All posts by : chebby

Hematopoietic:
J.D. is a 37 years old white woman who presents to her gynecologist complaining of a 2-month history of intermenstrual bleeding, menorrhagia, increased urinary frequency, mild incontinence, extreme fatigue, and weakness. Her menstrual period occurs every 28 days and lately there have been 6 days of heavy flow and cramping. She denies abdominal distension, back-ache, and constipation. She has not had her usual energy levels since before her last pregnancy.

Past Medical History (PMH):
Upon reviewing her past medical history, the gynecologist notes that her patient is a G5P5with four pregnancies within four years, the last infant having been delivered vaginally four months ago. All five pregnancies were unremarkable and without delivery complications. All infants were born healthy. Patient history also reveals a 3-year history of osteoarthritis in the left knee, probably the result of sustaining significant trauma to her knee in an MVA when she was 9 years old. When asked what OTC medications she is currently taking for her pain and for how long she has been taking them, she reveals that she started taking ibuprofen, three tablets each day, about 2.5 years ago for her left knee. Due to a slowly progressive increase in pain and a loss of adequate relief with three tablets, she doubled the daily dose of ibuprofen. Upon the recommendation from her nurse practitioner and because long-term ibuprofen use can cause peptic ulcers, she began taking OTC omeprazole on a regular basis to prevent gastrointestinal bleeding. Patient history also reveals a 3-year history of HTN for which she is now being treated with a diuretic and a centrally acting antihypertensive drug. She has had no previous surgeries.

Case Study Questions

1. Name the contributing factors on J.D that might put her at risk to develop iron deficiency anemia.
2. Within the case study, describe the reasons why J.D. might be presenting constipation and or dehydration.
3. Why Vitamin B12 and folic acid are important on the erythropoiesis? What abnormalities their deficiency might cause on the red blood cells?
4. The gynecologist is suspecting that J.D. might be experiencing iron deficiency anemia.
   In order to support the diagnosis, list and describe the clinical symptoms that J.D. might have positive for Iron deficiency anemia.
5. If the patient is diagnosed with iron deficiency anemia, what do you expect to find as signs of this type of anemia? List and describe.
6. Labs results came back for the patient. Hb 10.2 g/dL; Hct 30.8%; Ferritin 9 ng/dL; red blood cells are smaller and paler in color than normal. Research list and describe for appropriate recommendations and treatments for J.D.

Cardiovascular
Mr. W.G. is a 53-year-old white man who began to experience chest discomfort while playing tennis with a friend. At first, he attributed his discomfort to the heat and having had a large breakfast. Gradually, however, discomfort intensified to a crushing sensation in the sternal area and the pain seemed to spread upward into his neck and lower jaw. The nature of the pain did not seem to change with deep breathing. When Mr. G. complained of feeling nauseated and began rubbing his chest, his tennis partner was concerned that his friend was having a heart attack and called 911 on his cell phone. The patient was transported to the ED of the nearest hospital and arrived within 30 minutes of the onset of chest pain. In route to the hospital, the patient was placed on nasal cannula and an IV D5W was started. Mr. G. received aspirin (325 mg po) and 2 mg/IV morphine. He is allergic to meperidine (rash). His pain has eased slightly in the last 15 minutes but is still significant; was 9/10 in severity; now7/10. In the ED, chest pain was not relieved by 3 SL NTG tablets. He denies chills.

Case Study Questions

1. For patients at risk of developing coronary artery disease and patients diagnosed with acute myocardial infarct, describe the modifiable and non-modifiable risk factors.
2. What would you expect to see on Mr. W.G. EKG and which findings described on the case are compatible with the acute coronary event?
3. Having only the opportunity to choose one laboratory test to confirm the acute myocardial infarct, which would be the most specific laboratory test you would choose and why?
4. How do you explain that Mr. W.G temperature has increased after his Myocardial Infarct, when that can be observed and for how long? Base your answer on the pathophysiology of the event.
5. Explain to Mr. W.G. why he was experiencing pain during his Myocardial Infarct. Elaborate and support your answer.

Submission Instructions:

• Include both case studies in your post.
• Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. 

Hematopoietic:
J.D. is a 37 years old white woman who presents to her gynecologist complaining of a 2-month history of intermenstrual bleeding, menorrhagia, increased urinary frequency, mild incontinence, extreme fatigue, and weakness. Her menstrual period occurs every 28 days and lately there have been 6 days of heavy flow and cramping. She denies abdominal distension, back-ache, and constipation. She has not had her usual energy levels since before her last pregnancy.

Past Medical History (PMH):
Upon reviewing her past medical history, the gynecologist notes that her patient is a G5P5with four pregnancies within four years, the last infant having been delivered vaginally four months ago. All five pregnancies were unremarkable and without delivery complications. All infants were born healthy. Patient history also reveals a 3-year history of osteoarthritis in the left knee, probably the result of sustaining significant trauma to her knee in an MVA when she was 9 years old. When asked what OTC medications she is currently taking for her pain and for how long she has been taking them, she reveals that she started taking ibuprofen, three tablets each day, about 2.5 years ago for her left knee. Due to a slowly progressive increase in pain and a loss of adequate relief with three tablets, she doubled the daily dose of ibuprofen. Upon the recommendation from her nurse practitioner and because long-term ibuprofen use can cause peptic ulcers, she began taking OTC omeprazole on a regular basis to prevent gastrointestinal bleeding. Patient history also reveals a 3-year history of HTN for which she is now being treated with a diuretic and a centrally acting antihypertensive drug. She has had no previous surgeries.

Case Study Questions

1. Name the contributing factors on J.D that might put her at risk to develop iron deficiency anemia.
2. Within the case study, describe the reasons why J.D. might be presenting constipation and or dehydration.
3. Why Vitamin B12 and folic acid are important on the erythropoiesis? What abnormalities their deficiency might cause on the red blood cells?
4. The gynecologist is suspecting that J.D. might be experiencing iron deficiency anemia.
   In order to support the diagnosis, list and describe the clinical symptoms that J.D. might have positive for Iron deficiency anemia.
5. If the patient is diagnosed with iron deficiency anemia, what do you expect to find as signs of this type of anemia? List and describe.
6. Labs results came back for the patient. Hb 10.2 g/dL; Hct 30.8%; Ferritin 9 ng/dL; red blood cells are smaller and paler in color than normal. Research list and describe for appropriate recommendations and treatments for J.D.

Cardiovascular
Mr. W.G. is a 53-year-old white man who began to experience chest discomfort while playing tennis with a friend. At first, he attributed his discomfort to the heat and having had a large breakfast. Gradually, however, discomfort intensified to a crushing sensation in the sternal area and the pain seemed to spread upward into his neck and lower jaw. The nature of the pain did not seem to change with deep breathing. When Mr. G. complained of feeling nauseated and began rubbing his chest, his tennis partner was concerned that his friend was having a heart attack and called 911 on his cell phone. The patient was transported to the ED of the nearest hospital and arrived within 30 minutes of the onset of chest pain. In route to the hospital, the patient was placed on nasal cannula and an IV D5W was started. Mr. G. received aspirin (325 mg po) and 2 mg/IV morphine. He is allergic to meperidine (rash). His pain has eased slightly in the last 15 minutes but is still significant; was 9/10 in severity; now7/10. In the ED, chest pain was not relieved by 3 SL NTG tablets. He denies chills.

Case Study Questions

1. For patients at risk of developing coronary artery disease and patients diagnosed with acute myocardial infarct, describe the modifiable and non-modifiable risk factors.
2. What would you expect to see on Mr. W.G. EKG and which findings described on the case are compatible with the acute coronary event?
3. Having only the opportunity to choose one laboratory test to confirm the acute myocardial infarct, which would be the most specific laboratory test you would choose and why?
4. How do you explain that Mr. W.G temperature has increased after his Myocardial Infarct, when that can be observed and for how long? Base your answer on the pathophysiology of the event.
5. Explain to Mr. W.G. why he was experiencing pain during his Myocardial Infarct. Elaborate and support your answer.

Submission Instructions:

• Include both case studies in your post.
• Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.

J.D. is a 37 years old white woman who presents to her gynecologist complaining of a 2-month history of intermenstrual bleeding, menorrhagia, increased urinary frequency, mild incontinence, extreme fatigue, and weakness. Her menstrual period occurs every 28 days and lately there have been 6 days of heavy flow and cramping. She denies abdominal distension, back-ache, and constipation. She has not had her usual energy levels since before her last pregnancy.

Past Medical History (PMH):
Upon reviewing her past medical history, the gynecologist notes that her patient is a G5P5with four pregnancies within four years, the last infant having been delivered vaginally four months ago. All five pregnancies were unremarkable and without delivery complications. All infants were born healthy. Patient history also reveals a 3-year history of osteoarthritis in the left knee, probably the result of sustaining significant trauma to her knee in an MVA when she was 9 years old. When asked what OTC medications she is currently taking for her pain and for how long she has been taking them, she reveals that she started taking ibuprofen, three tablets each day, about 2.5 years ago for her left knee. Due to a slowly progressive increase in pain and a loss of adequate relief with three tablets, she doubled the daily dose of ibuprofen. Upon the recommendation from her nurse practitioner and because long-term ibuprofen use can cause peptic ulcers, she began taking OTC omeprazole on a regular basis to prevent gastrointestinal bleeding. Patient history also reveals a 3-year history of HTN for which she is now being treated with a diuretic and a centrally acting antihypertensive drug. She has had no previous surgeries.

Case Study Questions

1. Name the contributing factors on J.D that might put her at risk to develop iron deficiency anemia.
2. Within the case study, describe the reasons why J.D. might be presenting constipation and or dehydration.
3. Why Vitamin B12 and folic acid are important on the erythropoiesis? What abnormalities their deficiency might cause on the red blood cells?
4. The gynecologist is suspecting that J.D. might be experiencing iron deficiency anemia.
   In order to support the diagnosis, list and describe the clinical symptoms that J.D. might have positive for Iron deficiency anemia.
5. If the patient is diagnosed with iron deficiency anemia, what do you expect to find as signs of this type of anemia? List and describe.
6. Labs results came back for the patient. Hb 10.2 g/dL; Hct 30.8%; Ferritin 9 ng/dL; red blood cells are smaller and paler in color than normal. Research list and describe for appropriate recommendations and treatments for J.D.

PLEASE SEE THE ATTACHED DOCUMENT

I UPLOADED MANUSCRIPT FROM 1 TO 3.

YOU NOW MUST COMPLETE SECTION 4 AND 5 ACCORDING THE INFORMATION RELATED IN PART 1 TO 3 OF THE MANUSCRIPT ATTACHED.

ALSO IS ATTACHED RUBRIC ADN GUIDELINES NEEDED 

ALSO ATTACHED THE TEMPLATE FOR PART 4 AND 5 , NOTE ALL THE GUIDELINES NEED AND APPENDICES. 

PLEASE STRICTLY FOLLOW INSTRUCTIONS, RUBRICS, GUIDELINES AND ALL THE INFORMATION PROVIDED, THIS ASSIGNMENT IS REALLY IMPORTANT FOR PASS MY CLASS

DUE DATE MARCH 24, 2025

2 PAGES

NO MORE THAN 10% PLAGIARISM ALLOWED

TOPIC: LUNG CANCER

LOCATION: UNITED STATES 

For this assignment you will submit Part One of your proposal, detailing a health problem that is

prevalent within your selected group and demonstrating your research of health promotion strategies for addressing this specific health problem ( LUNG CANCER). 

Directions:

1. Introduction. Describe the health problem. Don’t type “Introduction”.  (1 paragraph at least).

Using data and statistics, support your claim that the issue you selected is a problem.

What specifically will you address in your proposed health promotion program?

Be sure your proposed outcome is realistic and measurable.

2. Describe the vulnerable population.  (1-3 paragraphs).

What are the risk factors that make this a vulnerable population?

Use evidence to support the risk factors you have identified.

3. Provide a review of literature from scholarly journals (at least 2) of evidence-based interventions that address the problem. (2 paragraphs, one for each article).

After completing a literature search related to effective interventions for your chosen health promotion activity, write a review that evaluates the strengths and weaknesses of all the sources you have found. (2-3 paragraphs).

4. Select and present an appropriate health promotion/disease prevention theoretical or conceptual model that best serves as the guiding framework for the proposal.  (2-3 paragraphs).

For this assignment, a conclusion paragraph is not required.

Writing Assignment Requirements

Three  pages in length (excluding title page, references, and APPENDICES)

Follow APA format

Cite a minimum of five research articles- 6 references in total.

Please review the rubric prior to submission.

NO PLAGIO MORE THAN 10% CAN BE ALLOWED IN THIS ASSIGNMENT

DUE DATE MARCH 24, 2025

STRICTLY FOLLOW INSTRUCTIONS THIS ASSIGNMENT IS 40% OF CLASS

Physical Activity and Health Promotion

Objective: This discussion post aims to explore the role of physical activity in health promotion and the potential for health insurance reimbursement of fitness-related expenses. You will critically analyze the benefits of physical activity in preventing and managing chronic diseases and consider the feasibility and limitations of including fitness expenses as a reimbursable benefit under health insurance plans.Assignment Instructions:Introduction:

• Evidence Supporting Physical Activity:
• Begin by summarizing the evidence that highlights the benefits of physical activity in preventing and managing chronic diseases such as diabetes, cardiovascular disease, and obesity. Reference relevant studies, guidelines from health organizations, and clinical research to provide a solid foundation for your discussion.

1. Reimbursable Fitness Expenses:

• Argument for Reimbursement:
• Discuss the rationale for why fitness-related expenses should be reimbursable by health insurance plans.

2. Limitations of Offering This Benefit:

• Potential Challenges:
• Identify and analyze the potential limitations and challenges associated with offering fitness-related expenses as a reimbursable benefit under health insurance plans. Consider the following factors:

3. Critical Analysis:

• Evaluate the Potential Impact:
• Analyze the potential impact of reimbursable fitness expenses on public health and healthcare costs. Use evidence from scholarly sources to support your analysis.
• Consider broader implications: Discuss how this benefit could align with public health goals and contribute to a culture of wellness and prevention.

4.Conclusion:

• Summarize the key points discussed in your discussion post.
• Reflect on the importance of integrating physical activity into health promotion strategies.
• Emphasize the role of healthcare professionals and policymakers in advocating for innovative approaches to support physical activity and prevent chronic diseases

 2 PAGES , AND  references must be cited in APA format 7th Edition, and must include a minimum of 3 scholarly resources published within the past 5 years.

NO MORE THAN 10% PLAGIARISM ALLOWED

DUE DATE MARCH 23, 2025

Let’s discuss the three main pathways of glucose catabolism. For this discussion, select a prokaryote or eukaryote and discuss whether it uses aerobic respiration, anaerobic respiration, or fermentation. Once you identify the catabolic pathway of your microorganism, compare it to one of the other three pathways by answering the following questions:

• Are the Krebs cycle and electron transport system used?
• What molecule is the final electron acceptor?
• How much ATP is produced?

for references please have one outside source and a source from the book which I have added to this 

Cowan, M. K. & Smith, H. (2024). Microbiology: A Systems Approach, Seventh Edition. McGraw Hill LLC.

My Body System is:  Immune System

 Reflect on how SLE impacts your assigned body system.  

Answer the discussion prompts below with explanation and detail, providing complete references for all citations. 

1. Describe the specific pathophysiological processes in SLE that lead to the manifestations observed in your assigned body system. How does SLE affect your assigned body system? 
2. Discuss the symptoms and clinical manifestations of SLE on your assigned body system. How do these symptoms impact the client’s function and quality of life? Can changes in your assigned body system affect or be affected by other body systems in clients with SLE? 
3. Discuss the diagnostic tests used to diagnose SLE-related complications in your body system. What challenges are associated with diagnosing SLE if only looking at your assigned body system? 
4. Explore the current treatments for managing SLE symptoms associated with your assigned body system. What are the goals of these treatments and how effective are they in mitigating the impact of SLE on the body?  

Asthma is a chronic inflammatory respiratory condition that affects the airways, leading to intermittent narrowing, swelling, and excessive mucus production (Mayo Clinic, n.d.). It is characterized by shortness of breath, wheezing, and coughing, which can make breathing difficult and sometimes lead to respiratory distress (National Heart, Lung, and Blood Institute, 2007). Janessa presents with shortness of breath, weakness, and dizziness but does not have wheezing or a cough. Her lungs are clear to auscultation bilaterally, and she has pale mucous membranes. While asthma is a possible diagnosis, anemia should also be considered as a contributing factor to her symptoms.

Asthma develops due to chronic airway inflammation, bronchial hyperresponsiveness, and episodes of airflow obstruction (Hashmi & Cataletto, 2024). The inflammatory response leads to airway narrowing, increased mucus production, and structural changes. Although wheezing and coughing are common, some individuals with mild or well-controlled asthma may not exhibit these symptoms, which may explain why Janessa’s lung sounds remain clear despite her shortness of breath (Global Initiative for Asthma, 2023).

To accurately diagnose asthma, there must be consistent respiratory symptoms and evidence of variable airflow obstruction, typically confirmed through pulmonary function testing (Hashmi & Cataletto, 2024). One of the most common tests is spirometry, which measures lung function by assessing forced expiratory volume and forced vital capacity. An increase in forced expiratory volume of twelve percent or more after using a bronchodilator suggests reversible airway obstruction, supporting an asthma diagnosis (Cleveland Clinic, 2025). Additional tests include measuring peak expiratory flow rate to assess airflow variability and bronchodilator responsiveness testing to evaluate how well a person’s breathing improves after using a fast-acting inhaler. Measuring nitric oxide in exhaled air can also help detect airway inflammation (National Heart, Lung, and Blood Institute, 2024). Blood work can help identify signs of inflammation, such as an increase in white blood cells, or rule out anemia as a contributing factor to fatigue and dizziness.

If asthma is confirmed, treatment begins with fast-acting bronchodilators such as albuterol for immediate symptom relief and inhaled corticosteroids such as fluticasone to reduce inflammation. For persistent symptoms, inhaled corticosteroids combined with a long-acting bronchodilator, such as budesonide and formoterol, may be required (Global Initiative for Asthma, 2023). Asthma management also includes avoiding triggers, monitoring lung function, and using inhalers correctly to ensure proper medication delivery. If anemia or another underlying condition is contributing to her symptoms, appropriate treatment should be integrated alongside asthma management.

While Janessa’s symptoms suggest possible asthma, her pale mucous membranes raise concerns about other conditions that may be worsening her fatigue and dizziness. A detailed diagnostic evaluation, including pulmonary function testing, nitric oxide measurement, and blood work, is necessary to confirm asthma and rule out other potential causes. If diagnosed, treatment should focus on controlling airway inflammation with inhaled corticosteroids and bronchodilators while addressing any additional health concerns to improve her overall well-being.

References

Cleveland Clinic. (2025, February 11). Spirometry. Cleveland Clinic. https://my.clevelandclinic.org/health/diagnostics/17833-spirometryLinks to an external site.

Global Initiative for Asthma. (2023). Global strategy for asthma management and prevention. https://ginasthma.org/Links to an external site.

Hashmi, M. F., & Cataletto, M. E. (2024, May 3). Asthma. StatPearls – NCBI Bookshelf. https://www.ncbi.nlm.nih.gov/books/NBK430901/Links to an external site.

Mayo Clinic. (n.d.). Asthma – Symptoms and causes. https://www.mayoclinic.org/diseases-conditions/asthma/symptoms-causes/syc-20369653Links to an external site.