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Comprehensive Case Study on COPD, Heart Failure, Hypertension and Diabetes Mellitus M.K. is a 45 year old female; measuring 5’5” and weighs 225 lbs. M.K. has a history of smoking about 22 years along with a poor diet. She has a history of Type II diabetes mellitus along with primary hypertension. M.K. has recently been diagnosed with chronic bronchitis. Her current symptoms include chronic cough, more severe in the mornings with sputum, light-headedness, distended neck veins, excessive peripheral edema, and increase urination at night. Her current medications include Lotensin and Lasix for the hypertension along with Glucophage for the Type II diabetes mellitus. The following are lab findings that are pertinent to this case: Vitals BP 158/98 mm Hg CBC Hematocrit 57% Glycosylated hemoglobin (HbA1c) 7.3 % Arterial Blood Gas Assessment PaCO₂ 52 mm Hg PaO₂ 48 mm Hg Lipid Panel Cholesterol 242 mg/dL HDL 32 mg/dL LDL 173 mg/dL Triglycerides 184 mg/dL What clinical findings correlate with M.K.’s chronic bronchitis? What type of treatment and recommendations would be appropriate for M.K.’s chronic bronchitis? Which type of heart failure would you suspect with M.K.? Explain the pathogenesis of how this type of heart failure develops. According to the B.P. value, what stage of hypertension is M. K. experiencing? Explain the rationale for her current medications for her hypertension. Also, discuss the impact of this disease in the U.S. population. According to the lipid panel, what other condition is M.K. at risk for? According to this case study, what other medications should be given and why? What additional findings correlate for both hypertension and Type II diabetes mellitus? Interpret the lab value for HbA1c and explain the rationale for this value in relation to normal/abnormal body function?

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Kathy I agree with you. Social determinants of health can affect different funcioning and quality of life of individuals. When I think about the quality of life of the homeless I think about the condition in which they live, the unhealthy food they have to eat because they don’t have a choise for a healthy meal. Healthy meal for a homeless person is a feast. Infectious diseases is higher in homeless people than in the general populaton. People who are homeless also die 30 years before reaching life expectancy compared to the general population and have higher prevalence to acquire infectious diseases. I NEED YOU TO COMMENT FROM THIS POST, NO MORE THAN 150 WORDS NEEDED AND A REFERENCE PLEASE.

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Step 1: Collect 3 day diet record — You will use the provided 3 day diet diary form for each day to collect your diary for anything you eat and drink! Here is what you need to do to complete this assignment: Getting started – Collect diary, record be 2025

Step 1: Collect 3 day diet record — You will use the provided 3 day diet diary form for each day to collect your diary for anything you eat and drink! Here is what you need to do to complete this assignment: Getting started – Collect diary, record behaviors & set up profile · Keep a food diary for 3 days- 2 week days and 1 weekend day (consecutive days). Try to choose days that are fairly typical of your intake so that you can better understand your usual diet. In other words – don’t record on days that you are sick, your birthday, etc. Use the food record sheet in the diet analysis project folder on Blackboard for your records. a. Carry the food record with you and record everything or eat or drink (including water and any other fluid*) i. record immediately after eating with as much detail as possible ii. be accurate with portion sizes – this is IMPORTANT b. Do not include vitamin and mineral supplements since you are looking only at food intake – you can discuss whether or not you need one later in the paper. If you take a protein supplement or drink protein shakes, include these as they will influence calorie and macronutrient intake – you will often need to add the protein supplement as a custom food if you are consuming one. c. You need to record your intake on the Diet Diary Form (1 form for each day) i. you should be very detailed. It will be easier to do the analysis if you have kept a good record of everything that you eat and drink. ii. record the meal and time you ate – you decide what the meal is. If you get up at noon on Saturday and you eat – that might be your breakfast and it might be lunch iii. record the food/beverage in as much detail as possible and the portion. You do not have to record method of preparation unless it will affect the food. For example – a pop tart is the same if it is toasted or not. But chicken is different if it is fried or baked. iv. Record the portion size – accurately, refer to the tools in chapter 1-2 to better determine serving size – you will also find a handout in the diet analysis project to estimate portion sizes v. Record where you were, who you were with, and what you were doing when eating. For example, you might have been alone at kitchen table reading your nutrition book. Or you might be at work with co-workers. Or you might be with friends watching TV vi. Rate your hunger on scale of 1= not hungry and 5 = famished – you will need this data later in your report to discuss hunger rating vii. Assess how you were feeling (bored, happy, stressed, rushed, etc.) viii. Estimate how long it took you to eat, record in minutes (again details are needed).

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Hello i need a good and positive comment related with this argument .A paragraph with no more 90 words. Melissa Ethridge 3 posts Re:Topic 3 DQ 1 Vulnerability is indicating a population or individuals that are more likely for something to happen to them or develop a disease. Such as babies, elderly are more vulnerable to become ill. To be labeled vulnerable the group or person has factors that aggravate their current diagnosis (Maurer & Smith, 2013). A women that is 50 years old that is very inactive and smokes would be at risk for heart disease. The same women that was homeless and had no insurance would be more vulnerable to have poor health status than someone that had insurance or a job to be able to provide income for health care. An at risk population are those such as cancer patients, HIV positive patients and organ transplant patients. They are more at risk of developing further problems down the road. The increased about of risk factors for a person or group in poor health, the more vulnerable they are (Maurer & Smith, 2013). Most babies cannot advocate for themselves because they cannot speak for themselves. Babies need someone to stand up for them and fight for their rights. Babies cannot protect themselves from infections or being exposed. These babies need an adult that knows how to protect the baby and voice opinions on their behalf. An example would be vaccinations. The baby cannot tell the physician that they want the vaccinations that will prevent them from contracting a deadly communicable disease. But health care works can educate that parents and advocate for the babies to have the available vaccines that could save their lives or prevent them from getting ill.

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ASSIGNMENT INFORMATION Due Date Sunday, March 5, 2017 11:59 PM Points Possible 150 [removed] This week, you will write an extended literature review using three sources. For this literature review assignment, we are going to give you a choice of four topics to choose from . Chronic pain: Treatment options and efficacy CRF: Prevention/treatment in diabetic patients Rheumatoid arthritis: Risks/benefits of latest treatments IBS: diagnosis and treatment You will need to determine the focus of inquiry and determine which approach to analysis you should take based on the topic you choose. For this review, be sure to: Select three relevant and appropriate scholarly articles that address the topic you chose. Present a thorough literature review of the three articles by summarizing, synthesizing, and evaluating the materials. Incorporate citations into your body paragraphs; incorporate the essential and most relevant supporting evidence eloquently and appropriately. Present your writing in a clear, organized manner. Demonstrate understanding of the content presented in the articles. Use proper APA format with proper citations. Review APA Citations Here Your literature review should be 3–4 pages in length. Remember, you will need to use APA formatting in your literature review and include a title page and a reference page.

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