DUE 8/29

Assignment 1:  Case Study Assignments.  This assignment you will be doing in SOAP format.

               Case Study 1:  Last Name Beginning A-M

is a 50-year-old male with nasal congestion, sneezing, rhinorrhea, and postnasal drainage. Richard has struggled with an itchy nose, eyes, palate, and ears for 5 days. As you check his ears and throat for redness and inflammation, you notice him touch his fingers to the bridge of his nose to press and rub there. He says he’s taken Mucinex OTC the past 2 nights to help him breathe while he sleeps. When you ask if the Mucinex has helped at all, he sneers slightly and gestures that the improvement is only minimal. Richard is alert and oriented. He has pale, boggy nasal mucosa with clear thin secretions and enlarged nasal turbinates, which obstruct airway flow but his lungs are clear. His tonsils are not enlarged but his throat is mildly erythematous



  • Also, your Case Study Assignment should be in the Episodic/Focused SOAP Note format rather than the traditional narrative style format. Refer to Chapter 2 of the Sullivan text and the Episodic/Focused SOAP Template in the Week 5 Learning Resources for guidance. Remember that all Episodic/Focused SOAP Notes have specific data included in every patient case.

With regard to the case study you were assigned:

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


Use the Episodic/Focused SOAP Template and create an episodic/focused note about the patient in the case study to which you were assigned using the episodic/focused note template provided in the Week 5 resources. Provide evidence from the literature to support diagnostic tests that would be appropriate for each case. List five different possible conditions for the patient’s differential diagnosis and justify why you selected each.



  • Consider the abnormal physical characteristics you observe in the graphic you selected. How would you describe the characteristics using clinical terminologies?
  • Explore different conditions that could be the cause of the skin abnormalities in the graphics you selected.
  • Consider which of the conditions is most likely to be the correct diagnosis, and why.
  • Search the Walden library for one evidence-based practice, peer-reviewed article based on the skin condition you chose for this Lab Assignment.
  • Use clinical terminologies to explain the physical characteristics featured in the graphic. Formulate a differential diagnosis of five possible conditions for the skin graphic that you chose. Determine which is most likely to be the correct diagnosis and explain your reasoning using at least three different references, one reference from current evidence-based literature from your search and two different references from this week’s Learning Resources.

(Photo number 4 was selected please see attachment file for photo) 


Possible diagnosis: Cellulitis, deep vein throm, periph vascular disease.


VisualDx. (2021). Clinical decision supportLinks to an external site.: For professionals. Retrieved July 16, 2021, from http://www.skinsight.com/professionals

Reviews of Mail Order Bride Sites

Websites for mail-order brides connect men with women from all over the earth. These dating sites are renowned for their trustworthy providers and attractive women ukrainebride4you site review. Most women are looking for union and committed interactions.

One of the top foreign dating places for people looking for a Italian person is Thelatamdate reddit.com. Instant messaging and film talk are two of its service. Additionally, the registration procedure is completely and secure.


Theluckydate is a website created to promote cross-border communication. It provides a range of services, such as video names and prompt communications, that add flavor to long-distance relationship. To communicate with their suits, customers can also use stickers, pictures, videos, and online gifts. Both desktop and mobile devices can use the platform.

The website is easy to use and cost-free. All you have to do is register and respond to a few simple questions. Following that, the site’s matching algorithm will recommend potential matches based on your interests.

Theluckydate has a sizable database of international girls. The page is simple to navigate, and its hunt tool allows you to screen by period and state. Its skype rooms are private and secure, and you can deliver ready templates and winking smiles. Certificates can be bought to keep talking to the women you like. Make sure you do n’t divulge personal information to anyone, though. This includes phone numbers, names, and contact.


Russian mail-order weddings are renowned for being stunning on the inside and out. They are excellent company and devoted to their husbands. Additionally, they give their associates a wealth of historical practice. They are not inexpensive to keep, though. Integration costs, traveling charges, and presents can all add up quickly.

Therussianbrides is one of the best global marriage agencies to use if you’re serious about finding a companion. You can use the website to look for a mate based on age, area, and passions. Public images and various crucial details are included in profiles. You can even show your prospective partner pictures and videos. Additionally, layouts and posters are available in the chat room to assist you in communicating with your potential partner.

Russia has countless attractive girls who are eager to meet unusual guys, despite the current social weather and the confinement of their home country. Many of these women are willing to acknowledge a long-distance connection because they are searching for the like of their lifestyles.


Due to their splendor, cleverness, and traditional principles, Ukrainian weddings are a great option for sex. Additionally, they have a powerful want to relocate abroad so that they can locate employment and ensure the futures of their families. Nevertheless, it’s crucial to exercise caution when speaking with Ukrainian people online. English barriers you cause exploitation and miscommunication.

Ukraine brides, in contrast to American people, are proud of their appearance and know how to dress nicely. In the initial interactions, they may even make you smile thanks to their sense of humor. They are also an excellent suit for Northern people.

Sharing interests is one of the best ways to get to know a lady. Make sure to include a description of your interests on your status site so she can view them. You’ll also be able to stand out from the competition if you keep your page brief. Do n’t write anything unfavorable about yourself in your profile.


A reliable mail-order bride website links males with european women seeking a committed relationship. These websites offer a safe environment for finding passion while taking into account laws in various nations. To guarantee the security of people’ personal information, they also offer verification services.

The best websites offer a filter-based search function as well as numerous contact tools. Some offer picture calls, while others charge more for transcription solutions. In a long-term relationship, these companies can be very helpful because they can assist you in developing an emotional connection with your future spouse.

To find out if mail-order bride blogs are reputable, you should always investigate them. Some might be frauds intended to take advantage of singles who are cheerful. You should also prevent sending wealth to any girl you meet online. Genuine mail-order brides wo n’t ask for money from you or other financial favors. Before making any commitments, you should also demand digital messages.





Overweight 5-year-old black boy with overweight parents who work full-time and the boy spends his time after school with his grandmother


When seeking to identify a patient’s health condition, advanced practice nurses can use a diverse selection of diagnostic tests and assessment tools; however, different factors affect the validity and reliability of the results produced by these tests or tools. Nurses must be aware of these factors in order to select the most appropriate test or tool and to accurately interpret the results.

Not only do these diagnostic tests affect adults, body measurements can provide a general picture of whether a child is receiving adequate nutrition or is at risk for health issues. These data, however, are just one aspect to be considered. Lifestyle, family history, and culture—among other factors—are also relevant. That said, gathering and communicating this information can be a delicate process.

For this Assignment, you will  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.



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

Assignment: Child Health Case:Include the following:

  • An explanation of the health issues and risks that are relevant to the child you were assigned.
  • Describe additional information you would need in order to further assess his or her weight-related health.
  • Identify and describe any risks and 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.
  • Taking into account the parents’ and caregivers’ potential sensitivities, list at least three specific questions you would ask about the child to gather more information.
  • Provide at least two strategies you could employ to encourage the parents or caregivers to be proactive about their child’s health and weight.


  • Centers for Disease Control and Prevention. (2021, April 9). Childhood overweight & obesityLinks to an external site.. http://www.cdc.gov/obesity/childhood/This website provides information about overweight and obese children. Additionally, the website provides basic facts about obesity and strategies to counteracting obesity.






Is a mail-order brides catalog an artifact of the history?

Although the expression”mail order bride” seems like a holdover from the recent, these service are still available in the world more helpful hints of current marrying. In an effort to find true love, they bring together individuals from all over the earth.

Mail-order brides are women who list themselves in catalogs before being chosen for union by gentlemen. This is a complicated trend that combines rules medium.com, finance, and like.

the idea of mail-order wives

In the past, message buy wives were people who posed for photos in directories and courted distant-living guys. Men relocated west to the us in particular to declare land, start businesses, and locate gold. In the hopes that she would provide them with economic security and support as they raised a home, these people may buy their spouse from the East.

There are many ways to find mail-order weddings online, and they are still a favorite trend immediately. However, the phrase “mail-order bride” can conjure up feelings of exploitation and objectification. It’s critical to process the idea delicately and pick a website that encourages real connections.

Although the concept of a mail-order bride properly look unsettling, there are good reasons to do so. Some females in developing nations struggle to make ends meet and are eager to find a husband who is make their lives better. Additionally, many of these women are seeking a robust relationship because they have had unfavorable interactions with nearby gentlemen.

The process of locating a mail-order wedding

A gentleman used to be able to pay a foreign country to send his bride, and after some communications, he may receive her. Foreign union brokers are now subject to various laws and organizations, and the procedure is more open. Men who look for mail-order weddings are commonly rich and frequently have divorced wives.

The process of locating a mail-order bride may seem intimidating, but it can be a viable option for men who are interested in building a cross-cultural marriage. It is important to remember that this type of relationship takes time and patience. However, if both parties are committed to the relationship, it can be very successful. Most women who are seeking husbands through this method come from Asian, Eastern European, or Latin American countries. This means that they are likely to be more interested in a long-term commitment than short-term romances. This is why it is important to choose a reputable service.

advantages of mail-order weddings

Although many people are skeptics of mail-order weddings, they can be a fantastic way to find love. With the help of these service, guys can get in touch with women all over the world and speak with them via phone or email. The method is secure and practical. These blogs also provide their users with a wide range of contact tools to facilitate their work.

A mail get bride service’s major advantage is that it eliminates the need to travel great distances in order to find a partner. In the case of global relationships, this saves time and money in a significant way. A email order wedding services also offers a secure setting for women to speak with probable men.

Most ladies who use a mail-order bride company are from developing nations. They frequently find media photographs of the Western way of life attractive and yearn to find a spouse. They are typically well-educated, diligent workers, and have a specific objective in mind: to develop enduring bonds with men from other nations.

The drawbacks of mail-order wives

There are drawbacks to mail order weddings, despite the fact that they are a great solution for some people. They might not be well-equipped to handle the cultural, emotional, and actual barriers that long-distance interactions present. They are also frequently susceptible to schemes. Before being matched with a guy, these women really get thoroughly screened.

Mail- order wives are usually from nations that are not as developed as the United States. This may make it challenging to speak with them. Many of these women will do anything to achieve a better living. It is crucial to pick a reliable service that offers qualifications balances for this reason.

Despite the stereotypical image of mail-order weddings in favorite society, this occurrence is hardly novel. The idea has been around for a while, and it can take people from all over the globe along. Be practical about the procedure, though, and take into account all of its benefits and drawbacks.

DUE 9/5

Respond to peers post




When serving patients’ needs, nurses must be patient centered. Hence, they must use their information about their patients, such as their cultures and socioeconomic characteristics, to determine how to work with them. The information is also important in collecting patients’ health histories. People’s sexualities, gender and beliefs are important to consider ensuring that the interaction remains respectful and that professionals collect as much data as is needed from their patients.

Several cultural factors must be considered to ensure optimal care. First, it is necessary to consider the woman’s sexuality. She is a lesbian. Hence, there must be fairness and openness in the interactions. The LGBTQ community faces discrimination and may, therefore be unwilling to share information unless assured of fairness (Oblea et al., 2022). Also, sexuality may affect their reproductive hygiene and practices and may be among the factors to consider in determining the discharge source. Also, understanding spiritual factors is necessary. As a lesbian, her lifestyle violates Christian teachings. Therefore, knowing how she is connected to the universe is necessary. It is important to avoid enforcing one’s beliefs on her to avoid discrimination.

When asking questions, the professional must be sensitive to TJ and her needs. The framing of the questions should encourage respect and fairness. The questions should seek to determine if she has any illnesses, what illnesses are in her family and the impacts of any health issues on her pregnancy. Therefore, one targeted question should be whether she is sexually active with her partner. The question will help determine whether she may have been infected during sexual intercourse. Another question should be when the discharge started (Agwu, 2020). Knowing when it began may help tell how far the illness has developed. I will also ask whether there is any smell. Infections can cause discharges that smell. I will also want to know whether she is exclusive to her partner. Having other partners may increase her risk of an STI. Finally, I want to know whether she has been screened for diabetes. Diabetes may affect the medication and recommendations that may be given.

Communicating with the LGBTQ community may present the challenge of sensitivity. It is necessary to ensure one communicates in ways that do not cause bias. For instance, understanding the various pronouns that apply to different people (Brown et al., 2020). The professional should use the appropriate pronoun when addressing the patient. They should also accommodate the pregnancy. Being friendly and accommodating to the patient’s needs because of her pregnancy is necessary to ensure that she cooperates maximally.

In conclusion, different patients have different needs. The various needs and their effects should be considered to ensure patient-centered care. Professionals must accommodate all their patients’ needs. When communicating with a lesbian, their sexuality may significantly affect their communication and perception of the treatment from the professional. Therefore, it is necessary to consider how their gender and sexuality will impact how they communicate and interpret one’s communication. Therefore, in TJ’s case, I will focus on using accurate pronouns and accommodating her pregnancy with the facility to make her as comfortable as possible.



Oblea, P. N., Bathan, N. Q., Gaa, C. A., Lustik, M. B., Tartavoulle, T. M., Nguyen-Wu, E. D., & Siaki, L. A. (2022). Outcomes of LGBTQ culturally sensitive training among civilian and military healthcare personnel. Journal of Public Health, fdac145. https://doi.org/10.1093/pubmed/fdac145

Brown, C., Frohard-Dourlent, H., Wood, B. A., Saewyc, E., Eisenberg, M. E., & Porta, C. M. (2020). “It makes such a difference”: An examination of how LGBTQ youth talk about personal gender pronouns. Journal of the American Association of Nurse Practitioners32(1), 70-80. DOI: 10.1097/JXX.0000000000000217

Agwu, A. (2020). Sexuality, sexual health, and sexually transmitted infections in adolescents and young adults. Topics in Antiviral Medicine28(2), 459. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7482983/

DUE 9/3

·         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?

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?





JC, an at-risk 86-year-old Asian male is physically and financially dependent on his daughter, a single mother who has little time or money for her father’s health needs. He has a hx of hypertension (HTN), gastroesophageal reflux disease (GERD), b12 deficiency, and chronic prostatitis. He currently takes Lisinopril 10mg QD, Prilosec 20mg QD, B12 injections monthly, and Cipro 100mg QD. He comes to you for an annual exam and states “I came for my annual physical exam, but do not want to be a burden to my daughter”

DUE 9/1

Respond to your peer



Ojebode – Main post week 1

Intercultural communication and culturally competent care are crucial when working with patients of minority racial and ethnic identity. The assigned case is a 38-year-old Native American pregnant female who lives on a reservation. The nurse should aim to build trust and collaborate with the patient to obtain as much information as possible. All this should be done in a culturally competent approach which includes communication techniques that are adapted to the patient. The health history of the patient can be obtained by collaborating and building trust by using culturally competent approaches.

When communicating with this patient, listening without interrupting, asking for elaboration, and using plain language would be the appropriate techniques. Listening without interruption allows the patient to express herself appropriately and shows respect for the patient’s views and opinions. Secondly, the nurse should show cultural humility by showing respect for the patient’s culture and willingness to learn more (Stubbe, 2020). This can be achieved through requesting for elaboration about patient experiences, beliefs, and perspectives. The approach indicates genuine interest in the patient’s culture and ensures trust-building. Using plain language is essential in reducing any language barriers. For all patients, it is necessary to use plain language to ensure patients understand the information and make informed decisions. Therefore, I would create rapport, listen without interrupting, and show genuine interest in learning more about this Native patient and her perspective.

The patient is present with several risk factors which must be assessed. First, her age is a risk factor in her pregnancy. Pregnancy in a 38-year-old should be considered a high-risk pregnancy. Older women are at increased risk of preeclampsia, birth defects, and miscarriages (Glick et al, 2021). Additionally, living in a reservation also presents significant environmental risks. A large proportion of people living in reservations live in a poor environment with inadequate housing and sanitation resources (Crepelle, 2019). Therefore, assessment of the patient’s environment and living situation is necessary. Additionally, Native American women, especially those living in reservations experience higher rates of sexual violence (Edwards et al., 2022). This is a psychosocial issue that should be considered and a risk factor to be evaluated in this patient. Access to healthcare services is also a crucial area of assessment for the patient. Because of pregnancy, it is essential to ask about access to medical services and the patient’s diet.

The Protocol for Responding to & Assessing Patients’ Assets, Risks & Experiences (PRAPARE) is a risk assessment tool that can be used with this patient. The PRAPARE is a questionnaire targeting social determinants of health and focusing on personal characteristics, social and emotional health, financial resources, and family and home conditions (NACHC & AAPCHO, 2022). The tool focuses on the current state of the patient, her ability to access adequate healthcare and basic health resources, and her current emotional and social state. It is useful in assessing a patient’s stability and ability to maintain a health management plan.

The following targeted questions would be used with the patient:

  1. What is your current work situation?
  2. Who do you live with?
  3. Have you been able to access medical services when needed from where you live?
  4. Have you received any vaccine shots during your pregnancy?
  5. What food do you typically eat at home?



Crepelle, A. (2019). The reservation water crisis. Tulane Environmental Law Journal32(2), 157-188. https://www.jstor.org/stable/26661936Links to an external site.

Edwards, K. M., Siller, L., Leader Charge, D., Bordeaux, S., & Leader Charge, L. (2022). Dating violence, sexual assault, and sexual harassment victimization among girls on an Indian reservation: An examination of rates and risk and protective factors. Violence Against Women28(3-4), 761-779. https://doi.org/10.1177/10778012211012091Links to an external site.

Glick, I., Kadish, E., & Rottenstreich, M. (2021). Management of pregnancy in women of advanced maternal age: Improving outcomes for mother and baby. International Journal of Women’s Health, 751-759. https://doi.org/10.2147/IJWH.S283216Links to an external site.

National Association of Community Health Centers, Inc (NACHC) & Association of Asian Pacific Community Health Organizations (AAPCHO). (2022). Protocol for Responding to & Assessing Patients’ Assets, Risks & Experiences (PRAPARE). https://prapare.org/

Stubbe, D. E. (2020). Practicing cultural competence and cultural humility in the care of diverse patients. Focus18(1), 49-51. https://doi.org/10.1176/appi.focus.20190041Links to an external site.