Acute and chronic pain

In this discussion, you will discuss about the attached case study on Pain from Ch 4 which meets the following learning objectives:

    • Describe the causes of pain and characteristics of pain, then compare acute and chronic pain.
    • Relate the methods of pain control to theory of pain.
    • Describe methods of pain management.

Febrile seizure

The attending physician had requested an inpatient consultation on a 10-year-old admitted for an appendectomy. Postoperatively, the patient developed a fever and seizures. An initial consultation diagnosis was febrile seizure. Now, on day 5, the child’s temperature has returned to normal but the child has had a recurrence of seizures of increased severity. A follow up hospital consultation is requested (same consultant). He documents a detailed history and physical exam with high medical decision making. What is the correct E/M code for the follow up consultation?

Urinary system infections

Please provide me with 8 different medical conditions & 5 facts about each one regarding the urinary system infections from your textbook or study guide.

Example: CYSTITIS

1. Cystitis is the medical term for bladder infection, a type of urinary tract infection commonly caused by bacteria

2. Often, the bacteria travels from the urethra very fast and causes inflammation of the urethra, called urethritis

3. Sometimes the bacteria is not flushed out and travels up to the bladder and causes infection

4. Symptoms of cystitis include frequent urges to urinate, a burning sensation when urinating, pain in the lower abdomen, dark or bloody and foul-smelling urine, and/or fever or chills

5. Treatment is done by antibiotic therapy, but the antibiotics used depends on the type of bacteria that caused the bladder infection

Acepromazine

How many cc’s of Acepromazine (10mg/ml) should be given to an Old English Sheepdog weighing 55 pounds at the dosage of 0.1mg/Kg prior to surgery? Please do the calculation, showing your work and the amount you calculated; then indicate whether or not you would question the use of acepromazine in this breed.

Antihypertensive medication

Lasha’s doctor tells her at a recent visit that her blood pressure, which has been creeping up, is now a concern. Her last blood panel also reveals a rather alarming rise in her cholesterol levels. He tells her that given the fact that she is also overweight, she is at serious risk for a cardiovascular event. Lasha enjoys fast food and is inactive. She feels that her lifestyle to date has not contributed to any serious health problems. She has tried losing weight in the past by changing her diet and exercising but has never been very successful. She knows people in their seventies who have similar lifestyles to her own and are doing well. Some of them are on antihypertensive medication and lipid lowering medication, which more or less normalizes their clinical signs. How do you think Lasha perceives the threat of a heart attack or stroke. Explain

Parts of Medicare

On July 30, 1965, President Lyndon B. Johnson signed into law the bill that led to the Medicare and Medicaid. The original Medicare program included Part A (Hospital Insurance) and Part B (Medical Insurance). Today these 2 parts are called “Original Medicare.” Over the years, Congress has made changes to Medicare. At first, Medicaid gave medical insurance to people getting cash assistance. Today, a much larger group is covered.

Case Study: It is said that about 10,000 baby boomers turn 65 every day. This number will continue to increase! Most of them are qualified for Medicare.

Questions

  1. Explain the different parts of Medicare.
  2. Your organization has received a warning from Centers for Medicare & Medicaid Services(CMS) that your billers do not adhere to the Diagnosis Related Groups(DRG). They quote others Diagnosis Related Groups as well to increase the bill they send to Medicare. What possible danger(s) could befall your organization?
  3. Your doctors also keep their patients beyond expected stay even when they are well enough to be discharged. What are the consequences of these unnecessary elongation of stay. One of your Medicare clients also requires custodial care not skilled nursing care. She refused to go home. What do you do?
  4. You have been called on to correct these anomalies. What steps will you take to address them. Give reasons for every action you take.

Alprazolam abuse

You are having a discussion with a neighbor who has a 14 year-old son. The neighbor expresses concern about his son and substance abuse problems he has heard about. The neighbor describes his son’s friend, who was a bright and motivated student but has become sullen and withdrawn and lacks the motivation he once had. in addition, he has a chronic cough but denies that he smokes cigarettes. The neighbor mentions that his son has told him that his friends have been playing drinking games at parties. A few weeks later, the neighbor calls you because his son is extremely drowsy and unable to speak. The neighbor notes that their bottle of alprazolam is missing.

1) What will you do first? What do you think could be the son’s issue?

2) What treatment would you expect his son to receive? Explain.

Medical providers and patients

Compare and contrast two of the following major types of health services professionals: physicians, nurses, dentists, pharmacists, physician assistants, nurse practitioners, and certified nurse midwives. Include their roles, training, practice requirements, and practice settings. Discuss the interrelationship between medical providers and  patients they serve with the context of an overarching health care delivery systems.

 

Dilution factor

According to the kit manual 200uL of plasma was mixed with 2.8 ml of the dilution buffer, mixed well then 200 uL of the dilution mixture was pipetted in 0.9 ml of solution A and 0.9 mL of solution B and measured using spectrophotometer, the concentration was 30. What is the final concentration of the sample after adjusting the dilution factor.

Frequency table

Suppose that you have two sets of data to work with. The first set is a list of all the injuries that were seen in a clinic in a month’s time. The second set contains data on the number of minutes that each patient spent in the waiting room of a doctor’s office. You can make assumptions about other information or variables that are included in each data set. For each data set, propose your idea of how best to represent the key information. To organize your data would you choose to use a frequency table, a cumulative frequency table, or a relative frequency table? Why? What type of graph would you use to display the organized data from each frequency distribution? What would be shown on each of the axes for each graph?