Category: Essay

Assessing the Genitalia and Rectum

Patients are frequently uncomfortable discussing with healthcare professionals issues that involve the genitalia and rectum; however, gathering an adequate history and properly conducting a physical exam are vital. Examining case studies of genital and rectal abnormalities can help prepare advanced practice nurses to accurately assess patients with problems in these areas.

In this Assignment, you will analyze an Episodic note case study that describes abnormal findings in patients seen in a clinical setting. You will consider what history should be collected from the patients, as well as which physical exams and diagnostic tests should be conducted. You will also formulate a differential diagnosis with several possible conditions.

To Prepare:
Review the Episodic note case study provided for this weeks Assignment:
Based on the Episodic note case study:
Search the Walden library or the Internet for evidence-based resources to support your answers to the questions provided.

Consider what history would be necessary to collect from the patient in the case study.
Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patients condition. How would the results be used to make a diagnosis?
Identify at least five possible conditions that may be considered in a differential diagnosis for the patient.

Using evidence-based resources from your search, answer the following questions and support your answers using current evidence from the literature.

Analyze the subjective portion of the note. List additional information that should be included in the documentation.
Analyze the objective portion of the note. List additional information that should be included in the documentation.
Is the assessment supported by the subjective and objective information? Why or why not?
Would diagnostics be appropriate for this case, and how would the results be used to make a diagnosis?
Would you reject/accept the current diagnosis? Why or why not? Identify three possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using at least three different references from current evidence-based literature.
Using evidence-based resources from your search, answer the following questions and support your answers using current evidence from the literature.

Analyze the subjective portion of the note. List additional information that should be included in the documentation.

Analyze the objective portion of the note. List additional information that should be included in the documentation.

Is the assessment supported by the subjective and objective information? Why or why not?

Would diagnostics be appropriate for this case, and how would the results be used to make a diagnosis?

Would you reject/accept the current diagnosis? Why or why not? Identify three possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using at least three different references from current evidence-based literature.

CASE STUDY:
GENITALIA ASSESSMENT

Subjective:

Chief Complaint: I have bumps on my bottom that I want to have checked out.

HPI: AB, a 21-year-old White Female college student reports to your clinic with external bumps on her genital area. She states the bumps are painless and feel rough. She states she is sexually active and has had more than one partner during the past year. Her initial sexual contact occurred at age 18. She reports no abnormal vaginal discharge. She is unsure how long the bumps have been there but noticed them about a week ago. Her last Pap smear exam was 3 years ago, and no dysplasia was found; the exam results were normal. She reports one sexually transmitted infection (chlamydia) about 2 years ago. She completed the treatment for chlamydia as prescribed.

PMH: Asthma

Medications: Symbicort 160/4.5mcg

Allergies: NKDA

FH: No hx of breast or cervical cancer, Father hx HTN, Mother hx HTN, GERD

Social: Denies tobacco use; occasional etoh, married, 3 children (1 girl, 2 boys)

Objective:

VS: Temp 98.6; BP 120/86; RR 16; P 92; HT 510; WT 169lbs

Heart: RRR, no murmurs

Lungs: CTA, chest wall symmetrical

Genital: Normal female hair pattern distribution; no masses or swelling. Urethral meatus intact without erythema or discharge. Perineum intact. Vaginal mucosa pink and moist with rugae present, pos for firm, round, small, painless ulcer noted on external labia

Abd: soft, normoactive bowel sounds, neg rebound, neg murphys, negMcBurney

Diagnostics: HSV specimen obtained

Assessment:

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Dear writer,
I have uploaded a file that contains various risks that i have identified in burj khalifa.So you need to give suggestios as to how these risks can be reduced.R means risk level(HR-high risk,ER-extreme risk,LR-low risk ,MR-Medium risk and lastly Minimum risk)

And then second part of the order,which is obvious.
Thankyou

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Why were you interested in the book and did it answer most of your questions about the major theme, or change your perspective about it?
Did the author or authors conduct research and how did they do it?
If the book focuses on the history of education, how does it compare to the book we read about the history of schools?
If racial or gender inequality is a major theme, what did your book add to what we have already read about that theme?
If the book focuses on a specific issue or problem like violence in schools, how does the author connect the issue to problems in society as a whole, and what does he or she think we should do about it?
If the book provides a broad overview of education reform or the role of schooling in society (i.e. the books on the list by Mike Rose, Darling-Hammond , Wendy Kopp. E.D. Hirsch and several others)
What does this book teach us about schools and society? Consider the roles of policy makers, educators, citizens and parents; diversity and equality; educational reform; the impact of social problems on education; policy issues; the history of American education; global perspectives and whatever seems most important to you.
Does the author identify problems or suggest that we reform the educational system or change the way that we think about it? What does the author base his/her conclusions on?

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Write a paper using the Application Paper outline.
This is the only paper which includes your interpretations, opinions, and/or explanations of what you observed and the information you gathered in regards to the individual.
Explain your points clearly.
The paper is to be doubled spaced using a 12 point font.
Maximum length of paper is eight (8) pages.
The following sections are required and each heading is to be presented within the paper.
I. Observation Summary (Maximum of one paragraph)
Briefly and objectively summarize the Observation of the individual.
II. Topics Summary (Maximum of one paragraph for each topic)
Briefly and objectively summarize the Topics.
Each of the topics should be separated with a heading.
III. Apply the course material (Maximum of three pages)
Use specific information from the Topic Paper to explain how it applies to the individual from what you found out as presented in the Observation Paper.
Compare and contrast from the Topic Paper for all the topics for the individual you observed.
The format for this section is showing a heading for each topic when applying it to the individual.
IV. Opinions and Conclusions (Maximum of three pages)
Conclude by indicating your reactions, thoughts, and opinions about what you experienced and discovered.
Specifically apply them to the individual you wrote about.
Include any disagreement you have with any of the research in its application to the individual.
Specifically support your points.
Indicate what you learned.
The paper is only considered submitted when it has been uploaded as an attachment. Do not paste it within the submission box.
Upon submitting a paper, a student indicates he or she has not plagiarized and is responsible for having done the research and writing.
The paper will receive reduced points if it is not included.
The paper must have this statement on the cover page with your name:

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main resource and instructions attached. Please follow instructions closely (“instructions” document and “handout argumentation uva edit”) and make sure to properly cite sources, solution could be liberal intergovernmentalism?

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The Capstone Project is a comprehensive analysis of a significant incident, organizational problem, case study, or policy dilemma in homeland security or criminal justice administration. Initially students are required to develop a proposal that identifies the problem they intend to address, the data to be collected and analyzed, a list of viable alternatives and a set of evaluation criteria to be used in selecting the optimal course of action.

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EXAM OPTION: Answer the five questions below in roughly 2-pages. Be sure to cite the works. Make sure to cite your work using footnotes/endnotes and a bibliography.
1. Compare and contrast Marxs theory of class with that of Max Weber and C. Wright Mills.
2. Using the film Inside Job and at least one of the readings by Matt Taibbi, explain how the 2007 financial crisis contributed to social inequality in America.
3. Discuss W.E.B. DuBois contribution to our understanding of racial inequality in America.
4. What does Michelle Alexander mean by the New Jim Crow? Compare and contrast her arguments with those of Marie Gottschalk.
5. What does Walter Ben Michaels mean by the trouble with diversity? What is his main argument and how does it relate to Barbara Ehrenreichs argument in Maid to Order?

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Capstone Project
Learning Objective: The objective of this course is to enable the student to integrate the material from the core business courses as well as the students concentration courses to apply this knowledge to real world situations. Upon completing this course, the student should be able to analyze strategic challenges in the work environment and provide alternatives for resolving them.
The purpose of this activity is to enable you not only to extend and apply strategic analysis to a situation in the real world but also to enhance your competencies in written communication, oral communication, critical thinking, critical reading, quantitative reasoning, and information literacy.

In the development of the case analysis, the strategic management analysis and the report it is expected that students will utilize the skills that they have developed in accounting, finance, marketing, management or sport management to provide insights, analyze strategic challenges and provide alternatives of action to resolve the challenges.

When posted, please see separate outline for Guidance, Student Learning Outcomes, and Rubrics for the Capstone Project. All Capstone submissions will be required to demonstrate the SLOs.

General Outline for Capstone Project
Final Case Analysis Requirement

As you know from the Harvard-like cases analyzed in this course, Strategic Management is a process on the part of the firm:

Strategic Management Process-is the full set of commitments, decisions and actions required for the firm to achieve strategic competitiveness and earn above average returns.
The current business landscape is littered with firms that have failed to remain competitive over time. Eastman Kodak, American Airlines, Circuit City, A&P Supermarkets are among the many companies which have incurred consequences due to failures in the strategic management category.

NOTE: SLOs require that what you have learned in your Accounting, Finance, Economics, International Business, Marketing, and Management Courses be evidenced in crafting your analysis and recommendations.

The Strategic Management Process requires the use of the steps listed below.

1. General External Environment – Scan the overall environment in which the firm exists. Situational analysis- focus on the trends in the six areas- you are scanning these external areas- to be able to predict the segments that you expect to have the most significant influence on your focal firm- -over the next several years- three to five years- (see chapter two of your text for details)

a. Technological trends
b. Demographic trends
c. Economic trends
d. Political-legal trends
e. Sociocultural trends
f. Global trends

2. Industry analysis- see Porters Five Force model. You must use Porters five factors to evaluate your firms position in the industry.

In addition address the following questions:

What are the dominant economic & marketing features of the industry?
Growth rate, scale required, resource requirements
Distribution channels and who has them
Differentiated or commodity

What are the drivers of change in the industry?
Level of innovation required
Level of technology required speed of change
Changes in cost and efficiency

3. Competitor analysis-analysis of the primary competitors current strategies-intent- mission-capabilities.

What are the key success factors needed to compete future KSF
Three questions to ask regarding KSF:
1. On what basis do customers choose?
2. What resources and capabilities are needed to compete?
3. What core competencies are needed to have a sustainable competitive advantage?

Primary competitors goals and strategy Strategic Competitive Analysis
What is the depth and breadth of competitors product line?
What is their basic strategic approach what will they try next
Are there any emerging competitors

4. Internal analysis- the assessment of the firms strengths and weaknesses through a value chain. Doing a value chain analysis is very important to the Strategic Management Analysis.

Finding and understanding Resources; Capabilities; and Core Competencies is part 2 of the internal analysis.

For the purpose of preparing a written presentation- it is important to note that strengths are internal resources and capabilities that have the potential to be core competencies.

Weakness is the internal resources and capabilities that have the potential to place a firm at a competitive disadvantage with its rivals.

When evaluating the internal characteristics of the firm, your analysis of the functional activities emphasized is critical; for example, if the strategy of the firm is primarily technology driven, then you have to evaluate the firms research and development. If the strategy is market driven, you have to look at the marketing activities.

5. Identification of Environmental opportunities and threats and firms strengths and weaknesses
– What we know as a SWOT analysis.
The outcome of the situation analysis is the identification of firms strengths and weaknesses and its environmental threats and opportunities.

The key objective of conducting a SWOT analysis is to determine how to position the firm so it can take advantage of opportunities while avoiding or minimizing environmental threats.

6. Strategy Formulation-Strategic Alternatives- (Three or four alternative strategies are the norm). This may well be one of the most important parts of this process. Alternatives are courses of action that you suggest for the firm for the future. Each Alternative that you develop for the firm must show the potential advantages and disadvantages of that alternative

7. Strategic alternative implementation action items and action plan
Issues that you might consider are structural changes necessary to implement the new strategy- leadership changes-new controls or incentives, etc. In this part of the analysis you will show which alternative from (6) your work above that you are recommending for this firm.

You must also show an implementation plan for affecting the recommendations that you have decided upon.

Student Learning Outcome for the Capstone Project.

These are the business topics you are expected to show you have learned in your other course work in the School of Business. I have included examples of topics could include in your capstone to show what you have learned in your college experience.

The lists are long and it is not expected you would cover all that I have listed.

MGMT460 Capstone Project

Student Learning Outcomes:
1. Demonstrate knowledge of key concepts in accounting, economics, finance, management, marketing, and international business.
2. Assess the legal, economic, and social aspects of a business decision
3. Evaluate the effects of globalization on the business environment
4. Demonstrate knowledge of fundamental principles and key concepts in management
5. Assess the legal, economic, and social aspects of a strategic management decision.

Key concepts by topic:

Marketing:
The 4 Ps Product-Price-Place-Promotion
What does your brand consist of in relation to the 4Ps?
Are you utilizing AIDA effectively?
How do consumers behavior in your industry?
What is your product and who are your customers?
How does your product solve a customers problem?

Accounting/Finance:
Is revenue up or down what is the trend for your company; for your industry?
Are costs up or down what is the trend for your company; for your industry?
Is net income (profits) up or down what is the trend for you company; for your industry?
How does the Balance Sheet look? Old assets? Too many liabilities? Interest rates?
Ratios what ratios are relevant and tell us something useful?

International Business:
What are global situations impact on business?
Are there Treaties and Free Trade Agreements that affect your business?
What is the state of the economy in your target countries or regions?

Management:
Planning Organizing Staffing Directing Monitor & Control
How does management lead, motivate, communicate, and utilize teams?
Is there product and process innovation to help grow the company?

Economics:
What are the trends of Inflation – Unemployment Growth Interest Rates in the US and the World?
How does supply & demand affect your company?
Any Government actions which affect your firms performance?
Availability and cost of resources?

Supply Chain:
Does it create a competitive advantage?
How is technology used to make the chain effective and efficient?
Are there global events which can interrupt your supply chain?

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Full details are in the pdf file. There are 5 topics and required to select any 2 of the topics below and write an answer of about 1,400 words for each topic (excluding tables and figures). Have to choose a different scenario for each topic, so two in total. Do not write about the same scenario. Feel free to choose any 2 topics that you are better at and I have attached some lecture notes. Though number of sources are not strict but make sure to reference properly any sources you got ideas and material from (e.g., internet, research papers, books, newspapers, magazines, databases, etc). This is very important.

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These are 4 questions 2 separate assignments with the same instructions. Please answers 1 and 2 separated and questions 3 and 4 separately. checks for grammar and cite any info that is not common knowledge. Therefore, cite within the paper and include the works cited page. Your responses should include a minimum of three detailed paragraphs each.

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