WEEK 8 SOAP NOTE

SOAP Note

Complete only the History, Physical Exam, and Assessment sections of the Aquifer virtual case: Family Medicine 27: 17-year-old male with groin pain.

Each week you are required to enter your patient encounters into CORE. Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience. Beginning in Week 5, you will need to include one complete SOAP note each week through Week 9 for a total of 5 complete SOAP notes for this course using this SOAP note template. The SOAP note should be related to the content covered in this week, and the completed SOAP note should be submitted to the Submissions Area. When submitting your note, be sure to include the reference number from CORE where you entered this specific patient’s case entry.

Theory X Thery Y for Mrs Lynn Only

  

3.1 Case Study—Several Different Styles Vanessa Mills was recently hired to work at a branch of Lakeshore Bank as a personal banker. The branch is very busy and has a large staff, including three on-site managers. As a new employee, Vanessa is trying to figure out how to succeed as a personal banker while meeting the expectations of her three very different managers. Vanessa is paid a salary, but also receives a commission for activities including opening new accounts and selling new services to customers such as credit cards, lines of credit, loans, and stock accounts. Personal bankers are expected to open a certain number of accounts each month and build relationships with customers by exploring their various banking needs and offering services to meet those needs. Marion Woods is one of the managers at Vanessa’s branch. She has worked for Lakeshore Bank for 10 years and prides herself on the success of the branch. Marion openly talks about employees’ progress in terms of the number of accounts opened or relationships established, and then commends or scolds people depending on their productivity. Marion stresses to Vanessa the importance of following procedures and using the scripts that Marion provides to successfully convince customers to open new accounts or accept new services with the bank. As a new banker, Vanessa has not opened many accounts and feels very uncertain about her competence. She is intimidated by Marion, believing that this manager is continually watching and evaluating her. Several times Marion has publically criticized Vanessa, commenting on her shortcomings as a personal banker. Vanessa tries hard to get her sales numbers up so she can keep Marion off her back. Bruce Dexter, another manager at Vanessa’s branch, has been with Lakeshore Bank for 14 years. Bruce started out as a teller and worked his way up to branch manager. As a manager, Bruce is responsible for holding the bank staff’s Monday morning meetings. At these staff meetings, Bruce relays the current numbers for new accounts as well as the target number for new accounts. He also lists the number of new relationships the personal bankers have established. After the meetings, Bruce retreats back into his office where he sits hidden behind his computer monitor. He rarely interacts with others. Vanessa likes when Bruce retreats into his office because she does not have to worry about having her performance scrutinized. However, sometimes when Vanessa is trying to help customers with a problem that falls outside of her banking knowledge, she is stressed because Bruce does not provide her with any managerial support. The third manager at the branch is Heather Atwood. Heather just started at Lakeshore Bank within the last year, but worked for nine years at another bank. Vanessa finds Heather to be very helpful. She often pops in when Vanessa is with a customer to introduce herself and make sure everything is going well. Heather also allows Vanessa to listen in when she calls disgruntled customers or customers with complicated requests, so Vanessa can learn how to manage these types of interactions. Heather trusts her staff and enjoys seeing them grow, encouraging them by organizing games to see who can open the most accounts and offering helpful feedback when customer interactions do not go as planned. Vanessa is grateful for the advice and support she receives from Heather, and looks up to her because she is competent and kind. Vanessa is coming up on her three-month review and is very nervous that she might get fired based on her low sales record and the negative feedback she has received from Bruce and Marion regarding her performance. Vanessa decides to talk to Heather about her upcoming review and what to expect. Heather assures Vanessa that she is doing fine and shows promise even if her numbers have not reached that of a seasoned banker. Still, Vanessa is concerned about Bruce and Marion. She has hardly had more than two conversations with Bruce and feels intimidated by Marion who, she perceives, manages by running around barking numbers at people. 

Questions 

Based on the assumptions of Theory X and Theory Y, how would you describe each manager’s philosophy and style of leadership? In what way do the managers’ attitudes about Vanessa affect their leadership? 

In this type of customer service setting, which leadership style would be most effective for the bank to meet its goals? 

From the bank’s perspective, which (if any) manager exhibits the most appropriate leadership? 

Discuss. What advice would you give to each of the managers to enhance his or her leadership skills within the bank? 

What do you think Vanessa can do to prepare herself for her three-month review?

3.2 Case Study—Leading the Robotics Team Anders Dahlgren is the mentor for a high school robotics team that has spent the past three months designing, building, and programming a robot for competition. The team is composed of 14 boys and one girl, and the students range from freshmen to seniors. With the first competition in three weeks, Anders needs to designate a team captain so the team can get used to working under a new leader. During the competition, the team captain is often called on to make crucial team decisions. The robotics team is divided into groups: Mechanical, whose members design and build the robot, and Programming, whose members develop the computer code that tells the robot how to complete its tasks. During competition, the team captain will have to work with both groups to tweak the robot’s design and programming on the fly to improve the robot’s performance. It can be a high-pressure job for any teenager, and with emotions and stress levels of other team members running on high, the captain will not only need an understanding of both the mechanical and programming aspects, but must also be able to keep 14 other personalities and egos working toward a common goal. There are three members of the robotics team that Anders is considering for captain: • Pria is a junior and the only girl on the team. This is her second year on the team, and she is in the Programming group. Anders describes her as being very serious and a whiz at coding, and she has offered some great design ideas. Pria is very organized—after the team’s first meeting of the year, she developed a schedule with tasks and deadlines and wrote it on the large whiteboard in the workshop so team members could follow it. Pria doesn’t have a lot of patience with teenage boy shenanigans and will admonish her group members to “focus, please” whenever she thinks they’ve gotten off task, such as when they start talking about YouTube videos or music. Pria is very rule-bound and will point out when team members try to cut corners or haven’t adequately followed instructions or the schedule. Anders has noticed that when the other programming group members have a problem or obstacle, they defer to Pria for a solution. He suspects it’s partly because they respect her opinion and partly because they know she’ll tell them how to fix it regardless. Once, though, when Pria was home sick, Anders overheard several of the boys from both groups call Pria “bossy” and say she “stressed them out” with her deadlines and rigidity. • Justin, a senior, is also in his second year on the team. An upbeat, congenial kid, Justin is a member of the Mechanical group. He isn’t much for planning, however; he has a tendency to pick up a power tool and use it before he has actually thought out what he is going to do with it. The other Mechanical group members call him “MacGyver” because he is great working with his hands and often comes up with fixes to mechanical problems by just fiddling around with different pieces and parts for an hour or so. The group members are also pretty forgiving when Justin makes a mistake because his sense of humor keeps them all laughing and he always finds a way to fix it. Anders notices that the Mechanical group is the most creative when Justin is at the helm, but that work sessions can devolve into chaos pretty quickly if Anders doesn’t step in and set parameters and establish goals. • Jerome, also a member of the Mechanical group, is quiet, respectful, and polite. He is a senior and has been on the robotics team since his freshman year. He is a veteran of robotics competitions, and what he has learned over the years has informed a lot of the team’s efforts this year. He is most happy working on the computer-aided designs for the robot and helping those building it to understand and follow the plans and schematics. When group members question elements of his design, however, he will ask, “How do you think we should do it?” He listens to their ideas, and if the other group members agree, they will implement an idea even when Jerome personally doesn’t think it’ll work. Jerome’s method of allowing for trial and error often slows down progress; when the group realizes an idea won’t work, the team members will have to take apart what was built and start over. Anders asked Jerome why he isn’t more assertive in defending his plans, and Jerome answered, “That’s just not my style. How do I know I have all the right answers? We are all supposed to be learning, right? And if I insist they do it my way all the time, how will we learn anything?” 

Questions 

How would you describe the individual leadership styles of Pria, Justin, and Jerome? 

Based on the assumptions of Theory X and Theory Y, how would you describe Pria, Justin, and Jerome’s individual philosophies of leadership? 

The robotics team will be asked to compete in a situation that sounds like it will be intense and stressful. Do you think a democratic leader would be as effective as an authoritarian leader in this situation?

INFORMATICS POLICY/REGULATION FACE SHEET

HELLO I HAVE A DOCUMENT ATTACHED. PLEASE READ IT CAREFULLY AND ANSWER THE QUESTION USING APA FORMAT. PLEASE NO PLAGIARISM, I DO CHECK FOR PLAGIARISM MYSELF TOO BEFORE SUBMITTING THE ASSIGNMENT AND NO INTERNET SOURCES. USE ONLY SCHOLASTIC SOURCES. 

Reply to my peers

Begin reviewing and replying to peer postings/responses early in the week to enhance peer discussion. See the rubric for participation points. Participate in the discussion by asking a question, providing a statement of clarification, providing viewpoints with a rationale, challenging aspects of the discussion, or indicating relationships between two or more lines of reasoning in the discussion. Always use constructive language, even in criticism, to work toward the goal of positive progress.

Peer 1

There can be risk factors that can lead to childhood obesity such as family history, psychological factors, and lifestyle. The main cause of childhood obesity is the combination of exercising too little and eating too much. The risk factor for children and adolescents does differ to a degree. Typically, when you are a child you eat what you are given or how your parents eat. Whereas adolescents can be more verbal with what they may like or dislike and what they choose to eat. Changing eating habits is essential in combating obesity. Increasing physical activity can help. Having activities that the family can do together such as hiking, swimming, or even playing tag. Limiting screen time can play a role in reducing obesity. The more time one spends in front of the tv can cause them to snack more. In order to achieve this, the community should get together and develop strategies on how we can decrease caloric intake but increase physical activity. In my community, we have community centers and I feel this good be a good place to help educate children, adolescents even the parents on good and bad food choices. A lot of community centers even offer exercise and sports.

References.

Roth, E. (2016, January 27). Childhood Obesity: Causes, Risks, and Outlook. Retrieved October 08, 2020, from https://www.healthline.com/health/weight-loss/weight-problems-in-children

Peer 2

           Children and adolescents need the adults in their lives to help make healthy life choices including nutritional health. Healthy People 2020 recognizes several risk factors of childhood obesity. They include genetics, poor nutrition, socioeconomics, knowledge deficit and little to know physical activities. Genetic diseases and hormones can predispose children to childhood obesity. Poor nutrition such as consumption of high saturated fat, high sugar contents and little to no vegetables and healthier choice foods is another risk factor. Lack of access and availability to healthier food choices, living in environment that does not encourage healthy eating and physical activity. Children are more incline to stay indoors engaging in more sedentary activities such as television watching, playing video games or on electronic devices. Knowledge deficit another risk factor, not having the proper education of healthy eating and exercising. The risk factors for obesity for adults is the same as those of children but also include childhood obesity. Objectives include increase numbers of states with nutrition standards for food and beverages, increase primary care who regularly assess body mass index and increase access to healthy food. Community health nurses can contribute to these national health objectives and accomplish the goal of decreasing obesity by working with other stakeholders in the community to create healthy lifestyle through education with wellness programs.

Reference

Nutrition and weight status | Healthy people 2020. (n.d.). Retrieved from https://www.healthypeople.gov/2020/topics-objectives/topic/nutrition-and-weight-status/objectives

nursing multidimensional care2

 

Module 10 Discussion – Influence of Multidimensional Care Elements on Disorders

Disorders of the endocrine system affect many individuals. Providing multidimensional patient care can be challenging for patients experiencing these disorders. Ensuring the plan of care meets the patient and family needs is important in order to increase adherence to proper medical treatment following discharge.

What does it mean to provide a multidimensional approach? Provide at least three examples of how the care team can meet the patient and the family’s needs? List at least three care team members and how are they involved in providing multidimensional care?

Nursing Discussion

The discussion assignment provides a forum for discussing relevant topics for this week on the basis of the course competencies covered. For this assignment, make sure you post your initial response to the Discussion Area by the due date assigned and complete your participation for this assignment by Day 7. To support your work, use your course and text readings and also use resources from the South University Online Library.As in all assignments, cite your sources in your work and provide references for the citations in APA format. Support your work, using your course lectures and textbook readings. Helpful APA guides and resources are available in the South University Online Library. Below are guides that are located in the library and can be accessed and downloaded via the South University Online Citation Resources: APA Style page. The American Psychological Association website also provides detailed guidance on formatting, citations, and references at APA Style.
• APA Citation Helper
• APA Citations Quick Sheet
• APA-Style Formatting Guidelines for a Written Essay
• Basic Essay Template

TASK

Post your initial response to one of the two topics below.

Topic 1: Health Promotion

  • Using one of the health issues identified for your community, discuss health promotion areas at two of the three levels primary, secondary, or tertiary promotion.

Topic 2: Poverty and Community

  • What is the poverty level in your community?
  • How many people live below the poverty level in your community?
  • What does this mean for your community (what issues arise from the poverty level and the number of people below the poverty level)?
  • Justify your answers with resources.

Nurse practitioner Blackboard Discussion.

Answer the following 7 questions from the Case scenario attached below. PLEASE follow all instructions also attached below. Must have 2 references not older than 5 years one from a peer reviewed journal or guidelines. NO Plagiarism Please included Turnitin document. 

Psychotherapy With Individuals

 

In a 1- to 2-page paper, address the following:

  • Briefly describe how cognitive behavioral therapy (CBT) and rational emotive behavioral therapy (REBT) are similar.
  • Explain at least three differences between CBT and REBT. Include  how these differences might impact your practice as a mental health  counselor.
  • Explain which version of cognitive behavioral therapy you might use  with clients and why. Support your approach with evidence-based  literature.

Lifecycle Nutrition

  

DNT 200 — NUTRITION FOR HEALTH SCIENCES

STUDY GUIDE 9: LIFE CYCLE NUTRITION — INFANCY, CHILDHOOD & ADOLESCENCE

Directions. Using Chapter 16 and the DRI tables (inside front cover) of your textbook as a reference, answer the following questions. Please include the questions with your answers. Be sure to put your name on your document. Your answers should be thoughtful, complete, and in Standard English. Credit will not be given for answers copied from online sources.