Abdominal Assessment Case Study SOAP Note Subjective: CC: “My stomach hurts, I have diarrhea and nothing seems to help.” HPI: JR, 47 yo WM, complains of having generalized abdominal pain that started 3 days ago. He has not taken any medications because he did not know what to take. He states the pain is a 5/10 today but has been as much as 9/10 when it first started. He has been able to eat, with some nausea afterwards. PMH: HTN, Diabetes, hx of GI bleed 4 years ago Medications: Lisinopril 10mg, Amlodipine 5 mg, Metformin 1000mg, Lantus 10 units qhs Allergies: NKDA FH: No hx of colon cancer, Father hx DMT2, HTN, Mother hx HTN, Hyperlipidemia, GERD Social: Denies tobacco use; occasional etoh, married, 3 children (1 girl, 2 boys) Objective :•VS: Temp 99.8; BP 160/86; RR 16; P 92; HT 5’10”; WT 248lbs Heart: RRR, no murmurs Lungs: CTA, chest wall symmetrical Skin: Intact without lesions, no urticaria Abd: soft, hyperactive bowel sounds, pos pain in the LLQ Diagnostics: None Assessment: Left lower quadrant pain Gastroenteritis PLAN: This section is not required for the assignments in this course (NURS 6512) but will be required for future courses. The Assignment Instructions Do this assignment in narrative form and not SOAP note form. Please follow the rubric. Analyze the subjective      portion of the note. List additional information that should be included      in the documentation. Analyze the objective      portion of the note. List additional information that should be included      in the documentation. Is the assessment      supported by the subjective and objective information? Why or why not? What diagnostic tests      would be appropriate for this case, and how would the results be used to      make a diagnosis? Would you      reject/accept the current diagnosis? Why or why not? Identify three      possible conditions that may be considered as a differential diagnosis for      this patient. Explain your reasoning using at least three different      references from current evidence-based literature.   

Explain the importance of enabling others to act by creating a climate of trust and shared responsibility in a criminal justice organization. Describe how you, as the leader, would ensure that all cultures and individuals are included in the creation of a climate of trust and shared responsibility in a criminal justice organization. Assess the possible impacts of failure to create a climate of trust and shared responsibility, using two criminal justice organization examples.