A 45 year old female presents with the chief complaint of fatigue.
What are the differential diagnoses?
Upon physical exam you note pallor of her nailbeds and tongue and mild tachycardia.
What is the most likely diagnosis?
How can you confirm or deny your diagnosis?
What is the treatment plan, include medications, lifestyle modifications, and follow up labs
Throughout the semester, you have learned about several theories and practices related to human sexuality and sexual health. This assignment will give you an opportunity to apply some of those major concepts, theoretical perspectives, and empirical findings. In completing this assignment, you will hone your critical thinking skills, recognizing and applying psychological principles, and communicating your understanding of individual, community, and organizational life experiences to a general audience.
Task:
This assignment will enable you to critically analyze the sexual health of a fictional character in popular culture – television, films or literature.
Step 1:
Select a fictional TV, movie, or literary character who will serve as a case study and analyze their sexual health, based on the criteria below.
Step 2:
Review the SIECUS guidelines for sexual health (below):
LIFE BEHAVIORS OF A SEXUALLY HEALTHY ADULT
A sexually healthy adult will:
In human development
In relationships
In personal skills
In sexual behavior
In sexual health
Source: SIECUS (2005). Guidelines for Comprehensive Sexuality Education: Kindergarten -12th Grade, 3rd Ed. New York, NY: SIECUS.
Step 3: For each one of the criteria from the SIECUS list determine whether or not the character displays that behavior and think of an example from the film, book, or television show that illustrates your determination regarding that criteria. You must discuss at least one aspect from each of the six categories on the SIECUS list.
Step 4: Review writing resources, write an outline, write a thesis statement, write an introduction, and integrate information via summarizing, paraphrasing, or, as necessary, directly quoting sources, all with proper attribution.
Step 5:
Write a 1,200 to 1,500 word paper (about 5 double-spaced pages), not including title and reference page which should be written in APA style, and submit it to your assignment folder.
Tip: Begin with a brief synopsis discussing the character or issues that arise in the book, film, or television show to give context to the reader. Next, integrate the criteria you have chosen and discuss how they are related. From your synopsis, you can then formulate a thesis statement and craft an outline that will be the basis of your paper. Once a draft has been written, you may want to contact the Effective Writing Center for feedback.
Checklist of expectations
In order to be successful on this paper, be sure that you address all of the following:
__ Support your ideas with citations from the course readings or your peer-reviewed resource(s)
__ Be sure that your ideas are put together in a coherent and logical way
__ Be creative in enhancing your topic
__ Write an introduction that previews your main points
__ Be sure the body of the paper develops and elaborates your ideas
__ Include a conclusion that summarizes your main points
__ Proofread carefully to ensure that your paper is free of misspellings and typos
__ Proofread carefully to ensure that your paper has proper sentence structure
__ Include a cover page, references and citations in APA style
Each reply should be 100 words count.
Please review Chapter 4’s section concerning Porter’s 5 Forces, read the Forbes article Porter or Mintzberg: Whose View of Strategy Is the Most Relevant Today? (Links to an external site.) (Moore, 2011) and view the required You Tube video Five Competitive Forces That Shape Strategy (Links to an external site.), regarding Porter’s five forces. In the video, Mr. Porter discusses how Porter’s Five Forces Analysis is an important tool for assessing the potential for profitability in an industry. As an example, Mr. Porter applied these five forces to the airline industry. Think of another industry where profitability is low. In an initial post of at least 250 words, apply the five forces to your chosen industry and demonstrate how those forces can lower profitability.
Guided Response: Respond to at least two of your fellow students’ posts in a substantive manner and provide recommendations to extend their thinking. Support your position by using information from the week’s readings or examples from current events and/or other scholarly or credible resources, using the Scholarly, Peer Reviewed, and Other Credible Sources (Links to an external site.) table for guidance. Properly cite any references.
On April 18, 2016, The United States Supreme Court denied a petition for certiorari (refused to review the lower court’s ruling) in the case of Authors Guild v. Google, Inc., 804 F. 3d 202 – Court of Appeals, 2nd Circuit 2015.
Tell me what you would do if you were the Supreme Court.
That case let stand the ruling of the Court of Appeals which can be found at the following website:
Please write a 500-word summary of fair use as this court decision says it. In APA format with citations and references must.
Write a research paper that explains how Information Technology (IT) promotes getting people who are affected by policies involved in the policy-making process. Cite specific examples.
Remember that this paper, including the list of sources, must be in APA format, and MUST cite references in the body of the paper using APA in-text citation format. A source is any paper or article that you will reference in your paper.
Requirements:
If you are not sure how to identify peer reviewed papers or articles, please visit the following resources:
APA formatting guidelines:
Growing up on the North Side of Minneapolis, I know what it means to struggle. I’ve been homeless, spending school nights sleeping on park benches. I’ve been hungry, not knowing where my next meal would come from. I know what it means to have to work to support your family when you need to be focusing on school. And I know that other kids shouldn’t have to face these struggles. Every child in America should be able to focus on learning, growing, and just being a kid.
Did you know it’s been 20 years since there was a question about how to address child poverty in a presidential debate? But a child is born into poverty every minute in this country. Those children will face hunger, homelessness, illness, violence and toxic stress. And those children deserve answers about how the next president of the United States is going to make sure they get a fair shot at a better life.
Ignoring this issue on the national debate stage sends a signal that children living in poverty are not a priority. To fix the problem, we need to put a spotlight on it.
That’s why I’m calling for a question in the presidential debates about child poverty. I want to know what the next president is going to do to make sure the next generation won’t struggle like I did. Will you join me?
1. Read the Canterbury Tales, paying special attention to the Prologue. You need to look for some sort of physical object in the book that you might find intriguing or puzzling. This object could be anything such as clothing, weapons, hats, modes of transportation, locations, job descriptions, landmarks, animals, eating utensils, books, musical instruments, and so forth. It should be something a character in the book would touch, smell, hear, taste, or see.
2. Find two articles about this object. Do not use Wikipedia articles.
3. After finding and reading the articles, write a paper that addresses the object and characterizes the two articles. I recommend the following format:
Paragraph 1: (Introduction) Identify the object and how it fits in the book.
Paragraph 2: Describe the first article and where you found it. Does it give helpful information on the object? Report on the characteristics of the article such as who wrote it, if the authors have any affiliations or experience that make them experts on the subject, what sources did the authors use to write the article, and in what sort of publication does the article appear? After looking at these details, determine if this article is peer reviewed and therefore may qualify as a scholarly article or not, and if the information is scholarly or not.
Paragraph 3: Repeat the above process for the second article
Paragraph 4: (Conclusion) Explain how the articles help you better understand the object and the book. Was one article more helpful than the other, and why do you think that?
Citation: Please use MLA style footnotes for this paper, especially when you use direct quotes or specific paraphrasing from the books or articles.
Please follow the soap note template provided:
Title page – including the identified case study name and number
1. Learning Issues – what do you need more information in order to develop a plan? If so, what information do you need or want? (Can be bullet points)
1. Example – Chest Pain
1. How do you evaluate a patient with a history of chest discomfort and risk factors for heart disease?
2. What are the laboratory findings that are important to look for with someone with chest discomfort?
* How do you manage abnormal lipids?
1. What lifestyle changes are important to recommend to reduce cardiac risk
2. Interpretation of Cues, Patterns, and Information – symptoms analysis and identification of any missing data that would helpful in making a plan for care (Can be bullet points)
1. Example – Chest pain
1. Chest discomfort – musculoskeletal vs gastrointestinal vs cardiac vs respiratory?
2. What labs are missing that would assist in the planning process for this patient?
* Family history that could increase risk of cardiovascular disease
1. Psychosocial issues – caffeine intake, smoking, ETOH use, or working history
2. Differential Diagnoses – include 3 differential diagnoses including ICD-10 codes (Can be bullet points)
1. Example – Chest pain
7. Precordial Pain – R07.2
8. Acute Myocardial Infarction – I21.9
* Gastroesophageal Reflux Disease without esophagitis– K21.9
4. Diagnostic Options – what additional laboratory work, diagnostic testing, or possible referrals may be required? (Can be bullet points)
5. Final Diagnosis – what is the most probable cause of the patient problem?
6. Therapeutic Options – this is related to your final diagnosis (Paragraph Form or Bullet Points)
1. Pharmacological
2. Nonpharmacological
3. Educational
4. Social Determinants of Health
7. Follow up – when should this patient return to the office? What conditions would need earlier follow up? (Paragraph Form)
8. References page (APA Format)
Case 16
1:30 PM
Jerome Wilson
Age 47 years
Opening Scenario
Jerome Wilson is a 47-year-old man on your schedule for a follow-up visit. He had an annual examination six months ago with elevated lipid levels. At that time, you recommended that he start lipid-lowering medication. Rather than using medication, Mr. Wilson preferred to try to improve his lipids by working on lifestyle changes for six months. He was started on a heart-healthy diet and an exercise and stress management plan. The results of his lipid profile drawn six months ago, as well as other tests ordered, are shown in Table 16-1 and Table 16-2.
Notes of Jerome Wilson’s Visit Six Months Ago
Reason for Visit
Jerome Wilson is a 47-year-old man scheduled for a complete physical examination. It has been three years since his last physical with you.
History of Present Illness
“I am planning to increase my exercise level by joining a local fitness club. I thought it would be a good idea to schedule a physical before doing this. I feel fine and have not had any change in my health.”
Medical History
No hospitalizations or surgery. Seen twice in the past for bursitis of the left shoulder, which required steroid injections. No hypertension, coronary artery disease (CAD), or diabetes mellitus.
Family Medical History
Mother: 71 years old (hypercholesterolemia, surgery at age 65 for vascular occlusion in the leg)
61
Father: 71 years old (Alzheimer’s disease for three years)
Sister: 47 years old (current diagnosis of breast cancer)
Grandparents: All died many years ago; he does not know causes of death
Social History
Lives with wife and three children, ages 3, 8, and 12. Works as a certified public accountant in a large accounting firm. Nonsmoker for 15 years. Four drinks of alcohol per week. Three cups of coffee per day. Golfs two to three times a week in good weather.
Medications
None
Allergies
NKDA
Review of Systems
General: States energy level is good; sleeps well; feels healthy but stressed keeping up with family and work responsibilities
Integumentary: Dry, itchy areas on scalp
HEENT: Denies problems with hearing; recently began to use reading glasses; sees dentist regularly
Respiratory: Denies any chest pain, shortness of breath, cough, or dyspnea on exertion
Gastrointestinal: No heartburn, nausea, abdominal pain; occasional constipation with occasional painful hemorrhoid; no rectal bleeding
Genitourinary: No dysuria, frequency, hesitancy, nocturia
Musculoskeletal: No current joint pain, but occasionally (every few months) notes transient joint pain in knees, wrists, and fingers; uses aspirin or acetaminophen when needed with good relief of symptoms
Neurological: No headaches; denies depression, memory changes
Physical Examination
Vital signs: Temperature 98.0° F; pulse 72 bpm; respirations 16/min; BP 136/74 mm Hg
Height: 5 ft 8 in; weight: 160 lb; BMI: 24
Ge
200 words for each assignment.
Assignment 1
A decision by Microsoft to purchase Nokia cell costs Microsoft $7.6 billion dollars.
Do you think Microsoft’s decisions to purchase firms make sound economic sense? Why or why not? Please explain your answer by incorporating materials from Chapters 5, 6, and 7.
Assignment 2
A host of best-selling books advance the thesis that increases in conglomerate mergers and concentration of U.S. industry are responsible for “obscene profits.”
Do you agree or disagree? Defend your choice. Explain, using the Lerner Index.
There were no geologists alive when the Bright Angel shale layer formed. However, scientists have been able to determine that this rock formed near the shore of an ocean. What evidence could geologists use today to find out about this ancient rock layer? Enter your answer in the space provided.