A 43 y/o Anglo male comes into the Emergency Department. He says he is a retired Special Forces veteran (since 2007) who has been teaching Chemistry 2009. He complains of malaise, fever, anorexia for three weeks. He states he has had that rash for several days. He denies having diabetes, kidney problems, stiff neck or headaches. He had a flu shot about three weeks ago. You weigh patient and find his weight to be 190 lb (86.3 kg).

Patient responds that his weight last month was 205 lb (93.2 kg). He says food does not taste and smell the same. On physical exam, you note patient has temperature of 38oC, presents with petechiae on his left shoulder, nodules on his left and right fingers which are sensitive to touch, and macules on his palms and soles. His eyes are clear, with optic cup unremarkable. Auscultation of lungs is unremarkable, but heart indicates some murmurs—a grade 3/6 diastolic murmur.

The patient admits that he recently started using his kitchen and bathroom water to prepare intravenous drugs, and he was making methamphetamine. A flu PCR was negative. Antibody tests and PCR for Covid-19 were both negative. Several blood cultures were performed, and five of the seven were positive for Gram-negative bacilli, and were oxidase positive; oxidized fructose and mannitol. The patient was later placed on an antibiotic regimen.

Bacteria were tested by Kirby–Bauer antimicrobial susceptibility testing; organisms were resistant to aminoglycosides, colistin (Polymixin E) and polymixin B. The organism is aerobic, grows on MacConkey agar, motile with polar or amphitrichous flagella, reduces nitrate but not nitrite, and is urease negative.

1.What is your differential diagnosis?

2. What questions should you ask the patient about his medical history?

3. Given patient’s signs: a. what might the patient have, and what is your rationale? b. What general treatments and tests should be performed next? c. What organisms should be suspected--name at least three?

4. What was the final diagnosis of the patient?

5. Identify this organism—what other non-medical property does it have?

This is all the information I was given.

2.   Briefly describe How does Health Care Policy for Advocacy in Health Care affects and related to medication adherence amongst African Americans diagnosed with Hypertension

4. Consider the role of a health care advocate how does your project work support this role, on advocating for medication adherence amongst African American diagnosed Hypertension

Prompt: According to Stephen Waldman, what are"Nones"? What do they believe? How do they characterize a growing trend in belief in the United States? Why do you think a majority of these individuals are coming from traditional religious backgrounds?

Use these terms to answer these questions (can use more than once) Break-even analysis, Benefi-Cost analysis, Cost Effectiveness analysis

If your boss wants to know how many cases of obesity need to be eliminated in a year to offset the cost of your weight management program, you should use:

If you want to show your boss that a program with health coaches is worth the high cost since it will ultimately result in larger positive health outcomes and reduced health care cost, you should use:

If you want to show your boss that a smoking cessation program without expensive materials will result in just as many non-smokers as a program with expensive materials, you should use:

What will be the major sources of income and expenses that would be associated with the program you are planning (diabetes program)? Discuss ideas on what expenses you will incur and how you will raise money to pay for this.

DIRECTIONS: Pretend that you are a recently diagnosed hypertensive patient who comes to the pharmacy to pick up the diuretic that your doctor just prescribed. The diuretic is hydrochlorothiazide 25 mg and is to be taken every morning. The pharmacist counsels you on the new medication; the consequences of uncontrolled hypertension; the importance of adhering to medication, dietary, and physical activity regimens; and the importance of routine self-monitoring of blood pressure.

To help you achieve your goals, the pharmacist gives you a food, physical activity, and blood pressure diary to fill out every day. Your assignment is to “walk in this patient’s shoes” by taking a Tic Tac every morning for one week; filling out the food and physical activity sections of the attached diary every day for one week; and checking your blood pressure once a week for four weeks at your practicum site. You can use the free-standing blood pressure machine at your practicum site or ask your preceptor to take your blood pressure. Finally, answer the questions below. This assignment must be typed.

1. Complete the food, physical activity, and blood pressure diary. (12 points)

2. How many “pretend doses” did you miss? What factors contributed to your non-adherence? (2 points)

3. What difficulties did you encounter when attempting to complete the food, physical activity, and blood pressure diary? (2 points)

4. Based on the insight and experience you gained as a result of this exercise, what advice can you give patients to improve their chances of following the recommendations of their health care team and attaining health outcomes? Please give at least two pieces of advice. (4 points)

DIRECTIONS: Prior to arriving at the practicum site, become familiar with the top 100 medications for the drug card exam(s). When at your practice site, identify 25 prescription medications in stock that are within the top 100 and complete the table below. This activity should be hands-on in that you are identifying the medication location within the pharmacy and opening up the bottle to identify the medication. An example is provided. If you are unable to find a section of the table, use the package insert. If you cannot find the package insert at the pharmacy, ask a technician. If they do not have a package insert, then use DailyMed: https://dailymed.nlm.nih.gov/dailymed/. This assignment must be typed.

1.) How do you view the political process, and the ability to pass bills/legislation in Washington?

2.) If you could develop your own version of health reform, what would your approach be? Would you use a combination of current reform or current proposed reform, or create your own? Thoroughly explain your answer and the reason behind why you would choose to do it that way versus what has already been done or proposed.

Topic: Obesity

Title: How cost effective is medical intervention compared to supportive-care in treating obesity disease in the US for the past 10 years.

Topic: Obesity

Title: How cost effective is medical intervention compared to supportive-care in treating obesity disease in the US for the past 10 years.

Examine how each medical strategy works to prevent the disease; and make reference to at least two scholarly article.

How is risk assessment used in the accreditation process? What should be done with the results of the assessment?

4. Discuss specific synovial joints.

5. Discuss developmental disorders, traumatic disorders, and age-related disorders.

6. Explain therapeutic recreation and orthopedic impairments. Include symptoms in common, impact on quality of life, and secondary disabilities.

7. Discuss exercise programs as they relate to the skeletal and joint systems. Include Murphy's three-phase treatment plan goals.

8. Discuss the benefits of aquatic therapy.

9. Discuss new or adapted skills for individuals with disabilities.

10. Define and discuss adherence.