Telemedicine 1200 words due 9/29/2020 How Coronavirus Turned Telemedicine into the New Face of Healthcare

https://www.youtube.com/watch?v=iyRO_YDuJnE&feature=emb_title

1. 200 words Provide summary of the video from the link above 

2. 200 words provide pro of telehealth in the care setting and situation depicted in the video.

3. 200 words provide disadvantage of using telehealth in the setting and situation depicted in the video. 

4. 200 words How can telehealth enhance client outcome? 

5. 200 words Research a pear reviewed article regarding the use of tele, summarize the information you have learned regarding the article and telehealth. 

6. 200 words Construct 4 questions regarding telehealth and the impact on healthcare 

Use subheadings APA format and at least four reference  

Read the following case study and answer all of the questions that follow:

TS is 67 years old with a long history of knee osteoarthritis for which he self-medicates regularly with over-the-counter (OTC) naproxen. He is in the clinic today complaining of a swallowing difficulty that has progressively worsened over the past several months. He has otherwise been healthy and has not seen a doctor in many years.

TS denies significant past medical history. A review of systems is negative except for arthritic symptoms and swallowing difficulty. He denies noticing blood in his stool and vomiting blood. He denies history of gastroesophageal reflux disease (GERD) and ulcer.

He does not drink alcohol, although he drank heavily many years ago. He does not smoke. TS describes the dysphagia this way: “Food gets stuck in my throat, and I can’t get it down.” The feeling occurs only after he has ingested solid food; liquids are not a problem. There is burning chest pain associated with meals.

He is scheduled for an upper gastrointestinal endoscopy.

1. What is the likely cause of his dysphagia?
2. What advice should TS be given regarding his OTC medication at this time?
3. What are the usual signs and symptoms of GERD? How will it be managed?
4. Use scholarly sources for the answers/findings and citations

 Read the article, and then answer the questions that follow: 

Soriano S., Alonso-Magdalena P., Garcıa-Arevalo M., Novials A., & Muhammed S. J. (2012). Rapid insulinotropic action of low doses of Bisphenol-A on mouse and human islets of langerhans: Role of estrogen receptor b. PLoS ONE 7(2): e31109. doi:10.1371/journal.pone.0031109

1. What are the causes of type 2 diabetes?
2. What is the relationship between insulin resistance and hyperinsulinemia?
3. What are endocrine disrupters and what are their functions in our body? Provide some examples.
4. How does concentration of glucose effect insulin secretion?
5. Explain how data from article support or refute the hypothesis that endocrine disrupters can change insulin secretion. 

Be sure to cite the article in text. Paraphrase key points from the article that support your answers. 

For this project, you will complete a clinical case study analysis, research review, and PowerPoint video presentation about the pathophysiology of a topic of your choice. Just Make powerpoint part I will present it.

1. Your presentation should follow a case study SBAR format (situation, background, assessment, and recommendations).
2. You must include three (3) different medical-based evidence and/or research recommendations.
3. You must include at least three (3) scholarly sources in your overall presentation.

Your PowerPoint presentation should include the following slides:

• Introduction to the case or situation
• Background detail
• Clinical assessment
• Recommendations
• Application to future practice
• Reference slide: At least three (3) scholarly references supporting your ideas.

 -Who is your target population?

What is the role of the nurse in providing input for the design of this healthcare program? Can you provide examples?
What is your role as an advocate for your target population for this healthcare program? Do you have input into design decisions? How else do you impact design?
What is the role of the nurse in healthcare program implementation? How does this role vary between design and implementation of healthcare programs? Can you provide examples?

Who are the members of a healthcare team that you believe are most needed to implement a program? Can you explain why? 

Lupus Patient Education Activity

A 20-year old female presents with chief complaint of fatigue, anxiety, and heart palpitations. She has recently given birth to her second child, a daughter. Initial recommendation from her follow up appointment is to rest. The patient’s symptoms worsen and then gradually resolve. Over the next year she has increased fatigue and headaches. She also starts to complain of joint pain in her ankles, knees, elbows, wrists, and fingers. Rest and over-the-counter pain medication relieve her symptoms, but it is difficult for her to find time for much rest due to the responsibilities of caring for a family and working full-time. The winter brings a new intolerance to low temperatures. She states her hands and feet becoming painful and discolored when she is exposed to cold. Her extremities became painful, stiff, and altered in color when exposed to cold temperatures. She also develops a butterfly rash.

DX: systemic lupus erythematosus.

Rx: prednisone and hydroxychloroquine

You are providing the patient with education on her new diagnosis. Create a patient teaching plan that covers the following questions.

1. What is lupus?

2. What key lifestyle changes will the patient need to address to manage her condition?

3. What are the important teaching points for her medications?

4. What are the recommendations to manage her symptoms, to avoid flare-ups, and to monitor her condition?

5. What symptoms, if they occur, should she report immediately to her provider and why?

Rheumatoid Arthritis Patient Education Activity

A 48-year old female presents stiffness in both hands in the morning for last 7 months. Stiffness now lasted more than 1 hour every morning and includes hands, wrists and ankles. She also had increasing difficulty standing for long periods at work or at home due to foot and ankle pain. She began taking ibuprofen 800mg 3 times daily and found it helped her get through her day with less pain and stiffness. Three months ago, Joy noticed pain in her right and left shoulders when she would cut or blow dry her client’s hair. She also began feeling extremely tired and short tempered. She had no energy to do her usual activities. Ibuprofen was no longer very effective for her pain or stiffness. One morning, Joy could not lift her arms at all without extreme shoulder pain. She knew it was time to get help. 

Pt is married with 3 teenagers, and works part time as a hairdresser.

Dx: Rheumatoid Arthritis (RA) 

Rx: methotrexate, Physical Therapy

You are providing the patient with education on her new diagnosis. Create a patient teaching plan that covers the following questions. 

1. What is rheumatoid arthritis? 

2. What are the important teaching points for her medication? 

3. What are the recommendations to manage her joint pain during remission? During exacerbation?