SOAP Note Discussion
Clinical Pediatric Case Presentation Part One (graded)
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Please present the pediatric clinical case includingboth the subjective and objective data on the patient organized as you would organize them in a SOAP.
Part two
Diagnosis, treatment plan, any conservative measures, diagnostic tests, any referrals if needed and follow up
GCU NUR641 Genetic Disorder
Find an article on a genetic disorder and summarize in two or three paragraphs the genetic component causing the disorder and any multifactorial inheritance components that may contribute to the disorder. Discuss the usual age of disease onset and if the sex-specific threshold model fits the disorder. What education could you present to high-risk patients to reduce the risk of disease onset if a multifactorial component exists?
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Q2
Genetic screening has become widely available to the public including prenatal screening of the fetus in utero to screening adults for genetic disorders, such as Parkinson’s disease and breast cancer. Share your thoughts on the legal, ethical, and social implications that may be related to genetic screening. How would you educate your patient that is considering having genetic screening?
Week 2
Choose an FDA-approved prescription medication and discuss the pharmacokinetics and pharmacodynamics of the medication, including any differences that would be expected based on the patient’s age, a condition of pregnancy, or lactation. Address any adverse effects the medication may have based on age, pregnancy, or lactation.
Week 2 dw 2
Active acquired immunity can be achieved through the use of childhood immunizations. Many parents voice concerns regarding the safety of vaccinations. What is your opinion on the current use of vaccinations? How would you educate parents regarding the safety and effectiveness of vaccinations? Defend your answers with evidence-based research. GCU NUR641 Genetic Disorder.
Heart Attack Essay
Scenario
Marguerite M., an eighty-nine-year-old widow, was admitted into the cardiac intensive care unit in Chicago’s Memorial Hospital at 3:00 A.M. on a Sunday morning with a massive heart attack (myocardial infarction). Her internist, Dr. K., who is also a close family friend, has ordered an angiogram to determine the status of Marguerite’s infarction (heart attack). Dr. K. has found that the angiogram needs to be done within the first six hours after an infarction to be effective. The procedure is going to be done as soon as the on-call surgical team can set up the angiography surgical room. The radiologist, who lives thirty minutes from the hospital, must also be in the hospital before the procedure can begin. At 4:30 A.M. the team is ready to have Marguerite, who is barely conscious, transferred front the intensive care unit to the surgical suite.
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Coincidentally, at 4:30 A.M. Sarah W., an unconscious forty-five-year-old woman, is brought in by ambulance with a massive heart attack. The emergency room physicians, after conferring with her physician by phone, conclude that she will need a balloon angiography to save her life. When they call the surgical department to have the on-call angiography team brought in, they are told that the room is already set up for Dr. K’s patient. They do not have another team or room for Sarah W. A decision is made that Sarah, who needs the balloon angiography to survive will receive the procedure.
Dr. K. is called at home and told that his patient. Marguerite, will not he able to have the angiogram. The hospital is going to use the angiography team for Sarah since she is younger than Marguerite and has a greater chance for recovery. Unfortunately, it took longer than expected to stabilize Sarah both before and after the procedure, and the six-hour “window” when the procedure could he performed on Marguerite passed. Sarah survived, made a full recovery, and returned to her family. Marguerite expired the following morning.
A. Should Dr. K. have had a voice in this decision ?
B. Is it ethical to “bump” Marguerite in favor of the younger patient?
C. Should this decision be discussed with Marguerite’s family?
D. Does the fact that Sarah’s life has been saved due to the angiogram team being ready to operate on Marguerite make any difference? Heart Attack Essay.
Pros & Cons of Embryonic Stem Cell Research
Pros & Cons of Embryonic Stem Cell Research
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1. What are the main arguments for and against embryonic stem cell research?
2. What are President Bush’s views?
3. Does the U.S. public support embryonic stem cell research or not? Include recent statistics and poll findings.
Medical Law and Ethics-Rights as a Healthcare Provider
Medical Law and Ethics: Rights as a Healthcare Provider
Given that rights have dominated several healthcare debates, how would you define rights as a healthcare provider and why?
What are the consequences of your definition?
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What type of patient-provider model would best accommodate your definition of rights?
If rights also produce obligations – how can both patients and providers claim professional or personal rights over the same issue?
Medical Law and Ethics-Rights as a Healthcare Provider
Healthcare Finance-Private and Government Sponsored
Healthcare Finance: Private and Government Sponsored
1. With respect to financing, what are the main differences between private health care insurance and government sponsored health care for persons over age 65 (Medicare)?
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2. Financially, what kind of balance must health care organizations strike in providing care among private pay patients, government program patients and charity patients?
3. How would a health care organization’s inability to process patient billing correctly and/or in a timely manner be reflected in its financial statements?
Healthcare Finance-Private and Government Sponsored
Ethical Principles in Hospital Budgeting
1. What are the ethical principles that should guide budget development?
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2. If a department is consistently going over budget, yet the department’s management is sound, what are some of the things that could be causing the problem?
Health Care Allocation and Ethics
How should scarce health resources be allocated and used? What should the balance be between expenditures and quality of life in the case of chronic and terminal illness?
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1. Support your position with evidence.
2. Link medical ethics to your answer when appropriate.
3. Site the sources you used in addressing the question.
Misrepresentation of Celebrex and Vioxx by the Drug Industry Essay
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How were Celebrex and Vioxx misrepresented by the drug companies in their clinical trials outcomes, the peer-reviewed published medical jounals’ articles, and the published articles in the popular press such as newspapers, magazines and drug advertisements? How do you think these misrepresentations affected physicians and patients?
Ethical Aspects in Healthcare
Ethical Aspects
1. What are the choices and trade-offs, Dr. Solomon has to make between medical care and his own financial survival?
2. Should he be concerned with his ‘duty’ to his patients as a physician and the financial ‘consequences’ of his actions to himself and the hospital, why or why not?
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3. There was this patient that recieved a CABG. The insurance company paid the hospital a flat fee for this surgery of $30,000. He was discharged from the hospital in 72 hours. 4 days later he is admitted again with a staph infection and is hosptalized for three more weeks because they had to open his chest and clear up the infection. Who had to absorb the major part of the cost of his additonal visit?
4. At Joslin , they say the mission of doctors and the hospital is “to take care of the patient”. But it is felt that the hospital may have to cut back on some of its mission and drop services. At Joslin Clinic there was this diabetic pregnant women and she recieved optimal care, doctors, nurses, dieticians, ultrasounds about 33 vistis to control the mother’s glucose and bring the baby to term. The baby was born healthy and full term with no complications. Would it be a good thing for Joslin Clinic to cut back on its mission and reduce services to pregnant diabetic women? why or why not? What might be the financial and health consequences for cutting back the mission?
5. Do you think a patient that has a heart attack and is very ill should stay in the hospital and run up $600,000? Who will pay for his care? Who should pay for it and why? Should there be a limit to the care we provide to patients like him? Ethical Aspects in Healthcare.