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Margaret is a 40-year-old white female in for her annual examination

Margaret is a 40-year-old white female in for her annual examination. She states she has been under increased stress in her life for the past few months. She and her husband are currently separated and considering divorce.

Margaret is a 40-year-old white female in for her annual examination

Guidelines: Support your responses with scholarly academic references using APA style format. Assigned course reading and online library resources are preferred. Weekly lecture notes are designed as overviews to the topic for the respective week and should not serve as a citation or reference.

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In your participation responses to your peers, comments must demonstrate thorough analysis of postings and extend meaningful discussion by building on previous postings.

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Discussion 1:

Margaret is a 40-year-old white female in for her annual examination. She states she has been under increased stress in her life for the past few months. She and her husband are currently separated and considering divorce. Her teenaged sons are acting out and she is working extra hours to make ends meet. Secondary to the increased stress she has started smoking again, “about a pack per day” and also states “I know that I am not eating right.”

Margaret has been on the “pill” for almost 20 years and has always liked the method. She states the she has heard that smoking and taking the pill are not good, and she is worry about that. “I really do not need birth control since I am separated but just in case I probably need something.” She states that she has been in a mutually monogamous relationship (as far as she knows) since her marriage 18 years ago. She denies a new partner since her separation.

Menarche was at 11 years, her cycles when on the pill are regular and very light. Her menstrual period should start tomorrow as she just finished her active pills. She denies a personal history of abnormal Pap smears, gynecological issues, hypertension (HTN), or diabetes. She is G2P2002, and also her pregnancies were full term and uncomplicated at ages 24 and 26. Family history is significant for both parents with HTN and mom has type 2 diabetes.

Her paternal grandfather died at age 64 years from type 2 diabetes, HTN, and also coronary artery disease. Her other grandparents died in their late 70s early 80s and she is unaware of any medical issues.

Assessment:

Margaret’s examination finds her height 5’5″, weight 172 lb (up 10 lb. from last year), current body mass index (BMI 28.6), and blood pressure (BP) 148/88. Head, eyes, ears, nose, and also throat (HEENT) are grossly within normal limits (WNL).

No thyromegaly or lymphadenopathy. Heart rate is regular and rhythm is without murmurs, thrills, or rubs. Lungs are clear to auscultation in all lobes. Breasts are without masses, nipple discharge, asymmetry, or lymphadenopathy; self breast examination techniques and frequency reviewed during examination.

Abdomen is soft, nontender, with no masses or hepatosplenomegaly; bowel sounds present in all four quadrants. Pelvic examination reveals normal vulva and negative Bartholin’s and Skene’s glands; vagina is pink, rugated, with minimal white nonodorous discharge; cervix is pink, multiparous os.

Pap smear collected during speculum examination was normal. Bimanual examination reveals a retoverted, firm, mobile, nonenlarged, nontender uterus with negative cervical motion tenderness; adnexa nontender; and also ovaries palpable bilaterally, mobile, without masses. Lower extremities were without edema or varicosities.

Firstly, what options are appropriate for this patient?

Secondly, what contraceptive options are contraindicate d?

Thirdly, what type of patient education is indicate d?

Finally, given that she has a normal pelvic exam, does that change would that influence your decision?

Signature assignment chronic health problem – Hypertension

This is an assignment that focuses on the topic Signature assignment chronic health problem-Hypertension. The paper also discusses the similarities of two EBP.

Signature assignment chronic health problem-Hypertension

G‌‌‍‌‌‍‍‍‌‍‍‌‍‍‍‌‌‌‍uidelines:

Firstly, select a patient that you have encountered in your clinical practice with a chronic health problem. Interview the client/family members. Include the following information Setting: Community clinic, Private practice, Skilled nursing facility, Home health Clinical information: Chief complaint, HPI, PMH, PSH, FH, ROS, PE, Diagnostic Testing, Medical Decision Making, Diagnosis/Clinical Impression, Plan/Interventions, Recommendations, Education, Health promotion Ask your client/family members on areas of: Dependency with families/support systems Self-care management Adaptation/adjustment to the illness Social Isolation Body Image Cultural, racial, ethnicity, and spirituality Influences Functional Limitations Quality of Life Adherence to regimen Community Services or support Sexuality Communication Literacy Financial support Use of Research Findings and other evidence in Clinical Decision Making Choose 2 EBP resources influencing the care provided to your client. Discuss the similarities and diff‌‌‍‌‌‍‍‍‌‍‍‌‍‍‍‌‌‌‍erences that you read for those two EBP peer reviewed articles.

Secondly, submit scholarly paper, with writing style at the graduate level, including all of the following: Reviews topic and explains rationale for its selection in the context of client care. Evaluates key concepts related to the topic. Describes multiple viewpoints if this is a controversial issue or one for which there are no clear guidelines. Assesses the merit of evidence found on this topic i.e. soundness of research Evaluates current EBM guidelines, if available. Or, recommends what these guidelines should be based on available research. Also, discuss the Standardized Procedure for this diagnosis. Discusses how the evidence did impact/would impact practice. What should be done differently based on the knowledge gained? Lastly, consider cultural, spiritual, and socioeconomic issues as applicable. This paper should be in APA Format, including citations and references Research: citations.

Investigation of a problem related to a PICOT question SOAP NOTE

This is an assignment that discusses the Investigation of a problem related to a PICOT question. The paper also involves creation of a power point for presentation.

Investigation of a problem related to a PICOT question

A‌‌‍‌‌‍‍‍‌‍‍‌‍‍‍‌‌‌‍ssignment Criteria:

Develop a PowerPoint presentation that includes the following criteria:

1. Firstly, describe the problem related to the PICOT question.

2. Secondly, state the PICOT question and describe the components

3. Describe the intervention.

4. Summarize the evidence that supports the intervention.

5. Provide a brief summary of the pilot project.

6. Lastly, discuss the implementation process for the intervention and include a timeline. 7. Describe how the intervention will be evaluated. Include measurement tools and a timeline. 8. Consequently, explain the implications of the intervention on practice and the science of nursing. 9. Once the PPT is created,

Presentation

For presentation clarification, include presenter’s notes in the click to add section to explain the slide.The PowerPoint presentation should not be more than 10-12 slides and 10-12 minutes in length. Additionally, be complete and concise. Use bulleted statements not complete sentences or paragraphs. 12. Use APA format for PPT, which always includes a title slide, a reference slide, and APA requirements. Resources found in APA Documents/Resources. 13. A minimum of four (4) references will also be required for this assignment. References should be from scholarly peer-reviewed journals (check Ulrich’s Periodical Directory) and be less than five (5) ye‌‌‍‌‌‍‍‍‌‍‍‌‍‍‍‌‌‌‍ars old. Include the following slides: • Slide 1: Title-develop a title slide. This should include the title of the presentation, student name, and the university name. Use APA format (does not need to be in Times New Roman for a PPT).

Slide 2: Purpose of presentation-verbiage is in the assignment instructions above. • Slide 3: Describe the problem related to the PICOT question. (Describe the problem identified and the need within the organization. Convince the audience that this is a problem that requires attention). • Slide 4: State the PICOT question and explain each of the components • Slide 5: Describe the intervention • Slide 6: Summarize the evidence that supports the intervention. However, convince the audience that the review of the literature was diligent and thorough in the search for the best evidence available on the clinical practice-based problem/topic.

Slides

Slide 7: Describe the pilot project • Slide 8: Discuss the implementation process of intervention and include a timeline • Slide 9: Explain the evaluation process and include measurement tools and a timeline • Slide 10: Conclusion: Include a summary of the main points covered and the importance of implementing the intervention. • Slide 11: Lastly, put references in APA format (please include in-text citations on the slides). Reference‌‌‍‌‌‍‍‍‌‍‍‌‍‍‍‌‌‌‍ should be in APA format

Alternative Pain Management on a Medical Surgical Unit

Project #5: Implementation Plan Instructions This assignment requires that you adapt the analysis done for Projects #1 – 4 to a new environment. Use your prior work, i.e. the recommendation memo and network diagram, to develop a high-level plan for implementing an infrastructure that includes the required controls, changes, etc. to mitigate vulnerabilities and convergence issues in the second case study’s environment. You may need to do additional analysis to address issues specific to the second case study’s environment. Your high-level plan should include all the system development life cycle (SDLC) gates/decision points and all relevant tasks. Describe and relate the implementation solution to CIA and incorporate, people, processes and technology to this plan. Note: Make sure that you include (in detail) the steps you would take to secure the new infrastructure. Putting It All Together Your plan will be a combination of a paper and a detailed list of steps and resources that you would follow to implement and complete this project. Think about all of the actions, resources, and tasks that you would need in order to effect a successful implementation. These should also be included as part of the plan. The minimum structure for this assignment is below: • INTRODUCTION o Purpose of Plan • GOALS AND OBJECTIVES o Business Goals and Objectives o Project Goals and Objectives • SCOPE o Scope Definition o Items Beyond Scope • PROJECTED EXPENSES o System Development Life Cycle/Schedule o Milestones • ASSUMPTIONS o Project Assumptions • CONSTRAINTS o Project Constraints o Critical Project Barriers Additional Information 1. Consult the grading rubric for specific content and formatting requirements for this assignment. 2. Your 5 – 8 page Implementation Plan should be professional in appearance with consistent use of fonts, font sizes, margins, etc. You should use headings and page breaks to organize your paper. 3. Your paper should use standard terms and definitions for cybersecurity. See Course Content > Cybersecurity Concepts Review for recommended resources. 4. The CSIA program recommends that you follow standard APA formatting since this will give you a document that meets the “professional appearance” requirements. APA formatting guidelines and examples are found under Course Resources > APA Resources. An APA template file (MS Word format) has also been provided for your use CSIA_Basic_Paper_Template(APA_6ed,Nov2014).docx. 5. You must include a cover page with the assignment title, your name, and the due date. Your reference list must be on a separate page at the end of your file. These pages do not count towards the assignment’s page count. 6. You are expected to write grammatically correct English in every assignment that you submit for grading. Do not turn in any work without (a) using spell check, (b) using grammar check, (c) verifying that your punctuation is correct and (d) reviewing your work for correct word usage and correctly structured sentences and paragraphs. 7. You are expected to credit your sources using in-text citations and reference list entries. Both your citations and your reference list entries must follow a consistent citation style (APA, MLA, etc.)

Use of Clinical Systems to Improve Outcomes and Efficiencies

Netflix Case Study  his case paper is different than other papers that you may have written in that your paper will not only be read by me, but also by other members of the class. With this in mind, you will want to make the paper as engaging and interesting as possible so as not to bore your classmates. Some strategies to do this would be to pick a company that others in the class may not have heard about or to present an interesting business problem that a company may encounter. I will grade your paper based on the following three criteria: Interestingness: Is your paper engaging and is it written with the audience’s interests (the class and me) in mind? Does your paper include the appropriate marketing terminology that is presented in the textbook? Writing Style: see writing rubric below. A successful paper is usually at least four pages (1.5spaced). Some possible topics could include: A company that successfully balances corporate social responsibility and profit. A company that has used outstanding marketing practices to reinvigorate the firm and increase profitability by creating a competitive advantage in the marketplace. A domestic firm (or organization) that has successfully entered the international marketplace. A new firm (<10 years old) with extraordinary growth and marketplace success. Things that you may want to include in your paper are: (although you are free to deviate and choose a format that you feel is more interesting for the class). A situation analysis with product/service description and SWOT analysis. A description of the firm’s marketing activities that include target market selection, product positioning strategy, and the important elements of distribution, promotion and pricing. A discussion of how the firm satisfies the needs of its customers and what elements about the company makes them extraordinary. Have they been able to create a sustainable competitive advantage? A note about writing: Excellent writing abilities are imperative to success in business and this is a skill that you can expect to improve during this course. This is a graduate level course and I expect graduate level accomplishment in writing. I will grade not only on your mastery of the content, but I also expect the correct use of grammar, spelling and business terminology. I will also expect you to have a polished writing style. If you know your writing is weak, then consider having a friend proofread your paper and/or contact the Academic Support Center for an appointment, http://www.uww.edu/acadsupport/tutorial/ — This is a free service provided by the University.