Draft Chapter 5: Conclusion
For this discussion, post your Chapter 5: Conclusion draft. Write your research question at the top of the post. Use the following headings to organize your work:
Implications: Describe what the study means for participants, their communities, and the professionals who serve them. Describe how the new knowledge serves the scientists who strive to build on current interpretations of available evidence. Think about the ramifications of the study for all stakeholders, including scientists and the agencies and institutions that fund research. This is where you can begin to address the value of the study to potential grants and other funding sources.
Limitations: Address the methodological strengths and weaknesses as well as potential populations that may benefit from extensions of the research beyond the current scope of the research question. Consider alternate research practices that may yield additional valuable information.
Suggestions for Future Research: Wrap up the final chapter by introducing possible areas of related study and the potential for further investigation into new populations or regions. Consider ways of extending the current research question.

esearch Paper Instructions
This document is intended to help guide you to successful completion of the Research Paper for this course. You will complete a 15–20 page (not including title page, abstract page, and references) Research Paper on 1 addictive substance or addictive behavior related to biological aspects of addiction. Higher grades will be awarded to papers that demonstrate personal mastery of course content and congruence with the assignment description in this guide. A minimum of 15 sources published within the last 5 years must be included. Conformity to current APA style is required for this manuscript. Although you have some degree of choice of topic, the organization of the paper needs to follow the Research Paper Guide.
Once you have developed a proper introduction for your paper, there will be 3 primary sections/key points for you to address. Each section/point has subpoints that must also be addressed.

1. Description of Substance/Behavior: In this section, describe the biological aspects of      the addictive substance or behavior. Your discussion must explain the      addictive properties and include the primary effects on the brain and other      organ systems in the body.
2. Clinical Issues: Discuss      clinical considerations of the addictive substance or behavior. Include      the implications the biological aspects of substance/behavior have for the      counseling process. Describe medical treatments (existing or developing)      based on biological aspects of substance/behavior and future directions of      treatment. Include a brief discussion of ethical issues the biological      aspects of the substance/behavior have for counseling.
3. Christian Worldview Implications:      The third main section of your paper must discuss biological aspects of the      addictive substance/behavior from a biblically informed Christian      worldview. Include areas of freedom and caution for Christian counselors      based on the biological aspects of the addictive substance/behavior.

Since this is a formal research paper, an introduction and conclusion are required.
Remember, this is a guide and not an outline for your paper. You will do well to effectively use proper current APA headings and subheadings to help organize and present your paper. The current APA publication manual has helped make the use of headings and subheadings much easier than in previous editions. The main sections above would make very suitable headings for your paper.

Students must post one interesting case that he/she has seen in the clinical setting via Discussion Board in the online part of this course. The case should be an unusual diagnosis, or a complex case that required in-depth evaluation on the student’s part. The case should be posted in the SOAP format, with references for the patient diagnosis, differential diagnoses (there should be at least 3), and the treatment plan. Notes will be graded as “pass/fail”. In order to receive grade points for SOAP notes, the notes must be approved by the deadlines specified on the course assignments page. The student will lose the opportunity for points on any SOAP notes not approved by the specified deadlines. The posting does not have to be written in APA format, but should be written with correct spelling and grammar. References should be in APA format. The selected references should reflect current evidence – dated within the past 5 years.

__________________________________________________________________________________________

Sample of a SOAP note below:

HPI:
Patient is a 78-year-old man who live insist that use sunblock he walks a lot outdoors and has a very significant and on his arms with a dryness and arms also.
He presented with cough. chest. The symptom started few days ago. It is described as intermittent. Frequency is daily. The complaint is ongoing. Smoking status: Never smoker
Alcohol consumption: Never consumed
Substance abuse: Never consumed
Active Medications:
Atenolol (25.00000 – mg), take 1.00 tablet by mouth once a day
Lovastatin (40.00000 – mg), take 1.00 tablet by mouth once a day
Pantoprazole sodium (40.00000 – mg), for 90 days,
Tramadol hcl (50.00000 – mg), take 1.00 tablet by mouth twice a day
Allergies: He has no active known allergies.
Review of History:
Past surgical:
Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance, Last performed on 10/02/2013.
Injection procedure for sacroiliac joint, anesthetic/steroid, with image guidance (fluoroscopy or ct) including arthrography when performed. Colonoscopy, flexible; with biopsy, single or multiple Last performed on 10/20/2010.
Complex uroflowmetry (eg, calibrated electronic equipment), Last recorded on 08/26/2010.
Voiding pressure studies (vp); bladder voiding pressure, any technique. Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging, Last recorded on 08/26/2010.
Cystourethroscopy (separate procedure), Last performed on 08/03/2017.
Biopsy, prostate; needle or punch, single or multiple, Last recorded on 07/02/2014.
Injection, anesthetic agent and/or steroid, paravertebral facet joint or facet joint nerve; lumbar or sacral, single level.
Injection, anesthetic agent and/or steroid, paravertebral facet joint or facet joint nerve; lumbar or sacral, each additional level (list separately in addition to code for primary procedure).
Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification).
Reviewed the following past medical:
Essential (primary) hypertension.
Constipation, unspecified.
Gastro-esophageal reflux disease without esophagitis.
Benign prostatic hyperplasia without lower urinary tract symptoms. Barrett’s esophagus without dysplasia.
Hematuria, unspecified.
Elevated prostate specific antigen [psa].
Benign prostatic hyperplasia with lower urinary tract symptoms.
Ventral hernia without obstruction or gangrene.
Social History:
He is married, never smoker, has never consumed alcohol, is a current every day consumer of coffee or tea, is not a substance abuser, has a Dairy Free diet, follows a balanced diet, has sufficient rest or recreation, does not have a risky sexual behavior, does not have disabilities, does not have family stress, does not have job stress, does not do physical exercise,has living arrangements: Private Residence with Family.
Family History: His family presents the following diseases: his Mother has Heart disease (high blood pressure), his Father has Heart disease (heart).
ROS:
Eyes: The patient denied change in vision, eye pain, redness, discharge.
Ears, Nose, Mouth, Throat (ENT): The patient denied loss hearing, congestion, sinus pain, change in hearing, ringing in ears (tinnitus), frequent nose bleeds (epistaxi), sore throat, hoarseness, ear pain, pain in throat.
Respiratory: The patient complained of cough, but denied wheezing, hemoptysis, phlegm.
Cardiovascular: The patient denied chest pain, palpitations, dyspnea, orthopnea, shortness of breath, hypertension.
Gastrointestinal: The patient denied acidity, gastritis, flatulence, hiccups, abdominal pain, difficulty swallowing(solids vs liquids), bloating, nausea, diarrhea, constipation, bright red blood per rectum (BRBPR,hematochezia), vomiting_, change in bowel habits, hemorrhoids. GU/Gyne/0B: The patient denied dysuria, hematuria, incontinence, pain with urination, cloudy urine, rectal discomfort.
Musculoskeletal: The patient complained of pain. Left Hip Pain, but denied wound, swelling (edema), tenderness, weakness, areas of numbness. Neurological: The patient denied dizziness, faints, headache, numbness, limb weakness, tremor, memory loss.
Psychiatric: The patient denied depression, anxiety, insomnia, suicidal thoughts.
Endocrine: The patient denied – diabetes mellitus, hair loss, heat or cold intolerance, change in facial or body hair, cfange in weight. lnteg.urnentary (skin and/or breast): The patient denied itching, change in moles, dry skin, ecchymosis, onychomycosis, lesion, abscess, rash. Hematologic/Lymphatic: The patient denied anemia, easy bruising, tender or palpable lymph nodes.
Allergic/Immunologic: The patient denied other reactions, sneezing, runny nose, post nasal drip.
Constitutional: The patient denied fever, weight loss, weight gain, night sweats, fatigue/malaise/lethargy.

 

Vital Signs: Weight: 176 lb O oz. Height: 5 ft 8 in.
Pulse: 64 bpm. Pulse: Normal, interpretation: Normal
Blood Pressure: 140/70 mmHg. Location: Left Arm. Position: Sitting. Temperature: 97.6 degrees F. BMI: 26.8 kg/m2. Respiratory rate: 16 bpm.
PE: Constitutional: Overall: Alert, cooperative.in no distress.appears stated age. Development: well developed. Nourishment: well nourished. Eyes: Eye: Conjunctivae and sclerae are clear without icterus.Pupils are reactive and equal..
Ears, Nose, Mouth, Throat (ENT}: Head: Normocephalic, without obvious abnormality,atraumatic .. Ears: Normal external ear canals, both ears .. Nose: mucosa normal no drainage.bleeding .. Throat: Lips mucosa , and tongue normal; teeth and gums normal. Neck: Supple,Symmetrical,trachea midline,no adenopathy,no carotid bruit or JVD. Thyroid gland: normal. Mouth: Lips mucosa , and tongue normal; teeth and gums normal. Cardiovascular: Pulse: regular. Blood pressure: normal. Auscultation: murmur. I/VI SEM.
Respiratory: Chest and Lungs: Clear to ascultation bilaterally, respiration unlabored,no wheezing, rales or crackles ..
Gastrointestinal: Abdomen: hernia. Huge midline hernia Stable. Rectal: deferred. GU/Gyne/OB: Genitalia: deferred.
Musculoskeletal: Hip: pain. Left Hip pain in scale 1 -10 reports 7. Upper extremities: normal atraumatic, no cyanosis or edema. Lower extremities: normal atraumatic, no cyanosis or edema.
lntegumentary (skin and/or breast): Skin: Skin color,texture,turgor normal.no rashes,or lesions .. Nails: normal.
Neurological: Cranial nerves: Cranial Nerves II-XII appears intact. Motor: normal. Coordination and Gait: Alert,Oriented. Reflexes: Strength normal. Sensory: Alert.Oriented,
Psychiatric: Orientation to time, place and person: normal. Recent and remote memory: normal. Mood and affect: No distress,mood looks normal,no agitation,no hallucinations.
Hematologic/Lymphatic: Groin: normal. Other: Cervical, supraclavicular and axillary nodes normal.
Chest / Breast: Breasts: normal.
Assessments:
Essential (primary) hypertension.
Cough.
Body mass index (bmi) 26.0-26.9, adult.
Plan:
Follow up on 1 month
Kenalog 40 mg IM,
Zithromax Z Pack
Cholesterol diet – deeply colored fruits and vegetables, fiber rich grain products, fat-free products, 1 percent and low fat milk products, lean meats and poultry without skin, fatty fish, nuts, seeds, an legumes(dried beans or peas), and unsaturated vegetable oils ..
Patient Education: She received verbal educational instructions for All the questions was answered and understood, breast self exam, Call or Return if Symptoms worsen or persist, Depression Screening Performed today, Discussed Bowel and Bladder Control, Fall precautions and Accident prevention, I Discussed all treatment options with the patient, Reviewed all Current Medications, seat belt, Skin protection, stress

Discussion:

Vision, Mission, and Values Statements

The course is structured so that each week you will work on specific segments of your marketing plan for the Final Project that is due in Week Six. This week you will choose a specific healthcare organization (HCO) and begin examining the products and services found in the HCO’s strategic plan. For this assignment, read Chapter 3 in the course text, which addresses the importance of the mission, vision, and values statements to organizations. Why is it important for an organization to have these statements? What purpose do they serve?

Next, research and choose a specific healthcare organization for your marketing plan. You could select the organization your currently work for, one you are familiar with, or one you would like to work for in the future. After selecting your HCO, conduct research online to locate the organization’s strategic plan and read its vision, mission, and values statements. Add the term strategic plan after the HCO’s name in the search engine box (e.g., Sharp Healthcare strategic plan) to narrow your search results.

In your assignment

• State your choice of HCO and explain why it interests you.
• State the organization’s vision, mission, and values statements
• Discuss whether the organization’s purpose and priorities are clearly defined
• Discuss whether the mission statement clearly separates the HCO from competing organizations.
• Include any ideas you have at this point for improving the mission statement in terms of aligning the HCO’s stated priorities with its products and services.
• Discuss whether the current vision statement correctly describes the HCO’s path as it implements the strategic plan.
  • Could the current vision statement be utilized to motivate the organization’s workforce?
  • If not, how would you reword the vision statement to better reflect high ideals and aspirations to fulfill the HCO’s strategic plan?
• Discuss whether the current values statement takes into consideration the values of multiple participants such as the community, employees, shareholders, and customers.
  • How would you reword the current value statement to better reflect priorities found within the HCO’s strategic plan?

The assignment

• Must be five to six double-spaced pages in length (not including the title page and references page) and formatted according to APA style
• Must include a separate title page with the following:
  • Title of paper
  • Student’s name
  • Course name and number
  • Instructor’s name
  • Date submitted
• Must use at least three scholarly sources in addition to the course text.
• Must document all sources in APA style
• Must include a separate references page