Poor Patient Outcome
Relying solely on the classic features of a disease may be misleading. That’s because the clinical presentation of a disease often varies: the symptoms and signs of many conditions are non-specific initially and may require hours, days, or even months to develop.
Generating a differential diagnosis; that is, developing a list of the possible conditions that might produce a patient’s symptoms and signs — is an important part of
clinical
reasoning. It enables appropriate testing to rule out possibilities and confirm a final diagnosis.
This case portrays a poor patient outcome after a misdiagnosis.
Case scenario
A previously healthy 35-year-old lawyer presents to a primary care office with a chief complaint of chest pain and a non-productive cough. The pain started suddenly 2 hours prior to coming to the office while the patient was sitting at his desk. The patient describes the pain as sharp in nature, constantly present but made worse with inspiration and movement, and with radiation to the base of the neck. His blood pressure in the right arm and other vital signs are normal.
On physical
examination
the only findings of note are chest wall tenderness and a faint cardiac murmur. The ECG in the office is normal. The patient is observed for an hour in the office and assessed. He is diagnosed with viral pleurisy and sent home on non-steroidal analgesics.
The following day the patient collapses at home and cannot be resuscitated by the paramedic service. An autopsy reveals a Type 1 aortic dissection with pericardial tamponade.
Written Assignment:
Developing a list of possible conditions that might produce a patient’s symptoms and signs is an important part of
clinical
reasoning.
- As an NP in primary
care
what would you have done differently?
- Discuss the importance of creating a list of differentials for this patient. How could it have changed this outcome?
If a serious diagnosis comes to mind based on a patient’s symptoms:
- Ask yourself; Have you considered the likelihood of it and whether it needs to be ruled out by testing or referral?
- Because many serious disorders are challenging to diagnose, have you considered ruling out the worst case scenario?
- Ask yourself: Do you have sufficient understanding of the clinical presentation to offer an opinion on the diagnosis?
- What
other diagnosis
could it be? How might the treatment to date have altered the patient outcome?
- What other diagnostic and laboratory or imaging was needed in order to make a complete differential list? What support tools would you consider using in helping to create a differential diagnosis list?
- Are you familiar with the current clinical practice guidelines for the investigation of a suspected condition such as chest pain?
To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Resources.
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 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.
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only three multiple choice questions
/in /by JosephOnly three Multiple choice questions.
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how you as a dto will change your methods ooperation to avoid the law enforcement efforts
/in /by JosephProgress Assignment
DUE: Jun 17, 2018 11:55 PM
Grade Details
Assignment Details
Assignment Instructions
Assignment: Progress Assignment – Research Paper
This assignment is a research paper of 8-10 pages including research and analysis designed to test knowledge and assimilation of the course objectives. It focuses on the effectiveness of various intelligence collection disciplines applicable to the U.S. counter-narcotics mission. In this assignment, you will show that you understand the coursework thus far. You should use class materials and peer-reviewed articles found in the library or online through other scholarly sites to develop and support your arguments.
Address the following question. Be sure to use at least 5 sources to support your argument and use the proper citation format. In reviewing course materials for your paper, be sure to consider the videos as well the readings.
·Evaluate the effectiveness of various intelligence collection disciplines applicable to the U.S. counter-narcotics mission by developing a counter-narcotics strategy against a drug trafficking organization. Choose a DTO (either a specific one such as “the Sinaloa Cartel†or a general one such as “a DTO operating in Colombiaâ€). First, develop a counter-narcotics plan that incorporates the use of each of the intelligence disciplines, being sure to discuss which agencies will participate in the operation for each discipline. Second, look at the plan from the viewpoint of the drug trafficking and delineate how you (as a DTO) will change your methods of operation to avoid the law enforcement efforts.
Please submit the assignment in a Word document and upload it into Assignments. It is due by Sunday, 11:55 pm at the end of Week 6.
The assignment is worth 25 percent of your final grade. The assignment will be graded based on the attached rubric:
Supporting Materials
Submission
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creating the literature review section
/in /by JosephThis week, you will develop the Literature Review section. Use the following guidelines:
*THE TWO ARTICLES ARE ATTACHED AS WELL AS, THE PAPER THAT YOU COMPLETED LAST TIME WITH THE SECTIONS*
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poor patient outcome 3
/in /by JosephPoor Patient Outcome
Relying solely on the classic features of a disease may be misleading. That’s because the clinical presentation of a disease often varies: the symptoms and signs of many conditions are non-specific initially and may require hours, days, or even months to develop.
Generating a differential diagnosis; that is, developing a list of the possible conditions that might produce a patient’s symptoms and signs — is an important part of
clinical
This case portrays a poor patient outcome after a misdiagnosis.
Case scenario
A previously healthy 35-year-old lawyer presents to a primary care office with a chief complaint of chest pain and a non-productive cough. The pain started suddenly 2 hours prior to coming to the office while the patient was sitting at his desk. The patient describes the pain as sharp in nature, constantly present but made worse with inspiration and movement, and with radiation to the base of the neck. His blood pressure in the right arm and other vital signs are normal.
On physical
examination
The following day the patient collapses at home and cannot be resuscitated by the paramedic service. An autopsy reveals a Type 1 aortic dissection with pericardial tamponade.
Written Assignment:
Developing a list of possible conditions that might produce a patient’s symptoms and signs is an important part of
clinical
care
If a serious diagnosis comes to mind based on a patient’s symptoms:
other diagnosis
To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Resources.
Assignment Requirements:
Before finalizing your work, you should:
Your
writing
well ordered
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leadership dq 4
/in /by JosephFor this discussion, you will use information from your assigned readings, the literature and leaders in your organization to answer the following:
Your initial post must be posted before you can view and respond to colleagues, must contain minimum of two (2) references, in addition to examples from your personal experiences to augment the topic. The goal is to make your post interesting and engaging so others will want to read/respond to it. Synthesize and summarize from your resources in order to avoid the use of direct quotes, which can often be dry and boring. No direct quotes are allowed in the discussion board posts.
References:
Words Limits
Textbooks:
Leadership and Nursing Care Management, Elsevier-Saunders, 2013, 5th edition
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need help 91
/in /by JosephNo cheating, plagiarism and easy word very simple .
Choose either Chinese Shadow Puppetry OR Kabuki theatre. Write a 2-3 page paper to include the following information:
1. What do you like or find most interesting about this style of theatre?
2. Describe the distinctive visual style of this form of theatre. Be specific.
3. Is there anything in the modern world of entertainment that you believe was influenced by this style of theatre?
Please cite at least two sources.
https://prezi.com/u8k9ntd8yg5y/asian-theatre-histo…
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writing final project
/in /by JosephThis exercise is valuable because the better you get at editing your papers, the better your writing will become. An initial draft is just that. A final draft is one that has been revisited, revised, edited, cut, pasted, rewritten, torn apart and stitched back together. It doesn’t matter how messy the process gets. What matters is that the final piece of writing that you submit is solid. Do not be afraid to revise your paper so much that it no longer resembles your initial essay.
Your final essay will be graded using the 6+1 Writing Traits rubric found in the introductory material of this course.
You may access a copy of your original diagnostic essay by going to your grade book and clicking on the score there.
In case you have forgotten the topic for the diagnostic essay, the details can be found in Section Two of the Introduction Unit of the course.
When you have finished revising your essay, please submit this assignment. Please be sure to document your sources.
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response to questions on the book quot thinking for yourself by marlys mayfield 9th edition cengage 2014 quot
/in /by Josephyou have to have the book and have read the book “Thinking for Yourself by Marlys Mayfield, 9th edition, Cengage, 2014″ before.
1.Look at the issues in Discussion Break Question #3 on page 151. What are the underlying assumptions for the a and b sides? Which side do YOU agree with?
2. comment on another student’s post. ( I will send you the post after you gave me the first assignment)
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2 discussions 350 words each 1
/in /by Josephdiscussion 1
End-of-Chapter Questions
The “End-of-Chapter Questions” for this unit’s reading are on page 61 in your Supply Chain Network Design textbook. Follow these directions to complete this discussion:
350 words (no cover page)
DISCUSSION 2
Linear Programming Models
After reading the attached LeBlanc article, what are some of the challenges the firm faced that linear programming (LP) models address? What are some of the challenges that LP models do not address?
350 words, no cover page
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reading review
/in /by Josephtwo pages reading review, see attachment files
two pages reading review, see attachment files
two pages reading review, see attachment files
two pages reading review, see attachment files
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