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  • Focused Assessment of the Skin (Assign 5.1) 65

    750 WORDS MAX

    PLEASE ENSURE APA FORMATTING IS CORRECT.

    Objectives

    • Develop a plan of care for the skin, hair, and nails
    • Demonstrate documentation of the skin, hair, and nails assessment findings
    • Explain how to conduct a physical assessment of the hair, skin, and nails

    Assignment Overview

    In this writing assignment, you will review a case scenario and submit an assignment providing information on how you would conduct a focused physical assessment of the client based on the presenting complaints. You will document your findings from the focused history and physical assessment data elicited and develop a nursing plan of care for this client.

    The rubric used to grade this assignment is attached below the assignment description.

    Deliverables

    Write a 3-page (750 word) paper using APA 7.0 format style. The minimum page count does not include the required cover page or the reference list.

    The required course textbook and any article you are asked to read should be used as evidence. The next level of evidence you could utilize would be peer-reviewed articles; after that well known web sites for example CDC or the AHA. Avoid blogs, continuing education articles, non-healthcare websites, or obscure web sites. Never cite or reference Wikipedia in formal writing.

    Step 1

    Review the case scenario.Benito Jaramillo is a 41-year-old Hispanic male in excellent health. He presents to the Primary Care Clinic today because of a mole his partner noticed on his back.

    You perform the following assessment:

    • Onset: When you asked Benito about any problems with his skin, he tells you he has never really noticed any problems with his skin, but his partner Greg has been telling him he should get this growth on his back checked out.
    • Duration: You asked him how long he has had the growth, and he tells you he has had it for about six months, but Greg told him it has been getting larger in the past couple of months.
    • Characteristics: You asked Benito if it itches or bothers him in any way and he tells you no, but it has been oozing a little bit of fluid he noticed on his t-shirt. You asked him what the mole looks like, and Benito tells you it is a dark color and oddly shaped. He has had a hard time looking at it very well in a mirror because of where it is located.
    • Aggravating or alleviating factors: None.
    • Other background information: Benito is a competitive triathlete, often spending many hours a day training outside. He does not wear sunscreen because he believes his dark skin protects him from the sun. He also vacations often with his partner Greg, and they go to places like Hawaii for windsurfing and relaxing on the beach.

    You perform the following assessment:

    • Skin: You first examine the lesion following the established guidelines of A, B, C, D, E:
    • AAsymmetrical Shape: You observe the lesion is not round and is irregular in shape.
    • BIrregular Border: You observe there is no clear border and, in fact, the lesion has several notched areas.
    • CChanges in Color: You observe the lesion is red on half and purplish black on the other half.
    • DDiameter: You measure the lesion and find it is 8 mm at its largest diameter.
    • EEvolving: Benito confirms it has been getting larger over the last several months.

    Diagnosis and treatment: You suspect melanoma and refer Benito to the dermatologist. A biopsy determines it is a Stage II melanoma, and Benito goes for Mohs surgery to remove the lesion.

    Step 2

    Write a 3-page (750 word) paper using APA 7.0 format style and address the information below.

    You are precepting a student nurse today who is taking her assessment class. She is learning about focused history and assessment skills. In your paper, discuss the following items:

    • Write a detailed explanation describing what you would say to the student, explaining the assessment conducted and the findings. Discuss the skin assessment you performed and any additional assessments you would perform. What are other factors related to the probable diagnosis you would be concerned about with this client?
    • Explain how you would document your findings in the medical record.
    • Develop your plan of care. Identify one to two nursing diagnoses and one to two nursing interventions related to those diagnoses. The interventions need to be evidence based. Cite the references used in your plan in correct format. As a minimum the textbook and any article you are asked to read should be used as evidence, next level would be peer reviewed articles after that well known web sites for example CDC or the AHA. Avoid blogs or obscure web sites. Never cite or utilize Wikipedia.
    • Identify what client education should be done for Benito, given his background and presenting illness. Describe your teaching strategy and how you will evaluate the effectiveness of the educational intervention.

    *Link to course textbook below:

    Cover

    Lapum, J. L. & Hughes, M. (2024). Introduction to health assessment for the nursing professional (2024)- Canadian edition. Creative Commons Attribution-NonCommercial 4.0 International License.

  • DSM Summary 2

    Assignment Prompt: Create a one-page summary for each category of disorders (ex., One page for bipolar and Related disorders and one page for Depressive Disorders). Each page should contain the headings: Summary, List of Disorders, and Treatment Options Requirements: DSM Summary 2 (Required Sections) Schizophrenia Spectrum and Other Psychotic Disorders Somatic Symptom and Related Disorders Personality Disorders Paraphilic Disorders Sexual Dysfunctions Disruptive, Impulse-Control, and Conduct Disorders Additional Requirements: 6-10 pages APA Format use these textbook links for references: American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). 9780890425596 ISBN-13: 978-0890425763 Barlow, D.H., Durand, V.M. & Hormann, S.G., (2023) Psychopathology: An integrative approach to mental disorders 9th edition., Cengage Learning ISBN-13: 978-0357657843 The Holy Bible please use Biblical verses in each Disorder. please add a reference page. also make sure to add the reference for the bible as well.
  • Discussion Post

    Questions from Module 1: Introduction to public Speaking (#s 1-4)

    1. What are the personal, professional and public benefits of enhancing your public speaking skills?
    2. What is the difference between the linear and transactional model of communication?
    3. Define and give an original example of each of the elements of the communication process (Use complete sentences.).
    4. Which of the elements of the communication process do you think has the greatest impact on the way a message is interpreted. Explain. (Use complete sentences.).
  • Convoy operations procedures

    Make a powerpoint describing the basics convoy operation procedures

    Create slides talking about

    The definitionof a convoy

    PCC’S AND PCI’S AND its importance

    The importance of SP’ing on time

    POst import battle drills regarding taking contact, and vehicle recoveies

    make a template for how to conduct a convoy brief and what to say

    and lastly create a nice conclusion that ties everything together

  • Unit 1 Reflection: Climate Change and Environmental Health

    Your job this week is to complete the Unit 1 Reflection on Climate Change. Make sure to include data that support your argument. For example, if you want to say that the temperature in some regions has been increasing – find out how much it has increased (this make take a Google search).

    Here are some heat/Health related articles I’ve seen recently:

    https://www.nytimes.com/2024/06/03/us/excessive-heat-wave-forecast-texas-california.htmlLinks to an external site.

    https://www.nytimes.com/2024/05/31/world/asia/pakistan-india-heat-wave.htmlLinks to an external site.

    https://www.nytimes.com/2024/05/29/world/asia/india-delhi-hottest-day-ever.htmlLinks to an external site.

    https://www.nytimes.com/2024/05/28/climate/extreme-heat-worldwide.htmlLinks to an external site.

    https://www.nytimes.com/video/climate/100000009912640/weve-breached-a-key-limit-for-global-warming-now-what.html?smid=url-shareLinks to an external site.

    All students have access to the NYT for free. See the “Student Resources” tab to the left.

    This topic is closed for comments.

    MICR 3502 ONL Spring 2026

    Unit 1 Reflection

    Case Study 1.1 in your book states: ” Climate change is the most pressing environmental health issue for the 21st century.”

    In what way, or ways, will climate change impact environmental health in the 21st century?

    Find three examples from the sources below (or other sources you find) and provide data that support each using the “Explore Our Data.” Data can include statistics about trends in environmental or health measures (e.g. disease rates, crop production, etc.). You should include a graphic for each measure. Provide a short paragraph for each example, that summarizes, in your own words, the data presented. I’ve provided an example of one below.

    Explore our data. https://lancetcountdown.org/explore-our-data/Links to an external site.

    References must be cited correctly.

    Resources: You may use these resources or find your own.

    The 2024 Lancet Countdown on Health and Climate Change https://lancetcountdown.org/2024-report/Links to an external site.

    The full report is long, but the webpage is very well organized for specific topics.

    Citation for the 2024 report.

    Romanello, Marina, et al. 2024. The 2024 report of the Lancet Countdown on health and climate change: facing record-breaking threats from delayed action. The Lancet, Volume 404, Issue 10465, 1847 – 1896. https://doi.org/10.1016/S0140-6736(24)01822-1Links to an external site.

    Explore our data. https://lancetcountdown.org/explore-our-data/Links to an external site.

    Other resources:

    American Society for Microbiology: Climate ChangeLinks to an external site.

    Mora C, McKenzie T, Gaw IM, Dean JM, von Hammerstein H, Knudson TA, Setter RO, Smith CZ, Webster KM, Patz JA, Franklin EC (2022) Over half of known human pathogenic diseases can be aggravated by climate change. Nature Climate Change https://doi.org/10.1038/s41558-022-01426-1Links to an external site.

    . Traceable evidence of the impacts of climate change on pathogenic human diseasesLinks to an external site.

    Example:

    Example of an Environmental Health impact of Climate Change:

    One way that climate change might impact environmental health is through deaths due to air pollution. Climate change is driven by anthropogenic production of greenhouse gasses. However, those same sources produce air pollution, especially particulate matter less than 2.5 micro-meters (PM2.5). This graphic shows that mortality due PM2.5 in different income regions. Mortality due to biomass burning is much higher in low-income regions than in high income areas, but mortalities due to air pollution caused by industry, transportation, and agriculture are more important in high and very-high income countries. Interestingly, coal burning is a major source of air pollution in medium-income countries and lower in high and very-high regions. This may be due to use of other sources of energy for electricity (solar, wind, nuclear, etc.) or cleaner coal burning technologies. Also interesting, is the overall decrease in air-pollution related mortality (decreased 6.9%) between 2016 and 2019, mostly in higher income countries, and which appears to be related to a decrease in coal-based power plants.

    Romanello, Marina, et al. 2024. The 2024 report of the Lancet Countdown on health and climate change: facing record-breaking threats from delayed action. The Lancet, Volume 404, Issue 10465, 1847 – 1896. https://doi.org/10.1016/S0140-6736(24)01822-1Links to an external site.

    Unit 1 Reflection Rubric

    Unit 1 Reflection RubricCriteriaRatingsPtsExamples

    view longer description

    10 to >8 pts

    Meets expectations

    Three different examples are provided

    8 to >6 pts

    Approaching expectations

    6 to >0 pts

    Below expectations

    / 10 pts

    Supports Each Example with data

    15 to >12 pts

    Meets expectations

    Data are appropriate and match the example

    12 to >9 pts

    Approaching expectations

    9 to >0 pts

    Below expectations

    / 15 pts

    Explains the data

    20 to >17 pts

    Meets expectations

    Data are explained clearly and in own words. Explanations are specific and limited to the data provided.

    17 to >9 pts

    Approaching expectations

    9 to >0 pts

    No Marks

    / 20 pts

    Cites resources correctly

    5 to >4 pts

    All of the time

    4 to >2 pts

    most of the time

    2 to >0 pts

    none of the time

    / 5 pts

    This criterion is linked to a Learning Outcome

    Sustainability

    view longer description

    threshold: 45 pts

    Exceeds Expectations

    4 pts

    Meets expectations

    3 pts

    Approaching Expectations

    2 pts

    Below expectations

    0 pts

    Not demonstrated

    This criterion is linked to a Learning Outcome

    Impact of Microbes

    view longer description

    threshold: 45 pts

    Exceeds Expectations

    4 pts

    Meets Expectations

    3 pts

    Approaching Expectations

    2 pts

    Developing

    1 pts

    Does Not Meet Expectations

    0 pts

    Not observed

    Total Points: 0

    Choose a submission type

    Choose a file to upload

    or

    I certify that the work submitted here is my own and that I have properly acknowledged the work of others. *

  • Essay discussion analyzing the film the last conquistador

    Watch the documentary The Last Conquistador about a statue erected in 2008 in El Paso, Texas depicting Juan de Oate, who led and established the first Spanish settlement of New Mexico in 1598.

    The statue of Juan de Oate, El Paso

    In your essay (worth up to 50 points), consider how we as a society memorialize and recognize history, especially a history seen differently by different people. Basically, I just I want to know where you stand on the various issues the film raises, and why you have that opinion.

    Why did some see the statue as an honor while others saw it as deeply offensive? What were their arguments, both for and against? What do you think? Who do you agree with more?

    You’ll write at least 3 pages (typed, double-space) on this film though I will want to see you quoting several of the people in the film, you dont need to describe the film in great depth or what happens in it really, just mostly how you feel about it.

    Your essay must include a couple things:

    A solid and clear argument saying where you stand on this particular debate over the El Paso statue of Juan de Oate, and where you stand on memorializing controversial figures in our shared history

    Full quotes from at least two different people in the film who you agree with so full sentences, their complete thought making sure to identify them (so their full name and if possible the group they are with, or perhaps if they are a historian, etc.)

    At least two quotes from people in the film who you do not agree with completely – so capture and respond to the other side of the argument. It is possible you may see the point that the other side is making, or that you can perhaps sympathize with them or understand their point. But ultimately, you just dont share their view.

    At least one quote or a solid reference from the American Yawp regarding the Spanish in America overall (try to put Oate’s actions within the context of the Spanish approach in the Americas) Describe their overall attitude and interaction with the people they first encountered in New Mexico and Florida. To what extent does Oate represent at least part of the Spanish experience, or their overall approach in America?

    Questions

    Why was the statue built and what was the intention of the artist? What message did he want to convey or present? What did city leaders hope to gain from the statue? Why was it determined to place the statue near the El Paso International airport?

    What about the statue did some people find objectionable? Who were they identify them by name and group affiliation when possible? How can something that happened more than 400 years ago still elicit such strong emotions in people today?

    Why did others see the statue as an honor while others saw it as deeply offensive? What were their arguments, both for and against? What do you think? Who do you agree with more?

    Should controversial figures in our past and our history – like Columbus and Oate be honored or presented in works of public art? Or should they be completely avoided? How and why did the city of El Paso support this project? And do you think the Oate statue should be removed – why or why not?

    Background:

    In 2023, a protest in northern New Mexico turned violent when a young man pulled out a gun and fired a couple shots into an angry crowd. Heres a news report on the incident (https://www.cnn.com/2023/09/29/us/new-mexico-protest-shooting-juan-de-onate-espanola/index.html).

    As you can see, emotions were running very high that day, as city officials in Espaola, NM had decided to reinstall a statue of Don Juan de Oate that had been removed in 2020 in response to protests demanding its removal. The alleged 23-year old shooter hasnt been convicted, but it appears he was angry at the crowd of people who had come that day to protest the re-installation of the Oate statue. A lot of those people were from area pueblo groups, particularly the Acoma Pueblo where Oate carried out his most infamous, violent deeds.

    The Oate Memorial in Albuquerque, NM

    Image of statue in Alcalde, NM

    Oate Mural in Las Cruces, NM

    Also in 2020, the Albuquerque Museum of History decided to remove its rather artful display of statues depicting Oate and his fellow Spanish settlers. And in Las Cruces, the Las Cruces School Board decided to change the name of Oate High School to Organ Mountain High (so far, Las Cruces has kept Tony Pennocks mural of Onates La Entrada on the water tower off I-25).

    All of these removals came at a time when communities around the South decided to take down their own statues of their own controversial figures (you know, those Confederate guys), partly in the wave of the George Floyd protests, but also as part of a movement of communities reevaluating the presence of statues that appear to honor people with, shall we say, troublesome pasts.

    See these news reports:

    1 Here’s where Confederate statues and memorials have been removed in the US (https://abcnews.go.com/US/confederate-statues-memorials-removed-us/story?id=71200382)

    2 Confederates toppled, Columbus beheaded: Protesters are ripping down controversial statues (https://www.usatoday.com/story/news/nation/2020/06/11/confederate-statues-monuments-removed-christoper-columbus-beheaded/5340691002/)

    That description troublesome – may apply to the history of Juan de Oate, who indeed ordered a brutal assault on and punishment of the Acoma Pueblo in January 1599 (though, one could argue it wasnt random violence, but rather in response to the Acoma rather brutally killing a dozen of Oates men, including his nephew). He wasnt the first Spanish conquistador to come into New Mexico and mete out violence and brutality on New Mexico Native peoples. And in fact, while Oate did oversee other acts of violence, most of his time here was spent exploring the vast region of northern New Mexico and the Southwest, and establishing the first Spanish colony here.

    Though the film basically takes place in El Paso, this is really a northern New Mexico story in which the descendants of the people involved are still here today more than 400 years later to them, this isnt merely an academic discussion, it is personal and real. They are carrying the legacy and responsibility of their ancestors their blood is in this soil. And this history, this past, matters greatly.

    So Oate is like a lot of people in our history who do great or big things some of it is good, and some of it, maybe not so much.

    Which opens the question: how do we recognize and even memorialize these types of figures in our past, people who no doubt had a great (not necessarily or entirely positive) impact on the course of history? How do we tell our shared history, and who gets to tell it? How do statues like those of Oate, as well as those of the heroes of the Confederacy (which fought to defend slavery), even get made and erected in the first place? And how do – or don’t – they represent history?

    The film were going to watch, The Last Conquistador, ponders all of this and more, but more specifically, the creation of the massive three-story tall statue of Oate that stands near the entry of El Paso International Airport. In 2020, protestors in El Paso defaced the Oate statue and demanded it come down, but as of this week, it remains. See this news account (https://kvia.com/news/el-paso/2020/06/12/the-equestrian-don-juan-de-onate-statue-vandalized-at-el-paso-international-airport/).

    In their 2008 film, directors John Valadez and Cristina Ibarra show how the sculptor John Houser initially conceived of this statue as part of a greater project recognizing and honoring the history of the area. However, as we will see, Houser did not anticipate how that history is seen differently by different people history and the past do not just offer one set of facts on which we all agree. Hearing of the proposed statue, members of the Acoma Pueblo were outraged, as they see Oate as a bringer of genocide of their people. Indeed, its important to point out Oate was found guilty – in 1614 – of violating the Order of New Discoveries of 1573 for what happened at Acoma (essentially of committing war crimes, as well as other incidents of abuse of Spanish colonists), and was banished from New Mexico. But to those who supported the statue, it meant a recognition of the seldom-acknowledged contributions of their Spanish ancestors to a U.S. history often dominated by Anglo-centric narratives. In short, the Oate statue becomes a point of pride to some, and a point of shame to others.

    The Last Conquistador explores issues of class, race, ethnicity, and how contrary interpretations of the same history arise. The film also examines the concept of public art and how a community determines which heroes from our history to celebrate and represent the ideals of that community.

  • Maps and ethics in GIS (the one-map problem)

    This assignment is asking you to write a 1000-word reflection essay about maps and ethics in GIS using the idea of the one-map problem. The one-map problem means that one map cannot show the full story, because maps are made by people who choose what data to include, what to leave out, and how to design it. Those choices can affect how people understand information. In your essay, you need to: Pick one example of a map (like an election map, weather map, Google Maps route, tourism map, or heat map). Explain what the map shows and what it might be missing. Discuss why this matters ethically. Explain the responsibility of GIS professionals. Talk about skills GIS professionals need (like cartography, data understanding, and critical thinking). End by explaining what you would do differently to avoid misleading people. Thats the whole assignment.
  • Nutrition

    Part 1: Provide two days of menu planning for your patient. Your patients special diet will be gluten free and casein free. You are required to keep your patients diet within the USDA Dietary recommendations. You will track calories, sodium, carbohydrates, saturated fat, trans fat, total fat, cholesterol, fiber, protein, and sugar. You will need to do this in Excel. If you are not comfortable with making your own Excel spreadsheet. You are required to provide daily totals for each aspect of their daily intake. Example: total calories for each day, sodium, carbs, etc.

    Part 2: write a minimum of a one-page paper, with explanation of the special diet you were assigned, what foods should be avoided and why, what foods would be beneficial and why, financial concerns, challenges the patient may have in following the diet, etc.

  • Journal 5

    Differential Diagnosis

    A 42-year-old woman has had occasional headaches for 20 years, which she attributes to drinking beer. For the past 2 years, she has also been getting headaches during extremely hot weather about 45 minutes into mowing her lawn with a push mower. The frontal headache, which lasts about 3 hours, responds partially to acetaminophen, but no off-the-shelf medication has worked to her satisfaction. Similar headaches have occurred inconsistently with her workouts. She exercises indoors and finds that a fan reduces the likelihood of a headache. She has never had a headache with coughing or sexual activity, a sudden explosive headache, or a headache relieved by lying flat or in any other position. She does not recall one-sided headache, throbbing, or vomiting, but from time to time has had stomach queasiness she attributed to medicines. The patient is in good health, and her general and neurological examinations are normal.

    • What is your preliminary diagnosis?
    • What are your differentials? Give your rationales for your differentials.
    • How can you confirm your differentials?
    • What are the causative agents?
    • How would you treat this patient? Include diagnostics as well as medications and dosing.