Review the following case study patient details

Mr. W is a 25 year old male who was in a drug rehabilitation program last year. He has been admitted to the hospital with a history of weight loss, weakness, and intractable diarrhea. His height is 70 inches and his weight has dropped from 180 lbs. to 110 lbs. He is also suffering from fever and night sweats. Physical examination reveals swollen lymph glands, tongue lesions of herpes simplex and ulcers in the perianal region. Further tests indicated depressed T-cell levels and the presence of Pneumocystis carinni. He was tested for HIV infection and the blood test for HIV infection antibodies was positive.

While in the hospital he developed several other symptoms: anorexia, fever, fatigue, nausea, vomiting, watery diarrhea, and rectal incontinence. His temperature was 103°F (39.8°C) and was treated with antibiotics to which he did not respond. The amount of diarrhea increased markedly, necessitating intravenous hydration. He developed esophageal candiasis and a duodenal infection.

The patient did not tolerate a soft diet or nutritional supplements, continued to lose weight, and had severe anorexia, abdominal cramping, and bloating. Nutritional assessment was deficient in all aspects, showing a decreased BMI, decreased muscle mass, and depleted total protein and serum albumin.

  1. In which stage of HIV infection would you categorize Mr. W?
  2. Name and describe the major clinical complications in the final stage of AIDS and explain how these complications profoundly compromise a patient’s nutritional status.
  3. What should be the goal of nutritional therapy based on assessment data and the patient’s history?
  4. Utilize your critical thinking skills to determine the most appropriate route of feeding to administer nutrition support. Defend your choice with evidence from the patient description and the knowledge you have gained regarding alternative feeding routes.
  5. List several nutritional supplements that might be used to alleviate some of Mr. W’s symptoms and increase his caloric intake when he is able to tolerate a diet again.
  6. Write a Nutrition Care Plan/Chart note on the HIV patient that addresses the patient’s current clinical situation. Write this note as though you were a nutrition professional caring for this patient in a hospital setting. Please refer to Table 11-3 and 11-4 in your textbook for information on the ADIME chart note process.


Paper format: Answer questions numbers 1–5 in a 2–3 page paper using APA format and citation guidelines. Include a title page, introduction, body, conclusion, and reference page. Include number 6, the Nutrition Care Plan/ Chart note, as an appendix. Be aware that the title page, reference page, and appendix/chart note DO NOT count towards the 2–3 page minimum.

Please organize your paper in the following paragraph format. Please see KUs Writing Center for more information regarding essay and paragraph format.

Section 1: Introductory paragraph (incorporate your answer to question 1)

Section 2: Body paragraph(s) (incorporate your answer to question 2)

Section 3: Body paragraph(s) (incorporate your answer to question 3)

Section 4: Body paragraph(s) (incorporate your answer to question 4)

Section 5: Concluding paragraph (incorporate your answer to question 5)

Appendix: Nutrition Care Plan/Chart note

References: Include a minimum of 4 quality references. Your textbook may count towards this requirement. You can use reputable websites or other textbooks/ scientific or medical journal articles. Please use APA style citations within the paper itself and also on the reference page. See Writing Center Resources found in Doc Sharing and the Kaplan University Writing Center for complete details and examples regarding APA style references.

FNP perspective supporting an alternate opinion

Please respond to your peer’s posts, from an FNP perspective. To ensure that your responses are substantive, use at least two of these prompts:

  • Do you agree with your peers’ assessment?
  • Take an opposing view to a peer and present a logical argument supporting an alternate opinion.
  • Share your thoughts on how you support their opinion and explain why.
  • Present new references that support your opinions.

Please be sure to validate your opinions and ideas with in text-citations and references in APA format. Substantive means that you add something new to the discussion, you aren’t just agreeing. Be respectful and thoughtful.This is also a time to ask questions or offer information surrounding the topic addressed by your peers. Personal experience is appropriate for a substantive discussion and should be correlated to the literature.Minimum of 100 words.

Tracie’s response:

When is the ideal time to complete a clinical breast exam? What steps would you follow for concerning findings on the clinical breast exam? What age or risk factors indicate the need for a mammogram?

According to the American College of Obstetricians and Gynecologists (ACOG), the American Cancer Society (ACS), and the National Comprehensive Cancer Network, clinical breast exams (BE) should be performed annually in women ages 40 and older (Fuller, Lee & Elmore, 2016). For those who are low risk and women 20-39 years old, unclear recommendations state that these women should have a breast exam every one to three years (Fuller, Lee & Elmore, 2016). Breast exams do not replace routine mammograms for women of indicated age and those that are high risk. A breast exam helps screen for abnormalities such as tumors and cysts. The best time to do a monthly breast exam is while you are off of your period. A woman’s breasts are lumpier when she is on her menstrual cycle making it hard to perform an accurate breast exam (Sullivan, 2016).

When something abnormal is found on a BE, the next step is to make sure you do a good history and physical on the patient and try to determine her risks. If it’s appropriate, a mammogram, breast ultrasound, or a biopsy can be ordered for further diagnostic testing (Fuller, Lee & Elmore, 2016). A biopsy can identify abnormal cancer cells.

The age and risk factors that indicate the need for a mammogram start at age 40. Most of these women have this done annually. Every national society has different recommendations on when women should start mammograms.

For women who are at high risk of breast cancer, screening may begin at an earlier age. This includes women with a familial history of breast cancer. There is a genetic screening tool done in many offices that screen at risk women for cancer. It’s a series of questions asking about familial cancer history and if the women meets criteria, they will go and have their blood drawn and sent off to a lab.


Fuller, M., Lee, C., & Elmore, J. (2016, October). Breast Cancer Screening: An Evidence-Based Update. Retrieved from (Links to an external site.)Links to an external site.

Sullivan, D. (2016). Breast Self-Exam. Healthline. Retrieved from…

Jodie’s response:

Detail the routine health periodicity for the gynecologic and clinical breast exam. What health factors are utilized to determine the need for a Pap test? When is the Pap test no longer necessary?

Routine gynecological and breast exams for women begin at the age of twenty-one. A clinical breast exam is done by a trained doctor or nurse who uses his or her hands to feel for lumps or other changes in the breast (CDC, 2018). This is different from a mammogram that the female patient will need to complete later in life. The patient can perform a self-breast exam; however, it is not encouraged as many women were coming in with false alarms. A woman at average risk for breast cancer should get a mammogram when she is age 50-74 every two years. If she is at an increased risk due to a first degree relative having breast cancer then she should seek screening at age 40 (CDC, 2018). Doing self-exams or clinical breast exams do not lower the risk of breast cancer but can lead to early detection and better outcomes (Clinical Breast Exam, 2016).

Pap examination begins at the age of 21 unless otherwise warranted. The Pap smear looks for precancer cells or changes on the cervix that might become cervical cancer if they are not treated properly. The Pap smear also looks for human papillomavirus (HPV) that can cause these cell changes (CDC, 2019). Between the ages of 21-29 if the Pap is normal the test does not have to be repeated until every three years. Between the ages of 30-65 it is recommended that a woman takes one of three options that are agreed upon with her prescriber. If it has a Pap test only this should be continued every three years. If she desires HPV testing and has normal results this test should be completed every five years. It is most commonly done that a woman will have an HPV test along with a Pap test and if she has normal results than the test only needs to be repeated every five years. Once the woman is 65 or older she does not have to have a Pap test if she has had normal results for several years or had her cervix removed as part of a total hysterectomy for non-cancerous conditions (CDC, 2019). If a woman has a hysterectomy because of abnormal cervical cells or cervical cancer she should continue to get a Pap and HPV test (U.S. Department of Health & Human Services, 2019).


CDC. (2018, September 11). What Is Breast Cancer Screening? Retrieved from Centers for Disease Controml and Prevention:…

CDC. (2019). What Should I Know About Screening? Retrieved from Centers for Disease Control and Prevention:…

Clinical Breast Exam. (2016). Retrieved from National Breast Cancer Foundations, INC.:…

U.S. Department of Health & Human Services. (2019, January 31). Pap and HPV tests. Retrieved from Office on Women’s Heath :…

practicing ethically

Select one of the following ethical issues in healthcare from the following choices:

  • Gender selection in human embryos
  • Stem cell transplants
  • Foregoing curative medical treatment due to religious beliefs
  • Futility of care
  • Abortion after six months.

Use the CSU Global Library and select Internet sources to conduct research on your chosen topic or use any scientific article. no .cm, html, or any non scholarly article.. Based on your research, provide the history of the issue from a legal, ethical, and moral perspective. In your paper address the following questions:

  1. Do the consequences of actions always direct what is morally required?
  2. What should happen when two principles come into conflict? For example, should patient autonomy be considered more important than beneficence or should nonmaleficence come in first? Defend your position.
  3. Are moral and ethically rules always binding, or are they only guidelines to be assessed in each case? Defend your position.

Your paper should meet the following requirements:

  • Be twelve pages in length, not including the cover or reference pages and no huge spacing
  • Be formatted according to the CSU-Global Guide to Writing and APA Requirements.
  • Provide support for your statements with in-text citations from a minimum of eight scholarly references – four of these references must be from outside sources and four may be from course readings, lectures, and textbooks.
  • Utilize headings to organize the content in your work.

strategy for online success

Discussion: Online Learning Strategies


Important reading Material link:…

Completing courses in the absence of a physical classroom and frequent face-to-face contact can be challenging, even for those who are comfortable with technology and the online environment. You need to be able to plan and manage your time well, particularly since there is no structured “class time”; communicate clearly and effectively where there is no visual or nonverbal feedback; and use technology effectively. This Discussion provides you with an opportunity to think about your skills in the above areas, to explore strategies for successful online learning, and exchange strategies with your colleagues.

To prepare:

  • Review this Week’s assigned readings from the Walden e-Guide and the document, “Technical Tips for Learning at Walden,” in the Learning Resources.
  • Review this week’s media program, “Tips for Effective Online Composition and Communication.”
  • Think about some strategies you have used, or read about, that may be beneficial for effective planning, time management, communication, and technology use.
  • Consider how the strategies you have identified can contribute to being a successful online learner.

By Day 3

Post a description of at least one strategy for each of the following areas related to online success: planning, time management, communication, and technology use. Explain how/why you think use of each strategy will contribute to your success as an online learner.

Support your Discussion assignment with specific resources used in its preparation using APA formatting. You are asked to provide a reference for all resources, including those in the Learning Resources for this course.

Learning Resources

Required Readings

Walden University. (n.d.). Help with technology.
Walden e-Guide. Retrieved from…

This section of the e-Guide provides useful information about the technical aspects of your online learning environment. Review the sub-sections to learn more about the classroom environment, online learning, technical support resources, and technical requirements.

Walden University. (n.d.). Academic & Community Support Resources.
Walden e-Guide. Retrieved from…

This section of the e-Guide provides useful information about academic resources and other support resources. Focus on the
Success Strategies sub-section for guidance on such things as time management to help you maximize your online learning experience. Also focus on the
Grading, and
Scholarly Writing sub-sections to learn more about completing your coursework, following course requirements, and writing for the online environment. Explore any other sections that you think will be useful.

Document: 10 Tips for Being a Successful Online Learner (Word document)

This document contains valuable tips for becoming a successful online learner.

Document: Technology Contingency Plan Template (Word document)

This template is designed to help you create a technology contingency plan in case your computer crashes, you lose access to the Internet, or your computer gets lost or stolen.

Document: Technical Tips for Learning at Walden (Word document)

Tips for working with various technologies, such as word processing software, Blackboard features, and your myWalden page are addressed in this document.

Document: Walden University School of Nursing Faculty. (2012). Annotated School of Nursing Sample Paper (PDF)

Walden University. (2012c). Walden University: Active and passive voice. Retrieved from

A component of academic writing is using an active voice. Explore the handout on writing in an active voice presented at this website.

Walden University. (2012f). Walden University: Proofreading and revising. Retrieved from

Proofreading is an important final step when preparing any assignment or electronic communication. This resource is also provided by the Walden University Writing Center.

5.09 help me 6th grade work

Assignment: Using Seismographs Exploration


Describe what was observed in this activity regarding the seismograph.


How do the recordings of the slow shakes compare to those when the table was shaken strongly? How would the seismogram of a magnitude 9 earthquake compare to that of a 5 magnitude? Explain your reasoning.

Compare and contrast the seismograph from this investigation with one that you saw pictured earlier in the lesson.

5-2 Short Paper: Quality Improvement

The role of the healthcare team is vital in continuous quality improvement as all team members are involved in the delivery of care and are responsible for the patient’s quality experience. Understanding how team members communicate will assist you in your workplace experience and will also help you to employ effective strategies that boost effective team communications. In this assignment, after reviewing the associated article, you will consider the implications of interdisciplinary team communications and how these can help or hinder the delivery of quality care to the patient.


Read the Intergroup Relationships and Quality Improvement in Healthcare article and consider the importance of interdisciplinary communications and teamwork. Also, consider the role of the team as you formulate strategies to address your chosen clinical issue for the final paper.

Your submission must include the following critical elements:

 Identify strategies to improve interdisciplinary communication among providers.

 Assess the value of interdisciplinary communication related to improving quality of patient care.

 Evaluate the selected strategies to reduce errors in injury.

Guidelines for Submission: This submission should be 2–4 pages

​The Evolution of Science and Sports

The Evolution of Science and Sports

‘Sports’ have likely been around as long as there have been people. Every society has its favorite pastimes, and today with ever-advancing technologies, there is the ability to design high-tech equipment and utilize a host of specialists to help athletes perform better. It is such an important part of society that there are now fields dedicated to the study of sports medicine and fitness. No matter what sport or type of recreation you enjoy, the principles of science are involved.

Take a look at how science helps in different sports from football, to swimming, to NASCAR™.

Answer the following in 250 words or more

  1. Share some information about the science behind your sport or recreation of choice.
  2. How can you categorize the scientific information that you learned about your sport/recreation? For example, does it involve physics, chemistry, and/or biology?
  3. What technological advances have been made in your favorite activity during its history?
  4. Have there been any previously held beliefs or customs in your sport/recreation that have been dismissed by scientific research? If so, please explain.
  5. Now that you have done some research on the science involved in your favorite activity, do you think you can use that information to perform better? Why, or why not?

Informatics Solution Proposal: General Solution

Determine a category of informatics or technology that can solve the clinical or administrative issue you identified in Week 2.

Compose a summary of the benefits of selecting a product from this category of technology or informatics system:

  • Identify a category of informatics or technology solution that may be appropriate for the identified workplace. Select a category of solution but not a specific product.
  • Provide a rationale for why this category of solution may help address the clinical or administrative problem.
  • Describe regulatory, legal, or ethical issues this category of solution may cause or resolve.

Format your assignment as one of the following:

  • 8- to 12-slide presentation
  • legal-sized infographic
  • 350- to 525-word paper
  • another format approved by your instructor

Include a minimum of three peer-reviewed sources, and develop an APA-formatted reference page.

Cancer and the greatest chance of recovery

1. Essay topic: Use the Internet to answer the following questions about cancer: Which cancer has the greatest chance for recovery, which is the most painful, and which is the most dangerous? Also, what are the best ways to decrease risks for cancer, and what are the most common unconventional methods of treatment? 2. Requirements: • Must be 2 pages • Must be Times New Roman • Must be 12 point font • Must be double spaced • Must use 3 resources, one of which can be your textbook. All resources must be reputable; you may not use Wikipedia. Resources must be appropriately cited using MLA format. The basic rules are below. For more information go to • Refer to grading rubric for grading details • Post public questions on the discussion board for the benefit of other students who may have the same question. • Must be submitted correctly as a Word document by the deadline on the class calendar. Basic Rules 1. Begin your Works Cited page on a separate page at the end of your research paper. It should have the same one-inch margins and last name, page number header as the rest of your paper. 2. Label the page Works Cited (do not italicize the words Works Cited or put them in quotation marks) and center the words Works Cited at the top of the page. 3. Double space all citations, but do not skip spaces between entries. 4. Indent the second and subsequent lines of citations five spaces so that you create a hanging indent. 5. List page numbers of sources efficiently, when needed. If you refer to a journal article that appeared on pages 225 through 250, list the page numbers on your Works Cited page as 225-250.

AH216 Week 3 Discussion Surgical Package and Global Period, health and medicine homework help

AH216 Week 3 Discussion

Surgical Package and Global Period

Imaging you are interning at a busy general surgeon’s office. From your reading,  you recall the term “global surgical package”. There are 3 types of global surgical packages based on the number of post-op days.

Describe in detail each one of these. Select a procedure from the zero post-op category and one from 90 day post-op category and indicate why each falls into the category it does.