By Day 3 post an episodicfocused note about the patient in the ca

By Day 3 post an episodic/focused note about the patient in the
case study to which you were assigned using the
episodic/focused note template provided in the Week 5
resources. Provide evidence from the literature to support
diagnostic tests that would be appropriate for each case. List
five different possible conditions for the patient's differential
diagnosis and justify why you selected each.
Case #1 Back pain
A 42-year-old male reports pain in his lower back for the past
month. The pain sometimes radiates to his left leg. In
determining the cause of the back pain, based on your
knowledge of anatomy, what nerve roots might be involved?
How would you test for each of them? What other symptoms
need to be explored? What are your differential diagnoses for
acute low back pain? Consider the possible origins using the
Agency for Healthcare Research and Quality (AHRQ) guidelines
as a framework. What physical examination will you perform?
What special maneuvers will you perform?
2
Amazon Global Corporation
Amazon is a great location to start a digital commerce business.
With so many possibilities, it may be daunting for merchants to
decide what things to offer. Online stores provide all popular
brands and models, thus, comparing models online before
buying is simple. Selling on Amazon has various benefits for
merchants, including the possibility to produce more money
than other online retailers. For instance, mobile phones,
particularly Redmi, are popular commodities on Amazon in
India (Amazon, 2021). Amazon has dominated the large online
market portion for the supply of phones to the locals. In India,
almost every man uses Intel Integrated Graphics to play virtual

games but does not invest in GPUs (Khan, 2021). Indians, in our
view, demand more for less, and a cheap mobile phone might
provide a better gaming experience than a PC.
We have chosen India because the country has an economy that
is developing swiftly in terms of the product (Kathuria et al.,
2019). Indian consumers are purchasing pricier smartphones as
the country transitions to life post-pandemic (Khan, 2021). As
of July-August 2021, the average selling price for smartphones
was $226, which is the highest it has ever been in India (Khan,
2021). In general, telecommunications and information
technology have revolutionized our lives, particularly in the
digital age. As India has become heavily reliant on
smartphones, it's currently the world's second-largest
smartphone economy. Yet, the United Nations reported a grim
reality in 2010: India had more smartphones than restrooms
(Kathuria et al., 2019). While the availability of domestic
toilets has increased dramatically, the euphoria surrounding
mobile phones has not. The average total of smartphone owners
in India at the end of 2018 was 337 million, compared to 2.53
billion worldwide (Khan, 2021). One would think that the
incredibly rapid rise in the number of low-cost smartphone
models would dislodge the industry for feature phones.
References
Amazon. (2021). Who we are: Amazon. US About Amazon.
Retrieved April 1, 2022, from
https://www.aboutamazon.com/about-us
Hill, C. (2021). International Business: Competing in the Global
Marketplace (13th ed.). New York: McGraw Hill.
Kathuria, R., Kedia, M., & Bagchi, K. (2019, December 31).
Competition Issues in India's Mobile Handset Industry. Think
Asia. Retrieved April 1, 2022, from https://www.think-
asia.org/handle/11540/11318
Khan, D. (2021, October 25). Coming out of the COVID-19
pandemic, Indians are spending more on mobiles. The Economic
Times. Retrieved April 1, 2022, from

https://economictimes.indiatimes.com/industry/cons-
products/electronics/coming-out-of-the-covid-19-pandemic-
indians-are-spending-more-on-
mobiles/articleshow/87246794.cms?from=mdr
OUTLINEFORANINTERNATIONALBUSINESSPLAN
The first stage in developing an international business plan is to
undertake a preliminary country analysis. Presented below are
four separate sections to be completed for collection and
analysis of market data and preparation of the plan: (1)
Analysis: Cultural Environment; (2) Analysis: Economic; (3)
Analysis: Market and Competitors; and (4) International
Business Plan. The headings in each section are general and
intended to provide direction to areas to explore for relevant
data. Heading topic area may be emphasized or de-emphasized,
depending on the nature of the firm’s product and the country
being targeted. Some topic headings are unimportant for some
countries and can be ignored. In the material that follows,
“product” can refer to products or services.
CULTURALANALYSIS
The data obtained for this section provides vital information to
guide development of the business plan and to support managers
in understanding specific cultural dimensions of the country.
Such information is useful to ensure the firm is effective in both
developing the plan and interacting with the target market.
Hence the information developed for this section serves a dual
purpose both in the early stages of developing the plan and in
executing the plan through interactions with country national s.

The information in this section constitute more than simple
facts. Managers responsible for developing and executing the
plan should attempt to interpret how the information developed
in this section affect the firm’s product, its adaptation (if
needed) for the target market, and how the product should be
offered in the target market. For example, the fact that China is
characterized by Confucianism and guanxi is interesting, but the
manager must attempt to understand how such constructs
influence various aspects of market behavior.
ExecutiveSummary (Summary of the key points from the entire
section, listing the most important items that the busy executive
should be aware of; about 1 page or less)
a.Introduction
Include a short profile of the company, the product or service,
and the country with which you wish to trade.
b.History (brief discussion of the country’s relevant history)
c.GeographicalSetting (especially location, topography, and
climate)
d.SocialInstitutions
Family (nature and role of the family; nature of male/female
roles) Education (literacy rates; role and quality of education, at
all levels)
PoliticalSystem (especially type of political system and
structure; political parties; government stability; how this is
evolving over time)
1

LegalSystem (code, common, socialist, or Islamic; intellectual
property law; quality of legal and regulatory environment for
facilitating business)
SocialOrganizations
GroupBehavior (is country relatively individualistic or
collectivist in its orientation?) SocialClasses (including the role
of social classes, if any, in organization of society)
Race,Ethnicity,andSubcultures
BusinessCustomsandPractices (very important; elaborate this!)
e.Religion
ReligionandOtherBeliefSystems
RoleofReligioninSocietyandBusiness (this may or may not be
relevant, depending on country; usually a factor in Israel;
Middle East; and South Asia)
f.LivingConditions
DietandNutrition, including typical meals and popular foods
Housing, including typical housing (apartments, homes, or
other) Clothing, including types of clothing worn at work and
for leisure Recreation, Sports, and OtherLeisureActivities, if
relevant SocialSecurity or other PensionSystems
HealthCare, including type of health care system, quality of
health care OtherEnti tlements, if relevant
g.Language(s)
ECONOMICANALYSIS
This section generally includes two broad categories: general
economic data that serve as a basis to evaluate the economic

soundness of the country; and information on business
infrastructure, including distribution channels and media. As
noted above, the headings in each section are general and
intended to provide direction to areas to explore for relevant
data. Heading topic area may be emphasized or de-emphasized,
depending on the nature of the firm’s product and the country
being targeted.
2
a.Introduction
b.Population
TotalPopulation, as well as growth rates, number of live births,
and birthrates PopulationDistribution (including age, sex,
migration rates and patterns, ethnic
groups, groups; geographic areas subdivided as urban, suburban,
and rural,densities of these)
c.EconomicStatisticsandActivityGrossnationalproduct (GNP or
GDP – gross domestic product) GrowthRate
PersonalIncomePerCapitaAverageFamilyIncome Distribution of
Wealth
IncomeClasses (including lower, middle, upper, and proportion
of population in each)
d.PrimaryIndigenousNaturalResources

e.SurfaceTransportation (modes, availability, usage rates)
f.Ports (main ports, quality of infrastructure, available services)
g.CommunicationSystems (types, availability, usage rates)
h.WorkingConditions
Employer-
EmployeeRelationshipsWorkerWagesandBenefitsWhiteColorSal
ariesandBenefits
i.LaborForce (including size and unemployment rates)
j.PrincipalIndustries
k.InwardForeignDirectInvestment (including type and amounts
of key investment categories)
l.InternationalTradeStatistics
MajorExports (including products categories, dollar value per
year, and trends) MajorImports (including products categories,
dollar value per year, and trends) Balance-of-PaymentsSituation
(e.g., surplus or deficit?)
Currency (including recent and historic exchange rates, and
forecasts if available) TradeBarriers (tariffs, non-tariff barriers,
quotas, import taxes, and embargoes, if any. Also include here
any relevant information on trade barriers and regulations
specific to the industry and product)
3
m.InflationRates (recent and historic)

n.TechnologyandScience
LevelofTechnology (computers, machinery, tools, etc.
especially as this relates to your industry)
PercentageofGNP – gross national product-
InvestedinResearchandDevelopment
TechnologicalSkillsoftheLaborForceandGeneralPopulation
(especially, as relevant to the industry)
ChannelsofDistribution (macro analysis, emphasizing the
general level and quality of distribution channels; later you will
report on the nature of channels specific to your industry and
choose the most appropriate channel as part of your distribution
strategy)
o.Intermediaries
Retailers (relevant only if your product is primarily a retail
good. Include number of retailers, retailers per capita, typical
size of retail outlets, and role of chain stores, department stores,
and specialty shops)
WholesaleIntermediaries (number and size, usual markup and
method of operation, method of payment)
ImportandExportAgents
Warehousing (availability, quality, problem areas)
PenetrationofUrbanandRuralMarkets
p.Media (macro analysis, emphasizing the general media
available in the country; later, you will report on the media
specific to your company, and select specific media as part of
your recommended marketing strategy).
AvailabilityofMedia
CostofMedia (report on the media most relevant to your
industry, including television, radio, print, Internet, transit,
cinema, outdoor, others)
AdvertisingAgencies (availability, major ad agencies, typical
capabilities)

4
MARKETANALYSIS
At this stage of the international business plan, the analysis
becomes more specific to the product/service and its
relationship to the target market. This information gathered in
this section relates particularly to the product and brand. In this
section, the researcher analyzes the nature of the market,
customers, marketing requirements, and the competitive
environment.
a.Introduction
b.TheProduct
AssessmentoftheProductasanInnovation (the way the product

would be perceived by target market in terms of compatibility
with the market’s technology level)
ProblemsandResistancetoProductAcceptanceBasedonPrecedingE
valuation
c.TheMarket
Descriptionofthemarket(s) (particularly in which the product
will be sold) Geographicalregion(s)
Transportationandcommunicationavailableintheregion(s) (as
relevant to the product)
ConsumerBuyingHabits (where, how, and why do consumers
buy the product) Product-UsePatterns (how do buyers use the
product; note, this can vary by
country) ProductFeaturePreferences
d.DistributionoftheProduct
RetailorWholesaleOutletsthroughWhichProductIsNormallySoldP
roductSalesbyotherIntermediaries
Advertisingandpromotion
AdvertisingMediaUsuallyUsedtoReachYourTargetMarket(S)Sale
sPromotionsCustomarilyUsed (sampling, coupons, etc.)
e.PricingStrategy (Obtain this information if you can, but don’t
pester your company for it)
Customarymarkups
TypesofDiscountsAvailable
f.CompareandContrastyourProductandtheCompetition’sProduct(
s)Competitor’sProduct(s) (including brand name, features, and
packaging) Competitor’sPrices
Competitor’sPromotionandAdvertisingMethodsCompetitor’sDist
ributionChannels
5

g.MarketSize
EstimatedIndustrySalesforthePlanningYearEstimatedSalesforyo
urCompanyforthePlanningYear
h.GovernmentParticipationintheMarketplaceAgenciesthatCanHel
pYou
Regulations (regarding the product)

6
THEPLAN
The information gathered above is the basis for developing a
plan for your product/service in the target market. In this
section, you examine how to overcome the opportunities,
problems, and threats identified in the previous sections to
engender maximum sales and profits. The action plan reflects,
in your judgment, the most effective means of marketing your
product in the country market. You also devise budgets,
expected profits or losses, and additional resources needed to
implement the proposed plan.
a.MarketObjectives
TargetMarket(S) (specific description of the market)
ExpectedSales

ProfitExpectations
MarketPenetrationandCoverage (what specific areas of the
country will you target and to what degree should the firm
emphasize sales in the market)
b.ProductAdaptation,orModification (indicate how and why the
product should be adapted for the market)
CoreComponentPackagingSupportServices
c.MarketingCommunications
Advertising (objectives, media mix, messaging appropriate for
the market, costs) SalesPromotions (if appropriate; objectives,
types, costs)
PersonalSelling (style appropriate for the market, needed
adaptations) OtherCommunicationsMethods
d.Distribution (from origin to destination) Ports (origin port,
destination port)
Mode (ocean, rail, air, or highway; advantages and
disadvantages of each; Note, in many cases, the firm will use
ocean)
e.Packaging (include marking and labeling regulations,
containerization, and costs)
f.Documentation (regarding bill of lading, commercial invoice,
invoice, export declaration, certificate of origin, insurance,
special documentation)
g.FreightForwarder (in most cases, the firm will require a
freight forwarder. Here you should recommend some freight
forwarders, including names and addresses. These can be found
online by searching keywords such as “freight forwarder,
Portland”)

h.ChannelsofDistribution (micro analysis; in this section, you
recommend details on specific types of distribution).
Retailers (relevant only if dealing in a retail product and selling
through retailers! Include here recommendations on type and
number of retail stores, retail markups for products, and
methods of operation)
WholesaleIntermediaries (including type and number of
intermediaries, recommended markup, methods of operation
including cash or credit)
ImportandExportAgents (relevant if exporting)
i.Warehousing (type, location)
j.FinalPrice(s) (your price must incorporate the costs of getting
the product to the final customer – shipping cost, inland
transportation cost, insurance,
tariffs, local taxes, markups, and desired local markup)
k.TermsofSale (e.g., Exworks, FOB, CIF) (to understand these
terms, you can refer to the export.gov link below)
l.PaymentMethod(s) (e.g., cash in advance, open account, or
letter of credit)
m.MarketingBudgetSellingExpense
MarketingCommunicationsExpenseDistributionexpense
ProductcostOthercosts
n.ResourceRequirementsFinances
PersonnelProductioncapacity

Appendixes (Include here any useful supplementary material
such as, for example, helpful tables or charts, special industry-
specific market reports, or news articles that are particularly
relevant to your company, product or service.)
REFERENCES
Sources of Information for the entire document (REQUIRED)
(Don’t forget to track references. Don’t plagiarize! It’s okay to
use someone else’s work as long as you cite it and as long as
you quote it, if it’s a direct quotation. Put all cited references in
the Reference section)
Source: Adapted from Cateora, Philip, Mary Gilly, and John
Graham (2010), InternationalMarketing,15thed. New York:
Irwin McGraw-Hill
Helpful link to understand some export/import terms:
https://www.export.gov/article?id=Glossary-of-Trade-Terms
HOWTOWRITEAREFERENCESSECTION:EXAMPLES
Books:
Douglas, S. P., & Craig, C. S. (1983). International marketing
research (p. 192). Englewood Cliffs, NJ: Prentice-Hall.
World Bank Group. (2014). World development indicators 2014.
World Bank Publications.
Articles:

Shepard, S. B. (1997). The new economy: what it really means.
Business week, 17, 1997.
Knight, G. A. (1995). International marketing blunders by
American firms in Japan: some lessons for management. Journal
of International Marketing, 107-129.
Reports:
UNCTAD (2013) WorldInvestmentReport2012, New York:
United Nations: United Nations Conference on Trade and
Development.
InternetSites:
Central Intelligence Agency (2001)
TheWorldFactbook2012(http://www.odci.gov/cia/publications/f
actbook/index.html), Washington, DC: Central Intelligence
Agency.
Hoover’s, Inc. (2012)
Hoover’sOnline(http://www.hoovers.com), Austin, TX:
Hoover’s, Inc.

Episodic/Focused SOAP Note Exemplar
Focused SOAP Note for a patient with chest pain
S.
CC: “Chest pain”
HPI: The patient is a 65 year old AA male who developed
sudden onset of chest pain, which began early this morning.
The pain is described as “crushing” and is rated nine out of 10
in terms of intensity. The pain is located in the middle of the
chest and is accompanied by shortness of breath. The patient
reports feeling nauseous. The patient tried an antacid with
minimal relief of his symptoms.
Medications: Lisinopril 10mg, Omeprazole 20mg, Norvasc 5mg
PMH: Positive history of GERD and hypertension is controlled
FH: Mother died at 78 of breast cancer; Father at 75 of CVA.
No history of premature cardiovascular disease in first degree
relatives.
SH : Negative for tobacco abuse, currently or previously;
consumes moderate alcohol; married for 39 years
Allergies: PCN-rash; food-none; environmental- none
Immunizations: UTD on immunizations, covid vaccine #1
1/23/2021 Moderna; Covid vaccine #2 2/23/2021 Moderna
ROS
General--Negative for fevers, chills, fatigue
Cardiovascular--Negative for orthopnea, PND, positive for

intermittent lower extremity edema
Gastrointestinal--Positive for nausea without vomiting; negative
for diarrhea, abdominal pain
Pulmonary--Positive for intermittent dyspnea on exertion,
negative for cough or hemoptysis
O.
VS: BP 186/102; P 94; R 22; T 97.8; 02 96% Wt 235lbs; Ht 70”
General--Pt appears diaphoretic and anxious
Cardiovascular--PMI is in the 5th inter-costal space at the mid
clavicular line. A grade 2/6 systolic decrescendo murmur is
heard best at the
second right inter-costal space which radiates to the neck.
A third heard sound is heard at the apex. No fourth heart sound
or rub are heard. No cyanosis, clubbing, noted, positive for
bilateral 2+ LE edema is noted.
Gastrointestinal--The abdomen is symmetrical without
distention; bowel
sounds are normal in quality and intensity in all areas; a
bruit is heard in the right para-umbilical area. No masses or
splenomegaly are noted. Positive for mid-epigastric tenderness
with deep palpation.
Pulmonary-- Lungs are clear to auscultation and percussion
bilaterally
Diagnostic results: EKG, CXR, CK-MB (support with evidenced
and guidelines)

A.
Differential Diagnosis:
1) Myocardial Infarction (provide supportive documentation
with evidence based guidelines).
2) Angina (provide supportive documentation with evidence
based guidelines).
3) Costochondritis (provide supportive documentation with
evidence based guidelines).
Primary Diagnosis/Presumptive Diagnosis: Myocardial
Infarction
A.
Differential Diagnosis:
1) Myocardial Infarction (provide supportive documentation
with evidence based guidelines).
2) Angina (provide supportive documentation with evidence
based guidelines).
3) Costochondritis (provide supportive documentation with
evidence based guidelines).
Primary Diagnosis/Presumptive Diagnosis: Myocardial
Infarction
P. This section is not required for the assignments in this course
(NURS 6512) but will be required for future courses.

© 2021 Walden University LLC
Page 2 of 2
© 2021 Walden University
Page 1 of 2
Episodic/Focused SOAP Note Template
Patient Information:
Initials, Age, Sex, Race
S.
CC (chief complaint) a BRIEF statement identifying why the
patient is here - in the patient’s own words - for instance
"headache", NOT "bad headache for 3 days”.
HPI: This is the symptom analysis section of your note.
Thorough documentation in this section is essential for patient
care, coding, and billing analysis. Paint a picture of what is
wrong with the patient. Use LOCATES Mnemonic to complete
your HPI. You need to start EVERY HPI with age, race, and
gender (e.g., 34-year-old AA male). You must include the seven
attributes of each principal symptom in paragraph form not a
list. If the CC was “headache”, the LOCATES for the HPI might
look like the following example:
Location: head

Onset: 3 days ago
Character: pounding, pressure around the eyes and temples
Associated signs and symptoms: nausea, vomiting, photophobia,
phonophobia
Timing: after being on the computer all day at work
Exacerbating/ relieving factors: light bothers eyes, Aleve makes
it tolerable but not completely better
Severity: 7/10 pain scale
Current Medications: include dosage, frequency, length of time
used and reason for use; also include OTC or homeopathic
products.
Allergies: include medication, food, and environmental allergies
separately (a description of what the allergy is ie angioedema,
anaphylaxis, etc. This will help determine a true reaction vs
intolerance).
PMHx: include immunization status (note date of last tetanus
for all adults), past major illnesses and surgeries. Depending on
the CC, more info is sometimes needed
Soc Hx: include occupation and major hobbies, family status,
tobacco & alcohol use (previous and current use), any other
pertinent data. Always add some health promo question here -
such as whether they use seat belts all the time or whether they
have working smoke detectors in the house, living environment,
text/cell phone use while driving, and support system.
Fam Hx: illnesses with possible genetic predisposition,
contagious or chronic illnesses. Reason for death of any
deceased first degree relatives should be included. Include
parents, grandparents, siblings, and children. Include
grandchildren if pertinent.
ROS: cover all body systems that may help you include or rule
out a differential diagnosis You should list each system as
follows: General:Head: EENT: etc. You should list these in
bullet format and document the systems in order from head to
toe.
Example of Complete ROS:

GENERAL: Denies weight loss, fever, chills, weakness or
fatigue.
HEENT: Eyes: Denies visual loss, blurred vision, double vision
or yellow sclerae. Ears, Nose, Throat: Denies hearing loss,
sneezing, congestion, runny nose or sore throat.
SKIN: Denies rash or itching.
CARDIOVASCULAR: Denies chest pain, chest pressure or
chest discomfort. No palpitations or edema.
RESPIRATORY: Denies shortness of breath, cough or sputum.
GASTROINTESTINAL: Denies anorexia, nausea, vomiting or
diarrhea. No abdominal pain or blood.
GENITOURINARY: Burning on urination. Pregnancy. Last
menstrual period, MM/DD/YYYY.
NEUROLOGICAL: Denies headache, dizziness, syncope,
paralysis, ataxia, numbness or tingling in the extremities. No
change in bowel or bladder control.
MUSCULOSKELETAL: Denies muscle, back pain, joint pain
or stiffness.
HEMATOLOGIC: Denies anemia, bleeding or bruising.
LYMPHATICS: Denies enlarged nodes. No history of
splenectomy.
PSYCHIATRIC: Denies history of depression or anxiety.
ENDOCRINOLOGIC: Denies reports of sweating, cold or heat
intolerance. No polyuria or polydipsia.
ALLERGIES: Denies history of asthma, hives, eczema or
rhinitis.
O.
Physical exam: From head-to-toe, include what you see, hear,
and feel when doing your physical exam. You only need to
examine the systems that are pertinent to the CC, HPI, and
History. Do not use “WNL” or “normal.” You must describe
what you see. Always document in head to toe format i.e.
General: Head: EENT: etc.
Diagnostic results: Include any labs, x-rays, or other diagnostics
that are needed to develop the differential diagnoses (support
with evidenced and guidelines)

A.
Differential Diagnoses (list a minimum of 3 differential
diagnoses).Your primary or presumptive diagnosis should be at
the top of the list. For each diagnosis, provide supportive
documentation with evidence based guidelines.
P.
This section is not required for the assignments in this course
(NURS 6512) but will be required for future courses.
References
You are required to include at least three evidence based peer -
reviewed journal articles or evidenced based guidelines which
relates to this case to support your diagnostics and differentials
diagnoses. Be sure to use correct APA 7th edition formatting.
© 2021 Walden University, LLC
Page 1 of 3

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