based on the Pressure of Change in Coca-Cola. I will upload the previous report which you will have to make sure that it is not duplicated once it is submitted to the plagiarism report because of some information may show up.
Throughout a womans life, her breasts go through many normal, healthy changes. However, patients do not always understand these changes and often visit health care providers for treatment. When examining these patients, you must be able to identify when a breast condition is the result of a safe and normal physiological change and when it is the result of an abnormal change requiring treatment and management. A diagnosis of a breast condition resulting from an abnormal change can be devastating for women, making emotional support as vital to womens well-being as proper assessment, diagnosis, and management. For this Discussion, consider how you might diagnose, manage, and support the following two patients presenting with breast conditions:Case Study 1:
You are seeing a 60-year-old Latina female, Gravida 4 Para 3104, who is concerned about a thick greenish discharge from her left breast for the past month. The discharge is spontaneous and associated with dull pain and burning. Upon questioning, she also tells you that she breastfed all her children and is currently not on any medications except for occasional Tylenol for arthritis. Her last mammogram, 14 months ago, was within normal limits. On exam, her left breast around the areola is slightly reddened and edematous. Upon palpation of the right quadrant, a greenish-black discharge exudes from the nipple. You note an ovoid, smooth, very mobile, non-tender 1 cm nodule in the RUIQ at 11:00 5 cm from the nipple. No adenopathy, dimpling, nipple discharge, or other associated findings. Her right breast is unremarkable. The patient expresses her desire to proactively decrease her risk for developing breast cancer.
To prepare:Review Chapter 15 of the Schuiling and Likis text.
Review and select one of the two provided case studies. Analyze the patient information.
Consider a differential diagnosis for the patient in the case study you selected. Think about the most likely diagnosis for the patient.
Reflect on the appropriate clinical guidelines. Think about a treatment and management plan for the patient. Be sure to consider appropriate dosages for any recommended pharmacologic and/or nonpharmacologic treatments.
Consider strategies for educating patients on the treatment and management of the disorder you identified as your primary diagnosis.
Post an explanation of the differential diagnosis for the patient in the case study you selected. Explain which is the most likely diagnosis for the patient and why. Then, based on the appropriate clinical guidelines, explain a treatment and management plan for the patient, including proper dosages for any recommended treatments. Finally, explain strategies for educating patients on the disorder.Scholarly articles within 4 years ONLY!!!
Post a 3-paragraph response (of at least 350 words) to Option below. Be sure to use evidence, in-text citations, and essay-level writing skills, including the use of transitional material and organizational frames. Cite and support with documentation. Option 1 As a nurse scholar-practitioner, how do you now, and how will you in the future, advocate for patients and effect positive social change in health care?
During middle childhood, children begin to process information differently. Describe how the increased capacity to process information affects a child’s self-understanding and moral development. Submit your answers in the form of a brief essay, 3 to 4 paragraphs double-spaced.
The use of power always leads to success in organisations. Do you agree with this statement? Explain your answer with reference to relevant literature and examples. Word limit: 3,500 words (you may exceed this by 10%)
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In the remainder of the course ahead, you will select a topic of personal interest to you, define a controversy within that topic, and examine that controversy at length. The final result will be a 1500 – 2000 word (approx. 5 – 7 page) persuasive research paper that argues convincingly for one side of that controversy.
You must utilize at least 3 sources that will help you portray your argument. These sources must be incorporated correctly, used appropriately, and cited thoroughly using MLA standards. Sources should represent both the side that agrees with you and those that disagree with your own thesis. Your final draft will need to incorporate at least one chart, table, or graph, as well as at least one pictorial component (photo, drawing, etc). These materials must be cited as well.
Before writing this paper, you must submit the Research Proposal and Bibliography assignment. This will help you plan your paper and execute it in parts so that the last steps feel more like assembly than writing a huge paper in one or two days. The supporting modules for this assignment are Reading Module 3: Research, and Reading Module 4: Citation. Carefully read or re-read all the materials they contain.
Requirements:
1500 – 2000 words
At least 3 scholarly sources
at least 1 of your sources must be in opposition to your thesis
popular sources are optional and can be used in addition to the required scholarly sources
1 chart, table, or graph
1 pictorial component
typed double-spaced
font size no larger than 12 points
1-inch margins
complete a full assessment of your own community. You may build upon this assessment in Community Health II by planning, implementing and evaluating a project within your community designed to address primary prevention of an identified health concern.Defining the CommunityYour community can be a pediatric, adolescence, young adults, adult, elderly or a combination.Clearly delineate the following dimensions before starting the process of community assessment:Describe the population that is being assessed?
What is/are the race(s) of this population within the community?
Are there boundaries of this group? If so, what are they?
Does this community exist within a certain city or county?
Are there general characteristics that separate this group from others?
Education levels, birth/death rates, age of deaths, insured/uninsured?
Where is this group located geographically? Urban/rural?
Why is a community assessment being performed? What purpose will it serve?
How will information for the community assessment be collected?
AssessmentAfter the community has been defined, the next phase is assessment. The following items describe several resources and methods that can be used to gather and generate data. These items serve as a starting point for data collection. This is not an all-inclusive list of resources and methods that may be used when a community assessment is conducted.The time frame for completion of the assessment may influence which methods are used. Nonetheless, these items should be reviewed to determine what information will be useful to collect about the community that is being assessed. It is not necessary to use all of these resources and methods; however, use of a variety of methods is helpful when one is exploring the needs of a community.Data Gathering (collecting information that already exists)Demographics of the CommunityWhen demographic data are collected, it is useful to collect data from a variety of levels so comparisons can be made.
If the population that is being assessed is located within a specific setting, it may be best to contact that agency to retrieve specific information about that population.
The following resources provide a broad overview of the demographics of a city, county, or state:
American Fact FinderFind population, housing, and economic and geographic data for your city based on U.S. Census data
State and County Quick FactsEasy access to facts about people, business, and geography, based on U.S. Census data
Obtain information about a specific city or county on these useful websites www.epodunk.com and www.city-data.com
Information from Government AgenciesHealthy People 2020this resource is published by the U.S. Department of Health and Human Services. It identifies health improvement goals and objectives for the country to be reached by the year 2020National Center for Health Statisticsthis agency is part of the Centers for Disease Control and Prevention; this website provides statistical information about the health of AmericansCenters for Disease Control and Prevention (CDC)The CDC website contains a large amount of information related to the health of the American population. The search engine within this website can be used to find relevant informationFederal agencies with statistical programsEvery state in the United States has its own specific health improvement plan and goals that are based on the Healthy People 2020 document. This information may be available on the state health department website.State and local health departments provide information related to vital statistics for the community.Other Data SourcesAmericas Health Rankingsthis website provides information about various health indicators for each state: https://www.americashealthrankings.org/Other relevant data sources may be found by conducting an Internet search related to the topic that is being examined through the community assessment.After data are collected from various sources, it is important to review the information and to identify assets and areas for improvement in the community by comparing local data (if available) versus state and national data. This will facilitate organization of the information that has already been obtained and will provide direction for the next step of the process.Data Generation (data are developed that do not already exist):Windshield SurveysWith the use of public transportation or by driving a vehicle around the community, one can observe common characteristics of the community.Examples of key observations to make when one is assessing the community through a windshield survey include the following:Age of the homes in the communityLocation of parks and other recreational areasAmount of space between homes and businessesNeighborhood hangoutsTransportation in the communityQuality and safety of streets and sidewalksStores and other businessesPeople out in the communityCleanliness of the communityBillboards or other media displaysPlaces of worshipHealthcare facilities Participant ObservationSpend time observing the population that is being assessed. Through observation of interactions among group members, much can be learned about the community, including the following:Developmental level of the populationEffectiveness of peer-to-peer interactionsRespect for peers and othersSafety in the environmentEconomic statusInformant InterviewsInformants could be people who are familiar with and interact with the population on a regular basis.Examples of questions that may be asked of key informants include the following:Strengths/assets of the communityAreas of improvement for the communityConcerns of community membersAccess to health careEmergency plans for natural or man-made disastersFocus GroupsFocus groups (usually small groups of 6-12 people) can be helpful when one is gathering information about specific areas of concern within the population. Use of a focus group involves open dialogue about the population, whereas an interview or survey yields only individual responses.Focus groups may be effective for assessing the following:Satisfaction with services providedCommunity resources usedTransportation issues within the communitySafety within the communityGeneral concerns of members of the populationSurveysSurveys may be used to collect data from the community. Selecting a sample of the target population may prove helpful in the collection of data that are easier to analyze. It is important to ensure that the sample is representative of the target population.A survey should be developed that takes into consideration the developmental level of the group that is being assessed. Questions should be written at the appropriate developmental level, so they are answered in a way that makes the data useful. Surveys might include closed-ended (yes/no), multiple choice (several responses to choose from), Likert scale (Strongly Agree/Agree/Neutral/Disagree/Strongly Disagree), or open-ended (why/how) questions.Topics that may be addressed in a survey include the following:Demographic informationStatus of employmentSafety within communitySafety in environmentPersonal safety (seatbelts, helmets, etc.)Stressors/stress management patternsRisky behaviorsSupport systemsVolunteer/community activitiesRest patternsNutritionDental hygieneHealth promotion activities
2- Examine techniques for a new modification/market in the organisation using the seven stages of new product development.
3- Justify pricing policy, distribution and a communication mix for the new product. Part 2: Ethical Issues (600 words)
1- Explain possible ethical issues that might influence the plan and analyse ways to address these. Consumer ethics such as false claims also needs analysing with a brief plan on how to deal with these issues
Read the qualitative research study ” becoming normal: a grounded theory study on the emotional process of stroke recovery” by Patti Gallagher, 2011, published in the Canadian journal of neuroscience nursing. Write 2-3 paragraphs that summarize your findings. Include the rigor and applicability of the study for clinical practice.
To what extent does the Equality Act 2010 protect employees at the work place as it relates to age and disability * Terms of Reference (how many words) * Methodology (how many words) * Resources (how many words) * References NOTE – Oscola Referensing Required