Eugene Shaw, 87-years-old, is a retired illustrator and former Marine who served in the Korean War. He and Nancy, his wife of 59 years, live in the city. Gene has had cold sensitization and nocturnal pain in his lower limbs and hands since trench foot, acquired in Korea, required amputation of several toes. He has hypertension, osteoarthritis, and Type 2 Diabetes. He is overweight, and he smokes and drinks. Chronic leg pain and ulcerations brought Eugene to the hospital.? Address at least three teaching areas that are a priority for Mr. Shaw and his health status?

Eugene Shaw, 87-years-old, is a retired illustrator and former Marine who served in the Korean War. He and Nancy, his wife of 59 years, live in the city. Gene has had cold sensitization and nocturnal pain in his lower limbs and hands since trench foot, acquired in Korea, required amputation of several toes. He has hypertension, osteoarthritis, and Type 2 Diabetes. He is overweight, and he smokes and drinks. Chronic leg pain and ulcerations brought Eugene to the hospital.? Address at least three teaching areas that are a priority for Mr. Shaw and his health status?

Essentials Health Info Management Principles/Practices

4th Edition

ISBN:9780357191651

Author:Bowie

Publisher:Bowie

Chapter1: Health Care Delivery Systems

Section: Chapter Questions

Problem 5CR

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Eugene Shaw, 87-years-old, is a retired illustrator and former Marine who served in the Korean War. He and Nancy, his wife of 59 years, live in the city. Gene has had cold sensitization and nocturnal pain in his lower limbs and hands since trench foot, acquired in Korea, required amputation of several toes. He has hypertension, osteoarthritis, and Type 2 Diabetes. He is overweight, and he smokes and drinks. Chronic leg pain and ulcerations brought Eugene to the hospital. How would you apply the concept of oxygenation to Mr. Shaw, considering his health history?
Eugene Shaw, 87-years-old, is a retired illustrator and former Marine who served in the Korean War. He and Nancy, his wife of 59 years, live in the city. Gene has had cold sensitization and nocturnal pain in his lower limbs and hands since trench foot, acquired in Korea, required amputation of several toes. He has hypertension, osteoarthritis, and Type 2 Diabetes. He is overweight, and he smokes and drinks. Chronic leg pain and ulcerations brought Eugene to the hospital. Address at least three teaching areas that are a priority for Mr. Shaw and his health status?
Your patient is a 2-year-old male named Justin. He is suffering from hypotonia (decreased muscle tone), weakness and growth failure, and is unable to walk. His mother has just brought him into the emergency room from the family beach house, where they have been spending the summer, because he has had a seizure. X-rays indicate that the toddler is suffering from rickets, which is a result of a nutritional deficiency of Vitamin D. But his mother insists that her son’s diet is not Vitamin D-deficient. He drinks three glasses of milk a day, and his diet also includes meat and eggs. A simplified scheme of Vitamin D metabolism is shown to the left. The chemical name of active Vitamin D is 1α, 25-dihydroxycholecalciferol, and it is synthesized via the pathway shown. Catalysts, both in the form of enzymes and ultraviolet light, are required for Vitamin D synthesis. The two main sources of active Vitamin D are diet and sunlight. Food supplemented with “Vitamin D” usually contains…
Jim is a truck driver who is on the road for long hours. He admits to eating “unhealthy” foods and often stops at fast food restaurants after his late shifts, choosing cheeseburgers, French fries, and pizza most often. He does not drink alcohol because his job requires him to drive at a moment’s notice, but he does drink coffee throughout the day to keep awake during his odd hours. He has a history of intermittent heartburn, but the chest pain is getting more frequent and more severe, so he decides to seek treatment. What is the medical name for heartburn?
Jim is a truck driver who is on the road for long hours. He admits to eating “unhealthy” foods and often stops at fast food restaurants after his late shifts, choosing cheeseburgers, French fries, and pizza most often. He does not drink alcohol because his job requires him to drive at a moment’s notice, but he does drink coffee throughout the day to keep awake during his odd hours. He has a history of intermittent heartburn, but the chest pain is getting more frequent and more severe, so he decides to seek treatment. From what you know about Jim, do you think his recent chest pain could be related to more than just heartburn?
Jim is a truck driver who is on the road for long hours. He admits to eating “unhealthy” foods and often stops at fast food restaurants after his late shifts, choosing cheeseburgers, French fries, and pizza most often. He does not drink alcohol because his job requires him to drive at a moment’s notice, but he does drink coffee throughout the day to keep awake during his odd hours. He has a history of intermittent heartburn, but the chest pain is getting more frequent and more severe, so he decides to seek treatment. In addition to Jim’s risk factors, which of these conditions may increase the likelihood of a patient developing GERD? Anorexia nervosa Hiatal hernia Laryngitis Crohn’s disease
Jim is a truck driver who is on the road for long hours. He admits to eating “unhealthy” foods and often stops at fast food restaurants after his late shifts, choosing cheeseburgers, French fries, and pizza most often. He does not drink alcohol because his job requires him to drive at a moment’s notice, but he does drink coffee throughout the day to keep awake during his odd hours. He has a history of intermittent heartburn, but the chest pain is getting more frequent and more severe, so he decides to seek treatment. Jim’s doctor would like him to try OTC medication before prescribing something stronger. Which of these medications would likely help Jim? (Select all that apply.) Antacids H-2 receptor blockers Proton pump inhibitors Antihistamines Diuretics Aspirin
Jim is a truck driver who is on the road for long hours. He admits to eating “unhealthy” foods and often stops at fast food restaurants after his late shifts, choosing cheeseburgers, French fries, and pizza most often. He does not drink alcohol because his job requires him to drive at a moment’s notice, but he does drink coffee throughout the day to keep awake during his odd hours. He has a history of intermittent heartburn, but the chest pain is getting more frequent and more severe, so he decides to seek treatment. Jim is at risk for developing a complication known as Barrett’s esophagus. Briefly describe the pathophysiology of this condition.
Jim is a truck driver who is on the road for long hours. He admits to eating “unhealthy” foods and often stops at fast food restaurants after his late shifts, choosing cheeseburgers, French fries, and pizza most often. He does not drink alcohol because his job requires him to drive at a moment’s notice, but he does drink coffee throughout the day to keep awake during his odd hours. He has a history of intermittent heartburn, but the chest pain is getting more frequent and more severe, so he decides to seek treatment. Which of the following anatomical structures is weakened, causing Jim’s heartburn? Pyloric sphincter Lower esophageal sphincter Fundus of the stomach Muscularis layer of the stomach
Edna is a 42-year-old mother of two girls. She has been feeling very sluggish lately and finds it hard to get out of bed in the morning, even after a full night’s sleep. She is fatigued throughout the day and has to compensate with a lot of caffeine. She’s gained about 5 pounds this month, but attributes that to all the workouts she’s been skipping lately. Her partner keeps noticing and mentioning how cold Edna’s hands are, even though it is the middle of summer. Edna sees her doctor to find out what is wrong. Her physician takes her vital signs before doing further testing. Here are her results: BP 124/74, Pulse 52, Temperature 98.2 F, Height 5’8”, and Weight 178 pounds. Which of the following is the most likely and effective form of treatment for Edna’s condition? Life-long oral medication, such as levothyroxine Two week prescription of thyroid medication Thyroidectomy Dietary changes, including elimination of caffeine
Jim is a truck driver who is on the road for long hours. He admits to eating “unhealthy” foods and often stops at fast food restaurants after his late shifts, choosing cheeseburgers, French fries, and pizza most often. He does not drink alcohol because his job requires him to drive at a moment’s notice, but he does drink coffee throughout the day to keep awake during his odd hours. He has a history of intermittent heartburn, but the chest pain is getting more frequent and more severe, so he decides to seek treatment. After two weeks, the OTC medication Jim tried isn’t helping, so his doctor wants to perform a diagnostic imaging procedure that uses a light and camera to look for inflammation inside the esophagus and test for Barrett’s esophagus. What is this procedure called? Ambulatory acid probe test Esophageal manometry Upper endoscopy Colonoscopy
Edna is a 42-year-old mother of two girls. She has been feeling very sluggish lately and finds it hard to get out of bed in the morning, even after a full night’s sleep. She is fatigued throughout the day and has to compensate with a lot of caffeine. She’s gained about 5 pounds this month, but attributes that to all the workouts she’s been skipping lately. Her partner keeps noticing and mentioning how cold Edna’s hands are, even though it is the middle of summer. Edna sees her doctor to find out what is wrong. Her physician takes her vital signs before doing further testing. Here are her results: BP 124/74, Pulse 52, Temperature 98.2 F, Height 5’8”, and Weight 178 pounds.During Edna’s physical exam, her physician notes an enlargement of her thyroid gland. What is this called and why is it important in her case?