Diagnosis and Management of Respiratory

Diagnosis and Management of Respiratory

Diagnosis and Management of Respiratory

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Case Study 4:

Miguel is a 15-year-old male who presents for a sports physical. He is a healthy adolescent with no complaints. He plays basketball. He is 6 feet 5 inches tall and weighs 198 pounds. You note long arms and long thin fingers. He has joint laxity in his wrists, shoulders, and elbows.

Case Study 5:

Trina is a 9-year-old female who weighs 110 pounds. Vital signs are as follows: BP 122/79, P 98, R 20. Her mother reports she is a picky eater and refuses to eat fruits and vegetables. Her physical activity includes soccer practice for 1 hour a week with one game each weekend from September through November. Family history is negative for myocardial infarction, but both parents take medication for dyslipidemia.

Case Study 6:

You see a 2-month-old for a well-child visit. She is breastfed and nurses every 2 to 3 hours during the day, but her mother reports she is not nursing as vigorously as before. She sleeps one 4-hour block at night. Birth weight was 7 pounds 5 ounces. Weight gain over the last 2 weeks reveals gain of 5 ounces per week. Physical examination reveals the following: HEENT exam is benign, lung sounds are clear, a new III/VI systolic ejection murmur is noted along the left lower sternal border, cap refill is brisk, skin is pink and moist, and abdominal exam is benign.

To prepare:

  • Review “Respiratory Disorders,” “Cardiovascular Disorders,” and “Genetic Disorders” in the Burns et al. text.
  • Review and select one of the six provided case studies. Analyze the patient information.
  • Consider a differential diagnosis for the patient in the case study you selected. Think about the most likely diagnosis for the patient.
  • Think about a treatment and management plan for the patient. Be sure to consider appropriate dosages for any recommended pharmacologic and/or non-pharmacologic treatments.
  • Consider strategies for educating patients and families on the treatment and management of the respiratory disorder.

By Day 3

Post an explanation of the differential diagnosis for the patient in the case study you selected. Explain which is the most likely diagnosis for the patient and why. Include an explanation of unique characteristics of the disorder you identified as the primary diagnosis. Then, explain a treatment and management plan for the patient, including appropriate dosages for any recommended treatments. Finally, explain strategies for educating patients and families on the treatment and management of the respiratory, cardiovascular, and/or genetic disorder.

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Problem Resolution

  Problem Resolution II 

  • Consider the following questions for the resolution you have selected:
    • Is the resolution realistic?
    • What are the consequences of the resolution, and who would be impacted?
    • What would be the challenges and barriers to implementing the resolution?
    • you are to focus on one potential resolution to your problem, for the application.  You are to go in-depth into what this resolution is and how it can be implemented–along with the potential drawbacks to the resolution.  Again, make sure that your ideas have a basis in the research literature.  You will need to support your resolution with citations.

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Comparing the Roman and Byzantine Empires

When Rome declined, the western half of the empire formed the Byzantine Empire. The eastern half became the Holy Roman Empire. Because the Byzantine Empire came from the fall of the Roman Empire, the Byzantine Empire had many similarities with Rome. In addition to these similarities, there were also several differences between these two empires. These similarities and differences helped shape the Byzantine Empire into what it became.

Go to youtube: Comparing Roman and Byzantine Empires | AP US History | Khan Academy
https://youtu.be/Fx4l41R5nxY
After you view the video, you will need to compare the Roman and Byzantine empires by identifying and describing the following characteristics:  capital; language; religion; law; governance; and culture.  The following example is how you should format your findings:

Example

Time Period.  The Roman Empire began in 27 BCE and ended in 476 CE.  The Byzantine Empire originated in 330 CE and was terminated in 1453 CE.

Use complete sentences when identifying and describing the characteristics of both empires.  Do not simply list the characteristics.

Identify and describe the characteristics of both empires as follows:

Capital.

Language.

Religion.

Law.

Governance.

Culture.

Comparing the Roman and Byzantine Empires summary of the Khan Academy video must be approximately 200 words and submitted as a text entry.

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Do you think in the long run removing coverage on Mental Health and Substance Use Treatment will save money?

The Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA) is a federal law that generally prevents group health plans and health insurance issuers that
provide mental health or substance use disorder (MH/SUD) benefits from imposing less favorable benefit limitations on those benefits than on medical/surgical benefits. MHPAEA originally applied to
group health plans and group health insurance coverage and was amended by the Patient Protection and Affordable Care Act as amended by the Health Care and Education Reconciliation Act of 2010
(collectively referred to as the Affordable Care Act) to also apply to individual health insurance coverage. The ACA required both private insurance and state-subsidized Medicaid plans to offer
mental health and substance-abuse treatment as an essential benefita core safeguard for parity. However the GOP health bill to repeal ACA earlier this year stated to remove a requirement set
forth in the ACA that mandated Medicaid to cover basic mental and behavioral (including substance-related) health services. If the bill would have passed the burden of mental health care would
fall largely on states and individuals. How would the removal of mandated Medicaid coverage on basic mental and behavioral (including substance-related) health services impact other public sectors
including medical health care public assistance public housing child welfare criminal justice? Will the needs for these services increase? In other words if the mandated Medicaid coverage on
basic mental and behavioral (including substance-related) health services is removed will public sectors such as medical health care public assistance public housing child welfare criminal
justice see more people enter their services? Why or why not? Please explain the impacts on each of these public sectors. One of the rationals to repeal ACA is to cut federal spending. Do you think
in the long run removing coverage on Mental Health and Substance Use Treatment will save money? Your paper should be short and no more than 3 pages in length (Double-Spaced).

 

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