Order ID 53563633773 Type Essay Writer Level Masters Style APA Sources/References 4 Perfect Number of Pages to Order 5-10 Pages Description/Paper Instructions
SUBJECTIVE
Jair, a 11‐month‐old infant, presents to the primary care office with a complaint of not using his left arm for one day. He is accompanied by his parents. His father states that Jair fell off the couch yesterday and he thinks that Jair may have landed on his left arm. The history provided by his mother is somewhat different. She states that Jair fell down two stairs while in a walker and hurt his left arm at that time.
Birth history: Jair was born at 35 weeks’ gestation. His birth weight was 2200 g. There were no complications during the labor or delivery. The mother had no infections, falls, or known exposures to environmental hazards. She did not drink alcohol, take prescription medication (other than prenatal vitamins), use tobacco products, or use illicit drugs. Jair was discharged after 4 weeks in the neonatal intensive care unit to home with his mother.
The social history reveals that Jair was born to a adolescent single mother. His father, 18 years old, is involved but does not reside in the household. Jair lives in an apartment with his mother and 19‐year‐old cousin. The maternal grandmother (MGM) lives in the neighborhood and is able to help Jair’s mother with child care. The family receives assistance from governmental subsidies such as the Women, Infants, and Children (WIC) supplemental nutrition program, Temporary Assistance for Needy Families (TANF), and Medicaid. Educationally, both Jair’s mother and father have high school diplomas. She works at a fast‐food restaurant. Joseph’s father works as a construction worker. The family has no pets. There are no smokers in the home.
Diet: Jair eats a balanced diet of table foods. He is transitioning from formula to whole milk. He takes a daily multivitamin.
Elimination: 4–6 wet diapers daily with 1 bowel movement.
Sleep: Takes one 2‐hour nap daily and sleeps 12 hours at night.
Family medical history: Paternal grandfather (age 54): healthy; paternal grandmother (age 53):
hypertension; maternal grandfather (age 46): hypothyroidism; MGM (age 44): Type 2 diabetes;
mother (age 18): asthma; father (age 18): healthy.
Medications: Currently taking no prescription, herbal, or over‐the‐counter medications.
Immunizations: Up to date.
Allergies: No known allergies to food, medications, or environment.
OBJECTIVE
Vital signs: Weight: 10 kg; length: 84 cm; temperature: 37°C (axillary).
General: Alert; well nourished; well hydrated; interactive.
Skin: Right side of forehead with ecchymosis and a 2 cm abrasion; no other lesions noted. No cyanosis of lips, nails, or skin; no diaphoresis noted; good skin turgor.
Head: Normocephalic; anterior fontanel is open and flat (1 cm × 1 cm).
Eyes: Red reflexes present bilaterally; pupils equal, round, and reactive to light; no discharge noted.
Ears: Pinnae normal; tympanic membranes gray bilaterally with positive light reflex.
Nose: Both nostrils are patent; no discharge.
Oropharynx: Mucous membranes are moist; 4 teeth are present; no lesions.
Neck: Supple; no nodes.
Respiratory: RR = 24; clear in all lobes; no adventitious sounds noted; no retractions; no defor-mities of the thoracic cage noted.
Cardiac/Peripheral vascular: HR = 100; regular rhythm. No murmur noted.
Abdomen/Gastrointestinal: Soft, nontender, nondistended, no evidence of hepatosplenomegaly.
Genitourinary: Normal circumcised male genitalia; testes descended bilaterally.
Back: Spine straight.
Ext/Musculoskeletal: Left arm with limited range of motion and tenderness to touch over left clav-icle and left humerus. Both tender areas are slightly swollen and erythematous. Full range of motion of all other extremities; warm and well perfused; capillary refill < 3 seconds in all extremities.
Neurologic: Good strength and tone.
CRITICAL THINKING
Which diagnostic or imaging studies should be considered to assist with or confirm the diagnosis?
___Radiograph of left arm/clavicle
___CBC
___Metabolic panel
What is the most likely differential diagnosis and why?
___Fracture of left arm/clavicle to accidental fall
___Physical abuse
___Osteogenesis imperfecta
What is the plan for treatment, referral, and follow‐up care?
Are there any referrals needed?
Does the patient’s psychosocial history impact how you might treat him?
RUBRIC
QUALITY OF RESPONSE NO RESPONSE POOR / UNSATISFACTORY SATISFACTORY GOOD EXCELLENT Content (worth a maximum of 50% of the total points) Zero points: Student failed to submit the final paper. 20 points out of 50: The essay illustrates poor understanding of the relevant material by failing to address or incorrectly addressing the relevant content; failing to identify or inaccurately explaining/defining key concepts/ideas; ignoring or incorrectly explaining key points/claims and the reasoning behind them; and/or incorrectly or inappropriately using terminology; and elements of the response are lacking. 30 points out of 50: The essay illustrates a rudimentary understanding of the relevant material by mentioning but not full explaining the relevant content; identifying some of the key concepts/ideas though failing to fully or accurately explain many of them; using terminology, though sometimes inaccurately or inappropriately; and/or incorporating some key claims/points but failing to explain the reasoning behind them or doing so inaccurately. Elements of the required response may also be lacking. 40 points out of 50: The essay illustrates solid understanding of the relevant material by correctly addressing most of the relevant content; identifying and explaining most of the key concepts/ideas; using correct terminology; explaining the reasoning behind most of the key points/claims; and/or where necessary or useful, substantiating some points with accurate examples. The answer is complete. 50 points: The essay illustrates exemplary understanding of the relevant material by thoroughly and correctly addressing the relevant content; identifying and explaining all of the key concepts/ideas; using correct terminology explaining the reasoning behind key points/claims and substantiating, as necessary/useful, points with several accurate and illuminating examples. No aspects of the required answer are missing. Use of Sources (worth a maximum of 20% of the total points). Zero points: Student failed to include citations and/or references. Or the student failed to submit a final paper. 5 out 20 points: Sources are seldom cited to support statements and/or format of citations are not recognizable as APA 6th Edition format. There are major errors in the formation of the references and citations. And/or there is a major reliance on highly questionable. The Student fails to provide an adequate synthesis of research collected for the paper. 10 out 20 points: References to scholarly sources are occasionally given; many statements seem unsubstantiated. Frequent errors in APA 6th Edition format, leaving the reader confused about the source of the information. There are significant errors of the formation in the references and citations. And/or there is a significant use of highly questionable sources. 15 out 20 points: Credible Scholarly sources are used effectively support claims and are, for the most part, clear and fairly represented. APA 6th Edition is used with only a few minor errors. There are minor errors in reference and/or citations. And/or there is some use of questionable sources. 20 points: Credible scholarly sources are used to give compelling evidence to support claims and are clearly and fairly represented. APA 6th Edition format is used accurately and consistently. The student uses above the maximum required references in the development of the assignment. Grammar (worth maximum of 20% of total points) Zero points: Student failed to submit the final paper. 5 points out of 20: The paper does not communicate ideas/points clearly due to inappropriate use of terminology and vague language; thoughts and sentences are disjointed or incomprehensible; organization lacking; and/or numerous grammatical, spelling/punctuation errors 10 points out 20: The paper is often unclear and difficult to follow due to some inappropriate terminology and/or vague language; ideas may be fragmented, wandering and/or repetitive; poor organization; and/or some grammatical, spelling, punctuation errors 15 points out of 20: The paper is mostly clear as a result of appropriate use of terminology and minimal vagueness; no tangents and no repetition; fairly good organization; almost perfect grammar, spelling, punctuation, and word usage. 20 points: The paper is clear, concise, and a pleasure to read as a result of appropriate and precise use of terminology; total coherence of thoughts and presentation and logical organization; and the essay is error free. Structure of the Paper (worth 10% of total points) Zero points: Student failed to submit the final paper. 3 points out of 10: Student needs to develop better formatting skills. The paper omits significant structural elements required for and APA 6th edition paper. Formatting of the paper has major flaws. The paper does not conform to APA 6th edition requirements whatsoever. 5 points out of 10: Appearance of final paper demonstrates the student’s limited ability to format the paper. There are significant errors in formatting and/or the total omission of major components of an APA 6th edition paper. They can include the omission of the cover page, abstract, and page numbers. Additionally the page has major formatting issues with spacing or paragraph formation. Font size might not conform to size requirements. The student also significantly writes too large or too short of and paper 7 points out of 10: Research paper presents an above-average use of formatting skills. The paper has slight errors within the paper. This can include small errors or omissions with the cover page, abstract, page number, and headers. There could be also slight formatting issues with the document spacing or the font Additionally the paper might slightly exceed or undershoot the specific number of required written pages for the assignment. 10 points: Student provides a high-caliber, formatted paper. This includes an APA 6th edition cover page, abstract, page number, headers and is double spaced in 12’ Times Roman Font. Additionally, the paper conforms to the specific number of required written pages and neither goes over or under the specified length of the paper. GET THIS PROJECT NOW BY CLICKING ON THIS LINK TO PLACE THE ORDER
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