Archive for category: Healthcare Assignment Help

Upon presentation: An 18-month-old female arrives by ambulance at the emergency department. The paramedics report that there was no known history of any recent trauma, and no known fever, vomiting, or other unusual behavior. There were no known ingestions or medications in the household.

An 18-month-old female arrives by ambulance at the emergency department

Case 1:
Upon presentation: An 18-month-old female arrives by ambulance at the emergency department. The paramedics report that there was no known history of any recent trauma, and no known fever, vomiting, or other unusual behavior. There were no known ingestions or medications in the household.

There was no evidence of trauma.
Interview and History: At 9 PM the previous night, Ella was described by her mother as appearing more quiet than usual. They had spent the day traveling from the grandmother’s house and Ella had been carsick so had not eaten very much during the day. When they got home, Ella had some water and went to bed. Ella slept longer than usual and was found unresponsive by her mother at 9 AM. At this time her mother called 911.

Follow-up tests:

1) Blood glucose: 23 mg/dL (normal range 90 – 125 mg/dL)
2) Repeat blood glucose: 50 mg/dL following administration of glucagon
3) Urinary acids: Markedly elevated levels of glutaric, ethylmalonic, and dicarboxylic acids; ketones absent
4) Finally, Serum free fatty acids: 0.84mmol/L (normal range: 0.00-0.72 mmol/L)
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Treatment:

She was transferred to the pediatric intensive care unit and remained comatose for 16 hours. Blood glucose levels remained stable with a continuous infusion of dextrose. Inpatient treatment consisted primarily of glucose supplementation and supportive care.

Questions:
In this individual, at the time of presentation, what is the relative ratios of the following hormones: insulin epinephrine glucagon cortisol . Based on the data presented above. This individual most likely has a primary deficiency in which of the following pathways. Please describe why you choose a specific pathway and why you DID NOT choose other pathways.
a. Glycogenolysis
b. Gluconeogenesis
c. Lipolysis
d. Glycogen synthesis
e. Glycolysis
f. Ketogenesis
g. β-oxidation
h. Protein catabolism
Based on your choice above, would the use of carnitine supplementation be of any benefit to your patient? (Review the role of carnitine!)

Case 2:

A 53-year-old male with past medical history of obesity (BMI of 38 kg/m
2) and borderline diabetes presents to you with abnormal liver enzymes (ALT/AST) discovered 6 months ago. His family history is significant for liver cirrhosis. On physical examination you notice mild hepatomegaly (enlarged liver).
A panel of lab tests revealed the following: aspartate aminotransferase (AST) 106 (normal range 10 – 40 U/L), alanine aminotransferase (ALT) 118 (normal range 7 – 56 U/L), with normal bilirubin (generated from the breakdown of hemoglobin). He had a liver ultrasonography that showed diffuse increase in echogenicity and vascular blurring consistent with fatty infiltration. You suspect nonalcoholic fatty liver disease (NAFLD).
Under normal conditions, describe the metabolism and maturation of VLDL particles.
Describe how NAFLD could manifest and what potential processes could be impaired in order for this disease process to occur (consider both enzymatic and hormonal impairments).
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Case 3:

A 20-year old, female presents to the dermatologist with complaints of multiple, small to large (2 mm to
3 cm) soft, asymptomatic yellow colored nodular lesions all over the body since the age of 2 years. She was subsequently referred for biochemical investigations, where an altered lipid profile was noticed.
A detailed history from the parents revealed that the patient developed the swellings since the age of 2 years, which gradually increased to the present size. At the age of 3 years, patient was treated by a local doctor but the symptoms did not subside. There is no history of chest pain, breathlessness, hypertension, diabetes mellitus, or any other chronic illness.
Family history: Maternal side shows history of sudden deaths at a young age (36–44 years) (Mother’s elder brother and all his 3 sons have died at an early age due to possible myocardial infarction).

Lipid profile of the patient:

Firstly, Total cholesterol (mg/dl) 580
Secondly, Triglycerides (mg/dl) 134
Thirdly, LDL (mg/dl) 460
Fourthly, HDL (mg/dl) 93
Further, VLDL (mg/dl) 27
Additionally, LDL/HDL ratio 4.94

Moreover, Please describe a potential underlying mechanism for the elevated cholesterol levels found in this individual.
Triglycerides are within normal values in this individual. Describe how triglyceride levels would be normal but cholesterol levels could be elevated in this individual.

Health care management requires leadership skills which will test your ability to make vital decisions. “Like a rapidly mutating cancer cell, poor leadership within healthcare systems can cause toxic symptoms that adversely impact organizational work cultures and staff satisfaction and lead to burnout” (Werberg, 2010, para. 1).

Health care management requires leadership skills

Health care management requires leadership skills which will test your ability to make vital decisions. “Like a rapidly mutating cancer cell, poor leadership within healthcare systems can cause toxic symptoms that adversely impact organizational work cultures and staff satisfaction and lead to burnout” (Werberg, 2010, para. 1). Assessments made by leadership have a direct relation to many areas, including but not limited to the following: The quality of care provided, staff morale, and organizational reputation. As a trailblazer of your organization, you will use effective leadership skills to manage/avoid conflict, make effective recommendations, manage staff, and protect the overall quality/efficiency of the organization. To make effective decisions as a leader you should identify the major facts, indicate if or what problems exist, and finally, recommend a solution.

This assignment requires you to review a practical case study and analyze the elements of poor leadership. The case study also explores characteristics of a health care leader while introducing safety culture. Your assessment and responses to the realistic scenario should be based off leadership attributes.

Werberg, D. (2010). Transformational leadership and staff retention: An evidence review with implications for healthcare systems. Nursing Administration Quarterly. 34(3), 246-258. doi: 10.1097/NAQ.0b013e3181e70298

Case Assignment

Read the following case study published by the Institute for Healthcare Improvement:

Griner, P. (2017). Case study: On being transparent. Retrieved from http://www.ihi.org/education/IHIOpenSchool/resources/Documents/Participant_On%20Being%20Transparent.pdf
After reading the case study, you should complete a 2- to 3-page case analysis that includes three distinct sections (in addition to your introduction and conclusion):
Major Facts – Firstly, Summarize the facts in the case. This includes the most important incidents in the case. Also, Avoid simply restating the case.
Problem(s) – From the facts it should reveal the problems that need attention. Specify those problems and explain their significance.
Solution and Expected Outcome – Recommend a solution, and for each recommendation provide an action on how it would be implemented. For each solution provide your expected outcome.

Assignment Expectations

Conduct additional research to gather sufficient information to justify/support your recommendations and outcomes. You should have at least two solutions and two outcomes respectively.
Limit your response to a maximum of 3 pages.
Support your case with peer-reviewed articles, with at least 2 references. Use the following source for additional information on how to recognize peer-reviewed journals: http://www.angelo.edu/services/library/handouts/peerrev.php.
You may use the following source to assist in formatting your assignment: https://owl.english.purdue.edu/owl/resource/560/01/

The kairos of today is how much COVID-19 is impacting the economy. We are gradually opening up the economy. However, the understanding is that these actions will lead to more COVID-19 cases.

The kairos of today is how much COVID-19 is impacting the economy

The kairos of today is how much COVID-19 is impacting the economy. We are gradually opening up the economy. However, the understanding is that these actions will lead to more COVID-19 cases. We are also paying a tremendous economic cost that will probably last for years because of the because of the “shelter at home” requirement.

As we gain control of the coronavirus cases, more of our economy will open. Each state is doing this differently. Some states have done little in terms of the “shelter at home” request from the federal government. You may want to look at what has happened in those states in terms of COVID-19 cases. California has decided to open in “stages”.

The debate is over how fast we should open up different parts of the economy.

In your discussion address the question should we sacrifice public health to stimulate the economy? (Remember this is the big question in An Enemy of the People.) Maybe handle the question in terms of “to what extent” in terms of opening up the economy and facing the public health crisis. What compromise should be reached? Please don’t be simplistic with this. People are losing jobs and business as a result of this debate, and people are losing lives as a result of this public health crisis.

You may want to look at other states that are seeing a growth of the virus. You may want to look at the spikes we have seen in COVID-19 cases after Memorial Day and Mother’s Day. Further, you may want to look at the consequences to small business, industry, and education as a result of the economic shutdown. You may want to look at infection rates. Also, people are already having this discussion if you would like to borrow ideas from them. Don’t regurgitate what other people are saying. Critically Think! Create your own solution!

Please refer to Post-Truth once in your response. Please refer to An Enemy of the People twice in your 300 word response

This is a paper that is focusing on the Zambia-led Prevention Initiative on HIV/AIDS program. The paper also provides additional scenario to use in writing the assignment paper.

Zambia-led Prevention Initiative on HIV/AIDS program

Here is the scenario: You were just hired as a community health educator by FHI 360. FHI 360 works in more than 70 countries and is a major international nonprofit. FHI 360 is known for its expertise in family and reproductive health, and HIV/AIDS. Your assignment is located in Zambia to work on the Zambia-led Prevention Initiative (ZPI).

Your generic job duties are to provide both intimate partner violence prevention and HIV/AIDS community education in rural Zambia to at risk populations. At risk is define as rural Goba women, from the ages of 12 to 99 years old. As part of your job orientation, your employer was kind to have you read the document – ZAMBEZI GOBA. The reason you were given this article to read is because Chet to be the FHI 360 Zambian Country lead. Chet is now in academia and not affiliated with FHI 360. You do not have access to Chet anymore.

Read

You read the article, and FHI 360 has arranged for your travel to highlands town (e.g., Terrytown) with a population of 50,000 people. Terrytown is a former diamond mining town. You are the only FHI 360 employee in this highland town, Terrytown. That hotel room is your home and also your office. The health center is suspicious of your work, and does not want to collaborate with FHI 360.

Welcome to what it is like in public health! I have been in a similar situation. This is hard work. As part of your country orientation, your employer gave you a country profile to assist you with your job duties. In the last decade the Zambian highlands has repeatedly been a describe as area with high HV rates and intimate partner violence. The homicide rate reached an average of 55 murders per 50,000 people between 2000 and 2019, which is more than double the average rate for Zambia and more than three times the average global figure.

Zambia-led Prevention Initiative on HIV/AIDS program

According to Zambian national health data, HIV rates for Terrytown remain one of the lowest in Zambia. Moreover, half of Terrytown’s Goba women (49.3 per cent) consider crime and insecurity to be the main regional problem. In addition, in recent years a noticeable drop in intimate partner violence has been seen, but Terrytown’s health center health data indicate that HIV rates remain one of the highest in Zambia. That is odd, and I would ask why is that the case?

Key excerpts from your job description are: “The objective of your intimate partner violence prevention and HIV/AIDS community education program is to strengthen local capacities for the prevention and reduction of violence and HIV prevention. The Zambia-led Prevention Initiative (ZPI) is align with the Zambian government’s Five-year Development Plan and with the Municipal Plan for Coexistence and Citizen Security developed by the FHI 360.

The strategy was based around three main areas: Strengthening the capacity and effectiveness of regional rural civil society organizations to prevent and also reduce violence and HIV. Creating safe, sustainable and inclusive public spaces to contribute to the reconstruction of the social fabric of Terrytown. Increasing the capacities of young people in Terrytown municipality and their opportunities for personal and community development.”

Instructions: write a full 2-page reflective paper on the following questions: On your first day in Terrytown, what would you do? What strategies would you employ to collaborate with Terrytown’s health center? Why do you think there is a decrease of intimate partner violence? Why is there an increase of HIV locally? What public health core competencies would you rely on to do your job?