Individuals with osteogenesis imperfecta

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Which manifestation is most common among individuals with osteogenesis imperfecta type I? Blue-tinged sclerae Thin skin that has difficulty healing from trauma Premature birth O Short stature.

Genetic disorder: Albinism

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Write a paper on a genetic disorder of your choice. Discuss the genetic disorder: Albinism and how it is passed down from generation to generation.

Include the following:

  1. Discuss what a genetic disorder is and how it is passed down from generation to generation.
  2. The name of your genetic disorder
  3. Pattern of inheritance – Is this disorder dominant/recessive/sex-linked/autosomal?
  4. Give the genetic disorder’s genotype. Example: Trisomony on the 21st chromosome.
  5. List the symptoms and what happens to you if you have this genetic disorder?
  6. Phenotype of disorder.
  7. Describe the defect that the disorder causes.
  8. Is there now, or was there ever a benefit to this genetic disorder?
  9. What may cause this genetic disorder? Mutation, radiation, etc.
  10. Is there any treatment or cures or light altering measures for this genetic disorder? Ex: special diets, medications, exercise – to survive this condition?
  11. Are certain people more likely to produce children with this genetic disorder?
  12. Frequency among human births.
  13. Is this disorder specific to certain country or climate? If so, describe.
  14. Add any additional information relevant to your chosen disorder.
All Criteria Met

100%

 Some Criteria Unmet

75%

 Partial

50%

 Criteria Unmet

0%
Genetic Disorder Intro

Discuss what a genetic disorder is and how it is passed down from generation to generation.

 Genetic disorders, and how they occur, adequately defined and discussed Genetic disorders, and how they occur, defined and discussed but not in enough detail to be clear to the reader Either Genetic disorders, or how they occur, not defined and discussed adequately Neither Genetic disorders, nor how they occur, defined and discussed adequately
Inheritance/ Genotype

The name of your genetic disorder, pattern of inheritance – Is this disorder dominant/recessive/sex-linked/autosomal?

Give the genetic disorder’s genotype. Example: Trisomony on the 21st chromosome.

 Name, pattern of inheritance, genotype adequately addressed and discussed clearly Name, pattern of inheritance, genotype included but not discussed clearly Any one of name, pattern of inheritance, genotype not adequately discussed More than two or none of the name, pattern of inheritance, genotype not adequately discussed or information is inaccurate
Symptoms/Phenotype

-List the symptoms and what happens to you if you have this genetic disorder?

-Phenotype of disorder.

-Describe the defect that the disorder causes.

 Symptoms, phenotype, defects of disorder adequately addressed and discussed clearly Symptoms, phenotype, defects of disorder addressed but not discussed clearly Any one of symptoms, phenotype, defects of disorder not addressed or addressed inadequately Two or more of symptoms, phenotype, defects not addressed or addressed inadequately
Causes/Benefits

-Is there now, or was there ever a benefit to this genetic disorder?

-What may cause this genetic disorder? Mutation, radiation, etc.

 Benefits and causes adequately addressed and discussed clearly Benefits and cause discussed but not clearly Either benefits or caused inadequately addressed or not addressed Neither benefits nor cause adequately addressed or neither are addressed
Treatment/Management

Is there any treatment or cures or light altering measures for this genetic disorder? Ex: special diets, medications, exercise – to survive this condition?

 Treatments for management of effects of genetic disorder and any possible cures addressed adequately and discussed clearly Treatments for management of effects of genetic disorder and any possible cures addressed adequately but not discussed clearly Treatments for management of effects of genetic disorder and any possible cures addressed but not adequately Treatments for management of effects of genetic disorder and any possible cures not addressed or information is inaccurate
Frequency/Distribution

-Are certain people more likely to produce children with this genetic disorder?

-Frequency among human births.

-Is this disorder specific to certain country or climate? If so, describe.

 Frequency among all births, certain ethnic/age groups, climates adequately addressed and described clearly Frequency among all births, certain ethnic/age groups, climates adequately addressed but not described clearly Any one of: Frequency among all births, certain ethnic/age groups, climates not adequately addressed Two or more of: Frequency among all births, certain ethnic/age groups, climates not adequately addressed
Additional Information

Relevant supplemental information pertinent to the genetic disorder

 Enough relevant supplemental information to adequately describe the genetic disorder present Relevant supplemental information pertinent to the genetic disorder present, but relevance of some information is unclear Relevant supplemental information pertinent to the genetic disorder present, but sparse No additional relevant information provided
Sources

Citations and sources

 Sources are correctly cited with at least two present

 

 

 Sources are incorrectly cited but at least two present Only one source No sources cited
Format/Style

12 pt Times New Roman, double spaced.

-Writing is clear, flows naturally between subjects, and maintains a formal tone

Length is adequate

 Formatting, clarity of writing, and tone are consistent and correct Formatting, clarity of writing, and tone are inconsistent but mostly correct Either Formatting, clarity of writing, and tone are incorrect; author struggles with clarity of writing; tone is too informal

 

Clinical experience in a Spiritual faith integration

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Write about a clinical experience in a Spiritual faith integration reflection journal. It should be an experience during the hospital experience, including your spirituality, cultural perspective, and developmental stage in your assignment.

Spirituality: Please discuss an experience that helped you grow spirituality or discuss the spiritual needs of your patient/family and how you might offer them support.
Developmental appropriateness of the child/young adult: Include reflecting on your patient’s developmental stage. Did you have any concerns? In what ways did you meet your patient’s needs with their development in mind?
Promote self-awareness during your clinical performance.
Acknowledge changes in clinical performance /personal growth during the clinical experience.
Develop critical thinking skills used to analyze and integrate clinical to practice in your clinical experience.
Please share any encounter or any situation where cultural preferences interfered with your clinical day?
Reflect on your clinical experience with learning experience and or concerns?
Discuss an experience that helped you grow spirituality or discuss the spiritual needs of your patient/family and how you might offer them support.
Include your observational, assessment, and learning activities in your journals,
Journals should be written in a timely manner to help you remember your clinical day preventing you from forgetting the even and meaningful experience. This will help provide feedback on your journey entry.
Describe any concerns you may have regarding this clinical.
Acknowledge your ability to incorporate the ability to establish a therapeutic relationship with patients,
Develop goals for your clinical.
Recognize your feelings, prejudices, and biases in situations that may develop during your clinical experience.

You can do it on this patient and use this story to make it the spiritual paper but just use this patient to write about it because I have already submitted this journal before but you can use her ti help write it. It was my first experience in the Emergency Room department.

My Patient was a 16-year-old female patient who had attempted suicide was brought to the department. The patient had taken a big amount of Advil P.M. On arrival, the patient was given Ativan 1mg. The patient’s vitals came on as normal. Upon doing my assessment on her I noticed she had a missing hand. When asked what happen? Her mother who was present in the room stated she was born this way.

The RN I was shadowing was more preoccupied with ensuring her other patients the more critical patients were okay and she missed her deformity. I accommodated the patient, and she warmed up. After our interaction, I noted that the patient needed a spiritual perspective in her
treatment.

While attending to the patient, I thought about why she committed suicide. This made me empathize with the client. I worried about the patient more than I should have been at that time. The RN was meticulous with her job as she focused on saving the patient’s life.

Despite the best efforts, I thought that the patient’s needs were not physical. This established a rapport with the patient and opened up an avenue for discussing the patient’s issues. Through the discussion, I noticed that she required intimacy. The patient’s age indicated that she was going through puberty and trying to understand herself better.

The patient’s condition could not be attended to through physical treatment. The patient needed a counselor after she had been stabilized. My experience in the emergency department made me realize that patients need spiritual attendance.

The patient’s woes were not physical. She had attempted suicide to get away from herself. The experience indicates that she needed spiritual care. I started speaking to her to notice she began being receptive and talking about what was disturbing her.

After our discussion, I recommended that when she feels afraid or, her mind is telling her to do something, she shouldn’t pray and to pick one of her favourite bible verses. . This experience made me understand the importance of spirituality in nursing. Nursing needs to integrate spiritual concepts to provide holistic care.

Ability to tell a story

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Create a PowerPoint presentation that showcases your ability to tell a story. Use the following sources:

  • The Ariel Group. (2011). Executive essentials: Storytelling [PDF]. https://www.arielgroup.com/
  • Talks at Google. (2016, April 01). Carmine Gallo: “The storyteller’s secret” [Video]. | Transcript YouTube. https://www.youtube.com/watch?v=RbA2eHO_YdY
  • Khosla Ventures. (2014, June 11). The unbreakable laws of storytelling [Video].| Transcript YouTube. https://www.youtube.com/watch?v=uUsib8wsKdM
  • Bates, S. (2017). Tell us another one: Successful leadership through storytelling. American Salesman, 62(5), 25-29.
  • Muir, C. (2007). Leadership through storytelling. Business Communication Quarterly, 70(3), 367-369.

International accounting: cultural differences and financial disclosure

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Select and discuss a current issue in international accounting: cultural differences and financial disclosure requirements and its impact on the international convergence of accounting standards.

Research/find a minimum of at least 10 peer-reviewed journal articles on your topic. (It is preferred that you use at least 5 different journals/resources). The research must be conducted using peer-reviewed trade, online CPA journals, accounting organizations, academic journals, and other reliable online resources. While Blogs, Wikipedia, encyclopedias, popular magazines, newspaper articles, online websites, etc., are helpful for providing background information, these resources MAY NOT be suitable resources for this research assignment. The article(s) must be current/published within the last five (5) years. (The one exception is for the history of chosen topic.)

Changing Culture

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In the article, Changing Culture, what are the author’s main points? What is the author asking for? Does the author provide a method or means of accomplishing the request?

In the article, ‘Change Ready, Resistant, or Both’, which factors must be considered to embrace and promote change readiness? How can an organization overcome resistance? Does the author(s) provide a method or means of institutionalizing effective change?

Provide a recommendation for institutionalizing effective change demanded from, ‘Changing Culture’, and what you’ve learned from, ‘Change, Ready, Resistant, or Both’.

FORMAT:

  1. Thesis: Discuss the overarching thesis in the article, ‘Changing Culture’ (10%)
  1. Main Points: Review the main points in the articles ‘Changing Culture’ and ‘Change Ready, Resistant, or Both’. (40%)
  1. Takeaways: What lessons have been learned? How can the article ‘Change Ready, Resistant, or Both’ impact organizations looking to create change, and specific to the article, ‘Changing Culture’? (50%)

 

Pediatric Infectious Diseases – Dermatologic Disorder

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Dermatologic Disorder: HPI J. W. a 1 6 y o M present ed to the clinic today, he developed a sore throat which began 3 days ago. J.W. states the pain is described as achy and sharp and is rated 5/10 in terms of intensity. His pain is in
h is throat and the pain is associated with swallowing. J.W. states h is pai n is accompanied by headaches,
decreased appetite, rhinorrhea, and voice hoarseness. He has tried Tylenol with some relief. He has
never felt this bad before.
PMHx: Reports seasonal allergies. Denies any medical or surgical history. Soc Hx: Full time student at
high school and lives at home with parents and two younger siblings. During the week, plays football for
high school. H e works part time on the weekends at McDonald’s . Has his license . He is not sexually
active. Denies any smoking or any forms o f tobacco products. Denies any illicit drug or alcohol use.
S leeps 6 8 hours most nights and exercises five days a week which includes cardio. Fam Hx: Mother
(living) is 49 with hypertension and dyslipidemia, no history of cancer. Father died of a car acci dent at 39
years old, he had a history of non insulin dependent diabetes.
ALLERGIES: No history of hives, eczema or rhinitis. Reports seasonal allergies
Medications: None
ROS:
GENERAL: Positive for fatigue starting 3 days ago. Denies weight loss, reports fever and denies chills.
Reports recent decreased appetite.
HEENT: Denies hearing loss, sneezing, congestion. Positive for runny nose and sore throat. Positive for
voice hoarseness.
SKIN: No rash or itching.CARDIOVASCULAR: Denies chest pain, chest pressur e or chest discomfort. Denies palpitations or edema.
RESPIRATORY: Denies shortness of breath, cough or sputum.
GASTROINTESTINAL: Denies nausea, vomiting or diarrhea. Denies abdominal pain or bloody stools. No
heartburn or indigestion. Reports formed, regul ar bowel movements.
NEUROLOGICAL: Denies dizziness, syncope, paralysis, ataxia, numbness or tingling in the extremities.
Positive for headaches without aura.
MUSCULOSKELETAL: Denies muscle pain, back pain, joint pain or stiffness.
LYMPHATICS: Reports pain or swelling of lymph nodes behind her ears. Denies history of splenectomy.
Denies history of appendectomy or tonsillectomy. ENDOCRINOLOGIC: Denies of sweating, cold or heat
intolerance. Denies polyuria or polydipsia.

Objective:
VS: BP 118/62; P 84; R 15; T 97.8; 02 99% on room air, WT: 135lbs; HT: 5 foot 10 inches
General: Patient appears fatigued and well groomed. Color consistent with ethnicity.
Skin: Warm and dry. No bruises. Intact without rashes or lesions, no urticaria.
HEENT: Head atr aumatic, midline, no tics or tremors noted. No facial swelling or tenderness. Pupils
equal, round, and reactive to light. No glasses or contacts. Smell intact, nose symmetrical. Pale, boggy
turbinate noted. Scant, clear discharge noted to bilateral nares. No polyps. Bilateral auricles symmetric.
Bilateral tympanic membranes pearly grey with light inspection. No pain or discharge from ear canals.
Oropharynx with mild erythema and no discharge. No swelling of the tongue, white patches on the oral
mucosa with slight edema of the uvula. Enlarged tonsils 3 Neck: Bilateral symmetry of the
sternocleidomastoid and trapezius muscles. Trachea midline. No JVD. No thyromegaly. Supple, no sternocleidomastoid and trapezius muscles. Trachea midline. No JVD. No thyromegaly. Supple, no masses or tenderness to palpation. Bilateral nontender 0.5cm anterior and postermasses or tenderness to palpation. Bilateral nontender 0.5cm anterior and posterior lymph nodes ior lymph nodes palpable.palpable. Cardiovascular: No murmur or gallops, S1 and S2. No edema noted.Cardiovascular: No murmur or gallops, S1 and S2. No edema noted. Gastrointestinal: Abdomen is symmetrical, round, flat. Active bowel sounds in all quadrants. Soft, Gastrointestinal: Abdomen is symmetrical, round, flat. Active bowel sounds in all quadrants. Soft, nontender on palpation. No masses on palpation. nontender on palpation. No masses on palpation. Mild enlargement Mild enlargement of sof spleenpleen.. No hepatomegaly.No hepatomegaly. Pulmonary: Lungs are clear to auscultation. No wheezing, cough, or congestion. No SOB or dyspnea. No Pulmonary: Lungs are clear to auscultation. No wheezing, cough, or congestion. No SOB or dyspnea. No stridor.stridor. Musculoskeletal: Full range of motion to all extremities. No pain, redness, or stiffness in all joints.Musculoskeletal: Full range of motion to all extremities. No pain, redness, or stiffness in all joints. Neurological:Neurological: Cranial nerves II to XII intact. Sensory intact. Motor is 5/5. No ataxia. Gait steady. Balance Cranial nerves II to XII intact. Sensory intact. Motor is 5/5. No ataxia. Gait steady. Balance intact. No weakness. No dizziness or loss of motor function. intact. No weakness. No dizziness or loss of motor function.
Instructions:
Please evaluate the subjective and objective information provided to you in the file above. The first part of the discussion board is to identify all pertinent positive and negative information. Then create a differential diagnosis list with at least 3 possibly actual diagnoses based on your findings. The second part is to create a plan utilizing clinical practice guidelines for the priority diagnosis. Be sure to include APA in-text citations and provide full reference citations at the end of the discussion.

Pneumonia and pulmonary tuberculosis

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Summarize the lung infections: pneumonia and pulmonary tuberculosis in terms of etiology, pathogenesis, clinical picture, diagnosis, and treatment rationale.

 

The 5 General Topics of Disease Summary
1. Etiology & risk factors
2. Pathogenesis: The molecular mechanism of the disease process (How the disease process evolves)
3. Clinical Picture: Signs& Symptoms, Sequelae, and Complications
4. Diagnosis: Labs & tests (as well as screening tests and follow up tests whenever applicable)
5. Pathophysiologic rationale of treatment

 

Pneumonia

Etiology: Types of pneumonia (Community-acquired, Hospital-acquired, Ventilator-related). Major causative organisms in each type.

Pathogenesis: The 4 pathologic phases of lobar pneumonia (Congestion/Red Hepatization(aka: Consolidation)/ Grey Hepatization/ Resolution)

Clinical Picture: Signs and symptoms

Diagnosis: Chest X-ray findings. Indications of hospitalization

Pathologic rationale of treatment: e.g. when to suspect pseudomonas and which antibiotics are effective against it.

 

Pulmonary T.B.

Etiology: Causative bacteria, mode of transmission and risk factors

Pathogenesis: Steps from organism entry till symptom development

Clinical picture: Signs and symptoms

Diagnosis: Chest X-ray, sputum culture. Tuberculin skin test. Interferon Gamma Release Assay (IGRA) blood test.

Pathophysiologic Rationale of Treatment: For treating T.B. as well as asymptomatic Tuberculin-positive cases.

 

This is the textbook information McCance, K.L., Huether, S. E. (2018) Pathophysiology: The Biological Basis for Disease in Adults and Children. (8th Ed) St. Louis, MO. Elsevier Mosby ISBN-13: 978-0323583473 ISBN-10: 9780323583473

Childhood: asthma in pediatrics and lung cancer

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Summarize asthma in pediatrics and lung cancer in terms of etiology, pathogenesis, clinical picture, diagnosis, and treatment rationale.

 

The 5 General Topics of Disease Summary
1. Etiology & risk factors
2. Pathogenesis: The molecular mechanism of the disease process (How the disease process evolves)
3. Clinical Picture: Signs& Symptoms, Sequelae, and Complications
4. Diagnosis: Labs & tests (as well as screening tests and follow-up tests whenever applicable)
5. Pathophysiologic rationale of treatment

 

Asthma in Pediatrics

Etiology: Types, triggers

Pathogenesis: Inflammatory cells and mediators involved and molecular mechanisms

Clinical Picture: Signs and symptoms of asthma attacks and exacerbations

Diagnosis:

Pathophysiologic rationale of treatment: Role of inhaled steroids and mast cell stabilizers

 

 

Lung Cancer

Etiology: Risk factors

Pathophysiology: Different types of lung cancer- Which type is related to smoking- Which type is more responsive to radiation

Clinical Picture: Signs and symptoms

Diagnosis: and screening methods

Pathophysiologic rationale of treatment:

 

This is the textbook information McCance, K.L., Huether, S. E. (2018) Pathophysiology: The Biological Basis for Disease in Adults and Children. (8th Ed) St. Louis, MO. Elsevier Mosby ISBN-13: 978-0323583473 ISBN-10: 9780323583473

Congenital Heart Diseases: Septal Defects (ASD, VSD),  Patent ductus arteriosus, and  Fallot’s tetralogy

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Summarize the Congenital Heart Diseases: Septal Defects (ASD, VSD),  Patent ductus arteriosus, and  Fallot’s tetralogy in terms of etiology, pathogenesis, clinical picture, diagnosis, and treatment rationale.

 

The 5 General Topics of Disease Summary
1. Etiology & risk factors
2. Pathogenesis: The molecular mechanism of the disease process (How the disease process evolves)
3. Clinical Picture: Signs& Symptoms, Sequelae, and Complications
4. Diagnosis: Labs & tests (as well as screening tests and follow-up tests whenever applicable)
5. Pathophysiologic rationale of treatment

 

Cyanotic vs Acyanotic Congenital Heart Diseases

Normal vs abnormal directions of blood flow:

Please start with a diagram that illustrates the fetal circulation, and the normal neonatal circulation showing the normal direction of blood flow.

Then follow with a series of PowerPoint slides each displaying a picture of the normal direction of blood flow on one half of the slide vs a picture of one congenital condition showing the abnormal direction of blood flow to explain and highlight cyanotic vs acyanotic congenital heart diseases.

 

Atrial Septal Defect, and Ventricular Septal Defect:

Pictures and description of each defect with the abnormal direction of blood flow.

Clinical picture and complications.

What could happen if the surgical correction of a significant VSD is delayed.

 

Patent Ductus Arteriosus:

Pictures and description of the defect with the abnormal direction of blood flow.

Clinical picture

 

Fallot’s Tetralogy:

Pictures and description of the FOUR defects in Fallot’s tetralogy, with the abnormal direction of blood flow to explain why this condition is a cyanotic heart disease.

Clinical picture:

 

This is the textbook information McCance, K.L., Huether, S. E. (2018) Pathophysiology: The Biological Basis for Disease in Adults and Children. (8th Ed) St. Louis, MO. Elsevier Mosby ISBN-13: 978-0323583473 ISBN-10: 9780323583473