Research Capstone Presentation Guidelines
Instructions: Follow the instructions below. Nine slides in total. Follow the instructions for each slide. Time limit: Minimum 10 minutes – Maximum 20 mins.
Slide 1: Title page
· Give your presentation a unique name
· Include name, panther ID, class name/CCJ4700
· Introduce yourself
Slide 2: Present your research question
· Formally state what your research question is
· Identify your dependent variable
· Describe your dependent variable
Slide 3: Present why your research question is important or why your dependent variable is important and needs to be studied
· Use the references you located in Assignment 9
Slide 4: What is your unit of analysis
· Explain what/who your unit of analysis is
· Describe the population you are studying
· Why are they important to study?
· What level of analysis is your unit on? Individual or aggregate?
· Make sure you review prior lectures if you are confused – we have been talking about this since the beginning of the semester
Slide 5: Use the title “Variable Conceptualization.”
· List four basic control variables
· See Assignment 6, page 1 for examples
· List two explanatory variables of theoretical interest (your main independent variables)
· For students using an experimental design: If you did not get approved for experimental design, ignore this:
· List four basic control variables
· See Assignment 6, page 1 for examples
· List one explanatory variable of theoretical interest (this is your experimental stimuli)
· List one placebo (if appropriate) – If you do not administer a placebo to your control group make a note of that in the presentation
Slide 6: Use the title “Variable Operationalization.”
· Identify the level of measurement for each of the variables you defined in slide 5
· Tell me whether each variable is nominal, multinomial, ordinal, or interval
· Hint: If you are confused by their definitions, refer to earlier lectures or the textbook
· Note: You do not need to have one of each type of variable. It is acceptable to have four nominal variables. Just make sure you operationalize each variable correctly.
Slide 7: How will you acquire data?
· Will you use:
· Survey research
· Interviews
· Experimental research
· Choose one and then support your decision
· If you choose:
· Survey research – Provide six sample questions based on the variables you designed in slide 5. For example, if one of your control variables is age, then one of your sample survey questions will be: “What is your age (in years)?”
· Interviews (used with hard to reach populations) - Provide six sample questions based on the variables you designed in slide 5. For example, if one of your control variables is age, then one of your sample survey questions will be: “What is your age (in years)?”
· Experimental design – Create a figure and clearly explain where your control group and experimental groups are in the figure. Display and explain where the stimulus is administered in the fig ...
Running head MILESTONE ONE1MILESTONE ONE4.docxjeanettehully
Running head: MILESTONE ONE 1
MILESTONE ONE 4
Milestone One
Introduction of Individual
In 1816, the author of such beloved books as "Emma" and "Pride and Prejudice" came down with a large group of puzzling diseases including fatigue, back pain, skin discoloration, "bilious attacks" and fever. Only one year later, she was dead at 41 years old. Much theory has been dedicated to Jane Austen's infection in the years since, with the most widely recognized diagnosis being that she had Addison's sickness, a malfunction of the adrenal organs that wasn't known to medicine until quite a while after her demise (White, 2009). Even though delayed in its onset, the confusion is known to cause changes in skin color during its late stages, which may clarify Austen's cases that her complexion had turned "black and white and every wrong color."
Identification of Pathophysiology
Mineralocorticoid deficiency
Sodium reabsorption and excretion of potassium from the body are stimulated by mineralocorticoids, whereby if mineralocorticoids are not produced, it leads to decreased production of potassium and increased excretion of sodium, primarily through sweat, urine, saliva and times in gastrointestinal tract. A high serum concentration of potassium and low sodium concentration may be detected as a result. Symptoms such as but not limited may result where there is high water loss and urinary salt: hypotension, decreased circulatory volume, acidosis, plasma hypertonicity, severe dehydration, and finally, circulatory collapse. Nevertheless, when adrenocorticotropic hormone (ACTH) leads to adrenal inadequacy due to its low production, the circulatory problems are less severe, and the electrolyte levels are somewhat normal or mildly deranged (Bancos et al., 2015).
Glucocorticoid deficiency
Insufficiency of Glucocorticoid production leads to hypotension and severe insulin sensitivity as well as interferes with protein, fat, and carbohydrate metabolism. From protein, carbohydrates are formed when there is inadequate production of cortisol, and also hypoglycemia and reduced liver glycogen result. As a result of neuromuscular function, the person feels weak. Circulatory failure may result due to myocardial weakness and dehydration because there is reduced cardiac output. Additionally, glucocorticoid deficiency leads to reduced production of cortisol which affects ACTH production to a decreased level and elevated the amount of blood beta-lipotropin, which has melanocyte-stimulating activity and, when combined with ACTH, causes the hyperpigmentation of skin and mucous membranes characteristic of Addison disease (Bancos et al., 2015). Therefore, hyperpigmentation is not caused by the adrenal deficiency secondary to pituitary failure.
Clinical Manifestations
Addison’s disease manifestation starts gradually. Symptoms such as weight loss, loss of appetite, muscle weakness, fatigue, and chronic are examples of disease characteristics. In about 50% of reported cas ...
CASE STUDY 2 Focused Throat Exam Lily is a 20-year-old student .docxmoggdede
CASE STUDY 2: Focused Throat Exam Lily is a 20-year-old student at the local community college. When some of her friends and classmates told her about an outbreak of flu-like symptoms sweeping her campus during the past 2 weeks, Lily figured she shouldn't take her 3-day sore throat lightly. Your clinic has treated a few cases similar to Lily's. All the patients reported decreased appetite, headaches, and pain with swallowing. As Lily recounts these symptoms to you, you notice that she has a runny nose and a slight hoarseness in her voice but doesn't sound congested.
To Prepare
· By Day 1 of this week, you will be assigned to a specific case study for this Case Study Assignment. Please see the “Course Announcements” section of the classroom for your assignment from your Instructor.
· Also, your Case Study Assignment should be in the Episodic/Focused SOAP Note format rather than the traditional narrative style format. Refer to Chapter 2 of the Sullivan text and the Episodic/Focused SOAP Template in the Week 5 Learning Resources for guidance. Remember that all Episodic/Focused SOAP Notes have specific data included in every patient case.
With regard to the case study you were assigned:
· Review this week's Learning Resources and consider the insights they provide.
· Consider what history would be necessary to collect from the patient.
· 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
Use the Episodic/Focused SOAP Template and create 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.
Episodic/Focused SOAP Note Template
– (delete information on this template and input one related to the patient in the case study above).
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: h.
Addison's disease is a complex endocrine disorder that affects people of all ages. It occurs when the adrenal glands, which are located on top of the kidneys, do not produce enough hormones, specifically cortisol and aldosterone. This can result in a variety of symptoms, including fatigue, weight loss, low blood pressure, and skin discoloration.
While the exact cause of Addison's disease is unknown, it is believed to be an autoimmune disorder, meaning the body's immune system attacks its own tissues. Treatment for Addison's disease typically involves hormone replacement therapy to replace the missing cortisol and aldosterone hormones.
This paper aims to provide a comprehensive overview of Addison's disease, including its causes, symptoms, diagnosis, and treatment. It will also explore the impact of this disease on daily life and offer tips for managing the condition. By increasing awareness and understanding of Addison's disease, we can help those affected by it live a healthy and fulfilling life.
Keywords: Addison's disease, adrenal glands, cortisol, aldosterone, hormone replacement therapy, autoimmune disorder
This document provides instructions for a case study assignment involving creating an episodic/focused SOAP note for a patient case. It includes an example patient case of a 20-year-old female college student presenting with a 3-day sore throat. Students are asked to review learning resources, consider the necessary history to collect, appropriate exams and diagnostics, potential differential diagnoses, and create a SOAP note for the case using the provided template. References are also included to support the assignment.
Case Study Assignment for Unit IIIPurpose The purpose of th.docxwendolynhalbert
Case Study Assignment for Unit III
Purpose: The purpose of this assignment is to encourage you to analyze pathophysiological processes and mechanisms of human disease, identify clinical signs and symptoms and diagnostic data consistent with the pathology of common health problems and determine appropriate medical treatment and nursing care based on best practices found in the literature. This assignment emphasizes critical thinking and problem-solving through the correlation of cellular and multi-system pathology with related assessment and diagnostic data, medical treatment and nursing management.
The answers to the questions should be complete and include professional literature to support each answer. You should include at least 3 current references (< 5 years old) of which 2 must be journal articles. References should include current nursing journals and other professional health related literature. The assignment should be uploaded electronically into blackboard under the appropriate assignment link.
The paper should be typed using APA format. APA format requires that you use correct grammar and spelling and double-space your entire paper. Use the questions as your headers. Please include the following rubric at the end of your paper.
The assignment will be graded using the following criteria:
Patient Case Analysis Assignment
Grading Criteria
Possible Score
Earned Score
Answers to Questions
1. Demonstrates comprehensive critical analysis of pathology, assessment and diagnostic data, medical and nursing management (points accrued in case study)
30
Format
1. Answers are supported by references
1. Follows APA format
5
3
2
Total Score
35
Necrotizing Fasciitis Case Study
Teri Billings, William Claytor, Krista Gagnon
Introduction
C. S. is a 33-year-old, married, African American male who presented to the ED for progressively worsening body aches, abdominal pain, and swelling and draining in the peri-rectal and perineal area. Patient stated he “developed a pimple on his buttocks a week ago and it broke open today”. Patient also stated his “weakness and pain have been worsening over the past week”.
The only medical history consisted of hypertension and insulin dependent diabetes diagnosed four years ago, but patient reports he has not been taking insulin for at least one week. Patient is employed full-time and denies any family medical history, allergies, or alcohol, tobacco, or drug use. Patient was diagnosed with diabetic ketoacidosis (DKA) and peri-rectal abscess. Upon medical workup, patient was found to have necrotizing fasciitis / Fournier’s gangrene, so both infectious diseases and general surgeon were consulted.
Question 1: Explain the pathophysiology of necrotizing fasciitis? Give details about the cells involved and the process of inflammation. (4 points)
Question 2: Why is diabetes in the patient’s history a risk factor for necrotizing fasciitis, and how does diabetes compound the problem? (3 points)
Question 3: What i ...
This document provides tips and instructions for using a PowerPoint presentation on medical topics. The presentation is designed for active learning sessions with students. It includes blank slides for topics where the presenter can ask students what they know and then provide information on subsequent slides. The presentation covers several medical topics discussed at a recent critical care conference. It encourages editing and modifying the slides for self-study or teaching purposes.
This document provides tips for using a PowerPoint presentation (PPT) on panniculitis. It recommends that users can freely edit and modify the PPT. It notes that half the slides are blank except for the title to facilitate active learning sessions where users are asked questions about each topic before the corresponding slide is shown. The PPT can be used for self-study as well. It then provides the PPT content on panniculitis, covering introduction and history, classification and etiology, clinical features, diagnostic studies, non-operative therapy, and operative therapy (none).
Dispelling the Myths About Pharmaceutical R &DBilcareltd
Innovative research is done mainly by taxpayer funded research – government and universities funded by the NIH usually in universities and government labs and now in smaller biotech companies and then they license those to big drug companies.
Running head MILESTONE ONE1MILESTONE ONE4.docxjeanettehully
Running head: MILESTONE ONE 1
MILESTONE ONE 4
Milestone One
Introduction of Individual
In 1816, the author of such beloved books as "Emma" and "Pride and Prejudice" came down with a large group of puzzling diseases including fatigue, back pain, skin discoloration, "bilious attacks" and fever. Only one year later, she was dead at 41 years old. Much theory has been dedicated to Jane Austen's infection in the years since, with the most widely recognized diagnosis being that she had Addison's sickness, a malfunction of the adrenal organs that wasn't known to medicine until quite a while after her demise (White, 2009). Even though delayed in its onset, the confusion is known to cause changes in skin color during its late stages, which may clarify Austen's cases that her complexion had turned "black and white and every wrong color."
Identification of Pathophysiology
Mineralocorticoid deficiency
Sodium reabsorption and excretion of potassium from the body are stimulated by mineralocorticoids, whereby if mineralocorticoids are not produced, it leads to decreased production of potassium and increased excretion of sodium, primarily through sweat, urine, saliva and times in gastrointestinal tract. A high serum concentration of potassium and low sodium concentration may be detected as a result. Symptoms such as but not limited may result where there is high water loss and urinary salt: hypotension, decreased circulatory volume, acidosis, plasma hypertonicity, severe dehydration, and finally, circulatory collapse. Nevertheless, when adrenocorticotropic hormone (ACTH) leads to adrenal inadequacy due to its low production, the circulatory problems are less severe, and the electrolyte levels are somewhat normal or mildly deranged (Bancos et al., 2015).
Glucocorticoid deficiency
Insufficiency of Glucocorticoid production leads to hypotension and severe insulin sensitivity as well as interferes with protein, fat, and carbohydrate metabolism. From protein, carbohydrates are formed when there is inadequate production of cortisol, and also hypoglycemia and reduced liver glycogen result. As a result of neuromuscular function, the person feels weak. Circulatory failure may result due to myocardial weakness and dehydration because there is reduced cardiac output. Additionally, glucocorticoid deficiency leads to reduced production of cortisol which affects ACTH production to a decreased level and elevated the amount of blood beta-lipotropin, which has melanocyte-stimulating activity and, when combined with ACTH, causes the hyperpigmentation of skin and mucous membranes characteristic of Addison disease (Bancos et al., 2015). Therefore, hyperpigmentation is not caused by the adrenal deficiency secondary to pituitary failure.
Clinical Manifestations
Addison’s disease manifestation starts gradually. Symptoms such as weight loss, loss of appetite, muscle weakness, fatigue, and chronic are examples of disease characteristics. In about 50% of reported cas ...
CASE STUDY 2 Focused Throat Exam Lily is a 20-year-old student .docxmoggdede
CASE STUDY 2: Focused Throat Exam Lily is a 20-year-old student at the local community college. When some of her friends and classmates told her about an outbreak of flu-like symptoms sweeping her campus during the past 2 weeks, Lily figured she shouldn't take her 3-day sore throat lightly. Your clinic has treated a few cases similar to Lily's. All the patients reported decreased appetite, headaches, and pain with swallowing. As Lily recounts these symptoms to you, you notice that she has a runny nose and a slight hoarseness in her voice but doesn't sound congested.
To Prepare
· By Day 1 of this week, you will be assigned to a specific case study for this Case Study Assignment. Please see the “Course Announcements” section of the classroom for your assignment from your Instructor.
· Also, your Case Study Assignment should be in the Episodic/Focused SOAP Note format rather than the traditional narrative style format. Refer to Chapter 2 of the Sullivan text and the Episodic/Focused SOAP Template in the Week 5 Learning Resources for guidance. Remember that all Episodic/Focused SOAP Notes have specific data included in every patient case.
With regard to the case study you were assigned:
· Review this week's Learning Resources and consider the insights they provide.
· Consider what history would be necessary to collect from the patient.
· 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
Use the Episodic/Focused SOAP Template and create 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.
Episodic/Focused SOAP Note Template
– (delete information on this template and input one related to the patient in the case study above).
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: h.
Addison's disease is a complex endocrine disorder that affects people of all ages. It occurs when the adrenal glands, which are located on top of the kidneys, do not produce enough hormones, specifically cortisol and aldosterone. This can result in a variety of symptoms, including fatigue, weight loss, low blood pressure, and skin discoloration.
While the exact cause of Addison's disease is unknown, it is believed to be an autoimmune disorder, meaning the body's immune system attacks its own tissues. Treatment for Addison's disease typically involves hormone replacement therapy to replace the missing cortisol and aldosterone hormones.
This paper aims to provide a comprehensive overview of Addison's disease, including its causes, symptoms, diagnosis, and treatment. It will also explore the impact of this disease on daily life and offer tips for managing the condition. By increasing awareness and understanding of Addison's disease, we can help those affected by it live a healthy and fulfilling life.
Keywords: Addison's disease, adrenal glands, cortisol, aldosterone, hormone replacement therapy, autoimmune disorder
This document provides instructions for a case study assignment involving creating an episodic/focused SOAP note for a patient case. It includes an example patient case of a 20-year-old female college student presenting with a 3-day sore throat. Students are asked to review learning resources, consider the necessary history to collect, appropriate exams and diagnostics, potential differential diagnoses, and create a SOAP note for the case using the provided template. References are also included to support the assignment.
Case Study Assignment for Unit IIIPurpose The purpose of th.docxwendolynhalbert
Case Study Assignment for Unit III
Purpose: The purpose of this assignment is to encourage you to analyze pathophysiological processes and mechanisms of human disease, identify clinical signs and symptoms and diagnostic data consistent with the pathology of common health problems and determine appropriate medical treatment and nursing care based on best practices found in the literature. This assignment emphasizes critical thinking and problem-solving through the correlation of cellular and multi-system pathology with related assessment and diagnostic data, medical treatment and nursing management.
The answers to the questions should be complete and include professional literature to support each answer. You should include at least 3 current references (< 5 years old) of which 2 must be journal articles. References should include current nursing journals and other professional health related literature. The assignment should be uploaded electronically into blackboard under the appropriate assignment link.
The paper should be typed using APA format. APA format requires that you use correct grammar and spelling and double-space your entire paper. Use the questions as your headers. Please include the following rubric at the end of your paper.
The assignment will be graded using the following criteria:
Patient Case Analysis Assignment
Grading Criteria
Possible Score
Earned Score
Answers to Questions
1. Demonstrates comprehensive critical analysis of pathology, assessment and diagnostic data, medical and nursing management (points accrued in case study)
30
Format
1. Answers are supported by references
1. Follows APA format
5
3
2
Total Score
35
Necrotizing Fasciitis Case Study
Teri Billings, William Claytor, Krista Gagnon
Introduction
C. S. is a 33-year-old, married, African American male who presented to the ED for progressively worsening body aches, abdominal pain, and swelling and draining in the peri-rectal and perineal area. Patient stated he “developed a pimple on his buttocks a week ago and it broke open today”. Patient also stated his “weakness and pain have been worsening over the past week”.
The only medical history consisted of hypertension and insulin dependent diabetes diagnosed four years ago, but patient reports he has not been taking insulin for at least one week. Patient is employed full-time and denies any family medical history, allergies, or alcohol, tobacco, or drug use. Patient was diagnosed with diabetic ketoacidosis (DKA) and peri-rectal abscess. Upon medical workup, patient was found to have necrotizing fasciitis / Fournier’s gangrene, so both infectious diseases and general surgeon were consulted.
Question 1: Explain the pathophysiology of necrotizing fasciitis? Give details about the cells involved and the process of inflammation. (4 points)
Question 2: Why is diabetes in the patient’s history a risk factor for necrotizing fasciitis, and how does diabetes compound the problem? (3 points)
Question 3: What i ...
This document provides tips and instructions for using a PowerPoint presentation on medical topics. The presentation is designed for active learning sessions with students. It includes blank slides for topics where the presenter can ask students what they know and then provide information on subsequent slides. The presentation covers several medical topics discussed at a recent critical care conference. It encourages editing and modifying the slides for self-study or teaching purposes.
This document provides tips for using a PowerPoint presentation (PPT) on panniculitis. It recommends that users can freely edit and modify the PPT. It notes that half the slides are blank except for the title to facilitate active learning sessions where users are asked questions about each topic before the corresponding slide is shown. The PPT can be used for self-study as well. It then provides the PPT content on panniculitis, covering introduction and history, classification and etiology, clinical features, diagnostic studies, non-operative therapy, and operative therapy (none).
Dispelling the Myths About Pharmaceutical R &DBilcareltd
Innovative research is done mainly by taxpayer funded research – government and universities funded by the NIH usually in universities and government labs and now in smaller biotech companies and then they license those to big drug companies.
Innovative research is done mainly by taxpayer funded research – government and universities funded by the NIH usually in universities and government labs and now in smaller biotech companies and then they license those to big drug companies.
Patho Assignment question.Assignment AsthmaComplications of a.docxkarlhennesey
Patho Assignment question.
Assignment: Asthma
Complications of asthma can be sudden. Consider the case of Bradley Wilson, a young boy who had several medical conditions. He appeared in good health when he went to school, returned home, and ate dinner. However, when he later went outside to play, he came back inside wheezing. An ambulance took him to the hospital where he was pronounced dead (Briscoe, 2012). In another case, 10-year-old Dynasty Reese, who had mild asthma, woke up in the middle of the night and ran to her grandfather’s bedroom to tell him she couldn’t breathe. By the time paramedics arrived, she had passed out and was pronounced dead at the hospital (Glissman, 2012). These situations continue to outline the importance of recognizing symptoms of asthma and providing immediate treatment, as well as distinguishing minor symptoms from serious, life-threatening symptoms. Since these symptoms and attacks are often induced by a trigger, as an advanced practice nurse, you must be able to help patients identify their triggers and recommend appropriate treatment options. For this reason, you need to understand the pathophysiological mechanisms of chronic asthma and acute asthma exacerbation.
To Prepare
· Review “Asthma” in Chapter 27 of the Huether and McCance text. Identify the pathophysiological mechanisms of chronic asthma and acute asthma exacerbation. Consider how these disorders are similar and different.
· Select a patient factor different from the one you selected in this week’s Discussion: genetics, gender, ethnicity, age, or behavior. Think about how the factor you selected might impact the pathophysiology of both disorders. Reflect on how you would diagnose and prescribe treatment of these disorders for a patient based on the factor you selected.
· Review the “Mind maps—Dementia, Endocarditis, and Gastro-oesophageal Reflux Disease (GERD)” media in the Week 2 Learning Resources. Use the examples in the media as a guide to construct two mind maps—one for chronic asthma and one for acute asthma exacerbation. Consider the epidemiology and clinical presentation of both chronic asthma and acute asthma exacerbation.
To Complete
Write a 2- to 3-page paper that addresses the following:
· Describe the pathophysiological mechanisms of chronic asthma and acute asthma exacerbation. Be sure to explain the changes in the arterial blood gas patterns during an exacerbation.
· Explain how the factor you selected might impact the pathophysiology of both disorders. Describe how you would diagnose and prescribe treatment for a patient based on the factor you selected.
· Construct two mind maps—one for chronic asthma and one for acute asthma exacerbation. Include the epidemiology, pathophysiology, and clinical presentation, as well as the diagnosis and treatment you explained in your paper.
Note: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Wal ...
- Alzheimer's disease is a progressive brain disease that destroys memory and thinking skills, and is the most common cause of dementia among older adults.
- The disease is caused by beta-amyloid plaques and neurofibrillary tangles that build up in the brain, and it slowly spreads and causes shrinkage of affected brain regions over time.
- Researchers are studying the causes of Alzheimer's including genetics, lifestyle factors, and are searching for improved treatments through clinical trials and drug research to stop the progression and symptoms of the disease.
This document provides tips and instructions for using a PowerPoint presentation on intussusception. It recommends that users freely edit and modify the presentation. It also suggests using a technique where blank slides are first shown to students to elicit what they know about each topic before presenting additional details on the next slide. This active learning approach should be repeated over three revisions for maximum benefit. The presentation includes objectives, sections on relevant anatomy, aetiology, clinical features, investigations, management, and other topics. It contains placeholder slides for each section that can be built out.
Polycystic Ovarian Syndrome (PCOS) is a complex and challenging syndrome with no clear definition or universally agreed upon treatment approach. An integrated care model is needed to address PCOS, bringing together specialists from various fields to manage the diverse and long-term effects of the condition. PCOS presents with many phenotypes and potential underlying causes, making it difficult to classify and treat as a single disease. Current diagnostic methods and treatment outcomes also have limitations. A multidisciplinary approach considering PCOS's associations with metabolic, cardiovascular, and psychological comorbidities is required to improve care.
This document summarizes age-related changes to various body systems and provides nursing considerations for common geriatric conditions. Key systems discussed include eyes, ears, respiratory, cardiovascular, gastrointestinal and genitourinary. Changes described include presbyopia, presbycusis, decreased lung function, arterial stiffening, reduced gastric acid production, and decreased kidney function. Nursing priorities involve screening, education, mobility support and management of conditions like infections, incontinence and chronic diseases.
Approach to history taking in internal medicine postingAR Muhamad Na'im
This document provides guidance on conducting an effective history taking for internal medicine postings. It outlines the key sections to cover, including identification data, chief complaints, history of present illness, past medical history, social history, and others. For each section, it describes the essential information to obtain, such as relevant symptoms and their progression, past and current medical issues, medication usage, lifestyle and family factors. The document emphasizes a structured yet flexible approach, using open-ended questioning followed by focused questions, to fully understand the patient's condition and identify potential diagnoses.
The document provides information on Addisonian crisis, also known as an acute adrenal crisis. It begins with objectives of being able to promptly identify and treat an Addisonian crisis to save a patient's life, as the presentation can mimic other conditions. The document then contrasts acute adrenal crisis with Addison's disease, which develops more gradually over months to years. It provides an overview of epidemiology, anatomy, physiology of the adrenal glands and cortisol. It describes the signs and symptoms of Primary/Addison's adrenal insufficiency and discusses various causes including autoimmune disease and exogenous steroid use. Acute adrenal crisis can be fatal if not identified and treated immediately with cortisol replacement.
A 34-year old woman presented with fatigue, weight loss, and depression for 12 months. Tests confirmed she had Addison's disease, which is caused by insufficient production of cortisol and other steroid hormones by the adrenal cortex. Addison's disease can be caused by autoimmune destruction of the adrenal cortex, tuberculosis, fungal or other infections, cancer, surgery, or genetic defects. Patients require lifelong hydrocortisone replacement therapy and monitoring during periods of stress.
Assignment Lab Assessing the Abdomen NURS6512 Week 6.pdfbkbk37
The document provides instructions for Assignment 1 in NURS6512 Week 6. Students are asked to analyze an episodic note case study describing abnormal abdominal findings. They must consider the history that should be collected, appropriate exams and tests, and formulate a differential diagnosis. The assignment requires analyzing the subjective and objective portions of the provided note, identifying if the assessment is supported, recommending diagnostic tests, and stating if the current diagnosis should be accepted or rejected while providing alternative diagnoses.
This presentation provides EMTs with information about adrenal insufficiency and adrenal crisis. It covers adrenal anatomy and physiology, epidemiology, clinical presentation, patient management, and medication profiles. The objectives are to increase awareness of adrenal insufficiency, including pathophysiology, signs and symptoms, effective treatment, and family-centered care. The presentation was created by MA EMS for Children using various cited sources and individuals.
This document contains a student portfolio from their clinical clerkship at Northside Medical Center. It includes a patient log with 18 patient encounters listing the chief complaint, subjective and objective findings, assessment, plan, and final diagnosis. It also includes 3 case discussions on atherosclerosis, Clostridium difficile colitis, and a lateral ankle sprain. Each case discussion covers the pathophysiology, differential diagnosis, findings to support the final diagnosis, and treatment options.
EpisodicFocused SOAP Note Exemplar (pls use this template).docxrusselldayna
Episodic/Focused SOAP Note Exemplar (pls use this template)
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.
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
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
P.
This section is not required for the assignments in this course (NURS 6512) but will be required for future courses.
Assignment 1: Case Study Assignment: Assessing Neurological Symptoms
Case #2:
CASE STUDY 2: Numbness and Pain A 47-year-old obese female complains of pain in her right wrist, with tingling and numbness in the thumb and index and middle fingers for the past 2 weeks. She has been frustrated because the pain causes her to drop her hair-styli.
This document provides an overview of different types of tests used in physical education and sports sciences. It discusses psychomotor tests, health-related fitness tests, physical fitness tests, motor fitness tests, sports skill tests, and cognitive domain tests. It provides examples of specific tests for different skills and abilities like the Snellen eye chart for vision, hearing tests using a watch tick, and tests for skills in basketball, soccer, badminton, volleyball, hockey, and tennis. The document also discusses how to interpret results from tests like the Snellen chart and classify levels of hearing loss.
AsthmaComplications of asthma can be sudden. Consider the case of .docxmarlinnewton
Asthma
Complications of asthma can be sudden. Consider the case of Bradley Wilson, a young boy who had several medical conditions. He appeared in good health when he went to school, returned home, and ate dinner. However, when he later went outside to play, he came back inside wheezing. An ambulance took him to the hospital where he was pronounced dead (Briscoe, 2012). In another case, 10-year-old Dynasty Reese, who had mild asthma, woke up in the middle of the night and ran to her grandfather’s bedroom to tell him she couldn’t breathe. By the time paramedics arrived, she had passed out and was pronounced dead at the hospital (Glissman, 2012). These situations continue to outline the importance of recognizing symptoms of asthma and providing immediate treatment, as well as distinguishing minor symptoms from serious, life-threatening symptoms. Since these symptoms and attacks are often induced by a trigger, as an advanced practice nurse, you must be able to help patients identify their triggers and recommend appropriate treatment options. For this reason, you need to understand the pathophysiological mechanisms of chronic asthma and acute asthma exacerbation.
To prepare:
·
Review “Asthma” in Chapter 26 of the Huether and McCance text. Identify the pathophysiological mechanisms of chronic asthma and acute asthma exacerbation. Consider how these disorders are similar and different.
·
Select a patient factor different from the one you selected in this week’s Discussion: genetics, gender, ethnicity, age, or behavior. Think about how the factor you selected might impact the pathophysiology of both disorders. Reflect on how you would diagnose and prescribe treatment of these disorders for a patient based on the factor you selected.
·
Review the “Mind maps—Dementia, Endocarditis, and Gastro-oesophageal Reflux Disease (GERD)” media in the Week 2 Learning Resources. Use the examples in the media as a guide to construct two mind maps—one for chronic asthma and one for acute asthma exacerbation. Consider the epidemiology and clinical presentation of both chronic asthma and acute asthma exacerbation.
To complete:
Write a 2- to 3-page paper that addresses the following:
·
Describe the pathophysiological mechanisms of chronic asthma and acute asthma exacerbation. Be sure to explain the changes in the arterial blood gas patterns during an exacerbation.
·
Explain how the factor you selected might impact the pathophysiology of both disorders. Describe how you would diagnose and prescribe treatment for a patient based on the factor you selected.
·
Construct two mind maps—one for chronic asthma and one for acute asthma exacerbation. Include the epidemiology, pathophysiology, and clinical presentation, as well as the diagnosis and treatment you explained in your paper.
Reminders:
·
*Kindly put introduction, purpose of the paper, the content of the answered questions, summary/conclusion, and references (Put headings on it).
·
*Please utilize my resources b.
Management of status epilepticus in childrenReyad Al_Faky
Status epilepticus is defined as continuous seizure activity lasting more than 5 minutes or recurrent seizures without regaining consciousness between seizures. It can be convulsive or nonconvulsive and is a medical emergency requiring rapid treatment to prevent neurological injury. Initial treatment involves maintaining airway, breathing, and circulation while administering benzodiazepines like diazepam or midazolam. If seizures continue, additional anti-seizure medications are given in the hospital along with diagnostic testing and treatment of any underlying causes. Prompt diagnosis and treatment are important to reduce mortality and morbidity associated with prolonged seizure activity.
1. The patient is a 70-year old woman who presents with jerky movements of her right hand for the past four months and a history of diabetes. After examination and investigations, the neurologist suspects Parkinson's disease.
2. As the SHO, your task is to explain the diagnosis of Parkinson's disease to the patient, answer her questions, and discuss the prognosis, treatment options, and social impacts of the disease.
3. It is important to explain the illness in layman's terms, discuss the likely progression, available medical and surgical treatments, and how the disease may affect her daily activities and family relationships.
This document discusses various sleep disorders from pediatrics to geriatrics. It provides statistics on common sleep disorders like insomnia, sleep apnea, and narcolepsy. It describes risk factors, symptoms, and potential health consequences of obstructive sleep apnea, including increased risks of diabetes, heart disease, and stroke. The document also discusses screening questionnaires, medical conditions that can contribute to sleep disorders, and various treatment options like tonsillectomy, uvulopalatopharyngoplasty, and somnoplasty procedures.
Mr. Bush, a 45-year-old middle school teacher arrives at the emergen.docxaudeleypearl
Mr. Bush, a 45-year-old middle school teacher arrives at the emergency department by EMS ground transport after he experienced severe mid-sternal chest pain at work. On arrival to the ED:
a. What priority interventions would you initiate?
b. What information would you require to definitively determine what was causing Mr. Bush’s chest pain?
.
Movie Project Presentation Movie TroyInclude Architecture i.docxaudeleypearl
Movie Project Presentation: Movie: Troy
Include: Architecture in the movie. Historical research to figure out if the movie did a good job of representing the art historical past of not. Anything in the movie that are related to art or art history. And provide its outline and bibliography (any website source is acceptable as well)
.
More Related Content
Similar to Research Capstone Presentation GuidelinesInstructions Follow th.docx
Innovative research is done mainly by taxpayer funded research – government and universities funded by the NIH usually in universities and government labs and now in smaller biotech companies and then they license those to big drug companies.
Patho Assignment question.Assignment AsthmaComplications of a.docxkarlhennesey
Patho Assignment question.
Assignment: Asthma
Complications of asthma can be sudden. Consider the case of Bradley Wilson, a young boy who had several medical conditions. He appeared in good health when he went to school, returned home, and ate dinner. However, when he later went outside to play, he came back inside wheezing. An ambulance took him to the hospital where he was pronounced dead (Briscoe, 2012). In another case, 10-year-old Dynasty Reese, who had mild asthma, woke up in the middle of the night and ran to her grandfather’s bedroom to tell him she couldn’t breathe. By the time paramedics arrived, she had passed out and was pronounced dead at the hospital (Glissman, 2012). These situations continue to outline the importance of recognizing symptoms of asthma and providing immediate treatment, as well as distinguishing minor symptoms from serious, life-threatening symptoms. Since these symptoms and attacks are often induced by a trigger, as an advanced practice nurse, you must be able to help patients identify their triggers and recommend appropriate treatment options. For this reason, you need to understand the pathophysiological mechanisms of chronic asthma and acute asthma exacerbation.
To Prepare
· Review “Asthma” in Chapter 27 of the Huether and McCance text. Identify the pathophysiological mechanisms of chronic asthma and acute asthma exacerbation. Consider how these disorders are similar and different.
· Select a patient factor different from the one you selected in this week’s Discussion: genetics, gender, ethnicity, age, or behavior. Think about how the factor you selected might impact the pathophysiology of both disorders. Reflect on how you would diagnose and prescribe treatment of these disorders for a patient based on the factor you selected.
· Review the “Mind maps—Dementia, Endocarditis, and Gastro-oesophageal Reflux Disease (GERD)” media in the Week 2 Learning Resources. Use the examples in the media as a guide to construct two mind maps—one for chronic asthma and one for acute asthma exacerbation. Consider the epidemiology and clinical presentation of both chronic asthma and acute asthma exacerbation.
To Complete
Write a 2- to 3-page paper that addresses the following:
· Describe the pathophysiological mechanisms of chronic asthma and acute asthma exacerbation. Be sure to explain the changes in the arterial blood gas patterns during an exacerbation.
· Explain how the factor you selected might impact the pathophysiology of both disorders. Describe how you would diagnose and prescribe treatment for a patient based on the factor you selected.
· Construct two mind maps—one for chronic asthma and one for acute asthma exacerbation. Include the epidemiology, pathophysiology, and clinical presentation, as well as the diagnosis and treatment you explained in your paper.
Note: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Wal ...
- Alzheimer's disease is a progressive brain disease that destroys memory and thinking skills, and is the most common cause of dementia among older adults.
- The disease is caused by beta-amyloid plaques and neurofibrillary tangles that build up in the brain, and it slowly spreads and causes shrinkage of affected brain regions over time.
- Researchers are studying the causes of Alzheimer's including genetics, lifestyle factors, and are searching for improved treatments through clinical trials and drug research to stop the progression and symptoms of the disease.
This document provides tips and instructions for using a PowerPoint presentation on intussusception. It recommends that users freely edit and modify the presentation. It also suggests using a technique where blank slides are first shown to students to elicit what they know about each topic before presenting additional details on the next slide. This active learning approach should be repeated over three revisions for maximum benefit. The presentation includes objectives, sections on relevant anatomy, aetiology, clinical features, investigations, management, and other topics. It contains placeholder slides for each section that can be built out.
Polycystic Ovarian Syndrome (PCOS) is a complex and challenging syndrome with no clear definition or universally agreed upon treatment approach. An integrated care model is needed to address PCOS, bringing together specialists from various fields to manage the diverse and long-term effects of the condition. PCOS presents with many phenotypes and potential underlying causes, making it difficult to classify and treat as a single disease. Current diagnostic methods and treatment outcomes also have limitations. A multidisciplinary approach considering PCOS's associations with metabolic, cardiovascular, and psychological comorbidities is required to improve care.
This document summarizes age-related changes to various body systems and provides nursing considerations for common geriatric conditions. Key systems discussed include eyes, ears, respiratory, cardiovascular, gastrointestinal and genitourinary. Changes described include presbyopia, presbycusis, decreased lung function, arterial stiffening, reduced gastric acid production, and decreased kidney function. Nursing priorities involve screening, education, mobility support and management of conditions like infections, incontinence and chronic diseases.
Approach to history taking in internal medicine postingAR Muhamad Na'im
This document provides guidance on conducting an effective history taking for internal medicine postings. It outlines the key sections to cover, including identification data, chief complaints, history of present illness, past medical history, social history, and others. For each section, it describes the essential information to obtain, such as relevant symptoms and their progression, past and current medical issues, medication usage, lifestyle and family factors. The document emphasizes a structured yet flexible approach, using open-ended questioning followed by focused questions, to fully understand the patient's condition and identify potential diagnoses.
The document provides information on Addisonian crisis, also known as an acute adrenal crisis. It begins with objectives of being able to promptly identify and treat an Addisonian crisis to save a patient's life, as the presentation can mimic other conditions. The document then contrasts acute adrenal crisis with Addison's disease, which develops more gradually over months to years. It provides an overview of epidemiology, anatomy, physiology of the adrenal glands and cortisol. It describes the signs and symptoms of Primary/Addison's adrenal insufficiency and discusses various causes including autoimmune disease and exogenous steroid use. Acute adrenal crisis can be fatal if not identified and treated immediately with cortisol replacement.
A 34-year old woman presented with fatigue, weight loss, and depression for 12 months. Tests confirmed she had Addison's disease, which is caused by insufficient production of cortisol and other steroid hormones by the adrenal cortex. Addison's disease can be caused by autoimmune destruction of the adrenal cortex, tuberculosis, fungal or other infections, cancer, surgery, or genetic defects. Patients require lifelong hydrocortisone replacement therapy and monitoring during periods of stress.
Assignment Lab Assessing the Abdomen NURS6512 Week 6.pdfbkbk37
The document provides instructions for Assignment 1 in NURS6512 Week 6. Students are asked to analyze an episodic note case study describing abnormal abdominal findings. They must consider the history that should be collected, appropriate exams and tests, and formulate a differential diagnosis. The assignment requires analyzing the subjective and objective portions of the provided note, identifying if the assessment is supported, recommending diagnostic tests, and stating if the current diagnosis should be accepted or rejected while providing alternative diagnoses.
This presentation provides EMTs with information about adrenal insufficiency and adrenal crisis. It covers adrenal anatomy and physiology, epidemiology, clinical presentation, patient management, and medication profiles. The objectives are to increase awareness of adrenal insufficiency, including pathophysiology, signs and symptoms, effective treatment, and family-centered care. The presentation was created by MA EMS for Children using various cited sources and individuals.
This document contains a student portfolio from their clinical clerkship at Northside Medical Center. It includes a patient log with 18 patient encounters listing the chief complaint, subjective and objective findings, assessment, plan, and final diagnosis. It also includes 3 case discussions on atherosclerosis, Clostridium difficile colitis, and a lateral ankle sprain. Each case discussion covers the pathophysiology, differential diagnosis, findings to support the final diagnosis, and treatment options.
EpisodicFocused SOAP Note Exemplar (pls use this template).docxrusselldayna
Episodic/Focused SOAP Note Exemplar (pls use this template)
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.
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
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
P.
This section is not required for the assignments in this course (NURS 6512) but will be required for future courses.
Assignment 1: Case Study Assignment: Assessing Neurological Symptoms
Case #2:
CASE STUDY 2: Numbness and Pain A 47-year-old obese female complains of pain in her right wrist, with tingling and numbness in the thumb and index and middle fingers for the past 2 weeks. She has been frustrated because the pain causes her to drop her hair-styli.
This document provides an overview of different types of tests used in physical education and sports sciences. It discusses psychomotor tests, health-related fitness tests, physical fitness tests, motor fitness tests, sports skill tests, and cognitive domain tests. It provides examples of specific tests for different skills and abilities like the Snellen eye chart for vision, hearing tests using a watch tick, and tests for skills in basketball, soccer, badminton, volleyball, hockey, and tennis. The document also discusses how to interpret results from tests like the Snellen chart and classify levels of hearing loss.
AsthmaComplications of asthma can be sudden. Consider the case of .docxmarlinnewton
Asthma
Complications of asthma can be sudden. Consider the case of Bradley Wilson, a young boy who had several medical conditions. He appeared in good health when he went to school, returned home, and ate dinner. However, when he later went outside to play, he came back inside wheezing. An ambulance took him to the hospital where he was pronounced dead (Briscoe, 2012). In another case, 10-year-old Dynasty Reese, who had mild asthma, woke up in the middle of the night and ran to her grandfather’s bedroom to tell him she couldn’t breathe. By the time paramedics arrived, she had passed out and was pronounced dead at the hospital (Glissman, 2012). These situations continue to outline the importance of recognizing symptoms of asthma and providing immediate treatment, as well as distinguishing minor symptoms from serious, life-threatening symptoms. Since these symptoms and attacks are often induced by a trigger, as an advanced practice nurse, you must be able to help patients identify their triggers and recommend appropriate treatment options. For this reason, you need to understand the pathophysiological mechanisms of chronic asthma and acute asthma exacerbation.
To prepare:
·
Review “Asthma” in Chapter 26 of the Huether and McCance text. Identify the pathophysiological mechanisms of chronic asthma and acute asthma exacerbation. Consider how these disorders are similar and different.
·
Select a patient factor different from the one you selected in this week’s Discussion: genetics, gender, ethnicity, age, or behavior. Think about how the factor you selected might impact the pathophysiology of both disorders. Reflect on how you would diagnose and prescribe treatment of these disorders for a patient based on the factor you selected.
·
Review the “Mind maps—Dementia, Endocarditis, and Gastro-oesophageal Reflux Disease (GERD)” media in the Week 2 Learning Resources. Use the examples in the media as a guide to construct two mind maps—one for chronic asthma and one for acute asthma exacerbation. Consider the epidemiology and clinical presentation of both chronic asthma and acute asthma exacerbation.
To complete:
Write a 2- to 3-page paper that addresses the following:
·
Describe the pathophysiological mechanisms of chronic asthma and acute asthma exacerbation. Be sure to explain the changes in the arterial blood gas patterns during an exacerbation.
·
Explain how the factor you selected might impact the pathophysiology of both disorders. Describe how you would diagnose and prescribe treatment for a patient based on the factor you selected.
·
Construct two mind maps—one for chronic asthma and one for acute asthma exacerbation. Include the epidemiology, pathophysiology, and clinical presentation, as well as the diagnosis and treatment you explained in your paper.
Reminders:
·
*Kindly put introduction, purpose of the paper, the content of the answered questions, summary/conclusion, and references (Put headings on it).
·
*Please utilize my resources b.
Management of status epilepticus in childrenReyad Al_Faky
Status epilepticus is defined as continuous seizure activity lasting more than 5 minutes or recurrent seizures without regaining consciousness between seizures. It can be convulsive or nonconvulsive and is a medical emergency requiring rapid treatment to prevent neurological injury. Initial treatment involves maintaining airway, breathing, and circulation while administering benzodiazepines like diazepam or midazolam. If seizures continue, additional anti-seizure medications are given in the hospital along with diagnostic testing and treatment of any underlying causes. Prompt diagnosis and treatment are important to reduce mortality and morbidity associated with prolonged seizure activity.
1. The patient is a 70-year old woman who presents with jerky movements of her right hand for the past four months and a history of diabetes. After examination and investigations, the neurologist suspects Parkinson's disease.
2. As the SHO, your task is to explain the diagnosis of Parkinson's disease to the patient, answer her questions, and discuss the prognosis, treatment options, and social impacts of the disease.
3. It is important to explain the illness in layman's terms, discuss the likely progression, available medical and surgical treatments, and how the disease may affect her daily activities and family relationships.
This document discusses various sleep disorders from pediatrics to geriatrics. It provides statistics on common sleep disorders like insomnia, sleep apnea, and narcolepsy. It describes risk factors, symptoms, and potential health consequences of obstructive sleep apnea, including increased risks of diabetes, heart disease, and stroke. The document also discusses screening questionnaires, medical conditions that can contribute to sleep disorders, and various treatment options like tonsillectomy, uvulopalatopharyngoplasty, and somnoplasty procedures.
Similar to Research Capstone Presentation GuidelinesInstructions Follow th.docx (20)
Mr. Bush, a 45-year-old middle school teacher arrives at the emergen.docxaudeleypearl
Mr. Bush, a 45-year-old middle school teacher arrives at the emergency department by EMS ground transport after he experienced severe mid-sternal chest pain at work. On arrival to the ED:
a. What priority interventions would you initiate?
b. What information would you require to definitively determine what was causing Mr. Bush’s chest pain?
.
Movie Project Presentation Movie TroyInclude Architecture i.docxaudeleypearl
Movie Project Presentation: Movie: Troy
Include: Architecture in the movie. Historical research to figure out if the movie did a good job of representing the art historical past of not. Anything in the movie that are related to art or art history. And provide its outline and bibliography (any website source is acceptable as well)
.
Motivation and Retention Discuss the specific strategies you pl.docxaudeleypearl
Motivation and Retention
Discuss the specific strategies you plan to use to motivate individuals from your priority
population to participate in your program and continue working on their behavior change.
You can refer to information you obtained from the Potential Participant Interviews. You
also can search the literature for strategies that have been successfully used in similar
situations; be sure to cite references in APA format.
.
Mother of the Year In recognition of superlative paren.docxaudeleypearl
The document discusses Facebook's decision in 2015 to change the "like" button on the platform. It describes how Chris Cox, Facebook's chief product officer, led discussions about overhauling the button. The like button had become a blunt tool, and Cox wanted to expand the range of emotions that users could express beyond just "liking" something. This would become the "Reactions" feature, allowing responses like love, haha, wow, sad, and angry. The change took over a year to develop and test before being publicly launched.
Mrs. G, a 55 year old Hispanic female, presents to the office for he.docxaudeleypearl
Mrs. G, a 55 year old Hispanic female, presents to the office for her annual exam. She reports that lately she has been very fatigued and just does not seem to have any energy. This has been occurring for 3 months. She is also gaining weight since menopause last year. She joined a gym and forces herself to go twice a week, where she walks on the treadmill at least 30 minutes but she has not lost any weight, in fact she has gained 3 pounds. She doesn’t understand what she is doing wrong. She states that exercise seems to make her even more hungry and thirsty, which is not helping her weight loss. She wants get a complete physical and to discuss why she is so tired and get some weight loss advice. She also states she thinks her bladder has fallen because she has to go to the bathroom more often, recently she is waking up twice a night to urinate and seems to be urinating more frequently during the day. This has been occurring for about 3 months too. This is irritating to her, but she is able to fall immediately back to sleep.
Current medications:
Tylenol 500 mg 2 tabs daily for knee pain. Daily multivitamin
PMH:
Has left knee arthritis. Had chick pox and mumps as a child. Vaccinations up to
date.
GYN hx:
G2 P1. 1 SAB, 1 living child, full term, wt 9lbs 2 oz. LMP 15months ago. No history of abnormal Pap smear.
FH:
parents alive, well, child alive, well. No siblings. Mother has HTN and father has high cholesterol.
SH:
works from home part time as a planning coordinator. Married. No tobacco history, 1-2 glasses wine on weekends. No illicit drug use
Allergies
: NKDA, allergic to cats and pollen. No latex allergy
Vital signs
: BP 129/80; pulse 76, regular; respiration 16, regular
Height 5’2.5”, weight 185 pounds
General:
obese female in no acute distress. Alert, oriented and cooperative.
Skin
: warm dry and intact. No lesions noted
HEENT:
head normocephalic. Hair thick and distribution throughout scalp. Eyes without exudate, sclera white. Wears contacts. Tympanic membranes gray and intact with light reflex noted. Pinna and tragus nontender. Nares patent without exudate. Oropharynx moist without erythema. Teeth in good repair, no cavities noted. Neck supple. Anterior cervical lymph nontender to palpation. No lymphadenopathy. Thyroid midline, small and firm without palpable masses.
CV
: S1 and S2 RRR without murmurs or rubs
Lungs
: Clear to auscultation bilaterally, respirations unlabored.
Abdomen
- soft, round, nontender with positive bowel sounds present; no organomegaly; no abdominal bruits. No CVAT.
Labwork:
CBC
:
WBC 6,000/mm3 Hgb 12.5 gm/dl Hct 41% RBC 4.6 million MCV 88 fl MCHC
34 g/dl RDW 13.8%
UA:
pH 5, SpGr 1.013, Leukocyte esterase negative, nitrites negative, 1+ glucose; small protein; negative for ketones
CMP:
Sodium 139
Potassium 4.3
Chloride 100
CO2 29
Glucose 95
BUN 12
Creatinine 0.7
GFR est non-AA 92 mL/min/1.73 GFR est AA 101 mL/min/1.73 Calcium 9.5
Total protein 7.6 Bilirubin, total 0.6 Alkaline.
Mr. Rivera is a 72-year-old patient with end stage COPD who is in th.docxaudeleypearl
Mr. Rivera is a 72-year-old patient with end stage COPD who is in the care of Hospice. He has a history of smoking, hypertension, obesity, and type 2 Diabetes. He is on Oxygen 2L per nasal cannula around the clock. His wife and 2 adult children help with his care. Develop a concept map for Mr. Rivera. Consider the patients Ethnic background (he and his family are from Mexico) and family dynamics. Please use the
concept map
form provided.
.
Mr. B, a 40-year-old avid long-distance runner previously in goo.docxaudeleypearl
Mr. B, a 40-year-old avid long-distance runner previously in good health, presented to his primary provider for a yearly physical examination, during which a suspicious-looking mole was noticed on the back of his left arm, just proximal to the elbow. He reported that he has had that mole for several years, but thinks that it may have gotten larger over the past two years. Mr. B reported that he has noticed itchiness in the area of this mole over the past few weeks. He had multiple other moles on his back, arms, and legs, none of which looked suspicious. Upon further questioning, Mr. B reported that his aunt died in her late forties of skin cancer, but he knew no other details about her illness. The patient is a computer programmer who spends most of the work week indoors. On weekends, however, he typically goes for a 5-mile run and spends much of his afternoons gardening. He has a light complexion, blonde hair, and reports that he sunburns easily but uses protective sunscreen only sporadically.
Physical exam revealed: Head, neck, thorax, and abdominal exams were normal, with the exception of a hard, enlarged, non-tender mass felt in the left axillary region. In addition, a 1.6 x 2.8 cm mole was noted on the dorsal upper left arm. The lesion had an appearance suggestive of a melanoma. It was surgically excised with 3 mm margins using a local anesthetic and sent to the pathology laboratory for histologic analysis. The biopsy came back Stage II melanoma.
1. How is Stage II melanoma treated and according to the research how effective is this treatment?
250 words.
.
Moving members of the organization through the change process ca.docxaudeleypearl
Moving members of the organization through the change process can be quite difficult. As leaders take on this challenge of shifting practice from the current state to the future, they face the obstacles of confidence and competence experienced by staff. Change leaders understand the importance of recognizing their moral purpose and helping others to do the same. Effective leaders foster moral purpose by building relationships, considering other’s perspectives, demonstrating respect, connecting others, and examining progress (Fullan & Quinn, 2016). For this Discussion, you will clarify your own moral perspective and how it will impact the elements of focusing direction.
To prepare:
· Review the Adams and Miskell article. Reflect on the measures taken in building capacity throughout the organization.
· Review Fullan and Quinn’s elements of Focusing Direction in Chapter 2. Reflect on aspects needed to build capacity as a leader.
· Analyze the two case examples used to illustrate focused direction in Chapter 2.
· Clarify your own moral purpose, combining your personal values, persistence, emotional intelligence, and resilience.
A brief summary clarifying your own moral imperative.
· Using the guiding questions in Chapter 2 on page 19, explain your moral imperative and how you can use your strengths to foster moral imperative in others.
· Based on Fullan’s information on change leadership, in which areas do you feel you have strong leadership skills? Which areas do you feel you need to continue to develop?
Learning Resources
Required Readings
Fullan, M., & Quinn, J. (2016).
Coherence: The right drivers in action for schools, districts, and systems
. Thousand Oaks, CA: Corwin.
Chapter 2, “Focusing Direction” (pp. 17–46)
Florian, L. (Ed.). (2014).
The SAGE handbook of special education
(2nd ed.). London, England: Sage Publications Ltd.
Chapter 23, “Researching Inclusive Classroom Practices: The Framework for Participation” (389–404)
Chapter 31, “Assessment for Learning and the Journey Towards Inclusion” (pp. 523–536)
Adams, C.M., & Miskell, R.C. (2016). Teacher trust in district administration: A promising line of inquiry. Journal of Leadership for Effective and Equitable Organizations, 1-32. DOI: 10.1177/0013161X1665220
Choi, J. H., Meisenheimer, J. M., McCart, A. B., & Sailor, W. (2016). Improving learning for all students through equity-based inclusive reform practices effectiveness of a fully integrated school-wide model on student reading and math achievement. Remedial and Special Education, doi:10.1177/0741932516644054
Sailor, W. S., & McCart, A. B. (2014). Stars in alignment. Research and Practice for Persons with Severe Disabilities, 39(1), 55-64. doi: 10.1177/1540796914534622
Required Media
Grand City Community
Laureate Education (Producer) (2016c).
Tracking data
[Video file]. Baltimore, MD: Author.
Go to the Grand City Community and click into
Grand City School District Administration Offices
. Revie.
Mr. Friend is acrime analystwith the SantaCruz, Califo.docxaudeleypearl
Mr. Friend is a
crime analyst
with the Santa
Cruz, California,
Police
Department.
Predictive Policing: Using Technology to Reduce Crime
By Zach Friend, M.P.P.
4/9/2013
Nationwide law enforcement agencies face the problem
of doing more with less. Departments slash budgets
and implement furloughs, while management struggles
to meet the public safety needs of the community. The
Santa Cruz, California, Police Department handles the
same issues with increasing property crimes and
service calls and diminishing staff. Unable to hire more
officers, the department searched for a nontraditional
solution.
In late 2010 researchers published a paper that the
department believed might hold the answer. They
proposed that it was possible to predict certain crimes,
much like scientists forecast earthquake aftershocks.
An “aftercrime” often follows an initial crime. The time and location of previous criminal activity helps to
determine future offenses. These researchers developed an algorithm (mathematical procedure) that
calculates future crime locations.1
Equalizing Resources
The Santa Cruz Police Department has 94 sworn officers and serves a population of 60,000. A
university, amusement park, and beach push the seasonal population to 150,000. Department personnel
contacted a Santa Clara University professor to apply the algorithm, hoping that leveraging technology
would improve their efforts. The police chief indicated that the department could not hire more officers.
He felt that the program could allocate dwindling resources more efficiently.
Santa Cruz police envisioned deploying officers by shift to the most targeted locations in the city. The
predictive policing model helped to alert officers to targeted locations in real time, a significant
improvement over traditional tactics.
Making it Work
The algorithm is a culmination of anthropological and criminological behavior research. It uses complex
mathematics to estimate crime and predict future hot spots. Researchers based these studies on
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Patch Call
Known locally as the
“Gateway to the Summit,”
which references the city’s
proximity to the Bechtel Family
National Scout Reserve. More
The patch of the Miamisburg,
Ohio, Police Department
prominently displays the city
seal surroun.
Mr. E is a pleasant, 70-year-old, black, maleSource Self, rel.docxaudeleypearl
Mr. E is a pleasant, 70-year-old, black, male
Source: Self, reliable source
Subjective:
Chief complaint:
“I urinate frequently.”
HPI:
Patient states that he has had an increase in urination for the past several years, which seems to be worsening over the past year. He estimates that he urinates clear/light yellow urine approximately every 1.5-2 hours while awake and is up 2-4 times at night to urinate. He states some urgency and hesitancy with urination and feeling of incomplete voiding. He denies any pain or blood. Denies any head trauma. Denies any increase in thirst or hunger. He denies any unintentional weight loss.
Allergies
: NKA
Current Mediations
:
Multivitamin, daily
Aspirin, 81 mg, daily
Olmesartan, 20 mg daily
Atorvastatin, 10 mg daily
Diphenhydramine, 50 mg, at night
Pertinent History:
Hypertension, hyperlipidemia, insomnia
Health Maintenance. Immunizations:
Immunizations up to date
Family History:
No cancer, cardiac, pulmonary or autoimmune disease in immediate family members
Social History:
Patient lives alone. He drinks one cup of caffeinated coffee each morning at the local diner. He denies any nicotine, alcohol or drug use.
ROS:
Incorporated into HPI
Objective:
VS
– BP: 118/68, HR: 86, RR: 16, Temp 97.6, oxygenation 100%, weight: 195 lbs, height: 70 inches.
Mr. E is alert, awake, oriented x 3. Patient is clean and dressed appropriate for age.
Cardiac: No cardiomegaly or thrills; regular rate and rhythm, no murmur or gallop
Respiratory: Clear to auscultation
Abdomen: Bowel sounds positive. Soft, nontender, nondistended, no hepatomegaly
Neuro: CN 2-12 intact
Renal/prostate: Prostate enlarged, non-tender. No asymmetry or nodules palpated
Labs:
Test Name
Result
Units
Reference Range
Color
Yellow
Yellow
Clarity
Clear
Clear
Bilirubin
Negative
Negative
Specific Gravity
1.011
1.003-1.030
Blood
Negative
Negative
pH
7.5
4.5-8.0
Nitrite
Negative
Negative
Leukocyte esterase
Negative
Negative
Glucose
Negative
mg/dL
Negative
Ketones
Negative
mg/dL
Negative
Protein
Negative
mg/dL
Negative
WBC
Negative
/hpf
Negative
RBC
Negative
/hpf
Negative
Lab
Pt’s Result
Range
Units
Sodium
137
136-145
mmol/L
Potassium
4.7
3.5-5.1
mmol/L
Chloride
102
98-107
mmol/L
CO2
30
21-32
mmol/L
Glucose
92
70-99
mg/dL
BUN
7
6-25
mg/dL
Creat
1.6
.8-1.3
mg/dL
GFR
50
>60
Calcium
9.6
8.2-10.2
mg/dL
Total Protein
8.0
6.4-8.2
g/dL
Albumin
4.5
3.2-4.7
g/dL
Bilirubin
1.1
<1.1
mg/dL
Alkaline Phosphatase
94
26-137
U/L
AST
25
0-37
U/L
ALT
55
15-65
U/L
Pt’s results
Normal Range
Units
WBC
9.9
3.4 - 10.8
x10E3/uL
RBC
4.0
3.77 - 5.28
x10E6/uL
Hemoglobin
11.5
11.1 - 15.9
g/dL
H.
Motor Milestones occur in a predictable developmental progression in.docxaudeleypearl
Motor Milestones occur in a predictable developmental progression in young children. They begin with reflexive movements that develop into voluntary movement patterns. For the motor milestone of independent walking, there are many precursor reflexes that must first integrate and beginning movement patterns that must be learned. Explain the motor progression of walking in a child, starting with the integration of primitive reflexes to the basic motor skills needed for a child to walk independently. Discuss at which time frame each milestone occurs from birth to walking (12-18 months of age). What are some reasons why a child could be delayed in walking? At what age is a child considered delayed in walking and in need of intervention? What interventions are available to children who are having difficulty walking? Please be sure to use APA citations for all sources used to formulate your answers.
.
Most women experience their closest friendships with those of th.docxaudeleypearl
Most women experience their closest friendships with those of the same sex. Men have suffered more of a stigma in terms of sharing deep bonds with other men. Open affection and connection is not actively encouraged among men. Recent changes in society might impact this, especially with the advent of the meterosexual male. “The meterosexual male is less interested in blood lines, traditions, family, class, gender, than in choosing who they want to be and who they want to be with” (Vernon, 2010, p. 204).
In this week’s reading material, the following philosophers discuss their views on this topic: Simone de Beauvoir, Thomas Aquinas, MacIntyre, Friedman, Hunt, and Foucault. Make sure to incorporate their views as you answer each discussion question. Think about how their views may be similar or different from your own. In at least 250 words total, please answer each of the following, drawing upon your reading materials and your personal insight:
To what extent do you think women still have a better opportunity to forge deeper friendships than men? What needs to change to level the friendship playing field for men, if anything?
How is the role of the meterosexual man helping to forge a new pathway for male friendships?
.
Most patients with mental health disorders are not aggressive. Howev.docxaudeleypearl
Most patients with mental health disorders are not aggressive. However, it is important for nurses to be able to know the signs and symptoms associated with the five phases of aggression, and to appropriately apply nursing interventions to assist in treating aggressive patients. Please read the case study below and answer the four questions related to it.
Aggression Case Study
Christopher, who is 14 years of age, was recently admitted to the hospital for schizophrenia. He has a history of aggressive behavior and states that the devil is telling him to kill all adults because they want to hurt him. Christopher has a history of recidivism and noncompliance with his medications. One day on the unit, the nurse observes Christopher displaying hypervigilant behaviors, pacing back and forth down the hallway, and speaking to himself under his breath. As the nurse runs over to Christopher to talk, he sees that his bedroom door is open and runs into his room and shuts the door. The nurse responds by attempting to open the door, but Christopher keeps pulling the door shut and tells the nurse that if the nurse comes in the room he will choke the nurse. The nurse responds by calling other staff to assist with the situation.
1. What phase of the aggression cycle is Christopher in at the beginning of this scenario? What phase is he in at the end the scenario? (State the evidence that supports your answers).
2. What interventions could have been implemented to prevent Christopher from escalating at the beginning of the scenario?
3. What interventions should the nurse take to deescalate the situation when Christopher is refusing to open his door?
4. If a restrictive intervention (restraint/seclusion) is used, what are some important steps for the nurse to remember?
SCHOLAR NURSING ARTICLE>>>APA FORMAT>>>
.
Most of our class readings and discussions to date have dealt wi.docxaudeleypearl
Most of our class readings and discussions to date have dealt with the issue of ethics and ethical behavior. Various philosophers have made contributions to jurisprudence including how to apply ethical principles (codes of conduct?) to ethical dilemma.
Your task is to watch the Netflix documentary ‘The Social Dilemma.’ If you cannot currently access Netflix it offers a free trial opportunity, which you can cancel after viewing the documentary. Should this not be an option for whatever reason, then please email me and we will create an alternative ethics question.
DUE DATE: Tuesday, Sept. 29, 2020 by noon
SEND YOUR NO MORE THAN 5 PAGE DOUBLE SPACED RESPONSE TO MY EMAIL ADDRESS. LATE PAPERS SUBJECT TO DOWNGRADING
As critics have written, the documentary showcases ways our minds are twisted and twirled by social media companies like Facebook, Twitter, and Google through their platforms and search engines, and the why of what they are doing, and what must be done to stop it.
After watching the movie, respond to the following questions in the order given. Use full sentences and paragraphs, and start off each section by stating the question you are answering. Be succinct.
What are the critical ethical issues identified?
What concerns are raised over the polarization of society and promulgation of fake news?
What is the “attention-extraction model” of software design and why worry?
What is “surveillance capitalism?”
Do you agree that social media warps your perceptions of reality?
Who has the power and control over these social media platforms – software designers, artificial intelligence (Ai), CEOs of media platforms, users, government?
Are social media platforms capable of self-regulation to address the political and ethical issues raised or not? If not, then should government regulate?
What other actions can be taken to address the basic concern of living in a world “…where no one believes what’s true.”
.
Most people agree we live in stressful times. Does stress and re.docxaudeleypearl
Stress may contribute to illness according to some research cited in textbooks. The question asks whether stress and reactions to stress can lead to health issues, and opinions should be supported by evidence from course materials. References in APA format are required.
Most of the ethical prescriptions of normative moral philosophy .docxaudeleypearl
Most of the ethical prescriptions of normative moral philosophy tend to fall into one of the following three categories: deontology, consequentialism, and virtue ethics. These categories in turn put an emphasis on different normative standards for judging what constitutes right and wrong actions.
Moral psychologists and behavioral economists such as Jonathan Haidt and Dan Ariely take a different approach: focusing not on some normative ethical framework for moral judgment, but rather on the psychological foundations of moral intuition and on the limitations that our human frailty places on real-world honesty, decency, and ethical commitments.
In this context, write a short essay (minimum 400 words) on what you see as the most important differences between the traditional normative philosophical approaches and the more recent empirical approach of moral psychology when it comes to ethics. As part of your answer also make sure that you discuss the implications of these differences.
Deadline reminder:
this assignment is
due on June 14th
. Any assignments submitted after that date will lose 5 points (i.e., 20% of the maximum score of 25 points) for each day that they are submitted late. Accordingly, after June 14th, any submissions would be worth zero points and at that time the assignment inbox will close.
.
Most healthcare organizations in the country are implementing qualit.docxaudeleypearl
Most healthcare organizations in the country are implementing quality improvement programs to save lives, enhance customer satisfaction, and reduce the cost of healthcare services. Limited human and material resources often undermine such efforts. Zenith Hospital in a rural community has 200 beds. Postsurgical patients tend to contract infections at the surgical site, requiring extended hospitalization. Mr. Jones—75 years old—was admitted to Zenith Hospital for inguinal hernia repairs. He was also hypertensive, with a compromised immune system. Two days after surgery, he acquired an infection at the surgical site, with elevated temperature, and then he developed septicemia. His condition worsened, and he was moved to isolation in the intensive care unit (ICU). A day after transfer to the ICU, he went into ventricular arrhythmia and was placed on a respirator and cardiac monitoring machine. Intravenous fluids, antibiotics, and antipyretics could not bring the fever down, and blood analysis continued to deteriorate.
The hospital infection control unit got involved. The team confirmed that postsurgical infections were on the increase, but the hospital was unable to identify the sources of infection. The surgery unit and surgical team held meetings to understand possible sources of infection. The team leader had earlier reported to management that they needed to hire more surgical nurses, arguing that nurses in the unit were overworked, had to go on leave, and often worked long hours without break.
Mr. Jones’ family members were angry and wanted to know the source of his infection, why he was on the respirator in isolation, and why his temperature was not coming down. Unfortunately, his condition continued to deteriorate. His daughter invited the family’s legal representative to find out what was happening to her father and to commence legal proceedings.
Then, the healthcare manager received information that two other patients were showing signs of postsurgical infection. The healthcare manager and care providers acknowledged the serious quality issues at Zenith Hospital, particularly in the surgical unit. The healthcare manager wrote to the Chairman of the Hospital Board, seeking approval to implement a quality improvement program. The Board held an emergency meeting and approved the manager’s request. The healthcare manager has invited you to support the organization in this process.
Please address the following questions in your response:
What are successful approaches for gaining a shared understanding of the problem?
How can effective communication be implemented?
What is a qualitative approach that helps in identifying the quality problem?
What tools can provide insight into understanding the problem?
In quality improvement, what does appreciative inquiry help do?
What is a benefit of testing solutions before implementation?
What is a challenge that is inherent in the application of the plan, do, study, act (PDSA) method?
What .
More work is necessary on how to efficiently model uncertainty in ML.docxaudeleypearl
More work is necessary on how to efficiently model uncertainty in ML and NLP, as well as how to represent uncertainty resulting from big data analytics.
Pages - 4
Excluding the required cover page and reference page.
APA format 7 with an introduction, a body content, and a conclusion.
No Plagiarism
.
Mortgage-Backed Securities and the Financial CrisisKelly Finn.docxaudeleypearl
Mortgage-Backed Securities and the Financial Crisis
Kelly Finn
FNCE 4302
Mortgage-Backed Securities (MBS) are “pass-through” bundles of housing debt sold as investment vehicles
A mortgage-backed security, MBS, is a type of asset-backed security that pays investors regular payments, similar to a bond. It gets the title as a “pass-through” because the security involves several entities in the origination and securitization process (where the asset is identified, and where it is used as a base to create a new investment instrument people can profit off of).
Key Players involved in the MBS Process
[Mortgage] Lenders: banks who sell mortgages to GSE’s
GSE: Government Sponsored Entities created by the US Government to make owning property more accessible to Americans
1938: Fannie Mae (FNMA): Federal National Mortgage Assoc.
1970: Freddie Mac (FHLMC): Federal Home Loan Mortgage Corp.
Increase mortgage borrowing
Introduce competitor to Fannie Mae
1970: Ginnie Mae (GNMA): Government National Mortgage Assoc.
US Government: Treasury: implicit commitment of providing support in case of trouble
The several entities involved in the process make MBS a “pass-through”. Here we have 3 main entities that we’ll call “Key Players” for the purpose of this presentation which aims to provide you with a basic and simple explanation of MBS and their role in the financial crisis.
GSE’s created by the US Government in 1938
Part of FDR’s New Plan during Great Depression
Purpose: make owning property more accessible to more Americans
GSE (ex. Fannie Mae) buys mortgages (debt) from banks, & then pools mortgages into little bundles investors can buy (securitization)
Bank’s mortgage is exchanged with GSE’s cash
Created liquid secondary market for mortgages
Result:
1) Bank has more cash to lend out to people
2) Now all who want to a house (expensive) can get the money needed to buy one!
Where MBS came from & when
Yay for combatting homelessness and increasing quality of life for the common American!
Thanks Uncle Sam!
MBS have been around for a long time. Officially in the US, they have their origins in government. During the Great Depression in the 1930s, President Franklin Delano Roosevelt signed into creation Fannie Mae that was brought about to help ease American citizen’s difficulty in becoming homeowners. The sole purpose of a GSE thus was to not make profit, but to promote citizen welfare in regards to housing. Seeing that it was created by regulatory government powers, it earned the title of Government Sponsored Entity, which we will abbreviate as GSE. 2 other GSE’s in housing were created in later decades like Freddie Mae, to further stimulate the mortgage market alongside Fannie, and Ginnie which did a similar thing but only for certain groups of people (Veterans, etc) and to a much smaller scale.
How MBS works: Kelly is a homeowner looking to borrow a lot of money
*The Lender, who issued Kelly the mor.
Moral Development Lawrence Kohlberg developed six stages to mora.docxaudeleypearl
Moral Development:
Lawrence Kohlberg developed six stages to moral behavior in children and adults. Punishment and obedience orientation, interpersonal concordance, law and order orientation, social contract orientation, and universal ethics orientation. All or even just one of these stages will make a good topic for your research paper or you could just do the research paper on Kohlberg.
.
Walmart Business+ and Spark Good for Nonprofits.pdfTechSoup
"Learn about all the ways Walmart supports nonprofit organizations.
You will hear from Liz Willett, the Head of Nonprofits, and hear about what Walmart is doing to help nonprofits, including Walmart Business and Spark Good. Walmart Business+ is a new offer for nonprofits that offers discounts and also streamlines nonprofits order and expense tracking, saving time and money.
The webinar may also give some examples on how nonprofits can best leverage Walmart Business+.
The event will cover the following::
Walmart Business + (https://business.walmart.com/plus) is a new shopping experience for nonprofits, schools, and local business customers that connects an exclusive online shopping experience to stores. Benefits include free delivery and shipping, a 'Spend Analytics” feature, special discounts, deals and tax-exempt shopping.
Special TechSoup offer for a free 180 days membership, and up to $150 in discounts on eligible orders.
Spark Good (walmart.com/sparkgood) is a charitable platform that enables nonprofits to receive donations directly from customers and associates.
Answers about how you can do more with Walmart!"
বাংলাদেশের অর্থনৈতিক সমীক্ষা ২০২৪ [Bangladesh Economic Review 2024 Bangla.pdf] কম্পিউটার , ট্যাব ও স্মার্ট ফোন ভার্সন সহ সম্পূর্ণ বাংলা ই-বুক বা pdf বই " সুচিপত্র ...বুকমার্ক মেনু 🔖 ও হাইপার লিংক মেনু 📝👆 যুক্ত ..
আমাদের সবার জন্য খুব খুব গুরুত্বপূর্ণ একটি বই ..বিসিএস, ব্যাংক, ইউনিভার্সিটি ভর্তি ও যে কোন প্রতিযোগিতা মূলক পরীক্ষার জন্য এর খুব ইম্পরট্যান্ট একটি বিষয় ...তাছাড়া বাংলাদেশের সাম্প্রতিক যে কোন ডাটা বা তথ্য এই বইতে পাবেন ...
তাই একজন নাগরিক হিসাবে এই তথ্য গুলো আপনার জানা প্রয়োজন ...।
বিসিএস ও ব্যাংক এর লিখিত পরীক্ষা ...+এছাড়া মাধ্যমিক ও উচ্চমাধ্যমিকের স্টুডেন্টদের জন্য অনেক কাজে আসবে ...
LAND USE LAND COVER AND NDVI OF MIRZAPUR DISTRICT, UPRAHUL
This Dissertation explores the particular circumstances of Mirzapur, a region located in the
core of India. Mirzapur, with its varied terrains and abundant biodiversity, offers an optimal
environment for investigating the changes in vegetation cover dynamics. Our study utilizes
advanced technologies such as GIS (Geographic Information Systems) and Remote sensing to
analyze the transformations that have taken place over the course of a decade.
The complex relationship between human activities and the environment has been the focus
of extensive research and worry. As the global community grapples with swift urbanization,
population expansion, and economic progress, the effects on natural ecosystems are becoming
more evident. A crucial element of this impact is the alteration of vegetation cover, which plays a
significant role in maintaining the ecological equilibrium of our planet.Land serves as the foundation for all human activities and provides the necessary materials for
these activities. As the most crucial natural resource, its utilization by humans results in different
'Land uses,' which are determined by both human activities and the physical characteristics of the
land.
The utilization of land is impacted by human needs and environmental factors. In countries
like India, rapid population growth and the emphasis on extensive resource exploitation can lead
to significant land degradation, adversely affecting the region's land cover.
Therefore, human intervention has significantly influenced land use patterns over many
centuries, evolving its structure over time and space. In the present era, these changes have
accelerated due to factors such as agriculture and urbanization. Information regarding land use and
cover is essential for various planning and management tasks related to the Earth's surface,
providing crucial environmental data for scientific, resource management, policy purposes, and
diverse human activities.
Accurate understanding of land use and cover is imperative for the development planning
of any area. Consequently, a wide range of professionals, including earth system scientists, land
and water managers, and urban planners, are interested in obtaining data on land use and cover
changes, conversion trends, and other related patterns. The spatial dimensions of land use and
cover support policymakers and scientists in making well-informed decisions, as alterations in
these patterns indicate shifts in economic and social conditions. Monitoring such changes with the
help of Advanced technologies like Remote Sensing and Geographic Information Systems is
crucial for coordinated efforts across different administrative levels. Advanced technologies like
Remote Sensing and Geographic Information Systems
9
Changes in vegetation cover refer to variations in the distribution, composition, and overall
structure of plant communities across different temporal and spatial scales. These changes can
occur natural.
This presentation was provided by Steph Pollock of The American Psychological Association’s Journals Program, and Damita Snow, of The American Society of Civil Engineers (ASCE), for the initial session of NISO's 2024 Training Series "DEIA in the Scholarly Landscape." Session One: 'Setting Expectations: a DEIA Primer,' was held June 6, 2024.
How to Manage Your Lost Opportunities in Odoo 17 CRMCeline George
Odoo 17 CRM allows us to track why we lose sales opportunities with "Lost Reasons." This helps analyze our sales process and identify areas for improvement. Here's how to configure lost reasons in Odoo 17 CRM
How to Setup Warehouse & Location in Odoo 17 InventoryCeline George
In this slide, we'll explore how to set up warehouses and locations in Odoo 17 Inventory. This will help us manage our stock effectively, track inventory levels, and streamline warehouse operations.
it describes the bony anatomy including the femoral head , acetabulum, labrum . also discusses the capsule , ligaments . muscle that act on the hip joint and the range of motion are outlined. factors affecting hip joint stability and weight transmission through the joint are summarized.
This document provides an overview of wound healing, its functions, stages, mechanisms, factors affecting it, and complications.
A wound is a break in the integrity of the skin or tissues, which may be associated with disruption of the structure and function.
Healing is the body’s response to injury in an attempt to restore normal structure and functions.
Healing can occur in two ways: Regeneration and Repair
There are 4 phases of wound healing: hemostasis, inflammation, proliferation, and remodeling. This document also describes the mechanism of wound healing. Factors that affect healing include infection, uncontrolled diabetes, poor nutrition, age, anemia, the presence of foreign bodies, etc.
Complications of wound healing like infection, hyperpigmentation of scar, contractures, and keloid formation.
Leveraging Generative AI to Drive Nonprofit InnovationTechSoup
In this webinar, participants learned how to utilize Generative AI to streamline operations and elevate member engagement. Amazon Web Service experts provided a customer specific use cases and dived into low/no-code tools that are quick and easy to deploy through Amazon Web Service (AWS.)
Leveraging Generative AI to Drive Nonprofit Innovation
Research Capstone Presentation GuidelinesInstructions Follow th.docx
1. Research Capstone Presentation Guidelines
Instructions: Follow the instructions below. Nine slides in total.
Follow the instructions for each slide. Time limit: Minimum 10
minutes – Maximum 20 mins.
Slide 1: Title page
· Give your presentation a unique name
· Include name, panther ID, class name/CCJ4700
· Introduce yourself
Slide 2: Present your research question
· Formally state what your research question is
· Identify your dependent variable
· Describe your dependent variable
Slide 3: Present why your research question is important or why
your dependent variable is important and needs to be studied
· Use the references you located in Assignment 9
Slide 4: What is your unit of analysis
· Explain what/who your unit of analysis is
· Describe the population you are studying
· Why are they important to study?
· What level of analysis is your unit on? Individual or
aggregate?
· Make sure you review prior lectures if you are confused – we
have been talking about this since the beginning of the semester
Slide 5: Use the title “Variable Conceptualization.”
· List four basic control variables
· See Assignment 6, page 1 for examples
· List two explanatory variables of theoretical interest (your
main independent variables)
· For students using an experimental design: If you did not get
approved for experimental design, ignore this:
· List four basic control variables
· See Assignment 6, page 1 for examples
· List one explanatory variable of theoretical interest (this is
2. your experimental stimuli)
· List one placebo (if appropriate) – If you do not administer a
placebo to your control group make a note of that in the
presentation
Slide 6: Use the title “Variable Operationalization.”
· Identify the level of measurement for each of the variables you
defined in slide 5
· Tell me whether each variable is nominal, multinomial,
ordinal, or interval
· Hint: If you are confused by their definitions, refer to earlier
lectures or the textbook
· Note: You do not need to have one of each type of variable. It
is acceptable to have four nominal variables. Just make sure you
operationalize each variable correctly.
Slide 7: How will you acquire data?
· Will you use:
· Survey research
· Interviews
· Experimental research
· Choose one and then support your decision
· If you choose:
· Survey research – Provide six sample questions based on the
variables you designed in slide 5. For example, if one of your
control variables is age, then one of your sample survey
questions will be: “What is your age (in years)?”
· Interviews (used with hard to reach populations) - Provide six
sample questions based on the variables you designed in slide 5.
For example, if one of your control variables is age, then one of
your sample survey questions will be: “What is your age (in
years)?”
· Experimental design – Create a figure and clearly explain
where your control group and experimental groups are in the
figure. Display and explain where the stimulus is administered
in the figure. Explain where the pre and post-tests are in the
figure.
Slide 8: What is your sampling method?
3. · Explain whether you will be using probability sampling or
non-probability sampling
· Explain which specific sampling method you will use to
recruit participants into your study
· Explain how the sampling method you chose works
· Refer to Assignment 8
Slide 9: Reference sheet (NO ORAL PRESENTATION
REQUIRED)
· Refer to Assignment 9
· You can re-use the articles you acquired for assignment 9.
Make sure your references are in APA format.
Running head: MILESTONE TWO 1
MILESTONE TWO 9
Milestone Two
Born in 1775, Jane Austen was a novelist from England whose
works were founded on the British landed gentry. She had six
major novels, including "Pride and Prejudice," "Persuasion,"
and "Emma," among others. Austen died when she was forty-
one years old after manifesting a myriad of diseases that went
undiagnosed. However, with advancements in medicine years
later, White (2009) asserts that Austen died after succumbing to
Addison's sickness, a failure of the adrenal organs. The
pathophysiology of Addison’s sickness changes the normal state
of the body by affecting the mineralocorticoid and
glucocorticoid functions.
Mineralocorticoids facilitate the excretion of potassium and the
reabsorption of sodium. Therefore, if mineralocorticoids are not
produced, there will be high potassium and sodium content in
the body resulting in high urinary salt and water loss.
Consequently, one will portray symptoms such as severe
hydration, decreased circulatory volume, and plasma
hypertonicity, among others (Bancos et al., 2015). On the other
4. hand, a deficiency in glucocorticoids adversely affects the
metabolism of protein, carbohydrate, and fats. Also, it leads to
insulin sensitivity and hypotension. Symptoms include
weakness, which is caused by compromise neuromuscular
function, and myocardial weakness, which is caused by
circulatory failure.
The clinical manifestations of Addison’s sickness start slowly
through things like fatigue, weight loss, and muscle weakness.
Other symptoms include vomiting, diarrhea, and low blood
pressure that can cause fainting episodes or dizziness.
Addison’s sickness is also characterized by skin discoloration
where one has dark hyperpigmentation in pressure points such
as elbows, knees, and lips. Individuals diagnosed with this
sickness may be irritable or depressed since they crave salt-
laden foods (Bancos et al., 2015). Considering that these
symptoms appear gradually, most cases of Addison’s sickness
tend to go untreated until the condition becomes severe.
History
There are two major explanations for variations in
pathophysiology. On the one hand, Addison's sickness can occur
in the early years of one's life in what is known as the
autoimmune polyendocrine syndrome type 1 (APS type 1). This
variation happens when the autoimmune suppressor gene in
chromosome 21q22.3 is mutated. Eighty percent of individuals
with APS type 1 go on to contract Addison’s sickness. On the
other hand, Addison’s sickness can occur in the later years of
one’s life in what is referred to as APS type 2. This is a more
genetically complex variation compared to the APS type 1. APS
type 2 is prevalent in the genotypes HLA- DR4/DQ8, and
DR3/DQ2 (Leelarathna, Powrie, & Carroll, 2009). Furthermore,
Addison’s sickness can develop in an individual who has a
mutated allele of a MICA gene that does not rely on the
polymorphism of the DQ or DR gene.
There are two physiological stressors that affect the course of
Addison’s sickness. First, there is the primary adrenal
insufficiency. This relates to the adrenal cortex being gradually
5. destroyed by the immune system of the body. Consequently, the
majority of individuals diagnosed with Addison's sickness are
caused by autoimmune disorders. The antibodies of an
individual's immune system slowly attack and destroy the
organs and tissues of the affected person. When the destruction
of the adrenal cortex reaches approximately ninety percent,
primary adrenal insufficiency occurs. Second, there is the
secondary adrenal insufficiency. In this case, the production of
cortisol by the adrenal glands drops significantly. Secondary
adrenal insufficiency is common when a person stops taking
glucocorticoid hormone medication after consuming it for a
long time. Also, one can experience secondary adrenal
insufficiency when benign ACTH producing tumors are
surgically removed.
It follows that the historical impact of patient care technology
in the context of Addison’s sickness has been immense.
Initially, little was known about Addison’s sickness, which is
why Jane Austen died before receiving a proper diagnosis.
Thomas Addison, the man credited with identifying the disease,
used a monograph to identify the problem with the adrenal
glands. This was an isolated incident since little was known
about adrenal glands at the time. Nevertheless, the use of the
monograph proved to be a technological breakthrough in patient
care.
Planning
Two Short-Term Goals
Goal 1 – Accurately diagnose the patient and determine whether
he/she has primary or secondary adrenal insufficiency and any
other notable aspects that can affect the intervention methods.
This goal is achieved within one day. The diagnosis can be
achieved through four tests. First, there are blood tests that
measure the levels of antibodies that propagate Addison’s
sickness. Also, they measure the patient’s ACTH, cortisol,
potassium, and sodium levels in the blood, all of which affect
the production of hormones in the adrenal cortex. Second, there
is the insulin-induced hypoglycemia test, which entails giving
6. the patient an injection of insulin then checking his/her cortisol
and blood sugar levels. This will denote if the patient’s
condition is due to pituitary disease. Third, there are the ACTH
simulation tests that signal the production of cortisol from the
adrenal gland. Finally, there are the imaging tests where adrenal
glands’’ sizes are checked using a CT scan of the abdomen.
Goal 2 – Effectively deal with cases of patients experiencing an
Addisonian crisis. This goal is achieved within two to four
hours. It entails the patient receiving intravenous injections of
dextrose, saline, and hydrocortisone. The objective of the goal
is to ensure the patient’s potassium, blood sugar, and blood
pressure levels are normalized.
The accomplishment of these short-term goals should be
complete before patients can attain long-term goals. The main
objective of these goals is to measure and record the progress of
the patients with respect to the long-term goals. More so, the
achievement of these short-term goals offers the patients
suitable reinforcement that can encourage them to continue
working towards fighting the disease. These short-term goals
are effective in acute care conditions that require nurses to
emphasize on the immediate needs of the patients.
Two Long-Term Goals
Goal 1 – After six weeks of undergoing treatment, the
patient is expected to have acceptable levels of steroid
hormones to take over the roles played by cortisol and
aldosterone in the body. The patient’s body is expected to have
better metabolism, mood, tissue function, and response to
stress.
Goal 2 – After six weeks of treatment, the patient should
be well equipped to effectively live with Addison’s disease and
handle emergencies in case of an Addisonian crisis. The patient
is expected to have a medical bracelet or card that informs
emergency healthcare workers of his/her condition. Also, the
patient must have extra medication in case of emergencies.
These two long-term goals define the changes that the
patient undergoes over a long period. The goals defined work to
7. restore the normal functioning of the patients' problem areas. In
case the restoration of normal functioning is impossible, then
these goals will define the maximum functioning level, which is
attainable based on the resources and health condition of the
patient.
Intervention
An interdependent intervention will be used to handle a
case of a patient that has Addison's sickness. This form of
intervention entails collaboration between a nurse and other
healthcare workers, for instance, physicians, and dietitians. The
first part of the intervention will be observation. The nurse will
have to carefully observe the patient and note how he/she
responds to treatment and whether any complications develop.
The nurse must make a note of every issue, including high-risk
problems and probable nursing diagnoses. During this stage, the
nurse can take note of the common symptoms associated with
Addison's sickness, for instance, hyperpigmentation of the skin,
muscle weakness, low appetite, changes in mood, craving for
salt-laden food, headache, diarrhea, vomiting, and fainting
(Neto & de Carvalho, 2014). Also, the nurse will have to take
note of things like low blood pressure, severe abdominal or
back pains, low sodium levels, and high potassium levels.
Observation is crucial in this regard since the quick worsening
of symptoms might result in an Addisonian crisis or acute
adrenal failure. If such situations go unnoticed, the result might
be death.
The second part of the intervention is prevention. This entails
implementing the necessary care to ensure complications are
prevented, and risk factors are reduced. This part of the
intervention is crucial for collaborative challenges and high-risk
nursing diagnoses. Nevertheless, they can be utilized for
practical nursing diagnoses. One solution in this regard is the
use of salt additives in food (Michels & Michels, 2014). Since a
patient might be unable to retain sodium naturally, he/she might
require his/her food to have salt additives. This is especially
handy in periods of salt loss, for instance, high temperatures
8. and sweating.
The third part of the intervention is treatment. It normally
entails implementing the necessary care to treat a problem.
Often, actual nursing diagnoses require appropriate treatment.
There are three major treatments for Addison’s sickness. First,
there is the use of hydrocortisone. This refers to a form of
synthetic medication that takes the place of the cortisol lost in
the body. The doses given to the patient vary from 20 to 50
milligrams, depending on his/her metabolism and weight.
Patients with Cushing syndrome might need dosage adjustment.
Typically, hydrocortisone is given in two doses. There is the 2/3
dose in the morning, and 1/3 does in the afternoon. Second,
there is the use of fludrocortisone. This refers to a synthetic
mineralocorticoid, which is necessary for individuals that do not
have aldosterone. It is vital for the kidney's potassium excretion
and sodium retention. It is crucial to take note of fluid overload
and hypertension in the patient that might occur as a result of
excessive retention of sodium. Finally, there is the androgen
replacement therapy. This therapy is necessary for females who
require replacement therapy for the androgen that is produced
by the adrenal cortex (Michels & Michels, 2014). However, this
form of therapy is only carried out under special circumstances.
The final part of the intervention entails health promotion.
In situations where health problems are absent, the nurse will
ensure the patient can identify certain improvement areas, to
promote better wellness levels. Strategies that propagate the
promotion of health are needed to encourage approach
behaviors. This way, a patient can prevent the occurrence of
negative outcomes and promote the occurrence of positive
outcomes. These strategies actualize the health potential of the
patient. In this regard, the prevention of the Addisonian crisis is
vital. Nurses can aid patients in monitoring their levels of
hypotension, hypoglycemia, electrolyte and fluid balance, and
appropriate fluid volume.
Throughout the intervention process, technology can be utilized
for health promotion and patient safety. For starters, technology
9. facilitates communication between the different healthcare
workers that take care of the patient. This reduces any errors or
miscommunication that might be fatal for the patient. Also,
technology promotes patient-centered care. This is vital to
patient safety and satisfaction in the care received.
Evaluation
An evaluation of the plan of care is vital in noting the health
status of the patient and the results of the intervention. The
evaluation, in this case, will involve a comparison between the
patient's initial condition and their present condition. More so,
the evaluation will check the response of the patients to the
intervention strategies. It is expected that the evaluation process
will be ongoing and iterative involving the patient and the
healthcare workers to determine the extent of the achievement
of the medication and the effectiveness of the intervention plan.
The necessary data in this regard will cover the patients’ levels
of hypotension, hypoglycemia, electrolyte and fluid balance,
and appropriate fluid volume (Neto & de Carvalho, 2014).
Others include things like low blood pressure, severe abdominal
or back pains, low sodium levels, and high potassium levels.
Taking note of such data will enable the nurses and physicians
to determine how the patient is responding to the intervention
and whether additional strategies are required.
Following the successful intervention, for Addison's
sickness, a patient is expected to be no longer dehydrated and
have standard blood pressure. Also, it is expected that a patient
will be oriented, alert, and ready to cater to his/her needs while
at home. Catering to his needs will show that the patient
understands his/her dietary requirements and maintains his/her
medication doses. Overall, the evaluation is supposed to reveal
normal fluid balance and standard peripheral perfusion with
normalized blood pressure. Furthermore, symptoms such as
fatigue, diarrhea, vomiting, and abdominal pains are expected to
go away. If the evaluation does not yield such results, then the
healthcare professionals will have to reevaluate their approach
and come up with a new plan of intervention.
10. References
Bancos, I., Hahner, S., Tomlinson, J., & Arlt, W. (2015).
Diagnosis and management of adrenal insufficiency. The Lancet
Diabetes & Endocrinology, 3(3), 216-226.
Leelarathna, L., Powrie, J. K., & Carroll, P. V. (2009). Thomas
Addison's disease after 154 years: modern diagnostic
perspectives on an old condition. QJM: An International Journal
of Medicine, 102(8), 569-573.
Michels, A., & Michels, N. (2014). Addison disease early
detection and treatment principles. Am Fam Physician, 89(07).
Neto, R. A. B., & de Carvalho, J. F. (2014). Diagnosis and
classification of Addison's disease (autoimmune adrenalitis).
Autoimmunity Reviews, 13(4-5), 408-411.
White, K. G. (2009). Jane Austen and Addison's disease: an
unconvincing diagnosis. Medical Humanities, 35(2), 98.
Running head: MILESTONE ONE
1
MILESTONE ONE
4
Milestone One
Introduction of Individual
In 1816, the author of such beloved books as "Emma" and
"Pride and Prejudice" came down with a large group of puzzling
diseases including fatigue, back pain, skin discoloration,
"bilious attacks" and fever. Only one year later, she was dead at
41 years old. Much theory has been dedicated to Jane Austen's
infection in the years since, with the most widely recognized
diagnosis being that she had Addison's sickness, a malfunction
of the adrenal organs that wasn't known to medicine until quite
a while after her demise (White, 2009). Even though delayed in
its onset, the confusion is known to cause changes in skin color
during its late stages, which may clarify Austen's cases that her
11. complexion had turned "black and white and every wrong
color."
Identification of Pathophysiology
Mineralocorticoid deficiency
Sodium reabsorption and excretion of potassium from the body
are stimulated by mineralocorticoids, whereby if
mineralocorticoids are not produced, it leads to decreased
production of potassium and increased excretion of sodium,
primarily through sweat, urine, saliva and times in
gastrointestinal tract. A high serum concentration of potassium
and low sodium concentration may be detected as a result.
Symptoms such as but not limited may result where there is
high water loss and urinary salt: hypotension, decreased
circulatory volume, acidosis, plasma hypertonicity, severe
dehydration, and finally, circulatory collapse. Nevertheless,
when adrenocorticotropic hormone (ACTH) leads to adrenal
inadequacy due to its low production, the circulatory problems
are less severe, and the electrolyte levels are somewhat normal
or mildly deranged (Bancos et al., 2015).
Glucocorticoid deficiency
Insufficiency of Glucocorticoid production leads to hypotension
and severe insulin sensitivity as well as interferes with protein,
fat, and carbohydrate metabolism. From protein, carbohydrates
are formed when there is inadequate production of cortisol, and
also hypoglycemia and reduced liver glycogen result. As a
result of neuromuscular function, the person feels weak.
Circulatory failure may result due to myocardial weakness and
dehydration because there is reduced cardiac output.
Additionally, glucocorticoid deficiency leads to reduced
production of cortisol which affects ACTH production to a
decreased level and elevated the amount of blood beta-
lipotropin, which has melanocyte-stimulating activity and, when
combined with ACTH, causes the hyperpigmentation of skin and
mucous membranes characteristic of Addison disease (Bancos et
al., 2015). Therefore, hyperpigmentation is not caused by the
adrenal deficiency secondary to pituitary failure.
12. Clinical Manifestations
Addison’s disease manifestation starts gradually. Symptoms
such as weight loss, loss of appetite, muscle weakness, fatigue,
and chronic are examples of disease characteristics. In about
50% of reported cases, victims have diarrhea, vomiting, and
nausea (Bancos et al., 2015). The patient’s blood pressure falls
drastically when standing, causing dizziness or fainting. Skin
discoloration is part of Addison's disease with a spot of dark
tainting or hyperpigmentation covering naked body parts. In
most cases, these dark skin spots are visible in pressure points,
elbows, or scars such as mucous membranes, lips, toes,
knuckles, knees, and elbows. Patients can develop depression
and irritability as a result of Addison's disease. This is due to
increased craving of foods with salt leading to salt loss. In
children, hypoglycemia is more prevalent than in adults. There
are irregular menstrual cycles in women.
Since the manifestations progress gradually, they are typically
disregarded until an unpleasant event like an ailment or a
mishap makes them worse. This is called an Addisonian crisis
or intense adrenal deficiency. In many patients, side effects are
severe enough to look for treatment before an emergency
happens. Nonetheless, in around 25% of patients, manifestations
initially show up during an Addisonian crisis (Bancos et al.,
2015).
13. References
Bancos, I., Hahner, S., Tomlinson, J., & Arlt, W. (2015).
Diagnosis and management of adrenal insufficiency. The Lancet
Diabetes & endocrinology, 3(3), 216-226.
White, K. G. (2009). Jane Austen and Addison's disease: an
unconvincing diagnosis. Medical humanities, 35(2), 98.
NUR 315 Final Project Guidelines and Rubric
Overview
Pathophysiology is a topic that is studied by most healthcare
professional students—including nursing, medicine, and other
allied health professionals.
Increasingly, this study has been enriched and enhanced through
the use of various patient care technologies. Pathophysiology is
defined as the study of the
disturbance of normal mechanical, physical, and biochemical
functions, either caused by a disease or resulting from an
abnormal syndrome or condition that may
not qualify to be called a disease. Pathophysiology may also be
thought of as the study of the biological and physical
14. manifestations of disease as they correlate
with the underlying abnormalities and physiological
disturbances. It is critically important for nurses to understand
and be able to assess common health
challenges or diseases.
The final project for this course will require you to choose a
well-known individual from history or current popular
literature, with instructor approval, who has a
known physiological disease or illness of interest, and analyze
that person’s case. You will then develop a plan of care using
aspects of the nursing process for
your selected case.
This assessment addresses the following course outcomes:
x Differentiate between normal physiological processes and
pathological presentations of adult health states for promoting
health and preventing disease
x Assess the role of patient care technologies in managing and
promoting patient outcomes in individuals with chronic diseases
and acute illnesses
x Explain the pathological processes of adult diseases and
illnesses for guiding risk-reduction and prevention strategies
x Develop plans of care for adult diseases and illnesses that
utilize current evidence-based research
Prompt
You will choose a well-known individual from history or
current popular literature, with instructor approval, who has a
known physiological—as opposed to
psychiatric or psychological—disease or illness, and, using a
systematic approach, you will analyze that disease or illness.
You will also develop a plan of care for
15. that disease or illness.
In your analysis, you will describe the pathophysiology for your
selected disease or illness, propose historical explanations for
variations in findings (when
applicable), and demonstrate use of nursing conceptual models
to frame your discussion of adaptation and stressors collectively
for system analysis.
Your plan of care should utilize the PIE (planning, intervention,
and evaluation) format. The planning (P) section should include
at least two short-term and two
long-term goals that are most appropriate for your chosen case,
and each goal should have measurable criteria and have a
hypothetical target date or time. The
intervention (I) section should include interventions or nursing
actions that directly relate to the selected case’s goals and that
are specific in action and
frequency. The number of interventions should be appropriate
for helping to meet individual goals. Finally, the evaluation (E)
section of the plan of care should
include proposed measures for determining success of the plan
and an evaluation of the potential success of the plan, based on
those measures.
Specifically, the following critical elements must be addressed:
I. Introduce your selected case
a) Identify the individual you selected and his or her disease or
illness, and provide a brief explanation of why you selected this
case.
16. b) Describe how normal physiology is changed by the disease
state for your selected case.
c) Define the pathophysiology and clinical manifestations
associated with your selected case and how they may be
explained by altered physiology.
Be sure to support your claims with scholarly evidence.
d) Assess the extent to which clinical manifestations of your
selected case affect multiple body systems, using scholarly
evidence to support your
claims.
II. History of selected case
a) Describe historical variations (that is, examples of
individuals with the selected disease or illness) of your selected
case, using evidence from
literature.
b) Identify physiological stressors that may affect the course of
the disease or illness, and explain their impact.
c) Identify adaptive physiological mechanisms that may affect
the course of the disease for your selected case.
d) Assess the historical impact of patient care technologies on
patient outcomes for your selected case. Be sure to justify your
claims with scholarly
evidence.
III. Planning for care for your selected case
a) Write a goal statement that is patient-centered and contains at
least one measurable criterion or target date/time. In order to
address this
17. element comprehensively, you should be sure to provide at least
two short-term and two long-term goals for your selected case.
b) Analyze the critical nursing concerns associated with this
disease state, and prioritize them from a treatment standpoint.
c) Identify patient care technologies that are appropriate for
managing clinical manifestations of your selected case.
IV. Intervention
a) Outline appropriate nursing interventions for your selected
case. Be sure to substantiate your claims with scholarly
evidence.
b) Outline common classes of medications used to manage the
disease. Be sure to provide examples from scholarly evidence to
support your
claims.
c) Assess the extent to which current patient care technologies
improve health promotion for your selected case, using
scholarly evidence to
support your claims.
d) Assess the extent to which current patient care technologies
assist in decreasing medication errors and improving patient
safety with regard to
your selected case.
V. Evaluation
18. a) Identify the most appropriate measures for determining the
success of your plan of care. In other words, what data will you
need to collect to
determine if your plan worked? Be sure to substantiate your
claims with scholarly evidence.
b) In terms of the outcome measures you identified, evaluate the
potential success of your plan of care and proposed nursing
interventions for
your selected case. In other words, do you feel your proposed
plan of care and interventions for your selected case will result
in successful
outcomes? Be sure to justify your rationale with evidence-based
research.
Milestones
Milestone One: Selection of Case
In Module Two, you will identify and introduce your selected
case. This submission will be graded with the Milestone One
Rubric.
Milestone Two: Draft of Selected Case and Plan
In Module Five, you will submit a draft of your final project. Be
sure to incorporate instructor feedback in your final project.
This submission will be graded with
the Milestone Two Rubric.
Final Submission: Case Analysis and Plan of Care
In Module Seven, you will submit your final project. It should
be a complete, polished artifact containing all of the critical
elements of the final product. It should
reflect the incorporation of feedback gained throughout the
course. This submission will be graded with the Final Product
Rubric.
19. Final Product Rubric
Guidelines for Submission: Your case analysis and plan of care
paper should be between 6 and 10 pages, not including title
page and reference list. It should be
formatted with 12-point Times New Roman font and one-inch
margins; all citations should follow proper APA guidelines.
Critical Elements Exemplary (100%) Proficient (85%) Needs
Improvement (55%) Not Evident (0%) Value
Introduce: Identify Meets “Proficient” criteria and
uses industry-specific language
to establish expertise
Identifies selected individual
and disease or illness and
provides reasoning behind
selection
Identifies selected individual
and disease or illness, but does
not provide reasoning behind
selection
Does not identify selected
individual and disease or illness
20. 4
Introduce: Describe
Meets “Proficient” criteria, and
description is exceptionally
clear and well-informed
Accurately describes how
normal physiology is changed
by disease state for selected
case
Describes how normal
physiology is changed by
disease state for selected case,
but with gaps in accuracy
Does not describe how normal
physiology is changed by
disease state for selected case
7.7
Introduce: Define
Meets “Proficient” criteria, and
definition is exceptionally clear
and well-informed
Defines the pathophysiology
and clinical manifestations
associated with selected case
and how they may be explained
21. by altered physiology and
supports claims with scholarly
evidence
Defines the pathophysiology
and clinical manifestations
associated with selected case,
but not how they may be
explained by altered
physiology, or does not support
claims with scholarly evidence
Does not define the
pathophysiology and clinical
manifestations associated with
selected case
7.7
Introduce: Assess
Meets “Proficient” criteria, and
assessment is exceptionally
clear and well-informed
Assesses the extent to which
clinical manifestations of
selected case affect multiple
body systems and supports
claims with scholarly evidence
Assesses the extent to which
clinical manifestations of the
selected case affect multiple
body systems, but does not
22. support claims with scholarly
evidence
Does not assess the extent to
which clinical manifestations of
the selected case affect
multiple body systems
7.7
History: Variations
Meets “Proficient” criteria and
demonstrates keen insight into
historical variations of selected
case
Describes historical
explanations of variations in
the selected case using
evidence from literature
Describes historical
explanations of variations in
the selected case, but does not
use evidence from literature
Does not describe historical
explanations of variations in
the selected case
5.75
History: Stressors
23. Meets “Proficient” criteria and
draws nuanced connections
between concepts
Identifies physiological
stressors that may affect the
course of the disease or illness
and explains their impact
Identifies physiological
stressors that may affect the
course of the disease or illness,
but does not explain their
impact
Does not identify physiological
stressors that may affect the
course of the disease or illness
5.75
History:
Mechanisms
Meets “Proficient” criteria, and
identification is exceptionally
clear and well-informed
Clearly identifies adaptive
physiological mechanisms that
may affect the course of the
24. disease for selected case
Identifies adaptive
physiological mechanisms that
may affect the course of the
disease for selected case, but
with gaps in clarity or accuracy
Does not identify adaptive
physiological mechanisms that
may affect the course of the
disease for selected case
5.75
History: Impact
Meets “Proficient” criteria and
draws nuanced connections
between concepts
Comprehensively assesses the
historical impact of patient care
technologies on patient
outcomes for selected case and
justifies claims with scholarly
evidence
Assesses the historical impact
of patient care technologies on
patient outcomes for selected
case, but with gaps in detail or
accuracy, or does not justify
claims with scholarly evidence
25. Does not assess the historical
impact of patient care
technologies on patient
outcomes for selected case
5.75
Planning: Statement
Meets “Proficient” criteria, and
goal statement is creatively
written and supported by
scholarly evidence
Writes a comprehensive goal
statement that is patient-
centered and contains
measurable criteria or target
date/time
Writes a goal statement that is
not patient-centered or does
not contain measurable criteria
or target/date time, or goal
statement lacks detail
Does not write goal statement 4.6
Planning: Concerns
Meets “Proficient” criteria, and
analysis is exceptionally clear
and well-informed
26. Comprehensively analyzes
critical nursing concerns for this
disease state and appropriately
prioritizes them from a
treatment standpoint
Analyzes critical nursing
concerns for this disease state,
but with gaps in detail, or
prioritizes them inappropriately
from a treatment standpoint or
does not prioritize them
Does not analyze critical
nursing concerns for this
disease state
4.6
Planning:
Technologies
Meets “Proficient” criteria and
provides detailed examples of
how the technologies will
support management of the
clinical manifestations
Identifies patient care
technologies that are
appropriate for managing
clinical manifestations of
selected case
Identifies patient care
27. technologies, but they are not
appropriate for managing
clinical manifestations of
selected case
Does not identify patient care
technologies
5.75
Intervention:
Nursing
Meets “Proficient” criteria and
outlines multiple interventions
to help patients or family meet
goal, and interventions are
specific in action and frequency
Outlines appropriate nursing
interventions for selected case
and substantiates claims with
scholarly evidence
Outlines nursing interventions
that are not appropriate for
selected case or does not
substantiate claims with
scholarly evidence
Does not outline nursing
interventions for selected case
4.6
28. Intervention:
Medications
Meets “Proficient” criteria and
demonstrates keen insight into
the use of pharmaceutical
interventions
Outlines common classes of
medications used to manage
the selected case and supports
claims with specific examples
from scholarly evidence
Outlines common classes of
medications used to manage
the selected case, but does not
support claims with specific
examples from scholarly
evidence
Does not outline common
classes of medications used to
manage the selected case
5.75
Intervention: Assess
Meets “Proficient” criteria and
draws nuanced connections
29. between current patient care
technologies and health
promotions
Assesses the extent to which
current patient care
technologies improve health
promotion for selected case
and supports claims with
scholarly evidence
Assesses the extent to which
current patient care
technologies improve health
promotion for selected case,
but does not support claims
with scholarly evidence
Does not assess the extent to
which current patient care
technologies improve health
promotion for selected case
5.75
Intervention: Extent
Meets “Proficient” criteria and
demonstrates keen insight into
the use of patient care
technologies as a patient safety
intervention
Accurately assesses the extent
to which current patient care
30. technologies assist in
decreasing medication errors
and improving patient safety
for selected case
Assesses the extent to which
current patient care
technologies assist in
decreasing medication errors
or improving patient safety for
selected case, but with gaps in
accuracy or detail
Does not assess the extent to
which current patient care
technologies assist in
decreasing medication errors
and improving patient safety
5.75
Evaluation: Identify
Meets “Proficient” criteria and
draws nuanced connections
between concepts
Comprehensively identifies
appropriate measures for
determining success of plan of
care and substantiates claims
with scholarly evidence
Identifies measures that are
not appropriate for
31. determining success of plan of
care or identification lacks
detail, or does not substantiate
claims with scholarly evidence
Does not identify measures for
determining success of plan of
care
4.5
Evaluation: Evaluate
Meets “Proficient” criteria and
cites specific, relevant
examples to establish a robust
context for the evaluation
Evaluates plan of care and
proposed nursing interventions
for selected case in terms of
identified outcome measures
and justifies rationale with
scholarly evidence
Evaluates plan of care and
proposed nursing
interventions, but does not
address identified outcome
measures or does not justify
rationale with scholarly
evidence
Does not evaluate plan of care
and proposed nursing
32. interventions
4.6
Articulation of
Response
Submission is free of errors
related to citations, grammar,
spelling, syntax, and
organization and is presented
in a professional and easy-to-
read format
Submission has no major errors
related to citations, grammar,
spelling, syntax, or organization
Submission has major errors
related to citations, grammar,
spelling, syntax, or organization
that negatively impact
readability and articulation of
main ideas
Submission has critical errors
related to citations, grammar,
spelling, syntax, or organization
that prevent understanding of
ideas
4
Earned Total 100%