Category: Journal

The Effect of Online Sales on the Art Market Research Journal

Research Journal
Research Journal

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Research Journal

Order Instructions:

The Research JOURNAL (not paper) documents the stages of the intellectual journey that got you through the dissertation. It’s a ‘scrap book’ of things you’ve seen, read, and thought about. It is NOT a bunch of printed out stuff you’ve collated from the Internet, or from articles and books. It documents AND comments on your research. And explaining why which sources where useful etc.

You can present the process of your research as a digital format such as on Workflow 
basically 1)go through the dissertation 2)main ideas 3)main developments 4)how these came about 5)sources used and comments and how these contributed to any ideas and thoughts

The Research Journal documents the stages of the intellectual journey that got you through the dissertation. It’s a ‘scrap book’ of things you’ve seen, read, and thought about. It is NOT a bunch of printed out stuff you’ve collated from the Internet, or from articles and books. It documents AND comments on your research. And explaining why which sources where useful etc.

You can present the process of your research as a digital format such as on Workflow 
basically1)go through the dissertation 2)main ideas3)main developments4)how these came about5)sources used and comments and how these contributed to any ideas and thoughts

Below is a partial answer to the above homework questions by one of our writers. If you are interested in a custom non plagiarized top quality answer, click order now to place your order.

The Effect of Online Sales on the Art Market Research Journal

A Background

The online art market has evolved tremendously in the last decades, leading to a transformation not only witnessed in how art is developed but also how it is sold and distributed. A study of these changes and particularly the role of the internet in the changing façade of art inspired great interest in me as I sought to understand the changes in both the primary and secondary art markets. It is interesting to note how online sales have opened up new doors for artists and art buyers and collectors through enabling a reach that permeates global borders.

Artists no longer have to rely on physical locations to sell their art and buyers are not restricted to buying art in their home countries only thanks to online sales. Notably, the value of global online art sales increased by 24% between 2014 and 2015, and that by the year 2020, it is expected to hit US$9.58 billion (Hiscox, 2017). In recognition of this momentous growth in art, a further inquiry into how online sales have affected different markets including primary art galleries, auction houses and art fairs was considered ideal for this research.

The aim was to understand how different art markets are responding to the changes emanating from increased online art sales and what it means for the future of art. This journal details my intellectual journey in writing my research, providing my experiences in the development of ideas, how these came about and how the various sources consulted contributed to creation of the research.

The research process

            Developing this dissertation required that I plan effectively in order to ensure that the objectives of the research were accomplished. A summary of the various steps undertaken during the research are illustrated as follows.

Research Focus and Topic

            Art in general has undergone significant progress, both in terms of art development and art market transformation. On the other hand, the internet has become an important aspect in today’s world as individuals increasingly gain access to the online technology. E-commerce as it is commonly known is the epitome of internet connectivity, enabling individuals from across the globe access products from all corners of the world through online selling.

Art has not been excluded from this advancement and online sales are continually dominating the art market. e-commerce and its impact on sales was the backbone of this research in a bid to establish how the art market was responding to this development. To suit my research, I opted to study the “The Affect of Online Sales on the Art Market.” This topic would allow me to explore how the art market has changed in the advent of online selling. To further enrich my research, I wanted to explore different art markets and how they have been affected by online sales.

These markets included primary art galleries, auction houses and art fairs, all of which have experienced significant transformation as a result of online sales. By studying each of the listed markets, I would be in a better position to understand how different players in the art market are adjusting to the new model of selling online. At the same time, I felt that studying the various markets would not yield the intended results unless I incorporated case studies to accompany the literature. This would give a better understanding of the how the art market has been affected by online selling by providing real-life examples of the various markets.

Main Ideas

            One of the main ideas in my research was the role played by the internet in interconnecting people and hence the resulting convenience in trade. Since the advent of the internet, many possibilities among them online selling have emerged and these have transformed the world to a significant extent. This idea was at the core of the research because it sought to determine how online sales have influenced the art market. By understanding that internet connectivity is responsible for creating the online market, it was possible to deduce why the online market is so large and why it provides limitless opportunities for artists.

            The second idea has to do with how players in the art market have positioned themselves to deal with growth in the context of online sales. As physical art sale locations continue to lose market due to the rise of online sales, it is only natural for entrepreneuring entities to refocus their strategy to the direction of online sales in order to capture the growing market. The research brings out this factor through the assessment of online art galleries and how they have managed to capture the online market as the physical galleries record deteriorating sales.

Based on this idea, the study examines the emergence of innovative online techniques to capture the market including the development of apps and websites features that enable buyers to evaluate and purchase art online. In this quest, the research examines popular apps including Magnus and websites such as Artsy, Artnet and Artspace. These not only demonstrate how art is being sold online but also the extent to which artists can reach a large market through such platforms compared to traditional art markets…..

Research Journal

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Cost Summary and Related Journal Entries: Business

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Cost summary
Cost summary

Cost Summary and Related Journal Entries: Business

Prepare a standard cost summary using a provided template, and then write a 1–2-page analysis of variances in a standard cost summary and how the variances could be corrected.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

  • Competency 1: Operate product-based cost accounting systems.
    • Apply procedures for recording standard costs to account for departmental factory costs.
    • Prepare journal entries related to standard costs.
  • Competency 4: Apply cost analysis to assist management decision making.
    • Analyze favorable and unfavorable variances for management decision making.
    • Analyze how variances can be corrected.

Cost Summary

Context

All production costs, other than direct materials and direct labor, are lumped together into one category, termed overhead. In a manufacturing company, overhead is also known as factory burden, or manufacturing overhead. This cost category contains a wide variety of cost items. Many inputs, other than direct materials and direct labor, are needed to produce a finished product. Examples include:

  • Depreciation on buildings and equipment.
  • Maintenance.
  • Supplies.
  • Supervision.
  • Materials handling.
  • Power.
  • Landscaping of factory grounds.
  • Property taxes.
  • Plant security.

There are a number of procedures associated with the handling of overhead costs. They include:

  • Identification of each overhead cost’s behavior.
  • Determination of the budget for overhead costs.
  • Recording and tracking actual overhead costs.
  • Application of overhead estimates to actual production levels.
  • Analyzing budgeted and actual overhead costs for cost control.

Cost Summary

Questions to Consider

To deepen your understanding, you are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of the business community.

  • What is the difference between the standard cost and the actual cost of production?
  • Is it possible that a variance of one type might be partly or fully offset by another variance? Explain.

Resources

The following resources are required to complete the assessment.

  • Wild, J. J., Shaw, K. W., & Chiappetta, B. (2011). Financial and managerial accounting: Information for decisions (4th ed.). New York, NY: McGraw-Hill.

Assessment Instructions

For this assessment, complete the following two parts:

Part 1: Use the Assessment 4 Template (linked in the Resources) to prepare a standard cost summary and related journal entries, based on a scenario provided in the template.

Part 2: Read each statement below (a through h). Then, write a 1–2-page analysis identifying what might cause these variances in a standard cost summary for materials, labor, and factory overhead. In addition, analyze, from a manager’s perspective, how each variance could be corrected and explain why.

Cost Summary

  1. An unfavorable materials price variance.
  2. A favorable materials price variance.
  3. An unfavorable materials quantity variance.
  4. A favorable materials quantity variance.
  5. An unfavorable labor rate variance.
  6. A favorable labor rate variance.
  7. An unfavorable labor efficiency variance.
  8. A favorable labor efficiency variance.

Write your analysis in Microsoft Word. Use 12-point font, and double space. Follow APA style for citations and references.

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Journal Inquiry Question Assignment

Journal Inquiry Question

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Journal Inquiry Question

INSTRUCTIONS

Based on your instructor’s feedback and recommendations, as a journal discussion, post the latest version of your practitioner inquiry question. 
Last week my question was: How can I better differentiate the individual motivational needs in my eighth-grade algebra classroom?
Instructor’s Feedback: I think your question is evolving, but you still need to narrow your focus.
The motivational needs of eighth-grade students would be another huge study and you would need to include child development experts/theories, etc. Let’s try to narrow your question a bit more.
Assignment: Narrow down your question based on your instructors feedback

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Clinical Practice Journal Assignment

Clinical Practice Journal
Clinical Practice Journal

Clinical Practice Journal

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 Clinical Practice Journal

 I met Dr. Francine Miller, my preceptor last week where we held a lengthy discussion regarding my objective, strengths and weaknesses. He encouraged me to be brave and face each challenge as an opportunity to learn and improve my clinical skills. The first clinical visit, I interacted with the patient who reported to the clinic with complains of pain in the RT lower back. She also complained of having difficulty to walk.

I performed physical exam and health assessment which indicated elevated blood pressure 180/100. Palpitation of the lower back RT caused severe pain.  The patient was under clonidine 6.25 BID. The patient was given Lisinorpil to manage the elevate blood pressure.  From my assumptions or differential diagnosis, the pain experienced could be the source of high blood pressure.  The main question here is what is the source and course for the pain.  To figure out the accurate diagnosis, a CT scan for the RT lower back was requested (Burns & Grove, 2011).

From this practice, I learnt that it is important to contain blood pressure, as the healthcare provider waits for other diagnostic tests.  Additionally, I analysed and reflected on patient’s health history and medication. This exercise improved my confidence in clinical practices such as taking patient information, recording health issues and making clinical decisions about diagnosis (Hunter & Franken, 2012).

Clinical Practice Journal

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 The theoretical framework that will be applied is the caring in action theory.  This theory corresponds to nursing process, as the theory focuses on consistency, connection, commitment, community, and change.  This will help me establish effective healthcare providers- patient relationship, which is imperative in effective delivery of care. Connection aspect of the theory explains the effectiveness of the NP’s   that is based on relationship connectedness and relationship between family, patient and the community (Susan Hagedorn, 2004).

The aspect of consistency explains the importance of delivering care that is evidence based practice (EBP). Commitment describes the NP passion and responsibility to serve every patient to the best of their abilities. It also involves providing appropriate decisions especially when facing ethical dilemmas, maintain confidentiality, respect and compassion.  Cultural competency must be in every NP’s skills.

Clinical Practice Journal

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Additionally, they should listen to the patient without prejudice and increased sensitivity towards the tradition and cultures that influence of the patient health and disease.  This facilitates in the identification of the patient needs and simultaneously maintaining the confidentiality, respect and compassion (Susan Hagedorn, 2004).

 My objectives  for this exercise is that by the time I finish the  140 hrs of the 11 weeks, I would comfortably perform physical assessment, conduct and document  patient medical history  records,  formulate differential diagnosis  and  make appropriate diagnoses as guided by the clinical manifestation of the disease and the laboratory findings/ reports such as the EKG and X-ray. Lastly, formulate of the action care plan to ensure that the issue is addressed using the therapeutic and non-therapeutic interventions.  I feel confident and ready for the second meeting with my preceptor as I feel more knowledgeable and focused than the first time.

References

Burns, N., & Grove, S. (2011). Understanding Nursing Research (5th ed.). Elsevier. ISBN-13: 9781437707502

Hunter, J., & Franken, M. (2012). Health Literacy as a Complex Practice. Literacy And Numeracy Studies, 20(1). http://dx.doi.org/10.5130/lns.v20i1.2618

Susan Hagedorn, A. A. (2004). Theory-Based Nurse Practitioner Practice: Caring in Action. http://www.medscape.com/viewarticle/496718_3.

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Practicum Journal Entry Paper

Practicum Journal Entry
Practicum Journal Entry

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Practicum Journal Entry

 Children are brought by their parents to the clinic with complaints that seems to be straightforward, with most being treated appropriately. However, as advanced nurse practitioner, I am faced by the responsibility to ensure that the patient is diagnosed correctly and the disease is managed effectively.  However, making of correct diagnosis can be elusive and in most cases, it will require the APN to carefully consider the possible differentials as well as identifying the most appropriate strategy to manage the problem (Burn et al., 2013).

 During the practicum, a 9 year old boy of Hispanic origin reported to the clinic with sore throat and higher fever (1030F), malaise headache and general body weakness. The patient Lymph nodes were swollen. The patient had attended a local clinic where she was diagnosed with streptococcal pharyngitis and was administered with Omnicef 14 mg/kg/day. However the patient condition worsened after 3 days, and the mother was concerned that the child could be suffering from something else (Murray & Chennupati, 2012).

Practicum Journal Entry

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To identify the core area   of the child current situation, I employed helpful tool of the pneumonic NEEDS. NEEDS is an acronym that stands for Nutrition, Elimination, Environment/Education, Daycare/ Development and Sleep/ Sexuality (Murray & Chennupati, 2012). In this context, nutritionally, the patient reported difficulty in swallowing but was able to drink cool liquids. The patient elimination was normal as she voided normal stool at least four times a day.

The assessment of the patient education and environment indicated that the patient was doing fine, and that she had not been exposed to sick friends or family friends. The patient general care was good and was involved in Drama club, although the patient missed practice this week. Patient rest is adequate as the she sleeps approximately for 9 hours a night, but have been sleeping for more than 12 hours since the onset of the disease. The patient reported that she had ensured medication adherence, and denied presence of persistent illness in the past (Murray & Chennupati, 2012).

 In some cases, when making differential diagnoses, there could be loop holes that can make diagnoses be missed. In this case, specific and sensitive diagnostic tests should be done to facilitate accuracy, cost and precision.  In this case, the poor response to antibiotics and patient clinical manifestation of persistent fever, fatigue, tonsillitis and lymphadenopathy made me consider presence of other infections such as infectious mononucleosis (IM). Other differential diagnoses that were considered included acute leukaemia, tumours of the neck, Hodgkin’s disease. Allergies are also associated with throat pain and pharyngeal tickling (Thompson, 2015).

Practicum Journal Entry

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 I conducted patient physical examination, where the patient weight, Bp, BMI and height were on the 50th percentile for the patient. The remarkable physical observations were +3 erythematous tonsils that had no exudate. Tonsillar nodes were swollen. The nodes were tender and soft. Patient chest was clear and the heart sounds were normal. All other systems were reviewed and were intact. The laboratory findings were positive for IM (Burn et al., 2013).

However, the diagnosis process posed some challenges. This is because I relied in the initial impression of the clinical diagnostic, and had failed to reconsider the new data obtained during the revaluation. This is because my confidence was low, and was not keen to work with the results that I had gathered from patient assessment. It took the intervention of my preceptor, who helped me reconsider the new data gathered to frame the diagnostic options.  My preceptor cautioned against this behaviour.  I was also warned about premature closure, where the APN may prematurely close other potential diagnostic possibilities (Thorburn, 2010).

 The final diagnosis was IM; however, there is no direct treatment for this disease. The treatment plan was to control patient clinical manifestation. This includes controlling patient fever; maintain patient body hydrated, adequate rest, and the treatment of secondary infections. Treatment is symptom based. The patient was given antipyretics to manage the patient fever. The patient was advised to be in light clothes to facilitate the dissipation of heat.

Practicum Journal Entry

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Appropriate foods as well as liquids were suggested to the mother so as to avoid irritation of the throat. This was done putting consideration of cultural sensitivity to ensure that the food selected would be tolerated by the family.  I did not see the need for the patient to continue with Omnicef, but my preceptor advised that group A streptococcus is a secondary infection for patients diagnosed with IM, so the patient should continue with the mediation (Murray & Chennupati, 2012).

As an APN, it was my responsibility to educate the family about the disease, causes, symptomatic and treatment.  I educated the patient on importance of finishing the dosage for fever and to avoid use of multiple blankets. The patient is taught the benefits of completing medication to manage the secondary bacterial infections even if it fails to make other clinical manifestation such as sore throat, fatigue and fever to disappear. The benefits of hydration were also monitored (Burn et al., 2013).

 References

Burns, C. E., Dunn, A. M., Brady, M. A., Starr, N. B., & Blosser, C. G. (2013). Pediatric primary care(5th ed.). Philadelphia, PA: Elsevier.

Murray, R., & Chennupati, S. (2012). Chronic Streptococcal and Non-Streptococcal Pharyngitis. IDDT, 12(4), 281-285. http://dx.doi.org/10.2174/187152612801319311

Thompson, A. (2015). Infectious Mononucleosis. JAMA, 313(11), 1180. http://dx.doi.org/10.1001/jama.2015.159

Thorburn, K. (2010). Case Studies in Pediatric Critical Care. Critical Care, 14(1), 301. http://dx.doi.org/10.1186/cc8836

Practicum Journal Entry

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Practicum Journal Entry

Practicum Journal Entry
Practicum Journal Entry

Practicum Journal Entry

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During this practicum, a 25 year old female presented to the healthcare facility with complains of severe cramp pain that occurs about one week before her menses, during the menstrual cycle and a week after the cycle ends. The patient complains that her menstrual cycles is irregular, and gets heavy periods with some clots. The patient reported to the clinic due to sharp pain that radiated from the chest. The patient had lived with this condition for 12 years. She has been managing the disease using alternative tradition medicines, which has not been effective.

Review of the system was conducted and laboratory tests were performed (urinalysis, urine culture, pregnancy test and wet prep).   The differential diagnosis identified included amenorrhea, endometriosis, and ovarian cysts without explanation. Ovarian cysts were suspected due to presence of pelvic pain before the onset of period.  However, this is not likely because the patient did not complain of fever and vomiting.  Amenorrhea is suspected due to presence of pelvic pain. However, this is not likely as the key indicator of amenorrhea is absence of menses (Domino, Baldor, Golding, 2014).

To make a definitive diagnosis physical test was performed.  Under the supervision of my preceptor, I conducted a pelvic exam. This included palpating pelvis areas to check abnormalities such as cysts and scars. The pelvic exam was negative. An ultrasound was requested to capture the image of the reproductive organs. The results indicated that the patient was suffering from endometriosis (American Congress of Obstetricians and Gynaecologists, 2011).

            Treatment made included pain relive medication to help manage the painful cramps.  The patient was also given Lo Loestrin Fe which has been found to be effective in management of pain. The increase and decrease of hormones during the menstrual cycle makes the endometrial implants to thicken.

Using this hormone therapy, it slows down the growth   which prevents the implantation of the endometrial tissue. However, the patient was educated that although these medications manage the pain, they are not a permanent fix for this health complication. The symptoms can reoccur after stopping the treatment (CDC, 2013).

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The patient was also advised on ways to manage pain using home remedies. This includes the use of heating pad to relax the pelvic muscles, which helps in reducing pain. OTC non-steroidal anti-inflammatory drugs such as Motrin IB. The patient is advised to eat health and exercise regularly as it helps improve the pain (Buttaro et al., 2013).

During this practicum, I have learnt that issue of endometriosis is poorly understood in the society. This is probably because of the common myth of “etiquette menstruation” where the society believes that menstruation is a private affair and must not be discussed in public. Most of women conceal their suffering, which makes them to suffer in silence. As advanced nurse practitioner, it is our responsibility to raise awareness on endometriosis to encourage the affected persons to speak up, and seek medication early (CDC, 2013).

During the research, I also realized the common modalities between ovary cysts, amenorrhea and endometriosis. This includes the similarity in the clinical manifestation, test and diagnosis procedures and treatment. In these three reproductive systems disorders, they are clinically manifested by presence of pelvic pain before the onset and after menstrual cycle.  

The test diagnosis of these disorders includes ultrasound, Pregnancy tests, urinalysis and urine culture. In management of the disease, most of them are managed using OTC pain killers, hormone therapy or invasive methods.  Therefore, I need to research more on these reproductive disorders to ensure that I deliver effective care when serving the affected community (American Congress of Obstetricians and Gynecologists, 2011).

References

American Congress of Obstetricians and Gynecologists. (2011). Guideline for adolescent health care (2nd ed.). Retrieved from http://www.acog.org

Buttaro, T., Trybulski, J., Bailey, P., & Sandberg-Cook, J. (2013). Primary Care, 4th Edition. Philadelphia, PA: Lippincott Williams & Wilkins.

Centers for Disease Control and Prevention (CDC). (2013). Incidence, prevalence, and cost of sexually transmitted infections in the United States. Retrieved from http://stacks.cdc.gov/view/cdc/13174

Domino, F. J.; Baldor, R.A.; Golding, J (Ed.). (2014). The 5-minute clinical consult standard 2015 (23rd ed, Kindle Edition). Philadelphia, PA: Lippincott Williams & Wilkins.

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The Aging Process in Human Beings

The Aging Process in Human Beings
The Aging Process in Human Beings

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The Aging Process in Human Beings

Journal Entry

Introduction

There are many theories that attempt to explain the aging process in human beings. They are generally classified as programmed and error prone theories. Both theories attempt to explain the aging process in human beings (Jin, 2010).

Goals and Objectives

The major objectives of this practicum experience are to understand the theoretical components of programmed and error prone theories and identify key components of error prone theories and their application to the aging process. The major goals of this study are to investigate and illustrate error prone theories in people aged more than 60 years and  apply the learnt concepts in error prone theories in identifying diseases that affect old people.

Programmed and non programmed theories have been used to base on induction of apoptotic processes while error prone theories are associated with follows cell failure (Goldsmith, 2013). Wear and  tear, rate of living theory ,cross linking theory and radicals theory are associated with error processes while programmed theories are dependent on programmed longevity, endocrine theory and immunological theory (Goldsmith, 2014).

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Timeline

            All students conducting the investigation will come up with a design study, which follows all principles including seeking consent from the people being investigated. The design should take into consideration the needs of geriatric patients (Jin, 2010). Consent will also be sought from the university. More emphasis will be placed on using medical records of old patients within health care settings. All students are requested to submit their design for analysis in one month.

            The research will be done in three months depending on the approval of the design of an individual students. Relevant data will be collected during this period and analyzed for the specifics by solely basing on the design.

Information collected will then be analyzed and evaluated independently by students before their results will be presented through a panel of scientists. All information collected by the students will be utilized to come up with exclusive answers on issues relating to the aging process. This process will take about four weeks. The findings will be evaluated for a period of three weeks. This process will also encompass validating research data.

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Reference

Goldsmith, T. C. (2013). Arguments against non-programmed aging theories. Biochemistry (Moscow), 78(9), 971-978.

Goldsmith, T. C. (2014). Aging theories and the zero-sum game. Rejuvenation research, 17(1), 1-2.

Jin, K. (2010). Modern biological theories of aging. Aging and disease, 1(2), 72

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Amenorrhea Practicum Journal Entry

Amenorrhea
Amenorrhea

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Amenorrhea Practicum Journal Entry

During this practicum, a 25 year old female presented to the healthcare facility with complains of severe cramp pain that occurs about one week before her menses, during the menstrual cycle and a week after the cycle ends. The patient complains that her menstrual cycles is irregular, and gets heavy periods with some clots. The patient reported to the clinic due to sharp pain that radiated from the chest. The patient had lived with this condition for 12 years. She has been managing the disease using alternative tradition medicines, which has not been effective.

Review of the system was conducted and laboratory tests were performed (urinalysis, urine culture, pregnancy test and wet prep). The differential diagnosis identified included amenorrhea, endometriosis, and ovarian cysts without explanation. Ovarian cysts were suspected due to presence of pelvic pain before the onset of period.  However, this is not likely because the patient did not complain of fever and vomiting.  Amenorrhea is suspected due to presence of pelvic pain. However, this is not likely as the key indicator of amenorrhea is absence of menses (Domino, Baldor, Golding, 2014).

To make a definitive diagnosis physical test was performed.  Under the supervision of my preceptor, I conducted a pelvic exam. This included palpating pelvis areas to check abnormalities such as cysts and scars. The pelvic exam was negative. An ultrasound was requested to capture the image of the reproductive organs. The results indicated that the patient was suffering from endometriosis (American Congress of Obstetricians and Gynaecologists, 2011).

            Treatment made included pain relive medication to help manage the painful cramps.  The patient was also given Lo Loestrin Fe which has been found to be effective in management of pain. The increase and decrease of hormones during the menstrual cycle makes the endometrial implants to thicken.

Using this hormone therapy, it slows down the growth   which prevents the implantation of the endometrial tissue. However, the patient was educated that although these medications manage the pain, they are not a permanent fix for this health complication. The symptoms can reoccur after stopping the treatment (CDC, 2013).

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The patient was also advised on ways to manage pain using home remedies. This includes the use of heating pad to relax the pelvic muscles, which helps in reducing pain. OTC non-steroidal anti-inflammatory drugs such as Motrin IB. The patient is advised to eat health and exercise regularly as it helps improve the pain (Buttaro et al., 2013).

During this practicum, I have learnt that issue of endometriosis is poorly understood in the society. This is probably because of the common myth of “etiquette menstruation” where the society believes that menstruation is a private affair and must not be discussed in public. Most of women conceal their suffering, which makes them to suffer in silence. As advanced nurse practitioner, it is our responsibility to raise awareness on endometriosis to encourage the affected persons to speak up, and seek medication early (CDC, 2013).

During the research, I also realized the common modalities between ovary cysts, amenorrhea and endometriosis. This includes the similarity in the clinical manifestation, test and diagnosis procedures and treatment. In these three reproductive systems disorders, they are clinically manifested by presence of pelvic pain before the onset and after menstrual cycle.  

The test diagnosis of these disorders includes ultrasound, Pregnancy tests, urinalysis and urine culture. In management of the disease, most of them are managed using OTC pain killers, hormone therapy or invasive methods.  Therefore, I need to research more on these reproductive disorders to ensure that I deliver effective care when serving the affected community (American Congress of Obstetricians and Gynecologists, 2011).

References

American Congress of Obstetricians and Gynecologists. (2011). Guideline for adolescent health care (2nd ed.). Retrieved from http://www.acog.org

Buttaro, T., Trybulski, J., Bailey, P., & Sandberg-Cook, J. (2013). Primary Care, 4th Edition. Philadelphia, PA: Lippincott Williams & Wilkins.

Centers for Disease Control and Prevention (CDC). (2013). Incidence, prevalence, and cost of sexually transmitted infections in the United States. Retrieved from http://stacks.cdc.gov/view/cdc/13174

Domino, F. J.; Baldor, R.A.; Golding, J (Ed.). (2014). The 5-minute clinical consult standard 2015 (23rd ed, Kindle Edition). Philadelphia, PA: Lippincott Williams & Wilkins.

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Polypharmacy: Health Journal

Polypharmacy
Polypharmacy

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Polypharmacy: Health Journal

In my practicum setting a patient visited for a follow up check on several complex medical conditions. During the process, patient history was conducted whereby a variety of clinical and statistical data was captured. The history examined the past medical account of the patient whereby a review was conducted on the conditions that the patient was suffering from.

The history was also geared towards determining the past surgical history of the patient, his family history, current medication, possible allergies, and the systems review. Murphy et al., (2014) highlights that follow ups are vital since they enable practitioners to assess patient’s needs and implement proper interventions to avoid readmitting of patients. 

Researchers have well-established that polypharmacy is associated with an increase in the risk of adverse reactions, such as falls, poor vision, memory and hearing loss, decline in renal function, cognitive, functional impairment, as well as changes in metabolic rates (Maher et al., 2014; Jeffery & Kruse, 2014). However, from this patient it can be deduced that the adverse effects commonly linked to polypharmacy do not usually occur in all patients.

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This evidenced through the findings obtained in the patient history especially under the review of systems section whereby the patient denies having any adverse effects in most of her body system except for musculoskeletal system where the patient reports of experiencing back pain, joint pain, and shoulder pain.

For this patient, my plan will be to carry out diagnostic tests to identify the potential causes of the musculoskeletal signs and symptoms that the patient reports about. Moreover, examine the whether the patient is experiencing any progress from the treatment plan that she is undertaking.

My goal will be to ensure that the musculoskeletal signs and symptoms that the patient is complaining about are well controlled. Health care providers are charged with the responsibility of ensuring that patients receive the quality care delivery at all times (Martin-Misener & Bryant-Lukosius, 2014). Therefore, it will be my responsibility to ensure that the patient receives quality care delivery with improved outcomes.

References

Jeffery, L., & Kruse, M. G. (2014). CP-084 Pharmacist identification of potential side effects in patients with multimorbidity and polypharmacy. European Journal of Hospital Pharmacy: Science and Practice, 21(Suppl 1), A34-A34.

Maher, R. L., Hanlon, J., & Hajjar, E. R. (2014). Clinical consequences of polypharmacy in elderly. Expert opinion on drug safety, 13(1), 57-65.

Martin-Misener, R., & Bryant-Lukosius, D. (2014). Optimizing the Role of Nurses in Primary Care in Canada. Consulté sur http://www.cfpna.ca/cms-assets/documents/184147-364851.cna-report-2014.pdf.

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