M4D1: Developing a Culturally Competent Teaching Plan for a Patient with Peptic Ulcer Disease

Scenario:

The RN is developing a teaching plan for a male patient with a new diagnosis of peptic ulcer disease related to an H. pylori infection.

The patient immigrated to the United States from Vietnam two years ago with his extended family. He denies any current use of alcohol but has smoked one pack of cigarettes per day for the last 20 years. He reports increased fatigue during exercise, uses Chinese medicine to manage frequent muscle pain and has noted an occasional black bowel movement.

Initial Discussion Post:

Identify three (3) items related to the medical diagnosis that the RN needs to include in the teaching plan for this patient.

How will the RN incorporate cultural considerations into the teaching plan for this patient?

Identify one (1) member of the interprofessional healthcare team that should be included in this education plan. What is the role of this member?

Base your initial post on your readings and research of this topic.

Please include References sources in APA style with inciting

1. An outbreak of this disease in New York City in 1999 was originally diagnosed as St. Louis Encephalitis, but it was later determined that it was actually ________.

   • Lyme Disease
   • Legionnaires Disease
   • West Nile Virus
   • Western Equine Encephalitis

2. In New York City, health officials discovered that the mosquitos were the _________, or delivery agent that helped spread the West Nile Virus

   • fomite
   • host
   • prion
   • vector

3. In epidemiology, there are three important questions that all epidemiologists will ask. What are they?

   • who, what, and when
   • who, when, and where
   • what, when, and where
   • who, what, and where

4. What was the notifiable disease mentioned in the class lecture?

   • diabetes
   • hepatitis A
   • heart disease
   • COPD

5. The AIDS epidemic in the United States can be traced back to 1981 when what rare cancer was seen in homosexuals?

   • Ewing’s Sarcoma
   • Kaposi’s Sarcoma
   • Osteosarcoma
   • Fibrosarcoma

6. All of the following are examples of epidemiological studies except:

   • cohort study
   • traditional study
   • case control study
   • intervention study

7. This condition was discovered in July 1976 at an American Legion 4-day convention held in Philadelphia.

   • Lyme Disease
   • Legionnaires Disease
   • Leprosy
   • Leishmaniosis

During the 1980s, most of the world's supply of lysine was produced by a Japanese company named Ajinomoto. Lysine is an essential amino acid that is an important livestock feed component. At this time, the United States imported most of the world's supply of lysine—more than 30,000 tons—to use in livestock feed at a price of $1.65 per pound. The worldwide market for lysine, however, fundamentally changed in 1991 when U.S.-based Archer Daniels Midland (ADM) began producing lysine—a move that doubled worldwide production capacity. Experts conjectured that Ajinomoto and ADM had similar cost structures and that the marginal cost of producing and distributing lysine was approximately $0.70 per pound. Despite ADM's entry into the lysine market, suppose demand remained constant at Q = 208 − 80P (in millions of pounds). Shortly after ADM began producing lysine, the worldwide price dropped to $0.70. By 1993, however, the price of lysine shot back up to $1.65. Use Oligopoly to provide a potential explanation for what happened in the lysine market. Support your answer with appropriate calculations.

(Please make answer clear)

Big babies: A public health organization reports that 30% of baby boys 6 - 8 months old in the United States weigh more than 20 pounds. A sample of 16 babies is studied. Round the answers to three decimal places.

A. What is the probability that exactly 6 of them weigh more than 20 pounds? The probability that exactly 6 of them weigh more than 20 pounds is__?

(b) What is the probability that more than 5 weigh more than 20 pounds? The probability that more than 5 weigh more than 20 pounds is__?

(c) What is the probability that fewer than 5 weigh more than 20 pounds? The probability that fewer than 5 weigh more than 20 pounds is__?

(d) Would it be unusual if more than 4 of them weigh more than 20 pounds? It ▼(Choose one) (would OR would not) be unusual if more than 4 of them weigh more than 20 pounds, since the probability is

1. You are a nurse preparing to receive a new patient, fresh from surgery, to your unit. The patient is a 71-year-old man who underwent a surgical repair of a fractured femur. As you receive a report from the postanesthesia recovery unit, you learn that his medical history includes hypertension, 40 pack-years of smoking, and COPD. His surgical repair was successful but complicated by excessive bleeding, and he is receiving IV fluids to compensate. He is widowed, and his three children are scattered throughout the United States. He lives alone, receives Meals on Wheels, and pays a cleaning service to keep his home clean. (Learning Objective #6)
   1. What data in this scenario are pertinent?
   2. What potential collaborative problem(s) could be applicable in this situation?
   3. Which nursing diagnoses would you expect to be applicable regarding the medical procedures in this situation?
   4. Which nursing diagnoses would you expect to be applicable regarding the nursing/medical history in this situation?
   5. Which nursing diagnoses would you expect to be applicable regarding the discharge planning in this situation?

The stock market and the bond market. Over the period 1928-2013, investments in an index of the Standard and Poor’s 500 stocks have given annual returns of 9.55%, investments in 10-year Treasury Bonds have given a return of 4.93%, and investments in 3-month Treasury bills have yielded 3.55%.

a. (1 point) Which is the most risky of these investments? Describe the risks associated with each investment. Do you think that risk explains the different rates of return?

b. (1 point) Explain which is the most liquid of these investments? Do you think this explains the different rates of return?

c. (1 point) You can buy common stocks only from one of 1366 brokers with a seat on the New York Stock Exchange; treasury bills and bonds are purchased through a broker or directly from the United States government. Do you think these differences might explain the different rates of return?

d. (1 point) How might these different rates of return encourage or discourage the efficient allocation of liquidity and investment resources?

Long-Term Care Reimbursement The federal and state governments are the largest payers of health care services in the United States. The largest federal programs are the Medicare and Medicaid services. Using the information from the textbooks, lectures, and Internet resources, provide a brief summary of Medicare and Medicaid services in a Microsoft Word document. To get up-to-date information on the programs, review the information shared on the following websites: The Centers for Medicare and Medicaid Services The Social Security Administration In your summary, include the following points: An overview of the different Medicare and Medicaid services The population covered under Medicare and Medicaid services The services of long-term care covered under Medicare and Medicaid, including the restrictions placed on them

REFERENCE: Title:Long-Term Care: Managing Across the Continuum Author: John Pratt Edition/Year: 4th Ed./2016 Publisher: Jones & Bartlett ISBN: 978-1-284-05459-0

Get up-to-date information on the programs, review the information shared on the following websites:

- The Centers for Medicare and Medicaid Services

- The Social Security Administration

In the following problem:
1. Determine the value of the margin of error ( E ) 2. Construct the confidence interval. 3. Write a statement that correctly interprets the confidence interval.
From a Prince Market Research poll in which randomly chosen people were asked if they felt that U.S. nuclear weapons made them feel safer the following data was gathered. Construct a 95% confidence interval for the proportion of all people living in the United States who felt nuclear weapons made them feel safer.
n = 1800 x = 1543 who said “yes”.   

2. A Consumer Reports Research Center randomly surveyed 1000 women to determine what proportion of women purchase books online. Out of 1000 women, 788 reported that they purchase books online.
a. Construct a 90% confidence interval for the true proportion of all women that purchase books online. Write a sentence that correctly interprets the confidence interval.

b. Can we safely conclude that at least 25% of all women purchase books online? Why or why not?

1. You are a nurse preparing to receive a new patient, fresh from surgery, to your unit. The patient is a 71-year-old man who underwent a surgical repair of a fractured femur. As you receive a report from the postanesthesia recovery unit, you learn that his medical history includes hypertension, 40 pack-years of smoking, and COPD. His surgical repair was successful but complicated by excessive bleeding, and he is receiving IV fluids to compensate. He is widowed, and his three children are scattered throughout the United States. He lives alone, receives Meals on Wheels, and pays a cleaning service to keep his home clean. (Learning Objective #6)
   1. What data in this scenario are pertinent?
   2. What potential collaborative problem(s) could be applicable in this situation?
   3. Which nursing diagnoses would you expect to be applicable regarding the medical procedures in this situation?
   4. Which nursing diagnoses would you expect to be applicable regarding the nursing/medical history in this situation?
   5. Which nursing diagnoses would you expect to be applicable regarding the discharge planning in this situation?

Social networking is becoming more and more popular around the world. Pew Research Center used a survey of adults in several countries to determine the percentage of adults who use social networking sites (USA Today, February 8, 2012). Assume that the results for surveys in Great Britain, Israel, Russia, and United States are as follows

a. State the null and alternative hypotheses and conduct a test to determine whether the proportion of adults using social networking sites is equal for all four countries. What is the degrees of freedom? What is the p‐value? Using a 5% level of significance, what is your conclusion?

b. What are the sample proportions for each of the four countries? Which country has the largest proportion of adults using social networking sites? Using a 5% level of significance, conduct multiple comparison tests among the four countries. What is your conclusion? What is the degrees of freedom?