PART 1 (10 marks) Atherosclerotic plaque formation

1. Describe the step for the formation of an atherosclerotic in the upper branch of the left coronary artery

·         Include in your answer the pathological changes at the level of the artery

·         Include in your answer the risk factors that would lead to this plaque formation

Rupture of a plaque in the left coronary artery

2.      Differentiate between a stable and unstable plaque.

A stable adequate is blood flow and the symptoms quickly subside without any damage to the heart and dot not tend to form cloth.

A Unstable plaque is restriction of blood flow in the coronary artery,

3.      Describe what happens when an unstable plaque rupture

An unstable plaque going to be hemorrhage into the plaque or thrombotic occlusion of the vessel lumen.

4.      Describe what happens to the contents of a ruptured plaque of upper branch of the left coronary artery. Where could the contents go?

1.      What happens as it progresses through the coronary circulation?

2.      What areas of the heart will it affect?

cluding the arteries to the heart.

PART 2 (10 marks)
Hypertension mechanisms and pathophysiology

Describe the risk factors that contribute to hypertension
• Describe how the risk factors contribute to the development of hypertension

salt intake, obesity and insulin resistance, the renin-angiotensin system, and the sympathetic nervous system.

5.       

6.      How do the various components of the autonomic nervous system influence blood pressure?

·         Include in your answer the involvement of the parasympathetic and sympathetic nervous system?

·         How does the renin-angiotensin-aldosterone (RAA) system influence blood pressure?
 

Renin is secreted from the juxtaglomerular apparatus of the kidney in response to glomerular under perfusion or a reduced salt intake. It is also released in response to stimulation from the sympathetic nervous system

7.      How is the diagnosis of hypertension made?

8.      What are the manifestations related to hypertension?

• Include in your answer target-organ damage

9.      How do medications act to control blood pressure?
• Include in your answer, what are some non-pharmacological interventions to manage blood pressure, how do they help?

 

1 case study read to complete assignment 

read case study then 

come up with an intervention 

then complete assignment with template attached 

This assignment represents the fifth of the case studies. In this assignment, you will identify a homicide assessment or set of risk factors that can be used to evaluate potential homicidal intent. Note: You will also submit this assignment to your ePortfolio as part of your final project trauma toolbox in Week Nine. After receiving feedback, you will upload the paper, including tracked changes that show any revisions or corrections you made, for your final toolbox submission. This is required in order to receive credit for the final project. Prompt: Review the Week Seven Case Study Will document, and then address the following. Be sure to support your responses with research.  You should NOT use any of the provided weekly resources or the LAPC Model (except in Week Four) for your selected assessment. Instead, please use empirical research to locate an appropriate assessment or set of risk factors specific to the case study. You may use articles from the Mental Health Counseling Guide or from other sources, as long as the assessment is grounded in research. Write a paper that includes the following:  Provide a brief description of the assessment including: (1) to whom it can be applied (2) under what circumstances it can be applied (3) any limitations to the assessment that should be considered  Provide rationale for choosing the selected approach for the case study.  Include an explanation for why selecting that assessment will help your work with the selected case study client, and provide appropriate support.  Describe how the assessment can be used in future work when supporting the treatment approaches for clients.  Provide a link to the assessment within the body of the paper (or upload the PDF) so your instructor can easily identify and reference it. Ensure the link is active and accessible for review by your instructor. Note: If your selected assessment is not accessible, your submission will be returned to you.  Add the assessment to your ePortfolio. Rubric Guidelines for Submission: This short paper should follow the Intervention Paper Template. It should be 2 to 4 pages in length with double spacing, 12-point Times New Roman font, and one-inch margins. All references should be cited in APA format.

 Turnitin®This assignment will be submitted to Turnitin®.Instructions

. In 500 minimum-600 maximum content words (title page, abstract, and references not included in count), respond to the following questions:

Question 1 of 2

You just agreed to take a position of Economic Advisor for InoSmart Inc. The General Manager of the company asked you to describe the nature of salaries paid by the company to its employees last year. The Chief Accountant of the company delivers to you the aggregate monthly salaries data as follows:

Months Aggregate Salaries

Month

Aggregate Salaries

January

743430

February

705320

March

67950

April

780240

May

801970

June

69440

July

816550

August

734380

September

791110

October

753370

November

717640

December

805500

• Summarize the data and provide statistical conclusion based on your statistical output. (Show your statistical procedures that led you to the conclusion.)
• Provide your results to the General Manager (in one or two sentences).

Question 2 of 2

As a financial advisor, you are assigned a new client who is considering investing in one of two stocks, A or B. The table below shows information about the performance of stocks A and B last year.

(Average) Return

Standard Deviation

Stock A

15%

8.3%

Stock B

15%

2.1%

1. What factors would you consider as a financial advisor in making decisions about the data above?
2. Based on these factors, what stock would you recommend to the client?
3. What reasons will you convey to your client to justify your decision in recommending this stock?
4. How will this recommendation impact the client?

As a group you will develop a wiki which will present research material on mental health issues within the country or region chosen by the team. The structure and content of the Wiki should be decided upon by the group; however, you must at a minimum include the following information:

• Prevalence rates within the country as to major psychological disorders.
• What cultural components of care/treatment differ from western culture?

For Wiki #1: Your group will choose a country or particular region from within the Asian continent.

You may not use Wikipedia, your textbook, or information from the learning modules; you must gather your own independent information.

On the reference page you must list in APA format all of the research articles used for your wiki.

The specific information and how you choose to organize your wiki is really up to you, but you will need to think critically and effectively address the topics outlined above. In addition to covering the content, your group will also be responsible for:

• providing an effective introduction to your topic and a conclusion that bring your thoughts together. 
• organizing your material in an effective and visually appealing way. 
• clearly referencing all of the sources you use and providing hyperlinks to the sources where appropriate.
• including multimedia (pictures, audio, video, etc.) that you think will help a reader better understand the subject you are working on. These can be original creations or something that you found in your research (as long as they are referenced appropriately).

This wiki is worth 100 points and will be evaluated with the PSYCH 239 Group Wiki Rubric. This rubric is available in the course Grade Center.

  

Insomnia is one of the most common medical conditions you will encounter as a PNP. Insomnia is a common symptom of many mental illnesses, including anxiety, depression, schizophrenia, and ADHD (Abbott, 2016). Various studies have demonstrated the bidirectional relationship between insomnia and mental illness. In fact, about 50% of adults with insomnia have a mental health problem, while up to 90% of adults with depression experience sleep problems (Abbott, 2016). Due to the interconnected psychopathology, it is important that you, as the PNP, understand the importance of the effects some psychopharmacologic treatments may have on a patient’s mental health illness and their sleep patterns. Therefore, it is important that you understand and reflect on the evidence-based research in developing treatment plans to recommend proper sleep practices to your patients as well as recommend appropriate psychopharmacologic treatments for optimal health and well-being.

Reference: Abbott, J. (2016). What’s the link between insomnia and mental illness? Health. https://www.sciencealert.com/what-exactly-is-the-link-between-insomnia-and-mental-illness#:~:text=Sleep%20problems%20such%20as%20insomnia%20are%20a%20common,bipolar%20disorder%2C%20and%20attention%20deficit%20hyperactivity%20disorder%20%28ADHD%29

For this Discussion, review the case Learning Resources and the case study excerpt presented. Reflect on the case study excerpt and consider the therapy approaches you might take to assess, diagnose, and treat the patient’s health needs.  

Case: An elderly widow who just lost her spouse. 

Subjective: A patient presents to your primary care office today with chief complaint of insomnia. Patient is 75 YO with PMH of DM, HTN, and MDD. Her husband of 41 years passed away 10 months ago. Since then, she states her depression has gotten worse as well as her sleep habits. The patient has no previous history of depression prior to her husband’s death. She is awake, alert, and oriented x3. Patient normally sees PCP once or twice a year. Patient denies any suicidal ideations. Patient arrived at the office today by private vehicle. Patient currently takes the following medications: 

· Metformin 500mg BID 

· Januvia 100mg daily 

· Losartan 100mg daily 

· HCTZ 25mg daily 

· Sertraline 100mg daily 

Current weight: 88 kg

Current height: 64 inches

Temp: 98.6 degrees F

BP: 132/86 

Post a response to each of the following:

· List three questions you might ask the patient if she were in your office. Provide a rationale for why you might ask these questions. 

· Identify people in the patient’s life you would need to speak to or get feedback from to further assess the patient’s situation. Include specific questions you might ask these people and why. 

· Explain what, if any, physical exams, and diagnostic tests would be appropriate for the patient and how the results would be used. 

· List a differential diagnosis for the patient. Identify the one that you think is most likely and explain why. 

· List two pharmacologic agents and their dosing that would be appropriate for the patient’s antidepressant therapy based on pharmacokinetics and pharmacodynamics. From a mechanism of action perspective, provide a rationale for why you might choose one agent over the other. 

· For the drug therapy you select, identify any contraindications to use or alterations in dosing that may need to be considered based on the client’s ethnicity. Discuss why the contraindication/alteration you identify exists. That is, what would be problematic with the use of this drug in individuals of other ethnicities?

· Include any “check points” (i.e., follow-up data at Week 4, 8, 12, etc.), and indicate any therapeutic changes that you might make based on possible outcomes that may happen given your treatment options chosen.