Decision Tree for Neurological and Musculoskeletal Disorders - Science
For your Assignment, your Instructor will assign you one of the decision tree interactive media pieces provided in the Resources. As you examine the patient case studies in this module’s Resources, consider how you might assess and treat patients presenting symptoms of neurological and musculoskeletal disorders.To PrepareReview the interactive media piece assigned by your Instructor. Reflect on the patient’s symptoms and aspects of the disorder presented in the interactive media piece.Consider how you might assess and treat patients presenting with the symptoms of the patient case study you were assigned.You will be asked to make three decisions concerning the diagnosis and treatment for this patient. Reflect on potential co-morbid physical as well as patient factors that might impact the patient’s diagnosis and treatment.By Day 7 of Week 8Write a 1- to 2-page summary paper that addresses the following:Briefly summarize the patient case study you were assigned, including each of the three decisions you took for the patient presented.Based on the decisions you recommended for the patient case study, explain whether you believe the decisions provided were supported by the evidence-based literature. Be specific and provide examples. Be sure to support your response with evidence and references from outside resources.What were you hoping to achieve with the decisions you recommended for the patient case study you were assigned? Support your response with evidence and references from outside resources.Explain any difference between what you expected to achieve with each of the decisions and the results of the decision in the exercise. Describe whether they were different. Be specific and provide examples.
wk_6_alzheimer.docx
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Alzheimer’s Disease
76-year-old Iranian Male
BACKGROUND
Mr. Akkad is a 76 year old Iranian male who is brought to your office by his eldest son for
“strange behavior.” Mr. Akkad was seen by his family physician who ruled out any organic basis
for Mr. Akkad’s behavior. All laboratory and diagnostic imaging tests (including CT-scan of the
head) were normal.
According to his son, he has been demonstrating some strange thoughts and behaviors for the
past two years, but things seem to be getting worse. Per the client’s son, the family noticed that
Mr. Akkad’s personality began to change a few years ago. He began to lose interest in religious
activities with the family and became more “critical” of everyone. They also noticed that things
he used to take seriously had become a source of “amusement” and “ridicule.”
Over the course of the past two years, the family has noticed that Mr. Akkad has been
forgetting things. His son also reports that sometimes he has difficult “finding the right words”
in a conversation and then will shift to an entirely different line of conversation.
SUBJECTIVE
During the clinical interview, Mr. Akkad is pleasant, cooperative and seems to enjoy speaking
with you. You notice some confabulation during various aspects of memory testing, so you
perform a Mini-Mental State Exam. Mr. Akkad scores 18 out of 30 with primary deficits in
orientation, registration, attention & calculation, and recall. The score suggests moderate
dementia.
MENTAL STATUS EXAM
Mr. Akkad is 76 year old Iranian male who is cooperative with today’s clinical interview. His eye
contact is poor. Speech is clear, coherent, but tangential at times. He makes no unusual motor
movements and demonstrates no tic. Self-reported mood is euthymic. Affect however is
restricted. He denies visual or auditory hallucinations. No delusional or paranoid thought
processes noted. He is alert and oriented to person, partially oriented to place, but is
disoriented to time and event [he reports that he thought he was coming to lunch but “wound
up here”- referring to your office, at which point he begins to laugh]. Insight and judgment are
impaired. Impulse control is also impaired as evidenced by Mr. Akkad’s standing up during the
clinical interview and walking towards the door. When you asked where he was going, he
stated that he did not know. Mr. Akkad denies suicidal or homicidal ideation.
Diagnosis: Major neurocognitive disorder due to Alzheimer’s disease (presumptive)
RESOURCES
§ Folstein, M. F., Folstein, S. E., & McHugh, P. R. (2002). Mini-Mental State Examination
(MMSE). Lutz, FL: Psychological Assessment Resources.
Decision Point One
Select what you should do:
Begin Exelon (rivastigmine) 1.5 mg orally BID with an increase to 3 mg orally BID in 2
weeks
: Begin Aricept (donepezil) 5 mg orally at BEDTIME
Begin Razadyne (galantamine) 4 mg orally BID
1
Title of the Paper in Full Goes Here
Student Name Here
Walden University
Course Number, Section, and Title
(Example: NURS 0000 Section 01, Title of Course)
Month, Day, Year
(enter the date submitted to instructor)
2
Title of the Paper
This is your introductory paragraph designed to inform the reader of what you will cover
in the paper. (BSN Students - Carefully follow your course-specific Grading Rubric concerning
the content that is required for your assignment and the Academic Writing Expectations [AWE]
level of your course.) This template’s formatting—Times New Roman 12-point font, double
spacing, 1” margins, 1/2” indentations beginning of each paragraph, page numbers, and page
breaks—is set for you, and you do not need to change it. Do not add any extra spaces between
the heading and the text (you may want to check Spacing under Paragraph, and make sure
settings are all set to “0”). The ideas in this paper should be in your own words and supported by
credible outside evidence. Cite the author, year of publication, and page number, if necessary,
per APA. The introductory paragraph should receive no specific heading because the first
section functions as your paper’s introduction. Build this paragraph with the following elements:
1. Briefly detail what has been said or done regarding the topic.
2. Explain the problem with what has been said or done.
3. Create a purpose statement (also commonly referred to as a thesis statement) as the last
sentence of this paragraph: “The purpose of this paper is to describe…”.
Level 1 Heading (Name According to the Grading Rubric Required Content)
This text will be the beginning of the body of the paper. Even though this section has a
new heading, make sure to connect this section to the previous one so readers can follow along
with the ideas and research presented. The first sentence, or topic sentence, in each paragraph
should transition from the previous paragraph and summarize the main point in the paragraph.
Make sure each paragraph addresses only one topic. When you see yourself drifting to another
idea, make sure you break into a new paragraph. Avoid long paragraphs that are more than three-
3
fourths of a page. Per our program recommendations, each paragraph should be at least 3-4
sentences in length and contain a topic sentence, evidence, analysis, and a conclusion or lead out
sentence. In your paragraphs, synthesize your resources/readings into your own words and avoid
using direct quotations. In the rare instances you do use a direct quotation of a historical nature
from a source, the page or paragraph numbers are also included in the citation. For example,
Leplante and Nolin (2014) described burnout as a negative affective response occurring as
result of chronic work stress (p. 2). When you transition to a new idea, you should begin a new
paragraph.
Another Level 1 Heading (Name According to the Grading Rubric Required Content)
Here is another Level 1 heading. Again, the topic sentence of this section should explain
how this paragraph is related to or a result of what you discussed in the previous section.
Consider using transitions between sentences to help readers see the connections between ideas.
Be sure to credit your source(s) in your paper using APA style. The APA Manual 6th
edition and the Walden Writing Center are your best citation resources. Writing Center resources
are available at https://academicguides.waldenu.edu/writingcenter/apa/citations. You must
appropriately and correctly cite all works used in your document.
The following paragraph provides examples of in-text citation examples. According to
Leplante (2014), employers cause burnout when employees are stressed by too much work. Or
you might write and cite in this manner: Employers cause burnout when employees are stressed
by too much work (Leplante, 2014). When paraphrasing, the author name and year of publication
in citations is required by APA to direct the reader to a specific source in the reference list.
Personal communications are not listed in the reference page but are noted in text as (S. Wall,
4
personal communication, May 24, 2018). This should immediately follow the content of the
interview.
Another Level 1 Heading (Name According to the Grading Rubric Required Content)
APA can seem difficult to master, but following the general rules becomes easier with
use. The Writing Center also offers numerous APA resources on its website and can answer your
questions via email . Prior to submitting your paper for grading, submit your draft to SafeAssign
Drafts found in the left column of your course.
And so forth until the conclusion….
Conclusion
The conclusion section should recap the major points of your paper. Do not introduce
new ideas in this paragraph; the conclusion should interpret what you have written and what it
means in the bigger picture.
5
References
Please note that the following references are intended as examples only. List your own
references in alphabetical order. Also, these illustrate different types of references; you are
responsible for any citations not included in this list. In your paper, be sure every reference entry
matches a citation, and every citation refers to an item in the reference list.
Journal Article; One Author; DOI
Leplante, J. P. (2014). Consultas and socially responsible investing in Guatemala: A case study
examining Maya perspectives on the Indigenous right to free, prior, and informed
consent. Society & Natural Resources, 27(4), 231–248.
doi:10.1080/08941920.2013.861554
Journal Article, Two Authors; URL
Eaton, T. V., & Akers, M. D. (2007). Whistleblowing and good governance. CPA Journal, 77(6),
66–71. Retrieved from http://www.cpajournal.com/
Journal Article, Three to Six Authors; URL
Rasmussen, A., Hopkins, B., & Fitzpatrick, C. (2004). Systematic review. CPU Journal, 6(9),
44-51. Retrieved from http/www.cpujournal.com/
Journal Article, Seven Authors or more; DOI
Kernis, M. H., Cornell, D. P., Sun, C. R., Berry, A., Harlow, T., Asgaard, G.,….Bach, J. S.
(1993). Theres more to self-esteem than whether it is high or low: The importance of
stability of self-esteem. Journal of Personality and Social Psychology, 65(9) 1190-1204.
doi:10.1080/08941920.2013.861554
6
Book; One Author
Weinstein, J. A. (2010). Social change (3rd ed.). Lanham, MD: Rowman & Littlefield.
Book; Chapter in an Edited Book
Christensen, L. (2001). For my people: Celebrating community through poetry. In B. Bigelow,
B. Harvey, S. Karp, & L. Miller (Eds.), Rethinking our classrooms: Teaching for equity
and justice (Vol. 2; pp. 16–17). Milwaukee, WI: Rethinking Schools.
Professional Organization Article
Centers for Disease Control and Prevention. (2010). Nutrition. Retrieved from
http://www.cdc.gov/nutrition/
Professional Organization Web page
Centers for Disease Control and Prevention. (2018). Back to school. Retrieved from
https://www.cdc.gov/features/teens-back-to-school/index.html
Professional Organization Book
American Nurses Association. (2010). Nursing: Scope and standards of practice (2nd ed.).
Silver Spring, MD: Author.
Two or more works by same author in the same year
Wall, S. (2018a). Effects of friendship on children’s behavior. Journal of Social Psychology,
4(1), 101-105.
Wall, S. (2018b). Trials of parenting adolescents with deviant behaviors. Journal of Child
Psychology, 4(12), 167-161.
Government Article
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National Institute of Mental Health. (1990). Clinical training in serious mental illness (DHHS
Publication No. ADM 90-1679). Washington, DC: U.S. Government Printing Office.
Lecture Notes
Health effects of exposure to forest fires [Lecture notes]. (2005). Retrieved from
https://class.waldenu.edu
Personal Communication (Only Goes in Body of Paper and not in References)
Video/DVD
Laureate Education (Producer). (2009). Title of program here [DVD]. In Title of video here.
Baltimore, MD: Author.
Television (Audio)
Important, I. M. (Producer). (1990, November 1). The nightly news hour [Television broadcast].
New York, NY: Central Broadcasting Service.
APA Resources
You have other several options to assist you in the formulation of your reference page.
•
Your American Psychological Association (APA) Manual is your best reference
resource. Use the current edition with a copyright date of 2009.
•
The Walden Writing Center also a great place for referencing advice at
https://academicguides.waldenu.edu/writingcenter/apa/references.
•
Citation and reference examples are provided in the ‘BSN TOP Ten References and
Citations” handout found in the Writing Resources tab of the course. This document
covers the 10 most commonly used reference and citation formats. You are responsible to
look up any that are not included on this list.
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Calculus
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of these three) to reflect and analyze the potential ways these (
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When considering both O
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Identify a specific consumer product that you or your family have used for quite some time. This might be a branded smartphone (if you have used several versions over the years)
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aragraphs (meaning 25 sentences or more). Your assignment may be more than 5 paragraphs but not less.
INSTRUCTIONS:
To access the FNU Online Library for journals and articles you can go the FNU library link here:
https://www.fnu.edu/library/
In order to
n that draws upon the theoretical reading to explain and contextualize the design choices. Be sure to directly quote or paraphrase the reading
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Key outcomes: The approach that you take must be clear
Mechanical Engineering
Organic chemistry
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Topic
You will need to pick one topic for your project (5 pts)
Literature search
You will need to perform a literature search for your topic
Geophysics
you been involved with a company doing a redesign of business processes
Communication on Customer Relations. Discuss how two-way communication on social media channels impacts businesses both positively and negatively. Provide any personal examples from your experience
od pressure and hypertension via a community-wide intervention that targets the problem across the lifespan (i.e. includes all ages).
Develop a community-wide intervention to reduce elevated blood pressure and hypertension in the State of Alabama that in
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Conclusions
References (8 References Minimum)
*** Words count = 2000 words.
*** In-Text Citations and References using Harvard style.
*** In Task section I’ve chose (Economic issues in overseas contracting)"
Electromagnetism
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visual representations of information. They can include numbers
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Provide a description of an existing intervention in Canada
making the appropriate buying decisions in an ethical and professional manner.
Topic: Purchasing and Technology
You read about blockchain ledger technology. Now do some additional research out on the Internet and share your URL with the rest of the class
be aware of which features their competitors are opting to include so the product development teams can design similar or enhanced features to attract more of the market. The more unique
low (The Top Health Industry Trends to Watch in 2015) to assist you with this discussion.
https://youtu.be/fRym_jyuBc0
Next year the $2.8 trillion U.S. healthcare industry will finally begin to look and feel more like the rest of the business wo
evidence-based primary care curriculum. Throughout your nurse practitioner program
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Understanding Gender Fluidity
Providing Inclusive Quality Care
Affirming Clinical Encounters
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References
Nurse Practitioner Knowledge
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1. In 1972 the Furman v. Georgia case resulted in a decision that would put action into motion. Furman was originally sentenced to death because of a murder he committed in Georgia but the court debated whether or not this was a violation of his 8th amend
One of the first conflicts that would need to be investigated would be whether the human service professional followed the responsibility to client ethical standard. While developing a relationship with client it is important to clarify that if danger or
Ethical behavior is a critical topic in the workplace because the impact of it can make or break a business
No matter which type of health care organization
With a direct sale
During the pandemic
Computers are being used to monitor the spread of outbreaks in different areas of the world and with this record
3. Furman v. Georgia is a U.S Supreme Court case that resolves around the Eighth Amendments ban on cruel and unsual punishment in death penalty cases. The Furman v. Georgia case was based on Furman being convicted of murder in Georgia. Furman was caught i
One major ethical conflict that may arise in my investigation is the Responsibility to Client in both Standard 3 and Standard 4 of the Ethical Standards for Human Service Professionals (2015). Making sure we do not disclose information without consent ev
4. Identify two examples of real world problems that you have observed in your personal
Summary & Evaluation: Reference & 188. Academic Search Ultimate
Ethics
We can mention at least one example of how the violation of ethical standards can be prevented. Many organizations promote ethical self-regulation by creating moral codes to help direct their business activities
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The inbound logistics for William Instrument refer to purchase components from various electronic firms. During the purchase process William need to consider the quality and price of the components. In this case
4. A U.S. Supreme Court case known as Furman v. Georgia (1972) is a landmark case that involved Eighth Amendment’s ban of unusual and cruel punishment in death penalty cases (Furman v. Georgia (1972)
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The ability to view ourselves from an unbiased perspective allows us to critically assess our personal strengths and weaknesses. This is an important step in the process of finding the right resources for our personal learning style. Ego and pride can be
· By Day 1 of this week
While you must form your answers to the questions below from our assigned reading material
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5 The family dynamic is awkward at first since the most outgoing and straight forward person in the family in Linda
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The most important benefit of my statistical analysis would be the accuracy with which I interpret the data. The greatest obstacle
From a similar but larger point of view
4 In order to get the entire family to come back for another session I would suggest coming in on a day the restaurant is not open
When seeking to identify a patient’s health condition
After viewing the you tube videos on prayer
Your paper must be at least two pages in length (not counting the title and reference pages)
The word assimilate is negative to me. I believe everyone should learn about a country that they are going to live in. It doesnt mean that they have to believe that everything in America is better than where they came from. It means that they care enough
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Single Subject Chris is a social worker in a geriatric case management program located in a midsize Northeastern town. She has an MSW and is part of a team of case managers that likes to continuously improve on its practice. The team is currently using an
I would start off with Linda on repeating her options for the child and going over what she is feeling with each option. I would want to find out what she is afraid of. I would avoid asking her any “why” questions because I want her to be in the here an
Summarize the advantages and disadvantages of using an Internet site as means of collecting data for psychological research (Comp 2.1) 25.0\% Summarization of the advantages and disadvantages of using an Internet site as means of collecting data for psych
Identify the type of research used in a chosen study
Compose a 1
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I think knowing more about you will allow you to be able to choose the right resources
Be 4 pages in length
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One thing you will need to do in college is learn how to find and use references. References support your ideas. College-level work must be supported by research. You are expected to do that for this paper. You will research
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3 The first thing I would do in the family’s first session is develop a genogram of the family to get an idea of all the individuals who play a major role in Linda’s life. After establishing where each member is in relation to the family
A Health in All Policies approach
Note: The requirements outlined below correspond to the grading criteria in the scoring guide. At a minimum
Chen
Read Connecting Communities and Complexity: A Case Study in Creating the Conditions for Transformational Change
Read Reflections on Cultural Humility
Read A Basic Guide to ABCD Community Organizing
Use the bolded black section and sub-section titles below to organize your paper. For each section
Losinski forwarded the article on a priority basis to Mary Scott
Losinksi wanted details on use of the ED at CGH. He asked the administrative resident