Week 10 Discussion: Gastroesophageal Reflux Disease and Peptic Ulcer Disease 

J.G. is a 42-year-old white man presenting with a 2-month history of intermittent midepigastric pain. The pain sometimes wakes him up at night and seems to get better after he eats a meal. J.G. informs you that his doctor told him that he had an infection in his stomach 6 months ago. He never followed up and has been taking over-the-counter Zantac 75 for 2 weeks without relief. He takes no other medications. He is concerned because the pain is continuing. He has no other significant history except he is a 20 pack-year smoker and he drinks 5 cups of coffee a day. He eats late at night and goes to bed about 30 minutes after dinner. He is allergic to penicillin.

Diagnosis: Peptic Ulcer Disease: Answer the following questions in full sentences using APA citations.

List specific goals for treatment for J.G.

What drug therapy would you prescribe for J.G.? Why?

Discuss specific patient education based on the prescribed therapy.

List one or two adverse reactions for the selected agent that would cause you to change therapy.

What would be the choice for second-line therapy?

What lifestyle changes would you recommend to J.G.?

one page 3 scholarly citation and reference

Required Resources

Read/review the following resources for this activity:

• Textbook: Chapter 5
• Minimum of 1 scholarly source

Initial Post Instructions

Consider a small business you want to create. In your post, address the following:

• What type of business would you create?
• Conduct some research on companies offering a similar product. What distinguishes you from your competitors?
• Name 2-3 risks you need to consider in your new venture? Consider the risk factors similar companies may have encountered.
• How could you leverage e-commerce and social media to make your business profitable?

The discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered.
For this assignment, make sure you post your initial response to the Discussion Area by the due date assigned.

To support your work, use your course and text readings and also use outside sources. As in all assignments, cite your sources in your work and provide references for the citations in APA format.

Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Complete your participation for this assignment by the end of the week.

Efficiency of the Production Operation

Research the process of producing an expensive product (assume that it is something that must cost at least $1,000). After learning the steps that must be accomplished to produce such a product, address the following:

• What would you expect the layout of a producing facility to look like (in other words, what is the process layout for such an operation)?
• What would determine when someone had finished working on one of these products (in other words, how would someone know that it was time to work on producing the next unit)?
• How would the efficiency of the production operation that you have envisioned be calculated (your answer should be specific to the type of product you selected, not just a general discussion of efficiency)?
• From your research, are there any ways in which the production of the product could be made more efficient than the way that it is normally produced? If so, what recommendations could you make? If not, describe another way in which the product could be made, even if it was inefficient.

Justify your answers using examples and reasoning. Comment on the postings of at least two peers and state whether you agree or disagree with their views.

For this assignment, you’ll begin your response to the following prompt:

Thinking of the theories we have covered in class, why should we care about the environment? To answer this prompt, you must: (1) put forward an argument for why we ought to care about the environment; (2) consider an objection to your argument; and (3) respond to that objection.

Thesis Assignment:

You must write a thesis paragraph – not just a statement – for your paper. It should be approximately 200 words long. In it, you ought to express the central claim of your paper and express how you intend to argue for it

Argument Assignment:

This assignment is asking you to complete (1), the positive argument of your paper. You need to provide a conclusion and the reasons you have for supporting that conclusion. That is, you need to explain why it is that you are arguing for your thesis.

You should add this, in a single document, onto your thesis assignment, bringing the total word count up to approximately 600 words. I ask that you include a line break between your thesis assignment and your argument assignment so that I can clearly demarcate them.