INTERNATIONAL BUSINESS PROJECT

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TERM PROJECT GUIDELINES

INSTRUCTOR: 

     

   

WARNING!!!

Plagiarism will not be tolerated. I have resources at my disposal to detect     plagiarism. Do not “cut and paste” from the internet! AT     THE VERY LEAST, YOU WILL GET A “0” IF YOU ARE CAUGHT PLAGIARIZING.

OBJECTIVES: Companies engaged in international business routinely conduct due diligence surveys of potential overseas markets prior to entry.  This project is designed to give you hands-on experience in pre-entry research and analysis of foreign markets. 

PROJECT REQUIREMENTS:

1. You must first select a country of your choice – EXCEPT the U.S. or ARUBA. Aruba is prohibited because I’ve already provided you a sample copy of a project done on that country. 

NOTE: The sample Aruba paper provided is meant to give you a general idea of what I am expecting. It is NOT to be interpreted as being a “perfect” paper.

2. Submit a written report of your findings using the following format:

I. INTRODUCTION (5 points)

Provide a brief description of the physical characteristics of the country.  Include: 

· Location

· Size 

· Topography

· Climate 

II.  SOCIOECONOMIC AND CULTURAL FACTORS (20 points)

· Size and average age of population 

· Languages spoken

· Level of education of labor force

· Level of employment

· Ethnic breakdown

· Major religions

· Values and customs (e.g., women in the workforce, role of the family, attitudes toward foreigners, etc.)

MAN 4602 – TERM PROJECT GUIDELINES (Cont’d)

III.  POLITICAL AND LEGAL CLIMATE (15 points)

· Type of government (democratic, totalitarian, etc.)

· Stability of the government

· Level of political risk

· Level of government participation in the economic system

· Type of legal system

· Level of protection of property rights

IV.  ECONOMIC CLIMATE (25 points).

· Type of economic system (free market, etc.)

· GNI (or GNP, Per Capita GNP, or Per Capita GDP)

· Inflation rates

· Description of currency, foreign exchange markets (name of currency, convertibility of currency, etc.)

· Standard of living

· Major domestic industries 

· Level of FDI in the country

· Regional trading blocs of which the country is a member

· Infrastructure (airports, seaports, paved roads, etc.) 

V.  ANALYSIS (the most important section of your paper) (25 points) 

Based on your research and the topics covered in the text, you must discuss IN DETAIL the benefits and drawbacks you anticipate. State WHY or WHY YOU WOULD NOT recommend investing in, or establishing facilities in, the country. I am expecting YOUR analysis, not a review presented in an article published by others. This section should be approximately 1-1/2 to 2 pages in length. 

VI.  REFERENCES (10 points) 

Although not the norm for conducting research, you are to use only Internet sources. You should use 8 to 10 sources. All websites used MUST be in English and MUST be those of reputable organizations and companies (e.g., http://www.worldbank.org is acceptable, www.bobsweirdfacts.cc is not). 

It is recommended that you cite your sources and list your references using an APA format. You are required to cite your sources in parenthesis within the text. For example:

In 2010, the population of Country X was 10,569,544 (U.S. Dept of State, 2011).

Your reference list must include all sources cited in your paper and must be listed in alphabetical order. They must also include the full URL.

Wikipedia: The use of Wikipedia is not allowed.

MAN 4602 – TERM PROJECT GUIDELINES (Cont’d)

ADDITIONAL GUIDELINES:

· This is not a group project. You must work individually. 

· Do not use bullets.  All sections must be in narrative form using full sentences and paragraphs.  

· Make sure your name appears on the cover page.

· The structure of the paper should follow the outline listed in the Project Requirements above.

· Papers should be typed, double-spaced, 8-10 pages in length (including the cover sheet and reference list but excluding photos, maps, and charts).

· Submit an electronic copy of the paper using the Assignment Dropbox in CANVAS.

SEE CANVAS OR THE SYLLABUS FOR THE DUE DATE OF THE PROJECT.  LATE SUBMISSIONS WILL NOT BE ACCEPTED.

Current Events: Space Programs, Privatization, and Coopereative Efforts

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For this activity, explore NASA and Soviet space agency during 1945-198 and today’s privatized rocket programs and efforts (i.e., International Space Station. Use information from a credible source and use your new knowledge to compare and contrast the United States NASA and Soviet government owned space programs of 1945-1958 to the current privatization of rocket programs and cooperative efforts.

Read-it-Up

Using one of the news websites from the provided list, search for a current news story/event that demonstrates a chosen area of aviation over time for this assignment. Your current news selection must be within the last 180 days. Examine the news story or event, reflect, and consider all aspects and viewpoints the author provides.

Sum-it-Up / Relate-it-Up

In your initial post (must be 150 words), show a clear connection between the news story/event and the course materials. If there is no connection to course materials, you will lose 40 points. State the title of the news story and include the link so that others can access the story. You may apply any lens you wish to use when constructing this assignment: historic, scientific, technological, engineering, or math. Summarize the story and explain the cause and effect relationships for your chosen area (lens) of aviation for this assignment. 

Be sure to use an in-text citation at the end of each sentence where you have linked to the course materials (textbook) and any other source you cite (your article and outside source). Include all source information for your article, outside source(s), and the textbook in a reference area following your work. For correct formatting of citations and references, please refer to the current APA manual or the APA Style website. (Links to an external site.)

change in practice supported by an EBP approach

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n this Assignment, you will identify an issue or opportunity for change within your healthcare organization and propose an idea for a change in practice supported by an EBP approach.

To Prepare:

• Reflect on the four peer-reviewed articles you critically appraised in Module 4, related to your clinical topic of interest and PICOT.

• Reflect on your current healthcare organization and think about potential opportunities for evidence-based change, using your topic of interest and PICOT as the basis for your reflection.

• Consider the best method of disseminating the results of your presentation to an audience. 

The Assignment: (Evidence-Based Project)

Part 4: Recommending an Evidence-Based Practice Change

Create an 8- to 9-slide narrated PowerPoint presentation in which you do the following:

• Briefly describe your healthcare organization, including its culture and readiness for change. (You may opt to keep various elements of this anonymous, such as your company name.)

• Describe the current problem or opportunity for change. Include in this description the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general.

• Propose an evidence-based idea for a change in practice using an EBP approach to decision making. Note that you may find further research needs to be conducted if sufficient evidence is not discovered.

• Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation.

• Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy.

• Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change.

• Be sure to provide APA citations of the supporting evidence-based peer reviewed articles you selected to support your thinking.

• Add a lessons learned section that includes the following:

• A summary of the critical appraisal of the peer-reviewed articles you previously submitted

• An explanation about what you learned from completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template (1-3 slides)


My PICO question
This mnemonic was used to generate my PICOT question. In geriatric hospitalized patients(P), can handwashing with soap and water (I), as opposed to hand sanitizers (C),  aid to reduce Hospital Acquired Infection (HAI) occurrences(O) during 3 months? (T) 
Attached is my assignment for Module 4 with my references. I work in a medsurg unit so look up that healthcare organization, including its culture and readiness for change.

Week 3 H

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1. How do you describe the importance of data in analytics?

Can we think of analytics without data? Explain.

2. Considering the new and broad definition of business

analytics, what are the main inputs and outputs to the

analytics continuum?

3. Where do the data for business analytics come from?

What are the sources and the nature of those incoming

data?

4. What are the most common metrics that make for

analytics-ready data?

Exercise Question:

Go to data.gov—a U.S. government–sponsored data

portal that has a very large number of data sets on a

wide variety of topics ranging from healthcare to education,

climate to public safety. Pick a topic that you

are most passionate about. Go through the topic- specific

information and explanation provided on the site.

Explore the possibilities of downloading the data, and

use your favorite data visualization tool to create your

own meaningful information and visualizations.

Discussion :

Create a discussion thread (with your name) and answer the following question:
Discussion (Chapter 3): Why are the original/raw data not readily usable by analytics tasks? What are the main data preprocessing steps? List and explain their importance in analytics.
Note: The first post should be made by Wednesday 11:59 p.m., EST. I am looking for active engagement in the discussion.  Please engage early and often.
Your response should be 250-300 words.  Respond to two postings provided by your classmates.
There must be at least one APA formatted reference (and APA in-text citation) to support the thoughts in the post.  Do not use direct quotes, rather rephrase the author’s words and continue to use in-text citations

strategic planning

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It is now time to begin the strategic planning phase of your project. You have been hired as a consultant to help MovieFlix solve a business problem. You’ve previously described to MovieFlix’s leadership the first step to helping them solve their problem. Now it’s time to provide them with a full plan and timeline.

For your project this week, you will need to do the following:

  • Create a chart/table where you detail a SWOT analysis for MovieFlix. For your SWOT analysis, you need to list 3 internal strengths, 3 internal weaknesses, 3 external opportunities, and 3 external threats for MovieFlix.
  • In 1-2 paragraphs, discuss the information that you put into your SWOT analysis. Why did you list the strengths, weaknesses, opportunities, and threats that you did? Why are they strengths, weaknesses, etc.
  • Now detail the rest of the steps that you will guide MovieFlix through to reach a positive resolution to their problem. Make sure that you provide their leadership team with a timeframe for when you anticipate the project to be completed by.
  • Remember to use proper tone in your paper. You are speaking from a “consultant” point of view. Your audience is the Leadership Team at MovieFlix.
  • Make sure to include an APA formatted title page and reference page for sources that you may have used for your research. Remember to follow APA guidelines when paraphrasing or quoting information. Don’t forget to cite your sources and include in-text citations as necessary.

quadroteen

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In this assignment, you will review the interactive Endocrine Thyroid Case Study patient scenario and analyze the data to determine the health status of the patient. You will need a minimum of two evidence-based practice articles to include clinical practice guidelines, as well as the course textbook.

All papers must conform to the most recent APA standards.

RUBRIC

 

Clinical Case Study Rubric

Note: Scholarly resources are defined as evidence-based practice, peer-reviewed journals; textbook (do not rely solely on your textbook as a reference); and National Standard Guidelines. Review assignment instructions, as this will provide any additional requirements that are not specifically listed on the rubric.

Clinical Case Study Rubric – 100 PointsCriteriaExemplary
Exceeds ExpectationsAdvanced
Meets ExpectationsIntermediate
Needs ImprovementNovice
InadequateTotal PointsContent of Clinical Case StudyThe writer demonstrates a well-articulated understanding of the case study subject matter in a clear, complex, and informative manner. The case study content and theories are well developed and linked to the course content, assignment requirements, and practical experience. The case study includes relevant material that fulfills all objectives of the assignment.

Cites three or more references, using at least one new scholarly resource that was not provided in the course materials.

all instruction requirements noted

30 pointsThe writer demonstrates an understanding of the subject matter, and the components of the case study are accurately represented with evidence-based practice, ethics, theory, and/or role content. Course materials and scholarly resources are present to support required concepts. The paper includes relevant material that fulfills all objectives of the case study.

Cites two references.

Most instruction requirements are noted.

26 pointsThe writer demonstrates a moderate understanding of the subject matter. as evidenced by components of the case study and use of evidence-based practice, theory, or role-development. Course content is present but missing depth and or development.

Cites one reference.

23 pointsAbsent application to evidence-based practice, theory, or role development.

Demonstrates incomplete understanding of content and/or inadequate preparation.

Significant content of case study is vague, inaccurately portrayed, or missing.

No references cited.

Submits assignment late.

20 points30Analysis and Synthesis of Case Study Content and Meaning with Content Related to Preventative GuidelinesThrough critical analysis, the submitted case study provides an accurate, clear, concise, and complete summary of the scenario.

Information from scholarly resources is synthesized, providing new information or insight related to the context of the assignment by providing both supportive and alternative information or viewpoints

Includes all major and minor relevant risk factors based on standard preventative guidelines for age and gender and treatment/follow-up plans.

all instruction requirements noted.

30 pointsCase study is complete, providing evidence of further synthesis of course content via scholarly resources.

Information is synthesized to help fulfill the case study requirements. The content supports at least one viewpoint.

Submission provides clarification of the assignment by correctly answering all posed questions within the instructions.

Includes all major risk factors and most minor relevant risk factors based on standard preventative guidelines for age and gender (i.e.’ to two minor risk factors are missing and/or one incorrect treatment plan).

Most instruction requirements are noted.

26 pointsLacks clarification or new information. Scholarly reference supports the content without adding any new information or insight. Case study content may be confusing or unclear, and the summary may be incomplete.

Risk factors are partially complete (i.e., missing one to two major risk factors or three to four minor risk factors, or two incorrect treatment plans).

Missing some instruction requirements.

23 pointsSubmission is primarily a summation of the assignment without further synthesis of course content or analysis of the scenario.

Demonstrates incomplete understanding of content and/or inadequate preparation.

Multiple risk factors missing (e.g., three major risk or five to six minor risk factors or three incorrect treatment plans, or four or more major risk factors or seven or more minor risk factors or four or more incorrect treatment plans).

Scholarly reference(s) are incorrect or inappropriate for the topic case.

Missing several instruction requirements.

Submits assignment late.

20 points30Application of Knowledge To Clinical Aspect of Patient EncounterThe summary of the case study provides validated information via scholarly resources that offer a multidisciplinary approach to the scenario provided.

The student’s application in practice is accurate and plausible, and additional scholarly resources supporting the application are provided.

all questions posed within the assignment are answered correctly in a well-developed manner, applying knowledge with citations for validation.

Includes all relevant subjective and objective data; diagnostic testing; routine care to be provided; patient education; anticipatory guidance; review of previous diagnostics; and follow-up of acute concern and chronic health issues, etc.—based on assignment instructions.

all instruction requirements noted.

30 pointsA summary of the study, findings, and knowledge gained from the assignment is presented.

Student indicates how the information will be used within their professional practice.

all questions posed by the study are answered correctly.

Includes most of the routine content (subjective and objective data; diagnostic testing; routine care to be provided; education; anticipatory guidance; review of previous diagnostics; and follow-up) (is missing two minor details or one major detail).

Most instruction requirements are noted.

26 pointsComponents of the case study are summarized with minimal application to evidence-based practice, theory, or role development, thus presenting a more superficial analysis of content between the assignment and the broader course content. Synthesis of course content is present but missing depth and or development.

Student’s explanation of how the information will be used within their professional practice is vague or incomplete.

One of the questions posed is not answered and/or one of the questions is answered incorrectly.

Includes some of the routine content (subjective and objective data; diagnostic testing; routine care to be provided; education; anticipatory guidance; review of previous diagnostics; and follow-up) (is missing three minor details or two major details).

Cited one reference.

Missing some instruction requirements.

23 pointsAbsent application to evidence-based practice, theory, or role development. Synthesis of course content is superficial.

Demonstrates incomplete understanding of content and/or inadequate preparation.

Content of case study is inaccurately portrayed or missing.

Student’s explanation of how the information will be used within their professional practice is not feasible or appropriate, or student fails to explain how the information will be used within their personal practice.

Omits routine content (subjective and objective data; diagnostic testing; routine care to be provided; education; anticipatory guidance; review of previous diagnostics; and follow-up) (is missing four to five minor details or three major details or six or more minor details or four or more major details.

Two or more questions are not answered and/or are answered incorrectly.

No references cited.

Missing several instruction requirements.

Submits post late.

20 points30OrganizationWell-organized content with a clear and complex purpose statement and content argument. Writing is concise, with a logical flow of ideas.

5 pointsOrganized content with an informative purpose statement, supportive content, and summary statement. Argument content is developed, with minimal issues in content flow.

4 pointsPoor organization and flow of ideas distract from content. Narrative is difficult to follow and frequently causes reader to reread work.

Purpose statement is noted.

3 pointsIllogical flow of ideas. Prose rambles. Purpose statement is unclear or missing.

Demonstrates incomplete understanding of content and/or inadequate preparation.

No purpose statement.

Submits assignment late.

2 points5APA, Grammar, and SpellingCorrect APA formatting with no errors.

The writer correctly identifies reading audience, as demonstrated by appropriate language (avoids jargon and simplifies complex concepts appropriately).

Writing is concise, in active voice, and avoids awkward transitions and overuse of conjunctions.

There are no spelling, punctuation, or word-usage errors.

5 pointsCorrect and consistent APA formatting of references and cites all references used.

No more than two unique APA errors.

The writer demonstrates correct usage of formal English language in sentence construction. Variation in sentence structure and word usage promotes readability.

There are minimal to no grammar, punctuation, or word-usage errors.

4 pointsThree to four unique APA formatting errors.

The writer occasionally uses awkward sentence construction or overuses/inappropriately uses complex sentence structure. Problems with word usage (evidence of incorrect use of thesaurus) and punctuation persist, often causing some difficulties with grammar. Some words, transitional phrases, and conjunctions are overused.

Multiple grammar, punctuation, or word usage errors.

3 pointsFive or more unique formatting errors, or no attempt to format in APA.

The writer demonstrates limited understanding of formal written language use; writing is colloquial (conforms to spoken language).

The writer struggles with limited vocabulary and has difficulty conveying meaning such that only the broadest, most general messages are presented.

Grammar and punctuation are consistently incorrect. Spelling errors are numerous.

2 points5Total Points100 

Organizational Form Homework Assignment

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Choosing an Organizational Form – Paper

 Sole proprietorships, partnerships, and corporations are the three most common categories of business entities in the United States. Many health care providers organize as corporations, but many private medical practices operate as sole proprietorships or partnerships. Each organizational structure has benefits, drawbacks, structures, setup processes, and taxation implications that health care entities must consider when deciding how to structure their business.

For each scenario, consider how you would proceed as a manager of this company. Be sure to include the following details to justify your thinking:

  • Do you agree with the organizational form chosen in each of these scenarios? Why or why not?
  • Which type of organizational form would you have chosen, and why?
  • If you were consulted for advice in each scenario, what questions would you ask to help these individuals make the best decision?

Here are the three scenarios for your consideration:

  1. Sonya is considering starting a practice in which she will be the sole orthodontist. She owns a home, and her top priority is making sure that she cannot lose her home because of a lawsuit. Her brother told her not to incorporate because it would be very expensive and would lead to more regulatory scrutiny. She chooses to operate as a sole proprietorship.
  2. Bradley and Li Jing have been friends since the beginning of college. Bradley has a master’s degree in Nutrition Science, and Li Jing has a master’s degree in Exercise Therapy. They decide they should combine their skills and open their own wellness center. Upon graduation, they use a verbal agreement to enter into a limited partnership. Bradley’s girlfriend expresses that she opposes this idea because she wants to move back to her home state. Bradley tells her not to worry because it will be easy for him to sell his share of the organization if they chose to move in the future.
  3. May, Paulo, Jordan, and David have been operating their mental health center as a general partnership for almost eight years. Paulo, a psychiatrist, has discovered a revolutionary new kind of therapy that he believes will be extremely popular and effective. He wants to take on investors to help fund the expansion of the center and implement the new therapy program. The four discuss forming a corporation, but Jordan is concerned that it will increase their tax liabilities substantially. She convinces the group they should remain as a partnership.

Your paper should be two to three pages in length (not including the required title and reference pages) and conform to the APA standards. Include at least two scholarly references.

Personal Philosophy of Culturally Competent Nursing

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Personal Philosophy of Culturally Competent Nursing

Apply a model of cultural competence to personal practice beliefs. For this assignment:

  1. Reflect on the 5 constructs of Campinha-Bacote’s model of The Process of Cultural Competence in the Delivery of Healthcare Services: Cultural desire, Cultural Awareness, Cultural Knowledge, Cultural Skill, and Cultural Encounters. (See Chapter 2)
  2. Review the Mission statements and values of St. Thomas University and its Nursing programs.
  3. Reflect on your learning during this course.
  4. Evidence of reflection on Campinha-Bacote’s cultural competency model and/or STU mission and values.
  5. Your personal beliefs.
  6. Your philosophy statement(s) related to culturally competent nursing care.
  7. Implementing your beliefs.
  8. Continuing your journey towards cultural competence.

Submission Instructions:

  • Your paper should be formatted per current APA  7edition and references should be current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions)
  • The paper is to be clear and concise and students will lose points for improper grammar, punctuation and misspelling.
  • The paper is to be no shorter than 1 pages; nor longer than 2 pages in length, excluding the title, abstract and references page.
  • Incorporate a minimum of 2 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work. Journal articles and books should be referenced according to current APA style (the library has a copy of the APA Manual).

Nursing, Self-Management

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  • In this assignment, you will present a culturally sensitive self-management plan for a patient with a chronic disease.

Step 1 Choose a chronic disease that you frequently encounter in your nursing practice. Alternatively, pick a chronic disease that you would like to explore further.

Step 2 Select a culture that you often encounter in your practice or one that you would like to learn more about. For the purposes of this presentation, you may choose a culture based on religion; racial or ethnic group; cognitive, sensory, or physical disability; or sexual orientation or gender identity. Create a (minimum) 6 slide power-point presentation (PPP), not including the title page or reference page.

Imagine you were chosen to present this information in a seminar of your peers. You will present current, evidence-based research to your audience! Get their attention with color and pictures. Each slide must follow the 7×7 rule. No more than 7 lines and 7 words per line. You will lose your audience if you just throw up a white slide with lengthy paragraphs. Have fun with this project!

Under the PPP slide, if you pull it up, you will see a text box. Here is where you write “speaker notes” to yourself and to your instructor so I know what you will say to your audience. Type it as you would imagine saying it to your audience. “Hi, my name is XXX and I am so glad you all joined me today for this seminar!” Your speaker notes should be in paragraph format, not your slide. The audience should not do more reading than you do talking so keep that in mind. If they are still reading and you are done talking, you will need more in the speaker notes to keep from uncomfortable silence.

Step 3  Format is a large chunk of this assignment. You will need to closely follow the PPP template in 7th. edition APA for formatting provided below. You will have a title slide, an intro slide, a body of slides, a conclusion slide and a reference slide. Altogether you should have a minimum of 6 slides not counting the title or ref. slide. Your slides should have in-text citations as shown in the template as well as research scattered in your speaker notes. This is not professional opinion, but rather an evidence-based self-management plan you have developed to improve the quality of care or outcomes of your chronic patient.

Address the following topics in your slides:

  • Intro slide: Introduce your topic and your culture and greet your audience. This slide should make a strong first impression. It may be in paragraph form and does not need to follow the 7×7 rule.
  • Body slide: Use research to describe the chronic condition
  • Body slide: Describe the culture associated with the chronic condition and how they are connected.
  • Body slides: Identify 3-4 self-care needs for the patient with the chronic illness you chose. For example:
    • An Hispanic patient with diabetes will need to monitor blood glucose levels daily.
  • Body slides: Identify at least one measurable, patient-centered goal for each self-care need. For example:
    • The patient will record blood sugar every day for 10 days.
  • Body slides: Present possible culturally barriers the healthcare professional should anticipate. For example:
    • The Hispanic patient does not speak or write English and does not have anyone in the home who does.
  • Body slides: Describe how you will evaluate whether the goals are in progress or were met.
    • Return demonstration for obtaining a capillary blood glucose level and recording number on worksheet.
  • Conclusion slide: Provide a summary of your presentation without introducing any more research and leave your audience in awe of your awesomeness and professionalism. Thank them for coming to your seminar! This slide may be in paragraph form and does not need to follow the 7×7 rule.
  • Provide a reference slide citing any sources used in the presentation in the format requested by your instructor. All slides with research must use in-text citations and also needs citations scattered in the speaker notes below the slide. References and in-text citations must follow the 7th edition APA format as shown in the sample PPP and in the APA book required for this course.

WK10 NURS 6512 ASSIGN

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Assignment: Lab Assignment: Assessing the Genitalia and Rectum

Photo Credit: Getty Images

Patients are frequently uncomfortable discussing with healthcare professional’s issues that involve the genitalia and rectum; however, gathering an adequate history and properly conducting a physical exam are vital. Examining case studies of genital and rectal abnormalities can help prepare advanced practice nurses to accurately assess patients with problems in these areas.

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.

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.

1- 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.

2- Search the Walden library or the Internet for evidence-based resources to support your answers to the questions provided.

3- 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?

4-Identify at least five possible conditions that may be considered in a differential diagnosis for the patient.

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.

Post the assignment By Day 7 of Week 10. Follow the rubric! We grade by the rubric!

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, neg McBurney
  • Diagnostics: HSV specimen obtained

Assessment:

  • Chancre

Learning Resources

Required Readings (click to expand/reduce)

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Seidel’s guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.

Chapter 17, “Breasts and Axillae”

This chapter focuses on examining the breasts and axillae. The authors describe the examination procedures and the anatomy and physiology of breasts.
Chapter 19, “Female Genitalia”

In this chapter, the authors explain how to conduct an examination of female genitalia. The chapter also describes the form and function of female genitalia.
Chapter 20, “Male Genitalia”

The authors explain the biology of the penis, testicles, epididymides, scrotum, prostate gland, and seminal vesicles. Additionally, the chapter explains how to perform an exam of these areas.
Chapter 21, “Anus, Rectum, and Prostate”

This chapter focuses on performing an exam of the anus, rectum, and prostate. The authors also explain the anatomy and physiology of the anus, rectum, and prostate.

Dains, J. E., Baumann, L. C., & Scheibel, P. (2019). Advanced health assessment and clinical diagnosis in primary care (6th ed.). St. Louis, MO: Elsevier Mosby.
Credit Line: Advanced Health Assessment and Clinical Diagnosis in Primary Care, 6th Edition by Dains, J.E., Baumann, L. C., & Scheibel, P. Copyright 2019 by Mosby. Reprinted by permission of Mosby via the Copyright Clearance Center.

Chapter 5, “Amenorrhea”
Amenorrhea, or the absence of menstruation, is the focus of this chapter. The authors include key questions to ask patients when taking histories and explain what to look for in the physical exam.

Chapter 6, “Breast Lumps and Nipple Discharge”
This chapter focuses on the important topic of breast lumps and nipple discharge. Because breast cancer is the most common type of cancer in women, it is important to get an accurate diagnosis. Information in the chapter includes key questions to ask and what to look for in the physical exam.

Chapter 7, “Breast Pain”
Determining the cause of breast pain can be difficult. This chapter examines how to determine the likely cause of the pain through diagnostic tests, physical examination, and careful analysis of a patient’s health history.

Chapter 27, “Penile Discharge”
The focus of this chapter is on how to diagnose the causes of penile discharge. The authors include specific questions to ask when gathering a patient’s history to narrow down the likely diagnosis. They also give advice on performing a focused physical exam.

Chapter 36, “Vaginal Bleeding”
In this chapter, the causes of vaginal bleeding are explored. The authors focus on symptoms outside the regular menstrual cycle. The authors discuss key questions to ask the patient as well as specific physical examination procedures and laboratory studies that may be useful in reaching a diagnosis.

Chapter 37, “Vaginal Discharge and Itching”
This chapter examines the process of identifying causes of vaginal discharge and itching. The authors include questions on the characteristics of the discharge, the possibility of the issues being the result of a sexually transmitted infection, and how often the discharge occurs. A chart highlights potential diagnoses based on patient history, physical findings, and diagnostic studies.

Sullivan, D. D. (2019). Guide to clinical documentation (3rd ed.). Philadelphia, PA: F. A. Davis.

Chapter 3, “SOAP Notes” (Previously read in Week 8)

Cucci, E., Santoro, A., DiGesu, C., DiCerce, R., & Sallustio, G. (2015). Sclerosing adenosis of the breast: Report of two cases and review of the literature. Polish Journal of Radiology, 80, 122–127. doi:10.12659/PJR.892706. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4356184/  

Sabbagh , C., Mauvis, F., Vecten, A., Ainseba, N., Cosse, C., Diouf, M., & Regimbeau, J. M. (2014). What is the best position for analyzing the lower and middle rectum and sphincter function in a digital rectal examination? A randomized, controlled study in men. Digestive and Liver Disease, 46(12), 1082–1085. doi:10.1016/j.dld.2014.08.045

Westhoff , C. L., Jones, H. E., & Guiahi, M. (2011). Do new guidelines and technology make the routine pelvic examination obsolete? Journal of Women’s Health, 20(1), 5–10.

This article describes the benefits of new technology and guidelines for pelvic exams. The authors also detail which guidelines and technology may become obsolete.

Centers for Disease Control and Prevention. (2019). Sexually transmitted diseases (STDs). Retrieved from http://www.cdc.gov/std/#

This section of the CDC website provides a range of information on sexually transmitted diseases (STDs). The website includes reports on STDs, related projects and initiatives, treatment information, and program tools.

Document: Final Exam Review (Word document)

Optional Resource

LeBlond, R. F., Brown, D. D., & DeGowin, R. L. (2014). DeGowin’s diagnostic examination (10th ed.). New York, NY: McGraw Hill Medical.

Chapter 8, “The Chest: Chest Wall, Pulmonary, and Cardiovascular Systems; The Breasts” (Section 2, “The Breasts,” pp. 434–444)

Section 2 of this chapter focuses on the anatomy and physiology of breasts. The section provides descriptions of breast examinations and common breast conditions.
Chapter 11, “The Female Genitalia and Reproductive System” (pp. 541–562)

In this chapter, the authors provide an overview of the female reproductive system. The authors also describe symptoms of disorders in the reproductive system.
Chapter 12, “The Male Genitalia and Reproductive System” (pp. 563–584)

The authors of this chapter detail the anatomy of the male reproductive system. Additionally, the authors describe how to conduct an exam of the male reproductive system.
Review of Chapter 9, “The Abdomen, Perineum, Anus, and Rectosigmoid” (pp. 445–527)

Required Media (click to expand/reduce)

Special Examinations – Breast, Genital, Prostate, and Rectal – Week 10 (14m)

Accessible player –Downloads–Download Video w/CCDownload AudioDownload Transcript

Online media for Seidel’s Guide to Physical Examination

It is highly recommended that you access and view the resources included with the course text, Seidel’s Guide to Physical Examination. Focus on the videos and animations in Chapters 16 and 18–20 that relate to special examinations, including breast, genital, prostate, and rectal. Refer to the Week 4 Learning Resources area for access instructions on https://evolve.elsevier.com/

Rubric Detail

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Name: NURS_6512_Week_10_Assignment_Rubric

ExcellentGoodFairPoorWith regard to the SOAP note case study provided and 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.10 (10%) – 12 (12%)The response clearly, accurately, and thoroughly analyzes the subjective portion of the SOAP note and lists detailed additional information to be included in the documentation.7 (7%) – 9 (9%)The response accurately analyzes the subjective portion of the SOAP note and lists additional information to be included in the documentation.4 (4%) – 6 (6%)The response vaguely analyzes the subjective portion of the SOAP note and vaguely and/or inaccurately lists additional information to be included in the documentation.0 (0%) – 3 (3%)The response inaccurately analyzes the subjective portion of the SOAP note, with inaccurate and/or missing additional information included in the documentation.·   Analyze the objective portion of the note. List additional information that should be included in the documentation.10 (10%) – 12 (12%)The response clearly, accurately, and thoroughly analyzes the objective portion of the SOAP note and lists detailed additional information to be included in the documentation.7 (7%) – 9 (9%)The response accurately analyzes the objective portion of the SOAP note and lists additional information to be included in the documentation.4 (4%) – 6 (6%)The response vaguely analyzes the objective portion of the SOAP note and vaguely and/or inaccurately lists additional information to be included in the documentation.0 (0%) – 3 (3%)The response inaccurately analyzes the objective portion of the SOAP note, with inaccurate and/or missing additional information included in the documentation.·  Is the assessment supported by the subjective and objective information? Why or why not?14 (14%) – 16 (16%)The response clearly and accurately identifies whether or not the assessment is supported by the subjective and/or objective information, with a thorough and detailed explanation.11 (11%) – 13 (13%)The response accurately identifies whether or not the assessment is supported by the subjective and/or objective information, with a clear explanation.8 (8%) – 10 (10%)The response vaguely identifies whether or not the assessment is supported by the subjective and/or objective information, with a vague explanation.0 (0%) – 7 (7%)The response inaccurately identifies whether or not the assessment is supported by the subjective and/or objective information, with an inaccurate or missing explanation.·   What diagnostic tests would be appropriate for this case, and how would the results be used to make a diagnosis?18 (18%) – 20 (20%)The response thoroughly and accurately describes appropriate diagnostic tests for the case and explains clearly, thoroughly, and accurately how the test results would be used to make a diagnosis.15 (15%) – 17 (17%)The response accurately describes appropriate diagnostic tests for the case and explains how the test results would be used to make a diagnosis.12 (12%) – 14 (14%)The response vaguely and/or with some inaccuracy describes appropriate diagnostic tests for the case and vaguely and/or with some inaccuracy explains how the test results would be used to make a diagnosis.0 (0%) – 11 (11%)The response inaccurately describes appropriate diagnostic tests for the case, with an inaccurate or missing explanation of how the test results would be used to make a diagnosis.·   Would you reject or accept the current diagnosis? Why or why not?
·   Identify three possible conditions that may be considered as a differenial diagnosis for this patient. Explain your reasoning using at least three different references from current evidence-based literature.23 (23%) – 25 (25%)The response states clearly whether to accept or reject the current diagnosis, with a thorough, accurate, and detailed explanation of sound reasoning. The response clearly, thoroughly, and accurately identifies three conditions as a differential diagnosis, with reasoning that is explained clearly, accurately, and thoroughly using three or more different references from current evidence-based literature.20 (20%) – 22 (22%)The response states whether to accept or reject the current diagnosis, with an accurate explanation of sound reasoning. The response accurately identifies three conditions as a differential diagnosis, with reasoning that is explained using three different references from current evidence-based literature.17 (17%) – 19 (19%)The response states whether to accept or reject the current diagnosis, with a vague explanation of the reasoning. The response identifies two to three conditions as a differential diagnosis, with reasoning that is explained vaguely and/or inaccurately using three or fewer references from current evidence-based literature.0 (0%) – 16 (16%)The response inaccurately states or is missing a statement of whether to accept or reject the current diagnosis, with an explanation that is inaccurate and/or missing. The response identifies three or fewer conditions as a differential diagnosis, with reasoning that is missing or explained inaccurately using two or fewer references from current evidence-based literature.Written Expression and Formatting – Paragraph Development and Organization:
Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction are provided that delineate all required criteria.5 (5%) – 5 (5%)Paragraphs and sentences follow writing standards for flow, continuity, and clarity. A clear and comprehensive purpose statement, introduction, and conclusion are provided that delineate all required criteria.4 (4%) – 4 (4%)Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time. Purpose, introduction, and conclusion of the assignment are stated, yet are brief and not descriptive.3 (3%) – 3 (3%)Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time. Purpose, introduction, and conclusion of the assignment are vague or off topic.0 (0%) – 2 (2%)Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time. No purpose statement, introduction, or conclusion were provided.Written Expression and Formatting – English writing standards:
Correct grammar, mechanics, and proper punctuation5 (5%) – 5 (5%)Uses correct grammar, spelling, and punctuation with no errors.4 (4%) – 4 (4%)Contains a few (1 or 2) grammar, spelling, and punctuation errors.3 (3%) – 3 (3%)Contains several (3 or 4) grammar, spelling, and punctuation errors.0 (0%) – 2 (2%)Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running heads, parenthetical/in-text citations, and reference list.5 (5%) – 5 (5%)Uses correct APA format with no errors.4 (4%) – 4 (4%)Contains a few (1 or 2) APA format errors.3 (3%) – 3 (3%)Contains several (3 or 4) APA format errors.0 (0%) – 2 (2%)Contains many (≥ 5) APA format errors.Total Points: 100

Name: NURS_6512_Week_10_Assignment_Rubric