week 2/ discussion forum/student posted

        

     Exploring the rate of seasonal-pattern depression in an Inuit Community

Methodology:  Quantitative 

Design:  Ethnography

Rationale:  To assess the rate of seasonal-depression in an Inuit community above 70 degrees N.

2. Democracy in America

Methodology:  Qualitative

Design:  Grounded theory

Rationale:  To review “Democracy in America” by Alexis de Tocqueville and translated and edited by Harvey C. Mansfield and Delba Winthrop.

3. The relationship between compassion fatigue and burnout among critical care nurses

Methodology:  Qualitative

Design:  Correlation

Rationale:  To evaluate the literature related to emotional distress among healthcare professionals in the Intensive Care Unit, while emphasizing the prevalence of compassion fatigue and burnout.

4. Two drugs for Alzheimer’s show promise

Methodology:  Quantitative

Design:  Quasi-experimental design

Rationale:  The combination of two approved drugs for Alzheimer’s, acamprosate and baclofen, together open up the possibility for a therapeutic approach for the disease.

5. Evaluating technology with student success

Methodology:  Quantitative

Design: Case Study

Rationale:  To show measurements used to monitor student success and describe strategies used to promote online discussion as a key component of effective online courses.

6. Factors that influence weight control among women

Methodology:  Qualitative

Design:  Survey

Rationale:  To investigate the influence of work hours and employment on weight gain and weight loss with middle-aged women.

7. The meaning of living with brain injury and stroke 10 years after the injury

Methodology:  Quantitative

Design:  Survey

Rationale:  To indicate that rehabilitation following an ABI should consider if clients’ use everyday technology influences their activity and participation and adopt appropriate interventions.

8. Exploring the beliefs of healing among Aborigines

Methodology:  Qualitative

Design: Observational

Rationale:  To give insight on the beliefs of the Aborigines.

References

Account Respecting Beliefs of Australian Aborigines. (1896). The Journal of American Folklore, 9(34), 199-203. doi:1. Retrieved from http://www.jstor.org/stable/533404 doi:1

Au, N., Hauck, K., & Hollingsworth, B. (2013). Employment, work hours and weight gain among middle-aged women. International Journal of Obesity, 37(5), 718-24. doi:http://dx.doi.org/10.1038/ijo.2012.92

Chumakov, I., Nabirotchkin, S., Cholet, N., Milet, A., Boucard, A., Toulorge, D., Cohen, D. (2015). Combining two repurposed drugs as a promising approach for alzheimer’s disease therapy. Scientific Reports, 5, 7608. doi:10.1038/srep07608

Drescher, S. (2001). Democracy in America. The Journal of American History, 88(2), 612-614. Retrieved from http://search.proquest.com/docview/224908446?accountid=87314

Fasse, R., Humbert, J., & Rappold, R. (2009). Rochester institute of technology: Analyzing student success. Journal of Asynchronous Learning Networks, 13(3), 37.

Haggarty, J. M., Cernovsky, Z., Husni, M., Minor, K., Kermeen, P., & Merskey, H. (2002). Seasonal affective disorder in an arctic community. Acta Psychiatrica Scandinavica, 105(5), 378-384. doi:10.1034/j.1600-0447.2002.1o185.x

Lindén, A., Lexell, J., Lund, M. L., Arbetsterapi, Medicinska fakulteten, Institutionen för samhällsmedicin och rehabilitering, & Umeå universitet. (2010). Perceived difficulties using everyday technology after acquired brain injury: Influence on activity and participation. Scandinavian Journal of Occupational Therapy, 17(4), 267-275. doi:10.3109/11038120903265022

 

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Week 2/Discussion 2/ my post

 While interviewing and examining a 17-year-old male, you discover a white patch on his buccal mucosa and slanting palpebral fissures in his eyes. He also states during the interview that he plays baseball and is hoping to earn an athletic scholarship to college.

When the 17-year-old boy says he plays baseball and would like to get an athletic scholarship for college, we can suspect that he spends a lot of time in the field, exposed his self to sun and has been exposed to smokeless tobacco which is prevalent in the baseball sport. An increased use of smokeless tobacco use in sports, mainly in baseball is been reported  in 2016 (Jarvis, 2016). ), “Leukoplakia is chalky white, thick raised patch with well-defined borders.”  This is attached firmly to the buccal mucosa, even if you scraping hard it will not come off. You can also see it in individual who are heavily tobacco user as well as alcohol (Jarvis, 2016). White patches in the mouth also called excessive Candida you may see it in patient with weak immune system, steroid inhaler user, and HIV infection, use of broad-spectrum antibiotics, leukemia, and malnutrition.Slight upward or downward slanting of palpebral fissures normally occurs on a familial basis or in groups such as people of Asian descent. So in this case the slating palpable fissures in his eyes found during the assessment can be suspect that this patient is Asian or is an Asian descent. In non-Asians, the palpebral fissures are horizontal (Jarvis, 2008). Usually when narrowed, upward slanted palpebral fissures are present it could be indication of Down syndrome. In this case this 17-year-old boy should have been ruled out earlier than the age of 17. I would conduct a cranial nerve examination using Snellen chart test for visual acuity to see if there are any deficits in the optic nerve. Patients near vision could also be assessing (Jarvis, 2016).  An ophthalmoscope consult should be place to “examine the ocular fundus to determine the color, size, and shape of the optic disc” (Jarvis, 2016, p. 644). I will also get order for a CT scan to rule out ICP  if during retina exam  patient’s margins of the optic disc become blurred and indistinct. I would first want to initially suspect that the patient has papilledema, also known as a choked disc which is an increase in cranial pressure (ICP) (Jarvis, 2016).

As a Health care professionals we are educated and trained on strategies to teach patients and family members about this condition. First and foremost, would be for the patient to have genetic testing done to confirm a Down syndrome diagnosed. If the test results are positive, then the health care professional can provide the family and patient with the appropriate resources and specialty professionals to aid them in coping with their new diagnosis. The one most important thing that a health care professional can do is to empower the patient and family. This can be accomplished by carrying out interventions in a manner in which family members acquire a sense of control over their own efforts to meet their needs. Health care professionals can also enable families by creating opportunities for family members to become more competent and self-sustaining with respect to their abilities to mobilize their social networks to get their needs met and attain desired goals (Cohen, 2013). It is important to also let the patient know that his career of playing baseball may be limited in college may grossing diminish if other manifestations of condition sets in later in life.

       Some special considerations that can help to educate the patient and family on health promotion and disease intervention would include continuous monitoring measures, including yearly audiologic assessment and yearly ophthalmologic assessment, ongoing management of manifestation of the disorder and related conditions, as well as discussion of issues identified with the move into adulthood. If it were discovered that the patient has developed the habit of using smokeless tobacco, I would educate him on the harmful effects of smokeless tobacco such as the increase risk for cancer, and encourage him to seek out measures to quit.  I would also remind him that at the age of 17 it is illegal to obtain to tobacco products and that he could jeopardize his chances of playing baseball on the collegiate level via an athletic scholarship if caught breaking the law. Furthermore, I would encourage this patient to seek alternative measure to quit smoking, and pick up healthier habits like chewing sugar free gum in place of using smokeless tobacco.

                                                                            References

Cohen, W. I. (2003). Health Care Guidelines for Individuals with Down Syndrome-1999 Revision. Down Syndrome, 237-245. doi:10.1002/0471227579.ch17

                      Jarvis, C. (2016). Physical examination & health assessment. (7th ed.). St. Louis: Elsevier.

                     Jarvis, C. (2008). Pocket companion for physical examination and health assessment. (5thed.).  St. Louis:  Elsevier.

PROFESSOR QUESTION/NEEDS TO ANSWER TO PROFESSOR BASE ON MY POST.

For our 1st pt-

The diagnosis of whiplash is a key differential diagnosis for our first patient. When we consider the patients complaints; HA, decreased ROM in the neck, vertigo, loss of hearing to one ear, sweating and uncontrollable eye movements, along with the recent possible mechanism of injury; the MVA whiplash does fit a possible diagnosis for this patient. When we think of the causes of whiplash, we think of a force strong enough to whip the patients neck backward and forward, placing a great deal of stress on the neck muscles and ligaments. What additional differential diagnosis is appropriate for our first patient, based on the S/S?

 

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1st part home work

While interviewing and examining a 17-year-old male, you discover a white patch on his buccal mucosa and slanting palpebral fissures in his eyes. He also states during the interview that he plays baseball and is hoping to earn an athletic scholarship to college.

· What do you suspect? What kind of client teaching is appropriate in this situation?

· Discuss appropriate educational materials for health promotion and disease prevention

· When would slanting palpebral fissures be normal?

· While performing a retinal examination on this patient, you discover that the margins of the optic disc become blurred and indistinct. What further testing would be required? Why?

Second part student post/I needs answer to this post base on the homework

Week 2 physical assessment 17 year old

Joh

Symptoms and Treatment

       Buccal mucosa is the inner lining of the lips and cheeks. Presence of white patches in the mouth of the patient could be as a result of irritation of the walls of the mouth cavity. This white patch is hard to come off and mainly attaches itself to the buccal mucosa. This condition is prevalent in tobacco and alcohol users. The patient is probably a smoker; if this is true, he needs to desist from smoking to avoid further irritation of the mouth walls which is a good disease prevention measure. Most teenagers of the patient’s age are likely to engage in smoking an activity which they do as fun. The patient should find other alternatives to smoking such as taking snacks and being with the right company in sports to ensure he succeeds in his quest of securing a scholarship.

      The palpebral fissure is the meeting point of the lower and upper eyelids. Slanting of palpebral fissures occurs normally on Asians which is a probable indication of the patient’s descent. The slanting of palpebral fissures is prevalent in people suffering from downs syndrome which has not been stated by the patient. More than 80% of the patients with Down’s syndrome suffer from palpebral fissure (“Down Syndrome (Trisomy 21)”, 2018).

 

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Tympanic Membrane and Thyroid Gland

Using the South University Online Library or the Internet, research the tympanic membrane and the thyroid gland. Based on your findings, create a 5- to 6-page Microsoft Word document that includes:

Information about a minimum of two health assessment histories.

The possible findings for the tympanic membrane.

Information on how to examine the thyroid gland using both the anterior and posterior methods.

A concise note in the subjective, objective, assessment, and plan (SOAP) format with each patient’s encountered findings.

For a review of SOAP notes:

SOAP Documentaion

Information about laboratory tests that may be used for screening clients and the expected normal levels for each test.

Support your responses with examples.

On a separate references page, cite all sources using APA format.

Use this APA Citation Helper as a convenient reference for properly citing resources.

This handout will provide you the details of formatting your essay using APA style.

You may create your essay in this APA-formatted template.

 

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