Discussion: Assessing the Ears, Nose, and Throat

Most ear, nose, and throat conditions that arise in non-critical care settings are minor in nature. However, subtle symptoms can sometimes escalate into life-threatening conditions that require prompt assessment and treatment. Nurses conducting assessments of the ears, nose, and throat must be able to identify the small differences between life-threatening conditions and benign ones. For instance, if a patient with a sore throat and a runny nose also has inflamed lymph nodes, the inflammation is probably due to the pathogen causing the sore throat rather than a case of throat cancer. With this knowledge and a sufficient patient health history, a nurse would not need to escalate the assessment to a biopsy or an MRI of the lymph nodes, but would probably perform a simple strep

In this Discussion, you consider case studies of abnormal findings from patients in a clinical setting. You determine what history should be collected from the patients, what physical exams and diagnostic tests should be conducted, and formulate a differential diagnosis with several possible conditions.

Note: By Day 1 of this week, your Instructor will have assigned you to one of the following specific case studies for this Discussion. Also, your Discussion post should be in the Episodic/Focused SOAP Note format, rather than the traditional narrative style Discussion posting format. Refer to Chapter 2 of the Sullivan text and the Episodic/Focused SOAP Template in the Week 5 Learning Resources for guidance. Remember that all Episodic/Focused SOAP notes have specific data included in every  Case 2: Focused Throat Exam
Lily is a 20-year-old student at the local community college. When some of her friends and classmates told her about an outbreak of flu-like symptoms sweeping her campus over the past two weeks, Lily figured she shouldn’t take her three-day sore throat lightly. Your clinic has treated a few cases similar to Lily’s. All the patients reported decreased appetite, headaches, and pain with swallowing. As Lily recounts these symptoms to you, you notice that she has a runny nose and a slight hoarseness in her voice but doesn’t sound congested. patient case.test.

 
o prepare:
With regard to the case study you were assigned:

• Review this week’s Learning Resources and consider the insights they provide.
• Consider what history would be necessary to collect from the patient.
• Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis?
• Identify at least 10 possible conditions that may be considered in a differential diagnosis for the patient.

Note: Before you submit your initial post, replace the subject line (“Week 5 Discussion”) with “Review of Case Study ___,” identifying the number of the case study you were assigned.

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Part 2

For a course on contemporary issues in science, you are assigned to write a research paper on a current issue. You have chosen the topic “genetically modified foods.” Your assignment indicates that you should use a variety of resources, including books, articles, and Web sites, to find information for your paper.

1. Applying evaluation criteria for Web sources, which of the following seems most appropriate to use in your research on genetically modified foods?

1. Web site of a company that produces genetically modified corn, last updated in 2002
2. annotated bibliography on genetically altered crops published in 2009 by a federal agricultural agency
3. Web site of a vegetarian activist group that advocates organic food production
4. essay on genetics in foods posted on a well-known university’s Web site that is unfinished and has no author and no date
5. allerg* AND (child* OR youth) AND “genetically modified foods”
6. “genetically modified foods” AND health
7. (nutrition OR allergies) AND child*
8. health AND risk AND (child* OR youth) AND allergies
9. primary
10. secondary
11. Narrow your keywords to include more specific terms on the topic
12. Broaden your keywords and revise your search statement
13. Change your topic to one that is covered in your textbook
14. Write the paper using the materials you found

1. Which of the following search statements would be most likely to retrieve relevant articles on the topic of the health risks of genetically modified foods for children with food allergies?

1. You have found a journal article that analyzes recent trends in genetically engineered crop research. This article would be considered which type of information?

1. After searching for information on your topic in the library catalog, Web search tools, and library databases, you have still not found enough material on your topic. What should you do next?

You have found the following database record when searching for articles on your research topic. Use it to answer questions 32–33.

Strategies to Evaluate the Safety of Bioengineered Foods

Delaney, Bryan

International Journal of Toxicology; Sept. 2007, Vol. 26 Issue 5, pp. 389–399

Health Source: Nursing/Academic Edition

Genetically modified foods

Transgenic plants

Bioengineering

Herbicide resistance

Pesticide resistance

Herbicides

Analytical biochemistry

Food – Biotechnology

Toxicology

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socw 6301 Discussion: Qualitative Research Questions
Research questions that lend themselves to a qualitative approach often address questions about how people construct meaning. In this way, qualitative research questions set the stage for open-ended, inductive inquiry.
For this Discussion, review the case study entitled, “Social Work Research: Program Evaluation.” Consider the kinds of questions that inform a qualitative approach. Think about the quantitative method described in the case study and consider methods you might use to investigate the effectiveness of a program from a qualitative perspective.
Post your explanations of the following:
•What kinds of research questions lead to a qualitative approach?
•If you chose to conduct quantitative research in your Week 4 proposal, how might you reframe the research question in a way that lends itself to a qualitative approach?
•If you focused on a qualitative proposal in Week 4, describe the qualitative research question and explain the rationale for choosing a qualitative approach. •Be sure to explain how you might collect the data.
•Consider which qualitative method (case study, grounded theory, ethnographic research, cross-sectional research, feminist research, or participatory action research) would be most suitable for answering the research question
socw 6060 WK6
Using Research to Select a Therapeutic Modality
Imagine that some of your colleagues mention using cognitive behavior therapy, dialectical behavioral therapy, acceptance and commitment therapy, and reality therapy. Your colleagues continue to say that based on their experiences, they really like these therapies and that they appear to work. Your instincts also tell you that perhaps they might be helpful for your client in your case study. However, from Week 1, you recall that experiences and instincts as sources of knowledge are quite limited because they are biased. Instead, it is important to utilize existing research and data to support your choices of interventions. Theory helps inform the evidence-based practice process that should guide social workers’ practice.  In this Discussion, you examine the research related to a therapy based on cognitive or cognitive behavior theory to determine its effectiveness.
To prepare: •Recall the client from the case study you have been using in this course. You will apply your research for this Discussion to that client.
•Select one therapy from the following: cognitive behavior therapy, dialectical behavioral therapy, acceptance and commitment therapy, or reality therapy. •Conduct a search in the Walden Library for one peer-reviewed research study about the effectiveness of the therapy you selected.
•Note: You must select a study that has not already been used by a colleague in the Discussion. Each student is required to identify a unique research study.
•Remember when looking for studies to take into account your client’s age and developmental stage and presenting problem.
Post: •Provide the reference for the study you found using APA guidelines.
•Briefly paraphrase, in 2 to 3 sentences, the methodological context (i.e., research method, how data was collected, and the instruments used) of the study and the findings.
•Evaluate the findings in terms of its applicability or appropriateness for the client in your case study.
•Determine whether you would use or not use the therapy you selected for the client in your selected case study (consider how culturally relevant it is, how aligned it is with social work ethics, etc.) and explain why.

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outline and discuss the leading and managing of change by applying Lewin’s (1951) FFA to the above scenario. Each of Lewin’s identified forces is to be discussed

Topic: Nurses as Leaders in Health Care Settings
Nurses as Leaders in Health Care Settings
Written assignment
Stanley comments about change that there are some people who ‘…want to change, but don’t know how to effect it, those who want to change and think they know what’s best and try to impose it on others, and those who don’t want to change at all and would willingly settle for a quiet life’ (2011, p. 119). This assignment has been developed to enable you to begin to understand change and change management in relation to nursing leadership.
Scenario:
An experienced registered nurse with post graduate qualifications in paediatrics who has been working in a large metropolitan children’s hospital has recently accepted a position as Nurse Unit Manager (NUM) in the paediatric ward of a regional hospital. After spending time reviewing the ward’s policy manual the NUM noted that the paediatric intravenous policy needed updating to bring it in line with current evidence based practice. The revised policy was approved according to hospital process and then introduced into the ward for implementation however the NUM has noticed resistance to the use of the new policy from some of the long term nursing staff.
Change theory:
The NUM decides to analyse the situation in the ward using Lewin’s (1951, cited in Stanley 2011) Force Field Analysis (FFA) model of managing change. Using the scenario to illustrate your discussion, outline and discuss the leading and managing of change by applying Lewin’s (1951) FFA to the above scenario. Each of Lewin’s identified forces is to be discussed within an overall word limit of 400 words.
Please find the uploaded document about change theory (Force Field Analysis (FFA)) and make the reference from the information given
Transformational leadership:
Stanley (2011) has commented that Burn’s (1978, cited in Stanley 2011) transformational leadership theory is about inspiring others to achieve a vision.
Briefly discuss the application of transformational leadership in nursing using a word limit of 200 words for your discussion.
(Please see uploaded articles about transformational leadership)
Transformational leadership themes:
Discuss the strategies the NUM as a transformational leader could use to successfully implement changes to the paediatric intravenous policy in the ward. Discuss these strategies using the four themes of effective transformational leadership developed by Bennis and Nanus (1985, cited in Stanley 2011). Each theme is to be discussed within a word limit of 200 words each using the scenario to illustrate your discussion. These themes are:
• Vision
• Communication
• Trust, and
• Self-knowledge.?
You may use headings to organize your work.
Write an overall introduction of 75-100 words and a conclusion of 75-100 words. Write the conclusion as a summary of your learning outcomes.
(Please see uploaded articles and some scaned pajes from text book and I am going to do the reference of the book (just mention that there is areference in this area from the text book and I goona do it ) about transformational leadership themes)

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