Best Writer

Write about the relationship paper analysis and interpretation of a relationship where you are the observer.The paper itself should describe and analyze a relationship in which you are able to observe within a good amount of time in order to know the nuances, history, and current status of that relationship. You must use at least five terms from the book, and those terms have to be underlined. In using those terms, you have to identify the situation where the term is being applied, what the term means, and why that term applies to that specific situation. The relationship must consist of interaction that takes place between two people. It can be a social relationship, a romantic relationship, a professional relationship, or other. In your observations you can describe the following:
Who are the people involved in the relationship and what are their roles?
Is there a sense of power or authority of one over the other?
Is the relationship positive or negative?
What is unique about this relationship?
What type of relationship is this?
Is this a healthy relationship?
Other aspects of the relationship that you deem important to share.
Once you describe the relationship, you will need to provide an analysis of what you observe. For
example, if the relationship is romantic, is there a sense that one has authority over another and not equal.? What makes you say that? What attribute or characteristics make one the authority, and how did that characteristic manifest itself? Keep in mind that I am looking for in depth answers to your analysis. Is the person assertive? Do they show empathy towards each other? Is the relationship healthy, why or why not? Explain what assertiveness is and how it impacts relationships? These are just examples of analysis questions you can answer, but you are not limited to these alone, you are welcomed to tackle other observations from the relationship.
Once the paper is typed, you should prepare a quick outline using note cards or a piece of paper to help you present your information in a recorded presentation. The presentation should be 3-4 minutes long, uploaded to YouTube and the link shared by copying it and pasting it to the top of the relationship paper. Please be sure to practice your speech to make sure you have covered all that you have described in your paper, and also so that you do not go under or over your time, as your assignment grade will also be dependent partially on your presentation, it is worth 20 points, out of the 100 points possible. This is not a speech, rather just a presentation where you encapsulate the information you wrote in your paper. Think of it as sharing information with a friend.

Identify the top five (5) issues currently facing law enforcement. Explain each issue and then provide an assessment of how you believe law enforcement agencies/personnel should handle each issue.

To complete the Assignment, compose a cohesive document that addresses the following:
Analyze at least one area of the video “Dangers of Wearing Glasses” in which you think someone might misinterpret the data presented, including why or how the data could be misinterpreted. Examine the consequence(s) that you think could result in the misinterpretation.
Identify the types of questions you would ask or strategies you would use to ascertain whether the individual providing the information has interpreted and presented it fairly and accurately.
Describe another example in which either biased or intentionally deceptive information had major consequences, or in which the failure to act on available information had major consequences, as in the space shuttle Challenger disaster.
Analyze what you think led to the situation in your example or why you think the information was presented in such a way, including the ethical dilemmas or implications associated with your example.
Based on what you have learned from your analysis of the Dangers of Wearing Glasses video, your example, the readings from this week, and your experience, explain how you think you would handle situations where you have to present data that delivers bad news or will have negative consequences.
Assess how your own values and ethics would affect your approach. Reflect on how your answer might change if you think that news could impact your organization in the short or long term (e.g., if the bad news might lead to lay-offs that might include you or might affect a potential job promotion, or if you are giving your leadership information on why a goal has not been met).
Be sure to support your Assignment using this weeks Learning Resources or other credible and relevant resources. You may also include quotes from the weekly Discussion that you think support your Assignment.
General Guidance: This weeks Assignment submission should be about 23 pages in length. Refer to the Week 5 Assignment Rubric for grading elements and criteria. Your Instructor will use this rubric to assess your work.

Define and describe the following somatoform disorders: Illness Anxiety Disorder (Hypochondrias), Conversion Disorder, Munchausen by Proxy Syndrome, . Which disorder do you believe to have the most grieves outcomes? Explain your view point.

( use simply psychology or pschology today for references )

1) In your discussion, identify some factors that can influence transportation, warehousing, and distribution requirements from manufactured good sources to customer needs. You should ALSO analyze how global trade has impacted those factors that influence transportation, warehousing, and distribution requirements for the supply of raw materials and component parts needed for manufactured goods all the way to the end user (final customer).

How have you demonstrated a commitment to primary care to date? In what ways will you contribute to primary care as a PA?

Please write an essay using this question prompt but you will need personal information about myself to write

How have integrated carriers (FedEx and UPS) responded to heightened last mile delivery
demands from shippers/consumers in terms of pricing, delivery commitments and
marketing efforts? How role have online giants such as Amazon, Wayfair and Chewy
played in raising customer expectations?

That is the full topic it wouldnt fit.

Practice your skills in developing a therapeutic partnership with your patient.
Obtain and build, in collaboration with the patient, a comprehensive health history.
Develop a comprehensive health risk assessment based on the data you have collected and analyzed.
To complete this assignment, you will interview a volunteer patient and document a comprehensive health history using the guideline provided. You will not perform any kind of physical examination; all data will be subjective in nature. You will analyze the data you have collected and compile a list of health problems and risk factors.

Your patient should be at least 50 years old and have at least one chronic health problem.

Guidelines
Use the document provided below to gather a comprehensive health history.
Your document should be formatted in a manner that is consistent with a standard medical record rather than in essay form.
Be sure to address all points under the provided headings.
The HPI should be written in a narrative format.
Other sections may include bulleted points or brief statements.
The Review of Systems should follow the standard format, as illustrated in the textbook.
In your final draft, be sure to remove the italicized instructions that are provided in the document.

Assignment Guideline

The purposes of this assignment are to:
practice your skills in developing a therapeutic partnership with your patient
obtain and build, in collaboration with the patient, a comprehensive health history
develop a comprehensive health risk assessment based on the data you have collected and analyzed

To complete this assignment, you will interview a volunteer patient and document a comprehensive health history, using the guideline provided. You will not perform any kind of physical examination; all data will be subjective in nature. You will analyze the data you have collected and compile a list of health problems and risk factors.

Your patient should be at least 50 years old and have at least one chronic health problem.

Use the guideline below to gather the comprehensive health history. Your document should be formatted in a manner that is consistent with a standard medical record, rather than in essay form. Use the headings that are provided below to create an outline format, and be sure to include all the listed sections. Under each section, be sure to address all the suggested points. Do not include any of the instructions provided in this guideline. The HPI should be written in narrative format. Other sections may include bulleted points or brief statements. The Review of Systems should follow the standard format, as illustrated in the textbook.

Reason for Visit, the chief complaint (cc): Date of History:
Patient Profile:
Patient Initials:
Age:
Gender:
Marital Status:
Ethnicity/Country of Origin/Race:
Language:
Education level:
Religion (optional):
Occupation:
Health insurance status:
Source of History and reliability of source

Health Status or History of Present Illness (HPI): HPI refers to the recent changes in health that led the patient to seek medical attention at this time. Describe the relevant information related to the chief complaint (symptom analysis).

If the patient does not present with a problem, or presents for a routine health history, you should ask about the date of their last health assessment, and ask the patient to discuss any pending issues from the last exam (e.g. abnormal lab results, previous patient education related to diet or to exercise, advice regarding preventive health measures, etc) and to explain the current status of those issues. Ask how the patient would rate his/her health, and why. In addition, you should address any chronic illness the patient has, asking about current symptoms, adherence with diet, medication, etc. Finally, if you discover any significant positive symptoms in the Review of Systems, you should include those in the HPI, using the OLDCARTS model to gather additional information about the symptom.

OLDCARTS
Onset When did it start? Did the problem come on sudden or insidiously? Location Where on/in the body is the problem occurring? Radiation?
Duration How long have you been having this problem? Have you had this problem before?
Characteristics Description of the problem.
Aggravating or Associated Factors – Does anything accompany the problem? Is the concern related to some other event? What makes the symptom worse?
Relieving Factors – What makes it better? Home remedies, herbal, vitamins, over- the-counter, prescription medications, diet, activities
Temporal Factors – Time of Day? Consistent? When does problem come and go?
Severity Can you rate the severity on a scale of 1 to 10? Has the problem affected you so much that you are no longer able to go to work or school? Does the problem prevent you from doing any of your regular routine activities?

The HPI should be written in narrative form, rather than bullet points.
Past Medical History (PMH):
Be sure to indicate dates or ages of illnesses and procedures, if known. Write the PMH in bullet format, rather than as a narrative.

Childhood Illnesses:
Measles
Mumps
Rheumatic Fever
Polio
Rubella
Pertussis
Scarlet Fever
Chickenpox (varicella)
Frequent otitis media
Others

Adult Illnesses: Psychiatric Illnesses: Accidents and Injuries: Operations Transfusions:
Additional Hospitalizations:

Family Medical History: Include at least three generations, noting age of diagnosis or death for each illness, as known. Explain any missing data (e.g. adoption, unknown history of a relative). This section should be a genogram. Create a detailed pedigree diagram that includes all diagnoses with respective ages.

Allergies: (food, medication, environmental). Note how the allergy is manifested. Use bullet format.

Current Medications: (Includes prescribed medications, nonprescription drugs, herbal or home remedies, vitamin/mineral supplements, medicines borrowed from family members or friends). Use bullet format, and include dosage and frequency for each medication.

Immunizations: Include dates or age of administration. Use bullet format.

Screening Tests (for Health Maintenance): Ask about the frequency of the following exams (ass appropriate for your patient), the date of the last exam, and the results. Use bullet format.
Physical Exam
Dental
Vision
Hearing
Mammogram (Female)
Pap smear (Female)
Digital rectal exam of prostate, PSA (male)
Fecal occult Blood/Fecal Immunochemical Test/colonoscopy/sigmoidoscopy
PPD/TB Screen
Other targeted screening based on occupation or other personal risk factors (Antibodies or titers related to infectious disease/immunization status, such as MMR, Hep B, Hep C, HIV, etc)
Home environment:
Home (age of the home, concerns about fire, stairs, adequacy of heat and cooling, pest control, space, smoker in the family, source of water, hazards such as asbestos or lead-based paint, privacy issues)
Usual mode(s) of transportation (driving car, walking, motorcycle, bicycle, public transport)
Neighborhood/Community (availability of stores, market, laundry facilities, drugstore, access to alternative transportation if needed)
Safety of the neighborhood
Use brief statement format.

Exercise and Leisure Activities:
Exercise (amount, time, and frequency); ideas on efficacy of exercise
Recreational activities
Amount of sun exposure
Use brief statement format.

Use of Safety Measures: Seat belts, helmets (bicyclists and motorcyclists), car seats for children, sunscreen, condoms, handrails in bathtub, etc
Use brief statement format.

Sleep Patterns: Number of hours per night, regularity of sleep patterns, use of sleep aids, attention to sleep hygiene, daytime sleepiness

Use brief statement format.
.

Nutritional Screen: Gather and document a 24-hour recall.
Known dietary restrictions
Dietary supplements used
Known risk factors for eating disorders
Risk factors for food/medication interactions

Weight: Stated weight and height. Perception of ideal weight, attainable weight; methods of weight management
Use brief statement format.
Family:
Members of current household (Use the table below as your format):

Name Gender Age Relationship Occupation or school grade Health status Other pertinent
on-going issues

Name and relationship of emergency contacts and contact information:

Occupational History: Type of work performed. Sedentary occupation. High-stress occupation. Working at heights, at/near moving objects, on slippery surfaces, in high temperatures, with electricity, with hazardous materials. Military history, including exposure to traumatic events

Use brief statement format.

Financial Status/Source of Income:
Use brief statement format.

Health Insurance Status: Use bullet or brief statement format

Advance Directives: Living will, Five Wishes, Power of Attorney, POLST/MOLST forms
Use bullet or brief statement format.

Recent Life Chan ges or Stressors (divorce, new job, family illness, relocation)
Use bullet or brief statement format.

Patterns of Coping with Stress: including use of medications, support groups, religion, spirituality, yoga, meditation, etc.

Use bullet or brief statement format.

Screening for Possible Physical/Mental Abuse/Neglect: Use appropriate screening tools, such as HITS, from your required textbook or the asynchronous lecture on interviewing for the health history. Document positive and negative responses to your specific screening questions.
Use bullet or brief statement format.

Functional Ability: (When relevant, older or disabled persons)
Activities of daily living (ADL) such as bathing, feeding, dressing)
Instrumental activities of daily living (IADL) such as shopping, cooking, doing errands
Use bullet or brief statement format
Substance Use: Ask about tobacco (including vaping), alcohol, recreational drugs. Include duration of use, frequency, amount, previous attempts to quit. Use appropriate screening tools, such as CAGE, from the required text. Document positive and negative responses to your specific screening questions.

Use bullet or brief statement format
Sexual History: Ask about the Five Ps as described in your required textbook: Partners, practices, protection, past STIs, pregnancy plans. Be sure to ask permission from the patient before asking questions, assure the patient of confidentiality, and use a non-judgmental approach, as described in your textbook.

Use bullet or brief statement format

Contraceptive History (Use the table provided below):

Time Period Contraceptive Type Problems? Reasons for Change

Reproductive & Gynecologic History: Women (Use bullet format, along with the provided tables):

Menstrual History:
Menarche Length Frequency
Amount LMP
Pain Bleeding Between Periods
Amenorrhea Premenstrual Symptoms

Gravida Para Elective Abs Spon. Ab

Maternal Obstetrical History:

Gravida Para: F P Elective ABs Spon. ABs L.C.

Hx. Preg. 1 2 3 4 5
Date pg. end
Wk. Gestation
Month care started
Total wt. gain
Hrs. in labor
Del. Type
Place of del.
Attendant
Babys sex
Birth wt.
Infant probs. *
Maternal problems **
Other comments

< 5 1/2 lb. ** Pregnancy-induced hypertension > 9 labs. Eclampsia
Need for resuscitation Incompetent cervix
Genetic disorder Antibody incompatibility
Birth defects Rh Ng RhoGAM given?
Genital herpes
Other medical conditions

Infertility:
Perimenopausal Period:
Changes in menstrual pattern
Data of last menstrual period
Associated symptoms (hot flashes, night sweats, mood swings, difficulty sleeping, etc)
Impact on daily functioning

Reproductive History: Men (Use bullet format)

Contraceptive Methods: Number of Children:
Infertility:

Review of Systems (ROS):
Significant positive answers must be analyzed as symptoms and included in the History of Present Illness.
Use brief statement format, as shown in your textbook. Use headings for each system.

Constitutional: Fever, chills, Changes in weight, change in fit of clothes, weakness, fatigue, night sweats.
Skin: Changes in your skin, hair, nails. Rashes, sores. Lumps, itching, pain

Head: Headache (Assess its chronological pattern and other attributes); Lesions
Eyes: Visual acuity, corrective measures. Pain, burning, itching of eyes or surrounding area. Redness, tearing/watering, diplopia
Ear: Hearing acuity, corrective measures. Tinnitus, vertigo, ear pain or feeling of fullness/pressure, ear discharge, excessive cerumen, use of swabs to clean ears, medications. Sustained exposure to loud noise
Nose and Sinuses: Rhinorrhea, nasal stuffiness, epistaxis, medications frequently used. Decreased sense of smell.
Mouth and Throat: Lesions on lips or in the mouth, dental caries, bleeding from gums, sore tongue, hoarseness, sore throat

Neck: Swollen glands or lumps in the neck, goiter. Pain or stiffness in the neck.

Breasts (applies to both male and female patients): Pain or discomfort, lumps, discharge from the nipples, skin changes, redness. Frequency and timing of breast self-examination.

Chest/Respiratory/Cardiac: Pain or discomfort in the chest, palpitations, dyspnea, Orthopnea, Paroxysmal nocturnal dyspnea, wheezes. edema, cough (with description), hemoptysis

Gastrointestinal: Dysphagia, pain on swallowing, heartburn/indigestion, regurgitation, excessive belching, abdominal fullness after meals or inability to finish eating meals. Nausea and vomiting, abdominal pain, anorexia, excessive flatulence. Frequency of bowel movements, appearance and color of stool, constipation, diarrhea. Corrective measures for any of the above.

Urinary: Kidney/flank pain (pain at or below costal margin posteriorly), pain on urination,urinary urgency, urinary frequency, nocturia, urinary hesitancy/straining to void, reduced caliber and force of urinary stream, dribbling, incontinence. Color of urine, hematuria.

Genitalia:
Male Discharge from penis; sores or growths on the penis; swelling or pain in the scrotum; sexually transmitted infections related questions; oral/anal sex; diarrhea, rectal bleeding, anal itching or pain, sore throat; sexual history (if not previously explored) impotence; hypoactive sexual desire disorder

Female Bleeding after intercourse or douching; pin with intercourse, vaginal discharge.

Peripheral Vascular: Pain in the arms and legs, swelling of the feet and legs, redness, tenderness, coldness, numbness, intermittent claudication. Any corrective measures for above.

Hematologic: Frequent or easy bleeding or bruising, nosebleeds, medications (e.g. aspirin, blood thinners; Vitamin C or Vitamin K deficiency (inadequate diet, malabsorption).

Endocrine: Polyuria, polydipsia, polyphagia, temperature intolerance, sweating. Preference for hot or cold weather, perspiring more than others or needing more blankets, sweaters/coats more than others.
Musculoskeletal: Pains in joints and associated symptoms; swelling; limitation of motion (including limitation to activities of daily living); tenderness; warmth; redness; symptoms elsewhere associated with joint pains; backache. Muscle weakness (generalized or localized; relation to certain activities)

Neurologic: History of loss of consciousness, syncope/near syncope. Seizures or spells. Weakness or paralysis of any part of the body. Tremors and other involuntary movement. Pain. Paresthesias.

Mental Status and Psychiatric Symptoms: Problems or changes in orientation to time, place, and person; level of consciousness; understanding questions and responding appropriately; change in speech, grooming, or personal hygiene. Change in sleep pattern. Getting lost when driving to a familiar place. Suicidal ideation (with appropriate follow-up questions if positiveinclude these in the HPI)

PROBLEM and RISK ASSESSMENT LIST

After you have obtained the comprehensive health history for your patient, review all of the data and construct a Problem and Risk Assessment List. The list should be holistic to include:
Firmly Established Diagnoses (chronic diseases or current urgent needs)
Allergies
New Symptoms (C/C, HPI, ROS)
Preventive Care (Doing or Needs to be Doing)
Abnormal Findings/Lab Data (as reported by the patient)
Risk Factors related to safety, occupational exposures, genetic factors,
Personal Difficulties (Social, Family, Personal, Financial)
Educational or Anticipatory Guidance Needs
Advance Directives
Deficits in Functional Status (ADLs, Incontinence, Mobility)
Past medical history items that may impact future risks (e.g. history of chickenpox, with future risk of herpes zoster; history of gestational diabetes; history of tobacco use). For each of these you may have, in addition to a date of onset/date of identification, a date the problem was resolved.

Format your list as seen below. Remember that this is a list of problems or risk factors. It should not include any interventions, such as medications to be prescribed. It should not include a narrative.

Problem and Risk Assessment List

Problem or risk factor Date of onset or date identified Date resolved

Examine three roles of political parties in American politics. In what ways do political parties differ from interest groups? How do parties contribute to democratic government?
Does online participation lead to more or less participation offline? What reasons are there to believe that online participation will lead to either more or less participation? Defend your answer
What are some of the factors that help to explain the low turnout rates for elections in the United States? What, if anything, can be done to strengthen turnout?

Instructions:
For the following assignment, you will review and respond to three different items.
Item 1:
Michael and his girlfriend, Jane are having a verbal argument in front of the supermarket. Jane says,
You know whatI am walking home. Michael replies, No youre not! He then opens the right front
passenger side door and pushes Jane inside. He gets in the drivers seat and drives off, while Jane is
trying to unlock the door to get out. Michael relocks the door and continues driving. Jane repeatedly asks
him to let her out. Think about the crimes that Michael has committed. Describe the crimes and the
elements. Then, identify which portions of the scenario meet the elements.

Item 2:
Discuss the elements of Voluntary Manslaughter and the concept of adequate provocation. Provide an
example or scenario which demonstrates the incorporation of both.

Item 3:
David and his friend, John, commit a bank robbery. In the process of doing so, the police arrive and
John is shot and killed by the Police. Consider whether or not David can be charged with Felony Murder
for the death of John. Describe the elements of Felony Murder, conduct an analysis of the scenario
presented and provide support for your opinion on whether or not David can be charged with Felony
Murder for the death of John.