Case Study Chosen: Mason, a 55-year-old homeless man with respiratory symptoms. Demographics: Age: 55 Gender: Male Mason, a 55-year-old homeless man with respiratory symptoms and related findings from the examination, here are appropriate questions to ask Mason during the initial assessment: General Health: Can you describe your overall health and any chronic medical conditions you are aware of? Are you currently taking any medications or have any known allergies to medications? Do you have a history of frequent colds or respiratory infections?
Case Study Chosen:
Mason, a 55-year-old homeless man with respiratory symptoms.
Demographics:
Age: 55 Gender: Male
Mason, a 55-year-old homeless man with respiratory symptoms and related findings from the examination, here are appropriate questions to ask Mason during the initial assessment:
General Health:
Can you describe your overall health and any chronic medical conditions you are aware of?
Are you currently taking any medications or have any known allergies to medications?
Do you have a history of frequent colds or respiratory infections?
Respiratory Symptoms:
When did you first notice the morning cough and frequent colds? How long have you experienced these symptoms?
Can you describe the cough in more detail (productive/non-productive, color and consistency of sputum)?
Have you noticed any triggers or specific activities that worsen your difficulty in breathing?
Smoking History:
How long have you been smoking, and how many cigarettes do you smoke per day?
Have you ever attempted to quit smoking, and if so, what strategies or treatments have you tried?
Physical Activity and Mobility:
Can you elaborate on how your shortness of breath has progressed, especially with everyday activities? Are there specific activities that have become particularly challenging?
How long have you experienced difficulty walking long distances, and has this affected your ability to find food and access resources?
Breathing Patterns and Symptoms:
Have you noticed any changes in your breathing pattern, such as rapid breathing or increased effort to breathe?
Do you experience chest pain or discomfort while breathing, especially during exertion or at rest?
Have you ever been told that you make a sound when you breathe, like wheezing or whistling?
Cardiovascular Health:
Have you ever been diagnosed with high blood pressure or other heart-related conditions?
Do you experience any chest pain, palpitations, or irregular heartbeat?
SUBJECTIVE:
CC: Difficulty breathing and seeking medicine to help survive on the streets.
HPI:
Subjective: Shortness of breath during physical activity, difficulty breathing with everyday activities, frequent morning cough, limited mobility due to breathlessness.
OBJECTIVE:
General:
VS: 99°F, HR: 100 bpm, RR: 28/min, BP: 140/90 mmHg
Weight, Height, BMI: Not available
Physical Exam Elements:
Respiratory system: Distant breath sounds, end-expiratory wheezes, use of accessory muscles to breathe, slight barrel chest, neck vein distention.
POC Testing:
None mentioned in the case study.
ASSESSMENT:
Working Diagnosis (ICD-10):
COPD (Chronic Obstructive Pulmonary Disease) J44.9
Differential Diagnosis:
Asthma J45.909
Acute Bronchitis J20.9
PLAN:
Diagnostic studies:
Pulmonary function tests (spirometry, lung volumes, diffusing capacity) for definitive COPD diagnosis.
Treatment:
COPD Management:
Inhaler therapy (e.g., salbutamol/albuterol, ipratropium)
Smoking cessation counseling
Pulmonary rehabilitation referral
Referrals:
Pulmonary specialist for further evaluation and management.
Education:
Educate on COPD, smoking cessation, importance of medication compliance, and seeking medical care.
Health maintenance:
Encourage regular follow-ups, adherence to medication and pulmonary rehabilitation programs, and annual influenza vaccination.
RTC (Return to Clinic):
Follow up in 2 weeks to assess response to treatment and adjust the management plan as needed.
Diagnosis Table:
Diagnosis
Signs/Symptoms
Gold Standard Diagnostics
Gold Standard Treatment
COPD
Difficulty breathing, chronic cough, distant breath sounds
Pulmonary function tests (spirometry)
Inhaler therapy (bronchodilators), corticosteroids, oxygen therapy
Community Acquired Pneumonia
Cough, shortness of breath, fever, chest pain, productive cough, fatigue
Chest X-ray, sputum culture, blood tests
Antibiotics (based on pathogen and susceptibility), supportive care
Atypical Pneumonia
Cough, fever, headache, myalgia, non-productive cough
Chest X-ray, PCR, blood tests
Antibiotics (macrolides, fluoroquinolones), supportive care
Acute Bronchitis
Cough, sputum production, chest discomfort
Clinical assessment
Symptomatic relief, rest, hydration
Asthma
Shortness of breath, wheezing, coughing
Pulmonary function tests (spirometry)
Inhaler therapy (bronchodilators), corticosteroids, allergen avoidance
Tuberculosis
Cough, hemoptysis, weight loss, night sweats, fatigue
Chest X-ray, sputum culture, TB skin test
Antibiotics (multiple drugs for a specific duration), directly observed therapy (DOT)
Pulmonary Emboli
Shortness of breath, chest pain, cough, hemoptysis
CT pulmonary angiography, D-dimer
Anticoagulant therapy (heparin, warfarin, DOACs)
COVID-19
Fever, cough, shortness of breath, fatigue, loss of taste or smell
RT-PCR of respiratory samples
Supportive care, oxygen therapy, antiviral drugs (e.g., remdesivir)
Upper Respiratory Infection
Nasal congestion, sore throat, cough, fatigue
Clinical assessment
Symptomatic relief, rest, hydration
Influenza
Fever, chills, sore throat, muscle aches, fatigue
Rapid influenza diagnostic tests
Antiviral drugs (oseltamivir, zanamivir), supportive care
You are a medical professor in charge of creating college assignments and answers for medical college students. You design and conduct lectures, evaluate student performance and provide feedback through examinations and assignments. Answer each question separately. Include and Introduction. Provide an answer to this content
Case Study Chosen:
Mason, a 55-year-old homeless man with respiratory symptoms.
Demographics:
Age: 55 Gender: Male
Mason, a 55-year-old homeless man with respiratory symptoms and related findings from the examination, here are appropriate questions to ask Mason during the initial assessment:
General Health:
Can you describe your overall health and any chronic medical conditions you are aware of?
Are you currently taking any medications or have any known allergies to medications?
Do you have a history of frequent colds or respiratory infections?
Respiratory Symptoms:
When did you first notice the morning cough and frequent colds? How long have you experienced these symptoms?
Can you describe the cough in more detail (productive/non-productive, color and consistency of sputum)?
Have you noticed any triggers or specific activities that worsen your difficulty in breathing?
Smoking History:
How long have you been smoking, and how many cigarettes do you smoke per day?
Have you ever attempted to quit smoking, and if so, what strategies or treatments have you tried?
Physical Activity and Mobility:
Can you elaborate on how your shortness of breath has progressed, especially with everyday activities? Are there specific activities that have become particularly challenging?
How long have you experienced difficulty walking long distances, and has this affected your ability to find food and access resources?
Breathing Patterns and Symptoms:
Have you noticed any changes in your breathing pattern, such as rapid breathing or increased effort to breathe?
Do you experience chest pain or discomfort while breathing, especially during exertion or at rest?
Have you ever been told that you make a sound when you breathe, like wheezing or whistling?
Cardiovascular Health:
Have you ever been diagnosed with high blood pressure or other heart-related conditions?
Do you experience any chest pain, palpitations, or irregular heartbeat?
SUBJECTIVE:
CC: Difficulty breathing and seeking medicine to help survive on the streets.
HPI:
Subjective: Shortness of breath during physical activity, difficulty breathing with everyday activities, frequent morning cough, limited mobility due to breathlessness.
OBJECTIVE:
General:
VS: 99°F, HR: 100 bpm, RR: 28/min, BP: 140/90 mmHg
Weight, Height, BMI: Not available
Physical Exam Elements:
Respiratory system: Distant breath sounds, end-expiratory wheezes, use of accessory muscles to breathe, slight barrel chest, neck vein distention.
POC Testing:
None mentioned in the case study.
ASSESSMENT:
Working Diagnosis (ICD-10):
COPD (Chronic Obstructive Pulmonary Disease) J44.9
Differential Diagnosis:
Asthma J45.909
Acute Bronchitis J20.9
PLAN:
Diagnostic studies:
Pulmonary function tests (spirometry, lung volumes, diffusing capacity) for definitive COPD diagnosis.
Treatment:
COPD Management:
Inhaler therapy (e.g., salbutamol/albuterol, ipratropium)
Smoking cessation counseling
Pulmonary rehabilitation referral
Referrals:
Pulmonary specialist for further evaluation and management.
Education:
Educate on COPD, smoking cessation, importance of medication compliance, and seeking medical care.
Health maintenance:
Encourage regular follow-ups, adherence to medication and pulmonary rehabilitation programs, and annual influenza vaccination.
RTC (Return to Clinic):
Follow up in 2 weeks to assess response to treatment and adjust the management plan as needed.
Diagnosis Table:
Diagnosis
Signs/Symptoms
Gold Standard Diagnostics
Gold Standard Treatment
COPD
Difficulty breathing, chronic cough, distant breath sounds
Pulmonary function tests (spirometry)
Inhaler therapy (bronchodilators), corticosteroids, oxygen therapy
Community Acquired Pneumonia
Cough, shortness of breath, fever, chest pain, productive cough, fatigue
Chest X-ray, sputum culture, blood tests
Antibiotics (based on pathogen and susceptibility), supportive care
Atypical Pneumonia
Cough, fever, headache, myalgia, non-productive cough
Chest X-ray, PCR, blood tests
Antibiotics (macrolides, fluoroquinolones), supportive care
Acute Bronchitis
Cough, sputum production, chest discomfort
Clinical assessment
Symptomatic relief, rest, hydration
Asthma
Shortness of breath, wheezing, coughing
Pulmonary function tests (spirometry)
Inhaler therapy (bronchodilators), corticosteroids, allergen avoidance
Tuberculosis
Cough, hemoptysis, weight loss, night sweats, fatigue
Chest X-ray, sputum culture, TB skin test
Antibiotics (multiple drugs for a specific duration), directly observed therapy (DOT)
Pulmonary Emboli
Shortness of breath, chest pain, cough, hemoptysis
CT pulmonary angiography, D-dimer
Anticoagulant therapy (heparin, warfarin, DOACs)
COVID-19
Fever, cough, shortness of breath, fatigue, loss of taste or smell
RT-PCR of respiratory samples
Supportive care, oxygen therapy, antiviral drugs (e.g., remdesivir)
Upper Respiratory Infection
Nasal congestion, sore throat, cough, fatigue
Clinical assessment
Symptomatic relief, rest, hydration
Influenza
Fever, chills, sore throat, muscle aches, fatigue
Rapid influenza diagnostic tests
Antiviral drugs (oseltamivir, zanamivir), supportive care
. Do not write who you are in the answer.
Influences on Communicationi. Identify at least two aspects of the culture that an early childhoodeducator should be cognizant of when communicating to either thestudent or family members belonging to the selected culture.
Influences on Communicationi. Identify at least two aspects of the culture that an early childhoodeducator should be cognizant of when communicating to either thestudent or family members belonging to the selected culture.*For example, some Asian cultures view direct eye contact
a. Celebrating Diversity
i. Identify 2 ways that you would incorporate your selected culture into the class curriculum. Be specific and thorough in your response.
works cited
Your TasksYou will keep a 3-day food log, where you will record the meals and snacks that you ate, along with their nutrients, throughout each day. You can choose to track this using CronometerYou may record calories and carbohydrates; however, they are not required for this week. Task 2- AnalysisPlease answer the following questions in complete sentences:In regard to last week’s ‘challenge’-Did you try some of your carbohydrate additions or replacements? If so, how did it go?
Your TasksYou will keep a 3-day food log, where you will record the meals and snacks that you ate, along with their nutrients, throughout each day. You can choose to track this using CronometerYou may record calories and carbohydrates; however, they are not required for this week. Task 2- AnalysisPlease answer the following questions in complete sentences:In regard to last week’s ‘challenge’-Did you try some of your carbohydrate additions or replacements? If so, how did it go?In regard to fat (general)-What was your averageLinks to an external site. fat intake over the 3 days? Was your fat intake within the daily rangeLinks to an external site. (the AMDR is 20-35% of your caloric intake)? Were you surprised by your averages, why or why not?What did you eat the most of: saturated fat, trans fat, monounsaturated fat, or polyunsaturated fat? Which foods contained the most fat? Were you surprised by the fat content of some of your foods? If yes, which ones surprised you?Reflect on the fats consumed this week. Did some affect the way that you felt (i.e., mood, satiety, etc.)? Which ones? In regard to cholesterol-Were there any foods that you ate that help in lowering cholesterol? If yes, what were they? In regard to protein-What was your average protein intake over the 3 days? Based on this average, are you meeting your recommended protein needs?What are problems with diets that are low in protein? What are problems with diets that have excessive protein?Would you say that the majority of your protein comes from animal- or plant-based sources?How has learning about fat and protein affected your motivation to eat a healthier, more balanced diet? What are two foods that you can swap in order to:increase monounsaturated and/or polyunsaturated fat;reduce cholesterol;reduce animal-based sources and/or increase plant-based sources;increase protein intake (if protein intake was too low); ordecrease protein intake (if protein intake was too high)?
Describe the differences between dietitians and nutritionists.2. Explain the similarities and differences between Type 1 and Type 2 diabetes.3. Please answer the following:What is an obesogenic environment?Explain what this type of environment would look like?
1. Describe the differences between dietitians and nutritionists.2. Explain the similarities and differences between Type 1 and Type 2 diabetes. 3. Please answer the following:What is an obesogenic environment?Explain what this type of environment would look like? For example, what is in that environment and what is not there? 4. What is one primary prevention method for preventing osteoporosis? Explain how this method is important. 5. Determine Adele’s Estimated Energy Requirements given the following parameters: Age- 27Sex- FemaleWeight- 170 poundsHeight- 6 feetPhysical Activity- Moderate6. Explain the difference in function between HDL cholesterol and LDL cholesterol. Given this function, why is it important for individuals at risk for cardiovascular diseases to monitor their fat intake? 7. In your own words, explain the thirst mechanism process. 8. Why is it important for the body to recycle amino acids? 9. Describe how undernutrition and over-nutrition relate to malnutrition.
What is the role of critical thinking in workforce development?How can students develop problem-solving skills?
Create a comprehensive panel discussion for me to speak to people on the subject of Effective Communication with detailed notes, talking points, and in-depth information. highlights, pauses, cues etc .. 1. Effective Communication- The Keystone of Success Why is communication critical in the workplace?What are the various forms of communication to master? What is the role of critical thinking in workforce development?How can students develop problem-solving skills?How can networking benefit career growth?What platforms and events are suitable for student networking? How to maintain and foster professional relationships?
Why Racial Disparities in healthcare make COVID-19 impact worse for minorities (1:58)Johnson ; Johnson. (2020, August 25). Why racial disparities in healthcare make COVID-19s impact worse for minorities [Video]. YouTube. https://youtu.be/CXNkDDWxGxk
Based on viewing the Johnson & Johnson video, what are your thoughts about health care inequalities and the need for continuing reform? (Share at least 2 points of view.)
Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.
Read
Mason, D. J., Gardner, D. B., Outlaw, F. H. & OGrady, E. T. (2020).
Chapters 40, 41, 44, and 53
Watch
Why Racial Disparities in healthcare make COVID-19’s impact worse for minorities (1:58)Johnson & Johnson. (2020, August 25). Why racial disparities in healthcare make COVID-19s impact worse for minorities [Video]. YouTube. https://youtu.be/CXNkDDWxGxk
Identify the process for decision making regarding technology. Discuss nursing role in identifying appropriate technology for practice.
create an outline for this assigment
Identify the process for decision making regarding technology. Discuss nursing role in identifying appropriate technology for practice.
include the following:
1. One technology application used in health care to facilitate decision making.2. The applications impact on quality of decision making.3. The process for selecting and implementing the application.4. The costs associated with the application.5. Nurses role(s) in selecting and evaluating the application.
Define the health behaviorexplain the public health significance of the health behavior.
Week One Signature Assignment Presentation – Details
Signature Assignment Presentation (PLO 2) – Due in Week 3
Each student will investigate one specific health behavior that will be chosen from the list below. The purpose of the presentation is as follows: 1) to describe behavioral and non-behavioral variables contributing to morbidity and mortality; 2) discuss methods that have used a health behavior theory or model to change a health behavior. In-text citations and references are to be cited using the APA 6th Edition. Each slide should have narration. The presentation should contain at least one of the following: graph; chart; graphic; photo; brief content with no spelling mistakes on each slide.
Students will work individually to present a PowerPoint presentation with at least 10 slides and 7-10 minutes in length that cites evidence from credible sources (e.g., peer-reviewed journals, government reports, textbook) to:
define the health behaviorexplain the public health significance of the health behavior (e.g., prevalence, population, morbidity, mortality)
identify at least one behavioral variable (e.g., risk factor) contributing to morbidity and/or mortality associated with the health behavior
identify at least one non-behavioral variable (e.g., health consequence) contributing to morbidity and/or mortality associated with the health behavior
describe at least one intervention that used a health behavior theory or model and was effective in modifying the health behavior
Presentation Topics Based on Health Behaviors Identified in Health People 2020Note: It is the responsibility of each student to focus on the health behavior (e.g., smoking, binge drinking, insufficient sleep, condom use) aspect of any Healthy People 2020 objective that can be addressed to prevent morbidity (i.e., disease) and mortality (i.e., death). Health behaviors can be associated with protection (e.g., meeting physical activity guidelines) or risk (e.g., smoking cigarettes which can lead to lung disease).
Imagine yourself as the CEO of a company in an industry that interests you. Identify the major global trends that affect the company, analyze the impact of those trends on the company, and identify sources you, as the CEO, could use to monitor those trends. How can you use those trends to create value for the company?
Imagine yourself as the CEO of a company in an industry that interests you. Identify the major global trends that affect the company, analyze the impact of those trends on the company, and identify sources you, as the CEO, could use to monitor those trends. How can you use those trends to create value for the company?
Discuss the importance of strategic planning within the field of healthcare.
Competency
Discuss the importance of strategic planning within the field of healthcare.
Student Success Criteria
View the grading rubric for this deliverable by selecting the This item is graded with a rubric link, which is located in the Details & Information pane.
Scenario
Healthy Dynamics is a corporate wellness company that provides a broad range of wellness services for clients seeking to improve the health and wellbeing of their employees. One of the clients of Healthy Dynamics is not happy with their employee wellness program participation rates. Healthy Dynamics is not meeting the contract requirements of 60% engagement, resulting in lost revenue for the company and no return on investment (ROI) for the client. According to the contractual agreement, Healthy Dynamics must pay back the client $200,000,000 if the annual participation percentage is not met. Currently the clients wellness program includes financial incentives for the employees if they complete the following wellness offerings (health assessment, biometric screening, and telephonic health coaching). The Healthy Dynamics CEO is now foreseeing a need to offer other healthcare services. The CEO has asked the Account Manager to create a business plan focused on increasing revenue and identifying risk that might negatively impact their continued relationship with the client. The Account Manager has tasked you, the Strategic Planning Manager, with preparing an internal memo to present to the CEO and to communicate to your internal team what you are envisioning as a desired future focus area to increase the bottom line for Healthy Dynamics and improve current and future client satisfaction rates.
Instructions
Develop an internal memorandum that includes:
A detailed description defining the differences between business planning and strategic planning in healthcare.
Identify a specific focus area in the healthcare industry that could increase revenue.
Create key questions that you will need to address in the development of your strategic plan for your focus area.
Create a workflow analysis flow chart that includes:
A list of healthcare leadership team members (e.g., CEO, Strategic Planning Manager, Account Manager, Marketing Manager, Project Manager, Financial Analyst, etc.,)
A comprehensive analysis of each team members roles and responsibilities in the development of the strategic plan.
Your assignment should include a title page, a reference page, and a minimum of three scholarly sources, two of which must be retrieved from the Rasmussen Library.
