A 30-year-old woman goes to her provider and complains of shortness of breath, fatigue, weakness, dizziness, and tachycardia. The physician does a complete blood count and a metabolic chemistry panel. Her results are below. WBC: 8400 cells/LDH: 1500 IU/L RBC: 1,450,000 cells/LNa: 138 mEq/L Hgb: 6.3 g/LK: 2.8 mEq/L HCT: 20%Alk Phos: 25 IU/L MCV: 105 fL Cholesterol: 95 mg/dL Vitamin B12: 100 ng/L a) Which of her results are abnormal? b) These abnormal laboratory results reveal what disease state? Discuss.

1. What can anto-inflammatory agents be used for?

2. What are the risks of long-term NSAID ingestion?

3. What have you heard about corticosteroid use? What are some of the side effects?

4. What advice to advoid gout do you give to a person who drinks alcohol daily?

ABOUT POVERTY AND HOMELESSNESS

The community of Finnytown has identified the need for a shelter to serve homeless women and children. Finnytown currently has a homeless shelter for men. Women and children can obtain health care services there but are not allowed to stay overnight. The Finnytown health care task force performed a community assessment that revealed that a higher number of homeless men than women reside in Finnytown, but the percentage of homeless women is steadily increasing. Results further showed that more women with children than men are living in poverty. The task force speculated that many women who are living in poverty are being overlooked and thus are becoming women without homes.

The task force and the community of Finnytown decide to open a homeless shelter for women and children. The new shelter will primarily serve women with children who are homeless or in poverty. Georgia B. is the community health nurse who is a member of the task force team. Nurse Georgia and other health care professionals are charged with planning health care services for women with children to be provided at the new homeless shelter.

Questions

1. What common health problems should Nurse Georgia and the task force be aware of when planning health services to be provided at the new shelter?

2. What effects of poverty on the health of children should Nurse Georgia and the task force be aware of when planning appropriate services?

3. After the shelter opens, Nurse Georgia becomes one of the nurses who works in the clinic. What strategies are important for Nurse Georgia to implement when working with this population?

Please only provide short answers for the discussion topic and the case study question. No more than 3 sentence response.

• Discussion Topic: What are the three major causes of brain damage in childhood?
• Discussion Topic: Why would you use distraction versus traction?

Case Study:

Adam is a 6-year-old boy who dove headfirst in the shallow end of a swimming pool. Unable to move, he sank to the bottom of the pool and was rescued by his mother. His father called the emergency medical services (EMS) while the mother provided mouth-to-mouth resuscitation. The EMS arrived and continued the resuscitation and placed him in a cervical collar. Adam was placed on a backboard and began to breathe on his own while en route to a trauma center. The neurologic assessment revealed paralysis of the upper and lower extremities, and cervical spine x-ray images and a magnetic resonance image (MRI) confirmed a C6-C7 complete transection injury. The patient was intubated before going into surgery for decompression of the injury.

1. Into what types of shock could the patient go? What symptoms did the patient exhibit?

Why is home care and hospice important to the U.S. Healthcare Delivery System?

Maria is 52 years old, has a normal body mass index (BMI), and does not have any health problems. She prides herself on being "into" holistic treatments and goes to the doctor only when her attempts to treat herself fail. She occasionally takes one aspirin a day because she has heard that it can prevent heart attacks. She tries to eat a healthy diet and uses supplements to give her added protection against chronic diseases, especially heart disease, which runs in her family. Currently, she takes ginkgo biloba to prevent memory loss, garlic to prevent heart disease, and fish oil supplements to keep her blood thin. She routinely drinks omega-3-fortified orange juice and organic milk. She attributes the bruises on her legs to being clumsy. She is thinking about adding vitamin E to her regimen because she heard it may also lower the risk of heart disease. She is thinking about discontinuing her use of garlic pills and fish oil supplements and instead eating more garlic and fish in her diet.

• What are the dangers of her present regimen?
• What may be responsible for the bruising she is experiencing?
• What questions would you ask about her diet to see if there are any improvements in her eating habits she could make to reduce the risk of heart disease?

Minimum 300 Words

My phone at home kept ringing and I could tell it was a FAX. It was from a hospital in our area. My fax on my printer answered it automatically. It was a patient's physical exam results being faxed to someone, but it didn't say "who" it should be going to on the cover sheet. I felt the hospital and employee were actually lucky it came to me rather than to someone who would violate this patient's privacy. I sent the FAX back with a "professional" note with it. I titled it HIPAA Violation in order to get their attention.  

I informed them I would mail the original back. I thought about shredding it, but felt it would be a good learning experience as to why you should CHECK a fax number before hitting send on the Fax machine. Same holds true for emails, right?

About an hour after I faxed back the document, I received a phone call from the Compliance Officer of the hospital. They informed me about the processes and actions they were taking. I was pleased that they called me and talked about what processes they were going to follow through with. They had already called the patient to inform them of the error and breach of HIPAA, etc. They were in the process of talking with the employee and discussing disciplinary action. They were also going to hold inservices with all employees to review privacy practices.

The processes they discussed with me are right in tune with what we teach/discuss in this class, and what you will learn to do when you enter the healthcare field. Think about the rules of faxing and HIPAA.

An adolescent that uses anabolic steroids to increase muscle mass is at risk for developing which type of cancer?

. Describe the difference between the action of a general and local anesthetic. Give examples of when each type of anesthetic is used.

QUESTION 5: Children who have atopic dermatitis often have elevated levels of ______________________.

1. IgE
2. IgM
3. IgG
4. IgN

QUESTION 6: The development of Kawasaki disease in young children is caused by:

1. vasculitis of unknown cause
2. Epstein Barr Virus
3. Genetic malformation
4. Medication interation

QUESTION 7: Infants that have seizures typically have what types of symptoms due to the normal development of the nervous system?

1. generalized
2. tonic-clonic
3. focal localized to one body part
4. grand mal

QUESTION 8: A child with Fanconi anemia is at risk for developing which type of cancer?

1. Neuroblastoma
2. Acute myelogenous leukemia
3. Vaginal adenocarcinoma
4. Hepatocellular carcinoma

QUESTION 9: Red, round, and scaling patches with a clear center that occur mostly on the face, trunk, and limbs in an asymmetrical distribution describes which of the following conditions?

1. Atopic dermatitis
2. Tinea corporis
3. Impetigo
4. Staphylococcal scalded-skin syndrome

Using the research article selected for DQ 1, identify three key questions you will ask and answer when reading the research study and why these questions are important. When responding to peers, provide other questions and answers that could be considered in relation to the peers' studies.

QUESTION 10: Cerebral palsy involves what type of defects?

1. motor
2. sensory
3. cognitive
4. developmental

QUESTION 11: What is the function of G6P4?

1. It is an enzyme that causes the breakdown of red blood cells
2. It is a normal enzyme that protects erythrocytes from oxidative damage
3. It is an enzyme that causes the formation of red blood cells
4. It is an enzyme that inhibits coagulation

QUESTION 12: Redness and tenderness of skin that becomes widespread, followed by painful blisters, bullae, and sloughing of skin describes which of the following conditions?

1. Atopic dermatitis
2. Tinea corporis
3. Impetigo
4. Staphylococcal scalded-skin syndrome

QUESTION 13: An adolescent that uses anabolic steroids to increase muscle mass is at risk for developing which type of cancer?

1. Neuroblastoma
2. Acute myelogenous leukemia
3. Vaginal adenocarcinoma
4. Hepatocellular carcinoma

QUESTION 14: Legg-Calvé-Perthes disease is a childhood condition that occurs when blood supply is interrupted to what area?

1. epiphyseal bone
2. femoral head
3. tibia
4. humeral head

QUESTION 15: Sickle cell anemia is usually detected at birth because fetal hemoglobin is affected by the genetic mutation.

1. True
2. False

QUESTION 16: Pruritic linear lesions that itch more at night that may have more vesicles and papules describes which of the following conditions?

1. Atopic dermatitis
2. Tinea corporis
3. Impetigo
4. Staphylococcal scalded-skin syndrome

QUESTION 17: The most common cause of chronic hepatitis in children is:

1. A and B
2. A and C
3. B and C
4. B and D

QUESTION 18: Before the bone marrow is functional in a fetus, where does the production of erythrocytes primarily take place?

1. Spleen
2. Lymph nodes
3. Liver
4. maternal production

QUESTION 19: Respiratory distress syndrome in the newborn is caused by the deficiency of what substance?

1. fibrin
2. hemoglobin
3. surfactant
4. iron

QUESTION 20: The urine of a neonate is more dilute than adult urine because blood flow preferentially goes to nephons with short loops.

1. True
2. False

. You are caring for an 11-year-old child who will be receivinga general anesthetic for surgery to repair a fractured femur. Prepare teaching handouts for the parents and the child that address preoperative and postoperative needs.

You have been tasked with creating a presentation for the local Chamber of Commerce regarding the need for primary care relationships within your community. The COC would like to publish information for the community to encourage the members to join a local PCP’s office in order to seek medical care. In this presentation, you will need to discuss the need for the primary care relationship, as well as identifying information to help “sell” the point to the community. Refer back to the flowchart from week 3, which should be included. Also, your speaker’s notes should include the speech you would actually give to the COC and community. Your presentation should be at least 6 slides not including the title slide and reference slide.

Please forget about flowchart. I will do it my self