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Week 9

CASE STUDY 1: Headaches

A 20-year-old male complains of experiencing intermittent headaches. The headaches diffuse all over the head, but the greatest intensity and pressure occurs above the eyes and spreads through the nose, cheekbones, and jaw.

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.


Some Information may need to be make up.

Week 9

S.O.A.P. Note Template CASE ID# ____________________________
Subjective
Objective
Assessment (diagnosis [primary and differential diagnosis])
Plan (treatment, education, and follow up plan)

C
h

ie
f

C
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p

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What brought you
here today…(eg.
headache)

Chest pain

H
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to
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o
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P
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Il
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Chronological order of events, state of health before onset of CC, must include OLDCARTS in paragraph form

Onset Mr. Foster complaining of chest pain that initially began a month ago but
reoccurred 5 minutes ago. He rates his pain at 6/10. He reports the pain is
localized to the sub-sternal region and describes it as “squeezing pressure.”
He reports the pain is constant and increasing in severity. He denies
radiation but reports some pressure in the left shoulder as well. He reports
the pain was accompanied by nausea at the onset. Chest pain is relieved
when patient sits down. The patient reports becoming increasingly
anxious.

Location
Duration

Character
Aggravating/associated

factors
Relieving factors

Temporal factors – other
things going on

Severity

P
a

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t

M
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d
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a
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H
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to
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Adult Illnesses,
childhood illnesses,
immunizations,
surgeries, allergies,
current medications

Hypertension – stage II, hyperlipidemia, no surgical history,
flu given during flu season, TDAP 2014
Lopressor 100mg po Q day
Lipitor 20mg po at bedtime 10pm
Omega 3 fish oil 1200mg po BID

F
a

m
il
y

H
is

to
ry

Include Parents,
siblings;
grandparents if
applicable/known,
cause of death,

Mother : hypertension, type 2 diabetes, age 80
Father :obesity, hypertension, hyperlipidemia, died of colon cancer at 75 years
Sister : type 2 DM, hypertension, age 52 years old
Brother : died in MVA at 24 years old
Paternal grand mother : died at age 78 of pneumonia

P
e

rs
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a

l/
S

o
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ia
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H
is

to
ry

Education, marital
status, occupation,
alcohol/drug use,
smoking status,
sexual history if
relevant, exercise,
nutrition, religious
preference if known

Denies use of tobacco, denies use of cocaine, heroin, marijuana and
any illicit drugs. Uses alcohol 2-3 beer per week

R
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v

ie
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o
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S
y
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te
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General: No fever, chills and fatigue
Hair, Skin, & Nails: No rash

Head: No dizziness,LOC, or headache
Neck:
Eyes: Negative for vision, no use of glasses
Ears: Negative for hearing loss, bil ear pain, bulging tympanic membrane, negative for vertigo, negative for tinnitus
Nose: Negative for loss of smell, nasal congestion and nasal drainage

Mouth & Throat: Sore throat, tonsils + 2, and redness
Cardiovascular:

Respiratory:
Breasts:

Gastrointestinal:
Musculoskeletal:

Peripheral:
Neurological:

Psychiatric:

This study source was downloaded by 100000830998373 from CourseHero.com on 04-17-2022 16:07:32 GMT -05:00

https://www.coursehero.com/file/74051884/SOAP-NoteTemplate-Brian-Foster-chest-paindocx/

P
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Vital signs: 146/88, 98%, 19, 36.7, 104,

General Appearance:
Well developed, 58 year old Hispanic man, no respiratory distress, well-nourished and developed, good eye
contact

HEENT:
Head is Norma cephalic, no scalp or sinus tenderness, eye conjunctiva is pink, PERRLA, bilateral ears
bulging erythematous tympanic membranes, tonsils is enlarged + 2 and redness noted.

Neck: Trachea is midline, thyroid is not palpable, no carotids bruits.
Lymph Nodes: No cervical or axillary lymphadenopathy

Chest: Breast sound clear and equal without adventitious sounds.

Cardiac:
Regular heart rate 104 bpm, S1/S2 with regular rhythm, no murmurs, rubs or clicks present, chest pain 6/10
6/10

Abdomen: No distention, , no tenderness to palpation, bowel sound x 4 quad.
Genitourinary: Bowel and bladder continent

Skin: Skin is warm and dry
Musculoskeletal: Able to move all extremities

Neurologic: Cranial nerves II- XII grossly intact
Psychiatric: AOX4,mood and thoughts appropriate to situation, no evidence of disordered thinking

A
s
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s
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Primary diagnosis:
Coronary artery disease with stable angina

Differential Diagnosis: GERD, PERICARDITIS, AORTIC ANEURYSM, CHF

P
la

n

1. Cardiac enzymes : CBC, BNP, AIC, LIPID PANEL, LFT

2.
ECHO, STRESS TEST, CAROTID DOPPLER, CARDIAC CONSULT,12
LEAD ECG, XRAY,NITRO FOR CHEST PAIN

3. May return to clinic if symptoms worsens or go to the nearest ER

This study source was downloaded by 100000830998373 from CourseHero.com on 04-17-2022 16:07:32 GMT -05:00

https://www.coursehero.com/file/74051884/SOAP-NoteTemplate-Brian-Foster-chest-paindocx/
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Week 9

This assignment is designed to help you begin work on your Applied Ethics assignment is due in Week 9. In this assignment, you will create an outline of what you will be writing . An outline is a tool used to organize your thoughts. You do not need to flesh out all your ideas, but briefly state your ideas along with supporting details that you will use in your final .

Begin by reading through the cases included below these instructions (there are four to choose from). Select one that interests you, and choose one of the moral questions to respond to. Then, develop an outline that you will use to structure your final 

Your outline must include the following:

• Briefly state a clear position on the moral question presented.

• List relevant facts of the case.

• Identify clarifying concepts you will use to analyze the case.

• Describe an ethical standard pertinent to the case.

• Include at least four references with proper SWS citation and explain how the information in that reference is relevant to your position. At least two of these sources will be from your textbook and other course materials.

See Sample Outline for an example of how this might look.

This course requires the use of Strayer Writing Standards. For assistance and information, please refer to the Strayer Writing Standards link in the left-hand menu of your course.

The specific course learning outcome associated with this assignment is:

• Analyze how ethical standards impact moral decision making.

Case Study: Criminal Justice

USA PATRIOT Act and Academic Freedom (1)

A senior at the University of Massachusetts, Dartmouth, was visited at his parent’s home by federal agents after he requested a copy of The Little Red Book, Mao Tse-Tung’s book on communism. The student who requested the book through the university library’s inter-library loan was doing a research paper on communism for a class on totalitarianism and fascism. The two agents who came to his home said the book was on a “watch list” and that the student’s background, which included “significant time abroad,” prompted them to investigate.

His professor told reporters that he suspected that there is a lot more monitoring of student and faculty activities by federal agents than most people realize. The professor also reconsidered a class that he was going to teach on terrorism because he feared it might put the students at risk. “I shudder to think of all the students I’ve had monitoring al-Qaeda websites, what the government must think of that,” he said. “Mao Tse-Tung is completely harmless.”

The USA PATRIOT Act overrides library confidentiality laws. The Department of Homeland Security has the authority to monitor college students’ and professors’ library borrowing records, Internet records, and e-mails, as well as international travel and phone calls. In addition, librarians are bound by a gag order. Once records are requested, librarians are not allowed to tell the person who is under investigation.

Several libraries have protested the PATRIOT Act. Librarians in Santa Cruz, California, for example, are shredding library records daily. Libraries in some other states are posting warning signs and passing out leaflets. The American Library Association passed a resolution calling sections of the PATRIOT Act a danger to constitutional rights.

Question: Should the PATRIOT Act infringe on people’s freedom of speech?

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    Week 9

    If you are taking this job please make sure you will do it correct. Thank you  Add 5 references/ citations no older than 5  years 

    Week 9

     

    Week 9 Assignment – Applying Legal Knowledge to Business Organization, Agency, Liability, and Contracts.

    Introduction

    In this assignment, you will make determinations for each of the scenarios provided below. Read the scenarios, answer the three questions that follow in a 2–4 page paper, and include at least two academic sources to support your decisions and rationale.

    Scenarios

    1. Otis Owner loves to bake cookies. Everyone loves his cookies, and his friends recommend that Otis open his own shop. Otis likes the idea, and after saving some money, decides that he will open his own business. Otis is familiar with sole proprietorships, limited liability companies, and corporations, but he is unsure which option would be best for his business.Consider the scenario and answer the following question:

    • Determine if Otis should select a sole proprietorship, limited liability company, or corporation. Explain why the form of business organization selected is the best for Otis.

    2. Otis hires Kelly Kleaner to help in his shop. Kelly enjoys the job, is always on time, and is happy with the hourly pay. Otis, however, is concerned about his liability if Kelly injures someone while working at his business. After Kelly mopped the floor one day, Doug Driver shows up to deliver a package and slips on the wet floor. Doug breaks his leg. Consider the scenario and answer the following questions:

    • Determine if Otis is responsible for the injuries suffered by Doug Driver. Explain the elements of an agency relationship as they relate to the scenarios in your response.

    3. Otis is looking to expand his business. He has the opportunity to make sugar-free cookies using a new artificial sweetener. The sweetener is very inexpensive and would increase Otis’ profit margin. However, there are some health concerns about the artificial sweetener and studies show that it may cause cancer. Otis would like to increase his profits, but he is concerned about the health risks of using the artificial sweetener.Consider the scenario and answer the following question:

    • Should Otis use the artificial sweetener? Discuss both the financial and ethical implications of Otis’ decision.

    Instructions

    In a 2–4 page paper, answer the three questions relating to the scenarios. Be sure to cite your sources and include a reference page with at least two (2) academic sources.

    • Academic sources can also be called scholarly sources. The sources may be books,  journal articles, and published expert reports. Academic sources have been peer-reviewed, which means they have been reviewed by experts on those topics.

               Note: The reference page is not included in the required page count.This course requires the use of Strayer Writing Standards. For assistance and information, please refer to the Strayer Writing Standards link in the left-hand menu of your course.In addition to your textbook, you have access to Nexus Uni through the Strayer University Library. Please take advantage of this excellent legal resource!The specific course learning outcome associated with this assignment is:

    • Analyze legal and ethical issues for a business based on the events in a given scenario.
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      Week 9

       

      This week, you are learning about the role of IT, including management, governance, and security.

      • Identify two specific IT-related risks in computerized accounting information systems.
      • Propose a strategy that might be implemented to mitigate or eliminate each selected risk. Be sure to effectively support your rationale
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        week 9

        Week 9 Reflection Post Prompt:  Reflect and give at least two (2) examples of each on how you think you have met three (3) of your role specialization competencies or standards.

        NONPF Competencies for MSN FNP & AGPCNP

        • Competency 1 – Scientific Foundations Competencies 
        • Competency 2 – Leadership Competencies 
        • Competency 3 – Quality Competencies 
        • Competency 4 – Practice Inquiry Competencies 
        • Competency 5 – Technology and Information Literacy Competencies 
        • Competency 6 – Policy Competencies 
        • Competency 7 – Health Delivery Systems Competencies 
        • Competency 8 – Ethics Competencies 
        • Competency 9 – Independent Practice Competencies 

        Post your reflection in 150 to 200 words. No references required.

        Week 9

        One of the major components of teaching social studies and history is teaching students how to analyze information and think critically about sources. 

        • Describe at least three ways that technology has changed the way we perceive the world and share information.
          • How do you think these affect our students? Do you think these changes benefit or hinder student learning? 

        Week 9

         Explain Martha Roger’s Theory, name it, and how does it apply to your nursing practice? APA format, minimum of 150 words, and 2 APA references.
         

        Week 9

        Apart from suffering from recurrent and prolonged infections, Marie Curie also experienced the following signs and symptoms: fatigue, rapid heart rate, pale skin, easy bruising, prolonged bleeding from cuts, and dizziness. Bone marrow transplant was not an option at that time and so blood transfusion was the treatment of choice.

        week 9

        Create an Agency Presentation in Microsoft PowerPoint. The presentation should have a voiceover audio component and be 6 slides, including a title slide and reference slide. The remaining slides should include the following:

        · The demographics of the clients served by the agency and the diversity of the agency and its clients

        · The percentage breakdown of funding, including grants, private funding, faith-based sources, and public sources

        · A description of how the agency interacts with the community or its role in the community

        · An explanation of the agency’s mission statement and how that connects to a social problem

        For the slides in the final Agency Presentation, be sure to provide significant detail from field education experience, including relevant examples, evidence from the readings and other sources, and discerning ideas that draw connections between the points and each slide.

        For the voiceover, also provide context for the slides and draw connections between the slides as needed. Be concise.

        Submission and Grading Information

        To submit your completed Assignment for review and grading, do the following:

        · Please save your Assignment using the naming convention “WK9Assgn+last name+first initial.(extension)” as the name.

        · Click the Week 9 Assignment Rubric to review the Grading Criteria for the Assignment.

        week 9

        Janny

        1. I portrayed Jan Klein, a nurse, in the research simulation exercise. Throughout the simulation, Jan Klein portrayed an overworked and stressed-out nurse. The nurse attempted to handle as much as possible under all circumstances, but she was unable to accomplish much on her own due to a staffing deficit. I admired how my character approached her manager when she became overwhelmed and realized she couldn’t continue working alone; it demonstrated that she acknowledged her limitations and understood that continuing to work alone would be hazardous to her health.

        However, I feel the nurse should have communicated her stress and overburden to her supervisor sooner. If the nurse had communicated her stress earlier, she might have managed it better and minimized patient dissatisfaction. Additionally, before approaching a higher-up, I would speak with Dr Sowers about my concerns and stress to see if he might assist. I’m guessing he feels the nurse and him are being dishonest since she went over the PI’s head. Nurse Jan Klein had a colleague, but the two of them struggled to communicate and collaborate well.

        Teamwork is critical in inpatient care in order to provide patients with the resources and services they demand. Working under pressure may result in a cascade of blunders; in this situation, Nurse Klein should have requested assistance from a coworker and expressed her anxiety. Honesty, trust, responsibility, and leadership are all critical in the profession of healthcare. Nurses must adhere to high ethical standards in order to offer their patients the best care possible. The video demonstrated to me that giving therapeutic care to patients required teamwork and candour among staff.

        Regla

        2. In the research simulation activity, I chose to play Jan Klein, RN. This simulation experience was great in a sense that it gave me a perspective on the role and walks me through situations that are definitely possible to happen and need to be handled correctly. My character did correctly every concern she had to her PI and the supervisor. One thing that was not done correctly was to approach the PI before the supervisor, but at the same time it was not since the outcome was unexpected. Also, work overload can definitely damage the health of one’s being. The character could’ve taken appropriate breaks in order to avoid mistakes at work. If the situation would occur again, I would reach out directly to the supervisor with my concerns instead of the doctor since when the concerns were communicated to him the outcome did not change in weeks. I would use the guidance and support from my peers by expressing how the work overload is affecting me and my work performance. I learned that communication is key in ethical principles, and everything should be communicated accordingly in order to avoid mistakes in the long run. (The Office of Research Integrity ORI, n.d)

        WEEK 9

        For this week’s discussion review your state’s scope of practice and address 3 areas that you were not aware you can do as a licensed provider in your state.

        week 9

        2 replies 

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          Week 9

          Conducting research with strong ethical principles is a critical component of being an effective nurse researcher. Consider all or some of these questions as you share your reflections on the importance of ethical considerations in nursing research. In the research simulation activity, which character(s) did you play? How did you feel during the simulation experience? What did your character do well? What did your character not do well and what sense can you make of the researcher’s behavior? What else could your character have done? If this situation would occur again how might you handle it? What resources would you use for guidance and support? What did you learn about ethical principles in research?

          Week 9

           

          • WakeUP, a Mississippi company that produces coffee products, sells its products throughout the United States and is considering expanding its business into Europe. If so, they will have income derived from sales to the U.S. customers and income derived from sales within Europe.
          • Assess the impacts that selling their products abroad will have to WakeUP and any tax incentives that will apply to their situation.