HISTORY OF PRESENT ILLNESS: Smith is a 63-year-old gentleman new to our Clinic. He had been followed by Dr. Jones at Kernodle Clinic.

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HISTORY OF PRESENT ILLNESS: Mr. Smith is a 63-year-old gentleman new to our Clinic. He had been followed by Dr. Jones at Kernodle Clinic. Mr. Smith has a past medical history that includes hypertension for more than five years. It sounds like he has fairly severe white coat hypertension. Apparently, he has home readings consistently 30 points below what he gets in the office. He had been on Capoten in the past and gotten a cough with that. He had been on Norvasc in the past, but then stopped it for unclear reasons. More recently, he has been on Hyzaar. He also has hypercholesterolemia and has been on Lipitor. He has for the past year or so felt that his hands and feet were “burning up” at night. He reports that “he can almost see the heat waves from them.” He thinks this is a medication side effect. On his own, he stopped his Lipitor three weeks ago. He has not noticed any difference in his symptoms. He otherwise feels well and has no complaints.
PAST MEDICAL HISTORY: 1. Hypertension. 2. Hypercholesterolemia. 3. Status post plastic surgery after a motor vehicle collision when he was in his 20s. 4. History of depression around the time of the accident. He does report that intermittently he feels quite down, but he is able “to pick himself back up”. More recently, however, he has been in a more prolonged period. 5. He has significant moles and he is followed by an outside dermatologist. 6. He has had normal PSA and rectal exams. He had a colonoscopy about five years ago and again one year ago, both of which showed many polyps, pathology not known.
MEDICATIONS: Now only Hyzaar, a baby aspirin and a multivitamin
ALLERGIES: Capoten caused a cough.
SOCIAL HISTORY: He works in computer software. He does not smoke. He drinks wine and Martinis “probably more than I need to.” No drug use.
FAMILY HISTORY: The patient’s father died of a brain aneurysm in his 50s. Mom had colon cancer in her 80s and also hypertension. Five older sisters all with hypertension and hypercholesterolemia. No known coronary artery disease.
REVIEW OF SYSTEMS:
CONSTITUTIONAL: No fevers. Weight up 15 lbs since March. HEENT: Teeth doing okay. Does not feel congested in his sinuses. CARDIOVASCULAR: No chest pains, palpitations, PND, orthopnea or edema. RESPIRATORY: No shortness of breath. He does have a chronic intermittent cough that he has had for years. He had a chest x-ray a couple of years ago to evaluate this which was apparently normal. GI: No abdominal pain. No reflux-type symptoms. No change in bowel habits. GU: No hematuria or dysuria. MUSCULOSKELETAL: No chronic joint pains. PSYCHIATRIC: Not suicidal.
PHYSICAL EXAMINATION:
VITAL SIGNS: Weight 86.7 kg which is 191 lbs, blood pressure 174/114, pulse 103.
HEENT: Conjunctivae pink. Sclerae anicteric. Oropharynx clear.
NECK: No lymphadenopathy or thyromegaly or JVD.
LUNGS: Clear to auscultation and percussion.
HEART: Regular rate and rhythm without murmur, rub or gallop.
ABDOMEN: Normal bowel sounds. Soft, nontender. No hepatosplenomegaly.
EXTREMITIES: No cyanosis, clubbing or edema.
PSYCHIATRIC: Normal affect and behavior with seemingly good insight.
ASSESSMENT AND PLAN:

Hypertension, poor control even with supposed white coat hypertension. He again is worried about side effect of his medications. We talked about many options and decided to change him to HCTA 25 mg a day and Norvasc 10 mg a day.
Hypercholesterolemia. We will check lipid panel today. We will hold off on Lipitor for now, but will likely restart this once we confirm he is not having drug side effects. He is also interested in possibly trying fish oil.
Psychiatric. He was not interested in counseling at all. He was interested in medication. We will start Celexa 20 mg a day. He will titrate this up to 40 mg after three to four weeks. He will call us in a few weeks if he is having any problems.
Health maintenance. We will hold on PSA screening for a bit as he has been screened in the past. We will repeat colonoscopy in a few years and will try to get records of prior polyp pathology. He will try to focus on drinking a bit less alcohol and getting some regular exercise and eating better. Continue baby aspirin.
Return to clinic in two months.

John Student, MS3
Seen with Joe Doctor, MD

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Identify the “must reads” with some form of highlighting or ranking.

Master’s level assignment
Your boss has a meeting with some members of the public about (select a topic from below) and you need to make him/her look smart and knowledgeable about the issue at hand. Give me a one page reading list (with links) with short intro to put the readings in context. This can include media reports, government documents, court documents, and scholarly articles, preferably a mix. APA citation formats apply.
One page single spaced with one line between each citation. Identify the “must reads” with some form of highlighting or ranking.
The more readings, the better.
Topics
Veterans Administration
Student Loans and Financial Aid
Affordable Care Act
Agency personnel policies
Local education
Ethics in government
Funding infrastructure
Environmental policies
Parks and Recreation
Law enforcement
Fire services management
Emergency management
Military community relations
You can provide some limit and justification for your selection by framing these topics with more specifics and with an “members of the public” audience of your selection.
Due Feb 1st
Lesson attached
attachment530-4.docxattachment530-school.pdfattachment530-alternate.pdfattachment530-tranformation.pdfattachment530-assessing.pdfattachment530-behavioral.pdf

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ASSIGNED TO ROSIE SEPTEMBER ONLY

12 pt apa format  double spaces i need scholarly articles and resources. its based on issues of poverty my topic is ageism and teen pregnancy and how these things can cause poverty. the teen birth rate, teens get kicked out when parents find out and how children born in single parent home are more likely to live in poverty and experience long term physical and social difficulties. mostly because the are unmarried as well.The post ASSIGNED TO ROSIE SEPTEMBER ONLY first appeared on Nursing School Essays.

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determine whether employees have the right to use social media to make negative statements about their employers.

DISCUSSION 1
Prior to beginning work on this discussion, read Chapter 10 of your textbook and the Week 5 Weekly Lecture. In a minimum of 200 words, supported by textbook evidence and other research, determine whether employees have the right to use social media to make negative statements about their employers. Your response must be factually based. Cite your sources.
Guided Response: Review several of your peers’ posts, responding to at least three of them by Day 7. Respond substantively to at least three classmates throughout the week, suggesting aspects that your peers may have overlooked. You are encouraged to post your required replies earlier in the week to promote more meaningful and interactive discourse in this discussion forum. Continue to monitor the discussion forum until 11:59 p.m. on Day 7 and respond robustly to anyone who replies to your initial post.
DISCUSSION 2:
Prior to beginning work on this discussion, review Chapter 10 of your textbook and the Week 5 Weekly Lecture. In a minimum of 200 words, supported by textbook evidence and other research, describe criteria you would use as a manager evaluating corporate contributions to determine donating to an organization.
Guided Response: Review several of your peers’ posts, responding to at least three of them by Day 7. Respond substantively to at least three classmates throughout the week, suggesting aspects that your peers may have overlooked. You are encouraged to post your required replies earlier in the week to promote more meaningful and interactive discourse in this discussion forum. Continue to monitor the discussion forum until 11:59 p.m. on Day 7 and respond robustly to anyone who replies to your initial post.
attachment10CH_Hammond_Corporate.mp3

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Case Study answers Due back in 2hrs max if you cant deliver don’t even attempt.

I’m looking for someone that familiar with the DSM5 and ready right now to view a couple of cases which are small paragraphs. Give a paragraph style answer after reading giving the comprehensive application, synthesis and evaluation in their understanding after reading the case study using comprehensive information from the DSM5 to do so. This must be well written with in-depth reasoning behind your response. I need this now!!! As it is due within hours so if you can’t deliver now please don’t even attempt to take this job. This is for an Advanced Psychology class. Please see the attachment provided below. Needed in 2hrs max I need this right back !!

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Explain why this style could be successful in this setting.

Benchmark – Effective Approaches in Leadership and Management
In this assignment, you will be writing a 1,000-1,250 word paper describing the differing approaches of nursing leaders and managers to issues in practice. To complete this assignment, do the following:
Select an issue from the following list: bullying, unit closers and restructuring, floating, nurse turnover, nurse staffing ratios, use of contract employees (i.e., registry and travel nurses), or magnet designation.
Describe the selected issue. Discuss how it impacts quality of care and patient safety in the setting in which it occurs.
Discuss how professional standards of practice should be demonstrated in this situation to help rectify the issue or maintain professional conduct.
Explain the differing roles of nursing leaders and nursing managers in this instance and discuss the different approaches they take to address the selected issue and promote patient safety and quality care. Support your rationale by using the theories, principles, skills, and roles of the leader versus manager described in your readings.
Discuss what additional aspects mangers and leaders would need to initiate in order to ensure professionalism throughout diverse health care settings while addressing the selected issue.
Describe a leadership style that would best address the chosen issue. Explain why this style could be successful in this setting.
Use at least three peer-reviewed journal articles other than those presented in your text or provided in the course.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.
This benchmark assignment assesses the following programmatic competencies:
RN to BSN
1.1: Exemplify professionalism in diverse health care settings.
1.3: Exercise professional nursing leadership and management roles in the promotion of patient safety and quality care.
3.4: Demonstrate professional standards of practice.
RUBRIC
Attempt Start Date: 05-Aug-2019 at 12:00:00 AM
Due Date: 11-Aug-2019 at 11:59:59 PM
Maximum Points: 150.0
Benchmark – Effective Approaches for Leadership and Management
No of Criteria: 10 Achievement Levels: 5CriteriaAchievement LevelsDescriptionPercentageUnsatisfactory0.00 %Less Than Satisfactory75.00 %Satisfactory79.00 %Good89.00 %Excellent100.00 %Content80.0 Selected Issue, Setting, and Impact on Patient Safety15.0The issue described does not meet the assignment criteria. The description of the issue and its impact to quality of care and patient safety is omitted.A partial summary of the issue is presented. How it impacts quality of care and patient safety is unclear. There are omissions of key information.A general description of the issue is presented. A summary of how it impacts quality of care and patient safety is presented; more information is needed. There are some inaccuracies.A description of the issue is presented. How the issue impacts quality of care and patient safety is presented. Some detail is needed for clarity or accuracy.A clear description of the issue is presented. How the issue impacts quality of care and patient safety is detailed and accurate.Professional Standards of Practice to Rectify Issue or Maintain Professional Conduct (D3.4)15.0How professional standards of practice should be demonstrated in this situation to help rectify the issue or maintain professional conduct is not discussed.A summary of how professional standards of practice should be demonstrated in this situation to help rectify the issue or maintain professional conduct is presented. The summary is incomplete. More information is needed. There are significant inaccuracies.A general discussion of how professional standards of practice should be demonstrated in this situation to help rectify the issue or maintain professional conduct is presented. There are some gaps in the discussion; some information is needed. There are minor inaccuracies. Rationale is needed for support.A discussion of how professional standards of practice should be demonstrated in this situation to help rectify the issue or maintain professional conduct is presented. Minor detail is needed for clarity or accuracy. Rationale provides adequate support.A through discussion of how professional standards of practice should be demonstrated in this situation to help rectify the issue or maintain professional conduct is presented. An understanding of the importance of professional standards of practice in resolving issues and maintaining professional conduct is demonstrated. Strong rationale supports discussion.Differing Roles and Approaches of Nursing Leaders and Nursing Managers (C1.3)15.0Explanation of the differing roles and approaches for nursing leaders and nursing managers is omitted.A partial explanation of the differing roles and approaches for nursing leaders and nursing managers is presented. It is unclear how the roles and approaches relate to the selected issue, or how they would promote patient safety and quality care. Rationale using theories, principles, skills, and nursing manger or nursing leader roles is not used.A general explanation of the differing roles and approaches for nursing leaders and nursing managers is presented. A general summary of how the roles and approaches relate to the selected issue, and how they would promote patient safety and quality care, is provided. Some rationale using theories, principles, skills, and nursing manger or nursing leader roles is used.An explanation of the differing roles and approaches for nursing leaders and nursing managers is presented. An explanation of how the roles and approaches relate to the selected issue, and how they would promote patient safety and quality care, is provided. Rationale using theories, principles, skills, and nursing manger or nursing leader roles is used. Some detail is needed for accuracy or clarity. More rationale is needed in some areas. The explanation demonstrates a general understanding of the of nursing leadership and management roles in the promotion of patient safety and quality care.A detailed explanation of the differing roles and approaches for nursing leaders and nursing managers is presented. A well-developed explanation of how the roles and approaches relate to the selected issue, and how they would promote patient safety and quality care, is provided. Rationale using theories, principles, skills, and nursing manger or nursing leader roles is used. The explanation demonstrates insight into exercising the roles of professional nursing leadership and management in the promotion of patient safety and quality care.Ensuring Professionalism Through Diverse Health Care Settings (C1.1)20.0Discussion on what additional aspects mangers and leaders would need to initiate to ensure professionalism throughout diverse health care settings while addressing the selected issue is omitted. The discussion fails to meet the assignment criteria.A partial summary on what additional aspects mangers and leaders would need to initiate to ensure professionalism throughout diverse health care settings while addressing the selected issue is presented. The summary contains significant omissions. There are inaccuracies.A general discussion on what additional aspects mangers and leaders would need to initiate to ensure professionalism throughout diverse health care settings while addressing the selected issue is presented. It is unclear how some of the aspects continue to address the selected issue, or the aspects do not appear to relate to a diverse health care setting.A discussion on what additional aspects mangers and leaders would need to initiate to ensure professionalism throughout diverse health care settings while addressing the selected issue is presented. Overall, the aspects presented address the selected issue and relate to a diverse health care setting. The items proposed in the discussion generally support professionalism in diverse health care settings.A detailed discussion on what additional aspects mangers and leaders would need to initiate to ensure professionalism throughout diverse health care settings while addressing the selected issue is presented. The aspects presented clearly continue to address the selected issue and relate to a diverse health care setting. The items proposed in the discussion support the exemplification of professionalism in diverse health care settings.Leadership Style to Address Issue15.0A leadership style to address the chosen issue is omitted. The proposed item is not a leadership style.A leadership style to address the chosen issue is partially summarized. The characteristics of the leadership style are vaguely presented. It is unclear why this style could be successful in this setting.The characteristics of the identified leadership style are described. A general explanation of why this style could be successful in this setting is presented. There are some gaps in the explanation. More information or rationale is needed.The characteristics of the identified leadership style are described. An explanation of why this style could be successful in this setting is presented. Some rationale is needed for support.The characteristics of the identified leadership style are clearly described. A detailed explanation of why this style could be successful in this setting is presented. Strong rationale is provided for support.Organization, Effectiveness, and Format20.0 Thesis Development and Purpose5.0Paper lacks any discernible overall purpose or organizing claim.Thesis is insufficiently developed or vague. Purpose is not clear.Thesis is apparent and appropriate to purpose.Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.Argument Logic and Construction5.0Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.Argument is orderly but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis.Argument shows logical progression. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.Mechanics of Writing (includes spelling, punctuation, grammar, language use)5.0Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied.Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed.Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech.Writer is clearly in command of standard, written, academic English.Paper Format (use of appropriate style for the major and assignment)2.0Template is not used appropriately, or documentation format is rarely followed correctly.Appropriate template is used, but some elements are missing or mistaken. A lack of control with formatting is apparent.Appropriate template is used. Formatting is correct, although some minor errors may be present.Appropriate template is fully used. There are virtually no errors in formatting style.All format elements are correct.Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)3.0Sources are not documented.Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.Sources are documented, as appropriate to assignment and style, and format is mostly correct.Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.Total Percentage 100

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Select two of the following factors: genetics, gender, ethnicity, age, or behavior. Reflect on how these factors might impact decisions related to preventive services.

The American Cancer Society estimates that by the end of 2012, more than 226,000 women will be diagnosed with breast cancer and more than 241,000 men will be diagnosed with prostate cancer (American Cancer Society, 2012a; American Cancer Society 2012b). With such prevalence of women’s and men’s cancers, patient education and preventive services are essential. In clinical settings, advanced practice nurses must assist physicians in educating patients on risk factors, preventive services, and for patients diagnosed with cancer, on potential drug treatments. The clinical implications of women’s and men’s cancer greatly depend on early detection, which is primarily achieved through preventive services. In this Assignment, you consider the short-term and long-term implications of cancer and drug treatments associated with women’s and men’s health, as well as appropriate preventive services.
To prepare:
Select a type of cancer associated with women’s or men’s health such as breast, cervical, or ovarian cancer in women and prostate cancer in men.
Locate and review articles examining the type of cancer you selected.
Review the U.S. Preventive Services Task Force article in the Learning Resources. Think about available preventive services that providers might recommend for patients at risk of this type of cancer.
Select two of the following factors: genetics, gender, ethnicity, age, or behavior. Reflect on how these factors might impact decisions related to preventive services.
Consider drug treatment options for patients diagnosed with the type of cancer you selected including short-term and long-term implications of the treatments.
To complete:
Write a 2- to 3- page paper that addresses the following:
Describe available preventive services that providers might recommend for patients at risk of the type of cancer you selected.
Explain how the factors you selected might impact decisions related to preventive services.
Describe drug treatment options for patients diagnosed with the type of cancer you selected. Explain the short-term and long-term implications of these treatments.

 

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What are the pros and cons of a “hybrid” strategy? How is it achieved?

Paper , Order, or Assignment Requirements
Topic 1 Using the organization you selected from your Business Plan (, consider what corporate portfolio strategy the company uses or what you imagine they use and why? What are the benefits to the selected corporate portfolio strategy compared? What is the role of the corporate center and Strategic Business Unit (SBU)?
Topic 2 Consider the four generic business strategies defined by Michael Porter. How do they compare and contrast with each other? What are the pros and cons of a “hybrid” strategy? How is it achieved?

 

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Discuss and explain King’s Conceptual System Theory.

Discuss and explain King’s Conceptual System Theory.
First explain the 3 systems and provide examples of each system
Explain how the systems influence goal attainment
How could King’s theory help define a clinical quality problem?
Apply this theory to a potential practice quality improvement initiative within your clinical practice.
How could a quality committee align outcomes with King’s Conceptual System Theory?
What additional nursing theory from our readings could also align with an improved quality of practice initiative?
This paper should include 2 outside references and the textbook. This paper should be 1250 to 1500 words in length

 

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Seven samples of five parts each have been collected from an extrusion process that is in…

Seven samples of five parts each have been collected from an extrusion process that is in statistical control, and the diameter of the extrudate has been measured for each part. (a) Determine the values of the center, I.CL, and UCL for x and R charts. The calculated values of .2 and R for each sample arc given below (measured values are in inches). (h) Construct the control charts and plot the sample data on the charts.

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