Diabetes Case Study

Diabetes Case Study

Chief Complaint

“My left foot feels weak and numb. I have a hard time pointing my toes up.”

History of Present Illness

D.T. is 42-year-old Caucasian woman who has had an elevated blood sugar and cholesterol 2 years ago but did not follow up with a clinical diagnostic work-up. She had participated in the state’s annual health screening program and noticed her fasting blood sugar was 160 and her cholesterol was 250. However, she felt “perfectly fine at the time” and did not want to take any more medications. Except for a number of “female infections,” she has felt fine recently.

Today, she presents to the clinic complaining that her left foot has been weak and numb for nearly 3 weeks and that the foot is difficult to flex. She denies any other weakness or numbness at this time. She does report that she has been very thirsty lately and gets up more often at night to urinate. She has attributed these symptoms to the extremely warm weather and drinking more water to keep hydrated. She has gained a total of 50 pounds since her last pregnancy 10 years ago, 20 pounds in the last 6 months alone.

Past Medical History

  • Seasonal allergic rhinitis (since her early 20s)
  • Breast biopsy positive for fibroadenoma at age 30
  • Gestational diabetes with second child 10 years ago
  • Multiple yeast infections during the past 3 years that she has self-treated with OTC antifungal creams and salt bath
  • Hypertension for 10 years

Past Surgical History

C-section 14 years ago

OB-GYN History

  • Menarche at age 11
  • Last pap smear 3 years ago

Family History

  • Type 2 DM present in older brother and maternal grandfather. Both were diagnosed in their late 40s. Brother takes both pills and shots.
  • Mother alive and well
  • Father has COPD
  • Two other siblings alive and well
  • All three children are alive and well

Social History

  • Married 29 years with 3 children; husband is a school teacher
  • Family lives in a four bedroom single family home
  • Patient works as a seamstress
  • Smokes 1 pack per day (since age 16) and drinks two alcoholic drinks 4 days per week
  • Denies illegal drug uses
  • Never exercises and has tried multiple fad diets for weight loss with little success. She now eats a diet rich in fats and refined sugars.

Allergies

NKDA

Medications

  • Lisinopril 10 mg daily
  • Loratadine 10 mg daily

Review of Systems

General

Admits to recent onset of fatigue

HEENT

Has awakened on several occasions with blurred vision and dizziness or lightheadedness upon standing: Denies vertigo, head trauma, ear pain, difficulty swallowing or speaking

Cardiac

Denies chest pain, palpitations, and difficulty breathing while lying down

Lungs

Denies cough, shortness of breath, and wheezing

GI

Denies nausea, vomiting, abdominal bloating or pain, diarrhea, or food intolerance, but admits occasional episodes of constipation

GU

Has experienced increased frequency and volumes of urination, but denies pain during urination, blood in the urine, or urinary incontinence

EXT

Denies leg cramps or swelling in the ankles and feet; has never experienced weakness, tingling or numbness in arms or legs prior to this episode

Neuro

Has never had a seizure and denies recent headaches

Derm

Has a rash under her bilateral breast and in groin area

Endocrine

Denies a history of goiter and has not experienced heat or cold intolerance

Vital Signs

BP 165/100, T 98 F, P 88 regular, HT 5 feet 4 inches, RR 20 non labored, WT 210 lbs

What you need to do:

  • Develop an evidence-based management plan.
  • Include any pertinent diagnostics.
  • Describe the patient education plan.
  • Include cultural and lifespan considerations.
  • Provide information on health promotion or health care maintenance needs.
  • Describe the follow-up and referral for this patient.
  • Prepare a 3–5-page paper (not including the title page or reference page).

Format

The paper should be no more than 3–5 pages (not including the title page and reference pages.

Assignment Requirements:

Before finalizing your work, you should:

  • be sure to read the Assignment description carefully (as displayed above);
  • consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary; and
  • utilize spelling and grammar check to minimize errors.

Your writing Assignment should:

  • follow the conventions of Standard American English (correct grammar, punctuation, etc.);
  • be well ordered, logical, and unified, as well as original and insightful;
  • display superior content, organization, style, and mechanics; and
  • use APA 6th Edition format as outlined in the APA Progression Ladder.

Confessions and Admissions after a Request for a Lawyer

Case Study 3: Confessions and Admissions after a Request for a Lawyer
Due Week 8 and worth 100 points

A suspect is apprehended in a large-chain grocery store by the security guard. The suspect is placed in handcuffs and taken to the manager’s office. The police are called and advised of the situation. Officer Jones arrives at the store approximately 12 minutes later. Officer Jones takes a statement from the security guard and views the in-store camera film of the shop lifting incident. Officer Jones places the suspect under arrest, reads the suspect the Miranda warnings, and asks the suspect if he would like to make a statement. The suspect replies, “No, I would like a lawyer”. The suspect is then transported to the local jail and booked. Five (5) hours later, the suspect is interviewed by a detective who again reads him the Miranda warning. The detective then asks the suspect if he would like to talk. The suspect says, “Yes”. He eventually confesses to the crime.

Write a one to two (1-2) page paper in which you:

  1. Identify and discuss the constitutional amendments that would relate to this situation.
  2. Discuss how the Edwards Rule is related to this situation.
  3. In your opinion, determine if the suspect’s confession to the detective is admissible.
  4. Use at least two (2) quality references. Note: Wikipedia and other Websites do not qualify as academic resources

Your assignment must follow these formatting requirements:

  • Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.
  • Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.

The specific course learning outcomes associated with this assignment are:

  • Research and analyze procedures governing the process of arrest through trial.
  • Critically debate the Constitutional safeguards of key Amendments with specific attention to the 4th, 5th, 6th, and 14th Amendments
  • Explain key law enforcement regulatory procedures and rules and requirements of law enforcement in the evidence collection phase.
  • Explain and debate fundamental Supreme Court cases associated with criminal procedure.
  • Use technology and information resources to research issues in the criminal procedure.
  • Write clearly and concisely about the criminal procedure using proper writing mechanics.

The Tort of Battery, assignment help

Assignment 3: The Tort of Battery

Due Week 6 and worth 140 points

Read pp. 15-39 of your textbook on battery.

Write a two to three (2-3) page paper in which you:

  1. Define the tort of battery.
  2. Determine whether or not a person must intend to cause harm or offensive
    contact for it to be considered battery.
  3. Provided the standard or definition of “offensive” contact.
  4. Conclude whether or not being subjected to vapor from e-cigs is an
    actionable cause for battery, based upon offensive contact. Determine whether or
    not it would matter if the supervisor exhaled in the employee’s face.
  5. Explain whether or not the supervisor would have a defense of employee
    consent if the employee never complained because he was afraid of being
    terminated if he did complain.
  6. Format your assignment according to these formatting requirements:
    • Typed, double spaced, using Times New Roman font (size 12), with one-inch
      margins on all sides; references must follow APA or school-specific format.
      Check with your professor for any additional instructions.
    • Include a cover page containing the title of the assignment, the student’s
      name, the professor’s name, the course title, and the date. The cover page and
      the reference page are not included in the required page
      length.

The specific course learning outcomes associated with this assignment
are:

  • Describe the elements of intentional torts and explain the types of evidence
    and arguments a plaintiff can use to prove that the defendant breached a duty to
    plaintiff.
  • Use technology and information resources to research issues related to law
    and the legal system.
  • Write clearly and concisely about issues in law and the legal system using
    proper writing mechanics.

McDonald’s Database Technology

Consider your organization or another organization with which you are familiar. Briefly describe the organization, and then answer the following questions:

  • What do you think is one of the most interesting uses of database technology by this organization? Why?
  • Who benefits from this use? In what ways?
  • Are there any downsides?
  • Are there any additional database technologies (or uses of the same technology) that you think this company should consider? Explain.
  • As a business manager, how can you effectively utilize database technologies to better do your job?

Direction:

Academic writing standards and APA style guidelines.

Answering all course questions is also required

6 Paragraphs including ( Introduction – Body – Conclusion )

Be sure to support your statements with logic and argument, citing all sources referenced and citing inside the text

Cause-Effect Analysis – Outline

The purpose of this assignment is to synthesize your understanding of a successful cause-effect essay with your understanding of analyzing elements of a short story by focusing on writing a strong thesis and clearly organized outline. In the previous assignment, you wrote a thesis for a cause-effect essay. For the current assignment, you will write an outline supporting that thesis for a planned essay, but you will not actually write the full essay itself. Instead, concentrate on the planning stage of writing a cause-effect essay. This series of activities will also help prepare you for Exam 1, in which you will write a cause-effect essay about a literary element and its effects in a different story.

Directions

  1. Re-read “The Zero Meter Diving Team”
  2. Identify as many images as you can.
    • Are they all visual?
    • Do you see any aural or tactile imagery?
    • Do you see any patterns of images or repeated images?
  3. Evaluate the effects these images have.
    • How do they contribute to the story and its meanings?
  4. Write a cause-effect thesis statement that identifies at least one pattern of images in the story as a cause and identifies several interesting effects (or results).
  5. Put this thesis statement at the top of your response.
    • For example: In “The Zero Meter Diving Team,” Shepard uses repeated images of fire (or radioactivity, or rivers, or dry mouths, or animals, etc.) to evoke a tone of…, and to suggest a character who…, and to support one theme that….
  6. Skip a few lines and start your outline.
    • You should have at least five main sections:
      • Introduction
        • including your thesis, which identifies one pattern of images and at least three effects (tone, character, conflict or theme, etc.)
      • Body paragraph one
        • specific imagery and effect on tone, for example

        Body paragraph two

        • specific imagery and effect on character

        Body paragraph three

        • specific imagery and effect on theme
      • Conclusion
    • In the outline, represent each body paragraph with a claim in the form of a topic sentence.
    • In the outline, make note of the evidence from the story that you would use to support your claims. Cite at least one direct quotation from the story in each body paragraph. Make sure to write this and cite this accurately.
  7. Write an MLA formatted Work Cited entry for the story.
  8. Post your thesis statement and outline

Assignment 2: Business Financing and the Capital Structure

Assignment 2: Business Financing and the Capital Structure
Due Week 8 and worth 240 points

Businesses have to make many financial decisions that have a direct impact on operations and the ability to successfully compete in the marketplace. Base your writing on the information from the course coupled with information located in the Strayer databases or Internet.

Write a two to three (2-3) page paper in which you:

  1. Assume that you are financial advisor to a business. Describe the advice that you would give to the client for raising business capital using both debt and equity options in today’s economy. Outline the major advantages and disadvantages of each option.
  2. Summarize the advice that you would give the client on selecting an investment banker to assist the business in raising this capital.
  3. Explain the historical relationships between risk and return for common stocks versus corporate bonds. Explain the manner in which diversification helps in risk reduction in a portfolio. Support response with actual data and concepts learned in this course.
  4. Use at least one (1) quality references. Note: Wikipedia and other Websites do not quality as academic resources. However, you may use data sources, such as Yahoo Finance.

Your assignment must follow these formatting requirements:

  • Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.
  • Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.

The specific course learning outcomes associated with this assignment are:

  • Describe the characteristics and valuation of stocks and bonds, and how each is a key component in the financing of corporations.
  • Describe the key elements of the securities markets, and how the markets drive financial transactions, decision making, and risk analysis.
  • Use technology and information resources to research issues in finance.
  • Write clearly and concisely about finance using proper writing mechanics.

Click here to view the grading rubric for this assignment.

Module 5: Portfolio Milestone

Obtain the supporting information from your Portfolio Project option. You will also use the Schedule A template included under that same option.

Show all calculations within the cells of the template. This means that you must use formulas and links so that the thought process can be examined. Make good use of comments to convey your thought process as well; no hard coding of solutions. Submit a single MS Excel file for grading.

Review the Portfolio Project Milestone Rubric in the Module 5 Materials folder to understand how you will be graded on the project. You must address instructor feedback when submitting your complete Portfolio Project during week 8.

The deliverable is as follows:

The completed Form 1040-Schedule A template.

Employing New Staff, Assignment 2.2: Justification Report help

Assignment 2.2: Justification Report – Part 2
Due Week 5 and worth 150 points

In Part 1 of your Justification Report assignment, you built up the following sections: Problem Statement, Overview of Alternatives, Criteria, and Methods. In Part 2, you will revise Part 1 based on your instructor’s suggestions and add to it the following sections: Evaluation of Alternatives, Findings and Analysis, and References.

Use the basic outline below to draft your paper. Organize your responses to each question under the following section headings:

  • Evaluation of Alternatives (for Questions 1-3)
  • Findings and Analysis (for Questions 4-5)
  • References (for Question 6)

Using the provided template, write Part 2 of a single-spaced report in which you:

  1. Include and revise the sections from Assignment 2.1 (Problem Statement, Overview of Alternatives, Criteria, and Methods) per instructor suggestions.
  2. Research the two (2) alternatives (i.e. possible solutions) that you’ve identified in your Part 1 Evaluation of Alternatives section. Record bibliographic information during research. 
    1. Example: You might research other organizations that have attempted similar solutions to the problem you have identified and explore the results of those experiments. 
  3. Use what you discover in your research to evaluate each alternative by each of your five (5) criteria. 
    1. Example: If your research revealed that four (4) companies similar to yours increased productivity after allowing their workers to telework from home three days per week, you might conclude that one of your suggested alternatives – in this case, the option to telework from home three days per week – satisfies one of your criterion of “Productivity” as a high-potential solution to a problem you’ve identified (of decreased worker morale and productivity at Doe’s Electronics). However, additional research might frustrate a recommendation of this alternative if it is found to fall short of other criteria while a second alternative fares better. For instance, a telework alternative might be found to be too costly to implement; too frustrating for consumers who prefer daily, in-person customer service; or too divergent from the company’s brand, “Always there for you!”
  4. Organize the assignment by your criteria. Explain in narrative form how each of your two (2) alternatives stacks up against your first criterion. Next, explain how each alternative stacks up against your second criterion, etc. 
    1. Example: An abbreviated outline of what this longer section might look like based on the above example is below (Note: Only the first two [2] of five [5] required criteria are included to give you a feel for the structure). Your researched findings, represented as circled bullets below, should be explained in two to five (2-5) sentences. Include in-text citations and follow up with References in APA style):

      Evaluation of Alternatives

      • Productivity
        • Alternative A: Telework from home three (3) days per week 
          • {narrate findings based on research article 1 here}
        • Alternative B: Offer two (2) extra Floating Holidays to each employee per year 
          • {narrate findings based on research article 2 here}
      • Cost
        • Alternative A: Telework from home three (3) days per week 
          • {narrate findings based on research article 1 here}
        • Alternative B: Offer two extra Floating Holidays to each employee per year
          • {narrate findings based on research article 2 here}
  5. Briefly summarize in narrative form the major discoveries that emerged from the Evaluation of Alternatives section.
  6. Include a chart like the ones below to illustrate at a glance:

    Figure 1: Alternatives Analyzed by Criteria

    Criteria

    Telework Option

    Floating Holiday Option

    Productivity

    Very high

    Negligible increase

    Cost

    Very high

    Moderate

    Company Image

    Increased

    Negligible increase

    Worker Morale

    Increased

    Negligible increase

    Practicality

    Moderate

    Low

    TOTAL Feasibility* of Alternatives based on Criteria?

    Moderate to High

    Low to Moderate

    *Feasability = Capability of an alternative being carried out with success

  7. Include an APA style (6th edition) References page that documents the two (2) sources (minimum) that you used and cited in-text in your Evaluation of Alternatives section. You may use secondary resources, or you may include one primary source and one secondary source. Remember that both in-text citations and References must be included (to avoid plagiarism) whenever you are directly quoting, summarizing, or paraphrasing researched material.

Your assignment must:

  • Be typed, single spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.
  • Include a cover page containing the title of the assignment, your name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.

The specific course learning outcomes associated with this assignment are:

  • Support ideas or claims in body paragraphs with clear details, examples, and explanations.
  • Organize ideas logically by using transitional words, phrases, and sentences.
  • Use sentence variety and effective word choice in written communication.
  • Apply writing process strategies to develop formal business reports and / or proposals.
  • Use technology and information resources to research issues related to selected topics.
  • Write clearly and concisely using proper writing mechanics.

Please read description carefully.

1.What is the PESTEL framework and what is its purpose?

2.Michael Porter is famous for his Five Forces Framework. What was the purpose of this framework and what is his theory?

3.When a firm enters the international markets, explain the two opposing forces they face.

4.The two opposing pressures in the international markets result in four different strategies. What are they and how are they different?

5.There are four international strategies associated with expansion outside the U.S. Export strategy (or sometimes also called international strategy), multi-domestic strategy, transnational strategy, and global strategy. Once an organization decides on a strategy, there are four key key modes of entry used to enter the international market. What are they and how to they differ?

6.Explain innovation diffusion. What does it mean and what are some of the aspects of the supply and demand factors that determine diffusion pace? Give an example of innovation diffusion.

7.What is the difference between deliberate strategy and emergent strategy? Give examples.

8.Organizations are structured differently. Most common structures are divisional, functional, matrix, multinational and project based. How does a company decide which structure is best suited for them?

9.How do you describe a turnaround strategy? When is it necessary and what does it entail?
Give an example.

10.Balogun and Hailey identify four types of strategic change. What are they and what is their message regarding these changes?

do webquest online

You will need to select a topic for your WebQuest.

Review the webpage www.zunal.com for sample WebQuest.

Review the attached How to Write Objectives.

Review Bloom’s Taxonomy (https://cft.vanderbilt.edu/guides-sub-pages/blooms-taxonomy)

Write 3 to 5 objectives for the WebQuest.

Submit these objectives by Tuesday, February 6th at 5 PM.

You will have the chance to revise your objectives throughout the course. In many courses a grade is provided on the first draft of your assignment. This limits the chance for students to fully learn and comprehend the content. You will be able to revise any assignment twice before a grade is provided. It is my goal to work toward mastery.

MY TOPIC IS THE FIVE SENSES FOR 5TH GRADE

AND WHEN YUO FINISH SEND TO ME THE LINK