Case Study # 88 Iron Deficiency Anemia

Case Study # 88 Iron Deficiency Anemia. Case Study # 88 Iron Deficiency Anemia. Case Study # 88 Iron Deficiency Anemia 

Start out with a BRIEF description of your case (a maximum 9 sentences). Everyone has the text book, so do not just repeat information. Summarize you patient, the problem, and any SIGNIFICANT findings (please do not list all medical history or every single lab result) only those pertaining to the problem.

Please answer the following questions pertaining to this CASE STUDY

Answer Questions: 1, 2, 3, 4, 6, 7, 8, 9 for question 9 (list 11 only not 20), and 11

Please answer in detail pertaining to this patient and use some outside resources total number of 3 no older than 5 years as references (I provided 1 of the 3 references needed) APA format. 

In the paper: Write out each question as the title before answering it and indicate the question number.

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Case Study # 88 Iron Deficiency Anemia

Case Study # 88 Iron Deficiency Anemia

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Social Behavior

Social Behavior. Social Behavior. Please answer in THREE SEPaRATE PARAGRAPHS respectively!!! Use this book as the main source!! • Glanz K, Rimer BK, Viswanath K. (Eds). (2008). Health Education and Health Behavior: Theory, Research, and Practice (4th edition). San Francisco: Jossey-Bass Please I need question one first before Wednesday. Question 2,3 can wait till Friday.

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Quesion 1) Read the Case Study below and answer the direct question stated at the end of the case study. 

History of Tillery, NC 

Tillery, NC, is a rural community in Halifax County, which throughout the 18th, 19th, and 20th century was a southern, agricultural, plantation community. Therefore, at the beginning of this century, there were essentially two groups of people living in Halifax county, the white landowners and county officials, and the black day laborers working the farms and living in veritable poverty. In 1934, Tillery was appointed as one of President Roosevelt’s “New Deal Settlement Communities” (1 of 117 across the US). The government bought 18,000 acres of former plantation land and divided it into 40-60 acre tracks of land. These tracks were each provided with a 2/3 bedroom home and all that was necessary for sustenance living, including: a grist mill, a potato curing mill, an orchard, and farm land. In addition, there were classes on farming techniques and literacy, as well as collective farm equipment and a general store provided to the community. Once the community was complete, 300 black families moved in from all over the southeast. The local white powers were concerned about the effect that the new land-owning blacks would have on the existing day laboring blacks. Essentially, they did not want the land-owning blacks to gain power while there was an existing group of blacks dependent upon the white power structure. In 1940, the actual government program failed because of a natural disaster that flooded 10,000 acres of the community’s land. Even though there was tension between the very poor day laboring blacks and the poor land-owning blacks, with the original blacks seeing the newcomers as outsiders and as different, they eventually came together as a single black community. Because of land ownership in this black community, there was a certain amount of freedom from the power structure, enabling them to organize to address issues of concern. Throughout the 1950s and 60s, the residents of Tillery were challenging the county powers on civil rights issues such as busing, schools, and school resources.

Today in Tillery 

Today, the population of Halifax Co. is 55,000, with 52% African American, 44% white, 3% Native American, 1% Asian/Latino (these numbers have changed recently with a influx of Latino farmers). It is the 4th poorest county in the NC. The town of Tillery itself is 98% African American and 75% over the age of 65. As discussed earlier, because of the unique situation of such a large group of land-owning African Americans, there has been a high level of community organizing to address issues important to the community. While there are many social and community groups in Tillery, one important group has been the Concerned Citizens of Tillery. Consisting of various members of the population of Tillery and organized to improve their community, this group has been very successful in addressing the needs of the community on several occasions. At one point the county tried to close the town’s school because of low attendance and move all the students out of town to an extremely rural African-American school. The Concerned Citizens of Tillery refused to allow the school to be shut down. They successfully lobbied against the closing of the school and prevented either from being closed. Other examples of the activities of the Concerned Citizens of Tillery include successfully lobbying the School of Medicine at East Carolina University to establish a People’s Health Clinic in the area in 1987. Essentially, one strength of the Concerned Citizens of Tillery is that they have effective leadership, in the form of a community opinion leader, and a motivation to do what is best for their community. They are a community that goes out to bring in what they need, rather than letting someone else decide what is going to happen to them.

The Hog Industry Hits Tillery 

In the early 1990’s, the county and state governments started promising Tillery that they would bring economic development to their community. While this sounds like a good a idea, in 1992 the hog farming industry came to Tillery en masse. There are clearly questions about why wide-scale farming was placed in this black community and not a white community. Also, while we hear a good bit about the detrimental effects of the hog industry downstream, harming the state’s waterways and wildlife, we do not hear much about the impact on those areas immediately surrounding the hog farms. In Tillery, there are literally tons and tons of hog waste 1000 meters from the town and the homes of its citizens, where the adults work and the children play. In addition to obvious concerns about the filth present above the ground, all of Tillery’s water supply is based on wells, which have been dramatically impacted by the hog waste. So it is clear that there is a major problem for the citizens of Tillery, but the question remains of what to do. In attempting to address this issue, the Concerned Citizens of Tillery determined that a group specifically devoted to the hog industry issue was necessary. Therefore, they established the Hog Round Table. The first thing that they did was to go to the Chamber of Commerce, Economic Development Board, and County Commissioners to inform them about the problem. This is where the Hog Round Table hit its first obstacle. While these “powers” admitted it looked like it could be problematic, they demanded to see the hard data showing that there really is a problem. These groups stated that nothing could be done without utilizing valid data to establish the existence of a problem.

Where you come in to help 

You are a community organizer, trained in public health, and therefore have some experience in data collection, but are primarily interested in community organizing. You are invited by the Hog Round Table to help them address this issue by collecting data and then organizing a community initiative to get something done. Over a period of time, you have worked with the community and really feel a part of what is going on and believe you can help them address the hog problem. You have collected sufficient and significant data showing both the impact of the hog industry on the residents of Tillery and that there is clearly a disproportionate burden of intensive hog operations on the poor and minority people of NC. Yesterday, at 10:00am you made a widespread press release including this convincing data. By 5:00pm you received a letter from the NC Pork Council’s Attorneys asking you to turn over all your records, so they can investigate to see if you have defamed the Hog Industry. With the power and influence of the Hog Industry in NC politics and communities, it is clear that the town of Tillery has a battle on its hands. Still, the only people really interested are those on the Hog Round Table and the Concerned Citizens of Tillery. Now that you have the necessary background information, you are going to put your community activist, community organizing skills to work and address the Hog Industry in Tillery

Questions:

Using strategies of community organizing and empowerment presented in the lecture and in your readings, present 1-2 strategies that would be part of a community intervention to address the hog industry moving into Tillery

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Question 2) Read those two articles below

Consider the Wallerstein & Duran (2007) Preview the documentView in a new window and Minkler (2004)Preview the documentView in a new window articles. What challenges do you expect to face as an outsider and a public health educator, both in organizing the community and in addressing the problem once the community is organized? How can community based participatory research help address these challenges?

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Question 3) from the book Glanz chapter 13

Using the principles and strategies you have learned about community based participatory research (CBPR), identify a public health problem in your neighborhood and create a CBPR intervention to change this public health problem.

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Social Behavior

Social Behavior

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Review the applicable portions of the Florida statute and concisely describe what constitutes

Review the applicable portions of the Florida statute and concisely describe what constitutes. Review the applicable portions of the Florida statute and concisely describe what constitutes. In this week’s module you have learned about early warning systems and incident reports. Florida has its own adverse incident reporting system for hospitals that is found at in Florida law at :http://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&Search_String=&URL=0300-0399/0395/Sections/0395.0197.html (Links to an external site.)

Your assignment this week is to review the applicable portions of the above statute and concisely describe what constitutes and adverse incident under Florida law as well as discuss the reporting requirements for hospitals that have an adverse incident.

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Review the applicable portions of the Florida statute and concisely describe what constitutes

Review the applicable portions of the Florida statute and concisely describe what constitutes

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critique of an article

critique of an article. critique of an article. Topic – childhood obesity

When you reach the last part (IMPLICATIONS FOR MY WORK or HEALTH EDUCATOR) you can write that part through the lens of a Elementary school teacher. I am a teacher, so it would be best if you can write through the teacher lens, and if not you can write it through the lens of a health educator like the sample critique does. PLEASE follow the critique format, and language that was used in the sample. It should be a reference for you as you complete the paper. My topic is childhood obesity (not adolescence) but childhood. The article must be about childhood obesity and must use the framework of the Health Belief Model or the Theory of Reasoned Action. That is a very important part of this assignment. Please reach out to me with any questions comments or concerns. If you have an article that you are unsure of the theoretical framework, please find an article that is clear about the Health Belief Model or the Theory of Reasoned Action.

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critique of an article

critique of an article

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Implementation of PACS system in Diagnostic Imaging department Implementation of PACS system in Diagnostic Imaging department

Implementation of PACS system in Diagnostic Imaging department Implementation of PACS system in Diagnostic Imaging department. Implementation of PACS system in Diagnostic Imaging department Implementation of PACS system in Diagnostic Imaging department. ROLE OF RADIOLOGY IN THE FUTURE HEALTHCARE

INTRODUCTION:

The field of radiology has been a distinct medical speciality which required continued technical enhancement from the time of its inception. The requirement for specialisation, specificity, and accuracy can be tracked down to the initial stages of X-ray technology which demanded for research to improve image capture along with reducing exposure defects, transportation, and development of images on fragile glass plates for interpretation. Although, radiology was merely defined as technical service in the medical field during early 1900s, the interpretation of radiographic images and proper reporting required medical specialists. Therefore, radiologist gradually got recognised as clinical specialists who compulsorily required to be an expert in image capturing technology, broad-based advances in engineering, and most importantly application of findings to healthcare (Hillman & Goldsmith, 2010).

Presently, with emergence of new techniques and enhancement in efficacy of the pre-existing radiological techniques, radiology has become an important tool for the diagnosis of many ailments and diseases along with a crucial player in treatment monitoring and patient prognosis. Number of imaging modalities with different physical principles of varying complexity are now integral part of the field. With steady and rapid increase in the usage of ultrastructural diagnostic imaging, nanotechnology, functional and qualitative diagnostics and molecular medicines, a high level of anatomical details and diagnosis sensitivity is observed. Technological advances has helped hugely to post-process the images, manipulate them and communicate them all around the globe instantly (Krestin et al. 2009).

Radiologist have always been strongly involved in the technological development along with identification of strength and limitations of the various observations. Over the time, radiologists have cultivated understanding and idea of most suitable unified imaging procedures in order to capitalize on the treatment success. Radiologist are also accountable for the execution of these enlargements in to the clinical settings and therefore ensure maximum utilisation of the technology and medical reserves (Dalla, 2006).

The plethora of information obtained for these enhanced techniques also requires the radiologist to carefully interpret the information without any preconception in a manner that prejudice can be avoided. The implementation of imaging techniques for functional evaluation and cellular activity has emerged as latest challenge for the imaging specialists whose academic education has always been predominantly focused on the anatomical and pathological models with a very limited exposure to physiology and cell function. It is thus very necessary for them to continuously organise their talents and effectively use these modern modalities for evaluation of patient complaints (European Society of Radiologists, 2010).

 

RATIONAL OF THE STUDY:

The structure of radiology has lengthened theatrically and new knowledge in imaging is produced rapidly. It is not possible for a one individual to major all the present techniques and knowledge. But, the referring healthcare professionals and other healthcare provides expects the radiologist to fully understand the clinical problem and provide best available referencing. Since radiologist is expected to provide vast range of imaging information for all the medical specialities; increased requirement for clinical experience along with appropriate training in imaging as well as specific training in clinical sub-specialties can be observed. If this is not done, radiological imaging will again reach to its primitive stage where it was recognised as a mere small technical field within the healthcare speciality and under such circumstances different speciality will start to focus on their own requirements of specific imaging modalities and education and ultimately the impact of imaging proficiency will vanish (The Royal College of Radiologists, 2013).

Prosperity of radiology lay in keeping forward in the race of progress. Therefore radiologist requires to modify their approaches and revaluate their professional education which can house the theatrical revolt and development in the field. Radiologist continuously requires to adapt to the changes in the technology they can deliver the service which is expected by the patients and which the medical progress requires. Different researchers over the year suggested few changes which are required in the field of radiology which are crucial for the maintaining the importance of distinct radiology filed in healthcare (Goldsmith, 2011) (Lugneguard, 2013). These changes are as follows:

  • Effectively assimilating with the medical procedures and recognising the other clinical specialists as prospective clients or associates.
  • Becoming a leader in the reorganisation of healthcare which will be based on both the broad perspectives as well as revelation of incidental findings along with special interest information.
  • Creating a working environment which allows continued learning which can cope with the knowledge explosion.
  • Providing support to the different medical imaging department so that they can assimilate into a mutual infrastructure for radiology.
  • Using the methods of data mining so that key performance indicators can be developed and effectively measured.
  • Improving diagnosis reporting so that it is free of preconceptions and prejudice.

The present study will attempt to identify all the changes required in the field radiology which are important for improving its performance in healthcare.

 

 

 

 

 

 

 

 

 

 

 

REFERENCES:

Dalla L. (2006) Tomorrow’s radiologist: what future? Radiol Med., 111:621–633.

European Society of Radiology (2009) The future role of radiology in healthcare. Insights imaging, 1(1): PMC3259353.

Goldsmith J. (2011) The Future of Radiology in the New Health Care Paradigm: The Moreton Lecture. J Am Coll Radiol, 8:159-163.

Hillman B & Goldsmith J. (2010) The sorcerer’s apprentice: how imaging is reshaping the healthcare. London: Oxford University Press.

Krestin GP. (2009) Maintaining identity in a changing environment: the professional and organizational future of radiology. Radiology, 250:612–617.

Lugneguard H. (2013) Key role for radiology in future healthcare. [Online] Sectra. Available at: http://www.sectra.com/medical/diagnostic_imaging/articles/key-role-for-radiology-in-future-healthcare-2012-06-02/

The Royal College of Radiologist’s (2013) The future of clinical radiology in the UK: A discussion paper. [Onlien] RCR. Available at: http://www.rcr.ac.uk/docs/general/pdf/The_future_of_radiology_in_the_UK.pdf

 

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Implementation of PACS system in Diagnostic Imaging department Implementation of PACS system in Diagnostic Imaging department

Implementation of PACS system in Diagnostic Imaging department Implementation of PACS system in Diagnostic Imaging department

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Project Research Unit 9

Project Research Unit 9. Project Research Unit 9.  

Unit 9 Assignment Concierge Care Backgrounder

You are the administrator of a small primary care practice that is owned and operated by two physicians. The practice is located in a relatively affluent bedroom community, which is a short commute to a major city. Although the clinic is for-profit, twice annually it provides free vaccinations to an uninsured population that live in the adjoining county.

One of the two principals, Dr. Green, has worked as a physician in the community for 30 years. He enjoys treating his patient base, yet he concedes that he is tired of practicing what he refers to as “assembly line medicine.” He has seen a lot of changes in the field over the past years and is very concerned that public and private reimbursements will further shrink. Apart from the two physicians, the practice currently employs three medical assistants and you, the office manager. Dr. Green feels that the practice needs to hire additional help, perhaps a couple of mid-levels, but he is not sure that revenues will support that expansion. The physicians currently share a patient census of more than 5,000 and, of those, approximately 40% are Medicare patients.

The younger of the two physicians, Dr. Jones, who has a very young family and will be paying back a very large student loan for another six years, recently attended a seminar on converting a practice to concierge care. He came back to the office very excited about the idea, particularly since he recently met the CEO of a large company who expressed a very strong interest in entering into a contract for the practice to provide concierge care to her most senior 50 executives. Between the amount paid by the company and personal contributions made by each senior employee, a guaranteed annual total of $3,000 per employee would be paid to the practice.

Dr. Jones thinks this would be a great start toward converting to a concierge care business model, and he is concerned that if they do not quickly pursue the opportunity, the other two primary care practices in town will compete for the business. Dr. Green agrees that the idea is appealing, particularly since he knows that some of their current patients could afford to sign up for concierge care services, but it is a big decision and he is hesitant to jump onboard. He has asked you to urgently investigate the options.

In the meantime, the small temporary help agency that is located next to the doctors’ practice is moving out. The landlord called you today to offer preferential lease terms on this adjoining space, which would allow the practice to increase its area by about one-third for the next 5 years.

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Project Research Unit 9

Project Research Unit 9

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Implementation of PACS system in Diagnostic Imaging department

Implementation of PACS system in Diagnostic Imaging department. Implementation of PACS system in Diagnostic Imaging department. The radiology department in the hospital I am working in use the x-ray films that waste time and expose the patient to more radiation 
so PACS system will make it easier as it can edit the image quality.
PACS is abbreviation of Picture Archiving Communication System.
The Important point that you need to know is this module am studying is called the leadership so please use the appropriate tool to make the changes in the radiology department assuming that I am the leader in the department

here are the guidance 
The assessment of this module is based around the submission of 2 pieces of coursework, a formative piece of work and a summative piece of work. 

The formative piece is compulsory and comprises a 750 word essay. This piece of work requires you to identify a topic for change and provide an evidence based rationale for its choice. you will receive formal feedback on it from your group tutor.

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Implementation of PACS system in Diagnostic Imaging department

Implementation of PACS system in Diagnostic Imaging department

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Best Practice Family Paper

Best Practice Family Paper. Best Practice Family Paper.

I. Best Practice Family Paper (30%)

This assignment is similar to the Best Practice assignment from last semester, but the focus of your intervention is a family rather than an individual. The paper should be between 8 and 10 pages, not including title page, reference page and attachment(s). APA style is required throughout. Papers are submitted via Turn-It-In no later than the beginning of class on the due date.

Choose a family with whom you are working or a family with whom you are very familiar.

Conduct a systematic review of the literature on two of the following approaches to family therapy:

  • Cognitive-Behavioral (Multiple)
  • Communication (Satir)
  • Experiential (Whitaker)
  • Family Systems (Bowen)
  • Narrative (White & Epston)
  • Psychodynamic (Multiple)
  • Solution-Focused (Berg)
  • Strategic (Haley & Madanes)
  • Functional Family Therapy (Alexander)
  • Brief Strategic Family Therapy (Szapocznik)
  • Multidimensional Family Therapy (Liddle)
  • Structural (Minuchin)
  • Other Evidence Based Family Therapy Approach

 

For each approach describe the key ideas/major assumptions and how this approach does or does not account for the needs of this family. How effective is this approach with culturally diverse clients and vulnerable populations?

Describe the assessment process including the essential information for applying each approach. State how you would apply the approach including reasonable, achievable goals.

 

  1. Title page (see posted example)
  2. Abstract (200 word summary of the paper. Scholarly literature format)
  3. Family description (1-2 pages)
    1. Identify and describe a problem that a family might present with in therapy.
    2. Describe the characteristics of a typical family who might present with this problem.
    3. Draw a family genogram to illustrate the problem visually (one page attachment).
  4. Literature Review (3 – 4 pages)

            Include a minimum of five peer-reviewed articles, preferably from social work literature, and no                more than 10 years old. Books must be approved by the instructor.

  1. Conduct a systematic review of the literature to identify the prevalence, characteristics, and scope of the problem.
  2. Review research on family therapy and the selected problem.
  3. Report on research that has addressed your chosen problem in a family context.
  4. Describe efficacy or effectiveness of various family therapy approaches at resolving the problem.
  1. Best Practice Approach (2 – 3 pages)
    1. Identify which family therapy or therapies reviewed in the Literature Review are most effective at resolving the family problem for you. The model chosen should be evidence based and reasonably applicable in practice.
    2. Describe the key ideas and major assumptions of the best practice approach.
    3. Discuss how this approach does or does not account for the needs of culturally diverse clients.
  2. Intervention plan (4 – 5 pages)
    1. Develop a plan for implementing or applying the information to family situation.
    2. Identify the goals for treatment
    3. Specify techniques utilized to address the problem.
    4. Give examples of how you would use the techniques with the family (include sample dialogue if necessary).
    5. Describe how you will evaluate the effectiveness of treatment (i.e. how will you know you have successfully resolved the problem the family came in to address?).
    6. Discuss how you would terminate with the family.
  3. Conclusions (1 page)
  4. References
  5. Appendix: Genogram

Create a family genogram to illustrate the relationships and patterns of interaction between family members.

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Best Practice Family Paper

Best Practice Family Paper

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Service Level Agreement

Service Level Agreement. Service Level Agreement. Assignment #1): 

Select a service within your employer/company that you are involved with that is or could be outsourced. It does not have to be an IT service, but any service that could be outsourced to another company/vendor (e.g, billing, food service, web-hosting, etc.). Write a Service Level Agreement between your company and the outsourcer that would help ensure a successful outsource experience.

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Service Level Agreement

Service Level Agreement

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Endocrinology

Endocrinology. Endocrinology. Brief reviews for each topic should consist of:

APA in-text citations and appropriate bibliography.
Title Page
Introduction to the topic
Brief background and findings of previous literature.
Results of current literature (focus on the articles assigned to the class).
Discussion of the results including how and why they differ.
Conclusions of what is currently accepted based on this literature and include your ideas for future research and what you think should be accepted.
Complete bibliography including the articles assigned and other supporting literature.
Students must demonstrate critical thinking and appropriate interpretation of the data and research presented in the articles. Direct quotes are acceptable but should be limited and should only be used to support a conclusion drawn from your own opinion.

Each brief review article should not exceed 8 pages and should be formatted following APA standard guidelines (double-spaced, 12-point Times New Roman).

Note: Full text articles are located in the “files” section of the course.

Growth Horm IGF Res. 2009 Aug;19(4):308-19. Epub 2009 Jun 7.The physiology of growth hormone and sport.Widdowson WM, Healy ML, Sönksen PH, Gibney J.https://www.ncbi.nlm.nih.gov/pubmed/19505835
Endocr Rev. 2007 Oct;28(6):603-24. Epub 2007 Sep 4.The growth hormone/insulin-like growth factor-I axis in exercise and sport.Gibney J, Healy ML, Sönksen PH.https://www.ncbi.nlm.nih.gov/pubmed/17785429
Growth Horm IGF Res. 2009 Aug;19(4):408-11. Epub 2009 May 24.IGF-I abuse in sport: current knowledge and future prospects for detection.Guha N, Sönksen PH, Holt RI.https://www.ncbi.nlm.nih.gov/pubmed/19467615
Sports Med. 2010 Mar 1;40(3):207-27.The effect of the menstrual cycle on exercise metabolism: implications for exercise performance in eumenorrhoeic women.Oosthuyse T, Bosch AN.https://www.ncbi.nlm.nih.gov/pubmed/20199120
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