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Pathophysiology of disease case study on a male patient

This is an assignment that focuses on the pathophysiology of disease case study on a male patient.The paper also provides results of his blood serum lipid.

The pathophysiology of disease case study on a male patient

Case Study for Pathophysiology of Disease
A male patient (60 years old) after visiting his local GP was advised to do a full blood analysis as part of management of his hypertension. The patient is hypertensive for at least 15 years and his blood pressure is manageable with a drug combination, a diuretic and a b-blocker, and has been stable at 123-8 / 82-85 mmHg for the last few years. The patient’s height is 176 cm and he weighs 96 kg.
The results came back and most; blood glucose, kidney function, Serum Vitamin B12, Serum ferritin, Urea and Electrolytes, Thyroid function test, Differential white cell count, Erythrocyte sedimentation rate and blood red cell folate were all within the normal range and no action was required in relation to these tests. Plasma C reactive protein was elevated at 5.7 mg/L (0.00 – 5.00 mg/L).

The patient’s Liver function tests showed that Serum globulin, albumin, total protein, total Bilirubin, alkaline phosphatase and AST serum levels were all normal. The only abnormal element of the liver function test was Serum Gama GT level at 59 IU/L (1.0- 55.00 IU/L).

The results of the patient’s blood Serum lipid profile however showed some abnormalities as follows:
1. Serum triglycerides,                                 1.2 mmol/L         (0.5 – 2.00 mmol/L) normal
2. Serum Cholesterol                                    5.9 mmol/L         (1.00 – 5.00 mmol/L) abnormal
3. Serum HDL cholesterol level                  1.2mmol/L          (>1.00 mmol/L) normal
4. Serum LDL cholesterol level                   4.1 mmol/L         (1.00-3.00 mmol/L) abnormal
5. Non HDL cholesterol                                 4.7 mmol/L
6. Serum Cholesterol/HDL ratio                 4.9 (Non-HDL cholesterol is part of Lipid profiles per NICE Lipid Modification Guidelines)

The patient also complained of occasional pain in the calf and thigh muscles upon exercise, but this was relieved by resting post exercise.
Family history reveals that the patient lost members of his family due to aortic aneurysms and strokes.

Assignment: Part 2. Atherosclerosis:

Firstly, the GP had a discussion with the patient and advised him to take up regular exercise, modify diet and consider starting “Statin” treatment to reduce his cholesterol levels.
Secondly, the patient went away and did some research from internet resources and was not convince. Due to the different views on Statin treatment available in the public domain, that this is the right course of treatment.
Thirdly, he asked for your advice. Can you provide the patient with a succinct opinion?

You will need to explain to him:
1. Firstly, the pros and cons of statin treatment.
2. Secondly, the mechanisms of action of statins.
3. Then, why there is such a varied opinion on this treatment.
3. Finally and most importantly, your view on this topic, wold you recommend the patient start or not start on such treatment and you need to summaries the justification for your advice.

Your arguments need to be supportive by evidence from research papers and reviews, not Wikipedia, Google or unofficial web-sites etc….
You do not need to provide the traditional different headings, i.e. abstract, introduction etc but write it as a simple report-900 to 1200 words

Ethical Standards to Compete Internationally for MNC

This is an assignment that discusses the Ethical Standards to Compete Internationally. Additionally, the are other questions that are to be answered.

Ethical Standards to Compete Internationally

Answer any Nine (9) out of Ten (10) questions. Each Question carries 10 marks. All the questions are in the attachment below

Question 1:
Firstly, should an MNC Reduce Its Ethical Standards to Compete Internationally?
POINT: Yes.  When a U.S.-based MNC competes in some countries, it may encounter some business norms there that are not allowed in the U.S. For example, when competing for a government contract, firms might provide payoffs to the government officials who will make the decision. Yet, in the United States, a firm will sometimes take a client on an expensive golf outing or provide skybox tickets to events. This is no different than a payoff. If the payoffs are bigger in some foreign countries, the MNC can compete only by matching the payoffs provided by its competitors.

COUNTER-POINT:  No. A U.S.-based MNC should maintain a standard code of ethics that applies to any country, even if it is at a disadvantage in a foreign country that allows activities that might be viewed as unethical. In this way, the MNC establishes more credibility worldwide.
WHO IS CORRECT? Use the Internet to learn more about this issue. Which argument do you support? Offer your own opinion on this issue.

Question 2

Secondly, ArcelorMittal was the world’s largest steel producer in 2018 accounting for more than 5% of global crude steel production. They entered into a joint venture with Sahaviriya Steel Industries, the largest steel producer in South East Asia having their base in Thailand. The joint venture enabled ArcellorMittal to have its steel distributed through Sahaviriya’s distribution channels in Thailand and other parts of South East Asia.  In addition, it could utilize Sahaviriya’s facilities to produce steel products that would be sold locally.  In return, ArcelorMittal provided information about the American and European steel market to Jamahiriya.

Required:
a.      Explain how the joint venture enabled ArcelorMittal to achieve its objective of maximizing shareholder wealth.
b.     Explain how the joint venture limited the risk of the international business.
c.      Many international joint ventures are intended to circumvent barriers that normally prevent foreign competition.  What barrier in Thailand did ArcelorMittal circumvent as a result of the joint venture?  Lastly, what barrier in the Europe did Sahaviriya circumvent as a result of the joint venture?

Question 3:
Thirdly, explain the origin of what triggered the financial crisis in Greece? Also, how this could have caused contagion effects throughout Europe had not proper intervention taken place. Is the crisis finally over?

 

Emesis during practicum Patient complaint of nausea

This essay entails the occurence of Emesis during practicum and the Patient complaint of nausea. Emesis during practicum reflects on stting the aims and the goals to enable one to acquire the best health to the ordinary citizens

Emesis during practicum Patient complaint of nausea

Firstly, patient complaint of nausea but no emesis during practicum. The preceptor stated him is having allergy because of inflammation in one of his nares, and no elevated temperature.

Also, reflect on your practicum experience by writing your responses to the following questions:
What were the highlights of practicum to this point? Setting goals, be professionalism, and keeping up with patient’s assessment.

Secondly, what challenges did you face? Driving a long way, Client noncompliant to care, and difficult to follow directions.Recall any online content that you have studied for the practicum. Which system exams did you perform? Which skills did you use for the specific exam during the practicum? I use Otoscope to inspect the nose. How did you apply what you have learned?

Thirdly, reflect back and identify areas that you might have missed. Do you feel you are proficient and timely in performing the specific exam? If yes, great! If thats the case, what could be done to improve? How did your skills improve from the last time you performed the specific systems exam? What have you seen in the practicum environment that has not been included in the online course?

Lastly, when a person has rhinitis, the inside of the nose becomes inflamed, or swollen, causing cold-like symptoms, such as itchiness, blocked nose, runny nose, and sneezing.

In conclusion, allergic rhinitis can be causes an allergy. In other cases, it is called nonallergic rhinitis. The symptoms of nonallergic and allergic rhinitis are similar, but the causes are different.

Patient Care Delivery Systems Ethical Issues in Nursing CINHAL- MedLine to research

Please confirm if you have access to CINHAL, MedLine to research the articles and that you can provide an outline of the presentation prior to the due date of 2/20.

Confirm if you have access to CINHAL-MedLine to research

Please confirm if you have access to CINHAL, MedLine to research the articles and that you can provide an outline of the presentation prior to the due date of 2/20.
This is a 7 – 10 page PowerPoint, articles must be summarized in a separate doc and speaker notes must be added.
Please provide estimate.
Here are additional details
PROFESSIONAL PRACTICE PROJECT
NARRATED POWERPOINTS

Research and select 3 current articles written from 2006-2016, about a current professional practice topic (NOT a clinical topic), these can include the following subjects (but not limited to):
Firstly, Case Management

Secondly, Advance Nursing Practice

Thirdly, Education Preparation of Nurses

Fourthly, Health Care Delivery Systems

Further, Legality in Nursing

Also, Communication in Nursing

Additionally, Professionalism in Nursing (ie. Uniforms, organizational involvement)

Moreover, Leadership and impact on working environment

Also, Patient Care Delivery systems

Financial impact and cost containment issues

Quality Initiatives

Staffing Ratios

Ethical Issues affecting nursing

Lastly, Other topic may be considered after consultation and approval by instructor

Introduce the topic then, for each article, summarize the key points in no more than 2 paragraphs for each article. Then describe the significance of these articles (why is this important). Finally, summarize the implications these articles in current nursing practice what affect this topic has on nursing).

Researching should be conducted in such data bases as CINHAL, MedLine etc.
Student will develop narrated PowerPoints and post on Blackboard. Each student will comment on 2 student presentations.

GRADING

Reference Page APA (including grammar, punctuation, etc)
Summarization of articles (avoid long quotes)
Narrated PowerPoint:
*Include information needed to give a thorough understanding of topic, Narrative and notes to explain each slide, PP presentation completed before deadline, meets or exceeds required length (7-10 slides Significance of articles /Implication to practice
Posted comment on
Discussion board respond to 2 fellow student presentations 10% 30% 30% 25% 5%

39-year-old male with epigastric pain

This paper is on a Family Medicine 19: 39-year-old male with epigastric pain. You are to Complete only the History, Physical Exam, and Assessment sections of the Aquifer virtual case

Family Medicine 19: 39-year-old male with epigastric pain

Complete only the History, Physical Exam, and Assessment sections of the Aquifer virtual case: Family Medicine 19: 39-year-old male with epigastric pain.

Discussion Question 1
Based on your performance and the expert feedback in your HISTORY collection, describe two missed questions and also your understanding of why they were important to collect for this case history. Use specific references from your text to explain.

 

Discussion Question 2
Based on your performance and the expert feedback in your PHYSICAL EXAM collection, describe two errors in your exam performance or documentation. Use specific references from your text to explain the importance of these findings in correct assessment of this client.

Discussion Question 3
Based on your performance on the PHYSICAL EXAM collection, describe one key finding that you included in your list and describe a specific physical exam that you can perform at the point-of-care to further evaluate the finding. Use specific references from your text.

Discussion Question 4
Based on your performance and the expert feedback in your ASSESSMENT identification of problem categories, choose one missed/incorrect category and use specific references from your text to explain the importance of this category in arriving at correct differential diagnoses for this client.

Discussion Question 5

Based on your performance and the expert feedback in your ASSESSMENT of differential diagnoses, describe one incorrect/missed differential diagnosis and use specific references from your text to support the inclusion of the diagnosis for this client.

Today, you are working at a family medicine clinic with Dr. Medel. Together, you review her clinic schedule for the day and also she suggests that you see Mr. Cesar Rodriguez, a 39-year-old uninsured male who recently moved to the U.S. from the Dominican Republic. This is Mr. Rodriguez’s first visit to the clinic.

Molly, Dr. Medel’s medical assistant, has already escorted Mr. Rodriguez to the examination room and has arranged for a Spanish-speaking interpreter to be present for the visit, since he speaks and also comprehends very little English. Molly tells you that Mr. Rodriguez has been having “worsening abdominal pain over the past several months” and is “worried that something is wrong.”

Dr. Medel says to you, “How would you begin to think about what might be going on with Mr. Rodriguez?”

You reply, “Abdominal pain can be caused by a wide variety of conditions. I’ll need to get more information about his symptoms to form an appropriate differential diagnosis. At this point I’d have to consider several organ systems as potential etiologies of the pain.”

“Very good,” Dr. Medel responds. “Why don’t you go ahead and talk with Mr. Rodriguez and also come find me afterward. Lola, our Spanish-speaking interpreter, can help.”

As you walk down the hall, Lola, the Spanish-speaking interpreter, also,  gives you some tips on how to interview a patient with an interpreter.

You and Lola enter the room. You sit directly across from Mr. Rodriguez, with Lola sitting just off to your left and facing him. You sense that Mr. Rodriguez seems anxious about coming to the physician today. You introduce yourself and ask,
“What brings you in today?”

“Is there anything that makes the pain better or worse?”

“What worries you the most about your symptoms?”

Thinking about some of the common causes of abdominal pain, you conduct a focused review of systems:

General: Reports no weight loss, fevers, chills, or night sweats. He has had no recent illnesses. Aside from a recent move to the U.S. from the Dominican Republic, he has not traveled recently.

GI: Reports no dysphagia, regurgitation, nausea, vomiting, anorexia, early satiety, hematemesis, hematochezia, melena, diarrhea, or constipation.

GU: Reports no dysuria, hematuria, or change in frequency.

CVS/Respiratory: Reports no chest pain, cough, or shortness of breath.

MEDICAL AND FAMILY HISTORY
HISTORY
You now direct your attention to Mr. Rodriguez’ medical history.

“Do you have any chronic medical problems?”

“Have you ever been hospitalized or had any surgeries?”

“Do you take any medicines or supplements?”

“Does anyone in your family have any medical conditions—for example, heart or blood pressure problems? Diabetes?”
“Does anyone in your family have stomach problems or pain similar to yours?”

You ask Mr. Rodriguez a few more questions and discover that he works as a farm laborer. He has no known drug allergies. He smoked a few cigarettes daily but quit six months ago. Further, he drinks three to four beers per week. Also, he reports no other drug use. He has had no recent illnesses. Aside from a recent move to the U.S. from the Dominican Republic, he has not traveled recently.

You congratulate Mr. Rodriguez on quitting smoking and you thank him for answering all of your questions. Further, you review in your mind what you’ve learned from Mr. Rodriguez so far, and find yourself still wondering about why he seems a little anxious. Before you go to get Dr. Medel, you inquire, “It seems like this has really been bothering you. Is there anything else we haven’t talked about that seems important?”

CONTINUE