Research HANYS and GNYHA or your organizations trade associations and describe the issues they support or oppose and provide and overview of membership and dues. Should be about 2 pages.
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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Explain what it takes to have teamwork in health care
Assignment 4: Collaboration and Teamwork in Health Care
Overview: Explain the concept of true collaboration in health care and describe the benefits of effective interdisciplinary collaboration. Then, describe the characteristics required for effective collaboration, describe barriers to collaboration, and offer evidence-based strategies to overcome those barriers.
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
• Competency 1: Explain the principles and practices of highly effective interdisciplinary collaboration.
o Explain the concept of collaboration in health care.
o Describe the characteristics and concepts required for effective interdisciplinary collaboration.
o Describe barriers to effective interdisciplinary collaboration.
o Identify evidence-based strategies to overcome barriers to effective interdisciplinary collaboration.
• Competency 3: Explain the internal and external factors that can affect the health of individuals, families, communities, and populations.
o Describe the benefits of effective collaboration and teamwork in health care for patients, organizations, and team members.
Context: Every day, in every patient setting, health care professionals must interact with other health care professionals, as well as with providers from other professions to share information, conduct safety and quality checks, and work with patients in a variety of ways to make sure they understand their health care needs and will be more likely to comply with treatment plans.
Research consistently shows that interdisciplinary collaboration and teamwork improves the quality and safety of patient care by recognizing the skills and experience of each team member, allowing the team to function more effectively and efficiently.
Library Resources
The following e-books or articles are linked directly in this course:
• Petri, L. (2010). Concept analysis of interdisciplinary collaboration. Nursing Forum, 45(2), 73–82.
• Bender, M., Connelly, C. D., & Brown, C. (2013). Interdisciplinary collaboration: The role of the clinical nurse leader. Journal of Nursing Management, 21(1), 165–174.
• Supper, I., Catalo, O., Lustman, M., Chemla, C., Bourgueil, Y., & Letrilliant, L. (2015). Interprofessional collaboration in primary healthcare: A review of facilitators and barriers perceived by involved actors. Journal of Public Health, 37(4), 717–727.
• Youngwerth, J., & Twaddle, M. (2011). Cultures of interdisciplinary teams: How to foster good dynamics. Journal of Palliative Medicine, 14(5), 650–654.
• Perreault, K., & Careau, E. (2012). Interprofessional collaboration: One or multiple realities? Journal of Interprofessional Care, 26(4), 256–258.
Assessment Instructions: You are part of an interdisciplinary team that has been highly effective. Your supervisor asks you to write a short article about why the team has been so successful and submit it to the organizational newsletter for publication.
Directions include for you to write in the article for this assessment, the following:
• Explain the concept of true collaboration in health care.
• Describe the benefits of effective collaboration and teamwork in health care for the following groups:
o Patients.
o Organizations.
o Team members.
• Describe the characteristics and concepts required for effective interdisciplinary collaboration.
• Describe barriers to effective interdisciplinary collaboration.
• Identify evidence-based strategies to overcome barriers to effective interdisciplinary collaboration.
• Format this assessment according to current APA style and formatting guidelines.
Search the library and the Internet for peer-reviewed journal articles on collaboration and teamwork in health care.
Additional Requirements
• Include a title page and reference page.
• Ensure your assessment is 4 pages.
• You will need at least 3 articles to support your work on this assessment.
• Use double-spaced, 12-pt., Times New Roman font.
Collaboration and Teamwork in Health Care Scoring Guide
Explains the concept of collaboration in health care and describes the unique aspects of collaboration in health care. Describes the benefits of effective collaboration and teamwork in health care for patients, organizations, and team members and considers the consequences of ineffective collaboration and teamwork. Describes the characteristics and concepts required for effective interdisciplinary collaboration and explains how each contributes to more effective collaboration. Describes barriers to effective interdisciplinary collaboration and considers possible causes for the barriers. Identifies evidence-based strategies to overcome barriers to effective interdisciplinary collaboration and suggests methods for implementing the strategies.
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Impact of Caring Behaviors on Patient Outcomes Additionally you have a weekly activity. Each one of you is to analyze a peer-reviewed research article that you must present in class as a discussion.
Impact of Caring Behaviors on Patient Outcomes
This article is about any nursing-practice-related topic that interests you.
Example of topics is: Risk for patients who need blood but don’t want it; pain management issues for patients with sickle cell disease; This assignment is supporting SLO #6
(Integrating Evidence-Based Knowledge). Print a copy of the article and bring to class.
Upon completion of the course the student will be able to:
Evaluate the impact of caring behaviors on patient outcomes.
Appraise the effects of communication techniques on proposed outcomes.
Assess the effectiveness of culturally congruent care on patient outcomes.
Integrate critical thinking with independent judgment to promote optimal wellness to families and communities.
Evaluate, as a leader, the concepts of power, empowerment, autonomy, and advocacy in managing the nursing practice.
Compare and contrast leadership styles and health care systems in reference to sociocultural, political, economic, legal and ethical influences.
Utilize research findings for decision- making and rationale for nursing practice.
Assume accountability for meeting the changing health care needs of the global community, through the continuation of personal, professional and educational development. Impact of Caring Behaviors on Patient Outcomes Additionally you have a weekly activity. Each one of you is to analyze a peer-reviewed research article that you must present in class as a discussion. This article is about any nursing-practice-related topic that interests you.
Impact of Caring Behaviors on Patient Outcomes
Example of topics is: Risk for patients who need blood but don’t want it; pain management issues for patients with sickle cell disease; This assignment is supporting SLO #6(Integrating Evidence-Based Knowledge). Print a copy of the article and bring to class.
Upon completion of the course the student will be able to:
Evaluate the impact of caring behaviors on patient outcomes.
Appraise the effects of communication techniques on proposed outcomes.
Assess the effectiveness of culturally congruent care on patient outcomes.
Integrate critical thinking with independent judgment to promote optimal wellness to families and communities.
Evaluate, as a leader, the concepts of power, empowerment, autonomy, and advocacy in managing the nursing practice.
Compare and contrast leadership styles and health care systems in reference to sociocultural, political, economic, legal and ethical influences.
Utilize research findings for decision- making and rationale for nursing practice.
Assume accountability for meeting the changing health care needs of the global community, through the continuation of personal, professional and educational development.
Search for a new primary care physician where you live. Describe in depth how you made your physician choice. What impact did price have on your decision making? What were the key factors that factored in your decision making? Summarize your decision making process.
Part 2.
Search for pricing for an MRI for a 13 year old female patient complaining of headaches. Determine the cost of this procedure to you, and what the cost is to the insurance provider. Do a price comparison against three other facilities offering the same service. Provide a chart that summarizes the price differences.
Reflect on your experience and summarize the following: 1. How long did this take? How comfortable would you be if you actually had to purchase these services in determining the value for services? Ie. How do you know what you received was worth the money you paid? Comment on your experiences in finding the information and the relationship to price transparency.
Your paper should include the following:
10-12 pages in length, not including the title and reference pages.
10 references cited in the assignment. Remember,
you must support your thinking/opinions and prior knowledge
with references; all facts must be supported;
in-text references used throughout the assignment must be
All written assignments must be submitted via turn it in dropbox area, must be on a Microsoft Word Document, be in proper APA format: Meaning that your assignments should be typed out, font size 12 font, font names: Times New Roman, Ariel, or Calibri, normal margins (no more than 1 inch), double spaced, .5 indentation at the beginning of each paragraph and .5 hanging references. Make sure your title page consist of your name (First and Last), Panther ID number and research topic/title (APA format).
You will become the subject matter expert by conducting research based on your chosen title/topic and then reporting your findings in a potentially publishable manuscript. You do not have to seek approval for your topic. Choose any health/healthcare related topic of your choice that you feel is a significant problem within the United States.
For each written assignment make sure you address all required instructions/criteria as noted within each assignment located within the assignment instructions/grading rubric.
There’s no specific amount of pages and or word count for each assignment. Address all questions presented and if the instructions/criteria states a paragraph make sure your paragraphs consist of minimum of five complete sentences.
Assignment #2 (Literature Review)Preview the document
Example Assignments:
Found below are example assignments for this course. You are not obligated to follow exactly what’s on the example, however, you are required to complete all criteria for each assignment (see above assignment instructions/grading rubric). I am posting examples so that you get an idea of what each assignment may consist of. Please note that the examples are actually written by a former student. Therefore, you may not see all criteria requirements for each example posted and it is strongly advise that you follow the assignment instructions/ grading rubric criteria given.
The Outcomes of Neural Stem Cell Transplantation and Localized Drug Therapy on Patients
Suffering from Traumatic Brain Injury
John Doe
Panther ID: 1212121
Assignment #2
Literature Review
Within a literature review, often scientists, academic reviewers and even social experimenters review and discuss published information in a particular subject area or concentration. It usually encompasses am organizational pattern that effectively combines both summary and synthesis; by doing this, information on old material can be given a new light or a distinct and unique interpretation. Lastly, a focused literature review can also evaluate the sources and advise the reader on the most pertinent or relevant bits of information. For the sake of this literature review, I hope to express to potential readers the efficacy of neural stem cell engraftment treatment on patients who suffer from Traumatic Brain Injury (TBI) and by leaning on this form of treatment the likely outcomes it can play on society as a whole. I will provide a comprehensive knowledge based outline on the current pathway of Neural Stem Cell (NSC)
Therapy so as to then lead into these main concepts for further expansion:
Major impact of transplantation on motor and cognitive behavior.
The application of NSC engraftment increasing histopathological outcomes and the likelihood of increasing hippocampal neurogenesis in patients who suffer from Projectile Ballistics Brain Injury (PBBI).
Comparative analysis of surgical intervention versus NSC engraftment treatment outcomes on TBI based patients and how they affect physician/patient decision making.
As aforementioned above, in the next section I will elaborate on NSC treatment outcomes and how there is a significant correlation between it and the extent of transplantation affecting motor and cognitive behavior.
Overview of Literature Concept 1
According to Dr. Goldberg (2015), NSC have had tremendous positive results in rescuing both cognitive and motor based dysfunction in mice models that have sustained extensive amounts of damage in the midbrain area due to TBI. By localizing the affected region(s) of the brain that have most incurred damages, University of Michigan Clinical Scientists under Dr. Goldberg have been able to inject these impaired areas with a mix of specially designated Schwann cells that protect healthy myelinated nerve fibers, with NSC to help proliferate healthy tissue within the designated areas. On average, after 16 days of this same regimen based treatment, more than 75 percent of afflicted mice models that suffered from stroke due to TBI and PBBI based models vastly improved in both cognition and motor deficits (Goldberg et. al, 2015).
Based on Dr. Gajavelliís reports to the U.S. Department of Defense (DOD) regarding cognitive treatment for TBI veterans, to date most treatment is based on examining questions related to synucleinopathies propagation, but have overlooked the therapeutic potential of NSC transplantation to modulate cognition disorders such as dementia, PTSD and Parkinsonís disease that can all be attributed to some level of TBI (2016). At the Miami Project to Cure Paralysis Lab, work is being conducted on transgenic NSC mice that have shown consistently to improve performance in multiple levels of cognitive domains. This gradual recovery process in mice is associated with NSC expression of brain derived neurotrophic factors (BDNF), which restore depleted levels and modulates glutamatergic [modulates protein construction and synthesis] systems in the brain (Atkins, Gajavelli, Herdeen, 2016).
Post-Doctoral fellow Zachary Belrin-Lufreny at the Miami Project to Cure Paralysis, also stipulates the major implications that NSC treatment has attributed on Sprague Dawley mice 4 motor function (2016). The overall attenuation and efficacy of treatment due to NSC’s, has allowed mice who have suffered a stroke for 90 minutes to essentially be revived from the dead, and still have limited motor function. That within itself is completely unheard of in the field of Neuroscience (Belrin-Lufreny, Bramlett, Sequeira, 2016). Most mice who suffered a stroke for just a couple of minutes had prolonged and sometimes irreversible effects due to the nature of occluded blood vessels. Being at the helm of TBI research that demonstrates the probable use of future medication and treatment, data suggests that we just may be able to reverse symptoms and signs of degenerative brain loss thanks to NSC application. In the next section, I will review the components of NSC engraftment and how it responds to PBBI based injuries that may need newer and healthier neural cells so that the brain may begin to heal effectively and efficiently.
Overview of Literature Concept 2
Neurogenesis is a process in Neurology that is used to describe the growth and development of nervous tissue. It is a biological process that is almost exclusively done during the pre-natal development stage and is responsible for populating the growing brain with neurons. According to Dr. Helen Bramlett (2015), her research has shown that without a doubt in more than 3,200 laboratory controlled mice NSC injection and engraftment has led the way in increasing neurogenesis productivity at later stages in the development cycle. This is even more evident in damaged brain that needs healing and restoring capabilities that it by itself cannot perform adequately. The mouse brain, functioning just like that of the human brain, just at a much smaller rate, articulates dendrite activity just like humans do. In turn this reflects that the way they respond to injuries is very much like that of the human brain.
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Efficacy of Dr. Bramlettís PBBI treatment procedures demonstrates extensively that when the midbrain is injured, the area where most of the neurogenesis takes place, neurons coming from the cerebral wall join up and bind at the specific injury site. When adult staged neurons enter this region, immuno-histological markers are activated in the brain and antibodies come in and do a lot more harm than good in the service of trying to protect the brain (Bramlett al, 2015). By introducing an FDA patented drug created at the University of Miami Miller School Of Medicine, researchers there have been able to inject a cocktail of the CA20 medication along with NSC’s at specific localized origin sites of injured brain regions within the hippocampus, and in more than 90 percent of mice, brain glucose metabolism decreased and provided the perfect conditions for the proliferation of NSC to grow in small proportions. But, even greater than that and more unprecedented was the facilitation of neurogenesis that CA20 and NSC combined afforded the hippocampus to do at such a steady rate (Bramlet et. al, 2015).
Dr. Bramlett and her research team have identified a tremendous factor within injury induced neurogenesis that suggests endogenous repair mechanism exists for cognitive dysfunction following traumatic brain injury (2015). When biochemical receptors of the brain lay dormant, much like that of the brain when it is injured, glucose metabolism increases drastically so as to give the brain a fighting chance at survival when it is at its lowest functional point. By lowering brain glucose metabolism which is what CA20 does, then using NSC engraftment strategies at specialized openings within traumatic brain areas is when this strategy was proven to be most effective (Bramlet et. al, 2015). The next section will evaluate where the NSC engraftment modality of treatment works most effective in. By comparing the effectiveness of treatment methodology, future healthcare professionals can outweigh the risks and benefits associated with surgical intervention or NSC engraftment for reducing TBI effects on patients.
6
Overview of Literature Concept 3
A myriad of the focus on TBI effectiveness in both the lab setting and the clinical environment has been placed on highly invasive procedures that at most times can become quite worrisome and least cost effective for families involved with patients who suffer from TBI. According to Clinical Director Dr. Ross Bullock (2016), although clinical findings in the laboratory setting validate the confidence and support for treatment in various aspects of the healthcare realm, nothing is more important and more pivotal than supplying the highest level of quality basic education/information to the families of the victims that are involved. Being a top Neurosurgeon within the country, as well as, a gifted researcher who has obtained his PhD in the field of Neuroscience, the synthesis given below will encompass a broader scope of NSC engraftment approaches and how to relay that information both sensibly and compassionately to victims and patient family members.
Based on studies conducted by Dr. Bullockís team, his data implicates that prior to any decision that the physician can make in regards to treatment procedure and viability, he must first discover the optimal location site that can produce maximal engraftment (Bullock, Dietrich, Gajavelli, 2016). If a respective localized injury site that is not compatible with tissue or cellular engraftment can’t be discovered, then unfortunately a more invasive and possibly dangerous procedure must take place in order to save the life of a patient, in this case the life of the rat is being discussed. When presented with actual human beings, this onset problem can be quite tricky to navigate; by being upfront, empathetic to a patient’s family wishes, and honest with both consequences and possible outcomes play a significant role in maintaining that family members are up to speed, as well as confidently put at ease with treatment recommendations (Bullock, Dietrich, Gajavelli, 2016).
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If and when a NSC engraftment is possible, it is imperative that the optimal time window that produces maximal engraftment is obtained. This is discovered in mice right after onset of PBBI. Intracranial swelling is at its highest peak and glucose activity decreases around the wound drastically so neurons have not reached to injury site to protect it yet (Bramlett et. al, 2015). A radiography report and Comprehensive metabolic panel (CMP) do a remarkable job at identifying both occurrences. Once this is done at a relatively quickly, both researchers and clinicians alike must determine at what concentration of NSC is cell dose most optimal. By assessing optimal site, time, and cell concentration to produce maximal engraftment of NSC’s in a wide variety of TBI procedures, physicians can verify the best possible treatment options and in turn medical errors due to TBI procedures can be reduced when an interdisciplinary team of collaborative researchers, physicians, and family members of afflicted patients can all be in agreement of what is best for the patient (Bullock, Dietrich, Gajavelli, 2016).
References
Atkins, C., Gajavelli, S., Herdeen, B. (2016). Review of collected works for Veteran Affairs: Transplantation of Neural Stem Cells to Modulate and Aid in the Effects of Cognitive Impairments in Military Personnel. Miami Project to Cure Paralysis. Department of Veterans Affairs Medical Center, University of Miami Miller School of Medicine. Published on January 2016.
Belrin-Lufreny, Z., Bramlett, H., Sequeira, D. (2016). Hypothermic induced TBI and vehicle motility for irreversible effects: Attenuation of Motor Response in Stroke Based TBI Victims. Miami Project to Cure Paralysis. Department of Veterans Affairs Medical Center, University of Miami Miller School of Medicine. Published on January 2016.
Bramlett, H., Bullock, R., Diaz, J., Gajavelli, S., Jackson, C., Spurlock, M., et al. (2015). Penetrating Ballistic Brain Injury Systems and Methodology: A hippocampal regenerative effect study in a rat model. Miami Project to Cure Paralysis, Department of Neurosurgery, University of Miami Miller School of Medicine. Published on June 2015.
Bullock, R., Dietrich, WD., Gajavelli, S. (2016). Penetrating Ballistic Brain Injury Systems and Methodology: Optimal maximal engraftment of human NSCís via surgical intervention or localized therapy injection. Miami Project to Cure Paralysis, Department of Neurosurgery, University of Miami Miller School of Medicine. Published on February 2016.
Goldberg, N., Park, A., Sedgh, S., Silosenov, G., Zasliah,E., Zlurton, M. (2015). National institute of health: Neural Stem Cell Rescue Cognitive and Motor Dysfunction in a Transgenic Model TBI. Department of Neuro-trauma, University of Michigan School of Medicine. Published on October 2015.
Title Here
Student Name (First and Last)
Panther ID
Florida International University
Month Year
Literature Review
This section is the literature review. You will need a minimum of three concepts to elaborate on relative to your research topic. Within this section “Literature Review” you are required to include one paragraph which gives a brief overview of what a literature review is and what concepts you plan to discuss. Briefly introduce your next research section. While this may seem redundant at each section, it is important to remind the reader at the beginning of each section.
Overview of Literature Concept 1
Research your topic by reading articles, dissertations, and other scholarly materials. Elaborate on one concept that stood out to you as important for your research topic. This section requires three paragraphs in length.
Overview of Literature Concept 2
Research your topic by reading articles, dissertations, and other scholarly materials.
Elaborate on one concept that stood out to you as important for your research topic. This section
requires three paragraphs in length.
Overview of Literature Concept 3
Research your topic by reading articles, dissertations, and other scholarly materials.
Elaborate on one concept that stood out to you as important for your research topic. This section requires three paragraphs in length.
References
Remember that any reference in your reference list must be present in your paper in the form of a citation (Author, year). Likewise, any citation in your paper must be present in your reference list. Refer to your APA Handbook 6th edition for more detailed information on developing a reference list. For your Assignment 2 you need a minimum of four (4) scholarly references.
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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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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The majority of Saudi Arabia’s healthcare workforce are comprised of foreign nationals or expatriates. In this discussion, review the pros and the cons of having such a multinational workforce. Additionally, consider the following questions in your response: Does the current system support the expenditures of such a workforce? Do the fees associated with expatriates inhibit healthcare organizations from attracting foreigners to fill staffing positions?