Category: Medicine

Read the attached articles that argue “for” and “against” PED’s below. You will create a research-based argument that the bans on PED’s should be lifted from professional sports. You are required to use at least one additional peer-reviewed research article to support your stance (beyond the articles attached here). Additionally, using the information posted below, I would like to discuss the implications of gene doping in sport, and to explain your thoughts on how such a practice could influence athletics as we know them. Is this a strategy you would consider for yourself, your children/future children, or athletes you may work with? Why or why not?

report on the vaccines for children (VFC) program (single spaced)
Please include the following in your report:
-Background about the program
-How a health plan would determine which vaccines to cover (having drug names is not enough as the formulary coding is done with NDCs, GPIs, CPT codes, etc. Look into these different codes and see if you can come up with a list – a separate excel file is fine for this)
-How does the CDC determine what to put on the VFC list?
-Summarize a situation where a member would be VFC eligible, and go through who would pay for this vaccine for the member

check number 8/9 for full discussion and conclusion /this is the whole data you need to write the thesis for / please for the limitations and recommendations if you can rewrite it based on the subject

You are working in primary care as a doctor and your patient comes from a culture in
which it is considered wrong to tell patients that they are dying. The family explain the
cultural context and requests you not to tell the patient they are dying. Discuss FOR
informing the patient?

A 24-year-old female presents to your office stating that she is troubled by headaches and fatigue. She says that she always feels tired and can’t sleep well, often waking up early if she gets to sleep at all. She describes her headaches as dull, aching, and generalized. These symptoms began about three weeks ago and have been getting worse. She reports a lack of interest in her usual activities, even the ones that she used to enjoy. She also reports that she is missing work due to fatigue and inability to concentrate. Although both her children are in school, she is concerned that she is “losing them”. She is worried that she might have “something bad” because she has difficulty concentrating and is having frequent crying spells. She reports a loss of appetite, with a weight loss of 10 pounds in the last month.
The patient has no significant past medical or psychiatric history and takes no regular medications. However, she takes ibuprofen for headaches. She denies using alcohol or drugs. The patient is married, with two elementary school-age children.
What diagnosis do you believe may apply to this individual?
What classifications of medications can be used to treat this disorder? Which medication do you recommend and why?
Which medication/dose do you recommend and why?

Specific aims
Primary aim
To examine the various obstacles faced by underrepresented minority students who are interested in being a health care professionals and determining the systemic causes of minorities’ underrepresentation in healthcare programs.
Secondary aim
Analyze the relationship between obstacles encountered, entrance exam performance such as the Medical College Admission Test (MCAT), and explore results of health professional school applications and matriculation that follow.
Research Questions
1. What specific financial obstacles do underrepresented minority (URM) students face on their path to health professional school matriculation, and how do these barriers affect their application and academic outcomes?
⁤2. What effects do non-financial obstacles like racial biases, exposure to healthcare, standardized test training, and academic preparation have on the matriculation rates of underrepresented minority students in healthcare programs? ⁤What are some effective ways to address and mitigate such barriers?

RL is a 54 yo WM who is 5’8″ tall and weighs 285 pounds. He presented to the ER, being brought in by EMS, with acute shortness of breath and substernal chest pain radiating into the left side of the face and left arm. The pain subsided with NTG treatment. However, RL was not a candidate for reperfusion therapy. Blood tests show elevated Troponin and CK-MB and an INR of 2.1. A hemoglobin A1C returned with a level of 11. The EKG shows Right axis deviation and a Q wave in leads I, aVL, V5-6 with ST –T changes. An echocardiogram showed dilated cardiomyopathy with an EF of 32%.
During a subsequent assessment, the nurse hears a new high pitched blowing systolic murmur at the left 5th ICS in the mid-clavicular line with radiation to the axilla. The BP has dropped to 88/50 and HR is 58.
least two paragraphs, referring to chapters 12-14 in the Urden, L. D., Stacy, K.M., Lough, M.E. (2022). Critical care nursing: Diagnosis and management(9th ed.). St. Louis, MO: Elsevier-Mosby. (ISBN: 978-0-323-64295-8)
expound on the above findings and delineate the aspects of critical care nursing called for in this scenario.

Writing a compare & contrast essay analyzing similarities
and differences of the central points of 2 scientific articles provided. se technical language. Formatting of rough draft: Double-spaced, Times New Roman, 12 font, 1-inch margins, & word count of 1200 [minimum] – 1500 [maximum] words. Do not put text from the paper in quotation marks. Everything from your source material
must be paraphrased in your own words and cited in-text. Paraphrasing is a process by which one thinks about the words and ideas of another author, to reconstruct those words and ideas in a new way. Use APA format for your in-text citations & Bibliography section at the end of your review.

This should be a recommendation letter from a Gynecology department professor. My wife had attended shihezi university in China. She completed he (MBBS), Bachelor of Medicine, Bachelor of Surgery there. She learned Mandarin as part of her study, as she traveled from Bangladesh to study for MBBS in China. She is applying for Medical School in America.

Due Sunday by 10:59pm Points 100 Submitting a text entry box or a file upload Attempts 0 Allowed Attempts 2
Back to Week at a Glance
DIGITAL CLINICAL EXPERIENCE: FOCUSED EXAM: COUGH
In this DCE Assignment, you will conduct a focused exam related to cough in your DCE using the simulation tool, Shadow Health. You will determine what history should be collected from the patient, what physical exams and diagnostic tests should be conducted, and formulate a differential diagnosis with several possible conditions.
RESOURCES
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
WEEKLY RESOURCES
TO PREPARE
Review this week’s Learning Resources and consider the insights they provide related to ears, nose, and throat.
Review the Shadow Health Resources provided in this week’s Learning Resources specifically the tutorial to guide you through the documentation and interpretation within the Shadow Health platform. Review the examples also provided.
Review the DCE (Shadow Health) Documentation Template for Focused Exam: Cough found in this week’s Learning Resources and use this template to complete your Documentation Notes for this DCE Assignment.
Access and login to Shadow Health using the link in the left-hand navigation of the Blackboard classroom.
Review the Week 5 Focused Exam: Cough Rubric provided in the Assignment submission area for details on completing the Assignment in Shadow Health.
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?
FOCUSED EXAM: COUGH ASSIGNMENT:
Complete the following in Shadow Health:
Respiratory Concept Lab (Required)
Episodic/Focused Note for Focused Exam: Cough
HEENT (Recommended but not required)
Note: Each Shadow Health Assessment may be attempted and reopened as many times as necessary prior to the due date to achieve a total of 80% or better (this includes your DCE and your Documentation Notes), but you must take all attempts by the Week 5 Day 7 deadline.
SUBMISSION INFORMATION
Complete your Focused Exam: Cough DCE Assignment in Shadow Health via the Shadow Health link in Canvas.
Once you complete your assignment in Shadow Health, you will need to download your lab pass and upload it to the corresponding assignment in Canvas for your faculty review.
(Note: Please save your lab pass as “LastName_FirstName_AssignmentName”.) You can find instructions for downloading your lab pass here: https://link.shadowhealth.com/download-lab-passLinks to an external site.
Complete your documentation using the documentation template in your resources and submit it into your Assignment submission link below.
To submit your completed assignment, save your Assignment as WK5Assgn2+last name+first initial.
Then, click on Start Assignment near the top of the page.
Next, click on Upload File and select both files and then Submit Assignment for review.

By submitting this assignment, you confirm that you have complied with Walden University’s Code of Conduct including the expectations for academic integrity while completing the Shadow Health Assessment.

Rubric
NURS_6512_Week_5_DCE_Assignment_2_Rubric
NURS_6512_Week_5_DCE_Assignment_2_Rubric
Criteria Ratings Pts
This criterion is linked to a Learning Outcome Student DCE score(DCE percentages will be calculated automatically by Shadow Health after the assignment is completed.)Note: DCE Score – Do not round up on the DCE score.
60 to >55.0 pts
Excellent
DCE score>93
55 to >50.0 pts
Good
DCE Score 86-92
50 to >45.0 pts
Fair
DCE Score 80-85
45 to >0 pts
Poor
DCE Score <79... No DCE completed. 60 pts This criterion is linked to a Learning Outcome Subjective Documentation in Provider Note Template: Subjective narrative documentation in Provider Note Template is detailed and organized and includes: Chief Complaint (CC), HPI, Current Medications, Allergies, Past Medical History, Family History, Social History and Review of Systems (ROS)ROS: covers all body systems that may help you formulate a list of differential diagnoses. You should list each system as follows: General: Head: EENT: etc. You should list these in bullet format and document the systems in order from head to toe. 20 to >15.0 pts
Excellent
Documentation is detailed and organized with all pertinent information noted in professional language….Documentation includes all pertinent documentation to include Chief Complaint (CC), HPI, Current Medications, Allergies, Past Medical History, Family History, Social History and Review of Systems (ROS).
15 to >10.0 pts
Good
Documentation with sufficient details, some organization and some pertinent information noted in professional language….Documentation provides some of the Chief Complaint (CC), HPI, Current Medications, Allergies, Past Medical History, Family History, Social History and Review of Systems (ROS).
10 to >5.0 pts
Fair
Documentation with inadequate details and/or organization; and inadequate pertinent information noted in professional language….Limited or/minimum documentation provided to analyze students critical thinking abilities for the Chief Complaint (CC), HPI, Current Medications, Allergies, Past Medical History, Family History, Social History and Review of Systems (ROS).
5 to >0 pts
Poor
Documentation lacks any details and/or organization; and does not provide pertinent information noted in professional language….No information is provided for the Chief Complaint (CC), HPI, Current Medications, Allergies, Past Medical History, Family History, Social History and Review of Systems (ROS)….or…No documentation provided.
20 pts
This criterion is linked to a Learning Outcome Objective Documentation in Provider Notes – this is to be completed using the documentation template that is provided. Document in a systematic order starting from head-to-toe, include what you see, hear, and feel when doing your physical exam using medical terminology/jargon. Document all normal and abnormal exam findings. Do not use “WNL” or “normal”. You only need to examine the systems that are pertinent to the CC, HPI, and History. Diagnostic result – Include any pertinent labs, x-rays, or diagnostic test that would be appropriate to support the differential diagnoses mentioned. Differential Diagnoses (list a minimum of 3 differential diagnoses). Your primary or presumptive diagnosis should be at the top of the list (#1).
20 to >15.0 pts
Excellent
Documentation detailed and organized with all abnormal and pertinent normal assessment information described in professional language….Each system assessed is clearly documented with measurable details of the exam.
Link to Danny Rivera cough assessment
You can also find all the information on google as well
Please include references for diagnosis and plan of care. References must be on apa and must be less than 5 years
Pay attention to model documentation in the documentation section
https://www.studocu.com/en-us/document/florida-state-college-at-jacksonville/medical-surgery-2/focused-exam-cough-all-shadow-health/14226059