Discuss medications to treat asthma. What specifically should patients be taught about these medications to prevent adverse side effects?
Category: Medicine
Ability as a clinician to provide the most appropriate patient care
Write a 5-8 page exploring a case in your clinical practice specifically analyzing how the type of health insurance your patient has directly impacts (both positively and negatively) on your ability as a clinician to provide the most appropriate patient care. (For example, a patients’ private health insurance plan may have a strict pharmacy formulary in order to control for the high cost of pharmaceuticals in the US and you may struggle to find an appropriate pharmaceutical for the patient’s condition within their plan’s requirement). Please incorporate into
your Case Assignment how the Accountable Care Act affected this patient’s care and then evaluate whether this has a positive or negative impact on population health overall. (For example, the Accountable Care Act allowed children to remain on their parent’s employer sponsored private health insurance plan until the age of 26.
How might this part of the federal law positively and negatively impacted this cohort’s overall health).
Complexation patterns in drug molecules
Describe complexation patterns in drug molecules and forces involved in organic molecular complexes and discuss the forces involved in drug-polymer interactions modulating drug delivery. To enhance this learning segment, research supporting material with your views gleaned from the materials.
In 7-10 well-constructed sentences, provide what you consider a full description and discussion of these topics. Include in your discussion of how you will apply what you’ve learned to enhance your pharmacy practice. Additionally, provide two questions that invoke reflection and further discussions.
Individual Rights & Vaccination Policy
School board trustees are requesting public comment before they vote on a vaccination policy for all children in a local school district. Should individual rights (e.g., parents’ rights to decide whether to vaccinate their children) be compromised to control the spread of communicable diseases for the good of society?
Hospital, rehabilitation center
Use the Internet to look for a health care organization in your area such as a hospital, rehabilitation center, emergency medical center or a nursing home. Take some time to look at the organization’s logo and other elements of brand identity. Using what you learned about Schmitt and Simonson’s drivers of identify management regarding inconsistent image, determine whether the chosen facility’s logo and associated branding elements convey an image of consistency and order. Be sure to support your analysis with rationale from the textbook and any other resources you may identify on the subject.
For the discussion, provide a link that shows at least two of the health care organization’s branding elements (such as their website, social media page, or press release) and explain, with rationale, whether the branding within these elements conveys consistency and order. Describe what impact (positive or negative) the branding elements could have on patient choice.
Advanced primary family care
SUBJECTIVE:
Samuel, a 48 – year – old male, presents to the office with mild – to – moderate chest pressure with radiation to his back. Samuel reports that he was awakened from sleep at 7:00 a.m. with chest pressure, initially described as soreness across his anterior chest and through to his back. He rates his pain + 6/10. He felt as though, if he could just belch, he would feel better. His wife drove him to the office to be here when it opened at 9:00 a.m. She tried to convince Samuel to go to the emergency room; but he emphatically refused, insisting on going to the office first. Upon arrival at the office, you take Samuel back to an examination room and instruct the receptionist to call 911.
Past medical/surgical history: Diabetes mellitus type 2.
Family history: He has a family history of premature coronary artery disease. His father died of acute myocardial infarction ( AMI ) at age 45. One brother died of AMI at age 49. Social history: He has smoked for 25 years but has reduced his smoking to 1 pack per day since his brother’s death two years ago. He has put on 25 pounds in the past two years and is generally sedentary.
Medications: Samuel was diagnosed with type 2 diabetes last year. He has been fairly well controlled with diet and Metformin, 500 mg daily. His last hemoglobin A1C was 7.4 two months ago.
Allergies: Latex.
OBJECTIVE
General: He is anxious and showing signs of chest pain as you enter the office room. He is slightly diaphoretic. He took an oral aspirin on the way to the office.
Vital s signs: BP: 192/96; P: 102; R: 22; T: 97.8. His SpO2 is 90%.
ECG: His stat ECG shows ST segment depression and T wave inversion in leads II and III.
Cardiovascular: His heart tones are muffled with an S3 gallop. His hands and feet are cool to touch. Radial pulses are 2 +. Pedal and posterior tibial pulses are 1 +. He has neck vein distention of 5 cm with the head of the bed at 90 degrees. He has no carotid bruits, heaves, or thrusts. His PMI is at the 5th ICS, left mid-clavicular line.
Respiratory: He has harsh rhonchi in the upper lobes bilaterally and a nonproductive cough.
- Which diagnostic or imaging studies should be considered to assist with or confirm the diagnosis? Explain (One paragraph)
- What is the most likely differential diagnosis and why? (One paragraph)
- Explain the treatment plan (One paragraph)
a. What referrals are needed? Explain
- Does the patient’s family history impact how you treat this patient? (One paragraph)
- What are the primary health education issues? Explain (One paragraph)
- Are there any standardized guidelines you should use to assess/treat this case? Explain (One paragraph)
Health inequities
Health inequities result in poor health outcomes creating a burden on clients, families, and communities. One of the areas of impact is in life expectancy. Several factors impact life expectancy, including genetics, race, socioeconomic status, and lifestyle choices. Surprisingly, one of the most significant predictors of life expectancy is zip code. View this brief video Links to an external site. on the correlation of zip code to life expectancy. Then, follow the directions below to gather information for your initial discussion post. You may gather information for your home county or for the area in which you intend to practice.
- Application of Course Knowledge:
o Describe county-level demographics:
Visit the United States Census Bureau Links to an external site.
Use the Geography filter in the left menu. Select your state and county (MIAMI, FL) Click the SEARCH button.
View the profile for your county. The link may be found under the county map.
Identify your county and state. Briefly describe demographic data for your county, including total population, median income, percentage of residents with health insurance, poverty percentage, and one additional demographic. Compare the data to state averages and discuss your findings.
o Evaluate life expectancy data:
Access the NCHS Data Visualization Gallery Links to an external site.
Select your state and county from the dropdown menus on the interactive map.
Find the census tract with the highest life expectancy and the tract with the lowest life expectancy within your county. Compare these rates with the state and national averages.
Identify and describe demographic factors in the selected county that may play a role in life expectancy.
Explain the implications of this data for your future practice. - Integration of Evidence: Provide support from a minimum of one scholarly in-text citation in addition to the textbook (textbook: HAM’S PRIMARY CARE GERIATRICS)
- Professionalism in Communication: Present information in a logical, meaningful, and understandable sequence that is relevant to the discussion topic.
a. Grammar, spelling, and/or punctuation are accurate.
b. Good writing calls for the limited use of direct quotes. Direct quotes in discussions are to be limited to one short quotation (not to exceed 10 words). The quote must add substantively to the discussion.
Leadership in Law Enforcement
Prepare an argument in favor or against police officers wearing body cameras. Explain why you believe these cameras are effective or ineffective. Your argument should address the following four points: (1) privacy issues for police, third parties, and suspects; (2) use of force issues; (3) budgetary concerns; and (4) legislative action. As support for your argument, cite specific examples and reference the scholarly articles (Bud and Sandhu) listed in your assigned readings. The following articles may also prove helpful:
Technology in Policing: The Case for Body-Worn Cameras and Digital Evidence
Please also use Box 15.1: Actions in Wake of Police-Community in your textbook. As part of your argument include a discussion of whether you believe state legislators should pass laws requiring the use of body cameras or allow (or prohibit) bystanders videotaping police actions. Box 15.1 gives you an overview of what legislators have done in some states thus far. Note that your argument can be some combination in favor of or against the use of body cameras.
The living will
The living will is a relatively new doctrine and instrument in the English Common Law. The living will is a creation of necessity that came about due to the huge and unforeseeable medical advances that occurred in the 20th century due primarily to technological breakthroughs. Prior to this time, the common law allowed an individual to make her medical decisions only during such time as she was physically competent to do so. If and when such competency ended, the law imposed a strict protocol of persons to whom the duty of decision-making would fall. No allowances were made for what we now call advance directives.
Respond to Question Below: Write 200-300 words. Using APA Style.
Is this an improvement of the law or do living wills and advance directives create more problems than they solve? Please use a concrete example to support your argument.
Addictive behaviors
List and describe seven examples of addictive behaviors presented in the text. Choose one particular