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Medical Surgical Case Study – 2025 Musculoskeletal Systems Function The nurse in the outpatient orthopedic clinic is reviewing the medical records of several patients being
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Medical Surgical Case Study – 2025
Musculoskeletal Systems Function
The nurse in the outpatient orthopedic clinic is reviewing the medical records of several patients being seen in the clinic today. In the most recent note by the provider, the nurse reads the following:
‘A 67-year-old, moderately obese woman examined today for increasing back and left shoulder pain. Limited circumduction of left arm noted in comparison with right arm. Strength of left arm is less than right, with less muscle definition in the left arm. Examination of back indicates significant kyphosis, and the patient states that she is ‘shrinking.’ Bone density testing of the hip is ordered.”
1. How does the nurse interpret “limited circumduction”
2. When the patient arrives, the nurse correlates the “kyphosis” with what physical finding? What causes kyphosis in the older adult?
3. How should the nurse explain the patient’s decreasing height?
4. What is the rationale for ordering bone density testing of the hip in this patient?
Assignment should be in APA format.
Capstone Project – 2025 NTR 1010 Introductory Nutrition Capstone Project Instructions This project allows you to demonstrate
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Capstone Project – 2025
NTR 1010 Introductory Nutrition
Capstone Project Instructions
This project allows you to demonstrate the depth of your understanding of the important concepts presented in this course, so please start it as early as you can.
Please submit Part 1 and Part 2 of this assignment to Blackboard.
· Diet and Wellness reports should be submitted as pdf documents. There should be 9 pdf reports.
· Answers to questions in Section B, C, D, and questions in Part 2 into 1 Microsoft Word document and submit it in Blackboard.
Part 1: Dietary Self-Assessment (up to 70 points)
Section A: Food Record
Record 3 days of your food and beverages in the Diet and Wellness app (as you did at the start of the semester), and generate 3 Daily Food Log reports to show your diet record. You can generate your Food Logs from the Reports tab in D&W+. Adjust the date in each case to obtain the Food Log from the appropriate day.
Section B: Diet & Wellness Plus Diet Analysis
Generate an Intake vs Goals report, as well as 3 Source Analysis reports (for kilocalories, saturated fat, and sodium). You can generate these reports from the Reports tab in D&W+. For each report, you need to set a start date and an end date to capture all 3 days.
Section C: Your Genetic Risk for Chronic Disease
Recall from Chapter 1 that each of us has a unique risk for developing chronic conditions such as heart disease or diabetes. This risk is based on how we eat, lifestyle choices such as exercise habits and smoking, and the genes we inherit from our parents.
1. List 6 relatives (parents, grandparents, aunts, uncles, siblings, and cousins for example). As you choose these people, focus on older relatives as well as any younger family members who have already been diagnoses with health conditions. They may be living or not.
2. Indicate which (if any) of these people had or have any of the following conditions:
· Heart Disease
· Pre-hypertension, Hypertension, or Stroke
· Obesity
· Cancer
· Pre-diabetes, Gestational diabetes, or Type 2 diabetes
· Osteoporosis
If you cannot list any “blood” relatives, then list people with whom you grew up. If you don’t know if anyone has had these conditions, list their current age or the age at which they died.
Section D: Interpretation
Using the information from parts sections A, B, and C above, answer the 6 questions below.
1. List 4 vitamins and/or minerals that you consumed in adequate amounts and discuss how this protects you.
2. List 4 vitamins and/or minerals that you consumed in low amounts, and discuss the potential dangers to your health.
3. List your calorie, saturated fat, and sodium intake, and indicate if you overconsumed any of them. Discuss the potential dangers to your health.
4. Discuss 3 chronic disease conditions you are at risk for (or would otherwise avoid) based on your 3-day typical eating pattern and your Medical family tree
5. Using information from Chapters 7 and 8, identify 4 foods you are willing to eat to correct any shortages of vitamins and/or minerals.
6. Using your Source Analysis reports, identify 4 foods you could cut back on to reduce excess calories, saturated fat and/or sodium.
For this Part 1 you are submitting the following to Blackboard for grading:
· 3 Food Logs
· 4 Reports: 1 Intake vs Goals and 3 Source Analysis (Kilocalories, Saturated Fat, and Sodium)
· Family History of Chronic Disease (in a table format)
· Your answers to the 6 questions.
Part 2: Food Bank Analysis (up to 30 points)
Many Americans rely on food banks to make sure they and their families have enough to eat. Although food banks have some capacity to collect and distribute perishables (fresh fruits, vegetables, dairy, and meat), they tend to rely on packaged foods with a long (unrefrigerated) shelf-life. This, of course, affects the nutritional content of their offerings.
1) Identify a local food pantry, and research their mission and the nutrition services they provide.
2) Using the food bank typical food list on the last page, create a menu for one day (breakfast, lunch and dinner). Please make sure you include foods from each of the food groups:
a) Grains
b) Milk
c) Protein
d) Fruit
e) Vegetable
3) Enter your choices into Diet and Wellness as though you are the client, and generate a Food Log report and an Intake vs. Goals Report.
4) Identify 3 nutrients for which you met the DRI recommendations.
5) Identify 3 nutrients for which you were below the DRI recommendations.
6) Discuss 3 implications of your Intake vs Goals report findings on the long-term health of people who rely on food banks for long periods of time.
7) Based on question 6, List 3 pieces of advice you would provide to these clients based on your analysis.
For Part 2 you are submitting the following to Blackboard for grading:
· The name and mission of your chosen food pantry
· 1 Food Log
· 1 Intake vs Goals Report
· Your answers to questions 4, 5, 6, and 7 above.
Food Bank Typical Inventory
Grains
Infant cereal
Macaroni
Oatmeal
Grits
Cream of wheat
Pretzels
Muffin mix
Pancake mix
Rice pilaf
Rigatoni
Cereal
Quick bread mix
Flour
Macaroni & cheese, boxed
Rice (brown or white)
Spaghetti
Cornmeal
Noodles
Biscuit mix
Canned pasta
Graham crackers
Noodle soups
Dairy
Dried milk
Infant formula
Evaporated (canned) milk
Boxed milk
Canned & Boxed pudding
Parmesan cheese
Discussion Post – 2025 Due to the increasing percentage of older adult clients in the U S it is imperative
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Discussion Post – 2025
Due to the increasing percentage of older adult clients in the U.S., it is imperative that healthcare providers assess and confront their own attitudes and perceptions toward older adults.
In your initial post, address the following:
NEED 1 OR 2 REFERENCES
Respond to at least one of your peers who has different perspectives than your own.
I WILL ALSO NEED A RESPONSE ATTACHED
Module 2 – Project Analysis – 2025 Barbara receives an email from her manager asking about the progress of the strategic plan The
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Module 2 – Project Analysis – 2025
Barbara receives an email from her manager asking about the progress of the strategic plan. The manager informs Barbara that UCCO is wanting to implement a new electronic health record (EHR), to improve the overall process of providing quality patient care; and organizational challenges. After her discussion, Barbara realizes that she would need to complete a situational analysis. By performing a situational analysis, planners can help anticipate and manage change. Understanding the internal and external environment is also critical to an effective strategic plan. For the external environment, planners look at opportunities and threats. For the internal environment, planners look at strengths and weaknesses.
For this project assignment on UCCO, complete a minimum of a 1-2 page report and two SWOT tables to describe key opportunities, threats, strengths, and weaknesses in selecting an electronic record system. Your written report should address the following concepts:
Visit the Rasmussen online Library and search for a minimum of 2 articles covering the topics of electronic health record implementation. Conduct academic research using the library’s databases, like:
Visit the Internet and search for a minimum of 2 electronic health record systems. Search for types of EHR systems.
To complete this assignment, construct two situational/SWOT analysis tables – one for each electronic record system being considered – that contains the following:
Remember to integrate citations accurately and appropriately for all resource types; use attribution (credit) as a method to avoid plagiarism. Use NoodleBib to document your sources and to complete your APA formatted reference page and in-text citations.
Organizational Growth
There has been a rapid growth of urgent care in the UCCO area in the past five years, which is fueled by patient demand for convenient, affordable care. Patients are looking for accessible healthcare that provides access to specialty services. Because UCCO was one of the first in the area, there is an advantage to having an established customer base. However, there are some current challenges that both reflect the urgent care community and nationa trends.
· Growing, over-saturated of urgent care centers in the area
· Messaging that urgent care centers provide only general care services; specialty services not promoted
· Growth in patient volume is driven by demographic trends
· Population of aging patients (over age 65) growing at tremendous rates
· Cost of treatment for the UCCO continues to rise, yet patient cost remain the same
· Insurance cost rising, uninsured patients numbers rising
· Financial profits for UCCO down by 10% each year, for the past 3 years
· UCCO collections for patient balances are increasing
· Compliance audits reveal issues with patients confidentiality and privacy
· HIPPA training not completed as part of new employee orientation
· Customer satisfaction rates declining
Requirements
You will develop a strategic plan based on the Urgent Care Clinic Organization
Urgent Care Clinic
-Urgent Care Clinic (UCCO) is a group of medical facilities that provide clinic services to the community. UCCO is an important aspect to the healthcare community by providing convenient services when a patient is unable to go to a primary care doctor or hospital. They are used for immediate care attention that may or may not be an emergency situation. Urgent Care Centers provides access to healthcare during the day, as well as nights, weekends, and most holidays.
-UCCO was started in 2002 to address medical services needs in the local community. The goal was to minimize the need to seek multiple physicians and provide comprehensive healthcare. It was also the goal to provide services beyond the traditional operating hours of primary care and other doctors offices. UCCO focuses on total wellness that incorporates an integrative approach to optimize quality patient care.
-The mission of UCCO is to promote community health. We offer a collaborative approach to enhance healthy lifestyles, with cost effective, quality care. The vision is to be the most trusted multispecialty organization in the regional area by consistently providing excellent customer service and high quality medical care.
-UCCO is made up of 3 facilities with 8 specialties. 14 doctors, 3 directors, and a number of clinical staff and employees. Over 30% of UCCO patients are uninsured without any form of health insurance benefits.