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

Discussion Part Two (graded)

Physical examination:

Vital Signs

Height: 5 feet 2 inches Weight: 163 pounds BMI: 29.8   BP 110/70 T 98.0 po P 100 R 22, non-labored; Urinalysis: Protein 2+, Glucose: 4+ HEENT: normocephalic, symmetric. Bilateral cataracts; PERRLA, EOMI; Upper and lower dentures in place a fitting well. No tinnitus NECK: Neck supple; non-palpable lymph nodes; no carotid bruits. Thyroid non-palpable

LUNGS: Decreased breath sounds in bases bilaterally with rales, expiratory wheezing with prolonged expiratory phase noted throughout all lung fields. No costovertebral angle tenderness (CVAT) noted. Increase in AP diameter noted.

HEART: Irregularly irregular rhythm; Unable to detect S3 or murmur ABDOMEN: Normal contour; active bowel sounds all four quadrants; no palpable masses.

PV: Pulses are 2+ in upper extremities and 1+ in pedal pulses bilaterally. 2+ pitting edema to her knees noted bilaterally;

NEUROLOGIC: Achilles reflexes are hypoactive bilaterally. Vibratory perception to the 128 Hz tuning fork placed at the MTP of her great toe is absent bilaterally; She is unable to discern monofilament placement in 3 locations on her left foot and 2 places on her right foot.

GENITOURINARY: no CVA tenderness; not examined

MUSCULOSKELETAL: Heberden’s nodes at the DIP joints of all fingers and crepitus of the bilateral knees on flexion and extension with tenderness to palpation medially at both knees. Kyphosis and gait slow, but steady.

PSYCH: normal affect; her Mini-Cog Score is 3. Her PHQ-9 score is 22. SKIN: Sparse hair noted on lower legs and feet bilaterally with dry skin on her ankles and feet.

 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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NR 601 Week 6 Case Study Discussions Health Promotion, Health Protection, Disease Prevention, and Treatment Considerations in Long-Term Care (Part-1) NEW

Discussion Part One (graded)

 Ms. S. is a 62-year-old black female who has returned to the clinic to discuss her concerns that her lifestyle modifications to lose weight have not worked. At the last visit 3 months ago, she was advised to change her eating habits and increase activity to promote weight loss. She reports walking at least 30 minutes a day but has lost very little weight. ……….. indicates that the walking only made her extremely thirsty and hungry and attributes her increased thirst and hunger to increased exercise and her increased urination due to drinking more water since “it’s been hot lately” and exercise makes me thirsty”…… has returned to the clinic to discuss if there is anything else that can be done to lose weight and to determine why she is so tired, thirsty and hungry all the time. She also thinks she may have an overactive bladder since she has to urinate frequently during the day, which has influenced her not to go on outings with her friends.

  Discussion Questions Part One

 Conduct a ROS on this patient.

Indicate which symptoms are most concerning to you.

List your differential diagnoses.

What types of screenings would be appropriate to use based on the chief complaint?

What primary diagnosis are you choosing at this point?

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PSY 490 Capstone Course in Psychology

PSY 490 Capstone Course in Psychology Version 9, ~~~~ Week 4 Quiz Not Included in this.

PSY 490 Week 1 DQ 1

PSY 490 Week 1 DQ 2

PSY 490 Week 1 Individual The Diverse Nature of Psychology Paper

PSY 490 Week 1 Summary

PSY 490 Week 2 DQ 1

PSY 490 Week 2 DQ 2

PSY 490 Week 2 Individual Portfolio Presentation

PSY 490 Week 2 Learning Team Psychological Issue Summary

PSY 490 Week 2 Summary

PSY 490 Week 3 DQ 1

PSY 490 Week 3 DQ 2

PSY 490 Week 3 Individual Ethics Awareness Inventory

PSY 490 Week 3 Summary

PSY 490 Week 4 DQ 1

PSY 490 Week 4 DQ 2

PSY 490 Week 4 Individual Pay it Forward

PSY 490 Week 4 Summary

PSY 490 Week 5 DQ 1

PSY 490 Week 5 DQ 2

PSY 490 Week 5 Learning Team Jeopardy Game Presentation

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PSY 330 Week 4 DQ 1 Cognitive Theory

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Review the week’s reading on cognitive and cognitive-behavioral theories of personality, which have significant application in the treatment of abnormal behavior.  Select one of the options below and develop a case study that could use one of the therapy techniques listed to treat a patient exhibiting an abnormal behavior.  Indicate in your post which option you selected.       Option A:  Discuss the theory underlying Rational Emotive Therapy.  Why does this approach lend itself so well as a therapy?  Develop a short, fictional case study of a client with an abnormal behavior.  Describe how you would approach the treatment of this disorder with cognitive therapy and why cognitive therapy would be appropriate for the treatment of this disorder.  Your initial post should be a minimum of 250 words and utilize at least one peer-reviewed source that was published within the last five years, cited according to APA guidelines as outlined in the Ashford Writing Center.      Option B: Discuss the theory underlying Beck’s Cognitive Therapy.  Why does this approach lend itself so well as a therapy?  Develop a short, fictional case study of a client with an abnormal behavior.  Describe how you would approach the treatment of this disorder with cognitive therapy and why cognitive therapy would be appropriate for the treatment of this disorder.  Your initial post should be a minimum of 250 words and utilize at least one peer-reviewed source that was published within the last five years, cited according to APA guidelines as outlined in the Ashford Writing Center.

 PSY 330 Week 4 DQ 2 Interpersonal Style

Review this week’s reading and describe your interpersonal style.  What factors have affected the interpersonal style that you exhibit?  Do you think the source(s) of your interpersonal style are consistent with the theories underlying the models described in the course text?  Your initial post should be a minimum of 250 words and utilize at least one peer-reviewed source that was published within the last five years, cited according to APA guidelines as outlined in the Ashford Writing Center.

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