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[ANSWERED 2023] Find an article or website that provides guidelines for developing an innovative organization

Find an article or website that provides guidelines for developing an innovative 1. Use your favorite Internet search engine and find an example of a successful innovation and one that was not so successful. (Finding failures is difficult.) o What were the reasons given for success? o For failure? o Which of these reasons relate to poor planning? o What does this tell you about the keys to success in innovation? 2. Do you believe creativity can be learned? Find an article or website that is devoted to capturing creativity in the work environment. o What does the author say about individual creativity and group creativity? 3. Find an article or website that provides guidelines for developing an innovative organization. o What do you think of the advice given? 4. In developing an organizational climate that supports innovation, management often overlooks critical issues. This is true especially when setting up and nurturing communication networks. Many good ideas are lost because the right person is not available at the right place at the right time to bring the innovation to fruition. o What issues do you believe are critical in planning for the integration and sharing of information in an innovative firm? o How do these issues differ for product and process innovations? Assignment Expectations Length: 1750 – 2000 words; answers must thoroughly address the questions in a clear, concise manner. Structure: Include a title page and reference page in APA style. These do not count towards the minimum word count for this assignment. References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least three (3) scholarly sources to support your claims. Format: Save your assignment as a Microsoft Word document (.doc or .docx). File name: Name your saved file according to your first initial, last name, and the assignment number (for example, “RHall Assignment 1.docx”) Expert Answer and Explanation Successful Innovation The success or failure of innovation depends on various factors that occur before and during the implementation of a project. Addressing these issues can increase the chances of success while also ensuring the reduction of risks (White & Bruton, 2017). A project manager must come up with means of tracking a project to ensure that all the designed timelines and milestones are met. Other attributes such as the skillset of the team and the availability of resources can be one of the major reasons for a project to fail or succeed. As a project manager, it is also important to understand these key determinants of success and implement them within the project. Successful and Not So Successful Innovation Successful Innovation One of the major successful innovation is Tesla, Inc.’s electric car. Over time the motor industry has dwelled on diesel or petrol-powered engines. The innovation of cars that can use battery power or electricity is one of the successful innovations of the 21st century. Electricity use minimizes carbon emissions and the expense that would be used to purchase fuel. The success of the project has made the owner, Elon Musk, the richest person in the world as the company increases its production of sleek and electric cars (Chen & Perez, 2018). The reasons for the success can also be attributed to various measures that were taken and the timing of the innovation. To begin with, the company hires highly skilled personnel who share the vision of coming up with products that have limited or no impact on the environment. The current global standpoint is also ensuring that products and innovations that are environmentally friendly are incorporated into the world to help reduce the aspect of global warming. Additionally, the success of the company also rises from the ready market of electric cars and other forms of transport that would have reduced impact on fuel consumption. The high cost of fuel in many nations has increased the demand for products from Tesla, Inc. (Chen & Perez, 2018). The availability of new and sophisticated technologies also contributes to the success of the company and its innovative technologies. There is also excitement and acceptance of the technology within the mainstream and corporate worlds. This raises the demands of cars throughout the world. Tesla, Inc. is also set to expand its factory and production lines to fast-track the production to meet the demand. The company is also based on a direct sales model and services, which makes the company interact directly with the clients other than using the franchised dealership (Alghalith, 2018). The organization is also diversifying into other fields such as aerospace and home energy. Reasons for Failure One innovation that failed upon its startup was the On-demand Delivery Platform, Shyp (2013-2018). The concept of the innovation was basic as users could take pictures of the item that they required to be shipped and then make use of the Shyp application to schedule a pick-up (Corporate Venturing, 2019). The package would then be picked and dropped at the provided destination at a flat rate of $5. The collapse of the innovation began after it secured a grant of $62 million from different investors that were used to expand its services to include new cities such as Chicago and New York. With the high presence in various cities, the consumer growth reached a saturation point and began to slow, leading to the inability to sustain the expansion. With the reduced number of clients, the company was not able to maintain different outlets with the $5 flat rate on all commodities. Another reason for the failure is the decision to increase the charges for larger packages, which led to client backlash. Similarly, the target audience for the company was individuals whose shipment was sporadic and could not be depended upon for continuity of the company (Corporate Venturing, 2019). The management of the company was also slow in re-evaluating the direction of the company, and by the time they were scaling down, it was already too late as the customer loyalty had been affected adversely. The low number of customers led to the untimely collapse of a rather

[ANSWERED 2023] Based on the public health issue selected, in 750-1,000 words address the following

Based on the public health issue selected, in 750-1,000 words address the following The purpose of this assignment is to discuss the impact of an environmental public health issue and make recommendations for policy change. Research public health issues located on the American Public Health Association (APHA) website, found in the topic Resources. Select a public health issue related to an environmental issue within the U.S. health care delivery system and examine its effect on a specific population. Based on the public health issue selected, in 750-1,000 words address the following: Describe the public health issue. Include the following information: (a) what population is affected, (b) at what level does it occur (local, state, or national), and (c) evidence about the issue supported by resources. Discuss how the public health issue is addressed by the current policies. Include what changes you would propose to the existing policies. Describe what steps are required to initiate policy change. Identify the necessary stakeholders required to initiate policy change (government officials, administrator) and explain the importance of their role, such as budgeting or funding. Discuss the impact on the health care delivery system. Include three peer-reviewed sources and two other sources to support the policy brief. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Course Resources if you need assistance. Expert Answer and Explanation Healthcare Environmental Policy Issue Brief The Policy Health Issue The United States Environmental Protection Agency (EAP) is a body given responsibility to create public health policies that protect Americans from unhealthy environmental pollutions and changes. The institution is also responsible for ensuring that communities around the US are clean and safe. However, EAP has failed to protect Americans from environmental harm. The institution has changed air quality standards, and this has made American children vulnerable to asthma. According to Hasaneen and El-Halwagi (2017), the EAP has changed several policies and thus, allowing manufacturing companies to release soot and smog-forming pollutants in the air. Some of these firms include power plants, industrial facilities, and oil and gas extraction. The system has allowed manufacturing companies to release toxic contaminants such as lead, arsenic, and mercury into the air. The policy issue has affected most people in the Black, Asia, and Latino American communities. The change of the Clean Air Act has affected people across the United States. This paper recommends steps that can be taken to reduce the effects of emitted toxic pollutants into the air. Problem Statement The pollutant allowed into the air as a result of changed Clean Air Act has adverse effects on people. Witten (2016) reports that the impurities can affect a person’s cardiac health by hardening the heart’s blood vessels and thus, increasing the risks of heart failure, stroke, and attacks. Also, the pollutants are linked with certain psychological conditions such as schizophrenia, Parkinson’s disease, and Alzheimer’s disease. Further, contaminants such as arsenic and mercury are linked with respiratory conditions such as lung cancer, emphysema, as well as bronchitis. According to DeSalvo et al. (2016), pollutants can also cause asthma in children. Also, the toxins may damage children’s brain and thus, affecting their cognitive development. Lead and mercury toxins also cause pneumonia in children. According to Wysokińska (2016), about one million children aged five years and below lose their lives every year from pneumonia caused by air pollution. DeSalvo et al. (2016) argue that this is evident because compared to adults, children spend more time outside. Moreover, air pollution caused by lead, mercury, and arsenic has been associated with miscarriages during pregnancies. Toxins have also led to autism spectrum condition in children and premature birth. Lastly, according to Wysokińska (2016), the pollutants might reduce a person’s immune system and thus, making him or her susceptible to other diseases. Solution to the Issue Every American must do their best to ensure that they live in clean and safe air as far as their health is concerned. Oil and gas and coal industry are the largest emitters of toxic gases into the air. Therefore, the United States government should work on replacing oil, gas, and coal with less polluting fuels such as solar power, wind, fusion nuclear energy, and natural gas. DeSalvo et al. (2016) argue that this can be done by creating a body to regulate and conduct researches on green energy. The stakeholders that must be included in forming the body are the general public, the congress, and the executive. After the formation of the body, the government should avail finances for so that it can start working on researches about solar power, wind, fusion nuclear energy, and natural gas. Wysokińska (2016) estimates that replacing half of the coal, oil and gas energy might cost the US taxpayers about $180 billion. Another way of mitigating air pollution is by enacting laws that ensure that the EAP is an independent body. According to Evans (2017), this can be done by tabling a bill in parliament which protects the EAP from external influence, including the executive branch and allowing it to make policies that ensure clean and safe air. The Impact of the Issue on the Health Care Delivery System Healthcare industry is one of the disciplines which will benefit when the above policies are implemented. Today, the government of the US spends billions of dollars to solve environmental health problems. However, if the policy issue is addressed, sectors such as healthcare entirely will receive more funding from the government. The funds can be used to improve the healthcare delivery system by offering scholarships to more youths who want to become nurses. The health sector may also use the funds to employ more nurses in the healthcare facilities across the United States. Moreover, the

[ANSWERED 2023] In Weeks 4, 7, and 9 of the course, you will participate in clinical discussions called grand rounds. In one of these three weeks, you will be a presenter as well as help facilitate the online discussion

In Weeks 4, 7, and 9 of the course, you will participate in clinical discussions called grand rounds In Weeks 4, 7, and 9 of the course, you will participate in clinical discussions called grand rounds. In one of these three weeks, you will be a presenter as well as help facilitate the online discussion; in the others you will be an active discussion participant. When it is your week to present, you will create a Focused SOAP note and a short didactic (teaching) video presenting a real (but de-identified) complex patient case from your practicum experience. You should have received an assignment from your Instructor letting you know which week of the course you are assigned to present. To prepare:  Review this week’s Learning Resources and consider the insights they provide. Select a child/adolescent or adult patient from your clinical experience that presents with a significant concern. Create a focused SOAP note for this patient using the template in the Resources. Then, based on your SOAP note of this patient, develop a video case study presentation. Your presentation should include objectives for your audience, at least 3 possible discussion questions/prompts for your classmates to respond to, and at least 5 scholarly resources to support your diagnostic reasoning and treatment plan. State 3–4 objectives for the presentation that are targeted, clear, use appropriate verbs from Bloom’s taxonomy, and address what the audience will know or be able to do after viewing. Present the full complex case study. Include chief complaint; history of present illness; any pertinent past psychiatric, substance use, medical, social, family history; most recent mental status exam; current psychiatric diagnosis including differentials that were ruled out; and plan for treatment and management. Report normal diagnostic results as the name of the test and “normal” (rather than specific value). Abnormal results should be reported as a specific value. Pose three questions or discussion prompts, based on your presentation, that your colleagues can respond to after viewing your video. Be succinct in your presentation, and do not exceed 8 minutes. Specifically address the following for the patient, using your SOAP note as a guide. 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 their mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses and why you chose them. List them from highest priority to lowest priority. What was your primary diagnosis, and why? Describe how your primary diagnosis aligns with DSM-5 diagnostic criteria and is supported by the patient’s symptoms. Plan: What was your plan for psychotherapy (include one health promotion activity and patient education)? What was your plan for treatment and management, including alternative therapies? Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters, as well as a rationale for this treatment and management plan. Reflection notes: What would you do differently with this patient if you could conduct the session again? If you are able to follow up with your patient, explain whether these interventions were successful and why or why not. If you were not able to conduct a follow-up, discuss what your next intervention would be. Expert Answer and Explanation Subjective: CC (chief complaint): “I have difficulty falling asleep, am always sad, and am easily distracted.’ HPI: The patient is a 26-year-old female who presented to the office complaining of anxiety, depression, and insomnia. The patient notes that she has been having problems with falling asleep, is easily distracted, is always sad, and has difficulties completing tasks. The patient also complains that she has trouble wanting to see people and associating with people. The patient notes that she finds comfort in isolating herself. She reports anhedonia and cried during the interview. She also reports severe anxiety. She says that her anxiety became more severe when she had that the person who raped her was released from jail. The symptoms have negatively affected her life. Her therapist pulled her out of work, and she hardly made friends with people. She rates her anxiety and depression as 8/10. Substance Current Use: She reports no current use of illicit drugs. Medical History: The patient has no medical problems. Current Medications: She is not on any medications at the moment. Allergies: She reports no allergies. Reproductive Hx: No reproductive problems. ROS: GENERAL: She denies fatigue, weight loss, chills, or fever. HEENT: Eyes: No yellow sclerae, visual loss, or double vision. Ears, Nose, Throat: No hearing problems, runny nose, congestion, sore throat, or sneezing. SKIN: No rash or itching. CARDIOVASCULAR: No chest pain, edema, chest discomfort, or palpitations. RESPIRATORY: No shortness of breath. GASTROINTESTINAL: No diarrhea, vomiting, abdominal blood, or pain. GENITOURINARY: She reports no odd urine color, no odor of urine, or burning on urination. NEUROLOGICAL: No dizziness, headache, syncope, ataxia, paralysis, numbness, or tingling in the extremities. MUSCULOSKELETAL: No joint or muscle stiffness or pain. HEMATOLOGIC: No anemia, HIV, bleeding, or bruising. LYMPHATICS: No enlarged nodes. ENDOCRINOLOGIC: No reports of health intolerance, cold, or sweating abnormities. Objective: Vital Signs: BP 102/90, P 67, RR 17, Ht. 5’4″, Wt. 67kgs, Temp 36.5. Physical Exam  HEENT: Noncontributory. Skin: No rash or itching. Cardiovascular: Regular heart rhythm and heart rate. No cracks on the chest walls. No edema. Respiratory: Normal breathing sounds, no wheezing, no fluids in the lungs, crackles, and no inspiratory crackles. Diagnostic results: Beck Anxiety Inventory (BAI): Lemos et al. (2019) noted that BAI is used to measure the severity of patients’ anxiety. The authors found that the tool’s reliability is (Cronbach’s α=0.92) in terms of internal consistency. The patient scored 37, meaning that she has severe anxiety. Beck’s Depression Inventory (BDI): BID is a screening tool used to screen for depression (García-Batista et al., 2018). The patient scored 23, meaning that she has moderate depression. Assessment: Mental Status Examination:  The patient is well-dressed, and her clothing is consistent with the

[ANSWERED 2023] Select a nursing practice problem of interest to use as the focus of your research. Start with the patient population

Select a nursing practice problem of interest to use as the focus of your research The first step of the evidence-based practice process is to evaluate a nursing practice environment to identify a nursing problem in the clinical area. When a nursing problem is discovered, the nurse researcher develops a clinical guiding question to address that nursing practice problem. For this assignment you will create a clinical guiding question know as a PICOT question. The PICOT question must be relevant to a nursing practice problem. To support your PICOT question, identify six supporting peer-revised research articles, as indicated below. The PICOT question and six peer-reviewed research articles you choose will be utilized for subsequent assignments. Use the “Literature Evaluation Table” to complete this assignment. Select a nursing practice problem of interest to use as the focus of your research. Start with the patient population and identify a clinical problem or issue that arises from the patient population. In 200–250 words, provide a summary of the clinical issue. Following the PICOT format, write a PICOT question in your selected nursing practice problem area of interest. The PICOT question should be applicable to your proposed capstone project (the project students must complete during their final course in the RN-BSN program of study). The PICOT question will provide a framework for your capstone project. Conduct a literature search to locate six research articles focused on your selected nursing practice problem of interest. This literature search should include three quantitative and three qualitative peer-reviewed research articles to support your nursing practice problem. Note: To assist in your search, remove the words qualitative and quantitative and include words that narrow or broaden your main topic. For example: Search for diabetes and pediatric and dialysis. To determine what research design was used in the articles the search produced, review the abstract and the methods section of the article. The author will provide a description of data collection using qualitative or quantitative methods. Systematic Reviews, Literature Reviews, and Metanalysis articles are good resources and provide a strong level of evidence but are not considered primary research articles.  Therefore, they should not be included in this assignment. While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center. Expert Answer and Explanation Literature Evaluation Table Summary of Clinical Issue (200-250 words): Postoperative comfort is important for good surgical outcomes for patients.  The control of nausea, vomiting and pain in the postoperative period is important and has a great role in influencing the perception of patients on surgical procedures. Post-operative nausea, vomiting and pain is a significant problem for adult patients receiving general anesthesia. It is influenced by multiple factors related to the patient, surgery, and medications administered preoperative i.e. versed or medications administered intraoperatively. Postoperative pain, nausea and vomiting delays patient recovery, and can lead to unexpected delay in discharges. The long delays in discharge can also have tremendous psychological burden on the patient that further exacerbates the health issues faced by the patient.  Using pre-emptive multimodality medications such as Tylenol, Gabapentin, Celebrex, and Dexamethasone reduces the risk of postoperative pain, nausea and vomiting and increase patient satisfaction. It is for this reason that the PICOT question selected aimed at evaluating the effectiveness of some of the identified interventions in dealing with postoperative symptoms. Therefore, the PICOT question is noted as follows; PICOT Question: In adult patients undergoing general anesthesia does giving preoperative analgesic and antiemetics decrease pain, nausea and vomiting postoperatively and provide better patient outcomes as compared to not receiving pre-operative meds? Criteria Article 1 APA-Formatted Article Citation with Permalink Fecher-Jones, I., & Taylor, C. (2015). Lived experience, enhanced recovery and laparoscopic colonic resection. British Journal of Nursing, 24(4), 223–228. https://doi-org.lopes.idm.oclc.org/10.12968/bjon.2015.24.4.223 Permalink https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=hch&AN=101196786&site=eds-live&scope=site How Does the Article Relate to the PICOT Question? The study aimed at explaining the lived experience for patients who have undergone laparoscopic surgery on an enhanced program. The links with the PICOT question from the aspect of identifying the outcomes of patients’ post-surgery which the PICOT also aims to also achieve Quantitative, Qualitative (How do you know?) The study is a qualitative study as it used interviews to collect data, which is common tool for collecting qualitative data. The data analysis approach which was hermeneutical-phenomenological method also indicated the research as qualitative. Purpose Statement The purpose of this study was to explore patients’ lived experience of undergoing laparoscopic colonic resection on an enhanced recovery (ER) program Research Question The research question for the study was “what is the lived experience for patients who have undergone laparoscopic procedures on an ER program?” Outcome The study was able to identify the lived experience of patients who have undergone laparoscopic procedures on an ER program Setting (Where did the study take place?) The study took place in the participants own homes post-surgery Sample 11 patients were selected to participate in the study Method Purposive sampling was used to select the study’s participants in a target population of 46 participants. Key Findings of the Study The study identified that participants of the ER program were keen to achieve their goals and return to full health as soon as possible after surgery which was against the longer than expected duration of recovery.  The long hospital stays resulted to negative psychological outcomes with additional accompanying symptoms worsening the patient outcomes. The findings also indicated that patients had different expectations from surgical procedures, in this case the laparoscopic surgery. Recommendations of the Researcher The researcher recommended that nurses need to not only consider the physical but also to the emotional needs of patients on an ER program until they are discharged. It was also recommended that nurses should do more to prepare patients for what to expect post- discharge.   Article 2 Herbert, G., Sutton, E., Burden, S., Lewis, S., Thomas, S., Ness, A., & Atkinson, C.

[ANSWERED] In 250-300 words explain the Christian perspective of the nature of spirituality and ethics in contrast to the perspective of postmodern relativism within health care.

In 250-300 words explain the Christian perspective of the nature of spirituality and ethics Worldview Analysis and Personal Inventory Based on the required topic study materials, write a reflection about worldview and respond to following: In 250-300 words explain the Christian perspective of the nature of spirituality and ethics in contrast to the perspective of postmodern relativism within health care. In 250-300 words, explain what scientism is and describe two of the main arguments against it. In 750-1,000 words, answer each of the worldview questions according to your own personal perspective and worldview: (a) What is ultimate reality? (b) What is the nature of the universe? (c) What is a human being? (d) What is knowledge? (e) What is your basis of ethics? (f) What is the purpose of your existence? Remember to support your reflection with the topic study materials. While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance. Rubric Criteria Total100 points Criterion 1. Unsatisfactory 2. Less Than Satisfactory 3. Satisfactory 4. Good 5. Excellent Scientism and Arguments Scientism and Arguments 0 points Explanation of scientism or the explanations of two main arguments against scientism are inaccurate. Details are not supported. 19.5 points Description of scientism is accurate. Explanations of two main arguments against scientism are unclear. Details are not clearly supported by topic study materials. 22.5 points Explanation of scientism is clear. Explanations of two main arguments against scientism are clear. Details are supported by topic study materials. 25.5 points Explanation of scientism is clear and accurate. Explanations of two main arguments against scientism are clear. Details are clearly supported by topic study materials. 30 points Explanation of scientism is clear and accurate. Explanations of two main arguments against scientism are clear and insightful. Details are clearly supported by topic study materials. Mechanics of Writing (includes spelling, punctuation, grammar, language use) Mechanics of Writing (includes spelling, punctuation, grammar, language use) 0 points Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used. 3.25 points Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied. 3.75 points Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed. 4.25 points Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech. 5 points Writer is clearly in command of standard, written, academic English. Christian Perspective of Spirituality and Ethics in Contrast to Postmodern Relativism Christian Perspective of Spirituality and Ethics in Contrast to Postmodern Relativism 0 points Explanation of the Christian perspective of the nature of spirituality and ethics in contrast to the perspective of postmodern relativism is incomplete or insufficient. 19.5 points Explanation of the Christian perspective of the nature of spirituality and ethics in contrast to the perspective of postmodern relativism is unclear. Explanation is not supported by topic study materials. 22.5 points Explanation of the Christian perspective of the nature of spirituality and ethics in contrast to the perspective of postmodern relativism is clear. Explanation is not supported by topic study materials. 25.5 points Explanation of the Christian perspective of the nature of spirituality and ethics in contrast to the perspective of postmodern relativism is clear and detailed. Explanation is supported by topic study materials. 30 points Explanation of the Christian perspective of the nature of spirituality and ethics in contrast to the perspective of postmodern relativism is clear, detailed, and demonstrates a deep understanding of the subject. Explanation is supported by topic study materials. Documentation of Sources Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style) 0 points Sources are not documented. 3.25 points Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors. 3.75 points Sources are documented, as appropriate to assignment and style, although some formatting errors may be present. 4.25 points Sources are documented, as appropriate to assignment and style, and format is mostly correct. 5 points Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error. Personal Perspective and Worldview Personal Perspective and Worldview 0 points Worldview questions are not fully answered. 19.5 points Each of the worldview questions is answered but is lacking a personal connection or clarity. 22.5 points Each of the worldview questions is answered with personal connection. 25.5 points Each of the worldview questions is answered clearly and with personal connection. 30 points Each of the worldview questions is answered clearly and with deep personal insight. Expert Answer and Explanation Personal Worldview Inventory The claim that God exists may make sense to some individuals and not to others, and the divergence in the individuals’ views about God’s existence seems to stem from the exposure of these individuals to different values and thoughts. A Christian, for example, believes in the existence of God because of their exposure to the biblical doctrines and teachings. Conversely, an atheist’s position on this topic may stem from the exposure of the atheist to the teachings which contradict religious arguments in support of the claim. Religion and spirituality shape how people see the world around them, and they affect people’s perceptions about care (Newlin et al., 2015). This means that one’s worldview may differ from another person’s, and it is imperative to explore the worldview based on the Christian faith, and highlight the meaning of scientism, and debate against it. Meanings of Spirituality Although the spirituality, to an individual, may denote the belief in a higher being, and adopting practices in which one

[ANSWERED] A 70-year-old woman is in your office complaining of recently having trouble maintaining her balance after taking diazepam (valium). She occasionally takes diazepam when she feels

A 70-year-old woman is in your office complaining of recently having trouble maintaining Week 1: Discussion Question 1 Discussion Prompt Post your answers to the 6 questions corresponding to this week’s content on primary care medication management. Provide your responses and rationales. Support your rationales with high-level evidence. (See Post Expectations) A 70-year-old woman is in your office complaining of recently having trouble maintaining her balance after taking diazepam (valium). She occasionally takes diazepam when she feels anxious and has trouble sleeping. She has a 15-year history of taking diazepam. Q1. Explain the cause of this patient’s difficulty in maintaining her balance? Q2. Diazepam experiences a significant first-pass effect. What is the first-pass effect, and how can first-pass metabolism be circumvented? A 75-year-old woman develops symptoms of a cold and buys an over-the-counter cold medication at the grocery store. The medication contains diphenhydramine, acetaminophen, and phenylephrine. She takes the recommended adult dose but soon after taking the medication, she becomes very confused and disoriented. Q3. What is likely causing the signs of confusion? A 26-year-old woman who has never been pregnant is seeking preconception care as she is planning to pursue pregnancy in a couple of months. Currently, she has no symptoms to report and on review of body systems, there were no concerns. Her past medical history is significant for a history of rheumatic fever as a child. She subsequently underwent valve replacement with a mechanical heart valve. She is followed by a cardiologist who has already evaluated her cardiac function and she has received clearance from her cardiologist to pursue pregnancy. Records from her cardiologist include a recent cardiac echocardiography report that reveals a normal ejection fraction indicating normal cardiac function. She has no alterations in her daily activities related to her heart. She has no other significant medical or surgical history. She is a non-smoker, drinks occasionally but has stopped as she is attempting to conceive, and does not use any non-prescription drugs. Current Medications: Her current medications include only prenatal vitamins, which she has begun in anticipation of pregnancy, and warfarin. She has no known drug allergies. Vital Signs: On examination, her pulse is 80 beats per minute, blood pressure is 115/70 mm Hg, respiratory rate is 18 breaths per minute, and she is afebrile. Measurements: Weight = 152 pounds, Height = 5′5 ″, BMI= 25.29 Q4. How is warfarin metabolized? Does warfarin cross the placental barrier? Q5. Explain the hepatic drug metabolism of children 1 year and older. How do they compare with the hepatic drug metabolism of infants and adults? Q6. Explain protein binding in the neonate. Expert Answer and Explanation: Week 1: Discussion Question 1 Question 1 The patient’s difficulty maintaining her balance is due to the side effects of diazepam. Diazepam is a central nervous system depressant that can lead to dizziness, drowsiness, and impaired coordination (Ho et al., 2023). With a 15-year history of taking diazepam, her body may have developed tolerance, requiring higher doses, which can exacerbate these side effects. Additionally, she may be more susceptible to the drug’s sedative effects due to her age (Ho et al., 2023). It is essential to evaluate her medication regimen and consider alternative treatments for her anxiety and sleep issues to improve her balance and overall well-being. Question 2 The first-pass effect is when the liver metabolizes a significant portion of an orally administered drug before it enters the systemic circulation (Guo & Singh, 2019). This metabolization can reduce the bioavailability of the drug. Circumventing first-pass metabolism requires alternative administration routes, including intravenous injection, sublingual, or transdermal delivery, bypassing the liver and allowing for a more direct entry into the bloodstream to increase the drug’s effectiveness. Question 3 The woman’s signs of confusion are due to diphenhydramine in the cold medication. This element has a sedative effect and is known to cause drowsiness and confusion, especially in older adults (McKeirnan et al., 2020). Hence, although she uses the correct dosage, her advanced age increases the risk of side effects. Question 4 Warfarin metabolism occurs primarily in the liver through the action of the cytochrome P450 enzyme system. It is a racemic mixture of R and S enantiomers, with the S-enantiomer being more potent and metabolized by CYP2C9 (Cheng et al., 2022). Warfarin does cross the placental barrier. Therefore, its use during pregnancy increases the risk of fetal exposure, potentially leading to birth defects, especially if used during the first trimester (Cheng et al., 2022). Given the woman’s desire to conceive, it is crucial to consider alternative anticoagulation therapies. Question 5 Hepatic drug metabolism in children aged one year and older is similar to that of adults compared to infants. Infants lack fully developed hepatic drug-metabolizing enzymes, making drug metabolism less efficient (Van Groen et al., 2021). As children grow and develop, the activity of drug-metabolizing enzymes in the liver, particularly the cytochrome P450 system, mature and approach adult levels (Van Groen et al., 2021). This maturation leads to a more efficient and effective metabolism of drugs in children aged one or older. However, the specific maturation rate can vary for different enzymes and drugs. Therefore, dosing adjustments and considerations based on age and weight are still necessary to ensure safe and effective drug therapy in pediatric patients. Question 6 Protein binding in the neonate refers to how drugs and other substances in their bloodstream attach to proteins, primarily albumin, affecting their distribution and effectiveness. Neonates have lower albumin levels, making them more susceptible to drug interactions and potential toxicity (Leroux et al., 2019). This reduced protein binding capacity can lead to higher concentrations of free, unbound drugs in their system, increasing the need for careful dosing and monitoring in newborns. References Cheng, S., Flora, D. R., Rettie, A. E., Brundage, R. C., & Tracy, T. S. (2022). Pharmacokinetic modeling of warfarin І–model-based analysis of warfarin enantiomers with a target mediated drug disposition model reveals CYP2C9 genotype-dependent drug-drug interactions of s-warfarin. Drug Metabolism and Disposition, 50(9), 1287–1301. https://doi.org/10.1124/dmd.122.000876 Guo, Y. G., & Singh, A. P. (2019). Emerging strategies for

[ANSWERED 2023] Write a briefing note 500-750 words directed to the person that might be your manager of risk management outlining how your organization may or may not be meeting

Write a briefing note 500-750 words directed to the person that might be your manager of Briefing Note  The Joint Commission (TJC) guidelines emphasize that hospitals must educate their staff regarding the identification and appropriate management of the forensic patient. Assessments on patients must be conducted within the context of the requirements of the law regarding the collection and preservation of evidentiary materials and support future legal actions. Review the current Pre-publication Standards on The Joint Commission website, found in the module learning resources. Write a briefing note (500-750 words) directed to the person that might be your manager of risk management outlining how your organization may or may not be meeting The Joint Commission Standards as it relates to the forensic patient. Outline the prepublication standard of your choice with a brief description of the highlights of how your organization has addressed this standard and how it applies to a patient with a forensic need. Critically analyze the following criteria: 1. Are there any gaps in the policies/procedures or guidelines in meeting this standard? Identify the gaps and indicate what steps should be taken to address them. 2. If there are appropriate policies/procedures or guidelines in place on paper, are they being followed in practice. 3. What changes in practice could better meet the pre-publication standard and improve care for the potential forensic patient population? Provide any recommendations to accomplish this goal. **Note: Remember this is a briefing note, not an essay. Be clear and succinct in your communications. Assignment Expectations:  Length: 500-750 words Structure: Include a title and reference page in APA format. References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least three (3) scholarly resources to support your claims. Format: Save your assignment as a Microsoft Word document (.doc or .docx). Filename: Name your saved file according to your first initial, last name, and the module number (for example, “RHall Module1.pptx”) Expert Answer and Explanation To: Risk Manager Re: Complying with the Joint Commission Standards for Caring for Forensic Patients I hope this note finds you well. I am writing to provide a brief overview of our organization explaining how it has addressed the Joint Commission’s Pre-Publication Standards as they relate to providing care to forensic patients (Bell, 2019). The standard this note will focus on is standard the standard that healthcare organizations should provide education to their staff to identify victims of violence, abuse, and neglect, and be able to gather and protect physical evidence linked to a potential or known criminal act. In other words, the standard requires healthcare organizations to educate their staff on identifying patients who are victims of criminal acts and how to collect physical evidence from the victims and store them for law enforcement agencies. Our hospital has developed several policies and regulations related to forensic patient care. One of the policies of the organization is that only educated and trained personnel are allowed to care for forensic patients (Hogan & Olver, 2019). Staff at the emergency care are required to call a forensic physician and nurse to care for the patient and collect forensic evidence. The organization has created a forensic department to ensure that forensic patients are treated and cared for by trained staff. The department has two forensic physicians and four forensic nurses. Another policy the organization has put in place is regular education to healthcare staff to ensure that they are up-to-date with care practices for patients who have experienced criminal acts. The organization provides all healthcare staff with forensic patient identification and management. The education program often focuses on many aspects of forensic patient care. One of the areas the education focuses training healthcare staff on documentation of all aspects of care offered to patients who are victims of criminal acts and the need to ensure that all collected evidence is properly preserved and stored (Papapietro, 2019). Forensic patients often need evidence collected by healthcare professionals during treatment for use in court. If the collection and preservation of evidence are inappropriately done, then the patient can lose the evidence they need to seek justice for the crimes against them. Another aspect of the education program provided by the organization is local, state, and federal laws on how to care for forensic patients and evidence collected during the care process. The federal, state, and local criminal justice systems such as the state attorney often have policies on the information to look for when collecting evidence on forensic patients (Papapietro, 2019). The organization provides education on how to comply with the policies. The organization also has a policy regarding providing education to new patients about caring for forensic patients. However, I still believe that the organization should do more to improve staff education regarding caring for forensic patients. I recommend that the education program include simulations to provide practical ways of educating the healthcare staff. In conclusion, our healthcare facility has developed and implemented policies and regulations directing how our healthcare staff can be educated on how to handle forensic patients and ensure that the evidence collected is properly preserved and handed over to relevant authorities. The education program also informed the staff about federal, state, and local authorities’ policies regarding caring for forensic patients.   Yours faithfully, Habert Johnson References Bell, S. (2019). Forensic science: An introduction to scientific and investigative techniques. (5th ed.). CRC Press. ISBN:9781138048126. Read chapters 1 & 2 Hogan, N. R., & Olver, M. E. (2019). Static and dynamic assessment of violence risk among discharged forensic patients. Criminal Justice and Behavior, 46(7), 923-938. https://doi.org/10.1177/0093854819846526 Papapietro, D. J. (2019). Involving forensic patients in treatment planning increases cooperation and may reduce violence risk. Journal of the American Academy of Psychiatry and the Law. https://psycnet.apa.org/record/2019-19693-005 Place your order now on a similar assignment and get fast, cheap and best quality work written by our expert level  assignment writers.Other Answered Questions: [ANSWERED] Patient is a 24-year-old female administrative assistant who comes to the emergency department with a chief complaint of severe right-sided headache [ANSWERED] As a counsellor operating from a Jungian perspective [ANSWERED] Compare and contrast the various ways you can access information delivering professional continuing

[ANSWERED] Read Case 3 1 You Cant Get There From Here: Uber Slow On Diversity on page 108 of your textbook

Read Case 3 1 You Cant Get There From Here: Uber Slow On Diversity on page 108 of your Unit II Case Study Read Case 3 1 You Cant Get There From Here: Uber Slow On Diversity on page 108 of your textbook. After you have read the case study, write an analysis of the case study. Write an introduction to give context to your paper by explaining what the paper will cover. Then, divide the body of your paper using the seven headers below. Address the points within that section, as indicated under the header. Employment Law Identify what employment law Susan Fowler’s sexual harassment claim would be characterized as. Be sure to develop your answer to include your rationale. Type of Harassment Identify the type(s) of harassment to which Ms. Fowler was exposed. Be sure to develop your answer to include your rationale. Uber’s Actions Identify actions Uber has taken to limit their liability relative to sexual harassment charges. Be sure to develop your answer to include your rationale. EEOC and Affirmative Action After reviewing Uber’s diversity report, does it appear Uber is in violation of any EEOC and affirmative action laws? Be sure to develop your answer to include your rationale. Diversity Matters Explain why diversity matters in general and more specifically to Uber. Be sure to develop your answer to include your rationale. Benefits/Challenges of a Diverse Workforce Identify and explain the benefits and challenges Uber derives from a more diverse workforce. Be sure to develop your answer to include your rationale. Legal Provisions of Uber Case Write a summary that identifies legal provisions or considerations covered within this case study as it relates to a human resource management (HRM) perspective. Conclude with an analysis with your thoughts on how ethics and HRM professional standards are framed by legal provisions within a specific organization or industry (e.g., business, health care). Your case study must be at least two pages in length, not counting the title or reference pages. Adhere to APA style when constructing this assignment, including in-text citations and references for all sources that are used. Please note that no abstract is needed. EXPERT ANSWER AND EXPLANATION Uber Diversity and Sexual Harassment Uber is one of the biggest technology beneficiaries as its business is primarily based on the connection between customers and transport providers using smartphones. Also, Uber has improved its standards largely because customers and service providers can rate each other based on the satisfaction they get from the services (Swiss, 2018). Like many other companies, however, Uber is also faced by diversity issues, where there have been complaints about oppression of women in the company (Lussier & Hendon, 2017). This essay discusses about the case study ‘Case 3-1, You Can’t Get There From Here: Uber Slow on Diversity,’ where one of the female employees, Susan Fowler, reports sexual harassment by the manager. Employment Law The employment law under which the complaint of Ms. Fowler would be categorized is the Federal Employment Law, Title VII in the 1964 Civil Rights Act. According to this law, unwelcome sexual advances in the workplace can limit the productivities of employees in firms (Weiss, 2019). Susan’s manager had tried to perform some sexual advances that prompted her to report the manager to the HR manager. Unfortunately, the HR would not report this manager as they claimed he was ‘high performing.’ This is what angered Ms. Fowler and she later learned that there were other female employees who shared the same fate. Type of Harassment The harassment that Ms. Fowler faced was sexual harassment. This is because this kind of harassment under the Federal Employment Law covers for any mistakes done to lead to uncomfortable situations and can be highlighted in the case. For example, the fact that Ms. Fowler’s manager was using the company platform to have sexual conversations is intimidating enough. This is because Ms. Fowler should be expecting the manager to use the company platform to do regular operations such as checking on employees, but instead, what she gets is intimidating sexual messages. Uber’s Actions One of the actions that Uber took to limit the associated liability was the release of the first diversity report one month following the allegations. In the report, Uber mentioned that it acknowledges the fact that women, as well as non-white employees, are underrepresented in the company. They also mentioned that they have invested numerous resources to ensure that they reduce this underrepresentation, as well as ensure that women and other minority groups are comfortable in the technology environments. EEOC and Affirmative Action The report is in violation of the Equal Employment Opportunity Commission (EEOC) as it gives too much emphasis on women during the recruiting process. It is clear from the report that the company tries to correct a wrong it had embraced earlier (sexual harassment of women) using another wrong (unfairness in the hiring process) (Swiss, 2018). The affirmative action I would propose for Uber is to take precaution when approaching gender issues, lest they would find themselves in even greater trouble. Also, they should show that the manager who was accused of sexual harassment of female employees is given the right punishment. Diversity Matters The main reason why diversity matters in Uber is that the company’s success is based on public satisfaction. If there are more diversity issues, it is likely that the company will be less popular, and that the customers will be quick to switch to other alternatives. Benefits/Challenges of a Diverse Workforce Diversity in the workforce is beneficial as it increases productivity of a company. Companies with a diverse workforce culture are likely to find more success opportunities than those who oppose it (Lussier & Hendon, 2017). Challenges of a diverse workforce include power struggle among the different groups, which can lead to less growth rates. Legal Provisions of Uber Case The legal provisions of diversity in the case emphasize on the fact that companies have the legal obligation to ensure diversity so as to embrace societal growth. Also, the company’s employees who harass other individuals in

[SOLVED 2023] Week 2 Discussion Question 1 Applying Leadership Skills in Exploring the Roles for APRN

Week 2 Discussion Question 1 Applying Leadership Skills Week 2 Discussion Question 1 Applying Leadership Skills in Exploring the Roles for APRN The ongoing changes in the health-care landscape are influenced most by globalization, economic and technological factors, and the aging of the population. The complexity of the healthcare environment requires us to examine the leadership needs for the APN roles that are applicable for today and the future (Joel, 2018). In chapter 21 (Leadership for APNs: If Not Now, Then When?) the author outlines serval leadership theories or styles including: Situational or Contingency Leadership; Servant Leadership; Transformational or Transactional Leardershp; Relational Leadership; Clinical Leadership and Congruent Leadership. Select one of the above leadership theories or style. Using your own words define the theory. Considering the various APN roles (Clinician, Educator, Researcher, Administrator, Entrepreneur, Consultant, and Leader) describe how you might use the leadership theory in your future APN role. From your experience as a professional nurse, give one example of the selected leadership theory or style as seen in action or provide an exemplary example.  Week 2: Discussion Question 2 – The Impact of Healthcare Trends on the APN Roles Arnautova (2018) in the article ‘Top Healthcare Industry Trends to Watch in 2018 and Beyond’ outlined five (5) trends that will revolutionize how we provide and consume healthcare services over the next decade. These healthcare trends include: Telemedicine Artificial Intelligence Robotics IoT and wearables Blockchain Select 1 of the 5 trends and discuss the potent positive and negative impacts the trend will have on the APN role(s) (Clinician, Educator, Researcher, Administrator, Entrepreneur, Consultant, and Leader). Reference: Arnautova, Y. (2018). Top healthcare industry trends to watch in 2018 and beyond. Retrieved August 20, 2018 from https://www.globallogic.com/blogs/top-healthcare-industry-trends-to-watch-in-2018-and-beyond/ Week 2: Discussion Question 1 – Expert Answer and Explanation Leadership Skills in Nursing Transformational Leadership Style The healthcare sector is changing and the new measures require a transformed leadership that will help set the required pace and milestones. One of the most critical leadership styles that can be used with the changes in APRN roles is transformational leadership (Poghosyan & Bernhardt, 2018). The style is important as it focuses on inspiration, encouragement, and motivation of the staff and employees to create change, innovate and grow the unit for future success. New roles require that a nurse be prepared for new challenges and obstacles that have to be solved innovatively for the betterment of the patient. Leadership Style and APRN Roles As a leader, the healthcare sector is focused on improving the health of the patient, conducting research, and administration purposes, transformational leadership can help an APRN come up with means to improve the various roles. For instance, an APRN can come up with ways to ensure that there is better service delivery and innovative interactions between the nurse and the patient (Popejoy et al., 2017). These innovations should be transformative and in line with current trends such as the incorporation of evidence in care delivery. The APRN can also focus on understanding current technology in order to improve the administration of care through transformations. The transformations can focus on the reduced discharge time, proper handling of patient data among others. Leadership Style in Action One practical example of transformational leadership is conducting nurse education on how to make use of new technologies such as evidence-based care. The strategy is transformational in the sense that it will enable the nurses to meet their desired goals and improve on the growth of the organization (Poghosyan & Bernhardt, 2018). Nurses should also embrace the changes and accept to learn and improve on their skills. References Poghosyan, L., & Bernhardt, J. (2018). Transformational leadership to promote nurse practitioner practice in primary care. Journal of nursing management, 26(8), 1066-1073. Popejoy, L., Vogelsmeier, A., Galambos, C., Flesner, M., Alexander, G., Lueckenotte, A., … & Rantz, M. (2017). The APRN role in changing nursing home quality: the Missouri quality improvement initiative. Journal of nursing care quality, 32(3), 196-201. Week 2: Discussion Question 2 – The Impact of Healthcare Trends on the APN Roles – Expert Answer and Explanation The Impact of Healthcare Trends on the APN Roles Telemedicine Telemedicine is one of the most recent healthcare trends that is being embraced globally. The healthcare sector is transforming to be able to reach a wider audience and meet the increasing demands in the healthcare field (Vitacca et al., 2018). Telemedicine per se includes the use of technology and other accessories to facilitate remote care delivery and monitoring of patient progress. The incorporation of telemedicine in the healthcare sector has brought about both positive and negative issues affecting the delivery of care. The major positive impact that telemedicine has had is the increase in accessibility to medical care to people from a wider geographical region. A person from Florida can be able to bet services from a specialist in Texas without having to incur travel expenses (Vitacca et al., 2018). The technology has also reduced the cost of medication which would have been used in admission of the patients and paying for the stay at the facility. Telemedicine also incorporates ease of interdisciplinary collaboration as there is the ease of access to patient data and different professionals can collaborate to help improve the patient conditions. There are also negative aspects associated with telemedicine and might affect the outcome of the patient. One of these issues is that telemedicine does not give the doctor ability to physically assess the patient and get to have a professional perspective on the issues around the physical concerns. The diagnosis is purely dependent on the patient observation which might be biased or flawed (Armaignac et al., 2018). On the other hand, the use of technology to collect data cannot be guaranteed as they might fail or be triggered at different timings. The other issue can be the insecurity of patient data which is susceptible to hackers or unauthorized breaches. References Armaignac, D. L., Saxena, A., Rubens, M., Valle, C. A., Williams, L. M. S., Veledar, E., & Gidel, L. T. (2018). Impact of Telemedicine On Mortality, Length Of Stay,

[SOLVED 2023] For this Focused Note Assignment you will select a

For this Focused Note Assignment you will select a patient with common gynecologic Assignment 2: Episodic Visit: Common Gynecologic Health Conditions Focused Note For this Focused Note Assignment you will select a patient with common gynecologic health conditions from your clinical experience and construct a patient history, assess and diagnose the patient’s health condition(s), and justify the best treatment option(s) for the patient. To prepare: Use the Focused SOAP Note Template found in this week’s Learning Resources to complete this Assignment. Select a patient with common gynecologic health conditions whom you examined during the last three weeks in your practicum experience. With this patient in mind, address the following in your Focused Note Template: Assignment: Subjective: What details did the patient provide regarding her personal and medical history? Objective: What observations did you make during the physical assessment? Assessment: What were your differential diagnoses? Provide a minimum of three possible diagnoses. List them from highest priority to lowest priority. What was your primary diagnosis and why? Plan: What was your plan for diagnostics and primary diagnosis? What was your plan for treatment and management, including alternative therapies? Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters, as well as a rationale for this treatment and management plan. Reflection notes: What would you do differently in a similar patient evaluation? Episodic/Focused SOAP Note Template  Patient Information: Initials, Age, Sex, Race S. CC (chief complaint): This is 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 African American 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, Naproxen 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 over-the-counter (OTC) or homeopathic products. Allergies: Include medication, food, and environmental allergies separately. Provide a description of what the allergy is (e.g., angioedema, anaphylaxis). This will help determine a true reaction versus 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 & Substance Hx: Include occupation and major hobbies, family status, tobacco and alcohol use (previous and current use), and any other pertinent data. Always add some health promotion questions here, such as whether they use seat belts all the time or whether they have working smoke detectors in the house, the condition of the living environment, text/cell phone use while driving, and support systems available. Fam Hx: Illnesses with possible genetic predisposition, contagious illnesses, or chronic illnesses. The reason for death of any deceased first-degree relatives should be included. Include parents, grandparents, siblings, and children. Include grandchildren if pertinent. Surgical Hx: Prior surgical procedures. Mental Hx: Diagnosis and treatment. Current concerns: (Anxiety and/or depression). History of self-harm practices and/or suicidal or homicidal ideation. Violence Hx: Concern or issues about safety (personal, home, community, sexual—current and historical). Reproductive Hx: Menstrual history (date of last menstrual period [LMP]), pregnant (yes or no), nursing/lactating (yes or no), contraceptive use (method used), types of intercourse (oral, anal, vaginal, other), and any sexual concerns. ROS: This covers all body systems that may help you include or rule out a differential diagnosis. You should list each system as follows: General: Head: EENT: and so forth. 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. LMP: 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 pain, 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 or cold or heat intolerance. No polyuria or polydipsia. REPRODUCTIVE: Not pregnant and no recent pregnancy. No reports of vaginal or penile discharge. Not sexually active. ALLERGIES: No history of asthma, hives, eczema, or rhinitis. O. Physical exam: From head to toe, include what you see, hear, and feel when conducting 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:). Diagnostic results: Include any labs, x-rays, or other diagnostics that are needed to develop the differential diagnoses (support with evidenced and guidelines). A. 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 Includes documentation of diagnostic studies that will be obtained, referrals to other health care providers, therapeutic interventions, education, disposition of the patient, and any planned follow-up