Pls check the attached file. This is a response essay. Use APA

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The case scenario provided will be used to answer the discussion questions that follow.

Case Scenario

Ms. G., a 23-year-old diabetic, is admitted to the hospital with a cellulitis of her left lower leg. She has been applying heating pads to the leg for the last 48 hours, but the leg has become more painful and she has developed chilling.

Subjective Data

• Complains of pain and heaviness in her leg.
• States she cannot bear weight on her leg and has been in bed for 3 days.
• Lives alone and has not had anyone to help her with meals.

Objective Data

• Round, yellow-red, 2 cm diameter, 1 cm deep, open wound above medial malleolus with moderate amount of thick yellow drainage
• Left leg red from knee to ankle
• Calf measurement on left 3 in > than right
• Temperature: 38.9 degrees C
• Height: 160 cm; Weight: 83.7 kg

Laboratory Results

• WBC 18.3 x 10¹² / L; 80% neutrophils, 12% bands
• Wound culture: Staphylococcus aureus

Critical Thinking Questions

1. What clinical manifestations are present in Ms. G and what recommendations would you make for continued treatment? Provide rationale for your recommendations.
2. Identify the muscle groups likely to be affected by Ms. G’s condition by referring to “ARC: Anatomy Resource Center.”
3. What is the significance of the subjective and objective data provided with regard to follow-up diagnostic/laboratory testing, education, and future preventative care? Provide rationale for your answer.
4. What factors are present in this situation that could delay wound healing, and what precautions are required to prevent delayed wound healing? Explain.

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            Assignment Information       

1.   Due Date                  Sunday, November 1, 2018                   11:59 PM    Points Possible                100       
2. Vila Health: Marketing Plan
   Overview
   Effective marketing plans begin with thorough external environmental  and internal organizational assessments, alignment with strategic plans,  and clear identification of directional strategies. The marketing plan  must reflect logic, cohesion, realistic interventions and costs, and  ideally work with the strengths and opportunities that fit the overall  context of the proposed service line. In this assignment, you will  develop a conceptual level marketing plan for St. Anthony Medical  Center’s Labor and Delivery service line, which is based on your  assessment. Additionally, the marketing plan will include evidence-based  recommendations and your creative insights regarding how to optimally  position and communicate the Labor and Delivery service line to  prospective consumers.
   Recall from your previous visit with the leadership team, that your  CEO has communicated a growth strategy for St. Anthony Medical Center.  The marketing director and leadership team have further determined that  the Labor and Delivery service will implement a market pull strategy  where consumers will be drawn to the organization based on some unique  feature or features of the service line (also known as differentiators).  You are competing against two other similar services at area hospitals,  so your marketing conceptual level recommendations will need to assure  that you have differentiated St. Anthony Medical Center’s Labor and  Delivery service in a competitive manner. Consider how a health care  organization might differentiate it’s service from a competitor (review  your Unit 2 readings or conduct research in the Capella University  Library on strategic marketing and differentiation strategies). You may  wish to reflect on some of the facets that you as a consumer consider  when selecting health care providers and organizations.
   Your marketing director and the Labor and Delivery unit manager would  like to discover your fresh perspective and recommendations. At a  conceptual level, given the organization’s desired target versus actual  performance, what suggestions might you offer to convert prospective  consumers into satisfied Labor and Delivery patients? Remember to assess  gaps between actual performance versus desired targets (review the  current Labor and Delivery budget to determine current versus targeted  number of deliveries, profit margin, and so forth).
   This all corresponds with steps four and five of Kotler’s Marketing Plan format in Health Care Marketing. Savvy interns will read the assignment scoring guides and construct an outline before beginning research for this activity.
   Last week, you were exposed to a lot of information about St. Anthony  Medical Center in general and the Labor and Delivery unit in  particular. You may want to consider reviewing those documents,  interviews and e-mails again while working on this unit’s assignment.
   Instructions
   Review the vision, mission, values statement, strategic directional  strategy for St. Anthony Medical Center, and assess the Labor and  Delivery service line offerings.
    
   • Conduct a gap analysis of St. Anthony Medical Center’s Labor and Delivery service relative to internal goals.
   • Construct a competitive analysis of St. Anthony Medical Center’s Labor and Delivery service relative to competitors.
   • Propose general or conceptual level recommendations to close gaps  such as missing services, missing marketing channels, suboptimal  profitability, and so forth.
   • Formulates insights or creative approaches that may be helpful in  construction of an action plan to implement the recommendations.
   • Submit your assignment by due date. Be sure to use current APA style and formatting throughout.

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This is a CLC assignment.

As a group, observe the simulated “Home Visit With Sallie Mae Fisher” video (http://lc.gcumedia.com/zwebassets/courseMaterialPages/nrs410v_vp01Alt.php).

Refer to “Sallie Mae Fisher’s Health History and Discharge Orders” for specifics related to the case study used to inform the assignment.

Using “Home Visit With Sallie Mae Fisher” and “Sallie Mae Fisher’s Health History and Discharge Orders,” complete the following components of this assignment:

Essay Portion

After viewing the home visit, write an essay of 500-750-words in which you do the following:

1. Identify, prioritize, and describe at least four problems.
2. Provide substantiating evidence (assessment data) for each problem identified.
3. Identify and describe at least four medical and/or nursing interventions.
4. Discuss your rationale for the interventions identified.

Prepare this step of the assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

Scripted Dialogue Portion

Utilizing the information learned from the home visit, health histories, and discharge orders, write a scripted dialogue in which you provide Sallie Mae with education that describes her problems and the interventions identified to improve her condition. Consider Sallie Mae’s physiological, psychosocial, educational, and spiritual needs when developing your dialogue.

Your dialogue should resemble a script. The following is an example of a few sentences from a scripted dialogue:

Nurse: “Good morning, Salle Mae, my name is ______ and I will be your nurse today. I understand you are experiencing problems with ________.”

APA format is not required for this part of the assignment, but solid academic writing is expected.

Refer to “Home Visit With Sallie Mae Fisher Grading Criteria.”

Entire Assignment

You are required to submit this assignment to LopesWrite. Refer to the directions in the Student Success Center. Only Word documents can be submitted to LopesWrite.

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Case Study 1

Ms. A. is an apparently healthy 26-year-old white woman. Since the beginning of the current golf season, Ms. A has noted increased shortness of breath and low levels of energy and enthusiasm. These symptoms seem worse during her menses. Today, while playing in a golf tournament at a high, mountainous course, she became light-headed and was taken by her golfing partner to the emergency clinic. The attending physician’s notes indicated a temperature of 98 degrees F, an elevated heart rate and respiratory rate, and low blood pressure. Ms. A states, “Menorrhagia and dysmenorrheal have been a problem for 10-12 years, and I take 1,000 mg of aspirin every 3 to 4 hours for 6 days during menstruation.” During the summer months, while playing golf, she also takes aspirin to avoid “stiffness in my joints.”

Laboratory values are as follows:

Hemoglobin = 8 g/dl

Hematocrit = 32%

Erythrocyte count = 3.1 x 10/mm

RBC smear showed microcytic and hypochromic cells

Reticulocyte count = 1.5%

Other laboratory values were within normal limits.

Question

Considering the circumstances and the preliminary workup, what type of anemia does Ms. A most likely have? In an essay of 500-750 words, explain your answer and include rationale.

____In a short essay (500-750 words), answer the Question at the end of Case Study 1. Cite references to support your positions.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

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