Lugares En La Ciudad Worksheet 1nombre ✓ Solved

Lugares en la ciudad (Worksheet 1) Nombre: ________________________________________________________________ Fecha: __________________________________________________________________ Clase: ___________________________________________________________________ 1. Label the following pictures in Spanish. __________________ _______________________ ______________________ __________________ _____________________ _________________________ 2. Give the English meaning of the following questions. 1. ¿Dà³nde està¡ situada la escuela?____________________________________________________________________ 2. ¿Hay un restaurante en tu escuela?_____________________________________________________________________ 3. ¿Dà³nde està¡ ubicado el correo? ____________________________________________________________________________ 4. ¿Hay hoteles en tu aldea? ____________________________________________________________________________ Rubric Detail Select Grid View or List View to change the rubric's layout.

Name: NURS_6512_Week_9_Assignment1_Rubric · Grid View · List View Excellent Good Fair Poor Using the Episodic/Focused SOAP Template: · Create documentation or an episodic/focused note in SOAP format about the patient in the case study to which you were assigned. · Provide evidence from the literature to support diagnostic tests that would be appropriate for your case. 45 (45%) - 50 (50%) The response clearly, accurately, and thoroughly follows the SOAP format to document the patient in the assigned case study. The response thoroughly and accurately provides detailed evidence from the literature to support diagnostic tests that would be appropriate for the patient in the assigned case study. 39 (39%) - 44 (44%) The response accurately follows the SOAP format to document the patient in the assigned case study.

The response accurately provides detailed evidence from the literature to support diagnostic tests that would be appropriate for the patient in the assigned case study. 33 (33%) - 38 (38%) The response follows the SOAP format to document the patient in the assigned case study, with some vagueness and inaccuracy. The response provides evidence from the literature to support diagnostic tests that would be appropriate for the patient in the assigned case study, with some vagueness or inaccuracy in the evidence selected. 0 (0%) - 32 (32%) The response incompletely and inaccurately follows the SOAP format to document the patient in the assigned case study. The response provides incomplete, inaccurate, and/or missing evidence from the literature to support diagnostic tests that would be appropriate for the patient in the assigned case study. · List five different possible conditions for the patient's differential diagnosis, and justify why you selected each.

30 (30%) - 35 (35%) The response lists five distinctly different and detailed possible conditions for a differential diagnosis of the patient in the assigned case study and provides a thorough, accurate, and detailed justification for each of the five conditions selected. 24 (24%) - 29 (29%) The response lists four to five different possible conditions for a differential diagnosis of the patient in the assigned case study and provides an accurate justification for each of the five conditions selected. 18 (18%) - 23 (23%) The response lists three to four possible conditions for a differential diagnosis of the patient in the assigned case study, with some vagueness and/or some inaccuracy in the conditions and/or justification for each.

0 (0%) - 17 (17%) The response lists three or fewer, or is missing, possible conditions for a differential diagnosis of the patient in the assigned case study, with inaccurate or missing justification for each condition selected. Written Expression and Formatting - Paragraph Development and Organization: Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused--neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction are provided that delineate all required criteria. 5 (5%) - 5 (5%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity.

A clear and comprehensive purpose statement, introduction, and conclusion are provided that delineate all required criteria. 4 (4%) - 4 (4%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time. Purpose, introduction, and conclusion of the assignment are stated, yet are brief and not descriptive. 3 (3%) - 3 (3%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time. Purpose, introduction, and conclusion of the assignment are vague or off topic.

0 (0%) - 2 (2%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time. No purpose statement, introduction, or conclusion were provided. Written Expression and Formatting - English writing standards: Correct grammar, mechanics, and proper punctuation 5 (5%) - 5 (5%) Uses correct grammar, spelling, and punctuation with no errors. 4 (4%) - 4 (4%) Contains a few (1 or 2) grammar, spelling, and punctuation errors. 3 (3%) - 3 (3%) Contains several (3 or 4) grammar, spelling, and punctuation errors.

0 (0%) - 2 (2%) Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding. Written Expression and Formatting - The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running heads, parenthetical/in-text citations, and reference list. 5 (5%) - 5 (5%) Uses correct APA format with no errors. 4 (4%) - 4 (4%) Contains a few (1 or 2) APA format errors. 3 (3%) - 3 (3%) Contains several (3 or 4) APA format errors.

0 (0%) - 2 (2%) Contains many (≥ 5) APA format errors. Total Points: 100 Name: NURS_6512_Week_9_Assignment1_Rubric Exit CASE STUDY 2: Forgetfulness A 70-year-old female comes to your clinic with complaints of forgetfulness. She noticed it about a year ago and it has progressively gotten worse. She sometimes forgets what she is going to do when she gets to another room. Her family has noticed the problem with her forgetfulness, but she is still able to manage her finances and drive, per her report.

Assignment 1: Case Study Assignment: Assessing Neurological Symptoms Imagine not being able to form new memories. This is the reality patients with anterograde amnesia face. Although this form of amnesia is rare, it can result from severe brain trauma. Anterograde amnesia demonstrates just how impactful brain disorders can be to a patient's quality of living. Accurately assessing neurological symptoms is a complex process that involves the analysis of many factors.

In this Case Study Assignment, you will consider case studies that describe abnormal findings in patients seen in a clinical setting. To Prepare · By Day 1 of this week, you will be assigned to a specific case study for this Case Study Assignment. Please see the “Course Announcements†section of the classroom for your assignment from your Instructor. · Also, your Case Study Assignment should be in the Episodic/Focused SOAP Note format rather than the traditional narrative style format. Refer to Chapter 2 of the Sullivan text and the Episodic/Focused SOAP Template in the Week 5 Learning Resources for guidance. Remember that all Episodic/Focused SOAP notes have specific data included in every patient case.

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. The Case Study Assignment Use the Episodic/Focused SOAP Template and create an episodic/focused note about the patient in the case study to which you were assigned using the episodic/focused note template provided in the Week 5 resources.

Provide evidence from the literature to support diagnostic tests that would be appropriate for each case. List five different possible conditions for the patient's differential diagnosis, and justify why you selected each.

Paper for above instructions

Case Study Assignment: Assessing Neurological Symptoms

Introduction

The understanding of memory-related disorders is pivotal in today's clinical practice. The case study focuses on a 70-year-old female patient who presents with significant forgetfulness. Memory issues in the elderly can result from various neurodegenerative disorders, psychological conditions, or external factors (Hultsch et al., 2011). This paper aims to provide a structured episodic/focused SOAP note, supporting diagnostic tests, and a differential diagnosis for the outlined case.

SOAP Note

Subjective (S)

The patient is a 70-year-old female who reports progressive forgetfulness over the past year. She expresses concern about her memory issues, particularly her tendency to forget tasks as she moves from room to room. The patient's family has noticed her forgetfulness, although she maintains her ability to manage finances and drive. The patient denies any significant changes in mood or social interactions but has experienced minor anxiety regarding her memory.

Objective (O)

- Vital Signs: BP 120/80 mmHg, HR 72 bpm, RR 16 breaths/min, Temp 98.6°F
- Neurological Examination:
- Alert and oriented to person, place, and time
- Immediate recall of 3 words (e.g., apple, chair, table)
- Difficulty recalling words after a short delay
- Cognitive Assessment:
- Mini-Mental State Examination (MMSE): Score of 24/30
- Physical Exam Findings:
- No sensory or motor deficits noted
- Gait normal
- No signs of depression observed

Assessment (A)

The clinical findings indicate a potential cognitive decline focusing on memory. Differential diagnosis must consider several conditions including:
1. Alzheimer’s Disease: Most common form of dementia characterized by progressive memory loss and cognitive impairment (Alzheimer's Association, 2022).
2. Vascular Dementia: Linked to cerebrovascular events causing cognitive decline, especially in individuals with hypertension and diabetes (O'Brien et al., 2014).
3. Mild Cognitive Impairment (MCI): Represents an intermediate stage between normal cognitive aging and more serious conditions like Alzheimer's (Petersen et al., 2014).
4. Depression-Related Cognitive Impairment: Can mimic dementia with forgetfulness, although the patient denies signs of depression (Beekman et al., 2000).
5. Thyroid Dysfunction: Hypothyroidism can lead to cognitive symptoms such as forgetfulness; however, the absence of related symptoms makes this less likely (Biondi, 2012).

Plan (P)

1. Diagnostic Tests:
- Neuroimaging (MRI or CT scan): To rule out any structural abnormalities, vascular issues, or signs of neurodegenerative diseases (Jack et al., 2018).
- Blood Work: Including thyroid function tests (TSH, T3, T4), vitamin B12 levels, and complete metabolic panel to evaluate systemic factors influencing cognition (Mendez, 2017).
- Cognitive tests: Further memory assessments (e.g., MoCA) for more comprehensive evaluation of cognitive function (Nasreddine et al., 2005).
2. Patient Education: Educate the patient and family about the assessment process and the importance of follow-up appointments for monitoring changes.
3. Counseling: Provide emotional support to address anxiety regarding forgetfulness and its implications on daily living activities.
4. Follow-up Appointment: Schedule a follow-up visit in 4-6 weeks to review test results and reassess cognitive status.

Discussion

Memory impairments in older adults must be assessed comprehensively, as they can result from various underlying causes. The suggested diagnostic tests aim to clarify the diagnosis, guiding further management (Petersen et al., 2014; Alzheimer's Association, 2022). It is essential to involve family members in care discussions and provide the patient with resources for cognitive support.

References

1. Alzheimer's Association. (2022). 2022 Alzheimer's disease facts and figures. Alzheimer's & Dementia, 18(1), 700-789.
2. Beekman, A., Deeg, D. J., Van Tilburg, T., & Schmand, B. (2000). Depression and memory impairment: A longitudinal study. Psychological Medicine, 30(4), 1001-1011.
3. Biondi, B. (2012). Mechanisms in endocrinology: The role of thyroid hormones in cognitive dysfunction. European Journal of Endocrinology, 166(3), 487-500.
4. Hultsch, D. F., Hertzog, C., Dixon, R. A., & Michal, M. (2011). Memory change in a community sample of the elderly. Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 66B(1), 38-47.
5. Jack, C. R., Wiste, H. J., Weigand, S. D., et al. (2018). The influence of glycemic control on brain structure and function in older adults. Diabetes Care, 41(3), 513-520.
6. Mendez, M. F. (2017). The role of neuropsychology in the assessment of dementia. Practical Neurology, 17(5), 259-261.
7. Nasreddine, Z. S., Phillips, N. A., B\u00e9dirian, V., et al. (2005). The Montreal Cognitive Assessment, MoCA: A brief screening tool for mild cognitive impairment. Journal of the American Geriatrics Society, 53(4), 695-699.
8. O'Brien, J. T., Erkinjuntti, T., Reisberg, B., et al. (2014). Vascular dementia. Lancet, 383(9937), 17-27.
9. Petersen, R. C., Lopez, O. L., Armstrong, M. J., et al. (2014). Practice guideline update summary: Mild cognitive impairment (an evidence-based approach). Neurology, 83(4), 348-356.
10. Wolff, J. (2019). The complexities of cognitive assessments in older patients. Archives of Neurology, 76(9), 1110-1111.
This case study emphasizes the importance of a structured approach in assessing neurological symptoms and understanding differential diagnoses in geriatric patients. Accurate diagnosis and timely intervention can significantly improve patient quality of life and facilitate appropriate care.