Unit 9 mn553 – 1

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Case Study: Prescribed Drugs with CAMs

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Unit 9 mn553 – 1
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Mr. X, a 42-year-old male presents to your primary care practice today complaining of low back pain.

History – Mr. X states that he has had chronic low back pain since he had a skiing accident about 10 years ago. Three days ago, he felt a pulling sensation in his lower back after moving some boxes. The pain intensity increased over the subsequent 24 hours and is now steady, aching in nature, at 3-4 out of 10. Mr. X also has Type2 diabetes, which is well controlled on metformin with a HGA1c of 5.6. He has a history of DVT 4 months ago for which he takes Coumadin, INR is WNL. He is followed by a specialist for this problem. He recently started taking two OTC products; kava kava for what he describes as “anxiety” and CoEnzyme Q10 on the advice of a friend.

Social – Mr. X is a smoker, 1 pack per week for 15 years. No alcohol or drug use. He is employed as an accountant and has medical insurance. He is divorced.
PE/ROS – Complains of low back stiffness and pain on movement with occasional spasms related to moving in certain directions. You note he has mild difficulty getting onto the exam table but gait is normal. He denies weakness/numbness/tingling of legs, no radiation, no change in bowel or bladder habits. BMI 27. All range of motion of the back is decreased by 25%. Straight leg lift is negative bilaterally, DTR intact. All other systems WNL.

Medications:

Metformin 1000mg ER one tab daily – Type II Diabetes controlled

Coumadin 5 mg. daily – Hx of DVT – Controlled

Kava Kava 50 mg. tid – Self-medication for anxiety

CoQ10 – 200 mg. daily. – Self-medication for unknown reason

Provide a diagnosis for the patient and your rationale for the diagnosis
Provide a treatment plan specifically for this patient, pharmacologic and non-pharmacologic.
Comment on the use of OTC products in relation to Mr. X’s current chronic and acute disease diagnoses and medications. Include drug-drug interactions and side effect profiles.
Provide an education plan for Mr. X
Present this Assignment as a PowerPoint presentation with between 12 and 16 slides (not including opening slide and resource slide).
You will use the Narrative notes section of the presentation to include the majority of your evidentiary support of your treatment choices and education of family complete with in-text citations using APA formatting,

Assignment Requirements:

Before finalizing your work, you should:

be sure to read the Assignment description carefully (as displayed above);
consult the Grading Rubric (under Course Resources) to make sure you have included everything necessary; and
utilize spelling and grammar check to minimize errors

Your writing Assignment should:

follow the conventions of Standard English (correct grammar, punctuation, etc.);
be well ordered, logical, and unified, as well as original and insightful;
display superior content, organization, style, and mechanics; and
utilize APA 7th edition formatting.


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Publication Manual, 7th Edition
Student Paper Checklist
Use this checklist while writing your paper to make sure it is consistent with seventh edition APA Style. This
checklist corresponds to the writing and formatting guidelines described in full in the Publication Manual of the
American Psychological Association (7th ed.).
Refer to the following chapters for specific information:

paper elements and format in Chapter 2

tables and figures in Chapter 7

writing style and grammar in Chapter 4

in-text citations in Chapter 8

bias-free language in Chapter 5


mechanics of style in Chapter 6
reference list and reference examples in
Chapters 9 and 10
Information and resources are also available on the APA Style website. If you have questions about specific
assignment guidelines or what to include in your APA Style paper, please check with your assigning instructor
or institution. If you have questions about formatting your thesis or dissertation, check your institution’s
guidelines or consult your advisor.
Student Title Page
Format (Section 2.3): Double-space the title
page. Center each element on its own line. Do
not use italics, underlining, or different font
sizes.
Title (Section 2.4): Concise, engaging summary
of the paper and its main topic and/or variables.
Write the title in title case: Capitalize the first
letter of the title, the subtitle, and any major
words of four letters or more (plus linking verbs
“Is,” “Are,” and “Be”). Double-space, center,
and bold the title in the upper half of the title
page (three or four lines down from the top
margin).
Author Name (Section 2.5): Full name of each
author of the paper. The preferred format is first
name, middle initial(s), and last name (e.g.,
Maribel S. Quantez). Center the name two
double-spaced lines after the title (i.e., one
blank line between the title and author name).
Author Affiliation (Section 2.6): Name of the
department of the course to which the paper
is being submitted and name of the college or
university. Use the format: Department, College
(e.g., Department of History, Williams College).
Do not include the school’s location unless part
of its name. Center the affiliation one doublespaced line after the author name(s).
Course Number and Name (Section 2.2):
Number and name of course to which the paper
is being submitted. Use the format shown
on course materials (e.g., syllabus). Write the
number and name on the same line. Center the
number and name one double-spaced line after
the affiliation.
Instructor Name (Section 2.2): Name of the
instructor of the course to which the paper is
being submitted. Use the title and name shown
on course materials (e.g., syllabus). Center the
name one double-spaced line after the course
number and name.
Due Date (Section 2.2): Due date of the
assignment. Include the month, day, and year
in the format used in your country (e.g., May 4,
2020, or 4 May 2020). Spell out the month and
write the full year. Center the date one doublespaced line after the instructor name.
Paper Organization
Introduction (Section 2.11): Repeat the paper
title on the first line of the first page of text,
before the opening paragraph. Center and
bold the title. Do not include an “Introduction”
heading. Start the first line of the text one
double-spaced line after the title. Use Level 2
headings for subsections in the introduction.
Page Header (Section 2.18): Page number 1.
Flush right in the header (upper right corner).
Text (Section 2.11): Use headings as needed to
organize the text. Use Level 1 headings for main
sections after the introduction (e.g., Method,
Results, Findings, Discussion).
Paper Format
Page Header (Section 2.18): Page number.
Appears flush right in the header (upper right
corner) of all pages. Insert page numbers using
the automatic page-numbering function of your
word-processing program.
Font and Font Size (Section 2.19): Use the
same font and font size throughout your
paper (exception: figure images require a
sans serif font and can use various font sizes).
Recommended serif and sans serif fonts:
°
11-point Calibri
° 11-point Arial
°
10-point Lucida Sans Unicode
°
12-point Times New Roman
°
11-point Georgia
°
10-point Computer Modern
Page Order (Section 2.17): Start each main
paper section on a new page. Arrange pages in
the following order:
°
title page
°
abstract (if needed)
°
text
°
references
°
footnotes (if needed)
°
tables (if needed)
°
figures (if needed)
°
appendices (if needed)
Line Spacing (Section 2.21): Double-space the
entire paper. Do not add extra lines before or
after headings or between paragraphs.
Headings (Section 2.27): Start each new
section with a heading. Write all headings in
title case and bold. Also italicize Level 3 and 5
headings. Follow seventh edition guidelines for
the alignment of headings, as described on the
Headings page.
Margins (Section 2.22): Margins are 1 in. on all
sides (top, bottom, left, and right).
Section Labels (Section 2.28): Bold and center
labels, including “Abstract” and “References.”
Paragraph Alignment and Indentation
(Sections 2.23–2.24): Left-align the text (do not
use full justification). Indent the first line of each
paragraph 0.5 in. (one tab key).
Paper Length (Section 2.25): Follow the
assignment guidelines. If not instructed
otherwise, use the word-count function of your
word-processing program to determine paper
length, counting every word in the paper—but
do not count words in figure images.
Writing Style
Continuity (Sections 4.1–4.3): Check for
continuity in words, concepts, and thematic
development across the paper. Explain
relationships between ideas clearly. Present
ideas in a logical order. Use clear transitions
to smoothly connect sentences, paragraphs,
and ideas.
2
Conciseness (Sections 4.4–4.6): Choose
words and phrases carefully and deliberately.
Eliminate wordiness, redundancy, evasiveness,
circumlocution, overuse of the passive
voice, and clumsy prose. Do not use jargon,
contractions, or colloquialisms. Avoid overusing
both short, simple sentences and long, involved
sentences; instead, use varied sentence lengths.
Avoid both single-sentence paragraphs and
paragraphs longer than one double-spaced
page.
Clarity (Sections 4.7–4.11): Use clear and
precise language. Use a professional tone and
professional language. Do not use jargon,
contractions, colloquialisms, or creative
literary devices. Check for anthropomorphistic
language (i.e., attributing human actions to
inanimate objects or nonhuman animals). Make
logical comparisons using clear word choice
and sentence structure.
Grammar
Verb Tense (Section 4.12): Use verb tenses
consistently in the same and adjacent
paragraphs. Use appropriate verb tenses for
specific paper sections, as described on the
Verb Tense page.
Voice and Mood (Sections 4.13–4.14): Use
the active voice instead of the passive voice as
much as possible. Use the passive voice only
when focusing on the recipient of an action
rather than on who performed the action.
Subject and Verb Agreement (Section 4.15):
Use verbs that agree in number (i.e., singular or
plural) with their subjects.
Pronouns (Sections 4.16–4.21): Use firstperson pronouns to describe your work and
your personal reactions (e.g., “I examined,”
“I agreed with”), including your work with
coauthors (e.g., “We conducted”). Use the
singular “they” when referring to a person who
uses it as their self-identified pronoun or to a
person whose gender is unknown or irrelevant.
Use other pronouns correctly.
Bias-Free Language (Chapter 5)
Eliminate biased language from your writing.
Avoid perpetuating prejudicial beliefs or
demeaning attitudes. Instead, use bias-free
language to describe all people and their
personal characteristics with inclusivity and
respect, including
°
age
°
disability
°
gender
°
participation in research
°
racial and ethnic identity
°
sexual orientation
°
socioeconomic status
°
intersectionality
For guidelines on writing about people without
bias and examples of bias-free language, see
the Bias-Free Language pages.
Mechanics of Style
Punctuation (Sections 6.1–6.6, 6.8–6.10): Use
punctuation marks correctly (periods, commas,
semicolons, colons, dashes, parentheses,
brackets, slashes), including in reference list
entries. Use varied punctuation marks in your
paper. Avoid having multiple punctuation
marks in the same sentence; instead, split the
sentence into multiple shorter sentences. Use
one space after a period or other punctuation
mark at the end of a sentence. Use a serial
comma before the final element in lists of three
or more items. Use parentheses to set off intext citations.
Quotation Marks (Section 6.7): Use quotation
marks correctly. Place commas and periods
inside closing quotation marks; place other
punctuation marks (e.g., colons, semicolons,
ellipses) outside closing quotation marks. Use
quotation marks around direct quotations. Do
not use quotation marks in the reference list.
Italics (Sections 6.22–6.23): Use italics correctly
to draw attention to text. Use italics for the first
use of key terms or phrases accompanied by a
definition. Do not use italics for emphasis.
3
Spelling and Hyphenation (Sections 6.11–
6.12): Spelling and hyphenation should match
the Merriam-Webster.com Dictionary or the
APA Dictionary of Psychology. Write words with
prefixes and suffixes without a hyphen.
For more information, including the spelling of
common technology terms, see the Spelling
and Hyphenation pages.
Capitalization (Sections 6.13–6.21): Use title
case and sentence case capitalization correctly.
Capitalize proper nouns, including names of
racial and ethnic groups. Do not capitalize
names of diseases, disorders, therapies,
treatments, theories, concepts, hypotheses,
principles, models, and statistical procedures,
unless personal names appear within these
terms.
For more information, including capitalization
to use for specific paper elements, see the
Capitalization pages.
Abbreviations (Section 6.24–6.31): Use
abbreviations sparingly and usually when
they are familiar to readers, save considerable
space, and appear at least three times in
the paper. Define abbreviations, including
abbreviations for group authors, on first use.
Do not use periods in abbreviations. Use Latin
abbreviations only in parentheses, and use
the full Latin term in the text. Do not define
abbreviations listed as terms in the dictionary
(e.g., AIDS, IQ) and abbreviations for units of
measurement, time, Latin terms, and common
statistical terms and symbols.
For more information, including abbreviations
that do not need to be defined, see the
Abbreviations pages.
Numbers (Sections 6.32–6.39): Use words to
express numbers zero through nine in the
text. Use numerals to express numbers 10 and
above in the text. In all cases, use numerals in
statistical or mathematical functions, with units
of measurement, and for fractions, decimals,
ratios, percentages and percentiles, times,
dates, ages, scores and points on a scale, sums
of money, and numbers in a series (e.g., Year 1,
Grade 11, Chapter 2, Level 13, Table 4).
For more information and exceptions, see the
Numbers pages.
Statistics (Sections 6.40–6.45): Include
enough information to allow readers to fully
understand any analyses conducted. Space
mathematical copy the same as words, with
spaces between signs. Use statistical terms in
narrative text: “the means were,“ not “the Ms
were.” Use statistical symbols or abbreviations
with mathematical operators: “(M = 6.62),” not
“(mean = 6.62).”
Lists (Sections 6.49–6.52): Ensure items in
lists are parallel. Use commas to separate items
in simple lists. Use semicolons to separate
items when any items in the list already contain
commas.
For more information, including how to create
lettered, numbered, and bulleted lists, see the
Lists pages.
Tables and Figures
General Guidelines (Sections 7.1–7.7): Include
tables and/or figures if required for your paper
or assignment. When possible, use a standard,
or canonical, form for a table or figure. Do not
use shading or other decorative flourishes.
In the text, refer to each table or figure by its
number. Explain what to look for in that table
or figure by calling out the table or figure in the
text (e.g., “Table 1 lists…” “As shown in Figure
1…”).
Either embed each table or figure in the text
after it is first mentioned or place it on a
separate page after the reference list. If
embedded, place the table or figure at either
the top or the bottom of the page with an extra
double-spaced line between the table or the
figure and any text.
Tables (Sections 7.8–7.21): Use the tables
feature of your word-processing program to
create tables. Number tables in the order they
are mentioned in the text. Include borders only
at the top and the bottom of the table, beneath
column headings, and above column spanners.
Do not use vertical borders or borders around
every cell in the table.
All tables include four basic components:
number, title, column headings, and body.
4
Write the table number above the table title
and body and in bold. Write the table title one
double-spaced line below the table number
and in italic title case. Label all columns. Center
column headings, and capitalize them in
sentence case. Include notes beneath the table
if needed to describe the contents. Start each
type of note (general, specific, and probability)
on its own line, and double-space it.
Cite appropriately to avoid plagiarism, but do
not repeat the same citation in every sentence
when the source and topic do not change.
For guidance on appropriate citation, see the
Appropriate Level of Citation page.
Write author–date citations according to
seventh edition guidelines: Include the author
(or title if no author) and year. For paraphrases,
it is optional to include a specific page
number(s), paragraph number(s), or other
location (e.g., section name) if the source work
is long or complex.
See sample tables on the APA Style website.
Figures (Sections 7.22–7.36): Use a program
appropriate for creating figures (e.g., Word,
Excel, Photoshop, Inkscape, SPSS). Number figures in the order they are mentioned in the text.
Within figures, check that images are clear, lines
are smooth and sharp, and font is legible and
simple. Provide units of measurement. Clearly
label or explain axes and other figure elements.
All figures include three basic components:
number, title, and image. Write the figure
number above the figure title and image and in
bold. Write the figure title one double-spaced
line below the figure number and in italic title
case. Write text in the figure image in a sans
serif font between 8 and 14 points. Include a
figure legend if needed to explain any symbols
in the image. Position the legend within the
borders of the figure, and capitalize it in title
case. Include notes beneath the figure if needed to describe the contents. Start each type of
note (general, specific, and probability) on its
own line, and double-space it.
See sample figures on the APA Style website.
In-Text Citations (Chapter 8)
Cite only works you read and ideas you
incorporated into your paper.
Include all sources cited in the text in the
reference list (exception: personal
communications are cited in the text only).
Make sure the spelling of author names and the
publication dates in the in-text citations match
those of the corresponding reference
list entries.
Paraphrase sources in your own words
whenever possible.
For guidance on how to paraphrase sources,
see the Paraphrasing pages.
°
One author: Use the author surname in all intext citations.
°
Two authors: Use both author surnames in all
in-text citations.
°
Three or more authors: Use only the first
author surname and then “et al.” in all
in-text citations.
For more information, including exceptions
to basic in-text citation styles, see the
Basic Principles of Citation pages.
Use either the narrative or the parenthetical
citation format for in-text citations.
°
Parenthetical citation: Place the author name
and publication year in parentheses.
°
Narrative citation: Incorporate the author
name into the text as part of the sentence and
then follow with the year in parentheses.
For works with two authors,
°
use an ampersand (&) in parenthetical in-text
citations: (Guirrez & Castillo, 2020)
°
use the word “and” in narrative in-text
citations: Guirrez and Castillo (2020)
For more information, see the Parenthetical and
Narrative Citations page.
When citing multiple works in parentheses,
place the citations in alphabetical order. When
multiple parenthetical citations have the same
author(s), order the years chronologically and
separate them with commas (e.g., Coutlee,
2019, 2020). When the authors are different,
separate the parenthetical citations with
semicolons (e.g., Coutlee, 2019, 2020; Ngwane,
2020; Oishi, 2019).
5
For more examples, see the Citation of Multiple
Works page.
See exceptions for references with missing
information on the Missing Information page.
Limit the use of direct quotations. Include the
author (or title if no author), year, and specific
part of the work (page number(s), paragraph
number(s), section name) in the citation.
Use punctuation to group information and
separate reference elements.
°
Short quotation (less than 40 words): Use
double quotation marks around the quotation.
°
Block quotation (40 words or more): Use the
block format: Indent the entire quotation 0.5
in. from the left margin and double-space it.
List authors in the same order as the original
source. Use initials for authors’ first and middle
names. Put a comma after the surname and a
period and a space after each initial (e.g., Lewis,
C. S.). Put a comma after each author (even
two authors). Use an ampersand before the last
author.
For more information, see the Basic Principles
of References page.
For more information, see the Quotations page.
For more information, including what to do
when a work has more than 20 authors, see the
Reference Elements page.
References (Chapters 9 and 10)
Start the reference list on a new page after
the text.
Capitalize titles in sentence case: Capitalize only
the first word of the title, the subtitle, and any
proper nouns. Format titles according to the
type of work.
Center and bold the section label “References”
at the top of the page.
Double-space the entire reference list, both
within and between entries.
Use a hanging indent for each reference
entry: First line of the reference is flush left,
and subsequent lines are indented by 0.5 in.
Apply the hanging indent using the paragraphformatting function of your word-processing
program.
All reference entries should have a
corresponding in-text citation. The beginning
of the reference entry (usually the first
author’s surname) and year should match the
corresponding in-text citation.
List references in alphabetical order according
to seventh edition guidelines.
Create the appropriate reference entry for
the type of work being cited, as described in
Chapter 9 and shown in Chapter 10 and on the
Reference Examples pages.
Do not create reference entries for personal
communications and secondary sources.
For a list of works to include and exclude from a
reference list, see the Works Included page.
Each reference entry includes four elements:
author, date, title, and source.
°
Works that stand alone: Italicize the title
(e.g., authored books, reports, data sets,
dissertations and theses, films, TV series,
albums, podcasts, social media, websites).
°
Works that are part of a greater whole: Do
not italicize or use quotation marks around
the title (e.g., periodical articles, edited book
chapters, TV and podcast episodes, songs).
Write the title of the greater whole (e.g., journal
or edited book) in italics in the source element.
For more information, including when to
include bracketed descriptions for titles, see the
Basic Principles of References page.
Do not include database information for
works retrieved from academic research
databases. Do include database information
for works retrieved from databases with
original, proprietary content or works of limited
circulation (e.g., UpToDate).
For more information, see the Database
Information page.
Include a DOI for any work that has one. If there
is no DOI, include a URL if the work is retrieved
online (but not from a database). Present DOIs
6
and URLs as hyperlinks (beginning with “http:”
or “https:”). Copy and paste DOIs and URLs
directly from your web browser. Do not write
“Retrieved from” or “Accessed from” before a
DOI or URL. Do not add a period after a DOI or
URL.
For more information, see the DOIs and URLs
page.
© 2021
Last updated September 8, 2021
More information on APA Style can be found in the Publication Manual of the
American Psychological Association (7th ed.) and the Concise Guide to APA
Style (7th ed.).
CITE THIS HANDOUT:
American Psychological Association. (2021). Publication
Manual, 7th edition student paper checklist.
https://apastyle.apa.org/instructional-aids/
publication-manual-formatting-checklist.pdf
We thank Miriam Bowers-Abbott, of Mount Carmel College
of Nursing, for providing the inspiration for this content.

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