Case Study: Katherine Katherine A healthcare professional is caring for Katherine, an older adult, at the clinic during a routine physical exam. The client is at risk for osteoporosis, has high blood sugar, and high blood pressure. Question 1/2 Note: You will not have another attempt on this question if you navigate away. Please take your time answering this question before moving forward. Which nutrient should the professional recommend to improve bone health? Fats Calcium and vitamin D Iron and vitamin C Carbohydrates
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- How will you use the information to prepare for todays visit?Todays Visit: Chief Complaint "I am still recovering from my fall last month What additional subjective data are you seeking?What additional subjective data will you be assessing for?Are there any national guidelines you want to consult for the postoperative rehabilitation care of this patient with an ORIF related to osteopenia of the left femur?What will you want to order as part of this follow-up visit?Are there any new differential diagnoses you need to consider?What is your plan of care?Are there any additional community resources to consider?Will you be looking to add any referrals for this patient?Topic: Fred Davis is a 52 - year old overweight male who is complaining of tiredness and blurred vision. He says that for the last two weeks, he's been very hungry and very thirsty, but despite eating more, he has lost 8 pounds. He also mentions that he has been urinating more frequently. When asked, he mentions that his paternal grandfather suffered from heart disease and diabetes. Blood tests show blood glucose of 190 mg / dL. Question: Detailed description of condition: (be sure to include organs and organ systems involved, naturally occurring control mechanisms or how the system normally functions, etc.)Topic: Fred Davis is a 52 - year old overweight male who is complaining of tiredness and blurred vision. He says that for the last two weeks, he's been very hungry and very thirsty, but despite eating more, he has lost 8 pounds. He also mentions that he has been urinating more frequently. When asked, he mentions that his paternal grandfather suffered from heart disease and diabetes. Blood tests show blood glucose of 190 mg / dL. Question: Complications/symptoms if left untreated for the case
- Name: Patient XOXO Age: 54 y/o Patient XOXO, a teacher at public school in Caloocan City. She currently weighs 57kg and stands 5'4'' tall with medium body frame size. She was recently diagnosed with Dysphagia secondary to Neurologic Disorder. Her doctor prescribed a Level 1 Dysphagia diet based on her tolerance after the swallowing assessment and recommendations of OT and PT. Create a one-day meal plan for Patient XOXO requiring such diet.An 82-yr old female was admitted to the orthopedic unit with a righ hip fracture, sustained from a mechanical fall at home. Daughter at the bedside states, " She has a history of osteoporosis." Patient has been taking alendronate, and calcium/vitamin D supplements. History also suggests that she has diabetes(type 2). Daughter states, " She isn't on any insulin, but takes pills to control her sugar." She depends on her daughter, neighbors, and church group to help her with transportation, errands, etc. She is ADL independent. No history of dementia. She is status post open reduction internal fixation fixation (ORIF) of the right hip. AAOx2. Vitals: T100.3, P92, R14, BP 166/90, SPO2 95 (on 2L NC). Breath sounds clear to auscltation. Bowel sounds hypoactive to all 4 quadrants. Noted dressing to lateral aspect of right hip. No noted edema on palpation. Diminished pedal pulses to left lower extremity, no palpable pulse to right lower extremity. Skin is warm to touch on left Low Extremity,…Mr. X is an 83-year-old married man. He has a history of severe osteoarthritis leading to bilateral hip replacement and one knee replacement. He has mild hypertension controlled by oral medication. At this time, he developed a severe urinary tract infection resulting in weight loss, fatigue and weakness. After stabilizing, he was sent to the skilled nursing unit of the hospital for 2 weeks until ready to go back home. Occupational therapists consulted with him and his wife during hospitalization. He lives in a three-story house with the bedrooms on the top floor, kitchen and living room on the middle main floor and family room on the bottom floor. He has not driven since the last operation but would like to. He has smoked cigars for years and sits on the front porch to smoke. Physical therapists have come to the house three times a week for several months. 1. Name the three types of healthcare agencies he has used. What are the strengths of each of these?
- Mr. X is an 83-year-old married man. He has a history of severe osteoarthritis leading to bilateral hip replacement and one knee replacement. He has mild hypertension controlled by oral medication. At this time, he developed a severe urinary tract infection resulting in weight loss, fatigue and weakness. After stabilizing, he was sent to the skilled nursing unit of the hospital for 2 weeks until ready to go back home. Occupational therapists consulted with him and his wife during hospitalization. He lives in a three-story house with the bedrooms on the top floor, kitchen and living room on the middle main floor and family room on the bottom floor. He has not driven since the last operation but would like to. He has smoked cigars for years and sits on the front porch to smoke. Physical therapists have come to the house three times a week for several months. 1. How can you relate this scenario to the national or global health situation? 2. Name the three types of healthcare agencies he…Mr. X is an 83-year-old married man. He has a history of severe osteoarthritis leading to bilateral hip replacement and one knee replacement. He has mild hypertension controlled by oral medication. At this time, he developed a severe urinary tract infection resulting in weight loss, fatigue and weakness. After stabilizing, he was sent to the skilled nursing unit of the hospital for 2 weeks until ready to go back home. Occupational therapists consulted with him and his wife during hospitalization. He lives in a three-story house with the bedrooms on the top floor, kitchen and living room on the middle main floor and family room on the bottom floor. He has not driven since the last operation but would like to. He has smoked cigars for years and sits on the front porch to smoke. Physical therapists have come to the house three times a week for several months. 1. What are the services being needed by Mr. X? What other members of the health care profession would most likely be on the team…Please answer both questions. A 77-year-old postmenopausal woman presented at her GP for her yearly routine checkup. She has comorbid type 2 diabetes, gastroesophageal reflux disease (GORD) and hypertension. She also has a history of severe chronic lower-back pain. She has just received a diagnosis of osteoporosis and her GP wants to start her on therapy to reduce her fracture risk.Her laboratory results include a calcium level of 8.7 mg/mL (normal range 8.6 to 10.3 mg/dL), a 25-(OH) Vitamin D level of 9.2 ng/mL (normal range 25-80 ng/mL), parathyroid hormone (PTH) level of 24.8 pg/mL (normal range 10-55 pg/mL) and alkaline phosphatase level of 104 IU/L (normal range 38-126 IU/L).a) Discuss the laboratory results and outline possible causes for her osteoporosis.b) Which recommendations would you provide to manage her osteoporosis and reduce the risk of fractures?
- Topic: Fred Davis is a 52 - year old overweight male who is complaining of tiredness and blurred vision. He says that for the last two weeks, he's been very hungry and very thirsty, but despite eating more, he has lost 8 pounds. He also mentions that he has been urinating more frequently. When asked, he mentions that his paternal grandfather suffered from heart disease and diabetes. Blood tests show blood glucose of 190 mg / dL. Question: Additional tests that need to be performed to confirm the diagnosis: (include the name of the test, what it shows/indicates, and the expected results to confirm the diagnosis)Mr. Grady, a 70-year-old male with a history of arthritis, is evaluated by his rheumatologist for a sudden onset of excruciating pain and classic symptoms of gout in the first metatarsal joint of the left great toe. He appears at the office using crutches to avoid bearing weight on his left foot. His vital signs are temperature 100.6, pulse 88, respirations 28, and blood pressure 164/92. He describes the level of his pain at 10 when not at rest. Mr. Grady’s left toe appears inflamed and is very tender to the touch. Diagnostic evaluation turns up urate crystals in the joint fluid, and a blood serum uric acid test indicates hyperuricemia. Mr. Grady mentions he and his wife have just returned from a cruise celebrating their fiftieth wedding anniversary. He states that he enjoyed lots of his favorite foods, including shrimp and steak, and that he drank a great deal of beer. His more recent medical history includes increasing obesity, poorly controlled high blood pressure, and kidney…A 59-year-old male presents for osteoarthritis of the left knee. The surgeon performs a total knee replacement. Patient was prepped and all components were removed, and surfaces were irrigated. The femoral, tibial, and patellar components were all cemented in place. The patient was discharged and was asked to follow up in the office in one week. assign the ICD-10-CM code assign the CPT code assign the APC code