Based on “Case Study: Fetal Abnormality” and other required topic study materials, write a 750-1,000-word reflection that answers the following questions:

1. What is the Christian view of the nature of human persons, and which theory of moral status is it compatible with? How is this related to the intrinsic human value and dignity?
2. Which theory or theories are being used by Jessica, Marco, Maria, and Dr. Wilson to determine the moral status of the fetus? What from the case study specifically leads you to believe that they hold the theory you selected?
3. How does the theory determine or influence each of their recommendations for action?
4. What theory do you agree with? Why? How would that theory determine or influence the recommendation for action?

Remember to support your responses with the topic of study materials.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

 

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Case Study – The Elderly

Scenario:

As a community health nurse, you are working in an outpatient clinic in a community that serves mainly elderly clients.

This year, you noted that 85 percent of the visits resulting in hospitalization resulted from bronchitis, asthma, pneumonia, and influenza as compared to last year. At that time; the visits weredue to colds, sore throats, influenza, bronchitis, and pneumonia, in order of frequency.

Maria Perez, a 73-year-old Cuban American woman has been referred for community health nursing services following her discharge from the hospital. She smokes two packs of cigarettes per day. She was recently hospitalized as a result of a severe shortness of breath due to an asthma attack. The primary care provider prescribed respiratory treatments using Albuterol via jet nebulizer every 4-6 hours as needed. Mrs. Perez lives alone and has three cats to take care of.

Instructions:

1. Read the scenario above and answer the following questions:
   • What are the biophysical, psychological, physical environmental, sociocultural, behavioral, and health system factors influencing Mrs. Perez’s health?
   • Describe at least three primary, secondary, and tertiary prevention strategies that would be appropriate in resolving Mrs. Perez’s health problems. Why would they be appropriate?
   • What activities related to health promotion and disease prevention would you plan for the late fall?
   • How would you evaluate your nursing interventions? What criteria would you use to evaluate care?

 

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This assignment is 100 points.  References, must be provided for cited work.

Please read the attached case study. This document is copyrighted. Please do not distribute or share in any way as this is being viewed for the purposes of this course only.

Harold Kerzner, PhD  (2009). The Tylenol Tragedies. Project Management, Case Studies; Third Edition. Wiley & Sons, Inc. Pages 509-529

• Please answer the following questions with regard to the case in a 3-5 page paper. When answering these questions, please be certain to relate project management processes, concepts, and terms as appropriate (points are assigned for this – see below)
• Be certain to cite sources as appropriate. As a general rule, if it isn’t your thought or statement, you need to reference the source.
• Please do not exceed 3 -5 pages (using the recommended 1.5 spacing with the 1 inch margins). You may include a cover page but this is not required. Neither a cover page nor a reference page count toward your total of 3-5 pages.

All responses will be submitted to TurnItIn to verify originality.

Case Study Assignment Rubric:  

• Please label your submission with your name, date and Case Study Assignment or Tylenol Tragedies.
• Please answer the following questions with regard to the case in a 3-5 page paper (not APA format). This also includes proper spelling and grammar. Papers must include citations for references. (15 points)
  1. What type of leader was David Collins and James Burke? (10 points)
  2. What is the significance of people knowing Tylenol was the product of J&J? (10 points)
  3. What role did communication play? (10 points)
  4. Many surveys of consumers were collected through the tragedy. How was this helpful? (10 points)
  5. (Opinion question) What do you do when there is no time to plan, as a PM, a fully well thought out plan? (10 points)
  6. What contributed to the company’s recovery. (10 points)
  7. What, in your opinion, or in the author’s opinion, is (at least one) significance of this story from a PM perspective. (10 points)
  8. When answering these questions, please be certain to relate project management processes, concepts, and terms as appropriate. (15 points are for the use of PM terms, processes and concepts used throughout this course.)

 

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 Inflammatory Bowel Disease 

Case Study 

The patient is an 11-year-old girl who has been complaining of intermittent right lower quadrant pain and diarrhea for the past year. She is small for her age. Her physical examination indicates some mild right lower quadrant tenderness and fullness. 

Studies Results 

Hemoglobin (Hgb), 8.6 g/dL (normal: >12 g/dL) 

Hematocrit (Hct), 28% (normal: 31%-43%) 

Vitamin B12 level, 68 pg/mL (normal: 100-700 pg/mL) 

Meckel scan, No evidence of Meckel diverticulum 

D-Xylose absorption, 60 min: 8 mg/dL (normal: >15-20 mg/dL) 

120 min: 6 mg/dL (normal: >20 mg/dL) 

Lactose tolerance, No change in glucose level (normal: >20 mg/dL rise in glucose) 

Small bowel series, Constriction of multiple segments of the small intestine 

 Diagnostic Analysis 

The child’s small bowel series is compatible with Crohn disease of the small intestine. Intestinal absorption is diminished, as indicated by the abnormal D-xylose and lactose tolerance tests. Absorption is so bad that she cannot absorb vitamin B12. As a result, she has vitamin B12 deficiency anemia. She was placed on an aggressive immunosuppressive regimen, and her condition improved significantly. Unfortunately, 2 years later she experienced unremitting obstructive symptoms and required surgery. One year after surgery, her gastrointestinal function was normal, and her anemia had resolved. Her growth status matched her age group. Her absorption tests were normal, as were her B12 levels. Her immunosuppressive drugs were discontinued, and she is doing well. 

Critical Thinking Questions 

1. Why was this patient placed on immunosuppressive therapy? 

2. Why was the Meckel scan ordered for this patient? 

3. What are the clinical differences and treatment options for Ulcerative Colitis and Crohn’s Disease? (always on boards) 

4. What is prognosis for patients with IBD and what are the follow up recommendations for managing disease? 

 Urinary Obstruction 

Case Studies 

The 57-year-old patient noted urinary hesitancy and a decrease in the force of his urinary stream for several months. Both had progressively become worse. His physical examination was essentially negative except for an enlarged prostate, which was bulky and soft. 

Studies Results 

Routine laboratory studies Within normal limits (WNL) 

Intravenous pyelogram (IVP) Mild indentation of the interior aspect of the bladder, indicating an enlarged prostate 

Uroflowmetry with total voided flow of 225 mL 8 mL/sec (normal: >12 mL/sec) 

Cystometry Resting bladder pressure: 35 cm H2O (normal: <40 cm H2O) 

Peak bladder pressure: 50 cm H2O (normal: 40-90 cm H2O) 

Electromyography of the pelvic sphincter muscle Normal resting bladder with a positive tonus limb 

Cystoscopy Benign prostatic hypertrophy (BPH) 

Prostatic acid phosphatase (PAP) 0.5 units/L (normal: 0.11-0.60 units/L) 

Prostate specific antigen (PSA) 1.0 ng/mL (normal: <4 ng/mL) 

Prostate ultrasound Diffusely enlarged prostate; no localized tumor 

 Diagnostic Analysis 

Because of the patient’s symptoms, bladder outlet obstruction was highly suspected. Physical examination indicated an enlarged prostate. IVP studies corroborated that finding. The reduced urine flow rate indicated an obstruction distal to the urinary bladder. Because the patient was found to have a normal total voided volume, one could not say that the reduced flow rate was the result of an inadequately distended bladder. Rather, the bladder was appropriately distended, yet the flow rate was decreased. This indicated outlet obstruction. The cystogram indicated that the bladder was capable of mounting an effective pressure and was not an atonic bladder compatible with neurologic disease. The tonus limb again indicated the bladder was able to contract. The peak bladder pressure of 50 cm H2O was normal, again indicating appropriate muscular function of the bladder. Based on these studies, the patient was diagnosed with a urinary outlet obstruction. The PAP and PSA indicated benign prostatic hypertrophy (BPH). The ultrasound supported that diagnosis. Cystoscopy documented that finding, and the patient was appropriately treated by transurethral resection of the prostate (TURP). This patient did well postoperatively and had no major problems.

 

Critical Thinking Questions 

1. Does BPH predispose this patient to cancer? 

2. Why are patients with BPH at increased risk for urinary tract infections? 

3. What would you expect the patient’s PSA level to be after surgery? 

4. What is the recommended screening guidelines and treatment for BPH? 

5. What are some alternative treatments / natural homeopathic options for treatment? 

Students much review the case study and answer all questions with a scholarly response using APA and include 2 scholarly references. Answer both case studies on the same document.

The answers must be in your own words with reference to journal or book where you found the evidence to your answer.

All answers to case studies must have reference cited in text for each answer and minimum of 2 Scholarly References (Journals, books) (No websites)  per case Study.

 

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