QUESTION 10

1. In the current constantly changing healthcare environment, professionals may begin to see patients as numbers and forget why they became part of health care. Using the information from Chapter 10, discuss two reasons why spirituality is important to today’s healthcare professionals.

QUESTION 14

1. FEMA’s mission is to provide assistance in preparing for, responding to, and recovering from disasters. It is currently involved in increasing community support for disaster preparedness and response. Using the information in Chapter 14, explain two reasons why community involvement is an ethical action.

Delhi Police in the Netflix documentary Daughters of Mother India, what
changes have been made since Nirbhaya and Gudiya’s rape cases? Why?                    
What was the most common type of abuse reported? Use examples from
the film and explain your answer.

Explain the term identity abuse and create your own example as to how this can
happen to someone.

1. How do Diabetes mellitus leads to stroke? State its prevention?

2. Type 2 Diabetes Mellitus and Cardiovascular Disease: State its Genetic and Epigenetic Links

3. Sheds light on how to manage diabetes and also prevent heart attack and stroke by giving us the guideline on lifestyle management to reduce their risk

Should doctors push towards the covid vaccine with insufficient data or future precautions?

how do the principles of bioethics and the oath of Hippocrates play a role in the covid vaccine

500 words response

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.