HEALTH, STRESS, AND ITS MANAGEMENT

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Module 3 – Case
HEALTH, STRESS, AND ITS MANAGEMENT
Case Assignment
In this Case Assignment, examine the situation and answer the questions below:

Andrew is a 32-year-old married man. He has a very demanding, high-stress job as a junior partner in a large law firm. He has always been a high achiever. He graduated with top honors in both college and law school. He has very high standards for himself and can be very self-critical when he fails to meet them.

Lately, he has struggled with significant feelings of worthlessness and shame due to his inability to perform as well as he always has in the past. Andrew has felt unusually fatigued and found it increasingly difficult to concentrate at work in the past few weeks. His coworkers have noticed that he is often irritable and withdrawn, which is quite different from his typically upbeat and friendly disposition. He has called in sick on several occasions, which is completely unlike him. On those days he stays in bed all day, watching TV or sleeping.

At home, Andrews wife has noticed changes as well. Hes shown little interest in intimacy and has had difficulties falling asleep at night. His insomnia has been keeping her awake as he tosses and turns for an hour or two after they go to bed. Hes overheard her having frequent tearful phone conversations with his mother and his grandmother, both of whom have struggled with depression throughout their lives. When she tries to get him to open up about whats bothering him, he pushes her away with an abrupt everythings fine.

Although he hasnt ever considered suicide, Andrew has found himself increasingly dissatisfied with his life. Hes been having frequent thoughts of wishing he was dead. He gets frustrated with himself because he feels like he has every reason to be happy, yet cant seem to shake the sense of doom and gloom that has been clouding each day as of late.

Prepare a 3- to 4-page paper that addresses the following questions:

Does Andrew meet the criteria for suffering major depression? Be sure to support your answers.
Describe what the biopsychosocial model would say about the cause of his struggle, applying the information you were given in the scenario.
Andrews family is concerned with the stigma that is attached to mental illness. How might you approach a situation in which someone you know might need psychological counseling?
Briefly describe what treatments might be effective in helping him overcome his disorder.
Assignment Expectations
Use a minimum of three scholarly references in support of your ideas for this submission. Be sure to review the background materials. This submission should be 3-4 pages long and should be submitted to the Case 3 dropbox after completion.

bonus question at the end of assignment with title (bonus question)

What are some coping methods for dealing with stress? What works best for you and why? Be sure to comment on a classmate’s post as well.

Assignment: Lab Assignment: Assessing The Genitalia And Rectum

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In this assignment you will be required to write a Focused SOAP note, please do not submit a Complete SOAP note, you must learn to differentiate the two. If you do not have enough information to make a scholarly Focused note, you may make up information. For example, if the Family History is missing make up a history.

The Lab Assignment

Using evidence-based resources from your search, answer the following questions and support your answers using current evidence from the literature.

Analyze the subjective portion of the note. List additional information that should be included in the documentation.

Analyze the objective portion of the note. List additional information that should be included in the documentation.

Is the assessment supported by the subjective and objective information? Why or why not?

Would diagnostics be appropriate for this case, and how would the results be used to make a diagnosis?

Would you reject/accept the current diagnosis? Why or why not?

 Identify three possible conditions that may be considered as a differential diagnosis for this patient.

 Explain your reasoning using at least three different references from current evidence-based literature.

Week 10: Special ExaminationsBreast, Genital,

Prostate, and Rectal

GENITALIA ASSESSMENT

Subjective:

CC: I have bumps on my bottom that I want to have checked out.

HPI: AB, a 21-year-old WF college student reports to your clinic with external

bumps on her genital area. She states the bumps are painless and feel rough.

She states she is sexually active and has had more than one partner during the

past year. Her initial sexual contact occurred at age 18. She reports no abnormal

vaginal discharge. She is unsure how long the bumps have been there but

noticed them about a week ago. Her last Pap smear exam was 3 years ago, and

no dysplasia was found; the exam results were normal. She reports one sexually

transmitted infection (chlamydia) about 2 years ago. She completed the

treatment for chlamydia as prescribed.

PMH: Asthma

Medications: Symbicort 160/4.5mcg

Allergies: NKDA

FH: No hx of breast or cervical cancer, Father hx HTN, Mother hx HTN, GERD

Social: Denies tobacco use; occasional etoh, married, 3 children (1 girl, 2 boys)

Objective:

VS: Temp 98.6; BP 120/86; RR 16; P 92; HT 510; WT 169lbs

Heart: RRR, no murmurs

Lungs: CTA, chest wall symmetrical

Genital: Normal female hair pattern distribution; no masses or swelling. Urethral

meatus intact without erythema or discharge. Perineum intact. Vaginal mucosa

pink and moist with rugae present, pos for firm, round, small, painless ulcer noted

on external labia

Abd: soft, normoactive bowel sounds, neg rebound, neg murphys, negMcBurney

Diagnostics: HSV specimen obtained

Assessment:

Chancre

PLAN: 

project 7 Business Analysis and research

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Module 07 project

Research Training Manual

Competencies
* Develop research strategy skills for business analysis.
* Examine the use of qualitative and quantitative studies for business research.
* Explore problem-solving skills for business analysis.
* Propose business strategies based on research and analysis using relevant information sources.
* Create professional documents for presenting research, analysis, and business strategy recommendations.
* Explore techniques, tools, and approaches to design and produce an effective professional presentation for an appropriate business audience.
Scenario
You are a new manager in a research and development department at an agricultural chemical company. Your department engages in high-level scientific research for new product development and improvement upon existing products. Your department also engages in business research to support your sales and marketing teams. While both types of research employ the scientific method, the approach differs.
Company policy dictates that business research documents be formatted in a specific way and include the following elements: research strategies, research methods, data analysis, and business strategies based on findings. There is also an expectation that the research results will be presented in settings outside of the R&D department. This may be in the form of a summary document or a presentation.
You have decided to prepare a manual for your entry level business research analysts that provides a guide for the format and presentation of their final research project. The manual will be a step-by-step reference guide for the completion and presentation of a research project. The manual will include direction on the elements described above.
Write a manual in Microsoft Word for business analysts that will assist them with the completion and presentation of a research project.
* Section one should be titled Research Strategies and should include the following subsections:
    * Problem statement – Define what a problem statement is and how that evolves into a research question.
    * Research Objectives Define what research objectives are and how they are related to the research problem.
    * Literature Review Define what a literature review is, its purpose, and the type of information that will be included.
        * Ethics in Research Explain ethics in research and why they are important.
* Section two should be titled Research Methods and should include the following subsections:
    * Sampling Design Define what a sample is in business research and how to determine strategies for a choice of sample.
    * Research Design Define what research design is and the various methods used to collect and analyze data.
    * Data Analysis Define data analysis and the various approaches to display data.
    * Limitations Define limitations and how they can affect research results.
* Section three should be titled Business Strategies and should include the following subsections:
    * Conclusion You will explain what should be included in the conclusion of a business research report.
    * Recommendations Describe how recommendations are developed based on a business research report.
* Section four should be titled Presentation and should include the following subsections:
    * Executive Summary Explain what an executive summary is and how to effectively present data in this type of document.
    * Presentation Describe the elements of an effective presentation and visualization tools that can be employed to ensure success.
Resources
* Business Source Complete
* Business via ProQuest
* APA Guide

terrorism preparedness

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You must write (2) replies of at least 140 words each to other classmates threads, and a minimum of 1 source is referenced appropriately for each reply. Note that both quantity and quality are important considerations when it comes to participation. For example, a message that says simply, I agree, does not constitute participation because it does not add anything of substance to the discussion.
In order to earn points, you must add something of substance to the discussion; this would consist of new ideas, your perspectives, pointed follow-up questions, etc.
Responding to a classmates post requires both the addition of new ideas and further analysis. A particular point made by the classmate must be addressed and built upon by your analysis in order to move the conversation forward. Thus, the response post is a rigorous assignment that requires you to build upon initial posts to develop deeper and more thorough discussion of the ideas introduced in the initial posts. As such, reply posts that merely affirm, restate or unprofessionally quarrel with the previous post(s) and fail to make a valuable, substantive contribution to the discussion will receive appropriate point deductions.

Topics:
(1)st reply to Stephans post:
It is evident that security and preventing terrorist attacks is a priority for local governments, especially the governments of larger cities. However, the full weight of protection should not be placed on the local government because in the wake of an attack citizens must be able to protect themselves. It is the responsibility of the government to allow the tools necessary for its citizens to defend themselves in conjunction with its own preventative measures.  Since the founding of the United States it has been the responsibility of the citizens to be the immediate defense of the community, hence the founding of local militias. Amidst modernization and the transformation of the local militia to the modern-day National Guard; the sheriffs and police departments are the immediate response force to a threat. The duty to protect is a shared responsibility between the citizens and the government.

The primary purpose of the local (municipal) government is responsibility for parks and recreation services, police and fire departments, housing services, emergency medical services, municipal courts, transportation services (including public transportation), and public works (streets, sewers, snow removal, signage, and so forth). With the range of responsibilities there is the danger of local governments resources stretching too thin to adapt to the threat of terrorism. However, in this time it is necessary for more susceptible targets (New York City, Los Angeles, etc.) to allocate resources to terrorist prevention. In the case of local deterrence and protection of its citizens from terrorism it may be necessary for the federal government to aid local governments in the form training or funds.

With all this being said it may be wise to consider a form of voluntary civilian defense against terrorism on a larger scale then the see something, say something approach. If trained civilians in conjunction with law enforcement work together to create a web of defense it could lead to more effective results. It is not possible for the local government/law enforcement to cover all areas but if there are citizens willing to be trained and help identify potential threats within the community there may be different outcomes. A recent example to highlight is the San Bernardino attack. If citizens were well trained and or armed with concealed carry it may have been possible to prevent some casualties. With scarce resources and the growing threat of attacks it is absolutely necessary for local governments to readopt the shared responsibility of protection between the government and citizens.

Sources:

https://www.dhs.gov/topic/preventing-terrorism

https://www.whitehouse.gov/about-the-white-house/state-local-government/

(2)nd reply to Kristens post:
Being prepared is necessary. Whether it is for a job interview, a presentation for class, or even for writing this discussion board. King Solomon says, ” The wise store up choice food and olive oil, but fools gulp theirs down” (Proverbs 21:20). All throughout history, back in biblical times to today in the 21st century being prepared was essential. The saying, “By failing to prepare, you are preparing to fail.” you have already given the enemy a chance to attack because of lack of preparedness. The 2nd Amendment was high on the list so that the people could protect themselves from foreign and domestic enemies and not need the aid of the government; it was set in place so that the people could be prepared for an attack.

The local government has a duty to protect the citizens by following rules and guidelines set by the DHS to follow.

On the recommendation of the 9/11 Commission, Congress created the Office for State and Local Law Enforcement (OSLLE) in 2007 to lead the coordination of DHS-wide policies related to state, local, tribal, and territorial law enforcements role in preventing, preparing for, protecting against, and responding to natural disasters, acts of terrorism, and other man-made disasters within the United States (DHS State and Local Law Enforcement).

However, each county has their own set budget. For example, in Culpeper, VA (disclaimer: I am a resident of Culpeper County), there is no fire and rescue station; there are only volunteer stations, one out of three is paid, because they simply cannot afford a paid station like in bigger cities in Northern Virginia (Fairfax, Vienna, Gainesville, Alexandria, and etc…). The sheriff in Culpeper County takes his job very seriously in ensuring the protection of its citizens at all costs; recently he was on Fox News saying that he would deputize all eligible, law-abiding citizens in Culpeper to keep that responsibility of duty to defend and protect the citizens rights to own and bear arms (Nelson, 2019). This man understands that it is the right of the people, that he needs to protect the rights set by the Constitution, that it is his duty to do so.

Because each county is different it is hard to gage what each one should do. Virginia Beach, VA is not going to have the same levels of preparedness as Culpeper, VA or as Gainesville, VA; however, there should be a set of standards, no matter where you are, that protects each citizen. Whatever that looks like, the main goal should be to defend and protect each individuals God given right that was laid out decades ago by our founding fathers to ensure that no government could take them away. One major way to ensure citizens safety is to do what the sheriff in Culpeper has done by saying and promising that he will fight for the citizens rights. Just like how the Texan parishioner man stopped a gunman from killing everyone because he was willing to stand up for his rights and felt that he had a duty to protect God’s people by ending a bad situation before it got out of hand. The best way to protect the public’s safety is to make them aware of dangers that seem unforeseen to them, but to someone working in homeland security, very obvious such as signs of traffickers looking for new women and children to kidnap.

                                                                                                                                                        References

Bullock, J., Haddow, G., & Coppola, D. (2016). Introduction to homeland security. Butterworth-Heinemann. 5. 31-65.

Homeland Security. (2016). DHS state and local law enforcement resource catalog. Department of Homeland Security. 4. Retrieved from https://www.dhs.gov/sites/default/files/publications/oslle-resource-catalog-volumeiv-2-24-2016_1.pdf.

Nelson, J. (2019). Virginia sheriff: We’ll deputize law-abiding citizens to counter state dems’ gun control ‘overreach’. Fox News. Retrieved from https://www.foxnews.com/us/virginia-sheriff-deputize-democrats-gun-control.