For this assignment you will be given a case study about a young lady named Sarah Smith. Review the information provided and answer the questions following. Be sure to cite your references. Look at Sarah as if she is a patient in your office seeking care. What are your immediate concerns? What needs to be done for her? Be thorough and succinct in your responses.Case Study:Sarah Smith is a 28 y/o African American female who presents to the office with c/o wound to her left foot for the past few days. States she had tripped and fell while barefoot scraping the top of her foot on the pavement. She denies any other injury from the incident. Over the past 24 hours the wound has had “smelly” drainage. Has been experiencing generalized achiness, but denies fever and chills. Did not seek medical attention at the time of injury. Has been using hydrogen peroxide to clean her wound. Is unclear of her last tetanus vaccination. Patient PMHx significant for DM II. States that she takes her medications when she remembers, and does not always check her blood sugar.PMHx:Asthma: no hospitalizations for exacerbation.DM IIPSHx:DeniesSHx:Former tobacco user: ceased smoking 2 years ago. Had smoked 1ppd x 5 yearsETOH: sociallyIllicit drugs: deniesFHx:Significant for paternal DM, otherwise unremarkableMedications:Metformin: 500mg BID po - did not take the last few daysAlbuterol MDI: 2 puffs every 6 hours prn - last use just PTASingulair: 10mg po dailyTrinessa: 1 tab po daily - last taken this amAllergies:PCN: hivesLNMP: 2 weeks ago.G0p0ROS:General: denies any weight changes, fatigue or fever; + body achesSkin: denies any rashes; + wound to left footHEENT: denies headache, head injury, dizziness, lightheadedness; Denies any vision changes Denies any hearing changes, tinnitus, vertigo, earache Denies any nasal congestion, discharge, nose bleeds or sinus tenderness Denies any sore throat, difficulty swallowingNeck: denies any swollen glands, painBreasts: denies any pain, dischargeRespiratory: denies any dyspnea; positive cough and wheezingCV: denies any chest pain, edemaGI: denies any nausea/vomiting/diarrhea/constipation; denies bloody stoolsPV: denies claudication, swelling to LEGU: denies frequency, urgency, burning; Denies vaginal discharge, itching, sores Denies penile discharge, itching or soresMS: positive pain to left footPsych: denies nervousness, depressionNeuro: denies Headache, dizziness, vertigo, syncope, weakness; + numbness to right LEHeme: denies any easy bruisingPhysical Exam:Vital signs: 100.5 (tympanic), 162/88, 118, 22, O2 sat 95% on RA Height: 5’5” Weight: 250 lbs. Blood glucose: 230 (Fasting; states has not eaten yet today)patient awake, alert, oriented x 4 in NADSkin: warm, dry, color WNL. 4 cm lesion noted to anterior left foot with crusting and purulent drng; + surrounding erythema extending up 7 cm proximallyHEENT: head nontraumatic, normocephalicPupils PERRLA, EOMs intact; disc margins sharp, without hemorrhages, exudates; no AV nicking notedEars: bilateral TM with good cone of light and intactNose: mucosa pink, septum midline; no sinus tenderness appreciatedMouth: mucosa pink, moist; tongue midline; tonsils 1+ without exudateNeck: supple; trachea midline; no LADResp: regular and unlabored; lungs with end expiratory wheezing throughoutCV: RRR, S1 and S2 noted; no s3, s4 or murmur appreciatedAbdomen: soft, non-distended; Bs + x 4; no tenderness with palpation; no CVA tenderness with percussionGenitalia: deferredRectal: deferredExtremities: warm and without edema; calves supple, non-tenderPV: no LE edemaMS: + swelling to left foot; + tenderness of 2-4th left metatarsals; + left pedal pulse; CMS intact; Cap refill < 2 sec.Neuro: alert, cooperative; thought coherent; oriented x 4; cranial nerves II-XII intactQuestions:List your differentials for her current problems. Remember you should have at least three different differentials for each problem. Include rationale for each differential.At this time what medical diagnoses are you most concerned about? Do they impact other diagnoses? If so, how?What diagnostic images would you order? Provide your rationale. What are you trying to rule in or out?What laboratory work would you order? What would you anticipate to be abnormal? Provide your rationale for each.What is your comprehensive plan of care? Include your rationales.APA 7th Edition References

NUR3738 Section 01 Integrative NursingModule 02 ContentCourse Competency: Apply holistic philosophical, theoretical, and ethical principles to professional nursing practice.Create a poster in either Word or PowerPoint for nursing staff that highlights one holistic philosophy, one holistic theory, and one ethical principle in professional nursing practice. Your handout should include the following: Define one holistic philosophy and provide one example of how to apply this philosophy to nursing practice.Define one holistic theory and provide one example of how to apply this theory to nursing practice.Define one ethical principle and provide one example of how to apply this principle to nursing practice.Provide at least three graphics on the poster (for example, photos, clip art).For information on doing research, click here.Click here for an FAQ on how to make a poster in Word.Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.Save your assignment as a Microsoft Word document or a Microsoft PowerPoint. (Mac users, please remember to append the ".docx" or “pptx” extension to the filename.) The name of the file should be your first initial and last name, followed by an underscore and the name of the assignment, and an underscore and the date. An example is shown below:

complete the survey (e.g., at least 18 years or older, have other specific characteristics that make them a member of the population you intended to study). The data for your short survey should be entered into the Excel database that you created last week. With this data set, complete the following: Calculate descriptive statistics for your main independent and other variables you have collected information on (example: demographic variables).  Create a bar chart for the participants’ gender and ethnicity. Create a histogram for participants’ age.  Calculate descriptive statistics for your dependent variable.  Create a summary table of your descriptive statistics.