Patient presents with severe burns covering 35% of his body when he was trapped inside a burning building. Wife informs health care team about his height, weight (6 foot tall and weight 175lbs). What would be the initial concerns of the health care team and the measures you may take soon after arrival at the hospital?
The Affordable Care Act (ACA) currently includes provisions for Accountable Care Organizations (ACO) and Patient Centered Medical Homes. What are these entities and how may they be related to managed care?
Esther Jackson is a 56-year-old black female who is 1-day post-op following a left radical mastectomy. During morning rounds, the off-going nurse shares with you during bedside report that the patient has been experiencing increased discomfort in her back throughout the night and has required frequent help with repositioning. She states that the patient was medicated for pain approximately 2 hours ago but is voicing little relief and states that you might want to mention that to the doctor when he rounds later this morning. With the patient appearing to be in no visible distress, you proceed on to the […]
Our mother usually had an endoscopic procedure every 2 years. We thought that she had too many visits with her gastroenterologist. She saw the gastroenterologist about every 30 or 60 days. When we asked the physician why our mother had to come in on a continuous basis, his response was “acid reflux.” She was taking a proton pump inhibitor for her acid reflux. Our mother had an endoscopy of her upper gastrointestinal tract in September 2006. The gastroenterologist wanted her to come back in December for another endoscopic test. We did not think it was a good idea for her […]
Compare and contrast the pathophysiology between chronic obstructive pulmonary disease (COPD) and pneumococcal pneumonia. Include any types of cellular injury or cellular adaptation that may occur. Evaluate if an inflammatory response is present and discuss the impact of that response. In the case of COPD, discuss the type of patient education you would implement to help with the patient’s understanding of the disease and to improve compliance with a treatment plan.