Post a description of two agencies that advocate for the elderly in your community, including their current advocacy actions and/or campaigns. Then, explain new advocacy actions you might suggest to these agencies based on your experiences and observations at your practicum site. With these advocacy actions in mind, suggest at least one new policy that might improve the care of the population at your current practicum site.
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Chapter 15: Eating and Exercise Disorders
Case 2 – Kate, the Marathon Runner
Kate is an experienced 22-year-old marathon runner who trained intensively to qualify for the Boston Marathon and successfully set a new personal record at a qualifying marathon 1 month ago. She will run the Boston Marathon in 3 months. Over the course of her training, Kate inadvertently lost about 15 pounds. She says she thinks it is because she religiously committed to a physical fitness program and after workouts never felt that hungry. She says that she would get home from a long day of work, which was followed by a training run, and at least two or three times per week, go right to bed with a small post-exercise snack but without dinner. She comes to you today as her coach and confides in you that her weight loss and feeling of guilt when she misses a workout is starting to concern her and she would like to get some help.
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Please make each answer no fewer than 4 full sentences but no longer than 10 sentences.
Long, run-on sentences will be considered as multiple sentences. Be clear and concise.
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Discuss health promotion and disease prevention based on EBP related to these topics
(About 250 words)
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TONIC CLONIC SEIZURE CASE STUDY
Accompanied by his girlfriend, B.C., age 23, visits your office. His girlfriend states, "He hasn't been himself for the last month. He has headaches and is completely confused and tired for no reason." B.C. denies using illicit drugs and any recent traumatic injuries. He thinks his problem started approximately a month ago when he and his girlfriend were at a club dancing. His friends told him that he became confused and began tugging at his clothes. Then he fell down and was unconscious for a few minutes. When he awoke, he felt extremely tired and did not know what was going on. His girlfriend recalls that he had been hit in the head with a softball during a game the day before they went dancing.
Past medical history discloses insulin use since early childhood (currently 10 units NPH in the morning and 10 units regular insulin before meals), Zantac at bedtime, and Advil (1 or 2 tablets twice a day) for headaches. The patient says he has no allergies.
Family history reveals healthy parents who died in a car crash when the patient was age 10. Social history discloses a love of dancing, and active sex life, and occasional alcohol use at social events. B.C. does not smoke cigarettes or use recreational drugs.
On physical examination, B.C. is 5-foot-10 and 155 lb. His temperature is 37°C, pulse rate 78, blood pressure 118/76, and glucose level 90. Skin appears normal. Head and neck are normal, chest is clear for anterior and posterior sounds, cardiovascular RRR and (2) r/m/g, and laboratory values are within normal limits. EEG findings include sharp-wave discharges.
At a follow-up visit 2 months later, B.C. and his girlfriend report that things have gotten worse. The girlfriend states that as B.C. was eating dinner one night, he had a seizure. He was completely stiff for a short time and then his arms and legs began moving. She believes that he was unconscious for a few minutes. B.C. says he could not remember what had happened when he woke up.
1. List the specific goals of treatment for B.C.
2. What AED would you prescribe? Why?
3. What are the parameters for monitoring the success of this therapy?
4. Describe one or two drug-drug or drug-food interactions for the selected AED.
5. Discuss specific patient education based on the prescribed therapy.
6. List one or two adverse reactions for the selected AED that would cause you to change therapy.
7. If the above occurred, what would be your choice for second-line therapy?
8. What over-the-counter and/or alternative medicines might be appropriate for B.C.?
9. What dietary and lifestyle changes would you recommend for this patient?
10. Write a prescription for this patient.
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OSTEOARTHRITIS
G.P., a 66-year-old, right-handed white man, seeks treatment for swelling and decreased range of motion in the third finger of his right hand. He tells you he retired at age 65 after 40 years of assembly-line work. He reports that his physical activity has decreased and his weight has increased 20 pounds since retiring. His hobbies include woodworking and playing cards. Although he describes several years of joint pain that gradually worsened, his activities were not limited until approximately 6 months ago, when he noted an insidious onset of swelling in the right third DIP joint. Over the years, he has sporadically taken acetaminophen, aspirin, and ibuprofen to control the pain. He reports that none of the drugs provided better relief than the others. He is concerned that he will continue to lose movement in the finger that is already affected, as well as the fingers of his left hand. His medical history is remarkable for hypertension and three episodes of gout.
2. What drug therapy would you prescribe, and why?
3. How would you monitor in terms of efficacy and adverse effects? Specifically, what laboratory tests would you order for G.P.?
5. If the above occurred, what would be the choice for second-line therapy, and why?
6. Discuss specific patient education based on your first-line therapy choices.
8. What dietary and lifestyle changes would you recommend for this patient?
10. Write your prescription for this patient.
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Describe the medical assistant’s responsibilities with regard to administration of allergenic extracts?
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You are responsible for providing instructions to patients before they have an in-office surgery. How would you provide appropriate information for before the procedure, on the day of surgery, and after the surgery?
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Brenna's mother recently fell down the lowest step of their front porch while scooping snow, and she cracked her ulna. Brenna gets angry at her mother for scooping the snow in the first place when she knows she has osteoporosis and a tendency for falling. Brett hires a snow removal service that will arrive as early as possible after future snows to prevent this from happening again, because they both know that Brenna's mom is going to continue to shovel. She still feels young, and she says her osteoporosis and age aren't holding her back in life. 1. Brenna and Brett both feel that even though Brenna's mother has a history of falling every couple of years, she is overall very healthy compared to others her age. Brett's mom on the other hand is only a few years older and very active in her local community organizations and tennis league. True or False: Functional status is a better indicator of health in older adults than age, because how they have taken care of themselves over their lifetime greatly affects how they feel and function. Two different 70-year-olds can have completely different health statuses.
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2. Brenna's parents have lived in the same college town since Brenna was young. This town has so much diversity; it is a melting pot of cultures. Brenna has always loved visiting her parents because she is able to meet up with friends at the various ethnic restaurants around town. True or False: Younger adults are often advocates of upholding traditional food patterns.
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3. Brett's weekly phone call with his father has become a graphic rundown of all of his father's bodily functions and ailments. Brett wants the best for his father, but he isn't a fan of the graphic details, nor of his father complaining without changing anything about his nutrition or lifestyle. He did buy a multivitamin the other day at the store, and he's about to open the box, sometime today or tomorrow, to see what it's all about.
Which of the following is NOT an age-associated physiological gastrointestinal system change that affects nutritional status?
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4. Brett feels that he can help his father prevent age-related loss of muscle mass. As a physical trainer, Brett has helped many people maintain their fitness, so he wants to help his father, too. True or False: When comparing young versus older adults, older adults have less protein, water, and fat mass.
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5. Brett's mother is an active mahjong player at the local library, and one of her mahjong friends has been recommending that the ladies in the league start using supplements. Brett's mother constantly sees supplement ads on television, and she reads in her daily digest magazine that women over 50 years of age should take several different supplements to maintain their health.
Which of the following is an age-related nutrient of concern?
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6. Brett has been with Mark, one of his good buddies, about his parents' health issues. Mark is a doctor. Mark tells Brett that all he can do is show concern for his parents and offer ways to help them that don't sound like he's putting them down. Maintaining a sense of self is important to aging healthily. Brett hadn't thought of his parents like that.
There are many conditions a person may face in their elder years that affect their nutritional status. Which of the following is a condition that puts older adults at nutritional risk?
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Using high-quality electronic sources of healthcare information is an expectation of the Registered Nurse. Technology is used for medication administration, patient identification, and increasing continuity of care. The application of technology and information management helps to support safe, quality care. Another responsibility of the professional nurse is to identify and utilize valid evidence-based practices. To ensure that best practices take place in healthcare, the nurse must understand when a modification to evidence-based practices is necessary.
Provide an example of RN experience(s) with technology, patient confidentiality, and evidence-based practices. This can either be from a healthcare perspective, or in everyday life.
What areas of Technology for RN’s are strong in knowledge and/or experience and what areas of technology for RN’s are the weakest knowledge and/or experience?
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In one page, how is MyPlate diet and lacto-ovo-vegetarian diet compared?
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