Essays on Regimen

1. COPD: COPD exacerbation (in-patient): Administer Duoneb (albuterol/ipratropium) q6H once the patient is stable to prn, prednisone 40mg qd x 5days, abx (IV levo). Similarly, once the stable switch to po. Closely monitor the patient for any side effects of fever. Follow up the patient in 7-10days to assess infection. Discharge: when discharging the patient, give her Tiotropium / Olodaterol 2.5 – 2.5 mcg to be taken once daily while at home. Also give the patient to carry home 90 mcg albuterol rescue inhaler, to take 1-2 puffs every 4-6 hours prn 2. Chronic COPD: Continue giving the patient ...

Diabetes in America: Research Proposal

Given the recognition and on-going research into the disease of diabetes, there has probably been thousands and perhaps millions of books and articles written on the subject. The most commonly recognized types are type 1 and types 2 diabetes, but others include gestational, monogeneic, and cystic-fibrosis related diabetes (NIDDK, 2017). It is impossible to determine how many people in the world have diabetes or how many will develop it. The estimates of the amount of money spent in patient care and research are only guesses, and the suffering by diabetes and their loved ones is incalculable. However, this paper ...

Introduction

One could hardly imagine a resident of the developed country who has never delved into such aspect of popular culture as sport – either by buying a soccer ticket, buying exactly the same sneakers model David Beckham was wearing in that Adidas commercial, following the Olympics on TV or hunting some rare baseball cards. In the modern world, sport activities have become extremely different from the leisure games they used to be as they were invented. In the recent decades, significant societal, economic, political and cultural transformations turned sport not just into a socially meaningful phenomenon but rather in an ...

Approaches in configuring Clinical Decision Support (CDS) System

The development of an effective CDS system to facilitate the healthcare delivery of a chain of hospitals and outpatient clinics warrants the systematic incorporation of clinical guidelines, documentation templates, patient summaries, HPI and medication history recording tools, condition-specific orders and diagnostic support system across the electronic health record (EHR) (CMS, CLINICAL DECISION SUPPORT:More Than Just ‘Alerts’ Tipsheet, 2014). The association of these approaches in EHR is warranted in the context of incorporating the entire aspects of patient care to facilitate the patient outcomes across the clinical settings. The EHR across clinical settings requires the effective incorporation of the research ...

Section 1 Company Name/Location

The name of my company is Star Rose Fashions and Designs and its location is New York City. Section 2 Job Vacancy Identification and Subsequent Text Acquisition Position Available: Sales Representative Education level necessary: Bachelors Degree Position Type: Full-Time Regular Experience Required: 2 Years Position Description Our organization is currently seeking a Sales Representative to arrange for oversea sales and coordinate sales team at our world headquarters in New York.

Position Summary

A Sales Representative will head the sales department, present practical knowledge to the sales team. A Sales Representative will be responsible for the formulation of strategies. The role of ...

Describe your key point and discuss how the knowledge of your chosen key point impacts the care you provide as an LPN/LVN? Documentation is essential for ethical, effective, and safe nursing practice. Essentially, documentation (electronic, paper, visual or audio) serves as evidence of services or care provided (Williams, 2009). Documentation enables a licensed practical nurse (LPN) to have accurate surveillance of the progress of a patient and to accurately communicate with other healthcare providers. In nursing practice, documentation is essential for proper decision-making regarding the future treatment, care regimen, and continuity of care. Ideally, a licensed practical nurse is ...

Abstract

There are limited or no effective interventions for recurrence of coronary heart diseases among the patients who smoke. Smoking cessation interventions has been suggested to have little benefit; however, there is little evidence on its cost- effectiveness and efficacy of such programs for cardiac inpatients. This study describes the efficacy and cost- effectiveness of intensive smoking cessation methods for cardiac patients admitted in the hospital cardiac unit. The experimental design assesses the efficacy and cost- effectiveness of the intervention that includes face- to- face counselling in combination with the nicotine replacement therapy using 8 cardiac wards of hospitals in ...

Introduction

The present scenario evidently indicates the requirement of safeguarding protected health information (PHI) of the patients undertaking treatment across various medical facilities. The qualified nurse in the existing scenario surpassed the legal, ethical and professional conventions while encountering a traumatized lead singer in the clinical setting. The transfer of the protected health information of the singer through the smart phone to an unauthorized person and the social web sites, even in a good intent converted the scenario as the subject of a lawsuit requiring legal intervention. The selling of the significant information of the admitted patient to a famous ...

Application of Epidemiology – Case Study

Application of Epidemiology – Case Study

Information Summative

The statistical analysis of the Good Health Hospital’s medical records reveals the progression of Escherichia coli infection among four hospitalized patients who reported bloody diarrhea, abdominal pain, vomiting and nausea, loss of appetite, flatulence and pyrexia since last week. The summary of these cases presented below in the context of their further analysis. The findings by the CDC revealed that the E. coli manifestations emanated among the affected patients after consuming the spoiled food items attributing to meats and vegetables.

Background Information (Indicating the Requirement of Further Investigation)

Georgia Department of Public Health (GDPH) describes various nosocomial infections reported within a ...

Abstract

COPD is an illness that primarily affects the respiratory system. It is a treatable and preventable illness that is characterized by persistent and progressive limitation of airflow into the lungs. in its severity, COPD is a condition that requires frequent hospitalizations due to exacerbations that occur once there is a trigger effect or the patient is exposed to an allergen. Within the US, COPD is regarded as the third leading cause of death and there is evidence to show that up to 11 million persons have been diagnosed with COPD (Global initiative for Chronic Obstructive Lung Disease Inc, 2015). ...

(Course/Major)

Independent Variables.7

Research Questions..8 Hypothesis....8 Conclusion..11

Introduction: Domestic violence: profile of an offender

In the past, an act of domestic violence was not considered as a matter that merits the engagement of the law. Though men have pummeled, maltreated, and molested their intimate partners for years, the common comprehension of society was that abuse and maltreatment of women was as a part of the marriage. It was only to the end of the 1970s that domestic violence was understood as a criminal offense that warranted the involvement of the criminal justice system. However, there has been much contention as to the establishment of a general, universally accepted ...

Diabetes in its generality is a condition that is associated with elevated blood sugar levels. When these elevations persist, the patient may experience cases of disturbance of other body systems and leading to poor functionality and ultimately a chronic condition that affects their quality of life. Type-2 diabetes (T2DM) is the most common type of diabetes whose impact on the health of populations has significantly been documented (Murrock, Taylor & Marino, 2013). Apparently, among the documented aspects of health disparities, T2DM is noted as one of the biggest health challenges for African Americans. The prevalence is even higher among women ...

Moral Compass

This essay is a discussion of what I feel on a personal level as what is right and also what is wrong. The essay will demonstrate how I can act accordingly when I am faced with decisions or judgment involving right or wrong. It is a reflection of myself in the context of moral values. The essay is a synthesis of personal value system and will incorporate experience, observations, independent inquiries, and ideas gained from learning wisdom traditions. There will also be a critical review of human values as well as the ethical challenges faced by business leaders. Further, ...

Ventilator-associated pneumonia

Abstract The intensive care unit in most hospitals plays the role of providing care to patients dealing with life-threatening conditions. The technological and other set ups in these hospital units are vital in ensuring that these patients continue to receive the best regarding care while with the intentions of having them emerge with desirable outcomes. There are however challenges relating to the care that these patients receive since, in most cases, they are usually under mechanical ventilation. A patient under this condition faces the risk of developing ventilator-associated pneumonia if the ventilators are not handled with the required care. ...

My name

My course name Abstract In this paper I will compare and contrast Chinese views on food and dietary practices with those of Western countries. By appeal to empirical and historical research, I will provide various points of comparison and support the claim that that Chinese views and practices help promote good development, health, and well-being. I will address differences in Chinese and Western views on the properties of food, herbs, food as therapy. My aim will not be to argue that Chinese dietary theories and practice are superior to those of Western countries. Rather, it will be to show ...

This is a case of a 60 year old elderly with complaints of persistent coughing for at least the past three months with pulmonary secretions. The patient’s name is A.D. (initials used for confidentiality purposes). She lives with her family and it was her daughter, D.F., who brought her to the hospital for medical consult. The doctors from the hospital conducted a comprehensive physical examination and found out what the main problems are; they also laid out an initial plan of action and the parties agreed with a course of action. I encountered numerous challenges when I got ...

Diet is necessary to everyone for continuing the life. Its utility occupies a significant position in the biological world. The unique benefit the diet provides is of paramount importance in achieving the health-specific goals. However, alongside with knowing about the diet and its role in health, it is essential to develop certain awareness about its assessment. With the advancement of technology various approaches were believed to exist with regard to the dietary assessment. In such context, the present description deals with a topic entitled, Dietary Assessment Using Electronic Method.

Review

As per the sources, the connection between routine intake of ...

Healthy behaviors play a key role in daily life. Yet, certain unhygienic practices tend to interfere with the health and induce a risk to the overall life. These practices could be high-fat diet, alcohol, and smoking. There is a need to know much about these. In such context, the present description deals with a topic “ What will kill you first, a smoking, a high-fat diet or alcohol?”.

Health -related risk factors:

A risk factor is any quality, trademark or presentation of a person that improves the probability of building up an ailment or damage. A few illustrations of the more vital danger elements ...

During the initial visit the registered nurse from the Community Nursing Service will elicit information concerning the seizure history from Jessica. While seeking information concerning the history the nurse will seek to know when the client had her first fit, whether there has been any improvement after initial diagnosis and treatment. The nurse will also seek to know whether the client would wish to have her medication changed due to their ineffectiveness. The patient is then asked concerning the factors that may trigger the seizure. While doing so, the nurse will document on alcohol intake. Other factors that trigger ...

Literature review

Section 1: Background Context and rationale for research priorities Lens handling intensifies the incidence of lens contamination. When lens are aseptically removed from the eye, they still have a high probability of harboring microorganisms. During storage, the frequency of positive microbial bioburden remains high than 50%. The presence or movement of microorganisms from the lens to the ocular surface is a route factor for contact lenses related microbial keratitis and inflammation. There is need to priotise research in this area because the results of the studies help people to understand the factors concomitant to infectious and inflammatory complications. When ...

Infection in cancer patient with febrile neutropenia: epidemiology, microbiology and management

Abstract Febrile neutropenia (FN) is characterised by a decrease in neutrophils number to values below 500 cells/ mm3 and an occurrence of fever higher or similar to 38.3ºC. It commonly occurs in cancer patients as a result of chemotherapy regimens. Chemotherapy destroys carcinogenic cells but also attacks in many cases some normal cells including essential elements of the immune system. Fever is one of the characteristic symptoms of FN and is usually associated with the presence of an infection caused by various microorganisms. Bacteria, including Gram-positive isolates (currently dominating) and Gram-negative species (dominant in the 1970s), are usually ...

Abstract

In the current health scenario, the old adage ‘prevention is better than cure’ is outdated ("A New Vision of Wellness", 2011). Health costs are increasing day by day, but diseases have become more prevalent than before. Incidences of impaired mental health are on the rise. Isn’t it high time that we stop and take a look at the current medical scenario? People are suffering from chronic diseases like asthma, depression, diabetes, heart disease, pain, and even attention and learning problems. Moreover, the pharmaceutical companies are always introducing newer and better medicines and expensive ones too, but still, there ...

Abstract

Testicular cancer is a type of cancer that directly involves the main male reproductive organ, the testes. The testes are basically a loose sack of skin and flesh located below the penis. Testicular cancer is a rare form of cancer only accounting for between 1% and 3% of the total number of cancer cases in the male population in western countries. It is also one of the most curable forms of cancer. Nonetheless, it is still a condition worth reviewing. The research question in this paper asks whether survivors of testicular cancer indeed suffer from a testicular cancer-related comorbidity ...

Abstract

Cancer of the lungs is among the leading causes of cancer in the world. It has two forms; small cell lung cancer (SCLC), and non-small-cell lung cancer (NSCLC). NSCLC constitutes about 85% of cases of lung cancer. Epidermal growth factor receptor (EGFR) and its mutations are found to have an important role in this cancer. Therefore, EGFR tyrosine kinase inhibitors (TKIs) can work effectively against NSCLC. Gefitinib, which is a first generation TKI, and afatinib, which is a second-generation TKI, are effective as a first-line therapy for advanced NSCLC. Erlotinib is effective as a second-line therapy for advanced NSCLC. ...

Creatine is an amino acid. It is naturally occurring i.e. it is made in the body in the kidney, liver and pancreas. Creatine is obtained from foods such as meat and fish. In the body, creatine is converted to creatine phosphate and taken to reserves in the muscle. In the case of extreme intensity, short intervals of exercising such as weight lifting and sprinting it is used as an energy source. The storage form phosphocreatine is converted to the body's energy currency, ATP and used. The fact that it has this use has meant that athletes and body builders ...

Summary of research topic

The prevalence of obesity and the significant correlation between obesity and weight is a pertinent issue that healthcare providers are seeking to manage. In the interventions that have been developed to help prevent obesity for groups at risk, weight loss programs or regimens have proven to help these patients cut weight and apparently minimize the risk of illnesses or conditions that manifest from obesity such as cardiovascular cases. Once the programs or such interventions come to an end, patients are expected to continue with the regime even in the absence of the nursing care or healthcare provider who initiated ...

PHYSICAL EXAM:

You will be expected to write up your response as follows: List of Differential Diagnoses [rank ordered] A. Congestive Heart Failure B. Angina C. Hypercholesterolemia D. Myocardial Infarction

E. Diabetes Mellitus

F. with Grade II diastolic heart failure.

G. Hypertriglyceridemia

H. GERD I.

J. Hypertension

Leading hypothesis : Congestive Heart Failure Active Alternative hypotheses Must not miss diagnoses [critical rule outs] Congestive Heart Failure Angina Hypertriglyceridemia Hypercholesterolemia Most common diagnoses [reasonable alternatives] GERD Hypertension Diabetes Mellitus Presumptive Diagnosis [assumption] Congestive Heart Failure

Treatment Plan

Non-pharmacologic / lifestyle interventions (provide rationale) • Modify Diet. - Advance to a low-sodium, low-cholesterol, low-fat, solid diet as tolerated R: to minimize metabolic demands ...