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  • Welcome to Brisk Scholarly Essays! ๐Ÿ“šโœ๏ธ

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    “Exploring Hematopoietic and Cardiovascular Disorders: Two Case Studies” “Assessing Risk Factors and Treatment for Acute Myocardial Infarction”

    Submission Instructions:
    Include both case studies in your post.
    Each case study should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources each. Your initial post is worth 8 points.
    You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Each classmate response should be at least 150 words. I WILL SEND YOU THE 2 CLSSMATE RESPONSE AFTER I SUBMIT MY CASE STUDY FOR YOU TO ELABORATE THE RESPONSES. Your reply posts are worth 2 points (1 point per response.) All replies must be constructive and use literature where possible.
    Please post your initial response by 11:59 PM ET Wednesday, and comment on the posts of two classmates by 11:59 PM ET Thursday.
    Case Study 1
    Hematopoietic:
    J.D. is a 37 years old white woman who presents to her gynecologist complaining of a 2-month history of intermenstrual bleeding, menorrhagia, increased urinary frequency, mild incontinence, extreme fatigue, and weakness. Her menstrual period occurs every 28 days and lately there have been 6 days of heavy flow and cramping. She denies abdominal distension, back-ache, and constipation. She has not had her usual energy levels since before her last pregnancy.
    Past Medical History (PMH):
    Upon reviewing her past medical history, the gynecologist notes that her patient is a G5P5with four pregnancies within four years, the last infant having been delivered vaginally four months ago. All five pregnancies were unremarkable and without delivery complications. All infants were born healthy. Patient history also reveals a 3-year history of osteoarthritis in the left knee, probably the result of sustaining significant trauma to her knee in an MVA when she was 9 years old. When asked what OTC medications she is currently taking for her pain and for how long she has been taking them, she reveals that she started taking ibuprofen, three tablets each day, about 2.5 years ago for her left knee. Due to a slowly progressive increase in pain and a loss of adequate relief with three tablets, she doubled the daily dose of ibuprofen. Upon the recommendation from her nurse practitioner and because long-term ibuprofen use can cause peptic ulcers, she began taking OTC omeprazole on a regular basis to prevent gastrointestinal bleeding. Patient history also reveals a 3-year history of HTN for which she is now being treated with a diuretic and a centrally acting antihypertensive drug. She has had no previous surgeries.
    Case Study Questions
    Name the contributing factors on J.D that might put her at risk to develop iron deficiency anemia.
    Within the case study, describe the reasons why J.D. might be presenting constipation and or dehydration.
    Why Vitamin B12 and folic acid are important on the erythropoiesis? What abnormalities their deficiency might cause on the red blood cells?
    The gynecologist is suspecting that J.D. might be experiencing iron deficiency anemia.
    In order to support the diagnosis, list and describe the clinical symptoms that J.D. might have positive for Iron deficiency anemia.
    If the patient is diagnosed with iron deficiency anemia, what do you expect to find as signs of this type of anemia? List and describe.
    Labs results came back for the patient. Hb 10.2 g/dL; Hct 30.8%; Ferritin 9 ng/dL; red blood cells are smaller and paler in color than normal. Research list and describe for appropriate recommendations and treatments for J.D.
    Case Study 2
    Cardiovascular
    Mr. W.G. is a 53-year-old white man who began to experience chest discomfort while playing tennis with a friend. At first, he attributed his discomfort to the heat and having had a large breakfast. Gradually, however, discomfort intensified to a crushing sensation in the sternal area and the pain seemed to spread upward into his neck and lower jaw. The nature of the pain did not seem to change with deep breathing. When Mr. G. complained of feeling nauseated and began rubbing his chest, his tennis partner was concerned that his friend was having a heart attack and called 911 on his cell phone. The patient was transported to the ED of the nearest hospital and arrived within 30 minutes of the onset of chest pain. In route to the hospital, the patient was placed on nasal cannula and an IV D5W was started. Mr. G. received aspirin (325 mg po) and 2 mg/IV morphine. He is allergic to meperidine (rash). His pain has eased slightly in the last 15 minutes but is still significant; was 9/10 in severity; now7/10. In the ED, chest pain was not relieved by 3 SL NTG tablets. He denies chills.
    Case Study Questions
    For patients at risk of developing coronary artery disease and patients diagnosed with acute myocardial infarct, describe the modifiable and non-modifiable risk factors.
    What would you expect to see on Mr. W.G. EKG and which findings described on the case are compatible with the acute coronary event?
    Having only the opportunity to choose one laboratory test to confirm the acute myocardial infarct, which would be the most specific laboratory test you would choose and why?
    How do you explain that Mr. W.G temperature has increased after his Myocardial Infarct, when that can be observed and for how long? Base your answer on the pathophysiology of the event.
    Explain to Mr. W.G. why he was experiencing pain during his Myocardial Infarct. Elaborate and support your answer.

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    “Maximizing the Benefits and Minimizing the Risks of Emerging Technologies: Ethical Recommendations for Powerful Change-Makers”

    Course Project – Recommendations Essay
    Over the past several weeks, you have conducted extensive research on your chosen technology to explore its history, current strengths and weaknesses, and its potential opportunities and threats from an ethical and equity perspective. You are becoming a credible expert able to deliver insightful recommendations to powerful change-makers who in turn can influence the technology for the benefit of individuals, societies, cultures, communities, and their environments.
    Your task over the next 2 weeks is to synthesize the information you have gathered and develop specific and practical recommendations your audience can use to maximize the technology’s benefits and opportunities while minimizing or resolving problems and threats.
    Remember that your audience is the owners, developers, regulators and/or other powerful change-makers who directly influence the technology as we see it today and in the future. Individual consumers are not your audience, since you cannot effectively address them with an essay, and they cannot individually implement changes that will have a systemic influence on the technology.
    As you prepare your recommendation, reflect on and apply the ethical theory you believe to be most appropriate for the situation. Will you maximize utility, focus on social benefit, follow certain values or moral rules?
    Your research-supported recommendations section should provide one or more specific, detailed, practical, ethics-based suggestions for how your audience can best develop, implement, and manage the selected technology. They might include expansions to the technology’s abilities, development of new applications, regulations to control the safety or equity of its use, distribution to new people and places, and so on.
    Please review the Course Project Overview page in Modules to guide your project completion. As a reminder, the template shared earlier suggested the following outline for your recommendations and conclusion sections:
    Recommendation
    First recommended action to resolve or at least mitigate the technologyโ€™s current and potential negative impacts on some or all stakeholders and/or to maximize current and potential positive impacts of the technology
    Specific people, organizations, or agencies responsible for various aspects of the action
    Action to be taken, such as specific policy changes, investments, infrastructure projects, or other interventions, including specific tasks, locations, communities
    Details about resources needed, costs, timeline for completion, potential barriers, etc.
    Expected positive outcomes or benefits
    Additional recommended action(s)
    People
    Action
    Details
    Outcomes
    Conclusion
    Concise review of history leading to the current situation and potential future impacts
    Summary of recommended action(s) the audience and others should take to address or mitigate problems and maximize benefits
    Closing call to action
    First step
    Vision for the future
    No assignment is due this week, but you will share several paragraphs from your recommendations section in this week’s Discussion. By collaborating with peers and professor, you can gain insights to help strengthen your argument and improve your recommendations’ practicality and potential effectiveness.
    Remember to take advantage of the various tutoring options as you prepare your final essay.
    Requirements for the final Recommendations Essay due at the end of Week 7:
    Researched, ethics-based analysis of the historical, current, and potential future implications of a specific, emerging technology, all supporting practical recommendations for enhancing the technology’s benefits while reducing or eliminating negative impacts on people and places
    1200-1500 words
    Four or more academic-quality sources used and cited to support each section of the essay
    Word document formatted in the current APA style.

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    Title: Teaching about Climate Change Introduction: Hello class, today we will be learning about an important topic that affects us all – climate change. As a teacher, it is my responsibility to educate and inform you about this pressing issue. By the

    Today you will be a teacher
    Describe something you either know a lot about or you want to learn more about.
    Then either teach about that topic.ย 
    Fill out the form for the teacher.
    Analyze your teaching or learning process using the keywords at the bottom and answer the questions on the attached form.
    Teacher form:
    How did you get their attention, did you notice a change in their attention during the exercise, describe the change you noticed?ย 
    Did you use any strategies to get the information into their working memory? What were they?

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    Title: Connecting Standards to Practice: Examining the Legal and Ethical Considerations in the Scenario of “Bad Boys”

    1. ย Connecting Standards to Practice โ€“ Bad Boys Initial Post: Read the scenario Bad Boys presented in Chapter 5 of the Stader text. Answer the question by arguing for or against the student’s expulsion in the scenario. What is the legal question presented by this situation? Cite appropriate PSEL 2015 Standards, legal guidelines (such as due process/substantive due process considerations), and the concept of a โ€œWell-ordered School.โ€
    2. ย Discuss the Mississippi Educator Code of Ethics and why every educator needs to be familiar with and adhere to the Code entirely
    https://www.mdek12.org/sites/default/files/documents/code-of-ethics_final.pdfLinks to an external site.ย 

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    “Screening Exams for At-Risk Patient Populations: Current Recommendations and Evidence-Based Interventions”

    For this assignment, students will discuss current recommendations for screening exams for an at-risk patient population and propose evidence-based intervention(s) for the identified population. The paper should be a minimum of four to five paragraphs, 500- 800 words in length, and no more than four pages, not including the title and reference pages.
    Assignment Details:
    Perform the following tasks:
    Conduct a literature review and identify current recommendations for screening exams for an at-risk patient population.
    Write an engaging and informative paper that would be helpful for someone in the discipline wanting to learn about current recommendations for screening exams for the identified at-risk patient population.
    Use the following as a checklist for the scholarly paper:
    Include the following elements:
    Title page (APA formatted title page).
    Introduction
    Background knowledge-brief summary of current knowledge on the at-risk population and the current recommendation for screening exams
    Challenges imposed in practice
    Intext citation present and appropriate
    Literature Review
    Expound on the current recommendations for screening exams for selected at-risk population.
    Literature searches for the topic on the web and in databases are limited to peer-reviewed professional nursing and medical journals, texts, and writings (no older than 5 years).
    Uses literature to support claims, facts, and statistics.
    Intext Citation present and appropriate.
    Proposed Intervention
    Clearly state proposed intervention(s)
    Define the ethical considerations or issues relevant to proposed intervention(s)
    State why the intervention(s) were chosen
    Describe the implications of the proposed intervention to nursing education and practice.
    Discussion/Implications/Conclusion
    All work should have appropriate citations and reference lists.
    Use Times New Roman, 12 pt. font; 1-inch margins; double-spaced.
    Consists of 500 to 800 words in length (four to five paragraphs)
    Citation and references are to follow the APA manual format
    References should be no more than 5 years old
    Sources:
    Wikipedia (or similar sites) isย notย to be used as a reference
    Taberโ€™s and/or other medical dictionaries or encyclopedias areย notย to be used as references.
    Proofread and edit the paper carefully, following the assignment rubric.
    Use the plagiarism tool to check the summary against unintended plagiarism.
    Spell check the paper and submit via Canvas.

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    “Exploring the Multimodal Approach to Chronic Pain Management: A Review of the Agency for Health Care Policy and Research Guideline”

    Replaying Caleb’s Discussion Post.
    Discussion Post Week 8
    Caleb Pineda
    Miami Regional University
    DNP 7300: Translation Science
    Dr. Alexander de Varona DNP
    June 22, 2024
    I explored the clinical practice guideline titled “Management of Chronic Pain in Adults” (Guideline No. NG193) from the Agency for Health Care Policy and Research website. This guideline addresses the challenge of providing effective pain management for individuals suffering from chronic pain, a widespread issue impacting millions globally. Chronic pain is defined as persistent pain lasting more than three months, significantly affecting patients’ quality of life and daily functioning.
    The guideline emphasizes the adoption of a multimodal approach to chronic pain management. This approach integrates various strategies including pharmaceuticals, physiotherapy, psychological interventions, and lifestyle modifications (Agency for Health Care Policy and Research, 2019). The rationale behind this recommendation underscores the multifaceted nature of chronic pain, encompassing physical, psychological, and social dimensions.
    The recommendation is supported by Level 1 evidence, indicating systematic reviews of trial data or trials with low risk of bias. This robust evidence highlights the efficacy of adopting a multidisciplinary model in managing chronic pain effectively in clinical settings.
    While reviewing the guideline, it becomes evident that not all recommendations are supported by the highest level of evidence. However, a majority are backed by Level 1 evidence derived from systematic approaches like the multidisciplinary model. In contrast, treatments such as acupuncture and herbal supplements rely more on expert opinions and small-scale studies, indicating varying levels of evidence across different interventions.
    The inclusion of recommendations with diverse levels of evidence aims to provide a comprehensive framework that can be tailored to individual patient needs. Chronic pain management is complex and varies among patients; hence, guidelines incorporate a range of evidence to support personalized care approaches (Smith et al., 2022). It is essential for clinicians to critically evaluate the evidence and apply the most validated recommendations to ensure optimal patient care outcomes.
    In summary, the Agency for Health Care Policy and Research’s guideline on “Management of Chronic Pain in Adults” advocates for a multidisciplinary approach supported by high-level evidence. Despite variations in evidential support across recommendations, the guideline offers a holistic framework to address the heterogeneous nature of patient needs in chronic pain management.
    References
    Agency for Health Care Policy and Research. (2019). Management of Chronic Pain in Adults. Retrieved fromย http://www.guideline.gov/browse/by-topic.aspx
    Smith, J., Brown, R., & Lee, M. (2022). Advances in chronic pain management: Integrating evidence-based practices. Journal of Pain Management, 10(2), 45-58.ย https://doi.org/10.1016/j.jpm.2022.02.005

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    “Exploring Ethics: Responding to Three Readings” Exploring Ethics: Responding to Three Readings

    Open the document and follow the highlighted instructions for the three readings (either a responce to what the person wrote about or answeing questions). ย All the content is related to ethics. The responce post can be written like your responding to the person and you can agree/disagree with them! Thank you!

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    “The Power of Philosophy: Examining the Role of Critical Thinking in Human Progress and Understanding”

    instructions pretty clear on picture below, just need a 3 page essay for philosophy thinking, if you use any research a separate page from the 3 for the websites used would be great

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    Title: Criteria for Determining the Credibility of Sources of Information Elements for Determining Credibility of Sources of Information: Element Explanation Importance Reference 1. Author/Source Expertise The expertise and qualifications of the author or source can

    Describe techniques used in decision-making.
    Examine decision-making models.
    Apply decision-making techniques.
    Prompt
    What criteria do you recommend to determine the credibility of a source of information?
    Instructions
    Develop a list of more than and no less than 10 elements you would use to determine the credibility of facts, articles, websites, news, etc.
    Thoroughly explain your reason for each element and why it is important
    Your response can take the form of a table in Word or MS Excel.
    Include at least 4 credible references to support your recommendations
    Grading Rubric:
    A rubric is provided for your convenience that details how this assignment will be graded. Please review it carefully prior to submitting your assignment. If the grading rubric does not auto-populate here, please see it by visiting theย Assignmentย details underย Course Tools.

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    Title: The Role of Family in Addiction and Recovery: A Case Study of the Smith Family

    Assessment Description
    Now that you have an outline for your final Smith Family Case Study Essay assignment, start working onย the final essay.
    References : Please add any you prefer
    Ncc, S. G. M. L. (2022, April 6). The Familyโ€™s Role in Addiction and Recovery. Psych Central. https://psychcentral.com/addictions/the-familys-role-in-addiction-and-recovery
    Orford J, Templeton L, Copello A, Velleman R, Ibanga A, & Binnie C. (2009). Increasing the involvement of family members in alcohol and drug treatment services: the results of an action research project in two specialist agencies.ย Drugs: Education, Prevention & Policy,ย 16(5), 379โ€“408. https://doi-org.lopes.idm.oclc.org/10.1080/09687630802258553
    TIP 35: Enhancing Motivation for Change in Substance Use Disorder Treatment | SAMHSA Publications and Digital Products. (2019, October 1). https://store.samhsa.gov/product/tip-35-enhancing-motivation-change-substance-use-disorder-treatment/pep19-02-01-003
    TIP 39: Substance Abuse Treatment and Family Therapy | SAMHSA Publications and Digital Products. (2020, September 1). https://store.samhsa.gov/product/tip-39-substance-abuse-treatment-and-family-therapy/pep20-02-02-012