http://cdn-media.waldenu.edu/2dett4d/Walden/NURS/6521/05/mm/decision_trees/week_10/1.html

• Reflect on the patient’s symptoms and aspects of the disorder presented in the interactive media piece.
• Consider how you might assess and treat patients presenting with the symptoms of the patient case study you were assigned.
• You will be asked to make three decisions concerning the diagnosis and treatment for this patient. Reflect on potential co-morbid physical as well as patient factors that might impact the patient’s diagnosis and treatment.

By Day 7 of Week 8

Write a 1- to 2-page summary paper that addresses the following:

• Briefly summarize the patient case study you were assigned, including each of the three decisions you took for the patient presented.
• Based on the decisions you recommended for the patient case study, explain whether you believe the decisions provided were supported by the evidence-based literature. Be specific and provide examples. Be sure to support your response with evidence and references from outside resources.
• What were you hoping to achieve with the decisions you recommended for the patient case study you were assigned? Support your response with evidence and references from outside resources.
• Explain any difference between what you expected to achieve with each of the decisions and the results of the decision in the exercise. Describe whether they were different. Be specific and provide examples.
  

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Mr. Akkad is a 76 year old Iranian male who is brought to your office by his eldest son for “strange behavior.” Mr. Akkad was seen by his family physician who ruled out any organic basis for Mr. Akkad’s behavior. All laboratory and diagnostic imaging tests (including CT-scan of the head) were normal. Miami Dade College AD Patient Case Study and Evaluation Analysis

According to his son, he has been demonstrating some strange thoughts and behaviors for the past two years, but things seem to be getting worse. Per the client’s son, the family noticed that Mr. Akkad’s personality began to change a few years ago. He began to lose interest in religious activities with the family and became more “critical” of everyone. They also noticed that things he used to take seriously had become a source of “amusement” and “ridicule.”

Over the course of the past two years, the family has noticed that Mr. Akkad has been forgetting things. His son also reports that sometimes he has difficult “finding the right words” in a conversation and then will shift to an entirely different line of conversation.

SUBJECTIVE

During the clinical interview, Mr. Akkad is pleasant, cooperative and seems to enjoy speaking with you. You notice some confabulation during various aspects of memory testing, so you perform a Mini-Mental State Exam. Mr. Akkad scores 18 out of 30 with primary deficits in orientation, registration, attention & calculation, and recall. The score suggests moderate dementia. Miami Dade College AD Patient Case Study and Evaluation Analysis

MENTAL STATUS EXAM

Mr. Akkad is 76 year old Iranian male who is cooperative with today’s clinical interview. His eye contact is poor. Speech is clear, coherent, but tangential at times. He makes no unusual motor movements and demonstrates no tic. Self-reported mood is euthymic. Affect however is restricted. He denies visual or auditory hallucinations. No delusional or paranoid thought processes noted. He is alert and oriented to person, partially oriented to place, but is disoriented to time and event [he reports that he thought he was coming to lunch but “wound up here”- referring to your office, at which point he begins to laugh]. Insight and judgment are impaired. Impulse control is also impaired as evidenced by Mr. Akkad’s standing up during the clinical interview and walking towards the door. When you asked where he was going, he stated that he did not know. Mr. Akkad denies suicidal or homicidal ideation.

Diagnosis: Major neurocognitive disorder due to Alzheimer’s disease (presumptive)

RESOURCES

§ Folstein, M. F., Folstein, S. E., & McHugh, P. R. (2002). Mini-Mental State Examination (MMSE). Lutz, FL: Psychological Assessment Resources. Miami Dade College AD Patient Case Study and Evaluation Analysis

http://cdn-media.waldenu.edu/2dett4d/Walden/NURS/6521/05/mm/decision_trees/week_10/1.html

This project requires you to describe a real or hypothetical information technology

project and to develop an integrated project plan that would be used to manage this project

throughout its life cycle. The project requires you to apply the project planning and

related project management tools and techniques covered in this course. The IT project you

choose should not be trivial? that is, it should be a project that would require the use of multiple people and involve one or more complete phases of a life cycle as described in your textbooks for this course. In practice, the scope and development of a project is usually the result of a number of people. ITEC 640 UMDC UMGC Care Migration to EHR System Proposal

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NOTES ON CONTENT & FORMAT There are no right or wrong answers for any of the project

deliverables – however, if you make use of tools such as Microsoft Project, they should be

applied in an appropriate way to the problem(s) at hand and calculations should be

mathematically correct. Please turn in the Project assignments in as few files as possible printing Microsoft Project items as a pdf. The real challenge is to analyze your project and apply

Microsoft Project items as a pdf. The real challenge is to analyze your project and apply

sound IT project management principles in creating a concise project plan. Each report should be professional in content and presentation. Assume that this report is going to an important. ITEC 640 UMDC UMGC Care Migration to EHR System Proposal

•  read the Psychology Discussion requirements fully, then read Read pages 419 – 422
  Coon et al. (2022) mentions the relationship between stress and health and the importance of learning positive measures to ensure our physical and mental well-being. Coon et al. (2022) explain a stressor is a condition or event that challenges or threatens a person. Coon et al. (2022) state that burnout occurs when workers are physically, mentally, and emotionally drained. This highlights the importance of knowing good coping skills and setting boundaries for ourselves where our obligations are concerned. Take the Social Readjustment Rating Scale (SRSS) on page 420.ReferencesCoon, D., Mitterer, J.O., & Martini, T. (2022). Introduction to psychology: Gateways to mind and behavior (16th ed.). Cengage Learning.For this week’s main post, answer all of the following questions after taking the SRSS on page 420 of your textbook.  KU Wk4 Health & Medical Learning to Manage Stress for Optimum Health Paper

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• • What did you learn about yourself?
  • What stressors and or “hassles” do you recognize in your life?
  • What measures can you take in order to lower your stress and optimize your health and well being?
  • How will this enable you to become a more productive student?
  • **You might also enjoy visiting: http://www.mentalhealthamerica.net/self-help-tools or here: http://marc.ucla.edu/ for more information and self-help. To post to the discussion, click on the title Week 4 Psy Discussion Forum and then Create Thread.
• My Disease Risk Factors
  My Disease Risk FactorsSo many diseases can be prevented if you assess your risk factors and consult your medical professional early on. Visit the Washington University School of Medicine’s Siteman Cancer Center website (Direct Link: https://siteman.wustl.edu/prevention/ydr/? KU Wk4 Health & Medical Learning to Manage Stress for Optimum Health Paper ScreenControl=YDRGeneral&ScreenName=YDRHome.htm) to assess your risk of the following diseases:
  • Cancer
  • Diabetes
  • Heart Disease
  • Osteoporosis
  • Stroke
  1. Take at least one of the disease risk assessments.
  2. Write about describing the results and what you learned.

Test Content

1. Question 1

   A contract that is inferred by law is a/an ___________.

   1. implied contract
   2. illegal contract
   3. preferred contract
   4. written contract
2. Question 2

   A contract with a firm of anesthesiologists that requires that all anesthesia services for a hospital’s patients be performed by that firm is a/an ___________.

   1. open-ended contract
   2. closed contract
   3. exclusive contract
   4. inclusive contract
3. Question 3

   A contractor who agrees to undertake work without being under the direct control or direction of another and is personally responsible for his or her negligent acts is a/an ___________.

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   1. Agent

   2. independent contractor
   3. employee
   4. supervisor
4. Question 4

   A pharmacist who submits Medicaid claims for reimbursement on brand name medications rather than on the less expensive generic drugs dispensed is committing ___________.Florida National University Legal Aspect & Legislation in Healthcare Worksheet

   1. Perjury
   2. products liability
   3. wrongful kickback
   4. fraud
5. Question 5

   A religion and philosophy encompassing a variety of traditions, beliefs, and practices, largely based on teachings attributed to the Indian prince named Siddhartha Gautama (563–483 BC), is __________.

   1. Buddhism
   2. Taoism
   3. Hinduism
   4. Judaism
6. Question 6

   A serious crime generally punishable by one or more years of imprisonment in a state or federal penitentiary is a ___________.

   1. Misdemeanor
   2. malicious mischief
   3. felony
   4. false imprisonment
7. Question 7

   An informal discussion during which the judge and opposing attorneys eliminate matters not in dispute, agree on the issues, and settle procedural matters relating to the trial is a(n) ___________.

   1. Hearing
   2. examination before trial
   3. deposition
   4. pretrial conference
8. Question 8

   Elements of negligence that must be present in order to establish negligence are ___________.

   1. duty to use due care, breach of duty, injury, causation
   2. proximate cause, foreseeability
   3. breach of duty, causation
   4. duty, injury, foreseeability
9. Question 9

   Evidence furnished by physical things themselves is ___________ evidence.

   1. Hearsay
   2. Documentary
   3. Testimonial
   4. demonstrative
10. Question 10

    Failure to conform to or departure from a required duty of care owed to a patient is considered as a ___________. Florida National University Legal Aspect & Legislation in Healthcare Worksheet

    1. foreseeable event
    2. breach of duty
    3. foreseeable act
    4. standard of care
11. Question 11

    If a health care provider shows reckless disregard for the safety of his patients and intentional indifference to any injury that could follow his act(s), he could be charged with or sued for ___________.

    1. Assault
    2. criminal negligence
    3. tortious interference
    4. civil negligence
12. Question 12

    If an X-ray machine is entered as evidence, it is a form of ___________.

    1. demonstrative evidence
    2. hearsay
    3. circumstantial evidence
    4. hearsay evidence
13. Question 13

    The ___________ committee is generally responsible for the development of policies and procedures for the investigation and control of infections.

    1. infection control
    2. bylaws
    3. executive
    4. credentials
14. Question 14

    The ___________ committee is responsible for reviewing medical records for timeliness, accuracy, legibility, and completeness

    1. Executive
    2. Bylaws
    3. peer review
    4. medical records
15. Question 15

    The ___________ committee of the governing body is responsible for reviewing and overseeing the financial affairs of the organization.

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    1. Bylaws

    2. Executive
    3. Finance
    4. Audit
16. Question 16

    The ___________, passed by Congress and signed by President Barack Obama on March 23, 2010, is designed to ensure that more Americans receive healthcare benefits.

    1. National Insurance
    2. Health Insurance Portability and Accountability Act of 1996
    3. Obama Care
    4. Patient Protection and Affordable Care Act
17. Question 17

    The common law doctrine by which the state and federal governments have been immune from liability for harm suffered by the tortious conduct of its employees is ___________.

    1. borrowed servant doctrine
    2. respondent superior
    3. sovereign immunity
    4. captain of the ship doctrine
18. Question 18

    The premature dismissal of a case without notifying the patient can be construed as ___________.

    1. Aggravation
    2. delay in treatment
    3. misdiagnosis
    4. abandonment
19. Question 19

    When a doctor fails to inform his patient in a timely manner of a serious condition that turns deadly, fails to refer him to a specialist, and does no further tests, he can be found negligent by reason of ___________. Florida National University Legal Aspect & Legislation in Healthcare Worksheet

    1. delaying treatment
    2. strict liability
    3. vicarious liability
    4. misdiagnoses
20. Question 20

    When caring for the dying, relatives may wish to perform rituals at this time. In death, jewelry, sacred threads, or other religious objects should not be removed from the body. Washing the body is part of the funeral rites and should be carried out by the relatives. Such acts are practiced in ___________.

    1. Taoism
    2. Judaism
    3. Buddhism
    4. Hinduism
21. Question 21

    A ___________ is the allied health professional responsible for the treatment, management, diagnostic testing, and control of patients with cardiopulmonary deficits

    1. physician’s assistant
    2. nurse practitioner
    3. respiratory therapy
    4. physical therapist
22. Question 22

    A nurse with an advanced academic degree and a major in a specific clinical specialty such as pediatrics or psychiatry is a ___________.

    1. nurse practitioner
    2. nursing care coordinator
    3. special duty nurse
    4. clinical nurse specialist
23. Question 23

    A nurse trained in the delivery of primary health care and the assessment of psychosocial and physical health problems such as the performance of routine examinations and the ordering of routine diagnostic tests is a ___________.

    1. clinical nurse specialist
    2. student nurse
    3. nurse practitioner
    4. nursing supervisor
24. Question 24

    Each state has its own nurse practice act that defines the practice of ___________ within the state.

    1. nursing
    2. a specialty
    3. medicine
    4. midwifery
25. Question 25

    Failure to identify the correct patient can result in ___________.

    1. identification of the correct patient
    2. patient injury
    3. improved patient care
    4. . the correct administration of medications
26. Question 26

    Discrimination in the treatment of patients on the basis of race ___________.

    1. can result in an increase in federal funding
    2. can result in the loss of state and federal funding
    3. can result in the increase of state funding
    4. Only a and b are correct
27. Question 27

    In governmental hospitals, statutes often limit facility use to ___________.

    1. persons formally associated with the governmental unit operating a particular hospital
    2. to civilians
    3. all persons
    4. distant relatives of military personnel
28. Question 28

    A hospital’s bill of patient rights and responsibilities should be provided to the patient at the time of admission.

    1. True
    2. False
29. Question 29

    Patients have the right to know the names and positions of any individual involved in their care.

    1. True
    2. False
30. Question 30

    Verbal Consent is a written form that should be executed when a proposed treatment may be involve some unusual risks to the patient?

    1. 1. True
       2. False

    Question 1

    1. Voluntary agreement by a person who possesses sufficient mental capacity to make an intelligent choice to allow something proposed by another to be performed on himself or herself.
       1. True
       2. FFalse
31. Question 2

    Forms of Consent include Express consent and Implied consent?

    1. True
    2. FFalse
32. Question 3

    Verbal Consent is a written form that should be executed when a proposed treatment may be involve some unusual risks to the patient?

    1. True
    2. FFalse
33. Question 4

    In relation to Informed Consent: mark the correct answer

    1. Legal doctrine where a patient has right to know potential risks
    2. 
       Legal doctrine where a patient has right to know potential risks, benefits, & alternatives of a proposed procedure
    3. Patient has absolute right to know about & select from available treatment options
    4. All are correct
34. Question 5

    In relation to Physicians Informed Consent select the write answer

    1. Informed consent is predicated on the duty of the physician to disclose sufficient info to enable the patient to evaluate proposed medical or surgical procedures before submitting to them
    2. Physicians are not expected disclose risks, benefits, & alternatives of recommended procedures
    3. Advise a patient as to a surgical procedure to be employed
    4. 1. a)None is correct

• Question 6

  In relation to Nurses Informed Consent select the correct answer

  1. A Nurses Informed Consent are expected disclose risks, benefits, & alternatives of recommended procedures
  2. Nurses most cases have no duty to advise a patient as to a surgical procedure to be employed
  3. A and b are correct
  4. Only a is correct
• Question 7

  Hospitals Informed Consent: answer the correct question. Florida National University Legal Aspect & Legislation in Healthcare Worksheet

  1. Not generally responsible for informing patients as to the risks, benefits and alternatives
  2. evaluate info provided by the physician
  3. express his or her treatment preferences
  4. voluntarily make decisions regarding his or her treatment plan
• Question 8

  In relation to Objective Test is: SELECT THE RIGHT ANSWER

  1. Consider characteristics of the plaintiff
  2. Consider idiosyncrasies, fears, age, medical condition, and religious belief
  3. Must show that a “reasonable person” would not have undergone a procedure if properlyinformed
  4. All are correct
• Question 9

  In relation to Subjective test, select the right answer

  1. Patients must testify & prove they would not have consented to the procedure(s) had they been advised of the risks
  2. Relies on credibility of the patient’s testimony
  3. All are correct
  4. None are correct
• Question 10

  Who May Consent? Select the correct answer

  1. Competent patients
  2. Guardianship
  3. Consent for minors
  4. All are correct
  5.  

NAME OF THE BOOK IS

• Title: Legal and Ethical Essentials of Health Care Administration, 2nd or 3rd EditionAuthor: George D. PozgarISBN-10: 1449694349 ISBN-13: 978-1-4496-9434-0Publisher: Jones and Bartlett