Vaccination of Solanum virus

Solanum virus is a highly contagious and resilient pathogen spread by blood and body fluids. The virus can live on surfaces for up to nine days. The pathogen enters the body through breaks in the skin, migrates across the blood-brain barrier, targeting the frontal lobe of the brain. Approximately 16 hours after initial infection, viral replication begins to destroy higher level executive functioning. After full replication, the victim is clinically brain dead. Approximately 72 hours from initial infection, the victim begins to exhibit signs of hyper aggressiveness and ataxia. This is a sign that the virus is seeking a new host. There is a vaccination available to prevent contagion by the Solanum virus. However, the vaccine is expensive ($1300) and effective in only 60% of immunized persons. Apply the chain of infection model to the Solanum virus. Note points of intervention or prevention. 

Epidemiological studies on health

Select one particular health problem affecting your community that is of specific interest to you. Discuss what type of epidemiological studies could be useful in learning more about that particular problem. Which type of study would you prefer to conduct, and why?

Postprocedural nursing implications

Conduct online research on the preprocedural and postprocedural nursing implications for endoscopic procedures such as sigmoidoscopy using the following Web sites.

Types of endoscopy:

http://cancer.about.com/od/commonmedicaltests/p/Endoscopy.htm

Nursing interventions in endoscopy:

http://www.free-ed.net/sweethaven/MedTech/NurseCare/GastroNurse01.asp?iNum=23

Traditional air polishing

You are collecting assessment data during an initial dental hygiene appointment for a patient who is 12 years old. What oral findings indicate a potential need for placement of dental sealants? Discuss why second molars are the most important teeth to evaluate for sealant placement. Compare traditional air polishing with subgingival air polishing. What contraindications should you look for in medical histories before initiating air polishing techniques?

Discharge from umbilicus

A patient comes in with their one-day-old infant. A black tar-like discharge, in conjunction with liquid, have begun seeping out of the little one’s umbilicus. what developmental stages that will separate the gastrointestinal tract from the urinary tract under normal conditions? State why there are the two types of discharge coming out of the umbilicus in this unusual case.

Preventing child abuse and neglect

What are the primary responsibilities of the health care industry in preventing child abuse and neglect, responding to child abuse and neglect, and supporting and preserving families?

Research question in health industry

What is a research question you think should be studied in the health care industry? Explain how you can change that research question into a hypothesis?

Severe epistaxis disease

Eight-year-old Elise arrives at the clinic with severe epistaxis disease. On examination, a generalized purple petechial rash and hemorrhage bullae on her gums and lips are detected. She and her parents cannot recall any recent injuries, and the epistaxis began spontaneously that morning. Her only recent health issue was an upper respiratory infection 2 weeks ago. Her blood analyses indicate thrombocytopenia, and the few platelets are large. The Ivy bleeding time is prolonged, and bone marrow aspiration demonstrates increased megakaryocytes and normal erythrocytes and granulocytes. Her hemoglobin and hematocrit are in the low normal range.

Answer the following questions about Elise’s situation.

What disorder would a healthcare provider suspect?  What causes this disorder? What is the likelihood that Elise will recover?

Metabolic syndrome

 A 34-year-old male with schizophrenia, started on quetiapine 6 months ago with partial response thus far. All appropriate laboratory work had been performed at that time and was within normal limits. Previous adequate trials of antipsychotics include asenapine, which was ineffective. He is also on lisinopril for hypertension. Explain which laboratory work is appropriate for monitoring of metabolic syndrome?

 

Gastroesophageal reflux disease

A 54-year-old South Asian man with diabetes mellitus,  dyslipidemia, and gastroesophageal reflux disease (GERD). He is a current smoker. His current medications include lisinopril 20 mg/day, amlodipine 10 mg/day, pravastatin 40 mg/day, and omeprazole 20 mg/day. Fasting laboratory results show glucose 109 mg/dL, TC 197 mg/dL, LDL-C 128 mg/dL, HDL-C 37 mg/dL, and TG 166 mg/dL. His non-HDL is 160 mg/dL. His systolic blood pressure is 130 mmHg and the PCE (pooled Cohort Equation) estimates his 10 year risk of ASCVD to be 26.8%.
  • Based on currently available guidelines and patient specific criteria given in the case, what is your plan for this patient? Be sure to include:
    • Lifestyle modifications
    • Drug, dose, rationale and monitoring
      • …and what to do in the event there is complaints of myopathy
    • Patient education