Part A: Critical Thinking Read the following case study and answer the questions

Mr. Bird, age 70, reports that he has difficulty seeing at night and has given up driving. When questioned further, he also states, “I used to be an avid reader, but I guess I’m getting too old to read. The words aren’t very clear.” The nurse checks his eyes and finds that he is sensitive to light, has opacity of both lenses, and has no pain. The nurse informs the health care provider of these findings who plans further testing.

1. What might the nurse suspect is occurring with Mr. Bird?

2. For which diagnostic tests should the nurse prepare Mr. Bird?

3. After the health care provider (HCP) has made a definitive diagnosis of cataracts, the nurse develops a teaching plan. What should the nurse include in the teaching plan?

What are 3 potential legal issues and 3 solutions that must be discussed and analyzed in this passage?
A 40-year-old female patient requested examination by a family physician after she discovered her husband had hidden from her that he had multiple STDs, including venereal warts, caused by human papillomavirus (HPV). On the patient’s first visit, a pap smear and STD tests were performed. The STD tests came back positive for both HPV and chlamydia. In addition, the pap smear showed cervical abnormalities.
The patient was referred to a specialist for follow-up care, and a biopsy confirmed the presence of cervical cancer. Both the specialist and the family physician reached out to the patient to discuss the results. Additionally, the family physician reported the chlamydia result to the local health department.
After ignoring multiple calls and messages, the patient returned the calls of both physicians and informed them she would treat the chlamydia but was not interested in pursuing any treatment for the cancer. Both physicians were highly uncomfortable with this decision, as the patient was only 40 and the cancer was treatable. They contacted a local judge to discuss options for making the patient pursue treatment because they felt the she was making the wrong decision.
Simultaneously, a medical assistant in the family physician’s office noticed the patient’s biopsy results come through on the fax machine. The medical assistant revealed information about the patient’s condition to some of her friends, all of whom knew the patient from church. The patient found out that her medical information had been disclosed when her name ended up on her church’s prayer list in the weekly bulletin, listing her as battling cervical cancer.
The patient was eventually able to identify the source of the leak, and she subsequently filed a HIPAA privacy complaint with the Office of Civil Rights of the U.S. Department of Health and Human Services naming the medical assistant and the family physician’s office.
The family physician’s office learned of the privacy complaint and promptly sent the patient a letter terminating her from any future services.

Consider what you have learned about the developmental stages of the learner. If you were preparing an educational unit to teach the same content to elementary school children, young adults and senior adults, what changes to the program would need to be made for each group? (The behavioral objectives will remain the same for all 3 age groups.)

1. Choose a topic for your program and write 2 ABCD behavioral objectives in two different domains of learning. (Label your objective with which domain is represented). Deliverable = Topic/short description of program, 2 labeled objectives appropriate for program and audience. Do not reuse objectives submitted for a previous assignment.

2. List 3 unique characteristics of each age group related to their physical, cognitive & psychosocial development and give short description of why that characteristic will be significant when preparing your program. Deliverables: Descriptions of 3 characteristics of the 3 age groups (9 total) and how those characterics relate to your educational plan.

List 3 teaching strategies for each age group that you consider key to making your program a success and explain why that strategy is so important for that age group and within the context of your behavioral objectives.

3. List 2 ways you would evaluate the learner for each of your two behavioral objectives (4 total evaluations) for each age group. Explain why those evaluations are appropriate for those objectives and for that age group. Deliverables: 12 total evaluations (2 per objective per age group) with rationale.

Why is psychological safety a prerequisite for carrying out QI activities? (Min 200 words)

1. In the US, a large number of individuals are overweight and many are considered to be obese.  It is conventional wisdom that to lose weight, one needs to eat less and move more. However, it doesn’t appear to be so simple in practice.  Pharmaceutical companies have been searching for weight loss pills for some time but the currently approved medications are very limited.
   1. Compare and contrast the FDA approved orlistat and lorcaserin.
2. 2. A number of weight loss drugs have been pulled from the market.  Investigate one of these drugs and provide its mechanism of action and reason for being removed from the market.

1. Mr Goodman has stage 2 hypertension and has been prescribed chlorothiazide and Lisinopril for several years.  His blood pressure reads 155/97. Upon questioning, he admits that she usually only takes the diuretic and skips the other drug since it is so expensive.
   1. What should you tell Mr Goodman?
2. 2. Is there anything that could be done to increase his drug compliance?

1. There are many different types of diuretics.  Please answer the following in regards to these diuretics.
   1. How does the mechanism of action of the osmotic diuretics differ from that of other diuretic drugs?  
2. 2. What adverse effects are common to both thiazides and the organic acid [loop] diuretics?
3. 3. How can acetazolamide produce metabolic acidosis?

Briefly describe the neural control of eye movement. How can be this tested?

Briefly describe the major differences between immediate, working and long-term memory. How is it related to forgetting? Explain in your own words

K.B. is a 32-year-old woman being admitted to the medical floor for complaints of fatigue and dehydration. While taking her history, you discover that she has diabetes mellitus (DM) and has been insulin dependent since the age of 8. She has undergone hemodialysis (HD) for the past 2 years because of end stage renal disease (ESRD). Your initial assessment of K.B. reveals a pale, thin, slightly drowsy woman. Her skin is warm and dry to the touch with poor skin turgor, and her mucous membranes are dry. Her vital signs are 140/88, 116, 18, 99.9 ° F (37.7 ° C). She tells you she has been nauseated for 2 days so she has not been eating or drinking. She reports severe diarrhea. The following blood chemistry results are back. Chart View Laboratory Test Results Sodium 145 mEq/L Potassium 6.0 mEq/L Chloride 93 mEq/L Bicarbonate 27 mEq/L BUN 48 mg/dL Creatinine 5.0 mg/dL Glucose 238 mg/dL

1. Explain any laboratory results that might be of concern.

The rest of K.B.'s physical assessment is within normal limits. You note that she has an arteriovenous (AV) fistula in her left arm.

2. What is an AV fistula? Why does K.B. have one?

K.B. is sent for an HD treatment. Over the next 24 hours, K.B.'s nausea subsides, and she is able to eat normally. While you are helping her with her morning care, she confides in you that she doesn't understand her diet. "I just get blood drawn every week and meet with the dialysis dietitian every month—I just eat what she tells me to eat. It's so hard!"

3. Because K.B. is on HD and has DM, what are her special nutritional needs? Name at least four specific components of the diet recommended for K.B

What causes type 2 diabetes? What risk factors make type 2 diabetes more likely to happen? Explain how those causes and risk factors operate for individuals, families, communities and the society at large?

Case Study: Ellen is a 55-year-old African American woman with multiple medical problems, including chronic back pain. She is 66 inches tall (5’6”) and weighs 286 pounds. She takes medications for high blood pressure and hypercholesterolemia, both of which are currently under control, and she is a non-smoker. She also takes pain medications every day and has difficulty walking but attends a water exercise class at the local sports center one day a week. She states that she has been overweight most of her life and confesses that foods, especially sweet foods, are a comfort to her when she experiences physical or emotional pain. Her diet history reveals an intake of two or three cans of regular soft drinks each day. Her usual meals with her husband include meat or chicken (she does not like fish) and starchy vegetables, such as corn and potatoes. She snacks on several types of frozen desserts between meals. A recent visit to her doctor reveals a weight gain of 15 pounds over the past 6 months and an increase in her fasting blood glucose level into the “pre-diabetes” range. She has a family history of diabetes. Her doctor has recommended she lose weight and make lifestyle changes to prevent her from developing type 2 diabetes. 4. What are 5 heath behaviors that need to be changed? 5. Describe 5 specific dietary recommendations you would encourage Ellen to implement in order to plan healthy meals to manage her multiple health concerns? (5pts) 6. Based on your reading and research, what specific meal plans or diets would benefit Ellen based on her multiple diagnoses? What are they, why should she consider them, how may they improve her condition? (5pts)

Case Study: Ellen is a 55-year-old African American woman with multiple medical problems, including chronic back pain. She is 66 inches tall (5’6”) and weighs 286 pounds. She takes medications for high blood pressure and hypercholesterolemia, both of which are currently under control, and she is a non-smoker. She also takes pain medications every day and has difficulty walking but attends a water exercise class at the local sports center one day a week. She states that she has been overweight most of her life and confesses that foods, especially sweet foods, are a comfort to her when she experiences physical or emotional pain. Her diet history reveals an intake of two or three cans of regular soft drinks each day. Her usual meals with her husband include meat or chicken (she does not like fish) and starchy vegetables, such as corn and potatoes. She snacks on several types of frozen desserts between meals. A recent visit to her doctor reveals a weight gain of 15 pounds over the past 6 months and an increase in her fasting blood glucose level into the “pre-diabetes” range. She has a family history of diabetes. Her doctor has recommended she lose weight and make lifestyle changes to prevent her from developing type 2 diabetes. 7. What factors should be considered in developing a fitness plan for Ellen? (5pts) 8. Develop an appropriate/individualized comprehensive fitness routine including all four components of fitness that would help Ellen achieve her goals. (10pts) 9. How will the diet and physical activity recommendations you made impact Ellen’s health status? Describe all factors that will be influenced.

Use active learning template system disorder for personality disorder

Use active learning template system disorder for schizophrenia