# University of Maryland Baltim

I’m working on a art question and need guidance to help me study.

A.

Watch the video above. The author, in analyzing Vincent Van Gogh’s Night Cafe, poses a fascinating questions: “How can an “ugly” painting be a masterpiece?” Consider this question and give your answer by creating a new thread.

• Write at least three sentences that summarize the argument made in the video.

• Write at least three sentences that give your opinion/analysis of the painting.
• ### B. Art Activity: Value Scale

Value is defined as how light or dark something is, and is used in drawing to depict light and shadow. Without light and shadow we could not draw (or see) anything, so it is difficult to overstate the importance of this concept! Mood, atmosphere, composition, and the believability of the image: they all rely on value. If your value structure falls apart, so does your picture! One of the best ways to become familiar with values is to draw a value scale.
The value scale is a system of organizing values. It consists of a number of values ranging from white to black, with several shades of gray in between. These shades of gray make up the meat of a drawing, and help to create the illusion of depth and three-dimensionality.
Instructions: Watch the embedded video above and follow the instructor’s examples and create your own set of 4 value scales.On a single sheet of paper draw 4 bars, each with six squares.
Label them:

2. Scribble
3. Hatch
4. Cross-Hatch

If you have art pencils, use those. If not, a standard pencil is fine. To get full points, there need to be an obvious difference in value between adjacent squares. The scales should go from “paper white” to “black,” which is the darkest value you can create with your drawing tool. At the bottom of the page, clearly write your name. Photograph the sheet of paper. Any type of camera can be used, including a phone camera. Upload the image here.

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# University of Maryland Baltim

1. Case Study Assignment This week you will be reviewing another SOAP note and reflecting on the additional information that you would be needing. This is not in SOAP format, you will use headings for each section, and give me dialogue on what information is missing in each section. You will provide 5 differentials and reflect on the questions posed for the assignment. Be sure to support with scholarly references.

Week 10: Special Examinations—Breast, Genital, Prostate, and Rectal GENITALIA ASSESSMENT

Subjective:•

CC: “I have bumps on my bottom that I want to have checked out.”

• HPI: AB, a 21-year-old WF college student reports to your clinic with external bumps on her genital area. She states the bumps are painless and feel rough. She states she is sexually active and has had more than one partner during the past year. Her initial sexual contact occurred at age 18. She reports no abnormal vaginal discharge. She is unsure how long the bumps have been there but noticed them about a week ago. Her last Pap smear exam was 3 years ago, and no dysplasia was found; the exam results were normal. She reports one sexually transmitted infection (chlamydia) about 2 years ago. She completed the treatment for chlamydia as prescribed.
• PMH: Asthma•Medications: Symbicort 160/4.5mcg •Allergies: NKDA
• FH: No hx of breast or cervical cancer, Father hx HTN, Mother hx HTN, GERD
• Social: Denies tobacco use; occasional etoh, married, 3 children (1 girl, 2 boys)
• Objective:•VS: Temp 98.6; BP 120/86; RR 16; P 92; HT 5’10”; WT 169lbs•Heart: RRR, no murmurs•Lungs: CTA, chest wall symmetrical•Genital: Normal female hair pattern distribution; no masses or swelling. Urethral meatus intact without erythema or discharge. Perineum intact. Vaginal mucosa pink and moist with rugae present, pos for firm, round, small, painless ulcer noted on external labia•Abd: soft, normoactive bowel sounds, neg rebound, neg murphy’s, neg McBurney•Diagnostics: HSV specimen obtained

Assessment:•Chancre

PLAN: This section is not required for the assignments in this course (NURS 6512) but will be required for future course

In summary, be sure to follow the rubric for this assignment. Tell me what is missing in each section…..and would you support or refute the diagnosis. Support that answer with rationale, and provide differential diagnosis with supported rationale. Utilize scholarly references to support your rationales. Remember….if you are doing a focused exam, which is what these case studies are…..be sure to really expand on the body systems that you are concerned about to hone in on your differential diagnosis. This will help you with your documentation completeness going forward.

• Based on the Episodic note case study:
• Review this week’s Learning Resources, and consider the insights they provide about the case study. Refer to Chapter 3 of the Sullivan resource to guide you as you complete your Lab Assignment.
• Search the Walden library or the Internet for evidence-based resources to support your answers to the questions provided.
• Consider what history would be necessary to collect from the patient in the case study.
• 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 five possible conditions that may be considered in a differential diagnosis for the patient.

#### The Lab Assignment

• Analyze the subjective portion of the note. List additional information that should be included in the documentation.
• 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?
• Would diagnostics 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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# University of Maryland Baltim

See demo link below (look at first video) or you can view the Sample Poetry Analysis Essay.

https://owl.excelsior.edu/citation-and-documentati…

Objective:The beauty of poetry and its message or, for our purposes, theme, comes through the style of the poet. Each poet will utilize various literary elements to enrich their work. These elements then work together to help to elicit theme(s). Here are some examples of literary elements: sensory imagery, similes, metaphors, symbolism, personification, dialect, tone (tone can shift and change as the poem unfolds), irony, sound devices such as alliteration, consonance, assonance, and so forth.

Selection: You must choose from one of the poems discussed in class within the discussion board forums.

Then, you should carefully read, re-read, and annotate or take notes on the poem in terms of what literary elements you feel are at play and how these elements enrich interpretation of various lines of the poem and ultimately, how they contribute to theme.

Select at least three literary elements (you can choose more if you wish), and create an essay where you identify and analyze these elements and how they enrich the poem.

Strategies for the essay:

• Your essay should contain a brief, relevant, and engaging introduction which then leads to your thesis statement.
• Thesis: The thesis statement presents the central, analytical idea to be explored within your essay. Ideally, it should indicate, either implicitly or explicitly, the poetic devices used to enrich the poem. Your analysis will support that claim.Here’s a hypothetical example:Through the use of irony and graphic imagery juxtaposed by a distant, nonchalant tone of the speaker of “Saboteur,” Ha Jin effectively emphasizes the political corruption in his native China. Here, the writer explicitly mentions the poetic devices used within the poem and how they contribute to theme. If the writer chose to present this implicitly it could be presented as: Through the use of various poetic elements within the work “Saboteur,” Ha Jin effectively emphasizes….etc. Often, if you have more than three literary elements to examine, an implied thesis can be effective. Remember to avoid the use of first person or that “announcement” tone for thesis—i.e. My essay will examine…
• Citations from the selected poem: You should incorporate direct lines from the poem to support your analysis. If citing more than one line, please use a forward slash to indicate where a line ends and a new one begins. Here’s an example: The poem opens with an eerie, somewhat disturbing image and the introduction of a mysterious woman: “Even the long-dead are willing to move. / Without a word, she came with me from the desert” (1. 2-3). Please follow the parenthetical citation format for citing lines of poem according to MLA. Here, this indicates stanza 1, lines 2-3. If your selected poem is one stanza only, just cite the line number(s). Also note that when quote is introduced by a full signal sentence, as this example does, a colon is placed after that signal sentence. This avoids what are known as “dropped in” quotes. You can also opt to smoothly integrate the quote into your sentence—i.e. An eerie, somewhat disturbing image of a mysterious woman is presented when the poet writes, “Even the long-dead are willing to move. / Without a word, she came with me from the desert” (1. 2-3).
• Organization of Body of Essay: As mentioned, you should have a clearly delineated, engaging introduction ending with your thesis statement. Please include poet’s full name and title of poem somewhere in your introduction. Titles of poems are placed in quotation marks.
• The body of your essay will contain your analysis, divided into paragraphs. Stylistically, this will depend on the number of literary elements you are examining. If you have three literary elements, you can devote a body paragraph to each element. Often, you might need two body paragraphs to discuss one literary element. This will be dictated by your poem selection. Be sure to have clear transitions/topic sentences between paragraphs that take readers smoothly from one paragraph to the next. Within your body paragraphs, be sure to include quoted lines to support your points. You should close with a clearly delineated conclusion where you can re-emphasize thesis, highlight key points, and discuss theme or message of the poem.
• Guidance with literary elements. Some elements you might discuss in your analysis are below. These are just some examples; feel free to discuss other elements such as sound devices if they are dominant within your selected poem:

“Mother to Son:” central metaphor of the staircase, symbolism of the “tacks, splinters, etc.”, dialect of the mother

“Facing It:” simile, metaphor, sensory imagery, shifting tone of the speaker

“Happiness:” simile, metaphor, personification, imagery

“Those Winter Sundays:” shifting tone of the speaker, imagery, personification, repetition

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# University of Maryland Baltim

I don’t know how to handle this Art question and need guidance.

A. Visual communication design is so ubiquitous that it is almost impossible to step away and evaluate it objectively. What kinds of visual form have you experienced so far today? Of these forms, how many used text combined with image?

Examples would be: a Facebook profile page, Google’s homepage, the label to the bottle of ketchup in your refridgerator, the graphic designer of Gateways to Art.

Discuss the various components that have been used in these designs, such as the typeface or logo. Why has the artist chosen that particular style? Give your answer. At minimum, analyze at least three examples of visual forms.

B.

First, watch the video above.

Now it is your turn to try the compositional techniques highlighted in the video.

Composition is important because it helps direct your viewer’s eyes in your photo and tell them what to look at (or what not to look at). For example, by having a simple background, you can better direct your viewer’s eyes to the main subject. Another tip: by having leading lines, you can guide the viewer’s gaze to the spot you want them to notice first. The artist/photographer picks and chooses the techniques that best suit a particular subject in a particular setting or situation. Up to this point in the class, we have used photography merely as a tool to document your various art activities. Now the creation of the photograph itself is the activity.

For this week’s assignment, it would be best to photograph a person, but if you don’t have someone else available as a subject, a pet, or any object can be used. Examples are things like stuffed animals, vases, sculptures, etc. You will be taking three photographs, each one will demonstrate a different one of the three compositional techniques discussed in the video:

1. Framing

2. Utilizing a different perspective

3. Utilizing interesting light

Any type of camera can be used, including a phone camera. The point of this assignment is for you to offer your unique vision, insight into another person or object. Have fun with it. Good luck!

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# University of Maryland Baltim

Case Scenario: PERRY’S PRINTING – “THE QUESTION OF SUSTAINABILITY”

Jeff Perry, the CEO of Perry’s Printing, calls you into his office.  As you’re walking toward Jeff’s office, you think about the company that you’ve worked for over seven years.

Perry’s Printing is a family-owned printing company that has been in business for over 70 years. The founder of the company, Lawrence Perry, started the company as a small printing and engraving shop. Now Lawrence’s grandson, Jeff Perry, runs the company, and they have grown to \$20 million in annual revenues. Today, Perry’s Printing specializes in signage for retail stores.

“Take a seat,” Jeff tells you as you enter his office.

Then Jeff says, “We have a problem. Our competitor just came out with a statement on their website about being a “Lean and Green” manufacturer. So he pulls up the website, and you read it.

Lean and Green Manufacturing at Donovan’s Printing

Donovan’s is a Lean Manufacturer. The core idea of Lean Manufacturing is to maximize customer value while minimizing waste. Simply, lean means creating more value for customers with fewer resources.

A lean organization understands customer value and focuses its key processes on increasing it continuously. The ultimate goal is to provide value to the customer through a value creation process with zero waste.

• Donovan’s is FSC certified and promotes responsible management of the world’s forest.
• Donovan’s employs both waterless offset printing and UV offset printing. These printing methods are a major advantage in eliminating volatile organic compounds (VOCs) from the printing process.
• Donovan’s maintains state-of-the-art press dryers and cooling systems that reduce energy consumption and minimal heat generation. In addition, the use of automatic ink dispensers and blanket washers aid in the reduction of ink waste and solvent usage.
• Donavan’s recycles over 1600 tons of paper and plastic in 2019.

“I’m freaking out,” Jeff confides in you, “we don’t have anything about green manufacturing in our strategic plan.”

“But Jeff,” you reply as you continue to scroll through the website page, “Perry’s has almost all of these features! We use waterless offset printing and UV offset printing. We have new press dryers and cooling systems that save energy. We don’t have automatic ink dispensers, but we can easily get them – I think they’re even included in next year’s budget. So what’s the problem here?”

“It’s just that now that Donovan’s has made it public, I feel we have to respond. I’m not sure I even believe in all this stuff, but our operation’s manager insists on these processes. I think it all cuts into our bottom line.”

A.  How could Jeff’s attitude toward social responsibility impact Perry’s strategy? Justify your rationale with support from course materials.

B. Should Perry’s Printing respond to this new strategic plan published by their competitor? Why or why not? Justify your opinion with support from course materials.

C.  Porter identified one of the most commonly accepted definitions of strategy as “choosing a unique and valuable position,  rooted in systems of activities that are difficult to match.” In other words, differentiation is the key to strategy. If all competitors are choosing sustainability as part of their processes, can sustainability really be a strategy? Support your opinion with course materials.

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# University of Maryland Baltim

I’m working on a Art question and need guidance to help me study.

First, watch the video above.

Now it is your turn to try it!

In the realm of art and sculpture, assemblage is a playful way to take objects in our everyday life and “see” the object for it’s shape, color, and form in a different way. We can also consider the meanings evoked by the individual objects, and construct new meanings by juxtaposing certain items. For this exercise, you will collect and arrange ten objects, laying them next to each other, on top, etc to create something else. Maybe lay the objects out and try different ways of creating an image or organize them conceptually/thematically. There is no right or wrong approach, as long as in the end, there is a clear logic to the organization of the objects. Maybe revisit the way that you created unity in one of our previous art activities. Get playful, be creative!

A tip from artist, Pam Carriker, in her book Art at the Speed of Life, “Assemblage is like writing a story using found objects to invite the viewer in and unearth their meaning.” Given that mixed-media artists tend to have a treasure trove of found objects, Pam suggests finding a selection of objects that fit your theme, laying them out on your worktable, and spending some time positioning them on the canvas until you achieve the look you’re going for. Rather than pre-planning, it’s more like auditioning. You’ll know when the pieces work well together (and when they don’t) to tell your story.

Set your newly created “sculpture” somewhere on a clean surface with good lighting and photograph it. Any type of camera can be used, including a phone camera.

In the comments section of your submission, write a sentence or two about what new image or idea you intended to create from your arrangement.

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# University of Maryland Baltim

Ransomware is malicious software that encrypts files and requires a key to decrypt the files. To get the files decrypted, the company or organization must typically pay the hackers a large fee, often in Bitcoin or another cryptocurrency. It is important to note that cryptocurrency payments are one-way transactions that are impossible to trace. There is risk, too. If the hackers do not provide the organization with the decryption key after payment, there is no refund.

Hackers in recent years have targeted businesses such as hospitals for ransomware attacks, as well as cities and towns, large and small. Black hat hackers encrypted the city of Baltimore’s systems, as well as two smaller cities in Florida.

Read these brief articles from the UMGC library to learn about the ransomware incidents:

Chokshi, N. (2019, May 23). Attacked With Ransomware, Baltimore Isn’t Giving In. New York Times, p. B6(L).

Mazzei, P. (2019, June 28). Another City in Florida Pays a Ransom to Computer Hackers. New York Times, p. A17(L).

If the organization does not pay the ransom, it would need to either use backups to restore to an earlier network or system state, or to rebuild its systems and data. In the case of the Baltimore city government, its backup systems were also encrypted, so the city was unable to process real estate transactions.

Depending on the complexity of the environment and the amount of data encrypted, this could cost the organization more than the ransom, perhaps even 10 to 20 times the amount.

• What would you do if you were the cybersecurity analyst that had to advise the city of Baltimore and/or the smaller cities?
• Would you pay the ransom? Consider both sides of the argument by conducting internet research to understand the different viewpoints. When you are ready, explain why you would or would not pay the ransom.
• If you agree to pay the ransom, what are you going to tell the CEO if the hackers don’t end up providing the decryption key to unlock the files or come back and ask for even more money?
• If you don’t agree to pay the ransom, what are you going to tell the CEO, especially if the costs to restore far exceed the ransom?
• Are there ethical considerations? If your organization pays, will other organizations be vulnerable to similar attacks on their systems?
• Would you have a different decision if you were working for a small organization like Mercury USA?

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# University of Maryland Baltim

A.      After reading “Happiness” by Jane Kenyon, please respond to the following questions.

1. Kenyon uses a comparative device known as a simile to compare happiness with: “like a prodigal / who comes back to the dust at your feet / having squandered a fortune far away.”  This is an intentional Biblical reference. Why do you think this comparison is effective and what was Kenyon perhaps trying to get across? Feel free to Google the reference if you are unsure of its biblical meaning.

2. Can happiness come to anyone? Kenyon gives many descriptive examples of who/what happiness “comes” to through the use of simplistic, yet powerful imagery–i.e. a monk in his cell, a sweeper, a dog, a clerk and so forth. Pick at least two of these images and comment upon them.

3. According to Poetry Foundation, “Jane Kenyon was noted for verse that probed the inner psyche, particularly with regard to her own battle against the depression that lasted throughout much of her adult life” (par. 1). Despite the poem’s evidence that happiness is indeed possible, is there evidence, too, within the poem that might allude to the poet’s personal struggles?

B.   After reading “Those Winter Sundays” by Robert Hayden, please respond to the following discussion questions.

1.  Why does the poem begin with the words “On Sundays too” (rather than say, “On Sundays?”). Can you find any examples of sound devices? (i.e. alliteration, consonance, assonance, and so forth?). Review these definitions as needed under elements of poetry in this week’s course content.

2.  Discuss briefly the speaker’s feelings and if they shift and change throughout the poem.

3.  How do you interpret “What did I know, what did I know / of love’s austere and lonely offices?”

.  C.     Class, begin a discussion, by replying to this post’s “Discussion Questions for Consideration.”  (Do not create a new thread)

Discussion Questions for “Facing It”

After reading Yusef Komunyakaa’s poem, “Facing It” which presents the poignant emotions of a Vietnam war veteran (in this case, the speaker of the poem is Komunyakaa) as he faces the war memorial, consider the following:

1.  The poet incorporates the use of metaphors (i.e. “I’m stone,” “I’m a window”) and similes (“..letters like smoke,” “My clouded reflection eyes me like a bird of prey..”) to enrich imagery and to heighten the speaker’s conflicted emotions. Similes and metaphors are comparative devices; similes use “like” or “as” in their comparisons while metaphors do not. Choose one simile and one metaphor and discuss the appropriateness of the image and its effect on the imagery–in other words, why do you feel the poet chose this particular image and what effect does it have?
2.  Can you determine two meanings to the title, “Facing It?”
3.  Although this poem was written about the Vietnam War, what relevance does it pose in our present world? You can consider past and present international conflicts? The effects of war on soldiers?

D.     Class, begin a discussion, by replying to this post’s “Discussion Questions for Consideration.”

After reading “Mother to Son” by Langston Hughes, respond to the following questions.

1.  Hughes uses a central metaphor of a staircase, one not made of crystal, to compare the mother’s life to. Why do you think this metaphor is effective?
2.  The mother tells her son that her life has been full of “tacks,” “splinters,” “boards torn up,” and “places with no carpet.” The poet uses these concrete, tangible images as symbols/symbolism of the mother’s difficult experiences.  What could these images represent in the mother’s life? Be specific about what she may have been facing/going through. You can also keep in mind that the poem was originally published in 1922.
3.  Has a significant figure in your life ever given you the type of encouragement the mother gives to her son? Have you been the one to give the encouragement to someone you care about?

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# University of Maryland Baltim

In the discussion topic this week you will share your ideas for adopting a growth mindset in your daily life.

Growth mindset is a concept you can apply in your academics and on the job. It’s also a way to approach day-to-day life. Here are some examples of everyday situations in which you can consciously choose to respond with a growth mindset.

Example 1: Your morning is full of the unexpected. You hit the snooze button too many times, resulting in waking up late for work. As you rush to get out the door to your job, you accidentally spill your coffee and have to take time to clean up the mess. Since you left your home later than usual, traffic is moving at a snail’s pace. A fixed mindset response would be grumbling about your crummy morning. A growth mindset response would be committing to waking up earlier and devising a more effective morning routine.

Example 2: Most people like to be winners, and kids on sports teams are no exception. So when your daughter, who spent tireless hours in the backyard practicing her jump shot, makes 10 out of 15 shots—leading her basketball team in scoring on game day—you can praise her by giving a fixed mindset response or a growth mindset response. A fixed mindset response would be “Great game! You’re a spectacular athlete!” A growth mindset response, by contrast, would be “Great game! Your dedication, practice, and hard work were reflected in your performance tonight.”

In the Discussion forum, share some examples of how you can apply growth mindset in your daily interactions, either in a professional setting or in your academics. If you need help considering an example, you can choose one of the following:

• How do you handle a new project or task at work, home, or school?
• How do you embrace working in groups when you prefer to work independently?
• How would you react to your instructor’s suggestion to incorporate a data component into an assignment for your non-math-related course?
• What do you do when you don’t understand something that everyone around you seems to have caught onto?

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# University of Maryland Baltim

This week’s assignment you will reflect on the strategies that help you learn best and how you plan to apply those strategies to your classwork.

This week we focused on learning, how we are constantly learning new things, how it is beneficial to have a growth mindset approach to learning, and how it is helpful to reflect on our strategies as a learner. As you reflect on these strategies, think about how you previously learned a new skill, subject, or process in an informal setting. When we often think of learning, we focus on formal settings–your high school classroom, an online class you took, military training, or a bootcamp for a certification exam. Informal learning experiences can teach us quite a bit, though. What strategies and approaches did you use in your informal learning experience? How can you apply those to learning new concepts and skills while you’re a student? Even if the university environment is new to you, you come to learning with skills, strengths, and strategies you can draw from to connect new knowledge to what you already know.

For example, think about how you learned to cook a new dish by following a recipe. Perhaps you first blocked out time to read the recipe all the way through, noting the ingredients and tools you would need to make the dish. When it came time to make the dish, you might have followed the recipe step by step, then asked your partner or a friend to taste it and share his or her opinion. Based on that feedback, you adjusted and customized the recipe. After that, you practiced making the dish several times, adding your own flavors and spices to perfect the recipe to your liking. Once you became familiar with the recipe, you may have progressed to making the dish from memory.

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# University of Maryland Baltim

Help me study for my class. I’m stuck and don’t understand.

A network is a collection of computers and devices connected together. The internet is the world’s largest computer network. This rise in telecommunications and both wired and wireless networks has opened up the possibilities for telecommuting (working typically at home but tethered to the company’s office) and teleworking (working from anywhere using mobile devices and smartphones). Studies have shown that telecommuting can actually increase a company’s productivity. Teleworking, that is, working from anywhere, comes with a potential negative cost – the threat of “always working” and the parallel issue of “always being available or online.”

The two terms (teleworking and telecommuting) are often used interchangeably, although they refer to two different concepts. Here is an example:
Almost all of your instructors are teleworkers. They do not have an office, workspace, or cubicle assigned to them at headquarters in Adelphi or Largo, MD. They very rarely, if ever, actually visit the headquarters. Instead, they work exclusively from personal workspaces (home or at their day job spaces).

On the other hand, staff and administration (with some few exceptions) do have an assigned office, workspace, or cubicle at the Adelphi or Largo locations. They do the majority of their work on site but, if allowed, will occasionally (1 or more days per week) be allowed to work from home or offsite. They are telecommuters if they take advantage of this option to work outside the formal office site.

In your response, reflect upon the following:
1. Would you like to have a job for which you telecommute part of a week or telework (always from a remote site) instead of going in to the office? Why or why not?
2. What are some of the advantages and disadvantages for you as the employee and for the business as the employer in having teleworking or telecommuting an accepted policy?

REMEMBER- every post (New Thread or Reply) must be supported by relevant information. Prove the point you are making by a) citing external research, b) citing readings from the class content, or c) providing examples or personal experiences that are relevant and support your position on the topic. It is always better to begin your reflection on the topic by doing some research/reading, either a) or b) or both, before considering personal experience. This research, reflection and subsequent writing is an essential part of the learning process, framing your personal experience against and alongside more general theories, concepts and writing on the topic.

First paragraph (Consider an informal learning experience that was successful for you. What were you able to learn?)

Second paragraph (What did you do that helped you succeed in your learning? Consider two to three strategies that helped.)

Third paragraph (How would you apply those strategies to your classwork?)

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# University of Maryland Baltim

Part 1.Describe the economic burden of alcohol use and why or why not it is problematic in your life. Include at least three concepts covered in the readings and how they apply to your particular life circumstances. Include information from your perspective of someone impacted individually, or as a member of U. S. society, by alcohol use burden and respond to two of your classmates’ postings. Do not repeat the readings; rather, post about your experiences in our society referencing alcohols economic burden.

Remember to understand and respect the Maryland state boundaries of confidentiality in your postings referencing child abuse and neglect as noted in the syllabus.

Part 2 (Virginia)

Identify your state of residence and how your state defines blood alcohol concentration level. What is the law for a first time DUI offense in your state and what is the current documented DUI fatality rate in your state? Describe amendments that you would propose to the current laws (higher or lower BAL standards, increased criminal justice standards, immediate enforcement, mandatory incarceration, etc.) Please respond to two students from different states – look into their alcohol statistics and after identifying a group most at risk for alcohol abuse/dependence in their respective states suggest your own measures to help mitigate the problem. Remember to present your own amendments to current laws that you believe will help remedy the issue.

Part 3.

Several treatment settings and treatment modalities such as outpatient, inpatient, AA, group therapy, internet therapy, etc. are identified in Week 3’s literature. Think about your social media campaign selected population and identify one setting that would work best for your population of interest and state why based on the literature. Detail why you believe it is a best fit for your population.

Also, respond to two students who have selected a different treatment setting and identify a strength for one setting and a weakness for another setting.

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# University of Maryland Baltim

CASE SCENARIO – PAUL’S DISCOUNT TIRES & REPAIRS BUSINESS STRATEGIC PLAN

It’s a Friday at 4:00, and you are looking at the clock – it’s been a tough week at Paul’s Discount Tires & Repairs business, and the week is not over! The global COVID Pandemic has hit the business hard, and you saw several people working there laid off this week. You feel lucky to be still working as their business consultant!

The business is family-owned and has been in business for over 21 years. The founder of the company, Paul Wilford, started the company as a small tire shop then expanded into service repairs. Now Paul’s grandson, Steve Wilford, runs the company, which has grown to several million in annual revenues over the past couple of years.

Steve Wilford stops by your cubicle. He looks worried and worn out from the long workday. Despite that, he greets you warmly.

“You are taking a course in Strategic Management right now, aren’t you?” Steve asks you.

“Well, that is great timing,” says Steve, “because I just drafted a 10-year strategy for our business! If I get you a copy, would you mind looking it over during the weekend and giving me your thoughts?”

You tell Steve that you’d be happy to give your input. Within 5 minutes, a one-page document is on your desk. At the top of the page is written “Paul’s Discount Tires & Repairs Strategic Plan.” You start to read it in your remote work office at home.

The basics of the plan are highlighted with the following three (3) bullet points:

1. Paul’s Discount Tires & Repairs core business will continue providing tires and minor vehicle repair services to our retail customers over the next ten years.
2. Paul’s Discount Tires & Repairs will beat its competitors by providing the lowest price discount tires, vehicle repairs, exceptional customer service, and quality work.
3. Paul’s Discount Tires & Repairs culture is rooted in its 21-year history. Paul’s will overcome the setbacks caused by the COVID Pandemic by sticking to its core values and cutting costs wherever necessary. Our people will help get us through these tough times.

You look at the bottom of the page and see a post-it note with questions posed to you by Steve. Write a memo answering these 4 questions.

1. What is wrong with this strategy?
3. We are the market leader in discount tires and repairs in our city, indicating that we currently have a competitive advantage. Will we sustain it with this strategy?
4. What is one thing we could do to improve on this strategy?

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# University of Maryland Baltim

An important consideration when working with patients is their cultural background. Understanding an individual’s culture and personal experiences provides insight into who the person is and where he or she may progress in the future. Culture helps to establish a sense of identity, as well as to set values, behaviors, and purpose for individuals within a society. Culture may also contribute to a divide between specific interpretations of cultural behavior and societal norms. What one culture may deem as appropriate another culture may find inappropriate. As a result, it is important for advanced practice nurses to remain aware of cultural considerations and interpretations of behavior for diagnosis, especially with reference to substance-related disorders. At the same time, PMHNPs must balance their professional and legal responsibilities for assessment and diagnosis with such cultural considerations and interpretations.

For this Assignment, you will practice assessing and diagnosing a patient in a case study who is experiencing a substance-related or addictive disorder. With this and all cases, remember to consider the patient’s cultural background.

• Review this week’s Learning Resources and consider the insights they provide.
• Review the Comprehensive Psychiatric Evaluation template, which you will use to complete this Assignment.
• By Day 1 of this week, select a specific video case study to use for this Assignment from the Video Case Selections choices in the Learning Resources. View your assigned video case and review the additional data for the case in the “Case History Reports” document, keeping the requirements of the evaluation template in mind.
• Consider what history would be necessary to collect from this patient.
• Consider what interview questions you would need to ask this patient.
• Identify at least three possible differential diagnoses for the patient.

Complete and submit your Comprehensive Psychiatric Evaluation, including your differential diagnosis and critical-thinking process to formulate primary diagnosis.

Incorporate the following into your responses in the template:

• Subjective: What details did the patient provide regarding their chief complaint and symptomology to derive your differential diagnosis? What is the duration and severity of their symptoms? How are their symptoms impacting their functioning in life?
• Objective: What observations did you make during the psychiatric assessment?
• Assessment: Discuss the patient’s mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses with supporting evidence, listed in order from highest priority to lowest priority. Compare the DSM-5 diagnostic criteria for each differential diagnosis and explain what DSM-5 criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case.
• Reflection notes: What would you do differently with this client if you could conduct the session over? Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), health promotion and disease prevention taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.)
• CASE STUDY VIDEO: PLEASE WATCH

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# University of Maryland Baltim

For this Assignment, you will consider the validity and reliability of different assessment tools and diagnostic tests. You will explore issues such as sensitivity, specificity, and positive and negative predictive values. You will also consider examples of children with various weight issues. You will explore how you could effectively gather information and encourage parents and caregivers to be proactive about their children’s health and weight.

#### To Prepare

• Review this week’s Learning Resources and consider factors that impact the validity and reliability of various assessment tools and diagnostic tests. You also will review examples of pediatric patients and their families as it relates to BMI.
• By Day 1 of this week, you will be assigned to one of the following Assignment options by your Instructor: Adult Assessment Tools or Diagnostic Tests (option 1), or Child Health Case (Option 2). Note: Please see the “Course Announcements” section of the classroom for your assignments from your Instructor.
• Search the Walden Library and credible sources for resources explaining the tool or test you were assigned. What is its purpose, how is it conducted, and what information does it gather?
• Also, as you search the Walden library and credible sources, consider what the literature discusses regarding the validity, reliability, sensitivity, specificity, predictive values, ethical dilemmas, and controversies related to the test or tool.
• If you are assigned Assignment Option 2 (Child), consider what health issues and risks may be relevant to the child in the health example.
• Based on the risks you identified, consider what further information you would need to gain a full understanding of the child’s health. Think about how you could gather this information in a sensitive fashion.
• Consider how you could encourage parents or caregivers to be proactive toward the child’s health.

#### The Assignment

Assignment (3–4 pages, not including title and reference pages):

Assignment Option 1: Adult Assessment Tools or Diagnostic Tests:
Include the following:

• A description of how the assessment tool or diagnostic tools you were assigned is used in healthcare.
• What is its purpose?
• How is it conducted?
• What information does it gather?
• Based on your research, evaluate the tools or the tool’s validity and reliability, and explain any issues with sensitivity, reliability, and predictive values. Include references in appropriate APA formatting.

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# University of Maryland Baltim

Hello,

This essay is a rough draft but since I need it completed ASAP, I will pay extra for exceptional Senior level writing that requires less edits and A+ worthy.

• NO PLAGIARISM of any kind
• Articulate
• NO REUSED versions of papers already written for students on this site: I’ve seen this question posted previously/papers written and do not want a edited copy of someone else’s work

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If you need a copy of the book, please let me know and I will share PDF versions.

Additionally, pleasure ensure all correspondences (question asked and paper provided) remain private and not shared on the site.

Literature Essay:

TWO DIFFERENT BOOKS:

1. Ishmael Beal’s A Long Way Gone: Memoirs of a Boy Soldier [Sierra Leone]
2. Mitali Perkins, Bamboo People,
• 2-3 Pages
• Only use of book references
• Creative title
• Paper Details: Topic and 3 points to choose from – See below for additional information
• Study Packs: You must understand both novels. Study packs provided for each novel which you will need to incorporate within the essay – See below for additional information
• Books: If you need a copies of the book, please add use and I can send a PDF

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Paper Details:

• 3 POINTS to build off of the TOPIC provided

Topic: Beah and Perkins use different narrative strategies to structure their stories. Beah has a single narrator; Perkins uses two narrators–one from each side of the conflict who are brought together by the war. What is gained and what is lost by each of the strategies? Is one strategy more effective than the other? (2-4 pages)

Possible points of departure:

1. Beah’s story covers a longer time frame–potentially 3 years of combat, and ending then when he has been adopted by an American mother and is in school. Obviously he cannot (and does not) tell us everything that happened. The narrative is selective in the events that are related. Beah also moves at times back and forth between the three worlds–his dreams, the experiences of his new life, the memories that are triggered when he is living his new life. Occasionally at least we as readers have to sort these out–he does not use a different type font or spacing to separate out the three types of experiences. Does that strategy enhance the telling of the story? Does it make it more interesting? Harder to read? Why might he use such a structure?

2. Perkins uses two narrators, roughly dividing the book in half. The first half is the story of Chiko who is kidnaped/impressed into the Burmese army and sent off to war. The second half is the story of Tu Reh, a Karenni boy who is defending his people from the Burmese army. The two come together after Chiko is seriously injured by a land mine. Against his instincts, Tu Reh brings Chiko to a village where he is treated medically. Chiko is restored to his family. Both boys struggle with what is the “right” thing to do–right by their people and family, right by the large moral issues that the conflict raises.

3. Do both writers seem to have similar goals in writing the novels? If so, what are they? If not, how do they differ? Can you define what each writer’s goal might have been? Does that goal or intention explain anything about the narrative structure of the novels.

Study packs:

Study Pack for Ishmael Beal’s A Long Way Gone: Memoirs of a Boy Soldier [Sierra Leone]*

1. Map of Sierra Leone

2. Overview of the conflict (“Chronology,” pp. 219-26 in the text)+

3. Series of videos on YouTube

a. “The Drugged-Up Child Soldiers at The Centre of Sierra Leone’s War” (26.12 min)

b. Interview: “Ishmael Beah — Child Soldier” (9:45 min)

c. “Ishmael Beah: Stories As Medicine” (13:02 min)*

4. A Long Way Gone: Structure of the Novel+5. https://www.who.int/news-room/fact-sheets/detail/y… (WHO document)What is the impact of violence, drugs, and peer pressure on American male teenagers?

Study Pack for Mitali Perkins, Bamboo People[Myanmar, formerly Burma]*

1. Maps of Myanmar and Burma+

2. Rambo (Film, 2008). Fictionally set in

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# University of Maryland Baltim

We will be discussing ethical issues in your final assignment. Your paper is NOT in SOAP format. You will be discussing the issue and how you would address the issue as an advance practice nurse. Choose one of the scenarios below and provide detail on what information you would still need to know, and rationale on how you would handle the situation.

Scenario #1: The parents of a 5-year-old boy have accompanied their son for his required physical examination before starting kindergarten. His parents are opposed to him receiving any vaccines.

Scenario #2: A 49-year-old woman with advanced stage cancer has been admitted to the emergency room with cardiac arrest. Her husband and one of her children accompanied the ambulance.

As an advanced practice nurse, you will run into situations where a patient’s wishes about his or her health conflict with evidence, your own experience, or a family’s wishes. This may create an ethical dilemma. What do you do when these situations occur?

In this Lab Assignment, you will explore evidence-based practice guidelines and ethical considerations for specific scenarios.

#### To Prepare

Review the scenarios provided by your instructor for this week’s Assignment. Please see the “Course Announcements” section of the classroom for your scenarios.

• Based on the scenarios provided:
• Select one scenario, and reflect on the material presented throughout this course.
• What necessary information would need to be obtained about the patient through health assessments and diagnostic tests?
• Consider how you would respond as an advanced practice nurse. Review evidence-based practice guidelines and ethical considerations applicable to the scenarios you selected.

Write a detailed two-pages narrative (not a formal paper) explaining the health assessment information required for a diagnosis of your selected patient (include the scenario number). Explain how you would respond to the scenario as an advanced practice nurse using evidence-based practice guidelines and applying ethical considerations. Justify your response using at least five different references from current evidence-based literature.

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# University of Maryland Baltim

After reading Fences, Act I,  begin a discussion, by replying to this post’s “Discussion Questions for Act I.  Ideally, you should read a bit of the discussion thread, then go back and reply to my post (or perhaps you’ll be the first one to get the class discussion going…).  Please integrate textual support (i.e. “direct quotes” or paraphrases), as needed, to help illustrate your points. Proofread your responses carefully.

Discussion Questions for Act I:

Act I, Scene 1 and 2

1. Wilson is known for giving in-depth, vivid exposition and “playwright’s notes” before the action/dialogue of the play even begins. After reading Wilson’s notes on “Setting” and “The Play” (p. 1030-1031),create a response where you discuss the importance of this info for readers. In other words, what does Wilson want us to be aware of? What do we learn by reading about the setting and his notes on “The Play” before the play’s dialogue begins?

2. Wilson’s first scene of the play is one of his longest–most likely because he wants his readers/audience to get fully set up for the course of the play, he establishes initial characterizations (that we’ll see will change over the course of the play), and he introduces the beginning of several conflicts. What conflicts are presented through the dialogue of the characters in this scene? You should discuss at least two conflicts.

3. Give a brief character sketch of Troy Maxson–describing his personality presented so far (and, perhaps how he interacts with others)
in Act I, Scenes 1-2. Do you find him to be a likable character, despite any flaws? Although we will find that he is quite a complicated character, Wilson intended for him to be a modern hero (re: literary terms review/lecture notes). In other words, although he may be a flawed character, are his intentions good?

Act I, Scene 3 and 4:

1. In Scene III, Wilson presents an extended scene where Troy and Cory banter back and forth about baseball as well as their differing views on money and what Cory’s future goals should be. Discuss how you feel Cory challenges his father on these two issues.

2. Troy is exasperated when Cory asks him, “How come you ain’t never liked me?” What is Troy’s response and what does this say about his concept of fatherhood?

3. In Scene IV, Troy and Bono engage in detailed reveries from their pasts. Wilson also employs the use of the monologue as a dialogue technique for Troy. What does Lyons learn by listening to these recounted experiences? Also, briefly give some thoughts on the character of Gabriel, which Wilson has said was inspired by the archangel Gabriel.

Lecture Notes /Fences

I.August Wilson background:

• Born Frederick August Kittel in 1945 in a poor Pittsburgh ghetto known as “The Hill.” Wilson set most of his plays in or around this area.
• “My generation of blacks knew very little about the past of our parents,” he told the New York Times in 1984.“They shielded us from the indignities they suffered.”Wilson’s goal eventually became “illuminat[ing] that shadowy past with plays that focus on black issues” (qtd. in “August Wilson:A Profile of the Author’s Life and Works”).
• In 1959, he was the only black student in his high school class.Threats and abuse drive him to drop out.He later transfers to a different school in 1960.At this time, he also drops out of school because a teacher accuses him of plagiarizing a 20-page paper on Napoleon.
• Continues his self-education in libraries and on the street.Becomes influenced by the Harlem Renaissance, is drawn to the theatre, and inspired by the Civil Rights movement
• 1965:A pivotal moment in Wilson’s development—he discovers the Blues and at this time is moved by Bessie Smith’s “Nobody Can Bake a Sweet Jelly Roll Like Mine.” Wilson’s father (whom he had a strained relationship with) dies.Wilson takes his mother’s maiden name and becomes known as simply August Wilson. Buys his first typewriter for 20 dollars and begins writing poetry…
• 1968:Co-founds Black Horizon Theatre in Pittsburgh with Rob Penny.
• 1976-1978: Writes a series of plays to little or no critical acclaim.Moves to Minnesota where he seems to have discovered his true artistic voice.When asked about his early efforts within the theatre, Wilson told the New York Times that he deemed himself as a “cultural nationalist…trying to raise consciousness through theatre” (qtd. in “August Wilson: A Profile…”).Wilson often referred to Broadway as having the “connotation of Mecca” and asked, “Who doesn’t want to go to Mecca?”
• Embarks on his artistic quest, “The Cycle”: 10 plays, each representing a decade in the life of African-Americans.“I’m taking each decade,” Wilson said, “and looking at one of the most important questions that blacks confronted in that decade and writing a play about it.Put them all together, and you have a history” (qtd. in “August Wilson: A Profile…”).
• Plays within the Cycle: Jitney, Ma Rainey’s Black Bottom, Fences (Pulitzer Prize), Joe Turner’s Come and Gone, The Piano Lesson (Pulitzer Prize), Two Trains Running, Seven Guitars, King Hedley II, Gem of the Ocean, Golf Radio.
• In Sept. 2005, Wilson announced that he had been diagnosed with liver cancer and he died shortly thereafter, ironically, after the last play in the cycle, Golf Radio, had been staged.
• Dramatic Concept for Fences and Themes as written by Wilson scholar, Yvonne Shafer, author of “Breaking Barriers:August Wilson”

Keep scrolling…

In the play, Fences, Wilson is dealing with the polarities of loving and dying. In Beyond the Pleasure Principal Freud noted Eros and the death wish as the elementary powers whose counterpoint governs all the puzzles of life. Wilson establishes these two forces as governing factors in the life of the protagonist. Fences deals with the failed dreams of Troy Maxson, a black ball player who played in the minority black leagues, but was barred from the major (all white) leagues because of his race. Set in the 1950s, Fences presents conflicts familiar to blacks in the audience–indeed, one critic wrote that he was moved to tears because he seemed to see his own life on stage [Brent Staples, “‘Fences’: No Barrier to Emotion,” New York Times, April 5, 1987].

ART ACTIVITY: PROCESS

The art in this chapter emphasizes the lived moment, or actions as they are happening, by focusing on the processes involved. Take this practice as an inspiration for making your own process art piece.

1. Begin by listing or documenting as many actions as you can for a three-hour period during your day. For example: Monday from 1-4pm – folded clothes, texted, cooked food, worked out, browsed the internet, did some reading, etc.

2. Now make an art piece, in any format, that seems to express that small segment of your life effectively. Feel free to utilize any medium: drawing, painting, sculpture, photography, etc. Keep in mind that artworks made using alternative media and processes draw our attention away from art that tells a story, or that seems to be a picture of something, and toward the acts of making, thinking, and experiencing. You can consider artworks in this chapter or elsewhere in the book for inspiration. There is no right or wrong way to approach this, and to alleviate the pressure of “getting it right” and to encourage “outside of the box” thinking, you will be given credit for your valiant attempt.

3. Photograph your newly created art piece. Any type of camera can be used, including a phone camera.

4. In the comments section of your submission, write a paragraph answering these questions: What do you notice when you reflect on your list? Which things reflect normal, mundane, parts of your daily routine? Which things are unusual? How can you effectively convey or communicate your experience for this time period?

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# University of Maryland Baltim

I’m working on a nursing discussion question and need an explanation to help me understand better.

May 2012, Alice Randall wrote an article for The New York Times on the cultural factors that encouraged black women to maintain a weight above what is considered healthy. Randall explained—from her observations and her personal experience as a black woman—that many African-American communities and cultures consider women who are overweight to be more beautiful and desirable than women at a healthier weight. As she put it, “Many black women are fat because we want to be” (Randall, 2012).

Randall’s statements sparked a great deal of controversy and debate; however, they emphasize an underlying reality in the healthcare field: different populations, cultures, and groups have diverse beliefs and practices that impact their health. Nurses and healthcare professionals should be aware of this reality and adapt their health assessment techniques and recommendations to accommodate diversity.

In this Discussion, you will consider different socioeconomic, spiritual, lifestyle, and other cultural factors that should be taken into considerations when building a health history for patients with diverse backgrounds. Your Instructor will assign a case study to you for this Discussion.

To prepare:

• Reflect on your experiences as a nurse and on the information provided in this week’s Learning Resources on diversity issues in health assessments.
• By Day 1 of this week, you will be assigned a case study by your Instructor. Note: Please see the “Course Announcements” section of the classroom for your case study assignment.
• Reflect on the specific socioeconomic, spiritual, lifestyle, and other cultural factors related to the health of the patient assigned to you.
• Consider how you would build a health history for the patient. What questions would you ask, and how would you frame them to be sensitive to the patient’s background, lifestyle, and culture? Develop five targeted questions you would ask the patient to build his or her health history and to assess his or her health risks.
• Think about the challenges associated with communicating with patients from a variety of specific populations. What strategies can you as a nurse employ to be sensitive to different cultural factors while gathering the pertinent information?

Post an explanation of the specific socioeconomic, spiritual, lifestyle, and other cultural factors associated with the patient you were assigned. Explain the issues that you would need to be sensitive to when interacting with the patient, and why. Provide at least five targeted questions you would ask the patient to build his or her health history and to assess his or her health risks.

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# University of Maryland Baltim

In this Assessment 1 Assignment, you will analyze an Episodic Note case study that describes abnormal findings in patients seen in a clinical setting. This is in a scholarly paper format and not SOAP format this week. You will consider what history should be collected from the patients, as well as which physical exams and diagnostic tests should be conducted. You will also formulate a differential diagnosis with several possible conditions. Follow the rubric…..Be sure to use APA format…..and upload by Day 7.

Subjective:•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 ago •Medications: Lisinopril 10mg, Amlodipine 5 mg, Metformin 1000mg, Lantus 10 units qhs•Allergies: NKDA•FH: No hx of colon cancer, Father hx DMT2, HTN, Mother hx HTN, Hyperlipidemia, GERD •Social: 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 248lbs•Heart: RRR, no murmurs•Lungs: CTA, chest wall symmetrical•Skin: Intact without lesions, no urticaria •Abd: soft, hyperactive bowel sounds, pos pain in the LLQ•Diagnostics: None

PLAN: This section is not required for the assignment.

• With regard to the Episodic note case study provided:
• Review this week’s Learning Resources, and consider the insights they provide about the case study.
• Consider what history would be necessary to collect from the patient in the case study.
• 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 five possible conditions that may be considered in a differential diagnosis for the patient.

#### The Assignment

1. Analyze the subjective portion of the note. List additional information that should be included in the documentation.
2. Analyze the objective portion of the note. List additional information that should be included in the documentation.
3. Is the assessment supported by the subjective and objective information? Why or why not?
4. What diagnostic tests would be appropriate for this case, and how would the results be used to make a diagnosis?
5. 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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