Soap Note on Peripheral Vascular Disease, health and medicine homework help Health Medical Assignment Help. Soap Note on Peripheral Vascular Disease, health and medicine homework help Health Medical Assignment Help.
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Please fill out this template paper by make up a SOAP notes for 50 years old male complain of Peripheral Vascular disease symptoms. Example pain in right leg that gets worse when standing and gets better when raising legs
The plan should include: What test and lab work, pharmacological and non-pharmacological treatment you will order and what you will teach the patient,
I sent the rubric for you to fallow also. APA style with references
Please do not use exactly the same words of the assessment findings that are in the template to avoid plagiarism.
SOAP NOTE that are
Name: |
Date: |
Time: |
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Age: |
Sex: |
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SUBJECTIVE |
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CC: Reason given by the patient for seeking medical care “in quotes” |
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HPI: Describe the course of the patient’s illness, including when it began, character of symptoms, location where the symptoms began, aggravating or alleviating factors; pertinent positives and negatives, other related diseases, past illnesses, surgeries or past diagnostic testing related to present illness. |
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Medications: (list with reason for med ) |
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PMH Allergies: Medication Intolerances: Chronic Illnesses/Major traumas Hospitalizations/Surgeries
“Have you every been told that you have: Diabetes, HTN, peptic ulcer disease, asthma, lung disease, heart disease, cancer, TB, thyroid problems or kidney disease or psychiatric diagnosis.” |
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Family History Does your mother, father or siblings have any medical or psychiatric illnesses? Anyone diagnosed with: lung disease, heart disease, htn, cancer, TB, DM, or kidney disease. |
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Social History Education level, occupational history, current living situation/partner/marital status, substance use/abuse, ETOH, tobacco, marijuana. Safety status |
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ROS |
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General Weight change, fatigue, fever, chills, night sweats, energy level |
Cardiovascular Chest pain, palpitations, PND, orthopnea, edema |
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Skin Delayed healing, rashes, bruising, bleeding or skin discolorations, any changes in lesions or moles |
Respiratory Cough, wheezing, hemoptysis, dyspnea, pneumonia hx, TB |
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Eyes Corrective lenses, blurring, visual changes of any kind |
Gastrointestinal Abdominal pain, N/V/D, constipation, hepatitis, hemorrhoids, eating disorders, ulcers, black tarry stools |
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Ears Ear pain, hearing loss, ringing in ears, discharge |
Genitourinary/Gynecological Urgency, frequency burning, change in color of urine. Contraception, sexual activity, STDS Fe: last pap, breast, mammo, menstrual complaints, vaginal discharge, pregnancy hx Male: prostate, PSA, urinary complaints |
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Nose/Mouth/Throat Sinus problems, dysphagia, nose bleeds or discharge, dental disease, hoarseness, throat pain |
Musculoskeletal Back pain, joint swelling, stiffness or pain, fracture hx, osteoporosis |
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Breast SBE, lumps, bumps or changes |
Neurological Syncope, seizures, transient paralysis, weakness, paresthesias, black out spells |
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Heme/Lymph/Endo HIV status, bruising, blood transfusion hx, night sweats, swollen glands, increase thirst, increase hunger, cold or heat intolerance |
Psychiatric Depression, anxiety, sleeping difficulties, suicidal ideation/attempts, previous dx |
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OBJECTIVE |
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Weight BMI |
Temp |
BP |
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Height |
Pulse |
Resp |
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General Appearance Healthy appearing adult female in no acute distress. Alert and oriented; answers questions appropriately. Slightly somber affect at first, then brighter later. |
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Skin Skin is brown, warm, dry, clean and intact. No rashes or lesions noted. |
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HEENT Head is normocephalic, atraumatic and without lesions; hair evenly distributed. Eyes: PERRLA. EOMs intact. No conjunctival or scleral injection. Ears: Canals patent. Bilateral TMs pearly grey with positive light reflex; landmarks easily visualized. Nose: Nasal mucosa pink; normal turbinates. No septal deviation. Neck: Supple. Full ROM; no cervical lymphadenopathy; no occipital nodes. No thyromegaly or nodules. Oral mucosa pink and moist. Pharynx is nonerythematous and without exudate. Teeth are in good repair. |
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Cardiovascular S1, S2 with regular rate and rhythm. No extra sounds, clicks, rubs or murmurs. Capillary refill 2 seconds. Pulses 3+ throughout. No edema. |
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Respiratory Symmetric chest wall. Respirations regular and easy; lungs clear to auscultation bilaterally. |
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Gastrointestinal Abdomen obese; BS active in all 4 quadrants. Abdomen soft, non-tender. No hepatosplenomegaly. |
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Breast Breast is free from masses or tenderness, no discharge, no dimpling, wrinkling or discoloration of the skin. |
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Genitourinary Bladder is non-distended; no CVA tenderness. External genitalia reveals coarse pubic hair in normal distribution; skin color is consistent with general pigmentation. No vulvar lesions noted. Well estrogenized. A small speculum was inserted; vaginal walls are pink and well rugated; no lesions noted. Cervix is pink and nulliparous. Scant clear to cloudy drainage present. On bimanual exam, cervix is firm. No CMT. Uterus is antevert and positioned behind a slightly distended bladder; no fullness, masses, or tenderness. No adnexal masses or tenderness. Ovaries are non-palpable. (Male: both testes palpable, no masses or lesions, no hernia, no uretheral discharge. ) (Rectal as appropriate: no evidence of hemorrhoids, fissures, bleeding or masses—Males: prostrate is smooth, non-tender and free from nodules, is of normal size, sphincter tone is firm). |
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Musculoskeletal Full ROM seen in all 4 extremities as patient moved about the exam room. |
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Neurological Speech clear. Good tone. Posture erect. Balance stable; gait normal. |
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Psychiatric Alert and oriented. Dressed in clean slacks, shirt and coat. Maintains eye contact. Speech is soft, though clear and of normal rate and cadence; answers questions appropriately. |
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Lab Tests Urinalysis – pending Urine culture – pending Wet prep – pending |
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Special Tests |
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Diagnosis |
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Differential Diagnoses
Diagnosis
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Plan/Therapeutics |
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Evaluation of patient encounter |
Soap Note on Peripheral Vascular Disease, health and medicine homework help Health Medical Assignment Help[supanova_question]
3 to 4 pages assignment Computer Science Assignment Help
IMAGINE THAT YOU WORK FOR A CONSULTING FIRM THAT OFFERS INFORMATION TECHNOLOGY AND DATABASE SERVICES. PART OF ITS CORE SERVICES IS TO OPTIMIZE AND OFFER STREAMLINE SOLUTIONS FOR EFFICIENCY. IN THIS SCENARIO, YOUR FIRM HAS BEEN AWARDED A CONTRACT TO IMPLEMENT A NEW PERSONNEL SYSTEM FOR A GOVERNMENT AGENCY. THIS GOVERNMENT AGENCY HAS REQUESTED AN OPTIMIZED DATA REPOSITORY FOR ITS SYSTEM WHICH WILL ENABLE THE MANAGEMENT STAFF TO PERFORM ESSENTIAL HUMAN RESOURCES (HR) DUTIES ALONG WITH THE CAPABILITY TO PRODUCE AD HOC REPORTING FEATURES FOR VARIOUS DEPARTMENTS. THEY LOOK FORWARD TO HOLDING DATA THAT WILL ALLOW THEM TO PERFORM HR CORE FUNCTIONS SUCH AS HIRING, PROMOTIONS, POLICY ENFORCEMENT, BENEFITS MANAGEMENT, AND TRAINING.USING THIS SCENARIO, WRITE A THREE TO FOUR (3-4) PAGE PAPER IN WHICH YOU:
-
- Determine the steps in the development of an effective Entity Relationship Model (ERM) Diagram and determine the possible iterative steps / factors that one must consider in this process with consideration of the HR core functions and responsibilities of the client.
- Analyze the risks that can occur if any of the developmental or iterative steps of creating an ERM Diagram are not performed.
- Select and rank at least five (5) entities that would be required for the development of the data repositories.
- Specify the components that would be required to hold time-variant data for policy enforcement and training management.
- Diagram a possible 1:M solution that will hold salary history data, job history, and training history for each employee through the use of graphical tools. Note: The graphically depicted solution is not included in the required page length.
- Plan each step of the normalization process to ensure the 3NF level of normalization using the selected five (5) entities of the personnel database solution. Document each step of the process and justify your assumptions in the process.
- Diagram at least five (5) possible entities that will be required to sustain a personnel solution. The diagram should include the following:
- Dependency diagrams
- Multivalued dependencies
Note: The graphically depicted solution is not included in the required page length.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.
- Include charts or diagrams created in a drawing tool with which you are familiar. The completed diagrams / charts must be imported into the Word document before the paper is submitted.
The specific course learning outcomes associated with this assignment are:
- Recognize the historical development of database management systems and logical data models.
- Explain the fundamentals of how data is physically stored and accessed.
- Compose conceptual data modeling techniques that capture information requirements.
- Use technology and information resources to research issues in the strategic implications and management of database systems.
- Write clearly and concisely about topics related to the strategic planning for database systems using proper writing mechanics and technical style conventions.
Click here to view the grading rubric.
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ece355 week 3 discussion 1 RESPONSE k.c. Humanities Assignment Help
Respond to a peer and provide them with at least two tips for how they can promote healthy parenting practices across cultural groups to support families from different cultural backgrounds.
- Discuss three general findings in the research brief about cultural parenting patterns.
According to the research brief, African-American, Latino, and American Indian fathers believe that children should have a religious or spiritual foundation (Lubell, Loften & Singer, 2008). When it came to discipline, “African-Americans believed in very strong disciplinary messages and communicated deep affection and clear rules and agreements that they and their children would be bound to uphold” (Lubell, Loften & Singer, 2008, pg. 7, para. 1). Although “Taking away privileges and eliminating re-wards were the most common and favored punishments for bad behavior used by members of all cultural groups” (Lubell, Loften & Singer, 2008, pg. 11. para. 2), each had certain stipulations. Some believed that taking away love or basic needs was wrong, while some saw no problem with it.
- Explain, using Table 1 on page 8 of the research brief, three different cultural patterns regarding what parents consider to be good behavior among children.
Obedience and not talking back was one of the most common agreed upon good behaviors across cultures. Next was respecting adults, parents, and elders. Surprisingly, keeping yourself clean, respect for animals, and admitting wrongdoing were the least common across cultures. Most of these differences were due to ethnicity.
- Explain, using Table 1 on page 9 of the research brief, three different cultural patterns regarding what parents consider to be bad behavior among children.
Talking back, not listening, and being disobedient was consistent across cultures. Bragging or showing off was not so common across different cultures. Also, tattling, gossiping, and being nosy was not considered bad behavior across cultures.
- Evaluate the information you have gained and answer the question, “How much of how we parent is dictated by our culture?”
I believe that most of how we parent is dictated by our culture. We are each raised by standards that are set by the culture we are apart of, and “culture sets the expectations for behaviors, provides the values and rules by which individuals live, and defines a person’s view of the world (Gutierrez & Rogoff, 2003)” (Wardle & Fitzpatrick, 2016). Thus, the behaviors and values and rules that we are taught as children are because of our culture. As we grow into adults and begin to parent our own children, we take into account those cultural norms that we have been raised by. If your culture believes that spankings are an acceptable form of discipline for a child, and we got spanked as a child, we will more than likely spank our children as well. Some cultures believe that children should “be seen and not heard”, and if we were not allowed to be vocal as children and state our opinions, then we will most likely expect our children to do the same. Culture dictates how we believe children and adults should behave, and we use those cultural aspects to set rule and guidelines for our children.
References
Lubell, K. M., Lofton, T. C., & Singer, H. H. (2008). Center for Disease Control and Prevention. Promoting healthy parenting practices across cultural groups: A CDC research brief (Links to an external site.)Links to an external site. [PDF file]. Retrieved from http://stacks.cdc.gov/view/cdc/5273/ (Links to an external site.)
Wardle, F., & Fitzpatrick, T. (2016). Children & families: Understanding behavior & dynamics [Electronic version]. Retrieved from https://content.ashford.edu/
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Resource: the Equal Employment Opportunity Commission (EEOC) website, social science homework help Humanities Assignment Help
Resource: the Equal Employment Opportunity Commission (EEOC) website
Explore the EEOC website to learn more about the organization.
Click the About the EEOC link and select Newsroom. Select a press release about an employee lawsuit published within the last six months.
Search the Internet to find at least one news item about this lawsuit, preferably from a news source in the state in which the incident occurred.
Write a 1,050- to 1,400-word paper that includes the following:
- A description of the compliance issue that led to the lawsuit and its ramifications for the organization
- A brief summary of the functions of the EEOC in one paragraph
- The EEOC’s role in this lawsuit
- Whether or not this lawsuit promotes social change; justify your reasoning
- A comparison of the EEOC press release to the news item. What accounts for the differences?
- Strategies you would implement, if you were a senior manager of this company, to ensure future compliance and inclusion in the multicultural workplace
Format your paper according to appropriate course-level APA guidelines.
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Write an easy news story Writing Assignment Help
Part 3 (15 points) – Answer the following discussion question. Write in complete sentences, using AP style. Suggested word count is around 200.
Considering all that you’ve learned this semester, discuss how you’ve benefited from this class. For example, how has improving your interviewing and reporting skills helped you develop as a student and as a writer? How has learning about the process of newsgathering and journalists’ dedication to accuracy and objectivity affected your own news consumption and your own perception of journalism? What have you discovered in this class about your writing style? What will you take away from this class that will help you in your chosen career?
Part 4:Write a news story
- 500-600 words
- Written in AP style and one of the story structures we talked about in class: inverted pyramid, chronology, news narrative, focus or service (DIY).
- Must have headline, byline and end mark
- Subject must be an actual event, person, issue, etc.
- Three sources (secondary, primary and stores), with direct quotes from two of them
- Include ideas for multi-media platforms such as photos, graphics, interactive online opportunities, etc. You are not required to include the actual elements — simply describe your ideas.
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Individual Project Plan Health Medical Assignment Help
As a culminating project, this assignment has two parts: an executive summary and a project plan created in either MS Project (PC). Use prior course information and data gathered for your CLC Business Plan to complete this assignment (see attachment).
Write an executive summary of your CLC Business Plan.
Write a project plan in Microsoft Project or Apple Merlin.
- Examine your CLC Business Plan: Extract the distinct activities needed to start up the business: (a) Identify tasks needed to complete the project. (b) Develop a completion schedule. (c) Assign resources to project tasks.
- Be creative. For example: If your plan calls for three nurses, you will need to plan for hiring, and training. Create arbitrary timelines for each activity. They could be very general (2 weeks to hire, 2 weeks to train) or they could dive much deeper (1 week to write hiring ad, 1 week to place ad, 2 weeks to accept applications, 1 week to review, 3 weeks for interviews, 1 week for offer-letters, 2 weeks to establish in HR system, etc.). Do this for each section of the CLC Business Plan.
Prepare this assignment according to the guidelines found in the APA Style Guide.
This assignment uses a grading rubric. Please review the rubric attachment.
Individual Project Plan Health Medical Assignment Help[supanova_question]
Influences on Behavior and Psychological Disorders – OCD Humanities Assignment Help
This assignment requires creating a powerpoint slide. I have included an outline for the slides as well as all the requirements for the assignment. Please review the grading guide, and the requirements below and create a 20 slide powerpoint outlining all of this information on OCD. I have provided the template for the PPT, the grading guide and the outline. I will review everything for possible plagiarism, as well as spelling and grammar. If the items are unacceptable in any of those areas, a refund will be requested and a new tutor found, so please do it correct the first time.
———–
For your presentation, research and explain various elements that influence physical and mental health and behavior.
Create a 15- to 20-slide Microsoft® PowerPoint® presentation on one of the following psychological disorders:
- Obsessive-compulsive disorder
Include the following:
- Describe the general behaviors associated with the disorder.
- Explain how biological influences play a role.
- Are there biological reasons an individual may exhibit behaviors related to the disorder? Explain your answer.
- Describe how altered states of consciousness related to sleep, psychoactive drugs, or meditation and hypnosis affect individuals with the disorder.
- Describe how the disorder could affect memory.
- Provide a brief description of any biological influences on the memory of individuals with this disorder.
- Are there any memory distortions commonly involved with the disorder?
- Select two personality theories. Compare the theories, describing each theory’s application to the disorder.
- Evaluate the effectiveness of at least two therapies used to treat the disorder.
Include at least four scholarly references.
Include detailed speaker notes on each slide.
Format your presentation consistent with APA guidelines.
Click the Assignment Files tab to submit your assignment.
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LASA 2: Course Project—Understanding Creative Capitalism, writing homework help Writing Assignment Help
In this assignment, you will examine the concept of creative capitalism. Bill Gates, cofounder and chairperson of Microsoft Corporation, advocates that in addition to seeking profits, corporations should also become social entrepreneurs in order to help solve social problems. He has called this creative capitalism. Gates argues the desire to help others who are less fortunate should be as powerful a motivator as increasing profits for businesses today.
Read the transcript or conduct a search for the video of Bill Gates’ speech at the 2008 World Economic Forum:
- Gates, B. (2008). Bill Gates—2008—World Economic Forum—Creative Capitalism. Bill and Melinda Gates Foundation. Retrieved from http://www.gatesfoundation.org/speeches-commentary/Pages/bill-gates-2008-world-economic-forum-creative-capitalism.aspx
Review the following:
- General Electric (GE). (2011 ). Citizenship. Retrieved from http://www.gecapital.com/en/our-company/citizenship.html
- Walmart Corporate. Community and Giving. Retrieved from http://walmartstores.com/CommunityGiving/
Using your textbook, the Argosy University online library resources, and the Internet, research the concept of creative capitalism. Select at least three references for use in your assignment (one may be your textbook).
Complete the following:
- Explain free market capitalism
- Describe creative capitalism
- Explain the three advantages of creative capitalism in relation to businesses
- Explain the concept of corporate social responsibility using two examples of socially responsible companies. Clearly and concisely support your examples and explain why these companies are considered socially responsible.
- Comment on Gates’ creative capitalism. Do you think that creative capitalism can become the future of capitalism in the U.S.? Justify your response with examples and research.
Give reasons and illustrative examples in support.
Write a 5–6-page paper in Word format. Apply APA standards to citation of sources. Use the following file naming convention: LastnameFirstInitial_M5_A1.doc.
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using Excel Solver Business Finance Assignment Help
This document contains a problem and a set of questions. Solve the problem using Excel Solver and answer all questions. Type the answers to the questions right on your spreadsheet.
This document contains a problem and a set of questions. Solve the problem using Excel Solver and answer all questions. Type the answers to the questions right on your spreadsheet.
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WCC W5 IP: Investigative Planning Business Finance Assignment Help
You have been assigned to a case to explore for unreported income and possible embezzlement of funds from a small financial service organization.
Another staff member used a public records search and other data from the company to complete a financial profile of the suspect. The data sheet has been given to you for further analysis.
This data sheet profile includes a balance sheet and income and expense data. You are aware that there may be other assets that could not be identified or traced to the suspect. Nonetheless, you will prepare a net worth analysis and discuss several observation and issues.
Use the suspect data to do the following:
- Use the indirect method to prepare a net worth analysis.
- Prepare a discussion analysis of the results. Guidelines are as follows:
- Discuss the entire 5-year period of data
- Be substantive. Do not just repeat the numbers on the schedule without further critical analysis.
- Determine whether results indicate if fraud may be occurring or not. Explain why you believe this.
- Identify other factors you would need to consider to determine that fraud has occurred.
Download Suspect Data.
Grading Guidelines
Content:
Includes extent and depth of research |
60–70% |
Writing and presentation:Mechanics/organization |
30%–40% |
Total |
100% |
Please submit your assignment.
For assistance with your assignment, please use your text, Web resources, and all course materials.
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