Nursing

Assignment: Systems in Social Work
Assignment: Systems in Social Work
Families are as unique as the individuals who form them. While you may utilize the same or similar techniques, while working with family systems (through the steps in the GIM and related practice skills), it is also important to recognize that each family has its own unique needs and experiences in the world. The empowerment perspective states that an essential aspect of working with individuals and families is to address their feelings of powerlessness and oppression. Empowerment is a process; and one part of that process is to gain an awareness of the oppressive structures evident in our society. Oppression, in the form of racism, sexism, classism, and homophobia, can impact a family’s quality of life and ability to thrive. Empowerment practice includes discussing potential societal barriers that may have contributed to the family’s concerns.
For this Discussion, review this week’s Learning Resources. Select a diverse family system, such as a family with differences in sexual orientation, a family with differences in race or ethnicity, or a family with members who are managing a disability. Then, consider potential barriers they might encounter in society. Finally, think about how a social worker might address one of these barriers on an individual, family, organizational, group, or community level.
A brief description of the diverse family system you selected. Then explain a potential barrier they might encounter in society. Finally, explain one skill a social worker might use to address this barrier on an individual, family, organizational, group, or community level.
Please see the student exemplar that I have posted below as a guide when developing your main post this week.
The family system that I selected is a family with differences in race or ethnicity. There are a variety of factors that play a role when working with a family system with differences in race or ethnicity. It is a social worker’s “responsibility to recognize the importance of difference, including that of color, race, and culture, when working with diverse populations” (Kirst-Ashman & Hull, 2015, p. 387). These differences “directly affect life experiences and access to resources and power” (Kirst-Ashman & Hull, 2015, p. 387). One potential barrier that this family system may encounter in society is being viewed as inadequate or inferior.
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Important skills a social worker may use to address this barrier is engagement and empathy. It is important to be able to connect with and understand clients on many different levels. In this case, it is crucial to engage with a client and understand the diversities they may face and learn about their culture. As a social worker, “empathizing with a family and its situation is important” (Kirst-Ashman & Hull, 2015, p. 388). Overall, being aware of a client’s differences and engaging with them would be beneficial for a social worker.
References
Kirst-Ashman, K. K., & Hull, G. H., Jr. (2015). Understanding generalist practice (6th ed.). Stamford, CT: Cengage Learning.

Discussion: Dispensing Expired Medication
Discussion: Dispensing Expired Medication
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((1)) Mrs. Jones has a ten o’clock appointment for her new puppy to get a distemper booster, and has arrived on time by taxi. The receptionist has checked her in and she and the puppy are waiting in exam room one. You have taken the temp, pulse, and respiration and have weighed the puppy. You go to the refrigerator to get the distemper vaccine and realize that the last vaccine expired yesterday, the last day of the month. What should be done? (a) Vaccine should be used since it is only one day past its expiration date, (b) Vaccine should be used at twice its recommended dose for added efficacy. (c) If a feline distemper vaccine is available, it should be used instead. (d) Mrs. Jones should be given a new appointment on the date after the next shipment of vaccines comes in.
((2)) Serum- separating tubes or tiger-striped tubes contain. (a) Heparin (b)EDTA
(c)no additives (d) Clot enhancers
((3)) Tail docking and dewclaw removal of puppies is done at: (a) two weeks of age (b) three to five days of age (c) six months of age when the puppy can handle anesthesia (d) breeding facilities only
((4)) Dispensing expired medication, even if by accident is: (a) an embarrassing mistake that the veterinarian will fix (b) acceptable only if the date of expiration is recent (c) Illegal (d) Common practice when working with animals
((5)) FeLV: (a) is like the HIV virus in humans (b)Affects the lymph system (c) Has a High mortality rate (d) Can be cured with the FeLV vaccine
((6)) A cesarean section in a dog: (a) performed only on young dogs with their first litter (b) carries a high risk of mortality in the neonates (c) may be performed on dogs that have a narrow or deformed pelvis (d) is performed with local anesthesia
((7)) In the dental formula for the adult dog, “2x(i 3/3, c1/1, pm 4/4, m 2.3)”, the “2x” refers to the left and the right side of the mouth. (a) true (b) false
((8)) After centrifuging a urine sample, the sediment: (a) is the liquid component(b) floats to the top (c) is contained to the meniscus (d) is obtained by pouring out the liquid portion of the urine
((9)) In the fecal floatation process: (a)parasites eggs float to the bottom (b)centrifugation is required (c) the prepared sample must sit for at least 10mins
((10))Anemia includes: (a) lack of WBCs (b)lack of Hgb (C)numerous amounts of RBCs (D)numerous amounts of WBCs
These next questions are essays, I just want to make sure im not missing anything important in them
((11)) You are taking a lateral and A/P radiographs of the right elbow of a canine. Make sure to use proper anatomical terminology for positioning.
(11A) Describe PPE you will use when preparing for this radiograph::
(11B) How many views are you taking of the right elbow?
(11C) Where would you take the measurement for this radiograph?
(Ca) What metric unit is used when reading caliper?
(Cb) What are three bones that will be positioned under the central beam.
(use directional terminology to describe the aspect of each bone.
(Cc) How many measurements would you take
((11D)) Describe how to measure the thickness of the anatomical area that the X-ray beam is to penetrate.
((11E)) What information would you put in the radiology log before the radiograph is taken
((11F)) When should you return the patients to its kennel or cage
((12)) A new client has come into your clinic, what is the signalment?
((13)) List 7 signs that an animal may exhibit if they are in pain?
((14))The doctor hands you a patients file and asks you to fill a prescription for the canine, “Max” Garcia. You look at the last entry under PLAN and you see the following:”Rx: Acepromazine 10mg #20; Sig:1 tab PO pm for sedation, no more than tid.”*Describe in detail how you would go about filling the prescription.
((15))You need to prepare a mop bucket for he end of the day clean up.The disinfectant you are using has a dilution ratio of 1/2 oz per gallon.The mop bucket hold 5 gallons. Please show your work.*How many oz of disinfectant will you need for the 5gallon mop bucket,how many milliliters of disinfectant will you need for the bucket

Reasons for people to take part in cybersex
Reasons for people to take part in cybersex
Question 1
1.
All of the following are reasons for people to take part in cybersex, except for
Answer
Anonymity
Ease and convenience
Resolving marital problems
Strong sexual fantasies
5 points
Question 2
1.
Net Nanny is
Answer
A pornographic website
A way to block children’s access to pornography
The name of the 1995 U.S. Senate bill that would prohibit making pornographic material available to children under 18
A kind of Trojan that records keystrokes on pornographic websites
5 points
Question 3
1.
Most people consider online affairs just as real as offline affairs because
Answer
They involve the deviant use of the computer
All fantasies about sex turn into reality
A physical sexual act usually takes place
They can lead to marital discord and divorce
5 points
Question 4
1.
When robbers consider the selection of a target, they consider how lucrative an establishment is and _____________
Answer
The personality of the potential victims
The fame gained from the robbery
The risk of arrest
Who to frame for the job
5 points
Question 5
1.
If a person kills him or herself after murdering another, it is called ________ suicide.
Answer
Revenge
Surrealistic
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Apologetic
Atonement
5 points
Question 6
1.
At what point in an inmate’s stay at prison are they most likely to commit suicide?
Answer
After several years of a long sentence
After denial of a parole
When transferred from a local to a state prison
During the initial phase of imprisonment
5 points
Question 7
1.
If deviant behavior cannot be classified as psychotic or neurotic, a psychiatrist will classify it as a __________disorder.
Answer
Psychotic
Personality
Neurotic
Organic
5 points
If a person kills him or herself after murdering another, it is called ________ suicide.
Answer
Revenge
Surrealistic
Apologetic
Atonement
5 points
Question 6
1.
At what point in an inmate’s stay at prison are they most likely to commit suicide?
Answer
After several years of a long sentence
After denial of a parole
When transferred from a local to a state prison
During the initial phase of imprisonment
5 points
Question 7
1.
If deviant behavior cannot be classified as psychotic or neurotic, a psychiatrist will classify it as a __________disorder.
Answer
Psychotic
Personality
Neurotic
Organic
5 points

Assignment: New Referral Form
Assignment: New Referral Form
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Select and review a case study scenario from the Case Study Scenarios. Feel free to embellish the scenario with additional details, as needed.
Complete the New Referral or Inquiry Form based on your selected case study scenario.
Case Studie
Scenario One: Belinda
Belinda is an 18-year-old woman and is pregnant with her second child. Belinda believes she is 8.5 months pregnant, but she is not really sure. She has not seen a doctor since her initial doctor visit when she took the pregnancy test. She has not had any prenatal care during her pregnancy. Belinda’s first child, Benny, was delivered by cesarean section and is now 16 months old.
Belinda is an American Indian and has a Certificate of Degree of Indian Blood (CDIB) for both Muscogee Creek Nation and Cheyenne and Arapaho Tribes. Belinda is currently living in an apartment with her children’s father, but she suspects that they will be evicted soon for not paying rent. Neither Belinda nor the children’s father has a job, and both have been unemployed for several months. Belinda and her boyfriend do not have transportation. Additionally, neither has any personal identification documents—such as a social security card, birth certificate, or driver’s license—other than a CDIB card.
Belinda would like to become a nurse, but she dropped out of high school half way through the ninth grade.

Assignment: Epigenetics Reaction
Assignment: Epigenetics Reaction
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You will be writing a 1,000 word Reaction Paper in this course using the instructions and links found below. You will be completing the following tasks and gathering the following information for your paper:
Watch the from PBS. Begin your paper by defining epigenetics in your own words and discussing your reaction to the video. (Here’s an additional link if the first link is not working – https://www.dailymotion.com/video/x1luqdj)
Interview your family members and complete the . Find out which disease(s) you are most at risk for.
Research and locate one article on epigenetics and whatever disease you are most at risk for (select a study on research conducted on humans) from a reputable academic source:
Reputable Sources:
journal articles
government publications based on research
Do not use:
magazines of any sort, whether they are on paper or online
Websites of any type, including epigenetics websites
Wikipedia
How to Perform Your Research
Use the College Library in person or online (log in with your new MDC ID number (the one that is all numbers). Your password is the last four digits of that same MDC ID unless you have changed it.
Read the epigenetics article you find. Continue your paper with a discussion of the epigenetics article. Be sure to paraphrase (put things in your own words) and be sure to cite the author(s) of the article you find using APA style (see the section below on using APA style). Aim for about a page for this part of your paper.
Discuss the concept of epigenesis in light of your family history and the article you read. Aim for one page for this section of your paper.
Complete the Living to 100 Questionnaires. Integrate your findings on the questionnaire into your discussion. Aim for another page.
Discuss how you can improve your health and longevity in light of your findings in this questionnaire, your understanding of epigenetics, and your knowledge of your family history. This should be your final page.
You can go over or under a page for any of the sections of the paper as long as your total paper is 1,000 words not counting the references.
General Rules for an “A” Paper (check your paper against this list)
1,000 words
Original work; plagiarism free!!
Double-spaced, 12-point font, 1-inch margins
Covers all 6 tasks
Spellchecked
College-level grammar
Cite your article APA style (author & year within body of paper; full reference at end)
No abstract, no cover
Place your name and reference number on the first page. Use page numbers.

Discuss: Objective Personality Assesment
Discuss: Objective Personality Assesment
Prior to beginning work on this assignment, review Chapters 8 and 9 in your textbook.
In this assignment, you will compare projective and objective methods of personality assessment. Research a minimum of three peer-reviewed articles in the Ashford University Library that were published within the last 15 years on these techniques. In your paper, you will provide an evaluation of these techniques organized according to the outline provided below. Use information from your researched peer-reviewed articles and required sources to support your work in each section.
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Discuss: Objective Personality Assesment
Define the term objective in objective methods of personality assessment.
Summarize the features of objective methods of personality assessment, and provide at least three examples of these types of measures.
Explain the assumptions on which objective methods are based, and provide an analysis of empirical research testing the validity of the assumptions you identified.
Appraise the research exploring the technical adequacy (i.e., reliability and validity) of objective tests.
Describe the impact of social and culture variability on the administration and interpretation of objective tests.
Section 2: Projective Personality Assesment
Define the term projective in projective methods of personality assessment.
Summarize the features of projective methods of personality assessment, and provide at least three examples of these types of measures.
Explain the assumptions on which projective methods are based, and provide an analysis of empirical research testing the validity of the assumptions you identified.
Appraise the research exploring the technical adequacy (i.e., reliability and validity) of projective tests.
Describe the impact of social and culture variability on the administration and interpretation of projective tests.
Section 3: Synthesis, Conclusions, and Recommendations
Write a brief one-paragraph scenario for a fictitious client. Include the following information: presenting concerns (reason for referral), age, gender, ethnicity, language(s), and any other significant information (e.g., military status, health issues, marital status, sexual orientation, etc.).
Debate the arguments supporting and opposing the use of projective and objective personality assessments with your identified client.
Select a minimum of one objective and one projective measure to use with your client. Compare the use of the selected projective and objective personality measures with your identified client.

Assignment: Peripheral Vascular System
Assignment: Peripheral Vascular System
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Scenario 2
Vital signs:
Temperature: 97.9 oral
Respiratory rate: 32, labored
Heart rate: 112, tachycardic
BP right arm: 148/88
Oxygen saturation: 90% on room air
Weight: 210 lbs, stable
Skin: Cool, diaphoretic
Thorax and lungs: Thorax symmetrical; diminished breath sounds right middle and lower lobes; no rales, rhonchi, or wheezes; breath sounds vesicular with no adventitious sounds left lung
Cardiovascular: Heart rate is irregular with good S1, S2; no S3 or S4; no murmur
Abdomen: Protuberant with normoactive bowel sounds auscultated x4 quadrants
Peripheral vascular: Right calf with 2+ edema, erythema; warmth and tenderness on palpation noted; left lower extremity without edema or erythema; 2+ dorsalis pedis pulses bilaterally
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Instructions: Your Discussion post should be in the SOAP Note format, rather than the traditional narrative style Discussion posting format. Refer to the Comprehensive SOAP Template/Exemplar on the attachments below.
Address all these in the SOAP Note:
1. A description of the health history you would need to collect from the patient in the case study 2.
2. Explain what physical exams and diagnostic tests would be appropriate and how the results would be used to make a diagnosis.
3. List five different possible conditions for the patient’s differential diagnosis, and justify why you selected each.
REMINDER: Please make a SOAP NOTE for this case. Make your own patient’s data, applicable health history, review of systems, P.E., labs, etc. Incorporate the data from the case 2 in the SOAP note that you will do… This is not essay ok…. I need SOAP note (Nurse Practitioner/RN/MD makes SOAP note)… Be guided with the templates/exemplar… Don’t copy paste. Formulate your own… Don’t forget to cite the Five different possible conditions (Differential diagnosis) and have Reference lists too.
RESOURCES:
Readings
· Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2015). Seidel’s guide to physical examination (8th ed.). St. Louis, MO: Elsevier Mosby.
o Chapter 13, “Chest and Lungs” (pp. 260-293)
This chapter explains the physical exam process for the chest and lungs. The authors also include descriptions of common abnormalities in the chest and lungs.
o Chapter 14, “Heart” (pp. 294-331)
The authors of this chapter explain the structure and function of the heart. The text also describes the steps used to conduct an exam of the heart.
o Chapter 15, “Blood Vessels” (pp. 332-349)
This chapter describes how to properly conduct a physical examination of the blood vessels. The chapter also supplies descriptions of common heart disorders.
· Dains, J. E., Baumann, L. C., & Scheibel, P. (2016). Advanced health assessment and clinical diagnosis in primary care (5th ed.). St. Louis, MO: Elsevier Mosby.
o Chapter 8, “Chest Pain” (pp. 81–96)
This chapter focuses on diagnosing the cause of chest pain and highlights the importance of first determining whether the patient is in a life-threatening condition. It includes questions that can help pinpoint the type and severity of pain and then describes how to perform a physical examination. Finally, the authors outline potential laboratory and diagnostic studies.
o Chapter 11, “Cough” (pp. 118-147)
A cough is a very common symptom in patients and usually indicates a minor health problem. This chapter focuses on how to determine the cause of the cough through asking questions and performing a physical exam.
o Chapter 14, “Dyspnea” (pp. 159–173)
The focus of this chapter is dyspnea, or shortness of breath. The chapter includes strategies for determining the cause of the problem through evaluation of the patient’s history, through physical examination, and through additional laboratory and diagnostic tests.
o Chapter 26, “Palpitations” (pp. 310-317)
This chapter describes the different causes of heart palpitations and details how the specific cause in a patient can be determined.
o Chapter 33, “Syncope” (pp. 390-397)
This chapter focuses on syncope, or loss of consciousness. The authors describe the difficulty of ascertaining the cause, because the patient is usually seen after the loss of consciousness has happened. The chapter includes information on potential causes and the symptoms of each.
· Sullivan , D. D. (2012). Guide to clinical documentation (2nd ed.). Philadelphia, PA: F. A. Davis.
o Chapter 6, “Outpatient Charting and Communications” (pp. 119–141)
Note: Download these Adult Examination Checklists and Physical Exam Summaries to use during your practice cardiac and respiratory examination.
· Seidel, H. M., Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2011). . In Mosby’s guide to physical examination (7th ed.). St. Louis, MO: Elsevier Mosby.
This Blood Vessels Physical Exam Summary was published as a companion to Seidel’s guide to physical examination (8th ed.), by Ball, J. W., Dains, J. E., & Flynn, J. A. Copyright Elsevier (2015). From https://evolve.elsevier.com/
· Seidel, H. M., Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2011). . In Mosby’s guide to physical examination(7th ed.). St. Louis, MO: Elsevier Mosby.
This Adult Examination Checklist: Guide for Cardiovascular Assessment was published as a companion to Seidel’s guide to physical examination (8th ed.), by Ball, J. W., Dains, J. E., & Flynn, J. A. Copyright Elsevier (2015). From https://evolve.elsevier.com/
· Seidel, H. M., Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2011). . In Mosby’s guide to physical examination (7th ed.). St. Louis, MO: Elsevier Mosby.
This Adult Examination Checklist: Guide for Chest and Lung Assessment was published as a companion to Seidel’s guide to physical examination (8th ed.), by Ball, J. W., Dains, J. E., & Flynn, J. A. Copyright Elsevier (2015). From https://evolve.elsevier.com/
· Seidel, H. M., Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2011). . In Mosby’s guide to physical examination (7th ed.). St. Louis, MO: Elsevier Mosby.
This Chest and Lungs Physical Exam Summary was published as a companion to Seidel’s guide to physical examination (8th ed.), by Ball, J. W., Dains, J. E., & Flynn, J. A. Copyright Elsevier (2015). From https://evolve.elsevier.com/
· Seidel, H. M., Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2011). In Mosby’s guide to physical examination (7th ed.). St. Louis, MO: Elsevier Mosby.
This Heart Physical Exam Summary was published as a companion to Seidel’s guide to physical examination (8th ed.), by Ball, J. W., Dains, J. E., & Flynn, J. A. Copyright Elsevier (2015). From https://evolve.elsevier.com/
· McCabe, C., & Wiggins, J. (2010a). Differential diagnosis of respiratory disease part 1. Practice Nurse,40(1), 35–41.
Retrieved from the Walden Library databases.
This article describes the warning signs of impending deterioration of the respiratory system. The authors also explain the features of common respiratory conditions.
· McCabe, C., & Wiggins, J. (2010b). Differential diagnosis of respiratory diseases part 2. Practice Nurse, 40(2), 33–41.
Retrieved from the Walden Library databases.
The authors of this article specify how to identify the major causes of acute breathlessness. Additionally, they explain how to interpret a variety of findings from respiratory investigations.
· SkillStat Learning, Inc. (2014). The 6 second ECG. Retrieved from
This interactive website allows you to explore common cardiac rhythms. It also offers the Six Second ECG game so you can practice identifying rhythms.
· University of Virginia. (n.d.). Introduction to radiology: An online interactive tutorial. Retrieved from
This website provides an introduction to radiology and imaging. For this week, focus on cardiac radiography and chest radiology.
Media
· Laureate Education. (Producer). (2012). . Baltimore, MD: Author.
Note: You will use the case studies presented in the media, Advanced Health Assessment and Diagnostic Reasoning, to complete this week’s Discussion.
· Online media for Seidel’s Guide to Physical Examination
In addition to this week’s media, it is highly recommended that you access and view the resources included with the course text, Seidel’s Guide to Physical Examination. Focus on the videos and animations in Chapters 13, 14, and 15 that relate to the assessment of the heart, lungs, and peripheral vascular system. Refer to Week 4 for access instructions on .
Optional Resources
· LeBlond, R. F., Brown, D. D., & DeGowin, R. L. (2009). DeGowin’s diagnostic examination (9th ed.). New York, NY: McGraw Hill Medical.
o Chapter 8, “The Chest: Chest Wall, Pulmonary, and Cardiovascular Systems; The Breasts” (Section 1, “Chest Wall, Pulmonary, and Cardiovascular Systems,” pp. 302–433)

Note: Section 2 of this chapter will be addressed in Week 10.
This section of Chapter 8 describes the anatomy of the chest wall, pulmonary, and cardiovascular systems. Section 1 also explains how to properly conduct examinations of these areas.

Discussed Matters Of Truth And Consistency
Discussed Matters Of Truth And Consistency
In M1: Assignment 2, you identified and explained the weakest or strongest argument in a set of articles. You identified the premises and conclusions, discussed whether or not an inference was warranted, and discussed matters of truth and consistency within the specified subject.
Review your work in M1: Assignment 2 where you analyzed the sets of articles assigned to you.
Using these articles, complete the following:
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Construct an original “engulf and devour” argument.
Or
Develop a “counterexample” argument.
You may use the M1: Assignment 2 readings as sources for evidence and facts. Be sure to do the following:
Use additional references to support your arguments and provide evidence as needed.
Use key language and phrases suggested in your textbook.
If you have difficulty getting started use the “quick start” techniques listed in the textbook.
Write your initial response in 1–2 paragraphs. Apply APA standards to citation of sources.
In M1: Assignment 2, you identified and explained the weakest or strongest argument in a set of articles. You identified the premises and conclusions, discussed whether or not an inference was warranted, and discussed matters of truth and consistency within the specified subject.
Review your work in M1: Assignment 2 where you analyzed the sets of articles assigned to you.
Using these articles, complete the following:
Construct an original “engulf and devour” argument.
Or
Develop a “counterexample” argument.
You may use the M1: Assignment 2 readings as sources for evidence and facts. Be sure to do the following:
Use additional references to support your arguments and provide evidence as needed.
Use key language and phrases suggested in your textbook.
If you have difficulty getting started use the “quick start” techniques listed in the textbook.
Write your initial response in 1–2 paragraphs. Apply APA standards to citation of sources.
You may use the M1: Assignment 2 readings as sources for evidence and facts. Be sure to do the following:
Use additional references to support your arguments and provide evidence as needed.
Use key language and phrases suggested in your textbook.
If you have difficulty getting started use the “quick start” techniques listed in the textbook.
Write your initial response in 1–2 paragraphs. Apply APA standards to citation of sources.
In M1: Assignment 2, you identified and explained the weakest or strongest argument in a set of articles. You identified the premises and conclusions, discussed whether or not an inference was warranted, and discussed matters of truth and consistency within the specified subject.
Review your work in M1: Assignment 2 where you analyzed the sets of articles assigned to you.

Assignment: Focused Ear Exam
Assignment: Focused Ear Exam
Martha brings her 11-year old grandson, James, to your clinic to have his right ear checked. He has complained to her about a mild earache for the past two days. His grandmother believes that he feels warm but did not verify this with a thermometer. James states that the pain was worse while he was falling asleep and that it was harder for him to hear. When you begin basic assessments, you notice that James has a prominent tan. When you ask him how he’s been spending his summer, James responds that he’s been spending a lot of time in the pool.
To prepare:
With regard to the case study you were assigned:
· Review this week’s Learning Resources and consider the insights they provide.
· Consider what history would be necessary to collect from the patient.
· Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis?
· Identify at least 5 possible conditions that may be considered in a differential diagnosis for the patient.
Note: Before you submit your initial post, replace the subject line (“Week 5 Discussion”) with “Review of Case Study ___,” identifying the number of the case study you were assigned.
Post an episodic/focused note about the patient in the case study to which you were assigned using the episodic/focused note template provided in week 5 resources. Provide evidence from the literature to support diagnostic tests that would be appropriate for each case. List five different possible conditions for the patient’s differential diagnosis and justify why you selected each.
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Martha brings her 11-year old grandson, James, to your clinic to have his right ear checked. He has complained to her about a mild earache for the past two days. His grandmother believes that he feels warm but did not verify this with a thermometer. James states that the pain was worse while he was falling asleep and that it was harder for him to hear. When you begin basic assessments, you notice that James has a prominent tan. When you ask him how he’s been spending his summer, James responds that he’s been spending a lot of time in the pool.
To prepare:
With regard to the case study you were assigned:
· Review this week’s Learning Resources and consider the insights they provide.
· Consider what history would be necessary to collect from the patient.
· Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis?
· Identify at least 5 possible conditions that may be considered in a differential diagnosis for the patient.
Note: Before you submit your initial post, replace the subject line (“Week 5 Discussion”) with “Review of Case Study ___,” identifying the number of the case study you were assigned.
Post an episodic/focused note about the patient in the case study to which you were assigned using the episodic/focused note template provided in week 5 resources. Provide evidence from the literature to support diagnostic tests that would be appropriate for each case. List five different possible conditions for the patient’s differential diagnosis and justify why you selected each.

Generating And Assessing Evidence
Generating And Assessing Evidence
The Collaborative Learning Community: EBP Identification of Clinical Question assignment is due.
Prepare for your upcoming Topic 5 assignment, Collaborative Learning Community: EBP Literature Search/Appraisal of Evidence. Remember to record all communication in the CLC Forum.
Use the evidence hierarchy pyramid provided in Figure 2.1 in the Nursing Research: Generating and Assessing Evidence for Nursing Practice textbook as a guide for the levels of evidence in your reference list.
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Locate case studies, relevant clinical articles written by experts, research articles, evidence-based guidelines, protocols, and theories that may guide the identification of appropriate solutions. This can include the articles reviewed in Topic 3. Note: Not all theories will have research that allows them to have a level assigned to them. This does not mean they are not good theories. A true proposal would require a comprehensive review of the literature and inclusion of all relevant works.
Appraise the evidence using the guidelines provided in the Nursing Research: Generating and Assessing Evidence for Nursing Practice textbook. Use these guidelines to discard references that are untrustworthy or irrelevant. Box 2.2 can help with this decision-making process. Chapter 5 provides guidance on how to synthesize the article findings.
Use the assigned Topic Material, “CLC EBP Research Table,” to consolidate and present the findings. Limit the articles to no more than 10 (two per student in the CLC group would be reasonable). Choose one group member to submit the completed assignment by the end of Topic 5.
The Collaborative Learning Community: EBP Identification of Clinical Question assignment is due.
Prepare for your upcoming Topic 5 assignment, Collaborative Learning Community: EBP Literature Search/Appraisal of Evidence. Remember to record all communication in the CLC Forum.
Use the evidence hierarchy pyramid provided in Figure 2.1 in the Nursing Research: Generating and Assessing Evidence for Nursing Practice textbook as a guide for the levels of evidence in your reference list.
Locate case studies, relevant clinical articles written by experts, research articles, evidence-based guidelines, protocols, and theories that may guide the identification of appropriate solutions. This can include the articles reviewed in Topic 3. Note: Not all theories will have research that allows them to have a level assigned to them. This does not mean they are not good theories. A true proposal would require a comprehensive review of the literature and inclusion of all relevant works.
Appraise the evidence using the guidelines provided in the Nursing Research: Generating and Assessing Evidence for Nursing Practice textbook. Use these guidelines to discard references that are untrustworthy or irrelevant. Box 2.2 can help with this decision-making process. Chapter 5 provides guidance on how to synthesize the article findings.
Use the assigned Topic Material, “CLC EBP Research Table,” to consolidate and present the findings. Limit the articles to no more than 10 (two per student in the CLC group would be reasonable). Choose one group member to submit the completed assignment by the end of Topic 5.