MN551 Advanced Pathophysiology Across The Lifespan
MN551 Advanced Pathophysiology Across The Lifespan Week 8 Discussion
Case Study: Topic
Case Study Posting Requirements
Make sure all of the topics in the case study have been addressed.
Cite at least three sources—journal articles, textbooks or evidenced-based websites to support the content.
All sources must be within five years.
Do not use .com, Wikipedia, or up-to-date, etc., for your sources.
Case Study 1
Structure and Function of the Male Genitourinary System
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Mario is a 68-year-old male whose wife died of cancer five years ago. Since her death, he began to eat more fast food and stay at home and watch television. Recently, however, Mario’s friend introduced him to a woman whom he became to like very much. After seeing her a few times, Mario became concerned about his health and went to see his doctor. He noticed a change in his sexual performance when he turned 60 and, after seeing so much on television about erectile dysfunction, was concerned he would experience this with his girlfriend.
What factors are present in Mario’s history that predispose him to erectile dysfunction?
What condition would you suspect if Mario had a blood test indicating elevated LH and decreased testosterone levels? What effect do low testosterone levels have on the reproductive organs of the male?
How do the parasympathetic and sympathetic nervous systems generate erection, emission, and ejaculation?
Case Study 2
Disorders of the Male Genitourinary System
Darius is 63 years old and began to wake up at night to urinate. When he went to the bathroom, he had to strain to initiate the flow, and the stream of urine was weak. Over time, the pattern became more apparent during the day; he often had a sense of urgency and felt he was going to the bathroom frequently. When he did, however, he did not always feel he had emptied his bladder, and he tended to dribble throughout the day. Much to his reluctance, his wife urged him to see a physician. At the doctor’s office, his case history was carefully taken, a digital rectal exam was performed, and lab work was ordered. His blood results were unremarkable, but his urinalysis showed an elevated white blood cell count and bacteria. His physician diagnosed Darius with benign prostatic hyperplasia and urinary tract infection.
How does BPH contribute to the signs and symptoms of bladder dysfunction, and how was Darius prone to developing a urinary tract infection?
What are the static and dynamic components of BPH? Why are α1-adrenergic receptor blockers sometimes used to treat prostatic hyperplasia?
How does the prostate feel during a digital rectal exam with benign prostatic hyperplasia, acute bacterial prostatitis, and prostate cancer?
Why does the patient with prostate cancer present with symptoms later in the disease?
Case Study 3
Structure and Function of the Female Reproductive System
Janice is 49 years old, is married, and has two teenage children. Over the last year, her periods tended to be irregular and heavier than usual. She also noticed intercourse was becoming more painful for her, and her interest in sex declined. She knew her mother was 51 when she reached menopause, and Janice was concerned about having the mood swings and hot flashes her mother had experienced. She phoned some of her friends to seek their advice. Some said she should try hormone therapy, while others said it was not a good idea at all. Other friends said she should use remedies like red clover tea and soy isoflavone supplements. Janice decided her best bet was to go to the local women’s health care clinic to discuss her options with a nurse.
Using the data collected by the Women’s Health Initiative and the Nurses’ Health Study, why are some women at an increased risk for CHD and others are at a decreased risk when hormone therapy is prescribed?
Why are alternative methods like red clover and some plant oils being promoted for the menopausal woman? What are the changes that occur in a woman’s reproductive organs when estrogen levels decline?
How does estrogen affect bone growth during puberty? Why are postmenopausal women at risk for osteoporosis?
Case Study 4
Disorders of the Female Reproductive System
Tracie is 39 years old and is in a casual relationship with a man. She had her first sexual relationship when she was 13 and prefers to have short-term sexual relationships with men instead of a monogamous, committed partnership. It had been several years since Tracie had a complete physical, so before going on a vacation, she decided to have one done. Tracie’s Pap smear indicated CIN 3 (HSIL) dysplasia. Her physician immediately ordered a colposcopy and LEEP excision, and then asked to see Tracie for a follow-up appointment 6 months later.
Why is cervical cancer considered a sexually transmitted disease?
Explain what the Pap smear entails and why it is an effective tool in the detection of cervical cancer. What does Tracie’s result mean?
What is the transformation zone, and why is it vulnerable to the development of cervical cancer?
What is the LEEP procedure, and why is it useful for the diagnosis and treatment of cervical dysplasia?
To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Home.
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HI300 Unit 4 Seminar Option 2
HI300 Unit 4 Seminar Option 2
Analize the PPT and complete a 300-word reflective summary. Please include:
The main topics discussed.
Sub topics and/or subsequent classroom discussion.
What points of interest were brought up as your classmates discussed the material?
If you were going to host this Seminar, is there anything you would change or add?
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Math 144 Major Assignment 2
Math 144 Major Assignment 2
Answer directly on the worksheet.
This assignment uses a scoring guide. Review the scoring guide on the last tab of the spreadsheet prior to beginning the assignment to become familiar with the expectations for successful completion.
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Transforming Nursing And Healthcare Through Technology
Transforming Nursing And Healthcare Through Technology
Security of Health Care Records
With the increase of health information technology used to store and access patient information, the likelihood of security breaches has also risen. In fact, according to the Canadian Medical Association Journal (CMAJ):
In the United States, there was a whopping 97% increase in the number of health records breached from 2010 to 2011… The number of patient records accessed in each breach has also increased substantially, from 26,968 (in 2010) to 49,394 (in 2011). Since August 2009, when the US government regulated that any breach affecting more than 500 patients be publicly disclosed, a total of 385 breaches, involving more than 19 million records, have been reported to the Department of Health and Human Services.
A large portion of those breaches, 39%, occurred because of a lost, stolen, or otherwise compromised portable electronic device—a problem that will likely only get worse as iPads, smartphones, and other gadgets become more common in hospitals. (CMAJ, 2012, p. E215).
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Consider your own experiences. Does your organization use portable electronic devices? What safeguards are in place to ensure the security of data and patient information? For this Discussion you consider ethical and security issues surrounding the protection of digital health information.
To prepare
· Review the Learning Resources dealing with the security of digital health care information. Reflect on your own organization or one with which you are familiar, and think about how health information stored electronically is protected.
· Consider the nurse’s responsibility to ensure the protection of patient information. What strategies can you use?
· Reflect on ethical issues that are likely to arise with the increased access to newer, smaller, and more powerful technology tools.
· Consider strategies that can be implemented to ensure that the use of HIT contributes to an overall culture of safety.
Required Readings
McGonigle, D., & Mastrian, K. G. (2015). Nursing informatics and the foundation of knowledge (3rd ed.). Burlington, MA: Jones and Bartlett Learning.
Chapter 5, “Ethical Applications of Informatics”
This chapter examines the ethical dilemmas that arise in nursing informatics. The authors explore the responsibilities for the ethical use of health information technology.
Review Chapter 23 “Research: Data Collection, Processing, and Analytics” (pp. 415–416)
In this section, the author explains information fair use and copyright restrictions. The section describes processes for ensuring the security of a computer network.
Brown, B. (2009a). Improving the privacy and security of personal health records.
Journal of Health Care Compliance, 11(2), 39–40, 68.
The author of this article examines the use of the document titled “Nationwide Privacy and Security Framework for Electronic Exchange of Individually Identified Health Information.” The article describes how the framework aims to construct an approach to address the privacy and security challenges that come with health information exchanges and personal health records.
Dimitropoulos, L., Patel, V., Scheffler, S. A., & Posnack, S. (2011). Public attitudes toward health information exchange: Perceived benefits and concerns.
American Journal of Managed Care, 17, SP111–SP116.
This article describes a study that sought to determine the attitude of consumers toward electronic health information exchanges (HIE), HIE privacy and security concerns, and the relationship between these concerns and the perceived benefits of HIE. The authors recommend solutions to some of the privacy challenges stimulated by HIE.
Goodman, K. W. (2010). Ethics, information technology, and public health: New challenges for the clinician-patient relationship. Journal of Law, Medicine & Ethics, 38(1), 58–63.
In this article, the authors focus on how nurses can use health information technology to help transform health care using the recommendations included in the 2010 Institute of Medicine report “The Future of Nursing, Leading Change, Advancing Health.” The author also discusses the 2011 National Strategy for Quality Improvement in Health Care.
Hoffman, S., & Podgurski, A. (2011). Meaningful use and certification of health information technology: What about safety? Journal of Law, Medicine & Ethics, 39(3), 425–436.
This article stresses the necessity of sufficient safeguards for EHR systems. The author explores current safety regulations for EHR system design and deployment. The author makes additional recommendations for protecting public health in the digital area.
Rothstein, M. A. (2010). The Hippocratic bargain and health information technology. Journal of Law, Medicine & Ethics, 38(1), 7–13.
The increasing availability of sensitive patient information granted by electronic health records has generated significant debate about patient privacy. This article examines the potential ethical and legal consequences of patient-directed sequestering of sensitive health information.
Optional Resources
Brown, B. (2009b). Privacy provisions of the American Recovery and Reinvestment Act. Journal of Health Care Compliance, 11(3), 37–38, 72–73.
Retrieved from the Walden Library databases.
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MN507 Discussion Board: Third Party Payment & Medicaid And Medicare
MN507 Discussion Board: Third Party Payment & Medicaid And Medicare
There are 2 discussions: Topic 1 & Topic 2 (They both require references please)
Discussion Topic 1: Third-party Payment
How does third-party payment distort the market for health care? If it is so distorted why does every wealthy country insist on using third-party intermediaries to purchase health care? Why do we carve out a separate payment program for our elder citizens?
Discussion Board: Minimum 200 words, APA Style, Time New Roman, Font 12, (3 references- in text citations) not older than (2012-2017). No Plagiarism
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Discussion Topic 2: Medicaid and Medicare
Summarize ways in which health insurance fails, as people get older. Distinguish between Medicaid and Medicare. Determine whether your state has expanded Medicaid. Why would states choose not to participate in Medicaid expansion?
Discussion Board: Minimum 200 words, APA Style, Time New Roman, Font 12, (3 references- in text citations) not older than (2012-2017). No Plagiarism please
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Yeung Analysis (Two Parts)
Yeung Analysis (Two Parts)
Refer to “The Use of Electro-Acupuncture in Conjunction with Exercise for the Treatment of Chronic Low-Back Pain,” by Yeung, Leung, and Chow.
First part Complete the “Yeung Analysis Worksheet.”
Examine the question the researchers were trying to answer and second part write an essay (500-750 words) that explains why you feel the t-test was chosen. Choose one of the other tools studied so far in this course and explain why it would not provide relevant findings.
While APA format 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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This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.
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