Week 5 Discussion Week 5 Discussion Please complete one of the two cases Case 1 Your middle-aged African American patient with type II diabetes mellitus (DM) is trying to be proactive in their care. They have attended several diabetes educator classes and community health and wellness lectures in an effort to understand their disease more. They are concerned because they have three family members with DM who ended up on dialysis. One of the lectures tried to explain that glucose control is heavily influenced by the kidneys. They realized that they were ordered a medication that works closely with the kidneys (a selective sodium glucose cotransporter 2 [SGLT-2] inhibitor). They are confused because they thought diabetes was a pancreas disorder. They are concerned about renal function based on their family history. You had told them the renal labs were normal but they have noted the blood sugar (BS) and glucose level of their last urinalysis (UA) did not fit that profile. How do you respond? Your patient is still concerned because the routine UA result that was in their patient email box from your clinic indicated that some of their values were considered “out of normal range.” They are wondering if their kidneys are now at risk. To remain “in charge of their care,” your patient asks at what stage of renal function are all meds, not just diabetic medications, considered for reduction or eliminated from the therapeutic plan. Case 2 Harvey Wilson is a 55-year-old patient with type II diabetes mellitus (DM). He has been taking medications for this issue since his late 40s along with statins for his cholesterol issues, Lisinopril for his hypertension, and steroid cream for his intermittent eczema on his arms and legs. Though he reports adherence to a “good” diet he has gained 30 pounds in the last 10 years with a body mass index (BMI) of 35. He knows that some of that is associated with his use of basal insulin and occasional rapid acting insulin at meal times when he remembers to take his premeal blood sugars. He still has normal renal function and has not been hospitalized for any wound or glucose control issues. He is on metformin at the maximum dose but does complain from time to time about some gastrointestinal (GI) issues with this medication. His HgA1C readings are always “on the high side.” His liver function tests, other complete metabolic panel (CMP) results, and complete blood count (CBC) are normal. He has a plan in his record to start adding additional medications if his previous goals of weight loss and HbA1C control are not met. Which families of antidiabetic medications might be considered for him as adjunctive medications? Mr. Wilson agrees that more medications are required. However, he refuses to take any more medications that require needles and he refuses an increase in frequent glucose checks. He hates needles. Which of the medications noted above are no longer a first choice for him? He has also heard that some of these newer diabetic medications cause cancer. Which group of the medications is linked to thyroid medullary cancer incidence?                4. Because Mr. Wilson has intermittent GI issues with his metformin, are any of the family groups originally considered of potential concern? Why?

Pick a health services organization of your choice and conduct an analysis of its target markets, how it is positioned in the marketplace, and what kind of behaviors its customers exhibit when selecting their services.  This includes topics covered in Weeks 3 and 4.  Your research can include your own experiences with the organization, experiences of friends or relatives, the organization’s website, a visit to the organization (if possible), websites of competitors, library research on the service category, any notes from the overview and readings for Weeks 3 and 4, and any other place you think you can find information to provide depth to your analysis.After completing your research, prepare your Written Assignment  as directed by the general guidelines for written assignments in the syllabus, project descriptions, by answering each of the following questions in turn:Name and describe the health service organization.Describe its primary target market in terms of the segmentation variables presented in the Week 4 Overview. You can use the PRISM system or describe it yourself. What kind of behaviors do its patients/clients exhibit when making a decision to use the organization’s services? Might want to refer to the Health Service Model. What do you think is the organization’s value proposition?  Use the generic value propositions outlined in the Week 4 Overview.Describe the organization’s primary competitors.  If possible, prepare a positioning map using two variables important to the patients/clients of the organization. Based on your competitive analysis, what do you is the organization’s competitive position? What recommendations would you make for changes to the organization’s target market, services or competitive position and why?*** No plagiarism of any kind, references and APA format only must be submitted***

Grading Category: Case Studies In this assignment, you will review the Geriatric Case Study patient and analyze the data to determine the health status of the patient. Please respond to the questions that are presented within the case study.Follow the requirements posted on the rubric.Use the Word document that is located within the case study for your case study answers.Papers are usually around 5-6 pages in length.When the Word document is complete, upload it to the corresponding case study assignment and week's dropbox in your clinical (665CX) course.All papers must conform to the most recent APA standards.Please refer to the Grading Rubric for details on how this activity will be graded.https://lmscontent.embanet.com/Media/RC/NU665C/NU6...This case study consists of one hypothetical patient situation. After viewing the video, you should answer several questions about patient care. You can use outside materials to help you.In your answers, you should make specific reference to relevant guidelines and other clinical information. The national guidelines should also be considered with treatment plans.Access various aspects of the case using the tabs on the left. You will see an introduction video and a questions section. Download the Case Study Word template from within the Case Study Documents tab. Use this template to complete this assignment and then submit it to the submission page in your course.Past Medical historyHypertensionHyperlipidemiaCoronary artery diseaseChronic obstructive pulmonary diseasePeptic ulcer diseasePeripheral artery disease (with stents)No prior psychiatric historyMother was diagnosed with schizophreniaQuestionsDiagnoses, Differentials, and ICD Code(s):Provide your recommendations for each.Medications:Provide your recommended drug therapy, including common side effects and potential or actual adverse drug responses (ADR), common drug and/or food interactions, and key monitoring points.Psychosocial Issues:Discuss the psychosocial issues and circumstance(s) surrounding this case.Variables Related to Aging and Mental Health:Describe unique patient variables that are involved in the patient’s response to aging and mental health.Recommendations:Include non-pharmacological interventions. List any changes in care approaches you would suggest.