Discussion Part Two (graded)
Physical examination
Vital Signs:
Height: 5 feet 7 inches Weight: 170 pounds Waist Circumference – 32 inches BP 130/84 T 98.0 po P 92 regular R 22, non-labored
HEENT: normocephalic, symmetric. Evidence of prior cataract surgery in both eyes. PERRLA, EOMI, cerumen impaction bilateral ears. Several broken teeth, loose partial plate.
NECK: Neck supple; non-palpable lymph nodes; no carotid bruits.
LUNGS: Decreased breath sounds bases bilaterally, clear to auscultation HEART: RRR with regular without S3, S4, murmurs or rubs.
ABDOMEN: Bloated appearance, active bowel sounds, LLQ tenderness and 6 cm x 7 cm mass.
PV: Pulses are 2+ BL in upper and lower extremities; no edema NEUROLOGIC: Negative
GENITOURINARY: no CVA tenderness
MUSCULOSKELETAL: gait fluid and steady. No muscle atrophy or asymmetry. Full ROM all joints. Strength 5/5 and equal bilaterally. Hips: Discomfort on flexion in both hips; extensor and flexor strength symmetrical.
Knees: Left knee discomfort with weight bearing. No redness, warmth or edema. Full ROM in both knees with symmetrical extensor and flexor strength. Crepitus on extension of left knee.
Hands: No redness or swelling. Bilateral joint tenderness of the distal interphalangeal and proximal interphalangeal joints of the 2nd and 3rd digits.
Calf circumference-31 cm; Mid-arm circumference- 22 cm
PSYCH: normal affect
SKIN: Pale. Areas of healing ecchymosis: Left knee- 3 cm x 2 cm x 0 cm. Right knee -2 cm x 2.5 cm x 0 cm.
Discussion Part Two:
Summarize the history and results of the physical exam. Discuss the differential diagnosis and rationale for choosing the primary diagnosis. Include one evidence-based journal article that supports your rationale and include a complete treatment plan that includes medications, possible referrals, patient education, ICD 10 Codes, and plan for follow-up.
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Write a 700- to 1,050-word paper in which you analyze the diverse nature of psychology as a discipline.
Address the following items as a part of your analysis:
· Evaluate the influence of diversity on psychology’s major concepts.
· Identify two examples of subdisciplines and two examples of subtopics within psychology. Examples of major concepts and their subtopics include the following:
o Motivation: theory of emotion, and approach and avoidance
o Behaviorism: aggression, cheating, and binge drinking
o Cognition: cognitive dissonance and false memories
· How can the subdisciplines and subtopics you identified be applied to other disciplines and venues in contemporary society?
· Relate the subdisciplines and subtopics to your theoretical perspective.
· Include your psychological contribution to society in the areas of work, education
PSY 490 Week 1 Individual The Diverse Nature of Psychology Paper
Write a 700- to 1,050-word paper in which you analyze the diverse nature of psychology as a discipline.
Address the following items as a part of your analysis:
· Evaluate the influence of diversity on psychology’s major concepts.
· Identify two examples of subdisciplines and two examples of subtopics within psychology. Examples of major concepts and their subtopics include the following:
o Motivation: theory of emotion, and approach and avoidance
o Behaviorism: aggression, cheating, and binge drinking
o Cognition: cognitive dissonance and false memories
· How can the subdisciplines and subtopics you identified be applied to other disciplines and venues in contemporary society?
· Relate the subdisciplines and subtopics to your theoretical perspective.
· Include your psychological contribution to society in the areas of work, education, health, and leisure.
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Discussion Part One (graded)
You are seeing S.F., a 74-year-old. Hispanic male in the office this morning for difficulty breathing.
Background:
S.F. presents with increased dyspnea on exertion that has become progressively worse over the last 3 days. You observe that he is using pursed lip breathing as he explains his chief complaint. He reports that he has been coughing up a moderate amount of thick, green sputum for approximately one week that was accompanied by a fever of 100.6 and chills. He took Ibuprofen 400 mg every 4 hours and increased his fluid intake for the last week. Two days ago he noticed that the sputum is now yellow rather than green and that he has not experienced any more fever. Overall, he feels like he is getting better. However, the dyspnea on exertion developed three days ago without relief despite the use of his Spiriva HandiHaler. He reports that he lost his rescue inhaler and has not had it to use in over 2 months.
PMH:
COPD
Hypertension
Osteoarthritis
Current medications:
Asprin-81 daily
Cyclobenzaprine 10 mg prn
Meloxicam 15 mg daily
Metoprolol 25 mg daily
Spiriva HandiHaler daily as directed
Tramadol 50 mg daily prn
Surgeries:
Appendectomy as a child (date unknown)
2004-Left cataract extraction with intraocular lens placement
2008-Right cataract extraction with intraocular lens placement
Allergies: NKA
Vaccination History:
Influenza vaccine- October 2013
Pneumovax-2010
His last TD-can’t remember
Has not a TDAP/TD in 20 years
Screening History:
Last Colonoscopy was 2012-normal
Last dilated retinal and glaucoma exam was 2013
Social history:
Retired roofer-stopped working in 2004 due to arthritis and pain in his rotator cuff. Is married and lives with spouse. They have 4 grown children who live within a 10 mile radius of them. Currently smokes-is down to ½ pack cigarettes daily. Has smoked for 45 years total. Family history:
Father is deceased and had a history of hypertension and diabetes; Mother is deceased and had a history of CAD/MI; Sister-history of colon cancer.
Discussion Part One:
Provide differential diagnoses (DD)with rationale.
Further ROS questions needed to develop DD.
Based on the patient data provided, choose geriatric assessment tools that would be appropriate to use in conducting a thorough geriatric assessment. Provide a rationale on why you are choosing these particular tools.
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Select a mental illness that you are interested in learning more about. Provide a brief overview of this mental illness. Discuss how Triadic Theory would likely describe the cause of this illness. What would a therapist, employing this approach in his or her practice, suggest as a possible treatment for this disorder? Do you think that this theory is more appropriate for the diagnosis and treatment of some disorders, more than others?
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Learn The Technique of Writing Annotated Bibliography
PSY 490 Week 1 Summary
Write and present a summary of how this week’s readings and activities have affected your thought process regarding any aspect of this week’s Capstone course. (350 – 500 Words)
PSY 490 Week 2 Summary
Write and present a summary of how this week’s readings and activities have affected your thought process regarding any aspect of this week’s Capstone course. (300 – 500 Words)
PSY 490 Week 3 DQ 1
The Ethics Awareness Inventory CORE concepts do not include Kohlberg’s stages of moral development. Why do you think that is? Do you think they concur? Explain your responses.
PSY 490 Week 3 DQ 2
What are the advantages or disadvantages of a psychology degree? What are the advantages or disadvantages of a bachelor’s, master’s, and doctorate degree in psychology?
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PSY 490 Capstone Course in Psychology Version 9, ~~~~ Week 4 Quiz Not Included in this.
PSY 490 Week 1 DQ 1
PSY 490 Week 1 DQ 2
PSY 490 Week 1 Individual The Diverse Nature of Psychology Paper
PSY 490 Week 1 Summary
PSY 490 Week 2 DQ 1
PSY 490 Week 2 DQ 2
PSY 490 Week 2 Individual Portfolio Presentation
PSY 490 Week 2 Learning Team Psychological Issue Summary
PSY 490 Week 2 Summary
PSY 490 Week 3 DQ 1
PSY 490 Week 3 DQ 2
PSY 490 Week 3 Individual Ethics Awareness Inventory
PSY 490 Week 3 Summary
PSY 490 Week 4 DQ 1
PSY 490 Week 4 DQ 2
PSY 490 Week 4 Individual Pay it Forward
PSY 490 Week 4 Summary
PSY 490 Week 5 DQ 1
PSY 490 Week 5 DQ 2
PSY 490 Week 5 Learning Team Jeopardy Game Presentation
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How is the field of psychology similar to other sciences? How is it different? Do you believe that psychology should be classified as a science? Why or why not?
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