Conducting an assessment of health promotion: Case Study Jessica.

To conduct an assessment of health promotion while applying the nursing process and evidence based research to disseminate findings to course colleagues.Case:Jessica is a 32 y/old math teacher who presents to the ER with a friend for evaluation of sudden decrease of vision in the left eye. She denies any trauma or injury. It started this morning when she woke up and has progressively worsened over the past few hours. She had some blurring of her vision 1 month ago and thinks that may have been related to getting overheated, since it improved when she was able to get in a cool, air-conditioned environment. She has some pain if she tries to move her eye, but none when she just rests. She is also unable to determine colors. She denies tearing or redness or exposure to any chemicals. Nothing has made it better or worse.She denies fever, chills, night sweats, weight loss, fatigue, headache, changes in hearing, sore throat, nasal or sinus congestion, neck pain or stiffness, chest pain or palpitations, shortness of breath or cough, abdominal pain, diarrhea, constipation, dysuria, vaginal discharge, swelling in the legs, polyuria, polydipsia, and polyphagia.Patient is alert; she appears anxious. BP 135/85 mm Hg; HR 64bpm and regular, RR 16 per minute, T: 98.5F. Visual acuity 20/200 in the left eye and 20/30 in the right eye. Sclera white, conjunctivae clear. Unable to assess visual fields in the left side; visual fields on the right eye are intact. Pupil response to light is diminished in the left eye and brisk in the right eye. The optic disc is swollen. Full range of motions; no swelling or deformity. Mental status: Oriented x 3. Cranial nerves: I-XII intact; horizontal nystagmus is present. Muscles with normal bulk and tone; Normal finger to nose, negative Romberg. Intact to temperature, vibration, and two-point discrimination in upper and lower extremities.

Case Study on David Gregory.

David Gregory is a 78-year-old male who presents with excessive daytime sleepiness (EDS) for the past year. He shares with you, “I experience sudden onset of sleepiness without any preceding tiredness. I could be reading the newspaper, working on the computer, watching television, talking on the phone, and suddenly feel drowsy and more often than not I just fall asleep. In order to stay awake, I’m engaging in various activities like painting walls at home, exercising, or dancing. This happens even when I am driving and so I listen to loud music in the car. “I started having what I think are cataplexy attacks two months ago. I looked this up on the internet. The frequency of cataplexy episodes varied depending on my emotional state and ranged between five a day to more than fifteen in five minutes. These episodes commonly happen while I am watching emotionally laden television shows and are triggered by sharing jokes, anger, unexpectedly meeting a relative, being the center of attention, or when excited… like during football games. They last for five to six seconds on average, with a maximum duration of around 20 seconds. During such episodes, my face and shoulders droop, I appear emotionless, and become immobile with a sense of weakness in my legs. I can’t resist a cataplexy attack once it starts but I learned to prevent it by avoiding emotional situations. “I also have visual hallucinations where I see snakes while awakening from sleep; however, I do not have sleep paralysis. Although I do not have any difficulty initiating sleep, I wake up several times through the night.” His past medical history included a few episodes of generalized seizures, each lasting for seconds. They were associated with fever at eight years of age, which is suggestive of febrile seizures. He does not have any history of head injury nor does he report flu-like illness, immunization, sleep apnea, or restless legs syndrome. He does not have any history of current or previous substance abuse and does not report any recent life stressors. Questions From your perspective as David’s psychiatric nurse practitioner, answer the following questions in a two page double-spaced paper (not including the reference and tittle page) and in APA format. Include at least three peer-reviewed, evidence-based references. 1-What scale or screening tool would be most appropriate for David? 2-What diagnosis would you give David and what are some differential diagnoses? 3-What medication would you start him on? Please include the starting dose and medication education instructions for this David. 4-What non-pharmacological treatments would you recommend and why? 5-What referrals would you make for David? please put the question then you answer.

Evaluate IKEA’s business model concept and how it has evolved through the years.

Evaluate IKEA’s business model concept and how it has evolved through the years. It has been stated that they have essentially changed the way people shop for furniture. What are the pros and cons of this type of strategy for IKEA? Through the application of a PEST analysis, what are the current environmental factors impacting IKEA? Who are the top three competitors of IKEA, and what are their advantages/disadvantages with respect to satisfying the value proposition of their customers? As IKEA looks to maintain markets in the United States as well as expand to areas such as Asia and India, what would you recommend to maintain customer value, satisfaction, and loyalty?

Compare and contrast the role of a strategic Human Resource Partner in a national and global organization.

1.It is often stated that HR deals with the problem not the cause of the problem – please explain why this may or may not be true. 2. What is the difference between a person doing the daily operations of a human resource function versus the role of a strategic human resource partner? At what level in the organization do you become strategic? 3. Compare and contrast the role of a strategic Human Resource Partner in a national and global organization.

Discuss American History Part 2 1865 to the Present.

What was Reconstruction and how did it come to an end?For the resource, Please use “GIVE ME LIBERTY! An American History Book”I will provide the link for the book here: https://www.studocu.com/en-us/document/university-of-north-florida/dir-readings-american-history/other/give-me-liberty-an-american-history-seagull-fifth-edition-vol-2-5th-edition/3616575/view