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NR 601 Week 2 Case Study Discussions Physical Examination (Part-2) NEW
Discussion Part Two (graded)
Physical examination:
Vital Signs
Height: 5 feet 2 inches Weight: 163 pounds BMI: 29.8 BP 110/70 T 98.0 po P 100 R 22, non-labored; Urinalysis: Protein 2+, Glucose: 4+ HEENT: normocephalic, symmetric. Bilateral cataracts; PERRLA, EOMI; Upper and lower dentures in place a fitting well. No tinnitus NECK: Neck supple; non-palpable lymph nodes; no carotid bruits. Thyroid non-palpable
LUNGS: Decreased breath sounds in bases bilaterally with rales, expiratory wheezing with prolonged expiratory phase noted throughout all lung fields. No costovertebral angle tenderness (CVAT) noted. Increase in AP diameter noted.
HEART: Irregularly irregular rhythm; Unable to detect S3 or murmur ABDOMEN: Normal contour; active bowel sounds all four quadrants; no palpable masses.
PV: Pulses are 2+ in upper extremities and 1+ in pedal pulses bilaterally. 2+ pitting edema to her knees noted bilaterally;
NEUROLOGIC: Achilles reflexes are hypoactive bilaterally. Vibratory perception to the 128 Hz tuning fork placed at the MTP of her great toe is absent bilaterally; She is unable to discern monofilament placement in 3 locations on her left foot and 2 places on her right foot.
GENITOURINARY: no CVA tenderness; not examined
MUSCULOSKELETAL: Heberden’s nodes at the DIP joints of all fingers and crepitus of the bilateral knees on flexion and extension with tenderness to palpation medially at both knees. Kyphosis and gait slow, but steady.
PSYCH: normal affect; her Mini-Cog Score is 3. Her PHQ-9 score is 22. SKIN: Sparse hair noted on lower legs and feet bilaterally with dry skin on her ankles and feet.
Discussion Part Two:
Summarize the history and results of the physical exam. Discuss the differential diagnosis and rationale for choosing the primary diagnosis. Include one evidence-based journal article that supports your rationale and include a complete treatment plan that includes medications, possible referrals, patient education, ICD 10 Codes, and plan for follow up.
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PSY 490 Week 1 Individual The Diverse Nature of Psychology Paper
Write a 700- to 1,050-word paper in which you analyze the diverse nature of psychology as a discipline.
Address the following items as a part of your analysis:
· Evaluate the influence of diversity on psychology’s major concepts.
· Identify two examples of subdisciplines and two examples of subtopics within psychology. Examples of major concepts and their subtopics include the following:
o Motivation: theory of emotion, and approach and avoidance
o Behaviorism: aggression, cheating, and binge drinking
o Cognition: cognitive dissonance and false memories
· How can the subdisciplines and subtopics you identified be applied to other disciplines and venues in contemporary society?
· Relate the subdisciplines and subtopics to your theoretical perspective.
· Include your psychological contribution to society in the areas of work, education
PSY 490 Week 1 Individual The Diverse Nature of Psychology Paper
Write a 700- to 1,050-word paper in which you analyze the diverse nature of psychology as a discipline.
Address the following items as a part of your analysis:
· Evaluate the influence of diversity on psychology’s major concepts.
· Identify two examples of subdisciplines and two examples of subtopics within psychology. Examples of major concepts and their subtopics include the following:
o Motivation: theory of emotion, and approach and avoidance
o Behaviorism: aggression, cheating, and binge drinking
o Cognition: cognitive dissonance and false memories
· How can the subdisciplines and subtopics you identified be applied to other disciplines and venues in contemporary society?
· Relate the subdisciplines and subtopics to your theoretical perspective.
· Include your psychological contribution to society in the areas of work, education, health, and leisure.
for assignment help and quiz,
visit
http://www.dreamassignment.com/
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