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Patient: M.T., 44-year-old warehouse supervisor

 Patient: M.T., 44-year-old warehouse supervisor 
Chief concern (Day 1): “Bad low-back pain after lifting a box.” 
Home AI tool: Patient uses the health system’s portal symptom-checker chatbot. After entering “low back pain,” 
“both legs tingling,” “can’t feel when wiping,” and “peeing less than usual,” the bot outputs “likely muscular 
strain home care; clinic visit in 3–5 days.” No red-flag alert is displayed. 
Course: 
• Day 2–3: Pain worsens; bilateral sciatica, saddle numbness, and urinary retention (“I haven’t peed since 
last night unless I strain”). The bot again recommends home care. 
• Day 4 (ED): Patient febrile, hypotensive, confused. Bladder scan >1200 mL; purulent urine after 
catheterization. MRI lumbar: massive central L4–L5 disc herniation compressing cauda equina. 
• Labs: Leukocytosis, lactate 5.2 mmol/L, creatinine bump. 
• Outcome: Despite urgent decompression and broad-spectrum antibiotics/ICU care, the patient develops 
uroseptic shock with multi-organ failure and dies on Day 6. 
Studies show online/AI symptom-checkers vary widely in diagnostic/triage accuracy and may miss 
emergencies; WHO and AHRQ urge caution and human oversight for clinical AI 

    Mrs. Lourdes Hernandez is a 43 year-old Cuban woman, who has been married for 30 years

    Mrs. Lourdes Hernandez is a 43 year-old Cuban woman, who has been married for 30 years, has three (3) adult children, and practices Catholicism.  She seeks consultation at the Liberty Health-Maintenance Organization (HMO) clinic because of nausea, vomiting, and general malaise for the last 4 weeks.  After a full medical work-up by her Primary Care Family Nurse Practitioner (FNP), she is diagnosed as hGC positive.  The Nurse Practitioner counsels Mrs. Hernandez on the pros and cons of pregnancy in this late maternal age.  Mrs. Hernandez agrees to further testing for fetal anomalies, which identifies a genetic disorder.  After a full discussion with her family, Mrs. Hernandez decides to terminate the pregnancy as soon as possible.

    What are Cuban's belief on childbearing and termination of pregnancy in the older woman?

    You are the Nurse Anesthetist for Mrs. Hernandez's surgical termination of pregnancy at the local hospital.  You are a devout Catholic and do not believe in the termination of life. 

    What are your responsibilities as the assigned provider for this case?

    You decide to refuse this case and leave the OR.  Are there any professional consequences for refusing to care for this patient?

      Mrs. Lisa Horowitz is a 35 year-old Orthodox Jewish woman, who is married for 10 years

      Mrs. Lisa Horowitz is a 35 year-old Orthodox Jewish woman, who is married for 10 years, and has six (6) children all under 15 years-of-age.  Today, she seeks care from her OB/GYN for abnormal uterine bleeding.  After a thorough evaluation, diagnostics and imaging, her results confirm a uterine mass.  Further evaluation suggests cancer.  The team recommends that Mrs. Horowitz should undergo a total hysterectomy.

      What are the views of Jewish clients related to the gender of medical providers?

      You are the male Nurse Anesthetist in the case.  Knowing Mrs. Horowitz's religious belief, what are your responsibilities to the client?

      What procedures are recommended/required when providing care for a female Orthodox Jew?

        Mrs. Lourdes Hernandez is a 43 year-old Cuban woman, who has been married for 30 years,

        Mrs. Lourdes Hernandez is a 43 year-old Cuban woman, who has been married for 30 years, has three (3) adult children, and practices Catholicism.  She seeks consultation at the Liberty Health-Maintenance Organization (HMO) clinic because of nausea, vomiting, and general malaise for the last 4 weeks.  After a full medical work-up by her Primary Care Family Nurse Practitioner (FNP), she is diagnosed as hGC positive.  The Nurse Practitioner counsels Mrs. Hernandez on the pros and cons of pregnancy in this late maternal age.  Mrs. Hernandez agrees to further testing for fetal anomalies, which identifies a genetic disorder.  After a full discussion with her family, Mrs. Hernandez decides to terminate the pregnancy as soon as possible.

        What are Cuban's belief on childbearing and termination of pregnancy in the older woman?

        You are the Nurse Anesthetist for Mrs. Hernandez's surgical termination of pregnancy at the local hospital.  You are a devout Catholic and do not believe in the termination of life. 

        What are your responsibilities as the assigned provider for this case?

        You decide to refuse this case and leave the OR.  Are there any professional consequences for refusing to care for this patient?

          Develop a scholarly power point presentation  to inform peers/colleagues about a health problem

          USING THE PART 1 AND PART 2 PROJECT ATTACHED NEED develop a scholarly power point presentation  to inform peers/colleagues about a health problem that is prevalent within your selected group [meaning your population] and demonstrate your project of health promotion strategies for addressing this specific health problem. This presentation is Part 1 and Part 2 Health Promotion Proposal attached below.

          Criteria for this presentation are provided in the grading rubric. This presentation must be 15 slides long [not counting the reference slides and title slide] and contain a minimum of 8 scholarly references. 

          REFERENCES Must have DOI Numbers for me to look them up- If I am unable to verify the references points will be deducted.

          APA 7TH EDITION FORMAT IN ALL SLIDES IS MANDATORY

          EACH SLIDES MUST BE WITH CONDENSED INFORMATION AND SPEAKER NOTES

          NO MORE THAN 10% PLAGIARISM IS ALLOWED 

          DUE DATE OCT 18, 2025 NO LATER PLEASE

          RUBRIC ATTACHED PLEASE FOLLOW EACG INSTRUCTIONS ANS REQUIREMENTS.

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