Scenario 2: A 49-year-old patient with rheumatoid arthritis comes into the clinic with a chief complaint of a fever. Patient’s current medications include atorvastatin 40 mg at night, methotrexate 10 mg po every Friday morning and prednisone 5 mg po qam. He states that he has had a fever up to 101 degrees F for about a week and admits to chills and sweats. He says he has had more fatigue than usual and reports some chest pain associated with coughing. He admits to having occasional episodes of hemoptysis. He works as a grain inspector at a large farm cooperative. After extensive work-up, the patient was diagnosed with Invasive aspergillosis.

Develop a 1- to 2-page case study analysis in which you:

• Explain why you think the patient presented the symptoms described.
• Identify the genes that may be associated with the development of the disease.
• Explain the process of immunosuppression and the effect it has on body systems.

Students are encouraged to create portfolios and begin to “manage” their careers. When you began a college education you took the first step. You now need to begin to reflect on the next goal, then medium, and long-term goals. I did not complete my final degree until well into my 50’s. And that is fine, I loved my health care career. I was eager to care for patients and did not leave direct patient care for many decades. I did know the time would come to do so however, and began to earn the college degrees I would need at the proper time. This is what is meant by managing your career. This is an entry level program. It is designed to assist you in getting your “foot in the door” where you can learn valuable clinical skills. A common and important degree is the Bachelor of Health Information Management (BS-HIM). This is a reflective assignment. After you have earned your Associate Degree, what would you like to do next?

Explore your next step in Career Management.

Include the following aspects in the assignment:

Ø  Access AHIMA: What is Health Information

Ø  Explore in detail the job outlook, roles and responsibilities of the HIM professionals.

Ø  Expand on your interest in pursuing this profession or if you are not interested, please discuss the reasons.

Ø  Implement some characteristics that makes a good leader in the field of Health Information and explain which ones you specifically have.

Ø  Demonstrate the importance of HIM professionals respecting patient privacy, accuracy, and quality care

Ø  This is a non-formal 1-2 page reflection; you may use “I”. As always, proper sentences, grammar, and spelling are required.

Human anatomy is the study of structure and form of the human body; human physiology is the study if its functions. Understanding how the body is constructed and how the body operates is essential.

Read the following case study and complete the questions. Please do not copy and paste the case study into your assignment.

The Case of Kenji Oshima: Is Heartburn Dangerous?

Introduction

          Kenji Oshima (called KO) is a 58-year-old man who has not been to the doctor’s office for many years. He hasn’t had a physical exam by a healthcare provider in over 15 years, which is not uncommon for men of his age. He has had insurance provided by his employer, but he hasn’t used it because he hasn’t been sick. Unfortunately, over the last 8 months this has changed. In this period, KO inexplicably lost almost 20 pounds, and he just didn’t feel very well. He frequently become short of breath and nauseated, which was followed by frightening episodes where he became almost feverish and sweaty. He finally decided, with pressure from his wife and daughter, that he needed a full checkup.

          The history and physical exam (H&P) is a critical tool in the initial evaluation of the healthcare needs of the patient. If the healthcare provider asks the patient the right questions and pays close attention to their answers, the patient will often tell the provider what is wrong with them. There is no substitute for the relationship between patient and healthcare provider. The complete H&P is just as important a tool as x-rays, magnetic resonance imaging (MRIs), lab work, and the multitude of other advanced technological studies available to modern medicine. This case follows KO through his first visit with his new primary care provider.

 After KO filled out a medical history questionnaire in the waiting area, it didn’t take too long for him to be called back to an examination room. The medical assistant took KO’s vital signs (blood pressure, temperature, heart rate, and respiratory rate) and measured his height and weight, and then ushered him into a small examination room. KO was given a gown to wear and instructed to disrobe completely under the gown, and then to have a seat on the exam table.

          Ms. Young, advanced registered nurse practitioner (ARNP), introduced herself as the nurse practitioner who would be asking KO many questions in addition to those on the questionnaire. She said she would also be performing the physical portion of his exam. Miss Young noticed that KO’s father had died of gastric cancer at the age of 64.

          When KO asked if he wasn’t supposed to see a doctor rather than a nurse practitioner, Ms. Young explained her role in the family practice medical group, something she explained regularly to new patients. KO wasn’t that familiar with the changes in healthcare and the types of providers that were practicing these days. He admitted that he was nervous about the appointment in general and meant no disrespect, but he was curious about Ms. Young’s qualifications and her educational background. Seeing KO’s apprehension, Ms. Young encouraged him to ask questions about anything that he felt would put his mind at ease.

          It is critical to develop a rapport with a new patient that is built on mutual respect and trust. This is the foundation that allows a healthcare provider to ask for and collect sensitive information that patients are sometimes unwilling to discuss even with close family members. In this same way, the study of anatomy and physiology is an important educational foundation to which aspiring healthcare providers must commit themselves. Without a solid foundation, the obligation to lifelong learning that all professions within the healthcare field advocate is a hollow oath.

KO’s unexplained weight loss, palpable right upper quadrant pain, history of stomach pain made worse by eating, and persistent heartburn were concerning. The nausea could be associated with heartburn, but periodic hot flashes and shortness of breath were out of context with these mostly gastrointestinal symptoms. Ms. Young thought they were all related, but she thought a referral to a specialist was the correct intervention for this patient. She did not feel comfortable formulating a treatment plan without more information than her H&P had provided. KO’s Japanese heritage and the fact that his father had died from complications of gastric cancer made the decision to refer KO to a specialist simple.

          The gastroenterologist, a specialist of the gastrointestinal system, would want several baseline labs prior to seeing KO in his or her office. Ms. Young discussed her plan with KO, as she would need his consent to make these arrangements and she wanted to make sure that he understood why she was referring him to a specialist. KO was disappointed and more than a little frightened, but he understood Ms. Young’s rationale. She discussed her concerns about his family history of gastric cancer, and that his symptoms were beyond her scope of practice to diagnose and treat. She would be happy to continue to see him as a primary care provider nonetheless. KO signed the consent form and was to report to the local clinical laboratory with the list of his lab results that the specialist required for their first visit.

1. Ms. Young recalls her Anatomy & Physiology (A&P) course that initially inspired her to pursue an advanced degree after her Associate of Science in Nursing (ASN). She saw how she began by learning about the smallest building blocks of life and worked her way through increasingly more complex organizational levels of the human body. Define the six levels of organization of the body.  Describe each level and explain how it is related to the next higher level.  Explain the eleven major organs systems in the body.
2. Anatomical position is assumed when using directional terms to describe, document, and discuss the findings of the examination of different regions of the body. Describe how the body is situated in anatomical position and why it is considered important.
3. Ms. Young is concerned about KO’s heartburn symptoms and stomach pain because of the history of gastric cancer in his immediate family. For that reason, she has referred him to a gastroenterologist for a more focused work-up. (a) Describe the location and subdivisions of the ventral cavity and (b) the dorsal cavity. (c) Describe which cavity or cavities the endoscopic device, which looks like a long hose, must travel through to get from the mouth to the stomach.

Assignment Expectations

Length: 750 – 1250 words

Structure: Include a title page and reference page in APA style. These do not count towards the minimal word amount for this assignment.  Be sure to include an introduction and conclusion paragraph for the assignment.

References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least three (3) scholarly sources to support your claims.

Points: 100 | Due Date: Week 7, Day 7 | CLO: 5 | Grade Category: Assignments

Assignment Prompt

This week’s first assignment is STEP 3 – Literature Review and Critical Appraisal.

The student will complete the following items and submit a Word doc to the assignment link. 

1. Provide a title that conveys or describes the assignment.
2. Literature Review – Provide the key terms used to guide the search for the evidence and provide at least five (5) summaries of research studies to support the evidence.
3. Critical Appraisal of Literature – Discuss the strengths and weaknesses of the evidence, what is known from the evidence and any gaps in knowledge from the research evidence.
4. References – Cite a minimum of five scholarly references in APA 6th ed format.

Expectations

• Due: Monday, 11:59 pm PT
• Format: Completed paper with references in APA 7th ed. format
• File name: Save the file with Student First Name_Last Name_Part 3

See USU NUR Writing Assignment Rubric for additional details and point weighting.

• Textbook: Chapter 9, 10, 11
• Link (Word doc): (Use this template to complete the assignment.)
• Lesson

Introduction
Instagram, Snapchat, and Facebook are undoubtedly dominating the world of online social networking, and the willingness of many users to self-disclose personal information ranging from moods to religious affiliation, relationship status, and personal contact information has led to an increase in privacy concerns. They offer convenient opportunities to stay in touch with friends, family, and coworkers, but are people using them responsibly? Some argue that there are fundamental differences between today’s digital natives, whose private and public selves are intertwined through these technologies, and older generations (Kornblum, 2007).

Even though some colleges are offering seminars on managing privacy online, we still hear stories of self-disclosure gone wrong, such as the football player from the University of Texas who was kicked off the team for posting racist comments about the president or the student who was kicked out of his private, Christian college after a picture of him dressed in drag surfaced on Facebook. However, social media experts say these cases are rare and that most students are aware of who can see what they are posting and the potential consequences (Nealy, 2009). The issue of privacy management on Facebook is affecting parent-child relationships as well. As the website “Oh Crap. My Parents Joined Facebook.” shows, the results can sometimes be embarrassing for the college student and the parent as they balance the dialectic between openness and closeness once the child has moved away.

Instructions
For this assignment, address the following:

1. How do you manage your privacy and self-disclosures online?
2. Do you think it is ethical for school officials or potential employers to make admission or hiring decisions based on what they can learn about you online? Why or why not?
3. Are you or would you be friends with a parent on Instagram, Snapchat, or Facebook? Why or why not? If you already are friends with a parent, did you change your posting habits or privacy settings once they joined? Why or why not?

Writing Requirements (APA format)

• Length: 1.5-2 pages (not including title page or references page)
• 1-inch margins
• Double spaced
• 12-point Times New Roman font
• Title page
• References page (as needed)

Grading
This activity will be graded based on W7 Reflection Grading Rubric.

Course Outcomes (CO): 5, 7

Due Date: By 11:59 p.m. MT on Sunday

References

Kornblum, J. (2007). Privacy? That’s old-school: Internet generation views openness in a different way. USA Today, 1D. https://chamberlainuniversity.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=J0E220919494007&site=eds-live&scope=site

Nealy, M. J., (2009). The new rules of engagement. Diverse: Issues in Higher Education. 26(3), 13. https://chamberlainuniversity.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=a2h&AN=37584844&site=eds-live&scope=site

Oh crap. My parents joined Facebook. (n.d.). https://myparentsjoinedfacebook.tumblr.com/