...Josephine Morrow Guided Reflection Questions Opening Questions How did the simulated experience of Josephine Morrow’s case make you feel? The simulated experience of J. M case make me feel confident in my nursing skills. In addition, the simulation reinforced the knowledge obtained in lectures and readings about skin care and documentation in a more productive way. Talk about what went well in the scenario. At the beginning of the simulated experience of J.M case I introduced myself and identified the patient. I proceeded by checking allergies and vital sings. Then, I educated the patients about wound care and irrigated the wound. Also, I elevated the patient’s legs to improve venous return. Reflecting on Josephine Morrow’s case, were there...
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...experienced in children is due to either genetic factors or poor eating habits. According to research, cases of diabetes seem to be increasing at a fast rate in America. Estimates also reveal that by the year 2030, the number of people living with diabetes will be double. Treatment procedure for diabetes as suggested...
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...|Ethics Case Studies—Learning Application of the 2009 ADA/CDR Code of |[pic] | |Ethics for the Profession of Dietetics | | |Case Study #1: A registered dietitian (RD) is newly employed as part of a treatment team in an ambulatory care setting. After several | |counseling sessions, one of the clients he is counseling for obesity discloses that she is being physically abused by her spouse and is | |experiencing depression. The RD continues to have the client come in for nutrition counseling sessions in an attempt to better understand | |the relationships among her current domestic situation, psychological state and weight issues. During a treatment team meeting, the RD | |reports on the client and is questioned by one of the team members about why he did not refer the client to the mental health professional. | |What should be done in this situation? | |Questions for Discussion | |Is the situation described an ethical issue? Or, is it a business dispute? It is an ethical issue. | |What principle(s) of the Code of Ethics does it...
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...Thank you for the opportunity to apply for the Dietary Technician role at your organization. After reviewing your job description, I am certain that I have necessary skills to successfully do the job and perform above expectations. As a recent graduate with a Bachelor of Science degree in Human Nutrition – Dietetics from the Metropolitan State University of Denver, I have a broad knowledge of nutrition and food service including nutrition care process. I have been done many case studies of nutrition therapy and practiced develop nutrition care plans through my coursework. During the course of my academic career, I also managed to accrue over one year of work experience through volunteering as a customer relation at National Jewish Health....
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...Lifespan Development Name Institution Course Date Lifespan Development Lifespan development is a wide field in the field of psychology. It all began with Darwin, who, in his quest to understand evolution, began to study the topic. In simple terms, lifespan development refers to a process, usually beginning from conception and ending when an organism dies. The process occurs methodologically and is as a result of the change that occurs with increasing age. Although the lifespan development may look simple, it is quite complex and involves different developmental stages. According to Baltes, (1996), the entire life cycle has four eras. These eras, he says, take an approximate time of 20-25 years. Levinson goes further to identify the developmental periods as childhood and adolescence, early childhood, middle adulthood, and late adulthood. At this point in time, it is formal to simplify various terminologies that relation to human development. This is because they will feature constantly in the preceding sections. First and foremost is development. This is simply a change characterized by movement from one state to another. Usually, development leads to transitions. Development, as will be used in this paper, will refer to growth, and progression through certain stages, commonly termed as “maturity.” Another term of significance is stage. This refers to sections that differentiate the various phases of growth. The phases involve...
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...Scientists say we will be the first generation that will live shorter lives than our parents, and that’s very hard to hear. Kent Thornburg suggest that your first two years of life determines your risk of heart disease. Birth weight determines your risk of heart disease, if you were born very small or very big you are at 3-5 times increase for heart disease then if you were of normal weight. If you were small, you didn’t have enough nutrients, you had fewer heart cells, and your pancreas had fewer insulin making cells. If you were born bigger, you had too much nutrition, mothers had poor glucose, and the baby got energy and turned into fat. In cases such as these, these babies can pass their vulnerability of getting disease to their babies when they eventually have them. Thornburg talks about the Hundred Year Effect, saying nutrition flows across generations and has a 2-generation effect. You have to have good nutrition every generation to decrease the risk of chronic disease. It usually comes from what the mother eats and what her mother ate to pass onto her that will make the baby healthy, but it also stems from the men who passed on their DNA, which you cannot change. Our...
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...meal planning, medication, and regular physical activity. It sounds too good to be true on reversing Type II diabetes through exercise and healthy eating is true. While certain lifestyle changes are key to managing diabetes, whether you can actually turn back time so that it's like you never had diabetes is a different matter. That depends on how long you've had the condition, how severe it is, and your genes. "The term 'reversal' is used when people can go off medication but still must engage in a lifestyle program in order to stay off," (Ann Albright, 2015). Type 2 is the most common form of diabetes and can be diagnosed at any age. It is most commonly seen in adults. Type 2 diabetes accounts for about 90 to 95 percent of all diagnosed cases of diabetes, more than 29.1 million people or 9.3% of the U.S. population have diabetes. Chapter 1 History of Diabetes Now with a better understanding of Diabetes, the background of the disease is very important. In the first century A.D. a Greek, Aretaeus, described the destructive nature of the affliction which he named "diabetes" from the Greek word for “siphon”. “For fluids do not remain in the body, but use the body only as a channel through...
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...As John stated that he hates when any health care worker say john is short of breath. The functional problem in this case is reduced physical capacities to perform occupational task. However, An Occupational Therapy Based Health Promotion Program focuses on lifestyle intervention rather than treating with the medications. This program addresses exercise and nutrition for the clients in the community. It also provides social support for people with severe mental illness, for instance they help with providing low cost cooking supplies and budget friendly list of healthy grocery items. In my opinion, this will definitely take away the stress for clients with severe mental illness. In this program, occupational therapy practitioner helps client to lose weight by performing IADL’s and at the same time practitioner promoting wellness. Such as, cooking, grocery shopping, walking, and create healthy habits and routine for the clients. The program has wellness model which help clients to make better choices for their lifestyle. According to Yamkovenko, “The wellness model does not simply focus on physical health such as weight loss, but incorporates eight dimensions—physical...
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...Brandy Shields Mrs. Knutsen ENC1101-83 16 April 2014 Chronic Pain: Curable or Not Abstract Chronic Pain is an interesting problem in society today. The exact cause of Chronic Pain is not the same in every patient. In fact most patients present with different symptoms and associated pathologies, such as the strong link with depression. Treatment of Chronic Pain is often performed a single practitioner whether that be a Medical Doctor, Chiropractor, Nutritionist, or an alternative health care professional. Chronic Pain is often extremely complex, because of this treatment needs to be multidimensional. Effective care of Chronic Pain requires the collective cooperation of health care professionals Chronic pain is an increasing problem affecting society today. Chronic pain is a complex condition that affects 42 million-50 million Americans, according to the American Pain Foundation. A recent market research report indicates that more than 1.5 billion people worldwide suffer from chronic pain and that approximately 3- 4.5% of the global population suffers from neuropathic pain, Despite decades of research, chronic pain remains poorly understood and notoriously hard to control. A survey by the American Academy of Pain Medicine found that even comprehensive treatment with painkilling prescription drugs helps, on average, only about 58% of people with chronic pain. The frequency of pain has a great impact on business, with a recent report by the Institute of Medicine (Medicine) ...
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...The cost of ERS for this cohort is approximately £22 million to the health care provider and £12 million to the participants and this account to a total of £33 million. This is based on a time off centre-based intervention as defined in the Cost Utility Analysis (CUA). The ERS includes an additional 3900 people becoming physically active, 51 cases of Congestive Heart Disease avoided, 16 cases of stroke avoided, 86 cases of diabetes avoided, 152 additional people in health states free from Congestive Heart Disease, stroke or diabetes and an increase of 800 Quality Adjusted Life Years (QALYs). ERS has a positive impact on the management of mental health, metabolic disease, cancer, musculoskeletal conditions and productivity through reduced absenteeism at work. There are some possible adverse affects in this study which are considered rare, but could still counteract some of the positive consequences of ERS. Based on the measurable costs and benefits, ERS is expected to result in a net gain benefit of 0.008 QALYs, with an incremental cost per QALY of ERS of approximately...
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...BRAC UNIVERSITY SUMMER 2014 BTE 310: MEDICAL BIOTECHNOLOGY DATE: 21.08.2014 ASSIGNMENT: LEUKEMIA SUBMITTED BY: Prateem Das ID: 12136014 BIOTECHNOLOGY, MNS SUBMITTED TO: ROMANA SIDDIQUE LECTURER MNS DEPARTMENT OF MATHEMATICS AND NATURAL SCIENCES Introduction Leukemia is a type of cancer that results in the body making too many abnormal white blood cells. This uncontrolled production results in an excessive amount of white blood cells that may be immature (acute leukemia) or mature (chronic leukemia). The leukemic cells may not function well to fight infection and may interfere with the production of red blood cells (which carry oxygen) and platelets (which control bleeding). Normally, white blood cells play an important role in the body's natural defence system. They target and destroy foreign invaders like viruses and bacteria. White blood cells are made in the marrow (the spongy core) of your bones. Without healthy and functioning white blood cells, the body is at risk of developing severe and sometimes fatal infections. Different types of leukemia Acute leukemia develops within days to weeks, and large numbers of immature cells called "blasts" build up. These cells can't function as well as normal white blood cells, so people with acute leukemia are at a higher risk of infection. Because the body is so busy producing "blasts," it can't make as many red blood cells or platelets, which can cause anemia and bleeding disorders. Chronic leukemia...
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...Advanced Pathophysiology Case Study 6 Case Study 6 Scenario: John is a 4 year-old boy who was admitted for chemotherapy following diagnosis of acute lymphoblastic leukemia (ALL). He had a white blood cell count of 250,000. Clinical presentation included loss of appetite, easily bruised, gum bleeding, and fatigue. Physical examination revealed marked splenomegaly, pale skin color, temperature of 102°F, and upper abdomen tenderness along with nonspecific arthralgia. Pathophysiology signs and symptoms The primary pathophysiological etiology for signs, symptoms and laboratory findings in 4 year-old John’s case study are secondary splenomegaly as a result of primary Acute Lymphoblastic Leukemia (ALL). Because of its proximity to the diaphragm, splenomegaly results in pain or fullness in the left upper abdomen (subsequent tenderness and loss of appetite) that may spread to the left shoulder (non-specific arthralgia). Splenomegaly may result in anemia (bruising, bleeding gums, decrease in pallor) fatigue and frequent infections (4 year old John’s WBC 250, 000 count and fever 102°F). However, in John’s case, some of the symptoms related to splenomegaly can also overlap with those of his diagnosis of ALL such as fever and abdominal distention. Additionally, anorexia, headache, seizures, lethargy, arthralgia, infection, and bruising are also potential side effects (Ghazi et al., 2010). Pathophysiology of acute lymphoblastic leukemia-AML comparison According to Gedaly...
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...HERBAL THERAPY Introduction Herbs are plants that have acquired some inherent value to humans. There is a certain power with the use of herbs because it is primarily intended to alleviate and provide quality of health. Three values that I found relevant with this book that I believe will also be beneficial for others to read is its medicinal property and edibility. All plants have the potential to fall into the one or all of these categories. Contrary to popular belief, the study of plants is not a pseudo-science. This belief perpetuates the idea that herbs need not be taken seriously. However, the study of herbs as a science, along with mushrooms and algae can safeguard human wellbeing when utilizing these plants. It is not my intent to promote DXN membership and business opportunities but to share the wealth of knowledge derived from the therapeutic health supplements for human wellness. Defining Herbotherapy Herbotherapy is a broad term used to refer to any type of healthcare treatment using fresh or dried herbs that also includes mushrooms or fungi such as the Ganoderma and the algae Spirulina. It is also known as a "natural" drug because they are derived from nature. This is unlike pharmaceutical drugs, which are synthesized from chemicals. The combination of all these elements from nature provides medicinal value in treating illnesses and diseases. Herbal medicine dates back more than 4,000 years ago from the healing traditions of the Chinese...
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...Case Study 2: Hyperlipidemia Scenario R.M. is an active 61-year-old man who works full time for the postal service. He walks 3 miles every other day and admits he doesn’t eat a “perfect diet.” He enjoys 2 or 3 beers q HS (every night), he uses stick margarine, eats red meat 2 or 3 times per week, and is a self-professed “sweet eater.” His cardiac history includes a recent inferior myocardial infarction (MI) and a heart catheterization revealing 3-vessel disease: in the left anterior descending (LAD) coronary artery, a proximal 60% lesion; in the right coronary artery (RCA), proximal 100% occlusion with thrombus; and a circumflex with 40% to 60% diffuse ectatic lesions. A stent was deployed to the RCA and reduced the lesion to 0% residual stenosis. He has had no need for nitroglycerin (NTG). Six weeks after his MI and stent deployment, he had a fasting advanced lipid profile. The results were total cholesterol 188 mg/dl, HDL 34 mg/dl, triglycerides 176 mg/dl, LDL 98 mg/dl, pattern B LDL typing at 19 nm, homocysteine 18 mg/dl, high-sensitivity C-reactive protein (HS CRP) 12 mg/dl, fasting blood glucose (FBG) 101 mg/dl, thyroid-stimulating hormone (TSH) 1.04 mg/dl. Total Cholesterol 60 34 Triglycerides 45-155 176 LDL 5% and greater than placebo) of niacin are flushing, diarrhea, nausea, vomiting, increased cough, and pruritus. Flushing (warmth, redness, itching, and/or tingling of the skin) may vary in severity and is more likely to occur with initiation of therapy...
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...1.2.1 Exposure to long term antibiotic therapy Long-term antibiotic therapy is one of the most extensively studied risk factors. Exposure to multiple and prolonged use of broad spectrum antimicrobials have been found to be independent risk factors for candidemia. The reason for this being, many of the antibiotics like beta-lactams and vancomycin used in the wards and intensive care unit (ICU) settings lead to the depletion of normal bacterial flora resulting in fungal overgrowth. The increasing use of oral vancomycin in the ICUs results in the depletion of anaerobic bacterial flora of the gut. 1.2.2 Intravascular Catheters and Central Venous Catheters Intravascular catheters are also one of the important risk factors in the acquisition of candidemia. Candida species adhere avidly to materials used in intravascular catheters and provide a potential nidus for infection. Some species like Candida parapsilosis are especially implicated in intravascular catheter-related infections in neonates and in the paediatric age group. The role played by intravascular catheters in perpetuating candidemia has implications for its management. Removal of vascular catheters has been advocated as an adjunctive strategy for treating patients with catheter-related candidemia. However, there is some controversy regarding the benefits and risks of removal of vascular catheters in management of candidemia....
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