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Describe the ethical and legal considerations of a professional
strategic financial management function in an organization. What would
you do if faced with a legal or ethical dilemma related to financial
management in a health care organization? How might that legal or
ethical dilemma impact strategic planning? Support your primary
response with at least one scholarly source. Provide in-text citations
and complete references for all sources used. Format your post according
to APA style.
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Epidemiology Paper
Describe the chosen communicable disease, including causes, symptoms, and mode of transmission, complications, treatment, ...
Epidemiology Paper
Describe the chosen communicable disease, including causes, symptoms, and mode of transmission, complications, treatment, and the demographic of ...
CU Inter Disciplinary Collaboration Reflection on Collaboration Experience Discussion
For this assessment you will create a 5-10 minute video reflection on an experience in which you collaborated interprofess ...
CU Inter Disciplinary Collaboration Reflection on Collaboration Experience Discussion
For this assessment you will create a 5-10 minute video reflection on an experience in which you collaborated interprofessionally, as well as a brief discussion of an interprofessional collaboration scenario and how it could have been better approached.Interprofessional collaboration is a critical aspect of a nurse’s work. Through interprofessional collaboration, practitioners and patients share information and consider each other’s perspectives to better understand and address the many factors that contribute to health and well-being (Sullivan et al., 2015). Essentially, by collaborating, health care practitioners and patients can have better health outcomes. Nurses, who are often at the frontlines of interacting with various groups and records, are full partners in this approach to health care.Reflection is a key part of building interprofessional competence, as it allows you to look critically at experiences and actions through specific lenses. From the standpoint of interprofessional collaboration, reflection can help you consider potential reasons for and causes of people's actions and behaviors (Saunders et al., 2016). It also can provide opportunities to examine the roles team members adopted in a given situation as well as how the team could have worked more effectively.As you begin to prepare this assessment you are encouraged to complete the What is Reflective Practice? activity. The activity consists of five questions that will allow you the opportunity to practice self-reflection. The information gained from completing this formative will help with your success on the Collaboration and Leadership Reflection Video assessment. Completing formatives is also a way to demonstrate course engagementNote: The Example Kaltura Reflection demonstrates how to cite sources appropriately in an oral presentation/video. The Example Kaltura Reflection video is not a reflection on the Vila Health activity. Your reflection assessment will focus on both your professional experience and the Vila Health activity as described in the scenario.ReferencesSaunders, R., Singer, R., Dugmore, H., Seaman, K., & Lake, F. (2016). Nursing students' reflections on an interprofessional placement in ambulatory care. Reflective Practice, 17(4), 393–402.Sullivan, M., Kiovsky, R., Mason, D., Hill, C., & Duke, C. (2015). Interprofessional collaboration and education. American Journal of Nursing, 115(3), 47–54.Demonstration of ProficiencyCompetency 1: Explain strategies for managing human and financial resources to promote organizational health.Identify how poor collaboration can result in inefficient management of human and financial resources supported by evidence from the literature.Competency 2: Explain how interdisciplinary collaboration can be used to achieve desired patient and systems outcomes.Reflect on an interdisciplinary collaboration experience noting ways in which it was successful and unsuccessful in achieving desired outcomes.Identify best-practice interdisciplinary collaboration strategies to help a team to achieve its goals and work more effectively together.Competency 4: Explain how change management theories and leadership strategies can enable interdisciplinary teams to achieve specific organizational goals.Identify best-practice leadership strategies from the literature, which would improve an interdisciplinary team’s ability to achieve its goals.Competency 5: Apply professional, scholarly, evidence-based communication strategies to impact patient, interdisciplinary team, and systems outcomes.Communicate in a professional manner that is easily audible and uses proper grammar. Format reference list in current APA style.Professional ContextThis assessment will help you to become a reflective practitioner. By considering your own successes and shortcomings in interprofessional collaboration, you will increase awareness of your problem-solving abilities. You will create a video of your reflections, including a discussion of best practices of interprofessional collaboration and leadership strategies, cited in the literature.ScenarioAs part of an initiative to build effective collaboration at your Vila Health site, where you are a nurse, you have been asked to reflect on a project or experience in which you collaborated interprofessionally and examine what happened during the collaboration, identifying positive aspects and areas for improvement.You have also been asked to review a series of events that took place at another Vila Health location and research interprofessional collaboration best practices and use the lessons learned from your experiences to make recommendations for improving interprofessional collaboration among their team. Your task is to create a 5–10 minute video reflection with suggestions for the Vila Health team that can be shared with leadership as well as Vila Health colleagues at your site. Note: If you require the use of assistive technology or alternative communication methods to participate in this activity, please contact DisabilityServices@Capella.edu to request accommodations. If, for some reason, you are unable to record a video, please contact your faculty member as soon as possible to explore options for completing the assessment.InstructionsUsing Kaltura, record a 5–10 minute video reflection on an interprofessional collaboration experience from your personal practice, proposing suggestions on how to improve the collaboration presented in the Vila Health: Collaboration for Change activity.Be sure that your assessment addresses the following criteria. Please study the scoring guide carefully so you will know what is needed for a distinguished score:Reflect on an interdisciplinary collaboration experience, noting ways in which it was successful and unsuccessful in achieving desired outcomes.Identify how poor collaboration can result in inefficient management of human and financial resources, citing supporting evidence from the literature.Identify best-practice leadership strategies from the literature that would improve an interdisciplinary team’s ability to achieve its goals, citing at least one author from the literature.Identify best-practice interdisciplinary collaboration strategies to help a team achieve its goals and work together, citing the work of at least one author.Communicate in a professional manner, is easily audible, and uses proper grammar. Format reference list in current APA style.You will need to relate an experience that you have had collaborating on a project. This could be at your current or former place of practice, or another relevant project that will enable you to address the requirements. In addition to describing your experience, you should explain aspects of the collaboration that helped the team make progress toward relevant goals or outcomes, as well as aspects of the collaboration that could have been improved.A simplified gap-analysis approach may be useful:What happened?What went well?What did not go well?What should have happened?After your personal reflection, examine the scenario in the Vila Health activity and discuss the ways in which the interdisciplinary team did not collaborate effectively and the negative implications for the human and financial resources of the interdisciplinary team and the organization as a whole.Building on this investigation, identify at least one leadership best practice or strategy that you believe would improve the team’s ability to achieve their goals. Be sure to identify the strategy and its source or author and provide a brief rationale for your choice of strategy.Additionally, identify at least one interdisciplinary collaboration best practice or strategy to help the team achieve its goals and work more effectively together. Again, identify the strategy, its source, and reasons why you think it will be effective.You are encouraged to integrate lessons learned from your self-reflection to support and enrich your discussion of the Vila Health activity.You are required to submit an APA-formatted reference list for any sources that you cited specifically in your video or used to inform your presentation. The Example Kaltura Reflection will show you how to cite scholarly sources in the context of an oral presentation.Refer to the Campus tutorial Using Kaltura [PDF] as needed to record and upload your reflection.Additional RequirementsReferences: Cite at least 3 professional or scholarly sources of evidence to support the assertions you make in your video. Include additional properly cited references as necessary to support your statements.APA Reference Page: Submit a correctly formatted APA reference page that shows all the sources you used to create and deliver your video.You may wish to refer to the Campus APA Module for more information on applying APA style.
Rasmussen College Principles of Genetics and Genomics Turner Syndrome PPT
CompetencyDescribe the principles of genetics and genomics.ScenarioAs you work with your preceptor, you learn that she is ...
Rasmussen College Principles of Genetics and Genomics Turner Syndrome PPT
CompetencyDescribe the principles of genetics and genomics.ScenarioAs you work with your preceptor, you learn that she is planning a
training session for all new nurses to familiarize them with principles
of genetics and genomics using data from a three-generation family
pedigree. She asks your help in building a pedigree and genogram to
reflect inherited genetic disease processes. You agree to do some
reading and describe a genetic disorder and provide a genogram that
would indicate how this disorder is transferred over generations. Your
preceptor asks you to pick one from this list:Duchenne Muscular DystrophyHemochromatosisNeurofibromatosisTurner SyndromeVon Willebrand DiseaseInstructionsAfter you pick one, create a brief 3-5 slide presentation using
Microsoft PowerPoint® and a free recording software compatible with PC
and MAC computers, Screencast -O-Matic©. Follow these instructions to download and use this software to create your presentation.Access the Screencast-O-Matic© homepage by clicking on the box in
the upper right-hand corner titled, "Sign Up" to create your free
account.Create a free account (be sure to write down the email and password created for account access.)Once logged in, click on the "Tutorials" link at the top of the homepage and view 1. Recorder IntrosCreate your presentation by clicking on the "Start Recorder" box.Once finished recording, click on the "Done" button.Next, choose, "Upload to Screencast-O-Matic."Select "Publish."Choose "Copy Link"Place the "Link" in a Microsoft Word document and then upload this document to the assignment drop box.For additional assistance on creating a Screencast-O-Matic, please visit the Library and Learning Services Answers page: How do I make a video of a PowerPoint presentation using Screencast-O-Matic?Address the following principles of genetics and genomics:Create a three-generation family pedigree and genogram with standard
symbols with the interpretation of results explained using standard
terminologyDefinition of your chosen genetic disorder and how it presents in clientsPossible genetic testing for the disease you selectedSubmit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.Save your assignment as a Microsoft Word document. (Mac users, please
remember to append the ".docx" extension to the filename.) The name of
the file should be your first initial and last name, followed by an
underscore and the name of the assignment, and an underscore and the
date. An example is shown below:Jstudent_exampleproblem_101504Need Help? Click here for complete drop box instructions
Cardiovascular Case Study Discussion
Requirements:
Setting: large rural clinic; family practice clinic that employs physicians, physician assistants and nu ...
Cardiovascular Case Study Discussion
Requirements:
Setting: large rural clinic; family practice clinic that employs physicians, physician assistants and nurse practitioners. You open the chart to review for your next patient, and you see it is Lorene M. Lorene is a 60 year-old African American female with a history of hypertension and known documented metabolic syndrome following lifestyle changes per her request. You note she is not due for a follow up at this time, so you look at the chief complaint.CC: Shoulder discomfort and SOB with exercise 3 days ago.You enter the room and introduce yourself to Lorene who is sitting in the chair. You ask what brings her in today. She smiles, shaking her head and says "My daughter made me come, I feel fine. I am way too busy to be here today. Since my last visit, three months ago, I joined a gym and with the support of my daughter, we are going two days a week." However, three days ago Lorene felt short of breath while in dance class. She developed what she calls as "a discomfort" that radiated back and up between her shoulder blades while at the peak of her exercise routine. She also felt a little nauseous and sweaty. Once she stopped dancing, all symptoms resolved in about 3 minutes and they have not re-occurred.PMHx: Reports general health as good. She has been trying to lose weight through exercise and avoiding processed foods. She admits that food is a large part of her background and heritage in social activities and so it is difficult to make healthy choices. She had been feeling great since starting to work out and has lost 2 inches around the abdomen. She describes having lots of energy until this episode three days ago. Now she is a little concerned because she feels a little more tired than usual. She has not participated in anything strenuous and has not worked out sinceChildhood/previous illnesses: chicken pox.Chronic illnesses: Hypertension, Metabolic Syndrome, and Dyslipidemia.(Lifestyle management was initiated per patient preference) Gestational Diabetes with 3 pregnancies managed with InsulinSurgeries: T and A, cholecystectomyHospitalizations: None aside from surgeries listed aboveImmunizations: Does not receive the flu shot.Allergies: Reports remote Hx allergy to metformin. Describes a GI disturbance.Blood transfusions: NoneCurrent medications: None. Stopped Lisinopril one month ago as she read that it can cause a cough as one if its side effects. Prefers to get the BP under control with diet and exercise.Social History: Married for 20 years. Children are grown and have moved out of the house but all live locally and are close to their parents. Lorene works full time as a CEO of a successful marketing company and travels often for work. She eats out a lot while entertaining business clients. She enjoys beer and wine and the occasional "social" cigarette when she gets together once weekly with her girlfriends.Family History: Parents are deceased. Father had lung cancer and mother died from complications of a stroke due to complications of diabetes type 2. Brother died at 44 from malignant melanoma. Other sister and brother are healthy but they also have diagnoses of metabolic syndrome.PE: Height: 5'8" weight: 220 pounds; BMI 33.5 vital signs: BP 146/90 P 70 Sao2 97% Random glucose finger stick in office: 130mgs/dl General: African American female in NAD. Alert, oriented, and cooperative. Pain: 0/10 at present Skin: Skin warm, dry, and intact. Skin color is light skinned brown, no cyanosis or pallor. HEENT: Head normo-cephalic. Hair thick and distribution even throughout scalp. Eyes: Sclera clear. Conjunctiva: white, PERRLA, EOMs intact. No AV nicking noted. Ears: Tympanic membranes gray and intact with light reflex noted. Pinna and tragus non-tender Nose: Nares patent without exudate. Sinuses non-tender to palpation, Right-sided Deviation Throat: Oropharynx moist, no lesions or exudate. Teeth in poor repair, gums reddened and receding, filled cavities noted. Tongue smooth, pink, no lesions, protrudes in midline. Neck supple. No cervical lymphadenopathy or tenderness noted. Thyroid midline, small and firm without palpable masses. Mild JVD in recumbent position Lungs: Lungs clear to auscultation bilaterally. Respirations unlabored. No rashes or vesicles noted on chest. CV: Heart S1 and S2 noted, RRR, no murmurs, noted. No parasternal lifts, heaves, and thrills. Peripheral pulses equally bilaterally. PMI 5th ICS displaced 4cm laterally. Trace edema in lower extremities. Abdomen: Abdomen round, soft, with bowel sounds noted in all four quadrants. No organomegaly noted.Labs from 3 months ago:AIC 6.4% Fasting glucose 135mgs/dl Total Cholesterol: 230 Triglycerides 180mgs/dl Ldl 180 Hdl 38
EKG today in office
Week 3 Discussion Questions:
What Leads Demonstrate the ST Depression?
Is Lorene Hypertensive per ACA 2017 Guidelines? Compare the ACA guidelines to JNC 8 guidelines and discuss what treatment you recommend for her BP and why.
What is the Primary diagnosis causing Lorene's chest pain? Include ICD 10 codes (no differentials)
What other secondary diagnoses does Lorene have that should be addressed? (Include the rationale and a reference for your diagnoses)
Design a treatment plan and discuss how each intervention is applicable to Lorene's case. Consider the following interventions:
Labs
Durable Medical Equipment Diagnostic tests- discuss the goal/purpose
Any consultation with outside providers/services
Medications- discuss why you chose each specific medication
Referrals- who and why
Follow up- why and when
Education- specific and measureable
Lifestyle Changes- specific to her cultural preferences, values and beliefs
DQ Reflect on the analysis of the sin of suicide and thus, euthanasia
Reflect on the analysis of the sin of suicide and thus, euthanasia from the topic readings. Do you agree? Why or why not? ...
DQ Reflect on the analysis of the sin of suicide and thus, euthanasia
Reflect on the analysis of the sin of suicide and thus, euthanasia from the topic readings. Do you agree? Why or why not? Refer to the lecture and topic readings in your response. Two paragraphs with a refernce
Opportunism in Healthcare he Rice (1997) and the Korda and Eldridge (2011) articles, Health & Medical Assignment Homework Help
Prior to engaging in this discussion, please read Chapter 12 in the text, read the Rice (1997) and the Korda and Eldridge ...
Opportunism in Healthcare he Rice (1997) and the Korda and Eldridge (2011) articles, Health & Medical Assignment Homework Help
Prior to engaging in this discussion, please read Chapter 12 in the text, read the Rice (1997) and the Korda and Eldridge (2011) articles, and review any relevant Instructor Guidance. It is suggested that you also take a moment to review a few of the recommended articles to glean any potential helpful information. Opportunism in health care is especially perceptible in the health insurance markets. Consider the area in which you live, specifically your state and local communities. Evaluate the social-cultural issues that are influencing adverse selection in insurance markets. Propose some strategies for reducing adverse selection in health insurance within these markets. Develop a microeconomic model that is responsive to your local service demands. Communicate how these issues are relevant to the economics of the greater U.S. health care system. What are the future implications with the Affordable Care Act?
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Epidemiology Paper
Describe the chosen communicable disease, including causes, symptoms, and mode of transmission, complications, treatment, ...
Epidemiology Paper
Describe the chosen communicable disease, including causes, symptoms, and mode of transmission, complications, treatment, and the demographic of ...
CU Inter Disciplinary Collaboration Reflection on Collaboration Experience Discussion
For this assessment you will create a 5-10 minute video reflection on an experience in which you collaborated interprofess ...
CU Inter Disciplinary Collaboration Reflection on Collaboration Experience Discussion
For this assessment you will create a 5-10 minute video reflection on an experience in which you collaborated interprofessionally, as well as a brief discussion of an interprofessional collaboration scenario and how it could have been better approached.Interprofessional collaboration is a critical aspect of a nurse’s work. Through interprofessional collaboration, practitioners and patients share information and consider each other’s perspectives to better understand and address the many factors that contribute to health and well-being (Sullivan et al., 2015). Essentially, by collaborating, health care practitioners and patients can have better health outcomes. Nurses, who are often at the frontlines of interacting with various groups and records, are full partners in this approach to health care.Reflection is a key part of building interprofessional competence, as it allows you to look critically at experiences and actions through specific lenses. From the standpoint of interprofessional collaboration, reflection can help you consider potential reasons for and causes of people's actions and behaviors (Saunders et al., 2016). It also can provide opportunities to examine the roles team members adopted in a given situation as well as how the team could have worked more effectively.As you begin to prepare this assessment you are encouraged to complete the What is Reflective Practice? activity. The activity consists of five questions that will allow you the opportunity to practice self-reflection. The information gained from completing this formative will help with your success on the Collaboration and Leadership Reflection Video assessment. Completing formatives is also a way to demonstrate course engagementNote: The Example Kaltura Reflection demonstrates how to cite sources appropriately in an oral presentation/video. The Example Kaltura Reflection video is not a reflection on the Vila Health activity. Your reflection assessment will focus on both your professional experience and the Vila Health activity as described in the scenario.ReferencesSaunders, R., Singer, R., Dugmore, H., Seaman, K., & Lake, F. (2016). Nursing students' reflections on an interprofessional placement in ambulatory care. Reflective Practice, 17(4), 393–402.Sullivan, M., Kiovsky, R., Mason, D., Hill, C., & Duke, C. (2015). Interprofessional collaboration and education. American Journal of Nursing, 115(3), 47–54.Demonstration of ProficiencyCompetency 1: Explain strategies for managing human and financial resources to promote organizational health.Identify how poor collaboration can result in inefficient management of human and financial resources supported by evidence from the literature.Competency 2: Explain how interdisciplinary collaboration can be used to achieve desired patient and systems outcomes.Reflect on an interdisciplinary collaboration experience noting ways in which it was successful and unsuccessful in achieving desired outcomes.Identify best-practice interdisciplinary collaboration strategies to help a team to achieve its goals and work more effectively together.Competency 4: Explain how change management theories and leadership strategies can enable interdisciplinary teams to achieve specific organizational goals.Identify best-practice leadership strategies from the literature, which would improve an interdisciplinary team’s ability to achieve its goals.Competency 5: Apply professional, scholarly, evidence-based communication strategies to impact patient, interdisciplinary team, and systems outcomes.Communicate in a professional manner that is easily audible and uses proper grammar. Format reference list in current APA style.Professional ContextThis assessment will help you to become a reflective practitioner. By considering your own successes and shortcomings in interprofessional collaboration, you will increase awareness of your problem-solving abilities. You will create a video of your reflections, including a discussion of best practices of interprofessional collaboration and leadership strategies, cited in the literature.ScenarioAs part of an initiative to build effective collaboration at your Vila Health site, where you are a nurse, you have been asked to reflect on a project or experience in which you collaborated interprofessionally and examine what happened during the collaboration, identifying positive aspects and areas for improvement.You have also been asked to review a series of events that took place at another Vila Health location and research interprofessional collaboration best practices and use the lessons learned from your experiences to make recommendations for improving interprofessional collaboration among their team. Your task is to create a 5–10 minute video reflection with suggestions for the Vila Health team that can be shared with leadership as well as Vila Health colleagues at your site. Note: If you require the use of assistive technology or alternative communication methods to participate in this activity, please contact DisabilityServices@Capella.edu to request accommodations. If, for some reason, you are unable to record a video, please contact your faculty member as soon as possible to explore options for completing the assessment.InstructionsUsing Kaltura, record a 5–10 minute video reflection on an interprofessional collaboration experience from your personal practice, proposing suggestions on how to improve the collaboration presented in the Vila Health: Collaboration for Change activity.Be sure that your assessment addresses the following criteria. Please study the scoring guide carefully so you will know what is needed for a distinguished score:Reflect on an interdisciplinary collaboration experience, noting ways in which it was successful and unsuccessful in achieving desired outcomes.Identify how poor collaboration can result in inefficient management of human and financial resources, citing supporting evidence from the literature.Identify best-practice leadership strategies from the literature that would improve an interdisciplinary team’s ability to achieve its goals, citing at least one author from the literature.Identify best-practice interdisciplinary collaboration strategies to help a team achieve its goals and work together, citing the work of at least one author.Communicate in a professional manner, is easily audible, and uses proper grammar. Format reference list in current APA style.You will need to relate an experience that you have had collaborating on a project. This could be at your current or former place of practice, or another relevant project that will enable you to address the requirements. In addition to describing your experience, you should explain aspects of the collaboration that helped the team make progress toward relevant goals or outcomes, as well as aspects of the collaboration that could have been improved.A simplified gap-analysis approach may be useful:What happened?What went well?What did not go well?What should have happened?After your personal reflection, examine the scenario in the Vila Health activity and discuss the ways in which the interdisciplinary team did not collaborate effectively and the negative implications for the human and financial resources of the interdisciplinary team and the organization as a whole.Building on this investigation, identify at least one leadership best practice or strategy that you believe would improve the team’s ability to achieve their goals. Be sure to identify the strategy and its source or author and provide a brief rationale for your choice of strategy.Additionally, identify at least one interdisciplinary collaboration best practice or strategy to help the team achieve its goals and work more effectively together. Again, identify the strategy, its source, and reasons why you think it will be effective.You are encouraged to integrate lessons learned from your self-reflection to support and enrich your discussion of the Vila Health activity.You are required to submit an APA-formatted reference list for any sources that you cited specifically in your video or used to inform your presentation. The Example Kaltura Reflection will show you how to cite scholarly sources in the context of an oral presentation.Refer to the Campus tutorial Using Kaltura [PDF] as needed to record and upload your reflection.Additional RequirementsReferences: Cite at least 3 professional or scholarly sources of evidence to support the assertions you make in your video. Include additional properly cited references as necessary to support your statements.APA Reference Page: Submit a correctly formatted APA reference page that shows all the sources you used to create and deliver your video.You may wish to refer to the Campus APA Module for more information on applying APA style.
Rasmussen College Principles of Genetics and Genomics Turner Syndrome PPT
CompetencyDescribe the principles of genetics and genomics.ScenarioAs you work with your preceptor, you learn that she is ...
Rasmussen College Principles of Genetics and Genomics Turner Syndrome PPT
CompetencyDescribe the principles of genetics and genomics.ScenarioAs you work with your preceptor, you learn that she is planning a
training session for all new nurses to familiarize them with principles
of genetics and genomics using data from a three-generation family
pedigree. She asks your help in building a pedigree and genogram to
reflect inherited genetic disease processes. You agree to do some
reading and describe a genetic disorder and provide a genogram that
would indicate how this disorder is transferred over generations. Your
preceptor asks you to pick one from this list:Duchenne Muscular DystrophyHemochromatosisNeurofibromatosisTurner SyndromeVon Willebrand DiseaseInstructionsAfter you pick one, create a brief 3-5 slide presentation using
Microsoft PowerPoint® and a free recording software compatible with PC
and MAC computers, Screencast -O-Matic©. Follow these instructions to download and use this software to create your presentation.Access the Screencast-O-Matic© homepage by clicking on the box in
the upper right-hand corner titled, "Sign Up" to create your free
account.Create a free account (be sure to write down the email and password created for account access.)Once logged in, click on the "Tutorials" link at the top of the homepage and view 1. Recorder IntrosCreate your presentation by clicking on the "Start Recorder" box.Once finished recording, click on the "Done" button.Next, choose, "Upload to Screencast-O-Matic."Select "Publish."Choose "Copy Link"Place the "Link" in a Microsoft Word document and then upload this document to the assignment drop box.For additional assistance on creating a Screencast-O-Matic, please visit the Library and Learning Services Answers page: How do I make a video of a PowerPoint presentation using Screencast-O-Matic?Address the following principles of genetics and genomics:Create a three-generation family pedigree and genogram with standard
symbols with the interpretation of results explained using standard
terminologyDefinition of your chosen genetic disorder and how it presents in clientsPossible genetic testing for the disease you selectedSubmit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.Save your assignment as a Microsoft Word document. (Mac users, please
remember to append the ".docx" extension to the filename.) The name of
the file should be your first initial and last name, followed by an
underscore and the name of the assignment, and an underscore and the
date. An example is shown below:Jstudent_exampleproblem_101504Need Help? Click here for complete drop box instructions
Cardiovascular Case Study Discussion
Requirements:
Setting: large rural clinic; family practice clinic that employs physicians, physician assistants and nu ...
Cardiovascular Case Study Discussion
Requirements:
Setting: large rural clinic; family practice clinic that employs physicians, physician assistants and nurse practitioners. You open the chart to review for your next patient, and you see it is Lorene M. Lorene is a 60 year-old African American female with a history of hypertension and known documented metabolic syndrome following lifestyle changes per her request. You note she is not due for a follow up at this time, so you look at the chief complaint.CC: Shoulder discomfort and SOB with exercise 3 days ago.You enter the room and introduce yourself to Lorene who is sitting in the chair. You ask what brings her in today. She smiles, shaking her head and says "My daughter made me come, I feel fine. I am way too busy to be here today. Since my last visit, three months ago, I joined a gym and with the support of my daughter, we are going two days a week." However, three days ago Lorene felt short of breath while in dance class. She developed what she calls as "a discomfort" that radiated back and up between her shoulder blades while at the peak of her exercise routine. She also felt a little nauseous and sweaty. Once she stopped dancing, all symptoms resolved in about 3 minutes and they have not re-occurred.PMHx: Reports general health as good. She has been trying to lose weight through exercise and avoiding processed foods. She admits that food is a large part of her background and heritage in social activities and so it is difficult to make healthy choices. She had been feeling great since starting to work out and has lost 2 inches around the abdomen. She describes having lots of energy until this episode three days ago. Now she is a little concerned because she feels a little more tired than usual. She has not participated in anything strenuous and has not worked out sinceChildhood/previous illnesses: chicken pox.Chronic illnesses: Hypertension, Metabolic Syndrome, and Dyslipidemia.(Lifestyle management was initiated per patient preference) Gestational Diabetes with 3 pregnancies managed with InsulinSurgeries: T and A, cholecystectomyHospitalizations: None aside from surgeries listed aboveImmunizations: Does not receive the flu shot.Allergies: Reports remote Hx allergy to metformin. Describes a GI disturbance.Blood transfusions: NoneCurrent medications: None. Stopped Lisinopril one month ago as she read that it can cause a cough as one if its side effects. Prefers to get the BP under control with diet and exercise.Social History: Married for 20 years. Children are grown and have moved out of the house but all live locally and are close to their parents. Lorene works full time as a CEO of a successful marketing company and travels often for work. She eats out a lot while entertaining business clients. She enjoys beer and wine and the occasional "social" cigarette when she gets together once weekly with her girlfriends.Family History: Parents are deceased. Father had lung cancer and mother died from complications of a stroke due to complications of diabetes type 2. Brother died at 44 from malignant melanoma. Other sister and brother are healthy but they also have diagnoses of metabolic syndrome.PE: Height: 5'8" weight: 220 pounds; BMI 33.5 vital signs: BP 146/90 P 70 Sao2 97% Random glucose finger stick in office: 130mgs/dl General: African American female in NAD. Alert, oriented, and cooperative. Pain: 0/10 at present Skin: Skin warm, dry, and intact. Skin color is light skinned brown, no cyanosis or pallor. HEENT: Head normo-cephalic. Hair thick and distribution even throughout scalp. Eyes: Sclera clear. Conjunctiva: white, PERRLA, EOMs intact. No AV nicking noted. Ears: Tympanic membranes gray and intact with light reflex noted. Pinna and tragus non-tender Nose: Nares patent without exudate. Sinuses non-tender to palpation, Right-sided Deviation Throat: Oropharynx moist, no lesions or exudate. Teeth in poor repair, gums reddened and receding, filled cavities noted. Tongue smooth, pink, no lesions, protrudes in midline. Neck supple. No cervical lymphadenopathy or tenderness noted. Thyroid midline, small and firm without palpable masses. Mild JVD in recumbent position Lungs: Lungs clear to auscultation bilaterally. Respirations unlabored. No rashes or vesicles noted on chest. CV: Heart S1 and S2 noted, RRR, no murmurs, noted. No parasternal lifts, heaves, and thrills. Peripheral pulses equally bilaterally. PMI 5th ICS displaced 4cm laterally. Trace edema in lower extremities. Abdomen: Abdomen round, soft, with bowel sounds noted in all four quadrants. No organomegaly noted.Labs from 3 months ago:AIC 6.4% Fasting glucose 135mgs/dl Total Cholesterol: 230 Triglycerides 180mgs/dl Ldl 180 Hdl 38
EKG today in office
Week 3 Discussion Questions:
What Leads Demonstrate the ST Depression?
Is Lorene Hypertensive per ACA 2017 Guidelines? Compare the ACA guidelines to JNC 8 guidelines and discuss what treatment you recommend for her BP and why.
What is the Primary diagnosis causing Lorene's chest pain? Include ICD 10 codes (no differentials)
What other secondary diagnoses does Lorene have that should be addressed? (Include the rationale and a reference for your diagnoses)
Design a treatment plan and discuss how each intervention is applicable to Lorene's case. Consider the following interventions:
Labs
Durable Medical Equipment Diagnostic tests- discuss the goal/purpose
Any consultation with outside providers/services
Medications- discuss why you chose each specific medication
Referrals- who and why
Follow up- why and when
Education- specific and measureable
Lifestyle Changes- specific to her cultural preferences, values and beliefs
DQ Reflect on the analysis of the sin of suicide and thus, euthanasia
Reflect on the analysis of the sin of suicide and thus, euthanasia from the topic readings. Do you agree? Why or why not? ...
DQ Reflect on the analysis of the sin of suicide and thus, euthanasia
Reflect on the analysis of the sin of suicide and thus, euthanasia from the topic readings. Do you agree? Why or why not? Refer to the lecture and topic readings in your response. Two paragraphs with a refernce
Opportunism in Healthcare he Rice (1997) and the Korda and Eldridge (2011) articles, Health & Medical Assignment Homework Help
Prior to engaging in this discussion, please read Chapter 12 in the text, read the Rice (1997) and the Korda and Eldridge ...
Opportunism in Healthcare he Rice (1997) and the Korda and Eldridge (2011) articles, Health & Medical Assignment Homework Help
Prior to engaging in this discussion, please read Chapter 12 in the text, read the Rice (1997) and the Korda and Eldridge (2011) articles, and review any relevant Instructor Guidance. It is suggested that you also take a moment to review a few of the recommended articles to glean any potential helpful information. Opportunism in health care is especially perceptible in the health insurance markets. Consider the area in which you live, specifically your state and local communities. Evaluate the social-cultural issues that are influencing adverse selection in insurance markets. Propose some strategies for reducing adverse selection in health insurance within these markets. Develop a microeconomic model that is responsive to your local service demands. Communicate how these issues are relevant to the economics of the greater U.S. health care system. What are the future implications with the Affordable Care Act?
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