To prepare: (MAKE SURE NO PLAGIARISM,WE USE SAFEASSIGN TO CHECK  )

• Review the case study provided by your Instructor.
• Reflect on the patient’s symptoms and aspects of disorders that may be present.
• Consider how you might assess, perform diagnostic tests, and recommend medications to treat patients presenting with the symptoms in the case.

Case study:

Mrs. L., a 68-year-old woman, presents to your office today with a complaint of feeling tired all the time and now, more recently, feeling weak and like “I can’t catch my breath sometimes.”

HPI: She has been healthy except for high cholesterol, managed by Lipitor. Her husband died 9 months ago, and she has attributed her fatigue to dealing with his death but realizes that she is feeling worse and not better as time passes.

No known drug allergies.

Medications: Takes only Lipitor.

Past surgical history: Appendectomy in childhood; hysterectomy for uterine myoma 10 years ago.

No significant medical history. Has two daughters living nearby.

Blood pressure (BP) 106/70 mm Hg, heart rate (HR) 98 beats/min and regular, respiratory rate 18 breaths/min and afebrile, body mass index (BMI) 22 (10-pound weight loss since death of husband).

Slender, quiet-spoken older woman appearing tired.

PE: Conjunctiva pale, mucous membranes moist. No lymphadenopathy of neck or femoral area.

Heart tachyarrhythmia with regular rate, soft midsystolic murmur. Chest (CTA), good air movement.

Abdomen soft, bowel sounds × 4.

Diagnostics:

Urine dipstick negative.

The results of a colonoscopy show a neoplasm in the colon.

Address the following in your SOAP note:

1. What additional subjective data are you seeking?
2. What additional objective data will you be assessing for?
3. What medical history would you obtain from the patient? List at least three.
4. What tests will you order? Describe at least four lab tests.
5. What are the differential diagnoses that you are considering? Describe two.Provide at least TWO evidence-based peer-reviewed journal articles or evidenced-based guidelines, which relate to this case to support your diagnostics and differentials diagnoses. Be sure they are current (no more than 5 years old) and support the treatment plan in following current standards of care. Follow APA 7th edition formatting.
6. What is your plan of care? List at least two diagnostic tests you will order to evaluate the cause of her condition.
7. Finally, include a reflection statement on the case that describes insights or lessons learned.

TITLE: Article Three

Introduction: Teacher Inquiry on the Influence of Materials on Children’s Learning (Voices)

This assignment fulfills

Module Outcome 1 and 2: Define linguistic Intelligence, big books, flannel board, quiz cards, and webbing. Define webbing as a way of planning, some guidelines for selecting excellent and appropriate literature for children, and ideas supporting linguistic intelligence.

Course Outcome 3: Create developmentally creative learning materials, experiences, and environments for children that are culturally, linguistically, and ability diverse.

General Education Competency: You will have to communicate effectively using American Standard English conventions in professional and academic environments.

The Assignment:

Summarize the attached article, in your own words, by answering the three questions listed below. Each question should have an answer that has at least 5-7 sentences. Please make sure you read the statement on Plagiarism. Also, do not copy and paste the article – that is plagiarism.

1.    What is the main focus of the article?

2.    What are three strategies/resources/ideas that are discussed in the article?

3.    How will you implement the strategies/resources/ideas from paragraph two when working with children?

Grading Criteria

20 points – Three paragraphs are included; each paragraph has a minimum of seven sentences

20 points – First paragraph summarizes the main focus of the article

30 points – Second paragraph summarizes three strategies from the article

20 points – Third paragraph gives specific strategies/ideas you will use when working with young children.

10 points – correct grammar and spelling are used.

Resource:

Young Children, November 2016,“ Teacher Inquiry on the Influence of Materials on Children’s Learning (Voices),” by Rachel Schaefer.  https://www.naeyc.org/resources/pubs/yc/nov2016/teacher-inquiry-materials

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DISCUSSION: A CRITICAL LOOK AT THE QUESTION OF CLASS.

The course text describes the impact of socioeconomic status on parenting style and the socialization of children. Berns defines four levels of “class” and describes characteristics of each. Yet, further reading implies that the concept—and reality—of social class may be more complex than the author’s presentation.

Your role as a student is not only to read for information, but also to read critically as well. Review the “Class Descriptions” and “Effects of Class” sections of the course text (pages 107-109), paying close attention to the values and behaviors ascribed to each class and especially the “lower class” and the “underclass.”

Then, review the “Class Matters: Shadowy Lines That Still Divide” article, which discusses modern views of social class in the United States.

Next, consider the following:

• What you know about class in America today
• Your experiences related to class
• The differences between the presentation of class in America today in the New York Times article and the description of class in the course text
• Your thoughts about those differences
• How children may be affected by class and by people’s attitudes and beliefs related to class
• How the information presented in your text might have a negative affect on teachers’ perceptions of children and their families

Based on the readings and your own experiences, post your thoughts in regard to:

• Your views on differences between social classes that have the most influence on outcomes for children
• In your future work with young children and families, how you will avoid allowing stereotypes, assumptions, and labels that can create negative and/or limited perceptions of children and families from influencing you

  Research paper is due May 7th on Slavery and the effects it had on America.

· How did Slavery effect the politics of America during that time?

· How did it effect the women at that time?

· What was the social economic effect of slavery? 

· How did it effect the African American culture then and what are the lasting effects of slavery now?

· Why did America get involved in the Slave Trade?

· Your research paper should be: 7 pages minimum and written in Chicago Manual of Style. (7 pages including the title page and bibliography, so only 5 pages minimum of actual writing)

· It should have footnote citations at the bottom of the page.

· Your paper should also include a title page, and a bibliography. 

· Your bibliography should have: 3 primary sources, and 4 secondary sources.

· What are Primary Sources? Primary Sources are first-hand accounts: letters, diaries, journals, newspaper articles, books from that time period, or someone who has witnessed the event, or was alive at that time?

· Secondary sources are from today’s (more recent) times. This would include books, dvds, etc. check Chicago Manual of Style for more clarification.

· Here is a good resource for your research paper:

Check out:  https://owl.purdue.edu/owl/research_and_citation/chicago_manual_17th_edition/cmos_formatting_and_style_guide/chicago_manual_of_style_17th_edition.html