Case study

You will create a presentation with a realistic case study and include appropriate and pertinent clinical information that will be covering the following:

Subjective data: Chief Complaint; History of the Present Illness (HPI)/ Demographics; History of the Present Illness (HPI) that includes the presenting problem and the 8 dimensions of the problem; Review of Systems (ROS)
Objective data: Medications; Allergies; Past medical history; Family history; Past surgical history; Social history; Labs; Vital signs; Physical exam.
Assessment: Primary Diagnosis; Differential diagnosis
Plan: Diagnostic testing; Pharmacologic treatment plan; Non-pharmacologic treatment plan; Anticipatory guidance (primary prevention strategies); Follow up plan.
Other: Incorporation of current clinical guidelines; Integration of research articles; Role of the Nurse practitioner

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Instructions
Pick one (1) of the following topics. Then, address the corresponding questions/prompts for your selected topic:

Option 1: Exploration and Effects on Native Americans

Explain what motivated the European world powers to explore the Americas.
Describe the economic effects of exploration based on the Colombian exchange.
Analyze the effects of exploration on Native Americans.
Based on research, analyze if Europeans might be held accountable for transmitting Old World diseases to people in the Western Hemisphere.
Option 2: Slavery vs. Indentured Servitude

Explain how and why slavery developed in the American colonies.
Describe in what ways the practice of slavery was different between each colonial region in British North America.
Analyze the differences between slaves and indentured servants.
Option 3: Women in Colonial America

Pick two colonies (New England, Middle, or Southern colonies) and explain how women’s roles differ in the two colonies of your choice.
Describe what legal rights women held during the colonial period.
Analyze how Native women’s lives were different from colonial women’s lives.
Make sure to use your course text and incorporate an additional scholarly source from the Chamberlain Library in your response.

Writing Requirements (APA format)

Length: 1-2 pages (not including title page or references page)
Use standard essay writing process by including an introduction, body paragraphs, and a conclusion.
1-inch margins
Double spaced
12-point Times New Roman font
Title page
References page (minimum of 1 scholarly source)
No abstract is required
In-text citations that correspond with your end references

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A 75-year-old man with a history of hypertension, diabetes, environmental allergies, and colon polyps presents to the office with a complaint of persistent dry hacking cough that does not improve with over-the-counter treatment with antitussives and allergy medications. The man reports that he has had the cough for 3 months and is tired of the coughing spells he experiences. His medical history reveals that he started taking lisinopril 6 months before this appointment, has taken an over-the-counter allergy medication for several years, had his last colon polyps removed 6 years ago, and his blood pressure today is 145/70. Other medications include metformin XR 500 mg daily, aspirin 81 mg once daily, and loratadine 10 mg daily. The physical exam is negative for any issues other than his mild neuropathy from long-term diabetes. The cough is noted to be dry and hacking as the patient has described. The man is not in acute distress.
1. What questions would have been asked as part of the medical history?

2. What physical aspects would have been completed as part of the physical exam?

3. Based on the medical history and physical exam, what is the most likely cause of his cough?

4. What other possible diagnoses should be considered?

5. Are there any other tests that should be completed before producing a diagnosis? Why or why not?

6. What is the treatment for this patient, including education?

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Textbook: Business Ethics Best Practices for Designing and Managing Ethical Organizations Second Edition

Choose one of the following questions for your analysis of case study. It is a discussion post. Need to have reference (s) included.

1. Consider two powerful industries, so-called Big Pharma and Big Tobacco. The former can save lives; the latter is accused of taking them. Yet, there are some disturbing similarities between these industries. Identify and discuss these commonalities and their causes. In light of your response, what recommendations do you have for leaders of pharmaceutical companies?

2. Beyond penalizing Martin Shkreli and other corporate leaders like Andy Fastow and Jeff Skilling (Enron) for their illicit actions, how can ethical leadership be encouraged in large corporations?

Option B: Case Study #2: “Philanthrocapitalism: Billionaires Give Back, Their Way.”

Question for discussion for this case study: By letting philanthrocapitalists use their resources toward solving socioeconomic problems around the globe, are governments effectively “outsourcing” their responsibilities? (Mention the Gates Foundation and polio as one example here. Of course, a person can pick examples, pro and con, to fit whatever position one is advocating, but how would this example fit into the discussion?)

Who are all the people affected by the action? (stakeholder analysis)

Is the action beneficial to me? (egoism)

Is the action supported by my social group? (social group relativism)

Is the action supported by national laws? (cultural relativism)

Is the action for the greatest good of the greatest number of people affected by it? (utilitarianism)

Does the action treat every stakeholder with respect and dignity, and is the act something that everyone should do? (deontology)

Is this how a virtuous person would act? (virtue ethics)

If answers to Questions 2 through 7 are all “yes,” then do it.

If answers to Questions 2 through 7 are all “no,” then do not do it.

If answers to Questions 2 through 7 are mixed, then modify your decision.

If answers to Questions 5, 6, and 7 are “yes,” this action is the mostYou may need to modify this decision in consideration of any “no” answer to Questions 2 through 4.

If answers to Questions 5, 6, and 7 are “no,” this action is the leastModify this decision in consideration of these objections.

If answers to Questions 5, 6, and 7 are mixed, this action is moderatelyModify this decision in consideration of objections raised by Questions 5, 6, or 7. You may need to further modify this decision in consideration of any “no” answer to Questions 2, 3, or 4.

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