Lab Assignment: Assessing the Abdomen

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ABDOMINAL ASSESSMENTSubjective:CC: “My stomach hurts, I have diarrhea and nothing seems to help.”HPI: JR, 47 yo WM, complains of having generalized abdominal pain that started 3 days ago. He has not taken any medications because he did not know what to take. He states the pain is a 5/10 today but has been as much as 9/10 when it first started. He has been able to eat, with some nausea afterwards.PMH: HTN, Diabetes, hx of GI bleed 4 years agoMedications: Lisinopril 10mg, Amlodipine 5 mg, Metformin 1000mg, Lantus 10 units qhsAllergies: NKDAFH: No hx of colon cancer, Father hx DMT2, HTN, Mother hx HTN, Hyperlipidemia, GERDSocial: Denies tobacco use; occasional etoh, married, 3 children (1 girl, 2 boys)Objective:VS: Temp 99.8; BP 160/86; RR 16; P 92; HT 5’10”; WT 248lbsHeart: RRR, no murmursLungs: CTA, chest wall symmetricalSkin: Intact without lesions, no urticariaAbd: soft, hyperactive bowel sounds, pos pain in the LLQDiagnostics: NoneAssessment:Left lower quadrant painGastroenteritisThe Assignment.Analyze the objective portion of the note. List additional information that should be included in the documentation.Is the assessment supported by the subjective and objective information? Why or why not?What diagnostic tests would be appropriate for this case, and how would the results be used to make a diagnosis?Would you reject/accept the current diagnosis? Why or why not? Identify three possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using at least three different references from current evidence-based literature.

 
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APA , Nursing

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How has planning this pressure ulcer project and completing the nursing program changed your career or career outlook? Provide 3 specific examples based on the research you conducted for this project.250words, APA format and 2references

 
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Job Contract

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Please see attachment

 
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assistance

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can someone assist

 
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question

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The case study associated with this week is Case 14 is titled “Cheryl”.Formulate a question regarding the case study and include the rationale for the answer.Include one scholarly peer-reviewed reference.Case 17 Cheryl R. is a twenty-eight-year-old married woman with two children under three years of age. She has been referred by her family doctor, who has been treating her depression for nine months with fluoxetine, 20 mg daily. Her physician states that medication adjustment is not indicated and thinks “talking therapy” will be beneficial. Her psychiatric history is negative for hospitalizations, and she has never been in therapy. She describes a “lifetime of sadness” with periodic episodes of suicidal ideation during late adolescence. Cheryl reports moderate improvement in her depression since starting the medication and wants to continue taking it. However, she says that some of her initial symptoms of irritability, tearfulness, and tiredness have never really improved. She reports continued initial insomnia and describes lying awake worrying about things. Her major concern is that she is not the “best mother” she can be. On particularly “bad days,” she places the children in front of the television and retreats to her room. She wishes she had more “good days,” which occur about every three months and last about a week. During these periods she begins sewing and craft projects for the house, socializes with neighbors, exercises, and “feels on top of the world.” She appears slightly nervous and describes her mood as “pretty bad.” She describes her marriage as “average” and her children as the “center of her life.” She is moderately impatient with the interview questions relative to history taking, since she wants to “get on with things.” You are encouraged by Cheryl’s motivation for treatment. However, you internally question whether she may fit the profile for bipolar II. In the process of the diagnostic interview, you elicit enough information indicative of hypomanic periods that predated the initiation of fluoxetine to warrant further consultation with her original prescriber or a psychiatrist. Listed below are important diagnostic specifiers for bipolar I and bipolar II. The reader should refer to DSM-5 for a full explanation of coding and recording proce dures for these specifiers. Episode severity Remission status With anxious distress With mixed features With rapid cycling With melancholic features With atypical features With mood-congruent psychotic features 106 Handbook of Clinical Psychopharmacology for Therapists With mood-incongruent psychotic features With catatonia With peripartum onset With seasonal pattern The mixed episode was recognized in DSM-IV-TR as a discrete clinical entity, requiring that full diagnostic criteria be met simultaneously for bipolar I and major depression. In DSM-5 a specifier has been added, termed mixed features, applicable to a current manic, hypomanic, or depressive episode in bipolar I or bipolar II disorder. Mixed features would apply to mania or hypomania with depressive features, and to depressive episodes with features of mania or hypomania

 
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NONPF Core Competencies Content.

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For each of the nine NONPF competencies, write one paragraph explaining how the program has prepared you to meet the competency (for a total of at least nine paragraphs).

 
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minor ethical infractions

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breaking down minor ethical infractions

 
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discussion week 4 answer

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Hello please answer each discussion posts in 4 to 5 sentences with apa references

 
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Learning Theories in Xavier’s Classroom

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see attach

 
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1 Page Leaflet

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diabetes education intervention teaching

 
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