Tag: Clinical Nursing & Patient Care

  • [Solved] complete this discussion post using the instructions and following the rubric

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    Instructions: Consider the role of epidemiologic methods in preparing for or responding to natural disasters. – Focus on global health initiatives, effects of natural disasters on health outcomes, and global health inequities and how they are magnified by natural disasters. – Select a recent (within…

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    Instructions: Consider the role of epidemiologic methods in preparing for or responding to natural disasters.

    – Focus on global health initiatives, effects of natural disasters on health outcomes, and global health inequities and how they are magnified by natural disasters.
    – Select a recent (within past 10 years) natural disaster. You may choose an event that occurred in the U.S. or internationally.
    – Explore the current literature and identify the specific leadership roles that nurses have in mitigating negative health outcomes following disasters.
    – Briefly describe your selected recent natural disaster.
    – Discuss the health consequences of the disaster at the population level.
    – Explain how the concepts of population health and epidemiology discussed in this course were or could have been used to assess the preparation and health outcomes after this disaster.
    – Explain how the concepts of population health and epidemiology discussed in this course were or could have been used to mitigate negative health effects following this disaster.
    – Describe the specific leadership roles that nurses have in mitigating negative health outcomes following disasters.

    Rubric: RESPONSIVENESS TO DISCUSSION QUESTION (20 possible points): Discussion posts minimum requirements: The original posting must be completed by Day 3 at 11:59pm ET. Two response postings to two different peer original posts, on two different days, are required by Day 6 at 11:59pm ET. Faculty member inquiries require responses, which are not included in the peer posts. Your Discussion Board postings should be written in Standard Academic English and follow APA 7 style for format and grammar as closely as possible given the constraints of the online platform. Be sure to support the postings with specific citations from this week's learning resources as well as resources available through the Walden University library and other credible online resources (guidelines, expert opinions etc.) **20** **to >19.0** **ptsExcellent• Discussion postings and responses are responsive to and exceed the requirements of the Discussion instructions. • The student responds to the question/s being asked or the prompt/s provided. Goes beyond what is required in some meaningful way (e.g., the post contributes a new dimension, unearths something unanticipated) • Demonstrates that the student has read, viewed, and considered a variety of learning resources, as well as resources available through the Walden University library and other credible online resources (guidelines, expert opinions etc.) • Detailed response to faculty.**

    **19** **to >15.0** **ptsGood• Discussion postings and responses are responsive to and meet the requirements of the Discussion instructions. • The student responds to the question/s being asked or the prompt/s provided. • Demonstrates that the student has read, viewed, and considered a variety of learning resources, as well as resources available through the Walden University library and other credible online resources (guidelines, expert opinions etc.) • Appropriate reply to faculty.**

    **15** **to >12.0** **ptsFair• Discussion postings and responses are somewhat responsive to the requirements of the Discussion instructions. • The student may not clearly address the objectives of the discussion or the question/s or prompt/s. • Minimally demonstrates that the student has read, viewed, and considered a variety of learning resources, as well as resources available through the Walden University library and other credible online resources (guidelines, expert opinions etc.) • Brief response to faculty with minimal effort.**

    **12** **to >0** **ptsPoor• Discussion postings and responses are unresponsive to the requirements of the Discussion instructions. • Does not clearly address the objectives of the discussion or the question/s or prompt/s. • Does not demonstrate that the student has read, viewed, and considered a variety of learning resources, as well as resources available through the Walden University library and other credible online resources (guidelines, expert opinions etc.) • Fails to respond to faculty inquiries.** 20 pts

    This criterion is linked to a Learning OutcomeCONTENT REFLECTION and MASTERY: Initial Post (30 possible points) **30** **to >29.0** **ptsExcellentInitial Discussion posting: • Post demonstrates mastery and thoughtful/accurate application of content and/or strategies presented in the course. • Posts are substantive and reflective, with critical analysis and synthesis representative of knowledge gained from the course readings and current credible evidence. • Initial post is supported by 3 or more relevant examples and research/evidence from a variety of scholarly sources including course and outside readings.**

    **29** **to >23.0** **ptsGoodInitial Discussion posting: • Posts demonstrate some mastery and application of content, applicable skills, or strategies presented in the course. • Posts are substantive and reflective, with analysis and synthesis representative of knowledge gained from the course readings and current credible evidence. • Initial post is supported by 3 or more relevant examples and research/evidence from a variety of scholarly sources including course and outside readings.**

    **23** **to >18.0** **ptsFairInitial Discussion posting: • Post may lack in depth, reflection, analysis, or synthesis but rely more on anecdotal than scholarly evidence. • Posts demonstrate minimal understanding of concepts and issues presented in the course, and, although generally accurate, display some omissions and/or errors. • There is a lack of support from relevant scholarly research/evidence.**

    **18** **to >0** **ptsPoorInitial Discussion posting: • Post lacks in substance, reflection, analysis, or synthesis. • Posts do not generalize, extend thinking or evaluate concepts and issues within the topic or context of the discussion. • Relevant examples and scholarly resources are not provided.** 30 pts

    This criterion is linked to a Learning OutcomeCONTRIBUTION TO THE DISCUSSION: First Response (20 possible points) **20** **to >19.0** **ptsExcellentDiscussion response: • Significantly contributes to the quality of the discussion/interaction and thinking and learning. • Provides rich and relevant examples and thought-provoking ideas that demonstrates new perspectives, and synthesis of ideas supported by the literature. • Scholarly sources are correctly cited and formatted. • First response is supported by 2 or more relevant examples and research/evidence from a variety of scholarly sources including course and outside readings. • Posts on separate day.**

    **19** **to >15.0** **ptsGoodDiscussion response: • Contributes to the quality of the interaction/discussion and learning. • Provides relevant examples and/or thought-provoking ideas • Scholarly sources are correctly cited and formatted. • First response is supported by 2 or more relevant examples and research/evidence from a variety of scholarly sources including course and outside readings. • Posts on separate day.**

    **15** **to >12.0** **ptsFairDiscussion response: • Minimally contributes to the quality of the interaction/discussion and learning. • Provides few examples to support thoughts. • Information provided lacks evidence of critical thinking or synthesis of ideas. • There is a lack of support from relevant scholarly research/evidence. • Posts on separate day.**

    **12** **to >0** **ptsPoorDiscussion response: • Does not contribute to the quality of the interaction/discussion and learning. • Lacks relevant examples or ideas. • There is a lack of support from relevant scholarly research/evidence. • Posts on same day.** 20 pts

    This criterion is linked to a Learning OutcomeCONTRIBUTION TO THE DISCUSSION: Second Response (20 possible points) **20** **to >19.0** **ptsExcellentDiscussion response: • Significantly contributes to the quality of the discussion/interaction and thinking and learning. • Provides relevant examples and thought-provoking ideas that demonstrates new perspectives, and extensive synthesis of ideas supported by the literature. • Second response is supported by 2 or more relevant examples and research/evidence from a variety of scholarly sources including course and outside readings. • Scholarly sources are correctly cited and formatted. • Posts on separate day.**

    **19** **to >15.0** **ptsGoodDiscussion response: • Contributes to the quality of the interaction/discussion and learning. • Provides relevant examples and/or thought-provoking ideas • Second response is supported by 2 or more relevant examples and research/evidence from a variety of scholarly sources including course and outside readings. • Scholarly sources are correctly cited and formatted. • Posts on separate day.**

    **15** **to >12.0** **ptsFairDiscussion response: • Minimally contributes to the quality of the interaction/discussion and learning. • Provides few examples to support thoughts. • Information provided lacks evidence of critical thinking or synthesis of ideas. • Minimal scholarly sources provided to support post. • Posts on separate day.**

    **12** **to >0** **ptsPoorDiscussion response: • Does not contribute to the quality of the interaction/discussion and learning. • Lacks relevant examples or ideas. • No sources provided. • Posts on same day.** 20 pts

    This criterion is linked to a Learning OutcomeQUALITY OF WRITING (10 possible points) **10** **to >9.0** **ptsExcellentDiscussion postings and responses exceed doctoral level writing expectations: • Use Standard Academic English that is clear, concise, and appropriate to doctoral level writing. • Make few if any errors in spelling, grammar, that does not affect clear communication. • Uses correct APA 7 format as closely as possible given the constraints of the online platform. • Are positive, courteous, and respectful when offering suggestions, constructive feedback, or opposing viewpoints.**

    **9** **to >8.0** **ptsGoodDiscussion postings and responses meet doctoral level writing expectations: • Use Standard Academic English that is clear and appropriate to doctoral level writing • Makes a few errors in spelling, grammar, that does not affect clear communication. • Uses correct APA 7 format as closely as possible given the constraints of the online platform. • Are courteous and respectful when offering suggestions, constructive feedback, or opposing viewpoints.**

    **8** **to >6.0** **ptsFairDiscussion postings and responses are somewhat below doctoral level writing expectations: • Posts contains multiple spelling, grammar, and/or punctuation deviations from Standard Academic English that affect clear communication. • Numerous errors in APA 7 format • May be less than courteous and respectful when offering suggestions, feedback, or opposing viewpoints.**

    **6** **to >0** **ptsPoorDiscussion postings and responses are well below doctoral level writing expectations: • Posts contains multiple spelling, grammar, and/or punctuation deviations from Standard Academic English that affect clear communication. • Uses incorrect APA 7 format • Are discourteous and disrespectful when offering suggestions, feedback, or opposing viewpoints.** 10 pts

    Total Points: 100

  • [Solved] Advocacy for health policy

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    Discuss a time when you or someone you know engaged in advocacy for a health policy. What strategies were used, and what were the outcomes? – Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Sources should be curr…

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    Discuss a time when you or someone you know engaged in advocacy for a health policy. What strategies were used, and what were the outcomes?

    – Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Sources should be current (published within last five years).

  • [Solved] ADOMEDI

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    * * * After reading the case study on Social Media Addiction and reading the assigned textbook chapters in [Module 4: Lecture Materials & Resources](https://stu.instructure.com/courses/50992/pages/module-4-lecture-materials-and-resources "Module 4: Lecture Materials & Resources"), please address the…

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    * * *

    After reading the case study on Social Media Addiction and reading the assigned textbook chapters in [Module 4: Lecture Materials & Resources](https://stu.instructure.com/courses/50992/pages/module-4-lecture-materials-and-resources "Module 4: Lecture Materials & Resources"), please address the following:

    1. What are three connections between the textbook and the study in regard to adolescence and addiction?
    2. What can you relate to in your experience regarding this study?
    3. What is something you disagree with regarding the study?

  • [Solved] SOAP 2 YIS

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    INSTRUCTIONS: Read the Case Study: Begin by carefully reading the case study provided below. Pay close attention to the patient's background, medical history, and presenting complaint. Complete the SOAP Form: Using the information from the case study, fill out the SOAP form to the best of your abili…

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    INSTRUCTIONS:

    Read the Case Study: Begin by carefully reading the case study provided below. Pay close attention to the patient's background, medical history, and presenting complaint.

    Complete the SOAP Form: Using the information from the case study, fill out the SOAP form to the best of your ability. Ensure that you provide details for each section: Subjective, Objective, Assessment, and Plan. **Any part of the assessment not mentioned in the case study is considered normal.**

    Aim to complete each section of the SOAP form as comprehensively as possible. Include relevant information obtained from both the patient's subjective account and objective observations.

    **Include at least 2 references within the past 5 years with DOI#, REFERENCES ARE INCLUDED IN THE TURNITIN REPORT, PLEASE DON'T COPY AND PAST, NEED TO BE ORIGINAL AND TYPED.**

    **CAN'T HAVE MORE THAN 10% PLAGIARISM OR AI TEXT THE WHOLE ASSIGNMENT. WILL BE SUBMITTED VIA TURNIN IN , NEED TO BE ORIGINAL AND UNIQUE SOAP NOTE PLEASE**

    **DUE DATE FEB 5, 2026.**

    **CASE STUDY: Pain in Right Upper Quadrant and Back**

    Reason for Seeking Care

    Y.C. is a 35-year-old woman who is 6 months pregnant and presents to her obstetrics appointment with complaints of periodic pain in the right upper quadrant and mid-back. This pain tends to accompany nausea and sometimes episodes of vomiting. The woman indicates she feels somewhat feverish at times but has not taken her temperature.

    **History of Present Illness and Health History**

    A 35-year-old pregnant woman, G1P0 presents for her routine obstetric examination at 28 weeks. The woman appears her stated age and appears to be somewhat uncomfortable due to reported back pain and right upper quadrant pain. This pain started approximately 1 week prior and comes and goes throughout the day and night. The patient reports a hot bath is the only relieving measure. The pain does not respond to repositioning, OTC pain medication, or other measures. The woman reports nausea with the pain and occasional vomiting also associated with the pain. The woman’s history includes polycystic ovary syndrome and chronic sinusitis with a deviated septum repair. Current medications include only prenatal vitamins.

    **Physical Examination**

    – General: Well-nourished, woman who appears age stated. The woman’s weight gain has been as expected with pregnancy.
    – Head: Denies vision problems, and does not wear glasses or contact lenses. History of sinus problems but no current concerns. Occasional nasal stuffiness was reported with pregnancy.
    – Neck: No masses, thyroid smooth and symmetrical.
    – CV: Heart rate and rhythm regular, no murmur. Peripheral pulses are equally palpable in all four extremities. Heart rate 78, blood pressure 128/62.
    – Lungs: Breath sounds equal bilaterally, clear to auscultation.
    – Abdomen: No hepatomegaly, abdomen slightly rounded related to pregnancy, denies constipation. Currently has sharp pain in RUQ and radiating to back. The gallbladder is palpable and the patient reports tenderness.
    – Neuro: Denies changes in mood or memory, gait is steady. Is oriented to person, place, time, and situation.
    – Skin: No rashes or wounds. Skin smooth and dry.
    – GU: Patient denies any problems with urination.

    – [\
    \
    SOAPNoteTemplate.docx](https://www.sweetstudy.com/files/soapnotetemplate-docx-10492473 "SOAPNoteTemplate.docx")

  • [Solved] SOAP 2 WENDY

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    TOPIC: I HAVE FATIGUE AND WEAKNESS DX: D50.9 AGE: 14 Y/O MALE CAN'T HAVE MORE THAN 10% OF PLAGIARISM THIS ASSIGNMENT WILL BE SUBMIT IT VIA TURNITIN. MUST HAVE SCHOLARLY REFERENCES WITHIN THE PAST 5 YEARS WITH DOI # EACH SECTION ON THE TEMPLATE MUST BE COMPLETED IN FULL SENTENCES PLEASE TEMPLATED AND…

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    TOPIC: I HAVE FATIGUE AND WEAKNESS

    DX: D50.9

    AGE: 14 Y/O MALE

    CAN'T HAVE MORE THAN 10% OF PLAGIARISM THIS ASSIGNMENT WILL BE SUBMIT IT VIA TURNITIN.

    MUST HAVE SCHOLARLY REFERENCES WITHIN THE PAST 5 YEARS WITH DOI #

    EACH SECTION ON THE TEMPLATE MUST BE COMPLETED IN FULL SENTENCES PLEASE

    TEMPLATED AND RUBRIC ATTACHED

    DUE DATE FEBRUARY 5, 2026

    – [\
    \
    SOAPNoteTemplate-1-1.docx](https://www.sweetstudy.com/files/soapnotetemplate-1-1-docx-10492003 "SOAPNoteTemplate-1-1.docx")

  • [Solved] SOAP 2 DUN

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    INSTRUCTIONS: Read the Case Study: Begin by carefully reading the case study provided below. Pay close attention to the patient's background, medical history, and presenting complaint.Complete the SOAP Form: Using the information from the case study, fill out the SOAP form to the best of your abilit…

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    Assignment Prompt & Instructions

    INSTRUCTIONS:

    Read the Case Study: Begin by carefully reading the case study provided below. Pay close attention to the patient's background, medical history, and presenting complaint.Complete the SOAP Form: Using the information from the case study, fill out the SOAP form to the best of your ability. Ensure that you provide details for each section: Subjective, Objective, Assessment, and Plan.

    **Any part of the assessment not mentioned in the case study is considered normal.** Aim to complete each section of the SOAP form as comprehensively as possible. Include relevant information obtained from both the patient's subjective account and objective observations.

    **Include at least 2 references within the past 5 years with DOI#, REFERENCES ARE INCLUDED IN THE TURNITIN REPORT, PLEASE DON'T COPY AND PAST, NEED TO BE ORIGINAL AND TYPED.**

    **CAN'T HAVE MORE THAN 10% PLAGIARISM OR AI TEXT THE WHOLE ASSIGNMENT. WILL BE SUBMITTED VIA TURNIN IN , NEED TO BE ORIGINAL AND UNIQUE SOAP NOTE PLEASE.**

    **DUE DATE FEB 5, 2026.**

    **CASE STUDY: Pain in Right Upper Quadrant and Back**

    Reason for Seeking CareY.C. is a 35-year-old woman who is 6 months pregnant and presents to her obstetrics appointment with complaints of periodic pain in the right upper quadrant and mid-back. This pain tends to accompany nausea and sometimes episodes of vomiting. The woman indicates she feels somewhat feverish at times but has not taken her temperature.

    **History of Present Illness and Health History** A 35-year-old pregnant woman, G1P0 presents for her routine obstetric examination at 28 weeks. The woman appears her stated age and appears to be somewhat uncomfortable due to reported back pain and right upper quadrant pain. This pain started approximately 1 week prior and comes and goes throughout the day and night. The patient reports a hot bath is the only relieving measure. The pain does not respond to repositioning, OTC pain medication, or other measures. The woman reports nausea with the pain and occasional vomiting also associated with the pain. The woman’s history includes polycystic ovary syndrome and chronic sinusitis with a deviated septum repair. Current medications include only prenatal vitamins.

    **Physical Examination**

    – General: Well-nourished, woman who appears age stated. The woman’s weight gain has been as expected with pregnancy.
    – Head: Denies vision problems, and does not wear glasses or contact lenses. History of sinus problems but no current concerns. Occasional nasal stuffiness was reported with pregnancy.
    – Neck: No masses, thyroid smooth and symmetrical.
    – CV: Heart rate and rhythm regular, no murmur. Peripheral pulses are equally palpable in all four extremities. Heart rate 78, blood pressure 128/62.
    – Lungs: Breath sounds equal bilaterally, clear to auscultation.
    – Abdomen: No hepatomegaly, abdomen slightly rounded related to pregnancy, denies constipation. Currently has sharp pain in RUQ and radiating to back. The gallbladder is palpable and the patient reports tenderness.
    – Neuro: Denies changes in mood or memory, gait is steady. Is oriented to person, place, time, and situation.
    – Skin: No rashes or wounds. Skin smooth and dry.
    – GU: Patient denies any problems with urination.

    – [\
    \
    SOAPNoteTemplate.docx](https://www.sweetstudy.com/files/soapnotetemplate-docx-10492475 "SOAPNoteTemplate.docx")

  • [Solved] Searching the Database

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    How to find the best search engine?

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    Assignment Prompt & Instructions

    How to find the best search engine?

  • [Solved] Rwh 2 soaps wk 5

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    Rwh 2 soaps week5 **files (1)** – Week5RWSOAPNoteTemplate-Final411.docx **Week5RWSOAPNoteTemplate-Final411.docx** This file is too large to display. [View in new window](https://www.sweetstudy.com/files/week5rwsoapnotetemplate-final411-docx) **Week5RWSOAPNoteTemplate-Final411.docx** This file is too…

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    Rwh 2 soaps week5

    **files (1)**

    – Week5RWSOAPNoteTemplate-Final411.docx

    **Week5RWSOAPNoteTemplate-Final411.docx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/week5rwsoapnotetemplate-final411-docx)

    **Week5RWSOAPNoteTemplate-Final411.docx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/week5rwsoapnotetemplate-final411-docx)

  • [Solved] Assigment .Apa seven . All instructions attached.

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    3 references **files (1)** – ## CASESTUDY2.docx **## CASESTUDY2.docx** **CASE STUDY 2 – Chest Pain and Dyspnea: Diagnostic Reasoning in Primary Care** **Case Scenario** Ms. L.T. is a **61-year-old female** presenting with intermittent chest tightness and exertional dyspnea for 3 weeks. **History:** …

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    3 references

    **files (1)**

    – ## CASESTUDY2.docx

    **## CASESTUDY2.docx**

    **CASE STUDY 2 – Chest Pain and Dyspnea: Diagnostic Reasoning in Primary Care**

    **Case Scenario**

    Ms. L.T. is a
    **61-year-old female** presenting with intermittent chest tightness and exertional dyspnea for 3 weeks.

    **History:**

    · PMH: Hypertension, tobacco use (30 pack-years), anxiety

    · Medications: Amlodipine 5 mg daily

    · Symptoms: Chest discomfort radiating to jaw, relieved by rest

    **Vitals:**

    · BP: 156/88 mmHg

    · HR: 96 bpm

    **Initial Findings:**

    · EKG: Nonspecific ST-T changes

    · SpO₂: 95% on room air

    **Student Assignment Requirements**

    **1. Pathophysiology (25%)**

    · Compare and contrast ischemic vs non-ischemic chest pain mechanisms

    · Explain cardiopulmonary causes of dyspnea

    · Address anxiety overlap

    **2. Assessment & Differential Diagnosis (35%)**

    · Focused cardiac and pulmonary exam

    · Prioritized differential diagnosis

    · Identification of
    **life-threatening conditions**

    · Decision-making for ED referral vs outpatient management

    **3. Pharmacology & Initial Management (30%)**

    · Acute and chronic pharmacologic considerations

    · Antihypertensive optimization

    · Risk reduction strategies

    · Follow-up testing and referrals

    **4. APA & Evidence Integration (10%)**

    **RUBRIC – CASE STUDY 2 – Chest Pain and Dyspnea Diagnostic Reasoning (100 Points)**

    **1. Pathophysiology of Symptoms (25 points)**

    | | |
    | — | — |
    | **Level** | **Description** |
    | **Excellent (23–25)** | Clearly differentiates ischemic and non-ischemic mechanisms of chest pain and dyspnea, accurately linking physiology to patient presentation. |
    | **Satisfactory (18–22)** | Correct explanation of major mechanisms with limited depth or integration. |
    | **Unsatisfactory (13–17)** | Partial or unclear explanation of pathophysiology. |
    | **Poor (1–12)** | Incorrect or superficial explanation of mechanisms. |
    | **Not Submitted (0)** | Section not submitted or missing. |

    **2. Assessment & Differential Diagnosis (35 points)**

    | | |
    | — | — |
    | **Level** | **Description** |
    | **Excellent (33–35)** | Thorough, prioritized differential diagnosis with clear identification of life-threatening conditions and appropriate disposition decisions. |
    | **Satisfactory (26–32)** | Appropriate differential but limited prioritization or incomplete reasoning. |
    | **Unsatisfactory (18–25)** | Incomplete or poorly prioritized differential diagnosis. |
    | **Poor (1–17)** | Unsafe or inaccurate diagnostic reasoning. |
    | **Not Submitted (0)** | Section not submitted or missing. |

    **3. Pharmacology & Initial Management Plan (30 points)**

    | | |
    | — | — |
    | **Level** | **Description** |
    | **Excellent (28–30)** | Evidence-based management addressing acute and chronic needs with clear rationale and follow-up. |
    | **Satisfactory (22–27)** | Management plan is appropriate but lacks detail or optimization. |
    | **Unsatisfactory (16–21)** | Partial or unsupported management decisions. |
    | **Poor (1–15)** | Unsafe or inappropriate treatment plan. |
    | **Not Submitted (0)** | Section not submitted or missing. |

    **4. APA & Evidence Use (10 points)**

    _(Same descriptors as Case 1)_

    **## CASESTUDY2.docx**

    **CASE STUDY 2 – Chest Pain and Dyspnea: Diagnostic Reasoning in Primary Care**

    **Case Scenario**

    Ms. L.T. is a
    **61-year-old female** presenting with intermittent chest tightness and exertional dyspnea for 3 weeks.

    **History:**

    · PMH: Hypertension, tobacco use (30 pack-years), anxiety

    · Medications: Amlodipine 5 mg daily

    · Symptoms: Chest discomfort radiating to jaw, relieved by rest

    **Vitals:**

    · BP: 156/88 mmHg

    · HR: 96 bpm

    **Initial Findings:**

    · EKG: Nonspecific ST-T changes

    · SpO₂: 95% on room air

    **Student Assignment Requirements**

    **1. Pathophysiology (25%)**

    · Compare and contrast ischemic vs non-ischemic chest pain mechanisms

    · Explain cardiopulmonary causes of dyspnea

    · Address anxiety overlap

    **2. Assessment & Differential Diagnosis (35%)**

    · Focused cardiac and pulmonary exam

    · Prioritized differential diagnosis

    · Identification of
    **life-threatening conditions**

    · Decision-making for ED referral vs outpatient management

    **3. Pharmacology & Initial Management (30%)**

    · Acute and chronic pharmacologic considerations

    · Antihypertensive optimization

    · Risk reduction strategies

    · Follow-up testing and referrals

    **4. APA & Evidence Integration (10%)**

    **RUBRIC – CASE STUDY 2 – Chest Pain and Dyspnea Diagnostic Reasoning (100 Points)**

    **1. Pathophysiology of Symptoms (25 points)**

    | | |
    | — | — |
    | **Level** | **Description** |
    | **Excellent (23–25)** | Clearly differentiates ischemic and non-ischemic mechanisms of chest pain and dyspnea, accurately linking physiology to patient presentation. |
    | **Satisfactory (18–22)** | Correct explanation of major mechanisms with limited depth or integration. |
    | **Unsatisfactory (13–17)** | Partial or unclear explanation of pathophysiology. |
    | **Poor (1–12)** | Incorrect or superficial explanation of mechanisms. |
    | **Not Submitted (0)** | Section not submitted or missing. |

    **2. Assessment & Differential Diagnosis (35 points)**

    | | |
    | — | — |
    | **Level** | **Description** |
    | **Excellent (33–35)** | Thorough, prioritized differential diagnosis with clear identification of life-threatening conditions and appropriate disposition decisions. |
    | **Satisfactory (26–32)** | Appropriate differential but limited prioritization or incomplete reasoning. |
    | **Unsatisfactory (18–25)** | Incomplete or poorly prioritized differential diagnosis. |
    | **Poor (1–17)** | Unsafe or inaccurate diagnostic reasoning. |
    | **Not Submitted (0)** | Section not submitted or missing. |

    **3. Pharmacology & Initial Management Plan (30 points)**

    | | |
    | — | — |
    | **Level** | **Description** |
    | **Excellent (28–30)** | Evidence-based management addressing acute and chronic needs with clear rationale and follow-up. |
    | **Satisfactory (22–27)** | Management plan is appropriate but lacks detail or optimization. |
    | **Unsatisfactory (16–21)** | Partial or unsupported management decisions. |
    | **Poor (1–15)** | Unsafe or inappropriate treatment plan. |
    | **Not Submitted (0)** | Section not submitted or missing. |

    **4. APA & Evidence Use (10 points)**

    _(Same descriptors as Case 1)_

  • [Solved] Assigment .Apa seven . All instructions attached.

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    3 references **files (1)** – ## Cardio1.docx **## Cardio1.docx** **Cardio-metabolic Syndrome in Adult Primary Care** **Case Scenario:** Mr. J.R. is a 52-year-old Hispanic male presenting for a routine follow-up. He reports fatigue, increased thirst, and weight gain over the past year. History: · PMH…

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    Assignment Prompt & Instructions

    3 references

    **files (1)**

    – ## Cardio1.docx

    **## Cardio1.docx**

    **Cardio-metabolic Syndrome in Adult Primary Care**

    **Case Scenario:**

    Mr. J.R. is a 52-year-old Hispanic male presenting for a routine follow-up. He reports fatigue, increased thirst, and weight gain over the past year.

    History:

    · PMH: Type 2 diabetes (6 years), hypertension, dyslipidemia, obesity

    · Medications: Metformin 1000 mg BID, Lisinopril 10 mg daily, Atorvastatin 20 mg nightly

    · Social: Sedentary lifestyle, works two jobs, limited access to healthy food

    · Family history: Father with MI at 59

    Vitals:

    · BP: 148/92 mmHg

    · BMI: 36 kg/m²

    Labs:

    · A1C: 9.1%

    · LDL: 142 mg/dL

    · Triglycerides: 265 mg/dL

    · eGFR: 68 mL/min/1.73m²

    · Urine albumin/creatinine ratio: 45 mg/g

    **Student Assignment Requirements (APA 7)**

    Students must submit a 7–9 page scholarly paper (excluding title and references) addressing:

    **1. Pathophysiology (25%)**

    · Explain the interrelationship between insulin resistance, obesity, hypertension, dyslipidemia, and endothelial dysfunction

    · Describe progression to microvascular and macrovascular complications

    · Integrate evidence-based literature

    **2. Comprehensive Assessment (30%)**

    · Focused and comprehensive primary care assessment

    · Cardiovascular risk stratification (ASCVD)

    · Identification of red flags and complications

    · Preventive care and screening needs

    **3. Pharmacology & Management (35%)**

    · Evidence-based medication optimization per ADA, ACC/AHA, and KDIGO guidelines

    · Justification for adding/changing medications (e.g., GLP-1 RA, SGLT2 inhibitor)

    · Non-pharmacologic management

    · Monitoring and follow-up plan

    **4. Scholarly Writing & APA Format (10%)**

    · Use of current (≤5 years) peer-reviewed sources

    · APA 7 accuracy and clarity

    | |
    | — |
    | **RUBRIC – CASE STUDY 1 – Cardiometabolic Syndrome in Adult Primary Care (100 Points)**<br>**1. Pathophysiology (25 points)**<br>Level<br>Description<br>**Excellent (23–25)**<br>Demonstrates an advanced, accurate explanation of cardiometabolic pathophysiology, clearly integrating insulin resistance, obesity, dyslipidemia, hypertension, and vascular inflammation. Shows strong synthesis of current evidence and applies mechanisms directly to the patient case.<br>**Satisfactory (18–22)**<br>Explains core pathophysiologic concepts correctly with minor gaps in depth or integration. Connections to the patient scenario are present but may lack full synthesis.<br>**Unsatisfactory (13–17)**<br>Provides a basic or partially inaccurate discussion of pathophysiology. Limited linkage between mechanisms and clinical manifestations.<br>**Poor (1–12)**<br>Pathophysiology is superficial, inaccurate, or largely descriptive with minimal understanding of disease mechanisms.<br>**Not Submitted (0)**<br>Section not submitted or missing.<br>**2. Comprehensive Assessment & Clinical Reasoning (30 points)**<br>Level<br>Description<br>**Excellent (28–30)**<br>Presents a comprehensive, prioritized assessment including risk stratification, complication screening, and preventive care. Demonstrates excellent clinical judgment and aligns findings with guidelines.<br>**Satisfactory (22–27)**<br>Assessment is appropriate and accurate but lacks depth, prioritization, or full integration of preventive and risk-based care.<br>**Unsatisfactory (16–21)**<br>Incomplete assessment with missing key elements or limited clinical reasoning.<br>**Poor (1–15)**<br>Assessment is disorganized, incomplete, or clinically unsafe.<br>**Not Submitted (0)**<br>Section not submitted or missing.<br>**3. Pharmacology & Evidence-Based Management (35 points)**<br>Level<br>Description<br>**Excellent (33–35)**<br>Develops a comprehensive, guideline-based pharmacologic and non-pharmacologic plan. Medication choices are fully justified, safe, and patient-centered with appropriate monitoring and follow-up.<br>**Satisfactory (26–32)**<br>Management plan is generally appropriate but may lack full justification, optimization, or monitoring details.<br>**Unsatisfactory (18–25)**<br>Pharmacologic plan demonstrates limited understanding of guidelines or contains omissions or questionable choices.<br>**Poor (1–17)**<br>Plan is unsafe, unsupported by evidence, or demonstrates poor pharmacologic reasoning.<br>**Not Submitted (0)**<br>Section not submitted or missing.<br>**4. Scholarly Writing & APA Format (10 points)**<br>Level<br>Description<br>**Excellent (9–10)**<br>Writing is clear, professional, and well-organized. Correct APA 7 formatting with current, high-quality scholarly sources.<br>**Satisfactory (7–8)**<br>Minor APA or writing errors that do not impede comprehension.<br>**Unsatisfactory (5–6)**<br>Multiple APA or writing errors that detract from clarity.<br>**Poor (1–4)**<br>Significant APA violations and poor academic writing.<br>**Not Submitted (0)**<br>Section not submitted or missing. |

    **## Cardio1.docx**

    **Cardio-metabolic Syndrome in Adult Primary Care**

    **Case Scenario:**

    Mr. J.R. is a 52-year-old Hispanic male presenting for a routine follow-up. He reports fatigue, increased thirst, and weight gain over the past year.

    History:

    · PMH: Type 2 diabetes (6 years), hypertension, dyslipidemia, obesity

    · Medications: Metformin 1000 mg BID, Lisinopril 10 mg daily, Atorvastatin 20 mg nightly

    · Social: Sedentary lifestyle, works two jobs, limited access to healthy food

    · Family history: Father with MI at 59

    Vitals:

    · BP: 148/92 mmHg

    · BMI: 36 kg/m²

    Labs:

    · A1C: 9.1%

    · LDL: 142 mg/dL

    · Triglycerides: 265 mg/dL

    · eGFR: 68 mL/min/1.73m²

    · Urine albumin/creatinine ratio: 45 mg/g

    **Student Assignment Requirements (APA 7)**

    Students must submit a 7–9 page scholarly paper (excluding title and references) addressing:

    **1. Pathophysiology (25%)**

    · Explain the interrelationship between insulin resistance, obesity, hypertension, dyslipidemia, and endothelial dysfunction

    · Describe progression to microvascular and macrovascular complications

    · Integrate evidence-based literature

    **2. Comprehensive Assessment (30%)**

    · Focused and comprehensive primary care assessment

    · Cardiovascular risk stratification (ASCVD)

    · Identification of red flags and complications

    · Preventive care and screening needs

    **3. Pharmacology & Management (35%)**

    · Evidence-based medication optimization per ADA, ACC/AHA, and KDIGO guidelines

    · Justification for adding/changing medications (e.g., GLP-1 RA, SGLT2 inhibitor)

    · Non-pharmacologic management

    · Monitoring and follow-up plan

    **4. Scholarly Writing & APA Format (10%)**

    · Use of current (≤5 years) peer-reviewed sources

    · APA 7 accuracy and clarity

    | |
    | — |
    | **RUBRIC – CASE STUDY 1 – Cardiometabolic Syndrome in Adult Primary Care (100 Points)**<br>**1. Pathophysiology (25 points)**<br>Level<br>Description<br>**Excellent (23–25)**<br>Demonstrates an advanced, accurate explanation of cardiometabolic pathophysiology, clearly integrating insulin resistance, obesity, dyslipidemia, hypertension, and vascular inflammation. Shows strong synthesis of current evidence and applies mechanisms directly to the patient case.<br>**Satisfactory (18–22)**<br>Explains core pathophysiologic concepts correctly with minor gaps in depth or integration. Connections to the patient scenario are present but may lack full synthesis.<br>**Unsatisfactory (13–17)**<br>Provides a basic or partially inaccurate discussion of pathophysiology. Limited linkage between mechanisms and clinical manifestations.<br>**Poor (1–12)**<br>Pathophysiology is superficial, inaccurate, or largely descriptive with minimal understanding of disease mechanisms.<br>**Not Submitted (0)**<br>Section not submitted or missing.<br>**2. Comprehensive Assessment & Clinical Reasoning (30 points)**<br>Level<br>Description<br>**Excellent (28–30)**<br>Presents a comprehensive, prioritized assessment including risk stratification, complication screening, and preventive care. Demonstrates excellent clinical judgment and aligns findings with guidelines.<br>**Satisfactory (22–27)**<br>Assessment is appropriate and accurate but lacks depth, prioritization, or full integration of preventive and risk-based care.<br>**Unsatisfactory (16–21)**<br>Incomplete assessment with missing key elements or limited clinical reasoning.<br>**Poor (1–15)**<br>Assessment is disorganized, incomplete, or clinically unsafe.<br>**Not Submitted (0)**<br>Section not submitted or missing.<br>**3. Pharmacology & Evidence-Based Management (35 points)**<br>Level<br>Description<br>**Excellent (33–35)**<br>Develops a comprehensive, guideline-based pharmacologic and non-pharmacologic plan. Medication choices are fully justified, safe, and patient-centered with appropriate monitoring and follow-up.<br>**Satisfactory (26–32)**<br>Management plan is generally appropriate but may lack full justification, optimization, or monitoring details.<br>**Unsatisfactory (18–25)**<br>Pharmacologic plan demonstrates limited understanding of guidelines or contains omissions or questionable choices.<br>**Poor (1–17)**<br>Plan is unsafe, unsupported by evidence, or demonstrates poor pharmacologic reasoning.<br>**Not Submitted (0)**<br>Section not submitted or missing.<br>**4. Scholarly Writing & APA Format (10 points)**<br>Level<br>Description<br>**Excellent (9–10)**<br>Writing is clear, professional, and well-organized. Correct APA 7 formatting with current, high-quality scholarly sources.<br>**Satisfactory (7–8)**<br>Minor APA or writing errors that do not impede comprehension.<br>**Unsatisfactory (5–6)**<br>Multiple APA or writing errors that detract from clarity.<br>**Poor (1–4)**<br>Significant APA violations and poor academic writing.<br>**Not Submitted (0)**<br>Section not submitted or missing. |