Based on your prior experience when interviewing patients, when faced with sensitive issues is it difficult to ask questions. How do you prepare yourself?, Which areas do you consider sensitive? Have you had an experience you would like to share?, Will the knowledge learned this week how will you address some of these issues or topics?

Osteoporosis is an age-related condition characterized by loss of bone mineral density (BMD) and is a risk factor for fractures in older women. A research project on women looking at fracture rates and bone mineral density showed that women with the lowest bone mineral density were associated with a higher fracture rate than those with higher bone mineral densities. Women targeted with bone mineral density rates of less than 2.5 standard deviations (SD) were evaluated and this was found to be effective in reducing fractures in those treated (compared with a control group of persons in the same range but not treated). A consortium of family practice, ob-gyn, and geriatric clinics and senior health centers decide to start a city-wide prevention campaign, therefore, to prevent falls and fractures in women. Implemented over five-years, this intervention screened and reached virtually all women with a bone mineral density of less than 2.5 SD. Follow-up evaluation, however, indicated no significant reduction in the overall fractures of women in the community during this period. They consulted a local public health professional who provided them with data and the figure below.

(5a) First define Rose’s Theorem. Drawing upon Rose’s Theorem, offer one hypothesis that might explain the failure of this intervention to reduce the overall prevalence and incidence of bone fractures in the community.

(5b) Describe an alternative intervention, and explain how this intervention would be more effective at reducing overall number of fractures. Define Rose’s prevention paradox and state how your intervention is an application of Rose’s “prevention paradox.”

Evidence indicates that as many as 90% of all people seeking treatment for a drug or alcohol use disorder also meet diagnostic criteria for another psychiatric disorder. This situation, termed co-morbidity, can arise for many reasons and can take many forms. Name a few highly prevalent forms of co-morbidity and describe how they might influence long term recovery from the respective disorders.

1. a. what similarities and differences do you see between the 1918 flu pandemic and the current COVID-19 pandemic?

b. The 1918 flu pandemic had a huge impact on the world and history. What kind of impact do you think the COVID-19 pandemic will have on our future? (I'm more so asking what kind of societal or historical impacts you think the pandemic will have, not so much about the death tolls, etc.)

Review (within the last year) health-related policy (not the Affordable Care Act). on the medicare or Medicaid acts or pharmacy acts, review one of those related to health care policy and review,

Introduce this policy in your paper and discuss the following:

How the governmental policy process informs the development, implementation, and assessment of policy within the realm of health care.

The impact of your chosen policy on health care consumers, organizations, and systems. The impact of your chosen policy on health care providers.

imagine you are adapting a new policy to the health care organization at which you work (or where you wish to work). Describe the organization and discuss the following:

1. The stakeholders involved in policy formation and their impact on health care policy formation and structures.
2. The response you expect from those stakeholders.
3. The specific impact this governmental policy will make (positive, negative, indifferent) and why?

Explain the impact of negligence, malpractice, and litigation on the relationship between patient and provider.

Joan is an 85 y/o female recovering from a right total hip replacement. Her injury occurred when she tripped over a scatter rug in her living room and fractured her hip. She lives alone in a private home and anxiously tells you she is afraid of falling again, not being able to call for help and ‘dying alone on the floor’.

Her problems include decreased strength in both lower extremities (BLE) and some pain and stiffness in both hands which limits how long she manages her walker. She also has difficulty preparing her meals due to decreased standing tolerance. She enjoys painting, reading and participating in her book club

Joan is an 85 y/o female recovering from a right total hip replacement. Her injury occurred when she tripped over a scatter rug in her living room and fractured her hip. She lives alone in a private home and anxiously tells you she is afraid of falling again, not being able to call for help and ‘dying alone on the floor’. Her problems include decreased strength in both lower extremities (BLE) and some pain and stiffness in both hands which limits how long she manages her walker. She also has difficulty preparing her meals due to decreased standing tolerance. She enjoys painting, reading and participating in her book club.

1. Name two occupations would she have difficulty performing besides her ADLs or IADLs.

2. Name one ADL that she would have difficulty performing.   Why/How So?

3. Name one IADL that she would have difficulty performing? Why/How So?

4. Name a performance pattern that would be affected? Why

5. What intervention, strategy would you recommend for Martha?

Which approach is considered to offer few individual benefits but might yield collective population value?

a. Social marketing

b. Policy approaches

c. Health communication

d. Community-based prevention marketing

T.H., a 57-year-old stockbroker, has come to the gastroenterologist for treatment of recurrent mild to severe cramping in his abdomen and blood-streaked stool. You are the registered nurse doing his initial workup. Your findings include a mildly obese man who demonstrates moderate guarding of his abdomen with both direct and rebound tenderness, especially in the left lower quadrant (LLQ). His vital signs are 168/98, 110, 24, 100.4° F (38° C); he is slightly diaphoretic. T.H. reports that he has periodic constipation. He has had previous episodes of abdominal cramping, but this time the pain is getting worse. Past medical history reveals that T.H. has a "sedentary job with lots of emotional moments," he has smoked a pack of cigarettes a day for 30 years, and he had "two or three mixed drinks in the evening" until 2 months ago. He states, "I haven't had anything to drink in 2 months." He denies having regular exercise: "just no time." His diet consists mostly of "white bread, meat, potatoes, and ice cream with fruit and nuts over it." He denies having a history of cardiac or pulmonary problems and has no personal history of cancer, although his father and older brother died of colon cancer. He takes no medications and denies the use of any other drugs or herbal products.

. 1. Identify four general health risk problems that T.H. exhibits.

2. Identify a key factor in his family history that might have profound implications for his health and present state of mind.

3.The physician ordered a KUB (x-ray study of the kidneys, ureters, and bladder), complete blood count (CBC), and complete metabolic profile. Based on x-ray and laboratory findings, physical examination findings, and history, the physician diagnoses T.H. as having acute diverticulitis and discusses an outpatient treatment plan with him. What is diverticulitis? What are the consequences of untreated diverticulitis?

4.While the patient is experiencing the severe crampy pain of acute diverticulitis, what interventions would you perform to help him feel more comfortable?

5. What is the rationale for ordering bed rest?

T.H. is being sent home with prescriptions for metronidazole (Flagyl) 500mg PO q6h, ciprofloxacin (Cipro) 500mg PO q12h, and dicyclomine (Bentyl) 20mg 4 tomes per day for 5 days.

6.For each medication, state the drug class and the purpose for T.H.

7.Given his history, what questions must you ask T.H. before he takes the initial dose of metronidazole? State your rationale

8.What is a disulfiram reaction?

9. What are the signs and symptoms of an allergic reaction

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  1. A) Obesity

  B) lack of exercise

  C) hypertension

  d) malnutrition (low fiber diet)

  2.There is history of colon cancer which is running down his family tree(father $ elder brother) .it maybe an Autosomal disease

  3.Diverticulitis: diverticulum is small out pouches in small intestine, it's inflammation is called diverticulitis ( ulcer / abscess)

  Complications of untreated diverticulitis : peritonitis ( inflammation of peritoneum)

  Fistula formation, abscess ( collection of pus)

  4.intramuscular injection of pain killer ( diclofenac)

  5. Bed rest: it helps less bowel activity and helps in healing  

  6.Metronidazole ( belongs to imidazole group of drugs) and ciprofloxacin(fluoriquinolone group of antibiotics) are antibiotics for the inflammation.

  Dicycloamine is antispasmodic, it reduces the crampy abdominal pain

  7. History of any drug reaction , alcohol ingestion

  It can produce disulfiram reaction

  8.Disulfiram reaction :when alcohol is ingested which is associated with flushing and hypotension

  9.Symptoms: itching, urticaria, breathing difficulty

  Symptoms : wheeze on chest auscultation, hypothyroidism, tachycardia,

Describe the legal responsibility health care professionals have in relation to risk and the prevention of injury within their scope of practice.

Which of the following is an effect on the pulmonary system due to the aging process?

Question 3 options:

Look up a nursing educational video that explains the types of shock. Post the video link. Write a summary/ review of the video (at least 5 sentences.) Then watch at least two of your classmates videos and post a comment.

Answer the following questions. Your answers should address all parts of the questions and be approximately 300-400 words each. Make sure to thoroughly support all answers with accurate details and relevant evidence from the textbook and other resources.

1. Several coworkers are in the lunchroom on their lunch break. Sam and his friend George are having a rather loud conversation about the party they attended over the past weekend. George relates a joke that he heard at the party; it is a very sexually oriented joke with several words that offend Sally (who overhears the conversation). Sally is upset and complains to them about the nature of the conversation that they are having and how it is offensive to her. George and Sam tell her that she is overreacting and dismiss her complaint. Is this considered sexual harassment? Is Sally just overreacting to the situation? If Sally reports the incident to her supervisor, what (if any) actions should the supervisor take to follow up on this incident? 2. Sandra is a nurse in a physician's office and she has just assisted the physician with a suturing procedure. As she is cleaning up afterwards, she is cut by the suture needle and it penetrates her glove. What procedures should be followed? Is the employer responsible even though Sandra made the mistake? How does this incident affect the patient whose blood is on the suture needle? Can the patient be forced to have HIV testing? Be sure to reference OSHA guidelines. 3. A medical assistant is at a local store and notices a patient who had been in the office that morning. The patient is with her husband, and the medical assistant greets the patient and congratulates her on the “good news.” The patient is upset, and the medical assistant realizes not only that the patient had not yet informed her husband of the pregnancy but also that the husband had previously undergone a vasectomy and was not the father. What could happen to the medical assistant for this incident? Would this be considered a mistake rather than an actual violation of HIPAA? Would the employer be responsible for the medical assistant's violation? Consider how respondeat superior and any previous employee HIPAA training might factor in. 4. During an office visit, Mr. H, who smokes cigarettes, is diagnosed with bronchitis. His physician wants to prescribe Levaquin because this is usually the best antibiotic treatment, and it is especially most effective for smokers with bronchitis. However, the physician knows that most insurance companies will not cover this expensive antibiotic. What should the physician do? 5. Susan is diagnosed with early-stage Alzheimer's disease and she finds her son and daughter disagreeing on who should provide her care. She disagrees with both their ideas. Assume she lives in your state and those state laws apply. She’s asked you, her physician, for advice about how to prepare for the time when she will no longer be able to make her own healthcare decisions. What should you tell her? What resources would you provide? 6. A nurse on your unit has a confidential personal code that allows her to view the medical records of patients on her unit, because she clearly has a legitimate need to view these records. However, one day she browses the records of patients on other units in the hospital while she is on break. She explains that she is bored and wants to see if she recognizes the names of any of the other patients. Describe legal and/or ethical issues involved here.