Review the case study and answer all questions with a scholarly response using APA and include 2 scholarly references.

  Due date:  Friday ,June 11.   11:00 AM  

Urinary Obstruction.

The 57-year-old patient noted urinary hesitancy and a decrease in the force of his urinary stream for several months. Both had progressively become worse. His physical examination was essentially negative except for an enlarged prostate, which was bulky and soft. 

Studies  / Results.                                 
1- Routine laboratory studies  :  Within normal limits (WNL)

2- Intravenous pyelogram (IVP):   Mild indentation of the interior aspect of the bladder, 

indicating an enlarged prostate 

3- Uroflowmetry with total voided flow of 225 mL : 8 mL/sec (normal: >12 mL/sec) 

4- Cystometry:  Resting bladder pressure: 35 cm H2O (normal: <40 cm H2O) and  Peak bladder pressure: 50 cm H2O (normal: 40-90 cm H2O)

5- Electromyography of the pelvic sphincter muscle:  Normal resting bladder with a positive tonus limb. 

6- Cystoscopy:  Benign prostatic hypertrophy (BPH)

7- Prostatic acid phosphatase :  0.5 units/L (normal: 0.11-0.60 units/L) 

(PAP)
Prostate specific antigen (PSA): 1.0 ng/mL (normal: <4 ng/mL)

Prostate ultrasound :  Diffusely enlarged prostate; no localized tumor 

Diagnostic Analysis 

Because of the patient’s symptoms, bladder outlet obstruction was highly suspected. Physical examination indicated an enlarged prostate. IVP studies corroborated that finding. The reduced urine flow rate indicated an obstruction distal to the urinary bladder. Because the patient was found to have a normal total voided volume, one could not say that the reduced flow rate was the result of an inadequately distended bladder. Rather, the bladder was appropriately distended, yet the flow rate was decreased. This indicated outlet obstruction. The cystogram indicated that the bladder was capable of mounting an effective pressure and was not an atonic bladder compatible with neurologic disease. The tonus limb again indicated the bladder was able to contract. The peak bladder pressure of 50 cm H2O was normal, again indicating appropriate muscular function of the bladder. Based on these studies, the patient was diagnosed with a urinary outlet obstruction. The PAP and PSA indicated benign prostatic hypertrophy (BPH). The ultrasound supported that diagnosis. Cystoscopy documented that finding, and the patient was appropriately treated by transurethral resection of the prostate (TURP). This patient did well postoperatively and had no major problems. 

Critical Thinking Questions 

1. Does BPH predispose this patient to cancer?
    
2. Why are patients with BPH at increased risk for urinary tract infections?
    
3. What would you expect the patient’s PSA level to be after surgery?
    
4. What is the recommended screening guidelines and treatment for BPH?
    
5. What are some alternative treatments / natural homeopathic options for treatment?
    

Case Study 1 : One Hackers Post Medical Record InformationAssignment

https://www.nbcnews.com/tech/security/hackers-post-detailed-patient-medical-records-two-hospitals-dark-web-n1256887

After reviewing the article, please respond to the following questions using the example format in Course Resources:

1. What would you do if you received an email threat about a hack on medical records at your organization?

2. Do you support paying a ransom to maintain HIPPA? Why or why not?

3. What would be a key focus area once the crisis is contained?

Please answer all questions

APA format 

References in the last 5 years

Plagiarism receipt requires

Key stakeholders

For majority of public health programs you will need to have stakeholders. Please explore CDC website:

https://www.cdc.gov/eval/guide/step1/index.htm#:~:text=%20Key%20stakeholders%20for%20evaluations%20of%20public%20health,are%20intended%20users%20of%20the%20evaluation…%20More%20

What did you learn? 

Using 200-300 words APA format with references

• Make a note of the genre of music, (Vivaldi, death metal, jazz, gospel, hip hop, blues, rap, country).
• Was it easy or difficult to understand the challenging paragraphs?
• Why do you think it was easier to understand what you were reading while listening to some music and not to others?
• What impact do you think having certain music in schools or on the job would have on the people in those environments?

Discussion: Decision Making When Treating Psychological Disorders

Psychological disorders, such as depression, bipolar, and anxiety disorders can present several complications for patients of all ages. These disorders affect patients physically and emotionally, potentially impacting judgment, school and/or job performance, and relationships with family and friends. Since these disorders have many drastic effects on patients’ lives, it is important for advanced practice nurses to effectively manage patient care. With patient factors and medical history in mind, it is the advanced practice nurse’s responsibility to ensure the safe and effective diagnosis, treatment, and education of patients with psychological disorders.

Photo Credit: Getty Images/iStockphoto

For this Discussion, you will select an interactive media piece to practice decision making when treating patients with psychological disorders. You will recommend the most effective pharmacotherapeutic to treat the psychological disorder presented and examine potential impacts of pharmacotherapeutics on a patient’s pathophysiology.

To Prepare

• Review this week’s interactive media pieces and select one to focus on for this Discussion.
• Reflect on the decision steps in the interactive media pieces, and consider the potential impacts from the administration of the associated pharmacotherapeutics on the patient’s pathophysiology.

By Day 3 of Week 8

Post a brief explanation of the psychological disorder presented and the decision steps you applied in completing the interactive media piece for the psychological disorder you selected. Then, explain how the administration of the associated pharmacotherapeutics you recommended may impact the patient’s pathophysiology. How might these potential impacts inform how you would suggest treatment plans for this patient? Be specific and provide examples.

By Day 6 of Week 8

Read a selection of your colleagues’ responses and respond to at least two of your colleagues on two different days who selected a different interactive media piece on a psychological disorder, and provide recommendations for alternative drug treatments to address the patient’s pathophysiology.

Post a brief explanation of the psychological disorder presented and the decision steps you applied in completing the interactive media piece for the psychological disorder you selected. Then, explain how the administration of the associated pharmacotherapeutics you recommended may impact the patient’s pathophysiology. How might these potential impacts inform how you would suggest treatment plans for this patient? Be specific and provide examples.