Reference no: EM133493300

Homework I

John is a 34-year-old father of two children he is a member of HMO in Texas. John has made several trips to an area clinic recommended by his HMO to seek medical attention since finding blood in his bowel movements. He has been taking large amounts of aspirin for persistent headaches but did not realize that this could cause internal bleeding. John was always seen at the clinic by a physician assistant name Robert M., but never by a physician. Robert never asks John about taking any nonprescription medications and John forgot to mention that he was taking aspirin medication over the counter. Robert tells John to take an antacid preparation to control the bleeding, but does not order any tests. He tells John to return if he is not any better. Two days later, John is rushed to the emergency room with a bowel hemorrhage

1. What responsibility, if any, does Robert have for j emergency condition? 2. Does the clinic have a responsibility to provide its H members with the services of a physician? 3. What responsibility, as a health care consumer, d have for his own medical condition?

Homework II

Case Study 2 Mr. P is a 76-year-old male with cardiomyopathy and congestive heart failure who has been hospitalized frequently to treat CHF symptoms. He has difficulty maintaining diet restrictions and managing his polypharmacy. He has 4+ pitting edema, moist crackles throughout lung fields, and labored breathing. He has no family other than his wife, whoverbalizes sadness over his declining health and over her inability to get out of the house. She is overwhelmed with the stack of medical bills, as Mr. P always took care of the financial issues. Mr. P is despondent and asks why God has not taken him. Question Considering Mr. P's condition and circumstance, write an essay of 250-500 words that includes the following:

1. Describe your approach to care.

2. Recommend a treatment plan.

3. Describe a method for providing both the patient and family with education and explain your rationale.

4. Provide a teaching plan (avoid using terminology that the patient and family may not understand).

Homework III

Assessing and treating patients with anxiety disorders

Common symptoms of anxiety disorders include chest pains, shortness of breath, and other physical symptoms that may be mistaken for a heart attack or other physical ailment. These manifestations often prompt patients to seek care from their primary care providers or emergency departments. Once it is determined that there is no organic basis for these symptoms, patients are typically referred to a psychiatric mental health practitioner for anxiolytic therapy. For this Homework, as you examine the patient case study in this Learning Resources, consider how you might assess and treat patients presenting with anxiety disorders.

1. Review this Learning Resources, including the Medication Resources indicated.

2. Reflect on the psychopharmacologic treatments you might recommend for the assessment and treatment of patients requiring anxiolytic therapy.

3. Examine Case Study: A Middle-Aged Caucasian Man With Anxiety. You will be asked to make three decisions concerning the medication to prescribe to this patient. Be sure to consider factors that might impact the patient's pharmacokinetic and pharmacodynamic processes.

4. At each decision point, you should evaluate all options before selecting your decision and moving throughout the exercise. Before you make your decision, make sure that you have researched each option and that you evaluate the decision that you will select. Be sure to research each option using the primary literature.

Introduction to the case (1 page)

Briefly explain and summarize the case for this Homework. Be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient.

Decision I (1 page)

1. Which decision did you select?

2. Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

3. Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

4. What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).

5. Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Decision II (1 page)

1. Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

2. Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

3. What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).

4. Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Decision III (1 page)

1. Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

2. Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

3. What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).

4. Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Conclusion (1 page)

Summarize your recommendations on the treatment options you selected for this patient. Be sure to justify your recommendations and support your response with clinically relevant and patient-specific resources, including the primary literature.