Disorders of Gastrointestinal Function 

Disorders of Gastrointestinal Function

Disorders of Gastrointestinal Function

Case Study 2

Disorders of Gastrointestinal Function

Marcee is a 52-year-old woman who worked at a reception desk at a company head office. She took some time off when she was treated for colorectal cancer. The Dukes classification was stage I, and the treatment protocol involved surgery and radiation therapy. No one in her family had a history of the disease. Marcee does not drink or smoke, but she does not pay close attention to her diet. At work, her meals consisted mainly of the foods she got from vending machines at the cafeteria. At home, she preferred to heat up frozen dinners or any prepackaged food that required minimal preparation time.

  1. Review Marcee’s diet. What factors in her dietary      choices might contribute to the development of colorectal cancer?
  2. Colorectal cancer often arises from adenomatous polyps.      What are the development and histological features of these polyps?
  3. Colorectal cancer may be a complication in individuals      with ulcerative colitis. How are the “pseudopolyps” seen in this disease      different from the polyps discussed above?
  4. Why is a fecal occult blood test used as one of the      screening tools for colorectal cancer? Explain the procedure for administering      the test.Case Study 2

    Disorders of Gastrointestinal Function

    Marcee is a 52-year-old woman who worked at a reception desk at a company head office. She took some time off when she was treated for colorectal cancer. The Dukes classification was stage I, and the treatment protocol involved surgery and radiation therapy. No one in her family had a history of the disease. Marcee does not drink or smoke, but she does not pay close attention to her diet. At work, her meals consisted mainly of the foods she got from vending machines at the cafeteria. At home, she preferred to heat up frozen dinners or any prepackaged food that required minimal preparation time.

    1. Review Marcee’s diet. What factors in her dietary      choices might contribute to the development of colorectal cancer?
    2. Colorectal cancer often arises from adenomatous polyps.      What are the development and histological features of these polyps?
    3. Colorectal cancer may be a complication in individuals      with ulcerative colitis. How are the “pseudopolyps” seen in this disease      different from the polyps discussed above?
    4. Why is a fecal occult blood test used as one of the      screening tools for colorectal cancer? Explain the procedure for administering      the test.
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Research and write a report based on the current trend of HRM.

Retention of productive employees is a major concern of HR professionals and business executives. It is more efficient to retain a quality employee than to recruit, train and orient a replacement/new employee of the same quality.

4 key points.

The post Research and write a report based on the current trend of HRM. appeared first on Savvy Essay Writers.

Psych 4

Discussion Prompt 1

Milestones: Navigating Late Childhood to Adolescence

From the movie, Lila, Eight to Thirteen in this week’s materials, identify 23 developmental milestones Lila reaches, and assess whether or not you think she successfully navigates her way through them as she prepares for adolescence. Support your assertions with evidence from your text and this week’s materials. 

Discussion Prompt 2

What’s the problem with today’s kids?

Sarah and Marco are having a conversation about the issue of childhood obesity and the high rate of overweight children in in the United States.

“The food in our society is unhealthy,” Sarah stated. “There are too many addictive chemicals that lead to American kids becoming overweight.”

“Nah,” Marco replied. “I think overweight kids should just eat less and exercise more. It’s the parent’s fault, if you ask me. The parents are buying and feeding these kids junk.”

Do you agree with Marco or Sarah concerning the issue? Why or not? What other factors contribute to childhood obesity in contemporary American society? What impact does obesity have on cognitive, physical, and socioemotionaldevelopment in middle and late childhood? Support your reasoning with information from the text and other course materials.
Answer for each post must be more than 125 words 

__________

Complete your required discussion prompt:

Predict the effects of a superficial injury to the spinocerebellar tracts.
-answer should be at least 4 sentences

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A patient is admitted to your surgical center for a breast biopsy under local anesthesia. The surgeon has previously informed the patient of the procedure, risks, alternatives, desired outcomes, and possible complications.

Assignment:

Professional Development Exercises :

  • Read the case study presented at the end of Chapter 8 (Guido, p. 150)
    • Is the patient correct in asserting that he has a right to know the names and status of individuals who will be performing this procedure?
    • Does the manner in which the student introduced herself and the two other team members have relevance in this case?
    • Was the informed consent deficient to the degree that there was a lack of informed consent by the patient?
    • How would you decide this case?
  • A patient is admitted to your surgical center for a breast biopsy under local anesthesia. The surgeon has previously informed the patient of the procedure, risks, alternatives, desired outcomes, and possible complications. You give the surgery permit form to the patient for her signature. She readily states that she knows about the procedure and has no additional questions; she signs the form with no hesitation. Her husband, who is visiting with her, says he is worried that something may be said during the procedure to alarm his wife. What do you do at this point? Do you alert the surgeon that informed consent has not been obtained? Do you request that the surgeon revisit the patient and reinstruct her about the surgery? Since the patient has already signed the form, is there anything more you should do?

Now consider the ethical issues that such a scenario raises. Which ethical principles is the husband in this example most portraying? Which ethical principles should guide the nurse in working with this patient and family member?

  • Jimmy Chang, a 20- year- old college student, is admitted to your institution for additional chemotherapy. Jimmy was diagnosed with leukemia 5 years earlier and has had several courses of chemotherapy. He is currently in an acute active phase of the disease, though he had enjoyed a 14- month remission phase prior to this admission. His parents, who accompany him to the hospital, are divided as to the benefits of additional chemotherapy. His mother is adamant that she will sign the informed consent form for this course of therapy, and his father is equally adamant that he will refuse to sign the informed consent form because “Jimmy has suffered enough.”

You are his primary nurse and must assist in somehow resolving this impasse. What do you do about the informed consent form? Who signs and why? Using the MORAL model, decide the best course of action for Jimmy from an ethical perspective rather than a legal perspective. Did you come to the same conclusion using both an ethical and a legal approach?

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