Study Document
… the taking of the vital signs of the patient which could in this case be inclusive of the patient’s breathing rate, heart rate, blood pressure, etc. Third, yet another key component of physical examination is auscultation. In this case, a physician makes use of a stethoscope to … an organ and changes in its consistency, shape, and tenderness, and can help determine the presence of a foreign mass.”
2. Mr. Smith’s blood pressure was 160/100 mmHg. How does a medical provider take or measure blood pressure? What do the top (numerator) and bottom (denominator) numbers mean in the biological sense? What is the significance the size of these … (numerator) and bottom (denominator) numbers mean in the biological sense? What is the significance the size of these two numbers? Is Mr. Smith’s blood pressure within normal range? Explain how you concluded whether Mr. Smith’s blood pressure is/is not within……
References
American Heart Association (2020). Understanding Blood Pressure Readings. Retrieved from https://www.heart.org/en/health-topics/high-blood-pressure/understanding-blood-pressure-reading s
Davis, C.P. (2018). CT Scan vs. MRI Differences between Machines, Costs, Uses. Retrieved from https://www.medicinenet.com/ct_scan_vs_mri/article.htm
Palmer, A. (2005). A Simple Guide to Blood Pressure. Mason, OH: CSF Medical Communications.
Sawyers, T. (2019). CT Scan vs. MRI. Retrieved from https://www.healthline.com/health/ct-scan-vs-mri
Taylor, R. (2002). Family Medicine: Principles and Practice. New York, NY: Springer Science & Business Media.
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Diagnosis and Plan of Care
The patient’s blood pressure in this case (i.e. 148/92) could be described as elevated. Further, the patient’s blood sugar (at 154 mg/dl) is high. It has also been indicated that the patient in this particular case has a BMI of 37 … 42 inches. In basic terms, a person with a BMI of above 30 is considered obese. According to the National Heart, Lung, and Blood Institute (2019), “the higher your BMI, the higher your risk for certain diseases such as heart disease, high blood pressure, type 2 diabetes.” Also, in as far as waist circumference is concerned, the patient’s waist size is 40 in this case. The … Also, in as far as waist circumference is concerned, the patient’s waist size is 40 in this case. The National Heart, Lung, and Blood Institute (2019) points out that men who have a waist size exceeding……
References
National Heart, Lung, and Blood Institute (2019). Assessing Your Weight and Health Risk. Retrieved from https://www.nhlbi.nih.gov/health/educational/lose_wt/risk.htm
National Institute of Diabetes and Digestive and Kidney Diseases (2017). Type 2 Diabetes. Retrieved from https://www.niddk.nih.gov/health-information/diabetes/overview/what-is-diabetes/type-2-diabetes
Nordstrom, A., Hadrevi, J., Olsson, T., Franks, P.W. & Nordstrom, P. (2016). Higher Prevalence of Type 2 Diabetes in Men Than in Women Is Associated With Differences in Visceral Fat Mass. The Journal of Clinical Endocrinology & Metabolism, 101(10), 3740-3746.
Schilling W.H. & Crook M.A. (2014). Cutaneous Stigmata Associated With Insulin Resistance and Increased Cardiovascular Risk. Int J Dermatol, 53, 1062-1069.
Study Document
… clinically significant by the nurse?
Relevant VS data: T: 96.2 F/35.7 C (oral), BP: 86/44 MAP: 58
Clinical significance: Low body temperature and blood pressure are indicators of hypothermia and hypotension, which are vital signs of anorexia nervosa.
What physical assessment data is relevant and must be … since the interval between the R waves is regular.
Clinical significance: Identification of any abnormal components on the EKG.
LAB RESULTS
1. Complete Blood Count (CBC)
What lab results are relevant and must be recognized as clinically significant by the nurse?
Relevant lab(s): Hgb (12–16 g/dL).
Clinical … Plan of Care with a PRIORITY Lab
Lab: Potassium Value:1.9
Normal Value: Critical Value: 3.7
Clinical significance: Low level of potassium in the blood could indicate hypokalemia.
Nursing assessments/interventions required: Management of vomiting tendencies, which causes loss of potassium.
Lab: Magnesium Value:1.2
Normal Value: Critical Value: 1.7
… vomiting tendencies, which causes loss……
Study Document
...Blood How to Rid Oneself of Diabetes through Healthy Dieting
Concrete Experience
I started my health and nutrition program study after I began reading more health literature. I had seen my father’s health erode as a result of poor dieting and lack of exercise. He suffers from diabetes and is convinced it is not related to his lack of dieting or exercise, but the literature I had read convinced me otherwise. Davis (2008) showed that natives in the Marshall Islands developed diabetes when they moved away from their natural, organic diets and began consuming pre-packaged, fast foods. He initiated a program that returned them to a lifestyle of living off the land and sea, which gave them exercise and a healthy, organic diet. Their diabetes disappeared (Davis, 2008). Bray, Nielsen and Popkin (2004) and Malik et al. (2010) also have shown a link between consumption of high-fructose corn syrup, soda pop……
References
Bray, G. A., Nielsen, S. J., & Popkin, B. M. (2004). Consumption of high-fructose corn syrup in beverages may play a role in the epidemic of obesity. The American Journal of Clinical Nutrition, 79(4), 537-543.
Davis, B. (2008). Defeating Diabetes: Lessons from the Marshall Islands. Today’s Dietitian, 10(8), 24.
Heart. (2020). Cholesterol. Retrieved from https://www.heart.org/en/health-topics/cholesterol/hdl-good-ldl-bad-cholesterol-and-triglyceride s
Heart Monounsaturated Fat. (2020). Retrieved from https://www.heart.org/en/healthy-living/healthy-eating/eat-smart/fats/monounsaturated-fat s
Malik, V. S., Popkin, B. M., Bray, G. A., Després, J. P., Willett, W. C., & Hu, F. B. (2010). Sugar sweetened beverages and risk of metabolic syndrome and type 2 diabetes: a meta-analysis. Diabetes Care, https://doi.org/10.2337/dc10-1079
Study Document
...Blood How Does the Use of In-home Monitoring for CHF Impact Re-hospitalization Rates?
Impact on In-home Monitoring for CHF on Re-hospitalization Rates
Congestive heart failure (CHF) is one of the major cardiovascular diseases with high global incidence and prevalence in the United States. While numerous advances in evidence-based medical therapy continues to occur, congestive heart failure remains a major problem as it results in significant burden of mortality, morbidity, and costs. The United States has a prevalence of 5.8 million individuals with the condition and more than 960,000 cases annually. It is estimated that approximately one million hospitalizations linked to congestive heart failure occur annually. Most of these hospitalizations arise from worsened congestion among already diagnosed patients. The United States spends approximately $32.7 billion on congestive heart failure annually. Martirosyan et al. (2017) states that readmission rates for this condition remain high as nearly 20% of patients are readmitted within 30……
References
Bashi, N., Karunanithi, M., Fatehi, F., Ding, H. & Walters, D. (2017, January). Remote Monitoring of Patients with Heart Failure: An Overview of Systematic Reviews. Journal of Medical Internet Research, 19(1). DOI: 10.2196/jmir.6571
Conn, N.J., Schwarz, K.Q. & Borkholder, D.A. (2019). In-Home Cardiovascular Monitoring System for Heart Failure: Comparative Study. Journal of Medical Internet Research, 7(1). DOI: 10.2196/12419
Gonzalo, A. (2019, August 22). Nola Pender: Health Promotion Model. Retrieved May 18, 2020, from https://nurseslabs.com/nola-pender-health-promotion-model/
Idris, S., Degheim, G., Ghalayini, W., Larsen, T.R., Nejad, D. & David, S. (2015). Home Telemedicine in Heart Failure: A Pilot Study of Integrated Telemonitoring and Virtual Provider Appointments. Reviews in Cardiovascular Medicine, 16(2), 156-162.
Khodaveisi, M., Omidi, A., Farokhi, S. & Soltanian, A.R. (2017, April). The Effect of Pender’s Health Promotion Model in Improving the Nutritional Behavior of Overweight and Obese Women. International Journal of Community-based Nursing and Midwifery, 5(2), 165-174.
Kohn, M. S., Haggard, J., Kreindler, J., Birkeland, K., Kedan, L., Zimmer, R., & Khandwalla, R. (2017). Implementation of a home monitoring system for heart failure patients: A feasibility study. JMIR Res Protoc, 6(3). DOI: 10.2196/resprot.5744
Martirosyan, M., Caliskan, K., Theuns, D., & Szili-Torok, T. (2017). Remote monitoring of heart failure: Benefits for therapeutic decision making. Expert Review of Cardiovascular Therapy, 15(7), 503-515. DOI: 10.1080/14779072.2017.1348229
Ong et al. (2016, March). Effectiveness of Remote Patient Monitoring After Discharge of Hospitalized Patients with Heart Failure. JAMA Internal Medicine, 176(3), 310-318.
Study Document
Sickle cell anemia is among the highly prevalent diseases in the contemporary society. Sickle cell anemia is a disorder of the blood that is caused by the inheritance of the gene that alters the shape of the sickle cell. Therefore, the gene interferes with the … making it difficult to treat. However, various trends are involved in the diagnosis of the disease. The diagnosis of the disease involves a blood test for either a child or an adult. The blood test is used to determine whether an individual’s blood contains the hemoglobin S, which is defective. The test results are positive if the individual emerges to have the hemoglobin S. The doctor, … positive if the individual emerges to have the hemoglobin S. The doctor, therefore, carries out more tests such as the determination of the blood count of the patient (Mayo Clinic Staff, 2017). The diagnosis of the disease……
Study Document
… System
Exercise impacts the nervous system in a myriad of ways. In regards to the central nervous systems, exercise increases the flow of blood to the brain. By increasing the flow of blood to the brain, the brain is obtaining more nutrients and is healthier. Exercise also causes the production and secretion of proteins that protect … allowing more oxygen and nutrients to permeate my nervous system.
Section 5: Energetics
The primary energy substrate being used will include muscle glycogen, blood glucose, and intramuscular triglyceride. Depending on the intensity and duration of my exercise regime, glucose will also be used. After exercise, the consumption ……
References:
1. Karavidas, A. et al. (2010). Aging and the cardiovascular system. Hellenic Journal of Cardiology, 51, 5, 421-427.
2. U.S. Department of Health and Human Services. Healthy People 2020. Available at: http://www.healthypeople.gov/2020/default.aspx .
Study Document
… questions linked to familial and personal history, and eating, salt consumption, and smoking habits will be gathered via a short interview. Height, weight, blood pressure, waist circumference, and hip circumference will be accordingly measured in case of control as well as case groups.
Kessler psychological distress scale ……
References
Cladellas, R., & Castelló, A. (2011). University Professors\\\\\\\\\\\\' Stress and Perceived State of Health in Relation to Teaching Schedules. Electronic Journal of Research in Educational Psychology, 9(23), 217–240.
Eatough, E., Way, J., & Chang, C. (2012). Understanding the link between psychosocial work stressors and work-related musculoskeletal complaints. Appl Egron, 43(3), 554-63. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/21944295
Fernandes, M., & Rocha, M. (2009). Impact of the psychosocial aspects of work on the quality of life of teachers. Brazilian Journal of Psychiatry, 31(1). Retrieved from http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462009000100005
Goetz, K., Berger, S., Gavartina, A., Zaroti, S., & Szecsenyi, J. (2015). How psychosocial factors affect wellbeing of practice assistants at work in general medical care? – a questionnaire survey. BMC Fam Pract, 16, 166. DOI: 10.1186/s12875-015-0366-y
Himmelfarb Health Sciences Library. (2019). Case-control study. Retrieved from https://himmelfarb.gwu.edu/tutorials/studydesign101/casecontrols.cfm
Jardim, J., & Pereira, A. (2016). Perceived impact of lifelong training in teachers. Interacções, 31(42), 22–31.
Karasek, R., Baker, D., Marxer, F., Ahlbom, A., & Theorell, T. (1981). Job decision latitude, job demands, and cardiovascular disease: a prospective study of Swedish men. Am J Public Health, 71(7), 694-705.
Kessler, R. C., Andrews, G., Colpe, L. J., Hiripi, E., Mroczek, D. K., Normand, S. L. T., … Zaslavsky, A. M. (2002). Short screening scales to monitor population prevalences and trends in non-specific psychological distress. Psychological Medicine, 32(6), 959–976. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/12214795
Study Document
… following further assessment, would be AMI. In basic terms, AMI is occasioned by tissue damage as a consequence of the abrupt cut-off of blood flow to the heart. Some of the key symptoms associated with AMI include, but they are not limited to “chest pain, which travels … midsternal chest pain.
In seeking to confirm the primary diagnosis, some of the tests that would come in handy are an ECG and blood tests. In the present scenario, the patient’s ECG reveals anterior lateral ischemic changes. A blood test would in this case also help in the detection of troponin or other proteins indicative of heart damage.
In the case presented, … instances result in a heart attack.
The relevance of quick treatment cannot be overstated in this case. The restoration of the flow of blood would be the very first step. To reduce blood clotting and thus ensure that……
References
Hajar, R. (2017). Risk Factors for Coronary Artery Disease: Historical Perspectives. Heart Views, 18(3), 109-114.
Lu, L., Sun, R., Zheng, Y. & Zhang, P. (2015). Myocardial Infarction: Symptoms and Treatments. Cell Biochem Biophys, 72(3), 865-867.
Study Document
… trumpets
Trumpet in Revelation
Plague in Exodus
1. Rev 8:7, fire, hail
7th, Exod 9:23–25, fire, hail
2. Rev 8:8–9, sea turning into blood, a third of its living creatures perish
1st, Exod 7:20–21, the Nile turns to blood, death of the fish
3. Rev 8:10–11, the water of springs and rivers turns bitter
1st, Exod 7:19, canals and rivers
4. Rev ……
References
Ellis, E. E. (1993). Jesus’ use of the Old Testament and the genesis of New Testament theology. Bulletin for Biblical Research, 3, 59-75.
Frei, H. W. (1974). The eclipse of biblical narrative: A study in eighteenth and nineteenth century hermeneutics. Yale University Press.
Hafemann, S., & House, P. (Eds.). (2007). Central themes in biblical theology: Mapping unity in diversity. Baker Academic.
Hamilton Jr, J. M. (2006). God\\\\\\'s Indwelling Presence: The Holy Spirit in the Old & New Testaments (Vol. 1). B&H Publishing Group.
Hamilton Jr, J. M. (2010). Biblical Theology and Preaching. Text-Driven Preaching: God’s Word at the Heart of Every Sermon, 193-218.
Hodgson, P. C. (2005). Hegel and Christian theology: A reading of the lectures on the philosophy of religion. Oxford University Press on Demand.
Murray, M. J., & Rea, M. (2002). Philosophy and Christian theology. The Stanford Encyclopedia of Philosophy.
Sailhamer, J. H. (2010). The meaning of the Pentateuch: Revelation, composition and interpretation. InterVarsity Press.
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