Details:

In a short essay (500-750 words), answer the Question at the end of Case Study 1. Cite references to support your positions. (Case Study attached)

 

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  Case Study 3

Kevin worked for 10 years at a uranium mine, excavating uranium for a nearby nuclear power plant. Now, 25 years later, he has small cell lung cancer. Kevin is anorexic and has lost a considerable amount of weight. His muscles are wasting, and he is weak. He tries to move around the house throughout the day but tires easily. It has been difficult for him to access care, and the treatment for his cancer is just starting.

1. With the ongoing exposure to the ionizing radiation, DNA damage occurred. Outline the three stages of carcinogenesis that occurred after his exposure to radiation.

2. Kevin is normally a fit and active man, and his wife often commented on how much food he used to eat after a day at mine. Why would there be muscle wasting and weight loss now? Explain your answer using your 

3. knowledge of the metabolic changes seen with cancer.

In some cancer patients, muscle weakness may result from the production of onconeural antigens. Describe the effects of these antigens. What form would this process likely take in Kevin’s situation?

Case Study Posting Requirements

1. Make sure all of the topics in the case study have been addressed.

2. Cite at least three sources; journal articles, textbooks, or evidenced-based websites to support the content.

3. All sources must be within five years.

4. Do not use .com, Wikipedia, or up-to-date, etc., for your sources.

4 pages not including title page and reference page.

 

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 Details:

This is a CLC assignment.

As a group, observe the simulated “Home Visit With Sallie Mae Fisher” video (http://lc.gcumedia.com/zwebassets/courseMaterialPages/nrs410v_vp01Alt.php).

Refer to “Sallie Mae Fisher’s Health History and Discharge Orders”(attached) for specifics related to the case study used to inform the assignment.

Using “Home Visit With Sallie Mae Fisher” and “Sallie Mae Fisher’s Health History and Discharge Orders,” complete the following components of this assignment

Essay Portion

After viewing the home visit, write an essay of 500-750-words in which you do the following:

1. Identify, prioritize, and describe at least four problems.
2. Provide substantiating evidence (assessment data) for each problem identified.
3. Identify and describe at least four medical and/or nursing interventions.
4. Discuss your rationale for the interventions identified.

Prepare this step of the assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

Scripted Dialogue Portion

Utilizing the information learned from the home visit, health histories, and discharge orders, write a scripted dialogue in which you provide Sallie Mae with education that describes her problems and the interventions identified to improve her condition. Consider Sallie Mae’s physiological, psychosocial, educational, and spiritual needs when developing your dialogue.

Your dialogue should resemble a script. The following is an example of a few sentences from a scripted dialogue:

Nurse: “Good morning, Salle Mae, my name is ______ and I will be your nurse today. I understand you are experiencing problems with ________.”

APA format is not required for this part of the assignment, but solid academic writing is expected.

Refer to “Home Visit With Sallie Mae Fisher Grading Criteria.”(attached)

 

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Imagine you are creating a community health promotion resource that addresses a cardiovascular subject of your choosing. You are creating this tool for a segmented population of health care consumers.

Create an informational tool (350 to 700 words) in the form of one of the following:

• Podcast
• Summary
• News transcript
• Brochure/pamphlet
• Video
• Interview
• Other option approved by your instructor

Include the following in your resource: 

• Identify the disease or subject of focus.
• Identify the population.
• Focus your information on the specific cultural beliefs of the population that you have chosen and how treatment and management of the disease might be affected by these aspects.
• Explain how this disease and the management of it affect resources in society.

.

 

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 Choose a prescription drug that has a generic available. Choose three different types of pharmacies. Examples:

1. Large chain pharmacy such as Walgreens, CVS, Eckards, etc.
2. Grocery store associate pharmacy such as Publix, Krogers, etc.
3. Privately owned local pharmacy
4. Pharmacy associated with a “big box” store such as Target, Walmart, etc.
5. Online pharmacy (must be in the United States)

Do not use any drugs on the pharmacy’s four dollar or other special price list. If the pharmacy has a “club card” or other special way of getting lower cost, do not use this cost.

Compare the cash cost of the brand and the generic making sure that the dose (milligrams, micrograms, etc.) and number of pills are the same.

Example: Synthroid .05 milligrams and levothyroxine .05 milligrams, prescription for 30 pills.

For over-the-counter products, use identical products including formulation (liquid, capsules, etc.), dose (mgs per tablet, mgs per cc, etc.) and size of packaging (20 tablets in the box, 90cc fluid in the bottle, etc.). Try to avoid products that contain multiple ingredients like cold preparations as these are hard to compare due to differing quantities of ingredients within each product.

Example: Benadryl (brand) 25 mg per capsule, 25 capsules per bottle and diphenhydramine (generic) 25 mg per capsule, 25 capsules bottle.

(Make a chart using the below)

Cash Price at Pharmacy A

Cash Price at Pharmacy B

Cash Price at Pharmacy C

Brand name prescription drug

Generic of above prescription drug

Over-the-counter drug

Generic or store brand of the over-the-counter drug used above

3 pages

 

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