Case Study -Patient with Otitis Externa

Patient with Otitis Externa

ZM is an 8-year-old male who is brought to the clinic by his mother for complaints of acute left ear pain. She has recently picked him up from a week-long stay at camp, and he stated his ear hurt so bad he was crying. When his mother looked at this ear, she noticed the outside canal was very swollen. He could not even touch his ear. His mother states: “He is never sick, and he never cries.” 

Past Medical History 

• All immunizations current 

• No history of surgeries 

• No history of allergies 

• No history of significant illness

 Medications 

• Multivitamin, daily 

• Occasional allergy medication with children’s loratadine 

Physical Examination 

• Pulse: 100; respiration rate: 22; temperature: 100.2 °F data scan 

• Left ear canal swollen; unable to access with otoscope to observe tympanic membrane 

• Swelling noted in lymph nodes below ear 

• Ear is red and warm to touch 

Diagnosis 

• External otitis 

Discussion Questions 

1. What factors in ZM’s recent history should the clinician consider, and what additional questions should the clinician ask the mother? 

2. What treatment options are indicated for ZM? 

3. What patient teaching should the clinician provide?

Case Study: A 25-year-old presented to the labor and delivery unit with complaints of uterine cramping and lower back pain. The client denied any vaginal bleeding and had a history of preterm birth at 32 weeks (about 7 and a half months) gestation with her last pregnancy. The baby from that pregnancy is three years old has no developmental issues

Maternal child health discussion

Reproduction

Review the case study and answer the following questions.

Case Study: A 25-year-old presented to the labor and delivery unit with complaints of uterine cramping and lower back pain. The client denied any vaginal bleeding and had a history of preterm birth at 32 weeks (about 7 and a half months) gestation with her last pregnancy. The baby from that pregnancy is three years old has no developmental issues. The client’s gestational age is 30 weeks (about 7 months). She is O+, and all other lab values are normal. No evidence of sexually transmitted infections (STI’s).

 (Group Beta Strep is missing from the labs and most often is obtained at 35 – 37 weeks (about 8 and a half months) gestation. Without this information, it is often determined to treat the patient anyway, to protect a premature baby from the risk.)

  • What additional information should the nurse obtain from the client?
  • What nursing intervention is most appropriate in this situation?
  • What screening tests should be obtained to determine the risk for preterm labor?
  • If the client is in preterm labor, what medications would the nurse expect to be ordered, and what are the priorities for the nurse to assess post-administration? (Include dose, side effects and expected outcomes of the medication).
Review the following quotes from the article “From Technological Autonomy to Technological Bluff: Jacques Ellul and Our Technological Condition”

Review the following quotes from the article “From Technological Autonomy to Technological Bluff: Jacques Ellul and Our Technological Condition” in the Learning Materials. 

“A technological society, Ellul reasoned, begets autonomous technique, a condition in which technology’s values drive technology, and following from this technology will determine the rest of society…Ellul theorized that once human beings enter the technological society (our current situation), technology is not controlled by anything.”

“While the means–the technologies–become ever more complex…Goals such as freedom or wealth are seldom questioned, but it is often unclear what these mean, for whom, and at what cost. The focus is on extending the means of development, pursuing new technologies. Goals are given such content as will the technological means available. Thus “success” becomes not a state of flourishing but as acquiring more possessions. “educated” no longer connotes wisdom but possessing measurable and marketable skills.” 

“We now generally, if sometimes grudgingly, accept new technology. This is the case even when it creates new difficulties, when it raises profound ethical questions, when it might work less well, or when it exacts greater demands than previous technologies.” 

“Through advertising of particular devices or propaganda for acceptance of technologies in general, the marketing of technology persuades the public to accept new technologies. This process denies that technologies are simply freely chosen by the public in the marketplace and emphasizes the ability of advertising to sell the technologies to the public.”

Choose one of these quotes and do the following:  

  1. Place the quote at the top of your post. 
  2. Paraphrase the quote in your own words. Please see tips on paraphrasing here.  
  3. Discuss how it relates to your relationship with technology in your everyday life OR why you disagree with something in the quote.  
  4. Use at least one or two specific examples from your life or our culture to illustrate your points.  
  5. Use at least one additional quote from this article in your discussion.  
  6. Make sure to cite your quote in MLA style.
What are some practical advantages and disadvantages to using a star schema data model over a relational model

Examining Administrative Claims Data.

Please access and examine the CMS 2008-2010 Data Entrepreneurs Synthetic Public Use File (DE-SynPUF). The CMS 2008-2010 Data Entrepreneurs’ Synthetic Public Use File (DE-SynPUF) are neat datasets to give students experience with healthcare data. Although these data are synthetic, they were created from real Medicare claims data and hence retain a lot of features of the original data. 

Moreover, the data samples are very large. Thus, there is a lot of opportunity to query and explore “big data” to some extent. Here are some of the key phrases that CMS uses to describe the data: 

“The DE-SynPUF was created with the goal of providing a realistic set of claims data in the public domain while providing the very highest degree of protection to the Medicare beneficiaries’ protected health information. The tables contain five types of data – Beneficiary Summary, Inpatient Claims, Outpatient Claims, Carrier Claims, and Prescription Drug Events.”

Upload a PDF of your answers to the following questions:

For Part 1: The Star Schema

1. What are some practical advantages to using a star schema data model over a relational model? A few are mentioned in the lecture, but challenge yourself to identify others. ( describe at least  3 advantages)

2. What are some of the disadvantages of using a star schema versus a relational model?

3. What criteria might you use to evaluate which approach to use in a given situation?

For Part 2: Examining Administrative Data

1. In 5-6 sentences, describe the data: Why was it originally collected? What were the sources of the data? Who collected it, ie. Doctors, nurses, pharmacy, self-reported, etc. Where was it collected? How is the context identified?

2. What sorts of things could this data measure? How might these measures identify opportunities to improve patient care or healthcare operations? Who would benefit from this information?

3. What are some of the limits to the use of this data?

4. How might you verify and validate this data?

5. How difficult would this data be to map for comparison to other data?

6. What might be some possible issues with these data in contrast to the more rich clinical type of data?

Discuss the way in which the various sensory systems develop and how sensory development impacts a child’s perception of the world.

Discuss the way in which the various sensory systems develop and how sensory
development impacts a child’s perception of the world.
Explain in your post how you might suggest a parent adjusts the home environment and
social situations to allow for the infant and young child’s system to develop.

Think about how these values were shaped, how you apply these values in your everyday life, and how you can apply them as a social worker. Finally, discuss if any identified values might cause problems for you as a professional, if so, how would you work to address these potential problems?

Think about how these values were shaped, how you apply these values in your everyday life, and how you can apply them as a social worker. Finally, discuss if any identified values might cause problems for you as a professional, if so, how would you work to address these potential problems?

Responses should be a minimum of one-page, double spaced written in MS Word with proper grammar and editing. Responses will be evaluated on content as well as writing style so ensure a thorough, grammatically correct response

examine human development in terms of nature/nurture influences of the influential person you chose. You also will explore the role that cognitive, physical, and social-emotional development/changes played in the person’s life.

FINAL PROJECT: PART 1

For Part 1 of your Final Project Assignment, you will examine human development in terms of nature/nurture influences of the influential person you chose. You also will explore the role that cognitive, physical, and social-emotional development/changes played in the person’s life. For the Final Project, you will only need to discuss two of the three processes.Also, for this part of your Final Project Assignment, you will submit Part 1 to your Instructor to receive feedback. Note: No grade will be given for this submission; however, this submission is a requirement for the Final Project.For Part 1 of the Final Project Assignment:Begin the Final Project Assignment by writing a 3- to 4-page paper (Part 1), not including title page and references.For Part 1 of the Final Project Assignment, explain the development and outcomes of the person’s life through childhood in terms of the appropriate constructs, processes, and theories of development. Address as many of the relevant ages and stages as possible.Part 1

  • Explain the person’s life from prenatal development through childhood in terms of nature/nurture influences.
  • Provide an analysis of the role cognitive, physical, and social-emotional development/changes played in the person’s life. Note: You must select two of the three processes to include in your paper.
  • Include at least one theory that is relevant in describing the individual’s development.

Use proper APA format, citations, and referencing

Brainstorm an area(s) that you are passionate about within research that you would like not just to study more, but to inspire action through your own research.

Brainstorm an area(s) that you are passionate about within research that you would like not just to study more, but to inspire action through your own research. 

For example, if you are interested in exploring how students can better self-regulate their emotions you might want to study best practices in social-emotional learning and train teachers in one approach to see the impact on students and families. 

Select a specific personality or paraphilic disorder from the DSM-5-TR to Explain the controversy that surrounds your selected disorder. Explain your professional beliefs about this disorder, supporting your rationale with at least three scholarly references from the literature.
  • Review this week’s Learning Resources and consider the insights they provide on assessing, diagnosing, and treating personality and paraphilic disorders.
  • Select a specific personality or paraphilic disorder from the DSM-5-TR to use for this Assignment.
  • Use the Walden Library to investigate your chosen disorder further, including controversial aspects of the disorder, maintaining the therapeutic relationship, and ethical and legal considerations. 

In 2–3 pages:

  • Explain the controversy that surrounds your selected disorder.
  • Explain your professional beliefs about this disorder, supporting your rationale with at least three scholarly references from the literature.
  • Explain strategies for maintaining the therapeutic relationship with a patient that may present with this disorder.
  • Finally, explain ethical and legal considerations related to this disorder that you need to bring to your practice and why they are important.
n reform.

Defend reforms such as these to those who take a tough-on-crime stance. Share evidence that supports your argument with your classmates.

conduct research on the merits of prison reforms

The Colson Task Force issued a report calling for the federal Bureau of Prisons to reduce its population by 60,000 inmates and to reserve mandatory minimums for violent offenders only. It also urged Congress to create a path for prisoners who have served more than 15 years to apply for shorter sentences by asking their judges to give their cases a second look.

Please respond to the following in a substantive post:

  • Defend reforms such as these to those who take a tough-on-crime stance.
  • Share evidence that supports your argument with your classmates.

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