Interdisciplinary Paper/Care PlanAssignment Patient Gender/Race Medical condition Situation 1- 69-year old Female Diabetes and heart disease Patient has fallen 3 times in Nursing Home 2- 95-year old Male Depression and anorexia Patient is forgetful and lives alone 3- 73-year old Transgender BPH with hematuria Patient has stage 4 Cancer 4- 102-year old Stage 3 Decubitus ulcer and HOH Patient is widowed and lives in ALF 5- 87-year old Non-Hispanic White Alzheimers disease with new dentures Patient is currently employed supporting a family 6- 61-year old 7- Hispanic Arthritis and new colostomy Patient is homeless 8- African American History of Tuberculosis and is legally blind Patient just arrived to the United States and has no health insurance 9- Asian Bipolar and is a smoker of 2 packs of cigarettes a day Patient lives his son and 3 grandchildren 10- White Deaf and mute newly diagnosed with Hyperlipidemia Patient lives in acute care facility 11- Pacific Islander Left BKA and PTSD Patient is wheelchair bound living at home alone Research and organize literature for the Interdisciplinary paper due in week 14. Incorporate health outcomes of the health promotion, detection of disease and disease prevention. Organize an interdisciplinary plan of care for your client and the delivery of safe and effective care. Choose a patient, a gender, a medical condition and a situation of patient condition and their disease process and apply standards that are evidenced based which help support for the protection of your client. Incorporate concepts from Care of the Aging weekly powerpoints and the book-Gerontological Nursing and Healthy Aging (Toughy & Jett, 2018). Paper should be 3 pages not including title and reference page. Paper should follow APA guidelines with a minimum of 5 references within 5 year span.
The Case of the Sweaty Salesman – Michael is a 30-year old salesman who spends approximately 4 days each week traveling to visit with customers in his region. During his routine physical he casually mentions to his physician that he seems to be sweating more profusely than normal and most rooms that once were comfortable are now too “hot”. He thought that it was simply due to the change in seasons and companies being slow to turn down the thermostats from the winter temperatures, however this problem seems to persist even when he is at home. A room that his wife and children find to be comfortable causes him to sweat profusely. Michael also reports that he seems to be loosing weight even though his appetite has increased. He also complains that he has a shortened attention span and that he always wants to be moving around. Despite the fact that he feels fatigued, Michael claims to have difficulty sleeping and seems to have more frequent bowel movements, occasionally accompanied by diarrhea. The physician checks Michael’s medical history and finds that indeed he has lost 15 pounds since his last physical. Wanting to rule out the possibility of infection with the human immunodeficiency virus (HIV), the physician asks Michael questions about his sexual history and practices and finds that he is not at risk for HIV infection. Also in checking his chart, the physician finds that Michael has a negative history for chronic illnesses, does not smoke, and has a low risk for cardiovascular disease. He does however have a positive family history for autoimmune diseases. His father suffers from idiopathic thrombocytopenia, his mother has been diagnosed with rheumatoid arthritis and his oldest sister was recently diagnosed with systemic lupus erythematosus. Results of Michael’s physical examination were within normal ranges with the exception of the following: he demonstrated tachycardia, loud heart sounds, and apparent cardiac arrhythmias accompanied by slight hypertension. These arrhythmias were confirmed by electrocardiogram to be supraventricular in origin. Michael’s eyeballs appeared large and protruding and his hair was fine and soft. He was also beginning to demonstrate some degree of alopecia. Michael was also observed to have palmar erythema. Palpation of the neck revealed the presence of goiter. Results of blood tests indicated elevated concentrations of thyroid hormones (thyroxin and triiodothyronine), hypercalcemia, and decreased circulating concentrations of lipids. Based on the physical characteristics and the results of the blood tests, Michael’s physician suspected that Michael was suffering from some form of hyper-thyroidism and sent him to an endocrinologist to confirm the initial diagnosis. Following the initial consultation and examination, the endocrinologist ordered tests to determine whether Michael was indeed hyperthyroid. The test results indicated an elevation in the concentration of thyroid hormones in the blood and the presence of thyroid-stimulating antibodies. These antibodies specifically stimulate the thyroid gland by binding with the thyroid stimulating hormone receptor located on the plasma membrane of the follicular cells of the thyroid gland. Based on these results, the endocrinologist concluded that Michael had Grave’s disease, a form of hyperthyroidism believed to be autoimmune in nature. Michael was presented with a number of possible treatment options. These included treatment with chemicals (propylthiouracil and methimazole) that decrease the production of thyroid hormones by the thyroid gland, radioisotopic destruction of the thyroid gland by the use of 131I, and surgical removal of the thyroid gland. After considering all the options, especially the possible effects of radiation on gamete development, Michael chose surgery. Following successful surgery, Michael was prescribed synthetic thyroid hormone to ensure that his body was receiving adequate thyroid hormone and told to return within 2 months for a follow-up evaluation of circulating thyroid hormone concentrations. He was also cautioned to carefully monitor his calcium intake. 1 Define the bold terms in the text. autoimmune diseases: thrombocytopenia: rheumatoid arthritis: alopecia: erythema: hypercalcemia: hyperthyroidism: 2 Thyroid hormones exert their effects on cells in a manner similar to steroid hormones; describe the mechanism of action of thyroid hormones. 3 Evaluate why an imbalance in thyroid hormones have such widespread effects on the body? 4 Propose two ways that allow diagnosis of Michaels symptoms as goiter. 5 Analyze why calcium homeostasis would be impaired in response to removal of the thyroid gland? 6 Explain why 131I could be used to specifically destroy the thyroid gland and have minimal effects on other cells and tissues in the body? 7 Knowing that Michael and his wife may want to have more children infer/ explain why it was ruled out to use highly radioactive isotope for the destruction of the thyroid gland ? 8 Define the terms Graves Disease and goiter and explain what causes each. [Goiter has more than one cause.]
Develop an Ayurvedic nutrition program for weight loss. Give details of the 8 factors affecting food, and general dietary guidelines and design an Ayurvedic food program for weight loss which includes all the Ayurvedic food groups. Design some of the Ayurvedic lifestyle changes which you would suggest for the condition of overweight (page length for this paper can be 5-6 pages long). Style format for all written assignments Submit the documents as Word (.doc or .docx) files. The document should be double-spaced, 12 point Times Roman or Courier Fonts. Use APA 6th or 7th edition to format the paper and cite references. References: Frawley, D., & Lad, V. (1992). The yoga of herbs: An ayurvedic guide to herbal medicine. Lotus Press. Ninnivaggi F. (2010). Ayurveda: A comprehensive guide to traditional Indian medicine for the west. Praeger.
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