Ms. Miller Case Study

Ms. Miller
Ms. PM is a 31-year-old G3P2 African-American female who presents to your clinic today complaining of unusual fatigue, nausea, and vomiting for the last five days. She has a medical history of chronic hypertension (HTN) that was diagnosed shortly after her first pregnancy two years ago and GERD. MS. BD’s blood pressure is controlled on Hydrochlorothiazide12.5mg by mouth daily. During the interview, you learn that she is single, sexually active, has one partner and that her menses is ten days late. She performed a home pregnancy the three days after missing her menstrual cycle, and the results were inconclusive. She states she feels terrible and needs relief. She has no other medical problems, symptoms, or concerns.
Medical History: Hypertension
Medication: HCTZ 12.5 mg daily
Allergies: NKDA
Surgical History: N/A
Family History: Mother + HTN
Current Vitals: 130/70, HR 68, Ht: 65 Wt: 200
On this visit Urine HCG positive, K 4.0, Creatinine 0.8, BUN 13, WBC 5.2, Hgb 11.6, Hct26, and platelets 320,000
ROS:
Constitional:
HEENT: Denies any headache, nasal congestion, ear pain. Reports fatigue
Cardiovascular: Denies chest pain, swelling
Respiratory: Denies any SOB or DOE
GI: Reports nausea, vomiting, worseing reflux
GU: Denies any painful urination, urgency, hesitancy
Musculoskeletal: Denies
Neurological: Denies
Psychiatric: Denies suicidal ideations, depression. Does report difficulty falling asleep
Endocrine: Denies
Hematologic/ Lymphatic: Denies any bruising

OBJECTIVE:
Vital signs: Ht: 65, Wt: 200, BP 130/70, HR 68, Resp: 16

 

Constitutional: Well developed, overweight female

Cardiovascular: RRR, No murmurs or rubs noted. No peripheral edema noted
Respiratory: Clear bilaterally all fields.
GI: Abdomen round, soft, with bowel sounds noted in all four quadrants.
GU: Deferred
Integrementary: Skin warm and dry, No rashes noted
Develop a PowerPoint presentation for your patient covering the content in Unit 3 of Edelman, Kudzama, & Mandle (2018). Include the following:
Screening [Immunizations are to be addressed explicitly-ie. up to date- and define, or not up to date- management]
Health Education
Nutrition Counseling for Health Promotion
Exercise
Stress Management
Complementary and Alternative Strategies.
Incorporate the application of a mobile app either by practitioner or population (ie, use of CDC Immunization App to reference Catch Up Schedule, or Fitbit©
App and mobile technology for fitness tracking)

 

Sample Solution

 

 

Burj Khalifa – The World’s Tallest Building

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burj khalifa paper

Living in the 21st century implies living in the time of mechanical miracles—considering, in any event, you are living in a first-world or second-world nation. Mechanical advancement shows itself in the environmental factors of a cutting edge singular, beginning from espresso machines and winding up with bigger than-regular high rises. Talking about the last mentioned, they have advanced enormously from the hours of the Home Insurance Building in Chicago—the principal high rise at any point fabricated. Today, the most mechanically propelled high rise is the popular Burj Khalifa in Dubai.

The Burj Khalifa (or how it was called until 2010, Burj Dubai) opened on January fourteenth, 2010. Indeed, even before the structure development was done, beginning from 2007, it had become the most elevated high rise on the planet. Its definite tallness is 2,722 feet, or 829,8 meters, and it clearly can be seen from any point in Dubai. The quantity of floors, be that as it may, is somewhat less than some may expects: Burj Khalifa sums in 163 stories, which is 16’2″ (around 5 meters) for each floor.

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Burj Khalifa resembles a stalagmite, which implies it looks like vertical minerals developing from cavern floors. Stalagmites for the most part have a state of a cone, thus does Burj Khalifa; on the off chance that you take a gander at it from a separation, it will help you to remember a monstrous sharp cone made of glass and steel.

The most great viewpoint about Burj Khalifa is that it had been intended to be a “city inside the city”; this implies inside the pinnacle, you can discover parks, rear entryways, locale, wellsprings, etc. The glass of the pinnacle’s surface consistently sparkles, since it is washed each and every day, and the make of cement of which the pinnacle was worked from was concocted explicitly for Burj Khalifa. There are three passageways to the pinnacle, since it is colossal to such an extent that a couple would not be sufficient. At the foot of the high rise, there is a major fake lake that matches 12 hectares.

Inside, the structure is as wonderful all things considered all things considered. The insides were anticipated by well known planners—for instance, the inside of the Armani inn, situated on the floors from first to 39th, was structured by Giorgio Armani himself. The air inside Burj Khalifa is adapted and seasoned—it is said that the flavor was additionally planned only for the pinnacle; 57 lifts work 24 hours every day to ship guests between floors.

Expounding on Burj Khalifa is an unpleasant activity. The presence of this structure is a supernatural occurrence itself, taking into account how it remains against the breeze, gravity, and other normal powers. With a genuinely oriental sumptuous extension, Burj Khalifa was structured and worked to epitomize the unimaginable. What’s more, one can intrepidly express that in no way like this high rise has ever been based on Earth previously.

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