The cause of brain disorders

1. Why do you believe the neurologist was called to the ER in order to consult on this case? (HINT: think about the main presenting signs/symptoms on admission to the ER??) What is the mental status exam and why is it used to assess the patient?

2. Why do you think the neurologist includes “CVA” and “TIA” in her assessment? Are you doubtful at this point that either one may be the diagnosis? Why or why not?? (HINT: consider his personal past history as well as the mental status exam)

3. Comment on the neurologist’s plan; the different imaging tests ordered and the medication ordered. In particular, why was it very important to include the CT, MRI, and MRA in the workup of this patient?

4. What was done next in order to confirm the MRI findings?

5. What did you learn from this case regarding the cause of brain disorders?? For example, why is it important to get a brain scan when presented with a patient who has stroke-related symptoms and signs?

 

Mineral deficiency

Sofia is a 27-year-old female who has developed significant fatigue. She says that she feels tired almost every day, despite getting adequate amounts of sleep. Drinking coffee helps, but she limits herself to one cup in the morning. She does not feel anxious or depressed and states that overall, her stress level is “not that high.” She loves her job working as an administrative assistant for an advertising agency and is newly engaged to her longtime boyfriend. She has maintained a healthy plant-based vegetarian diet for the past three years, avoiding all animal-derived foods. She is not on any medication but takes a B vitamin complex, as well as a calcium supplement with Vitamin D daily. Her body mass index is 18.7. She exercises three times a week for about 40-60 minutes, mostly running, hiking, and sometimes biking. She will lift weights occasionally as well. During exercise, she says that she notices a little shortness of breath, but nothing terribly concerning. Her menstrual cycles have been regular, but noticeably heavier over the past year. She also notices that her hair is shedding a lot, but can’t tell if it is more than normal; She says that she sees more in the shower drain and in her hair brush.

  1. What mineral deficiency does Sofia most likely have? Be sure to explain why she may have developed this deficiency and what symptoms are associated.
  2. If she went to see her doctor, would this deficiency show up in her bloodwork? What blood parameters would most likely be affected?
  3. What advice would you give Sofia to help correct her deficiency and how should she prevent this in the future?

Brain Hacking

Participation #5 – Brain Hacking Video 22 unread replies.22 replies. Overview: For this activity, you will watch an interesting clip from a news report that will show how social media usage is affecting our brain chemistry. You will then write a response where you reflect on your opinion of the news report. Instructions: Click on the link below to watch a “60 minutes” story related to smartphone use and brain hacking (some of the information shown in this video is related to what we have discussed in class): Task:

After you have watched the video, answer BOTH of the following questions using a total of at least

  • Use a specific term from the study guide to explain how it relates to this video (terms can include: one of the brain lobes, a structure from the limbic system, a neurotransmitter, etc.)
  • How can you benefit from the information that you learned in this video (i.e., how can you or someone you know decrease the use of social media apps)?

Social construction of gender

Why do you think gender reveal parties have become so popular? What does their popularity teach us about the social construction of gender in the US? Why does Jenna Karvunidis argue that we should end the practice of having a gender reveal party? What do you think?

legislation and regulations

Answer the following questions about WHS legislation and regulations. Who is the WHS regulating authority for your state or territory? What WHS legislation and regulations are applicable to your state or territory? What are the laws and regulations that have been implemented across all states and territories (with the exception of Victoria and Western Australia)? 2. Define the term ‘duty holder’ under WHS legislation and the primary duty of care of a person conducting a business or undertaking (PCBU) under WHS legislation. 3. Identify four employer responsibilities in relation to the provision of a safe workplace.

Health information manager

Judy Jordan has just begun working as the health information manager in a large physicians’ group practice. The patient’s name is the primary patient identifier and the records are filed alphabetically. Misfiles is a frequent problem, and in large practice, patients sometimes have similar names. The records are not kept in a uniform format. Many of the doctors use an integrated format, but three of the physicians use the POMR. The practice wants to transition to an electronic health record. In reviewing the encounter forms, Judy finds codes that are no longer valid. She questions the staff and finds that no one can remember when the encounter form was updated. Bills frequently are returned for invalid codes. Electronic systems for patient registration and appointments have been implemented, but the staff also keeps a manual appointment log. A computer-generated list of appointments is given to the HIM clerk on the day prior to the appointments so the records can be pulled and available when the patients arrive. Many appointments that are entered in the manual log are not also entered in the electronic appointment system. The HIM clerk, therefore, spends extensive time each day pulling records for those appointments that are not on the computer-generated list. Judy has been asked to make suggestions for making the office run more smoothly. 1. What main problems should she identify? 2. Write a brief plan to solve ONE of the problems Judy identifies.

Accountability in healthcare

What are the key points made relative to a culture of accountability in healthcare?  Why is accountability in healthcare important? How do we achieve it?  If achieving high reliability in healthcare is our goal, why haven’t we achieved that across hospitals and health systems?  What is standing in our way? How might we overcome the barriers and impediments? How does collective mindfulness factor into our achievement of high reliability in healthcare?

Cause of premature mortality and morbidity

Tobacco is most likely the primary cause of premature mortality and morbidity in Malaysia, especially among Malaysian men, those who are younger, of Malay ethnicity, less educated, reside in rural residential areas,s and with lower socio-economic status. The burden of disease in 2013 estimated that one-fifth of disability-adjusted life years and one-third of years of life lost for Malaysians were due to smoking-related diseases. As a nutrition researcher, you are going to plan an anti-smoking campaign.

Construct the goal, Process objectives, Learning Objectives, Action/Behavioral/Impact objectives, and Outcome/Program Objectives. (only 1 objective for each).

Powers of attorney for healthcare

The types of advance directives discussed in the test, living wills and powers of attorney for healthcare, have existed for a number of years and are readily available through healthcare providers, at law offices, and on the Internet.

Studies have consistently shown, however, that only about one-third of those studied have completed an advanced directive.  Why individuals would be reluctant to create a living will and/or power of attorney for healthcare?

How hospital data are aggregated and reported

350-450 words response, respond to the following prompt. Be sure to have citations and references in the post.

PROMPT:

Due to this being a somewhat recent news item, let’s explore how hospital data are aggregated and reported. This is a great time to work outside of news stories, using critical thinking to explore the work of various government agencies, especially in the realm of informatics and data aggregation for public health.

Guiding Questions:

What is the CDC? What is HHS? How do they have different missions and how do they overlap?
What is the National Healthcare Safety Network? What is its purpose? What are its pros and cons?
What is the purpose of collecting, aggregating, and reporting hospitalization data?