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write my assignment 8621

State argument of the passage below in premise-conclusion form.

“[T]o consider the rules of morality as improvable, is one thing; to pass over the intermediate

generalizations entirely, and endeavour to test each individual action directly by the first

principle, is another. It is a strange notion that the acknowledgement of a first principle is

inconsistent with the admission of secondary ones. To inform a traveller respecting the

place of his ultimate destination, is not to forbid the use of landmarks and direction posts

on the way. The proposition that happiness is the end aim of morality, does not mean that

no road ought to be laid down to that goal, or that persons going thither should not be

advised to take one direction rather than another. […] [A]ll rational creatures go out upon

the sea of life with their minds made up on the common questions of right and wrong…”

 

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November 12, 2021by

write my assignment 29890

I need help finding them E&M code for this:

HISTORY OF PRESENT ILLNESS: Mr. Smith is a 63-year-old gentleman new to our Clinic. He had been followed by Dr. Jones at Kernodle Clinic. Mr. Smith has a past medical history that includes hypertension for more than five years. It sounds like he has fairly severe white coat hypertension. Apparently, he has home readings consistently 30 points below what he gets in the office. He had been on Capoten in the past and gotten a cough with that. He had been on Norvasc in the past, but then stopped it for unclear reasons. More recently, he has been on Hyzaar. He also has hypercholesterolemia and has been on Lipitor. He has for the past year or so felt that his hands and feet were “burning up” at night. He reports that “he can almost see the heat waves from them.” He thinks this is a medication side effect. On his own, he stopped his Lipitor three weeks ago. He has not noticed any difference in his symptoms. He otherwise feels well and has no complaints.

PAST MEDICAL HISTORY: 1. Hypertension. 2. Hypercholesterolemia. 3. Status post plastic surgery after a motor vehicle collision when he was in his 20s. 4. History of depression around the time of the accident. He does report that intermittently he feels quite down, but he is able “to pick himself back up”. More recently, however, he has been in a more prolonged period. 5. He has significant moles and he is followed by an outside dermatologist. 6. He has had normal PSA and rectal exams. He had a colonoscopy about five years ago and again one year ago, both of which showed many polyps, pathology not known.

MEDICATIONS: Now only Hyzaar, a baby aspirin and a multivitamin

ALLERGIES: Capoten caused a cough.

SOCIAL HISTORY: He works in computer software. He does not smoke. He drinks wine and Martinis “probably more than I need to.” No drug use.

FAMILY HISTORY: The patient’s father died of a brain aneurysm in his 50s. Mom had colon cancer in her 80s and also hypertension. Five older sisters all with hypertension and hypercholesterolemia. No known coronary artery disease.

REVIEW OF SYSTEMS:

CONSTITUTIONAL: No fevers. Weight up 15 lbs since March. HEENT: Teeth doing okay. Does not feel congested in his sinuses. CARDIOVASCULAR: No chest pains, palpitations, PND, orthopnea or edema. RESPIRATORY: No shortness of breath. He does have a chronic intermittent cough that he has had for years. He had a chest x-ray a couple of years ago to evaluate this which was apparently normal. GI: No abdominal pain. No reflux-type symptoms. No change in bowel habits. GU: No hematuria or dysuria. MUSCULOSKELETAL: No chronic joint pains. PSYCHIATRIC: Not suicidal.

PHYSICAL EXAMINATION:

VITAL SIGNS: Weight 86.7 kg which is 191 lbs, blood pressure 174/114, pulse 103.

HEENT: Conjunctivae pink. Sclerae anicteric. Oropharynx clear.

NECK: No lymphadenopathy or thyromegaly or JVD.

LUNGS: Clear to auscultation and percussion.

HEART: Regular rate and rhythm without murmur, rub or gallop.

ABDOMEN: Normal bowel sounds. Soft, nontender. No hepatosplenomegaly.

EXTREMITIES: No cyanosis, clubbing or edema.

PSYCHIATRIC: Normal affect and behavior with seemingly good insight.

ASSESSMENT AND PLAN:

  1. Hypertension, poor control even with supposed white coat hypertension. He again is worried about side effect of his medications. We talked about many options and decided to change him to HCTA 25 mg a day and Norvasc 10 mg a day.
  2. Hypercholesterolemia. We will check lipid panel today. We will hold off on Lipitor for now, but will likely restart this once we confirm he is not having drug side effects. He is also interested in possibly trying fish oil.
  3. Psychiatric. He was not interested in counseling at all. He was interested in medication. We will start Celexa 20 mg a day. He will titrate this up to 40 mg after three to four weeks. He will call us in a few weeks if he is having any problems.
  4. Health maintenance. We will hold on PSA screening for a bit as he has been screened in the past. We will repeat colonoscopy in a few years and will try to get records of prior polyp pathology. He will try to focus on drinking a bit less alcohol and getting some regular exercise and eating better. Continue baby aspirin.
  5. Return to clinic in two months.

John Student, MS3

Seen with Joe Doctor, MD

 

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November 12, 2021by

write my assignment 22887

Write a 3 page essay on Shackletons Artic Adventure.

when Ernest Shackleton, an Irish born explorer, distinguished himself, not only among the masses, but also among the 27 crew members that included scientists, officers and seamen. Shackleton earned the respect shown to him by these men, not to mention the respect of millions today, by serving as an able leader putting his men’s wellbeing, both physical and mental, above everything else (WGBH, 2001).

Repeatedly during the expedition, the Endurance crew members faced fatal situations, yet every time, they were able to beat the odds and survived. Although some of their success can be attributed to providence or luck, but Shackleton’s leadership is widely regarded as the critical differentiation.

Put your people first. While Shackleton was leading the expedition to be the first to reach the South Pole, he himself and his crew members suffered a great ordeal that eventually made them weak. Shackleton realized that a further push would be equivalent to putting their life at risk. That is why he chose to turn back, even though he knew that being the first to reach the South would bring hi everlasting fame and glory. Alongside the strong desire to lead to the expedition, his sense of responsibility for his men was impeccable. This decision of Shackleton gave his crew members the confidence that their lives would not be sacrificed as a means for meeting the goal of the expedition.

Be flexible in tactics. While the elementary goal to survive remained paramount, Shackleton remained intelligently flexible in the strategies that he adopted to achieve the goal. His adaptability to the demanding environments was incredible and that is what gave him strong control over the expedition and fostered zeal within him making him believe that he would be able to bring all 27 crew members safely back home.

Choose your people carefully. The recruitment notice posted by Shackleton itself speaks for his honesty. He knew about the uncertainties that are inevitable during the journey

 

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November 12, 2021by

write my assignment 27426

Due Date: Mar 31, 2019 23:59:59       Max Points: 160

Details:

This is a Collaborative Learning Community (CLC) assignment.

An important role of nursing is to provide health promotion and disease prevention. Review the 2020 Topics and Objectives on the Healthy People website. Choose a topic of interest that you would like to address, in conjunction with a population at-risk for the associated topic. Submit the topic and associated group to your instructor for approval.

Create a 15-20-slide PowerPoint presentation for your topic and focus group. Include speaker notes and citations for each slide, and create a slide at the end for References.

Address the following:

  1. Describe the approved topic and associated population your group has selected. Discuss how this topic adversely affects the population. How does health disparity affect this population?
  2. Explain evidence-based approaches that can optimize health for this population. How do these approaches minimize health disparity among affected populations?
  3. Outline a proposal for health education that can be used in a family-centered health promotion to address the issue for the target population. Ensure your proposal is based on evidence-based practice.
  4. Present a general profile of at least one health-related organization for the selected focus topic. Present two resources, national or local, for the proposed education plan that can be utilized by the provider or the patient.
  5. Identify interdisciplinary health professionals important to include in the health promotion. What is their role? Why is their involvement significant?

Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria and public health content.

Refer to the resource, “Creating Effective PowerPoint Presentations,” located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

Please Note: Assignment will not be submitted to the faculty member until the “Submit” button under “Final Submission” is clicked.

 

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November 12, 2021by