five minute informative speech on fad diets. include 3 facts and their source. a thesis and introduction.

A drug company is beginning a new drug trial for a medication that is used to treat rheumatoid arthritis (RA). Jonna is a 22-year-old female who has had RA for 2 years and does not feel that she has full relief of pain from the medications she has taken. She states she has fallen on hard times since she became ill and the money for the study will also be beneficial. She wants to participate in the study.

1. Discuss the reason she should not participate in the study. Do you feel this patient should be allowed to participate?
2. Discuss the role of the Food and Drug Administration (FDA) in clinical drug testing.
3. In order to safely administer medications, all nurses must understand how to read a drug label. Discuss the information that is found on a drug label.
4. The nurse is administering a drug and recognizes it as a controlled substance. The prescription, distribution, storage, and use of controlled substances are closely monitored by the DEA in an attempt to decrease substance abuse of prescribed medications.

1. What piece of information would have to be withheld from Ms. Lamonica in order to perform the provocative test, and why is this deception necessary?

2. If Dr. Patel performs the provocative test on Ms. Lamonica, what important information will the test provide regarding Ms. Lamonica’s seizures? Be specific.

Ms. Lamonica was admitted for a neurological evaluation after experiencing 2 severe seizures. At 38, Ms. Lamonica was overweight, but otherwise in good health. All studies including electroencephalograms (EEG) were normal. Because her description of her seizures seemed to exclude epilepsy—she remained fully conscious during the events, for example, and experienced no confusion afterward—her team of neurologists led by Dr. Patel began to suspect that her episodes were nonepileptic seizures (NES). The physicians contemplated using a provocative test to confirm the diagnosis. The test was controversial because it entailed deceiving the patient. Ms. Lamonica would have EEG electrodes attached to her scalp and an intravenous catheter inserted. Dr. Patel would then tell her he was administering a solution designed to provoke a seizure. In reality, the solution would be simple saline. If Ms. Lamonica had a seizure, Dr. Patel would stop the infusion, tell her the drug was leaving her system, and watch for a concomitant end to the seizure. If no abnormal electrical activity was seen during the seizure, the diagnosis of NES would be confirmed. An estimated 10 to 20 percent of patients who are hospitalized for seizures or treated at epilepsy clinics are suspected to have NES; some have epilepsy and NES. Nonepileptic seizures are treated with psychiatric rather than neurological interventions. While epilepsy can often be managed with medications, pharmacologic treatment for NES tends to be ineffective. Anticonvulsant medication would be inappropriate. Psychotherapy is useful for some NES patients, though many remain unimproved long after diagnosis. The key to distinguishing NES from epilepsy is whether EEG evidence of a true seizure is recorded by EEG during a typical spell. To avoid keeping the patient attached to the EEG machine for hours or days in hopes of witnessing an episode, some physicians choose to employ the so-called provocative saline infusion—the sham test described above—to expedite the diagnosis. Provocative saline infusion is thus a nocebo, a drug the patient perceives as harmful, which in Ms. Lamonica’s case would mean seizure-inducing. To see if she would even be willing to undergo testing, Dr. Patel offers the possibility of the provocative test to Ms. Lamonica, as well as the alternative of no test. He explains how the test will be performed and truthfully tells her the benefit of the test is that it will help him determine the type of seizure she’s experiencing. However, given the necessary deception associated with the test, he deceives Ms. Lamonica by telling her that the solution will be seizure-inducing and explaining the risks associated with inducing a seizure. In reality, the physical risks associated with a saline infusion are much more minimal than the risks told to Ms. Lamonica. Ms. Lamonica indicates that she would be willing to consent to the test. Dr. Patel is conflicted. He regrets the necessity of deceiving her and feels that she deserves to know the truth, especially for an invasive procedure, but he also knows that the test won’t work if she’s told the truth in advance. By performing the test, he would be able to determine whether anticonvulsive medication would be appropriate for her, and he would have a better idea of how to care for her going forward. Dr. Patel must now decide whether to administer the provocative saline infusion to Ms. Lamonica.

1. Can Dr. Mann satisfy his duty to obtain Mrs. McAllen’s informed consent for the MRI if he does not disclose the fact that Red Heart Medical Centre is a physician-owned hospital of which he is a stakeholder?

2. Do you think financial information, such as the cost of a proposed test or intervention, should be disclosed as a part of the informed consent process? Explain your reasoning

Mrs. McAllen and her wife had just finished moving from Cleveland, OH, to a small town outside Austin, TX, when she felt an uncomfortable twinge in her lower back. Then the pain set in. Assuming she had strained her back from lifting heavy boxes during the move, she decided to take it easy and rest for the next few days in the hopes that the pain would go away on its own. But after a week of being in constant pain, and frightened by a few alarming internet search results, Mrs. McAllen decided to make an appointment at a nearby hospital, Red Heart Medical Centre. A few days later Mrs. McAllen is seen by Dr. Mann, a prominent physician at the hospital. After going over Mrs. McAllen’s medical history, discussing the events surrounding her lower back pain, and performing physical evaluation Dr. Mann quickly realizes that Mrs. McAllen is suffering from a simple muscle sprain which, on average, takes 4-6 weeks to heal. Muscle sprains are very common, rarely require lab testing or diagnostic imaging to diagnose, and do not require any special surgeries or medications (apart from pain killers) in order to heal. Even though Dr. Mann has no doubts that Mrs. McAllen is suffering from a simple back sprain, he considers offering her the option of undergoing an MRI in order to confirm the diagnosis. In his experience, patients seem more accepting of a diagnosis when advanced diagnostic testing has been performed, and he sees nothing wrong with giving Mrs. McAllen that option. And even though Dr. Mann is aware that studies show an MRI would be very unlikely to provide any additional or useful information regarding Mrs. McAllen’s back pain, he also knows that the test would pose very little additional risk to Mrs. McAllen. Given that Mrs. McAllen has just moved to the area, she is unaware that Red Heart Medical Centre is a physician-owned hospital, meaning that its physicians receive a percentage of the hospital’s profits from tests, surgeries, and other patient care. As an investor in the hospital, each time Dr. Mann performs a test or procedure at Red Heart Medical Centre he receives both the fee for the test as well as a percentage of the hospital’s overall profits. However, because Dr. Mann considers this is a personal financial matter and does not think this factors into his patient care in any way, he does not feel the need to mention this possible conflict of interest to his patients.

GERONTOLOGY

"Aging in Place" is a popular term in the field of aging, however, there are some experts in the field that believe promoting the idea of "Aging in Community" should be preferred. Why?

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Research both terms and explain the pro's and con's of using either term and then decide which if either term you would prefer to use and explain why.

The doctor ordered Aminophylline oral liquid 2.5mg per lb per dose PO. Aminophylline oral liquid comes as 105mg per tsp. The child's weight is 18kg. How many ml should the child receive per dose?

Please show me step by step. I did it but i dont get it why 4.7ml is the answer for this. thanks!

At a Master's level of education in 200 words or less.

To Err Is Human: Building a Safer Health System and Free from Harm, Accelerating Patient Safety Improvement Fifteen Years after To Err Is Human, what key findings persist despite efforts to improve the quality of healthcare and prevent medical errors?

References below

Institute of Medicine. (2000). To err is human: Building a safer health system. The National Academies Press.

National Patient Safety Foundation. (2015). Free from harm: Accelerating patient safety improvement fifteen years after to err is human. National Patient Safety Foundation.

22 yrs old Appendectomy currently recoving room nurse noticed vitals signs not going well .Heart rate increase BP decrease breathing rapid .urine ouput is 15ml .she dianosed sepsis.

Potential Nursing Diagnosis (3 minimum)

Risk Factors (3 minimum)

Signs & Symptoms/Expected Findings (6 minimum)

Laboratory Tests (3 minimum)

Diagnostic Procedures (2 minimum)

Client Education (3 minimum)

Treatments: (3 minimum)

Potential complications: (3 minimum)

APA reference (MUST be in APA format)

Research presented in the article below suggests that if too many food choices are available, the rate of obesity increases, no matter if the choices are healthy or unhealthy.

Do you agree? What is your experience in this situation?

what are the OR instruments in major surgery and its use

compare and contrast the pathophysiology of inappropriate antidiuretic hormone and diabetes insipidus

discuss the pathophysiolgy of Graves disease and include signs and symptoms associated with this disorder