Apply information from the Aquifer Case Study to answer the following discussion questions:

• Discuss the Mrs. Gomez’s history that would be pertinent to her difficulty sleeping. Include chief complaint, HPI, Social, Family and Past medical history that would be important to know.
• Describe the physical exam and diagnostic tools to be used for Mrs. Gomez. Are there any additional you would have liked to be included that were not? 
• Please list 3 differential diagnoses for Mrs. Gomez and explain why you chose them.  What was your final diagnosis and how did you make the determination?
• What plan of care will Mrs. Gomez be given at this visit, include drug therapy and treatments; what is the patient education and follow-up? 
• THe example is uplaod 

Johnathan, age 7, presents to the office with symptoms of worsening cough and wheezing for the past 24 hours. He is accompanied by his mother, who is a good historian. She reports that her son started having symptoms of a viral upper respiratory infection 2 to 3 days ago, beginning with a runny nose, low-grade fever of 101.0 degrees F orally, and loose cough. Wheezing started on the day before the visit, so Johnathan ‘s mother started administering albuterol metered-dose inhaler (MDI) two puffs before bed and then two puffs at around 2 AM. The cough and wheezing appear worse today, according to the mother. He had difficulty taking deep-enough breaths to inhale this morning’s dose of albuterol, even using the spacer.

Johnathan has been a patient at the clinic since birth and is up to date on his immunizations. His growth and development have been normal, and he is generally healthy except for mild intermittent asthma. This is his first asthma exacerbation of the school year, and his mother expresses a concern about sending him to school with an inhaler.

Johnathan is afebrile with a respiratory rate of 36 and a tight cough every 1 or 2 minutes. He weighs 45 pounds (20.5 kgs.). The examination is all within normal limits except for his breath sounds. He has diffused expiratory wheezes and mild retractions. Pulse oximetry readings have been 93% of oxygen saturation.

1. What are the appropriate pharmacological therapies to be prescribed for Johnathan?
2. What information is necessary to provide to Johnathan and his mother regarding asthma exacerbation?
3. What is an appropriate clinical assessment tool to be use with Johnathan?
4. What are the classification of asthma?
5. How would you as the NP address his mother’s concern regarding providing an inhaler at school?
6. What is an appropriate plan of care for Johnathan?
7. EXAMPLE IS UPLOAD 

Instructions for Answer to 2 Question

1- After Each DQ (question), write down references

2- 300 minimum words for every DQ, you can go up to 800 words but answer should be complete.

3- 2-3 Peer Reviewed/ scholarly references for each question

4- References should be within 4 years

5- I am in acute care nurse practitioner program.

6- The response to the DQ is expected to be a minimum of 300 words. A minimum of two peer reviewed/ scholarly  resources are expected. These need to be appropriate for a clinical professional to guide decisions about patient care. If a textbook is used for one of these responses, the other needs to be journal or professional-level website. The references need to be correctly formatted, as do the citations for those references.  “ Question words” don’t count towards 300 minimum count”

Topic: Bacterial Vaginosis (BV)

 For this assignment, you will select a disease of your choice and conduct a detailed analysis of that disease, exploring it from a balanced traditional and alternative health perspective.

Begin by searching the Center for Disease Control (CDC) website Diseases and Conditions Index to choose a disease or condition of interest to you. 

Next, review the website for Healthy People 2020 for information related to the disease or the disease category (e.g., mental health for ADHD). 

In your paper, discuss the following:

• Prominent aspects of this disease
• Current data and statistics related to the disease
• Health disparities related to the disease
• Prevention strategies including complementary and alternative health therapies
• Contemporary research and clinical studies related to the disease
• An analysis of the pathophysiologic effects of stress related to the disease 
• Evidence-based stress management interventions that might help with prevention or cure

Please use the above pointer as headings

The paper should be between 3 pages.

Incorporate at least three scholarly sources within the paper. Sources should be no more than three years old.

Consider the following scenario: 

During the second week of your internship, the CIO approaches your team and says, “I need you to prepare a briefing on the process of selecting and acquiring an information system for our health care organization. Include how the goals of our organization and stakeholders affect the selection process. I must have this briefing this week so I can prepare for several meetings I must attend.” 

 Describe the process for selecting and acquiring an information system. 250 – 300 words with 1 reference, APA format