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  • Assessment Description Complete the “Pillars of Society Matrix” worksheet. Use y

    Assessment Description
    Complete the “Pillars of Society Matrix” worksheet.
    Use your assigned Readings and your research to support this.
    Textbook Name: Essentials of Sociology: A Down-to-Earth Approach
    The assigned reading is Chapters 14 & 15
    Reference:
    Henslin, J. M. (2019). Essentials of sociology: A down-to-earth approach (13th ed.). Pearson. ISBN-13: ISBN 9780134736587
    While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines.

  • Create a PowerPoint presentation detailing the standard operating procedure in d

    Create a PowerPoint presentation detailing the standard operating procedure in dealing with “near misses”. be sure to adress address the following issues:
    Examine any applicable rules and regulations pertaining to malpractice in the Kingdom of Saudi Arabia.
    Detail a specific procedure in dealing with the reporting of medical errors in a healthcare facility.
    Your presentation should meet the following structural requirements:
    Organized, using professional themes and transitions.
    It should consist of 10 slides, not including the title and reference slides.
    Each slide must provide detailed speaker’s notes, with a minimum of 100 words per slide. Notes must draw from and cite relevant reference materials.
    Provide support for your statements with in-text citations from a minimum of seven scholarly articles.
    Follow APA 7th edition

  • 1. Research a disability, condition, or barrier to dental care using reliable we

    1. Research a disability, condition, or barrier to dental care using reliable websites. Find information that could be helpful for dental hygienists when working with clients who have the disability/condition. The information should help a dental hygienist identify the needs of a client who may be participating in dental hygiene care. Research content could include, but is not limited to the following information:
    • Type of disability – i.e., developmental, acquired, physical, sensory, etc.
    • Current terminology regarding the disability or condition.
    • Barriers to dental care that exist for a client.
    • Assistive devices that the client may use.
    • Tips, facts, techniques, ideas, or devices that could improve client care.
    • Ways to ensure adequate communication with a client and/or caregiver.
    • Other ideas that you may have.
    2. Summarize the information in point form (2 pages) so that it could be easily read by a dental hygienist before a dental hygiene appointment. Include the resources/websites and, if possible, a local community resource for future reference.
    3.
    • No italics, bolding, underlining or ALL CAPS
    • Font – Times New Roman Size 12
    • Single spacing with a double space before next heading
    • Bullets like this one can be used
    • Reference list using APA format

  • A 25-year-old presented to the labor and delivery unit with complaints of uter

    A 25-year-old presented to the labor and delivery unit with complaints of uterine cramping and lower back pain. The client denied any vaginal bleeding and had a history of preterm birth at 32 weeks (about 7 and a half months) gestation with her last pregnancy. The baby from that pregnancy is three years old has no developmental issues. The client’s gestational age is 30 weeks (about 7 months). She is O+, and all other lab values are normal. No evidence of sexually transmitted infections (STI’s).
    (Group Beta Strep is missing from the labs and most often is obtained at 35 – 37 weeks (about 8 and a half months) gestation. Without this information, it is often determined to treat the patient anyway, to protect a premature baby from the risk.)
    What additional information should the nurse obtain from the client?
    What nursing intervention is most appropriate in this situation?
    What screening tests should be obtained to determine the risk for preterm labor?
    If the client is in preterm labor, what medications would the nurse expect to be ordered, and what are the priorities for the nurse to assess post-administration? (Include dose, side effects and expected outcomes of the medication).

  • Step 1: Create a Discussion Post Create a discussion post that responds to one q

    Step 1: Create a Discussion Post
    Create a discussion post that responds to one question of your choice from the list below, related to “If Hollywood’s so creative, why can’t it tell new stories about people with disabilities?” by Alyssa Rosenberg. Your discussion post should be approximately 100-200 words in length.
    Why are people with disabilities expected to play only roles where their disabilities are the focus of their characters?
    How important is it that Hollywood and other parts of pop culture find ways to represent people with disabilities more often? What can audiences do to demand more for characters with disabilities?

    Step 2: Create a Second Discussion Post
    Create a discussion post that responds to one question of your choice from the list below, related to “The Ethics of Hodor” by Spencer Kornhaber and Lauryn S. Mayer. Your discussion post should be approximately 100-200 words in length.
    How does the fantastic setting of Game of Thrones (and other fantasy books or shows) allow us a chance to rethink disability? Discuss how the show also invites us to think about disability in medieval society.
    Can Hodor teach us anything about vulnerability and interdependence? Does he need to be disabled to do so?
    If you’ve seen Game of Thrones, can you think of other disabled characters and how their disability is portrayed?

  • Instructions: Please respond to two peers’ post regarding their differential dia

    Instructions:
    Please respond to two peers’ post regarding their differential diagnosis list and/or plan.
    What did you find interesting about their response?
    How did their differential diagnosis list or plan compare to yours?
    Responses need to address all components of the question, demonstrate critical thinking and analysis, and include peer reviewed journal evidence to support the student’s position.
    Please be sure to validate your opinions and ideas with citations and references in APA format.
    Please review the rubric to ensure that your response meets the criteria.
    please use updated references for both peer response
    i will provide both below
    Peer#1
    Dezirae Berry
    Mar 5, 2023Mar 5 at 5:53pm
    Unit 10 Discussion: Anemia, Infectious Disease
    Pertinent Positives: female, fatigue x 3 months, increasing SOB walking up steps, increased need for sleep, memory issues, omeprazole daily use, vegetarian diet
    Pertinent Negatives: Denies CP, weight gain/loss, poor appetite or swelling, abdominal pain, n/v/d, vaginal bleeding, bloody or dark tarry stools, weakness; denies NSAID or ETOH use, normal colonoscopy 5 years ago
    Missing Information: How long have you been taking omeprazole? Do you take OTC supplements? How long have you been a vegetarian? What does your typical diet consist of? Are you able to afford fresh foods? Do you drink caffeine? What is your activity like day to day? How do you feel your mood has been? Do you go to counseling? Do you have new life stressors? Have you been sick recently?
    Differential Diagnosis List:
    Fatigue – there are many common causes of fatigue, such as recent life changes, mood disorders, medication side effects, substance overuse, infection, thyroid dysfunction, and chronic medical disease (Domino et al., 2023).
    Iron deficiency anemia – Symptoms of iron deficiency anemia can include fatigue, exertional dyspnea, and inability to concentrate, and a risk factor for iron deficiency anemia is a strict vegan diet (Domino et al., 2023).
    Depression – Reports hx of depression. Depression can cause symptoms such as fatigue, difficulty with concentration, and changes in sleep (Warshaw et al., 2022).
    Plan: Fatigue
    Diagnostics: CBC, CMP, iron studies, TSH, ESR/CRP, UA; PHQ-9/GAD-7
    Therapeutic: Therapeutics would depend on further evaluation.
    Educational: Omeprazole is not meant to be a long-term medication, especially in older adults, due to the increased risk of C. diff infection, bone loss/fractures, and iron deficiency anemia (Lexicomp, 2023). Recommend tapering off omeprazole. For reflux prevention, recommend elevating the head of the bed, avoid eating at least 2 hours before bedtime, and avoid foods that trigger symptoms (Domino et al., 2023). Recommend keeping a diary of symptoms. Encourage increased activity/exercise. Would discuss that vegetarians are at an increased risk for iron and vitamin B12 deficiency (Hargreaves et al., 2021). Therefore, would discuss the importance of having a well-balanced diet to ensure she is getting the vitamins and nutrients she needs. Consider OTC multivitamin with iron.
    Consultation/Collaboration: Consider a dietician and gastroenterology referral.
    References
    Domino, F. J., Baldor, R. A., Barry, K. A., Golding, J., & Stephens, M. B. (2023). The 5-minute clinical consult: Premium 2023 (31st ed.). Wolters Kluwer.
    Hargreaves, S. M., Raposo, A., Saraiva, A., & Zandonadi, R. P. (2021). Vegetarian diet: An overview through the perspective of quality of life domains. International Journal of Environmental Research and Public Health, 18(8), 4067. https://doi.org/10.3390/ijerph18084067Links to an external site.
    Lexicomp. (2023). Omeprazole: Drug information. UpToDate. https://www.uptodate.com/contents/omeprazole-drug-information?source=auto_suggest&selectedTitle=1~4—1~4—omepra&search=omeprazole#F203615Links to an external site.
    Warshaw, G., Potter, J. F., Flaherty, E., Heflin, M., McNabney, M., & Ham, R. J. (2022). Ham’s primary care geriatrics: A case-based approach (Seventh ed.). Elsevier.
    peer#2
    Haiying (Helen) Zhang
    Mar 11, 2023Mar 11 at 6:33pm
    NU 627 Week 10 Case Study
    Pertinent positives
    Subjective
    CC: “I am always tired.” JL 71 y.o. F reports feeling tired for the last three months but recently has noticed shortness of breath when walking up the steps and sleeping more. She has noticed some issues with her memory as well. Follow a healthy vegetarian diet. Paternal grandmother was diagnosed with hypertension, while paternal grandfather suffered from heart disease.
    PMH: GERD 2016. Depression 2000. Surgical history: R Lumpectomy 1999. Cscope/EGD 5 years ago.
    Medications: Omeprazole 20mg PO daily Sertraline 50 mg PO daily
    ROS
    NS: Does notice some numbness and tingling at times. Has noticed more forgetfulness at times.
    Skin: Wife reports pale appearance.
    Objective
    Constitutional: pale appearance.
    HEENT: Conjunctiva pale. Angular cheilitis. Tongue beefy appearance
    CVS: slight murmur is noted.
    Neuro: Decrease vibratory sensation noted to hands/feet.
    Skin: pale
    Pertinent negatives
    Subjective
    She denies CP, weight gain/loss, poor appetite, or swelling. She denies abdominal pain, N/V/D. She denies vaginal bleeding and bloody or dark tarry stools. She denies taking NSAIDs, or ETOH use. She had a normal colonoscopy 5 years ago. She is retired and lives with her wife and they live off their pensions and SSI. Denies alcohol, illicit drug use, and tobacco use. Family History Her brother, and 2 sisters are alive and well; not been diagnosed with any chronic condition. Her parents are deceased, and not been diagnosed with any chronic condition. Health Maintenance UTD on all immunizations and cancer screenings for age. Has had diabetes, HTN, and cholesterol screenings, all within normal limits. Allergies: No known drug allergy.
    ROS
    General: Denies fever, chills, sleeping difficulties, and weight loss/gain. Denies poor appetite lightheadedness or dizziness. HEENT, Respiratory, CV, GI, GYN, GU, MSS, and psychiatric are all negative.
    NS: Patient denies weakness in strength, headache, or headache. Skin: No rashes or lesions.
    Objective Data
    125/95mmHg. – 88 bpm. -17RR. -98.5 degrees Fahrenheit, Oxygen saturation – 100%. – Height – 5 feet 4 in. – Weight – 130 pounds. BMI=22.3
    Constitutional: Alert, oriented, dressed appropriately
    HEENT: Normocephalic. Lids/lashes/orbit unremarkable. No discharge. PERRL, EOMI. ENT, neck, Respiratory system, Abdominal examination, MSS, and psychiatric are all negative. CVS: Heart rate is regular, and its rhythm is normal, Pulses are symmetrical and regular. No evidence of a collapsing pulse.
    Neuro: PERRLA +6mm. The cerebellar exam is intact. Skin is warm and dry. No rashes nor erythema were noted.
    Missing information
    I want to ask this patient how long has she been following the vegetarian diet. Does she eat eggs? Does she eat dairy products such as cheese, milk, and yogurt? How severe is her symptom? Does anything seem to improve her symptoms? Is there anything that worsens her symptoms? How many servings of fruits and vegetables does she usually eat in a day? Does she take any supplements?
    Then create a differential diagnosis list with at least 3 possible actual diagnoses based on your findings.
    Differential diagnosis:
    D51.9 -Vitamin B12 deficiency anemia, unspecified (pernicious anemia)– reports feeling tired for the last three months but recently has noticed shortness of breath when walking up the steps and sleeping more. pale appearance. Conjunctiva pale. Tongue beefy appearance. Has been sleeping more and fatigued.
    D52.9 – Folate deficiency anemia, unspecified- feeling tired for the last three months but recently has noticed shortness of breath when walking up the steps and sleeping more. Pale appearance.
    G60.9 – Unspecified Neuropathy- Does notice some numbness and tingling at times.
    G31.84 – Mild cognitive impairment of uncertain/unknown etiology- She has noticed some issues with her memory as well. Has noticed more forgetfulness at times.
    The second part is to create a plan utilizing clinical practice guidelines for the priority diagnosis.
    Plan for priority diagnosis
    D51.9 – Vitamin B 12 deficiency
    Plan
    Order diagnostic test
    Blood tests: CBC, serum vitamin B-12, folate, vitamin C, antibody test for intrinsic factor, CMP, TSH.
    Study shows patients with risk factors for vitamin B12 deficiency should be screened with a complete blood count and serum vitamin B12 level (Langan & Goodbred, 2017).
    Therapeutic
    Recommend to take multivitamin, 1 tablet, daily.
    Other pharmacological agent will be prescribed based on the diagnostic test result.
    Evidence-based clinical guidelines recommend that parenteral B12 replacement is indicated if urgent treatment is required, if gastrointestinal malabsorption is suspected, and in elderly people (Sukumar & Saravanan, 2019). Oral B12 replacement may be a suitable alternative in asymptomatic individuals with dietary B12 deficiency (Sukumar & Saravanan, 2019).
    Education
    Teach the patient that Vitamin B-12 deficiency anemia (pernicious anemia) can result from a diet lacking in vitamin B-12, which is found mainly in meat, eggs, and milk. Vitamin B-12 deficiency anemia can also occur if your small intestine can’t absorb vitamin B-12 due to surgery to the stomach or small intestine.
    Teach this patient that vegetarians who don’t eat dairy products and vegans who don’t eat any foods from animals are at risk for vitamin B-12 deficiency anemia. Study shows that elderly people, pregnant women, and vegans are more susceptible to B12 deficiency (Sukumar & Saravanan, 2019).
    Teach this patient that certain medications such as the antiacid medication may interfere with the absorption of vitamin B-12. Study shows that the long-term usage of PPIs is linked to an increased risk of vitamin B12 insufficiency (Mumtaz et al., 2022).
    Teach this patient that foods rich in vitamin B-12 include eggs, fortified foods, such as breakfast cereals, milk, cheese, and yogurt, and red and white meats and shellfish.
    Collaboration/Referral
    No referral is needed at this time. Consider specialist referral if it is refractory to treatment, or if neurological features or persistent macrocytic anemia is present.
    Follow up
    Return to clinic in 1 week for lab result review and treatment plan.
    References
    Langan, R.C. & Goodbred, A.J. (2017). Vitamin B12 deficiency: Recognition and management. Am Fam Physician, 96(6), 384-389. https://pubmed.ncbi.nlm.nih.gov/28925645Links to an external site.
    Mumtaz, H., Ghafoor, B., Saghir, H., Tariq, M., Dahar, K., Ali, S. H., Waheed, S. T., & Syed, A. A. (2022). Association of Vitamin B12 deficiency with long-term PPIs use a cohort study. Annals of Medicine & Surgery, 82. https://doi.org/10.1016/j.amsu.2022.104762
    Sukumar, N., & Saravanan, P. (2019). Investigating vitamin B12 deficiency. BMJ, l1865. https://doi.org/10.1136/bmj.l1865

    Edited by Haiying (Helen) Zhang on Mar 12 at 9:09am
    Reply

  • Explain what most excited and/or concerned you throughout your pediatric clinica

    Explain what most excited and/or concerned you throughout your pediatric clinical experience.
    Discuss how your personal definition of family and family roles has changed or stayed the same.
    How has your understanding of family and family roles influenced your assessment of children and their families?
    Explain how your understanding of culture (both the culture of the provider and that of the child and his or her family) has changed and how it may have influenced the assessments you conducted during your practicum.
    Assess how you did with accomplishing the goals and objectives you developed in Week 1 for the practicum experience.
    Based on your practicum experience, refine your existing goals and/or develop new goals for your continued education and professional practice. Be sure to consider the NAPNAP Position Statement on Age Parameters for Pediatric Nurse Practitioner Practice.
    Use title page and references according to APA.

  • This milestone is designed to introduce the case study and begin a critical anal

    This milestone is designed to introduce the case study and begin a critical analysis applying knowledge gained within the course. This short paper assignment is the first step in your final project analysis of the company. It should begin with a brief description (one paragraph) of the case study that is being used. The largest component of this short paper should focus on the culture crisis with specific feature details as contributing factors, based on the elements listed below. This assignment will be submitted in the form of a 750-word minimum paper.
    Prompt
    Use the following case study for your organizational analysis: The GM Culture Crisis: What Leaders Must Learn From This Culture Case Study.
    After reading the case study, address the following critical elements.
    IntroductionHow is the organization described in the case study? What are its key attributes? What are its strengths and weaknesses?
    Organizational ModelingDescribe a current behavioral organizational model used in the case study.
    Compare the current behavioral organizational model used above to other models used within the industry and also within external related industries.
    Explain why there are differences between the organizational model used by the organization in the case study and those used by organizations in another similar industry. In other words, what are some of the reasons for using these different organizational models?
    Compare the current impact of culture on current organizational models to the impact culture has had on past organizational models.
    Explain how the organization is or is not operating within an organizational model unique to its industry.
    Explain if motivational models have shifted in comparison to the organizational modeling trends.
    What to Submit
    Submit assignment as a Word document with double spacing, 12-point Times New Roman font, and one-inch margins.

  • Informatics and technology has greatly changed the face of healthcare. What type

    Informatics and technology has greatly changed the face of healthcare. What type of impact do you see genomics and personalized medicine having on healthcare delivery and patient outcomes? How will genomics and personalized medicine affect APRN practice and patient outcomes

  • Review the article, The Biopsychosocial Model 25 Years Later: Principles, Pr

    Review the article, The Biopsychosocial Model 25 Years Later: Principles, Practice, and Scientific Inquiry. Think about how and why the biopsychosocial model was created. Also, consider the role of a patient’s subjective experience in the diagnosis and treatment of health issues.
    Review the remaining articles on the biopsychosocial model. Think about how biological, psychological, and social factors affect the health and wellness issues addressed in the articles.
    Select one health issue from the following list:

    Migraine headaches
    Postpartum depression
    Obesity
    Substance abuse/addiction
    Eating Disorder (anorexia, bulimia)

    Identify biological, psychological, and social factors that contribute to the health issue you selected.
    Reflect on how the person’s subjective experience may influence the mitigation or severity of the health issue you selected.
    Post a response to the following:
    Describe the health issue you selected and identify key contributors or factors, based on the biopsychosocial model, that could contribute to the development of the issue (be sure to include all three aspects of the model). Then describe the role of subjective experience and how it could influence the mitigation/severity of the issue.
    Note: Support your postings and responses with specific references to the Learning Resources and any additional sources you identify using both in-text citations and references. It is strongly recommended that you include proper APA format and citations.