The main goal of this draft is to answer the thesis statement/research question posed in the first draft. It also serves to lengthen the paper by including more details, research, and relevant sections in order to work toward a cohesive final product.

Instructions:
• The rough draft should include the following components:

Title Page (page 1)
Abstract (page 2)
Body (approximately 4-6 pages in length)
Introduction, ending with a thesis statement
Literature Review
Conclusion
Reference Page (approximately 1 page in length)

• Include the elements of the first draft as well as any changes/edits that were suggested.

Requirements:
• Submit a Word document in APA format.
• Maximum 10 pages in length, excluding the Title and Reference pages.
• At least five resources.

Lehne’s Pharmacotherapeutics for Advanced Practice Providers and Physician Assistants
Edition: 2nd

Explore current literature and clinical practice guidelines to complete the clinical treatment protocol template.

Complete the protocol outline template Links to an external site. to develop a protocol for asthma treatment. Use of the template is required. A 10% deduction will be applied if the template is not used. See the rubric.
Provide references for your protocol at the bottom of the form where indicated. References should come from the following sources:
Asthma Clinical Practice Guideline
Course Textbook (for individual medication information)
Journal Articles from within the last five years as defined by program expectations.
Follow APA grammar, spelling, word usage, and punctuation rules consistent with formal, scholarly writing.
No more than one short direct quote (15 words or less) may be used in this assignment.
First person should not be used within this assignment.
At least three scholarly references must be used for this assignment.
Abide by Chamberlain University’s academic integrity policy.
Include the following sections (detailed criteria listed below and in the grading rubric).

Pharmacological Treatment

Correctly complete all blanks for the preferred and alternative medication for each step of therapy noted in the CPG.
List medications in order according to the CPG.
List generic medication names for each category.
Provide an in-text citation under the completed table.
Treatment Differences in Adults and Children

Correctly list the first line of initial pharmacologic treatment in step one; track one for asthmatic adults. (7a on the form)
Correctly list the first line of initial pharmacologic treatment in step one, track one for asthmatic children ages 6-11. (7b on the form)
Correctly list drug dose, route, frequency, instructions, precautions, drug cost, and education for adult and pediatric clients.
Provide in-text citations under the information for adults and pediatric clients.
Treatment Monitoring

List the physical assessments required for monitoring the first-line medications prescribed to adults for track one, step one.
List the pulmonary function tests required for monitoring the first-line medications prescribed to adults for track one, step one.
List the laboratory tests required for monitoring the first-line medications prescribed to adults for track one, step one.
Provide an in-text citation under the treatment monitoring section.
Treatment Failure

Describe how you will know that treatment is not working or needs to progress.
Describe the next step if treatment is not working or needs to progress.
Describe the indicators that would demonstrate that the client requires a higher level of care.
Provide an in-text citation under the treatment failure section.

 

LO1 – Knowledge and Understanding – Understand the concepts of traditional capital budgeting and sources of finance. LO2 – Knowledge and Understanding -Explain the context within which financial accounting information is prepared and used.

 

For this assignment, the title page and headings are required. Please use the info provided Review the elements and paper example provided in the Guidelines for Your Paper Format and Paper Example as needed. A minimum of two (2) references are required. Cite and reference your source/s as appropriate using APA format and style (7th ed.). this is the information i want formatted: Mental Status Assessment and Care Planning:A Case Analysis of Grief and Substance Use in Geriatric CareIntroductionThis report analyzes a case scenario involving A.H., a 67-year-old Hispanic male presenting for pneumonia follow-up at a primary care facility, with concerning behavioral changes following his daughter’s death in an alcohol-related motor vehicle accident.2.1 Analysis of A, B, C, and T ComponentsFrom the provided scenario, the following mental status elements are present:Appearance (Present):Disheveled appearance is specifically notedPhysical presentation suggests self-care deficitBehavior (Present):Slurred speechPresence of mint smell on breath, potentially masking alcoholAttendance at follow-up appointment indicates some level of health-seeking behaviorCognition (Not Explicitly Provided):While slurred speech might suggest cognitive impairment, no direct assessment of orientation, memory, or executive function is providedAdditional cognitive testing would be necessaryThought Processes (Not Explicitly Provided):No information about thought content, organization, or potential delusionsNo indication of suicidal ideation or grief processing patterns2.2 Additional Assessment Needs and ToolsSeveral validated assessment tools would be beneficial for a comprehensive evaluation:Mental Status Assessment:Mini-Mental State Examination (MMSE) for cognitive screeningGeriatric Depression Scale (GDS) to evaluate depression riskSubstance Use Screening:AUDIT-C (Alcohol Use Disorders Identification Test-Concise)CAGE questionnaire for alcohol use assessmentGrief Assessment:Inventory of Complicated Grief (ICG)Texas Revised Inventory of GriefAdditional information needed includes:Timeline of daughter’s deathPrevious mental health historyCurrent living situation and support systemCultural considerations regarding grief expressionCurrent medication listPattern and quantity of alcohol use2.3 Family and Community Support ImplicationsThe case requires a comprehensive support approach:Family Support:Assessment of existing family support networkEducation for family members about grief and substance useFamily counseling resources for shared grief processingCommunity Resources:Grief counseling services specializing in traumatic loss Cultural-specific support groups for Hispanic elderlySubstance abuse treatment programs with geriatric expertiseTransportation assistance for healthcare appointmentsHome health services if needed for pneumonia recoveryCare Coordination:Primary care provider coordination with mental health servicesRegular monitoring of both physical and mental health status. Connection with local senior services for additional support. References:McDougall, G. J. (1990). A review of screening instruments for assessing cognition and mental status in older adults. The Nurse Practitioner, 15(11), 21-29. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6751405/Substance Abuse and Mental Health Services Administration. (2023). SAMHSA’s National Helpline. U.S. Department of Health and Human Services. https://www.samhsa.gov/find-help/helplines/national-helplineWatts, S. C., Bhutani, G. E., Stout, I. H., Ducker, G. M., Cleator, P. J., McGarry, J., & Day, M. (2002). Mental health in older adult recipients of primary care services: Is depression the key issue? Identification, treatment and the general practitioner. International Journal of Geriatric Psychiatry, 17(5), 427-437. https://onlinelibrary.wiley.com/doi/abs/10.1002/gps.632

 

The purpose of this week’s discussions is to address the type of information HH needs to gather in coming up with creative alternatives to use in the MDQ decision making model. Useful information involves researching anything that the decision maker needs to know that might influence the decision making process. This includes experience from past or future situations as well as factual information. Even though the decision maker has no control over future events, information needs to be gathered to anticipate outcomes, consequences or actions when acting on Hannah’s Hats alternatives. CREATING ALTERNATIVES: In Building the Decision, the decision maker will create FOUR viable alternatives. The case study mentions several obvious alternatives, such as: Partnering with the investors or increasing E-commerce sales. However, NONE of these alternatives are strong enough on their own to meet all the objectives HH would like from the decision. Harry must look for ways to combine them with other possibilities to make stronger alternatives. The expectation is to create alternatives that are creative, demonstrate critical thinking, use additional research, and meet as many of the objectives as possible. Remember: The alternatives must satisfy as many objectives as possible. Discuss in one paragraph the type of information that Hannah’s Hats needs to gather to make a decision. Discuss the biases and traps that should be avoided in gathering, selecting, and interpreting information. Watch your predisposition to select information that is in your comfort zone or might lead to a problem solving approach rather than a decision making one. Create FOUR possible alternatives for Hanna’s Hats. Discuss each of these alternatives in separate paragraphs by explaining the alternative in detail, pointing out the biases, and potential consequences. Additional research will be required to support their viability.

 

Estate of Ronald Armstrong v. Village of Pinehurst, 810 F.3d 892 (4th Cir. 2016) [pp. 208–212]

Required Textbook: Joel Samaha. 2018. Criminal Procedure (10 th ed.) Cengage. ISBN-13: 978-1-305-96900-1

Case briefing

• Facts – What happened in this case? What are underlying facts that gave rise to the case?
• Legal issue – What is being appealed? What is the legal issue?
• Holding – What is the decision of the appellate court? Did they reverse the lower court decision or affirm it?
• Reasoning – What is the reasoning behind the holding of the majority opinion?
• Are there any dissents? Concurring opinions?

All of our assignments will use the Dron Teq Use Case as a reference point.

This use case supports each chapters learning objectives. Save each of your assignment, they will support future assignments!

Assignment 1 – Service Request and Feasibility Analysis

Use the format defined in the following questions, and submit your assignment via a Canvas attachment in WORD text format. Don’t use AI, will be passed in Turnitin.

System Request: Text pages 16 – 19

Questions:

1 Who were the creator’s of Dron Teq? What ia the company business focus?

2. Summarize the Dron Teq’s Project Background information

3. What is the business need?

4. System Request – What are the Business Requirements?

5. Who is Carmella Herrera?

Feasibility Analysis. Text pages 19 – 31

Questions:

1. What is the project size considered to be? Low (Small) , Medium, or Large

2.What dies ROI mean? What is the Dron Teq ROI over 3 years?

3. What does NPV means? What is the Dron Teq’s NPV over 3 years?

1. Please list and define the 3 parameters used to categorize neonates as AGA, SGA, and LGA.

2. Please explain the following statements based on objective measurements:

a. A preterm neonate may still be categorized as AGA.

b. A post-term neonate may be categorized as SGA.

c. A preterm infant may be categorized as LGA.

3. Small for gestational age neonates may, or may not, be growth restricted.

a. Please explain the ways in which these concepts are and are not the same.

b. Please present a comparison of potential etiologies for an infant who is SGA but does not have evidence of IUGR versus an infant with is SGA with IUGR.

4. What is meant by the term “head sparing (or asymmetric) IUGR”? How is this an important distinction for an NNP to make when categorizing a neonate in terms of growth parameters?

5. Growth parameters can have significant implications for the birth process. Please finish the following statements:

a. Infants who are SGA with evidence of IUGR are at risk during labor and delivery because __________________ .

b. LGA infants are at risk during the delivery process because ___________________________.

6. Glucose management may become an issue for both SGA and LGA neonates in the first few hours of life.

a. For SGA infants, this is due to: ___________.

b. For LGA infants, this is due to: ___________.

Please chunk out your responses as the numbering / lettering system indicates (i.e. 1, 2, and 3… a. b. ) for clarity.

Differential Diagnosis Exercises

You want to create a Differential Diagnostic list for each of the cases presented here. You want to rank the list from the most to least likely. Secondly, provide next to each of the possible diagnoses concerns from the history, PE and or test results provided that support the diagnosis, as this information will help you rank the list. Since, you have not had the pathophysiology content as yet to identify fully with the list of possible diseases you do not need to place testing and or treatments you would consider next to each.

You will notice that the cases have become more complex with an increasing amount of information provided for each. This is deliberate, first focusing on the sign/symptom providing a differential list with the information that you have and then building on more complex information that will help you to rank and state why a diagnosis would not be considered in a particular case. The focus sign/symptom is provided for you at the end of each case.

 

Case #1

14 day old former 28 week gestation male infant, now 30 weeks adjusted age.

Resp: CPAP 7, 21% oxygen. stable with few A/B’s self resolving, on caffeine

CV: Hypertension, BP 101/66 LA, 102/72 RA, 110/64 LL, 112/63 RA noted today; umbilical venous catheter (UVC) placed on admission, discontinued DOL 6.
FEN: voiding and stooling WNL. Feeding 24 cal/oz maternal breast milk (using human milk fortifier) @ 160ml/kg/d per gavage
Heme: Blood type A (+); Hct. 36%; plt. 189K
ID: initial R/o sepsis, abx x 48hrs upon admission. Blood cx. (-) final
Neuro: HUS DOL 10 Gr. I IVH on the right
HEENT: anterior fontanel open soft & flat; eyes normal position, (+) red reflex; nares patent bilaterally, RAM cannula in placed nasal septum intact; ears of normal rotation, without preauricular pits or sinus; mouth palate intact; neck: supple without masses.
Resp.: breath sounds are clear and equal bilaterally

CV: heart S1 & S2 audible without murmur, peripheral pulses are of normal intensity and present in all 4 extremities, color pink, capillary refill of <3 seconds upper and lower extremities
GI: abdomen soft & flat, without organomegaly, anus is patent; G.U.: non-dysmorphic male, testes high in the canal; Extremities: 10 digits hands and feet, Hips (-) Ortolani and Barlow’s maneuver bilaterally.
Neuro: Tone AGA; spine intact without pits or sinus; Skin Pink, well perfused.

DD for Hypertension

use apa format when referencing info. thank you!