Students much review the case study and answer all questions with a scholarly response using APA and include 2 scholarly references. Answer both case studies on the same document and upload 1 document to Moodle.

 Case Study 3 & 4 change every semester. Topics will be delivered at due time.

The answers must be in your own words with reference to the journal or book where you found the evidence to your answer. Do not copy-paste or use past students’ work as all files submitted in this course are registered and saved in turn it in the program.

Answers must be scholarly and be 3-4 sentences in length with rationale and explanation. “No Straight forward / Simple answer will be accepted”. 

Turn it in Score must be less than 25 % or will not be accepted for credit, must be your own work and in your own words. You can resubmit, Final submission will be accepted if less than 25 %. Copy-paste from websites or textbooks will not be accepted or tolerated. Please see College Handbook with reference to Academic Misconduct Statement.

All answers to case studies must have the references cited “in the text” for each answer and a minimum of 2 Scholarly References (Journals, books) (No websites)  per case Study

 A 47-year-old male patient (A) presents to your office c/o painful and bleeding defecation that started a couple of days ago. Pt also states that he noticed some intermittent pruritus on his back. Pt comes to your consultation accompanied by his male husband of 45 years old (Patient B), who suddenly states to you that he had noticed a painless “blister” on his genital area, but he is not quite sure when it appeared. Patient A: With no past or family relevant history and with no known allergies (NKA). Patient B: With a PMH of seasonal allergic rhinitis and NKA. No other family or relevant history. On complete physical examination of both patients your assessment reveals the following findings: On Patient A: You noticed a visible anal fissure in the inferior region of the anal sphincter. Besides, you also noticed disseminated papules in the trunk and macules on palms and soles (as shown below).  Patient B: On examination, you noticed a visible ulceration in the genital area, and patient denies any pain on palpation. On general assessment, no adenopathy noted or reported by patient (B).  Since both patients are a marital couple, you proceed with serological testing for each patient (A & B). You suspect a sexually transmitted disease. On your verbal assessment, both patients (A&B) deny having or being treating in the past for STD’s in the past, to which you believe. Lab Results: Patient A: Leukocytosis – Treponema (Positive) – Non-Treponema (Positive) – HIV (Negative) – Hepatitis (Negative) Patient B: Treponema (Positive) – Non-treponema (Negative) – HIV (negative) – Hepatitis (Negative) ——————— Do not include the above section in your paper. ONLY THE QUESTIONS BELOW——- Please answer the following questions in APA format and include in-text references. 1) What serological lab works would you order to obtain the above results? (Be specific with the lab names) 2) What is the diagnosis for Patient A? 3) What is the diagnosis for Patient B? 4) What would it be the differential diagnosis for patient A and patient B? (be specific. Your diagnosis contains stages. Therefore, be specific on them) 5) How are you going to treat Patient A? (Be specific and include the time of treatment) 6) How are you going to treat Patient B? (Be specific and include the time of treatment) 7) What would be the possible cause of this infection if both patients did not have any sexual encounter outside their relationship in the last year? Again, you believe both patients did not have any sexual encounter outside their marital sexual relationship. 

Comment 1 

As a passionate psychiatry nurse, I picked my executive summary to be a suicide prevention program. Deaths by suicide have risen across the United States as reported by the Center for Disease Control in 2017. Suicide deaths are considered a crisis in the Mental Health profession. Suicide is not biased. It affects Caucasians, Africa-Americans, Indian, etc. It also affects the young, middle age, and elderly.  According to the CDC, over 45,000 reported suicides occurred in 2016 in the United States. Suicide was ranked the tenth
leading cause of death. 

There needs to be more programs for suicide prevention that is readily available and ready to help. The State of Alabama has a suicide hotline and several programs but they are in the big cities and that is not feasible for people who live an hour or two away. There needs to be more help all people who suffer mental illnesses.

Comment 2

I would like to describe differing approaches of nursing leaders and managers to issues in practice when discussing nurse-staffing ratios. This is a big issue in the country because aside from California, legally mandated nurse-staffing ratios do not exist. When it is discussed in the hospital now, nursing supervisors discourage it by telling nurses that it is not all it’s cracked up to be. Some hospitals can go under due to the need to staff appropriately. When talking to a nurse who has worked under both situations, she has said that the cost of healthcare ends up declining in a good way because nurses are making less overworked mistakes and patient-satisfaction is up. This can be the big difference between managers and leaders in the big picture of things. Managers will listen to nursing complaints of being overworked beyond safe circumstances and the manager will simply say, “this is what you signed up for when you became a nurse,” like we’re soldiers complaining about being shot at when we chose to be a soldier. We signed up for nursing to care for patients and participate in the optimization of their help. Leaders will listen to nursing complaints and ask themselves what can they do to help. At the end of the day, if more people were leaders, nursing shortages may not exist. Nurses would be happier and stay in their positions longer.  

REPLY TO THIS DISCUSSION POST AND HAS TO BE OVER 100 WORDS

FROM SKYWATER WHITE,

According to the world population clock, birth occurs every 9 seconds and death occurs every 11 seconds in the U.S (Census, 2021). In the world, the population increases by one every second (Census, 2021). Overpopulation does seem threatening. There are two sides to this argument, and I believe that overpopulation does not need immediate action. I believe this is due to natural disasters, modernization (Ruse, 2021), the decline in natural fertility (Overpopulation Project, 2020), and the ratio of elderly to young people (Ruse, 2021), which proves that overpopulation does not require immediate action. The Earth is billions of years old and is proven to have many natural disasters that control overpopulation. As women’s education becomes more prevalent in modernization, more women are postponing children or not having any (Ruse, 2021). The official statistics of the United Nations (UN) show that the natural fertility rate has begun to decline (Ruse, 2021). They also state that in some countries the elderly generation is higher than the young generations (Ruse, 2021). The younger generation replaces the elderly. These are the reasons why I do not think overpopulation needs immediate action.

            I live in Oregon, where there are lots of forests and mountains. In Oregon where I live, it is extremely green, and it rains a lot. We have many types of vegetation. According to the U.S. Forest Service, the climate in my ecosystem domain is humid, right before it hits the dry plains of Oregon (2021). The U.S. Forestry states that I live in the Marine division (2021). The province I live in is Cascade mixed forest- Coniferous forest Alpine meadow province (U.S. Forestry, 2021). 

            The results of my test shocked me. I could not believe that it would take four and a half Earths if everyone lived like me (Footprint Network, 2021). Which I sure, I am not the worst. It definitely has inspired me to try even harder to help save our planet. I found out that my footprint on the world is mostly due to gas. This affects everyone around the world because it maximizes global warming. Global warming is extremely threatening, especially with how much pollution we put out. The forests are important and should properly be maintained, maintained, so we do not have massive amounts of forest loss. At this point, I feel like there is little hope, but we can try to start the change now.

Word Count: 387.

References

Description of the Ecoregions of the United States. (n.d.). https://www.fs.fed.us/land/ecosysmgmt/index.html.

Footprint Calculator – Measure your Impact – Global Footprint Network. (n.d.). https://www.footprintnetwork.org/resources/footprint-calculator/.

Project, O. R. (2020, July 28). Will global population peak below 10 billion? The Overpopulation Project. https://overpopulation-project.com/will-global-population-peak-below-10-billion/.

Ruse, A. (n.d.). The Myth of Overpopulation and the Folks Who Brought it to You. USCCB. https://www.usccb.org/committees/pro-life-activities/myth-overpopulation-and-folks-who-brought-it-you.

United States Population by Age and Sex. (n.d.). https://www.census.gov/popclock/data_tables.php?component=pyramid.

Find a true example of people being arrested for a White Collar crime, a political crime, and a crime committed by someone in organized crime. In 1200 words, explain the following:

1. Briefly describe each of the crimes (who was involved, what the crime was, who the victim was, etc.)

2. Explain the outcome of each case, including the punishment and sentence given for each crime.

3. Explain if you feel the punishments for each of the crime were justified. Were the punishments for

any of the crimes not fitting the seriousness of the crime? Why are these three types of crimes

punished in the ways they are?

Use three to four scholarly resources to support your explanations.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success

Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with

Weekly STUDY MATERIALS:

1.Read Chapter 14 in Introduction to Criminology: Why Do They Do It?

URL: https://www.gcumedia.com/digital-resources/sage/2020/introduction-to-criminology_why-do-they-do-it_3e.php

2.Watch “Getting Off Easy: White Collar Crime”  [Video file] In Films on Demand (2011).

URL: https://lopes.idm.oclc.org/login?url=http://digital.films.com/PortalPlaylists.aspx?aid=12129&xtid=58505

3.Explore “Organized Crime” on the FBI website.

URL: https://www.fbi.gov/about-us/investigate/organizedcrime

4.Explore “White-Collar Crime” on the FBI website.

URL: https://www.fbi.gov/about-us/investigate/white_collar