With the powerpoint slides please include narrative notes.

Case Study: Prescribed Drugs with CAMs

Mr. X, a 42-year-old male presents to your primary care practice today complaining of low back pain.

History – Mr. X states that he has had chronic low back pain since he had a skiing accident about 10 years ago. Three days ago, he felt a pulling sensation in his lower back after moving some boxes. The pain intensity increased over the subsequent 24 hours and is now steady, aching in nature, at 3-4 out of 10. Mr. X also has Type2 diabetes, which is well controlled on metformin with a HGA1c of 5.6. He has a history of DVT 4 months ago for which he takes Coumadin, INR is WNL. He is followed by a specialist for this problem. He recently started taking two OTC products; kava kava for what he describes as “anxiety” and CoEnzyme Q10 on the advice of a friend.

Social – Mr. X is a smoker, 1 pack per week for 15 years. No alcohol or drug use. He is employed as an accountant and has medical insurance. He is divorced.PE/ROS – Complains of low back stiffness and pain on movement with occasional spasms related to moving in certain directions. You note he has mild difficulty getting onto the exam table but gait is normal. He denies weakness/numbness/tingling of legs, no radiation, no change in bowel or bladder habits. BMI 27. All range of motion of the back is decreased by 25%. Straight leg lift is negative bilaterally, DTR intact. All other systems WNL.

Medications:

Metformin 1000mg ER one tab daily – Type II Diabetes controlled

Coumadin 5 mg. daily – Hx of DVT – Controlled

Kava Kava 50 mg. tid – Self-medication for anxiety

CoQ10 – 200 mg. daily. – Self-medication for unknown reason

  1. Provide a diagnosis for the patient and your rationale for the diagnosis
  2. Provide a treatment plan specifically for this patient, pharmacologic and non-pharmacologic.
  3. Comment on the use of OTC products in relation to Mr. X’s current chronic and acute disease diagnoses and medications. Include drug-drug interactions and side effect profiles.
  4. Provide an education plan for Mr. X
  5. Present this Assignment as a PowerPoint presentation with between 12 and 16 slides (not including opening slide and resource slide).
  6. You will use the Narrative notes section of the presentation to include the majority of your evidentiary support of your treatment choices and education of family complete with in-text citations using APA formatting,

Due by the last day of Unit 9 at 11:59 p.m.

Assignment Requirements:

Before finalizing your work, you should:

  • be sure to read the Assignment description carefully (as displayed above);
  • consult the Grading Rubric (under Course Resources) to make sure you have included everything necessary; and
  • utilize spelling and grammar check to minimize errors.
  • Submit to and review results of Turnitin. Purdue University Global Student Conduct policy as it relates to plagiarism will be adhered to in this course.

Your writing Assignment should:

  • follow the conventions of Standard English (correct grammar, punctuation, etc.);
  • be well ordered, logical, and unified, as well as original and insightful;
  • display superior content, organization, style, and mechanics; and
  • utilize APA 7th edition formatting.
  • Identify the types of errors that you make most often and what strategy you will use to minimize making this type of error in the future.
  • State what you have learned by analyzing your mistakes.

Why do we make mistakes?   The old adage that “nobody is perfect” is certainly true but we can LEARN from our mistakes.   Start to analyze your mistakes.  In this analysis consider these categories for your mistakes.
1.         Conceptual Error:  The error is due to a misunderstanding of a concept.  Name the concept, at least to yourself.  For example, the concept might be finding the absolute value of a number.  The process of naming the concept will help you to find additional information about that concept and strengthen your understanding.
2.         Calculation Error:  In your judgment, you understood the concept or concepts involved but you made a miscalculation.  Name the type of calculation error.  For example, a type of calculation error might be that you applied the wrong rule for adding signed numbers or that you rounded the number incorrectly.
3.         Transcription Error:  The error resulted from miscopying of the problem or miscopying a portion of the problem from one step to another. Identify the transcription error. For example, you may have copied the wrong problem or copied part of one problem and part of another.  Another common transcription error is to leave out a number or sign as you copy from one line to the next.
4.         Interpretation Error. We answer the wrong question or do not answer all the questions.We often find ourselves anticipating what a problem is asking us to do without carefully reading the instructions.  For example, you might be asked to give the new amount in a percent increase problem instead of just the amount of increase.
By increasing your awareness of the type of mistakes that you make the most often, you will begin to make them less often

QUESTION

nursing

Instructions:

  1. Choose one (1) clinical scenario above.
  2. Formulate a well defined clinical question that will yield the most relevant and best evidence.
  3. Describe the background of the question
  4. Present the question using PICOT format
  5. Indicate what will be the best study to answer the clinical question
  6. Make sure that you read other students postings to identify similar areas of interest for future group work.
  7. Your post should be a minimum of 250-300 words.
    • Back up your arguments with reliable evidence.
Required Readings

SOCW 6361 Webliography
These websites will be required throughout the semester. Become familiar with these websites, especially when doing research for your assignments.

Community Toolbox. (2016). Chapter 8 Section 6: Obtaining feedback from constituents: What change is feasible? Retrieved from http://ctb.ku.edu/en/table-of-contents/structure/strategic-planning/obtain-constituent-feedback/main 

Community Toolbox. (2016). 12. Evaluating the Initiative. Retrieved from http://ctb.ku.edu/en/evaluating-initiative 

Jansson, B. S. (2018). Becoming an effective policy advocate: From policy practice to social justice  (8th ed.). Pacific Grove, CA: Brooks/Cole Cengage Learning Series.
Chapter 14, “Assessing Policy: Toward Evidence-Based Policy During Task 8” (pp. 488-503)

Midgley, J., & Livermore, M. M. (Eds.) (2008). The handbook of social policy (2nd ed.). Thousand Oaks, CA: Sage Publications.
Chapter 33, “The Future of Social Policy” (pp. 557–569) (PDF)

English, D. J., Brummel, S., & Martens, P. (2009). Fatherhood in the child welfare system: Evaluation of a pilot project to improve father involvement. Journal of Public Child Welfare, 3(3), 213–234.

Swank, E. W. (2012). Predictors of political activism among social work students. Journal of Social Work Education,48(2), 245–266.

Required Media

TEDx Talks. (2016, May 12). Problem-oriented policing: Where social work meets law enforcement: Derrick Jackson. [Video file]. Retrieved from https://www.youtube.com/watch?v=wK8glFZuQw8

Optional Resources

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

 

Discussion 2: Becoming a Lifelong Advocate

It is not enough to be compassionate. You must act.
—Tenzin Gyatso

As this course comes to a close, consider and reflect on how you can become a lifelong advocate for social change in your future social work practice. As a motivated policy advocate and social worker, your actions in your chosen profession will reflect your motivation to help relatively powerless, disenfranchised groups of people improve their resources, their opportunities, and their quality of life.
In this Discussion, you reflect upon your responsibility as a social worker, politically and professionally.

By Day 4

Post your thoughts on this question: As a social worker, what is your responsibility to engage in political action? Identify an area of social welfare where social work policy advocacy is needed.
 

Assignment 2: Using Financial Ratios to Assess Organizational Performance

Due Week 6 and worth 240 points

Using the financial statements from your selected health care organization in Assignment 1, develop a financial plan for the next three (3) years.

Write a four to five (4-5) page paper in which you:

  1. Suggest the financial ratio that most financial analysts would use to evaluate the financial condition of the company. Provide support for your rationale.
  2. Speculate on the organization’s ability to meet its financial obligations as they come due. Provide support for your rationale.
  3. Based on your ratio analysis, determine whether the profitability trends are favorable or unfavorable and explain your rationale.
  4. Using financial ratio analysis, predict whether or not the company will be viable in five (5) years based on its performance over the past three (3) years. Provide support for your prediction.
  5. Use at least two (2) quality academic resources. Note: Wikipedia and other Websites do not qualify as academic resources.

Your assignment must follow these formatting requirements:

  • Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.
  • Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.

The specific course learning outcomes associated with this assignment are:

  • Evaluate the financial statements and the financial position of health care institutions.
  • Describe the overall planning process and the key components of the financial plan.
  • Use technology and information resources to research issues in health financial management.

Please write about three most important items you took away from the three files below (please submit three items in bulleted, complete sentence format) I have total of three files uploaded. Please feel free to talk about or explain to things that intrest you lthe most in the files pertaining to leadership or however you wish to explain them. 

Argumentative Research Paper

 
This paper requires you to take a clear stance on a controversial topic and support your thesis with solid research. This paper will be 4-5 pages and will include at least 6 sources.
 
Consider the following:
· Before you choose a topic, you need to brainstorm several research questions. Consider which research question may be most appropriate for the scope and requirements of this assignment.
· You need to ensure that your topic has at least two distinct, arguable sides/positions/perspectives.
· You must make sure that your argument is not centered on a belief system (religion) or personal bias (prejudice).
· You may NOT choose a topic on the “Forbidden Topics List” or a topic you have previously worked with.
· Who cares most about this issue? How could you appeal especially to them in your research paper?
· Think about your plans for the type of argument you want to make (i.e., purpose, occasion, and kind).
· Think about the support you anticipate using. How might you use the appeals?
· Where will you start your research?
· Why is this issue important to you or society? Why will it be worthwhile for you to research your topic? What will you learn?
 
The Forbidden Topics List
The following is a list of subjects that have been written about time and again. Your chances of successfully persuading the opposite side to believe as you do (in 4 pages) are practically zero. Strive for some topics that are new and innovative, or things that go beyond the old standbys listed below. Unless an astounding advance has been made, or a wealth of new information uncovered, there isn’t going to be anything new you can say about any of these topics that we haven’t already heard.
 
 
· Abortion
· Adoption
· Anorexia/Bulimia/eating disorders in general, or fad diets, etc.
· Racism/Sexism/Ageism
· Euthanasia/Assisted Suicide
· Abuse (Domestic, Substance, Child, etc.)
· Steroids
· Global warming
· Capital Punishment/ Death Penalty
· Smoking/Vaping
· Drug Legalization
· Gun Control
· The Driving Age
· Abstinence/Safe Sex/Teenage Pregnancy
· Conspiracy theories
· Texting while driving
· Immigration
· Gay marriage
· Virtually any topic where your primary source of defense rests in 1 main source
· Virtually any topic where your main source of information is only on the Internet
· Virtually any topic where your main evidence is opinion-based
· Any topic that attempts to link two or more of the above
· Any topic you have previously worked with
 
Note: If you’re finding it impossible to come up with a topic on your own, see https://learning.blogs.nytimes.com/2014/02/04/200-prompts-for-argumentative-writing/
 
Your essay should include the following parts:
· Introduction: this is where you tell your readers what the essay is about. It may be necessary to define your topic, give a brief history of the issue, or relate an interesting story. This is also where you need to make sure that you capture readers’ attention.
· Thesis: this is where you establish your claim (What are you trying to prove in this paper?). Make sure that your thesis statement is specific. Your thesis could include a brief outline of your whole paper (think “points”) and should occur within the intro.
· Body:
· Each paragraph in the body of your paper needs to have a main point that you can support with specific evidence and that supports your thesis clearly.
· Support your main points through a close analysis of at least six sources. To support your claims, you will need to quote from the texts and cite your sources.
· Make sure to acknowledge the other side of the argument in some way: by conceding to and/or refuting some points from that side.
· Conclusion: this is where you round up your essay: briefly restate what your essay was about, what you think the ultimate outcome of your issue will be on society, or the future directions for this issue, etc.
· Works Cited Page: This essay must include a works cited page in which you list the correct MLA citations for the each of the sources you use in your essay. Also, remember to have corresponding in-text citations for all of the sources on your works cited page.
 
Length: 4-5 double-spaced pages
150 pts. possible
 
Grading Rubric:
 

Content
 
[10]
Does the essay meet the assignment criteria in terms of subject matter? Are the ideas presented appropriate for the assignment?  
  Does the essay avoid repetition? Does it employ tight, polished paragraphs containing one main idea in the correct format or are ideas just thrown together?  
Conventions
 
[10]
Does the essay use proper sentence structure, commas, pronouns, etc.? Does it avoid errors: fragments, contractions, tense shifts, spelling mistakes, etc.?  
  Did the essay meet the assignment criteria in both format and appearance?
Correct MLA formatting? Page length? Proper citations?
 
Coherence/ Structure
 
[15]
 
 
Does the essay have a clear, well-structured thesis?  
  Does each body paragraph include one main idea that points the reader back to the thesis? Are there effective transitions? Does every paragraph present a unified argument? (Does it “flow” well?)  
  Does the essay contain a strong backbone/ structure? Does it use the intro. well? Does the essay contain a solid conclusion that wraps up the paper?  
Critical Thinking
 
[15]
Does the paper provide adequate proof for the argument? (Quotations or paraphrase, research, expert opinions, statistics, examples, details, etc.?)  
  How advanced is the essay? Does it explore new ideas that challenge both the writer and reader or simply regurgitate class discussions? Does the essay contain strong, unique ideas that go beyond surface-level?  
  Does the argument make a logical connection between the thesis, topic sentences, and examples/proof? (i.e. Does it “connect-the-dots” between claims made in the thesis and examples for that claim?)  
Total Pts. / 50
  X 3
  = /150

 
 
Writing Instructions
· Save your documents with your “Last Name Assignment Title” (EX: Smith Essay 1).
· Assignments must use MLA document formatting and citations, including your full name, the course number, and the assignment title in the upper-left corner; page numbers; and a title. See the following MLA sample essay: https://owl.purdue.edu/owl/research_and_citation/mla_style/mla_formatting_and_style_guide/documents/20180702110400_747-2.pdf
· Assignments must fulfill all requirements and be proofread to be graded.
· Rough and final drafts must have at least 3 pages of double-spaced essay text.
 
Submission Instructions
· Submission deadlines are by the beginning of class time on Blackboard.

QUESTION

Nursing

The Impact of Chronic Illness

Identify one person from the illness group you chose in Week 1. The person should not be a patient at the facility in which you work. You can use friends, family members, or coworkers. Do not use the person’s name in the paper but only initials. Administer the questionnaire you created in Week 1 to that person. Compile the data and analyze the responses to better illustrate where this person, his or her family, and friends are in relation to accepting the diagnosis in relation to the standard health or illness definitions. The analysis should also include coping skills, treatment, and support aspects of the illness. Identify how this will direct care plan development for the chosen illness group.

Compile a report of your interview with the questions you created, the responses you received, your analysis, and your interpretation of how it will affect planning care for the group in a 4 page Microsoft Word document.

Select a policy initiative in the student’s practice setting.NURSE PRACTITIONER. It can be either an internal policy affecting a group of patients/service/staff or an external policy affecting the larger community. 250 WORDS 2 REFERENCES WITHIN 5 YEARS (NURSING JOURNALS ONLY!! IN TEXT CITATIONS ARE A MUST!!

  • Provide a brief overview of the initiative, the context of the initiative, and the stakeholders
  • Discuss how the organization is currently addressing the issue(s)
  • Identify the various organizations and agencies supporting/opposing or involved in the policy effort
  • Explain who or what department functions as the policy advocate and actions taken that made this effort successful
  • Discuss briefly how the issues affects healthcare beyond the institution.