Create a differential diagnosis list based on the information gathered about this case

History of Present Illness

Max Wellington is a 59 y/o male with a history of diabetes mellitus type two on oral meds, frequent urinary tract infections and hypertension. He presents to the office today with c/o of dribbling, frequency hesitancy and also now some erectile dysfunction which is more apparent due to the fact that he is in a new relationship.

Chief Complaint

“I am up 4-5 times at night having to pee. I am dribbling urine and sometimes I do not make it to the bathroom in time. It is also sometimes hard to get going once I get to the bathroom. I recently met a very nice woman and we are in a relationship, but I am finding it increasingly difficult to be intimate with her. Being up all night going to the bathroom and then going to the bathroom on myself is ruining my love life!”

Past Surgical History

Appendectomy age 14

Medications

Metformin 500mg po BID, Toprol XL 50mg po daily, Terazosin 10mg po daily.

Allergies

Seasonal allergies i.e. leaves and pollen, worse in the spring. No known drug or food allergies.

Medical History

Hypertension (HTN), Diabetes Mellitus Type II, frequent Urinary Tract Infections

Family History

He is an only child. His mother is living at age 85 with HTN, HLD, CAD, DM II and his father is deceased at age 78 from an MI.

Social History

Divorced, in a new relationship with one female partner for the last 6mo. Has 2 adult children, one son and one daughter, both in good health. Denies heavy ETOH use, reports a glass of wine 1-2 times per week. Previous smoker, 1ppd for 20 years, quit in 2000. He is still working full time as a car salesman.

General

Denies recent fever, weight loss. Does admit to feeling fatigued because he is up so many times at night. Sitting comfortably in exam table, well nourished, in no acute distress.

When faced with a problem, what do you do to solve it? This assignment asks you to apply a six-step to problem solving process to a specific problem scenario. You will write a paper that presents a synthesis of your ideas about solving the problem using this systematic approach. As Voltaire said, “No problem can withstand the assault of sustained thinking.”

Choose one (1) of the problem scenarios as a topic choice for your paper (Note: Your professor must approve your topic choice before you begin work on the assignment.)

Scenario 1: You have worked at your company for eleven (11) years. You have returned to college to earn a Bachelor’s degree in order to increase your chances for a promotion. You are nearly finished with your degree, when a supervisor’s position in a competing company becomes available in another state. The start date is in two (2) weeks, during your final exam period for your courses. The position offers a $15,000 per year salary increase, a car allowance, and relocation expenses. Your former supervisor works for the company and is recommending you for the position based on your outstanding job performance; if you want the job, it’s yours. All of the other supervisors at this level in the company have Master’s degrees, so you know that you would be expected to earn your Bachelor’s degree and continue on to a Master’s degree. Your present company offers tuition reimbursement, but the new company does not.

Scenario 2: Your child comes home from school with an assignment sheet for a school project. He / she is very excited about the project and begins work immediately, doing research on the Internet and gathering materials. You read over the assignment sheet and notice that your child is not including all of the required items in the project, and you have some ideas for how to improve the quality of the presentation. You recently read an article in a parenting magazine about the importance of a child developing responsibility for his/ her own learning. You recall the many ways in which your parents took over your school projects. You, on the other hand, want to encourage your child’s confidence in his / her ability to complete a project independently. The next day, you are at the grocery store when you see a parent of a student in your child’s class. That parent has spent over $30 in supplies for the science project and is taking a day off of work to put the pieces of the project together.

Scenario 3: You have two jobs—one during the week from 9:00 am to 6:00 pm, and one on Saturday from 3:00 pm to 11:00 pm. You are taking two classes—one that meets from 6:00 to 10:00 pm, and one class online. You have two kids—one who plays soccer, and one who is in band. You have two elderly parents who no longer drive. You have two siblings—one who lives two (2) miles away, and one who lives in another state. You have two (2) papers due in your classes the same week that one (1) of your children has a soccer tournament, and the other child has a band concert. You are coaching the soccer team, and you are in charge of fundraising for the band. You have a goal to complete your degree in two (2) years. Your doctor tells you that your blood pressure, your cholesterol, and your weight are too high and recommends several medications that cost you nearly $200 per month after your insurance co-pay.

Scenario 4: You are a sales representative for a company that encourages staff to log time in the field and away from the office. You are expected to begin and end your day at the office. You notice that each day when you arrive and return another co-worker is already there, and you wonder whether this person spends most of his / her time at the office. At your weekly sales meeting, you are informed of your co-workers’ outstanding sales performance. You suspect that this co-worker is spending more time flattering the boss instead of working leads in the field, and as a result is getting the best client referrals. Your own sales numbers have steadily decreased since this other sales representative was hired.

Scenario 5: Professor’s Choice – problem scenario presented by your professor.

Scenario 6: Student’s Choice – Problem scenario presented by you.

Review the six-step problem solving process outlined in the webtext, based on the article “The Problem Solving Process” located at http://www.gdrc.org/decision/problem-solve.html:

• Step One: Define the problem
• Step Two: Analyze the problem
• Step Three: Generate options
• Step Four: Evaluate options
• Step Five: Make your decision
• Step Six: Implement and reflect

Write a four to five (4-5) page paper in which you:
1. Define the problem in the scenario that you have chosen.
2. Analyze the problem in the scenario.
3. Generate options for solving the problem in the scenario.
4. Evaluate the options for solving the problem.
5. Decide on the best option for solving the problem.
6. Explain how you will implement the decision made and reflect on whether this option was the most effective.

The paper should follow guidelines for clear and organized writing:

• Include an introductory paragraph and concluding paragraph.
• Address main ideas in body paragraphs with a topic sentence and supporting sentences.
• Adhere to standard rules of English grammar, punctuation, mechanics, and spelling.

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 Style 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:

• Recognize the hindrances to the decision-making process in order to apply problem-solving skills to a variety of situations.
• Create written work utilizing the concepts of critical thinking.
• Use technology and information resources to research issues in critical thinking skills and informal logic.

This assignment will not only help you improve your leadership and communication skills, it will also establish the foundation for other courses you take at CSU-Global. 

For this assignment, research the topic of leadership and communication. To make this assignment more meaningful for you, base it on your job or other life experience (perhaps as a volunteer for an organization or as a student at a university) as much as possible. Follow the outline below step-by-step. 

1. Your assignment will be 900 to 1,200 words in length, in addition to the title and reference pages. 

2. Include the elements, below, in your paper. View the sample paper; does your paper look like this? To see how these elements should appear. Keep in mind that this assignment structure reflects that of most Critical Thinking assignments at CSU-Global. 

Title Page You can use the APA Template Word document, which is already formatted in APA style. Just replace the informational placeholders with your information. Write directly into this template and save it as your own paper. 

Introduction (The Introduction does not need a header. See the sample paper, “Does your paper look like this?,” to see how the introduction should look in your paper.) 

Here is where you include your thesis statement. Follow the instructions on Page IV of this module and in the handout, Writing an Effective Essay (one of your required readings this week). Again, tie your paper to an issue at your job or in your life and that addresses leadership and communication. Use Page I, Leadership and Communication, of this module to help you. Ask yourself those two important questions: Who is the audience and what is the message? 

Finding Credible Material (This will be a “Level 1” heading in your paper. To learn what Level I means, visit https://owl.english.purdue.edu/owl/resource/560/16/.) 

A. Find a scholarly journal article in the CSU-Global Library on the topic of leadership and communication, one that fits the issue you are writing about. Use the information on Page II in this module and in the Writing an Effective Essay handout to help you. 

i. Summarize the article and explain how it addresses your work or life issue with regard to leadership and communication. 

ii. Discuss the process of finding this scholarly article in the CSU-Global Library. In your discussion, answer the following questions: 

a. Explain whether this was the first time you used the Library. 

b. Describe the key words you used to find your topic. 

c. Did you find an article right away on leadership and communication that related to your issue or did you have to use different key words to find the right article? Explain and describe your process. 

d. According to the chart on Page II of this module, what are the characteristics of a journal article? How does an article differ from a magazine or newspaper? (You will want to summarize this information in your own words.) 

B. Next search the Internet for a reliable Web site related to the leadership and communication issue you are studying. 

i. Use the CRAP test on Page II of this module to evaluate this Web site. Summarize your findings for each section of the CRAP test. 

ii. Discuss how this Web site addressed, or did not address, your issue. 

iii. According to the chart on Page II of this module, what are the characteristics of a Web site? (You will want to summarize this information in your own words.) 

C. Find an ebook in the CSU-Global Library also on the topic of leadership and communication. You may want to view this tutorial on how to find an ebook in the CSU-Global Library – Searching for eBooks. 

i. Summarize how this ebook addresses your issue regarding leadership and communication. 

ii. According to the chart on Page II of this module, what are the characteristics of a book? (You will want to summarize this information in your own words.) 

D. Cite your sources (and any concepts in your paper that are not your own) in proper APA format. Make sure you adhere to the CSU-Global Guide to Writing and APA Requirements, which is one of the required readings for this module. 

Critical Thinking (This will be a “Level 1” heading in your paper. To learn what Level I means, visit https://owl.english.purdue.edu/owl/resource/560/16/). 

Now you are going to apply critical thinking to each of the sources you just researched and read. Use the content and video on Page III of this module and the Orientation lecture series: Learning to learn – Developing critical thinking skills handout (in the required readings) to help you construct this part of your paper. 

A. Describe how you would apply critical thinking to the journal article you found. 

B. Describe how you would apply critical thinking to the Web site you found. 

C. Describe how you would apply critical thinking to the ebook you found. 

Conclusion You may want to consult the Writing an Effective Essay handout to help you write your conclusion. 

(This will be a “Level 1” heading in your paper. To learn what Level I means, visit https://owl.english.purdue.edu/owl/resource/560/16/). 

A. Restate thesis 

B. Summarize main body points 

C. Return to the hook to bring the essay full-circle 

References 

See sample paper and the CSU-Global Guide to Writing and APA Requirements to construct your Reference list. 

***The link below is an article from my library***

https://search-ebscohost-com.csuglobal.idm.oclc.org/login.aspx?direct=true&db=bth&AN=53323733&site=ehost-live#.U5t0_mv4E5Y.gmail

Write two pages discussions for a sociology class. I have attached all the requirements, sample, cases you need and the reading materials. Please do read the requirements carefully. Thank you!

Directions:

1.Based on your
client’s biological age, what stage of human development are they in? How is
your client’s human developmental stage relevant to the case? What unique
ethical concerns arise during your client’s stage, and how would you address
them? (Hint: Ch7 Talks about birth – 18 CH 8 Talks about 65+ See the
Developmental Stages Power Point in the module for additional information.)

2.What are two social
welfare programs (Macro Social Work) that your textbook mentioned that you
think could help your client based on their Human Developmental Stage and their
presenting problems and needs? Why did you select these two programs? (Consult
and use your course textbook for specific social policies/programs. Hint: Ch 7,
8, and 11 have some specific policies/programs, as does the rest of the
textbook.)

3.What kinds of
attitudes does the public display toward people who are in the same human
developmental stage as your client? What are the expectations does society have
for people in that human development stage?

4.What is your role as
a social worker based on your client’s human developmental stage? How could you
help your client navigate the attitudes and expectations they face from
society?

5.What is one question
that you have about your case study/client and its relation to this week’s
module material

6.Please ensure that
you respond to at least one peer in addition to your own post! Peer responses
are expected to be a minimum of 100 words. Be sure to include critical thinking
and thoughtful feedback in your response to ensure you earn the full amount of
points in your post

1 min ago

ATTACHMENTS

The notion of taking on “technical debt” during a project may seem perfectly natural to some stakeholders, but extremely controversial to others. Kent Beck emphasizes the value of evolutionary design highly in Extreme Programming. Effort to create an ultimate, perfect design before the creation of work products is begun is shunned in XP in favor of starting with a simple design that is continually “refactored” as needed during the project. Technical debt can be said to be taken on whenever a less than optimal design is implemented in a product.

Matt Stephens and Doug Rosenberg vigorously attacked the idea of evolutionary design (among many other XP practices) in their 2003 book Extreme Programming Refactored: The Case Against XP. They argued that investing the time to create a robust product design is well worth the time, as it would eliminate the need to continually refactor an inferior product during its creation.

In this forum discussion, students are asked to debate whether it is better to get design right the first time or allow for effort to improve design incrementally. You may draw on course content, personal experience and materials you find in NYU’s library or the Internet to draw out facets of this argument and state your personal beliefs. You should feel free to qualify your statements with conditions as you see fit.

Students will be evaluated based on how well they state and support their opinions, including the description of personal anecdotes or cases drawn from research. Students are also expected to engage each other by commenting on each other’s posts. You can rest assured that your instructor will be quite vocal in this discussion as well!