The purpose of this assignment is to critically analyze finances and policies within healthcare 

Write an APA 7th edition. Prepare a  2 – 3 page document plus a title and reference page (total of 4-5 pages).

 T.S. is a 32-year-old woman who reports that for the past two days, she has dysuria, frequency, and urgency. Has not tried anything to help with the discomfort. Has had this symptom years ago. She is sexually active and has a new partner for the past 3 months. 

The four principles of biomedical ethics, especially in the context of bioethics in the United States, have often been critiqued for raising the principle of autonomy to the highest place, such that it trumps all other principles or values. Based on your worldview, how do you rank the importance of each of the four principles in order to protect the health and safety of diverse populations?

Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to the "Discussion Question Rubric" and "Participation Rubric," located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively.

see below

MM case studies 

tweek the answer and add references 

 

Case #1: 49-year-female assembly worker at automotive manufacturer presents to your clinic complaining of increasing back pain over the last week. Back pain is in the central low back region and radiates into both gluteal regions – no leg pain. Has been off work for the last 6 months with no improvement in pain.

1. Create a list of possible differential diagnoses?   
2. Discuss the evidence you would need to obtain to rule in or rule out each differential? 
3. What additional aspects of the history and physical examination could provide relevant information to help in the diagnosis?  

Case #2:  A 65-year-old Caucasian female has a follow-up appointment with a family orthopedist after visiting the emergency department for a wrist fracture. The orthopedist then turns her case over to you to schedule a bone mineral density (BMD) testing. Results of the BMD test show a T-score of -3.0, indicating osteoporosis. Her past medical history includes mild hypertension which is currently managed with propranolol. She also takes a daily multivitamin. She drinks and smokes occasionally and she has no children or spouse.

1. What is the difference between degenerative bone disease and osteoporosis? Explain the pathology of each.
2. What treatment options should be discussed with the patient?
3. What lifestyle changes should be recommended to the patient?

 

Answer & Explanation

Solved by verified expertRatedHelpfulAnswered by bellosillosem

Answers:

Case#1

1)Diffrential diagnosis of Low back pain.

a)Spinal stenosis-

b) Sciatica

c)Slipped disc

d) Kidney stone-Nephrolithiasis

e)Spinal fracture

2)Discuss the evidence to rule in and rule out each dffirential diagnosis?

a)Spinal stenosis-numbness weakness in lower extremities ,pain radiating to buttock and leg ,-only numbness no pain and only radiate at gluteal ,present on the above case..

b)Sciatica-numbness and weakness only at lower extremities ,pain radiating to buttocks and legs. In scenario above no numbness and weakness no pain and radiate at gluteal region.

c) slipped disc-pain on one side of the body and pain also affect upper extremities.

d)kidney stone – pain radiate on groin and present of blood in urine ,which not present in case # 1

e)Spinal fracture-present of tenderness on palpation,, case # 1 only pain mentioned that radiate gluteal area .

3) Additional history and physical examination provide additional information about diagnosis.?

-ask for any history of trauma ,did she carry heavy object,is she sitting for long time ,and prolonged walking. She fever recently?

–Physical examination ,

Palpation check for present of stiffness,tenderness ,of the back ,legs and check knee joint flexion , check knee jerk reaction.

Answers case # 2

1)What the difference between degenerative bone disease and osteoporosis?

-Degenerative bone disease -usually affect in the spine , morphological changes lumbar and intervertebral disc due to decrease in bone mineral density and common to elderly women.

-Osteoporosis- the bone become brittle and  weak even just bending or coughing van cause fracture and usually affects ,hips ,wrist,and spine.

2)What treatment option should be discuss with the patient?

-Treatment that should be discussed ,the patient must know whats the cause especially in female hormonal changes on menopause ,, and life style like if smoke she must stop smoking ,,foods to eat rich in calcium ,vitamin D supplement or sunlight,,mild exercise ,,and should take medication for osteoporosis ,denosumab and hormonal therapy.

3)What life style changes should be recommend to the patient?

-stay healthy as possible , healthy food rich in calcium ,green leafy vegetables, dairy products, Vitamin D supplements, stop smoking and other activities bad for health ,, regular exercise like walking ,,avoid sports required physical contact. ,have enougj rest and sleep ,visit doctor regularly ..

 Select one class period from the course syllabus you created in week 5 and develop a teaching plan for your chosen class. Following the assignment guidelines below, develop and submit your teaching plan for the class period during week 6.

Assignment Guidelines

Your teaching plan should serve as a road map of what you think students need to learn as well as how you will effectively deliver your instruction and evaluate what the students learned during the class period. While there are many formats for a teaching plan, the following sections should be included in your plan:

• The subject or topic that you plan to teach: Your topic should be selected from one of the class periods listed in your syllabus that you developed for an undergraduate nursing course.
• Level of instruction: The placement of the course in the nursing program curriculum (i.e., freshman, junior, sophomore, senior; beginning, mid-program, or end-of-program level)
• Method/mode of delivering your teaching presentation: Form of audio-visual delivery, PowerPointpresentation, or similar method
• Learning objectives: Include 4–5 outcome statements that define what you expect the students to learn or accomplish by the end of the class period. Your learning objectives should be clear and measurable, and appropriate to the information you are teaching, and the level of instruction.
• Content outline: Develop an outline of the central points and/or skills you plan to cover. Your content should be logically structured.
• Teaching strategies and learning activities: List the approach, techniques, and methods you will use to drive your instruction and engage your students to reach the learning objectives (e.g., lecture, active learning, discussions). Provide a rationale supporting your selected teaching strategies, as well as their advantages and disadvantages.
• Plans for individual learning differences: How you plan to adapt your teaching to meet individual learning needs of various students. Explain how individuals with different learning styles will be supported by your teaching strategies and activities.
• Evaluation process: List the methods you plan to use to assess student learning and evaluate the effectiveness of your teaching strategies (how you will determine if students met the outcome objectives).
  • Include formative (questioning, discussion, games, etc.) and summative (assignment, test, presentation, etc.) evaluation strategies.
  • Include at least one written assignment and develop a rubric that clearly describes your expectations for the assignment. Your rubric should:
    • List the criteria that will be assessed (a breakdown of the assignment parts).
    • Include some type of scale that measures the levels of quality for the criteria being assessed (e.g., from excellent to poor, from exceeds expectations to does not meet expectations).