Hematopoietic: J.D. is a 37 years old white woman who presents to her gynecologist complaining of a 2-month history of intermenstrual bleeding, menorrhagia, increased urinary frequency, m

 

Hematopoietic:
J.D. is a 37 years old white woman who presents to her gynecologist complaining of a 2-month history of intermenstrual bleeding, menorrhagia, increased urinary frequency, mild incontinence, extreme fatigue, and weakness. Her menstrual period occurs every 28 days and lately there have been 6 days of heavy flow and cramping. She denies abdominal distension, back-ache, and constipation. She has not had her usual energy levels since before her last pregnancy.

Past Medical History (PMH):
Upon reviewing her past medical history, the gynecologist notes that her patient is a G5P5with four pregnancies within four years, the last infant having been delivered vaginally four months ago. All five pregnancies were unremarkable and without delivery complications. All infants were born healthy. Patient history also reveals a 3-year history of osteoarthritis in the left knee, probably the result of sustaining significant trauma to her knee in an MVA when she was 9 years old. When asked what OTC medications she is currently taking for her pain and for how long she has been taking them, she reveals that she started taking ibuprofen, three tablets each day, about 2.5 years ago for her left knee. Due to a slowly progressive increase in pain and a loss of adequate relief with three tablets, she doubled the daily dose of ibuprofen. Upon the recommendation from her nurse practitioner and because long-term ibuprofen use can cause peptic ulcers, she began taking OTC omeprazole on a regular basis to prevent gastrointestinal bleeding. Patient history also reveals a 3-year history of HTN for which she is now being treated with a diuretic and a centrally acting antihypertensive drug. She has had no previous surgeries.

Case Study Questions

  1. Name the contributing factors on J.D that might put her at risk to develop iron deficiency anemia.
  2. Within the case study, describe the reasons why J.D. might be presenting constipation and or dehydration.
  3. Why Vitamin B12 and folic acid are important on the erythropoiesis? What abnormalities their deficiency might cause on the red blood cells?
  4. The gynecologist is suspecting that J.D. might be experiencing iron deficiency anemia.
    In order to support the diagnosis, list and describe the clinical symptoms that J.D. might have positive for Iron deficiency anemia.
  5. If the patient is diagnosed with iron deficiency anemia, what do you expect to find as signs of this type of anemia? List and describe.
  6. Labs results came back for the patient. Hb 10.2 g/dL; Hct 30.8%; Ferritin 9 ng/dL; red blood cells are smaller and paler in color than normal. Research list and describe for appropriate recommendations and treatments for J.D.

Cardiovascular
Mr. W.G. is a 53-year-old white man who began to experience chest discomfort while playing tennis with a friend. At first, he attributed his discomfort to the heat and having had a large breakfast. Gradually, however, discomfort intensified to a crushing sensation in the sternal area and the pain seemed to spread upward into his neck and lower jaw. The nature of the pain did not seem to change with deep breathing. When Mr. G. complained of feeling nauseated and began rubbing his chest, his tennis partner was concerned that his friend was having a heart attack and called 911 on his cell phone. The patient was transported to the ED of the nearest hospital and arrived within 30 minutes of the onset of chest pain. In route to the hospital, the patient was placed on nasal cannula and an IV D5W was started. Mr. G. received aspirin (325 mg po) and 2 mg/IV morphine. He is allergic to meperidine (rash). His pain has eased slightly in the last 15 minutes but is still significant; was 9/10 in severity; now7/10. In the ED, chest pain was not relieved by 3 SL NTG tablets. He denies chills.

Case Study Questions

  1. For patients at risk of developing coronary artery disease and patients diagnosed with acute myocardial infarct, describe the modifiable and non-modifiable risk factors.
  2. What would you expect to see on Mr. W.G. EKG and which findings described on the case are compatible with the acute coronary event?
  3. Having only the opportunity to choose one laboratory test to confirm the acute myocardial infarct, which would be the most specific laboratory test you would choose and why?
  4. How do you explain that Mr. W.G temperature has increased after his Myocardial Infarct, when that can be observed and for how long? Base your answer on the pathophysiology of the event.
  5. Explain to Mr. W.G. why he was experiencing pain during his Myocardial Infarct. Elaborate and support your answer.

Submission Instructions:

  • Include both case studies in your post.
  • Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. 

    Hematopoietic: J.D. is a 37 years old white woman who presents to her gynecologist complaining of a 2-month history of intermenstrual bleeding, menorrhagia, increased urinary frequency, m

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    This assignment is meant to guide you through a process that may prove useful as you continue in the social work profession. This assignment also builds on what you have done in the previ

     

    This assignment is meant to guide you through a process that may prove useful as you continue in the social work profession. This assignment also builds on what you have done in the previous assignment, providing you an opportunity to dive deeper into the complexity and implications of inclusive programs and policies.

    The second of four course papers, this assignment will ask you to prepare a gap analysis that starts with describing the current situation that was identified in the previous assignment discussing a local, state, or federal policy that is negatively impacting an oppressed population. You will include a description of the affected population and the ways in which they are being hurt. You will then describe the change opportunity and the desired state after improvement, explaining why the improvement is needed and what the desired outcome will look like. Remember to support all main points, assertions, arguments, conclusions, or recommendations with relevant, credible, and convincing evidence.

    By successfully completing this assignment, you will demonstrate your proficiency in the following competencies and behaviors:

    • EPAS Competency 5: Engage in policy practice.​
      • C5.GP.A: Use social justice, anti-racist, and anti-oppressive lenses to assess how social welfare policies affect the delivery of and access to social services.
        • Related Assignment Criteria:
          • Describe an existing change opportunity for the selected public program or policy and the desired state after improvement.
          • Describe the specific outcomes or goals for the proposed change to the public program or policy.
      • C5.GP.B: Apply critical thinking to analyze, formulate, and advocate for policies that advance human rights and social, racial, economic, and environmental justice.
        • Related Assignment Criterion:
          • Analyze the forms and mechanisms of oppression and discrimination that exist within the selected public program or policy.

    Instructions

    For this assignment, in a 3–4 page paper:

    • Describe an existing change opportunity for the selected public program or policy and the desired state after improvement.
      • Explain why improvement is needed and meaningful in this area.
    • Analyze the forms and mechanisms of oppression and discrimination that exist within the selected public program or policy.
      • Explain specific discriminatory issues in the selected public program or policy.
    • Describe the specific outcomes or goals for the proposed change to the public program or policy.
      • Discuss potential challenges or obstacles to these goals.
    • Support main points, assertions, arguments, conclusions, or recommendations with relevant, credible, and convincing evidence.
      • Synthesize evidence to demonstrate its importance to your discussion or argument.
    • Apply APA style and formatting to scholarly writing.
      • Demonstrate correct stylistic conventions, document structure, and source attributions.

    Additional Requirements

    Your assignment is expected to meet the following requirements:

    • Written communication: Written communication is free of errors that detract from the overall message.
    • APA formatting: Resources and citations are formatted according to current APA style and formatting standards.
    • Sources: A minimum four sources.
    • Length of paper: 3–4 double-spaced pages (not including reference list).
    • Font and font size: Times New Roman, 12 point.

    View the Gap Analysis rubric to ensure you fulfill all grading criteria.

    View RubricWeek 5 Assignment: Gap AnalysisWeek 5 Assignment: Gap AnalysisCriteriaRatingsPtsDescribe an existing change opportunity for the selected public program or policy and the desired state after improvement. (C5.GP.A)54 to >45.9 ptsDISTINGUISHEDDescribes an existing change opportunity for the selected public program or policy and the desired state after improvement and explains why improvement is needed and meaningful in this area.45.9 to >37.8 ptsPROFICIENTDescribes an existing change opportunity for the selected public program or policy and the desired state after improvement.37.8 to >0 ptsBASICIdentifies an existing change opportunity for the selected public program or policy.0 ptsNON_PERFORMANCEDoes not identify an existing change opportunity for the selected public program or policy./ 54 ptsAnalyze the forms and mechanisms of oppression and discrimination that exist within the selected public program or policy. (C5.GP.B)54 to >45.9 ptsDISTINGUISHEDAnalyzes the forms and mechanisms of oppression and discrimination that exist within the selected a public program or policy and explains specific discriminatory issues in the selected public program or policy.45.9 to >37.8 ptsPROFICIENTAnalyzes the forms and mechanisms of oppression and discrimination that exist within the selected public program or policy.37.8 to >0 ptsBASICDescribes but does not analyze the forms and mechanisms of oppression and discrimination that exist within a social justice problem and their impact on a specific population or subgroup.0 ptsNON_PERFORMANCEDoes not describe the forms and mechanisms of oppression and discrimination that exist within a social justice problem and their impact on a specific population or subgroup./ 54 ptsDescribe the specific outcomes or goals for the proposed change to the public program or policy. (C5.GP.A)52 to >44.2 ptsDISTINGUISHEDDescribes the specific outcomes or goals for the proposed change to the public program or policy and discusses potential challenges or obstacles to these goals.44.2 to >36.4 ptsPROFICIENTDescribes the specific outcomes or goals for the proposed change to the public program or policy.36.4 to >0 ptsBASICIdentifies the specific outcomes or goals for the proposed change to the public program or policy.0 ptsNON_PERFORMANCEDoes not identify the specific outcomes or goals for the proposed change to the public program or policy./ 52 ptsSupport main points, assertions, arguments, conclusions, or recommendations with relevant and credible evidence.20 to >17 ptsDISTINGUISHEDSupports main points, assertions, arguments, conclusions, or recommendations with relevant, credible, and convincing evidence. Skillfully combines virtually error-free source citations with a perceptive and coherent synthesis of the evidence.17 to >14 ptsPROFICIENTSupports main points, assertions, arguments, conclusions, or recommendations with relevant and credible evidence.14 to >0 ptsBASICSources lack relevance or credibility, or the evidence is not persuasive or explicitly supportive of main points, assertions, arguments, conclusions, or recommendations.0 ptsNON_PERFORMANCEDoes not support main points, assertions, arguments, conclusions, or recommendations with relevant and credible evidence./ 20 ptsApply APA style and formatting to scholarly writing.20 to >17 ptsDISTINGUISHEDApplies APA style and formatting to scholarly writing. Exhibits strict and nearly flawless adherence to stylistic conventions, document structure, and source attributions.17 to >14 ptsPROFICIENTApplies APA style and formatting to scholarly writing.14 to >0 ptsBASICApplies APA style and formatting to scholarly writing incorrectly and/or inconsistently, detracting noticeably from good scholarship.
     

    This assignment is meant to guide you through a process that may prove useful as you continue in the social work profession. This assignment also builds on what you have done in the previ

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