Management and  Continuous Service Improvement
————————————————————————————————————————————————————————————————-
Game Number 5 : Question (Game link:https://tekhnologic.wordpress.com/2016/12/27/10-powerpoint-games/) (https://tekhnologic.wordpress.com/collections/) Screenshot also has been attached for reference purpose.
 Link related to : https://videopress.com/v/M6LHNTgX
There are YouTube links for the game in the document named “ISEM570_Project_R12-2”.
Please complete the assignment in a PPT format.  Part 1 one PPT and Part 2 one PPT. Basically, the assignment is required two different PPTS. Thanks for the understanding.
Note: Attaching 3 PDF documents related to multiple choice questions i.e.  Change Management and Continuous Service Improvement

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Modes of entry into an international market are the channels which organizations employ to gain entry to a new international market. 
Within our Thompson (2020) text, read Chapter 7 Assurance of Learning Exercise #2 related to Walgreens’ mode(s) international market entry and respond to the following questions:

What was Walgreens’ entry strategy designed to achieve?
Why would this make sense for a company like Walgreens?
Provide two recommendations on what Walgreens might do differently going forward with their entry strategy? Make sure you support your recommendations?
Incorporate our coursework (Thompson text and other material) from this week into your above responses.
Rules: Your analysis must be driven by facts, research, and data.

Your analysis should be 500 words.
Incorporate a minimum of at least one course (Thompson text) and one non-course scholarly/peer reviewed source in your paper.
Paper must include introductory(re iterate the question in own words) and concluding paragraphs(saying I have answered the questions and important items to note), reference page, double-spaced and proper in-text citations using APA guidelines.

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Case Scenario
Dion is an engineer with Tesla Motors who helps to design electric motors. It has always been his dream to start his own business, but as he has gotten older, he has not gotten around to it. He is also an avid cyclist who rides near his home in Palo Alto, California. It is hilly terrain and as he has gotten older, he has found it more difficult to navigate the steep terrain.
He has thought about buying an electric bike that would give him an additional boost with an electric motor. However, he has not been satisfied with any of the many brands of electric bikes he can find. The ones that work well are astronomically expensive and the less expensive models are poorly constructed and have short battery life.
One day at Tesla headquarters, Dion is having lunch with three of his colleagues when he raises his frustration with his inability to find the right electric bike. The other three are also avid cyclists, so they launch into an intense discussion. Mark, who works in Tesla’s marketing department, thinks that there is a demand for a high-quality electric bike at a reasonable cost. “There are social trends that could drive that demand,” he says. “First, commuting by bicycle is becoming more popular, and many who are new to it need that extra assistance to make it a comfortable experience. Also, as the population ages, older cyclists are looking for ways to keep cycling as much as they did when they were younger. An electric bike could help them do that.”
Dion responds that some of the new electric motor technologies he has been working on could be repurposed to create a high-quality electric bike at a reasonable cost. “I have been experimenting with some designs, and I think it is workable.” Rosalinda, who manages production of the Tesla Model S interjects, “You know, I came across a defunct bicycle factory about 20 miles north of here when we were looking at potential sites for expansion. It would be perfect to manufacture the bike you are describing.”
Dion can’t hold back any longer and blurts out, “Let’s start our own bicycle company and make this bike!” Sandra, who works in the finance department, scrunches up her face and says, “Whoa there, partner. Where is the money for this venture going to come from? While our salaries and stock options have made us comfortable, we don’t have the resources to manufacture and market this bike.”
The group agrees that they would love to start a new company, but they must figure out how to solve the finance problem that Sandra pointed out in order to do so. Later that day, Dion can’t get the idea out of his mind. Then, a potential solution comes to him. He remembers Brenda Zhang, who rode with one of his cycling groups, Palo Altitude. She is a partner in a large venture capital firm that invests in promising start-ups. Dion isn’t sure if she even remembers him, and she only knew him as a cyclist, not an engineer. But he thinks it’s worth a try.
He sends the following email:
To: Brenda ZhangFrom: Dion MorrisRe: Electric Bicycle Start-Up
Several of my colleagues at Tesla and I have come up with a new design for an electric bicycle that would be relatively inexpensive, very efficient, as well as durable. I know this is coming out of the blue, but I am hoping you will remember me from our rides with the Palo Altitude group. We are looking for start-up funding, and I thought a fellow cyclist like you would see the potential market for a high-quality, inexpensive electric bicycle. Please let me know what you think.
Later that day, he is surprised to find the following email in his inbox:
To: Dion MorrisFrom: Brenda ZhangRe: Electric Bicycle Start-Up
Of course, I remember you, Dion. You were always at the head of the pack in our rides. I am intrigued by your idea and would like to set-up a meeting to discuss it. I need to start doing my homework on the venture to see whether I and my partners are willing to provide funding. In preparation for our meeting, I would like you to prepare a memo that addresses the following issues:

Why do you think you can create a successful start-up? What traits will you need to be an entrepreneur?
What kind of leadership style would you use, and why?
Describe your product and why you think there is a market for it.
What legal form do you think best suits your start-up and why?
What kind of financial document should you provide so that I can evaluate the viability of your start-up?
What are the characteristics of your target market?
Explain specific types of marketing the business should pursue.
What other sources of funding might be available for you, whether or not we invest in your start-up?
How would you organize your management team, and who in your group would lead each function in the organization?
What brand name do you propose for your electric bike, and why did you choose it?

Please send this to me by next week, at least a day before our meeting. I look forward to our discussion.
You are a good friend of Dion’s. He respects you for your degree in Business and Management and your good business sense. Dion feels inadequate in the details of business and asks you to draft the requested memo for him.
How to Set Up the Memo
You will use the attached project 2 memo template.  The memo template should be single-spaced with a blank line between paragraphs. Write clearly and concisely in 12-point Times New Roman. The final product will be in a business memo format, no longer than eight pages in length (excluding the cover page and references page).
Include a title, the course number and section, your name, and the instructor’s name on your title page.
Instructions
Draft the requested memo under Dion’s name. Draw on the learning resources that are in the classroom to influence your answers. This is not a research-based project, so don’t use any sources other than the course materials.
Review/Proofread your Memo
Read through your memo to ensure all required elements are present and clear.

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Read the Topic 5 Ted Case Study. Using 1,200-1,500 words create a treatment plan for Ted that answeres the following:

What symptoms of schizophrenia does Ted exhibit? Based on the sub-types criteria for schizophrenia, which symptoms does Ted display?
What are some potential secondary diagnoses? What evidence would support these secondary diagnoses?
What theory and treatment options would be most effective in treating schizophrenia? Use evidence-based knowledge as justification to address the presenting symptoms in Ted’s case.
Identify three treatment goals and three objectives for each treatment goal that addresses the salient concerns and adverse risks in the case of Ted.  
Include at least five scholarly references in addition to the textbook in your paper.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.

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Assignment: Human Trafficking
Group therapy is one of the most successful interventions for adolescents. This is because of the nature of this stage of development and the need to belong to a group. Hearing the stories of other teens and knowing that their experiences and feelings are similar is very therapeutic. Another characteristic of the adolescent stage is a short attention span, so the clinical social worker should tailor exercises that initiate and sustain discussion for adolescents.
For this Assignment, watch the “Bradley” video.
In a 600-word paper, identify two opening exercises that you might recommend for a group of adolescent girls who were victims of human trafficking.

Describe the exercises in      detail so that another social worker would be able to implement them.
Explain ways these exercises      might be effective in creating a comfortable environment for these teenage      girls.
Support your rationale with      the literature. For example, what does the literature say about teenage      girls who have been arrested for prostitution/human trafficking and who      openly discuss their experiences?
How do these exercises      promote group cohesion and encourage these teens to talk openly?

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1) Discuss the following statement: “Health care costs are out of control in the United States, and increasing conflicts between employers and employees are likely as employers try to reduce their health benefits costs.
2) What should be included in disaster planning for a large employer in Annapolis, Maryland, that is concerned about natural disasters such as floods and snowstorms that might shut down the company and parts of the city?
 3) Suppose a coworker just brought you a union leaflet urging employees to sign an authorization card. What questions would you ask of the union supporter? What may happen from this point on? 200 words.

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 ****ANSWER EACH POST MIN 250 WORDS EACH POST****
***FIRST POST***
Most people are apt to label any sort of suicide bombing or use of an improvised explosive device (IED) as terrorism.
1) The USS Cole was attacked by suicide bombers in the Port of Aden, Yemen in October 2000. Was this terrorism? Why or why not?
Please refer to this video and article.  Years After Attack on USS Cole, Focus Back on Yemen – YouTube 
 U.S. failure to retaliate for USS Cole attack rankled then — and now (nbcnews.com) 
****SECOND POST****
 Discussion Questions: Describe the general process that individuals go through as they become extremists, combining or modifying steps of at least two radicalization models described in the lesson and readings. Which model or framework did you find most applicable or useful in describing how individuals progress through radicalization and why? 

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Instructors and professors often comment that they learn much more about their subject matter when they begin to teach it. When they try to explain the topic to someone else they begin to connect concepts in new ways. They anticipate questions that students might ask, consider different viewpoints, and think more critically.
For this Discussion, take the perspective of someone who is instructing his or her colleagues and sharing your understanding of research methods and program evaluation.
To prepare for the Discussion, select an evaluation report from this week’s resources. Consider how you would present the information to a group of colleagues.
By Day 3
Post an analysis of how you would present the results of the evaluation to a group of social work colleagues. Identify the background information that you think they would need and the key message of your presentation. Explain the strategies that you might use to meet your colleagues’ interests and goals. Identify questions that your colleagues might have and what their reactions might be.

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