Assessing The Genitalia And Rectum

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Episodic/Focused SOAP Note Template

 

Patient Information:

Initials, Age, Sex, Race

S.

CC (chief complaint) a BRIEF statement identifying why the patient is here – in the patient’s own words – for instance “headache”, NOT “bad headache for 3 days”.

HPI: This is the symptom analysis section of your note. Thorough documentation in this section is essential for patient care, coding, and billing analysis. Paint a picture of what is wrong with the patient. Use LOCATES Mnemonic to complete your HPI. You need to start EVERY HPI with age, race, and gender (e.g., 34-year-old AA male). You must include the seven attributes of each principal symptom in paragraph form not a list. If the CC was “headache”, the LOCATES for the HPI might look like the following example:

Location: head

Onset: 3 days ago

Character: pounding, pressure around the eyes and temples

Associated signs and symptoms: nausea, vomiting, photophobia, phonophobia

Timing: after being on the computer all day at work

Exacerbating/ relieving factors: light bothers eyes, Aleve makes it tolerable but not completely better

Severity: 7/10 pain scale

Current Medications: include dosage, frequency, length of time used and reason for use; also include OTC or homeopathic products.

Allergies: include medication, food, and environmental allergies separately (a description of what the allergy is ie angioedema, anaphylaxis, etc. This will help determine a true reaction vs intolerance).

PMHx: include immunization status (note date of last tetanus for all adults), past major illnesses and surgeries. Depending on the CC, more info is sometimes needed Soc Hx: include occupation and major hobbies, family status, tobacco & alcohol use (previous and current use), any other pertinent data. Always add some health promo question here – such as whether they use seat belts all the time or whether they have working smoke detectors in the house, living environment, text/cell phone use while driving, and support system.

Fam Hx: illnesses with possible genetic predisposition, contagious or chronic illnesses. Reason for death of any deceased first degree relatives should be included. Include parents, grandparents, siblings, and children. Include grandchildren if pertinent.

ROS: cover all body systems that may help you include or rule out a differential diagnosis You should list each system as follows: General: Head: EENT: etc. You should list these in bullet format and document the systems in order from head to toe.

Example of Complete ROS:

GENERAL:  No weight loss, fever, chills, weakness or fatigue.

HEENT:  Eyes:  No visual loss, blurred vision, double vision or yellow sclerae. Ears, Nose, Throat:  No hearing loss, sneezing, congestion, runny nose or sore throat.

SKIN:  No rash or itching.

CARDIOVASCULAR:  No chest pain, chest pressure or chest discomfort. No palpitations or edema.

RESPIRATORY:  No shortness of breath, cough or sputum.

GASTROINTESTINAL:  No anorexia, nausea, vomiting or diarrhea. No abdominal pain or blood.

GENITOURINARY:  Burning on urination. Pregnancy. Last menstrual period, MM/DD/YYYY.

NEUROLOGICAL:  No headache, dizziness, syncope, paralysis, ataxia, numbness or tingling in the extremities. No change in bowel or bladder control.

MUSCULOSKELETAL:  No muscle, back pain, joint pain or stiffness.

HEMATOLOGIC:  No anemia, bleeding or bruising.

LYMPHATICS:  No enlarged nodes. No history of splenectomy.

PSYCHIATRIC:  No history of depression or anxiety.

ENDOCRINOLOGIC:  No reports of sweating, cold or heat intolerance. No polyuria or polydipsia.

ALLERGIES:  No history of asthma, hives, eczema or rhinitis.

O.

Physical exam: From head-to-toe, include what you see, hear, and feel when doing your physical exam. You only need to examine the systems that are pertinent to the CC, HPI, and History. Do not use “WNL” or “normal.” You must describe what you see. Always document in head to toe format i.e. General: Head: EENT: etc.

Diagnostic results: Include any labs, x-rays, or other diagnostics that are needed to develop the differential diagnoses (support with evidenced and guidelines)

A .

Assessing The Genitalia And Rectum

Differential Diagnoses (list a minimum of 3 differential diagnoses).Your primary or presumptive diagnosis should be at the top of the list. For each diagnosis, provide supportive documentation with evidence based guidelines.

P. 

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

References

You are required to include at least three evidence based peer-reviewed journal articles or evidenced based guidelines which relates to this case to support your diagnostics and differentials diagnoses. Be sure to use correct APA 6th edition formatting.

© 2019 Walden University Page 1 of 3

Thesis Idea And Outline

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Instructions

ILOs

  • Identify the relationships among the literary works studied and the philosophical. Religious, political, social, and economic milieus of the cultures and subcultures within and among which they were written.
  • Think, write, and speak about literary texts critically and effectively.

Instructions

Use the provided form to post your completed “Literary Analysis 2: Outline Guide.” Refer to the Literary Analysis 2 instructions when completing the assignment for this week.

relationships among the literary works studied and the philosophical

In week 7, you will complete the Literary Analysis Two: Outline Guide. To begin, think of some of the topics you’ve discussed in the discussion forums. Or an idea you began looking into for one of your reading engagements. Also, you might consider the following topics as they are explored in many of the assigned texts in this course. Gender, freedom, faith, religion, missions work, truth, friendship, civil rights, traditions, ceremonies, family. Of course, your professor will a be a great resource for developing the idea for your paper.

Once you have landed on a topic that interests you. Do a little research to find what other thinkers or scholars have said about this topic in relation to your chosen literary text. (This is important not only for the discovery of your topic and thesis but also because you will need to cite three sources in addition to your selected text in this paper—more on the use of sources under “Literary Analysis 2 Final Paper Instructions” below). From there, you’ll shape your topic into a thesis. How to move from topic to thesis is discussed in “How To Write About Literature,” which is posted under course information and linked in several other weeks.

The full paper is due in week 8. A description of Literary Analysis 2 is available below. Excluding A Raisin in the Sun. You can write about any text(s) we’ve read this term. Your professor will read your outline and provide you with brief feedback early in week 8.

Persuasive Speech Criteria

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Persuasive Speech Criteria

Description

In this assignment, your goal as a speaker is to persuade the audience to your way of thinking on a specific topic and function as an advocate of a specific issue or topic. The assignment allows you advance your opinion and support your point of view with evidence to back it up. You will need to research your topic until you are capable of discussing it competently. Persuasive speaking is unique in that it has an informative component. You must first teach the audience members about your topic and then persuade them according to your chosen position (recall the persuasive process—awareness, understanding, agreement…). However, the majority of the speech needs to advance solid arguments that are supported with evidence to support your position in order to be effective.

Length of Speech

The speech should be from 6-8 minutes. Points (10) will be deducted for speeches under 6 minutes and over 8 minutes. A speech less than 5 minutes is an automatic F.

Structure of the Speech

Introduction: A complete introduction must contain the following items: A) an attention-getter; B) introduce the subject area to the class; C) a thesis (aka your position statement (what is your goal/objective)); D) audience relevance–a statement that motivates your audience to listen to you and follow your advice (what is it that makes the topic pertinent to this class or why the subject appeals to us). Remember, you can select any subject, you just need to be certain that you take steps to “sell” the relevance of the subject to this/your audience; E) a credibility statement (remember to sell yourself as being competent & committed to the subject); and F) a preview of main points.

Body: The body should have 2 to 5 clear and distinct main points. Each point should have been previewed in your introduction and needs to be fully supported. Be sure to adhere to an approved pattern of organization for your ideas. You must cite at least 5 different oral sources in the speech. If you only have three sources your grade will not exceed a D. If you have no oral source citations, you fail the assignment. Your main points and different parts of the speech need to be connected with smooth and creative transitions. Develop your ideas in order to back up your position with evidence in a manner supportive of your Argument. This will allow the audience an opportunity to assess the merits and accuracy of your arguments in support of your thesis (or position).

Conclusion: Your conclusion must contain: A) reinforcement of the thesis; B) review of each main point; and C) a strong ending that makes a final appeal and closes out effectively (Now that the audience has heard your speech, what do you want them to do?).

Delivery

Delivery must be extemporaneous. If you read the speech, the highest grade you can earn is a 70%. You must use notecards; taking your full sentence outline along with you is unacceptable. You should have sustained eye contact, appropriate gestures, and a good vocal quality with minimal filler words. The 8 x 8 rule applies (64 words per note card) along with a limit on the number of note cards which is the ”two plus” standard.

Outline & Reference Page & Note Cards

As with the informative speech, a full-sentence outline is required for this speech. Again, a full-sentence outline is basically your speech in outline form. The outline will count for 10 points of the assignment (a letter grade). Remember outlines must be typed and turned in on the day you speak. You ​must label what persuasive organizational pattern you are using for your speech—put it under your name (e.g., problem/solution, motivated sequence). The reference page with the 5 citations minimum is also worth 10 points (a separate typed page “on time”), so if you blow the outline and reference requirements, the best you can get is 80% for the assignment barring any other deductions. No Wikipedia, and you don’t count as a source! Lastly, as usual, I will be collecting and evaluating your note cards and they count for 10 points.

Warning

This assignment is worth 23% of the entire course requirements. It is essential that you follow the above instructions precisely in order to maximize your performance for this assignment. By this point in the semester you should have a good understanding of what the expectations are for this assignment and those that follow. Don’t let this assignment turn out to be a bad day, make it a great one with all your best effort put forth on the assignment.

Batman The Dark Night Rises

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 Batman The Dark Night Rises

Essay must be in MLA format and a minimum of 1500 words. If these guidelines are not met, a passing grade will not be given.  Be sure to reference specific panels and pages as support to your claim. Do not summarize the comic/graphic novel, instead analyze. Make sure to have a solid thesis/claim. Do not add images to the essay.

***Do not use “I – We -You -Us” – make sure to analyze, not summarize. Use references and quotes as proof – avoid long quotes. Make sure to cite your references and quote properly at the end of the sentence. Not at the beginning/middle – include author’s/artist’s last name and page number – for example (Miller 33). However make sure to also reference panel, so use (Miller 1/33) = panel 1 & page 33. Multiple panels (Miller 1-3/33) = panels 1-3 page 33. This is not an “official” citation format but a clear reference. Make sure to cite both panel and page for every reference.

pick one of 3 options:

Option #1: Compare the comic, Batman, The Dark Knight Returns, against Daytripper . Optional topics to explore, but are not limited to : characterization/identity, life/death, relationships, how gender plays a role, imagery, wants/needs in life, consequences of the hero. Do not contrast, compare. Make sure to analyze, not summarize.

Option #2: Compare the comic, Batman, The Dark Knight Returns with any version of the Batman movies. Analyze the similarities with specificity on a particular topic(s) regarding the comic character Batman, and the movie character Batman. It is not enough to say they are similar, but what about their similarities creates their identity with relation to his abilities/strengths/weaknesses/moral etc, and who they are and become? Analyze the characters in respect to comparison, not contrast. *Do not compare the animation version to this comic. There are the same.

Option #3: Analyze the graphic novel/comic Daytripper or Batman The Dark Knight Returns and demonstrate Joseph Campbell’s theories related to the “The Hero’s Journey” (located in the Batman module). All stages of the journey must be explicated, or the essay is considered incomplete. 

Children’s Literacy

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In Week 5, you will more deeply examine the value of children’s literature as a tool of moral and ethical development, as well as the opportunity to study issues in children’s literature. There are several substantial issues in children’s literature that greatly affect the teaching and exposure of children’s literature. It is important to understand these issues when looking at the value of teaching the genre of children’s literature.

Write a 700- to 1,050-word paper that includes the following:

Note: if you choose censorship, select a reading that is often censored and determine why it is censored and whether or not you agree with that censorship. The discussion should be about the literature and its benefits or defects, not about personal opinion and social norms.

Linguistic

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  • Linguistic

  • Which of these conceptual units is the smallest in size? Which is the largest?
  • phrases
  • morphemes
  • phonemes
  • phones
  • words
  • sentences
  1. Describe why you have chosen this size comparison.
    • What is your understanding of all these concepts? define them in your own words.
    • What language examples and/or data can you point to for evidence?
    • What information from our course materials supports your argument?
  2. Explain in detail how examining the relative size of these conceptual units supports your understanding of how language works.

Life-Cycle Ritual Essay

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Life-Cycle Ritual Essay

Writing Assignment 2 Parameters and Standards Summary: Most religions have “rites of passage” or “life-cycle rituals” associated with the various stages in the human life. These rituals are most commonly associated with birth, adolescence, adulthood, marriage, and death (or some variation of these). For this essay, explore one life-cycle ritual as expressed in two (2) different religions studied in the second half of this course: Zoroastrianism, Judaism, Christianity, Islam, Sikhism, or a specific New Religious Movement discussed in Chapter 13. There is more information about all of this below, so be sure to pay attention to all of the details in this document. Quick View Checklist (all of this is discussed in greater depth in the Parameters section that follows): □ Select 1 (and only 1) specific religious life-cycle ritual. □ Select 2 (and only 2) different religions from the second half of the course for the analysis of your life-cycle ritual: Zoroastrianism, Judaism, Christianity, Islam, Sikhism, or a specific New Religious Movement discussed in Chapter 13. □ The life-cycle ritual is discussed in terms of activities, events, observances, and beliefs for each religion.

□ The structure is that of a standard college essay. □ Research sources are academic, scholarly, or primary sources (scriptures or doctrines of the religion). □ Include an MLA formatted bibliography of at least 3 sources. □ Quotes are limited to religious scriptures or doctrines only and can be no more than 10% of the paper content. □ Submission is at least 600 words (bibliographies are not a part of the word count). □ Contains appropriate sentence and paragraph formats, proper grammar, and correct spelling and punctuation. □ Demonstrates original writing skills. □ Upload completed essay in the Writing Assignment 2 dropbox by the due date posted in the Time Schedule. Parameters: Here are the complete parameters of this research assignment: LIFE-CYCLE RITUALS – You will discuss one life-cycle ritual. The most prominent examples to choose from include birth rituals, coming-of-age rituals, weddings, and funerals. The choice is yours; just make sure it is a life-cycle ritual and not another type of religious ritual. Remember, life-cycle rituals are associated with the transitional periods in a person’s life. RELIGIONS – The life-cycle ritual chosen will be discussed in the context of two (and only two) different religions studied in the second half of the course: Zoroastrianism, Judaism, Christianity, Islam, Sikhism or a specific New Religious Movement discussed in Chapter 13. For example, you could present the birth rituals of Islam and Sikhism, or perhaps the coming-of-age rituals of Judaism and Baha’i. The point here is that your selected life-cycle ritual is discussed in the context of two of the religions from the second half of the course.

The choice of these religions is yours, but make sure the religions you choose actually participate in that life-cycle ritual. Allow your research to guide you to your choice of religions for this analysis. CONTENT – For this analysis, you should describe the various activities, events, observances, and beliefs associated with the life-cycle ritual for each of your two chosen religions. For example, are there specific activities, props, and/or dietary aspects associated with the event? Does the person receive anything as a part of the ritual? Is there anything done to the physical body as a sign of the ritual? To what extent does the religious community participate? Have the events secularized in modern times? Are the celebrations publicly observed or isolated in the religious communities? Are there variations of activities, events, observances, and beliefs based on geographical or divisional/denominational differences? You will find in your research that there are a variety of different practices associated with life-cycle rituals that will be geographically or divisionally specific. In other words, what

Zoroastrians do in India is different from what they do in Iran; or the practices of Sunni Muslims differ from that of Shi’a Muslims. In these situations, you should isolate your conversation to one specific group (identifying in your essay the group and/or location you are focusing on for each religion). Not everything above applies in all situations; these are just some ideas of what to consider as you prepare to write this essay. Deductions of up to 30 points will be made for errors related to the LifeCycle Rituals, Religions, and Content categories (outlined above). STRUCTURE – This paper should be done in a traditional essay format that includes: an introductory paragraph that discusses the religious concept of life-cycle rituals and what you intend to explore (the life-cycle ritual you have chosen and the religions you intend to explore); two or three paragraphs presenting what is outlined in the “Content” category above; a conclusion paragraph summarizing the content and/or noting the primary similarities and difference between the religions explored; and then a bibliography of sources consulted (see below). RESEARCH – You are expected to do academic research for this assignment. This is not an opinion paper, it is a research paper. To that end, consult and cite multiple sources (at least 3, but you really should have more) to illustrate depth of research. These academic or scholarly sources should be peer-reviewed journal articles or books (library resources), primary sources (sacred literature and official religious documents), or authorized publications of recognized religious organizations.

The research sources consulted should be provided in a Bibliography conforming to the MLA (Modern Language Association) format. For more information about the MLA format visit: https://spcollege.libguides.com/MLA_8th. For useful research information, see: spcollege.libguides.com/world_religions. There will be deductions of up to 10 points for errors in this category. QUOTING – Quotes are limited to only the sacred literature or official doctrines of a specific religion and should constitute no more than 10% of the paper content. In other words, you are not permitted to quote from your research articles. You need to develop the ability to take the information that you would quote and express it in your own words as this is how to demonstrate understanding. The quoted material from religious scriptures or documents is only to support your conversation and should be used sparingly.

Any quotes will need to have internal documentation done according to Modern Language Association (MLA) standards: https://spcollege.libguides.com/MLA_8th. Deductions will be assessed based upon the severity of the errors, with the points coming out of the “subject and content” section above. WORD COUNT – Your submission is required to be a minimum of 600 words, but no more than 1200 words (Bibliographies do not count as a part of the word count). Submissions larger than 1200 words or fewer than 600 words will receive no points. A college paper needs to demonstrate the skill of being thorough, yet concise. ACADEMIC WRITING – Your submission is expected to conform to academic writing standards (i.e., demonstrate the use of proper sentence and paragraph formats, proper grammar, and correct spelling and punctuation). Up to 15 points can be deducted for writing errors based upon their frequency and severity. Please note that the allowed file types are MS Word, WordPerfect, Postscript, Acrobat PDF, HTML, RTF, and plain text. No other file types are accepted.

American Literature

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QUESTION 2

  1. Answer the following question in complete sentences.  You should not merely answer in bullet style.  Write a well-developed essay that incorporates all of the ideas in the question.  The question is two-pronged.
    First, discuss the idea of conformity vs. nonconformity in the works of Emerson and Thoreau.  The focus of your essay should be the works that we studied by these authors.  This is important.  Give consideration to these things in your answer:

    • how the transcendentalists view man
    • Emerson’s concept of “man thinking” and a “foolish consistency“
    • what it means in their eyes to really be a “man” (think of Self-Reliance and the “different drummer” quote)
    • how society affects the individual 
    • obstacles that keep a person from truly being himself
    • the general lesson about conformity that can be drawn from the path Thoreau wore between his house and the pond
    • how Thoreau defines true success
    • Though Whitman and Dickinson were quite different poets, both were greatly influenced by the transcendentalist movement.  In the second part of your essay, explain this transcendentalist influence in Whitman and Dickinson, using at least four of the poems listed in your discussion.  Ask yourself, what “tenet” of transcendentalism does each one express?
    • “Song of Myself #1” – Consider the poem as a whole, but also think specifically of these lines:
    • Creeds and schools in abeyance,
      Retiring back a while sufficed at what they are, but never forgotten,
      I harbor for good or bad, I permit to speak at every hazard,
      Nature without check with original energy.
    • “When I Heard the Learned Astronomer”
    • “Much Madness Is Divinest Sense”
    • “I Taste a Liquor Never Brewed”
    • “Some Keep the Sabbath Going to Church”

National Infrastructure Protection Plan

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The foundation of the protecting our nation’s critical infrastructures and key resources is the risk management framework. Risk is the possibility of an unwanted event – the chance of losing something. The goal in risk management is to mitigate loss from a natural or manmade disaster.

For this assignment, read Chapter 3, “The Strategy: Managing Risk,” from NIPP 2013: Partnering for Critical Infrastructure Security and Resilience [PDF].

Instructions

Write a 2–4 page paper in which you:

  1. Analyze the National Infrastructure Protection Plan and Risk Management Framework, including Figure 3 – Critical Infrastructure Risk Management Framework on page 15 of the National Infrastructure Protection Plan, and conclude how it has been designed to protect the nation’s critical infrastructure.
  2. Determine the purpose of the feedback loop design and argue how it strengthens or weakens the model. Justify your response.
  3. Decide if taking a “risk management” approach is suitable for protecting the nation’s critical infrastructure. Support your response.
  4. Choose the one step that is the most important or has the greatest impact on the other steps of the Risk Management Framework and describe why.
  5. Discuss your thoughts on the effectiveness of the NIPP, and suggest one change you would make to the plan. Support your response.
  6. Use the Strayer Online Library, the Internet, or your supplemental resource list to locate at least three quality resources for use in this assignment.

This course requires the use of Strayer Writing Standards. For assistance and information, please refer to the Strayer Writing Standards link in the left-hand menu of your course. Check with your professor for any additional instructions.

The specific course learning outcome associated with this assignment is:

JUVENILE DELINQUhttps://homeworkforyouhelper.com/ENCY

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  1. omplete the table based on the juveniles on the Crime Library Website.
    JUVENILE DELINQUENCY
    CRIMINOLOGY THEORY
    PSYCHOLOGICAL THEORIES
    Juvenile Delinquency Criminology Theory Psychological Theories CRIMINOLOGY THEORY .DEFINE THE THEORYMATCH THE CHILD TO THE THEORYWHY YOU CHOSE THIS THEORYPsychodynamic Theory   Behavioral Theory   Moral Development Theory   Personality Theory
    JUVENILE DELINQUENCY
    SOCIOLOGICAL THEORIES
    Juvenile Delinquency Sociological TheoryCRIMINOLOGY THEORYDEFINE THE THEORYMATCH THE CHILD TO THE THEORYWHY YOU CHOSE THE THEORY Cultural Deviance Theory   Strain Theory   Social Control Theory
    This course requires the use of Strayer Writing Standards. For assistance and information, please refer to the Strayer Writing Standards link in the left-hand menu of your course. Check with your professor for any additional instructions
    The specific course learning outcome associated with this assignment is:

  2. By submitting this paper, you agree: (1) that you are submitting your paper to be used and stored as part of the SafeAssign™ services in accordance with the Blackboard Privacy Policy; (2) that your institution may use your paper in accordance with your institution’s policies; and (3) that your use of SafeAssign will be without recourse against Blackboard Inc. and its affiliates.