Discuss the systemic changes, manifestation and client teaching for the following Geriatric patient areas:

• Integumentary.
• Gastro- Intestinal.
• Musculoskeletal.
• Urinary.
• Endocrine.

How can diet effect the formation of plaques in atherosclerosis? doc.

1. What are the characteristics of an effective leader? Give an example of an effective leader you know, and explain why and how s(he) is effective.

Discussion Topic: Minimum 250 words, Questions are on the bottom and are in bold letters.

Mr. Antieau, 47 years of age, was playing basketball in a driveway with friends one summer evening when he suddenly felt nauseated and light-headed.

“I sat out a few on the porch, thinking things would get better,” he says, “but then I got a sharp pain in my chest and shoulder.” This pain, predictably, became severe enough that his friends rushed Mr. Antieau to the emergency department. Mr. Antieau was subsequently diagnosed with, and treated for, myocardial infarction (heart attack).

“It has been a slow and difficult recovery,” Mr. Antieau says, “but I’m determined to make big changes.” Today, as part of his recovery plan, he is meeting with Doug, a dietitian’s nurse, who will help him establish healthy eating patterns in compliance with the lifestyle changes outlined for him by his cardiologist and the dietitian Doug works for.

Doug begins with an intake interview to find out not only Mr. Antieau’s physical needs, but also his attitudes toward food in general.

“I’ve always told my friends that if I have to die young, let me do it with a bucket of spicy fried chicken wings and a chocolate shake,” he says now, “but the day I had my first heart attack, it scared that attitude right out of me. I had my first heart attack at 47 years, and I don’t want another.”

Mr. Antieau’s recovery plan focuses on a graduated exercise program and a healthy eating plan to lower his triglyceride level, his sodium intake, and his blood cholesterol level and keep them low.

“I’m nervous,” he smiles, “especially because the guys at work, we all go to our favorite Chicago pizza place for lunch maybe three times a week, and eat those famous Chicago red hots at least once a week. And since my wife and I both work, we always joke that we know dinner is almost ready if we see that the first one home has already opened the telephone book to our favorite Chinese delivery joints, and know that the crab Rangoon with sweet-and-sour pork is on its way!”

He laughs, then shakes his head. “But yeah. I’m ready. Really.”

1. “My wife’s sister is skinny as a rail,” Mr. Antieau says, “and she says she always has great low blood cholesterol. She says it’s from eating salmon twice a week, plus spinach and walnuts every day. Will this work for me? I mean, will it prevent another heart attack?” How should Doug answer?
2. Mr. Antieau arrives at his next visit with a big smile on his face. “I finally figured it out, Doug!” he says. “All I have to do is eat just the unsaturated and monounsaturated fats, right?” What does Doug need to explain?
3. Mr. Antieau says, “I can give up the pizza—sort of—and the hot dogs, but my wife and I really enjoy our ‘Chinese food nights.’ For us, it’s more than just stuffing our faces. Rather, we always make a whole event of it. We rent a movie and then curl up together eating right out of the cartons with chopsticks. It’s sort of the romantic appeal of the whole event that I’m really going to miss.” How might Doug help Mr. Antieau and his wife keep their “Chinese food nights.”

You report to work and discover the office is short-staffed for the day. You are feeling the pressure for time and know that you need to keep the physicians on track with their scheduled patients. You also have patients scheduled for labs. Your first patient arrives for labs, and you gather all your necessary supplies. As you are ready to perform the venipuncture, your patient faints. What do you do?

Discuss the competent care that you will provide to the neonate?

A review of the scholarly literature will uncover a prevalence of risky sexual behaviors and a high rate of sexually transmitted infections in individuals over 60 years of age.

For this assignment, it is your responsibility to investigate the phenomenon of increased sexually transmitted infections, and you must provide at least 3 well-researched reasons why the elderly are at an increased risk of contracting an STI than their younger counterparts. And finally, provide at least 2 possible solutions to quell this problem.

Case Study A 43 year old Male patient is brought to the OR for a total hip arthroplasty. His chart shows that he HIV+; he is in the early stages of Aids. He has kaposi's sarcoma skin lesions, painfully swollen lymph nodes in the groin and axilla, and is underweight.

                           Question
1. what important principles should you consider while positioning the patient to protect him from pain and injury?

2. what are some special considerations concerning an AIDS patient when placing the ESU grounding pad?

3. what complications could be encountered during the case that the CST should be prepared to assist the OR team in resolving?

4. Discuss the concept of standard precautions. Do you treat this patient any differently because he is HIV+?

Bob has been active all of his life. He played soccer from elementary school all the way through college. He even played on a community team but now at age 45, he’s been diagnosed with high blood pressure (hypertension). At times he ate too much junk food and occasionally drank too much alcohol but he couldn’t get around the fact that the men in his family all had high blood pressure. Dr. Miller, Bob’s primary care physician, had to prescribe two different antihypertensive medications in order to get his blood pressure under control. She also recommended Bob continue his regular soccer workouts but suggested a low-salt diet and more modest alcohol intake. Bob heeded Dr. Miller’s recommendations. His father and his 2 uncles had hypertension at a young ages, and all 3 men ended up on dialysis before dying from complications of kidney failure.Bob began the recommended lifestyle changes at age 45 and even started running regularly to keep his blood pressure under control. Now, 10 years later, he was a marathoner and participated in local marathons, competing with, and outrunning many his own age. However, Bob noticed that during the past several months, he’d experienced more fatigue than normal and some dehydration symptoms after his long runs. After consulting with Dr. Miller, Bob sought the help of Ty, an exercise physiologist, to help him maintain his exercise regime and his health without feeling “old”.Ty worked with Dr. Miller to make sure that Bob was monitored closely since he was still taking his anti-hypertensive medications. Ty suggested a urinalysis to assess Bob’s physical condition before, during and after his workouts. Bob dutifully supplied urine samples to Dr. Miller for evaluation as Ty recommended. Ty explained that Bob’s dehydration symptoms were more difficulty to evaluate since the medication Bob took to control his high blood pressure could affect his renal status or physiologic functioning.Dr. Miller logged the following results of Bob’s urinalysis immediately after, and six hours after, a rigorous 2-hour run.

Ty noted the color changes of Bob’s urine before, immediately after and 6-hours after his workouts. What do the color changes of Bob’s urine indicate?

Ty also noted that Bob’s specific gravity changed with each urine collection. Explain how Bob’s urine color/concentration compare to the urine specific gravity at the same time?

Bob has been active all of his life. He played soccer from elementary school all the way through college. He even played on a community team but now at age 45, he’s been diagnosed with high blood pressure (hypertension). At times he ate too much junk food and occasionally drank too much alcohol but he couldn’t get around the fact that the men in his family all had high blood pressure. Dr. Miller, Bob’s primary care physician, had to prescribe two different antihypertensive medications in order to get his blood pressure under control. She also recommended Bob continue his regular soccer workouts but suggested a low-salt diet and more modest alcohol intake. Bob heeded Dr. Miller’s recommendations. His father and his 2 uncles had hypertension at a young ages, and all 3 men ended up on dialysis before dying from complications of kidney failure.Bob began the recommended lifestyle changes at age 45 and even started running regularly to keep his blood pressure under control. Now, 10 years later, he was a marathoner and participated in local marathons, competing with, and outrunning many his own age. However, Bob noticed that during the past several months, he’d experienced more fatigue than normal and some dehydration symptoms after his long runs. After consulting with Dr. Miller, Bob sought the help of Ty, an exercise physiologist, to help him maintain his exercise regime and his health without feeling “old”.Ty worked with Dr. Miller to make sure that Bob was monitored closely since he was still taking his anti-hypertensive medications. Ty suggested a urinalysis to assess Bob’s physical condition before, during and after his workouts. Bob dutifully supplied urine samples to Dr. Miller for evaluation as Ty recommended. Ty explained that Bob’s dehydration symptoms were more difficulty to evaluate since the medication Bob took to control his high blood pressure could affect his renal status or physiologic functioning.Dr. Miller logged the following results of Bob’s urinalysis immediately after, and six hours after, a rigorous 2-hour run.

Based on the urine color and specific gravity, Ty assessed Bob’s hydration status at the three different urine collection times. Explain what you believe to be Bob’s hydration status before Bob began his workout, immediately after his work and 6-hours after his workout.

Antidiuretic hormone (ADH) plays a large part in regulating the formation of concentrated or dilute urine. During Bob’s long runs, his ADH secretion would change based on how much he perspired. Explain why ADH secretions would fluctuate during Bob’s long runs.

Why are diabetic patients at high risk to develop COVID-19 complications and why is there a higher mortality rate among them?