Musculoskeletal Function case study

G.J. is a 71-year-old overweight woman who presents to the Family Practice Clinic for the first time complaining of a long history of bilateral knee discomfort that becomes worse when it rains and usually feels better when the weather is warm and dry. “My arthritis hasn’t improved a bit this summer though,” she states. Discomfort in the left knee is greater than in the right knee. She has also suffered from low back pain for many years, but recently it has become worse. She is having difficulty using the stairs in her home. The patient had recently visited a rheumatologist who tried a variety of NSAIDs to help her with pain control. The medications gave her mild relief but also caused significant and intolerable stomach discomfort. Her pain was alleviated with oxycodone. However, when she showed increasing tolerance and began insisting on higher doses of the medication, the physician told her that she may need surgery and that he could not prescribe more oxycodone for her. She is now seeking medical care at the Family Practice Clinic. Her knees started to get significantly more painful after she gained 20 pounds during the past nine months. Her joints are most stiff when she has been sitting or lying for some time and they tend to “loosen up” with activity. The patient has always been worried about osteoporosis because several family members have been diagnosed with the disease. However, nonclinical manifestations of osteoporosis have developed.

Case Study Questions

1. Define osteoarthritis and explain the differences with osteoarthrosis. List and analyze the risk factors that are presented on the case that contribute to the diagnosis of osteoarthritis.
2. Specify the main differences between osteoarthritis and rheumatoid arthritis, make sure to include clinical manifestations, major characteristics, joints usually affected and diagnostic methods.
3. Describe the different treatment alternatives available, including non-pharmacological and pharmacological that you consider are appropriate for this patient and why.
4. How would you handle the patient concern about osteoporosis? Describe your interventions and education you would provide to her regarding osteoporosis.

Neurological Function:
H.M is a 67-year-old female, who recently retired from being a school teacher for the last 40 years. Her husband died 2 years ago due to complications of a CVA. Past medical history: hypertension controlled with Olmesartan 20 mg by mouth once a day. Family history no contributory. Last annual visits with PCP with normal results. She lives by herself but her children live close to her and usually visit her two or three times a week.
Her daughter start noticing that her mother is having problems focusing when talking to her, she is not keeping things at home as she used to, often is repeating and asking the same question several times and yesterday she has issues remembering her way back home from the grocery store.

Case Study Questions

1. Name the most common risks factors for Alzheimer’s disease
2. Name and describe the similarities and the differences between Alzheimer’s disease, Vascular Dementia, Dementia with Lewy bodies, Frontotemporal dementia.
3. Define and describe explicit and implicit memory.
4. Describe the diagnosis criteria developed for the Alzheimer’s disease by the National Institute of Aging and the Alzheimer’s Association
5. What would be the best therapeutic approach on C.J.

Submission Instructions:

• You must complete both case studies.
• Your initial post should be at least 500 words per case study, formatted and cited in current APA style with support from at least 2 academic sources for each case study

cystic fibrosis

Wrote on cystic fibrosis . Please Include the outline of the paper.

• Page 1: assessments, treatment decisions, and outcomes of those treatments.
• Page 2: explanation, rationale, and outcomes of patient assessment,
• Page 3: disease/trauma pathology
• Page 4: ventilator strategy and management, respiratory therapeutics,
• Page 5: patient education, pulmonary rehabilitation, and experimental therapies.
• Page 6: Include the long-term prognosis of the patient.

Note

Minimum of 7 peer-reviewed and/or scholarly resources

Please include outline of paper

Components of the Internet of Things

In this assignment, you will create a presentation to describe the main components of the Internet of Things (IoT). You can use a presentation software such as PowerPoint or Prezi to create your description. Be sure to cite any resources for images and other content.

Your presentation should:

• describe smart machines, machine-to-machine, and internet of things
• explain the importance of miniaturization, affordability, and de-wireization to IoT
• discuss the prevalence of IoT today
• predict the growth of IoT in your lifetime
• be organized and engaging

Networking

The OSI data link layer is responsible for physical addressing, network topology, error notification, sequencing of frames and flow control. IEEE has defined numerous protocols used with TCP/IP at the OSI data link layer. They are called the IEEE 802 Standards.

Choose one of these IEEE 802 standards and discuss with your classmates the types of network devices and media that you would use to implement the standards in your network. In other words, which network elements would be necessary for the standard you described? Which topology would be represented using these technologies? Finally, discuss collisions relative to this environment.

Note

300-400 Words

Develop A Proposal For Healthcare Reform

You will analyze the current literature on the health system in the U.S. Your final project will include a paper, a voiceover PowerPoint presentation, and an infographic of your proposed solution. Possible solutions include a single payer universal plan, a multi-payer universal plan, a potential enhancement to the ACA such as adding a public option, Medicare for all, or a complete repeal of the current law.

The three (3) deliverables are:

1. A paper that includes the challenges facing the U.S. in terms of balancing the iron triangle of health – Costs, Access, and Quality. Please address the following:
2. An examination of current policy
3. A discussion of whether healthcare should be considered a right or a privilege
4. A discussion of the role of special interest groups on health reform
5. Articulate the significance of the involvement the Congressional Budget Office in determining the cost effectiveness of reform
6. Explain the importance of considering existing privacy laws in reform efforts
7. Describe and justify your potential solution to current challenges facing the U.S., including resource allocation
8. A voiceover PowerPoint presentation that summarizes the major challenges facing the U.S. in terms of balancing the iron triangle of health, a comparison of various possible solutions, and your proposed solutions.
9. An infographic that outlines your final proposed solution to the current challenges facing the U.S. in terms of balancing the iron triangle of health.