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Week 7 Case Study (1) 

The following activity includes several case presentations of edema. Make a diagnosis for each case, remembering the following questions: 

1. Is the edema acute/sudden or chronic (e.g., duration, progression)?
2. Is it unilateral or bilateral? Is the edema generalized or localized?
3. Is it pitting or nonpitting?
4. Is it dependent?
5. In addition to edema, what other characteristics are associated with the edema (e.g., redness, pain)?
6. What is the pertinent past or coexisting medical history? What medications is the patient taking?

You may want to refer to chapter 3 and chapter 4 to help determine the diagnosis. 

Case 1

45-year-old Mrs. Rodriguez is complaining of intermittent mild bilateral feet/ankle swelling for the past 2 months, but it is worse on her right leg. She denies leg pain, but she does describe her legs as feeling heavy at times and reports standing for long periods worsens the swelling. She notes her veins are getting larger in her legs. For the past 8 months, she has been experiencing intermittent numbness in her feet and reports her left knee has been achy. She is a server at a busy restaurant and sometimes works 10-hour days. She denies any fever, warmth, erythema, or trauma. 

• Past medical history: obesity (BMI 31); type 2 diabetes mellitus.
• Medications: metformin.
• Physical examination: vital signs are within normal limits; exam is unremarkable except for bilateral tortuous veins in both lower extremities, which are worse on the right leg, and decreased sensation in both feet.
• Note: Assume history and examination is within normal limits if not listed.

Activity

1. Identify the probable diagnosis and what data support your decision.
2. Describe the pathogenesis for the diagnosis.
3. What data are inconsistent with your diagnosis?
4. What diagnostic tests would you order, if any, and how would you treat this patient?

Case 2

68-year-old Mr. Quincy is complaining of left leg swelling for the past 2 weeks. The swelling started while he was on a cruise. The swelling is intermittent and below the knee to his foot. He describes a cramplike pain in his left calf. Lately, both legs have been cramping while walking, but it resolves when he sits. He denies any fever, warmth, erythema, or trauma. 

• Past medical history: iliofemoral deep vein thrombosis of his left leg after he had left hip replacement for osteoarthritis 9 months ago; treated with rivaroxaban for 6 months; stable angina; obesity (BMI 31); dyslipidemia.
• Social history: quit smoking 4 years ago but resumed one-fourth pack per day 1 year ago.
• Medications: simvastatin; aspirin; metoprolol.
• Note: Assume history and examination is within normal limits if not listed.

Physical examination: vital signs are within normal limits; right leg is within normal limits except hairless, shiny skin; left leg has 1+ pitting edema in the pretibial area and foot; mild pain with left calf compression and one small tortuous vein on the medial aspect of his calf; left leg is also hairless and shiny. A venous duplex Doppler ultrasound of his left leg was done and reveals no deep vein thrombosis. 

Activity

1. Identify the probable diagnosis and what data support your decision.
2. Describe the pathogenesis for the diagnosis.
3. What data are inconsistent with your diagnosis?
4. What diagnostic tests would you order, if any, and how would you treat this patient?

Part 2: Students are to complete Part 2

A 70-year-old woman was recently treated for pneumonia with antibiotics. After 1 week on antibiotics, she started developing severe diarrhea of 6–7 loose, watery stools per day. The diarrhea has been present for 3 days. She also has a decreased appetite, feels nauseous, and has not been drinking a lot of fluids. She feels very weak and dizzy. She lives alone, so she called 911 and was brought to the emergency department. She is diagnosed with diarrhea, presumptive Clostridium difficile. 

• Patient medical history: Clostridium difficile 2 years prior.
• Physical examination: temperature 99.0°F; pulse 100 beats per minute; respirations 24 per minute; and blood pressure 90/50 mmHg, which dropped to 70/40 mmHg when seated. Examination unremarkable except for dry mucous membranes and generalized mild abdominal tenderness with palpation.
• Laboratory findings reveal:
• Chemistry panel: sodium 135 mEq/L; potassium 3.4 mEq/L; chloride 100 mmol/L; HCO3- 12 mEq/L; blood urea nitrogen 40 mg/dL.
• Creatinine: 1.2 mg/dL.
• ABG: pH 7.22, PaO2 85 mmHg, PaCO2 20 mmHg, HCO3- 12 mEq/L.

Activity

1. Analyze the ABG and determine the acid–base disturbance.
2. Calculate the compensation response and determine if it is appropriate.
3. This item is optional. Calculate and interpret the anion gap.
4. Discuss the diagnosis.
5. Develop a treatment plan.

TEXTBOOK & READING:

From your textbook. Applied Pathophysiology for the Advanced Practice Nurse, read the following chapter:

• Urinary Functions

MBA 530 Milestone One Guidelines and RubricOverview

For this assignment, you will be taking a more thorough look into your leadership self-assessment results that you reflected on in Module One. This assignment will help in the creation of your personal development plan, which will be submitted in Module Six.

Scenario

You work as a director of leadership and learning for an organization that makes prosthetics. The organization has been in business since 1999 and employs over 350 people in its Tampa, Florida, headquarters and three plant locations across the Southwest. While the business is currently based in the United States, the organization is exploring ways to move into Canadian markets within the next three years. This year’s employee engagement survey results for the organization show that some leadership practices were rated lower, while some practices were rated higher. The new chief human resources officer (CHRO) met with the team to discuss the general results. Everyone agrees that the company’s focus should be on both specific leadership development areas perceived as strengths and on those rated as areas for improvement, primarily regarding social intelligence, emotional intelligence, and the interpersonal skills of effective leaders.

To help this initiative, your manager, the vice president of leadership and learning, asked you to create an adaptive leadership toolkit that can be used throughout the organization. To begin this work, you conducted a personal leadership self-assessment, and now you will be taking a closer look at these results to produce a self-assessment report. You plan on exploring how this self-assessment would make a beneficial contribution to a personal development plan and adaptive leadership toolkit, which will help to resolve the leadership challenges the organization is currently facing.

Prompt

For this assignment, refer to your results from your self-assessment and use the LPI Self Assessment to determine where each of your five leadership behaviors rank.

Leadership Behaviors

• Model the Way
• Inspire a Shared Vision
• Challenge the Process
• Enable Others to Act
• Encourage the Heart

For further information on each of the five leadership behaviors and their two commitments, please refer to The Ten Commitments of Exemplary Leadership.

Self-assessment: In this part of your report, you will use the results from your self-assessment to identify leadership behaviors where you ranked highest and where you ranked lowest, and begin thinking about how this information impacts your ability to lead. This work will help to inform your personal development plan, which you will create in Module Six.

1. Identify the leadership behavior in which you ranked lowest and define what this behavior means to you.
2. For the leadership behavior in which you ranked lowest, describe the importance of developing this area to improve skills related to leading others.
3. Identify the leadership behavior in which you ranked highest and define what this behavior means to you.
4. For the leadership behavior in which you ranked highest, describe how this area helps support skills related to being an effective leader.

Adaptive leadership toolkit: In this part of your report, you will use your findings from the Employee Satisfaction Survey and the leadership behaviors you reviewed in the self-assessment to identify areas of leadership the organization should focus on developing. This work will help to inform the adaptive leadership toolkit that you will develop in Module Seven.

1. Based on your review of the Employee Satisfaction Survey, identify the leadership behaviors the organization’s leadership should focus on improving and explain how developing these areas will address the business problems the organization currently faces.
2. Based on your review of the Employee Satisfaction Survey, identify the leadership behaviors the organization’s leadership is currently successful in and explain how maintaining these areas can help in managing relationships between the leaders and their direct reports.

What to Submit

Submit your report as a 3- to 4-page Word document using 12-point Times New Roman font, double spacing, and one-inch margins. Sources should be cited according to APA style. Consult the Shapiro Library APA Style Guide for more information on citations

MBA 540 Module Four Assignment Guidelines and RubricOverview

Defining a business strategy is part of the strategic planning process and is necessary for achieving the company’s goals and objectives. The steps involved in creating a business strategy are critical and it is imperative that the appropriate amount of time is spent in getting it just right.

As the director of strategic planning, you want to ensure that all your managers understand business strategy, including what a strategy is, how it’s created, and who is responsible.

Prompt

Create a one-page document describing business strategy for mid-level managers.

Specifically, you must address the following criteria:

• Definition: Define the term business strategy in your own words.
• Formulation: Briefly outline the steps involved in formulating a business strategy.
• Responsibilities: Explain who is responsible for and who benefits from good business strategy.
• Corporate vs. business unit strategy: Describe at least two ways in which a corporate strategy is different from a business unit strategy.

What to Submit

Submit a one-page Word document with double spacing, 12-point Times New Roman font, and one-inch margins. You are not required to use sources; however, if you choose to use sources, they should be cited in APA format. Consult the Shapiro Library APA Style Guide for more information on citations.

Overview

The vice president of strategy and operations (VP) has confided to you that strategic planning has been a challenge for the company over the past year, specifically crafting new strategies and aligning them to the company’s mission and goals. You have now been tasked with creating a new strategic planning proposal to help the company explore at least one new growth opportunity to increase its revenue or market share in the industry.

To create your proposal, you first need to analyze the company’s business environment and identify possible opportunities for growth. In this assignment, you will analyze your company’s internal business environment and explain its influence on revenue or market share.

Prompt

Perform an internal environment analysis of your company to understand the company’s current business environment and future goals. Use resources such as the company website, which will have pertinent information including its most recent sustainability report, and other relevant sources to help complete this presentation. You can also use the resources in the MBA Library Research Guide to conduct further research about your company.

Create a Microsoft PowerPoint presentation to show the results of your analysis. Use both on- slide text and narration or speaker notes in your PowerPoint slides to convey your information effectively. If narration is not possible, precise and extensive speaker notes should be used, while addressing all of the rubric elements in the presentation. For example, you can use brief, bulleted lists summarizing the highlights of your analysis on the slide and include more detailed explanations in your narration or speaker notes.

Specifically, you must address the following rubric criteria:

1. Overview (slide 1): Provide a brief overview of the company’s products, services, and customer base.
2. Existing Entities (slides 2–3): Identify at least two existing partnerships, mergers, or acquisitions. Explain how these entities contribute to the company’s revenue or market share.
3. Five-Year Goals (slide 4): Speculate on what the company wants to achieve in the next five years by considering its mission statement, its values and goals, and relevant sections of its sustainability report.

What to Submit

Create a PowerPoint presentation with on-slide text and narration or detailed speaker notes. Your presentation should be 4 to 6 slides in length. Sources should be cited according to APA style. Consult the Shapiro Library APA Style Guide for more information on citations.

TOPIC: PAINITING SEASHELLS AND PINECONES

As you have learned this week, human beings have always had the need to create art, and you are no different. Moreover, one of the best ways to truly appreciate great artwork created by others is to attempt to make it ourselves.

For this assignment, you’ll create a work of art. You have a variety of choices, such as drawing, painting, sculpture, metalwork, glass, wood carving, jewelry, clothing (or any textile), 3D printing, and many others. The main rule is that it must be a physical, tangible object that you create by yourself, or in collaboration with friends or family.

Music, poetry, photography, digital art, and anything generated by artificial intelligence are not allowed for this assignment. After completing the work of art, write a brief reflection of at least 300 words, in which you respond to these questions:

• What was your process like? How did you decide what to create?
• What was the most enjoyable part? What was the most challenging part?
• How did this experience affect the greater appreciation for the art you’ve been learning about in this class?

Submission Requirements

• At least two photos of the work of art–more than two is fine. One of the photos should show you in the process of creating the work of art, and another should show you alongside the finished work. Insert them into a Word document.
• Write your reflection above, below, or alongside the photos.
• Include your name, the name of the class, and the date of submission. There is no need for a separate title page or References page for this assignment.

 term paper, you are to explore the concept of division of labor. Please make sure to address the following questions:

How important is the division of labor to a capitalist economy?

How does the division of labor lead to more efficient production?

What are some examples of division of labor and specialization from your personal experiences?

You are encouraged to do your own research on the division of labor to supplement the concepts we’ve covered in the first half of the course. You may also find the following links to be useful:

EconLib Division of LaborHarvard Business Review Division of Labor 

Complete this essay in a Microsoft Word document in APA format. Your work will automatically be submitted to Turnitin for plagiarism review. Please note that a minimum of 700 words for your essay is required.

MSW6105 Forensic Clinical Social Work Practice

Week 5 Assignment

: Critique Factors Related to Drug Use

Social workers understand how diversity and difference characterize and shape the human experience and are critical to the formation of identity and recognize the dimensions of diversity are understood as the intersectionality of multiple factors.   Write a reflection paper that appraises the differences between the factors that encourage drug use among children, teenagers, college-age students, young adults, middle age and the elderly. Be sure to discuss the factors that might lead to drug abuse in these groups incorporating both quantitative and qualitative research methods and their respective roles in advancing a science of social work and in evaluating their practice. These factors can range in diversity to include much more than generational differences demonstrating an understanding of theories of human behavior and the social environment, and ways to critically evaluate and apply this knowledge in the assessment of diverse clients and constituencies, including individuals, families, groups, organizations, and communities.. Be creative and explore different traits, environments, and backgrounds each group could present and consider how human rights and social justice, as well as social welfare and services, are mediated by policy and its implementation at the federal, state, and local levels.

Support your assignment with at least three scholarly resources. In addition to these specified resources, other appropriate scholarly resources, including seminal articles, may be included.

Length: 5-7 pages, not including title and reference pages

Your assignment should demonstrate thoughtful consideration of the ideas and concepts presented in the course by providing new thoughts and insights relating directly to this topic. Your response should reflect scholarly writing and current APA standards. Be sure to adhere to Northcentral University’s Academic Integrity Policy

MSW6105 Forensic Clinical Social Work Practice

Week 6 Assignment

: Critique Rehabilitation Efforts

Social workers understand the forms and mechanisms of oppression and discrimination and recognize the extent to which a culture’s structures and values, including social, economic, political, and cultural exclusions, may oppress, marginalize, alienate, or create privilege and power.  Prepare a white paper of the main factors responsible for the recidivism of male offenders in the United States. Be sure to include the following:

Explain the problems or issues surrounding male offenders.

Assess the history and its impact on diverse groups of male offenders including the importance of evaluating processes and outcomes to advance practice, policy, and service delivery effectiveness.

Analyze past attempts to resolve related issues for male offenders. Include examples or current events to support your findings.

Identify and describe legislative responses including why social workers value the importance of interprofessional teamwork and communication in interventions, recognizing that beneficial outcomes may require interdisciplinary, interprofessional, and inter-organizational collaboration.

Determine the societal values and the social and economic conditions which you think have contributed to these issues.

Describe current conditions for male offenders, including rehabilitation efforts, and provide implications for forensic social work practice incorporating the principles of logic, scientific inquiry, and culturally informed and ethical approaches to building knowledge.

Support your assignment with at least three scholarly resources. In addition to these specified resources, other appropriate scholarly resources, including seminal articles, may be included.

Length: 5-7 pages, not including title and reference pages

Your assignment should demonstrate thoughtful consideration of the ideas and concepts presented in the course by providing new thoughts and insights relating directly to this topic. Your response should reflect scholarly writing and current APA standards. Be sure to adhere to Northcentral University’s Academic Integrity Policy

MSW6105 Forensic Clinical Social Work Practice

Week 7 Assignment

: Recommend Resources for Refugees

The dimensions of diversity are understood as the intersectionality of multiple factors including but not limited to age, class, color, culture, disability and ability, ethnicity, gender, gender identity and expression, immigration status, marital status, political ideology, race, religion/spirituality, sex, sexual orientation, and tribal sovereign status.  This week’s assignment requires you to envision that you have been contacted by a local school to present a seminar for refugees. Your seminar should be entitled “Refugee Training Seminar.” In this seminar, provide tips for refugees that reflect the latest research findings on promoting acculturation for refugees that are struggling to navigate America’s apprenticeship system.  The seminar should also include content related to understanding the global interconnections of oppression and human rights violations, and theories of human need and social justice and strategies to promote social and economic justice and human rights.

Create an outline for the seminar of the topics you will cover and the tips you will provide. Be sure to include information for each of the following domains: communication, job training, housing, transportation, and health. Also, provide information about theories that will help trainers understand their role in the integration process especially related to recognizing and understanding the historical, social, cultural, economic, organizational, environmental, and global influences that affect social policy.  Be sure to include specific strategies for understand how personal experiences and affective reactions may affect the trainer’s assessment and decision-making. Additionally, because social workers are knowledgeable about evidence-informed interventions to achieve the goals of clients and constituencies, including individuals, families, groups, organizations, and communities  include information about discrimination, assimilation, integration, and at least one activity for those in attendance to engage in that is about language and certification (this could be an activity to teach necessary communication skills, such as a role-play to guide refugees into the country’s apprenticeship system for vocational training). Be creative!

Social workers understand theories of human behavior and the social environment, and critically evaluate and apply this knowledge in evaluating outcomes. You must also create a handout(s) to give to refugees who attend your seminar. It can be a brochure, a resource guide, an annotated bibliography; whatever you believe would be most useful for residents who are looking for information on promoting integration for refugees.

Support your seminar outline and handout(s) with at least five references from research conducted in the past five years. If you cannot find recent studies in the library, consider contacting the Northcentral Librarians if you need help in locating new, reliable resources.

Length: 4-6 pages total: 3-4 pages for your seminar outline, 1-2 pages for the handout(s)

Your assignment should demonstrate thoughtful consideration of the ideas and concepts presented in the course by providing new thoughts and insights relating directly to this topic. Your response should reflect scholarly writing and current APA standards. Be sure to adhere to Northcentral University’s Academic Integrity Policy

MSW6105 Forensic Clinical Social Work Practice

Week 8 Signature Assignment

: Create a Workshop for Probations Officers on How Social Work is Applied to Those Systems

For your final assignment, prepare a workshop for those employed in the criminal justice system to enhance their knowledge on how social work is applied to these systems including why Social workers understand how diversity and difference characterize and shape the human experience and are critical to the formation of identity. You may prepare a general presentation for all criminal justice professionals or select a specific population, such as probation officers.

Describe the criminal justice system, its purpose, and the population it serves.

Discuss competencies in evidenced-based practice and model programs for offenders, victims of crime, and their families showing an understanding that evidence that informs practice derives from multi-disciplinary sources and multiple ways of knowing.

Explain the development of the criminal personality and its relationship to the justice system. Illustrate how biological and environmental risks and protective factors lead to antisocial trajectories (micro, mezzo, and macro) and to the development of intervention strategies to improve outcomes.

Determine factors that contribute to the over-representation of people of color, the perception of racial bias, and social class distinction within the criminal justice system integrating content related to understanding strategies designed to eliminate oppressive structural barriers to ensure that social goods, rights, and responsibilities are distributed equitably and that civil, political, environmental, economic, social, and cultural human rights are protected.

Describe the principles of evidence-based practice and restorative justice in treatment, program development, and evaluation including how social workers understand their role in policy development and implementation within their practice settings at the micro, mezzo, and macro levels and they actively engage in policy practice to effect change within those settings.

Explain how your audience can apply evidence-based strategies while working in an interdisciplinary team with forensic social workers.

Explain how social workers utilize risk assessment and instruments with criminal offenders and trauma assessment with victims of crime, including the appropriate use and limitations of psychometric and risk assessment tools recognizing that assessment is an ongoing component of the dynamic and interactive process of social work practice with, and on behalf of, diverse individuals, families, groups, organizations, and communities.

Examine how forensic social workers testify in court and collaborate with other professionals.

Support your assignment with at least five scholarly resources. In addition to these specified resources, other appropriate scholarly resources, including seminal articles, may be included.

Length: 10-12 pages, not including title and reference pages

Your assignment should demonstrate thoughtful consideration of the ideas and concepts presented in the course by providing new thoughts and insights relating directly to this topic. Your response should reflect scholarly writing and current APA standards. Be sure to adhere to Northcentral University’s Academic Integrity Policy