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Cases Studies 3 4 Primary Care A 47 year old male patient A presents to your office c o

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Cases Studies 3 & 4 – 

Primary Care A 47-year-old male patient (A) presents to your office c/o painful and bleeding defecation that started a couple of days ago. Pt also states that he noticed some intermittent pruritus on his back. Pt comes to your consultation accompanied by his male husband of 45 years old (Patient B), who suddenly states to you that he had noticed a painless “blister” on his genital area, but he is not quite sure when it appeared. 

Patient A: With no past or family relevant history and with no known allergies (NKA).

Patient B: With a PMH of seasonal allergic rhinitis and NKA. No other family or relevant history. 

On complete physical examination of both patients your assessment reveals the following findings: 

On Patient A: You noticed a visible anal fissure in the inferior region of the anal sphincter. Besides, you also noticed disseminated papules in the trunk and macules on palms and soles (as shown below). 

Patient B: On examination, you noticed a visible ulceration in the genital area, and patient denies any pain on palpation. On general assessment, no adenopathy noted or reported by patient (B). 

Since both patients are a marital couple, you proceed with serological testing for each patient (A & B). 

You suspect a sexually transmitted disease. On your verbal assessment, both patients (A&B) deny having or being treating in the past for STD’s in the past, to which you believe. 

Lab Results: Patient A: Leukocytosis – Treponema (Positive) – Non-Treponema (Positive) – HIV (Negative) – Hepatitis (Negative) 

Patient B: Treponema (Positive) – Non-treponema (Negative) – HIV (negative) – Hepatitis (Negative)——————— 

Do not include the above section in your paper. ONLY THE QUESTIONS BELOW——-

Please answer the following questions in APA format and include in-text references.

1) What serological lab works would you order to obtain the above results? (Be specific with the lab names)

2) What is the diagnosis for Patient A? 

3) What is the diagnosis for Patient B? 

4) What would it be the differential diagnosis for patient A and patient B? (be specific. Your diagnosis contains stages. Therefore, be specific on them) 

5) How are you going to treat Patient A? (Be specific and include the time of treatment) 

6) How are you going to treat Patient B? (Be specific and include the time of treatment)

7) What would be the possible cause of this infection if both patients did not have any sexual encounter outside their relationship in the last year? Again, you believe both patients did not have any sexual encounter outside their marital sexual relationship.

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Scholarly practice entails having concrete evidence for what one recommends It ensure recommended suggestions have high success

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Scholarly practice entails having concrete evidence for what one recommends. It ensure recommended suggestions have high success levels. They are backed up with great length of expertise in leadership role(Jeroen, pg.23). The paper will discuss how change is received within an organization, how time consideration affect success of change implementation, insights to proper implementation of change and external factors that influence leader expectation of self.

1-Consider a time when you led change at the organizational or individual level. What were the results? Looking back, what could you have done differently to improve results?

Organization change entails shift of the way of carrying out operational activities within a company system. Change in most institutions around the globe has always been met with so much resistance and opposition if the transition is not carried out effectively. Human being are creatures of habit and always comfortable with routine. It is rather normal for people to be shaken to the core when the things considered normal are taken away. And in their place comes something new and unknown.

At our organization for instance, due to competitive pressure, I was tasked with altering the nature of operation of the routine the employees were used to having. It involved having people come much earlier to work so as to improve on productivity in the company. The hour of clocking in was raise by two hours from 9AM to 7AM. It became a total fail. Most colleagues arrived late with numerous cover up excuses .Others’ attention and concentration spun on tasks after a few hours after arriving at their workstation was so low.

The change would have been a success had employees’ needs and views been put into consideration. First, prior intensive research had not been conducted on the effects of such a major shift. Also employee involvement was neglected. As a result due to anxiety build up on undertaking such important changes without proper guidance the operation failed. They needed time and to be educated on the importance of the said change being implemented.

2-Consider a time when you knew you needed to make a change but chose not to due to time constraints. What was the result? How might you make time to work on necessary personal changes to support your leadership formation?

Decision making is vital in the work place scenario. Taking action and choosing not to take action regarding a matter or situation always has consequences. For proper adaptation and reception of any shift in way of handling things within a company, time is often required. In this case, the company productivity and profit margins dropped as there was no enough time to make the changes. This occurred because other competing organizations had shifted their operations to be technology based thus swift processing of all operations at all levels.  Our company on the other hand delayed due to time constraint. There wasn’t enough time to train the staff technology wise and have them ready to swiftly compete without messing about and creating an even larger problem.

3-Consider a time when you led change effectively. List the key insights gained from this effort. How can you use these insights to lead future change efforts?

Change effects and results in an organization can at times take a while to be noticed. Regardless, for effective change, first the need for extensive research cannot be taken for granted. The main reason for to change be implemented within the system need to be looked into and properly evaluated.  It is important to plan how the said change is to take place and anticipate whichever challenges that come about.

Good communication and information dissemination is key to change adaptation and acceptance.  Choose a team to maintain constant communication with both key stakeholders and the rest of the team (Ladislava pg. 4). This way sufficient support is offered to ensure success of the impending shift. Also in effectively communicating the vision and goals anticipated and the urgent need for the said change to realize this, it ensures success.  Members should be empowered and offered proper guidance in the way to act to realize set visions.

4- What important external expectations determine the expectations you have for yourself as a leader?

Organizational environment; Organizations have their own values. Past legacy and values are important to the company. As a leader your expectations will have to align with that and manage the business along those cultural expectations.

Resources; Leaders utilize organization assets and human resource to achieve set objectives.  Leader expectations of self will fall on proper utilization and maximization of available resources for great profit margin.

Technology and innovation cause drastic changes in business environments. It is commendable to use a management style in line with the new technologies set within the system.

References

Jeroen. S. , Denise M. R., David.D., Successful Organization Change : Intergrating The Management Practice and Scholarly Literatures (2016) pg 20-30http://aom.org/doi/abs/10.5465/annals.2016.0095 (Links to an external site.)

Ladislava Kuchynkora Identification of Factors Associated with Leadership style efficiency of managers (2016) pg 4https://www.google.com/url?sa=t&source=web&rct=j&url=https://acta.mendelu.cz/media/pdf/actaun_2016064061971.pdf&ved=2ahUKEwikjeb0lI_vAhUTh1wKHXwdBzcQFjAOegQIDBAC&usg=AOvVaw2KMGC9Do3OuEci0U9p7pLO (Links to an external site.)

Samuel.R . , Nachiappan.s., Romina.p., Lin.w., Stakeholder engagement in a Sustainable Sales and Operations Planning Process.(2020) pg8 https://onlinelibrary.wiley.com/doi/abs/10.1002/bse.2594

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In addition to the topic study materials use the chart you completed and

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In addition to the topic study materials, use the chart you completed and questions you answered in Topic 3 about “Case Study: Healing and Autonomy” as the basis for your responses in this assignment.

Answer the following questions about a patient’s spiritual needs in light of the Christian worldview.

  1. In 200-250 words, respond to the following: Should the physician allow Mike to continue making decisions that seem to him to be irrational and harmful to James, or would that mean disrespect of a patient’s autonomy? Explain your rationale.
  2. In 400-500 words, respond to the following: How ought the Christian think about sickness and health? How should a Christian think about medical intervention? What should Mike as a Christian do? How should he reason about trusting God and treating James in relation to what is truly honoring the principles of beneficence and nonmaleficence in James’s care?
  3. In 200-250 words, respond to the following: How would a spiritual needs assessment help the physician assist Mike to determine appropriate interventions for James and for his family or others involved in his care?

Remember to support your responses with the topic study materials.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

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To Prepare Review the Resources and identify a clinical issue of interest that can form the basis of

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To Prepare:

  • Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.
  • Review the materials offering guidance on using databases, performing keyword searches, and developing PICO(T) questions provided in the Resources.
  • Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least two different databases in the Walden Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest. You should not be using systematic reviews for this assignment, select original research articles.
  • Review the Resources for guidance and develop a PICO(T) question of interest to you for further study. It is suggested that an Intervention-type PICOT question be developed as these seem to work best for this course. 

By Day 3 of Week 4

Post a brief description of your clinical issue of interest. This clinical issue will remain the same for the entire course and will be the basis for the development of your PICOT question. Describe your search results in terms of the number of articles returned on original research and how this changed as you added search terms using your Boolean operators. Finally, explain strategies you might make to increase the rigor and effectiveness of a database search on your PICO(T) question. Be specific and provide examples.

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In a Microsoft Word document of 4 5 pages formatted in APA style you will discuss your interview

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In a Microsoft Word document of 4-5 pages formatted in APA style, you will discuss your interview of an older adult. This person cannot be a patient in your clinical setting. You can use a friend, family member, or co-worker. The older adult must be age 65 years or older.
There are two parts to this assignment – the psychosocial interview component and the functional assessment.

Interview

Download the patient questionnaire. Use this format to record the person’s responses.

  • Include 2–3 questions of your own to get a complete picture of the older adult.
  • Summarize your findings.
  • Include the questionnaire with responses in the Appendix of your paper.

Assessment

After gaining permission, conduct a physical and mental functional assessment of the older adult you have chosen. Review your readings for the process of a functional assessment.

  • Use the tools discussed this week to complete a comprehensive assessment of your patient. Search the Internet for resources on these tools.
    • Tinetti Balance and Gait Evaluation
    • Katz Index of Activities of Daily Living
    • Assessment of Home Safety
    • The Barthel Index
    • Do not include a name on each tool, but do include professional or other designation, and age. Your name should also be identified on the tool.
      • Include these tools in the Appendix.
  • Based on your assessment:
    • Compare and contrast the age-related changes of the older person you interviewed and assessed with those identified in this week’s reading assignment.
    • Identify at least 4–6 preliminary issues.
    • Identify three alterations in health that you would propose and describe them.
    • Identify a minimum of three comprehensive interventions for each alteration.
    • Integrate cultural considerations in your interventions.
  •  

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Research a health care organization or network that spans several states with in the United States United Healthcare

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Research a health care organization or network that spans several states with in the United States (United Healthcare, Vanguard, Banner Health, etc.). Assess the readiness of the health care organization or network you chose in regard to meeting the health care needs of citizens in the next decade.

Prepare a 1,000-1,250 word that presents your assessment and proposes a strategic plan to ensure readiness. Include the following:

  1. Describe the health care organization or network.
  2. Describe the organization’s overall readiness based on your findings.
  3. Prepare a strategic plan to address issues pertaining to network growth, nurse staffing, resource management, and patient satisfaction.
  4. Identify any current or potential issues within the organizational culture and discuss how these issues may affect aspects of the strategic plan.
  5. Propose a theory or model that could be used to support implementation of the strategic plan for this organization. Explain why this theory or model is best.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

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1 What are common characteristics typically associated with boys and men in

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1.  What are common characteristics typically associated with boys and men in our society?  What traits are often related to girls and women in our society?  How do these characteristics affect our expectations about the ways that men and women should behave?

2.  As you move through life you may renegotiate and change your gender attitudes.  What evidence do you see of this in your life of others’ lives?  

3.  What are some examples of changes in sexual behavior and social attitudes about sex?  How might these things change in the future?

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