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Primary hypothyroidism

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M.E. is a 29-year-old woman with a 7-month history of heavy, irregular menses, a 5-lb weight gain, constipation, and decreased energy. Her past history is unremarkable. She takes no prescription medic
M.E. is a 29-year-old woman with a 7-month history of heavy, irregular menses, a 5-lb weight gain, constipation, and decreased energy. Her past history is unremarkable. She takes no prescription medications but uses iron and calcium supplements. She has a family history of thyroid disease. On examination, her weight is 152 lbs, her heart rate is 64 bpm, and her blood pressure is 138/86. Her thyroid gland is mildly enlarged, without nodularity. She has trace edema in her lower extremities, and her reflexes are slow. Laboratory studies are as follows: TSH is 15.3 mIU/mL (elevated), free T4 is 0.3 mIU/mL, and total cholesterol is 276 mg/mL.
Diagnosis: Primary hypothyroidism
Answer the following questions. Include two references, cited in APA style.

  1. List specific goals of treatment for M.E.
  2. What drug therapy would you prescribe? Why?
  3. What are the parameters for monitoring the success of the therapy?
  4. Discuss specific patient education based on the prescribed therapy.
  5. List one or two adverse reactions for the selected agent that would cause you to change therapy.
  6. What would be the choice for second-line therapy?
  7. What over-the-counter and/or alternative medications would be appropriate for M.E.?
  8. What lifestyle changes would you recommend to M.E.?
  9. Describe one or two drug–drug or drug–food interactions for the selected agent.

What is the action strategy to be taken to maintain resident care in the facility and to limit the movement of residents, staff and visitors in order to protect people and property from a hazard?

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InstructionsEmergency Preparedness Guide for Assisted LivingYour long-term care facility has asked you as a member of human resources to join the company team to create an Emergency Preparedness Guide

Instructions
Emergency Preparedness Guide for Assisted Living
Your long-term care facility has asked you as a member of human resources to join the company team to create an Emergency Preparedness Guide for your Assisted Living facility.
1.    You are asked to explain the emergency operations plan as part of Emergency Preparedness Guide for an Assisted Living facility. Explain these operations. What is the action strategy to be taken to maintain resident care in the facility and to limit the movement of residents, staff and visitors in order to protect people and property from a hazard? Who will be onsite to ensure the strategy is implemented?
2.    Access the planning process as part of Emergency Preparedness Guide for an Assisted Living facility. What does the planning process as part of an Emergency Preparedness Guide for an Assisted Living facility look like for your facility? Who at your facility needs to be involved?
3.    Provide a Shelter in Place plan for your facility as part of Emergency Preparedness Guide for an Assisted Living facility. If you were to hand this off to family members what main areas will it cover?
4.    Develop a Communications Plan. Have one slide of the highlights to show what will it look like—it will need to address stakeholders including media so the community is aware. The Communications Plan is part of Emergency Preparedness Guide for the Assisted Living facility. Who at your facility will be responsible for updating the media?
Requirements
You need to create a PowerPoint presentation for a Board of Directors (10–12 slides; speaker notes as needed to support assertions). Keep slides in the order of the questions given.
Be sure to support your assertions with evidence-based research, scholarly articles, and well-supported strategies that support your work. Although the use of APA citing is not required for this assignment, proper grammar, spelling, and punctuation are expected. Add sources to the last slide using APA format. Use of art and graphics suggested. See the Purdue Global writing center for the text rule on the amount of text that can go on a slide.

How do atherosclerosis and immobility promote changes in blood coagulation?

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Leona Case StudyLeona is 52 years old and smokes. She is also overweight and has atherosclerosis. When she was given a 2-week vacation from work, she packed up her bags and flew from Minnesota to Sydn

Leona Case Study
Leona is 52 years old and smokes. She is also overweight and has atherosclerosis. When she was given a 2-week vacation from work, she packed up her bags and flew from Minnesota to Sydney, Australia, for the trip she always wanted to take.  Unfortunately, just 3 days after she arrived, she was hospitalized when her left calf became inflamed, causing her considerable pain. The physician attending to her told her she developed a deep vein thrombosis.
1.    Explain, using your knowledge of hypercoagulability, why the trip to Australia contributed to Leona’s DVT? Why was Leona already at risk for thrombus development?
2.    How does Leona’s atherosclerosis affect platelet function? Conversely, what is the effect of increased platelet activity on the development of atherosclerosis?
3.    How do atherosclerosis and immobility promote changes in blood coagulation?
4.    When Leona was in the hospital, she received heparin therapy. Explain why this course of action was taken to treat her DVT. Why was she not given heparin tablets to take back to the hotel with her?

How do sociologists define assimilation

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Description This test covers materials from Chapters 2, 3, 4 and 5 of the discussions.Book: Race & Ethnic Relations American AND Global Perspectives/ 10th Edition. Author: Martin N. Marger a) Read th

Description
This test covers materials from Chapters 2, 3, 4 and 5 of the discussions.
Book: Race & Ethnic Relations American AND Global Perspectives/ 10th Edition. Author: Martin N. Marger a) Read the following questions carefully and answer ONE question. Double- space your work.
b) This is an essay test do not number any part of your work.
c) Use a new paragraph for each new idea or sub-section.
–         Can racial and ethnic groups (example African Americans, Native Americans) assimilate into American society based on Gordon’s seven phases of assimilation?
–         What assumptions did Gordon make regarding assimilation of African Americans in the USA?
–         In your view, does the emerging global economy demand assimilation into one dominant culture?
–                     How do sociologists define assimilation
Explain the concepts “minority” and “majority” groups within the context of race and ethnicity. Using examples from American society as part of your work, discuss as many features of “minority” and “majority” groups as you can. What influence do majority groups have over minority groups in America?Compare the key ideas of one Sociological and one Psychological theory of prejudice or discrimination.Next, show how each of the theories would explain prejudice against one ethnic in American society.
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Document Format Requirements
The essay test paper must be 4 or 5 pages. Double spaced, 12 point font is more acceptable. Use the Times New Roman or Courier New font.  It is bigger and more presentable than some others. Also justify your margins as opposed to a left margin.
You must include some scholarly research information along with citations and a full reference list at the end.  Be sure to paraphrase information that you use from scholarly sources and cite them. Finally, if you use scholarly information, you must provide a work cited page. Web addresses belong to the work cited page and not in the body of your essay.
Additional guidelines for Writing Your Essay and Papers
Content
1.      A clear and focused thesis statement
2.      Indication of good comprehension of sources used
3.      Argumentation is consistent, logical, coherent, and persuasive
4.      Evidence of capacity to evaluate arguments of others, including pro and con positions, and accounts of strengths and weaknesses.
5.      Originality, creativity
Organization and Style
1.      Good paragraph construction, showing continuity and coherence of overall structure of paper.
2.      Good transitions between paragraphs.
3.      Proper grammar and usage. Proper spelling and punctuation.
4.      Proper use of citations.
Acknowledge your sources. You cannot overdo citations. If you have any doubt, err on the side of caution. Always cite your sources.
Book: Race & Ethnic Relations American AND Global Perspectives/ 10th Edition.    Author: Martin N. Marger