Case Study #2

Date: November 12, 2016, 2:00 pm

Location: XYZ Family Practice

You are an NP student in this practice. Your next patient is the following:

“I had to come in today because I have been coughing for a long time”

Amanda Smith (69 year old, black female) is a retired postal worker. During the visit, she is coughing continually. She states the cough started 5 days ago intermittently but 2 days ago it became constant. Her chart indicates that she has been a patient of the practice for 5 years, gets care regularly and her HTN has been controlled for 4 years.

Social History

Married – 2 adult children A & W

Non-Smoker now. Smoke 1 pack a day for 15 years. Quit x5 years ago

No alcohol or drug use

Baptist, attends church regularly and is a member of the choir

Family History

Mother – Deceased at age 27 from traumatic accident

Father – Deceased age 78 related to renal failure secondary to diabetes type II

Siblings – one brother age 61 A & W

Medical/Surgical/Health Maintenance Hx

Measles, mumps and chicken pox as a child.

Tetanus/Diptheria/Pertussis – Last dose 2 years ago

Influenza – Last dose 9 months ago

Pneumococcal vaccine at age 65

Zostivax at age 60

Chronic diagnoses – HTN x 5 years

Takes HCTZ 25 mg daily

ROS

General

Usual weight has been maintained

Fever for 5 days up to 101

Skin

Dry skin, uses emollient frequently

HEENT

Wears reading glasses

Dentition fair. Partial upper denture

Neck

No swelling or stiffness

Chest

Substernal pain on cough

Respiratory

Began coughing 4 days ago. Started mild, intermittent and non-productive. Two days ago became constant and productive of frothy sputum. Keeps her awake at night. No relief with OTC cough syrup. She states she is short of breath today.

CV

No CP at rest or when not coughing

PV

Some swelling of feet and ankles at end of day, relieved by elevating feet

GI

Decreased appetite for one week

No change in bowel habits

GU

No frequency, hesitancy, nocturia or change in bladder habits

Genitalia

No changes

MS
Stiffness in hands and legs on awakening. Relieved with activity

Psych

No depression, anxiety, or memory change

Neurologic

No numbness, weakness, headache, change in mentation, or paralysis

Hematologic

No past anemia

Endocrine

No change in weight, thirst, heat/cold intolerance.

Your physical exam reveals:

Temp 101.4, Resp 30 labored, no retractions, BP 135/92, HR 110, Pulse Ox 90 Wt 130 lbs

General appearance – Alert in all spheres, in mild respiratory distress, able to answer questions with short sentences, tripod breathing

HEENT –

Eyes ,ear, nose, head wnl

Mouth -mucosa dry

Pharynx – tonsils present not enlarged, normal pink color

Lymph – no enlargement

Skin – Dry and scaly legs and arms. Tenting of skin noted

Heart- regular rhythm at 110 bpm, no murmurs or extra sounds

Lungs – normal breath sound without crackles, bronchophony or egophony

Abdomen – no mass, tenderness, rigidity

Extremities – Hands – no swelling, Feet/legs – +1 edema feet to ankle level

Pedal pulses – wnl

Differential diagnoses:

• CAP
• Acute bronchitis
• Congestive heart failure
• Influenza

Plan – transfer to acute care setting for further work-up

Assignment Details:

The “Elevator Consult”

In this activity, you will practice giving a synopsis of your patient to your preceptor. In practice, you may often give this type of report if you are sending a patient for a consultation and your phone the specialist to discuss the patient. This report should be concise and clear. The receiver should, within one minute (slightly less for simple cases, slightly more for complex cases) have a picture of the patient in his/her head. You will report on ONLY items pertaining to the acute problem in this case. Do not include extraneous material or material not directly impacting the decision-making regarding this problem. Remember, this is a FOCUSED visit and assessment to evaluate a focused concern. The history and physical exam applies techniques relevant to the specific complaint for the patient at that visit. Your report should be similarly focused, providing only information that relates specifically to the presenting problem.

Presentation was concise, orderly by systems and included HPI, pertinent finding on exam, suggested plan of care. No extraneous information was included.

Text, title page and references page follow APA guidelines. No grammar, word usage or punctuation errors. Overall style is consistent with professional work.

The post Amanda Smith first appeared on Submit Your Essays.

---

Amanda Smith was first posted on October 28, 2020 at 2:24 pm.
©2019 "Submit Your Assignment". Use of this feed is for personal non-commercial use only. If you are not reading this article in your feed reader, then the site is guilty of copyright infringement. Please contact me at support@nursingessayswriters.com

 

“Are you looking for this answer? We can Help click Order Now”

---

Criminological Perspectives
Assignment 3 Music Assignment Paper
Due: Sunday November 8th at 11:55pm via Sakai
Value: 75 points
Formatting
Suggested Length: approximately 2 double-spaced pages per song. This should be
written as a traditional paper.
Font: Times New Roman, 12 pt.
Margins: 1 inch on all sides of page.
Subheadings: Please use subheadings.
References: cite any sources you are using for this article (Note: there is no need to use
outside sources unless you want to this assignment grading is based on your response)
Rubric: Available via Saki in the submission portal under Preview Rubric
You will select TWO songs (or albums if this fits better) from different genres. Each song
should illustrate a different crime theory or perspective. Songs need to be accessible to me to
listen to, preferably via Youtube or also via Apple Music, Spotify, or Sound Cloud. For each
song, please include the artist, song title, album title (if applicable), and direct link.
The song should have a direct connection to a criminology theory we have discussed in the
course.Social Control Theory, gender-based theories of crime,Feminist Criminology, subculture theories and labeling theory, Anomie Theory and Strain Theory.

The songs should, thus, either include 1) descriptions of criminal or deviant behavior
(starting it, engaging in it, stopping it, etc.) OR 2) provide a perspective about the justice system
(can be supporting it, against it, discussing reform, etc.).
For each song, you will examine how it connects to one (or more) of the theoretical concepts we
have discussed so far this semester. Your paper should address the following information:
1. Summary of the theory (approx. 1-2 paragraphs)
a. Describe the crime theory relevant to the song, including the main components it
proposed. *THIS MUST BE IN YOUR OWN WORDS* – do not copy from the
text or other sources
b. You should not discuss the song in this section simply define and describe the
theory.
c. This section helps to set up your response to the next section of the assignment
2. Summarize the theoretical connections (approx. 2-3 paragraphs)
a. How does the song connect to theoretical concepts we have discussed in class?
b. Explain in detail, with examples from the song, how it illustrates the theory.
c. You can include links to the lyrics as well or quote them directly in the text.
3. Policy Implications (approx. 1-2 paragraphs)
a. What could be done to prevent the criminal or deviant behavior portrayed in the
song?
b. How could the justice system be changed based on the perspective of the song?

NOTE: You can (and likely will have to) use music/songs that have expletives, R-rated language, or derogatory words/statements. You are also welcome to censor any lyrics as you see fit. A goal of this assignment is to analyze this messaging in the context of our theories and perspectives towards criminology and criminal justice.