Case Study: Prescribed Drugs with CAMs
Mr. X, a 42-year-old male presents to your primary care practice today complaining of low back pain.
History – Mr. X states that he has had chronic low back pain since he had a skiing accident about 10 years ago. Three days ago, he felt a pulling sensation in his lower back after moving some boxes. The pain intensity increased over the subsequent 24 hours and is now steady, aching in nature, at 3-4 out of 10. Mr. X also has Type2 diabetes, which is well controlled on metformin with a HGA1c of 5.6. He has a history of DVT 4 months ago for which he takes Coumadin, INR is WNL. He is followed by a specialist for this problem. He recently started taking two OTC products; kava kava for what he describes as “anxiety” and CoEnzyme Q10 on the advice of a friend.
Social – Mr. X is a smoker, 1 pack per week for 15 years. No alcohol or drug use. He is employed as an accountant and has medical insurance. He is divorced.
PE/ROS – Complains of low back stiffness and pain on movement with occasional spasms related to moving in certain directions. You note he has mild difficulty getting onto the exam table but gait is normal. He denies weakness/numbness/tingling of legs, no radiation, no change in bowel or bladder habits. BMI 27. All range of motion of the back is decreased by 25%. Straight leg lift is negative bilaterally, DTR intact. All other systems WNL.
Medications:
Metformin 1000mg ER one tab daily – Type II Diabetes controlled
Coumadin 5 mg. daily – Hx of DVT – Controlled
Kava Kava 50 mg. tid – Self-medication for anxiety
CoQ10 – 200 mg. daily. – Self-medication for unknown reason
Provide a diagnosis for the patient and your rationale for the diagnosis
Provide a treatment plan specifically for this patient, pharmacologic and non-pharmacologic.
Comment on the use of OTC products in relation to Mr. X’s current chronic and acute disease diagnoses and medications. Include drug-drug interactions and side effect profiles.
Provide an education plan for Mr. X
Present this Assignment as a PowerPoint presentation with between 12 and 16 slides (not including opening slide and resource slide).
You will use the Narrative notes section of the presentation to include the majority of your evidentiary support of your treatment choices and education of family complete with in-text citations using APA formatting
Author: admin
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Title: Integrative Approach to Managing Chronic Low Back Pain in a Patient with Type II Diabetes and a History of DVT Slide 1: Introduction – Introduce the case study of Mr. X, a 42-year-old male presenting
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“Protecting Our Hikers: The Importance of Safe Cabins in Alaska’s Wilderness”
I need a letter for English and it has so be about the Alaskan park rangers putting in “safe cabins” for the hikers
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“Faith in Action: Exploring the Role of Religion in Contemporary Activism”
Research an instance or instances of activism that are led by people of faith. This should be at least 2 pages in length. The paper should analyze and synthesize various credible sources and interpret and reflect on how faith is motivating and working in the groups. This can look like researching news on the interfaith organizing of the student encampment movements, the history and current work of Jewish Voices for Peace to advocate on behalf of the Palestinian people, the role of faith in the BLM movements, Muslim women or faith based activism options that interest you! This could also explore social action motivated by religion that you dislike or simply want to examine further.
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The Legacy of Vietnam: Examining Robert McNamara’s Lessons and Actions Introduction The Vietnam War remains one of the most controversial and divisive events in American history. In the documentary film Fog of War, directed by Errol Morris, former
After watching Fog of War, develop a historical question that the film raises in your mind. Next read Robert McNamara’s “The Lessons of Vietnam.” Note that his lessons aren’t exactly the lessons that Erroll Morris used to organize the film. Next read the transcript of speech McNamara delivered in 1964 before the Armed Services Committee and a transcript of a news conference with McNamara in 1965. Then write a short essay of 500-750 words that makes an argument to address your question, using evidence from the primary sources.
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“Understanding the Differences in the Causes of Offending between Juveniles and Adults” The causes of offending among juveniles and adults can vary significantly due to several factors, including developmental differences, environmental influences, and legal consequences. In this essay, we
How might the causes of offending among juveniles vary from the causes of offending among adults?
(In your posts, be sure to draw on the readings and the introductory notes). Please CITE from the readings from the Oxford handbook of Juvenile crime and juvenile justice)! To support your answer. -
Designing a System for an Online Bookstore Title: “Building an Efficient System for an Online Bookstore: Design and Implementation”
find the attached PDF for more details. and those are the design tools that you can use :
Online tool to draw Context Diagram and DFD
https://online.visual-paradigm.com/drive/#diagraml…
Tool to design input and output form
https://www.jotform.com/ -
Title: “Statement of Changes in Equity and Overview of Telstra’s Annual Report: Relevance for Investors and Creditors”
my part is about making a” statement of changes in equity” of Telstra. i will be uploaded the relevant consolidated balance sheet. and also there is another question need to answer. Use the annual report and other sources to provide an overview of the company. This should be written in your own words. take a screenshot of the statements listed below and include them in your document. Your statements should show comparative figures for the current (2022-2023) and previous (2021-2022) financial year. Note that the annual report of 2022-2023 includes financial information of both of these years.
Statement of Changes in Equity (must include follow)
• Profit from the Income Statement
• Share capital at the start of the period
• Share capital at the end of the period
• Retained earnings (Accumulated losses) at the start of the period • Retained earnings (Accumulated losses) at the end of the period
question:
Look through the Annual Report and give a brief summary of what other information they contain. This refers to information in the Annual Report except the company’s financial statements and accompanying notes. This does not mean the details in the financial statements themselves. Look away from the financial statements: what else is included in the Annual Report? Give a summary of the nature of this information and discuss their relevance for potential investors and creditors. -
“The Cost and Consequences of Brexit: A Case Study of the British Economy”
Background
According to Financial Times published on November 3, 2021, the UK government’s Office of Budget Responsibility calculated that Brexit would cost 4% of GDP per annum over the long term. 4% of the 2021 UK GDP is the equivalent of a £32bn cost per annum to the UK taxpayer. The following case study provides the opportunity to show what you have learned up to this point specific to the EU, Brexit, and the British economy. Instructions
Read Chapter 9, Closing Case: The Cost of Brexit (pp. 304-306).
Write a minimum of 1 to 2 pages (double-spaced), not recapping the case history or repeating the material in the case. Make sure to address the following in your case study analysis: What have been the benefits of the EU to the British economy? What do you think have been the costs?
Why did a majority of people in Britain apparently feel that it was in the best interest of the nation to exit the EU?
There is evidence that the uncertainty surrounding the precise nature of the post-Brexit trade deal between Britain and the EU has lowered economic growth rates in Britain. Why do you think uncertainty over trade has this effect on growth?
For Brexit to be a net positive for the British economy in the long run, what has to happen? -
“Empowering Students and Teachers: Information Literacy and Ethical Research Skills for the Digital Age”
Information Literacy Research Skills Technology coaches may be tasked by administrators to help teachers and students understand information literacy and the online research process. This includes grade appropriate strategies for research as well as techniques for evaluating the quality and credibility of online resources. Legal and ethical practices, such as copyright and fair use, need to be understood by technology coaches who provide resources that support teacher and student understanding. It is the beginning of the school year and your principal has asked you to prepare a 3-5 minute video to share with teachers focusing on information literacy research skills and emphasizing the ethics of grade appropriate research. In your video, address the following:
Activities for students to discover accurate, relevant, and quality information on the Internet. Provide at least one activity that is appropriate for each grade range K-3, 4-8, and 9-12.
Strategies for teachers to support students who are struggling to critically examine the quality of online media sources. Provide at least one strategy that is appropriate for each grade range K-3, 4-8, and 9-12.
Techniques for evaluating the quality and credibility of online resources.
Copyright and fair use policy in education as they apply to both students and parents.
At least two supports for educators to use when critically examining sources of online media.
Support your video presentation with a minimum of three scholarly resources.
Submit the scholarly resources and video link in one document. Ensure that others can access and view the link to your narrated digital presentation prior to submission.
Remember that video and audio quality are important and should be taken into consideration. Ensure your video is filmed with sufficient lighting and that the volume is adequate for viewers to hear. Intonation, expression, proper speech, and professional attire are expected.
Refer to “Recording, Editing, and Uploading a Video or Podcast” and use an online video platform such as Zoom, Loom, YouTube, or Vimeo to upload your completed video. If you upload your video to YouTube, select the “unlisted” option. Ensure that others can access and view your linked video prior to submission.
While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success enter.
This assignment uses a rubric. Review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
SUBMIT ASSIGNMENT -
“Gendered Hardships: The Impact of the Syrian Refugee Crisis on Women in Jordan”
I want to focus on the gendered dynamics of this issue. How women face significant socio-cultural and economic hardships that contribute to their overall well-being. It is important to focus on how their economic struggles contribute to early marriage and gender-based violence. It is also important to take stories from women living in jordan to provide more context for the issue
Here is a rough outline:
Introduction
Background information on the Syrian refugee crisis
Overview of the situation in Jordan
Statistics
Are there past issues similar to this one?
Importance of understanding the gendered impact of the crisis
Overview of the Syrian refugee crisis in Jordan
Causes and origins of the crisis
Scale and magnitude of the refugee influx in Jordan
How does it affect the people and economy?
More statistics
Response of the Jordanian government and international organizations
Challenges faced by Syrian refugees in Jordan
Are they assimilating into the country?
Do they face similar challenges to the ones they faced in Syria?
Is Jordan the best place for them to seek refuge?
Gendered dimensions of the Syrian refugee crisis in Jordan
Gender-specific vulnerabilities of refugee women
Increased risk of gender-based violence
Limited access to healthcare/reproductive services
Economic challenges
Intersectionality: How do factors such as age, marital status, and ethnicity shape these gendered experiences more?
Cultural and societal barriers affected Syrian refugee women
Traditional gender roles
Legal constraints on mobility and agency (Syria and Jordan)
Impact on educational opportunities
Case Studies and personal accounts
Individual stories of Syrian refugee women in Jordan
How did these women tackle challenges?
How do different women’s experiences vary/experience similarity?
Interventions and policy recommendations
Efforts by local NGOs and international organizations to address the gender-specific needs of Syrian refugee women
Have they faced significant challenges?
Has anything been implemented and worked?
What new policy recommendations could be made to help these women?
Conclusion
Recap of key findings
Wrap everything up