How does Medical Anthropology influence the health and wellbeing of individuals affected by the Covid-19 pandemic? Include 1) emic and etic views, 2) lockdown/stay at home disorder in relation to mental health in comparison to institutionalization, and 3) are the deaths considered a good death?

While standing and putting your pants on, in a detailed description explain how each component of physical function are addressed in order for you to accomplish this task? Component of physical function include

1. balance/postural equilibrium

2. cardiopulmonary endurance

3. neuromuscular control and coordination

4. mobility and flexibility

5. muscle performance

6. stability  

The older adult client has a fentanyl patch 75mcg for chronic pain. Which statement is correct regarding this drug for the older adult? This patient should not have a fentanyl patch for chronic pain.

1. The dose may be too low.
2. The dose may be too high for this patient.
3. The dose is appropriate.

Which drugs would be appropriate for pain management for a client who sustained multiple abrasions to both knees after falling off a bicycle? (Select all that apply.)

1. Acetaminophen
2. Aspirin
3. Hydrocodone
4. Ibuprofen
5. Morphine

57 Year Old Woman with Fatigue

Chief Complaint: Fatigue

History of Present Illness:

Ms. Jones is a 57 year old woman who presents to her primary care physician with a three month history of fatigue. She reports that she doesn’t seem to have as much energy as she used to for daily activities. She has also noted increased frequency of urination, often having to get up two to three times a night to go to the bathroom. She has increased her intake of liquids because she feels thirsty all of the time. She is also experiencing headaches. She describes them as a dull, generalized pain, without accompanying photophobia, phonophobia, nausea, vomiting, visual changes or focal neurologic symptoms. Occasional headaches have been occurring over the last three months, but in the last week they have increased in frequency and severity and are now occurring daily. In the last week she has also noted that urination has become even more frequent, and she experiences a burning pain when she urinates.

Past Medical History:

1. Allergic rhinitis
2. Gastroesophageal reflux disease

Allergies: NKDA

Medications:

1. loratadine 10mg po daily as needed for nasal congestion
2. omeprazole 20mg po daily as needed for heartburn
3. acetaminophen 1000mg as needed for headache

Past Surgical History: no prior surgeries

Family History:

Mother with hypertension and type 2 diabetes mellitus, died at age 71 of CVA. Father, age 79, with hypertension and coronary artery disease. Sister, age 55, with hypertension and type 2 diabetes mellitus. Daughters healthy at age 29 and 33. Maternal aunt died of breast cancer at age 62.

Social History:

Ms. Jones works as a bank teller. She is married and has two adult daughters. She has smoked half a pack of cigarettes daily for the last 30 years. She drinks a beer or glass of wine approximately once a week and denies other drug use. She is sexually active in mutually monogamous relationship with her husband. Ms. Jones has recently begun trying to lose weight. She walks for exercise about 20 minutes every other week. She is attempting to eat a healthier diet by purchasing low fat versions of the products she usually buys at the grocery store.

Health Maintenance:

1. Last pap smear 2 years ago, negative. No history of abnormal pap smears.
2. Last mammogram one year ago, normal.
3. Last colorectal cancer screen: colonoscopy 7 years ago, normal other than diverticulosis.
4. Influenza immunization in November of last year.
5. Does not recall if her cholesterol or blood sugar have ever been tested.

Review of Systems:

• General: Increasing fatigue over the last 3 months, per HPI. Ten lb. weight gain over the last 18 months. No recent fever or chills. Intermittent headache.
• Eyes: Has noted blurred vision last 3 weeks. No eye pain, redness.
• Ear/Nose/Throat: No hearing loss, tinnitus, vertigo, earaches, nasal congestion, discharge, epistaxis, dental problems, sore throat.
• Neck: no lumps, pain, stiffness.
• Skin: no rashes.
• Breasts: No lumps, pain, discharge.
• Respiratory: No shortness of breath, cough, hemoptysis, wheezing.
• Cardiac: No chest pain, dyspnea on exertion, palpitations, orthopnea, PND, peripheral edema.
• Gastrointestinal: heartburn 1-2 times per month. No nausea, vomiting, abdominal pain, diarrhea, constipation, blood in stools or melena.
• Genitourinary: Three day history of white vaginal discharge and itching in vaginal area. Nocturia 2-3x per night. Dysuria, per HPI. No hematuria, urgency. LMP 8 years ago.
• Musculoskeletal: No pain, stiffness, swelling in joints or muscles.
• Neurologic: No focal weakness or numbness, paresthesias.
• Hematologic: No easy bruising or bleeding.
• Endocrine: Polyuria, polydipsia per HPI. No heat or cold intolerance,.
• Psychiatric: No depression, anxiety.

Physical Exam:

• Vital signs: P 84, RR 16, BP 147/92 T 37.2, weight 192 lbs, height 5’5”.
• General: Alert, well-appearing, in no acute distress.
• HEENT: PERRLA, conjunctivae and sclera clear, mucous membranes somewhat dry.
• Neck: supple, without masses, lymphadenopathy, or thyromegaly.
• Pulmonary: Lungs clear to auscultation bilaterally with good air movement and symmetrical expansion.
• Cardiovascular: Normal S1, S2 without murmurs, rubs or gallops. Radial and dorsalis pedis pulses symmetric, 2+ bilaterally, no peripheral edema.
• Abdomen: Normoactive bowel sounds, nontender, nondistended, no masses or organomegaly.
• GU: Generalized erythema of vulvar tissues. Thick, white discharge in vaginal vault. No cervical motion tenderness, fundal or adnexal tenderness.
• Skin: No rashes or other lesions other than white, macerated lesions in the webspace between 3^rd, 4^th and 5^th digits of right foot.

The results of Ms. Jones’ tests are listed below.

Treatment Plan

Please outline a plan for treatment.

In addition, in your treatment plan, you should address the following questions:

1. What education and counseling would you like to provide for the patient? What parts of this education would you provide today and what would you put off until another visit?
2. What specialist consultants and other professionals would you like to involve in the care of this patient?
3. When would you like to see this patient in follow-up? How often would you like to see her?
4. What ongoing monitoring should this patient have, and how often should it occur?

1) While completing Carl’s ECG, you notice an intermittent signal artifact. What are two ways you can fix the issue?

2)You will need to prepare and complete an ECG for Carl. Think about how we prepared and ran ECGs in the lab. What instructions will you need to provide to Carl to prepare him for the ECG. (Hint: think about any paperwork, positioning, look back at the procedure)

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Patients goal is to return to his weekly basketball games, he has improved with his balance and gait. However, he states his pain continues but not as severe, the discomfort level started at a 8/10 and is now at a 4/10 and but it seems to have moved into his groin area. You decide it is time for an orthopedic consult. Dad goes for an x-ray which reveals that he has joint changes indicative of OA. Based on that diagnosis, describe in detail how and why you would apply the principles of management for this degenerative joint disease for your Dad

Which one of the following federal laws encourages a person to decide now about the extent of medical care they wish to receive if they become unable to make those decisions due to illness?

a.) the federal patient set determination act

b.) the patient protection and affordable health care act

c.) the health insurance portability and accountability act

d.) the nursing home reform act

Make copies of information that you find, let me know what you have learned.

Please answer this question correctly and quickly for a thumbs up.

In the Molly Anderson article assigned for this class, Professor Anderson describes her food systems vision. Thinking about your own food systems vision, what are three things you would like to change or affect in the food system? Please respond by listing one thing you would like to do individually, one thing you would like society to do collectively, and one thing you think the UW could do to positively change or affect the food system.

Answers should have these three levels and use 1-3 sentences to describe each one.

Individually:

Collectively:

UW:

how does or will covid 19 vaccines be a positive and negative solution in a bio ethical stand point of patients autonomy.

Over the course of history, many diseases have been associated with a very negative stigma. What disease is considered the most stigmatized in history?

A. HIV/AIDS

B. Leprosy

C. Mental Health

D. Obesity

1) List 9 dimensions of wellness

2) Explain the difference between physical activity and exercise

3) Describe the differences between muscle Hypertrophy and Atrophy. Explain why each one occurs

4) List the 5 types of stretchings. Explain each with only 1 sentence

5) Explain what RICE mean when talking about basic treatment after an injury

6) List the common symptoms of concussion (at least 5)

Discuss the importance of data collection in terms of patient navigation services. Please give at least 3 reasons why data is key when having a quality navigation program and/or services.

Based on the five case studies, answer the questions in your own words for each case study, using complete sentences, and providing examples, if applicable.

Case Study 1

During an appendectomy, the patient, a 16-year-old male, exhibits decreased oxygen saturation, hypotension, decreased breath sounds, and increased airway pressures during ventilation.

• What is most likely happening with this patient?
• What should you do as a surgical tech in the scrubbed role?
• What will the anesthesia provider most likely do?

Case Study 2

As you drape your patient for an abdominal procedure, you notice red, raised patches on the skin which you suspect are hives.

• As the surgical tech in the scrubbed role what action should you take?
• What is a likely cause of the sort of reaction the patient is having?
• If the reaction becomes worse and potentially life threatening, what is that called?
• What medications might be given to this patient (for a mild reaction and for a severe reaction)?

Case Study 3

Shortly after extubation, the patient, a 5-year-old female with a history of asthma, exhibits stridor on inspiration and oxygen desaturation.

• What is likely happening to this patient?
• What will the anesthesia provider do?

Case Study 4

During an exploratory laparotomy for a bowel obstruction the patient goes into cardiac arrest. A code blue is called.

• What is the role of the surgical technologist in the scrubbed role?
• What is the role of a surgical technologist who is not scrubbed into the case (assisting the circulator, or between assignments)?
• What does “ABCD” mean in a code blue situation?
• What medications might be given to the patient during the code blue and what are they given for?

Case Study 5

During a surgical procedure, the patient exhibits an increased end-tidal CO2, tachycardia, tachypnea, and masseter muscle rigidity. While the anesthesia provider is attempting to determine the cause of these symptoms, the patient begins to show signs of pyrexia and diaphoresis.

• What condition does this patient likely have?
• What causes the condition?
• What is the treatment for the condition?

What is the difference between qualitative and quantitative research sampling strategies? Compare and contrast the strategies and describe some of the advantages and disadvantages of each.