Goal: To conduct an assessment of health promotion while applying the nursing process and evidence based research to disseminate findings to course colleagues. Case: Jessica is a 32 y/old math teacher who presents to the ER with a friend for evaluation of sudden decrease of vision in the left eye. She denies any trauma or injury. It started this morning when she woke up and has progressively worsened over the past few hours. She had some blurring of her vision 1 month ago and thinks that may have been related to getting overheated, since it improved when she was able to get in a cool, air-conditioned environment. She has some pain if she tries to move her eye, but none when she just rests. She is also unable to determine colors. She denies tearing or redness or exposure to any chemicals. Nothing has made it better or worse. She denies fever, chills, night sweats, weight loss, fatigue, headache, changes in hearing, sore throat, nasal or sinus congestion, neck pain or stiffness, chest pain or palpitations, shortness of breath or cough, abdominal pain, diarrhea, constipation, dysuria, vaginal discharge, swelling in the legs, polyuria, polydipsia, and polyphagia. Patient is alert; she appears anxious. BP 135/85 mm Hg; HR 64bpm and regular, RR 16 per minute, T: 98.5F. Visual acuity 20/200 in the left eye and 20/30 in the right eye. Sclera white, conjunctivae clear. Unable to assess visual fields in the left side; visual fields on the right eye are intact. Pupil response to light is diminished in the left eye and brisk in the right eye. The optic disc is swollen. Full range of motions; no swelling or deformity. Mental status: Oriented x 3. Cranial nerves: I-XII intact; horizontal nystagmus is present. Muscles with normal bulk and tone; Normal finger to nose, negative Romberg. Intact to temperature, vibration, and two-point discrimination in upper and lower extremities. Reflexes: 2+ and symmetric in biceps, triceps, brachioradialis, patellar, and Achiles tendons; no Babinski.

Chapter 5. Business and the Constitution. Initial Postings: Read and reflect on the assigned readings for the week. Then post what you thought was the most important concept(s), method(s), term(s), and/or any other thing that you felt was worthy of your understanding in each assigned textbook chapter.Your initial post should be based upon the assigned reading for the week, so the textbook should be a source listed in your reference section and cited within the body of the text. Other sources are not required but feel free to use them if they aid in your discussion. Also, provide a graduate-level response to each of the following questions: Explain the difference in procedural due process and substantive due process, providing examples of each. Beets R Us, LLC is a medium-sized farm in Iowa that grows beets that are only sold in Iowa.  It does not export its beets outside of Iowa, though sometimes customers from out of state buy its beets while visiting Iowa.  Is Beets R Us, LLC’s business practices subject to federal jurisdiction under Article I, Section 8 of the United States Constitution?  Why or why not?      

Alex is having his first session with a counselor and is recounting his life history: I’ve just turned 20. I finished high school about two years ago, and I have been lost since then. I was diagnosed with attention deficit hyperactivity disorder when I was five, and it has been a struggle since then. My mother stayed home to take care of me full time. Through her effort, I thrived. I was in the gifted program from the first grade to high school. I started taking ADHD medications when I was 11. I quit taking them after I graduated high school. I suffered from severe depression to the point that I attempted to hurt myself three times. The only reason I’m still living is because of my mom. She loved me unconditionally, no matter what. I've had jobs here and there, but I always ended up getting fired. I now live independently, sort of, with my friends. Most of the time, my mom pays for the rent. I have a girlfriend who I get along with, and I think we are pretty solid. I am applying for jobs, but I hate being with people. I hate being in school; I think it is a colossal waste of money. My sister is a nurse. She is my mom’s star kid- accomplished and successful. My only accomplishment is my car- I love working with my car, although it's older than me and it cost a lot of money to fix. I love driving it because I feel free when I am driving. I love playing video games, too. It's a community that never leaves you, and I feel a great sense of belongingness with them. I can be myself when I am playing with my friends. It’s an escape for me -an emotional vacation. However, I am turning 21 soon. The pressure is getting to be too high for me to be financially independent. I don't know what to do, where to start, or even how to start. That's the reason why I am here. In 4-5 paragraphs, answer the following questions. Use at least two sources and cite them using APA format:Why might Alex be finding it particularly difficult to find a job?Alex regards himself as a lost person. What are the factors that you believe have contributed to him feeling this way?Please write about the following: What parts of Alex’s story reminds you of your own experience in your adolescence or emerging adulthood years?How do general theories of human growth and development relate to a young person like Alex?What effect might Alex’s ADHD have on his development?What concepts of human growth and development are relevant to him Also question 4 and 6 are the same so you can address one of them. Remember that there needs to be one paragraph per question and you do not need to state the prompt in your APA formatted paper. And you need to make in text citations and have references too.