In a layman’s terms, describe and exemplify these finite field terms – groups, polynomial arithmetic, rings, fields, finite fields of the form GF(p) and fields of the form GF(2n). Your paper should meet the following requirements:
• Be approximately four to six pages in length, not including the required cover page and reference page.
• Follow APA6 guidelines. Your paper should include an introduction, a body with fully developed content, and a conclusion.
• Support your answers with the readings from the course and at least two scholarly journal articles to support your positions, claims, and observations, in addition to your textbook. The UC Library is a great place to find resources.
• Be clearly and well-written, concise, and logical, using excellent grammar and style techniques. You are being graded in part on the quality of your writing.
By submitting this paper, you agree: (1) that you are submitting your paper to be used and stored as part of the SafeAssign™ services in accordance with the Blackboard Privacy Policy; (2) that your institution may use your paper in accordance with your institution’s policies; and (3) that your use of SafeAssign will be without recourse against Blackboard Inc. and its affiliates.

Family Practice

In Chapter 5 “A Family Practitioner” Dr. Carrie Hunter says “Primary care is one third psychiatry. It’s counseling as well as technical knowledge.” In your experience as a patient, caregiver, or as an observer, do you agree with this statement as it relates to a family practitioner?

Write an original response of 250 words and make sure to support your comments for your main post with at least two scholarly sources (your textbook can be one of them). For original threads and replies, use current APA style citations in-text and for references at the end. You must respond to at least two of your classmates with 75-word responses.

Maladaptive Responses to Immune Disorders

Maladaptive responses to disorders are compensatory mechanisms that ultimately have adverse health effects for patients. For instance, a patient’s allergic reaction to peanuts might lead to anaphylactic shock, or a patient struggling with depression might develop a substance-abuse problem. To properly diagnose and treat patients, advanced practice nurses must understand both the pathophysiology of disorders and potential maladaptive responses that some disorders cause.

Consider immune disorders, such as HIV, psoriasis, inflammatory bowel disease, and systemic lupus E. What are resulting maladaptive responses for patients with these disorders?

To prepare:

Review Chapter 5 and Chapter 7 in the Huether and McCance text, as well as the Yi, et al, article in the Learning Resources. Reflect on the concept of maladaptive responses to disorders.

Select two of the following immune disorders: HIV, psoriasis, inflammatory bowel disease, and/or systemic lupus E (SLE).

Think about the pathophysiology of each disorder you selected. Consider the compensatory mechanisms that the disorders trigger. Then, compare the resulting maladaptive and physiological responses of the two disorders.

Consider the types of drugs that would be prescribed to patients to treat symptoms associated with these disorders and why.

Select one of the following patient factors: genetics, gender, ethnicity, age, or behavior. Consider how your selected factor might impact the disorder. Then, reflect on how your selected factor might impact the effects of prescribed drugs, as well as any measures you might take to help reduce any negative side effects.

Questions to be addressed in my paper:

A brief description of the pathophysiology of the immune disorders you selected.

Explain how the maladaptive and physiological responses of the two disorders differ.

Then, describe the types of drugs that would be prescribed to patients to treat symptoms associated with these immune disorders and why.

Explain how the factor you selected might impact the pathophysiology of each disorder as well as the effects of prescribed drugs.

E xplain any measures you might take to help reduce any negative side effects.

Summary with Conclusion

 

REMINDERS:

1)         2-3 pages (addressing the 5 questions above excluding the title page and reference page).

2)         Kindly follow APA format for the citation and references! References should be between the period of 2011 and 2016. Please utilize the references at least three below as much as possible and the rest from yours.

3)       Make headings for each question.

 

 

RESOURCES:

Readings

Huether, S. E., & McCance, K. L. (2012).  Understanding pathophysiology  (Laureate custom ed.). St. Louis, MO: Mosby.

Chapter 5, “Innate Immunity: Inflammation and Wound Healing”

This chapter examines how the body responds to injury and infection by exploring the first, second, and third lines of defense. It also covers wound healing and alterations of the wound-healing process.

Chapter 6, “Adaptive Immunity”

This chapter examines the third line of defense, adaptive immunity. It also covers the roles of antigens and immunogens, the humoral immune response, cell-mediated immunity, and the production of B and T lymphocytes in the immune response.

Chapter 7, “Infection and Defects in Mechanisms of Defense”

This chapter covers the epidemiology, clinical presentation, and treatment of disorders resulting from infection, deficiencies in immunity, and hypersensitivity. It also examines the pathophysiology of an important immune disorder: HIV/AIDS.

Chapter 8, “Stress and Disease”

This chapter evaluates the impact of stress on various body systems and the immune system. It also examines coping mechanisms and disorders related to stress.

Chapter 39, “Structure, Function, and Disorders of the Integument”

This chapter begins with an overview of the structure and function of skin. It then covers effects of aging on skin, as well as disorders of the skin, hair, and nails.

Chapter 40, “Alterations of Integument in Children”

This chapter covers alterations of the integument that affect children. These include acne vulgaris, dermatitis, infections of the skin, insect bites and parasites, vascular disorders, and other skin disorders.

Poole Arcangelo, V., & Peterson, A. M. (Eds.). (2013).  Pharmacotherapeutics for advanced practice: A practical approach  (3rd ed.). Ambler, PA: Lippincott Williams & Wilkins. 

Chapter 8, “Principles of Antimicrobial Therapy”

This chapter covers factors that impact the selection of an antimicrobial treatment regimen. It also examines the clinical uses, adverse events, and drug interactions of various antimicrobial agents, such as penicillin

Chapter 12, “Fungal Infections of the Skin”

This chapter explores the pathophysiology of several fungal infections of the skin, as well as related drug treatments. It also examines the importance of patient education when managing these infections.

Chapter 14, “Bacterial Infections of the Skin”

This chapter begins by examining causes of bacterial infections. It then explores the importance of selecting an appropriate agent for treating bacterial infections.

Chapter 32, “Urinary Tract Infection” 

This chapter covers drugs used to treat urinary tract infections. It also identifies special considerations when treating geriatric patients, pediatric patients, and women.

Chapter 35, “Sexually Transmitted Infections”

This chapter outlines the causes, pathophysiology, and drug treatment of six sexually transmitted infections, including gonorrhea, syphilis, and human papilloma virus infection (HPV). It also examines the importance of selecting the proper agent and monitoring patient response to treatment.

Chapter 48, “Human Immunodeficiency Virus”

This chapter presents the causes, pathophysiology, diagnostic criteria, and prevention methods for HIV. It also covers various methods of drug treatment and patient factors to consider when selecting, administering, and managing drug treatments.

Yi, H., Shidlo, A., & Sandfort, T. (2011). Assessing maladaptive responses to the stress of being at risk of HIV infection among HIV-negative gay men in New York City.  Journal of Sex Research ,  48 (1), 62–73. 
Retrieved from the Walden Library databases.

This study assesses behaviors and attitudes toward HIV based on knowledge about infection and advances in medical treatment. It also examines the impact of maladaptive responses to the stress of HIV risk.

Scourfield, A., Waters, L., & Nelson, M. (2011). Drug combinations for HIV: What’s new?  Expert Review of Anti-Infective Therapy ,  9 (11), 1001–1011. Retrieved from  http://www.expert-reviews.com/doi/abs/10.1586/eri.11.125

This article examines current therapies and strategies for treating HIV patients. It also examines factors that impact the selection of therapy, including drug interactions, personalization of therapy, costs, management of comorbidities, and patient response.  

Drugs.com. (2012). Retrieved from  www.drugs.com  

This website presents a comprehensive review of prescription and over-the-counter drugs, including information on common uses and potential side effects. It also provides updates relating to new drugs on the market, support from health professionals, and a drug-drug interactions checker. Media

Laureate Education, Inc. (Executive Producer). (2012b).  Antimicrobials . Baltimore, MD: Author. 

This media presentation outlines principles of antimicrobial therapy. Optional Resources

Centers for Disease Control and Prevention. (n.d.). Retrieved August 10, 2012, from http://www.cdc.gov

Haymarket Media, Inc. (2012). Monthly prescribing reference [Online database]. Retrieved from http://www.empr.com/

Institute for Safe Medication Practices. (2012). Retrieved from  http://www.ismp.org/

Medscape. (2012). Retrieved from  http://www.medscape.com/

 

 

Make a SOAP Note Not a narrative essay: Ankle Pain

Note:  Your Discussion post should be in the SOAP Note format, rather than the traditional narrative style Discussion posting format. Refer to the Comprehensive SOAP Template in the attachments below for guidance.  

CASE: Ankle Pain

A 46-year-old female reports pain in both of her ankles, but she is more concerned about her right ankle. She was playing soccer over the weekend and heard a “pop.” She is able to bear weight, but it is uncomfortable. In determining the cause of the ankle pain, based on your knowledge of anatomy, what foot structures are likely involved? What other symptoms need to be explored? What are your differential diagnoses for ankle pain? What physical examination will you perform? What special maneuvers will you perform? Should you apply the Ottowa ankle rules to determine if you need additional testing?

 

To prepare:

With regard to the case study you were assigned:

·         Review this week’s Learning Resources, and consider the insights they provide about the case study.

·         Consider what history would be necessary to collect from the patient in the case study you were assigned.

·         Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis?

·         Identify  at least five  possible conditions that may be considered in a differential diagnosis for the patient.

Address all these in the SOAP Note not an Narrative Essay (Follow the SOAP Note Template on the attachment):

1.     A description of the health history you would need to collect from the patient in the case study to which you were assigned.

2.     Explain what physical exams and diagnostic tests would be appropriate and how the results would be used to make a diagnosis.

3.     List  five  different possible conditions for the patient’s differential diagnosis, and justify why you selected each.

4.     Include how the patient X-ray (in the attachment below)  helped you to refine the differential diagnosis

5. Please address also all the questions on the case above in the SOAP note.

 

REMINDER: Please make a SOAP NOTE for this case. Make your own patient’s data, applicable health history, review of systems, P.E., labs, differential diagnosis, final diagnosis etc. Incorporate the data from the case in the SOAP note that you will do… This is not a narrative essay ok…. I need SOAP note (Nurse Practitioner/RN/MD  makes SOAP note)… Be guided with the SOAP Note in the templates/exemplar… Don’t copy paste. Formulate your own… Don’t forget to cite the Five different possible conditions (Differential diagnosis) and have Reference lists too.

 

Resources:

·         Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2015).  Seidel’s guide to physical examination  (8th ed.). St. Louis, MO: Elsevier Mosby.

o    Review of Chapter 4, “Vital Signs and Pain Assessment” (pp. 50-63)

o    Chapter 21, “Musculoskeletal System” (pp. 501-543)

This chapter describes the process of assessing the musculoskeletal system. In addition, the authors explore the anatomy and physiology of the musculoskeletal system.

   Dains, J. E., Baumann, L. C., & Scheibel, P. (2016).  Advanced health assessment and clinical diagnosis in primary care  (5th ed.). St. Louis, MO: Elsevier Mosby.

o    Chapter 22, “Limb Pain” (pp. 356-374)

This chapter outlines how to take a focused history and perform a physical exam to determine the cause of limb pain. It includes a discussion of the most common tests used to assess musculoskeletal disorders.

o    Chapter 24, “Low Back Pain (Acute)” (pp. 288-300)

The focus of this chapter is the identification of the causes of lower back pain. It includes suggested physical exams and potential diagnoses.

   Sullivan, D. D. (2012).  Guide to clinical documentation  (2nd ed.). Philadelphia, PA: F. A. Davis.

o    Chapter 2, “The Comprehensive History and Physical Exam” (“Muscle Strength Grading”; p. 26)

o    Chapter 4, “Pediatric Preventative Care Visits” (“Documentation of Important Components of Age Specific Physical Exams and Sports Pediatric Sports Participation Physical Exam”; pp. 78–79)

Note:  Download this Adult Examination Checklist and Physical Exam Summary: Abdomen to use during your practice musculoskeletal examination.

   Seidel, H. M., Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2011).  Adult examination checklist: Guide for musculoskeletal assessment . In  Mosby’s guide to physical examination  (7th ed.). St. Louis, MO: Elsevier Mosby.
This Adult Examination Checklist: Guide for Musculoskeletal Assessment was published as a companion to Seidel’s guide to physical examination (8th ed.), by Ball, J. W., Dains, J. E., & Flynn, J. A. Copyright Elsevier (2015). From https://evolve.elsevier.com/

   Seidel, H. M., Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2011).  Physical exam summary: Musculoskeletal system . In  Mosby’s guide to physical examination  (7th ed.). St. Louis, MO: Elsevier Mosby.
This Musculoskeletal System Physical Exam Summary was published as a companion to Seidel’s guide to physical examination(8th ed.), by Ball, J. W., Dains, J. E., & Flynn, J. A. Copyright Elsevier (2015). From https://evolve.elsevier.com/

   Katz, J. N., Lyons, N., Wolff, L. S., Silverman, J., Emrani, P., Holt, H. L., & …Losina, E. (2011). Medical decision-making among Hispanics and non-Hispanic Whites with chronic back and knee pain: A qualitative study.  BMC Musculoskeletal Disorders ,  12 (1), 78–85.
Retrieved from the Walden Library databases.

This study examines the medical decision making among Hispanics and non-Hispanic whites. The authors also analyze the preferred information sources used for making decisions in these populations.

   Vismara, L., Menegoni, F., Zaina, F., Galli, M., Negrini, S., & Capodaglio, P. (2010). Effect of obesity and low back pain on spinal mobility: A cross sectional study in women.  Journal of Neuroengineering & Rehabilitation ,  7 (1), 71–83.
Retrieved from the Walden Library databases.

In this study, the authors explore the effect of obesity and chronic low back pain on spinal mobility. The authors use range of motion as a metric of spinal mobility.

   University of Virginia. (n.d.).  Introduction to radiology: An online interactive tutorial . Retrieved from http://www.med-ed.virginia.edu/courses/rad/index.html
This website provides an introduction to radiology and imaging. For this week, focus on skeletal trauma in musculoskeletal radiology.

Media

Online media for  Seidel’s Guide to Physical Examination

In addition to this week’s resources, it is highly recommended that you access and view the resources included with the course text,  Seidel’s Guide to Physical Examination . Focus on the videos and animations in Chapter 21 that relate to the assessment of the musculoskeletal system. Refer to the Week 4 Learning Resources area for access instructions on   https://evolve.elsevier.com/ .

Optional Resources

·         LeBlond, R. F., Brown, D. D., & DeGowin, R. L. (2009).  DeGowin’s diagnostic examination  (9th ed.). New York, NY: McGraw Hill Medical.

 

o    Chapter 13, “The Spine, Pelvis, and Extremities” (pp. 585–682)

In this chapter, the authors explain the physiology of the spine, pelvis, and extremities. The chapter also describes how to examine the spine, pelvis, and extremities.