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what can be two main care prority and what information have you used to arrive at this?

Comprehensive Medical Assisting: Administrative and Clinical Competencies (MindTap Course List)

6th Edition

ISBN:9781305964792

Author:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa

Publisher:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa

Chapter10: Computers In The Medical Clinic

Section: Chapter Questions

Problem 6CR

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Amika Sin, an 85-year-old patient, is at the clinic receiving her annual physical checkup. She is wearing a sweater, but complains that the room is cold. The thermostat reads 75°F. Her son told the physician She is getting slow having hard time and walking front like a hatchback person. Mrs. Amika Sin tries to get her MX3 pills in her bag to ask the physician for approval, obviously, she has problems locating and feeling the pack of medicines. She also states that she is all thumbs. “The food is not delicious as I used to be because of nowadays a lot of chemical they are putting in the vegetables that makes un yummy the food I used to pick up the vegetables in my backyard and it was a delicious when you eat them.” Her daughter states that they are concerned because she does not seem to have enough peripheral vision to drive. The nurse performs a neurologic examination. Explain the changes in the patient’s neurologic function that are related to aging and what risks the patient has…
Mr Anthony Drinkwater was a 62 year old gentleman who was brought up in an orphanage. For many years he was chauffeur and gamekeeper for Sir Cyril Blanchmore, a Baronet who owned an estate in Stirlingshire. Alas, the estate had run into financial difficulties and Mr Drinkwater was made redundant. Mr Drinkwater drifted south to London. He took casual work in restaurant kitchens and frequented pubs in the city. He lived in a bed-sit and gradually slipped downhill, drinking cheap sherry and cider. Eventually he was found unconscious in a public park during a very cold spell. He was admitted to the geriatric ward of the Hospital. He had peripheral frost bite of his toes and grossly oedematous legs. He smelled of acetone and was found to be dehydrated. His chest was consolidated with little breath sounds. A throat swab and also a blood specimen for culture both were sent to the lab. The blood had a high number of white cells and these were mainly neutrophils. what's the diagnosis? thank…
Eugene Shaw, 87-years-old, is a retired illustrator and former Marine who served in the Korean War. He and Nancy, his wife of 59 years, live in the city. Gene has had cold sensitization and nocturnal pain in his lower limbs and hands since trench foot, acquired in Korea, required amputation of several toes. He has hypertension, osteoarthritis, and Type 2 Diabetes. He is overweight, and he smokes and drinks. Chronic leg pain and ulcerations brought Eugene to the hospital. Address at least three teaching areas that are a priority for Mr. Shaw and his health status?
Eugene Shaw, 87-years-old, is a retired illustrator and former Marine who served in the Korean War. He and Nancy, his wife of 59 years, live in the city. Gene has had cold sensitization and nocturnal pain in his lower limbs and hands since trench foot, acquired in Korea, required amputation of several toes. He has hypertension, osteoarthritis, and Type 2 Diabetes. He is overweight, and he smokes and drinks. Chronic leg pain and ulcerations brought Eugene to the hospital. How would you apply the concept of oxygenation to Mr. Shaw, considering his health history?
Enzo Bihari is a 19 yo full time university nursing student. He keeps fit by riding mountain bikes, running and plays with the uni hockey team. He lives in a share house while on campus and goes home for holidays. He also works part-time as a bartender.  He went to the beach with some friends on a hot Saturday and hit his head on a sand bank when diving into the water. His friends saw him dive in and realised very quickly that although he was floating face down in the water, he wasn't fooling around and actually was unable to turn over. His friends and lifeguards turned him, supporting his neck, and kept him warm until the paramedics arrived. Vital signs:  RR: 32 bpm (shallow) SpO2: 89% on O2 15L/min via non re-breather mask BP: 94/55 mmHg   (MAP 68 mmHg) HR: 64 bpm T: 37.9oC (tympanic)  Neurological assessment: GCS: eyes - 4; Verbal - 5; Motor - 6 Pupils: pupils equal (4 mm), round, and reactive to light and accommodation (PERRLA) Limb movements: as above in "Disability" notes…
Enzo Bihari is a 19 yo full time university nursing student. He keeps fit by riding mountain bikes, running and plays with the uni hockey team. He lives in a share house while on campus and goes home for holidays. He also works part-time as a bartender.  He went to the beach with some friends on a hot Saturday and hit his head on a sand bank when diving into the water. His friends saw him dive in and realised very quickly that although he was floating face down in the water, he wasn’t fooling around and actually was unable to turn over. His friends and lifeguards turned him, supporting his neck, and kept him warm until the paramedics arrived. Consider the Triage cue cluster: MAP 68 mmHg HR 64 bpm peripheries warm & pink Using physiological and pathophysiological mechanisms, and describing anatomical structures involved, explain why Enzo is presenting with this assessment data.
Enzo Bihari is a 19 yo full time university nursing student. He keeps fit by riding mountain bikes, running and plays with the uni hockey team. He lives in a share house while on campus and goes home for holidays. He also works part-time as a bartender.  He went to the beach with some friends on a hot Saturday and hit his head on a sand bank when diving into the water. His friends saw him dive in and realised very quickly that although he was floating face down in the water, he wasn’t fooling around and actually was unable to turn over. His friends and lifeguards turned him, supporting his neck, and kept him warm until the paramedics arrived. Vital signs:  RR: 32 bpm (shallow) SpO2: 89% on O2 15L/min via non re-breather mask BP: 94/55 mmHg   (MAP 68 mmHg) HR: 64 bpm T: 37.9oC (tympanic)  Neurological assessment: GCS: eyes - 4; Verbal - 5; Motor - 6 Pupils: pupils equal (4 mm), round, and reactive to light and accommodation (PERRLA) Limb movements: as above in "Disability" notes…
Ema, aged one year, and her mother Ogwa recently moved to Canterbury from Nigeria. On 2 January, Ogwa brought Ema to A&E, concerned about Ema’s severely swollen hands and feet and persistent extreme irritability. Ogwa is generally fit and well. Until now, Ema has had no medical issues. Ema’s father is also well and healthy with no known medical issues. (He remains in Nigeria temporarily due to the nature of his work and plans to join his wife and daughter in Canterbury soon.) No one in the family has participated in any disease screening programmes. Your lab is to undertake a full blood count, blood films and Hb electrophoresis for both the mother and daughter. Unfortunately, the sample of blood to be used to make Ema’s blood films was lost when it was accidentally dropped by the courier upon delivery to your lab. As blood samples were also sent for further tests to a hospital in London, the lab there has kindly agreed to use an aliquot of the blood sample to make and analyse the…
Ema, aged one year, and her mother Ogwa recently moved to Canterbury from Nigeria. On 2 January, Ogwa brought Ema to A&E, concerned about Ema’s severely swollen hands and feet and persistent extreme irritability. Ogwa is generally fit and well. Until now, Ema has had no medical issues. Ema’s father is also well and healthy with no known medical issues. (He remains in Nigeria temporarily due to the nature of his work and plans to join his wife and daughter in Canterbury soon.) No one in the family has participated in any disease screening programmes. Your lab is to undertake a full blood count, blood films and Hb electrophoresis for both the mother and daughter. Unfortunately, the sample of blood to be used to make Ema’s blood films was lost when it was accidentally dropped by the courier upon delivery to your lab. As blood samples were also sent for further tests to a hospital in London, the lab there has kindly agreed to use an aliquot of the blood sample to make and analyse the…
George Esposito is a 79-year-old male admitted to a medical ward. George was taken to the emergency department by his daughter following a fall at home. George tells the staff it was “nothing but a bit of a dizzy spell”. George lives alone and his daughter, Angela describes him as a very private man who prefers his own company. George owns his own small weatherboard home on a small farm. He has tank water only at the property. He has a vegetable garden, three chickens and his Jack Russel dog, Bella. George and Bella are inseparable. George enjoys watching sport and news programs on television, loves a good strong cup of black tea with three teaspoons of sugar and chocolate biscuits. He likes to get up early and go to bed early. He does not like the recent hot weather. Angela visits once a week and has been dropping off his meals, but she reports he says that he has not been eating them recently because he is not hungry, and things seem to get stuck in his throat. She notes her father…
George Esposito is a 79-year-old male admitted to a medical ward. George was taken to the emergency department by his daughter following a fall at home. George tells the staff it was “nothing but a bit of a dizzy spell”. George lives alone and his daughter, Angela describes him as a very private man who prefers his own company. George owns his own small weatherboard home on a small farm. He has tank water only at the property. He has a vegetable garden, three chickens and his Jack Russel dog, Bella. George and Bella are inseparable. George enjoys watching sport and news programs on television, loves a good strong cup of black tea with three teaspoons of sugar and chocolate biscuits. He likes to get up early and go to bed early. He does not like the recent hot weather. Angela visits once a week and has been dropping off his meals, but she reports he says that he has not been eating them recently because he is not hungry, and things seem to get stuck in his throat. She notes her father…
George Esposito is a 79-year-old male admitted to a medical ward. George was taken to the emergency department by his daughter following a fall at home. George tells the staff it was “nothing but a bit of a dizzy spell”. George lives alone and his daughter, Angela describes him as a very private man who prefers his own company. George owns his own small weatherboard home on a small farm. He has tank water only at the property. He has a vegetable garden, three chickens and his Jack Russel dog, Bella. George and Bella are inseparable. George enjoys watching sport and news programs on television, loves a good strong cup of black tea with three teaspoons of sugar and chocolate biscuits. He likes to get up early and go to bed early. He does not like the recent hot weather. Angela visits once a week and has been dropping off his meals, but she reports he says that he has not been eating them recently because he is not hungry, and things seem to get stuck in his throat. She notes her father…