Double the number of nurses with a doctorate by 2020. Recommendation 6: Ensure that nurses engage in lifelong learning. Identify your options in the job market based on your educational level.

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In a reflection of 450-600 words, explain how you see yourself fitting into the following IOM Future of Nursing recommendations: Recommendation 4: Increase the proportion of nurses with a baccalaureate degree to 80% by 2020. Recommendation 5: Double the number of nurses with a doctorate by 2020. Recommendation 6: Ensure that nurses engage in lifelong […]

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NOTE

In this Discussion, you consider case studies of abnormal findings from patients in a clinical setting. You determine what history should be collected from the patients, what physical exams and diagnostic tests should be conducted, and formulate a differential diagnosis with several possible conditions.

Your Discussion post should be in the SOAP Note format, rather than the traditional narrative style Discussion posting format. Refer to Chapter 2 of the Sullivan text and the Comprehensive SOAP Template in the Week 4 Learning Resources for guidance. Remember that not all comprehensive SOAP data are included in every patient case.

Case 1: Nose Focused Exam
Richard is a 50-year-old male with nasal congestion, sneezing, rhinorrhea, and postnasal drainage. Richard has struggled with an itchy nose, eyes, palate, and ears for 5 days. As you check his ears and throat for redness and inflammation, you notice him touch his fingers to the bridge of his nose to press and rub there. He says he’s taken Mucinex OTC the past two nights to help him breathe while he sleeps. When you ask if the Mucinex has helped at all, he sneers slightly and gestures that the improvement is only minimal. Richard is alert and oriented. He has pale, boggy nasal mucosa with clear thin secretions and enlarged nasal turbinates, which obstruct airway flow but his lungs are clear. His tonsils are not enlarged but his throat is mildly erythematous.

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 10 possible conditions that may be considered in a differential diagnosis for the patient.

 

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Assignment: Genogram: Hernandez Family profile

As you have been exploring human behavior and the social environment, you have likely increased your awareness of the many biological, psychological, and sociological factors that affect individual behavior. Human relationships are complex, and social workers may find it difficult to keep these important interactions in mind when addressing a client’s needs. Murray Bowen (as cited in Zastrow & Kirst-Ashman, 2016, p. 595) developed the genogram, a tool to help social workers and other practitioners create a record of family relationships. Once a social worker creates a genogram for a client, he or she may refer to it when analyzing the client’s situation.

To prepare for this Assignment, become familiar with how to create a genogram, which is presented in this week’s resources. Also, review this week’s media about Juan and Elena Hernandez’s visit with their social worker.

By Day 7

Submit a 2- to 4-page paper that includes the following:

  • 1. A genogram of the Hernandez family
  • 2. An analysis of the Hernandez family’s case based on the genogram including the following information.
    • 3. Identify an element of the Hernandez family’s case that may influence the way Juan and Elena Hernandez address their issue with the social worker.
    • 4. Explain how the genogram you created might help you address the needs of the Hernandez family.

Required Readings

Zastrow, C. H., & Kirst-Ashman, K. K. (2016). Understanding human behavior and the social environment (10th ed.). Boston, MA:  Cengage Learning.
Chapter 12, “Sociological Aspects of Young and Middle Adulthood” (pp. 549-616)

Plummer, S.-B., Makris, S., Brocksen S. (Eds.). (2014). Sessions: Case histories. Baltimore, MD: Laureate International Universities Publishing. [Vital Source e-reader].
“The Hernandez Family” (pp. 3–5)

Required Media

Laureate Education (Producer). (2013). Hernandez family: Episode 6 [Video file]. Retrieved from https://class.waldenu.edu

Note:  The approximate length of this media piece is 3 minutes.

Accessible player –Downloads–Download Video w/CCDownload AudioDownload Transcript

Optional Resources

Use the link below to access the MSW home page, which provides resources for your social work program.
MSW home page

Sutin, A. R., & Costa, P. T. (2010). Reciprocal influences of personality and job characteristics across middle adulthood. Journal of Personality, 78(1), 257–288.

Whitbourne, S., K., Sneed, J. R., & Sayer, A. (2009). Psychosocial development from college through midlife: A 34-year sequential study. Developmental Psychology, 45(5), 1328–1340.

 

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· Quality of the management

· Quality of the management

Term Project

Best Investment Idea

Total Points: 5

Due date: July 31, 2019

In this project, you have to explore various publicly traded U.S. companies and come up with a company that you believe will be the best investment idea for 2019 and beyond. For your chosen company, you will develop a detailed report explaining your reasoning behind why you believe investing in that particular company will be most profitable. Your report should focus on the following aspects and others that you believe are important:

· Brief investment thesis

· Economic moat – A durable competitive advantage that is difficult to copy by the competitors

· Company valuation

· Risks

· Quality of the management

· Future growth prospect

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