Critically explain the pathophysiology of anorexia.

Conc of Pathophys of NSg peers response
· respond to peers thoughtfully, add value to the discussion, and apply ideas, insights, or concepts from scholarly sources, such as: journal articles, assigned readings, textbook material, lectures, course materials, or authoritative websites. For specific details and criteria, refer to the discussion rubric in the Menu (?) or in the Course Overview Weekly Discussion Guidelines. 
1st peer post
Samantha WootenSep 11, 2023 at 9:31 AM
Marshall (2022) reports “In anorexia nervosa’s cycle of self-starvation, the body is denied the essential nutrients it needs to function normally.  Thus, the body is forced to slow down all of its processes to conserve energy, resulting in serious medical consequences” (P. 1). Marshall also surmises that lab work up on a patient may look normal, but this does not rule out impending death, death could happen quickly by cardiac arrest caused by electrolyte imbalances (2022. P. 1). 
Cultural and environmental implications affect a large amount of people within all ethnicity, gender, and age however women are largely targeted, the University of East Anglia state “his quite obvious connection between eating disorders and cultural expectations surrounding femininity is woefully neglected in much treatment” (P. 1).  With the technology boom in recent years this is ever more present for this population, a social media environment instills these behaviors in today’s society.  
Financial implications that cause anorexia include lack of income and homelessness. Underprivileged populations have no choice but to sacrifice food to prioritize other necessities. Chan (2023) reports 64.7 billion being spent on eating disorders per year, with 23,560 hospitalizations yearly (p. 1). 
In the ED with 16-year-old Jonathan Collins coming into the facility for anorexia nursing interventions would include evaluating the patients diet/exercise regimen and educate on proper diet and exercise with adequate fluid intake. Identify coping strategies and emotions related to weight, allowing the patient time to think and express how they’re feeling. This will allow underlying causes to surface for treatment. Lastly, addressing body images issues. Targeting these fears will allow the patient to accept a healthy body weight to maintain health and stay out of the hospital (Belleza, August 9, 2023. P. 1). 
According to Miller, Grinspoon, and Ciampa (2020) vital signs with anorexia tend to include a slower than normal heart rate, hypotension, and hypothermia. Lab values tend to include anemia and in some cases thrombocytopenia. Sodium levels average around 122, with normal levels being 135-145. Average potassium in patients with anorexia being 1.9 with normal values being 3.4-4.8. All of these values contribute to cardiac arrest via electrolyte imbalance. In some anorexia patients there are dysrhythmias due to electrolyte imbalances and hypovolemia. Also of note with women populations are menstrual dysfunction and osteoporosis (P. 1). 
Treatment includes a combination of psychotherapy, family therapy, and medicine according to St. Lukes Hospital (2015), they also state “A combination of treatments can give the person the medical, psychological, and practical support they need. Cognitive behavioral therapy, along with antidepressants, can be an effective treatment for eating disorders. Complementary and alternative (CAM) therapies may help with nutritional deficiencies” (P. 1). 
 
references
Belleza, M. August 9, 2023. Eating disorders: Anorexia & Bulimia Nervosa. Nurse Labs.
Eating Disorders: Anorexia & Bulimia Nervosa – Nurseslabs

Chan, T. H. 2023. Report: Economic Costs of Eating Disorders. Harvard School of Public Health.
Report: Economic Costs of Eating Disorders | STRIPED | Harvard T.H. Chan School of Public Health

Marshall, D. 2022. Anorexia Nervosa. National eating disorders association.
Anorexia Nervosa | National Eating Disorders Association

Miller, K. Grinspoon, S. Ciampa, J. (Marh 14, 2020). Medicla Findings in Outpatients with Anorexia Nervosa. JAMA internal medicine. Doi:10.1001/archinte.165.5.561.
St. Lukes Hospital. April 23, 2015. Complementary and Alternative Medicine of Anorexia Nervosa. A Division of Ebix.
Anorexia nervosa | Complementary and Alternative Medicine | St. Luke’s Hospital (stlukes-stl.com)

University of East Anglia. November 13, 2017. Eating disorder treatments need to consider social, cultural implications of the illness. Science Daily.
Eating disorder treatments need to consider social, cultural implications of the illness | ScienceDaily

2nd peer post
Kira DespinsSep 11, 2023 at 3:20 PM
1. Thoroughly explain the pathophysiology of anorexia. Use a scholarly or authoritative source to support your answer.
Anorexia is a medical condition summarized by an inadequate intake of nutrients to regulate an individual’s weight to reduce their BMI and be ‘thin’.  It causes physiological imbalances such as amenorrhea and psychological imbalances such as an obsessive-compulsive need to exercise or an all-encompassing fear of gaining weight. This population exhibits body dysmorphia.  Once begun, this disease is persistent in select populations (Klein, 2004).
1. Examine each of the following three factors related to this disease process. Support all three with a scholarly source.
Cultural:  Western culture perpetuates a standard of beauty based on being thin.  This standard is propagated through social media outlets. Klein (2004) summarizes that popular media not only emphasizes the need to be a thing but perpetuates it through advertisements such as marketing diet fads and fitness trends.
Financial: Relating to the treatment of anorexia, a study by Gatt et al. (2014) found significant household financial stress for those seeking treatment for their eating disorder.  They compared treatment costs to being the second highest after cardiac artery bypass surgery.  As the disease is notoriously difficult to manage by oneself, it would be prudent to establish funding for this patient population so all individuals can access treatment without causing significant burdens on themselves and their families.
Environmental implications: Nature vs. nature has been heavily debated in pursuing the best understanding of anorexia. Klinger (2012) highlights that from an environmental perspective, children who have been neglected and/or abused are more prone to develop anorexia.
1. Identify 3-5 priority nursing interventions for the client in the emergency department.
-Cardiac monitoring due to electrolyte imbalance
-Fall risk prevention related to weakness
-Blood glucose monitoring related to low nutrient intake
1. Describe labs and diagnostic testing you would want to include in client’s plan of care and why. What are critical indicators? Support with a scholarly source.
Metevir, a nutrition counselor, highlights the importance of the following lab and diagnostic tests in anorexic patients (2022):
1. Vital sign monitoring, such as bradycardia, can signify a weak heart-conserving energy.
2. EKG to detect abnormal heart rhythm due to weakened heart muscles.
3. Complete metabolic panel to look for electrolyte imbalances in kidney and liver health. Hypokalemia would be a critical indicator.
4. Blood glucose tests as low food intake results in less glucose, which our brains depend upon
5. Hematology detects if our blood carries enough oxygen to perfuse our organs adequately.
6. Bone density test as low food intact can result in reduced hormone output, leading to weak and brittle bones.
 
1. What members of the interdisciplinary team need to be included for holistic patient-centered care? Provide a rationale and support with a scholarly source.
I believe that family members and friends are included in any team to support and care for those treated with anorexia.  Knowing the care plan, these individuals can best provide care and support to the patient while out of the hospital, setting them up for success.  Joy et al. (2003) believe that a physician, mental health professional, and nutritionist are also integral components of the care team as it affect an individual physically and mentally, and each has an overlapping specialty to assist the patient best.  In an emergency department setting, involving a social worker or case management is integral to establishing resources for patients seeking help in an outpatient or in-patient setting. 
 
References
Gatt, L., Jan, S., Mondraty, N., Horsfield, S., Hart, S., Russell, J., Laba, T. L., & Essue, B. (2014). The household economic burden of eating disorders and adherence to treatment in Australia. BMC Psychiatry, 14. 
https://doi.org/10.1186/s12888-014-0338-0

Joy, E., & Wilson, C., & Varechok, S. (2004). The multidisciplinary team approach to the outpatient treatment of disordered eating. Curr Sports Med Rep, 331(6), 6. https://pubmed.ncbi.nlm.nih.gov/14583163/#:~:text=Team%20members%20include%20a%20physician,of%20individuals%20with%20disordered%20eating.
Klein, D. A., & Walsh, B. T. (2004). Eating disorders: clinical features and pathophysiology. Physiology & Behavior, 81(2), 359–374. 
https://doi.org/10.1016/j.physbeh.2004.02.009

Klinger, D. (2012). Genes or environment: What causes eating disorders? GoodTherapy. 
https://www.goodtherapy.org/blog/genes-environment-what-causes-eating-disorders

Metevier, J. (2022). The eating disorder medical test and nutrition lab guide. Integrated Care Clinic. https://integratedcareclinic.com/blog/the-eating-disorder-medical-test-and-nutrition-lab-guide/#:~:text=Metabolic%2FElectrolyte%20Labs,your%20sugar%20and%20protein%20levels

Roe v. Wade, 410 US 113 (1973), held that the Due Process Clause includes an inherent “right to privacy” of which affords women the right to choose to have an abortion.  This reasoning followed in a long line of cases addressing the fundamental right to privacy.  The Supreme Court recently overruled  Roe in  Dobbs v. Jackson Women’s Health Organization, 597 US ____ (2022), and held that the right to an abortion is not a fundamental right protected by the Due Process Clause.   a.  Is  Dobbs limited to issues surrounding abortion, or does it challenge prior court holdings establishing the fundamental right to privacy? 

1. The Supreme Court in 
Duncan v. Louisiana, 391 U.S. 145 (1968), held that the right to a jury trial is a fundamental right incorporated to the States through the 14th Amendment.  Part of the Court’s reasoning emphasized the necessary protections afforded to the accused.  The Supreme Court subsequently ruled in, 
District Attorney’s Office v. Osborne, 557 U.S. 52 (2009), that an accused does not have a due process right under the United States Constitution to obtain evidence for the purpose of conducting DNA testing to prove actual innocence.  

a.  Is the above statement a complete and accurate assessment of the holdings in 
Duncan and 
Osborne?  Explain.  

b.  If the Due Process Clause is designed to protect the rights of an accused, how do you reconcile the holdings in 
Duncan and 
Osborne?  

2.  The Supreme Court in 
Roe v. Wade, 410 US 113 (1973), held that the Due Process Clause includes an inherent “right to privacy” of which affords women the right to choose to have an abortion.  This reasoning followed in a long line of cases addressing the fundamental right to privacy.  The Supreme Court recently overruled 
Roe in 
Dobbs v. Jackson Women’s Health Organization, 597 US ____ (2022), and held that the right to an abortion is not a fundamental right protected by the Due Process Clause.  

a.  Is 
Dobbs limited to issues surrounding abortion, or does it challenge prior court holdings establishing the fundamental right to privacy? 

b.  If the impact of 
Dobbs minimizes the fundamental nature of the right to privacy, what impact could this have in the field of criminal justice? Explain.  

Discuss potential causes of dirty data and key strategies that can be used to ensure the consistency of clean data, while using various healthcare technologies.

HIMA360-A risk analysis is one way to assess or identify the risks associated with a project. It can also provide an understanding of the project’s strengths and weaknesses. Imagine that you were recently assigned to look at the risks of duplicate medical record numbers at your hospital. The risk scale for this project is from 1 to 9; with 1 being the lowest, 9 is the highest. You discover that the risk severity for duplicate medical records is at level 6. What does this tell you about the problem of duplicate record numbers at the hospital? What action plans can you put in place to decrease the level of risk severity?          
HIMA410-Healthcare technologies can provide an opportunity to improve the quality of the data but does not eliminate them. One of the most important steps in data analytics is to verify that data sources are accurate, in order to produce usable information. Data cleansing is used to identify and correct data discrepancies and inaccurate information – often referred to as “dirty data.” Discuss potential causes of dirty data and key strategies that can be used to ensure the consistency of clean data, while using various healthcare technologies.

You are a medical professor in charge of creating college assignments and answers for medical college students. You design and conduct lectures, evaluate student performance and provide feedback through examinations and assignments. Answer each question separately. Include and Introduction. Provide an answer to this content

HIMA360-A risk analysis is one way to assess or identify the risks associated with a project. It can also provide an understanding of the project’s strengths and weaknesses. Imagine that you were recently assigned to look at the risks of duplicate medical record numbers at your hospital.The risk scale for this project is from 1 to 9; with 1 being the lowest, 9 is the highest. You discover that the risk severity for duplicate medical records is at level 6. What does this tell you about the problem of duplicate record numbers at the hospital? What action plans can you put in place to decrease the level of risk severity?          
HIMA410-Healthcare technologies can provide an opportunity to improve the quality of the data but does not eliminate them. One of the most important steps in data analytics is to verify that data sources are accurate, in order to produce usable information. Data cleansing is used to identify and correct data discrepancies and inaccurate information – often referred to as “dirty data.” Discuss potential causes of dirty data and key strategies that can be used to ensure the consistency of clean data, while using various healthcare technologies.

. Do not write who you are in the answer.

Provide a brief introduction of your critical analysisAnalysis of the Social Problem. Discuss the socioeconomic, demographic, and political background or context of the social problem. Discuss the values and theories that influenced public discussions of the problem.Explain why this social problem is important to you and how it relates to theSocial Work values stated in the NASW Code of Ethics.

Students must select a social problem and an existing federal social welfare policy developed as a response to the social problem. Your choice of the existing social welfare policy must be approved by the instructor by no later than the second week of class.
Review workshop number 4: Housing ” Section 8 Housing Choice Vouchers”
After selecting the social problem and the existing federal social welfare policy, write a critical analysis of no less than six (6) pages, not counting references and cover pages. This assignment is due during the last week of class and is worth 30% of the final grade. Students must write using the latest APA format, including in-text citations and references and at least five (5) academic references. Students must use the following outline to guide the development of your written response.
Outline:• IntroductionProvide a brief introduction of your critical analysisAnalysis of the Social ProblemDiscuss the socioeconomic, demographic, and political background or context of the social problemDiscuss the values and theories that influenced public discussions of the problem.Explain why this social problem is important to you and how it relates to theSocial Work values stated in the NASW Code of Ethics.
The description of the selected federal social welfare policy o Briefly summarize the policy and briefly describe the process by which the policywas approved. Identify and explain the historical, economic, social, and political context of the country, when the policy was introduced and approved.Describe the population and situation that the policy addresses.What is the impact of this policy on different population groups? (Equity)What are the social implications of the policy for the vulnerable populations? ExplainWhat consequences does the policy have on the focused problem? (Effectiveness)What are the unintended effects of this policy? (Unintended effect)Assess how the selected social welfare or economic policy impacts the delivery of and access to social services.• Analysis of the policy statementSelect a theoretical framework to analyze how the goals, objectives, values and cost elements of the policy are in line with your analysis of the social problem.What is the financial cost of this policy? Is this policy technically feasible? Do the significant policy sponsors view the policy as acceptable?
What are the benefits?Research two (2) publications of the policy that you chose, and summarize the research questions, methods, and implications of the analyses.? Do the analyses suggest practices that engage in the advancement of social, economic, and environmental justice? Why or why not? Explainyour answer.
• Conclusion
Critically analyze the strengths and/or weaknesses of the policy.? Explain how the policy responds to or resolves the social problem, taking into consideration the social work values as stated in the NASW Code ofEthics.Critically analyze whether the policy represents an advance or a setback for social justice and human rights.Critically analyze the implication of the policy for the Social Work profession to promote social, economic, and environmental justice.Do you have any recommendations regarding this policy?Do you consider that this policy needs to be amended, replaced, or removed?Why or why not? Explain your answer
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When pipetting how should you treat volatile organic compounds differently than water-based solutions?

Name: (0.25 points) Be sure to include your full name (First and Last).
Date: (0.25 points) You can use a MM/DD/YYYY or DD/MM/YYYY format, or type out the date
Experiment #: (0.25 points) Be sure the experiment number matches the Lab Module.
Title: (0.25 points) The title of the experiment should also match the title given in the Lab Module.
Purpose: (1 point) This section should be written in complete sentences using third person, and present or past tense. The purpose should include the goal of the experiment. If there is more than one part to the experiment you may summarize all goals in this section. This short description should make it clear what skills or knowledge should be gained from the completion of the experiment.
Procedure: (2 points) The procedure should be a step by step set of instructions that is detailed enough that someone could use it to replicate the experiment. This is very similar to a recipe in cooking. You can write this section using paragraphs, numbered lists, or bullet points, however it should be written in complete sentences (third-person, present or past tense), and well-organized. If there is more than one part to the experiment, you can have multiple subsections in the procedure.
Be sure to include a procedure for:
Part 1:

The different types of pipettes
How to use a pipette
The precision experiment
The accuracy experiment

Part 2:

SDS-Page Electrophoresis
Agarose Gel Electrophoresis

Data/Results/Calculations: (2 points) In this section you should organize all the observations and data that was collected as part of the experiment, being sure to clearly label each measurement and/or part of the experiment. You may wish to construct a data table for a neat and professional looking report. Please note that screen shots from the lab video of data are not permitted.
Be sure to include data/results/calculations for:
Part 1:

Pipette Precision (Variable Volume vs. Graduated Glass Pipette)

Mass Data
Calculated Volume
Mean
Standard Deviation

Pipette Accuracy (Variable Volume vs. Graduated Glass Pipette)

Set Volume
Measured Volume
Difference

Part 2:

SDS-Page

Data Table
Equation from Plot of Log MW vs. Rf
Calculation of MW of P2
Calculation of MW of P2

Agarose Gel

Which dog is the unknown?

Discussion Questions: (2 points)
How is a glass pipette similar and different from an automatic pipettor?
What is the difference between accuracy and precision?
When pipetting how should you treat volatile organic compounds differently than water-based solutions?
Is electrophoresis an analytical or preparative technique? Explain giving one piece of evidence in your rationale.
Conclusion: (2 points) The conclusion section should be a well developed paragraph (at least 6 sentences), separate from the Data/Results/Calculations section. It should be written in complete sentences (third-person, present or past tense) and should summarize the results of the entire experiment(s). You should emphasize what important concepts were explored, what the results showed, what conclusions can be drawn, and how the purpose of the experiment was accomplished.
Be sure to include:
Which pipette was the more precise?
Which pipette was the more accurate?
Notes: The notes section is where you should put information that does not belong in other sections. This would include background information, or anything else that you deem important that was not directly related to performing the experiment

What tools are used in management analytics? Give one example of a real-world example.

Discussion 1 – Business Intelligence
Discussion 1 (Chapter 10): Management Analytics helps develop a thorough understanding of the factors influencing managerial decisions. What tools are used in management analytics? Give one example of a real-world example.
Note: 

TEXTBOOK:
Title: Business Intelligence and Analytics
ISBN: 9780135192016
Authors: Ramesh Sharda, Dursun Delen, Efraim Turban
Publisher: Pearson
Publication Date: 2019-01-04
Edition: 11th ED.

image1.png

BI_Portfolio_Assignment.docx

Portfolio – Business Intelligence
This week, you need to discuss a current business process in a  
specific industry. Note the following:

-The 
current business process itself. (Do  
NOT explain what a business process means in general!)

-The industry where the business process is utilized in.
After explaining the current situation, take the current learning from the course and:
· Explain a new technology that the business should deploy. Be specific, don’t only note the type of technology but the particular instance of technology. (For example, a type of technology is smart automation; a specific type of automation is automated light-dimming technology).
· Note the pros and cons of the technology selected.
· Note various factors the business should consider before deploying the new technology.
The above submission should be 
three pages long, excluding the title and reference pages. Remember, the total length does not include the APA-approved cover page or the references. There should be at least three APA-approved references to support your work.

TEXTBOOK:
Title: Business Intelligence and Analytics
ISBN: 9780135192016
Authors: Ramesh Sharda, Dursun Delen, Efraim Turban
Publisher: Pearson
Publication Date: 2019-01-04
Edition: 11th ED.

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There are many roles a professional nurse may assume. Select three professional roles that are available to nurses and discuss how each role may impact funding, management, and delivery processes. 

Advance Nursing Practice and Nursing OrganizationsInstructions
There are many roles a professional nurse may assume  There are various advance practice nursing roles. These roles can impact funding, management, and delivery processes. Different roles may be clinical, such as nurse practitioners, nurse midwives, and nurse anesthetists or may be in a specialty role such as nursing education, informatics, or case management. As a member of the profession, the nurse may choose to become active in one or more professional organizations.  
Select three professional roles that are available to nurses and discuss how each role may impact funding, management, and delivery processes.  Review the resources available and identify two professional organizations and discuss how belonging would benefit the profession and you as a professional. 
Readings & Resources

Chapter 1 – Nursing in Today’s Evolving Health Care Environment and Chapter 14 – Health Care in the United States in Black, B. P. (2019). Professional nursing: Concepts & challenges. 
Nurse.org has a list of professional Nursing organizations  
Review the Institute of Medicine’s 2010 Report The Future of Nursing: Leading Change, Advancing Health. Pay special attention to the report brief and report recommendations which are two separate pdf documents.

Additional Instructions:

All submissions should have a title page and reference page.
Utilize a minimum of two scholarly resources.
Adhere to grammar, spelling and punctuation criteria.
Adhere to APA compliance guidelines.
Adhere to the chosen Submission Option for Delivery of Competency guidelines.

Submission Options
Choose One:
Instructions:
Paper

2 to 3-page paper. Include title and reference pages. 
Note: Title and reference pages/slides do not count towards the count requirements.

You are a medical professor in charge of creating college assignments and answers for medical college students. You design and conduct lectures, evaluate student performance and provide feedback through examinations and assignments. Answer each question separately. Include and Introduction. Provide an answer to this content

Advance Nursing Practice and Nursing OrganizationsInstructions
There are many roles a professional nurse may assume.  There are various advance practice nursing roles. These roles can impact funding, management, and delivery processes. Different roles may be clinical, such as nurse practitioners, nurse midwives, and nurse anesthetists or may be in a specialty role such as nursing education, informatics, or case management. As a member of the profession, the nurse may choose to become active in one or more professional organizations.  
Select three professional roles that are available to nurses and discuss how each role may impact funding, management, and delivery processes.  Review the resources available and identify two professional organizations and discuss how belonging would benefit the profession and you as a professional. 
Readings & Resources

Chapter 1 – Nursing in Today’s Evolving Health Care Environment and Chapter 14 – Health Care in the United States in Black, B. P. (2019). Professional nursing: Concepts & challenges. 
Nurse.org has a list of professional Nursing organizations  
Review the Institute of Medicine’s 2010 Report The Future of Nursing: Leading Change, Advancing Health. Pay special attention to the report brief and report recommendations which are two separate pdf documents.

Additional Instructions:

All submissions should have a title page and reference page.
Utilize a minimum of two scholarly resources.
Adhere to grammar, spelling and punctuation criteria.

Case Study: A 74-year-old African American woman, Ms. Richardson, was brought to the hospital emergency room by the police. She is unkempt, dirty, and foul-smelling. She does not look at the interviewer and is apparently confused and unresponsive to most of his questions.Summarize the clinical case including the significant subjective and objective data.Generate a primary and two differential diagnoses.

After studying Module 6: Lecture Materials & Resources, discuss the following:Case Study: A 74-year-old African American woman, Ms. Richardson, was brought to the hospital emergency room by the police.  She is unkempt, dirty, and foul-smelling.  She does not look at the interviewer and is apparently confused and unresponsive to most of his questions.  Use the DSM5 to support the assessment.  Include the DSM5 and ICD 10 codes She knows her name and address, but not the day of the month. She is unable to describe the events that led to her admission.  The police reported that they were called by neighbors because Ms. Richardson had been wandering around the neighborhood and not taking care of herself.  The medical center mobile crisis unit went to her house twice but could not get in and presumed she was not home. Finally, the police came and broke into the apartment, where they were met by a snarling German shepherd.  They shot the dog with a tranquilizing gun and then found Ms. Richardson hiding in the corner, wearing nothing but a bra. The apartment was filthy, the floor littered with dog feces.  The police found a gun, which they took into custody. The following day, while Ms. Richardson was awaiting transfer to a medical unit for treatment of her out-of-control diabetes, the psychiatric provider attempted to interview her.  Her facial expression was still mostly unresponsive, and she still didn’t know the month and couldn’t say what hospital she was in.  She reported that the neighbors had called the police because she was “sick,” and indeed she had felt sick and weak, with pains in her shoulder; in addition, she had not eaten for 3 days.  She remembered that the police had shot her dog with a tranquilizer and said the dog was now in “the shop” and would be returned to her when she got home.  She refused to give the name of a neighbor who was a friend, saying, “he’s got enough troubles of his own.” She denied ever being in a psychiatric hospital or hearing voices but acknowledged that she had at one point seen a psychiatrist “near downtown” because she couldn’t sleep.  He had prescribed medication that was too strong, so she didn’t take it.  She didn’t remember the name, so the interviewer asked if it was Thorazine.  She said no, it was “allal.”  ‘Haldol?”, ask the interviewer. She nodded.   The interviewer was convinced that was the drug, but other observers thought she might have said yes to anything that sounded remotely like it, such as “Elavil.” When asked about the gun, she denied, with some annoyance, that it was real and said it was a toy gun that had been brought to the house by her brother, who had died 8 years ago.  She was still feeling weak and sick, complained of pain in her shoulder, and apparently had trouble swallowing.  She did manage to smile as the team left her bedside.Questions:Remember to answer these questions from your textbooks and clinical guidelines to create your evidence-based treatment plan. At all times, explain your answers. Summarize the clinical case including the significant subjective and objective data.Generate a primary and two differential diagnoses.  Use the DSM5 to support the assessment.  Include the DSM5 and ICD 10 codes.Discuss a pharmacological treatment would you prescribe? Use the clinical guidelines to support the rationale for this treatment.Discuss non-pharmacological treatment would you prescribe?  Use the clinical guidelines to support the rationale for this treatment.Describe a health promotion intervention that would be appropriate for this patient.

Explain the legal requirements governing employee retention policies, citing applicable local, state, and federal law.

Recruitment and Retention Management Brief

Overview

Recruitment and retention laws can vary between levels of government. For example, some localities require higher minimum wages than the federal standard because of local livable wage ordinances (local laws). In this assignment, you’ll identify, research, and discuss general federal and local laws affecting recruitment and retention.

Imagine yourself as the human resources manager for a local and well-established construction company. Management executives have asked you to redesign the company’s recruiting and retention practices. Your focus will be on updating or creating new policies compliant with local, state, and federal laws governing recruiting and retention.

Your first task is to write a brief for management that describes the scope of existing local, state, and federal laws the company must comply with, including any legal requirements specific to the construction field.

Write a 5-6 page management brief using the 

Management Brief Template

(see below) in which you:

· Analyze local, state, and federal recruiting and retention laws and practices the company must comply with.
· Include at least two researched examples of local laws in your area that may impose additional legal requirements on recruitment and retention. These laws are in addition to state and federal legislation.
· Explain what compensation, benefits, and incentives the company may offer candidates, citing applicable local, state, and federal law.
· Explain what information the company may and may not solicit from candidates during the recruitment process, citing applicable local, state, and federal law.
· Explain the legal requirements governing employee retention policies, citing applicable local, state, and federal law.
· For example, equity in determining promotions and salary.
· Use at least 5 sources to support your writing. Choose sources that are credible, relevant, and appropriate. Number and cite each source listed on your source page.
You’re encouraged to refer to the following resources as you prepare your management brief:
· U.S. Department of Labor websites:
·

State Labor LawsLinks to an external site.
.

·

Summary of the Major Laws of the Department of LaborLinks to an external site.

Management Brief Template – Recruitment and Retention

Federal and Local Laws

Note: Complete each section to develop the brief following the week 3 assignment instructions.

Purpose:
Laws and Practices Identified:
· Local:
· State:
· Federal:
Compensation, Benefits, and Incentives:
Candidate Information (permissible):
Retention legal requirements:

Define and describe explicit and implicit memory

 
Musculoskeletal Function:G.J. is a 71-year-old overweight woman who presents to the Family Practice Clinic for the first time complaining of a long history of bilateral knee discomfort that becomes worse when it rains and usually feels better when the weather is warm and dry. “My arthritis hasn’t improved a bit this summer though,” she states. Discomfort in the left knee is greater than in the right knee. She has also suffered from low back pain for many years, but recently it has become worse. She is having difficulty using the stairs in her home. The patient had recently visited a rheumatologist who tried a variety of NSAIDs to help her with pain control. The medications gave her mild relief but also caused significant and intolerable stomach discomfort. Her pain was alleviated with oxycodone. However, when she showed increasing tolerance and began insisting on higher doses of the medication, the physician told her that she may need surgery and that he could not prescribe more oxycodone for her. She is now seeking medical care at the Family Practice Clinic. Her knees started to get significantly more painful after she gained 20 pounds during the past nine months. Her joints are most stiff when she has been sitting or lying for some time and they tend to “loosen up” with activity. The patient has always been worried about osteoporosis because several family members have been diagnosed with the disease. However, nonclinical manifestations of osteoporosis have developed.
Case Study Questions

Define osteoarthritis and explain the differences with osteoarthrosis. List and analyze the risk factors that are presented on the case that contribute to the diagnosis of osteoarthritis.
Specify the main differences between osteoarthritis and rheumatoid arthritis, make sure to include clinical manifestations, major characteristics, joints usually affected and diagnostic methods.
Describe the different treatment alternatives available, including non-pharmacological and pharmacological that you consider are appropriate for this patient and why.
How would you handle the patient concern about osteoporosis? Describe your interventions and education you would provide to her regarding osteoporosis.

Neurological Function:H.M is a 67-year-old female, who recently retired from being a school teacher for the last 40 years. Her husband died 2 years ago due to complications of a CVA. Past medical history: hypertension controlled with Olmesartan 20 mg by mouth once a day. Family history no contributory. Last annual visits with PCP with normal results. She lives by herself but her children live close to her and usually visit her two or three times a week.Her daughter start noticing that her mother is having problems focusing when talking to her, she is not keeping things at home as she used to, often is repeating and asking the same question several times and yesterday she has issues remembering her way back home from the grocery store.
Case Study Questions

Name the most common risks factors for Alzheimer’s disease
Name and describe the similarities and the differences between Alzheimer’s disease, Vascular Dementia, Dementia with Lewy bodies, Frontotemporal dementia.
Define and describe explicit and implicit memory Describe the diagnosis criteria developed for the Alzheimer’s disease by the National Institute of Aging and the Alzheimer’s Association
What would be the best therapeutic approach on C.J.

Submission Instructions:

Include both case studies in your post.
Your initial post should be at least 250 words per case study, a total of 500 words for both, formatted and cited in current APA style with support from at least 2 academic sources per case study. Your initial post is worth 8 points.
You should respond to at least two of your peers, by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.) 
All replies must be constructive and use literature where possible.
Please post your initial response before 11:59 PM ET Thursday, and comment on the posts of two classmates before 11:59 PM ET Sunday.  NB: Responses to peers can be done on the same day, but not on the day the initial post is made.
You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.