Discussion Board 3: COPD
The patient is a 60-year-old white female presenting to the emergency department with acute onset shortness of breath. Symptoms began approximately 2 days before and had progressively worsened with no associated, aggravating, or relieving factors noted. She had similar symptoms approximately 1 year ago with an acute, chronic obstructive pulmonary disease (COPD) exacerbation requiring hospitalization. She uses BiPAP ventilatory support at night when sleeping and has requested to use this in the emergency department due to shortness of breath and wanting to sleep.
She denies fever, chills, cough, wheezing, sputum production, chest pain, palpitations, pressure, abdominal pain, abdominal distension, nausea, vomiting, and diarrhea.
She reports difficulty breathing at rest, forgetfulness, mild fatigue, feeling chilled, requiring blankets, increased urinary frequency, incontinence, and swelling in her bilateral lower extremities that are new-onset and worsening. Subsequently, she has not ambulated from bed for several days except to use the restroom due to feeling weak, fatigued, and short of breath.
There are no known ill contacts at home. Her family history includes significant heart disease and prostate malignancy in her father. Social history is positive for smoking tobacco use at 30 pack years. She quit smoking 2 years ago due to increasing shortness of breath. She denies all alcohol and illegal drug use. There are no known foods, drugs, or environmental allergies.
Past medical history is significant for coronary artery disease, myocardial infarction, COPD, hypertension, hyperlipidemia, hypothyroidism, diabetes mellitus, peripheral vascular disease, tobacco usage, and obesity. Past surgical history is significant for an appendectomy, cardiac catheterization with stent placement, hysterectomy, and nephrectomy.
Her current medications include fluticasone-vilanterol 100-25 mcg inhaled daily, hydralazine 50 mg by mouth, 3 times per day, hydrochlorothiazide 25 mg by mouth daily, albuterol-ipratropium inhaled every 4 hours PRN, levothyroxine 175 mcg by mouth daily, metformin 500 mg by mouth twice per day, nebivolol 5 mg by mouth daily, aspirin 81 mg by mouth daily, vitamin D3 1000 units by mouth daily, clopidogrel 75 mg by mouth daily, isosorbide mononitrate 60 mg by mouth daily, and rosuvastatin 40 mg by mouth daily.
Physical Exam
Initial physical exam reveals temperature 97.3 F, heart rate 74 bpm, respiratory rate 24, BP 104/54, HT 160 cm, WT 100 kg, BMI 39.1, and O2 saturation 90% on room air.
Constitutional: Extremely obese, acutely ill-appearing female. Well-developed and well-nourished with BiPAP in place. Lying on a hospital stretcher under 3 blankets.
HEENT: Head: Normocephalic and atraumatic
Mouth: Moist mucous membranes Macroglossia
Eyes: Conjunctiva and EOM are normal. Pupils are equal, round, and reactive to light. No scleral icterus. Bilateral periorbital edema present.
Neck: Neck supple. No JVD present. No masses or surgical scarring. Throat: Patent and moist
Cardiovascular: Normal rate, regular rhythm, and normal heart sound with no murmur. 2+ pitting edema bilateral lower extremities and strong pulses in all four extremities.
Pulmonary/Chest: No respiratory status distress at this time, tachypnea present, (+) wheezing noted, bilateral rhonchi, decreased air movement bilaterally. The patient was barely able to finish a full sentence due to shortness of breath.
Abdominal: Soft. Obese. Bowel sounds are normal. No distension and no tenderness
Skin: Skin is very dry
Neurologic: Alert, awake, able to protect her airway. Moving all extremities. No sensation losses
Questions
What pertinent labs and diagnostics are ordered for this patient?
What are your differential diagnosis?
What is your treatment plan?
Use APA 7th Edition , references within 5 years of publication for each post. All paragraphs need to be cited properly. All responses must be in a narrative format and each paragraph must have at least 4 sentences. Please post your initial post by Wednesday
Author: admin
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Title: COPD Exacerbation in a 60-Year-Old Female: Diagnosis and Management in the Emergency Department “Effective Online Communication: Tips for Crafting Quality Posts”
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“Analyzing Apple Inc’s Financial Performance: A Mergent Database Research Report”
see attachments for instructions
selected company: Apple Inc
required sources
https://www-mergentonline-com.ezproxy.snhu.edu/basicsearch.php
https://www-mergentintellect-com.ezproxy.snhu.edu/index.php/search/index -
Title: The U.S. Constitution and the Rights of Illegal Aliens: Examining the Debate on Equal Benefits and Protections
Please see attached instructions.
I prefer to go with the second topic.
. Does the U.S. Constitution provide the same benefits and protections to illegal aliens that it provides to U.S. citizens and legal aliens? Identify and summarize sources that address this issue, including the pros and cons associated therewith. -
“Addressing Criminal Justice Issues in Canada: A Proposed Policy Solution” “Addressing Systemic Injustice: A Comprehensive Policy Solution for Victims of Sexual Assault in Canada” “Exploring Cultural Practices and Alternatives to Criminal Justice Policy: A Policy Analysis”
CRIM Final Paper.
Hello,
Please find my syllabus, and readings attached. Note that my lecture notes must be somehow incorporated, but because there are many, I will send only the ones you require. Please go through the assignment and syllabus, and let me know what lectures you need to incorporate (terminologies, themes, etc) so I can send them to you. This goes for the readings as well. 🙂
Also, to have an idea of what the policy solution looks like for this class, I have attached my previous assignment (Policy brief). Please note that it is to have an idea of what to do and it is not a part of this assignment.
Assignment Instructions:
This assignment combines aspects of previous assignments to assess your overall understanding of the materials and learning outcomes of this course. You must propose a policy solution to one of the issues discussed in the course, or otherwise demonstrably related to the course content and/or themes (i.e., criminal justice related). Your solution must be a criminal justice policy, or a policy with significant and clearly articulated criminal justice implications or relevance. Your proposed solution can be a completely novel policy, or it can be a revision of an existing policy or set of policies (the revision must be significant enough to be the subject of a paper of this length); it can even (but does not have to) combine elements of criminal justice policy with elements of other kinds of policy. Importantly, your policy must apply to a criminal justice issue, and take into account government infrastructure, in Canada (at the federal, provincial or territorial, or municipal level).
Your paper must have the following components:
• The context out of which the need for your solution arises: You must justify the need for this policy within contemporary social issues, public opinions or community needs, and policy shortcomings – in other words explain and defend the need for your solution.
• Discursive considerations: How are you framing the problem that your solution addresses and how is this framing different from existing framings (i.e., framings in existing government approaches to this issue)? What dominant discourses and subjugated knowledges are you engaging, challenging, and/or adopting with this solution?
• Theoretical engagement: In addition to practical considerations, you must justify your policy using theoretical tools (theory/ies and/or concept/s) drawn from course readings, and, if desired, other scholarly references, and apply them across or where suitable in the paper.
• What it involves: Describe what, exactly, your solution includes and involves. This may include a creative or visual layout for the policy such as a bill-like format, or a table. You must specify if your solution is a modification to an existing policy or set of policies (like how bills propose changes to various laws), or something completely new. As part of this you must also consider and explain how it fits into, or with, existing and relevant government structures, policies and/or procedures.
• How it works: Explain how your policy solution would be implemented, including: whom it targets, regulates and/or affects; the geographical community, institution, organization, and/or level of government to which it applies; how it will be rolled out; and its anticipated effects/impacts.
• An introduction that gives a roadmap of your paper, and a conclusion that reiterates your key points and speaks to the importance of your proposed solution.
Your proposed policy solution must be clear, creative, internally coherent, and appropriate for the problem and context identified. Your solution must also be your own invention – you cannot simply describe a criminal justice policy that is currently being introduced in Canada (e.g., a bill). If you want to do a police-related policy for your final paper, it must pertain to a different (not Toronto) municipal service, a provincial force, or the RCMP.
Your reference list must contain at least 12 references. Acceptable references include: at least 4 academic publications (i.e., not policy/legislative texts) from the course readings list; other academic publications including journal articles and books; existing pieces of legislation you are specifically using (e.g., specific Criminal Code sections, municipal regulations) – you are advised to use bills carefully (e.g., defend use or relationship if it did not become law); reports by government agencies, think tanks, or non-governmental organizations; evidence of public opinion, including website content, press releases, and social media content by advocacy/community organizations, as well as newspaper articles (but do not use newspaper articles for statistics or facts – use scholarly or other research reports, such as statistical reports from Statistics Canada, for this instead).
Format:
12 pages (max. 14; exclusive of reference list) double-spaced in length, Times New Roman font, with APA referencing for in-text citations and reference list (see guide in eClass). You must note the page number for all in-text citations, both for direct quotes and paraphrasing (for online sources without page numbers, write np). Block quotes (over 40 words) are allowed in an assignment of this length if they are well-chosen (i.e., paraphrasing would not suffice for some specific reason); in general however, you are urged to paraphrase in order to demonstrate your understanding of the issues discussed.
You are expected to title your paper, and also to name your suggested policy solution (does not have to be significantly different from the name of your paper, but it can be). Be sure to include name and student number at the top of the first page of your essay – a title page is not necessary.
Evaluation:
You will be graded on the quality of your analysis and justification, including your application of theoretical tools, and your consideration of existing government policy and infrastructure, and current/relevant (e.g., community, crime) issues; the design of your solution, including its appropriateness, feasibility, timeliness, and cohesiveness; your creativity; your writing (including clarity, grammar, and spelling); and your APA referencing.
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Please find my syllabus, and readings attached.
Draft Ideas:
Here are some readings from the syllabus that I think can build a foundation for the policy solution. Please feel free to edit or add ideas. Also, If you require access to some articles, please let me know and I can send you the pdf.
1. Context and Justification:
– Roach, K. (2014). Blaming the victim: Canadian law, causation, and residential schools. University of Toronto Law Journal, 64(4), 566-595.
– Murphy-Oikonen, J., McQueen, K., Miller, A., Chambers, L., & Hiebert, A. (2022). Unfounded sexual assault: Women’s experiences of not being believed by the police. Journal of Interpersonal Violence, 37(11-12), NP8916-NP8940.
2. Discursive Considerations:
– Chan, W., & Chunn, D. (2014). Intersectionality, crime and criminal justice. Racialization, crime, and criminal justice in Canada (pp. 27-38). Toronto: University of Toronto Press.
– Razack, S. (2008). Introduction: Race thinking and the camp. Casting out: The eviction of Muslims from Western law and politics (pp. 3-22). University of Toronto Press.
3. Theoretical Engagement:
– Turkel, G. (1990). Michel Foucault: Law, power, and knowledge. Journal of Law and Society, 17(2), 170-193.
– Cohen, S. (1985). Inside the system. Visions of social control: Crime, punishment and classification (pp. 40-86). Cambridge: Polity Press.
4. Policy Design and Implementation:
– Bill C-36 (2014), Protection of Communities and Exploited Persons Act: An Act to Amend the Criminal Code in Response to the Supreme Court of Canada Decision in Attorney General of Canada v. Bedford and to Make Consequential Amendments to Other Acts, 2nd session, 41st Parliament. Preamble only.
– Bill S-7 (2015), Zero Tolerance for Barbaric Cultural Practices Act.
5. Policy Analysis:
– Bacchi, C., & Goodwin, S. (2016). Chapter 2: Making politics visible: The WPR approach. Poststructural policy analysis: A guide to practice (pp. 13-26). Springer.
– Bardach, E. (2012). Part I. A practical guide to policy analysis: The eightfold path to more effective problem solving (pp. 1-60). Los Angeles: Sage.
6. Alternatives to Criminal Justice Policy:
– Braithwaite, J., & Daly, J. (1998). Masculinities, violence, and community control. In T. Newburn & E. A. Stanko (Eds.), Just Boys Doing Business? Men, masculinities, and crime (pp. 189-213). New York: Routledge.
– Murdocca, C. (2020). Re-imagining “serving time” in indigenous communities. Canadian Journal of Women and the Law, 32(1), 31-60. -
Title: “Ethical and Policy Issues in Coordinating Care for Cardiovascular Health: Implications for the American Heart Association”
Select a community organization or group that you feel would be interested in learning about ethical and policy issues that affect the coordination of care. Then, develop and record a 10-12-slide, 20-minute presentation, with audio, intended for that audience. CREATE A DETAILED NARRATIVE SCRIPT OR SPEAKER NOTES FOR YOUR PRESENTATION 4-5 PAGES IN LENGTH.
USE THIS COMMUNITY RESOURCE
American Heart Association: This organization focuses on cardiovascular health and
provides education, support, and advocacy for individuals with heart disease and stroke.
PowerPoint has a feature to type the speaker notes directly into the presentation. You are encouraged to use that feature or you may choose to submit a separate document. See Microsoft Office Software for technical support about the use of PowerPoint, including voice recording and speaker notes.
For this assessment, develop your presentation slides and speaker notes
Your slide deck should consist of 10–12 slides, not including a title and references slide with typed speaker notes
Create a detailed narrative script for your presentation, approximately 4–5 pages in length.
Cite 3–5 credible sources from peer-reviewed journals or professional industry publications to support your presentation. Include your source citations on a references page appended to your narrative script.
Explain how governmental policies related to the health and/or safety of the community affect the coordination of care.
Provide examples of a specific policy affecting the organization or group.
Refer to the assessment resources for help in locating relevant policies.
Be sure influential policies include the Health Insurance Portability and Accountability Act (HIPPA).
Identify national, state, and local policy provisions that raise ethical questions or dilemmas for care coordination.
What are the implications and consequences of specific policy provisions?
What evidence do you have to support your conclusions?
Assess the impact of the code of ethics for nurses on the coordination and continuum of care.
Consider the factors that contribute to health, health disparities, and access to services.
Consider the social determinants of health identified in Healthy People 2020 as a framework for your assessment.
Provide evidence to support your conclusions.
Communicate key ethical and policy issues in a presentation affecting the coordination and continuum of care for a selected community organization or support group. Either speaker notes or audio voice-over are included for a proficient score; both speaker notes and the audio voice over are included for a distinguished score.
PLEASE FOCUS CLOSELY ON THE REQUIRED INFORMATION NEEDED FOR THIS PPT PRESENTATION. -
“Exploring the Relationship between Contemporary Psychological Approaches to Anxiety and Traditional Intellectual Traditions” Title: Understanding Different Forms of Anxiety
For this final essay for the class, I would like you to think about the relationship between contemporary, psychological approaches to anxiety and the way anxiety has been viewed in some of the other intellectual traditions we have explored this semester.
To do this, I’ll ask you to read and consider the approach to anxiety developed in Judson Brewer’s recent book Unwinding Anxiety: New Science Shows How to Break the Cycles of Worry and Fear to Heal the Mind (Penguin, 2022). Dr. Brewer is a psychiatrist who researches anxiety and who has developed a theraeupeutic approach to managing anxiety that is grounded in neuroscientific reserch.
Taking the examples Dr. Brewer discusses in the first section of his book, I’d like you to compare these with three of the approaches to anxiety we’ve examined together.
The first is the Existentialist concept of Anxiety as Possibility. In the understanding of anxiety developed by Kierkegaard, Heidegger, and Sartre, the subjective feeling of anxiety is our awareness of our own freedom and potential. We are anxious, the Existentialists argue, because we recognize a gap between the world as it is and the world as we would like it to be. Such anxiety is mobilizing: it forces us into an active and transformative engagement with the world.
The second approach we have explored is the Psychoanalytic concept of Signal Anxiety. For Freud, the experience of anxiety is like a red flag indicating danger. It’s an anticipation mechanism that alerts us to the possibility of a threat to our ego. Signal anxiety gives the psyche an opportunity to mobilize an ego-defense mechanism like repression (forcing unmanageable thoughts out of consciousness) or regression (retreating to an earlier, more childish state) in order to manage the anticipated threat.
A third approach we have examined this semester is the sociological concept of Anxiety as Role Failure. As George Herbert Mead and Erving Goffman understood it, our sense of our selves forms in a dynamic relationship with our social environment. We perceive the expectations of other people and we attempt to live up to them. When we are incapable of fulfilling an expected role, anxiety is the result. Sometimes, this anxiety can be managed through adaptation and perfection of our role performance. At other times, however, our role failure is connected to fixed aspects of our personality or physicality, resulting in stigma.
In your opinion, are these different understandings of anxiety each compatible with Brewer’s Trigger – Behavior – Reward model? Do they describe things that are outside Brewer’s scope? Or can each of these types of anxiety be managed successfully with Brewer’s method? If there are tensions between Brewer’s method and one of the other types of anxiety, try to explain why that might be the case.
Your essay should be 6-8 pages in length. It should be double-spaced and use a standard, 12 point typeface with readable margins. Citations should be footnoted, providing author name and page number (pdf page number is fine if the text doesn’t include page numbers). Only sources drawn from outside assigned class readings need to be put in a bibliography. The essay must be submitted in pdf format through blackboard by 5pm on Wednesday, May 22nd.
Here’s a rubric you can use as you approach this assignment:
Description of Brewer’s trigger-behavior-reward model. (15 pts)
Explanation of how Brewer applies this model to the therapeutic management of anxiety. (5 pts)
Description of Existentialist “Anxiety as Possibility” using citations. (15 pts)
Comparison of the Existentialist approach with Brewer’s. (5 pts)
Description of Psychoanalytic “Signal Anxiety” using citations. (15 pts)
Comparison of the Psychoanalytic approach with Brewer’s. (5 pts)
Description of Sociological “Anxiety as Role Failure” using citations. (15 pts)
Comparison of the Sociological approach with Brewer’s. (5 pts)
Well-formed thesis on the relationship between these different forms of anxiety (10 pts)
Clear introduction and conclusion, with structuring elements in essay. (5 pts)
Proper formatting, spell-checking, citation. (5 pts) -
“Colonial Architecture and the Assertion of Dominance: Exploring Symbolism and Legacy Through Hong Kong’s Tong Lau Houses”
Hi, I am a first year architecture student, and for one of our modules called ”Historical and Cultural Developments of Cities and their Architecture”, we have to write an essay on a topic of our choice. I have attached the official instructions, so please read these carefully as it is very important in order for me to gain marks.
I have already decided on an essay subject and title: ””Colonial Architecture and the Assertion of Dominance: Exploring Symbolism Through Housing in Hong Kong”. With my specific item of study being the ”Tong Lau” houses.
As for the specific title, you can deviate from it a little, but the basis of my essay is to communicate this underlying system of how: architecture, urban design and planning, was used as a tool for colonials to reinforce their dominance and show power. I also think it’s interesting because architecture and housing becomes a material consequence, and symbolic reminder of these dynamics throughout the colonial era. Additionally, you can explore the link between historical housing policies and the contemporary housing crisis in Hong Kong (colonial legacy etc) – highlighting continuities and changes over time.
The file ”Speculative Modern Urban Forms and the Politics of Property.pdf” is a great resource for this essay. It is someone else’s research paper but is quite expansive. There are some parts where i have underlined/highlighted parts that i thought were important or relevant (I did not get to read paper fully though).
The rest of the files are other sources which i thought may be useful/relevant.
The book ”Housing in Hong Kong”, provides a decent overview and historical review of the housing situaiton in Hong Kong, specifically at the beginning period of the colonial rule. And so it is also a great resource specifically for Tong Laus, as it also has several juseufl diagrams and drawings that could be included.
Below is a drop box link to a folder with a bunch of images of pages of the book (apologies if they’re out of order)
https://www.dropbox.com/scl/fo/d4cbydq6gntneuvxlyekz/ADsPNbeg7HnvOwsxIhXMoZQ?rlkey=uer90y3d2uklxbjqixj705wr0&dl=0
Hong Kong has a very nuanced rrelationship with its colonial past; because while architecture/urban policies for example, were used in exploitative manners, they also stand as a foundation for the city’s modern identity. Britain’s colonial personel had a huge impact on its development, such as Osbert Chadwick who reported the sanitary conditions of Hong Kong which were significant in Hong Kong’s urban development story. Thus i think it is important to maybe recognise this, so i included his primary reports in the link below. The 2nd link directky below it, is an article which discusses these essentisal colonial personel and their impacts on the city.
Link to Chadwick’s reports on the sanitary condition of Hong Kong:
https://wellcomecollection.org/works/mpnmmdbz/items
https://doi.org/10.1080/02665433.2012.705124
For more context on where my ideas came from:
The instructions say we need some reference or relation to our lectures. One of our lectures was by Tania Sengupta – in which she talked about post colonialism, power dynamics etc. I included a screenshot of information about her lecture so you can get a better idea. -
Title: Exploring the Relevance of Medical Anthropology in Understanding Health, Healing, and Medical Systems in Different Societies
QUESTION 1
Discuss the relevance of the field of medical anthropology or anthropology of health in
understanding health, healing, and medical systems in various societies.
Your discussion should reflect on the following:
What anthropology of health, also known as medical anthropology,
seeks to
challenge?
Your understanding of health, ilness, disease and healing in various societies, western
and indigenous.
Applying examples and case studies from the module will benefit your discussion.
(100)
Do not copy your answer verbatim or word for word from the study guide. Show some independence of thought, creativity and originality.
➢ Feel free to use examples from everyday life.
➢ Please REFERENCE your work using the Harvard system. PLAGIARISED answers will not receive 0% and students who act in a dishonest manner may be sent to a student disciplinary hearing.
➢ Answer/respond to the topic/question in your own words. You answer should be between 2000 – 2300 words in handwriting or typed
Include table of contents
Appropriate and informative title/heading and relevant sub-headings
Must be logically structured and well argued
Provide a full and correct bibliography
Reference using havard system