In this Lab Assignment, you will analyze an Episodic note case study that describes abnormal findings in patients seen in a clinical setting. You will consider what history should be collected from the patients, as well as which physical exams and diagnostic tests should be conducted. You will also formulate a differential diagnosis with several possible conditions. 

To Prepare

• Review the Episodic note case study your instructor provides you for this week’s Assignment. Please see the “Course Announcements” section of the classroom for your Episodic note case study.
• Based on the Episodic note case study:
  • Review this week’s Learning Resources, and consider the insights they provide about the case study. Refer to Chapter 3 of the Sullivan resource to guide you as you complete your Lab Assignment.
  • Search the Walden library or the Internet for evidence-based resources to support your answers to the questions provided.
  • Consider what history would be necessary to collect from the patient in the case study.
  • 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?
  • Identify at least five possible conditions that may be considered in a differential diagnosis for the patient.

The Lab Assignment

Using evidence-based resources from your search, answer the following questions and support your answers using current evidence from the literature.

• Analyze the subjective portion of the note. List additional information that should be included in the documentation.
• Analyze the objective portion of the note. List additional information that should be included in the documentation.
• Is the assessment supported by the subjective and objective information? Why or why not?
• Would diagnostics be appropriate for this case, and how would the results be used to make a diagnosis?
• Would you reject/accept the current diagnosis? Why or why not? Identify three possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using at least three different references from current evidence-based literature.

GENITALIA ASSESSMENT

Subjective:

• CC: “I have bumps on my bottom that I want to have checked out.”
• HPI: AB, a 21-year-old WF college student reports to your clinic with external bumps on her genital area. She states the bumps are painless and feel rough. She states she is sexually active and has had more than one partner during the past year. Her initial sexual contact occurred at age 18. She reports no abnormal vaginal discharge. She is unsure how long the bumps have been there but noticed them about a week ago. Her last Pap smear exam was 3 years ago, and no dysplasia was found; the exam results were normal. She reports one sexually transmitted infection (chlamydia) about 2 years ago. She completed the treatment for chlamydia as prescribed.
• PMH: Asthma
• Medications: Symbicort 160/4.5mcg
• Allergies: NKDA
• FH: No hx of breast or cervical cancer, Father hx HTN, Mother hx HTN, GERD
• Social: Denies tobacco use; occasional etoh, married, 3 children (1 girl, 2 boys)

Objective:

• VS: Temp 98.6; BP 120/86; RR 16; P 92; HT 5’10”; WT 169lbs
• Heart: RRR, no murmurs
• Lungs: CTA, chest wall symmetrical
• Genital: Normal female hair pattern distribution; no masses or swelling. Urethral meatus intact without erythema or discharge. Perineum intact. Vaginal mucosa pink and moist with rugae present, pos for firm, round, small, painless ulcer noted on external labia.
• Abd: soft, normoactive bowel sounds, neg rebound, neg murphy’s, negMcBurney
• Diagnostics: HSV specimen obtained

Assessment:

• Chancre

 

Assignment: Capstone Project Part IV: The Technicals: Measuring and Evaluating Performance

Most human and social services professionals come into their professions to make a difference. Doing so at the societal level is both a challenge and an opportunity. Being a successful social change agent, leader, and advocate requires both skill and commitment. To accomplish large-scale change to address societal issues as part of the technical aspects of a strategic plan, human and social services professionals need to address indicators of success and performance targets.

To prepare:

• This Assignment is the second part of developing the technicals for your Capstone Project.
• Think about how you might apply the theories and processes of change, leadership, and advocacy when implementing a strategic plan that addresses indicators of success and performance targets.

By Day 7

The Assignment (2–3 pages):

• Describe leading indicators of success. To determine whether the agency, organization, or community will benefit from the strategic plan, you must identify those things which would serve as indicators of success. These indicators must be observable, measurable, and quantifiable in some way.
  • Identify four indicators that would signify success with regard to the strategic plan.
  • Discuss specifically how you would measure each indicator.
• Identify performance targets. Performance targets represent the level at which you would like to observe performance on each indicator. They represent the desired level of performance. For each performance indicator that you have identified, specify the targeted level of performance.

Support your Application Assignment by citing all resources in APA style, including those in the Learning Resources.

 

Each week you have had an opportunity to practice different aspects of the writing process in a writing notebook. It consists of a template you will fill out and submit in Canvas. In addition to introducing and practicing targeted components of the writing process, these notebooks are meant to help you to determine your own strengths and identify opportunities for growth.

This week, the writing notebook focuses on how to build and maintain your ePortfolio so that it represents your growing skills and abilities.

In Week 1 of this course, it was recommended that you begin building your Folio profile. If you did not have a chance to take that step yet, refer back to the Building an ePortfolio page and follow the steps to create your Folio profile and view the resources provided.

In the Week 5 Writing Notebook you will

• Identify the writing that you have done for this course that you wish to include in your ePortfolio introduction.
• Develop a project description for your Future Opportunities Essay, which you will be uploading as a project to your Folio.
• Determine the skills that you will tag your Future Opportunities Essay with.

Follow the steps outlined below to complete this week’s writing notebook:

• Download the Week 5 Writing Notebook Template below, which has been provided for you in both a Word document and a PDF file.
• Week 5 Writing Notebook Template download(PDF)
• Week 5 Writing Notebook Template download(Word)
  • Please note that you can choose to print out the template and mark it up as long as you can scan it back into your computer for submission in Canvas by Day 7.
• Complete all steps of the Week 5 Writing Notebook, including the reflection step.
• Save the file to your computer (desktop or a folder).
• Click on the “Submit Assignment” button to submit. When you have finished uploading your document, click on the subsequent “Submit Assignment” so your instructor may receive your document for grading.

 

1) Minimum 7 full pages (Follow the 3 x 3 rule: minimum three paragraphs per part)

             Part 1: Minimum 1 page

             Part 2: minimum 1 page

             Part 3: Minimum 5 pages

Submit 1 document per part

2)¨******APA norms

          All paragraphs must be narrative and cited in the text- each paragraphs

          Bulleted responses are not accepted

          Dont write in the first person 

          Dont copy and pase the questions.

          Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

Submit 1 document per part

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks) 

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 3 references per part not older than 5 years

5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

6) You must name the files according to the part you are answering: 

Example:

Part 1.doc 

Part 2.do

__________________________________________________________________________________

Part 1: Ethical

 

1. What would spirituality be according to your own worldview? 

2. How do you believe that your conception of spirituality would influence the way in which you care for patients?

Part 2: Ethical

 

 1. What aspects of the topic readings do you find the most interesting? ( how science and medicine are so closely related ) and why

2. What is your view of the analysis of disease and healing in the readings? Explain.

Part 3: Ethical

 

Write a reflection about worldview and respond to following:

In one page:

1. Explain the Christian perspective of the nature of spirituality 

2. ethics in contrast to the perspective of postmodern relativism within health care.

In one page:

3. Explain what scientism is and describe two of the main arguments against it.

In 3 pages:

Answer each of the worldview questions according to your own personal perspective and worldview:

4. What is ultimate reality?

5. What is the nature of the universe?

6. What is a human being?

7. What is knowledge?

8. What is your basis of ethics?

9. What is the purpose of your existence?

 This assignment consists of three parts:

• Part 1: Professional Resources and Issues in Education.
• Part 2: Action Plan for Continued Growth.
• Part 3: Career Readiness Documents.

You must submit all three parts for the completion of this assignment.

Part 1: Professional Resources and Issues in Education

For Part 1, use the Internet or the Strayer University Library to research professional organizations, grant opportunities, and/or virtual learning communities pertinent to both the theme of your portfolio and your current or prospective work environment.

Write a 2–3 page paper in which you:

• Examine relevant organizations and key issues in education that will be beneficial to you as you continue to work in your future career.
• Select at least two of the professional organizations, grant opportunities, and/or virtual learning communities that you have researched, and analyze the manner in which you would utilize the organizations you selected to support your continued professional development.
• Predict at least three issues that you believe will be of particular significance within the next decade, or choose three remaining questions that you ponder which relate to both the theme of your portfolio and your current or prospective work environment.
• Select one of the issues or questions you identified in relation to your theme and work environment, and construct an annotated bibliography of at least five print and non-print resources to consult in the future. 

Part 2: Action Plan for Continued Growth

Write a 2–3 page paper in which you:

• Examine your development during the program and develop an action plan for continued growth.
• Specify the development of your information literacy and research skills throughout your coursework. Provide one to three papers, artifacts, or examples from previous coursework in order to demonstrate your changes and acquired knowledge within this area. Note: If you do not have papers, artifacts, or examples, attach the descriptions of your chosen previous assignments.
• Develop a plan for continued information literacy development as part of your personal and professional growth plan. Your plan must include, at a minimum, the following:
  • 3–5 information literacy goals.
  • Potential means (e.g., organizations and resources that you may utilize) to achieve the information literacy goals.
  • Relevant strategies for applying the literacy skills in educational/work environment.
• Specify the development of your writing skills throughout your coursework. Provide one to three papers, artifacts, or examples from previous coursework to demonstrate your changes and learning in this area. Identify plans for continued writing development as part of your personal and professional growth plan. Note: If you do not have papers, artifacts, or examples, attach the descriptions of your chosen previous assignments.
• Create an action plan geared toward both building upon your personal and professional strengths (identified in Reflective Journal: Strengths-Based Reflection) and toward improving your weaknesses related to your portfolio theme. Your plan must include, at a minimum, the following:
  • 3–5 goals.
  • 3–5 key steps that you plan to take for further evaluation and continuous improvement.
  • Potential means (e.g., organizations and resources that you may utilize) to achieve these goals.
  • Relevant strategies for applying the plan in educational/work environment

Part 3: Career Readiness Documents

Submit the final versions of your career readiness documents that you have been working on during the course. Submit each of the following documents in the appendix of your final assignment submission:

• A one-page cover letter that introduces yourself to employers and showcases your skills, qualifications and experience relevant to a position that you would like to apply for in the future.
• A resume or CV that includes the following, at minimum:
  • Contact details.
  • Opening statement.
  • List of key skills.
  • Personal attributes/career overview.
  • Educational qualifications.
  • Employment history.
•  A 1–2 page teaching philosophy that documents your beliefs about education.