A 55-year-old married woman, who experienced a stroke approximately four months ago. She experienced dysphasia and was placed on a Level 2 Dysphagia Diet which allowed her to maintain an ideal body weight of 155 pounds until one month ago. She has experienced a slow, but steady weight loss for the past 4 weeks. The patient had a speech therapy assessment for swallow and was referred to you for a Level One Dysphagia Diet with thickened fluids. Her husband assists with food preparation and feeding. He notes that it currently takes more time for his wife to eat than in the past and she seems to lose interest before completing a meal.

C. Describe the type of data you plan to collect in your initial assessment of this patient.

Mrs. Franklin is an 89-years-old Black female who lives at Riverside, a long-term care facility. She has been a resident for eight years. She moved to the retirement community when her husband passed away. She has been living in the skilled nursing facility for the past two years because of medical illnesses and increased need for assistance with ADLs due to her poor vision. She has a son and a daughter who both live in the area and six grandchildren, all of whom visit often. Mrs. Franklin is a devout Baptist who attends the chapel services at Riverside every Sunday.care plan • Pain • Dyspnea (air hunger) • Fatigue and weakness • Ano rexia (loss of appetite) and cachexia (weight loss) • Edema and ascities • Skin breakdown

Sandra Stein, 36, has Type 1 diabetes. She's had the flu for the last 4 days and hasn't eaten or taken her insulin. Her husband brings her to the ED; she's confused and lethargic. During your admission assessment, you note that she's breathing rapidly and that her breath has a fruity odor. Her ABG values on 40% oxygen by face mask and her glucose levels are as follows:

pH, 7.15

PaCO2, 30 mm Hg

PaO2, 130 mm Hg

HCO3-, 10 mEq/liter

SaO2, 94%

Serum glucose, 690 mg/dl.

1. Determine the acid-base disorder using the methods outlined above.

2. Determine the cause (s) of the acid-base disorder.

3. Suggest treatments

Millie Gardner, an 83-year-old female patient, is being discharged home today to the care of her husband Fred (87 years old) following a 9-day hospitalization for pneumonia, dehydration, and failure to thrive. She has a history of hypertension (HTN), Type II Diabetes, and cerebral vascular accident (CVA) with left-sided weakness. Patient is alert and oriented but does have periods of forgetfulness during the overnight hours. Patient has intermittent incontinence of bowel and bladder and requires assistance with all activities of daily living (ADLs). Medications: Lopressor Lisinopril Plavix Metformin Novolin R per sliding scale *NEW* Multivitamin Colace Zithromax *NEW* Using the SBAR, please include the information that you will communicate to the physician's office at the completion of the visit?

Mr. Ross lives at home with his wife. He has been diagnosed with terminal cancer, and his wishes are to die at home. You have been assigned to assist Mr Ross with ADL's. On arrival to his home, Mr Ross is lying in bed and looks very uncomfortable. A bottle of Tylenol (acetaminophen) is on the bedside table. Mrs Ross is visibly upset and starts to cry. She says her husband smells and needs to be changed. As the PSW what do you do in this situation?

1. Highlight safety measures to consider in a home setting related to providing assistance with ADLs.

2. List the considerations and steps you would take to assist Mr and Mrs Ross.

3. Identify what supports may be beneficial to support this family.

4. What would you document in this situation?

Concerening the dependency exemptions identify each statement by one of these categories:

A. Could be a qualifying child

B. Could be a qualifying relative

C. Could be either a qualifying child or a qualifying relative

D. Could ne neither a qualifying child nor a qualifying relative

______________________________________________________

1. A niece who lives with a taxpayer, is 20 years old and earns $5,000 and is a full time student

2. A half brother who lives with a taxpayer

3. A cousin who does not live with the taxpayer

4. A stepdaughter who does not live with taxpayer

5. An ex husband where the divorce happened last year and who lives with taxpayer

Please indicate which letter(a,b,c,d,) matches with problems (1,2,3,4,5) and explain. Please make sure all numbers have been matched

Nancy Evans is a 71-year-old female who has been referred to the neurologist because of a possible diagnosis of Alzheimer’s disease. The charges for today total $360.00. Her husband reminds you that she has Medicare and a Medigap plan that picks up her 20% coinsurance after Medicare. You inform Mr. Evans that the office is a participating provider with Medicare. You bill Medicare and find out from the remittance advice (RA) that Nancy has $122.65 left on her deductible for this year.

Discussion Questions:
1. How much of the $360 bill for the neurology consult services will be Nancy’s responsibility? (Refer to the Insurance and Billing chapter if necessary.)

2. What is the best way to bill Nancy for this balance?

3. Why is this way the preferred method?

How can it be determined if an apparently normal dog is carrying a gene for deafness?

Phenylketonuria (PKU) is a defect of amino acid metabolism inherited as an autosomal recessive trait. Untreated children are usually severely mentally retarded. If two phenotypically normal parents have a PKU child, what are the genotypes and phenotypes of their children and in what portions?

Cystic fibrosis, inherited as an autosomal recessive trait, involves a defect of glycoprotein metabolism. Phenotypically normal parents had two children, one normal, one with cystic fibrosis. Write the probable genotypes for the parents

In man, hemophilia (failure of the blood to clot normally) is inherited as an X-Linked recessive trait. A woman has one hemophiliac son. Write the genotypes for the women, her son, her normal husband, and other children the women might have.

sarah was born on May 18, 1955

A. For Social Security, what is her Full Retirement Age?

B. Describe what would happen to her social security benefits, in general terms, if she elected to start receiving her social security benefits at age 62.

C. Describe what would happen to her social security benefits, in general terms, if she elected to start receiving her social security benefits at age 70

D. Sarah and her husband file a joint tax return and have both reached Full Retirement Age. Jane is working part time and their combined income is more than $44,000. Will the social security benefits be taxable and, if so, up to what percent of the benefits would be taxable?

Determine the total allowable 2018 earned income credit in each of the following situations: