1. Describe a scenario in which managed care provides an effective solution. Discuss the benefits of managed care in this scenario.

2. Describe a scenario in which case management provides an effective solution. Discuss the benefits of case management in this scenario.

1. Discuss an example in which case management was done poorly.

2. Describe how you would have managed these circumstances and provided a high level of quality care.

State a current E. coli. outbreak of foodborne illness in the news and include the following information

• News source
• Date of news report
• Number of individuals affected
• Food source
• Microorganism causing the illness
• Symptoms of illness
• How could this foodborne illness have been prevented?

explain how RER is determined, what information it provides, and how this measure can be flawed in certain circumstances

Consider social issues of ethical import such as poverty, drug use, and/or lack of health care, what ethical problems that arise related to those particular issues? How would care-based and rights theory of ethics solve those problems.

Are those solutions correct? Why or why not?

What is your own approach there?

1. What are endorphins and how do they reduce pain?

1. 2. List and describe the different types of pain.

1. 3. Give reasons why older adults often do not express pain.

1. 4. Identify the nonverbal cues you would look for when assessing the pain of a confused patient.
2. 5. How does transcutaneous electrical nerve stimulation (TENS) differ from percutaneous electrical nerve stimulation (PENS)?
3. 6. When applying heat, what precautions should you consider?
4. 7. What are the basic categories of medication for the relief of pain?

1. 8. What are the disadvantages of intramuscular or subcutaneous injection of medication?

1. 9. Describe how epidural analgesia is administered.

Description

Mr. Bryan is a 29-year-old married man who came to the medical office because, over the last three years, he has progressively increased the size of his shoes, and he has resized his wedding ring three times. He says his feet and hands have grown. He has also noticed that his face has turned coarse. He was a very active man and practiced sports, but now he fatigues just by walking, and feels weakness in his muscles and stiffness in his joints. He is depressed because in the last few months he has been experiencing erectile dysfunction, which is affecting his relationship with his wife. He feels he is losing his vision as well.

Mr. Bryan does not drink alcohol, smoke, or use any recreational drug. His mother suffers from diabetes mellitus type II, and his father suffers from hypertension.

On physical examination we found:

Remarkable Signs

• Head: Enlarged and coarsened facial features, prominent superciliary arches, prognathism
• Neck: Thyroid is visible and palpable
• Thorax: Barrel appearance
• Abdomen: Hepatomegaly. Splenomegaly.
• SOMA: Enlargement of the hands and feet. Generalized arthralgia.

Remarkable Signs

• Integumentary system: Thick and oily skin. Numerous acrochorda disseminated throughout the body.
• Cardiovascular system: Blood pressure 150/100. Radial pulse 72.
• Digestive system: Megaloglossia. Diastema.

Answer the following:

1. Mr. Bryan, has numerous skin tags. Are these skin lesions benign or malignant? What are some other skin tumors that we have to rule out in this case?

2. Is the patient prone to skin infections? What are the most common skin infections you know?

8. A systematic way to perform a physical assessment is to use the acronym RNS HOPE. Explain the meaning of this acronym.

9. As you position and drape an older adult patient, what care points must you consider?

10. Under what conditions is a neurologic check performed?

Description

Mr. Bryan is a 29-year-old married man who came to the medical office because, over the last three years, he has progressively increased the size of his shoes, and he has resized his wedding ring three times. He says his feet and hands have grown. He has also noticed that his face has turned coarse. He was a very active man and practiced sports, but now he fatigues just by walking, and feels weakness in his muscles and stiffness in his joints. He is depressed because in the last few months he has been experiencing erectile dysfunction, which is affecting his relationship with his wife. He feels he is losing his vision as well.

Mr. Bryan does not drink alcohol, smoke, or use any recreational drug. His mother suffers from diabetes mellitus type II, and his father suffers from hypertension.

On physical examination we found:

Remarkable Signs

• Head: Enlarged and coarsened facial features, prominent superciliary arches, prognathism
• Neck: Thyroid is visible and palpable
• Thorax: Barrel appearance
• Abdomen: Hepatomegaly. Splenomegaly.
• SOMA: Enlargement of the hands and feet. Generalized arthralgia.

Remarkable Signs

• Integumentary system: Thick and oily skin. Numerous acrochorda disseminated throughout the body.
• Cardiovascular system: Blood pressure 150/100. Radial pulse 72.
• Digestive system: Megaloglossia. Diastema.

Answer the following

1. What are some chronic inflammatory disorders that we have to take into account in a patient who has thick skin?

2. Mr. Bryan is complaining of stiffness and pain in his joints. What do you know about arthritis?

Explain why much attention was placed on post-acute and long-term care facilities during COVID-19? What are some challenges that post-acute care and long-term care facilities deal with on a typical or regular basis that may have been made worse by COVID-19?  

What are some of the facts and data about the number of deaths that occurred in Post-Acute and Long term care facilities across the USA during COVID-19?

Briefly describe three specific steps that were/are being taken to improve outcomes in these Post-Acute and Long Term Care facilities in light of the COVID-19 pandemic.