3. Research your topic and submit a two page report that includes the following information? Identify your topic and summarize three main points using documented research.? You must use at least two different sources. (NOT including the textbook)
In addition to your research, you should include how you or your family member (who does not have to be identified) has been affected and what is being done to minimize further harm or educate yourself and others about this disease or behavior.
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Students much review the case study and answer all questions with a scholarly response using APA and include 2 scholarly references. Answer both case studies on the same document and upload 1 document to Moodle.
Case Study 3 & 4 Seizure Disorders & Thyroiditis
Case Studies will be uploaded to Moodle and put through TURN-It-In (anti-Plagiarism program)
Turn it in Score must be less than 50% or will not be accepted for credit, must be your own work and in your own words. You can resubmit, Final submission will be accepted if less than 50%. Copy paste from websites or textbooks will not be accepted or tolerated. Please see College Handbook with reference to Academic Misconduct Statement.
Seizure Disorder Case Study
A 12-year-old boy began to complain of frequent headaches 4 months before his hospital admission. On the day of his admission, he had a major motor seizure, which his parents observed. During the seizure he lost bladder and bowel control. On physical examination he appeared to be in deep postictal sleep. He had no focal neurologic signs. On examination of the optic fundi, no evidence of papilledema was found. Studies Results Routine laboratory work Within normal limits (WNL) Skull X-ray study, p. 1062 No evidence of skull fracture Lumbar puncture, p. 651 Opening pressure 250 cm H2O (normal: <200 cm H2O) Closing pressure 220 cm H2O (normal: <200 cm H2O) Cerebrospinal fluid (CSF) examination, p. 651 Blood Negative Color Clear Cells Lymphocytes 0-2/mm3 (normal: <5/mm3 ) Polymorphonuclear leukocytes None (normal: none) Protein 120 mg/dL (normal: 15-45 mg/dL) Glucose 50 mg/dL (normal: 50-75 mg/dL) Cytology Questionably malignant cells Serologic test for venereal disease Negative (normal: negative) Electroencephalography (EEG), p. 549 Focal slowing of wave pattern in posterior aspect of the cerebrum (normal: regular, rhythmic, electrical waves) Brain scan, p. 785 Increase in radioactivity in the posterior aspect of the brain (normal: homogenous and minimal uptake of radioactive material) Cerebral angiography, p. 988 Neovascularity (tumor vessels) in the posterior aspect of the brain, involving the cerebellum and the occipital lobe of the cerebrum (normal: normal carotid vessels and terminal branches) Magnetic resonance imaging (MRI) of the brain, p. 1106 Tumor of the cerebellum extending into the posterior cerebrum Computed tomography (CT) scan of the brain, p. 1026 A soft tissue mass arising out of the cerebellum and invading the occipital lobe of the cerebrum Case Studies 2 Diagnostic Analysis The skull X-ray study ruled out the possibility of a skull fracture as the cause of the boy’s problem. Lumbar puncture excluded the possibility of meningitis or subarachnoid hemorrhage; however, the high protein count and questionable positive cytology indicated a possible neoplasm. An EEG located an area of nonspecific abnormality in the posterior aspect of the brain. Brain scanning, cerebral angiography, and CT scanning indicated a posterior fossa tumor. These tests are mentioned in this case study mostly for historical interest. Under most circumstances, this young boy would have a MRI of the brain early in the diagnostic period. Because of these findings, the patient underwent a craniotomy. In many centers, this young boy would have a nonoperative stereotactic brain biopsy instead of a craniotomy. An invasive medulloblastoma was found to be arising from the patient’s cerebellum and involving the occipital lobe of the cerebrum. The tumor was unresectable. Postoperatively, the patient was given phenytoin (Dilantin) and radiation therapy to the involved area. A chemotherapy regimen was administered. The patient’s tumor did not respond to the therapy, and he died 4 months after the onset of disease. Critical Thinking Questions 1. What are the major assessments that the nurse should make during seizure activity? 2. Why is the EEG a priority study for patients with seizure disorders?
Thyroiditis Case Study
The patient, a 23-year-old woman, has had a bout of flulike symptoms over the past few weeks. Most recently, she has become increasingly tired. She is taking birth control pills to control her menses. Her anterior neck became painful during the past few weeks. The physical examination results reveal that her thyroid is diffusely enlarged and mildly tender. Studies Results Routine laboratory tests Within normal limits (WNL) Total thyroxine (T4), p. 497 8 mcg/dL (normal: 5-12 mcg /dL) Free T4 0.5 ng/dL (normal: 0.8-2.7 ng/dL) Free T4 index 0.4 ng/dL (normal: 0.8-2.4 ng/dL) Triiodothyronine (T3), p. 506 52 ng/dL (normal: 70-205 ng/dL) Thyroxine-binding globulin (TBG), p. 495 12 mg/dL (normal: 1.7-3.6 mg/dL) Thyroid stimulating hormone (TSH), p. 486 32 microunits/mL (normal: 2-10 microunits/mL) Thyroid scanning, p. 839 Enlarged gland; normal shape, position, and function of the thyroid gland. No areas of decreased or increased uptake Thyroid ultrasound, p. 895 Enlarged gland; normal shape and position of the thyroid gland Thyroid antibodies Antithyroglobulin antibody, p. 102 1:250 (normal: titer <1:100) Antithyroid peroxidase antibody, p. 104 1:500 (normal: titer <1:100) Thyroid-stimulating immunoglobulins, p. 491 Negative Diagnostic Analysis Total T4 measures protein-bound and unbound T4. Because the patient was taking birth control pills, her TBG was elevated; therefore, her total T4 was normal. Free T4 and FT4 index tests measure unbound T4. When the free T4 and the FT4 index were measured, they were found to be low, indicating that the patient had hypothyroidism. The TSH level was elevated because of primary failure of the thyroid. The thyroid antibodies were elevated, indicating that the patient had Hashimoto thyroiditis. Her long-acting thyroid stimulator (LATS) levels were normal, discounting Graves disease as a cause of her diffusely enlarged thyroid. Her thyroid ultrasound and scan failed to show any localized, defined tumor. The patient was started on thyroid replacement therapy, and her TSH level returned to normal. Over the next few weeks, she felt markedly better. Her thyroid pain and tiredness disappeared. Critical Thinking Questions 1. Why were the thyroid antibodies important in this patient’s diagnosis? 2. What symptoms might she experience if too much thyroid replacement medication were administered?
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The Importance of Enhancing Patients Private Information TOPIC: The importance of enhancing patient’s private information in the health sector I need an outline of this paper so I will be expecting 2 paper
The Importance of Enhancing Patients Private Information
The paper will be subjected to checking against plagiarism. The paper must follow acceptable originality criteria (no more than 15% max total, and 2% per individual source match are allowed).
Critical Think Assignment: All students will complete a short, 4-5 page, critical thinking paper regarding issues in psychology. Papers are to be submitted via TurnItIn in the Moodle classroom. See details below.
Paper Content Requirements: Your paper should pertain to issues in psychology, which includes many aspects of life. Get your inspiration from one of the chapters in our book.
Regardless of your particular bias, I expect to see a balanced coverage of whatever topic you choose, utilizing critical thinking. That is, I expect to see at least two opposing perspectives to whatever subject you select. I expect you to look at the subject in a way you haven’t in the past. I recognize that we all have our values and perspectives, and morality indeed requires us to assume a particular (moral) posture. However, I think it is important to acknowledge the antithesis of our positions while maintaining our personal choice. That’s what I’m looking for in your papers.
Critical Thinking Paper Format Requirements:
· Topic must be approved by an instructor
· 4-5 pages of information.
· No title page. It will not count towards the 4-5 page requirement.
· A bibliography page. The bibliography page does not count as one of the 4-5 pages.
· Include in the left header of every page:
o Your name
o Date
o Psychology 203
· Include page number in every right header.
· 1.5“ spacing
· 1” margins around
· 12 pt. font
At least 4 sources are required. They should represent at least 2 different perspectives. READ! and show me what you’ve read through the use of quotations, citations, and references. At least two must come from GMC e-Library resources. These resources possess a level of credit ability that Google searches do not provide.
Wikipedia may be okay as a start for your information search
but is not accepted as a reference. Your textbook is not an
acceptable reference but can be a good initial starting
point. Anytime you make a statement of fact, cite where the
information is from. Use the APA (American Psychological
Association) style to cite your sources. For guidance on
properly citing your sources in this paper and how to
format reference page see: https://owl.purdue.edu/owl/research_and_citation/apa_style/apa_formatting_and_style_guide/in_text_citations_the_basics.html.
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Please read the Introduction to Death and Dying, The Most Common Causes of Death, The Process of Dying,and 5 Stages of Loss
Please respond to the following questions:
1. Have you ever had to cope with the loss of a loved one (not father or mother)? If so, what concepts described in this section provide context that may help you understand your experience and process of grieving?
(If you have not experienced the loss of a loved one, which concepts do you think would provide context? ) I preferred you answer this!!!
Your assignment must follow these formatting requirements:
Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.
Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.
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What are the top three causes of deaths in the United States?
What are Kuble-Ross’s 5 Stages Loss?
Your assignment must follow these formatting requirements:
Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.
Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.
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This week’s graded topics relate to the following Course Outcome (CO).
• CO9: Examine future trends in community health nursing, including the impact of information systems and evidence-based practice. (PO8)
Review this week’s lesson and assigned reading on the nurses’ role in population health, and reflect on what you have learned in this course. Address the following questions.
• What future concerns are likely to impact public health?
• How do you see global health concerns impacting your community?
• Identify one way that you can implement population health in your community or workplace
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Question 1: Your textbook says “Medical care … [is] a ‘market failure,’ in that it does not obey the classic laws of the market economy such as supply and demand.”
Question 2: In recent decades, lots of hospitals have been closed or merged with other health care entities. An increasing number of hospitals are run by for-profit businesses. Even the traditional non-profit hospital must pay careful attention to the bottom line. In some countries, hospitals are owned by the government. What do you think should be the role of state and federal governments in ensuring a strong American hospital system?
Question 3: Based on your viewing of Sick Around the World, were their some aspects of the highlighted health care systems that you particularly liked (or disliked)?
Newly Released Health Research Report Answer the following questions to complete Homework 2. Necessary library and Internet research are needed to answer these questions.
Newly Released Health Research Report
Don’t try to copy answers from the textbook. Make sure your answers and submission follow syllabus requirements:
Use PubMed or another abstract database (available from FIU library website) to find an academic journal article on a health topic of interest to you. Read the article to find the answers to these questions: (a) What was the main study question? (b) Who participated in the study, where did it take place, and when was it conducted? (c) What study design was used? and (d) What was the answer to the main study question?
Find a recent news story from the popular press about a newly released health research report. Look up and read the scientific article on which the news report was based. Was the news story accurate? Did it leave out any critical information?
Do you identify with a particular ethnic group? Do you know of any health conditions that you are at special risk for because of your ethnic background? Are these conditions genetic? Are they related to health behaviors?
What are some of the conditions related to poverty that increase the risk of infectious diseases? Noncommunicable disease? Neuropsychiatricdisorders? Injuries?
Subjective: Ana is a 17-year-old female who presents to your clinic with symptoms of sore throat, fever, dysphagia, headache, and nasal discharge for 2 days. The fever varies from 99.2 to 100, but this morning her temperature was 100.6 without chills. This morning also she noticed a mild dry cough. She took 2 Tylenol regular strength earlier before she came to school and the fever was gone. She denies exposure to upper respiratory infections, nausea, vomiting, diarrhea, and neck stiffness. She denies previous and current exposure to sexually transmitted infections. Level of pain 7/10. PMH: Negative. PSH: Negative. Medications: Tylenol PRN. She has no known allergies. Last menstrual period September 18th. Patient does not smoke, drink, or use recreational drugs.
Objective:
Constitutional: Patient is alert x3. She appears well for stated age. Appears in moderate pain and speaks with a muffled voice. Vital signs: 100.2, 88, 18, 118/68, oxygen saturation 98% on room air, 150lbs, 5’8”.
Physical: HEENT: Normocephalic and atraumatic. Conjunctivae and EOM are normal. Pupils equal, round, and reactive to light. Vision: Normal. Nose: Nasal turbinates intact with clear discharge. Ears: Bilateral ears intact. Cervical lymph nodes tender to touch. Cervical range of motion within normal limits. Oropharynx: Tonsils red, swollen, with moderate white patches. Surrounding tissues moderately swollen and tender. No drooling, no soft palate petechiae, positive halitosis. Cardiovascular: Normal rate and regular rhythm. S1-S2 sounds audible. No murmurs, no gallops, palpitations, or chest pain. Bilateral pulses present x4 extremities. Respiratory: Respiratory effort and breath sounds are normal. Lungs clear to auscultation. No SOB, no dyspnea, no wheezing, no rales. Cardiovascular: Spleen size within normal limits.
Based on subjective and physical assessment answer the following questions:
1. What are the differential diagnosis? Provide ICD codes.
2. What is definitive diagnosis? Provide rationale and ICD codes.
3. What diagnostic tests will you order for this patient? Rationale for ordering the tests. Provide CPT codes.
4. What is your treatment plan/interventions for this patient? Provide rationale for your choice(s).
5. Discharge/education
Support your work with peer reviewed references within 5 years of publication
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