QUESTION
J.C is an 82-year-old white man who was evaluated by GI specialist due to abdominal discomfort, loss of appetite, weight lost, weakness and occasional nausea.
Past Medical History (PMH):
Patient is Diabetic, controlled with Metformin 500 mg by mouth twice a day, Lantus 15 units SC bedtime. Hypertensive, controlled with Olmesartan 20 mg by mouth once a day. Atrial Fibrillation, controlled with Rivaroxaban 15 mg by mouth once a day and bisoprolol 10 mg by mouth once a day.
Labs:
Hb 12.7 g/dl; Hct 38.8% WBC 8.2; Glycemia 74mg/dl; Creatinine 0.8 mg/dl; BUN 9.8 mg/dl; AST 21 U/L ALT 17 U/L; Bil T 1.90 mg/dl; Ind 0.69 mg/dl; Dir 1.21 mg/dl.
Diagnostic test:
Endoscopic Ultrasound of the Pancreas. Solid mass in the head of pancreas 4 cms, infiltrating Wirsung duct. The solid mass impress to infiltrate the superior mesenteric vein. Perilesional node is detected, 1.5 cms, metastatic aspect. Fine needle aspiration (FNA) biopsy: Ductal adenocarcinoma.
Case study questions:
Please name the potential most common sites for metastasis on J.C and why?
What are tumor cell markers and why tumor cell markers are ordered for a patient with pancreatic cancer?
Based on the case study described, proceed to classify the tumor based on the TNM Stage classification. Why this classification important?
Discussed characteristic of malignant tumors regarding it cells, growth and ability to spread.
Describe the carcinogenesis phase when a tumor metastasizes.
Choose the tissue level that is affected on the patient discussed above: Epithelial, Connective, Muscle or Neural. Support your answer.
Engineering Question
/0 Comments/in Engineering /by bonniejecintaQuestion
Assignment Content
Complete the assignment by clicking on the question link below and then click Begin to receive your data. Read the instructions for the assignment carefully as you will be using both Excel and Word.
Use the data assigned and create the control charts with Excel and paste into the Word document provided. Answer the questions on process capability and percent out of specification. Show all calculations. The general grading criteria will be used for this assignment.
Question 1
Control Chart 1: Complete the assignment using Excel. You will be generating a control chart and calculating process capability. To complete the exercise, use what you have learned about Excel from the previous sessions.Create control charts:
Open your assigned Excel file that has the raw data. Use this data to complete the assignment. Control Chart Data Set 1.xlsx
To create the variables-type chart (X-Bar and R) chart:
Copy and paste your data from the into the template. To change the data from columns to rows, click PASTE SPECIAL after the COPY command. A dialog box will appear. Click TRANSPOSE and OK. The data will reorganize from rows to columns or vice versa.
Revise the formulas as needed for the sample size and subgroup size being analyzed. Using INSERT, create the Averages Chart (X-Bar) and the Range Chart (R). Revise titles and axis informations as needed. Copy and Paste both charts into the Word document: Control Charts and Process Capability Assignment(1).docx
WORKPLACE DILEMMA Group Project, Topic : Seniority in the Workplace
/0 Comments/in Business & Finance /by bonniejecintaQUESTION
Topic: Seniority in the Workplace ( Pro team )
Overview
You are part of the management team for CVS Health, a Fortune 500 Company, and have been tasked to advise the CEO, Karen Lynch, on how to handle a current issue or dilemma facing the company. In teams of four, you will be conferencing into our Woonsocket, Rhode Island HQ office to advise on the pros and cons of an assigned current issue.
How it Works
A team of four will be tasked with a dilemma to consider for CVS Health. Each team of four will be split into a PRO team (2 people) and a CON team (2 people). Pro and Con teams will face off against each other to convince the CEO to accept their recommendation on the subject. The CEO will make a decisionby the end of the call and the team that provides better factual evidence, reason, and overall argument will win.
Deliverables
Each team of four will schedule a conference call with me (CEO, Karen Lynch) to present on the issue. Two people will present on the PRO side and two people will present on the CON side. I am a very busy CEO so will allow 20 minutes max for this issue and will then make my decision on how our company should proceed.
Each team of two will be responsible for the following:
• Outline (follow below format) with works cited (4 sources minimum 2 per team member)
• 5-minute presentation via Zoom (+ counterarguments and questions)
THE IMPACT OF NURSING INFORMATICS ON PATIENT OUTCOMES AND PATIENT CARE EFFICIENCIES
/0 Comments/in Health Medical /by bonniejecintaQUESTION
In the Discussion for this module, you considered the interaction of nurse informaticists with other specialists to ensure successful care. How is that success determined?
Patient outcomes and the fulfillment of care goals is one of the major ways that healthcare success is measured. Measuring patient outcomes results in the generation of data that can be used to improve results. Nursing informatics can have a significant part in this process and can help to improve outcomes by improving processes, identifying at-risk patients, and enhancing efficiency.
To Prepare:
Review the concepts of technology application as presented in the Resources.
Reflect on how emerging technologies such as artificial intelligence may help fortify nursing informatics as a specialty by leading to increased impact on patient outcomes or patient care efficiencies.
The Assignment:
Identify the stakeholders impacted by this project.
Explain the patient outcome(s) or patient-care efficiencies this project is aimed at improving and explain how this improvement would occur. Be specific and provide examples.
Identify the technologies required to implement this project and explain why.
Identify the project team (by roles) and explain how you would incorporate the nurse informaticist in the project team.
SWK 4480 Pre-Practicum
/0 Comments/in Humanities /by bonniejecintaQuestion
The Pandemic has certainly opened our eyes to the need for self-care! Even our Code has been updated to include a section on Social Workers self-care. It’s about time we take a proactive approach to balancing the tough work that we do, with our own health and life stability. Keep in mind that self-care looks different for each of us. Some of us prefer a physical activity like running, taking a hike, going to the gym, etc. Some of us unwind with a good book, getting pampered at the spa, or just listening to our favorite music. Self-care doesn’t have to be a huge time or energy consumer! Sleep is also a very important part of self-care. Many of us struggle to get good sleep when our brains are full of all that we have to do. However you unplug, and unwind, just be sure you are doing it!! As school, work, and life get busy, it’s easy to push it off. However, I assure you that you will be more productive, happier, and more relaxed in all of these areas if you are practicing self-care!
Listen to this week’s podcast:
Creating a Nighttime Ritual
Creating a Nighttime Ritual Transcript
Drink the Stupid Water
Drink the Stupid Water Transcript
Answer the following questions:
Walden University Study Plan
/0 Comments/in Health Medical /by bonniejecintaQUESTION
Based on your practice exam question results from Week 2, identify strengths and areas of opportunity and create a tailored study plan to use throughout this course to help you prepare for the national certification exam. This will serve as an action plan to help you track your goals, tasks, and progress. You will revisit and update your study plan in NRNP 6675, and you may continue to refine and use it until you take the exam.
THE ASSIGNMENT
https://academicguides.waldenu.edu/ld.php?content_…
Pharmacology
/0 Comments/in Health Medical /by bonniejecintaQUESTION
Mrs. William, a 75-year-old patient is with her daughter for a follow-up visit. At her previous office visit, her daughter expressed concerns about her mother’s increasing forgetfulness. You send Mrs. William for neuropsychiatric testing. She is diagnosed with mild dementia, and the patient and family would like to discuss treatment options.
Mr. Lacy is a 65-year-old man diagnosed with Parkinson’s disease (PD) five years ago. His disease has progressed over the years, and it is recommended that he be treated with levodopa.
A 50-year-old man has developed depression after the death of his wife. He is prescribed venlafaxine (Effexor XR) 75 mg PO once a day.
Discussion 1
/0 Comments/in Health Medical /by bonniejecintaQUESTION
J.C is an 82-year-old white man who was evaluated by GI specialist due to abdominal discomfort, loss of appetite, weight lost, weakness and occasional nausea.
Past Medical History (PMH):
Patient is Diabetic, controlled with Metformin 500 mg by mouth twice a day, Lantus 15 units SC bedtime. Hypertensive, controlled with Olmesartan 20 mg by mouth once a day. Atrial Fibrillation, controlled with Rivaroxaban 15 mg by mouth once a day and bisoprolol 10 mg by mouth once a day.
Labs:
Hb 12.7 g/dl; Hct 38.8% WBC 8.2; Glycemia 74mg/dl; Creatinine 0.8 mg/dl; BUN 9.8 mg/dl; AST 21 U/L ALT 17 U/L; Bil T 1.90 mg/dl; Ind 0.69 mg/dl; Dir 1.21 mg/dl.
Diagnostic test:
Endoscopic Ultrasound of the Pancreas. Solid mass in the head of pancreas 4 cms, infiltrating Wirsung duct. The solid mass impress to infiltrate the superior mesenteric vein. Perilesional node is detected, 1.5 cms, metastatic aspect. Fine needle aspiration (FNA) biopsy: Ductal adenocarcinoma.
Case study questions:
Please name the potential most common sites for metastasis on J.C and why?
What are tumor cell markers and why tumor cell markers are ordered for a patient with pancreatic cancer?
Based on the case study described, proceed to classify the tumor based on the TNM Stage classification. Why this classification important?
Discussed characteristic of malignant tumors regarding it cells, growth and ability to spread.
Describe the carcinogenesis phase when a tumor metastasizes.
Choose the tissue level that is affected on the patient discussed above: Epithelial, Connective, Muscle or Neural. Support your answer.
Environmental science
/0 Comments/in Writing /by bonniejecintaQUESTION
Part 1. Ecological Footprint:
Last week you completed your ecological footprint. Based on that activity:
Part 2 – Human Population
In the course of completing your ecological footprint, you learned about many of the resources used to supply our needs and absorb our waste. Unfortunately, this has led to the degradation of many of our resources which has caused environmental and human harm. As human population increases, the demand for food will also increase, yet we have a limited amount of land for production. Past practices are unsustainable and have led to issues of soil erosion, decreased fertility, salinity, water pollution, air pollution, and others. Food systems are increasingly vulnerable due to pressures on natural ecosystems and climate.
We currently produce enough food; however millions of people do not have enough to eat for various reasons including poverty, natural disasters, political violence and other geopolitical factors. This is the most basic and critical environmental challenge.
With that in mind,
Connecting Personally to a Writing Prompt Topic
/0 Comments/in Writing /by bonniejecintaQUESTION
Assignment Task:
In a double-entry journal (or chart), brainstorm 5 examples of when you personally experienced anxiety or stress of any kind. Write these examples on the left side of the double-entry journal. Describe what happened. You can be brief here.
On the right side of the double-entry journal, reflect on why you think you experienced the anxiety. What fears did you have? Were other people experiencing the same things and reacting the same way? What expectations did you have for yourself? Where did those expectations come from? (Did authority figures / family / peers express these expectations to you in some way? Does society communicate these expectations? Are your experiences learned behaviors?) Be specific and elaborate.
Requirements: Do not generate any portion of this assignment with the use of AI tools or editing software. All the work for this assignment should be your own. The information for this assignment should come from your own life.
You might not experience anxiety strongly. That’s awesome! You are lucky. But everyone experiences stress. If you have trouble identifying your own stress levels, make a list of stressful situations you find yourself in regardless of whether you perceive that you are stressed in those moments.
Format: The double-entry journal should be a chart that keeps ideas organized in vertical columns and with rows. The example on the left should line up with the reflection on the right. This visual organization will help your brain think more deeply about the topic
Research Methods
/0 Comments/in Law /by bonniejecintaQuestion
For this discussion, you will explain how you’ve narrowed your general research question from Week 1 (or replaced it) down to a testable hypothesis. [You may want to refer to my notes on Section 3.1 for this]. With your hypothesis in hand, use the library databases to identify an empirical research report (a journal article with statistical tests) that tests your hypothesis (or a very similar one).
In your post, provide a properly formatted APA reference page citation for the article. What precisely were the hypotheses and variables evaluated in the study? How were they measured? What are some of the strengths of this study? What are some weaknesses? What conclusions did the authors reach about the hypothesis? Did they make recommendations for future researchers (you) to consider? If you were to conduct this research as a student, what would be your major limitations? (too much time, money, statistical expertise, etc.). How could you work around some of these limitations?
For your response posts (make at least two), try to help out your fellow students by evaluating how they could go about testing their hypothesis if they were actually to do the research as a student (without millions of dollars in grant funds). Where could they get data? What are some pitfalls that they should be concerned about? Keep in mind that the goal here is to show me that you can apply the information in this module to a real-world project!