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NR 601 Week 6 Case Study Discussions Health Promotion, Health Protection, Disease Prevention, and Treatment Considerations in Long-Term Care (Part-2) NEW

Discussion Part Two (graded)

 Physical Exam:

Discussion Part Two (graded)

Vital signs: blood pressure 145/90, heart rate 100, respirations 20 height 5’1”; weight 210 pounds

Labwork:

CBC: normal

UA: 2+ glucose; 1+ protein; negative for ketones

CMP: BUN/Creat. elevated; Glucose is 300 mg/dL

Hemoglobin A1c: 12%

Thyroid panel: normal

LFTs: normal

Cholesterol: total cholesterol (206), LDL elevated; HDL is low EKG: normal

General: obese female in not acute distress HEENT: unremarkable

CV: S1 and S2 RRR without murmurs or rubs

Lungs: Clear to auscultation

Abdomen– soft, round, nontender with positive bowel sounds present; no organomegaly; no abdominal bruits

Discussion Questions Part Two

 For the primary diagnosis, what non-pharmacological and pharmacological strategies would be appropriate?

Include the following: lab work and screenings to be completed. Describe patient education strategies.

Describe follow-up and any referrals that may be necessary.

Discussion Part One (graded)

C.G. is a 69-year-old male with a history of right head and neck cancer that you have been following for one year. The carcinoma was initially localized to the head and neck-specifically at the left lingual tonsil region and went on to complete a total of 6 weeks of radiation and chemotherapy. Recently, the last PET scan indicated some metabolic activity in the left lymph node area along with other regions of abnormal metabolic activity in the body-particularly the liver and the lungs indicating metastasis. C.G. indicates that he is tired of the effects of chemotherapy and radiation and does not want to pursue any more treatment for cancer.

Background:

Right head and neck cancer with metastasis to liver and lungs; patient is refusing further treatment.

PMH:

Hypertension

Hyperlipidemia

Stomatitis

Anemia

Neutropenia 

Current medications: 

Carvedilol 12.5 mg po 1 daily

Furosemide 40 mg po daily

Surgeries:      

2012: right radical neck dissection 

Allergies:

None 

Vaccination History:

Influenza vaccine last received 1 year ago

Received pneumovax at age 65

Received Tdap 5 years ago

Has not had the herpes zoster vaccine 

Social history and Risk Factors:

Former smoker-stopped smoking at the time his cancer was diagnosed-2 years ago

Negative for alcohol intake or drug use

Patient does not have an advanced directive or living will. He is refusing further treatment for his cancer and his wife and children are in disagreement with him. The patient wants to know what his options are for the remainder of his life.  

Family history:

Negative 

 Discussion Part One:

 Provide differential diagnoses (DD) with rationale.

Further ROS questions needed to develop DD.

Identify the legal/ethical issues involved with the patient and describe your approach to addressing end-of-life care for this patient.

Discussion Part Two (graded)

 Physical examination:

Vital Signs: Height:  6’0   Weight: 140 pounds; BMI: 19.0   BP: 156/84  P: 84 regular R: 20

HEENT: normocephalic, symmetric PERRLA, EOMI; poor dentition NECK: left neck supple; non-palpable lymph nodes; no carotid bruits. Limited ROM

LUNGS: rhonchi in anterior chest bilaterally.

HEART: S1 and S2 audible; regular rate and rhythm

ABDOMEN: active bowel sounds all 4 quadrants; Normal contour; RUQ tenderness; liver palpable

NEUROLOGIC: negative

GENITOURINARY: negative

MUSCULOSKELETAL: negative

PSYCH: PHQ-9 is 15

SKIN: oral mucosa irritated-stomatitis

 Discussion Part Two:

Summarize the history and results of the physical exam. Discuss the differential diagnosis and rationale for choosing the primary diagnosis. Include one evidence-based journal article that supports your rationale and include a complete treatment plan that includes medications, possible referrals, patient education, ICD 10 Codes, and plan for follow up.

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PSY 330 Week 2 DQ 2 Heritability

One of the goals of behavioral genetics is to identify the heritability of a particular behavior.  Heritability is the amount of variance in observed behaviors among people that can be explained by genetics.  Review this week’s reading and discuss the strengths and weaknesses of some of the methods used to determine heritability in humans.  Address the use of adoption studies and twin studies, as well as shared environmental factors and unique environmental factors.  

PSY 330 Week 3 Assignment Final Project Outline

Final Project Outline

Review the Final Project guidelines and, using the approved topic that was identified in Week One, construct an outline of your Final Project.  Your outline should be a minimum of one to two pages (excluding title and reference pages) and include each of the required headings/sub-headings listed for your Final Project as well as a two-to three-sentence description of each.  Additionally, a reference page must be included with at least six peer-reviewed sources that were published within the last 5 years, cited according to APA guidelines as outlined in the Ashford Writing Center.  These sources will also be used for the Final Project.  Each section of the outline should specify which sources will apply to that area.

This outline is a tool to ensure you are on the right track for your Final Project.  The more detail and information you provide in this assignment, the more feedback you will receive from your instructor.  

Carefully review the Grading Rubric for the criteria that will be used to evaluate your assignment.

PSY 330 Week 3 DQ 1 Behaviorism

Imagine you have completed the certification process and you are now a practicing therapist who specializes in behavior modification.  A new client calls you to make an appointment and discloses that she has a severe phobia of dogs.  She has been terrified of them since childhood.  Her fiancé has a dog and will not part with it, which requires her to get treatment before they are married.  Take one of the following approaches to develop a strategy for her behavior change:

Option A: Utilize classical conditioning techniques to develop a strategy for changing the behavior of the client. Be specific in identifying the unconditioned stimulus, the unconditioned response, the conditioned stimulus, and the conditioned response. Your response should also indicate the most likely cause of this disorder from a behaviorist perspective. Your initial post should be a minimum of 250 words and utilize one peer-reviewed source which was published within the last five years, cited according to APA guidelines as outlined in the Ashford Writing Center.  Indicate in your post which option you are responding to.    

Option B: Utilize operant conditioning techniques to develop a strategy for changing the behavior of the client. Be specific in identifying the reinforcement for the unwanted behavior and the method(s) of reinforcement you will use. Your response should also indicate the most likely cause of this disorder from a behaviorist perspective. Your initial post should be a minimum of 250 words and utilize one peer-reviewed source which was published within the last five years, cited according to APA guidelines as outlined in the Ashford Writing Center.  Indicate in your post which option you are responding to.

PSY 330 Week 3 DQ 2 Psychodynamic Theory

The psychodynamic model provides a general guideline for the development of normal and abnormal behavior.  Overall, the model is comprised of numerous theories and approaches that follow a general trend for behavior formation.  Evaluate each of the theories contained in the psychodynamic approach as they are presented in your course text.  Explain what normal and abnormal behavior would be within the perspective of each theory.  Provide a reasoned interpretation of what unifies the various theories within the psychodynamic model.

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NR 601 Week 3 Case Study Discussions Physical Examination (Part-2) NEW

Discussion Part Two (graded)

 Physical examination:

Vital Signs:

Height:  5’0”   Weight: 150 pounds BMI: 29.3   BP: 120/64    T: 98.0 oral  P: 68 regular    R: 16, non-labored

HEENT: Normocephalic, symmetric. Evidence of prior cataract surgery 

in both eyes. PERRLA, EOMI, cerumen impaction bilateral ears.

NECK: Neck supple; non-palpable lymph nodes; no carotid bruits.

LUNGS: Clear to auscultation

HEART: RRR with regular without S3, S4, murmurs or rubs. 

ABDOMEN: Normal contour; active bowel sounds, LLQ tenderness.

PV: Pulses are 2+ BL in upper and lower extremities; no edema. No 

evidence of peripheral neuropathy.

NEUROLOGIC: Negative

GENITOURINARY: No CVA tenderness

MUSCULOSKELETAL: Gait fluid and steady. No muscle atrophy or 

asymmetry. Full ROM all joints. Strength 5/5 and equal bilaterally. Joint swelling in fingers both hands.

PSYCH: Flat affect; patient declined to answer PHQ-9 and GDS

SKIN: Grossly intact without rashes or ecchymosis.

 Discussion Part Two:

Summarize the history and results of the physical exam. Discuss the differential diagnosis and rationale for choosing the primary diagnosis. Include one evidence-based journal article that supports your rationale and include a complete treatment plan that includes medications, possible referrals, patient education, ICD 10 Codes, and plan for follow up.

for assignment help and quiz, 

visit 

http://www.dreamassignment.com/