Rubric file is attached which contains requirements for the paper. Please pay attention, that outline is also required, even though it is not mentioned in the rubric.

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This is an interdisciplinary research paper. It should contain legal and medical perspectives of the issue of abortion. The hypothesis: In the past decades stets like Texas, Alabama, Indiana, North Dakota and Mississippi passed the so called Targeted Regulation of Abortion Providers (TRAP), which rely on complicated and costly regulations as tactic to shut down abortion facilities. Very often these legal decision are not based on solid scientific evidence, but rather on falsified statistics and common misconceptions. However the goal should be not banning or restrictions of abortions, but prevention of unintended pregnancies.

Rubric file is attached which contains requirements for the paper. Please pay attention, that outline is also required, even though it is not mentioned in the rubric.  Also added are Literature search file, which contains bibliography and extracts from different legal sources. In the paper in the Law part you should use Baum, Siefker, Roseberry, Ikemoto. In the Medical part you can use Drey, Finer, Gemzel, Grimes, Grossman.

What makes the pain worse or better: movement makes it worse, lying supine

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Caring for Clients with common Digestive/ Gastrointestinal Health Challenges.

Select any three (3) questions from Case Study # 1 or from Case Study # 2, and discuss the rationale by posting/ responding in the online learning activity/ discussion forum. Please identify the case study selected and copy the three questions chosen directly into the post. Include and properly reference information taken from the course readings to support your ideas.

CASE STUDY #2

(must be 3 pages with at least 5 references no older than 5 years)

Joshua Phelps, 37, arrives at the ED complaining of right lower quadrant abdominal pain. You obtain his vital signs and find out that he has no known allergies and takes no medications. His BP is 156/ 94; pulse, 100 and regular; respirations, 20; and temperature, 99.6 F (37.6 C).

What is the next step in investigating his problem?
Mr. Phelps’ pain began last evening and is associated with nausea, but he hasn’t vomited. Eating doesn’t seem to affect the pain, and he hasn’t had any bowel or bladder changes.

In assessing Mr. Phelps’s pain, what information should you obtain?
Mr. Phelps describes his pain as constant, deep and achy, and worse with movement. On a pain scale of 0- to 10, with 10 being the worst pain he has ever experienced, he rates the pain at a 7. He doesn’t want to lie supine and is guarding his right lower quadrant.

When assessing Mr. Phelps’ abdomen, describe the order and specifics associated with the assessment?
Abdominal assessment shows a normal inspection, normoactive bowel sounds, and no masses, enlargement, or tenderness of the liver or spleen. However, Mr. Phelps did display rebound tenderness and positive obturator and iliopsoas signs. Based on his history and physical assessment, the healthcare provider orders a complete blood cell count and urinalysis. The results indicate a total white blood cell (WBC) count elevation with 96% neutrophils. The urinalysis is normal.

Mr. Phelps’ signs and symptoms, history, physical assessment, and lab findings suggest which diagnosis? Explain your rationale.
Abdominal aortic dissection.
Acute appendicitis.
Renal calculi.
Acute Cholecystitis.

ONE PAGE OF SELF REFLECTION on
What is my knowledge concerning providing care for and with clients experiencing digestive and gastrointestinal challenges? (i am a community rpn)

ONE PAGE OF REFLECTION ON MY PEER WORK ( TWO REFERENCES)
Case Study #2
1) In assessing Mr. Phelps’s pain, what information should you obtain?The information that should be obtained about Mr. Phelps’s pain include:
Character of the pain: deep and achy
Duration: States it’s constant
Frequency
What makes the pain worse or better: movement makes it worse, lying supine
Location: right lower quadrant
Distribution of referred pain
Time pain started: last evening

2) When assessing Mr. Phelps’ abdomen, describe the order and specifics associated with the assessment?

Start with inspecting the abdomen noting colour, contour, symmetry, the umbilicus is midline etc.
Next we would auscultate because “percussion and palpation can increase peristalsis which would give a false interpretation of bowel sounds” (Jarvis, 2014). During auscultation we listen for bowel sounds(character and frequency) and vascular sounds.
Percussion comes next “to assess the relative density of abdominal contents, to locate organs, and to screen for abdominal fluid or masses”(Jarvis, 2014).
Palpation is last. You note whether their is tenderness, masses, involuntary rigidity, guarding etc.

3) Mr. Phelps’ signs and symptoms, history, physical assessment, and lab findings suggest which diagnosis? Explain your rationale.

Mr. Phelps’s assessments suggest acute appendicitis based on the following findings:positive obturator and iliopsoas sign, pain in RLQ. “when the iliopsoas muscle is inflamed (which occurs with an inflamed or perforated appendix) pain is felt in the RLQ” (Jarvis, 2014)
Rebound tenderness 
Pain aggravated by movement
Nausea
Fever
Total white blood cell count elevation with 96% neutrophils 

References

Jarvis, C. (2014). The Abdomen, Physical Examination and Health Assessment (2nd CanadIan ed., pp 557-569). Toronto, ON: Elsevier Canada.

Should the thin skull rule apply to persons who refuse medical treatment on religious grounds? Why or why not?

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Philosophy of LAW

Paper topic

1. Should the thin skull rule apply to persons who refuse medical treatment on religious grounds? Why or why not?

Some general guidelines

1. These are not research papers. All you need to read to write them is in the course package. Bibliographies are not necessary.

2. Citations should be clear and consistent; the style is up to you. When in doubt, cite. Give credit where it’s due, and not only for direct quotes. Plagiarism will not be tolerated.

** You need the course package to do this essay. Do you have access to Philosophy 2821G
Book No.10457

For the Essay the material that is used is from pages 1-65

The topic of the essay involves the applicability of the thin skull rule to those who refuse medical treatment on religious grounds. The relevant readings from the textbook involve discussion of tort law generally, and more specifically the notion of the thin skull rule and how it should/shouldn’t apply to beliefs.

List and discuss the different types of burn injuries

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  1. List and discuss the different types of burn injuries 
    1.
    2.
    3.
    1. Discuss the following:
      1. Determine the depth (degree) of burn.
        • 
        • 
        •
  2. Determine the extent of the burn.
  3. Determine which parts of the body are burned.
  4. Determine the respiratory involvement.
  5. Determine whether other injuries or preexisting medical problems exist or if the victim is elderly (older than 55 years) or very young( younger than 5 years).
  6. Determine the burn’s severity
  7. Discuss the Following:
  8. Minor Burns 
     
     
  9. Moderate Burns 
     
     
     
     
  10. Critical Burns 
     
     
     
     
  11. Discuss Care for Thermal Burns
  12. Discuss Care and Caution (Thermal Burns) for the following : 
     First Degree Burns
  13.  Caution

    1.  Second Degree Burns

    2.  Third Degree Burns
  14. CautionList the Do Not for Burns
  15. Discuss Sunburn
  16. List and Explain the various skin types
  17. Discuss care and Prevention for sunburns?
  18. Discuss Care for Chemical Burns
  19. Discuss Electrical Burns
    1. 
    2.
    3.
  20. Care for electrical Burns
  21. 2.
    3.
    4.
    5.
    6.
    7.