Morbid obesity with disabilities

Identify the risk assessment instrument for a 35-year-old white male with a history of morbid obesity with disabilities in a rural setting and justify why it would be applicable to the selected patient. Provide at least five targeted questions you would ask the patient. Please cite and include references to the articles used.

Describe components of a clinical-based decision-making model

Describe components of a clinical-based decision-making model impacted by clinical expertise and explain how clinical expertise informs evidence-based practice.

Understanding of the evolving healthcare market

Describe what a marketing report is. 3. Describe 3-5 approaches or best practices that the healthcare organization would use to market and promote new technology. 4. Summarize your understanding of the evolving healthcare market. A minimum of 3 academic sources should be cited in APA from the past 5 years.

Urinary frequency and dysuria

A 79 yr old woman comes into a walk-in clinic you are working as an NP with a chief complaint of increased urinary frequency and dysuria. Urinalysis reveals pyuria and positive nitrites. She mentions she has a “bit of kidney trouble-not too bad”. A recent evaluation of renal status is unavailable. What would you consider for therapy? Explain the rationale for therapy as well as considerations that you would include while prescribing this medication. Considerations should also include drug resistance and how you would assess this patient for the possibility of drug resistance.

Significant consolidated inflammation suggestive of pneumonia

A 24-year-old male college student was presented at the ESU health clinic. He looked tired and pale. He presented because of a high fever and chest pain. He was afraid he was having a heart attack (a bad week of exams). He was examined immediately by the PA and an EKG strip was run. He had no evidence of acute heart problems. The attending physician visited the patient. He obtained the following history from the past 36 hours. The patient had a tight cough. He had significant muscle aches and pains. He had a bad headache and a fever of 101-103F.

The physician ordered a chest x-ray. It did not show any significant consolidated inflammation suggestive of pneumonia. The patient showed significant nasal drainage and a moderately tight, but productive cough on physical exam. He had a fever of 101F and generally inflamed mucous membranes. A rapid Strep test showed no evidence of Streptococcal infection and his tonsils and adenoids had been removed.

1. What type of infection do you believe he has? what microorganism is causing this disease?

2.  From the complaint and physical examination, which of the symptoms lead you to your choice of agent? how did you come to that conclusion?

3. From the history, which of the information confirmed your choice? What is the treatment for this illness/disease?

4. Which of the following is most likely to follow this infection? How did you come to that solution of the treatment? In other words, why is it that treatment?

 

Please reference and cite and also keep both studies separated and numbered! And keep the answered questions and explanation together, about a paragraph for each question. thank you!

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Case study 6

 

A 70-year-old patient with Alzheimer’s disease was brought to the emergency room by the staff of a local nursing home. He presented as lethargic with a sallow complexity. He had an admission temperature of 102.4F and a respiratory rate

of 33/minute. During respiration, the right side of his chest moved better than the left. He showed dense consolidation of the lower lobe of the left lung on physical exam. A sputum sample revealed blood and a greenish color.

A chest x-ray showed tight consolidation of the left lung with evidence of formation of cavities in the lung tissue from cytotoxic damage. The patient complained of chills in the exam room, combined with his fever. A smear of his

sputum demonstrated no acid-fast bacteria.

 

1. What type of infection do you believe he has? what microorganism is causing this disease?

2.  From complaint and physical examination, which of the symptoms lead you to your choice of agent? how did you come to that conclusion?

3. From the history, which of the information confirmed your choice? What is the treatment for this illness/disease?

4. Which of the following is most likely to follow this infection? How did you come to that solution of the treatment? In other words, why is it that treatment?
Please reference and cite and also keep both studies separated and numbered! And keep the answered questions and explanation together, about a paragraph for each question. thank you!

The delivery of culturally competent care

Ethnocentrism results in which of the following? i" A better understanding of various cultures and beliefs I… B Impeding the delivery of culturally competent care C Provides caregivers the ability to better care for patients of various I" cultures D Provides general principles that can be used to treat patients from a I” variety of cultures

Epidemiology of dependent personality disorder

Which of the following is consistent with current literature regarding the epidemiology of dependent personality disorder? I” A Dependent personality is more common in men than in women. A dependent personality disorder is more common in young children than in I" older ones. C Persons with chronic physical illness in childhood may be most susceptible to t" this disorder. It… DElandConly

Passive-aggressive personalities

Which of the following are symptoms consistent with patients with passive-aggressive personalities? I" Passive-aggressive patients are more dramatic than those with borderline personality disorder. Passive-aggressive patients are more openly aggressive than patients with histrionic or borderline personality disorder. Passive-aggressive patients are more emotional than patients with a narcissistic personality disorder. Passive-aggressive patients are more flamboyant than patients with borderline personality disorder.

Structure and function of a cell

Why does studying the abnormal structure and function of a cell, make it easier to understand the normal structure and function of a cell?
Give an example of a disease that would apply to this concept. Please remember that you MUST include sources for the information you
are presenting (even if it is simply our textbook) so that you do not commit plagiarism.

Types of skin cancers that can occur

Discuss at least three types of skin cancers that can occur The first skin cancer that | would like to discuss is basal cell carcinoma. Basal cell carcinoma is the most common skin cancer and causes roughly 3.6 million diagnoses every year in America. Basal cell carcinoma grows slowly and is very curable if caught early. Basal cells are located in the top layers of skin and can be significantly affected by ultraviolet rays in the sun or even a tanning bed. Basal cell carcinoma typically stays within the original affected site. Basal cell carcinoma can be found anywhere on the body, so it is essential to remember the five warning signs for BCCs: an open unhealing sore, red patches, shiny bumps, small pink growths, or scar-like areas. It is typically recommended to see a doctor if two or more of these warning signs are seen because there is an elevated risk of it being a tumor.

The second skin cancer | would like to discuss is squamous cell carcinoma. SCC is the second most comrr;on skin cancer and affects the squamous cells near the skin’s surface. On average, 1.8 million diagnoses of squamous cell carcinoma are made every year. While there are many risks for developing SCC, about ninety perceht of cases are caused by unsafe exposure to UV rays. If caught early, SCC is treatable. Squamous cell carcinoma can appear in many ways, so looking over your body from head to toe at least once a month is essential. Look for new changes, open sores that will not heal, new growth, or patches that have not been there. Note any changes and discuss them with your doctor or see a dermatologist. Malignant melanoma is the third most common skin cancer and accounts for over one hundred thousand cases a year. Melanoma begins in the melanocyte cell. Melanoma can spread quickly if not treated early, making it a more dangerous cancer. Different types of melanoma are lentigo, superficial spreading, nodular, and acral lentiginous. Melanoma can be caused by ultraviolet rays from the sun or tanning beds. More risks for developing melanoma are genetics, skin type/color, freckles, moles on the body, weak immune systems, or a history of skin cancer. Early detection is essential for promising treatment. Given that melanoma can present on any part of the body, it is recommended to follow the ABCDESs of melanoma: A asymmetry, B border, C color, D diameter and darkness, and E evolving. Remembering these steps can help detect any critical change in your body so you can discuss it with a doctor.