Category: Health & Medical

Directions
Students should choose one to complete from either Part 1, Part 2, or Part 3. Note: All case studies are provided as a learning tool for students who wish to have them. Part 1 M.S. is a 26-year-old woman who is pregnant with her first child. Her husband accompanied her to all her prenatal visits. An ultrasound during a routine visit at 34 weeks’ gestation revealed that the baby had hydrocephalus and a myelomeningocele. The parents were initially devastated but remained very excited about the birth of their first child. M.S. was scheduled for a cesarean section at 38 weeks’ gestation, and the couple was anxious about their child’s condition and care following birth. M.S. delivered a baby boy by cesarean section; he was transferred to the pediatric intensive care unit. On admission to the nursery, the baby’s vital signs and weight were within normal limits, but his head circumference was large. He had bulging fontanelles and a high-pitched cry. The nurse noted a saclike projection in the lumbar region of his spine. Provide responses to the below based on Part 1. Discuss the rationale for delivering the infant by cesarean section. Discuss the significance of the infant’s clinical manifestations. Discuss the acute and long-term treatment strategies for the infant. Discuss the complications associated with myelomeningocele. Part 2 Anna Bryant, a 65-year-old White female, is brought to the emergency department by her daughter, Pat. Ms. Bryant complains of right-sided weakness and a headache that started about 2 hours ago. Her daughter states she found her in bed early this morning and noticed she was having trouble speaking. Ms. Bryant has a history of type 2 diabetes mellitus, for which she takes metformin and rheumatoid arthritis, which she manages with naproxen. She used to smoke but quit 5 years ago. She does not drink alcohol or use illicit drugs. Her vital signs are as follows: Temperature 99.0°F; heart rate 94 beats per minute and irregular; respirations 20 per minute; blood pressure 150/90 mmHg; pulse oximeter 95%. Upon assessment, Ms. Bryant is alert, but has trouble answering questions. Her speech is slurred, and she appears frightened. Answer the following questions.
1. Based on her manifestations which cerebral artery is likely affected? Vertebral artery Basilar artery Posterior cerebral artery Middle cerebral artery 2. Which type of stroke is Ms. Bryant likely having? Ischemic embolic stroke Ischemic thrombotic stroke Subarachnoid hemorrhage Intracerebral hemorrhage 3. Where in the brain is the lesion? Right hemisphere Left hemisphere 4. Based on her history and physical examination findings, what is a possible etiology for a stroke in Ms. Bryant? Endocarditis Rheumatoid arthritis Atrial fibrillation Illicit drug use 5. This question is optional. What diagnostic tests should be ordered in the acute phase? Select all that apply. 12-lead electrocardiogram Hemoglobin A1c Noncontrast CT Lipid profile 6. This question is optional. What are treatment strategies for this acute stroke? Select all that apply. Intravenous thrombolytic therapy administration Systemic cooling to decrease risk of cerebral edema Antihypertensive agents to reduce mean arterial pressure to 80 (e.g., 100/70 mmHg) Statin administration Part 3 A 45-year-old Hispanic female, Ms. Rodriguez, presents to the clinic complaining of sudden onset headache. She states this headache is different from her previous migraine headaches. The headache pain is described as a 10 on a scale of 0–10 with 10 being the worst pain. The pain is nonradiating, and she has mild photophobia. She did not get relief with sumatriptan (Imitrex), which previously provided relief for her migraines. She feels nauseous and states she vomited twice. Physical examination findings are as follows: Vital signs: temperature 98.8°F; pulse 88 beats per minute; respirations 20 per minute; blood pressure 150/95 mmHg; pulse oximeter 100% on room air.
General appearance: alert, in mild discomfort due to pain. Head, Eyes, Ears, Nose, and Throat: normocephalic, atraumatic; pupils equal, round, reactive to light and accommodation; sclera nonicteric; extraocular movements intact; no nystagmus; optic disc margins are sharp with no evidence of papilledema or hemorrhaging noted.
Lungs: clear to auscultation bilaterally.
Cardiac: regular rate and rhythm; S1, S2 with no murmur.
Abdomen: soft, depressible, nontender, no organomegaly.
Neuro: cranial nerves II–XII intact; muscle strength 5/5; deep tendon reflexes 2+ and symmetrical throughout; no pronator drift; negative Romberg sign; coordination intact; gait steady. Answer the following questions or provide responses based on Part 3.
What is your differential diagnosis? What are your risk factors for meningitis? Subarachnoid hemorrhage (SAH)? What imaging would you like to do? Discuss the difference between a headache that presents gradually as compared to a headache that presents suddenly.
What other history to you want to obtain from this patient? What clinical findings would you anticipate with meningitis? What clinical findings would you anticipate with SAH? Submission Details:Title your document with the part number above completed.

Review the “Rubric Peer Review” media piece for information on effective peer reviews.
Begin by posting your Proposal Argument Assignment Rough publish by the deadline to TWO places: the Week 6 Peer Review Forum: Proposal AND the Week 6 Proposal Argument First publish assignment box.
Perform a peer review of the publish of the classmate who posted his/her response directly below yours in the Week 6 Peer Review forum. If your publish is the last posted, review the first publish posted. Then, complete the “Peer Review Worksheet: Proposal” (see attachment in the Proposal Argument Assignment box) to guide your review of a classmate’s paper.
You will then need to post your completed Peer Review Worksheet to TWO places: the Week 6 Peer Review Forum: Proposal for your peer to view AND the Week 6 Peer Review Assignment for the Proposal Argument Essay assignment box, so the instructor can grade your work.
Attach the file with your completed Peer Review Worksheet to the Peer Review Forum: Proposal as a “reply” to the initial post of your peer’s first publish.
Please note that to participate in the peer review process you must post your essay by 11:59 pm (AZ time) on Wednesday of Week 6.
If you do not submit the First publish or Peer Review Worksheet to both places or if you review the wrong person, you may not receive full credit for this assignment.
Q2
Use the following questions to develop ideas for your proposal.What do you think is the most significant problem regarding the sale of organs?
Why do you think it is a problem?
Who has the power to solve this problem?
Why has it not been solved up to this point?
How can the problem be solved?
What are the benefits and costs related to your solution?
Using strategies for argumentation discussed previously in class, develop some arguments for your proposal that you could use for your skeptical audience. Refer to Chapter 7 in the textbook for additional information on rebuttals. Q3Use the following questions to develop ideas for your proposal.What do you think is the most significant problem regarding the sale of organs?
Why do you think it is a problem?
Who has the power to solve this problem?
Why has it not been solved up to this point?
How can the problem be solved?
What are the benefits and costs related to your solution?
Using strategies for argumentation discussed previously in class, develop some arguments for your proposal that you could use for your skeptical audience. Refer to Chapter 7 in the textbook for additional information on rebuttals.
Q4
To whom will you address your proposal? This person (or group) will be skeptical of your views. Will it be a friend or family member with different beliefs and values related to health care and/or the human body? Are there individuals in the medical community who hold different values than you do? How about a politician or media figure?What are their views on the issue of selling human organs, and what do they think should be done about it? Summarize the views of your skeptical audience as fairly and accurately as possible. During the week, review your classmates’ summaries of their skeptical audiences’ views. Constructively offer feedback on their summaries. Were the summaries fair, or did they seem biased? How can you tell? Offer suggestions on how to revise their summaries.
Q5
Review the “Rubric Peer Review” media piece for information on effective peer reviews.
Begin by posting your Proposal Argument Assignment Rough publish by the deadline to TWO places: the Week 6 Peer Review Forum: Proposal AND the Week 6 Proposal Argument First publish assignment box.
Perform a peer review of the publish of the classmate who posted his/her response directly below yours in the Week 6 Peer Review forum. If your publish is the last posted, review the first publish posted. Then, complete the “Peer Review Worksheet: Proposal” (see attachment) to guide your review of a classmate’s paper.
You will then need to post your completed Peer Review Worksheet to TWO places: the Week 6 Peer Review Forum: Proposal for your peer to view AND the Week 6 Peer Review Assignment for the Proposal Argument Essay assignment box, so the instructor can grade your work.
Attach the file with your completed Peer Review Worksheet to the Peer Review Forum: Proposal as a “reply” to the initial post of your peer’s first publish.

The local hospital had an incident involving the wrong medication administered to a patient. You have been asked to perform a root cause analysis. First, you need to discover: The event that happened, how it happened, and why it happened. Recommend key stakeholders to investigate this case. Why should these stakeholders be involved with the investigation? Compare the Five Whys of medication administration. How could addressing these questions help identify the root cause of this problem? How could medication errors be avoided in the future?
Submit your assignment here. Make sure you’ve included all the required elements by reviewing the guidelines and rubric.
What to Submit
Your paper should be submitted as a one- to two-page Microsoft Word document with double spacing, 12-point Times New Roman font, one-inch margins, and at least three sources cited in APA format.

HIT 104 Case Study #4 Musculoskeletal System
Read the “Short Clinical Case: OA of the Knee” on page 591 of The Language of Medicine by Ellen Chabner. Next, answer the following questions:
What disease did the patient suffer from?
What signs and symptoms did this patient experience?
What medications did the patient take?
What diagnostic procedures were performed in order to diagnose the disease?
What surgical procedures were performed? Please make sure that you make references to Figure 15-39 in your answer.
Explain the meaning of each medical term included within this report.
Explore the disease described in this case using credible websites and add other interesting facts as well.
Provide at least two references in the APA format.
Prepare a written report (no more than 2 pages, double spaced, Font size 12, Times New Roman) describing your findings. Your report should include complete answers to the eight questions listed above. Please do not forget to make references to Figure 15-39 in your answer for question #5. Please pay attention to spelling and punctuation. This assignment is worth 24 points. Your assignment will be graded based on the following rubric:
Criteria
Mastery Level
4 points
Advanced Level
3 points
Intermediate Level
2 points
Novice Level
1 point
Score
Patient’s Disease along with Signs and Symptoms
The disease was named correctly. All signs and symptoms were identified.
The disease was named correctly. One sign or symptom was not identified.
The disease was named correctly. Two signs or symptoms were not identified.
Or
The disease was not named correctly. One sign or symptom was not identified.
The disease was not named correctly. Three or more signs or symptoms were not identified.
Medications Taken By This Patient
All medications were identified.
One medication was not identified.
Two medications were not identified.
Three medications were not identified.
Diagnostic and Surgical Procedures Performed
All diagnostic and surgical procedures were identified. A reference to figure 15-39A was made.
All diagnostic and surgical procedures were identified. A reference to figure 15-39A was not made.
All diagnostic procedures were identified. A reference to figure 15-39A was made. One surgical procedure was not identified.
One diagnostic procedure was not identified. A reference to figure 15-39A was not made. All surgical procedures were identified.
The Meaning of Each Medical Term Included Within This Report
The meaning of all the medical terms is identified.
The meaning of one medical term is not identified.
The meaning of two medical terms is not identified.
The meaning of three or more medical terms is not identified.
Description of The Disease
The disease is described in at least five sentences.
The disease is described in at least four sentences.
The disease is described in at least three sentences.
The disease is described in at least two sentences.
APA Format and Mechanics
Two references are provided in the APA format. No grammatical, spelling, or punctuation errors.
One reference is provided in the APA format. A few grammatical, spelling, or punctuation errors.
References are provided, but they are not in the APA format. A few grammatical, spelling, or punctuation errors.
References are not provided. Many grammatical, spelling, or punctuation errors. Total

*****complete soap note****
patient is a 33 y/o female with std with no phx
Subjective: What details did the patient provide regarding her personal and medical history?
Objective: What observations did you make during the physical assessment?
Assessment: What were your differential diagnoses? Provide a minimum of three possible diagnoses. List them from highest priority to lowest priority. What was your primary diagnosis and why?
Plan: What was your plan for diagnostics and primary diagnosis? What was your plan for treatment and management, including alternative therapies? Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters, as well as a rationale for this treatment and management plan and patient education.
Reflection notes: What would you do differently in a similar patient evaluation?
Examine yourself are you reaching your current goals, learning new skills, and receiving a variety of patient experiences?

1.“The sole function of the container is to keep the product stable.” Do you agree or disagree with this statement? Give reasons for your answer.
2.Child resistant packaging, as the name implies, is intended to prevent children accessing medications. Why, then, should the product be tested using both children and seniors as subjects?
3.How does the packaging of single doses in a blister pack contribute to safety?
Q8: Child-resistant and tamper evident packaging is the same, the former is for children the latter for adults.
A. True B. False C. It depends
Q9: How is the package opened?
Q10: Does this method of packaging make the product safer to use when there are young children in the house?
Q11: Will adults have difficulty opening the package, in your opinion?
Go to: actiq.com

For this essay, you will identify an issue in your area of study or the field you want to work in someday. You will then establish an argument and support that argument with research and relevant evidence.
Specifically, you must address the following rubric criteria:
Introduction: The introduction is where readers will have a chance to get an idea of what your essay will be about and what you will prove throughout. Do not go into too much detail here but give readers a preview of what is to come. Remember to review your writing plan to ensure that you are briefly hitting the key points you planned to cover while also stating your claim.Provide an overview of the issue you have selected by briefly describing the main points and your argument.
Compose a thesis that states the argument that you will attempt to prove and support throughout your essay. This statement will give direction to your essay and should be well thought out.
Body: The body is your opportunity to describe and support your argument in depth. Make certain your thoughts and evidence are clear and organized in a way that is easy for readers to follow and understand.Ensure that you write multiple focused paragraphs, clearly state their main idea, and move logically from one to the next, building the thesis argument as the essay progresses.
Your body paragraphs should support your argument by purposefully combining ideas with evidence from sources. The key to a persuasive essay is how well it is supported with quality evidence.
Address and refute at least one opposing viewpoint to your argument, which is your chance to discredit a significant opposing view and strengthen your argument in the process.
Conclusion: Think of the conclusion as a review of your argument. Use this section to restate your argument and remind readers of your supporting evidence. This paragraph is your last chance to persuade readers to agree with you.Briefly summarize the main points of your essay. This section should consist of a brief review of your main ideas.
Draw conclusions based on your evidence.Use evidence that you have found to wrap up the essay in a meaningful way that makes a connection to your audience.
Guidelines for SubmissionYour persuasive essay publish must be 5–7 pages (plus references) and must be written in MLA or APA format. Use double spacing, 12-point Times New Roman font, and one-inch margins. Include at least three references in MLA or APA format.

Week 7 Activity – Lean and Six Sigma in Health Care
Instructions
Write 1-2 pages in which you:
Summarize the application of Lean and Six Sigma in the case study.
Describe ways in which Lean and Six Sigma could be applied to improve health care economics and the application of health care financial and funding models.
Use at least two sources to support your writing. Choose sources that are credible, relevant, and appropriate. Cite each source listed on your source page at least one time within your assignment. For help with research, writing, and citation, access the library or review library guides.

DISCUSSION3—-Address the following:
What are the major differences between qualitative and quantitative research designs?
What are the data like and how are they collected in qualitative and quantitative studies?
Minimum response of 200 words please. Put in your own words. No AI or spinning words

The following article “Rationale and opportunities in estimating the economic burden of seasonal influenza across countries using a standardized WHO tool and manual” aims to describe the rationale of the WHO manual development and opportunities that lie in collecting data to help policymakers estimate the economic burden of seasonal influenza. It also links to relevant literature and tools to ensure robustness of applied methods to assess the economic burden associated with seasonal influenza, including direct medical costs, direct non-medical costs and indirect costs.
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https://onlinelibrary.wiley.com/doi/full/10.1111/irv.12491
Read this article and briefly describe the following points:
1. Article summary (introduction- themes- conclusion).
2. The WHO Manual for estimating the economic burden of seasonal influenza.
3. What is the economic burden estimation?
4. The processes for estimating the economic burden of disease