discussion 1 Clinical case scenario

A 39-year-old homeless man presents to the emergency department for cough and fever. He says that his illness has been worsening over the past 2 weeks. He originally had dyspnea on exertion and now is short of breath at rest. On questioning, he tells you that he lives in a homeless shelter when he can, but he frequently sleeps on the streets. He has used IV drugs (primarily heroin) “on and off” for many years. He denies medical history but the only time he gets medical attention is when he comes to the emergency department for an illness or injury. On review of systems, he complains of fatigue, weight loss, and diarrhea. On examination, he is a thin, disheveled man appearing much older than his stated age. His temperature is 100.5°F (38.0°C), his blood pressure is 100/50 mm Hg, his pulse is 105 beats/min, and his respiratory rate is 24 breaths/min. His initial oxygen saturation is 89% on room air, which comes up to 94% on 4 L of oxygen by nasal cannula. Significant findings on examination include dry mucous membranes, a tachycardic but regular cardiac rhythm, a benign abdomen, and generally wastedappearing extremities. His pulmonary examination is significant for tachypnea and fine crackles bilaterally, but no visible signs of cyanosis. His chest x-ray is read by the radiologist as having diffuse, bilateral,

interstitial infiltrates that look like “ground glass.”

Answer the following questions

1-What is the most likely cause of this patient’s current pulmonary

complaints?

2-What underlying illness does this patient most likely have?

 3-What testing and treatment should be started now?

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See attached assignment, form where assignment is completed on, and rubric. 

Must follow instructions in form and must adhere to rubric.

Only 800 words total for this assignment. Must type answers on PodCast 

Evaluation Form

No US-English grammar errors!

No plagiarism, must attach turn it in report as proof. 

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Are you ready to present the policies for your two compliance plans in a way that all employees will understand at a large medical facility where you are the Compliance Officer?

In a 4-page paper, describe the policies for each of the two compliance plans. Break each policy section into 2 pages each. Remember to support your policies for the two plans with a total of three research sources, cited at the end in APA format. (That’s 1-2 research sources per plan.)

Polices you should consider covering for each plan come under the key compliance elements: Compliance Standards, High-Level (personal) Responsibility, Education, Communication, Monitoring/Auditing (for Safety), Enforcement/Discipline, and Response/Prevention.

Look these over in your research and then select just two of these key elements and write your policies under them for each of your two compliance plans. (Your policies for each plan can zero in on different key elements.)

Example:A compliance plan about washing hands between patients might describe policies for High Level (personal) Responsibility and Monitoring/Auditing (for Safety)
A compliance plan about charging patients for Diabetes Management Education as a Physician Visit might describe policies for Compliance Standards and Enforcement/Discipline.

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See attached

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