Problem based SOAP notes for three patients Essay

Problem based SOAP notes for three patients - Essay Example B. Renal Panel in three months C. Instruct on diabetic diet. D. Instruction in side effects of Viagra. E. Diabetes education F. Seatbelt at all times in Motor Vehicle G. Influenza Vaccine (Seasonal/H1N1)--hand washing H. Foot care checks and maintenance education I. Skin checks of all moles and other changes. Narrative Report to Preceptor (After initial assessment). This is a 72 year old black male, retired school teacher who is presenting with symptoms of erectile dysfunction. He describes that he is able to have an erection but it does not stay long enough to participate in intercourse. He was diagnosed three years ago with Type 2 diabetes and is somewhat hypertensive. His medications consist of Metformin for the diabetes and Lopressor for the hypertension. Physical exam results in normal vital signs as well as normal heart and lung sounds. There is no tenderness in the abdomen. Range of motion shows some tenderness in his shoulders. His labs are normal but he does have slight sugar in his urine. I suggest that we do a trail of Viagra as this drug does not affect his other drugs. There is also a need to increase his Metformin to maximum dose and leave his Lopressor at the same dose for present. We will start conservative treatment on the shoulder tenderness with NSAIDS and pool therapy. He has not been having regular checkups with hemoglobin A1C results and I suggest that take place every three months along with a renal panel. instruction in diabetic diet and blood sugar testing at home as well as instruction in understanding how to check his feet and what the does and don't there are. Gout Subjective Data (S) CC/chief complaint: "I have pain in my right big toe. It...His labs are normal but he does have slight sugar in his urine. I suggest that we do a trail of Viagra as this drug does not affect his other drugs. There is also a need to increase his Metformin to maximum dose and leave his Lopressor at the same dose for present. We will start conservative treatment on the shoulder tenderness with NSAIDS and pool therapy. He has not been having regular checkups with hemoglobin A1C results and I suggest that take place every three months along with a renal panel. instruction in diabetic diet and blood sugar testing at home as well as instruction in understanding how to check his feet and what the does and don't there are. This is a 38 YO WM, obese complaining of severe pain in right great toe. Toe is swollen and painful to touch. States it woke him up in the middle of the night and is getting worse. Uric acid level is high. Blood pressure is borderline. Physical exam is unremarkable with the exception of the right toe and the obesity. I suggest we order Ibuprofen at top dose for inflammation reduction and pan control. Cochicine will need to be ordered at a loading dose of 1.2 mg PO and 0.5 mg every hour until pain and swelling decreases or up to 8 mg for this attack. We should then put him on a maintenance dose of 0.5 mg PO daily three times a week on Mon. Wed. and Fri.

Cancer :: essays research papers fc

I chose to do my report on cancer because it is a subject I want to learn about and because it can probably fit 5 pages. My bibliography is on the ending of the report, my teacher helped me with it because I didnt know how to do it. Cancer is the name for tumors that are malignant. Malignant tumors do not respond to body mechanisms that limit growing. Malignant tumors show a not normal cell structure the same functional specialized cells. Also cancer cells growing in laboratory tissue culture do not stop growing when they touch each other on a glass or other solid surface but grow in masses several layers deep they are said to lack contact inhibition.   Ã‚  Ã‚  Ã‚  Ã‚  Loss of contact inhibition accounts for two other characteristics of cancer cells invasiveness of surrounding tissues and metastasis spreading via the lymph system or blood to other tissues and organs. Cells are typically controlled by growth factors competence factors that stimulate cells to enter the beginning phase of cell replication and progression factors that insure completion of the replication cycle. The unrestricted growth rates of cells are due to the activation and lack of inhibition of oncogenes. They are cancer causing genes.   Ã‚  Ã‚  Ã‚  Ã‚  Cancer tissue that grows without limits competes with normal tissue for nutrients kills the normal cells by nutritional deprivation. Cancerous tissue also causes secondary effects with the symptoms of a malignant growth caused by the pressure of the growing tumor against surrounding tissue or the metastasis of cancer cells and their invasion of other organs. Cancers are graded as to degree of malignancy on a scale of one through four the distinction between even benign and malignant neoplasms is obscure. All organs and tissues are susceptible to cancer.   Ã‚  Ã‚  Ã‚  Ã‚  A lot of human cancers may be caused or at least triggered by various chemical agents. Alkylating agents are thought to have a carcinogenic effect because they chemically alter the cell's nucleic acids. Nitrites common additives in processed meat react with amines in the stomach to form nitrosoamines which some authorities believe may be carcinogenic to humans. Other commonly occurring carcinogens are azo dyes, polycyclic hydrocarbons, and urethane. Certain carcinogens present occupational hazards. Asbestos particles once inhaled stay in the lung and act as an irritant. In the asbestos and construction industries workers have a high probability of developing a fatal cancer of the chest lining or abdominal lining 25 to 30 years after the initial inhalation of . Asbestos also has been linked to lung and colon cancers in exposed individuals. Oral cancer common in India is commonly attributed to the chewing of betel nuts. Although the apparently increasing incidence of some types of highly malignant

Economic Systems Essay

The world’s economic systems fall into one of four main categories: Traditional economy Capitalism economy Socialism economy Mixed economy However, there are unlimited variations of each type.  An economic system must define what to produce, how to produce it and for whom to produce it. Depending on the products produced and the environment, certain economic strategies will be more successful than others â€Å"Traditional† A traditional economic system is one in which each new generation retains the economic position of its parents and grandparents. Traditional economies rely on the historic success of social customs. South America, Asia and Africa support some traditional economies of thriving agricultural villages. Tradition decides what an individual does for his living, so industry, clothing and shelter are the same as in previous generations One of the few advantages existing in a traditional economy is that the roles of individuals are clearly defined. Every member of the society knows exactly what they are to do and most don’t have any complaints about it. There are also many disadvantages to this type of society. These societies are often very slow to change and when new technologies are introduced, these ideas and techniques are discouraged. â€Å"Capitalism† Market economies are based on consumers and their buying decisions rather than government control. Market trends and product popularity generate what businesses produce. The producers choose how to make products based on the most economically sound decision: that might mean machine labor to save costs or human labor for specific skills. The buyers decide who gets which products by what they are willing to pay for what they want. Complete market economies do not utilize price controls or subsidies and prefer less regulation of industry and production. Market decisions rely on supply and demand for pricing. Government’s role is to create a stable economy for the market to operate properly. The market system relies on many factors to ensure its success. The profit motive or incentive for a financial reward for enterprise stimulates production. Information regarding available products and services needs to be available to producers and consumers. Producers use the information to set accurate prices and procure supplies at the lowest cost. Price relates directly to the costs and benefits of product creation and use and required profit. In recent years, market economies have been coming more and more popular. Three major examples of market economies are The United States, Japan, and France. There are many advantages to a market economy: One major advantage is that market economies can adjust to change easily. If there is a demand for one thing, companies have the ability to change what they produce instead of having to go through too much government protocol first. Rational self inte rest in market economies are also encouraged. People have the ability to make as much money as they can and do what is in their best interest. Another positive to market economies is that the government tries to stay out of the way of businesses. Although the government sets certain standards businesses must follow, for the most part businesses can do as they please, allowing them to produce what they want, how they want. A fourth advantage to the market economy is that there is a great variety of goods and services for consumers. If there is a demand for a good or service, the demand will almost always be met in a market econom Although there are a lot of positives to market economies, there are also many negatives that go along with it too. One major problem with this type of economy is that it doesn’t always provide the basic needs to everyone in the society. The weak, sick, disabled, and old sometimes have trouble providing for themselves and often slip into poverty. Another problem is that it becomes hard for a government with so many private businesses to provide adequate defense, education, and health care to its people. A third disadvantage to this type of economy is that there is uncertainty in the business world. One company could easily be forced out of business causing all of its employees to become unemployed and lose their means of income. The final major disadvantage is that occasionally there are market failures. This can cause some companies to become way to powerful and become a  monopoly. If the government doesn’t step in, the monopoly can take advantage of the consumers and charge ridiculously high prices â€Å"Socialism† In a command economy, the government controls all economic activity. One example of a command economy is communism.  In a government-directed economy, the market plays little to no role in production decisions. Command economies are less flexible than market economies and react slower to changes in consumer purchasing patterns and fluctuations in supply and demand Command economies have many advantages: One advantage is that equality is focused on. The government tries to eliminate all private property and distribute its good equally. If done correctly no one is in poverty and no one is wealthier than another. Social services are also emphasized in this type of economy. The government will provide equal health care, education opportunities, and make sure all people are fed. A third advantage to this type of economy is that it is capable of rapid change for major problems. The government owns the companies, so if production needs need to be shifted into a different area, the governm ent is capable of doing it rather quickly. A final major advantage of command economies is that they are very stable. Command economies will never have sudden depressions. Although command economies may seem like a utopian form of economics, they also have many disadvantages. In command economies there is very little freedom. The individual usually doesn’t have the opportunity to decide what they want to do for a career, and they have no control over the goods they receive. Another major problem is that there is little reason for innovations, hard work, or quality of the work. Since no one makes more money than everyone else, the people feel like there is no reason to work hard. A third disadvantage is that there is little focus on consumer wants. Finally, when it comes to minor day-to-day changes, the government has a hard time cooping with them. â€Å"Mixed Economy† A mixed economy combines qualities of market, command, and/or traditional systems into one. In many countries where neither the government nor the business entities can maintain the economy alone, both sectors are integral  to economic success. Certain resources are allocated through the market and others through the state. Theoretically, this system should be able to combine the best policies of both systems, but in practice the proportion government controls and response to market forces varies.

Self Esteem And Body Image - 1263 Words

Judith Jean-Pierre Dr. Karen Weekes WMNST 100 11/2/2015 Self-Esteem Body Image â€Å"When you accept yourself the whole world accepts you.†Self-esteem is used to describe a person s sense of self-worth. Self-esteem can involve different of beliefs about themselves, such as belittling their own beliefs, appearance and behaviors. Body image is your own attitude towards your body. It’s how you see yourself, how you think and feel about the way you look. Self-esteem and body image can also be influenced by age, your own beliefs, as well as those of society, social media, and your peers. There are two types of body image, healthy and unhealthy. Having a healthy body image means that you are happy with the way you look, such as being comfortable saying the way you are. Having an unhealthy body image means that you have a negative perception of your own body, such as seeing your body differently than what it really is it also yearning for something that is unrealistic or wanting to be perfect on the outside. Media and society is what causes people to have an unhealthy body image about themselves. We come across images of people who are super-slim or buff male and female models in magazines, super-skinny celebrities on TV, and even slender mannequins in stores. People of all ages, sizes, and genders are being bombarded with images that might make you feel bad about yourself or skew what you think your body should look like. You may feelShow MoreRelatedSelf Esteem And Body Image1835 Words   |  8 Pageswith self-image issues at some point in their life. Whether it be for a small time or for a lifetime, everyone can understand the feeling of disliking their appearance. Advertising has created the ideal body and one that is not like the average body in today’s society. With technology at people’s fingertips every second of the day, advertising is seen constantly. By advertising representing only the thin bodies, men and women who don’t look like that feel like they are not acceptable. Self-imageRead MoreEssay On Body Image And Self Esteem1128 Words   |  5 PagesPositive body image and self-esteem are dropping in young girls, even girls as young as 7. These girls are worried about how they look, from their hair, their clothes, and even make up. Most girls self-esteem starts dropping around age 12, but we can combat this self-esteem drop by showing different models in the media. Whether its a billboard or a magazine models of different race, background, ability and body size, on top of many other things can help boost body im age and self-esteem. I stronglyRead MoreBody Image vs. Self Esteem1565 Words   |  7 PagesBODY IMAGE VS. SELF-ESTEEM According to Merriam Webster’s Dictionary, diet is food and drink regularly provided or consumed. It is also defined as the regimen of eating and drinking sparingly so as to reduce one’s weight. The latter definition will be the one used for this research paper. Currently, up to fifty percent of women have tried dieting at some point in their lives and at least 90 percent of teenagers diet regularly. Due to this, the â€Å"diet fad† is worth billions with its governmentRead MoreSelf Esteem And Body Image Problems1491 Words   |  6 PagesLow self-esteem and body image problems are too much to handle alone for some teens. A few may become depressed and lose interest in activities or friends. Some go on to develop eating disorders or body image disorders, or use alcohol or drugs to escape feelings of low worth. It can be tempting to compare ourselves with others. The trouble with that is, not everyone grows or develops at the same time or in the same way. Media i mages and other outside influences can affect ones psyche. Some parentsRead MoreBody Image And Self Esteem Among Adolescents1685 Words   |  7 PagesBody Image and Self-Esteem among Adolescents The topic of body image is an issue that we see amongst many adolescents all around the world. This huge issue can be dealt by adults but the main victim of body imaging are adolescents. Everywhere, anyone goes, there is example of what society considers â€Å"beautiful.† Even if someone is not completely studying it, their subconscious is still registering all of the images and words to what society thinks is a perfect body. Everyday there are people thatRead MoreTeen s Self Esteem And Body Image1868 Words   |  8 PagesMany teenagers suffer from low self-esteem and an unhealthy body image all around the world and the main cause of this epidemic is social media. On average, teenagers between ages 8-18 spend 10 hours and 45 minutes a day on social networking, with Facebook and Twitter being the most used sites among them (Lepi, 2013). But the question is why would any teen want to look at pictures of their peers who look camera ‘perfect’ 24/7 to only lower thei r self-esteem and how they feel about themselves? ManyRead More The Influence of Self-Assessed Body Image on Confidence and Self-Esteem2459 Words   |  10 Pagesfor social psychology is body image and the perceptions that are related to age groups, genders, and ethnicities. Young people today are pressured by society to make physical appearance a dominant factor in their everyday lives, and the pressure is found not only through media influence but friends and family as well (Pavica, 2010). These pressures can affect many different aspects of a person’s life and significantly influence their actions. The aspects affected by body image can include popularityRead MoreWomen s Self Esteem And Body Image Struggles1580 Words   |  7 Pagestaking off beauty marks, shrinking curves, and taking away women’s flaws, changing their looks to the ideal body we all have in our minds, completely flawless. There’s this stereotype of the white perfect girl having a slim figur e, no curves, crystal clear blue eyes, ravishing silky long wavy hair, and sculptured cheekbones. This is the main reason why women have self-esteem and body image struggles. They look around at today’s supermodels and start question their true identity and if they’re enoughRead MoreThe Effects Of Eating Disorders On The Body Image And Low Self Esteem1896 Words   |  8 Pagesdeprive their bodies of vital nutrients. More severe complications would be a drop in body temperature, breathing, and thyroid function, as well as heart and brain damage and death. Bulimics may suffer from mineral deficiency, swollen cheeks ,an inflamed esophagus, scarring on hands and worn down yellow teeth due to stomach acid, and even worse, stomach ruptures and heart failure. Other eating disorders can cause any wide range of complication. Eating disorders stem from a distorted body image and lowRead MoreMedia Negatively Affects The Self Esteem And Body Image Of Young Girls861 Words   |  4 Pages The media negatively affects the self-esteem and body image of young girls. The media is known for broadcasting thin models and not taking into consideration the affect that it could have on millions of young women. When young girls see thin models that they aspire to be on TV increases their concerns about their bodies and that causes young girls to develop eating disorders, such as excessive dieting, bulimia and anorexia. It is very vital for every young girl to feel comfortable in her own skin