Both Dr. Tissot and Prof Smith provide background information as well as provide curriculum requirements required for successful admission into their respective MD and PA programs.

For your reflection assignment this week, create an outline of a presentation you would provide to a group of prospective HS Seniors who are looking to study Pre-Med and Pre-PA in our Health Sciences program. Within the outline make sure you address both groups with some of the highlights that Tissot and Smith addressed. Provide a script within your outline of material that you want to make sure you address with the students. You may wish to include reflection on why you chose our program, or strengths that our Health Sciences program provides. Sell our program! PT, AT and OT majors will address these Pre-PA and Pre-Med students. You have 15 minutes for your presentation so plan to fill that amount of time with your presentation outline.

Discuss how changes in U.S. demographics will impact the health care industry in the future. What do you anticipate will need to change to meet these demographic changes? How do you think other related industries (e.g., insurance companies, government entities, changes to technology) will respond to the changing needs that diversity presents to the health care industry? How have they responded in the past?

A 79-year-old male came to the emergency department of a local hospital complaining of weakness and left arm pain. He had had an episode of profound weakness, chest pain, and left arm pain the day before admission after his daily walk. He had a history of non-insulin dependant diabetes and unstable angina.

Cardiac enzymes

1. What would the diagnosis be for this patient?
2. What is the cause of this condition?
3. This patient required cardiac catheritization. The patient refused this procedure but his wife said that her husband is senile and unable to decide on these things and signed his consent forms to have the procedure done. Discuss the rules and ethics of informed consent relating this to patient competence (p 104 – 110) ethics book.

Write the article summary "A life course approach to chronic disease epidemiology: conceptual models, empirical challenges and interdisciplinary perspectives" by Yoav Ben-Shlomo, Diana Kuh.

what is the article about? some key points of the article?

how this article related to our outside of the world?

Barry is 90. He lives in a supported community. When Eliza, the support worker, visits one day, she is surprised to see that Barry has not left his room. He is usually up and dressed by 7am. When Eliza knocks to see if Barry is okay, he tells her to go away. When Eliza brings Barry’s unusual behaviour up at the team meeting, one of the other support workers, Roger, becomes hostile. He says that Barry is just whinging, and isn’t sticking to his goals outlined in the service delivery plan. Eliza and the team are surprised at Roger’s outburst. Eliza records the incident and decides to keep an eye on the situation and talk to Roger and Barry independently. Roger doesn’t want to talk. Neither does Barry.

Eliza observes Barry’s behaviour. He seems more withdrawn than usual, and refuses to come to social events. She hears from another resident that Barry is scared Roger will yell at him about not at least trying to be more social.

1. How can Eliza clarify her understanding of the individualised plan to better meet Barry’s needs?

2. Why should Eliza clarify Roger’s roles and responsibilities in relation to caring for Barry?

3. How can Eliza involve other team members in looking out for Barry’s wellbeing?

4. What are two signs of physical or emotional abuse in this example?

5. If Eliza has checked her assumptions and still has reasonable grounds for believing that abuse is occurring, what is the appropriate management of the abuse in this example?

J.S. is a 58-year-old female brought to the emergency department (ED) at 7:00 AM by her husband because when she got up this morning she was light-headed, confused, and so weak that she could not dress herself. J.S.’s husband immediately drove her to the ED in her pajamas. She has a history of rheumatoid arthritis and had been taking prednisone (Deltasone) 10 mg daily. Subjective Data Husband states that J.S. hasn’t been feeling good, has been tired, and has had very little appetite Husband states he lost his job a couple of months ago and J.S. stopped taking her medication a couple of weeks ago because they could not afford it because they no longer had health insurance J.S. denies a headache or blurred vision Objective Data Physical Examination Temperature 98.7° F, pulse 94, respirations 20, blood pressure 100/60 No difficulty speaking Oriented to name only Poor skin turgor Dry mucous membranes Weakness in bilateral upper and lower extremities Diagnostic Studies Lab values Glucose 68 mg/dL Calcium 9.2 mg/dL Sodium 130.0 mEq/L Potassium 5.5 mEq/L HCO3 25.4 mEq/L Chloride 93.5 mEq/L Cortisol 4 mcg/dL (normal 8:00 am level is 5-23 mcg/dL) 1) What is the treatment and nursing care for J.S.’s adrenal insufficiency? 2) What teaching should J.S. receive regarding taking her prednisone? What else can you do to assist J.S. in being compliant with taking her medication?

Case Study- Read the case study scenario, answer the questions below, and explain the rationale for your answer.

Glenna, age 38, lost leg function during a motor vehicle accident at age 16. She plays basketball at the community center and teaches aerobic classes for wheelchair-bound people three times a week. She manages a medical equipment rental business since her husband died. Business is not profitable. A physician’s referral was made to the public health department for a developmental assessment.

A nurse heard angry shouting as she stepped toward the porch of the tiny house with peeling paint. The nurse stepped over a broken tread and knocked on the weather-stained door at the end of a ramp. Suddenly a large man burst through the doorway tugging on a T-shirt and muttering. The nurse glanced past the fleeing man. Three children, ages 18 months, 4 years, and 6 years old, knelt on linoleum worn through to the wood. The TV blared a cartoon. No one heard her knock as the children stared at their mother who was crying and holding her cheek. The nurse knocked a second time on the open door and introduced herself. The woman wheeled around to face the other way.

“We are busy. Please come back later,” the woman spoke over her shoulder.

“Pick up the blocks, Chica. Make sure the back door is locked, Stephano and please make a peanut butter and jelly sandwich for your brother and sister.

Not now, Jon. She tells the youngest child, who is banging a block on her wheel.”

The nurse replies, “I can make another appointment, but it will only take a few minutes to assess Jonathan now that I am here. Your physician said you are concerned about his development. If you could answer a few questions I feel sure we can help you. I can help make the sandwiches while we talk.” The nurse’s scan of the living room located a stained spoon and knife near a broken mirror on the coffee table along with a towel, toys, and a magazine. Chica’s hair was uncombed. The boys’ hair hung to his shoulders and looked unwashed.

The mother pulled her robe together over her chest and folded her arms. “You can’t help. Jon is normal but different. You will ask a 100 questions, insult me, and then say there is nothing you can do, just like the doctor did. He made us wait 45 minutes and then says he is going to call someone else. We don’t need that kind of help. Jon is a smart boy with attention problems. I need to clean up. We don’t have time to talk right now.” She raised her voice. “Chica, pass me the cigarettes, will ya? Gracias.”

Jon continued banging his mother’s chair and vocalizing. The children stared at the nurse. Chica looked afraid. Stephano looked hopeful. His dirty pajamas ended well about the ankle.

A 50-year-old advertising executive consulted his primary health-care provider because of tiredness, lethargy, and an abdominal pain centered around the lower end of his sternum, which woke him in the early hours of the morning. The pain was relieved by food and antacids. His uncle had died of stomach cancer and he was worried that he had the same illness. On examination his doctor noted that he seemed a bit pale and that he had a tachycardia. His blood pressure was low. He was slightly tender in his upper abdomen but there was no guarding or rebound tenderness. The doctor took blood and feces samples and organized for an upper gastrointestinal endoscopy. The gastroscopy showed a 3 cm ulcer in the prepyloric region of the stomach. A fecal antigen test was taken for further analysis.

Lab Results:

• Gram-stains revealed non-spore forming, motile, gram-negative bacterium with a helical shape
• When placed under environmental stress, the bacterium converted to a coccoid morphology possibly due to an evolutionary adaptation
• Cultures taken revealed a micro-aerobic organism on horse blood agar
• Fermentation tests revealed an ability to metabolize glucose
• Biochemical tests further displayed that the organism was catalase and oxidase positive

Diagnosis:

• Epigastric pain
• Heartburn
• Anemia
• Ache and burning in abdomen
• Abdominal pain that worsens when hungry
• Ulcers in prepyloric region of stomach

Can you give a detailed explanation of the symptoms the 50-year-old patient is having?

What are Dosage forms of paracetamol available in the Omani market?

1. Describe the fluid compartments in the body.
2. Explain the reason for third spacing.
3. Why does intake usually equal output?
4. Compare and contrast osmosis and diffusion.
5. With regards to acid base balance, what do the lungs control and what do the kidney’s control?
6. Discuss how aldosterone controls sodium?
7. Identify how fluid volume deficit differs from dehydration?
8. Explain how can a client with ascites have a fluid volume deficit?
9. Explain why are the hemoglobin, hematocrit, and BUN affected with volume excess and deficit?
10. What is the maximum amount of potassium chloride that can be administered IV and in what dilution?  What is the maximum amount of potassium chloride that can be administered IV and in what dilution?

2. Explain the central nervous system stimulants (amphetamines and cocaine). Include the general effects, diagnostic criteria, treatment, and epidemiology.

How do your attitude and demeanor affect the patient experience as you are Medical Laboratory Scientist?

What adjustments to your slide making technique did you make when you are making too thick and not a good feather edge while making blood smear slide? What changes to your technique will you make moving forward?

A young adult is visiting the clinic for a routine health care visit. What data should be collected from the client? What education should the nurse include during the visit? 5. Discuss the immunizations an individual of this age should be prepared to receive? 6. What specific screening tests should a female receive starting at age? Name two. What about a male? Name one