If there was one thing you could change in healthcare, what would it be?

John Doe entered ABC Hospital ER with c/o chest pain, SOB, and nausea. The doctor on call

Ordered an EKG, blood work, began a regimen of O2, and prescribed salicylic acid. The initial blood

work had the following findings: WBC 8300; RBC 5.3; normal levels of troponin; HDL 43; LDL 220;

BUN25.

John has a hx of CHF and CKD. John’s VS were as follows: BP 163/88; HR 93; RR 24. John takes medicine

for HTN and Nitro for angina pectoris. John is independent with ADL’s, lives alone, and amb with a WW.

The ER doctor ordered anxiety medication b.i.d. and continued with oxygen at 2mL. After further

Assessment, MI was ruled out.

John’s condition improved and he was sent home to f/u with his GP. He was ordered to begin cardiac rehabilitation and wear a heart monitor. The heart monitor was to assess his heart for a-fib.

Questions

1. Identify which blood tests were abnormal?
2. What did the doctor prescribe in the ER? How does this help?
3. What condition was ruled out? How did they rule this condition out?
4. What did John have prior to his visit to the ER?
5. What does John take medicine for?
6. Why is he wearing the heart monitor? What happens with this condition?
7. How often does he take anxiety medication?
8. What does ADL mean?
9. What do you know about his ability to walk?

briefly describe what assessment and care you provide and when?

CRITICAL THINKING:

1) What is venipuncture?

2) What are some problems that medical assistants may encounter when attempting to draw blood from patients – and particularly from elderly patients?

3) Susan, a medical assistant, is having trouble finding a venipuncture site on the left arm of her patient, Gabel, although Susan has thoroughly assessed and palpated the antecubital veins, including the bigger median cubital vein. Gabel doesn’t want Susan to draw blood from her right arm. What techniques are available to Susan to make the veins on Gabel’s left arm more prominent?

write a script for a podcast that needs to be at least five minutes long and you need to talk about healthy food and unhealthy food.

in your script, you must answer these two main questions :

What are superfoods and what exactly are they used for? Do we need to go to the gym? to stay healthy...

what is healthy and unhealthy food (junk food)

you have to include the advantages and the disadvantages of healthy and unhealthy food.

If we eat badly what disease can we have

I just need the script i will create the podcast by myself.

Explain in detail how the following microbes transmit to humans, escape from our immunity and causing disease. And suggest and explain the rationale on ONE of its therapeutic methods.
SARS-CoV-2 (Virus for COVID-19)

1. Background of the microbes

-What is the structure?

-What is the unique feature?

2. Transmission route

- direct? indirect?

- when the microbe left human body, what is the survival rate?

- what is the basic reproductive member? (e.g. one people being infect, it can spread to two people)

3. Host-pathogen relationships

- The microbe uses what mechanism to escape the immune system (first line, second line, third line) enter body

- what is the method of microbe use and how it enter body (e.g. stick the mucosa...)?

4. Virulence factors and pathogenicity

- what is the virulence factors of this microbes?

- how much virulence factors that the microbes use to damage body?

- how to damage body (e.g. attack the cell and make you easily being sick, )?

-which molecule of body being break down and how it causes disease?

- when body being attack, which disease it will induce, induce which severe disease?

5. Treatment

- suggest one drug to treat Staphylococcus aureus

- introduce the drug

- target step

- how the drug does in body

- how it affects the bacteria

1. You are caring for a 78-year-old patient after the creation of an ileal conduit. What is the best description of the ileal conduit?

• Describe the complications that may follow the placement of an ileal conduit.
• What assessments do you commonly perform in the immediate post-operative period?

1. Enumerate the Risk Factors for Cervical Cancers.
2. A 55-year-old patient has been diagnosed with cervical cancer. She reports that she has a strong family history of cancer; two sisters have breast cancer. Her mother died of cancer when the patient was a child, and she is not certain of the type of cancer. Because of her strong family history, she is concerned about the health status of her twin daughters who are in their early 30s. She has asked you to discuss the risks for cancer with them.

• Explain what counseling and education you will provide to the patient and her daughters.
• Identify the evidence base for the counseling and education and the strength of that evidence.
• How will you approach your counseling and education?

Euthanasia is acceptable or not ?   

medical management of HIV?

A nurse needs to be aware of "difficulties" in establishing a therapeutic relationship and be able to take corrective action. What resources can assist with this process? (250 word minimum)

Mrs. Duarte is a 40-year-old female who has scheduled an appointment with her PCP to assess a lump that has developed on the left side of her neck.

Mrs. Duarte explains to her PCP that she has noticed a swollen area on the left side of her neck that has been increasing in size. She states, “I am really afraid I have cancer. I eat plenty of food, but seem to be losing weight. I have lost 10 lbs in less than 2 months. I have been very agitated and irritable. Perhaps I am nervous about the possibility that this lump is cancer.” Her VS include BP 142/64, HR 128, RR 24, and temperature 98.8 degrees F. The PCP notes that Mrs. Duarte’s hands have a fine tremor, and she has mild periorbital edema indicative of exophthalmos. On physical assessment, the PCP palpates a smooth, soft, enlarged left lobe of the thyroid gland. The PCP places the bell of the stethoscope over the swollen area and auscultates a bruit. Further discussion reveals that Mrs. Duarte has been having difficulty sleeping, thinning hair, and loose bowel movements. Concerned about a thyroid disorder, the PCP prescribes serum laboratory testing to assess the client’s level of TSH, T3 & T4, and schedules the client for a radioactive iodine uptake test.

1. Does the PCP suspect that Mrs. Duarte has hypo or hyperthyroidism? Identify the clinical manifestations that support your answer.

2. Identify 3 nursing diagnoses appropriate for Mrs. Duarte. Indicate which of the 3 diagnoses would be the priority nursing diagnosis and provide your rationale – include nursing diagnosis, related to (r/t), and as evidenced by (AEB) statements.

3. What do you suspect Mrs. Duarte’s findings will reveal for her lab and diagnostic tests – indicate increase, decrease, or results for TSH, T3, T4, and radioactive iodine uptake test.

4. Mrs. Duarte develops hypothyroidism following her radioactive iodine therapy. Her PCP prescribes levothyroxine. She asks the nurse, “What is this medication for and how long will I need to take it?” Provide the patient with teaching regarding the rationale for the prescribed medication & respond to her question regarding the length of treatment needed. Also, include 3 other teaching points you would want to educate the patient on regarding this medication.

Ethical Dilemma Assigned Scenario: You observe a homeless man limping into the emergency room and the nurse in charge ignores him.

1) Identification of interprofessional collaboration that is needed to care for a patient in this situation.

Which professionals will be part of your interprofessional team?

What are their roles and why are they important?