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PSY 490 Week 5 DQ 2

How can psychology be integrated into your career and educational decisions?

 Would you recommend a Bachelor of Science in Psychology to people in other fields of study? Explain your response.

PSY 490 Week 5 Learning Team Jeopardy Game Presentation 

Develop a 20-minute Jeopardy game presentation that integrates the breadth and depth of core psychology knowledge.

Search the Internet for a Microsoft® PowerPoint® jeopardy game template.

You will be developing Questions & Answers related to your topics. Remember that your questions should increase in level of difficulty related to your point value.

Include the following topics in your game:

 ·      Holistic approach to prior learning

·      Integrating psychology into your personal life

·      Psychology across all disciplines

·      Integrating psychology into career and educational decisions

      ·      Your personal learning theory (you and your team will agree on a learning theory to use for this category.)

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NR 601 Week 4 Case Study Discussions Physical Examination  (Part-1) NEW

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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NR 601 Week 1 Case Study Discussions Physical Examination (Part 1) NEW

Discussion Part One (graded)

 You meet your first patient of the morning. A.K. is a 65-year-old Caucasian male who you are seeing for the first time. Both wife and daughter are present.

Background

He reports that he has had an 18-pound unintentional weight loss in the last 2 months “I am just not hungry anymore, and when I do eat, I get full so fast. In fact, it is really hard to eat, and I don’t eat nearly as much as usual, even though I eat 3 times every day”. He also reports feeling more tired than usual. “I am not sleeping very well. My wife wakes me up when I am snoring, or when she thinks I am not breathing. I used to have sleep apnea, but I don’t think I have it anymore. Besides, that mask is so horrible to wear.” He reports day time somnolence. He reports that he is at the clinic today because of his wife and daughter’s concern about his weight loss and loss of appetite.

PMH

Mr. A.K. has a history of hypertension, cataracts, and osteoarthritis. Current medications:

Ibuprofen 600 mg po TID

Lisinopril 20 mg po QD

Hydrochlorothiazide 25 mg PO QD

Simvastatin 20 mg po QD

Vitamin D3 50,000 units po weekly

Omeprazole 40 mg po QD

Sudafed 50 mg po TID prn

Surgeries      

 April 2010-Right cataract extraction with Intraocular Lens Placement  June 2010- Left cataract extraction with Intraocular Lens Placement  November 2011-Left total knee arthroplasty

Allergies: No known drug or food allergies. Allergies to latex causing difficulty breathing and to bee stings, causing widespread edema and airway obstruction.

Vaccination History

He receives annual flu shots “most of the time”. His last one was 18 months ago.

Received a Pneumovax “the day I turned 65”.

His last TD was greater than 10 years ago.

Has not had the herpes zoster vaccine.

Social history

He has an 8th grade education and is a retired concrete finisher. He lives with his wife of 45 years and his daughter lives next door. He enjoys working in his back yard garden and recently tripped over the garden hose last week where his neighbor had to come and help him up.

Family history

Both parents are deceased. Father died of a heart attack at the age of 80; mother died of breast cancer at the age of 76. He has one daughter who is 45 years old and has hypertension. Hypertension, coronary artery disease, and cancer runs in the family.

Habits

He drinks one 4 ounce glass of red wine nightly; previous smoker of 30 years; he quit for 10 years, and is now smoking ¼ pack per day for the last 6 months.

  Discussion Part One:

Provide the differential diagnoses (DD) with rationale

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NR 601 Week 2 Case Study Discussions Physical Examination (Part-2) NEW

Discussion Part Two (graded)

Physical examination:

Vital Signs

Height: 5 feet 2 inches Weight: 163 pounds BMI: 29.8   BP 110/70 T 98.0 po P 100 R 22, non-labored; Urinalysis: Protein 2+, Glucose: 4+ HEENT: normocephalic, symmetric. Bilateral cataracts; PERRLA, EOMI; Upper and lower dentures in place a fitting well. No tinnitus NECK: Neck supple; non-palpable lymph nodes; no carotid bruits. Thyroid non-palpable

LUNGS: Decreased breath sounds in bases bilaterally with rales, expiratory wheezing with prolonged expiratory phase noted throughout all lung fields. No costovertebral angle tenderness (CVAT) noted. Increase in AP diameter noted.

HEART: Irregularly irregular rhythm; Unable to detect S3 or murmur ABDOMEN: Normal contour; active bowel sounds all four quadrants; no palpable masses.

PV: Pulses are 2+ in upper extremities and 1+ in pedal pulses bilaterally. 2+ pitting edema to her knees noted bilaterally;

NEUROLOGIC: Achilles reflexes are hypoactive bilaterally. Vibratory perception to the 128 Hz tuning fork placed at the MTP of her great toe is absent bilaterally; She is unable to discern monofilament placement in 3 locations on her left foot and 2 places on her right foot.

GENITOURINARY: no CVA tenderness; not examined

MUSCULOSKELETAL: Heberden’s nodes at the DIP joints of all fingers and crepitus of the bilateral knees on flexion and extension with tenderness to palpation medially at both knees. Kyphosis and gait slow, but steady.

PSYCH: normal affect; her Mini-Cog Score is 3. Her PHQ-9 score is 22. SKIN: Sparse hair noted on lower legs and feet bilaterally with dry skin on her ankles and feet.

 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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