HART NOTE-JOHN SMITH
S: This is a 54-year-old male who presents with fatigue. He also has headaches. Because of a history of some visual field deficits during his headaches, his ophthalmologist ordered an MRI of the brain. I reviewed the films and did not see anything but the expected post-surgical changes of the brain. Lab tests show that he does have some residual function of the pituitary gland, so his endocrinologist only placed him on testosterone patches and thyroid hormone replacement (Synthroid). He also has a history of depression, which could explain the fatigue and headache, or they could be due to low thyroid replacement levels.
O: HEENT: Normal. Lungs: Clear to auscultation. Cardiovascular: Regular rate and rhythm, without murmurs, rubs or gallops. Abdomen: Nondistended, nontender. Extremities: No edema.
A: 1. Fatigue. Possibly hypothyroidism. Will check T3, T4, and TSH levels.
2. Headache, possibly within the context of depression. He is on a rather low dose of an antidepressant drug at this time.
3. Hypopituitarism.
P: 1. Will obtain an FSH, LH, free and total testosterone, and baseline ACTH.
2. Follow up in 1 week
Edward Norton, MD
I need to answer these question please
1. Divide endocrinologist into its word parts and define each part.
2. Divide hypopituitarism into its word parts and define each part
3. What is the abbreviation for thyroid-stimulating hormone?
4. Besides the physician who dictated this report, what two physician specialists have recently seen this patient?
9. Why is the patient taking Synthroid?
10. The patient’s fatigue, headache, and visual field defect could be signs of a recurring tumor in the brain. What test has already been done to look for a tumor?
In: Nursing
How can the Community Health Nurse use Social Marketing tools to educate her population on specific health conditions? Identify the health condition and detail the integration of social marketing
In: Nursing
In: Nursing
Identify an additional challenge or stigma not
included in the post that you would like to have. Provide rationale
as to why you feel that challenge or stigma is essential to
consider as well.
I will be discussing Parkinson's Disease (PD). "PD introduced by James Parkinson in early 1800s is described as shaking palsy" (Trevisan, 2019, s. 7.1). Further observation now describes PD as some form of Paralysis. Parkinson's symptoms can range from depression to dementia. There are five stages to Parkinson's Disease. Stage one is where one may experience mild symptoms, whereas Stage five is more intense where one may not leave their bed. Although PD is rarely genetically passed down, research shows that environmental triggers cause PD. Unfortunately, there is no test for PD diagnoses, which leads to misdiagnosis. The issue with PD is that the symptoms are often mistaken with older age. As mentioned, there is no test, so doctors examine the problems and apply the process of elimination. The Americans with Disabilities Act (ADA) "prohibits discrimination from people with disabilities" ("Americans with Disabilities Act | U.S. Department of Labor", n.d.). Under ADA, one with a disability can apply for Employer Assistance and Resource Network in Disability Inclusion (EARN) for free. EARN educates employers on the hiring process of an employee with a disability. EARN also provides a website for job seekers with known disabilities. "Social Security pays monthly benefits to individuals who are unable to work for a year or more due to a disability" ("How You Qualify | Disability Benefits | SSA", n.d.). Under social security, you have to meet their definition of disability, and they require one to have worked long enough and recently. The issues with these acts are the diagnosis of PD. PD is often delayed in diagnosing. Which means that one may not even know they have the disease. The problem is that a person may not even realize they qualify for these acts. A person may not even be allowed; they are unaware of having the disease. Unfortunately, one may go years without knowledge of their condition resulting in negative outcomes for the patient. These adverse outcomes range from quitting their job due to their illness or possibly being laid off due to lack of knowledge from the employer. An employer may mistake an employee's disease with lack of work resulting in firing and hiring someone with more motivation.
In: Nursing
what foods should patients avoid on this diet?:
Low sodium, low cholesterol, low carbs, high fiber, low fiber, high protein, low protein, high potassium, low potassium
In: Nursing
Simulators and ManikinsDescribes the technology o States a purpose for use of the technology in healthcare o Establishes the professional tone for the presentation b. History and Current Use - 30 points/14% • Describe significant findings that prompted the development of the technology. • Discuss the history and current use of the technology in healthcare. • Describe three goals of this technology’s implementation. c. Impact on Healthcare and Nursing - 40 points/16% • Discuss impact on professional nursing practice related to: o Patient safety o Quality of care measures/monitoring o Risk management o Privacy, confidentiality, and security of patient data o Effect on population within the region o Ethical practice o Compliance with legal and regulatory mandates o Organizational infrastructure and operations • Support discussions with examples & data from current evidence-based resources. d. Three Advantages and Disadvantages - 40 points/16% • Patient’s perspective (e.g., patient outcomes, safety, patient/family satisfaction) • Nurse’s perspective (improves/hinders job efficiency/safety) • Healthcare organization’s perspective (regulatory compliance, financial, etc.) e. Controversy, Issues, Challenges, and Regulatory Implications - 30 points/14% • How might issues surrounding the chosen technology be addressed/solved?
In: Nursing
Differentiate between common law and statutory law. Provide an
example (related to health care) for each.
Discuss the six (6) elements of
malpractice/negligence. Provide an example (related to health care)
for each
In: Nursing
Discuss the difference between a durable medical power of attorney
and a living will.
In: Nursing
What is the distinction between consent and informed consent? What
is the nurse's role with informed consent?
What safeguards can be used to ensure confidentiality
when sending medical information by fax or by e-mail?
In: Nursing
1. Write an composition explaining the relationship between ethics, morals, and deontology. In the content of the composition; The importance of ethics, morality and deontology concepts in nursing should be explained. What kind of problems the inadequacy of these concepts will lead to in nursing should be explained with examples
In: Nursing
Write a 1000-word essay discussing how Nightingale's work can be applied by nursing students.
In: Nursing
Write a 1000-word essay discussing how Orem's work can be applied by nursing students.
In: Nursing
Disaster Response COVID 19
Provides the steps that were taken by different agencies with regards to the COVID-19 situation at a national and local level based on references. Completes 250-500 words for full credit.
In: Nursing
In: Nursing
This discussion question will have you demonstrate your knowledge of the medical terms, understanding of the use of nouns, pronouns, and verbs, by creating a scenario of a patient. Research a medical disease and write 2-3 paragraphs to your classmates describing your patient’s condition using 20 of the words in Section 1, 2, and 3 of the textbook under “Medical Spelling.” You must highlight these words in yellow. You will also need to highlight at least ten nouns, ten pronouns, and ten verbs. Provide at least one reference to support your discussion of the disease.
There is plenty of information, choose a disease and go with it.
In: Nursing