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.   

For the final assignment in this course you will research, design, and deliver a Strategic Information Technology Plan. You will base your plan on the ISM645 Strategic IT Planning Case Study Company Profile. The final assignment will use concepts from the previous weeks in the course. You must support your statements throughout the plan with evidence from your sources. There are a minimum of 5 scholarly sources, including the text, required for this assignment. (The FindIt@AU, EBSCOhost, and ProQuest tools in Ashford Library are good starting points for your search. It is also highly recommended that you search through the specialized journals in information technology (e.g., Journal of Information Systems Management, Communications of the ACM, International Journal of Technology, Knowledge and Society, and International Journal of Multidisciplinary Approaches and Studies. (Consult the MISM Credible Resource Guide (Links to an external site.) as well as the recommended resources within this course for search tips and ideas for your research.)The Strategic IT Plan OutlineRead the ISM645 Strategic IT Planning Case Study Company Profile from the perspective of a Chief Information Officer with the firm and prepare a strategic IT plan to help grow the business over the next three years. Your strategic plan must be future-oriented and include the following headings and content. An IT Strategic Plan template is provided as a guideline to help you get started. However, do not attempt to ‘fill in the template’ as a way to complete this assignment. There are many elements in the case study that are not in the basic template, but will need to be added and addressed in your plan.Executive Introduction (Summary) & Thesis StatementIntroduce the IT Strategic Plan. Summarize the contents of this document. The Executive Summary should be concise, to the point, and give a clear understanding of what is in the document. Be sure to include a general thesis statement in the last paragraph.Strategic Mission, Vision, and Horizon StatementSpecify the period to which this plan pertains. Create a one-to-two sentence IT Mission and Vision Statement for MarkO Ltd. Assess the organization’s strategic vision with respect to technology and business goals. Consider the various business models that are relevant and review the concepts of a strategic paradox in order to determine where competitive advantage can be acquired. Explain what the company’s time horizon will be in the future. (This can be expressed in a series of general accomplishments desired over a period of time and what the company will look like when it gets to that time or horizon.)Purpose of Plan: Indicate the reason for creating this IT strategic plan. Determine the basic premise for the plan and explain why this plan is being created and what the significance of this plan is for the company. Specify what the plan will accomplish.Corporate Strategy: Describe the strategy of the enterprise. Obtain this information from the Company Profile and surmise what the overall company strategy will be in the next three years. This provides the superstructure of how IT will help the business meets its goals and help it realize its Strategic Vision. Evaluate the business environment and address the competitive advantage of the strategic implementation of technology, and the possible implementation of “S” Curve planning methods in your plan. Evaluate the needs of the company and determine the major strategic planning elements and concepts to support the short (1 year)-, medium (2 years)-, and long-term (3+ years) goals of your organization. This includes a general description of the organization and how the business scope and organization are aligned. Tools such as the 5 Force Model and SWOT Analysis found in the previous weeks of the course text readings will assist you in maturing your plan. Explain the strategic plan(s) from the Company Profile including MarkO’s corporate strategy, business strategy, information technology organization, business initiatives to support the corporate strategy, and IT initiative to support the business initiatives.Business Initiatives to Support Corporate Strategy: Based on the Company Profile, create a minimum of three business initiatives that are planned for the next three years that will support the Corporate Strategy.IT Strategy: Briefly describe your IT strategy. The IT strategy should have the business strategy as its basis. Spend at least a paragraph on each element below stating your IT Strategy. Among the many areas of IT, examine data warehousing, ecommerce, technology infrastructure, and technology products and/or services you want to include in your Strategic IT Plan. Your Strategy should address the following IT Categories. Application development Hardware and infrastructure acquisition Data center builds and adjustments Security Compliance and governance Networks Data (Including Databases, Data Warehouses, Data sources and Big Data) Within each IT category above address the following elements. Explain the kind and style of IT organization that will carry out the IT Strategy. Describe the IT organization’s operational profile. Explain the IT organization’s risk profile. Determine whether or not the organization is a cost or operational center. Explain whether or not IT development is operationally focused. IT Strategic Plan to Support Business Initiatives: Develop a list of the IT systems that are required to support the planned business initiatives. (There is a matrix within the provided template that may assist with this.)IT Strategic Plan – Roadmap Chart: Graphically depict the future of MarkO Ltd.'s Strategic Plan and provide a simple but powerful view of the future through coordinated plans and steps. This is the essence of strategic planning. Using tools and concepts that were covered in Weeks 4 and 5, apply strategic concepts to create a Roadmap Flow Chart (or some other graphical representation of your plan) to depict the schedule for implementing the approved IT systems. Remember to address a 1-year, 2-year, and 3-year strategy in your plan. Be sure to provide a high-level description of the strategic plans ahead including the identification of future moves and prioritized goals and objectives.Key Performance Indicators: Insert a series of metrics or Key Performance Indicators (KPIs), on how you will measure the success of your plan. A Key Performance Indicator is a recognizable value that represents a measure of progress, value, or status. This could be a percentage of completion or whether an action plan is on track or off track. It can also be a recognizable value of an amount compared to a total goal amount. The IT Strategic Plan Template has an example of a KPI Report for your referenceIT Strategic Execution Plan: Explain how you will execute, communicate, and monitor your plan as it moves forward, listing the actions you will take with a brief description of how you will implement the IT Strategy. Briefly describe how you would roll out the plan to senior management.IT Strategic Plan Summary: In a one-to-three paragraph summary, describe what it took to develop and write the IT Strategic Plan. Explain the information in the Company Profile that was helpful as well as any information that was missing or would have been important to know.Appendices as applicable: Appendices might include additional graphs, charts, or tables that further illustrate points within your strategic plan.The Strategic IT Plan Must be 12 to 15 double-spaced pages in length (not including title, reference, and appendix pages) and formatted according to APA style as outlined in the Ashford Writing Center (Links to an external site.). Must include a separate title page with the following: Title of strategic plan Student’s name Course name and number Instructor’s name Date submitted Must use at least five scholarly sources in addition to the course text. Remember to incorporate information that you have learned from this course as well as your personal experience. The Scholarly, Peer-Reviewed, and Other Credible Sources (Links to an external site.) table offers additional guidance on appropriate source types. If you have questions about whether a specific source is appropriate for this assignment, please contact your instructor. Your instructor has the final say about the appropriateness of a specific source for a particular assignment. Must document all sources in APA style as outlined in the Ashford Writing Center. Must include a separate references page that is formatted according to APA style as outlined in the Ashford Writing Center. Carefully review the Grading Rubric (Links to an external site.) for the criteria that will be used to evaluate your assignment.