Explain how genetics, gender, ethnicity, age, and behavior might impact the pathophysiology of the alterations you identified, as well as diagnosis and treatment of your selected disorder.
The Pathophysiology of DisordersDuring the last 5 weeks, you have explored various body systems: neurological, cardiovascular, respiratory, and hematological. These four systems work together along with other body systems to complete a myriad of functions. For this reason, when disorders occur within one body system, it can create potentially devastating effects throughout the entire body. For instance, Parkinsons disease is a disorder of the central nervous system, yet its alterations actually affect multiple body systems from the cardiovascular system to the gastrointestinal system. In this Assignment, you examine alterations associated with disorders, as well as the impact of the alterations on multiple body systems.To Prepare· From the list below, select a disorder of interest to you:o Alzheimers diseaseo Asthma in childreno Chronic obstructive pulmonary disease (COPD)o Congestive heart failureo Hepatic disease (liver disease)o Hypertension (Please select this)o Hyperthyroidism and hypothyroidismo Seizureso Sepsis· Identify alterations associated with your selected disorder. Consider the pathophysiology of the alterations. Think about how these alterations produce pathophysiological changes in at least two body systems.· Reflect on how patient factors such as genetics, gender, ethnicity, age, and behavior might impact the pathophysiology of the alterations you identified, as well as the diagnosis and treatment of your selected disorder. · Review the Mind mapsDementia, Endocarditis, and Gastro-oesophageal Reflux Disease (GERD) media in the Week 2 Learning Resources. Use the examples in the media as a guide to construct a mind map for the disorder you selected. Consider the epidemiology and clinical presentation of your selected disorder. See attached fileTo CompleteDevelop a 5- to 10-slide PowerPoint presentation that addresses the following:· Describe your selected disorder, as well as associated alterations. Explain the pathophysiology of the alterations, including changes that occur in at least two body systems.· Explain how genetics, gender, ethnicity, age, and behavior might impact the pathophysiology of the alterations you identified, as well as diagnosis and treatment of your selected disorder.· Construct a mind map for the disorder you selected. Include the epidemiology, pathophysiology of alterations, risk factors, and clinical presentation, as well as the diagnosis and treatment of the disorder.
Discuss the traits you most admire in a leader. Why are they important?
Discuss the traits you most admire in a leader. Why are they important? How do these traits fit (or not) with the literature?Discuss the skills you most admire in a leader. Why are they important? How do these skills fit (or not) with the literature?Is it always easy to discern the difference between traits and skills? Remember to support your responses with class content.
Describe the target demographic for the event and how they will be reached
Part A: Event Proposal InstructionsChoose one of the local councils used in the first assessment task (Waverley Council Event policy). Having the location and the policy in mind, you will develop an original major event proposal to fit within the strategic requirements of the local council and the variety of stakeholders involved. You need to clearly identify the stakeholders for this purpose.Note: a major event is an event that has important consequences, such as a conference or exhibition, a major product launch or a government VIP event. This includes public events, such as festivals and concerts, with over 10,000 people.Step one Design your event conceptYour event concept must:? Be designed with the local community in mind? Needs to be either be supported or approved by local authorities? Has an objective other than financial gain? Has a physical location (cannot be an online event)Step two Identify stakeholdersIn your event brief, you must:? Identify the key stakeholders? Describe the target demographic for the event and how they will be reached? Explain why the target demographic would enjoy/participate in the eventStep three Event execution? What location/s will be used?? What facilities are required versus those available? A brief overview of the planning timeline? An overview of how the event marketing plan and communication to the host communityStep four Event feasibilityProvide:? A brief explanation of how the event will be funded (Sponsorship? Ticket sales? Grants? Corporately owned?)? Perform a high-level SWOT Analysis and briefly explain how you will mitigate any perceived weaknesses or threatsWord total for Assessment 2 Part A should be 1,000 words (-/+10%). Support your work with evidence from your research. Include a reference or citation; where appropriate (please refer toReferencing below).
Develop a list of differential diagnoses specific to hypoxia. What are the four most important differential diagnoses to consider?
Clinical Scenario:REASON FOR CONSULTATION: Desaturation to 64% on room air 1 hour ago with associated shortness of breath.HISTORY OF PRESENT ILLNESS: Mrs. X is 73-year-old Caucasian female who was admitted to the general surgery service 3 days ago for a leaking j-tube which was surgically replaced 2 days ago and is now working properly. This morning at 07:30, the RN reported that the patient was sleeping and doing fine, then the CNA made rounds at 0900 and Mrs. X was found be mildly dyspneic. Vital signs were checked at that time and were; temperature 38.6, pulse 120, respirations 22, blood pressure 138/38. O2 sat was 64% on room air. The general surgeon was notified by the nursing staff of the hypoxia, an order for a chest x-ray and oxygen therapy were given to the RN. The O2 sat is maintaining at 91% on 4L NC. The patient was seen and examined at 10:10 a.m. She reports that she has been having mild dyspnea for 2 days that has progressively gotten worse. She does not use oxygen at home. Her respiratory rate at the time of visit was 22 and she feels short of breath. She has felt this way in the past when she had pneumonia. She is currently undergoing radiation treatment for laryngeal cancer and her last treatment was 1 to 2 weeks ago. She reports that she has 2 to 3 treatments left. She denies any chest pain at this time and denies any previous history of CHF. Review of her vital signs show that she has been having intermittent fevers since yesterday morning. Of note, she was admitted to the hospital 3 weeks ago for an atrial fibrillation with RVR for which she was cardioverted and has not had any further problems. The cardiologist at that time said that she did not need any anticoagulation unless she reverted back into A-fib.REVIEW OF SYSTEMS:Constitutional: Negative for diaphoresis and chills. Positive for fever and fatigue.HEENT: Negative for hearing loss, ear pain, nose bleeds, tinnitus. Positive for throat pain secondary to her laryngeal cancer.Eyes: Negative for blurred vision, double vision, photophobia, discharge or redness.Respiratory: Positive for cough and shortness of breath. Negative for hemoptysis and wheezing.Cardiovascular: Negative for chest pain, palpitations, orthopnea, leg swelling or PND.Gastrointestinal: Negative for heartburn, nausea, vomiting, abdominal pain, diarrhea, constipation, blood in stool or melena.Genitourinary: Negative for dysuria, urgency, frequency, hematuria and flank pain.Musculoskeletal: Negative for myalgias, back pain and falls.Skin: Negative for itching and rash.Neurological: Negative for dizziness, tingling, tremors, sensory changes, speech changes.Endocrine/hematologic/allergies: Negative for environmental allergies or polydipsia. Does not bruise or bleed easily.Psychiatric: Negative for depression, hallucinations and memory loss.PAST MEDICAL HISTORY:Diabetes mellitus that was diagnosed 12 years ago with neuropathy. This resolved after gastric bypass surgery, which she had approximately 3 years ago.Laryngeal cancerHypertensionHypercholesterolemiaPneumoniaArthritisHypothyroidismAtrial fibrillationAcute renal failureChronic kidney disease, stage IV on 07/30/2013 a renal biopsy was completed, which showed focal acute tubular necrosis and patchy tubular atrophy, moderate to severe interstitial fibrosis with patchy acute and chronic interstitial nephritis, normal cellular glomeruli with no white microscopic evidence of a primary glomerulopathy. Baseline creatinine is 1.9.Peptic ulcer diseaseSkin cancerAnemiaOsteoporosisPAST SURGICAL HISTORY:Laparoscopic gastric bypass 3 years agoClosure of mesenteric defect.Radical neck resection on -3 months agoFAMILY HISTORY:Mother has diabetes diagnosed at age 55 and high blood pressure. She is deceased.Father had heart disease diagnosed at age 60. He is deceased.She had a sister with diabetes, thyroid disease, CKD, on dialysis, with unknown etiology.SOCIAL HISTORY: She denies any smoking or alcohol use. She denies any drug use.MEDICATIONS:Calcitriol 0.5 mcg PO every other dayVitamin B12 2500 mcg sublingual every Monday and ThursdayDocusate sodium 100 mg PO BIDFentanyl patch 100 mcg every 72 hoursGabapentin 800 mg PO BIDLevothyroxine 50 mcg dailyMultivitamin 1 PO DailyOxybutynin 5 mg PO BIDHydrocodone 5/325 1-2 tablets every 6 hours PRN painALLERGIES: SHE IS ALLERGIC TO CIPRO, WHICH CAUSES URTICARIA AND HIVES, CONTRAST DYE, HONEY AND BEE VENOM, ADHESIVE, AND SULFAS, WHICH CAUSE HIVES.PHYSICAL EXAMINATION:Vital signs: 38.6, 120, 22, 138/38, 64% on room air. O2 sat of 91 on 4 liters nasal cannula.Constitutional: She is somnolent. Oriented to person and place. Appears ill and mildly dyspneic.Head: Normocephalic and atraumatic. Nose: Midline, right and left maxillary and frontal sinuses are nontender bilaterally.Oropharynx: Clear and moist. No uvula swelling or exudate noted.Eyes: Conjunctivae, EOM and lids are normal. PERL. Right and left eyes are without drainage or nystagmus. No scleral icterus.Neck: Normal range of motion and phonation. Neck is supple. No JVD. No tracheal deviation present. No thyromegaly or thyroid nodules. No cervical lymphadenopathy noted bilaterally.Cardiovascular: rapid rate, S1 and S2 without murmur or gallop. Brachial, radial, dorsalis pedis, and posterior tibial are 2+/4+ bilaterally.Chest: Respirations are regular and even with mild dyspnea.Lungs are coarse and with some rales posterior bases.Abdomen: Soft. Bowel sounds are active, nontender, no masses noted. No hepatosplenomegaly noted. No peritoneal signs.Musculoskeletal: Full range of motion of the bilateral shoulders, wrists, elbows.Neurologic: Somnolent. Cranial nerves II-XII are intact.Skin: Warm and dry.Psychiatric: Mood and affect are normal. Calm and cooperative. Behavior, judgment is intact.LABORATORIES AND DIAGNOSTICS:WBC 7.2, Neutrophil 63%Creatinine 2.5 mg/dL, BUN 45 mg/dL, Na 144 mEq/L, Potassium 4.4 mEq/L, Total Bilirubin is 0.9 mg/dL, Platelets 100,000BNP 242 pg/mLLactate 1.0 mg/dLAll other labs are unremarkableChest x-ray: Right lower lobe infiltrateEKG: NSR, no ST or T wave changesQuestions:Develop a list of differential diagnoses specific to hypoxia. What are the four most important differential diagnoses to consider? Based on the available clinical data, what is the most likely diagnosis for the hypoxia? What other acute (new) diagnoses do you need to treat? List them all below. There are a total of 4 diagnoses. What additional diagnostic tests should be ordered to further evaluate this patient? Write an assessment and treatment plan for all four acute diagnoses you identified in question 2. Each diagnoses must have a complete treatment plan. All written orders must have complete instructions. For instance, a medication order must have the name, dose, frequency, and route. Lab orders must include the lab name and frequency. If an order should be done now, stat, urgent or routine that also should be indicated. What is the most appropriate level of care for this patient?What physician specialty or other interprofessional consults should be ordered?What anticipatory guidance/patient education should you provide to the patient?
Define in your own words ethical nursing practice.
For this discussion you will be examining ethical nursing practice. In three to five paragraphs answer the following questions. Define in your own words ethical nursing practice.Describe the basis or framework you used for your definition.Explain the difference between legal and ethical nursing practice.Discuss one ethical or bioethical dilemma a nurse may encounter and describe how it could be handled.
How does public opinion influence political approaches to the problem? Explain.
Discussion Week 4Discussion: Policy Process and Public OpinionManaging public opinion and understanding the balance between its influence and your advocacy goals is a delicate matter. It is a task fraught with uncertainty because, as a policy advocate, you must navigate through the territory of politicians, bureaucrats, and lobbyists whose primary goals are to appease and please their constituents.In this Discussion, you select a social problem that is of interest to you and identify how public opinion influences the process and political approaches involved in addressing that social problem.To prepare: Refer to your Week 2 Small Group Discussion Forum for ideas.Post by Day 3 a description of the importance of public opinion in addressing the social problem you have selected. How does public opinion influence political approaches to the problem? Explain. What policy advocacy approaches and skills can you use to address the problem with political leaders? What are the social justice implications of your approach?Be sure to support your post with specific references to this weeks resources. If you are using additional articles, be sure to provide full APA-formatted citations for your references.Respond by Day 5 to a colleague who has chosen a social problem that is different from the one you selected, addressing the following:Offer an explanation of how public opinion can be influenced to address the problem identified by your colleague.Suggest policy advocacy approaches and skills he or she can use to address the problem with political leaders.Comment on the social justice implications of the approach or approaches you suggested.
How does learning about music apply to your life and/or past experiences?
1. Many composers kept diaries during their lives. Choose a composer from the twentieth (or twenty-first) century and an important event from that composers life. Consider how this event relates to the music the composer wrote. Write a diary entry related to that event in 1st person voice, as if the composer wrote it (Your choice should not be in the Jazz, pop, rock, rap, or other popular music genres.). Provide a link to a sound file or YouTube video of the composers music, to help classmates become more familiar with this individuals work. In the subject line for your post, include the composers name. List any websites or other sources you used to write your post at the bottom of the post.2. What is your personal reaction/response to this composer and/or the music we have studied so far in class? How does learning about music apply to your life and/or past experiences?
How can Descriptive Analytics, Predictive Analytics and Prescriptive Analytics be used in Network Security analysis and remediation
Topics for Network Security Research Paper and PresentationThe majority of the paper MUST address the highlighted topic below as it relates to Network Security. Specific hardware, software, service orsystems may be used as short examples but should only represent a small portion of the total paper.How can Descriptive Analytics, Predictive Analytics and Prescriptive Analytics be used inNetwork Security analysis and remediation Requirements: Main Topic 1: Define Descriptive Analytics and describe how it can be used in Network Security analysis and remediation Main Topic 2: Define Predictive Analytics and describe how it can be used in Network Security analysis and remediation Main Topic 3: Define Prescriptive Analytics and describe how it can be used in Network Security analysis and remediation Content:o 7-10 double-spaced pages (at least 7 pages), using 12-font Calibri-Body.? The Cover Page, Reference Page and any space needed for pictures/images are not included in the required pages. ? Make sure Paragraph Line Spacing is set to double-spaced with 0 before and 0 after.o 7-10 references (at least 7 references) of which 2 must be Peer Reviewed.? Include a Reference page at the end of the document for each reference used (ordered alphabetically by last name). Ensure each citation within the text is included on the reference page. Ensure each reference on the reference page has at least one citation within the text.o Include all References as the last page of the Powerpoint Presentation as indicated in the Powerpoint Project template. Once the paper is completed, add an Overview to the start of the paper. The Overview must contain at least one Hypothesis (see Rubric) and a Synopsis of what is contained in the paper.o Include the Overview with Hypothesis as the 2nd page of the Powerpoint presentation.NOTE: For this paper, a Hypothesis is a short statement you believe to be true based on the research you conducted. As an example, after doingresearch, you might say: Descriptive Analytics is the most commonly used analytical tool.The quality and thoroughness of the paper, as defined in the rubric, will determine the grade assigned. Papers containing the minimum number of references and/or minimum number of pages will most likely not earn a high grade. Go to http:// inside.ucumberlands.edu/library and search the Databases/JournalsERICAcademic Search CompleteProQuest Dissertations & Theses Global: Science & Technology Google ScholarIEEE XploreMicrosoft AcademicCiteSeerXComputing Research Repository (CoRR)Find White PapersScienceDirectACM Digital LibraryWeb of Science (and InCites ESI & JCR)Computers & Applied Sciences CompleteComputing Database (1998 current)Homeland Security Digital Library
Did the museum mistreat the Ghent Altarpiece by facilitating its public display, or should religious art be displayed like other works of art? Why or why not?
Write a 250-word (minimum) essay on the following topic.In the late 19th century, the Berlin Museum, which then owned the Ghent Altarpiece, separated the painted fronts of these panels from their backs, which were also painted, by sawing them apart. This harsh measure was intended to facilitate the exhibition of the panels and their inspection by an art-loving public. But it also served to obscure the fact that the panels were created as ecclesiastical objects for display in a church, not as simply works of art. Is there something wrong with the display of religious objects as art? Did the museum mistreat the Ghent Altarpiece by facilitating its public display, or should religious art be displayed like other works of art? Why or why not?
How do the gaps inform an assessment strategy?
Follow the media scenario, Riverbend City: Case Scenarios Part 1, for the client you have selected for the remaining assignments in Units 5 and 9. You have explored the 6 dimensions of the ASAM criteria in the media piece and in this units studies. Use the 6 dimensions of the ASAM criteria to assess for the appropriate level of care for the client in preparation for developing your assessment strategy in Unit 5 assignment. In this discussion, share what you learned from interacting with the client by addressing: ?What questions were most challenging to generate? ?How did this exercise help to highlight what information is missing to determine an appropriate level of care? ?How do the gaps inform an assessment strategy?
