Discussion Case Study Apa Style Two References.

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Chief complaint: Im here for a medication refill because I ran out of my medicines.

HPI:  Mrs. Allen is a 68-year-old African American who presents to the clinic for prescription refills. The patient indicates that she has noticed shortness of breath which started about 3 months ago. The SOB gets worse with exertion, especially when she is walking fast, and it is resolved when she is resting. She reports that she is also bothered by shortness of breath that wakes her up intermittently during her sleep. Her symptoms of shortness of breath resolve after sitting upright on 3 pillows. She also has lower leg edema pitting 1+ which started 2 weeks ago. She indicates that she often feels light headed at times with intermittent syncope episodes while going up a flight of stairs, but it resolves after sitting down to rest. She has not tried any over the counter medications at home.

She started taking her medications, but failed to refill the prescriptions because she cannot afford the medications as she only works part-time and lives alone. In addition, she reports that she does not think taking all these medications would help her condition anyway.

PMH: Primary Hypertension, Previous history of MI 1 year ago

Surgeries:

1 year ago-Left Anterior Descending (LAD) cardiac stent placement

Allergies: Penicillin

Vaccination History:  Up-to-date

Social history:

High school graduate married and no children. Drinks one 4-ounce glass of red wine daily. She is a former smoker and stopped 5 years ago.

Family history:

Both parents are alive. Father has history of MI and valvular heart disease; mother alive and cardiac history is unknown. He has one brother who is alive and has history of MI 5 years ago at age 52.

ROS:

Constitutional: Lightheaded and faint with exertion. Respiratory: Shortness of breath with exertion. + Orthopnea. Cardiovascular: + 2 pitting leg edema for 3 weeks.

Psychiatric: Non-contributory.

Physical examination:

Vital Signs: Height: 5 feet 1 inches Weight: 175 pounds BMI: 32, Obese, BP 160/92, T 98.0, P 111,  R 22 and non-labored

HEENT: Normocephalic/Atraumatic, Bilateral cataracts; PERRLA, EOMI; Teeth intact. Negative for gum disease. NECK: Neck supple, no palpable masses, no lymphadenopathy, no thyroid enlargement. LUNGS: + Mild Crackles on inspiratory phase not clearing with cough. Equal breath sounds. Symmetrical respiration. No respiratory distress. HEART: Normal S1 with S2 during expiration. An S4 is noted at the apex; + systolic murmur noted at the right upper sternal border without radiation to the carotids. Pulses are 2+ in upper extremities and 2+ in pedal pulses bilaterally. 2+ pitting edema to her knees noted bilaterally. ABDOMEN: No abdominal distention. Nontender. Bowel sounds + x 4 quadrants. No organomegaly. Normal contour; No palpable masses. GENITOURINARY: No CVA tenderness bilaterally. GU exam deferred. MUSCULOSKELETAL: + Heberden’s nodes at the DIP joints, hands. + Crepitus, bilateral knees. Slow gait but steady. No Kyphosis. PSYCH: Normal affect. Cooperative. SKIN: No rashes. Positive for dry skin.

Labs: Hgb 13.2, Hct 38%, K+ 4.0, Na+137, Cholesterol 228, Triglycerides 187, HDL 37, LDL 190, TSH 3.7, glucose 98.

A:

Primary Diagnosis: Congestive Heart Failure (CHF)

Secondary Diagnoses: Primary Hypertension, Obesity, Osteoarthritis (OA)

Differential Diagnosis: Peripheral Vascular Disease (PVD)

Plan:

Medications: Tylenol 650 mg PO Q4 hours as needed for arthritis pain

Labs: UA; Brain natriuretic peptide (BNP); LFTs and TSH; 12-lead EKG, Chest X-ray; Initial 2D echo with Doppler; Ankle-brachial index.

Additional lab results: Echo results 1 week ago: Left ventricular EJ Fraction decreased to 35 %

BNP not available.

As a future FNP, you need to determine the medications for CHF/ASCVD. (Arteriosclerotic Cardiovascular Disease).

Questions:

1.     According to the ACC/AHA guidelines, what medications should this patient be prescribed?

2.     Does he need medication(s) given his history of MI?

800 Word Worldview Reflection Paper

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WHAT YOU WILL HAVE TO KNOW TO WRITE THIS PAPER ABOUT ME.

****My degree is Bachelor of Science in Interdisciplinary Studies behavioral sciences and Government***** I plan to earn my masters degree in Human Services so I can be a counselor for people with Mental health and substance abuse issues. ****

Interdisciplinarity and Worldview Reflection Instructions. **Also use a Bible Ref**

****Prompt: In 300 words, explain what interdisciplinarity is and reflect on how it impacts your worldview*****. And, in ****another 250 words, reflect on and explain the personal impact of the single most helpful lesson you learned from Covey this subterm.******** 

****In two sections of 250 words each, reflect on what you have learned in this course, how your perspectives have changed, how you now view your degree, and how you plan to use or think about your interdisciplinary degrees differently. You will briefly explain interdisciplinarity in your own words in light of your worldview, and you will reflect on Covey’s writing as well.

Requirements:

1. You may use first person, but not second person.

2. Use unique title lines to clearly separate your answers.

3. Your grammar, spelling, and punctuation should be flawless. 

4. Use APA formatting, but no abstract page is required.

Additional Suggestions:

1. You can do it differently, but the simplest route may be to explain interdisciplinarity in one paragraph and then to reflect on it in the next paragraph or two.

2. You can explain interdisciplinarity in your own words, but if you find it hard to describe it in a way not already done, it would be better to cite references and create a references page than to accidentally plagiarize. 

3. Remember to focus on just one topic from Covey and to give it personal application. 

4. You can begin brainstorming for your reflection using the following questions (though you shouldnt use these exact wordings in your reflection itselfbe original):

A. How has interdisciplinarity affected my life?

B. How has interdisciplinarity affected the way I see the world? 

C. How will I use an interdisciplinary mindset to tackle problems in the future? 

Module 01 Written Assignment- The Accounting Equation: Worth 50 Points

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Module 01 Written Assignment The Accounting Equation

The conceptual framework reminds you that revenues are recognized when earned and not necessarily when collected. Also, expenses are recorded when incurred (used), not necessarily when paid. This is known as accrual accounting.

Bill Smith opened Smith Construction on April 1, 2010. Review the transactions and financial position of Smith Construction for April in the .

Requirements:

  1. Enter the transactions for May into the accounting equation, calculating new balance after each entry.
  2. Prepare the Income Statement for the month of May.
  3. Prepare the Statement of Retained Earnings for the Month of May.
  4. Prepare the Balance Sheet as of May 31, 20xx.

Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.

Save your assignment as a Microsoft Excel document. (Mac users, please remember to append the “.xlsx” extension to the filename.) The name of the file should be your first initial and last name, followed by an underscore and the name of the assignment, and an underscore and the date. An example is shown below:
Jstudent_exampleproblem_101504

Whats Your Problem Discussion 3

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Week 3: You Cant Get There From Here: Reasoning and Pathways

A traveler comes upon a farmer and asks him for directions to his destination. The farmer scratches his head and begins to give directions, but then stops, shakes his head, and begins again. After a few attempts the farmer says, You cant get there from here.

Note: To begin this week, review the following media piece. For a citation of this media piece, refer to this weeks Learning Resources.

Accessible player –Downloads–Download Video w/CCDownload AudioDownload TranscriptCredit: Provided by- Laureate Marketing

Are there problems that cannot be solved? The homeless problem in Miami would seem to be a hopeless and insurmountable social problem. In Raymond Kayals Walden Social Change video, he states: City streets paved in despair can be a pathway to hope. Kayal is a board member of a community ministry that positively impacts Miami by providing a continuum of care to the homeless population. How does an individual begin to approach such a momentous issue?

Throughout the problem-solving process, the solution depends on the approach you take and the pathways you decide to follow. The type of reasoning you employ and the resources to which you have access will guide your problem-solving process, as well as assist you in forming a solution.

Learning Objectives

Students will:
  • Evaluate problem-solving approaches to resource-related problems
  • Analyze impact of resources on problem solving
  • Analyze how reasoning relates to problem-solving processes
  • Apply reasoning to problem-solving processes
  • Analyze insights related to problem solving
  • Identify social change issues

Discussion: Reasoning and Resources

Note: Please read the Introduction to all Discussions. Then proceed to participate in the required Discussion A, and your choice of Discussion B or C. There is also an Optional Open Forum you may participate in at any time.

Discussion Introduction (Applies to Discussions A, B, and C)

Silhouette of a magician performing a trick.The mind has an amazing ability to notice and remember certain things and ignore or to forget others. This is known as cognitive inattention. It is similar to what happens when a magician focuses your attention in one area, so that you will miss, by inattention, what is slyly happening somewhere else. What influences which details we notice and remember and those that are ignored or forgotten?

What individuals choose to see and the type of reasoning they use can taint their observation and interpretations of the details and resources necessary for solving a problem. For instance, a child traumatized by someone wearing a red shirt might reason that all people wearing red shirts are violent and do bad things. In problem solving, this becomes a critical issue. A problem solvers reasoning works in accord with the resources available. As you read and view this weeks Learning Resources, consider how an individuals reasoning and the available resources can impact the problem-solving process.

Credit for graphic: Microsoft Corporation (Producer). MP900321217 [Photo of magician silhouette]. Retrieved October 2nd, 2013, from: http://office.microsoft.com/en-us/images/results.aspx?qu=magician&ex=1#ai:MP900321217|

Discussion A (Required for all students)

The study of organizations suggests that many problems arise when resources are scarce or access to those resources is limited. In other cases, the resources may be available, but may be too costly, for example, in time or money, to make solving the problem a wise choice. Finally, in some cases, a problem originally identified as a resource issue may actually be caused by something quite different.

Consider your personal, academic, and professional experience. Identify a situation in which a problem was identified as resulting from limited resources or a limited access to resources.

Then consider how the affected parties approached the resource-related problem and whether they were successful.

Explain a situation in which a personal, academic, or workplace problem was identified as resulting from limited resources or a limited access to resources. Then explain how the affected parties approached the resource-related problem and why you think they approached the problem in this manner. Finally, explain whether or not the approach was effective.

By Day 3

Post a minimum of 100 words to Discussion Question A.

Be sure to support your ideas by connecting them to at least one of this units Learning Resources. Additionally, you may opt to include an academic resource you have identified or something you have read, heard, seen, or experienced.

By Day 5

Respond to the posts of at least two different colleagues. One must be a response to a colleagues post about the question you did not select. Respond in one of the following ways:

  • Share an insight from having read your colleagues posting.
  • Expand on your colleagues posting.
Discussion B (Select B or C)

Scenario:

Police officers arrive at a crime scene to investigate a robbery and shooting. The following four descriptions of the suspect are given by eyewitnesses (EW). These eyewitness descriptions are resources.

EW 1: He flashed about the store with the movement of a wolf, growling at people to get down on the floor.

EW 2: He was 62 tall with a scar over his eye, kind of like one that my uncle got in the first Gulf war from shrapnel.

EW 3: He drove away in a metallic gold 2004 Monte Carlo with double spinners on the wheels and no door handlesthey had been filled in and painted over. The car was loud like there was no muffler on it. There was an emblem on the right-rear fender. He probably is a member of a gang.

EW 4: Given how many people are out of work in this section of town, he was probably laid off from one of the local garages since he wore a grease-stained, red-hooded sweatshirt.

Select two of the descriptions above to address in the Discussion.

Write a brief analysis of the impact these two descriptions have on the police officers problem-solving process.

By Day 3

Post a minimum of 100 words to your choice of Discussion Question B.

Be sure to support your ideas by connecting them to at least one of this units Learning Resources. Additionally, you may optto include an academic resource you have identified or something you have read, heard, seen, or experienced.

By Day 5

Respond to the posts of at least two different colleagues. One must be a response to a colleagues post about the question you did not select. Respond in the one of the following ways:

  • Share an insight from having read your colleagues posting.
  • Expand on your colleagues posting.

Discussion C (Select B or C)

When a problem occurs, it is unlikely that you will always have complete information, adequate time, or sufficient resources to fully analyze the situation. It is also unlikely that you will always be able to consider all the possible solutions and evaluate their potential impact on a situation before you need to attempt a solution.

View one of the following movies and identify a decision a character(s) had to make before all the facts were in.

The Kings Speech (R rating)

Zero Dark Thirty (R rating)

I, Robot (PG-13 rating)

In the movie that you selected to watch for this Discussion question, identify a decision that had to be made before all the facts were in. Write a brief analysis of the impact these insufficient resources had on the problem-solving process in the movie scenario.

By Day 3

Post a minimum of 100 words to your choice of Discussion Question C.

Be sure to support your ideas by connecting them to at least one of this units Learning Resources.

Additionally, you may optto include an academic resource you have identified or something you have read, heard, seen, or experienced.

By Day 5

Respond to the posts of at least two different colleagues. One must be a response to a colleagues post about the question you did not select. Respond in the one of the following ways:

  • Share an insight from having read your colleagues posting.
  • Expand on your colleagues posting.
Optional Open Forum

Add anything that is interesting or notable based on your study of problem solving in this weeks resources, other resources, or your problem-solving experiences.

Submission and Grading Information
Grading Criteria

To access your rubric:
Week 3 Discussion Rubric

Post by Day 3 and Respond by Day 5

To participate in this Discussion:
Week 3 Discussion A

To participate in this Discussion:
Week 3 Discussion B

To participate in this Discussion:
Week 3 Discussion C

Optional Open Forum

To participate in this Discussion:
Open Forum