Case Study – Adult Chest Pain / Stress

      A 52-year-old male patient who is a house painter presents to the office reporting chronic fatigue and mild chest pain. When he is painting, the chest pain is relieved after taking a break. He reports that the pain usually lasts 5 minutes or less and occasionally spreads to his left arm before subsiding.
      The patient was last seen 3 years ago by you, and you recommended diet changes to manage mild hyperlipidemia, but the patient has gained 30 pounds since that time. The patients medical history includes anxiety, vasectomy, cholecystectomy, and mild hyperlipidemia. The patient does not smoke or use other tobacco or nicotine products.
      The patient cares for his wife, who has multiple sclerosis and requires 24-hour care. His daughter and grandson also live with the patient. His daughter assists with the care of his wife, and his job is the major source of income for the family.

      The initial vital signs are: blood pressure 158/78, heart rate 87, respiratory rate 20, and body mass index 32. As part of the diagnostic work-up, an ECG, lipid levels, cardiac enzymes, and C-reactive protein (CRP) are ordered. The patient reports that he does not have time to be sick and says that he needs to take care of everything during this visit so he can return to work and care for his wife.

1. What additional information should you obtain about the pain the patient is experiencing?
2. What additional physical assessments need to be completed for this patient?
3. What considerations are important to remember if the CRP level is elevated for the patient?
4. What differential diagnoses should be considered for the patient (4 minimum)?
5. What patient teaching will be incorporated into the visit to modify the patients risk factors?
6. How will you respond to the patients statement that he doesnt have time to be sick and needs to take care of everything during this visit?

Include Title Page, Introduction, Headings, and References.

REFERENCES (APA 7th ed. formatting, at least 3-4 peer-reviewed scholarly articles, current within the past 5 years.)

The paper should be written at a Master’s level, be APA 7 formatted, and will be checked by Turn-it-in and Grammarly for plagiarism.

William Shakespeares My mistress eyes are nothing like the sun (p. 669).

I want to hear your thoughts on and interpretations of the texts, not SparkNotes, not Shmoops. Therefore, if I find plagiarized, paraphrased or summarized material from a study aid site or another resource of that nature, I will write you up for academic dishonesty, EVEN IF YOU CITED THE MATERIAL. This course is not about your ability to copy and paste another persons interpretation of a text but your ability to interpret and analyze a text. Peer-reviewed secondary sources (articles in refereed journals, available through the library databases), ARE allowed in your papers, but they must be incorporated and cited properly, whether paraphrased, summarized, or directly quoted, both in-text and on a Works Cited page.

Prompt 2: Subject matter and tone: This poem was written about a specific individual and is a love poem. It is written to the dark lady (subject of sonnets 127-154); her identity is unknown though speculated about by critics.

Describe the tone of this poem. Speculate on the purpose of this poem for its intended subjectwhat devices did the speaker use to convey his tone to the subject, how does that chosen tone affect how the subject is viewed by the reader? How might the subject have reacted to this poem? Why (use evidence from the text to defend your answer)?

Discuss the different views (I.e., interactionist, consensus, conflict) that influence how crime is defined. Which do you think is the best definition and why? Your why should be supported with facts. 2. Discuss two strengths and two weaknesses of e

Directions: With the readings from week 1 and 2 in mind, answer each of the following questions.  Be sure to fully answer each part of every question.

1.  Discuss the different views (I.e., interactionist, consensus, conflict) that influence how crime is defined.  Which do you think is the best definition and why?  Your why should be supported with facts.
2.  Discuss two strengths and two weaknesses of each of the various measures of crime.  Which method do you think is best and why?
3. Discuss two ways in which you think we can lessen the dark figure of crime.
4.  Based on your answers to questions 1-3, propose a new way in which you think crime data should be collected. * note- this question involves critical thinking and should be your unique idea.  You should, however, use course material to back up your thoughts.

Dangers to “too much” Security

Security is something we value highly – security of information, things, and people. But are there dangers to
“too much” security?
Framework for analysis
In your discussion, you should explicitly address the following:
What are the problems?
Who are all of the stakeholders?
What values and assumptions should we use for analysis?
What actions might you suggest – be sure to discuss both benefits and harms of each action you propose.
What does “professional obligation” mean in this context?
Examples of topics you might consider
“Connected” cars or thermostats or houses or medical devices…
Government mandated “backdoor” access to systems
Facial recognition as passwords
“Hacking back” as a way to fight hackers
Software updates and aging operating systems

Sample Solution

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