TextbookTeri Moser Woo & Marylou V. Robinson (4th ed.). Pharmacotherapeutics for Advanced Practice Nurse Prescribers. DavisDERMATOLOGY CASE STUDYChief complaint: “ My right great toe has been hurting for about 2 months and now it’s itchy, swollen and yellow. I can’t wear closed shoes and I was fine until I started going to the gym”.HPI: E.D a 38 -year-old Caucasian female presents to the clinic with complaint of pain, itching, inflammation, and “yellow” right great toe. She noticed that the toe was moderately itching after she took a shower at the gym. She did not pay much attention. About two weeks after the itching became intense and she applied Benadryl cream with only some relief. She continued going to the gym and noticed that the itching got worse and her toe nail started to change color. She also indicated that the toe got swollen, painful and turned completely yellow 2 weeks ago. She applied lotrimin AF cream and it did not help relief her symptoms. She has not tried other remedies.Denies associated symptoms of fever and chills. PMH: Diabetes Mellitus, type 2.Surgeries: NoneAllergies: AugmentinMedication: Metformin 500mg PO BID.Vaccination History: Immunization is up to date and she received her flu shot this year.Social history: College graduate married and no children. She drinks 1 glass of red wine every night with dinner. She is a former smoker and quit 6 years ago.Family history:Both parents are alive. Father has history of DM type 2, Tinea Pedis. mother alive and has history of atopic dermatitis, HTN.ROS:Constitutional: Negative for fever. Negative for chills.Respiratory: No Shortness of breath. No OrthopneaCardiovascular: Regular rhythm.Skin: Right great toe swollen, itchy, painful and discolored.Psychiatric: No anxiety. No depression.Physical examination:Vital SignsHeight: 5 feet 5 inches Weight: 140 pounds BMI: 31 obesity, BP 130/70 T 98.0, P 88 R 22, non-laboredHEENT: Normocephalic/Atraumatic, Bilateral cataracts; PERRL, EOMI; No teeth loss seen. Gums no redness.NECK: Neck supple, no palpable masses, no lymphadenopathy, no thyroid enlargement.LUNGS: No Crackles. Lungs clear bilaterally. Equal breath sounds. Symmetrical respiration. No respiratory distress.HEART: Normal S1 with S2 during expiration. Pulses are 2+ in upper extremities. 1+ pitting edema ankle bilaterally.ABDOMEN: No abdominal distention. Nontender. Bowel sounds + x 4 quadrants. No organomegaly. Normal contour; No palpable masses.GENITOURINARY: No CVA tenderness bilaterally. GU exam deferred.MUSCULOSKELETAL: Slow gait but steady. No Kyphosis.SKIN: Right great toe with yellow-brown discoloration in the proximal nail plate. Marked periungual inflammation. + dryness. No pus. No neuro deficit.PSYCH: Normal affect. Cooperative.Labs: Hgb 13.2, Hct 38%, K+ 4.2, Na+138, Cholesterol 225, Triglycerides 187, HDL 37, LDL 190, TSH 3.7, glucose 98.Assessment:Primary Diagnosis: Proximal subungual onychomycosisDifferential Diagnosis: Irritant Contact Dermatitis, Lichen Planus, Nail PsoriasisSpecial Lab:Fungal culture confirms fungal infection.As an NP student, you need to determine the medications for onychomycosis.1. According to the AAFP/CDC Guidelines, what antifungal medication(s) should this patient be prescribed, and for how long? Write her complete prescriptions using the prescription writing format in your textbook.2. What labs for baseline and follow up of therapy would you order for this patient? Give rationale. ___________________________________________________________________________________________________1- A minimum of 2 paragraphs .2-
Support all posts with at least 2 cited peer review references within 5
years of publication (references cannot be older than 5 years).3- All posts are to be written in APA 6th edition format .__________________________________________________________________________________________________*-
Also, please elaborated one response with a minimum of 2 paragraphs
and reference as if it were to respond to a peer based on the above
Ciclopirox Nail Lacquer for The Treatment of Onychomycosis Case Study
As a criminal justice professional, it is imperative that you learn the finer aspects of writing. Citing and referencing are part of the gradable criteria for your weekly work.
1. What is the difference between first and third person styles of writing? What are the advantages of using the first person style in investigative reports? Provide an example of each
2. What is the difference between open ended and closed ended questions? Which are better used in an interview and why?
3. Identify the five rules of narrative writing and discuss why they are important. Include in your answer the types of quotes one might use in a narrative, as well as, when opinions would be appropriate to include in a narrative.
4. Crime Report Exercise: Use the following fact pattern and prepare an appropriate crime report. Ensure you complete the narrative at the end of the report. You may also reference “Just the Facts” to help you develop your report. This question is worth40 points. You will find the 707, 707A and 707B forms under the course resources icon in the Start Here link of your class. Please ensure you fill in all the blocks. You are welcome to use your name, badge number, and add any additional information as needed.
FACTS: You are a patrol officer for the Daytona Beach Police Department (DBPD) working in area 12. Your backup officer is Joe Cassidy.
DBPD is located at 129 Valor Blvd, Daytona Beach, FL 32114.
CRIME: Vandalism RD 822 BEAT 12
LOCATION: 522 Jimmy Ann Drive, Daytona Beach
OCCURRENCE DATE: May 15, 2018
REPORTED DATE: May 15, 2018 1445 hours
RP: Whittier, Leigh DOB 6/17/1984
DISCOVERER: Williams, Tony DOB 10/30/83
VICTIM: Same as the RP
M.O.: There is no M.O. for this report.
SOLVABILITY FACTORS: Determine this using the fact pattern
PROPERTY DAMAGE: $450 to replace the tires
DETAILS: You are on patrol and receive the following radio call, “Unit 12, see the woman at 522 Jimmy Ann Drive regarding a vandalism in progress. Reporting party is Leigh Whittier and her boyfriend is in foot pursuit northbound on Bill France Blvd. Suspect is a male, white with blond hair wearing a purple shirt and tan pants.” As you near the intersection of Fairwood and Clyde Morris, which is 3 blocks from the victim’s residence, you observe a young blond man in a purple shirt running west on Fairwood. You also observe another man in a blue shirt chasing him. The second man is about 25 yards behind the guy in the purple shirt. You order both of them to stop and they readily comply. Both are breathing very hard, and both are sweating. You call dispatch and advise them of your actions and shortly thereafter hear Officer Cassidy on the radio. Officer Cassidy is at the victim’s house and advises you that the vandalism involves the slashing of tires to a 2018 Black Ford Explorer. Officer Cassidy advises that a suspect in a purple shirt was seen slashing the tires of the Ford Explorer and that the victim’s current boyfriend, Tony Williams is chasing the suspect. Officer Cassidy also advises you that the suspect is named Gregory Mills and is a former boyfriend of the victim.
You observe some brake dust on the suspect’s right hand and on the right side of his tan pants. The man who was chasing the suspect states that he is Tony Williams and that he saw the suspect slash the tires. He continues stating that he chased him from the driveway and never lost sight of him. He also states that the suspect used to date his current girlfriend and was angry that she did not want to go out with him anymore. When you ask the suspect his name, he states, “I really am sorry, but I still hate her.” Officer Cassidy radios you and broadcasts that he has recovered a box cutter from the victim’s driveway. Based on this, you place the suspect under arrest and find an identification card in his wallet in the name of Brett Dove. Officer Chance Lando transports him to jail.
You then respond to the victim’s house to talk with Officer Cassidy and the victim so that you can take a report. On arrival, you contact t victim who states that she used to go out with the suspect but broke up with him in August because he was so strange. You observe the slashed tires. You complete your work and get the knife from Officer Cassidy along with a Polaroid he took of the Ford Explorer.
Victim: Leigh Whittier DOB 6-17-84
522 Jimmy Ann Drive, Daytona Beach, FL 32114
Whittier is a counselor at New Beginnings, 3820 Tiger Bay Road, Daytona Beach
Witness: Tony William DOB 10-30-83
1928 Tall Pines Circle # 4
Daytona Beach, FL
Williams is a bartender at Dale’s Pub, 2731 West International Speedway Blvd, Daytona Beach
Property loss: $450 to replace the tires.
Suspect: Gregory Mills DOB 11/1/1985
392 Heineman Avenue, Daytona Beach
Work Phone: None
Journal Assignment Grading:
Questions 1 – 3 are worth 20 points each. Question 4 is worth 40 points. If a question is not answered, no points will be received for that response.
Communications and Writing for CJ Professionals CJE1130
Use APA to cite and reference all outside sources and please label each section for clarity using APA headings:
1. Describe the relationship between proper ergonomic design and your workstation; include a real-world example. Explain how ergonomics, if not properly applied, can affect your life short-term or long-term. (Note: You may consider your study work station or your workstation at your place of employment.)
2. Amy works for a large variety store in your area. Her work tasks include standing at the cash register (checkout counter) for extended periods of time. She is responsible for scanning items and placing them into bags or the customer’s cart. Some of these items can be heavy. Describe some of the areas within this workstation where this employee could be injured. Describe what actions the employer might take to relieve some of these hazards.
3. Adam, a 25-year-old Caucasian male, is an employee working in the automotive section of a large variety store. Using the tables found in Chapter 3, provide a hypothetical description of Adam that would place him in the 50th percentile for height, weight, waist circumference, and body mass index. Provide exact measurements for Adam, using the 50th percentile columns. Explain one area where these measurements might be of use for the employer as it relates to this employee.
You should answer each question using a one- to two-paragraph response. All items combined must be a minimum of two pages in length. No Plagiarism!!!!
Answer all 3 questions. Instructions in provided document
Columbia Southern University Mental Illness and Crime Q&As
Columbia Southern University Mental Illness and Crime Q&As.
I’m working on a law question and need guidance to help me understand better.
Your reading has introduced you to many challenges the mentally ill bring to the criminal justice system. Focusing on the correctional system, what issues does the criminal justice system encounter?Explain why the media and much of the general public believe that crime and the mental illness are related to each other. Is this factual? Why, or why not? Provide examples.Think of a time in your life when you were involved in a situation where you were a victim. Maybe you had property stolen, had property damaged, had your identity compromised, or were overcharged for services. How did you react? How did you feel in the aftermath?Every response should be at least 200 words in length.
Columbia Southern University Mental Illness and Crime Q&As
Kenyatta University The Educational Value in Teaching Game Design Discussion
custom writing service Kenyatta University The Educational Value in Teaching Game Design Discussion.
As a technology, a board game, video game or cards, is built from existing knowledge making the game a knowledge system which can be used to assist people with learning. Also, the reading included in this discussion suggests, that researchers studying persons engaged in playing games can gain important insights into human behavior, such as how ‘play’ affects personal decision-making. Discuss: Writing in the context of your CSUDH major subject for your degree, do you, or do you not, believe there is, or is not, educational value in teaching game design in a manner similar to the teaching of statistics courses required for your program of study? Why or why not ? Much research demonstrates the value of games for learning how people makes choices, decisions and even take risks. Such information can be helpful in educating young people. This course has suggested that the use of games can be particularly enlightening for improving student understanding and learning of abstract concepts of biophysical and social science. In particular, board games have been tested as effective learning tools thanks to some important characteristics:The playful and immersive nature of board games facilitates attention, concentration and motivation of players;In the course of the game the players experience a “suspension of disbelief” that prepares them to accept ideas even far from their everyday experienceBoard games allow a “learn by doing” approach providing an hands-on and heads-on skill and knowledge development;Thanks to competitiveness and will to win players are urged to deeply understand the rules behind the game;Downtimes, which are characteristic in board games (for example in the waiting of the opponent’s moves), together with the playful and competitive atmosphere promote reflections and discussions among players;These downtimes also promote the inclusion of clarifications and explanations in a natural and not disturbing way by teachers or scientific animators during the game course.Gamification is a set of activities and processes to solve problems by using or applying the characteristics of game elements such as for enhancing organizational productivity. In you game design project you experienced gamification. For example, meaningful stories are game design elements that do not relate to the player’s performance. The narrative in which a gamified application can be embedded contextualizes activities and characters in the game and gives them meaning beyond the mere quest for points and achievement.The Khan Academy is an example of the use of gamification techniques in online education. The educational location-based game Gbanga Zooh for Zurich Zoo asked participants to actively save endangered animals and physically bring them back to a zoo. Players maintained virtual habitats across the Canton of Zurich to attract and collect endangered species of animals.There is some indication that gamification can be particularly motivational for students with dyslexia in educational situations.There is also an increasing interest in the use of gamification in health sciences and general education, where interactive polling, adventure games and other modes can be employed to enhance engagement and interactivity with the course content.Like many technological developments over the past 600 years, there is controversy, in part over games value to education. Naturally, the opposition to gaming and gamification, though still noticeable, seems to be waning as more higher education institutions provide game-related courses. Some of the oppositional decline might be attributed to a deeper understanding of human emotions as well as scientific knowledge about ‘play’ and ‘fun’ as these relate to human health.
Kenyatta University The Educational Value in Teaching Game Design Discussion
The Problem that I’ll address is “Lack of Communications Effect on Organizational Culture” this problem or lets say issue created many sub-issues such as:Negative Environment Decreased employees’ performance and interest to workCreated a type of immune to change/ believe or trust (in the employees)if such issues addressed effectively, the employees (who are the real asset) will recover from the bad experience they had in the last two years. it will take time but taking the required actions is the start to see the results. the value of communications cannot be underestimated in any circumstances, as well as the value of Leadership. these values are important in business and are the core when leading a change. Consulting Poster : You are a hired consultant for your corporation, and it is your task to create a poster that communicates the results of your consulting effort. Your poster must include: (1) an introduction that explains the key consulting issue or problem faced by the organization, (2) methods and approaches used to analyze the problem (3) an analysis of the key issues, (4) solutions for the problem, and (5) a specific recommendation that addresses the problems. You are required to draw on academic research to support your analysis and recommendation.Ensure your poster presents the most important/interesting/astounding finding from your consulting project, and that it does so in a visually appealing way. Charts, graphs, and images often help to communicate information in a simple and clear fashion.I’ve attached a sample poster.
An introduction to the Nestle Company
Nestle was founded in 1866 by Henri Nestle with headquarters in Vevey, Switzerland. It has employed around 250,000 people and has factories or operations in almost every country in the world. It is one of the world’s biggest food and Beverage Companies. The Company’s priority is to bring the best and most relevant products to people, wherever they are, whatever their needs, throughout their lives. 1.1: PURPOSE OF RESEARCH The study of the research is to find the variable which has leads towards conflicts in Nestle Organization. The main purpose of the research is, firstly, to identify the causes of conflicts in Nestle and, secondly, to manage conflicts in Nestle organization. This report will be helpful for students who want to conduct a research as well as the company improving or solving the problems. 1.2: BACK GROUND OF THE STUDY All of us experience some type of conflicts in our daily lives. Tensions, antagonisms, and frustrations always occur when people work together. There are disagreements, perhaps even fights, between employees and the supervisor or between co-workers. Aside from personality clashes, people simply have different viewpoints about the way things should be done. The main purpose of conducting the research is to find out the conflicts, and finding the ways to manage and solve them in an organisation. In this context we have got the opportunity to conduct our research on one of the top organization’s (Nestle). 1.3: DEFINITION OF CONFLICT Conflict is defined as the state of discord caused by perceived or actual opposition of needs, interests and values. A conflict can be internal or external. The concept of conflict can help to explain many social aspects of life such as social disagreement, fights between individuals, groups, or organizations and conflict of interests. Conflict as taught for graduate and professional work in conflict resolution which is defined as “when two or more parties, with perceived incompatible goals, seek to undermine each other’s goal-seeking capability”. However, conflict can also occur in cooperative situations, in which two or more individuals or parties have consistent goals, because the manner in which individuals or party tries to reach their goal can still undermine the other individuals or party. 1.4: NATURE OF CONFLICT Conflict may constructively be viewed as resulting from differing belief systems, varied perspectives on the situation and values resulting from participant’s accumulated life experience and conditioning, differing interests and objectives. Effectively dealing with conflict requires the expression and management of participants’ varying interests, belief systems, perspectives and values. Through the integration of participants’ perspectives, belief systems, interests and values, conflict and conflict resolution play important roles in individual and social evolution and development. Conflict arises when one or more participants view the current system as not working. At least one party is adequately unhappy with the position, that they are willing to own the conflict and speak with the hope of being able to influence the situation to arrive at an improved condition. Conflict may be sight as a process we put ourselves through to attain a new condition and self definition. Through conflict we have opportunities to be artistically self-defining. If nothing else, conflict allows us in future to do things differently. Through the resolution of conflict, we can evolve and redefine ourselves, our community, our relationships our society and our world. 1.5: LEVELS OF CONFLICT 1.5.0: Inter divisional conflict Inter divisional conflicts exists between the perceiver and another individual within the organization. Although the other person does not need to be aware of the conflict, the perceiver of the conflict situation recognizes the present or future impact conflict can have on job performance. 1.5.1: Intra group conflict Intra group conflicts occur between perceiver and his or her immediate group within the organization. The immediate group can consist of work team, department or union. Whether fully or only superficially aware of the conflict issue, the perceiver realizes that the conflict can directly or indirectly affect job performance. 1.5.2: Inter group conflict It arises between the perceiver’s immediate group and another group within the organization. Again, the perceiver’s involvement may not be critical, but he or she must be aware of the situation and the potential impact the conflict can have on work performance. 1.5.3: Organizational conflict Organizational conflict is a state of disagreement caused by the actual or perceived opposition of needs, values and interests between people working together. 1.6: TYPES OF CONFLICT A conceptual conflict can rise into a verbal exchange or result in fighting.Conflict can exist at a variety of types. These are Community conflict Diplomatic conflict Emotional conflict Environmental resources conflict Group conflict Ideological conflict Interpersonal conflict Inter-societal conflict Intrapersonal conflict Organizational conflict Religious-based conflict and Workplace conflict . 1.7: CAUSES OF CONFLICTS 1.7.0: Authority relationship Authority Relationship conflicts occur because of the existence of strong pessimistic emotions, misperceptions or stereotypes, poor communication or miscommunication, or repetitive negative behaviors. Authority relationship problems often increase disputes and lead to an unnecessary rising spiral of destructive conflict. Supporting the secure and balanced expression of perspectives and emotions for acknowledgment (not agreement) is one effective approach to managing relational conflict. 1.7.1: Management style For any organization to be effectual and efficient in achieving its goals, the people in the organisation need to have a common vision of what they are determined to achieve, as well as clear objectives for each individual, group/ team and department. Management style also needs ways of recognizing and resolving conflict between people, so that conflict does not become so serious that collaboration becomes impossible. The management of any organisation needs to have ways of keeping conflict to a minimum and of solving problems caused by conflict, before conflict becomes a major obstruction to work. Management style helps to avoid conflict where probable and organizing to resolve conflict where it does happen, as rapidly and smoothly as possible. 1.7.2: Communication barriers: Conflict will be greater when barriers to communication exist. If parties are separated from each other physically or by time e.g.; the day shift versus the night shift-the opportunity for conflict is increased. To illustrate suppose a company employs only one plant supervisor, who works the day shift and leaves orders at the beginning of each week for the workers on the night shift. By the end of the week, how ever, these orders have been only partially carried out. The supervisor cannot figure out why. Obviously, the supervisor absence from the night shift has posed a communication barrier, which in turn causes decreased output. As Bryans, P, Cronin argued in 1984 that Space or time separations could promote isolated group interests rather than advance a common effort towards joint goals. 1.7.3: Personal factors 188.8.131.52: Behavioral The way emotional experience gets expressed which can be verbal or non-verbal and intentional or un-intentional. 184.108.40.206: Physiological It’s defined as the bodily experience of emotion. The way emotions make us feel in comparison to our identity. 220.127.116.11: Cultural values Culture tells people who are a part of it, “Which emotions ought to be expressed in particular situations” and “what emotions are to be felt.” 18.104.22.168: Physical This escalation results from “anger or frustration.” 22.214.171.124: Verbal This escalation results from “negative perceptions of the annoyer’s character.” 1.8: WAYS OF ADRESSING CONFLICTS There are basically five ways of addressing conflicts which were identified by Thomas and Kilman in 1976. These are 1.8.0: AHYPERLINK “http://en.wikipedia.org/wiki/Accommodation”ccommodation One’s party surrenders its own needs and wishes to accommodate the other party. 1.8.1: AHYPERLINK “http://en.wikipedia.org/wiki/Avoidance_(conflict)”voidance Avoid conflict by ignoring it, changing the subject, etc. As an expedient means of dealing with very minor, non-recurring conflicts or Avoidance can be useful as a temporary measure to buy time. In many cases, conflict avoidance involves severing a relationship. 1.8.2: CHYPERLINK “http://en.wikipedia.org/wiki/Collaboration”ollaboration Working together can find a mutually beneficial solution. Collaboration can also be inappropriate and time-intensive. When there is not enough respect, trust or communication among participants for collaboration to occur. 1.8.3: CHYPERLINK “http://en.wikipedia.org/wiki/Compromise”ompromise Finding a centre point where each party is partially satisfied. 1.8.4: CHYPERLINK “http://en.wikipedia.org/wiki/Competition”ompetition Take the one’s point of view at the potential expense of another. It can be more useful when achieving the one’s objectives outweighs one’s concern for the relationship CHAPTER # 2 2.0: LITERATURE REVIEW Different researchers have published their reviews on conflicts in the organization. We are viewing two best reviews of the researcher’s articles. Mr. Philips in 1982 threw light on some of key conditions, which may lead to serious organizational conflicts; he gave his views in the book named as “Community in Organization”. According to M Phillips certain social relationships characterized various kinds of conflict behavior. Each one could occur in your work area. The more aware the managers are of these conflict settings, the better are the chances of correcting them and running a smooth operation. Mr. Philip identified communication as problem in his research. The causes of conflicts are structural factors, authority relationships, common resources, goal differences interdependence, jurisdictional ambiguities, specialization, status-inconsistencies, personal factors, communication, conflict management style, cultural differences, emotions, perception, personalities, skills and abilities, values and ethics. According to the researcher, possible solution; it is obvious that a perfect communication system is unlikely. But also perfection like rationality will not be achieved; organizations do have mechanism by which they can attempt the communication system as clear as they can. Philips also suggested that there are such devices available which can reduce the distortion and complications in communication process and suggested that communication recipients should be aware of the biases of the message senders and protect their own counter biases as protection devices. James M Leif