Questions
Question 1 Discuss the Goals of Healthy People 2020. Question 2 Discuss Government Influences on Health...

Question 1 Discuss the Goals of Healthy People 2020.

Question 2 Discuss Government Influences on Health Care

Question 3 Discuss Cultural Considerations Across the Lifespan and in Health and Illness

Question 4 Discuss The Influence of Family on Developing a Lifestyle

In: Nursing

Prompt #1 for this Discussion: Reply to everyone for consideration by answering the following question(s): Is...

Prompt #1 for this Discussion: Reply to everyone for consideration by answering the following question(s): Is there such a thing as sugar addiction? (nutrition 101)

In: Nursing

Some seniors want to retire to communities that serve only seniors, the so-called 55+ communities. Others...

Some seniors want to retire to communities that serve only seniors, the so-called 55+ communities. Others want to remain in the at-large mixed population, to interact with people of a variety of ages.

1. What are the pros and cons of each?

2. Which would you personally prefer to live in, and why?

3. If you were managing a senior services program, what would be the managerial challenges in each? How would you navigate those challenges?

4. In which environment would you prefer to manage senior services? Why?

In: Nursing

re-write all 5 question in your own word please Name of the organism - francisella tularensis....

re-write all 5 question in your own word please

  1. Name of the organism - francisella tularensis. Name of the disease – tularemia
  2. Handling of the infected rabbit, most likely without gloves
  3. Doctors may check for F. tularensis in a blood or sputum sample that's cultured to encourage the growth of the bacteria. Sometimes tularemia can be identified by antibodies to the bacteria in a sample of blood, but these only develop several weeks after infection. You're also likely to have a chest X-ray to look for signs of pneumonia.
  4. Tularemia can be effectively treated with antibiotics such as streptomycin or gentamicin, which are given by injection directly into a muscle or vein. Depending on the type of tularemia being treated, doctors may prescribe oral antibiotics such as doxycycline (Oracea, Vibramycin, others) instead.
  5. You'll also receive therapy for any complications such as meningitis or pneumonia. In general, you should be immune to tularemia after recovering from the disease, but some people may experience a recurrence or reinfection.

In: Nursing

Write a two page paper discussing the use of patient portals. Why is a patient portal...

Write a two page paper discussing the use of patient portals. Why is a patient portal important? How is the patient portal is empowering? Are there any concerns in using a patient portal?

In: Nursing

Case study The patient is a 21-year-old with T12 complete spinal cord injury who has loss...

  1. Case study

    The patient is a 21-year-old with T12 complete spinal cord injury who has loss of muscle performance and sensation in the lower extremities.


    In a paragraph describe the turning and positioning techniques you'd use with your case study.

In: Nursing

Jeff has learned from his urologist that his kidney disease has progressed to renal failure and...

Jeff has learned from his urologist that his kidney disease has progressed to renal failure and that he must include dialysis in his treatment plan. Because you work on the dialysis unit of the hospital, Jeff has asked you to explain how the hemodialysis machine works. He also asks if the unit is portable so that he can use it at home, if necessary. What will you tell Jeff?

In: Nursing

Case Study: 52-Year-Old Female Presents with Chronic SOB, and Cough History of Present Illness: Casey, who...

Case Study: 52-Year-Old Female Presents with Chronic SOB, and Cough

History of Present Illness: Casey, who is 52-year-old female presents after admission to the San Francisco General 7E Medical/Surgical Hospital. Her chief complaint of shortness of breath on exertion. She reports that she was seen for similar symptoms previously at her primary care physician’s office three months ago. At that time, she was diagnosed with acute bronchitis and treated with bronchodilators, empiric antibiotics, and a short course oral steroid taper. This management did not improve her symptoms, and she has gradually worsened over six months. She reports a 20-pound intentional weight loss over the past year. She denies camping, spelunking, or hunting activities. She denies any sick contacts. A brief review of systems is negative for fever, night sweats, palpitations, chest pain, nausea, vomiting, diarrhea, constipation, abdominal pain, neural sensation changes, muscular changes, and increased bruising or bleeding. She reported persistent cough and shortness of breath upon exertion.

Social History: Her tobacco use is 35 pack-years; however, she quit smoking shortly prior to the onset of symptoms, a year ago. She denies alcohol and illicit drug use. She is married, in a monogamous relationship, and has one adult daughter who leaves in Florida.

Allergies: NKDA

Past Medical History: HTN

Past Surgical History: Cholecystectomy

Medications: Lisinopril 10mg by mouth every day

Physical Exam:

Vitals: Temperature, 96.8 F; heart rate 86; respiratory rate, 20; blood pressure 142/82;

body mass index, 34

General: appears anxious, a pleasant female lying on a hospital stretcher. She is conversing freely, with respiratory distress causing her to stop mid-sentence.

Respiratory: She has diffused rales and mild wheezing; tachypneic.

Cardiovascular: She has a regular rate and rhythm with no murmurs, rubs, or gallops.

Gastrointestinal: Bowel sounds X4. No bruits or pulsatile mass. Reported last BM was 2 days ago.

Nursing Diagnosis

Patient Goals

Intervention

Rational

Evaluation

1.

1

2

3

4

5

1

2

3

4

5

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8

9

10

In: Nursing

The Case of the Sweaty Salesman Michael is a thirty year old salesman who spends approximately...

The Case of the Sweaty Salesman

Michael is a thirty year old salesman who spends approximately 4 days each week traveling to visit with customers in his region. During his routine physical he casually mentions to his physician that he seems to be sweating more profusely than normal and most rooms that once were comfortable are now too "hot". He thought that it was simply due to the change in seasons and companies being slow to turn down the thermostats from the winter temperatures, however this problem seems to persist even when he is at home. A room that his wife and children find to be comfortable causes him to sweat profusely. Michael also reports that he seems to be loosing weight even though his appetite has increased. He also complains that he has a shortened attention span and that he always wants to be moving around. Despite the fact that he feels fatigued, Michael claims to have difficulty sleeping and seems to have more frequent bowel movements, occasionally accompanied by diarrhea. The physician checks Michael's medical history and finds that indeed he has lost 15 pounds since his last physical. Wanting to rule out the possibility of infection with the human immunodeficiency virus (HIV), the physician asks Michael questions about his sexual history and practices and finds that he is not at risk for HIV infection. Also in checking his chart, the physician finds that Michael has a negative history for chronic illnesses, does not smoke, and has a low risk for cardiovascular disease. He does however have a positive family history for autoimmune diseases. His father suffers from idiopathic thrombocytopenia, his mother has been diagnosed with rheumatoid arthritis and his oldest sister was recently diagnosed with systemic lupus erythematosus.

Results of Michael's physical examination were within normal ranges with the exception of the following: he demonstrated tachycardia, loud heart sounds, and apparent cardiac arrhythmia accompanied by slight hypertension. The arrhythmia was confirmed by the electrocardiogram to be supra-ventricular in origin. Michael's eyeballs appeared large and protruding and his hair was fine and soft. He was also beginning to demonstrate some degree of alopecia. Michael was also observed to have palmar erythema. Palpation of the neck revealed the presence of goiter. Results of blood tests indicated elevated concentrations of thyroid hormones (thyroxin and triiodothyronine),hypercalcemia, and decreased circulating concentrations of lipids. Based on the physical characteristics and the results of the blood tests, Michael's physician suspected that Michael was suffering from some form of hyperthyroidism and sent him to an endocrinologist to confirm the initial diagnosis.

Following the initial consultation and examination, the endocrinologist ordered tests to determine whether Michael was indeed hyperthyroid. The test results indicated an elevation in the concentration of thyroid hormones in the blood and the presence of thyroid-stimulating antibodies. These antibodies specifically stimulate the thyroid gland by binding with the thyroid stimulating hormone receptor located on the plasma membrane of the follicular cells of the thyroid gland. Based on these results, the endocrinologist concluded that Michael had Grave's disease, a form of hyperthyroidism believed to be autoimmune in nature. Michael was presented with a number of possible treatment options. These included treatment with chemicals (propylthiouracil and methimazole) that decrease the production of thyroid hormones by the thyroid gland, radio-isotopic destruction of the thyroid gland by the use of 131I, and surgical removal of the thyroid gland. After considering all the options, especially the possible effects of radiation on gamete development, Michael chose surgery. Following successful surgery, Michael was prescribed synthetic thyroid hormone to ensure that his body was receiving adequate thyroid hormone and told to return within 2 months for a follow-up evaluation of circulating thyroid hormone concentrations. He was also cautioned to carefully monitor his calcium intake.

Using the the terms covered this week answer the following questions about this case:

Why would an imbalance in thyroid hormones have such a widespread effect on the body? Why was goiter observed in Michael’s case? Given that Michael and his wife may want to have more children, why was radio-isotopic, for the destruction of the thyroid gland, ruled out?

In: Nursing

Explain why health promotion, community health, and prevention are important. How do national organizations like the...

Explain why health promotion, community health, and prevention are important.

How do national organizations like the CDC influence and support policy making, and what is their role in health promotion?

How is the CDC currently addressing the Millennium Development Goals (MDG)?

How do organizations like the CDC and the WHO work together to influence health and healthcare delivery?

In: Nursing

Stages and Interventions: Describe the stages of childbirth. Describe the medical interventions that may be used...

Stages and Interventions: Describe the stages of childbirth. Describe the medical interventions that may be used during childbirth. How would you explain one of these interventions to a mother in labor?

In: Nursing

What incentive did the Affordable Care Act offer to encourage states to expand Medicaid eligibility? The...

What incentive did the Affordable Care Act offer to encourage states to expand Medicaid eligibility?

The federal government would pay 100 percent of the state's cost for expanding eligibility for the first three years and then no less than 90 percent in subsequent years.

The federal government would reduce its share of the state's Medicaid costs if the state did not expand Medicaid eligibility.

Each state was required by law to expand Medicaid eligibility, and this requirement was subsequently upheld by the U.S. Supreme Court.

In: Nursing

Tax-Exempt status for healthcare institutions provide certain benefits as a not-for-profit enterprise. Discuss the rationale, community...

Tax-Exempt status for healthcare institutions provide certain benefits as a not-for-profit enterprise. Discuss the rationale, community benefits and the Judicial, IRS, and Legislative challenges organizations face today to maintain their ‘tax-exempt” designation.  

In: Nursing

do you think the world is threatened by a population explosion?

do you think the world is threatened by a population explosion?

In: Nursing

Transactions Outside the Operating Budget" :Metropolis Health System has received a wellness grant from the charitable...

Transactions Outside the Operating Budget"

:Metropolis Health System has received a wellness grant from the charitable arm of an area electronics company. The grant will run for twenty-four months, beginning at the first of the next fiscal year. Two therapists and two registered nurses will each be spending half of their time working on the wellness grant. All four individuals are full-time employees of MHS. The electronics company has only recently begun to operate the charitable organization that awarded the grant. While they have gained all the legal approvals necessary, they have not yet provided the manuals and instructions for grant transactions that MHS usually receives when grants are awarded. Consequently guidance about separate accounting is not yet forthcoming from the grantor.

Use below point

  • Summarizes the situation (One paragraph
  • Discuss in detail, how you would handle this issue on the MHS Operating Budget for next year. (Two paragraph
  • Explain a minimum of ONE option that can be the solution to the problem (i.e., separate accounting versus consolidated accounting). (Two paragraph
  • Discuss if there is leadership (guidance) or no leadership (guidance). (One paragraph
  • Explain if the issue should be handled either as separate or consolidated. (One paragraph

Please Explain

In: Nursing