Case studies
Carmen Largoai is a diabetic patient who is very concerned about her blood glucose levels. Her mother had diabetes and had to have her left amputated. When Carmen expresses her fears, Chris responds with, "I wouldn't worry about that. The doctor is very good with diabetic patient".
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One of your physicians storms into your office and says, "Can I fire a patient because...
One of your physicians storms into your office and says, "Can I fire a patient because her daughter is driving me nuts?" He then explains that his patient is an 82-year-old woman with multiple comorbidities, including diabetes, hypertension, and early dementia. Her daughter brings her to appointments and is very involved in her care. On this occasion, the daughter presented the doctor with 10 printed pages of her mother's data, including blood glucose readings and blood pressure checks three times...
6. The blood glucose level a person varies throughout the day. Someone with a mean glucose...
6. The blood glucose level a person varies throughout the day. Someone with a mean glucose level of more than 200 mg/dL is a diabetic. Diabetes is a serious medical condition and may need to be hospitalized or more extensive care. Sally has not been feeling well and her doctor suspects that she is a diabetic and so sends her home with a blood glucose monitor so that she can test her glucose levels over the course of a week....
Case: Charles was put in charge of a research study which required 40 participants who were...
Case: Charles was put in charge of a research study which required 40 participants who were between the ages of 55-75, had a diagnosis of diabetes, and a recent (less than 4 weeks) diagnosis of diabetic neuropathy. The treatment required a short duration from diagnosis because it required certain anatomical structures still be intact. Currently, 39 participants had agreed to the trial and met all the criteria. Two of the participants were diagnosed with diabetic neuropathy 3 weeks and 6...
1. A 25-year-old woman has been diagnosed with type 1 diabetes mellitus. She has been placed...
1. A 25-year-old woman has been diagnosed with type 1 diabetes mellitus. She has been placed on a 1500-calorie diabetic diet and is to be started on insulin glargine. Today she has received teaching about her diet, about insulin injections, and about management of diabetes. She received the first dose of insulin glargine at 9 PM; the next morning she complained of feeling "dizzy." The nurse assesses that she is diaphoretic, weak, and pale, with a heart rate of 110...
CASE STUDIES In the following case studies, what types of interview barriers are indicated? Explain how...
CASE STUDIES In the following case studies, what types of interview barriers are indicated? Explain how these statements are danger ous and may interfere with the patient interview. 1. Mrs. Miller is expressing her concern about a changing mole in her left axillary region. Chris, the medical assistant obtaining her health history, makes the statement, "Mrs. Miller, the dysplastic nevus found in the left axillary region looks as if it could be malignant. You have not been using sunscreen, have...
6. The blood glucose level a person varies throughout the day. Someone with a mean glucose...
6. The blood glucose level a person varies throughout the day. Someone with a mean glucose level of more than 200 mg/dL is a diabetic. Diabetes is a serious medical condition and may need to be hospitalized or more extensive care. Sally has not been feeling well and her doctor suspects that she is a diabetic and so sends her home with a blood glucose monitor so that she can test her glucose levels over the course of a week....
The patient is a 48-year-old unconscious woman admitted to the ED. She has a known history...
The patient is a 48-year-old unconscious woman admitted to the ED. She has a known history of type 1 diabetes mellitus. Her daughter accompanies her and tells the staff that her mother has had the “flu” and has been unable to eat or drink very much. The daughter is uncertain whether her mother has taken her insulin in the past 24 hours. The patient’s vital signs are temperature 101.8° F; pulse 120, weak and irregular; respiration 22, deep, and fruity...
The patient is a 48-year-old unconscious woman admitted to the ED. She has a known history of type 1 diabetes mel...
The patient is a 48-year-old unconscious woman admitted to the ED. She has a known history of type 1 diabetes mellitus. Her daughter accompanies her and tells the staff that her mother has had the “flu” and has been unable to eat or drink very much. The daughter is uncertain whether her mother has taken her insulin in the past 24 hours. The patient’s vital signs are temperature 101.8° F; pulse 120, weak and irregular; respiration 22, deep, and fruity...
A 40-year-old male called 911 stating that he was having difficulty breathing and felt too nauseous...
A 40-year-old male called 911 stating that he was having difficulty breathing and felt too nauseous to drive himself to the hospital. He said he had type I diabetes and had not been able to afford insulin on a consistent basis, especially over the past week, since he lost his job. Fortunately, the emergency medical team promptly got to the patient and took him to the hospital. His blood work revealed an exceedingly high blood glucose level, a finding consistent...
5. The level of calcium in the blood in healthy young adults varies with a mean...
5. The level of calcium in the blood in healthy young adults varies with a mean of about 9.5 mg per liter and standard deviation of about 0.4. A clinic in rural Guatemala measures the blood calcium of 180 healthy pregnant women at their first visit for prenatal care. The mean is 9.58. Is this an indication that the mean calcium level from which these women come is greater than 9.5? (Assume s = 0.4) a. Give a 90% confidence...
6. The blood glucose level a person varies throughout the day. Someone with a mean glucose level of more than 200 mg/dL is a diabetic. Diabetes is a serious medical condition and may need to be hospitalized or more extensive care. Sally has not been feeling well and her doctor suspects that she is a diabetic and so sends her home with a blood glucose monitor so that she can test her glucose levels over the course of a week....
1. A 25-year-old woman has been diagnosed with type 1 diabetes mellitus. She has been placed on a 1500-calorie diabetic diet and is to be started on insulin glargine. Today she has received teaching about her diet, about insulin injections, and about management of diabetes. She received the first dose of insulin glargine at 9 PM; the next morning she complained of feeling "dizzy." The nurse assesses that she is diaphoretic, weak, and pale, with a heart rate of 110...
CASE STUDIES In the following case studies, what types of interview barriers are indicated? Explain how these statements are danger ous and may interfere with the patient interview. 1. Mrs. Miller is expressing her concern about a changing mole in her left axillary region. Chris, the medical assistant obtaining her health history, makes the statement, "Mrs. Miller, the dysplastic nevus found in the left axillary region looks as if it could be malignant. You have not been using sunscreen, have...
6. The blood glucose level a person varies throughout the day. Someone with a mean glucose level of more than 200 mg/dL is a diabetic. Diabetes is a serious medical condition and may need to be hospitalized or more extensive care. Sally has not been feeling well and her doctor suspects that she is a diabetic and so sends her home with a blood glucose monitor so that she can test her glucose levels over the course of a week....
5. The level of calcium in the blood in healthy young adults varies with a mean of about 9.5 mg per liter and standard deviation of about 0.4. A clinic in rural Guatemala measures the blood calcium of 180 healthy pregnant women at their first visit for prenatal care. The mean is 9.58. Is this an indication that the mean calcium level from which these women come is greater than 9.5? (Assume s = 0.4) a. Give a 90% confidence...
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