Red Yoder: Script for Introductory Monologue I understand you want to hear my story; well I’m not much for talking, but I can give you the highlights. There’s a lot that’s happened over my 80 years. From the top. My name is Sherman Yoder, but I answer to “Red.” No one around here even remembers my real name. I was born in this house in the downstairs bedroom. Mom had already delivered six kids and there was no way I was waiting for Dad to finish feeding the hogs and get Mom to town before I come out. Mom used to love to tell that story. Dad bought this farmhouse and the first hundred acres right before he went off to WWI. The folks saw good times and bad in this ol’ place and so have I. All my brothers and sisters left the land as soon as they could. I was the only one of the lot to care about this place and want to carry on what Dad started. I really haven’t gone far from this spot in my entire life. The one time I got it in my head to try something different; I wound up in Korea with an Army uniform on. I was glad to get back to this place after that stint and here I’ve been ever since. Married the neighbor girl Bessie when I got back. Her dad wasn’t so sure that it would work out since she was 8 years younger than me and she intended to go off to the state college. We sure did prove him wrong; we celebrated our 50th anniversary the week before Bessie died. The ladies at the church had the hall all decorated up and we brought Bessie home from the hospital for the afternoon. She was bound and determined to live for that day; no way did she want her friends to go to that much work for her to not show up. I couldn’t believe it when the ladies had to prepare for the reception after we buried Bessie in that same hall one week later. We had such a good life together. That was 10 years ago. I don’t do much of the farm work anymore. Our son Jon takes care of the crops and the few animals we have. I still go out to the hen house every morning to collect the eggs. I’m a little stiff in the morning, but I get loosened up enough to walk out to gather some fresh eggs to go with my bacon for breakfast. I get in to town at least once a week; on Monday morning me and my buddies meet at the VFW for our coffee and donut break. I get caught up on all the town gossip and we laugh and bellyache about what’s going on in the world. Three weeks ago I celebrated my 80th birthday. My daughter in law, Judy, organized a big “to do” at the church after the Sunday service with cake and ice cream and all the fixins’ for my party. I had a big piece of cake but skipped the ice cream. Doc Baker was there and I knew he would scold me about too much sugar. Six months ago he told me I had diabetes and I started taking a pill for it, but a few weeks ago he put me on insulin. I figure I should be able to eat what I want; come on, I’m not going to live forever, and it was my favorite cake, German chocolate. I ate it in the kitchen so the Doc wouldn’t see me; wouldn’t you know, his office nurse Helen came in the kitchen with a load of dishes just as I was putting the last bite in my mouth. She just winked at me and smiled. After the party I went out to the mall with Jon and the grandkids. I’m not one for shopping much, but I needed a new ink cartridge for my printer and the computer store is the one place I like to look around in. Too bad we parked clear on the other end of the mall so the kids could go by their favorite stores for Grandpa to buy them a little something. Jon got real mad at me when I asked if I could sit and rest for a while, so I just kept walking. I guess my new shoes were a little tight; I didn’t feel anything but when I got home there was some blood on my sock, and then I saw a sore on my big toe. It must not be too bad since it’s not hurting except when I try to put my shoes on. I showed the sore to Jon and Judy the other day and Judy said she would call the doctor to see what she should put on it. Jon gets so irritated when I need extra help; I hope I can just continue to soak my foot in hot water to clean it out. Judy was a nursing assistant out at the old folk’s home for many years; I’m hoping she will be able to help me with this. I like the idea of the home nurses coming out here as long as my VA benefits pay for it. That way they can see that I’m doing just fine living here on my own. I was searching on the Internet for the best way to treat this sore; there are so many sites that talk about foot sores if you’re a diabetic. Some of those pictures are pretty scary; I can’t sleep at night thinking about what could happen if this doesn’t heal. Of course I haven’t slept through the night for years. Even the couple of beers I have at night when I’m on the computer don’t seem to be helping anymore. Judy sometimes gives the kids Benadryl to help them sleep so I’ve been taking a couple when I go to bed; they seem to help me sleep a little better. As a matter of fact, I need to wrap this up now. I promised Jack, my grandson in college, that I’d Skype him in a few minutes. He just started the agronomy program at the university. I love to hear about what he’s learning and give him encouragement to come back to the farm.

What are Red’s strengths?
What are your concerns for this patient?
What is the cause of your concern?
What information do you need?
What are you going to do about your concerns?
What is Red experiencing?

Eligibility and Benefits Verification – Before patients are scheduled to be seen, their insurance coverage must be verified.

Co-pay Collection – Collection costs increase when co-pays are not paid upfront.

Patient Financial Counseling – Available to patients who are unable to make their co-pay or at risk for not paying their balance after insurance.

Case Management – A collection of services including utilization management, discharge planning, and care coordination performed by a case manager.

What else can be add it to this

need to add more information

List the contraindications and precautions for use of propofol, the prototype intravenous anesthetic

Due to its formulation, what special precautions are necessary when administering propofol?

Compare health and disease disparities between the American population and people in other countries.

Explain the role of macro and micronutrients for nutritional health and well-being.

Identify the influence of eating behaviors on disease development and prevention.

Distinguish the different aspects or domains of change in the health industry and how those domains impact leadership capability, and explain how the synergy of those changes impacts leadership capability and organizational success.

Case study: Ian is a CST with several years of experience, working at a large urban hospital. Ian often serves as a preceptor (a CST who trains students during their clinical experience) for surgical Technology students from the local community college. Today, a new student is working with Ian in orthopedic OR. They have just completed positioning the patient when the circulator asks Ian if he will prep the patient's leg while she performs the final check of the video monitors.

                        Questions
1. What role is Ian performing, and are there any restrictions to that role?

2. What are the roles of the various OR team members, and how do they interrelate?

3. What extra responsibilities is Ian assuming by helping to train the student?

New Question:Health care policy
discuss the health and societal issues that had an impact on the development of the health care policy.

Define Medical Terminology

1. Afterload
2. Atrioventricular node (AV node)
3. Automaticity
4. Autoregulation
5. Capillary
6. Cardiac cycle
7. Cardiac output
8. Coronary artery
9. Depolarization
10. Diastole
11. Diastolic blood pressure
12. Ejection fraction
13. Epinephrine
14. Inferior vena cava (pl., cavae)
15. Inotropic agents
16. Laplace law
17. Left coronary artery (LCA)
18. Left heart
19. Left ventricle
20. Lymph

Define medical Terminoloy

1. Lymph node
2. Mean arterial pressure (MAP)
3. Mediastinum
4. Myocardial contractility
5. Myocardial oxygen consumption (MV̇O₂)
6. Myocardium
7. Natriuretic peptide (NP)
8. Nitric oxide (NO)
9. P wave
10. Perfusion
11. Pericardium
12. Peripheral vascular system
13. PR interval
14. Preload
15. Pulmonary artery
16. Pulmonary vein
17. Pulmonic semilunar valve
18. Pulse pressure
19. Purkinje fiber
20. QRS complex

Define Medical Terminology

1. Repolarization
2. Rhythmicity
3. Right atrium
4. Right coronary artery (RCA)
5. Right heart
6. Right ventricle
7. Semilunar valve,
8. Sinoatrial node (SA node, sinus node)
9. Stenosis
10. ST interval
11. Stroke volume
12. Superior vena cava (pl., cavae)
13. Systemic circulation
14. Systemic vascular resistance (SVR)
15. Systole, p. 572
16. Systolic blood pressure
17. T-wave
18. Tricuspid valve
19. Troponin
20. Vasoconstriction
21. Vasodilation

Case Study

Mr. KIM is a 57-year-old male who consulted his physician after noticing marked leg pains while playing golf. He had previously noticed increasing fatigue and discomfort in his legs associated with moderate exercise. When sitting for extended periods with legs dangling, his legs became red, and sometimes his feet felt numb. His history indicates he smokes cigarettes and is chronically overweight. His blood cholesterol and other lipid levels are abnormal, and his physician suspects peripheral atherosclerosis is the cause of his discomfort.

1. Discuss the development of atherosclerosis, including the predisposing factors in this case and the pathophysiologic changes.
2. Discuss the complications that may develop in this case.
3. Discuss the treatments for all aspects of the patient’s condition, including slowing the progress of the atherosclerosis, maintaining circulation in the leg, and treating complications.
4. Describe ankle-brachial index (ABI)
5. Define intermittent claudication.

Which of the following are false?

Question 1 options:

Question 2 (10 points)

A state must cover holders of a green card under its Medicaid system.ust

Question 2 options:

Question 3 (10 points)

States must provide payment for pharmaceuticals to beneficiaries under Medicare

Question 3 options:

Question 4 (10 points)

Medicare Part A is free to the beneficiary

Question 4 options:

Question 5

Which of the following is true?

Question 5 options:

Analyze the scope, challenges, and impact of eHealth, mHealth, telemedicine, and social media use in health care and public health.