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The first question I would ask if the patient has any financial difficulty obtaining any prescribed medications since the patient does not have health insurance due to his career. Many studies show many people with
low income cannot afford health insurance which means they are unable
to adhere to medications (Rohatgi et al., 2021). Without health insurance, the patients mostly pay their medication out of pocket which is unaffordable for them. They may get one month's supply of medication and use it for 2 or 3 months. Some of them may not even pick up the medication in the first place. As responsible providers, it is our responsibility to understand patient’s financial struggles and help them to locate local resources to help them manage their chronic illnesses. The second question I would ask about is his exercise routine. Since the patient is a taxi driver who would sit in the driver's seat about 12 hours a day, the patient’s lifestyle is sedentary. A sedentary lifestyle is a major risk factor for cardiovascular disease and develop hypertension. In a study analyzing the mortality rates of people with more than 10 hours of sitting time a day, the sitting time was significantly correlated with all causes of mortality (Park, et al., 2020). It is important to understand if the patient would be able to add an exercise routine in his
daily life after work or his day-off. The additional questions that I would ask the patient is whether he experienced any chest pain after exercise and I would also ask him if he thinks he has good eating habits, such as how he and his family prepare
their meals. Since the patient has not been in a doctor office in years, a comprehensive physical assessment is needed for the patient. Even though the patient is only concerned about his blood pressure, a comprehensive physical assessment and focus assessment are performed. The patient’s physical exam is within normal range. HEENT system does not have an abnormality. The cardiovascular system is within normal range, no edema, regular rate and rhythm, the patient did
not complain of chest pain. Regular S1 and S2. No murmurs, thrills and rubs. The respiratory system is clear to auscultation bilaterally. No cough is noticed. No crackles, no wheezing. The gastrointestinal system is within normal range. The patient is alert and oriented x 3 and has no nerve or neurological complaints. Diagnosis instruments are needed for this examination:
a platform scale with height capability
a blood pressure (BP) cuff with a sphygmomanometer
a stethoscope with a bell and diaphragm end pieces
a thermometer
a flashlight or penlight
an otoscope, an ophthalmoscope
a reflex hammer
clean gloves
Hypertension Hypertension can be cause by increased salt absorption resulting in volume expansion,
an impaired response
of the renin-angiotensin-
aldosterone
system (RAAS), and increased activation
of the sympathetic nervous system. These changes
lead to the development of
increased total peripheral resistance
and increased afterload, which
in turn leads to the development of hypertension (Iqbal & Jamal., 2023)
Anxiety The amygdala plays an important role in tempering fear and anxiety. Patients with anxiety disorders have been found to show heightened amygdala response to anxiety cues. The amygdala and limbic system structures are connected to prefrontal cortex regions, and prefrontal-limbic activation abnormalities may be reversed with psychological or pharmacologic interventions (Chand & Marwaha., 2023). Renal Artery Stenosis
In patients with renal artery stenosis, the chronic ischemia produced by the obstruction of renal blood flow leads to adaptive changes in the kidney which
include the formation of collateral blood vessels and secretion of renin by juxtaglomerular apparatus. The renin enzyme has an important role in maintaining homeostasis in that it converts angiotensinogen to angiotensin I.
Angiotensin I has then converted to angiotensin II with the help of an
angiotensin-converting enzyme (ACE) in the lungs. Angiotensin II is responsible for vasoconstriction and release of aldosterone which causes sodium and water retention, thus resulting in secondary hypertension or renovascular hypertension.
The patient has not been in the doctor office for over 5 years. I would order CBC, CMP, PT/ INR, BNP and lipid, A1C and thyroid levels for the patient to check for any underlying health issues. Reference: Bokhari MR, Bokhari SRA. (2023, July 23) Renal Artery Stenosis. In: StatPearls. Treasure Island (FL): StatPearls Publishing.
Available from: https://www.ncbi.nlm.nih.gov/books/NBK430718/
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Related Questions
There are two special populations that require extra consideration when you are calculating medication dosages. These are pediatric (children) and geriatric (mature adult) patients. Generally speaking, pediatric patients are under the age of 18, and geriatric patients are 65 and over. Explain the factors impacting dosing and medication administration to these patients. Additionally, explain how a patient's weight influences their dosage.
arrow_forward
You just got a job as the newest pharmacist
at the community drugstore in your town.
One day, a medical resident, Dr. Gomez,
presented you this prescription. He said that
this medication helps with his back pain. Dr.
Gomez also told you that he regularly buys
it in your pharmacy. As a pharmacist, will
you dispense the drug? Why or why not? *
Rene Emilio Gutierrez, M.D.
LAA Medical Center
555-12-34 Loc 5678 • 09178901234
drregutierrez@gmail.com
Name: akı Gomez Age: 30
Address: Ermita, Manila Sex: M
Date: Sept 18,2020
R
Morpehine sulfete 30ng
(MST Continus)
#20
Sig: Tade
12 hours
fab every
for moderate to sěvene pain
fenet
Rene Emplip Gutierrez, M.D.
License No.: 9875432
PTR No.: 0490556
arrow_forward
Josh Cohen is a high school student interested in being a pharmacist. He is in a career planning class that helps students explore career options. One of the assignments is to shadow a healthcare professional. You are a seasoned nurse on a medical-surgical unit and have agreed to help him. He watches you calculate doses, prepare and check medications, and administer medications. How would you answer these questions that he asks you after medication administration?
3.Can drug companies make all the medication come as a liquid since it’s easier to take?
4.Why are some tablets scored so you can break them and with other tablets you need a pill cutter?
arrow_forward
Read the following scientific paper from J.K Aronson titled:
Medication errors: what they are, how they happen, and how to avoid them
QJM: An International Journal of Medicine, Volume 102, Issue 8, August 2009, Pages 513– 521, https://doi.org/10.1093/qjmed/hcp052
Focus on the following sections:
Abstract
One particular medication error
Frequency and outcomes of medication errors
Conclusion: a prescription for better prescribing
Once you have done the reading:
Prepare a 150-200 words reflection piece on the importance of Topic 1 measurements for future health care professionals as you.
Base your reflection on the resources provided.
Drug Dosage and Body mass
Medication errors: what they are, how they happen, and how to avoid them)
You are most welcome to do quick research on measurement errors in your desired field of practice too (Pharmacy, Paramedic, Nutrition, Health Science, Exercise Science, Physiotherapy etc).
To help you out here are some questions to answer in your…
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In your own words describe the dispensing process, we needs to follow starting from receiving the prescription from the patients to dispensing the drugs.
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Scenario: The hospital is close to a military base, but it currently does not accept Tricare insurance.
Is this a well-defined problem or an ill-defined problem, why?
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Insurance systems have benefits and throwbacks for patients and physicians. What is are benefits and one drawbacks for patients and physicians?
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Scenario
Mr. and Mrs. Barnum is a retired couple living in a large house in an affluent neighborhood in central Minnesota. Mr. Barnum, 86 years old, is a retired naval officer who is orderly, controlling, and very "set in his ways." He suffers from hearing loss and severe back pain for which he takes strong pain medication. Mrs. Barnum, 80 years old, always has been a housewife and caregiver for the family. After several bouts of cancer she is weak and frail. Though quite well off financially, Mr. and Mrs. Barnum have always lived a very private and isolated life with no real support network. They have had a long-standing dispute with their immediate neighbor and are suspicious of the "newcomers" on the block. No family members live nearby except their grandson Bob.
Bob is a 37 year old divorcee and always "between jobs." He is estranged from his parents and siblings. He used to occasionally stop by and do odd jobs around his grandparent’s home, but he spends most of his free time…
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I want the solution very quickly within 15 minutes
arrow_forward
) You are a nurse caring for an 87-year-old retired teacher who underwent hip replacement surgery 2 weeks ago and has transferred to your rehabilitation unit for physical therapy and nursing care until she is physically able to return home. Before her surgery, she lived alone, maintained an immaculately clean house, and was very socially active, with several events scheduled throughout her week. She travelled extensively but limited her personal driving to daylight hours. Upon admission to your rehab unit, the patient wonders aloud how she’ll return to her former lifestyle and who will help her.
What data can you gather based on available patient information?
2. How should you assist the patient to facilitate maximal health?
3. What questions should you ask yourself when caring for this patient to help ensure quality of life?
arrow_forward
The following case study is a paraphrase from "Good Clinical Practice. Standard Operating Procedures for Clinical Researchers" (Kolman, J., Meng, P. and Scott, G. editors; John Wiley and Sons publishers, 1998):
“While a study subject and a relative were walking in town one day during the summer, a hanging flower basket fell on a study subjects head, resulting in the study subject falling down and becoming unconscious. The subject’s relative called for an ambulance. On arrival at a local hospital’s Emergency Department, in which the subject regained consciousness but could not recall the event, a x-ray revealed a fractured skull. The subject’s consciousness level at this point was deteriorating and after further tests a subdural hematoma was diagnosed, which was evacuated under general anesthesia. Postoperative recovery was uneventful and progressing well until day four, when the patient developed acute dyspnea (shortness of breath) at rest during visiting time. An emergency lung scan…
arrow_forward
It was your first day at work and the nurse had asked you to obtain the weight and height of the patients asap as the shift was very busy. The equipment you are about to use is very unfamiliar. You are pressed for time, and yet you don’t know how to operate the scale, and patient’s are frustrated waiting for you to get things going.
What would you do?
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Pharmacology is very important to the field of medicine. You as a medical assistant have a very important role in assisting the
provider is prescribing and the patient with educating them on their new medication. Explain several reasons why it is important to understand the medication being prescribed, what are key factors the patient should know about their medications, and how they are prescribed from the office.
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Why is there the issue of linking people with needed personal health services and ensuring the provision of health care when otherwise unavailable.
What are possible solutions that can help the issue of linking people with needed personal health services and ensuring the provision of health care when otherwise unavailable?
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How to cite appropriately below sources?
Book: Writing With Precision: How to Write So That You Cannot Possibly Be Misunderstood by Jefferson D. Bates; Publisher: Penguin Books, New York; 2000
Article in Fast Company (magazine): “Continental’s Turnaround Pilot” by Keith Hammonds 2001 December; pp. 96-101
Newspaper article from The Washington Post, no author listed: “New Drug Appears to Sharply Cut Risk of Death from Heart Failure,” page A12 on July 15, 1993
Article in journal: “Chicana Feminism and Postmodern Theory” by Paula M. Moya in Signs: Journal of Women in Culture and Society, volume 26, issue 2, Winter 2001. University of Chicago Press pp. 28-41
Electronic copy of printed journal article (with DOI): “Theory of Mind Function, Motor Empathy, Emotional Empathy and Schizophrenia: A Single Case Study” by Karen Addy in Journal of Forensic Psychiatry & Psychology, Vol. 18, issue 3, Sept. 2007, pp. 293- 3065 DOI: 10.1080/09670870701292746
Electronic copy of printed journal article…
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You need to assist a 60 year old man with weakness in his right lower extremity while performing a standing transfer from his wheelchair to the bed. His other extremities are all strong, and your PT wants you to stabilize his weaker lower extremity. Describe the procedure you will use, the predatory actions you will take, the instructions you will give the patient, and how you will assist with the transfer.
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A health insurance policy pays 80 percent of physical therapy costs after a deductible of $220. In contrast, an HMO charges $16 per visit for physical therapy. How much would a person save with the HMO if he or she had 10 physical therapy sessions costing $55 each?
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What are some of the complications caused by our insurance system for individual consumers and providers of care? Discuss some new approaches that could have promising new changes in our health system, resulting in more efficient care.
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Medical expenditures create new jobs, save lives and alleviate pain and suffering. Given this, should we as health care providers care about containing health care costs? Explain why this is or isn't a problem for health care providers to be concerned with. Include evidence (statistics and literature) to support your answer.
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You are caring for a client with diabetes. You notice that the client is forcing his shoes on over very swollen feet and the shoes are extremely tight. He denies any discomfort. Is this a problem?
How would you go about the situation?
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It is stated in our course text that more efficient methods to detect frailty and measure its severity in routine clinical practice need to be developed, especially methods that are useful for primary care. Do you agree with this statement? Why or why not? Please explain in detail
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The Internet provides unparalleled informational resources for both consumers and providers of health care. This may be helpful; however, it may be quite dangerous. Comment on the positive and negative aspects of the availability of health-related information on the Internet.
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Discuss that Why is it difficult
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Comprehensive Medical Assisting: Administrative a...
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Related Questions
- There are two special populations that require extra consideration when you are calculating medication dosages. These are pediatric (children) and geriatric (mature adult) patients. Generally speaking, pediatric patients are under the age of 18, and geriatric patients are 65 and over. Explain the factors impacting dosing and medication administration to these patients. Additionally, explain how a patient's weight influences their dosage.arrow_forwardYou just got a job as the newest pharmacist at the community drugstore in your town. One day, a medical resident, Dr. Gomez, presented you this prescription. He said that this medication helps with his back pain. Dr. Gomez also told you that he regularly buys it in your pharmacy. As a pharmacist, will you dispense the drug? Why or why not? * Rene Emilio Gutierrez, M.D. LAA Medical Center 555-12-34 Loc 5678 • 09178901234 drregutierrez@gmail.com Name: akı Gomez Age: 30 Address: Ermita, Manila Sex: M Date: Sept 18,2020 R Morpehine sulfete 30ng (MST Continus) #20 Sig: Tade 12 hours fab every for moderate to sěvene pain fenet Rene Emplip Gutierrez, M.D. License No.: 9875432 PTR No.: 0490556arrow_forwardJosh Cohen is a high school student interested in being a pharmacist. He is in a career planning class that helps students explore career options. One of the assignments is to shadow a healthcare professional. You are a seasoned nurse on a medical-surgical unit and have agreed to help him. He watches you calculate doses, prepare and check medications, and administer medications. How would you answer these questions that he asks you after medication administration? 3.Can drug companies make all the medication come as a liquid since it’s easier to take? 4.Why are some tablets scored so you can break them and with other tablets you need a pill cutter?arrow_forward
- Read the following scientific paper from J.K Aronson titled: Medication errors: what they are, how they happen, and how to avoid them QJM: An International Journal of Medicine, Volume 102, Issue 8, August 2009, Pages 513– 521, https://doi.org/10.1093/qjmed/hcp052 Focus on the following sections: Abstract One particular medication error Frequency and outcomes of medication errors Conclusion: a prescription for better prescribing Once you have done the reading: Prepare a 150-200 words reflection piece on the importance of Topic 1 measurements for future health care professionals as you. Base your reflection on the resources provided. Drug Dosage and Body mass Medication errors: what they are, how they happen, and how to avoid them) You are most welcome to do quick research on measurement errors in your desired field of practice too (Pharmacy, Paramedic, Nutrition, Health Science, Exercise Science, Physiotherapy etc). To help you out here are some questions to answer in your…arrow_forwardIn your own words describe the dispensing process, we needs to follow starting from receiving the prescription from the patients to dispensing the drugs.arrow_forwardScenario: The hospital is close to a military base, but it currently does not accept Tricare insurance. Is this a well-defined problem or an ill-defined problem, why?arrow_forward
- Insurance systems have benefits and throwbacks for patients and physicians. What is are benefits and one drawbacks for patients and physicians?arrow_forwardScenario Mr. and Mrs. Barnum is a retired couple living in a large house in an affluent neighborhood in central Minnesota. Mr. Barnum, 86 years old, is a retired naval officer who is orderly, controlling, and very "set in his ways." He suffers from hearing loss and severe back pain for which he takes strong pain medication. Mrs. Barnum, 80 years old, always has been a housewife and caregiver for the family. After several bouts of cancer she is weak and frail. Though quite well off financially, Mr. and Mrs. Barnum have always lived a very private and isolated life with no real support network. They have had a long-standing dispute with their immediate neighbor and are suspicious of the "newcomers" on the block. No family members live nearby except their grandson Bob. Bob is a 37 year old divorcee and always "between jobs." He is estranged from his parents and siblings. He used to occasionally stop by and do odd jobs around his grandparent’s home, but he spends most of his free time…arrow_forwardI want the solution very quickly within 15 minutesarrow_forward
- ) You are a nurse caring for an 87-year-old retired teacher who underwent hip replacement surgery 2 weeks ago and has transferred to your rehabilitation unit for physical therapy and nursing care until she is physically able to return home. Before her surgery, she lived alone, maintained an immaculately clean house, and was very socially active, with several events scheduled throughout her week. She travelled extensively but limited her personal driving to daylight hours. Upon admission to your rehab unit, the patient wonders aloud how she’ll return to her former lifestyle and who will help her. What data can you gather based on available patient information? 2. How should you assist the patient to facilitate maximal health? 3. What questions should you ask yourself when caring for this patient to help ensure quality of life?arrow_forwardThe following case study is a paraphrase from "Good Clinical Practice. Standard Operating Procedures for Clinical Researchers" (Kolman, J., Meng, P. and Scott, G. editors; John Wiley and Sons publishers, 1998): “While a study subject and a relative were walking in town one day during the summer, a hanging flower basket fell on a study subjects head, resulting in the study subject falling down and becoming unconscious. The subject’s relative called for an ambulance. On arrival at a local hospital’s Emergency Department, in which the subject regained consciousness but could not recall the event, a x-ray revealed a fractured skull. The subject’s consciousness level at this point was deteriorating and after further tests a subdural hematoma was diagnosed, which was evacuated under general anesthesia. Postoperative recovery was uneventful and progressing well until day four, when the patient developed acute dyspnea (shortness of breath) at rest during visiting time. An emergency lung scan…arrow_forwardIt was your first day at work and the nurse had asked you to obtain the weight and height of the patients asap as the shift was very busy. The equipment you are about to use is very unfamiliar. You are pressed for time, and yet you don’t know how to operate the scale, and patient’s are frustrated waiting for you to get things going. What would you do?arrow_forward
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SEE MORE QUESTIONS
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Recommended textbooks for you
- Comprehensive Medical Assisting: Administrative a...NursingISBN:9781305964792Author:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy CorreaPublisher:Cengage Learning
Comprehensive Medical Assisting: Administrative a...
Nursing
ISBN:9781305964792
Author:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa
Publisher:Cengage Learning