Mrs. Jones is a 32 year old Caucasian female who presents for fo.docx

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A 32-year-old woman presents for follow-up for gestational diabetes. She was diagnosed with gestational diabetes during her first pregnancy 3 months ago but has not checked her blood glucose since leaving the hospital due to being busy. She has a strong family history of diabetes and was told to monitor her blood glucose after weaning from breastfeeding. On examination, she is overweight but otherwise healthy. She reports increased fatigue and difficulty sleeping.

Bildung

Mrs. Jones is a 32 year old Caucasian female who presents for
follow up on her gestational diabetes. She is 3 months
postpartum and was diagnosed with gestational diabetes. This
was her first pregnancy. She has a strong family history of
diabetes and was told to get it checked out once she stopped
breastfeeding. She has not checked her glucose since she came
home from the hospital, stating she has been too busy.
Allergies: Sulfa
Current medications: Multivitamin
PMH: Gestational Diabetes
PSH: Tonsillectomy, Wisdom teeth extraction
Social: Denies tobacco, Alcohol, or illegal drug use. She is
married and lives with her husband and new baby. She works as
an elementary teacher. She follows a regular diet and walks 2
days a week when she has recess duty.
Immunizations: flu: 2019
Family: Father: alive, +DM, CAD, Hyperlipidemia, Mother:
alive, +DM, CKD
ROS:
Constitutional: Complains of increase fatigue
HEENT: Denies any headache, nasal congestion, ear pain
Cardiovascular: Denies chest pain

Respiratory: Denies any SOB or DOE
GI: Denies any issues, last BM 1 day ago.
GU: Denies any painful urination, urgency, hesitancy
Musculoskeletal: denies.
Neurological: Denies
Psychiatric: Denies suicidal ideations, depression. Does report
difficulty falling asleep
Endocrine: Denies any weight changes, intolerance to heat/cold
Hematologic/ Lymphatic: Denies any bruising
OBJECTIVE:
Vital signs: Ht: 66, Wt: 185, BP 130/78, HR 76, Resp: 16,
SaO2: 98%
Constitutional: Well developed, overweight female
HEENT: Oropharynx pink, moist, no lesions or exudate. Tonsils
1+ bilaterally. Teeth in good repair, no cavities noted. Tongue
smooth, pink, no lesions, protrudes in midline. Neck supple. No
cervical lymphadenopathy or tenderness noted. Thyroid midline,
small and firm without palpable masses
Cardiovascular: RRR, No murmurs or rubs noted.
Respiratory: Clear all fields
GI: Abdomen round, soft, with bowel sounds noted in all four

quadrants.
GU: Deferred
Musculoskeletal: Crepitus noted bilateral knees, fluid wave
noted to Rt knee
Integumentary: Skin warm and dry, No rashes noted
Neuro: Follows commands without difficulty
Working with your group, utilize the above case study a,
develop a Voice Over PowerPoint presentation for your patient
covering the problems identified in the case study and content
in Unit 3 of Edelman, Kudzama, & Mandle (2018). Include the
following:
Nutrition Counseling for Health Promotion
Exercise
Stress Management

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Sample Soap Note: Soap Note # Main Diagnosis ( Exp: H&P Note #3 DX: Hypertension) Student Name Miami Regional University Date of Encounter: Preceptor/Clinical Site: Clinical Instructor: Dr. Rafael Camejo Soap Note # Main Diagnosis ( Exp: Soap Note #3 DX: Hypertension) PATIENT INFORMATION Name : Mr. DT Age : 68-year-old Gender at Birth: Male Gender Identity : Male Source : Patient Allergies : PCN, Iodine Current Medications: · Atorvastatin tab 20 mg, 1-tab PO at bedtime · ASA 81mg po daily · Multi-Vitamin Centrum Silver PMH: Hypercholesterolemia Immunizations: Influenza last 2018-year, tetanus, and hepatitis A and B 4 years ago. Preventive Care : Coloscopy 5 years ago (Negative) Surgical History : Appendectomy 47 years ago. Family History : Father- died 81 does not report information Mother-alive, 88 years old, Diabetes Mellitus, HTN Daughter-alive, 34 years old, healthy Social History : No smoking history or illicit drug use, occasional alcoholic beverage consumption on social celebrations. Retired, widow, he lives alone. Sexual Orientation : Straight Nutrition History : Diets off and on, Does not each seafood Subjective Data: Chief Complaint : “headaches” that started two weeks ago Symptom analysis/HPI: The patient is 65 years old male who complaining of episodes of headaches and on 3 different occasions blood pressure was measured, which was high (159/100, 158/98 and 160/100 respectively). Patient noticed the problem started two weeks ago and sometimes it is accompanied by dizziness. He states that he has been under stress in his workplace for the last month. Patient denies chest pain, palpitation, shortness of breath, nausea or vomiting. Review of Systems (ROS) CONSTITUTIONAL : Denies fever or chills. Denies weakness or weight loss. NEUROLOGIC : Headache and dizziness as describe above. Denies changes in LOC. Denies history of tremors or seizures. HEENT : HEAD: Denies any head injury, or change in LOC. Eyes: Denies any changes in vision, diplopia or blurred vision. Ear: Denies pain in the ears. Denies loss of hearing or drainage. Nose: Denies nasal drainage, congestion. THROAT: Denies throat or neck pain, hoarseness, difficulty swallowing. RESPIRATORY : Patient denies shortness of breath, cough or hemoptysis. CARDIOVASCULAR : No chest pain, tachycardia. No orthopnea or paroxysmal nocturnal dyspnea. GASTROINTESTINAL : Denies abdominal pain or discomfort. Denies flatulence, nausea, vomiting or diarrhea. GENITOURINARY : Denies hematuria, dysuria or change in urinary frequency. Denies difficulty starting/stopping stream of urine or incontinence. MUSCULOSKELETAL : Denies falls or pain. Denies hearing a clicking or snapping sound. SKIN : No change of coloration such as cyanosis or jaundice, no rashes or pruritus. Objective Data: VITAL SIGNS: Temperature: 98.5 °F, Pulse: 87, BP: 159/92 mmhg, RR 20, PO2-98% on room air, Ht- 6’4”, Wt 200 lb, BMI 25. Report pain 2/10. GENERAL APPREARANCE .

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Discussion # 13: Discuss the FDA approach for liver safety for new drugs. Support discussion with 1 journal no older than 5 years. Discussion Question #14 Discuss an advantage and one disadvantage of one non-narcotic drug used for chronic pain syndrome. Discussion week 15: (Worth 1 point) Discuss a current issue on a pharmacological agent and your opinion. Support with 1 peer reviewed journals no older than 5 years. Discussion #12 CARDIOVASCULAR CASE STUDY ACC/AHA Guidelines Chief complaint: medication refill " I ran out of medicines" HPI: E.D a 65-year-old AA male presents to the clinic for prescription refills. The patient also indicates that she has noticed shortness of breath which started about 4 months ago. The SOB gets worse with exertion, especially when she is walking fast and it is resolved when he is resting. He reports that she is also bothered by shortness of breath that wakes her up intermittently during her sleep. His symptoms of shortness of breath resolve after sitting upright on 3 pillows. He also has lower leg edema pitting 1+ which started 2 weeks ago. He also indicates that she often feels light headed at times with intermittent syncope episodes while going up a flight stairs, but it resolves after sitting down to rest. He has not tried any over the counter medications at home. He never filled her prescriptions that he received at her checkup 6 months ago, she did not think it was important. 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: He receives an annual flu shot. Last flu shot was this year Has not had a Td in over 10 years Has not had the herpes zoster vaccine Social history: High school graduate, married and no children. He drinks one 4-ounce glass of red wine daily. He is a former smoker that stopped 3 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: Pt sated not taking medications for 6 months - "ran out and did not get refills" Physical examination: Vital Signs Height: 5 feet 1 inches Weight: 163 pounds BMI: 31 obesity, BP 157/87 T 98.0 po P 110 R 22, non-labored HEENT: Normocephalic/Atraumatic, Bilateral cataracts; PERRL, EOMI; No teeth loss seen. Gums no redness. NECK: Neck supple, no palpable masses, no lymphadenopathy, no thyroid enlargement. LUNGS: + Mild Crackles on inspiratory phase no 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 ra.

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Digital Clinical Experience: Comprehensive (Head-to-Toe) Physical Assessment Week 9 SOAP NOTE Doris Ofodile Walden University Nurs 6512 Advanced Health Assessment & Diagnostic Reasoning Dr Kristin Curcio July 31st, 2022 Patient Initials: T.J Age: 28 Gender: Female SUBJECTIVE DATA: Chief Complaint (CC): " I came in because I'm required to have a recent physical exam for the health insurance at my new job" History of Present Illness (HPI): Miss Jones is currently employed by Smith, Steven, Stewart, Silver & Company. Before she begins work, a pre-employment physical must be completed. Despite having a history of type 2 diabetes, in which she is able to control it by taking metformin, dieting, and doing physical activity. For the past 4-5 months, she has been compliant with metformin. By eating yogurt, Metformin has no longer caused any side effects for her. The last time she saw a doctor was for her gynecology appointment four months ago in which the doctor prescribed oral birth control pills to her after she was diagnosed with the polycystic ovarian syndrome. Although, according to her, she is in good health and does not have any acute health issues, or stressful events, and is looking forward to starting her new job. Medications: Metformin 850mg PO BID, the last dose taken this morning. Fluticasone propionate (Flovent) was 110 milligrams twice daily.( taken last in Albuterol (Proventil) 90mcg 2 puffs every four hours PRN.( taken three months ) Drospirenone/ethinyl estradiol (dosage unknown). It was taken this morning. Tylenol 500 mg PO PRN for headache, medication was taken last week. Ibuprofen 600mg PO TID PRN to alleviate period cramps, was taken six weeks ago. Zantac was taken for GERD (completed) Tetracycline was taken because of acne (completed) Allergies: Miss Jones is allergic to penicillin which causes an allergic reaction characterized by hives and a rash. She is also allergic to cats and dust which triggers an asthma attack causing her to itch, wheeze and sneeze. She denies allergic reactions to latex and foods. Past Medical History (PMH): During her second and a half years of life, Miss Jones was diagnosed with asthma. Her medication regimen includes Proventil and Flovent. A diagnosis of diabetes was made at the age of twenty-four. Metformin is the medication she uses to manage her diabetes, but she had trouble complying because she had side effects like gassiness, which was later relieved with yogurt. As a result, she is better able to monitor her blood sugar levels daily, which last read at 90. The patient also reports losing 10 pounds in four months. Also, she reported that she slipped and hit her right foot, resulting in a healed wound. At the age of 28, she was diagnosed with the polycystic ovarian syndrome which she manages by taking birth control pills. Miss Jone’s menstrual cycle flows for five days and is regular. No Sexually transmitted diseases or pregnancies have been reported. At 38.

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SOAP NOTE Name: J.D. Date: 03/26/2020 Time: 2:00 pm Age: 25 y/o Sex: F SUBJECTIVE CC: ” I have a lot of pain on my left side, in my lower belly” HPI: J.D. is a 25-year-old white female that came to the office today complaining of pain in her lower abdomen. The patient has always had painful cramps with her periods but this time it is much worse being described as a 6 out of 10 and lasting up to 5 hours. The pain started 2 days ago. The pain is described as more painful cramps. It is debilitating and prevents the patient from performing most daily activities. It is localized in the lower abdominal area, and sometimes radiates down her legs, and to her lower back. The patient uses hot compresses to relieve the pain as Tylenol does not work. The patient also states that she has been feeling nauseous ever since the pain started. She also urinates more frequently and pain on urination. Denies fever, vomiting, or chills. Medications: 2 Tylenol as needed for her pain PMH (include-immunization status including Gardisil, GTPLA). Current or past illnesses: No current or past illnesses Immunizations: All vaccines updated including flu vaccine and Gardasil. Allergies: NKDA Medication Intolerances: None. Chronic Illnesses/Major traumas: None. Hospitalizations/Surgeries (include delivery of pregnancies here) No hospitalizations. G0P0 Family History Mother: 49 years old, no significant health problems Maternal Side: No significant health problems Father: 50 years old, hypertensive Paternal Side: no significant health problems Social History Patient works full-time as a research assistant at a local university. A full-time student seeking a master’s degree in biochemistry at a local university. Married. Sexually active only with husband. Always uses male condoms as contraceptive device. Does not use recreational drugs, tobacco, or electronic cigarettes. Devout follower of Christianity. Denomination: catholic. ROS General Patient denies fever or chills, no weight changes. Cardiovascular Denies chest pain, or discomfort. Denies palpitations, dyspnea, or orthopnea. Skin: Denies presences of moles, rash, or itching. Respiratory: Denies dyspnea, cough, hemoptysis, or pleuritic pains. Eyes Denies problems or changes in her vision; denies double or blurred vision. Gastrointestinal Positive for nausea.Denies hemorrhoids, constipation, or diarrhea. No variation in bowel habits. Denies vomiting. Ears Denies difficulty or changes in his hearing. Denies tinnitus, or discharges. Genitourinary/Gynecological Menarche 11 years old. Regular menstrual periods starting around the 3rd week of every month. LMP: 03.

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Soap Note # Main Diagnosis ( Exp: H&P Note #3 DX: Hypertension) Student Name Miami Regional University Date of Encounter: Preceptor/Clinical Site: Clinical Instructor: Dr. Rafael Camejo Soap Note # Main Diagnosis ( Exp: Soap Note #3 DX: Hypertension) PATIENT INFORMATION Name : Mr. DT Age : 68-year-old Gender at Birth: Male Gender Identity : Male Source : Patient Allergies : PCN, Iodine Current Medications: · Atorvastatin tab 20 mg, 1-tab PO at bedtime · ASA 81mg po daily · Multi-Vitamin Centrum Silver PMH: Hypercholesterolemia Immunizations: Influenza last 2018-year, tetanus, and hepatitis A and B 4 years ago. Preventive Care : Coloscopy 5 years ago (Negative) Surgical History : Appendectomy 47 years ago. Family History : Father- died 81 does not report information Mother-alive, 88 years old, Diabetes Mellitus, HTN Daughter-alive, 34 years old, healthy Social History : No smoking history or illicit drug use, occasional alcoholic beverage consumption on social celebrations. Retired, widow, he lives alone. Sexual Orientation : Straight Nutrition History : Diets off and on, Does not each seafood Subjective Data: Chief Complaint : “headaches” that started two weeks ago Symptom analysis/HPI: The patient is 65 years old male who complaining of episodes of headaches and on 3 different occasions blood pressure was measured, which was high (159/100, 158/98 and 160/100 respectively). Patient noticed the problem started two weeks ago and sometimes it is accompanied by dizziness. He states that he has been under stress in his workplace for the last month. Patient denies chest pain, palpitation, shortness of breath, nausea or vomiting. Review of Systems (ROS) CONSTITUTIONAL : Denies fever or chills. Denies weakness or weight loss. NEUROLOGIC : Headache and dizziness as describe above. Denies changes in LOC. Denies history of tremors or seizures. HEENT : HEAD: Denies any head injury, or change in LOC. Eyes: Denies any changes in vision, diplopia or blurred vision. Ear: Denies pain in the ears. Denies loss of hearing or drainage. Nose: Denies nasal drainage, congestion. THROAT: Denies throat or neck pain, hoarseness, difficulty swallowing. RESPIRATORY : Patient denies shortness of breath, cough or hemoptysis. CARDIOVASCULAR : No chest pain, tachycardia. No orthopnea or paroxysmal nocturnal dyspnea. GASTROINTESTINAL : Denies abdominal pain or discomfort. Denies flatulence, nausea, vomiting or diarrhea. GENITOURINARY : Denies hematuria, dysuria or change in urinary frequency. Denies difficulty starting/stopping stream of urine or incontinence. MUSCULOSKELETAL : Denies falls or pain. Denies hearing a clicking or snapping sound. SKIN : No change of coloration such as cyanosis or jaundice, no rashes or pruritus. Objective Data: VITAL SIGNS: Temperature: 98.5 °F, Pulse: 87, BP: 159/92 mmhg, RR 20, PO2-98% on room air, Ht- 6’4”, Wt 200 lb, BMI 25. Report pain 2/10. GENERAL APPREARANCE : The patient is aler.

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Soap notes will be uploaded to Moodle and put through TURN-It-In (anti-Plagiarism program) Turn it in Score must be less than 50% or will not be accepted for credit, must be your own work and in your own words. You can resubmit, Final submission will be accepted if less than 50%. Copy paste from websites or textbooks will not be accepted or tolerated. Please see College Handbook with reference to Academic Misconduct Statement. Example: PATIENT INFORMATION Name: Mr. W.S. Age: 65-year-old Sex: Male Source: Patient Allergies: None Current Medications: Atorvastatin tab 20 mg, 1-tab PO at bedtime PMH: Hypercholesterolemia Immunizations: Influenza last 2018-year, tetanus, and hepatitis A and B 4 years ago. Surgical History: Appendectomy 47 years ago. Family History: Father- died 81 does not report information Mother-alive, 88 years old, Diabetes Mellitus, HTN Daughter-alive, 34 years old, healthy Social Hx: No smoking history or illicit drug use, occasional alcoholic beverage consumption on social celebrations. Retired, widow, he lives alone. SUBJECTIVE: Chief complain : “headaches” that started two weeks ago Symptom analysis/HPI: The patient is 65 years old male who complaining of episodes of headaches and on 3 different occasions blood pressure was measured, which was high (159/100, 158/98 and 160/100 respectively). Patient noticed the problem started two weeks ago and sometimes it is accompanied by dizziness.He states that he has been under stress in his workplace for the last month. Patient denies chest pain, palpitation, shortness of breath, nausea or vomiting. ROS: CONSTITUTIONAL : Denies fever or chills. Denies weakness or weight loss. NEUROLOGIC : Headache and dizzeness as describe above. Denies changes in LOC. Denies history of tremors or seizures. HEENT : HEAD: Denies any head injury, or change in LOC. Eyes: Denies any changes in vision, diplopia or blurred vision. Ear: Denies pain in the ears. Denies loss of hearing or drainage. Nose: Denies nasal drainage, congestion. THROAT: Denies throat or neck pain, hoarseness, difficulty swallowing. Respiratory :Patient denies shortness of breath, cough or hemoptysis. Cardiovascular : No chest pain, tachycardia. No orthopnea or paroxysmal nocturnal dyspnea. Gastrointestinal :Denies abdominal pain or discomfort.Denies flatulence, nausea, vomiting or diarrhea. Genitourinary : Denies hematuria, dysuria or change in urinary frequency. Denies difficulty starting/stopping stream of urine or incontinence. MUSCULOSKELETAL : Denies falls or pain. Denies hearing a clicking or snapping sound. Skin : No change of coloration such as cyanosis or jaundice, no rashes or pruritus. Objective Data CONSTITUTIONAL : Vital signs: Temperature: 98.5 °F, Pulse: 87, BP: 159/92 mmhg, RR 20, PO2-98% on room air, Ht- 6’4”, Wt 200 lb, BMI 25. Report pain 0/10. General appearance: The patient is alert and oriented x 3. No acute distress noted. NEUROLOGIC: Alert, CNII-XII grossly intac ...

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Clinical Documentation Template Subjective Chief Complaint: 52 year old male present for three month follow and labs check. HPI: A 52-year old male with PMH of Hyperlipidemia diabetes presents to the clinic for three month follow up. Patient complained of polyuria, polydipsia and polyphasia. Patient is presently taking plavix and sexagliptin. Patient denies any chest pain, fever and chills. ROS General: lost 15lbs in last one month, admit weakness, fatigue. Denies depression, suicide throught. Skin: no rashes, no open wound.. Head: Denies headache, head injury, dizziness. Eyes: no vision change, corrective lenses, pain redness, excessive tearing, double vision, blurred vision, or blindness. Ears: no hearing change, tinnitus, infection, discharge. Nose/Sinus: negative for Rhinohea, No sinus pain or epistaxis. Throat: No bleeding gums, dentures, sore tongue,dry mouth. Last dental exam 4 months ago. Neck: No lumps, swollen glands, goiter, pain, or neck stiffness. Neuro: experience syncope once a week, denies seizures, weakness, paralysis, numbness/tingling, tremors, or involuntary movements. Pulmonary: negative hemoptysis, dyspnea, wheezing,pleuritic pain Peripheral vascular: no claudication, leg cramps, varicose veins, history of blood clots, abdominal, flank, or back pain. Pain in arms or legs. Intermittent claudication, cold, numbness, pallor legs. Swelling in calves, legs, or feet. No color change in fingertips or toes in cold weather. Swelling with redness or tenderness. MS: no muscle, joint pain, or joint stiffness. GI: No changes in appetite, excessive hunger or thirst, jaundice, N/V, dysphagia, heartburn, pain, belching/flatulence, change in bowel habits, hematochezia, melena, constipation, diarrhea, food intolerance, indigestion, nausea, vomiting, early fullness, odynophagia. GU: No suprapubic pain, dysuria, urgency, frequency, hesitancy, decreased stream, polyuria, nocturia, incontinence, hematuria, kidney, or flank pain, ureteral colic, hemorrhoids. O: Past Medical History: Hyperlipidemia, diabetes Surgeries: Appendectomy, 2000 Hospitalizations: 2000 (for appendectomy) Allergies: NKDA Food, drug, environmental: None Medications: Plavix 75 mg daily (prescribed by his PCP in INDIA as a prophylaxis to prevent Heart attack. We use Aspirin 81 mg here in USA) Sexagliptin 5 mg daily Family History: Gout (Father) Diabetes (Mother) . Social History: Denies tobacco/e-cigarette and alcohol use. Objective Vital Signs: Temp 98.2 BP 128/90 Pulse 64 RR 18 Pain 0 Height 5’ 8” Weight 140 lb BMI 21.3 SpO2 97% @ RA Labs: Lipid Panel Cholesterol 272 mg/dl Triglyceride 175 mg/dl HDL 28 mg/dl LDL 135 mg/dl HgA1c 9.8% Physical Exam: HEENT: Head: hair normal texture and distribution, no lumps/bumps/lesions noted to scalp. Scalp/skull non-tender with palpation. Skull normocephalic/atraumati.

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(Student Name) University Date of Encounter: Preceptor/Clinical Site: Clinical Instructor: Soap Note # Main Diagnosis ( Exp: Soap Note #3 DX: Hypertension) PATIENT INFORMATION Name: Mr. DT Age: 68-year-old Gender at Birth: Male Gender Identity: Male Source: Patient Allergies: PCN, Iodine Current Medications: · Atorvastatin tab 20 mg, 1-tab PO at bedtime · ASA 81mg po daily · Multi-Vitamin Centrum Silver PMH: Hypercholesterolemia Immunizations: Influenza last 2018-year, tetanus, and hepatitis A and B 4 years ago. Preventive Care: Coloscopy 5 years ago (Negative) Surgical History: Appendectomy 47 years ago. Family History: Father- died 81 does not report information Mother-alive, 88 years old, Diabetes Mellitus, HTN Daughter-alive, 34 years old, healthy Social History: No smoking history or illicit drug use, occasional alcoholic beverage consumption on social celebrations. Retired, widow, he lives alone. Sexual Orientation: Straight Nutrition History: Diets off and on, Does not each seafood Subjective Data: Chief Complaint: “headaches” that started two weeks ago Symptom analysis/HPI: The patient is 65 years old male who complaining of episodes of headaches and on 3 different occasions blood pressure was measured, which was high (159/100, 158/98 and 160/100 respectively). Patient noticed the problem started two weeks ago and sometimes it is accompanied by dizziness. He states that he has been under stress in his workplace for the last month. Patient denies chest pain, palpitation, shortness of breath, nausea or vomiting. Review of Systems (ROS) CONSTITUTIONAL: Denies fever or chills. Denies weakness or weight loss. NEUROLOGIC: Headache and dizziness as describe above. Denies changes in LOC. Denies history of tremors or seizures. HEENT: HEAD: Denies any head injury, or change in LOC. Eyes: Denies any changes in vision, diplopia or blurred vision. Ear: Denies pain in the ears. Denies loss of hearing or drainage. Nose: Denies nasal drainage, congestion. THROAT: Denies throat or neck pain, hoarseness, difficulty swallowing. RESPIRATORY: Patient denies shortness of breath, cough or hemoptysis. CARDIOVASCULAR: No chest pain, tachycardia. No orthopnea or paroxysmal nocturnal dyspnea. GASTROINTESTINAL: Denies abdominal pain or discomfort. Denies flatulence, nausea, vomiting or diarrhea. GENITOURINARY: Denies hematuria, dysuria or change in urinary frequency. Denies difficulty starting/stopping stream of urine or incontinence. MUSCULOSKELETAL: Denies falls or pain. Denies hearing a clicking or snapping sound. SKIN: No change of coloration such as cyanosis or jaundice, no rashes or pruritus. Objective Data: VITAL SIGNS: Temperature: 98.5 °F, Pulse: 87, BP: 159/92 mmhg, RR 20, PO2-98% on room air, Ht- 6’4”, Wt 200 lb, BMI 25. Report pain 2/10. GENERAL APPREARANCE: The patient is alert and oriented x 3. No acute distress noted. NEUROLOGIC: Alert, CNII-XII grossly intact, oriented to person, ...

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West Medicine Ward

SOAO Note Patient Initials: S.M Pt. Encounter Number: 2 Date: 10/12/2020 Age: 61 Sex: Female Allergies: NKA Advanced Directives: No SUBJECTIVE Chief Complaint: "I have a lump on my right breast." HPI: S.M is a 61-year-old, Hispanic, female who presents to the office alarmed by a painful lump in her right breast that she discovered while showering. S.M reports the pain started 2 days ago while in the shower. The pain is felt when touching the right breast, and it felt on light touch. Current pain level is now 5/10. She does not report any skin changes. Patient denies any history of herbal medicine use and is currently on no medication. Pain gets worse with movement and with lifting weight. Pain is relieved with rest and medication. S.M gets some short relief with pain reliever ibuprofen 200mg that she takes twice a day for the past two days. Past Medical History Medication Intolerances: No known drug intolerance Chronic Illnesses/Major traumas: The patient denies any history of major trauma. Screening Hx/Immunizations Hx: last mammogram, which was normal, was 2 years ago. OBGYN: Menarche at 10; LMP 2 weeks ago; last PAP 2019/Normal; GTPAL: 11001 score; no previous history of STDs. S.M is sexually active, have had 2 sexual partners in the past. S.M used condoms with previous partners. No previous gyn diagnoses or procedures done in the past. Hospitalizations/Surgeries: Hospitalized once for delivery Family History: There is no history of malignancy in first-degree relatives. She has one sister, age 58, who is in good health. Mother died at age 70; father died at age 64, from unknown causes. Social History: S.M is married with one child. No use of alcohol; drinks wine socially; drinks one cup of coffee sometime to start her day at work. Never uses drugs. Review of System Constitutional: No significant gain/loss weight, no chills, no malaise or fatigue; no night sweats, no exercise intolerance. She does not report any skin changes. She has not experienced fever, weight loss, headache, nausea, vomiting, dizziness, or bone pain. Skin: Denies rashes, pigmentation changes, lesions, or hair or nail changes. Eyes: denies vision changes, diplopia, blurred vision, reports wearing eyeglasses. Ears: Denies loss of hearing, ear pain, drainage, sensation of ears feeling full, ringing in the ear, or ear trauma. Nose/Mouth/Throat: Denies sore throat, hoarseness, difficulty swallowing, postnasal drip. No report of mouth or lips sore, bleeding gums, ulcerations or lesions of tongue or mucosa; no dentures or dental appliances, or missing teeth reported. Breast: Refers to right breast pain, or discomfort to right breast. Reports some brownish nipple discharges when squeezing the nipple and denies any breast trauma. Heme/Lymph/Endo: Denies history of anemia, no bruising, no abnormal bleeding, and no swollen glands. Cardiovascular: Denies chest pain, palpitations, orthopnea, edema, claudicati.

SOAO NotePatient Initials S.MPt. Encounter Number 2 .docx

pbilly1

Soap notes will be uploaded to Moodle and put through TURN-It-In (anti-Plagiarism program) Turn it in Score must be less than 50% or will not be accepted for credit, must be your own work and in your own words. You can resubmit, Final submission will be accepted if less than 50%. Copy paste from websites or textbooks will not be accepted or tolerated. Please see College Handbook with reference to Academic Misconduct Statement. Example: PATIENT INFORMATION Name: Mr. W.S. Age: 65-year-old Sex: Male Source: Patient Allergies: None Current Medications: Atorvastatin tab 20 mg, 1-tab PO at bedtime PMH: Hypercholesterolemia Immunizations: Influenza last 2018-year, tetanus, and hepatitis A and B 4 years ago. Surgical History: Appendectomy 47 years ago. Family History: Father- died 81 does not report information Mother-alive, 88 years old, Diabetes Mellitus, HTN Daughter-alive, 34 years old, healthy Social Hx: No smoking history or illicit drug use, occasional alcoholic beverage consumption on social celebrations. Retired, widow, he lives alone. SUBJECTIVE: Chief complain : â€œheadachesâ€ that started two weeks ago Symptom analysis/HPI: The patient is 65 years old male who complaining of episodes of headaches and on 3 different occasions blood pressure was measured, which was high (159/100, 158/98 and 160/100 respectively). Patient noticed the problem started two weeks ago and sometimes it is accompanied by dizziness. He states that he has been under stress in his workplace for the last month. Patient denies chest pain, palpitation, shortness of breath, nausea or vomiting. ROS: CONSTITUTIONAL : Denies fever or chills. Denies weakness or weight loss. NEUROLOGIC : Headache and dizziness as describe above. Denies changes in LOC. Denies history of tremors or seizures. HEENT : HEAD: Denies any head injury, or change in LOC. Eyes: Denies any changes in vision, diplopia or blurred vision. Ear: Denies pain in the ears. Denies loss of hearing or drainage. Nose: Denies nasal drainage, congestion. THROAT: Denies throat or neck pain, hoarseness, difficulty swallowing. Respiratory : Patient denies shortness of breath, cough or hemoptysis. Cardiovascular : No chest pain, tachycardia. No orthopnea or paroxysmal nocturnal dyspnea. Gastrointestinal : Denies abdominal pain or discomfort. Denies flatulence, nausea, vomiting or diarrhea. Genitourinary : Denies hematuria, dysuria or change in urinary frequency. Denies difficulty starting/stopping stream of urine or incontinence. MUSCULOSKELETAL : Denies falls or pain. Denies hearing a clicking or snapping sound. Skin : No change of coloration such as cyanosis or jaundice, no rashes or pruritus. Objective Data CONSTITUTIONAL : Vital signs: Temperature: 98.5 Â°F, Pulse: 87, BP: 159/92 mmhg, RR 20, PO2-98% on room air, Ht- 6â€™4â€, Wt 200 lb, BMI 25. Report pain 0/10. General appearance: The patient is alert and oriented x 3. No acute dist.

Soap notes will be uploaded to Moodle and put through TURN-It-In (anti.docx

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Support with 1 journals no older than 5 years. H. Pylori infection Questions: As an NP student, needs to determine the medications for recurrent H. Pylori infection. According to the ACC/AHA Guidelines, what medication should this patient be prescribed? Write her complete prescriptions using the prescription writing format. ACC/AHA Guidelines Chief complaint: “ I have recurrent H. Pylori infection”. HPI: M.C. a 46-year-old hispanic female presents to the GI clinic for complaint of recurrent H. Pylori infection. She was treated about 2 ½ months ago with H. Pylori triple therapy and failed treatment. She has pmhx of dyspepsia, GERD. She also indicates that she has noticed that her symptoms of dyspepsia are worsening for past 2 months. She has associated her symptoms with nausea, upset stomach with all foods. Denies associated symptoms of hematochezia, melena, hemoptysis, abdominal pain, fever, chills, pain or any other symptoms. PMH: H. Pylori infection gastritis Diabetes Mellitus, type 2 Surgeries: None Allergies: NKDA Vaccination History: She receives an annual flu shot. Last flu shot was this year Social history: High school graduate, married and no children. He frequently eats out in restaurants. He drinks one 4-ounce glass of red wine daily. He is a former smoker that stopped 3 years ago. Family history: Both parents are alive. Father has history of DM type 2, Tinea Pedis. mother alive and has history of atopic dermatitis, tinea corporis and tinea pedis. ROS: Constitutional: Negative for fever. Negative for chills. Respiratory: No Shortness of breath. No Orthopnea Cardiovascular: No edema. No palpitations. Gastrointestinal: No vomiting. +Dyspepsia. + Nausea. No constipation. No melena. No abdominal pain. Skin: No lesions. No rash. No itching. Psychiatric: No anxiety. No depression. Physical examination: Vital Signs Height: 5 feet 5 inches Weight: 140 pounds BMI: 31 obesity, BP 110/70 T 98.0 po P 80 R 22, non-labored HEENT: Normocephalic/Atraumatic, PERRL, EOMI; No teeth loss seen. Gums no redness. NECK: Neck supple, no palpable masses, no lymphadenopathy, no thyroid enlargement. LUNGS: Lungs clear bilaterally. Equal breath sounds. Symmetrical respiration. No respiratory distress. HEART: Normal S1 with S2 during expiration. Pulses are 2+ in upper extremities. No edema. 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: Slow gait but steady. No Kyphosis. SKIN: Dry. Intact. PSYCH: Normal affect. Cooperative. Labs day of visit:: Hgb 15.2, Hct 40%, K+ 4.0, Na+137, Serum Creatinine normal 1.0, AST/ALT normal. TSH 3.7 normal, glucose 98 normal A: Primary Diagnosis: Recurrent H. Pylori infection gastritis Secondary Diagnoses: Dyspepsia Differential Diagnosis: Peptic Ulcer Disease Previous medication plan: two month ...

Support with 1 journals no older than 5 years. H. Pylori infect.docx

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History and PE

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Soap notes will be uploaded to Moodle and put through.docx

Ibd by dr qasim

SOAO NotePatient Initials S.MPt. Encounter Number 2 .docx

Soap notes will be uploaded to Moodle and put through TURN-It-In (anti.docx

Support with 1 journals no older than 5 years. H. Pylori infect.docx

History and PE

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My country UAE No reflection UAE relies heavily on the business of oil and tourism; they are providing 5.8 percent of the oil to other countries in the world. Saudi Arabia is the biggest provider and seller of oil in the world. UAE is earning money by transportation and tourism, the pandemic has a drastic effect on the economy already and the transportation is ban as there are many cases in UAE, the country earned 19.5 $ billion in 2019 by air transportation and it is around 5% percent of GDP last year. It is expected that the UAE GDP will reduce to 2.5 % this year. It is noted that the Dubai Financial Market (DFM) index is reduced to 2.36 percent (40.79 points) to 1,682.08, while the Abu Dhabi Securities Exchange (ADX) dropped 2.18 percent to 3,676.46 points. "The government is making plans to announce financial support and the firms have a chance to receive additional debts. The import and export figures of Gold are very important for UAE because UAE is the major country to import the unwrought gold and they export it in semi-worked and jewelry form that is 25 percent of their total export. The import and export can affect the economy as there is no trade going on in the world, India is on top to purchase the Gold from UAE. If the Gold prices push higher and the rupee falls the major threat is that Indian migrant workers would stop investing in the business. They are many in numbers and if they would send their money to home instead of investing it will reduce the import and export. The Oil prices are dropping and the import and export reduction can result in dropping the currency value of UAE, they are earning money by tourism and air transport the pandemic already reduces the activities so there are many chances that the currency of UAE would badly fall if they would not control the pandemic on time. Tourism and Air transport is a total of 11 % of the total GDP of the UAE, it can drastically fall. The companies and banking sector are already affected so there are many chances the currency may lose its value. UAE have to reduce their tourism and air transport prices to overcome such issues in time. Measures UAE has to take serious steps to overcome such issues, the biggest issue can be unemployment because of a reduction in trade and tourism. The UAE government should focus on making plans to help needy people and employers who lost their jobs, the countries like the USA and Denmark are creating a trillion dollars budget for the people who lost their jobs. UAE has the most job holders are from India and Pakistan if they delay the budget plan the companies can be turned off eventually. To overcome the pandemic and economic issues, they must focus on giving people relief so they can again in UAE for its prosperity. The banking sector must give the companies relief packages for loan repayment and they must give them additional packages to employers and companies to overcome financial issues. Top companies in the UAE must receive additio.

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My degree is an EDD in Performance Improvement Leadership Assignment Overview In the assignment this week, you will write a paper (7–10 pages), including a literature review, that examines ethical behavior, diversity, and civil discourse in the context of your particular focus and specialization. What You Need to Know Ethical Reasoning Morris (2016) tells us: In fall 2016, more than twenty million students enrolled across more than four million colleges and universities in the U.S. One in four students were members of a minority group, and approximately one million were international students. These students interacted with approximately four million administrators and faculty and staff members in a diversity of settings. Most of these students will easily transition into a life of academics and social interactions. For others, insults, aggressions, and lack of inclusion are a reality; and these experiences will shape their interactions and perceptions . . . on the challenges facing the nation and world and considering the role that post-secondary education plays in improving civil discourse nationally and creating safe spaces for dialogue and personal growth. (p. 361) Morris (2016) goes on to argue: First, [we must] identify resources to support conversations around civil discourse, social justice, and inclusion. Could we individually and collectively in every department, college, and administrative unit resolve to make a difference—to role-model and ask our students to be kind, show compassion, be inclusive and fair, and extend a hand of friendship? Maybe our academic words, like social justice, just do not resonate. Perhaps people forget that words have power and can cause long-lasting pain or can provide encouragement. While we may study and advocate for equity, perhaps we should say that this campus and my class will discuss challenging topics; but we will be characterized by the following values: to listen, to reflect, to show compassion, to think critically, and to care about this community of learners. I know: it sounds like Robert Fulghum’s All I Really Need to Know I Learned in Kindergarten (1988). However, sometimes simple guidelines work best. (p. 361) Use your Critical Thinking text to quickly review the following: Chapter 14, "Develop As an Ethical Reasoner," pages 345–365. If you did not complete the Blooming Park: Ethics, Diversity, and Personnel Selection simulation last week, complete it now to begin work on the interviews relevant to your organization: P–12 education, higher education, business or corporate, or military. This activity will give you the opportunity to grapple with the ethical questions that frequently arise in professional contexts, which will be the focus of your assignment this week. Diversity and Multiculturalism Diversity in all organization settings can take many forms. We may consider differences across many criteria, including the following: Ethnicity. Ethnic identity. Gend.

My degree is an EDD in Performance Improvement Leadership .docx

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My name is Rachael Bamgboye. I am from African - Nigeria to be precise. I am a wife and a mother of three beautiful children. I just completed my associate degree at Community College of Baltimore County. I am transferring to Stratford University in order to pursue my goal of becoming a registered nurse and will be transferring into Nursing by next term. I believe I am a responsible and hard-working student who gets things done as at when due. I am an introvert but admire those that are extrovert, therefore, I am not very sociable. I love meeting new interesting individuals. People around me say I am easy going, loving and caring which is one of the reasons I want to pursue a degree in Nursing. I love caring for people and showing them love. I currently work as a care giver because I am passionate about caring for people. Ethics is a principle that governs a person or people’s behavior. The definition of ethics may differ from person to person. For example, some people believe telling lies is good if it is safe to do so while some believe no matter how safe or severe a lie is, it is not good and is a sin. To my knowledge, I believe you address people the way you want to be addressed and never to look down on people, irrespective of their appearances or statuses. My personal ethics are dignity, respect, loyalty, care and openness. I put all these values into consideration when making decisions. My personal experience with ethic was when I made an important decision as the leader of the ushering department in my church. Making this decision was not easy but I was careful and compassionate because I did not want to hurt anyone or make anyone feel bad. However, at the same time, I did not want to be biased. I respected and appreciated everyone’s views, and I tried to pass my message in a very polite way just like the way I would like to be approached I am looking forward towards having a great term. Wishing everyone best of luck. .

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My company is Amazon A software engineer designs, develop, tests, and evaluates the software and the systems that allow computers to execute their applications. Take on the role of Software Engineer for the organization you selected in Week 1. Use the technical guide template to create a 3- to 4-page Secure Staging Environment Design and Coding Technique Standards Technical Guide for the organization you chose. Research and include the following: Design a secure staging environment for your organization Diagram your staging environment Include descriptions for each object in your environment Create a secure coding technique/quality and testing standard for your organization covering the following secure coding techniques: Proper error handling Proper input validation Normalization Stored procedures Code signing Encryption Obfuscation/camouflage Code reuse/dead code Server-side vs. client-side execution and validation Memory management Use of third-party libraries and ADKs Data exposure Code quality and testing Automation Static code analyzers Dynamic analysis (e.g. fuzzing) Stress testing Sandboxing Model verification .

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My name is Hassan Almahdi. I was born and raised in a city in Saudi Arabia called Safwa. My father was the first person who motivated me to start a degree in engineering because he worked with Aramco Oil Company as an operator in their refineries. After finishing high school. I went to study Instrumentation and control engineering technology at Jubail industrial college. After I graduated and received my associate diploma, I Sought to start a Co-op in the Farabi petrochemical company, where I worked as an instrumentation technician in preventive maintenance. I spent four months in the company, and I got familiar with the work environment and the impact of the pollution that the company produced. Therefore, I decided to gain more knowledge by learning several methods, that might help the environment and reduce pollution. Therefore, I went to Gorge Brown College in Toronto, Canada to improve my oral English, while I was there I got introduced to a Volunteering Program where I became a volunteer Captin for the college I Was in. Also, I got certified to volunteer by Toronto city Hall where events like Nuit Blanche, and Toronto Open Doors...etc which have happened in the time I was there. After spending six months in Canada, I moved to St. Mary's University in San Antonio Texas. where I to started my Bachelor of Science in Electrical engineering. I got familiar with alternative energy resources. Also, how the science of engineering could replace the Gas and Oil industries. where gas and oil are the main sources of environmental air pollutions. Moreover, I learned about the evolution of Electric Vehicles and the replacement of gas engined cars. Where some scientists predict fully transition by 2030. The two years that I spent at St. Mary University before I transfer to the University of Tennessee at Chattanooga, have shaped my character because of the number of leadership programs that I have attended. At UT of Chattanooga, I decided to choose the focus on the power system, where my studies focused more on subsystems and protective relaying. Even though, my focus was on the power system but, I took some classes in control and communication to expand my knowledge. After and before I graduate, I applied to too many graduate programs for masters and Ph.D.'s in different universities. But my main plan was to get accepted into the University of Michigan at Dearborn because of the campus diversity and it is ranked number 31 in Regional Universities Midwest 2021. I plan to start focusing my research on embedded systems or electric vehicles or control systems. .

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My last name starts with an: M Directions Based on the first letter of your last name, find your assigned child welfare role from the list below. Assume that you are part of a wrap-around services team. For example: If your last name is Ford, your assigned special population would be Addiction Specialist. Last name (A–F) = Addiction Specialist Last name (G–L) = Child Protection Investigator Last name (M–R) = Homelessness Specialist Last name (S–Z) = Foster Care Social Worker This case study will allow you to apply the information that you have learned to a case study. Review the case study, keeping in mind your child welfare role. After reviewing your textbook and resources, answer the case questions in the discussion board. Case Study Scenario Marie, a 67-year-old grandmother, is fostering her 14-year-old granddaughter, Audrey. Marie wants to help Audrey and is even thinking about adopting her. Marie has just learned that Audrey witnessed her father’s death from a heroin overdose. She has seen her mother overdose several times. Because of her parents’ addiction, Audrey and her mother were homeless and were found living under a bridge. Audrey’s mother, Elaine, demanded that Audrey panhandle for money, which she used to buy more drugs. Elaine is trying to kick her habit and is accepted in a residential facility for long-term addiction treatment, instead of a short-term detox center, in the hopes that she can get Audrey back. Audrey also dug through dumpsters to find enough food for herself and her mother. Despite being destitute, Audrey is terrified to leave her mother, for fear she will die as her father did. After Elaine’s last overdose, Audrey was removed from her mother’s care and placed with her grandmother, who is estranged from Elaine. Audrey is acutely malnourished and thin; while she denies using drugs, there are some apparent tracks on her arms. Since moving in with Marie, she has been hoarding food and wants to sleep on the floor instead of the bed. There is also evidence that Audrey has been cutting herself. Case Questions to answer based upon your role: Explain how you will prepare Marie to care for Audrey as a foster parent. What should Marie know about the impact of Audrey’s experiences? What services or resources will Audrey need? Would you advise Marie against adopting Audrey, given that Elaine wants to get clean? .

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My Bondage and My Freedom By Frederick Douglas A Penn State Electronic Classics Series Publication My Bondage and My Freedom by Frederick Douglas is a publication of the Pennsylvania State University. This Portable Document file is furnished free and without any charge of any kind. Any person using this document file, for any purpose, and in any way does so at his or her own risk. Neither the Pennsylvania State University nor Jim Manis, Faculty Edi- tor, nor anyone associated with the Pennsylvania State University assumes any responsi- bility for the material contained within the document or for the file as an electronic trans- mission, in any way. My Bondage and My Freedom by Frederick Douglas, the Pennsylvania State University, Electronic Classics Series, Jim Manis, Faculty Editor, Hazleton, PA 18201-1291 is a Por- table Document File produced as part of an ongoing student publication project to bring classical works of literature, in English, to free and easy access of those wishing to make use of them. Cover Design: Jim Manis Copyright © 2004 The Pennsylvania State University The Pennsylvania State University is an equal opportunity university. 3 Frederick Douglas My Bondage and My Freedom By Frederick Douglas By a principle essential to Christianity, a PERSON is eternally differenced from a THING; so that the idea of a HUMAN BEING, necessarily excludes the idea of PROPERTY IN THAT BEING. —Coleridge Entered according to Act of Congress in 1855 by Frederick Douglass in the Clerk’s Office of the District Court of the Northern District of New York TO HONORABLE GERRIT SMITH, AS A SLIGHT TOKEN OF ESTEEM FOR HIS CHARACTER, ADMI- RATION FOR HIS GENIUS AND BENEVOLENCE, AFFECTION FOR HIS PERSON, AND GRATITUDE FOR HIS FRIENDSHIP, AND AS A Small but most Sin- cere Acknowledgement of HIS PRE-EMINENT SERVICES IN BEHALF OF THE RIGHTS AND LIBERTIES OF AN AFFLICTED, DESPISED AND DEEPLY OUT- RAGED PEOPLE, BY RANKING SLAVERY WITH PI- RACY AND MURDER, AND BY DENYING IT EITHER A LEGAL OR CONSTITUTIONAL EXISTENCE, This Volume is Respectfully Dedicated, BY HIS FAITHFUL AND FIRMLY ATTACHED FRIEND, FREDERICK DOUGLAS. ROCHESTER, N.Y. 4 My Bondage and My Freedom EDITEDITEDITEDITEDITOR’S PREFOR’S PREFOR’S PREFOR’S PREFOR’S PREFAAAAACECECECECE If the volume now presented to the public were a mere work of ART, the history of its misfortune might be written in two very simple words—TOO LATE. The nature and character of slavery have been subjects of an almost endless vari- ety of artistic representation; and after the brilliant achievements in that field, and while those achievements are yet fresh in the memory of the million, he who would add an- other to the legion, must possess the charm of transcendent excellence, or apologize for something worse than rashness. The reader is, therefore, assured, with all due promptitude, that his attention is not invited to a work of ART, but to a work of FACTS—Facts, terri.

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My name is Meridith Hollins and I work and live in Birmingham, Alabama. I currently work for hte Birmingham Water Works Boarda as a trianing coordinaotr. My ulimate goal is to be able to move into managment. Part II: At my company we use temp agencies to hire for certain jobs and the templs are treated diffrently from everyone else. Instated of them getting the current hires new hire orieantaton. They just start work. Also with them being a temp they are not eligible for beneifits or any other benefits of the company. Sometimes the probation ia longer than most. Some of the most important things they miss are going over the handlook which can lead to termination if not disussed properly. This is a huge con. .

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My research topic is : How does the company Whole Foods go about making sure they deliver the highest quality fruits and vegetables to their customers? (Include their processes in sourcing, how they choose suppliers to make sure they deliver high quality goods) - For The quality research section, there is no interviews which must be conducted. Just more research, if possible find online interview which was conducted or statements which they put out. - For the Limitation section, mention how it was hard to compare actual data because of the inability to conduct interviews due to corona virus. Length: 10-12 pages APA format. .

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My role is a cuban male, he coe to USA when he has 13 years, studied psychology to help my coleguas and the cuban people to adapt he at the state. Did you see people writing at home? Did your parents respect and value the ability to write? Your school experience: Did you have good writing teachers? Did you have a history of failure or success with writing? Was writing fun, or was it a chore? Did your school emphasize writing? Social influences: How did your school friends do at writing? What were your friends’ attitudes toward writing? What feelings about writing did you pick up from TV or the movies? .

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"My evaluation of journals will focus on originality, application of your sociological imagination, evidence of your commitment to the effort, and the whole range of stylistic issues. It is critical that your entries be sociological; they must be informed by sociological concepts (social construction of deviance, framing, hegemonic and subversive narratives, definition of the situation, race, class, gender, etc.) and focused on sociological questions (who benefits?, does this particular arrangement reproduce social relations?). Go beyond mere observation or opinion; analyze." I would appreciate it if its 2 pages long and it was in a professional personal perspective. It is for my college sociology of deviance class. .

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griffinruthie22

My intent is to provide each member of the community of this class the opportunity to share with the rest of the community their considered approach to dealing with ethical dilemmas that will come up through your career (MY CAREER IS CIVIL ENGINEER). I invite you to consider the following phases as you ponder and articulate your approach. Secure your own Moral Clarity : If you sense there is the potential of a problem of violation ethical standards at work or your life at large refuse to ignore it. Investigate and determine the facts of the case. Always uphold paramount the standard that you became an engineer because you are dedicated securing the health safety and welfare of the public and the environment. You are loyal to ethical practices of your firm institution as well as your client. Know the Facts ensure that the information you are dealing with facts not opinions or distortions by: Get hard documented facts, cross check the information. Establish the competence and integrity of the source of the information 3. Consider options a. Investigating the diversity of potential actions you may take. Evaluate and discuss b. considering the Long-term, short-term perspectives, repercussions? c. finding out if any laws, codes, or fiduciary duties are violated by any of the alternatives d. recognizes the potential impact of the options on you and your loved ones e. locate a Moral Agent among your trusted acquaintance who can help you to assess any and to your understanding of the problem and its consequences. f. Is there a “Creative middle solution”? 4. Make an objective and moral decision a. Weigh all factors, recognize “gray areas”/compromises b. In the process list the pros and cons of each of the alternative decision under consideration. c. List how you will feel living with consequences of each alternative Remember just because your deliberations followed the above phases, there is no guarantee the final decision will be easy. 2 PAGES .

My intent is to provide each member of the community of this class t.docx

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My major is mechanical engineering. As you gave me an idea to relate.docx

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****Must use the attached articles **** · Present an argument for your stance with respect to the first controversial issue regarding substance-related disorders: Is it possible for individuals with substance-related disorders, such as those who abuse alcohol, to moderate their use instead of taking the abstinence approach to treatment? Support your argument with evidence from this week’s required Learning Resources. · Present an argument for your stance with respect to the second controversial issue—namely, is a substance-related disorder a disease? Again, support your argument with evidence from this week’s required Learning Resources. References MUST come from the attached articles: 1. The Effects of Drinking Goal on Treatment Outcome for Alcoholism 2. Behavioural self-management with problem drinkers: One-year follow-up of a controlled drinking group treatment approach 3. Comer, R. J., & Comer, J. S. (2019). Fundamentals of abnormal psychology (9th ed.). Worth. Chapter 10, "Substance Use and Addictive Disorders" .

Must use the attached articles · Present an argument.docx

griffinruthie22

My hometown — Port Clinton, Ohio, population 6,050 — was in the 1950s a passable embodiment of the American dream, a place that offered decent opportunity for the children of bankers and factory workers alike. But a half-century later, wealthy kids park BMW convertibles in the Port Clinton High School lot next to decrepit “junkers” in which homeless classmates live. The American dream has morphed into a split-screen American nightmare. And the story of this small town, and the divergent destinies of its children, turns out to be sadly representative of America. Growing up, almost all my classmates lived with two parents in homes their parents owned and in neighborhoods where everyone knew everyone else’s first name. Some dads worked in the local auto-part factories or gypsum mines, while others, like my dad, were small businessmen. In that era of strong unions and full employment, few families experienced joblessness or serious economic insecurity. Very few P.C.H.S. students came from wealthy backgrounds, and those few made every effort to hide that fact. Half a century later, my classmates, now mostly retired, have experienced astonishing upward mobility. Nearly three-quarters of them surpassed their parents in education and in that way advanced economically as well. One-third of my classmates came from homes with parents who had not completed high school and, of that group, nearly half went to college. Low costs at public and private colleges across Ohio were supplemented by locally raised scholarships — from the Rotary Club, the United Automobile Workers, the Junior Women’s Club and the like. Although the only two black students in my class encountered racial prejudice in town and none of their parents had finished grade school, both reached graduate school. Neither for them nor for our white classmates was family background the barrier to upward mobility that it would become in the next century. Photo Marie and Philip Berry are managers of Seed Faith Food Pantry in Port Clinton.Credit Andrew Borowiec for The New York Times Our (white) star quarterback, whom I will call J, grew up on the poor side of town. His dad, who had an eighth-grade education, worked two jobs to keep the family afloat — on the line at Port Clinton Manufacturing from 7 to 3, then at the canning factory from 3:30 to 11. Despite his 70-plus-hour workweek, J’s dad made it to J’s games. Unable to afford a car, J’s family hitched rides with neighbors to church every week and ate a lot of hash. Despite their modest background, J’s parents urged him to aim for college, and he chose the college-prep track at P.C.H.S., finishing in the top quarter of our class. His minister pointed him toward a downstate Lutheran institution and made a phone call to help find him financial aid. J graduated debt-free and continued on to seminary and a successful career as a Lutheran minister, coaching high school football on the side. J’s rise from a well-knit but modest working-class family t.

My hometown — Port Clinton, Ohio, population 6,050 — was in the 19.docx

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My degree is an EDD in Performance Improvement Leadership Systems Thinking and Problems of Practice Evidence-Based Practice One of the design concepts attributed to successful EdD programs is the scholarly practitioner, which The Carnegie Project on the Education Doctorate (n.d.) defines as practitioners who: Blend practical wisdom with professional skills and knowledge to name, frame, and solve problems of practice. They use practical research and applied theories as tools for change because they understand the importance of equity and social justice. They disseminate their work in multiple ways, and they have an obligation to resolve problems of practice by collaborating with key stakeholders, including the university, the educational institution, the community, and individuals. (Design-Concepts Upon Which to Build Programs section)As you move toward the final weeks of our course, a high priority for all who lead learning is the application of systems thinking as you identify a problem of practice relevant to your organization. As noted by Dirkx (2006): The demand for evidence-based research (EBR) in education has evoked considerable debate regarding the nature of knowledge practitioners hold, how they come to know, and the sociopolitical contexts in which that knowledge is generated. Proponents of EBR such as Michael Feuer stress the need for research that validly identifies solutions to important problems of educational practice. Critics such as Elizabeth St. Pierre decry such approaches to research on practice as epistemologically inappropriate and oblivious to their political and moral implications. Both positions illuminate important dimensions of improving practice, but what works seems to get lost in the rhetoric. In this article, the author suggests that we in adult education take seriously the question of what works in practice by developing a knowledge base grounded in research methods and strategies that give voice to the particularities of practice contexts, what he refers to as the "insider perspective." (p. 273) As you proceed through your EdD program, you will be required to identify a problem of practice, not simply an isolated problem in your organization, but instead a problem of practice that is clearly supported in the professional literature. Note that such problems were most likely identified as you developed the Literature Review assignment—all work of doctoral scholars must be firmly corroborated in the literature and research relevant to your organization’s problems of practice. As you work to identify a problem of practice in your organization, please note the imperative to apply systems thinking. As noted by Senge, Cambron-McCabe, Lucas, Smith, Dutton, and Kleiner (2012): Systems thinking is the ability to understand (and sometimes to predict) interactions and relationship in complex, dynamic systems—the kinds of systems we are surrounded by and embedded in. Some of the systems already under study in clas.

My degree is an EDD in Performance Improvement LeadershipSyste.docx

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My homework is to answer 16 questions (questions are below). No need to write in academically form, just answer the questions. The questions are related to Chapter 6 and 7 from the book: Social Media Marketing . Tuten, T. L. & Solomon, M. R., 2018. 3rd ed. and I don't have the book! What social activities are the focus of participation in social communities? How can brands create identities in social communities? What are the types of social networks in social media? What are the characteristics of social ads? How effective are social ads? How can brands engage consumers in social communities? What is earned media? How do brands encourage earned media with their social networking activities? What are the characteristics of brand fans? What is social publishing? What kinds of content can be published socially? How can social publishing, along with SEO and SMO, help to meet marketing objectives? How can a site be optimized for search engines? Why is it important to achieve a top three ranking in a list of search engine results? Explain the concept of the linkwheel. What are the different types of tags that are used by search engine optimizers to influence search engine indexing? What role does social media optimization play in search engine optimization? How are the two concepts related? Explain the five types of linkbait and why linkbaiting is important. Is there a difference between social news sites and social bookmarking sites? Explain. .

My homework is to answer 16 questions (questions are below). No need.docx

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Must have to do with a FEDERAL administrative agency, not local or state, and be about a current policy implementation issue within the last 40 years or so. Incorporate both your knowledge of history, and government- where students should focus on effects of stakeholder (federal government, citizens, interests, non-federal governmental agencies, NGOs, etc…) action on the effective administration of public policy. Additionally, students should expand on how the various branches of government are addressing these implementation deficit issues. 2 pages- double spaced .

Must have to do with a FEDERAL administrative agency, not local or s.docx

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Must follow attached text book In chapter 6, the author describes basic components of a business network. Create a new thread, choose one of the types of participants discussed in chapter 6, and explain how you think the chosen participant type could effectively use assets in an enterprise blockchain environment to impact the organization’s outcomes. Then think of three questions you’d like to ask other students and add these to the end of your thread. The questions should be taken from material you read in Chapter 5 or 6. You’re not trying to test each other, but you are trying to start a discussion. You must do the following: 1) Create a new thread. As indicated above, choose one of the types of participants discussed in chapter 6, and explain how you think the chosen participant type could effectively use assets in an enterprise blockchain environment to impact the organization’s outcomes. Then think of three questions you’d like to ask other students and add these to the end of your thread. The questions should be taken from material you read in Chapter 5 or 6. You’re not trying to test each other, but you are trying to start a discussion. 2) Select AT LEAST 3 other students' threads and post substantive comments on those threads. Your comments should answer AT LEAST one of the questions posed in the thread and extend the conversation started with that thread. Make sure that you include the question in your comment so I can see what question you’re answering. ALL original posts and comments must be substantive AND ORIGINAL. (I'm looking for about a paragraph - not just a short answer.) Do not plagiarize!! Use your own words. Hands-OnBlockchainwithHyperledger BuildingdecentralizedapplicationswithHyperledgerFabricandComposer NitinGaur LucDesrosiers VenkatramanRamakrishna PetrNovotny Dr.SalmanA.Baset AnthonyO'Dowd BIRMINGHAM-MUMBAI Hands-OnBlockchainwith Hyperledger Copyright©2018PacktPublishing Allrightsreserved.Nopartofthisbookmaybereproduced,storedinaretrievalsystem,ortransmittedin anyformorbyanymeans,withoutthepriorwrittenpermissionofthepublisher,exceptinthecaseofbrief quotationsembeddedincriticalarticlesorreviews. Everyefforthasbeenmadeinthepreparationofthisbooktoensuretheaccuracyoftheinformation presented.However,theinformationcontainedinthisbookissoldwithoutwarranty,eitherexpressor implied.Neithertheauthors,norPacktPublishingoritsdealersanddistributors,willbeheldliableforany damagescausedorallegedtohavebeencauseddirectlyorindirectlybythisbook. PacktPublishinghasendeavoredtoprovidetrademarkinformationaboutallofthecompaniesandproducts mentionedinthisbookbytheappropriateuseofcapitals.However,PacktPublishingcannotguaranteethe accuracyofthisinformation. CommissioningEditor:Sunithshetty AcquisitionEditor:TusharGupta ContentDevelopmentEditor:TejasLimkar TechnicalEditor:DharmendraYadav CopyEditors:SafisEditing ProjectCoordinator:ManthanPatel Proofreader:SafisEditing Indexer:PriyankaDhadke Graphics:TaniaDut.

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1. Mrs. Jones is a 32 year old Caucasian female who presents for follow up on her gestational diabetes. She is 3 months postpartum and was diagnosed with gestational diabetes. This was her first pregnancy. She has a strong family history of diabetes and was told to get it checked out once she stopped breastfeeding. She has not checked her glucose since she came home from the hospital, stating she has been too busy. Allergies: Sulfa Current medications: Multivitamin PMH: Gestational Diabetes PSH: Tonsillectomy, Wisdom teeth extraction Social: Denies tobacco, Alcohol, or illegal drug use. She is married and lives with her husband and new baby. She works as an elementary teacher. She follows a regular diet and walks 2 days a week when she has recess duty. Immunizations: flu: 2019 Family: Father: alive, +DM, CAD, Hyperlipidemia, Mother: alive, +DM, CKD ROS: Constitutional: Complains of increase fatigue HEENT: Denies any headache, nasal congestion, ear pain Cardiovascular: Denies chest pain

2. Respiratory: Denies any SOB or DOE GI: Denies any issues, last BM 1 day ago. GU: Denies any painful urination, urgency, hesitancy Musculoskeletal: denies. Neurological: Denies Psychiatric: Denies suicidal ideations, depression. Does report difficulty falling asleep Endocrine: Denies any weight changes, intolerance to heat/cold Hematologic/ Lymphatic: Denies any bruising OBJECTIVE: Vital signs: Ht: 66, Wt: 185, BP 130/78, HR 76, Resp: 16, SaO2: 98% Constitutional: Well developed, overweight female HEENT: Oropharynx pink, moist, no lesions or exudate. Tonsils 1+ bilaterally. Teeth in good repair, no cavities noted. Tongue smooth, pink, no lesions, protrudes in midline. Neck supple. No cervical lymphadenopathy or tenderness noted. Thyroid midline, small and firm without palpable masses Cardiovascular: RRR, No murmurs or rubs noted. Respiratory: Clear all fields GI: Abdomen round, soft, with bowel sounds noted in all four

3. quadrants. GU: Deferred Musculoskeletal: Crepitus noted bilateral knees, fluid wave noted to Rt knee Integumentary: Skin warm and dry, No rashes noted Neuro: Follows commands without difficulty Working with your group, utilize the above case study a, develop a Voice Over PowerPoint presentation for your patient covering the problems identified in the case study and content in Unit 3 of Edelman, Kudzama, & Mandle (2018). Include the following: Nutrition Counseling for Health Promotion Exercise Stress Management

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