Pick the option that is the most natural way through which to get oxygen.

RA

CPAP

Nasal Cannula

BiPAP

Who is the person primarily responsible for helping the patient in the room and dispensing medications to the patient?

Nurse

Scribe

Biller/coder

Transcriptionist

Your patient has Chest Pain. Which diagnosis is NOT on your differential?

Rib fracture

Heart Attack

Toe contusion

Angina

A 62 year old male reports a history of gallstones, which ultimately required a gallbladder removal. What procedure would you document in his PSHx?

Adenoidectomy

Cholecystectomy

Tracheostomy

Appendectomy

A patient with hypertension is commonly asymptomatic. What is often the first concern for HTN?

High fever

Strong urine odor

Low blood sugar

High blood pressure

You are caring for a 58-year-old electrician admitted to your emergency room for purulent drainage from his incision site. He is a one-week post-CABG. His cardiologist reports positive blood cultures. Hospital admission reports no health insurance, and the patient shares he has been having difficulties paying for his medications. His wife is at the bedside.

Case Study Analysis Assignment Outline:

Introduction Brief overview of the pathophysiology of the disease.

Include: What lab abnormalities would you look for? What diagnostics would you expect to see? Give a rationale.

Implications for Self-Care How does this disease process impact the patient’s and/or their care provider’s ability to care for themselves?

Consider Maslow’s hierarchy of needs Application of Orem’s Theory of Self-Care. Patient Education Strategy Consider educational strategies and a plan of care for your patient based on the implications for the self-care section. Support with rationale.

Interdisciplinary Collaboration What interdisciplinary team members need to be included. Include rationale.

Consider nutrition, discharge, transition, and financial implications Conclusion

Explain how authority gradients influence teamwork and patient safety?

A patient with hyperlipidema is commonly asymptomatic. what is often the first concern for HLD?

Higher fever

High LDL level

Low blood sugar

High BP

When the atria of the heart contract out of sync with the ventricles, the blood in the upper chambers can pool. this is why ______are more common with AFib.

Headaches

Leg cramps

Toothaches

Blood clots

This finding can be appreciated by palpation.

Leg swelling

heart sounds

overall discomfort

redness to the eyes

select the condition that is concerning when the patients has Right Lower Quadrant Abdominal Tenderness.

MI

AFib

Asthma

Appendicitis

An acute blockage of the coronary vessel would likely cause chest pain. What diagnosis is most concerning at this time?

MI

CVA

HA

DVT

The doctor can't decide the diagnosis from the exam. Why do they need to order testing?

To check many boxes as possible

To hope another doctor can help

To charge the patient more money

To further rule out diagnoses

The patient developed shortness of breath after taking sulfa medication, belongs in the_____

Dx

FHx

PE

Allergies

1) compare and contrast the countries systems with the health care system of England, and Switzerland this should be two page long

2) How the system is designed (What type of system is it?) in other words who runs it, is it tax based etc.

3) advantage and disadvantage of the system

4) How expensive it (how much is spent year on health care?

5) How does that compare with the USA?

6) What insurance looks like in that country (describe in detail how the system works)

7) What the system covers (broadly)

8) The significant differences between this country and the USA system.

make sure everything has to be in compare not in a separate form with USA, incluse that as part of the other countries.

9) which choice as to which health care system you would prefer and why, please make sure you give the the cite where the video or article is from.

You are a healthcare professional who provides care directly to patients (pick which kind you want to be based on your readings from this module). You feel very confident that the medical care you provide is extremely important to your patients and to the U.S. healthcare system but you also know that there are many kinds of care and care providers. You like to think of yourself as open-minded about other providers of care, particularly because there are many kinds of patients and different people need different kinds of care and treatment. You read a back issue of O Magazine (August 2004, to be precise), and come across the following quote from Oprah: “Getting my lifelong weight struggle under control has come from a process of treating myself as well as I treat others in every way.” How does this fit with your own philosophy of medicine and, if many other people were to take Oprah’s perspective, would that be a good thing or a bad thing for our healthcare system?

Hi, this is Miss Wheeler over at Meals on Wheels. Here in New Town, we have a very diverse group of people for whom we provide meals every day. They represent 1) Jewish, 2) Muslim, 3) Ethiopian, 4)Chinese, 5)Native Americans, 6) Indian, and 7) Iranian cultural groups as well as our American and African American clients. We really need some help in figuring out how to plan meals for so many different cultural groups. Could you help us? Since we depend heavily on the food pantry for supplies that our volunteers prepare, we need to figure out how to use many of our common supplies but still meet the diverse needs. If we need to supplement that supply please let us know exactly what is important so we can ask for donations or for funds to purchase the items. If you could come up with ONE WEEK EVENING MEAL ONLY that meets the needs of our different cultural groups (may need to be multiple menus), it would be really great.

Catherine Cooper is a 68-year-old woman scheduled for a right total knee replacement in 6 weeks. She has a history of previous injury from years of playing tennis and basketball. She states that she is concerned about the possibility of receiving a blood transfusion. She has read stories of people contracting diseases and viruses, and her friends have told her about someone who became very ill from a transfusion.

1. You are conducting Ms. Cooper's preoperative planning. How should you respond to her concerns?

2. Ms. Cooper decided to donate a unit of blood before her operation in the event that she needed transfusion therapy after surgery. She comments to you that she is so glad that she doesn't have to worry about any problems since she is receiving her own blood. What can you tell her about what to expect about her blood donation?

3. Following a type and cross, it is determined that Mrs. Cooper has AB+ blood. Which type of blood can she receive? Which type of antigens does she carry on her red blood cells?

4. Describe your responsibilities associated with initiating and monitoring the transfusion.

5. The health care provider orders another transfusion of red blood cells. Because Ms. Cooper had only 1 unit of autologous blood, she consents to a unit of allogenic blood. Within 15 minutes of the bloo

The ethical DNA of healthcare organizations is to provide health care for those who need. In the U.S., EMTALA, the federal regulation enacted in 1986 is a legal way of ensuring the beneficent commitment of the healthcare institutions. Under EMTALA, the staff at hospital emergency departments are required to screen every patient who seeks emergency care and to stabilize or transfer those with medical emergencies, regardless of health insurance status or ability to pay. However, fully abiding by the law sometimes places the hospital in financial risks. Imagine that you are the CEO of a not-for-profit-hospital. How would you satisfy the ethical demand of EMPTALA? Note that your ethical decision must be financially sustainable; however, the question is asking about your ethical direction in terms of resource allocation, not the financial and management details.   

1. Describe the Pharmacovigilance system.

2. Who are the key stakeholders in pharmacovigilance system?

3.Give the responsibility and function of stakeholders.

4. Enumerate the guidelines of good pharmacovigilance practice.

5. What is the correlation between pharmacovigilance and antimicrobial stewardship program?

2. List at least three questions that Ms. Williams should ask the office nurse during the appointment prior to receive or not receive the experimental gel Injection?

Some hospitals concurrently review records for deficiencies; others review retrospectively. Which is the best practice, and why? What are your thoughts about the process of peer review?

1. Steven, a 4-year-old boy, is seen in the pediatric office for a well-child exam. He is a healthy, active boy who attends extended-day preschool as his mother works long hours. His mother states she has some questions about Steven. She says she is concerned about Steven’s growth, his language skills, and disciplining him. Steven’s mother tells you that “he seems heavier than my other children did at his age.” Upon measuring Steven you note his height to be 38.5 inches (98 cm) and his weight to be 46 pounds (20.9 kg). His calculated BMI of 21.76 plots well above the 95^th percentile for age. After further discussion with Steven’s mother, you determine that he has an excessive daily intake of fruit juice and whole milk, and eats numerous fast-food meals weekly.

1. Describe teaching about diet and activity that you will do with Steven’s mother.

Steven’s mother asks if there is something wrong with Steven because he stutters and says “um” a lot.

2. What type of education or support will you give Steven’s mother?
3. When questioned about the type of discipline used in the home, Steven’s mother states that she feels bad when she spanks him, because he becomes so withdrawn afterwards and that it doesn’t really seem to work anyway. She states she just doesn’t know what else to do. What kind of anticipatory guidance can you provide?

A Chinese woman in her mid-twenties had just given birth. The staff became concerned when she would not eat the hospital food and did not bathe. She would only eat foods that her family brought to her. The patient later explained her custom prevented her from bathing for seven days after childbirth and permitted her to eat only certain foods.

Research Chinese cultural beliefs:

What is a lying-in period?

What are the effects of giving birth on this women’s yang?

What accommodations or interventions could a nurse make?

List 3 Stereotypic myths regarding the Chinese that caregivers must recognize and “unknow”:

Name 3 changes or additions to an EHR that could help patients feel more respected and educate healthcare staff -