case study topic

A 32-year-old female presents to the clinic with recurrent migraine. She reports that she has a
moderate to severe migraine once a week, on average. She uses SC Imitrex (sumatriptan), and
most of the time the headache resolves with one dose. She was told to return for a checkup if she
had to use the Imitrex more than two or three times a month.

Susan is married and has four children. She experienced her first migraine at age 18 and
has no other health problems. She was started on Imitrex and has had good results. She is
otherwise healthy. She reports a two to four cup a day intake of coffee; usually, one of those
“cups” is a double latte. She occasionally uses Excedrin Migraine for relief of mild headache—
she thinks only once or twice a week. She has never been hospitalized overnight for her
migraines but has gone to the emergency room for “pain medicine” before she was started on
Imitrex.

Assessment

Susan is afebrile, vital signs are all within normal limits (WNL), and her weight is 135 pounds
(body mass index [BMI] is 24), which is stable. The physical examination is completely WNL.
Her neurological examination is unremarkable.



1. What would be the initial management plan?

2. What would be the plan when the patient returns with her headache diary?

3. What medications can prevent migraines? List 3 medications.

4. Identify a current guideline or an evidence-based article regarding the treatment of migraines.

Discuss how nurse leaders serve as advocates for their employees.

As the HIM documentation supervisor, you are meeting with the quality improvement (QI) manager to assist in developing an audit template to be used for a quality review of patient record operative reports. Research the latest Joint Commission standard requirements to provide the QI manager for creating the template.

Develop a list of required data elements that would be applicable in development of an audit data collection tool for operative reports, inclusive of the time requirement for completion.

I am having troubles finding the latest Joint Commission standard requirements.

CC: “I have been having terrible chest and arm pain for the past 2 hours and I think I am having a heart attach.”

HPI: Mr. Hammond is a 57 year old African American male who presents to the Emergency Department with a chief complaint of chest pain that radiates down his left arm. He states that he started having pain several hours ago and says the pain “it feel like an elephant is sitting on my chest”. He rates the pain as 8/10. Nothing has made the pain better or worse. He denies any previous episodes of chest pain. Denies nausea, dyspnea, or light headedness. He was given 0.4mg nitroglycerine tablet sublingual x1 which decreased, but no stopped the pain.

Lipid panel reveals Total Cholesterol 324 mg/dl, high density lipoprotein (HDL) 31 mg/dl, Low Density Lipoprotein (VLDL) 54 mg/dl nitroglycerine tablet sublingual x1 which decreased, but not stopped the pain.

Lipid Panel reveals total cholesterol 324 mg/dl, high density lipoprotein (HDL) 31 mg/dl, Low Density Lipoprotein (LDL) 122 mg/dl, Triglycerides 402 mg/dl, very Low-Density Lipoprotein (VLDL) 54 mg/dl

why is hdl considered good?

explain the role inflammation has in the development of atherosclerosis?

what are some of the problems in healthcare system that have led to increased interest in and support of universal healthcare?

A patient reviews inaccurate information about a medical condition on the Internet that results in a delay in care. This is a violation of which of the following?

A. Ethical Decision Making

B. Confidentiality

C. Nonmaleficence

D. Privacy

1. Do you live in Central Florida or are you somewhere else during the pandemic?
2. Are you working at the moment?
3. Do you have healthcare experience to share?
4. What are your career aspirations?

Ms Aaliyah Abimbola is a 56-year-old female who emigrated from African 20 years ago. Ms. Abimbola is a single parent with three female children (ages 14, 17, and 18 ) living in the inner-west of Melbourne. You are working on the respiratory ward and have been allocated to Ms. Abimbola who has been admitted with an exacerbation of COPD. Ms. Abimbola presented to A&E via ambulance at 8 AM after experiencing acute shortness of breath while preparing breakfast this morning. Ms. Abimbola went to her local health care clinic 2 weeks ago complaining of increasing shortness of breath and lack of energy. She says she was given some breathing medication (inhalers) by the doctor and told to take it easy for a few days. She has been struggling to get from the ground floor living area to the upstairs bedrooms without resting half-way to catch her breath. She says the medication helps her catch her breath sometimes but she still has to rest halfway even with the medication. Ms. Abimbola has been working at the local flour mill since she arrived in Melbourne from Africa 20 years ago. She has never smoked but says the dust at the flour mill often makes her cough. Her job for the first 3 years was filling bags with flour until that process became fully automated. She then got promoted to running one of the flour grinding machines. 2 years later she got another promotion to shift supervisor in the milling and packaging section. She says her clothes were always covered in white dust at the end of every shift. "I used to look like a ghost at the end of my shift. We all did!" The flour mill made it mandatory to wear a mask and other protective equipment when you're working in the factory about eight years ago. However, Ms. Abimbola has been working in the office for the last 6 years and no-one wears protective equipment in the office as it's not necessary. She says there's always a fine layer of dust on the paperwork in the office because the 'flour just gets everywhere no matter how often you clean or how careful you are." Ms. Abimbola is currently averaging 50 hours/week which means she needs to work on most weekends. Since the COVID 19 lockdown the factory has increased production to 24 hours a day 7 days a week. That means the office is also extremely busy. Ms. Abimbola has always accepted any overtime on offer to help pay the rent for their house and cover the school fees for the Catholic school her children attend. She is adamant that she wants them to get a good education so they can make the most of the opportunities she never had in Africa. She has always been socially active within her church community, but due to her increased working hours, this has restricted her ability to attend mass and contribute to her community. She states that she needs to “prioritize any free time I have so I can spend it with the kids, especially my oldest who is doing VCE this year”. She has two close friends at church who help with looking after her children when she has to work late or on weekends. Ms. Abimbola states that she tries to exercise when she has time and walks to the train station every day to get to work. It used to take 8 minutes each way but lately, it takes at least 20 minutes including rest stops to catch her breath. She also does a lot of walking at the flour mill taking paperwork to the production supervisors and picking up reports for processing. However, she has had to ask one of the younger staff to get the reports and deliver the orders more and moreover the last year or so as she gets too short of breath when she walks too far too quickly. Ms. Abimbola has not spoken to her husband since she and the children left him 6 years ago. She says he used to work at the flour mill but was sacked for being drunk at work eight years ago. He had a hard time finding work so drank heavily and became violent. She took the children and left him after he hit the middle child for spilling his coffee. She doesn't know where he lives and has had no contact with him for over 4 years. Ms. Abimbola has a history of moderate Obstructive Sleep Apnoea (OSA) and requires CPAP for overnight sleep. She was diagnosed with Hypertension and Type 2 Diabetes 3 years ago. Family history Her father died from a stroke in 2005. Medications Metoprolol 100mg daily Aspirin 100mg daily Atorvastatin 20mg mane Glibenclamide (Daonil) 5mg orally daily before breakfast Salbutamol sulfate (Ventolin) 100mcg inhaler as required for symptom relief (1-2 puffs as required) Fluticasone propionate/salmeterol xinafoate (Seretide) 50/25 inhaler (2 puffs BD) Current vital observations: BP 142/96mmHg HR 96bpm RR 24 bpm SpO2 93% on RA T 36.7C Health assessment findings: Height 158cm, Weight 93kg, Total cholesterol level - 5.2mmol/L Fasting BGL - 9.6mmol/L Inspiratory and expiratory wheeze. speaking in short phrases taking 2-3 breaths between each phrase before continuing to speak. Alert and orientated to time, place, and person. Could you please answer the below question for above case study.. Tank You... QUESTIONS... Discuss the key elements of Step 1 of the CRC and why it is important by: o developing and presenting a concept map of about question ;

question : what is investigation and plan for MS Abimbola? can you please explain how we can help her to minimise potential risk of her >??

identify and explain at least 3 motivation theories and how you will apply this as leader to motivate your staff

Imagine you are the Head of the organization. you have noted that there is a confusion amongst staff on the purpose of your organization. Departments are operating in silos and the work processes is not aligned to a common purpose.

Prepare and deliver a 5 minutes presentation addressing staff and explaining of the vision, mission and values of your organization. Explain to them the purpose of your organization and the strategic goals and objectives of the organization. explain how each department of the organization os linked to the vision mission amd values.

LP05 Assignment: Medicaid and HMO Paper

HA3120D - Essentials of Managed Care

Review the following video: Medicaid and HMOs Video.
• Assignment: Should Medicaid and HMOs join forces?
• Write a 2 – 3 page paper in what you find out about whether or not the HMO’s representative claims were correct. Does an HMO, enrolling Medicaid patients promise; one, cost efficiency and two improvements in quality of care? One site you can get started is The National Bureau of Economic Research. There are many other sites you can look at to get data about this. So that’s your assignment. Good idea? Bad idea and why? Back it up with some good data. That’s all there is to it. Good Luck!”

Consider:
• Would the state save money by enrolling members in an HMO? How so?
• What would happen to the quality of care? Give possible examples. Cite your references.

Imagine you are the Head of the organization. you have recently completed a course in leadership and you have identified that your organization lacks Corporate social responsibility. Identify what steps you will take to implement planned CSR activities with specific plans and examples and an action plan