Describe the impacts of Lower back pain and Abdominal Aortic Aneurysm

A patient is admitted to the emergency department complaining of lower back pain. An MRI and CTA scan have been ordered. Findings indicate that the patient has an Abdominal Aortic Aneurysm (AAA). Part I – Describe the pathophysiology, signs and symptoms, and predisposition(s) of an Abdominal Aortic Aneurysm. Part II – Why were an MRI and CTA scan used as diagnostic tests for this patient? How do they differ? What other diagnostic tests/laboratory tests would be indicated if an AAA is suspected? Part III – Discuss pre-surgical medications and the surgical intervention for AAA. If left untreated what are the risks? Part IV – What patient education is necessary and what are the implications for family members?

autism related to the MMR (Teaching plan)

After a recent measles outbreak in a local daycare center, a mom brings her 13-month old toddler to the pediatric clinic. While you are performing a routine health assessment and begin explaining the age-appropriate immunizations ordered by the Pediatric Nurse Practitioner (MMR, Varicella and the first Hepatitis A vaccine), the mom expresses great concern about the vaccines. She states her fear of autism related to the MMR and also that it is not good for the immune system to receive that many vaccines at the same time. Based on evidence-based research focusing on this moms concerns, including myths and facts, discuss the benefits childhood immunizations. Develop a teaching plan how you would present the information to this mom. Include in-text citations and references.

Discussion 4 LIT

American Poetry After reading all the poems assigned, which two most clearly illustrate America as you personally see it? Why? Read the following selections from The Norton Anthology of American Literature, Volume D: ISBN-13: 978-0393927429 o T.S. Eliot. Read the biographical material on Eliot and “The Waste Land.” o Langston Hughes. Read the biographical material on Hughes and all poems. o William Carlos Williams. Read the biographical material on Williams and all poems. o Ezra Pound. Read the biographical material on Pound and all poems. o H. D. (Hilda Doolittle). Read the biographical material on H. D. and excerpts from “The Walls Do Not Fall.” o Jean Toomer. Read the biographical material on Toomer and excerpts from “Cane.” o Carl Sandburg. Read the biographical material on Sandburg and all poems. o Robert Frost. Read the biographical material on Frost and and the following poems: “Mowing,” “Mending Wall,” “After Apple-Picking,” “The Road Not Taken,” “Birches,” “Out, Out,” “Fire and Ice,” “Stopping by Woods on a Snowy Evening,” “Design,” “The Gift Outright.” o Claude McKay. Read the biographical material on McKay and and the following poems: “Harlem Shadows,” “The Lynching,” “If We Must Die,” and “America.” View Study Guide Read “Unit 10: Rhythms in Poetry” in American Passages: A Literary Survey,. ISBN-13: 978-0393979398
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Change Management

This assessment is designed to allow students to apply theory and models of change management and change leadership to a given scenario, identifying the issues and proposing supported recommendations to resolve the issues. Task Details: Using the case as a focus, students need to identify the problems, using change management theory to explain why the problems have arisen, and develop supported recommendations to improve the situation, taking into account the concerns and interests of various stakeholders. Students answer 4 questions at the end of the case study about Heinz QUESTION 01: – Apply cultural web elements include research – 2 references Answer for Question 01 include: – Cultural web – Reference to Heinz – Two academic references about cultural web and cultural audit QUESTION 02: – The forces for (positive) and against (negative) change – 2 references Academic research: – against resistance to change: + Fear. E.g: job loss, more work + Communication – For (positive) + time strategy need to change + poor performance. : Staff leaving QUESTION 03: – New Culture – Strengths – Make a change => better outcome – Measuring QUESTION 04: – Sustainability + Change lasts go forward + Dunphy, Griffith, Benn (old ways)
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