Each individual in the class is required to maintain a reflection journal throughout the course, to be turned in at the conclusion of the final module . The journal encompasses your scholarly reflection and learning for the entire course. You should use the journal to capture your thoughts, learning, reflections on the major course concepts as well as connections to other things you learn in your other courses, at work, and beyond.

Journals are a common tools in the world of creativity, design and innovation.  Entrepreneurs use journals to document new potential opportunities; inventors use journals to document when they came up with an original idea (useful in the patenting process); engineers use journals to work out complex technical details; and designers use journals to generate lots of ideas (as ideas feed off of one another); and successful project managers use journals as a management tool to generate “lessons learned” and “best practices” to help run future product development projects more effectively. You can tailor your journal to your own working style and capture what you like.  Don’t be afraid to include your individual thinking (both imagery and words) pertaining to your learning from the class

s. You may include pictures, models, stories, create mindmaps, or choose any other approach that works for you to capture your ideas, thoughts, and reflections.

This reflection journal is your opportunity to reflect deeply on the course materials. Please submit a 4 pages journal entry on what most struck you in this course. This is not a summary of the readings. Journaling about what you have learned will provide an opportunity for you to critically and personally engage the material, discover what resonates with you and construct what it means to you, using the classroom materials as a foundation. This may mean you concentrate on concepts that cut across the readings or may mean you focus on the one piece or idea that you found most compelling. You should pay particular attention to connecting theory with practice. Strong responses will grapple with issues on both an intellectual and practical level.

subjects:

Innovation, Creativity, Design Thinking & Entrepreneurial Mindset

Strategy & Business Model Innovations

Design Thinking, Problem Finding & Fact Finding

Entrepreneurial Mindset & Opportunities

Leadership, Innovation, & Group Problem Solving

Collaboration, Diversity & Co-creation

Ethical Considerations of Innovation & Entrepreneurship

Global Considerations

 

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For the initial post review the home page of your assigned organization and make your initial post by answering the questions listed below.

1. What is the organization’s mission?
2. Is the organization a governmental, accreditation, or regulatory agency?
3. Is the information collected for internal or external stakeholders?
4. List five quality improvement measures found on the organization’s website.

Provide a thoughtful and complete initial response that is a minimum of two to three paragraphs

No plagiarism

Two references

 

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In a 250-word post, discuss the points made in the video by Gabrielle Dolan about thought leadership that you believe are essential for a thought leader. Also, answer the questions – do you disagree with her on any point? Do you believe thought leadership is a legitimate concept or a business fad? Why or why not?

Gabrielle Dolan on thought leadership

 

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Select a terrorist organization likely to conduct an attack  within the United States and complete an in-depth profile on the  organization you selected for this first part of a three part series of  papers. The same group you select will be used for your Midterm,  Progress, and Final paper.

For this midterm, complete an in-depth profile on the organization  selected for your project.  In 5-7 pages (double-spaced) provide a  narrative explaining the organization’s origins, ideology, goals &  objectives.  Include a discussion on the leadership, funding, and  capabilities such as physical bases or operating/support location(s),  personnel strengths, training programs, and communications methods.   Lastly, it would be helpful to provide a description of known and  suspected weapons/lethal agents and delivery methods, procedures used in  prior attacks, propaganda, surveillance methods, and significant  events/dates that may be used in attack planning. Use section headings  in your paper.

Note on the three paper assignment series:  The first paper  (the midterm) is about the group you select and basically provides a  historical perspective about the group. The second paper (the progress  assignment) is a red cell where you put yourself in the shoes of the  terrorist group by thinking like they would to determine how the U.S.  can do intelligence collection on the terrorist group.

For the final assignment, you will combine all that you wrote in the  first two papers into one seamless document and you will add at least  three recommendations you would provide to a Homeland Security policy  maker on how to counter your selected organization. Be sure to improve  your writing based on feedback you receive from the midterm and progress  assignment.

Make sure you read the instructions carefully and that you focus your paper on answering the assigned questions. This assignment is a research paper, not an opinion paper, so you need to use the class readings to support your thesis.  Make sure you use APA style in-text parenthetical citations at  the end of every sentence where you are quoting or paraphrasing  another’s ideas (or any information) that is not your own thoughts and  words, like this (Bergen, 2015, para 14). I highly recommend you use the  APUS writing guide based on the APA style which can be found in the  university library or at this link: APUS Style Guide for APA.  You are welcome to use supplementary sources to compliment the assigned  readings based upon your research, but make sure you use scholarly and  credible sources. See the APUS Library Homeland Security Program Guide for good sources, as well as the APUS Research Primer and the APUS Library Research FAQs. For formatting, the best option is to use the attached example paper as a template (for formatting purposes only).

Requirements:

• Five-seven (5-7) pages of text, not including the Title or Reference pages
• Written according to the APA style and format
• Use Times New Roman 12 point font
• 1 inch margins on all sides
• Double space all text (no extra lines or spaces after a paragraph or section headings)

A respectable number of credible resources used, cited in the paper  as in-text citations, and included on the reference page. A good rule of  thumb is at least 2-3 scholarly sources per page of content.

This Midterm Assignment (the organizational profile) is due Sunday of  Week 3. The SSGS Assignment Rubric for 300-400 Level Classes will be  used to evaluate this assignment (attached).

Edit question’s body

 

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Part I :

a. Soap Note Ankylosing Spondylitis

b. add questions from your case study

Part II: Ankylosing Spondylitis

a. Pathophysiology

b. Clinical Presentation

c. Physical Examination

d. Diagnostic Testing

e. Differential Diagnosis

f. Management

g. Education and Health Promotion

Power point

< 20 % plagiarism

5 References

Sample Regular Soap Note Template

PATIENT INFORMATION

Name: Mr. W.S.

Age: 65-year-old

Sex: Male

Source: Patient

Allergies: None

Current Medications: Atorvastatin tab 20 mg, 1-tab PO at bedtime

PMH: Hypercholesterolemia

Immunizations: Influenza last 2018-year, tetanus, and hepatitis A and B 4 years ago.

Surgical History: Appendectomy 47 years ago.

Family History: Father- died 81 does not report information

Mother-alive, 88 years old, Diabetes Mellitus, HTN

Daughter-alive, 34 years old, healthy

Social Hx:No smoking history or illicit drug use, occasional alcoholic beverage consumption on social celebrations. Retired, widow, he lives alone.

SUBJECTIVE:

Chief complain: “headaches” that started two weeks ago

Symptom analysis/HPI:

The patient is 65 years old male who complaining of episodes of headaches and on 3 different occasions blood pressure was measured, which was high (159/100, 158/98 and 160/100 respectively). Patient noticed the problem started two weeks ago and sometimes it is accompanied by dizziness.He states that he has been under stress in his workplace for the last month.

Patient denies chest pain, palpitation, shortness of breath, nausea or vomiting.

ROS:

CONSTITUTIONAL: Denies fever or chills. Denies weakness or weight loss. NEUROLOGIC: Headache and dizzeness as describe above. Denies changes in LOC. Denies history of tremors or seizures.

HEENT: HEAD: Denies any head injury, or change in LOC. Eyes: Denies any changes in vision, diplopia or blurred vision. Ear: Denies pain in the ears. Denies loss of hearing or drainage. Nose: Denies nasal drainage, congestion. THROAT: Denies throat or neck pain, hoarseness, difficulty swallowing.

Respiratory: Patient denies shortness of breath, cough or hemoptysis.

Cardiovascular: No chest pain, tachycardia. No orthopnea or paroxysmal nocturnal

dyspnea.

Gastrointestinal: Denies abdominal pain or discomfort. Denies flatulence, nausea, vomiting or

diarrhea.

Genitourinary: Denies hematuria, dysuria or change in urinary frequency. Denies difficulty starting/stopping stream of urine or incontinence.

MUSCULOSKELETAL: Denies falls or pain. Denies hearing a clicking or snapping sound.

Skin: No change of coloration such as cyanosis or jaundice, no rashes or pruritus.

Objective Data

CONSTITUTIONAL: Vital signs: Temperature: 98.5 °F, Pulse: 87, BP: 159/92 mmhg, RR 20, PO2-98% on room air, Ht- 6’4”, Wt 200lb, BMI 25. Report pain 0/10.

General appearance: The patient is alert and oriented x 3. No acute distress noted.NEUROLOGIC: Alert, CNII-XII grossly intact, oriented to person, place, and time. Sensation intact to bilateral upper and lower extremities. Bilateral UE/LE strength 5/5.

HEENT:Head: Normocephalic, atraumatic, symmetric, non-tender. Maxillary sinuses no tenderness. Eyes: No conjunctival injection, no icterus, visual acuity and extraocular eye movements intact. No nystagmus noted. Ears: Bilateral canals patent without erythema, edema, or exudate. Bilateral tympanic membranes intact, pearly gray with sharp cone of light. Maxillary sinuses no tenderness. Nasal mucosa moist without bleeding.Oral mucosa moist without lesions,.Lids non-remarkable and appropriate for race.

Neck: supple without cervical lymphadenopathy, no jugular vein distention, no thyroid swelling or masses.

Cardiovascular: S1S2, regular rate and rhythm, no murmur or gallop noted. Capillary refill < 2 sec.

Respiratory: No dyspnea or use of accessory muscles observed. No egophony, whispered pectoriloquy or tactile fremitus on palpation. Breath sounds presents and clear bilaterally on auscultation.

Gastrointestinal:No mass or hernia observed. Upon auscultation, bowel sounds present in all four quadrants, no bruits over renal and aorta arteries. Abdomen soft non-tender, no guarding, no rebound no distention or organomegaly noted on palpation

Musculoskeletal: No pain to palpation. Active and passive ROM within normal limits, no stiffness.

Integumentary: intact, no lesions or rashes, no cyanosis or jaundice.

Assessment

Essential (Primary) Hypertension (ICD10 I10): Given the symptoms and high blood pressure (156/92 mmhg), classified as stage 2. Once the organic cause of hypertension has been ruled out, such as renal, adrenal or thyroid, this diagnosis is confirmed.

Differential diagnosis:

Ø Renal artery stenosis (ICD10 I70.1)

Ø Chronic kidney disease (ICD10 I12.9)

Ø Hyperthyroidism(ICD10E05.90)

Plan

Diagnosis is based on the clinical evaluation through history, physical examination, and routine laboratory tests to assess risk factors, reveal identifiable causes and detect target-organ damage, including evidence of cardiovascular disease.

These basic laboratory tests are:

· CMP

· Complete blood count

· Lipid profile

· Thyroid-stimulating hormone

· Urinalysis

· Electrocardiogram

Ø Pharmacological treatment: 

The treatment of choice in this case would be:

Thiazide-like diuretic and/or a CCB

· Hydrochlorothiazide tab 25 mg, Initial dose: 25 mg orally once daily.

Ø Non-Pharmacologic treatment:

· Weight loss

· Healthy diet(DASH dietary pattern): Diet rich in fruits, vegetables, whole grains, and low-fat dairy products with reduced content of saturated and trans l fat

· Reduced intake of dietary sodium: <1,500 mg/d is optimal goal but at least 1,000 mg/d reduction in most adults

· Enhanced intake of dietary potassium

· Regular physical activity (Aerobic): 90–150 min/wk

· Tobacco cessation

· Measures to release stress and effective coping mechanisms.

Education

· Provide with nutrition/dietary information.

· Daily blood pressure monitoringat home twice a day for 7 days, keep a record, bring the record on the next visit with her PCP

· Instruction about medication intake compliance.

· Education of possible complications such as stroke, heart attack, and other problems.

· Patient was educated on course of hypertension, as well as warning signs and symptoms, which could indicate the need to attend the E.R/U.C. Answered all pt. questions/concerns. Pt verbalizes understanding to all

Follow-ups/Referrals

· Evaluation with PCP in 1 weeks for managing blood pressure and to evaluate current hypotensive therapy. Urgent Care visit prn.

· No referrals needed at this time.

References

Domino, F., Baldor, R., Golding, J., Stephens, M. (2017). The 5-Minute Clinical Consult 2017 (25th ed.). Print (The 5-Minute Consult Series).

CodinaLeik, M. T. (2014). Family Nurse Practitioner Certification Intensive Review (2nd ed.). ISBN 978-0-8261-3424-0

 

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