see attached summary case and please respond the question basedon that case. The diagnosis is Imsomnio for Depression.
Apply information from the Aquifer Case Study to answer the following discussion questions:
Discuss the Mrs. Gomez’s history that would be pertinent to her difficulty sleeping. Include chief complaint, HPI, Social, Family and Past medical history that would be important to know.
Describe the physical exam and diagnostic tools to be used for Mrs. Gomez. Are there any additional you would have liked to be included that were not?
Please list 3 differential diagnoses for Mrs. Gomez and explain why you chose them. What was your final diagnosis and how did you make the determination?
What plan of care will Mrs. Gomez be given at this visit, include drug therapy and treatments; what is the patient education and follow-up?
Premium Writing
Explain as clearly and precisely as you can how that principle leads to a particular conclusion.
The main purpose of this paper is to define the nature and scope of the ethical theory in a way that shows how the core principle(s) of that theory lead to a specific moral conclusion on your ethical question. Another way to think of this is to explain how someone who is fully committed to the moral reasoning of the ethical theory would answer your ethical question (even if it is not necessarily how you would answer the question).
The assignment should be 900 to 1,000 words, written in essay form with clearly labeled sections as indicated below, and include a title page and reference page.
Part 1: Ethical Question
State the ethical question beneath this heading.
This question should be on the same topic as the question presented in the week one assignment, and if necessary, revised based on your instructor’s comments and the additional insight and information you have gained from research on the topic. If you would like to switch topics, you should first consult with your instructor.
Place your ethical question beneath the Part 1: Ethical Question heading.
Part 2: Introduction
Provide an introduction to the topic and question.
This should be revised and expanded from the Week 1 Introduction in light of your instructor’s comments and the additional insight and information you have gained from research on the topic.
For instance, you may find that your original ideas about the issue have changed and clarified, that the focus of the ethical question has shifted or become more specific, and/or that there are important background and contextual details that need to be explained.
The revised introduction should reflect your additional thinking on the scope and significance of the ethical issue, and address any feedback provided by your instructor.
The introduction should be at least 300 words in one or two paragraphs.
Place the introduction material under the Part 2: Introduction heading.
Part 3: Explanation of the Ethical Theory
Ethical theories provide accounts of how to reason well about moral questions and of what justifies answers to those questions. In this section of the paper, you will discuss either the ethical theory of utilitarianism, deontology, or virtue ethics.
You should not discuss your topic in this section, but focus only on the ethical theory.
The discussion should include the following elements:
A brief account of the historical background of the theory and the philosopher(s) associated with it.
An explanation of the core moral principle of the theory, or if there is more than one, the principle that you will focus on in applying that theory to your question.
A brief, general explanation of how the theory and its core moral principle applies to moral questions, using an example different from the issue that is the main focus of your paper. (For example, if your focus is on how deontology applies to using animals in medical research, you could explain Kant’s moral theory by discussing how it would apply to an issue like lying for the sake of the greater good.)
This section should focus only on the ethical theory. For instance, if you are discussing physician-assisted suicide from a utilitarian perspective, this section should only discuss utilitarianism in general terms; you should not discuss physician-assisted suicide, euthanasia, or other related topics until the next section.
The discussion should be around 300 words and must incorporate at least one quote from the required resources on the ethical theory you have chosen to discuss. Required resources include the textbook chapter focused on that theory (3, 4, or 5) or the “Primary Sources” listed at the end of Chapters 3-5.
Place this section under the Part 3: Ethical Theory heading.
Part 4: Application of the Ethical Theory
Now that you have explained in general terms the core principle of the ethical theory you are focusing on in this paper, you will apply that theory and its core principle to your ethical question.
Explain as clearly and precisely as you can how that principle leads to a particular conclusion.
You can think of that conclusion as the answer someone would most likely give to your question if they were reasoning along the utilitarian, deontological, or virtue ethics lines you explained in Part 3.
Note: This conclusion does not need to be the same as the position you stated in the Week 1 assignment. In fact, it could be the opposing position you discussed there. See the remarks about main purpose of the paper above.
This section should be around 300 words.
Place this section under the Part 4: Application of the Ethical Theory section.
In your paper,
Identify the ethical question.
Introduce the topic and question.
Explain the ethical theory of utilitarianism, deontology, or virtue ethics.
Apply the selected ethical theory to the ethical question.
The Applying an Ethical Theory paper
Must be 900 words in length (not including title and references pages) and formatted according to APA style as outlined in the Writing Center’s APA Style (Links to an external site.) resource.
Must include a separate title page with the following:
Title of paper
Student’s name
Course name and number
Instructor’s name
Date submitted
For further assistance with the formatting and the title page, refer to APA Formatting for Word 2013 (Links to an external site.).
Must utilize academic voice. See the Academic Voice (Links to an external site.) resource for additional guidance.
Must quote from at least one of the required resources on the selected ethical theory.
The Scholarly, Peer Reviewed, and Other Credible Sources (Links to an external site.) table offers additional guidance on appropriate source types. If you have questions about whether a specific source is appropriate for this assignment, please contact your instructor. Your instructor has the final say about the appropriateness of a specific source for a particular assignment.
Must document any information used from sources in APA style as outlined in the Writing Center’s Citing Within Your Paper (Links to an external site.) guide.
Must include a separate references page that is formatted according to APA style as outlined in the Writing Center. See the Formatting Your References List (Links to an external site.) resource in the Writing Center for specifications.
That is the requirements and what I will be sending is the grading rubric: Identifies the Ethical Question
Total: 1.00
Distinguished – Identifies the ethical question that clearly aligns with the provided questions and fully implements any applicable instructor feedback from the Week 1 assignment. Introduces the Topic and Question
Total: 2.00
Distinguished – Thoroughly introduces the topic and question, fully implementing any applicable instructor feedback from the Week 1 assignment. Explains the Ethical Theory of Utilitarianism, Deontology, or Virtue Ethics
Total: 3.00
Distinguished – Thoroughly and accurately explains the ethical theory of utilitarianism, deontology, or virtue ethics. Applies the Selected Ethical Theory to the Ethical Question
Total: 3.00
Distinguished – Thoroughly and accurately applies the selected ethical theory to the ethical question. Written Communication: Control of Syntax and Mechanics
Total: 0.75
Distinguished – Displays meticulous comprehension and organization of syntax and mechanics, such as spelling and grammar. Written work contains no errors and is very easy to understand. Written Communication: APA Formatting
Total: 0.75
Distinguished – Accurately uses APA formatting consistently throughout the paper, title page, and reference page. Written Communication: Word Requirement
Total: 0.50
Distinguished – The length of the paper is equivalent to the required number of words. Written Communication: Resource Requirement
Total: 1.00
Distinguished – Uses more than the required number of scholarly sources, providing compelling evidence to support ideas. All sources on the reference page are used and cited correctly within the body of the assignment.
Discuss the importance of “hardening” the PCS client workstations and servers.
You provide a lecture to the working group regarding the importance of security education, awareness, and training due to the oft quoted security maxim that users/humans are the weakest link in the security chain. While making users aware of security risks and training them how to protect company assets will reduce risk, it is important to put technical controls in place to protect the operating systems and applications that employees use every day.
Discuss the importance of “hardening” the PCS client workstations and servers. Make recommendations for operating system hardening options and describe how these are related to the concept of “system-specific policies” discussed earlier in the course. One of the working group members blurts out that antivirus protection is a waste of computing resources and patching applications takes too much time. Be sure to address these two concepts in your initial thread. Include at least one research reference and associated in-text citation using APA standards. In your replies to your peers further discuss the importance of software security.
Identify an HRD/TECH program in an organization and conduct an evaluation and measurement project.
Requirements:
The paper should be at least 12 pages in length, double-spaced with 1” margins on all sides; At least 10 references from related journals and books. Required page length includes references but does not include appendices, e.g., questionnaire surveys.
This is an independent project for students to demonstrate their learning.
Objectives
This assignment is intended to develop students’ hands-on experience in learning HRD/TECH program evaluation. Among other things, the objectives include
Obtaining service learning-based experience
Gaining in-depth knowledge on real world evaluation and measurement project
Applying models and methods covered in the course
Practicing analytical and critical thinking
Assignments
Identify an HRD/TECH program in an organization and conduct an evaluation and measurement project. You may conduct any levels of evaluation per Kirkpatrick’s taxonomy beyond level one. In other words, no reaction level evaluation will be accepted. Ideally, your project report is to be a service for a host organization or a community to improve the effectiveness of a learning related program.
The evaluation report should at least include the following:
1.Describe a selected training or HRD program and the background of the organization. (Answer the question of “what is happening?”)
2.Specify the evaluation question. (Answer the question of “what are you trying to evaluate?”)
3.Discuss the evaluation method. (Answer the question of “What approach is used?”)
4.Explain the data collection process. (Answer the question of “where the data comes from?” and “how the data is collected?”)
5.Describe your analysis and report the findings/results. (Answer the question of “how do you analyze the data and what have you found?)
6.Discuss recommendations to the program and the organization based on the evaluation results. (Answer the question of “So what?”)
7.Discuss lessons learned from the project.
You are encouraged to be creative in your evaluation report and you must include the above seven components in your final report. The following is a recommended structure for the report:
Program Evaluation Report — Content Outline Guide
Title page (with a project title and author name)
Table of Content
Brief background on the organization and the program (2-3 pages)
Basic information about the organization and the program
Purpose and/or rationale of the evaluation
Evaluation question(s)
Stakeholders of the program
Audiences of the program evaluation
Evaluation Design (3 -4 pages)
Evaluation questions
Data collection methods and procedures
Variables or measures of success
Instruments for data collection
Sampling procedures
Data analysis procedures and statistics
Results (3-5 pages)
Description of sample
Results of data analysis
Discussions, Recommendations, and Implications (1-2 pages)
References
Appendices if applicable
What would you consider the most therapeutic use of prayer with this client?
Instructions are in the files.
Below is the discussion post questions.
The online lectures suggested some “cautions” or possible negative impacts when using prayer and Scripture in counseling. The importance of those cautions may be better understood in seeking to apply prayer and scripture with a client. Read the case study below and respond to the following:
What would you consider the most therapeutic use of prayer with this client? Why?
What would you consider to be the most therapeutic use of Scripture with this client? Why?
As you consider the integration of psychology and theology, discuss how you would integrate theology into this case. What aspects from psychology would you bring into this case?
How do your responses to the first two questions mesh with your response to the third? Do they integrate?
Case Study:
Chichima is a 20-year old single woman who is the child of Nigerian immigrants. She was referred for counseling because of a recent suicide attempt in which she ingested some pills and then called a friend when she started experiencing some symptoms of the medication. She was hospitalized for two weeks in her local hospital’s psychiatric unit, and upon her release, she was referred to a local secular counselor. Because of her Christian faith, she received a referral to the agency from her pastor. While in the hospital, she was prescribed an antidepressant and will follow up regularly with her psychiatrist.
In her third counseling session with you, she divulges that 7 months ago, she found that she was pregnant and decided to end the pregnancy through an abortion without telling anyone. The due date for the baby was roughly the same time that she attempted suicide.
From your first two sessions with her, she shared that she is a Christian, but about five months ago she pulled away from church attendance, much to the concern of her Nigerian parents who do not know about her pregnancy and abortion. She felt that she could not pray anymore because she felt that she had committed a terrible sin. She also reports feeling very uncomfortable praying because of the shame she is carrying. She admits that she chose this agency because of their Christian worldview. She knows that in order to heal, she will eventually have to work through the pregnancy and abortion, but the thought of participating in any Christian practice scares her.
Research the U.S. Supreme Court case, Miranda vs. Arizona, paying particular attention to the transcript of the oral arguments.
Research the U.S. Supreme Court case, Miranda vs. Arizona, paying particular attention to the transcript of the oral arguments.
Prepare a 500 word summary of the argument of the case. Include the following:
Summarize the arguments of counsel regarding self-incrimination.
Why is the case significant with respect to the right to counsel and self-incrimination?
Write a critical essay that addresses a sociological issue, concept, theory, or idea drawn from our course readings/text.
Write a critical essay that addresses a sociological issue, concept, theory, or idea drawn from our course readings/text.
Describe a selected training or HRD program and the background of the organization.
it has to be 10 pages double spaced. 10 references from related journals and books. It is HRD/TECH program evaluation and I was going to go with teachers and the turnovers that happen. It needs to be focused or related to education and levels using Kirkpatricks model
Requirements:
The paper should be at least 12 pages in length, double-spaced with 1” margins on all sides; At least 10 references from related journals and books. Required page length includes references but does not include appendices, e.g., questionnaire surveys.
This is an independent project for students to demonstrate their learning.
Objectives
This assignment is intended to develop students’ hands-on experience in learning HRD/TECH program evaluation. Among other things, the objectives include
Obtaining service learning-based experience
Gaining in-depth knowledge on real world evaluation and measurement project
Applying models and methods covered in the course
Practicing analytical and critical thinking
Assignments
Identify an HRD/TECH program in an organization and conduct an evaluation and measurement project. You may conduct any levels of evaluation per Kirkpatrick’s taxonomy beyond level one. In other words, no reaction level evaluation will be accepted. Ideally, your project report is to be a service for a host organization or a community to improve the effectiveness of a learning related program.
The evaluation report should at least include the following:
1.Describe a selected training or HRD program and the background of the organization. (Answer the question of “what is happening?”)
2.Specify the evaluation question. (Answer the question of “what are you trying to evaluate?”)
3.Discuss the evaluation method. (Answer the question of “What approach is used?”)
4.Explain the data collection process. (Answer the question of “where the data comes from?” and “how the data is collected?”)
5.Describe your analysis and report the findings/results. (Answer the question of “how do you analyze the data and what have you found?)
6.Discuss recommendations to the program and the organization based on the evaluation results. (Answer the question of “So what?”)
7.Discuss lessons learned from the project.
You are encouraged to be creative in your evaluation report and you must include the above seven components in your final report. The following is a recommended structure for the report:
Program Evaluation Report — Content Outline Guide
Title page (with a project title and author name)
Table of Content
Brief background on the organization and the program (2-3 pages)
Basic information about the organization and the program
Purpose and/or rationale of the evaluation
Evaluation question(s)
Stakeholders of the program
Audiences of the program evaluation
Evaluation Design (3 -4 pages)
Evaluation questions
Data collection methods and procedures
Variables or measures of success
Instruments for data collection
Sampling procedures
Data analysis procedures and statistics
Results (3-5 pages)
Description of sample
Results of data analysis
Discussions, Recommendations, and Implications (1-2 pages)
References
Appendices if applicable
Discuss the two processes used by forensic scientists when examining physical evidence.
Physical Evidence Essay
A suspect was apprehended soon after a burglary took place and was observed to have tiny specks of glass-like particles on his shoes and clothing.
In a 3-5-page essay discuss how this evidence should be processed using the concepts you learned in this unit.
Discuss the two processes used by forensic scientists when examining physical evidence.
Define individual and class characteristics and include examples of evidence containing class characteristics and evidence containing individual characteristics. (An excellent answer would include at least four examples of evidence that contain class characteristics and at least four examples of evidence that contain individual characteristics.)
Summarize three or more physical properties of matter critical to the work of the forensic scientist.
Discuss how the crime lab would examine and compare the glass evidence from the burglary. (An excellent answer would include at least four major points.)
Evaluate the proper method of collecting and preserving glass evidence.
Use the course text and at least two outside research sources, including academic journals, to support your view.
Format consistent with APA guidelines.
Save your essay in the following format: Last name First Name Assignment. (Example: SmithJohn_Unit2_Essay).
Submit your essay by selecting the Unit 2: Assignment Dropbox by the end of Unit 2.
What is the significance of a bone plate?
Peer response:
Length: A minimum of 150 words per post, not including references
Citations: At least one high-level scholarly reference in APA per post from within the last 5 years
Peer Post:A 6 year old male fell out of a tree and broke his left ulna.
What is the significance of a bone plate?
A bone plate is an internal fixation device that is fixed to the bone with screws on both sides of the fracture. (Singh, 2019). Indications for the use of bone plates include proper restoration of anatomical alignment, when screws alone are not supportive enough, and for load sharing (Singh, 2019).
How is bone formed?
The formation of bone termed ossification or osteogenesis, begins in the sixth or seventh week of fetal development and continues to an individual until approximately twenty-five years old (Breeland, 2021). There are two types of bone ossification, which include intramembranous and endochondral, which both begin with the replacement of mesenchymal tissue; however, there are differences in transformation (Breeland, 2021).
Intramembranous ossification occurs within the connective tissue membrane and is a direct conversion of mesenchymal tissue into bone (Gilbert, 2017). During intramembranous Ossification the mesenchymal tissue differentiates into cartilage and then later into bone (Gilbert, 2017). This process is achieved in four steps which include the clustering of mesenchymal cells where the ossification center forms, then secreted osteo trap osteoblasts turn into osteocytes (Learning , 2021). This then leads to the formation of the trabecular matrix and periosteum , followed by the development of compact bone (Learning, 2021).
Endochondral ossification rapidly replaces hyaline cartilage which serves as a template to completely be replaced by new bone (Learning, 2017). There are five steps of endochondral ossification which begins when the mesenchymal cells differentiate into chondrocytes leading to the formation of the cartilage model of the bony skeleton and the perichondrium (Kearning, 2017). After this formation, the capillaries penetrate the cartilage where essentially the perichondrium transforms into periosteum as the primary ossification center develops (Learning, 2017). .The Cartilage and chondrocytes continue to grow at ends of the bone forming secondary ossification centers (Learning, 2017). As cartilage grows, capillaries penetrate the spaces of the cartilage and transform the perichondrium into the “bone-producing periosteum” (Learning, 2017).
What is the role of the following bone formation: hormones (GH + sex hormones), Ca2+, stress; low Ca2+ increases PTH.
Hormones – Both the female hormone estrogen and the male hormone testosterone affect bones in men and women (Office of the Surgeons General, 2021). Estrogen in early childhood and early puberty stimulates bone formation resulting in bone growth (Office of the Surgeons General, 2021). Once puberty is complete, the high concentration of estrogen inhibits further growth in height “by closing the cartilage plates at the ends of long bone that previously had allowed the bones to grow in length (Office of the Surgeons General, 2021). When there is a decrease in estrogen, rapid bone loss occurs as during menopause.
Testosterone-Stimulates muscle growth which puts greater stress in the bone increasing bone formation and acting as a source of estrogen that turns into fat cells (Office of the Surgeons General, 2021).
Growth Hormone- Secreted from the pituitary gland, growth hormone is responsible for regulation by utilization of insulin-like growth factor-1 (IGF-1) to “stimulates both the bone-resorbing and bone-forming cells, but the dominant effect is on bone formation, thus resulting in an increase in bone mass” (Office of the Surgeons General, 2021).
Calcium Regulating Hormones- are responsible for healthy bone production. The three calcium regulating hormones include the parathyroid hormone (PTH), calcitriol, and calcitonin (Office of the Surgeons General, 2021).
PTH-maintains the level of calcium and stimulates both resorption and formation of bone (Office of the Surgeons General, 2021).
Calcitriol- The hormone derived from vitamin D, which stimulates the intestines to absorb enough calcium and phosphorus and also affects bone directly (Office of the Surgeons General, 2021).
Calcitonin-which inhibits bone breakdown and may protect against excessively high levels of calcium in the blood. (Office of the Surgeons General, 2021).
Compare and contrast the various types of fractures.
Displaced Fracture: bone breaks into two or more pieces and moves out of alignment (Types of Fractures, 2021).
Non-Displaced Fracture: the bone breaks but remains in alignment (Types of Fractures, 2021).
Closed Fracture: the skin is not broken (Types of Fractures, 2021).
Open Fracture: the bone has broken through the skin (Types of Fractures, 2021).
Avulsion Fracture: when a fragment of bone is separated from the main mass (Types of Fractures, 2021
Buckle Fracture: ends are driven into each other also known as the impacted fracture (Types of Fractures, 2021).
Comminuted Fracture: the bone breaks into several pieces (Types of Fractures, 2021).
Compression or Wedge Fracture: usually involves vertebral bones Types of Fractures, 2021).
Greenstick Fracture: the bone is bent not a complete fracture (Types of Fractures, 2021).
Linear Fracture: the break is parallel to the bone’s long axis (Types of Fractures, 2021).
Oblique Fracture: the break has a curved or sloped pattern (Types of Fractures, 2021).
Pathologic Fracture: due to a disease that weakens the bones (Types of Fractures, 2021).
Spiral Fracture: one part of the bone has been twisted at the break point (Types of Fractures, 2021).
Stress Fracture: a hairline crack (Types of Fractures, 2021).
Transverse Fracture: the broken piece of bone is at a right angle to the bone’s axis (Types of Fractures, 2021).
References
Breeland, G. (2021, May 08). Embryology, Bone Ossification. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK539718/
Gilbert, S. F. (2017, January 01). Osteogenesis: The Development of Bones. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK10056/
Learning, L. (2017). Anatomy and Physiology. Retrieved from https://courses.lumenlearning.com/nemcc-ap/chapter/bone-formation-and-development/#:~:text=Intramembranous Ossification Intramembranous ossification follows,Trabecular matrix and periosteum form.
Office of the Surgeon General (US). (2021, January 01). The Basics of Bone in Health and Disease. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK45504/
Setiawati, R., & Rahardjo, P. (2018, December 14). Bone Development and Growth. Retrieved