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Role of a clinician who is building a health history

Take on the role of a clinician who is building a health history
Case 1

Chief Complaint ” came for my annual physical , but do not want to be a burden to my daughter.”

The illness’s past and present (HPI) Asian man, 86 years old, who is at risk; he is financially and physically dependent on his daughter, a single mother with few resources to meet her father’s medical demands.

prior medical history
Chronic prostatitis, hypertension (HTN), GERD (gastric reflux illness), and b12 deficiency

Cholecystectomy PSHS/PMedication HxCurrent: 100 mg of Cipro day, 20 mg of Prilosec daily, monthly B12 injections, and 10 mg of Lisinopril daily.

Allergies: none

Family Hx
Review of Systems (ROS)

General
+ weight loss of 25 lbs over the past year; no recent fatigue, fever, or chills. 

Head, Eyes, Ears, Nose & Throat(HEENT)
No changes in vision or hearing, no difficulty chewing or swallowing. Neck
No pain or injury Respiratory
CV
GI
GU
no urinary hesitancy or change in urine stream Integument
multiple bruises on his upper arms and back. 

MS/Neuro
+ falls x 2 within the last 6 months; no syncopal episodes or dizziness 

PE
B/P 188/96; Pulse 89; RR 16; Temp 99.0; Ht 5,6; wt110; BMI 17.8 

General
HEENT
Atraumatic, normocephalic, PERRLA, EOMI, arcus senilus bilaterally, conjunctiva and sclera clear, nares patent, nasopharynx clear, edentulous. 

Lungs
CTA AP&L Card
S152 without rub or gallop

 Abd
benign, normoactive bowel sounds x 4 GU
Ext
no cyanosis, clubbing or edema Integument
multiple bruises in different stages of healing – on his upper arms and back. MS
Neuro
No obvious deformities, 

CN grossly intact II-XII
answer the following questions:

  1. Discuss the specific socioeconomic, spiritual, lifestyle, and other cultural factors related to the health of the patient you selected.
  2. Utilizing the five assessment domains, which ones would you utilize on your patients in conducting a comprehensive nutritional assessment.
  3. Discuss the functional anatomy and physiology of a psychiatric mental health patient. Which key concepts must a nurse know in order to assess specific functions?

Submission Instructions:In 500 words, formatted and cited in current APA style with support from at least 2 academic sources within 5 years.

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building an executable monetary conversion program

The Final Project consists of building an executable monetary conversion program to be submitted by the final day of the course.
 

Focus of the Project
For the program, you will write a utility that converts dollars to coins. It is a simple program that must have the following:

· Multiple outputs to the screen

· At least one input

The use of integers and strings

· Looking or repetition with Do..While, If..Else

· Must have some output text to show correct value of coins that would be converted from the dollars.

· Code must include comments explaining your reason for the code section or what the code is doing

· Code must compile Whole dollars only. If value is less than 1 or 0, the program should break or exit.

 

Turn in your source code (.cpp file) to your instructor with your filename including your first and last name and your compiled executable.

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BUILDING WORKPLACE RELATIONSHIPS

Case BUILDING WORKPLACE RELATIONSHIPS Assignment Overview

In this assignment you are an applicant who has been asked the following question during a job interview for a supervisory/management position:

Tell me about a time you had to deal with a conflict and discuss its outcome.

In your video, describe what led to your involvement in the conflict, what actions you took to resolve the situation, the results of your actions, and what you will do differently when faced with the same situation in the future.

After watching and reflecting upon the video below, prepare your response following the principles learned in this video.

  • Prepare a 5- to 6-minute video of you responding to that question.
  • Also prepare a 2- to 3-page outline of how you addressed the ideas found in the video. Include a Reference list of at least two sources you utilized to prepare your submission. At least one of these references must be a high-quality (peer-reviewed academic journal) reference found in the Trident Online Library.

Here is a sample of what a basic outline looks like

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How would your communication and interview techniques for building a health history differ with each patient?

For advanced health assessment, To prepare:
With the information presented in Chapter 1 of Ball et al. in mind, consider the following:
By Day 1 of this week, you will be assigned a new patient profile by your Instructor for this Discussion. Note: Please see the “Course Announcements” section of the classroom for your new patient profile assignment.
How would your communication and interview techniques for building a health history differ with each patient?
How might you target your questions for building a health history based on the patient’s social determinants of health?
What risk assessment instruments would be appropriate to use with each patient, or what questions would you ask each patient to assess his or her health risks?
Identify any potential health-related risks based upon the patient’s age, gender, ethnicity, or environmental setting that should be taken into consideration.
Select one of the risk assessment instruments presented in Chapter 1 or Chapter 5 of the Seidels Guide to Physical Examination text, or another tool with which you are familiar, related to your selected patient.
Develop at least five targeted questions you would ask your selected patient to assess his or her health risks and begin building a health history.

DISCUSSION CASE PATIENT: 21-year-old Filipino college student living in a dorm wanting to know what birth control is:
For advanced pharmacology,Post a description of the patient case from your experiences, observations, and/or clinical practice from the last 5 years. Then, describe factors that might have influenced pharmacokinetic and pharmacodynamic processes of the patient you identified. Finally, explain details of the personalized plan of care that you would develop based on influencing factors and patient history in your case. Be specific and provide examples

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What do you think are the primary hazards that might be faced within this building?

 Illustrate Forces Upon Buildings

Review the scenario below and write a 1- to 2-page paper (excluding title page and reference page) that illustrates how forces and loads act upon buildings. This assignment will require outside research.

Scenario: While conducting a pre-fire plan at a furniture and appliance store of heavy timber construction, you notice that heavy appliances are stored on the second floor of the structure. You also notice that the roof of the building is being renovated.

  • What do you think are the primary hazards that might be faced within this building?
  • How would the forces and loads of furniture and appliances act upon the building?
  • How does the composite material of construction affect the building in this scenario?
  • Discuss how forces loads may be transmitted.

Note: This assignment will require outside research. Include three references (two credible outside sources and the textbook). Discuss how you evaluated the credibility of the outside sources used. You may consult the Library, the internet, the textbook, other course material, and any other outside resources in supporting your task, using proper citations and references in APA style

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Building a Health History

Discussion: Building a Health History

Effective communication is vital to constructing an accurate and detailed patient history. A patient’s health or illness is influenced by many factors, including age, gender, ethnicity, and environmental setting. As an advanced practice nurse, you must be aware of these factors and tailor your communication techniques accordingly. Doing so will not only help you establish rapport with your patients, but it will also enable you to more effectively gather the information needed to assess your patients’ health risks.

For this Discussion, you will take on the role of a clinician who is building a health history for a particular new patient assigned by your instructor.

to prepare:

USE THIS LINK FOR REQUIREMENT READINGS The History and Interviewing Process | Nurse Key. TO COMPLETE THIS Assignment

SCENARIO TO USE TO COMPLETE THE ASSIGNMENT:

55-year-old Asian female living in a high-density public housing complex

With the information presented in Chapter 1 of Ball et al. in mind, consider the following:

By Day 1 of this week, you will be assigned a new patient profile by your Instructor for this Discussion. Note: Please see the “Course Announcements” section of the classroom for your new patient profile assignment.

How would your communication and interview techniques for building a health history differ with each patient?

How might you target your questions for building a health history based on the patient’s social determinants of health?

What risk assessment instruments would be appropriate to use with each patient, or what questions would you ask each patient to assess his or her health risks?

Identify any potential health-related risks based upon the patient’s age, gender, ethnicity, or environmental setting that should be taken into consideration.

Select one of the risk assessment instruments presented in Chapter 1 or Chapter 5 of the Seidel’s Guide to Physical Examination text, or another tool with which you are familiar, related to your selected patient.

Develop at least five targeted questions you would ask your selected patient to assess his or her health risks and begin building a health history.

By Day 3 of Week 1

Post a summary of the interview and a description of the communication techniques you would use with your assigned patient. Explain why you would use these techniques. Identify the risk assessment instrument you selected and justify why it would be applicable to the selected patient. Provide at least five targeted questions you would ask the patient

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Tips for Building a Successful Sales Compensation Plan

 After reviewing the  blogs and videos answer the following:

You are provided with a scenario below.  As a group make a recommendation for the best approach for sales compensation plan based on what little information has been provided:

Scenario #1:  In the midst of the pandemic you work for a restaurant in New York City who is trying to keep their doors open.  Currently there is only curbside pickup available.  You need to increase the number of pickup orders and you challenge the staff to come up with ideas and incentives to do so.  What is their plan?

Paper length should be 3 to 4 pages in length using APA formatting and should include a cover page and reference page with a minimum of 3 resources used.  The cover page and resource page are not included in the page count.  See this reference for more details on APA style.  All papers in this course must be submitted using MicrosoftWord. PDFs will not be accepted.

Blog: Tips for Building a Successful Sales Compensation Plan

Link: https://www.lucidchart.com/blog/sales-compensation-plan

Video Links: 

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Your company is interested in bidding for a commercial building project

Your company is interested in bidding for a commercial building project (you can choose any location). Use the hint below to estimate all job overhead and assumed home office overhead costs for that project. Please note that DRAWINGS ARE PROVIDED FOR YOUR REFERENCE ONLY and you will not need to use all of them for this assignment. The site plan will provide an overview of the project that is helpful to plan for some of the temporary facilities. The duration of the project is 2 years. You can make assumptions on the annual revenue of your company.

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Your company is interested in bidding for a commercial building project

Your company is interested in bidding for a commercial building project (you can choose any location). Use the hint below to estimate all job overhead and assumed home office overhead costs for that project. Please note that DRAWINGS ARE PROVIDED FOR YOUR REFERENCE ONLY and you will not need to use all of them for this assignment. The site plan will provide an overview of the project that is helpful to plan for some of the temporary facilities. The duration of the project is 2 years. You can make assumptions on the annual revenue of your company.

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Building the Better Mouse

Complete a response to the case study below Building the Better Mouse.

In your case analysis, be certain to answer the following questions:

1.   What is the role of a facilitator in this type of meeting?

2.   Describe some of the key tools that a facilitator can use to gain group alignment.

3.   Why do you think the room was filled with only Design Engineers? What should

     be done about this situation?

4.   Describe some of the tools that would allow this group to gain a better

understanding of what the customer would want. How could this group use this information to build a better computer mouse? Why is this important?

Building the Better Mouse

You are sitting in on a meeting with the Acme Corp. new product

development team. The team is comprised entirely of design engineers and

is meeting in the engineering conference room. The team leader is the Chief

Design Engineer, Michael Carroll, who invited you to sit in today.

Michael addresses the team. ‘‘We’ve been tasked with designing a new

mouse to sell with the next generation of personal computers. We have six

months to have working prototypes ready to present to marketing and three

months after that to have the new mouse in production. It’s a very aggressive

schedule—we have no time to waste. Let’s start by brainstorming ideas for

the mouse. Please be as innovative as possible.’’ Michael stepped to the white

board prepared to write all of the ideas that emerged from the meeting.

Ideas began to surface:

‘‘Why does a mouse have to have only 2 buttons and a scroller? Why not

add an additional button for the thumb that can be programmed to

serve as a function key?’’

‘‘Why not make the mouse available in many colors rather than just the

drab black, grey, and off-white?’’

‘‘Why not send power to the mouse using RF rather than using a battery?’’

‘‘Why do we need a mouse anyway? Why not implant a chip into users’

index fingers?’’

‘‘Let’s make the mouse a glove. Just move your fingers to move the

cursor.’’

As the ideas were offered, Michael wrote them on the white board. After

about 30 minutes the flow of ideas had about stopped. There were a total of

28 ideas generated. Michael divided them loosely into categories: electrical;

physical; functional. He asked the team to divide themselves into three groups

along functional lines and each group to select a category to develop further.

‘‘Please pay particular attention to technical feasibility and manufacturing

costs when you evaluate the ideas. Let’s plan to meet again in two weeks

with each group giving a report on their ideas. We’ll try to narrow the ideas

down and start rough prototyping the most promising ideas.’’

After the meeting, Michael asked you for comments about the process

he is using to design the new mouse. What comments and suggestions would

you make to Michael?

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