Jose is a 55-year-old Hispanic, male, migrant worker who speaks limited English. He presented to the emergency room with complaints of edema of the scrotum, urinary retention, and hematuria. He does not have any pertinent past medical history. He is married and has five young children. He states he has been having problems for a while but delayed seeing the doctor because of his work schedule and limited money. The doctor performs a digital rectal examination in the office and finds that Jose’s prostate is enlarged.

Male reproductive disorders can make a great impact on the patient’s life. Based on the case study, answer the following questions in your discussion post.

a. Discuss the potential disease processes and signs and symptoms related to the disease process that Jose may be exhibiting?
b. How would you provide multidimensional care to include cultural, psychosocial, spiritual, physical, and emotional needs for Jose?

Answer:

The given data suggests that the client Jose is having edema of the scrotum, urinary retention and haematuria. The rectal examination shows prostate enlargement.

This suggests that the client having Benign prostatic hyperplasia.

---Benign prostatic hyperplasia. It is also called benign prostatic hypertrophy and enlargement of the prostate gland. The prostate enlarges and moves upward towards the bladder that results in obstructs the outflow of urine. The urine collected in the bladder and results in infection.

The signs and symptoms are:-

- increased frequency of urination.

- urinary urgency is common.

- obstruction causes inability to start and continue a urinary stream

- the bladder detention is seen.

- Have presence of blood in urine.

- an incomplete bladder emptying.

- Bladder pain occurs due to retention.

- Urinary tract infection.

- Renal failure.

The management includes catheterization, increasing fluid intake and surgery.

b. The multi dimensional care is needed for the client.

--- Assess the condition of the client.

- Monitor vital signs to find problems.

-The client have anxiety. Explain the disease condition, treatment, complications.

clarify the doubts of client to reduce stress and anxiety.

-Encourage to take bed rest.

--Encourage to take plenty of oral fluids to prevent dehydration.

- Encourage to take small and frequent foods.

--Administer analgesics to reduce pain.

- Explain the need for sitz bath and how to do it.

- Encourage to avoid strenuous activities.

- Encourage to avoid prolonged sitting.

- Avoid excessive straining for defecation. provide enema if needed.

- Explain that haemorrhage is seen after surgery and to inform if excessive bleeding occurs.

- Advice to report for any signs of infection like fever, chills etc.

--Perform aseptic methods for care giving to prevent infection.

- Explain that after catheterization removal time is needed to reach normal bladder control.

Dribbling of urine is seen. Encourage to use pads.

- sexual dysfunction is seen. Explain that it is common and will become normal gradually.

- Reassure the client.

- Encourage family members to support the client and to provide care.

Benign prostatic hyperplasia can be corrected gradually. so must provide support and care to the client.

Medicare part D is a

Lol I think you commented under my question instead of actually entering it in a place where you ask questions

Assuming that a person going to community college can't afford to go to a four-year college is an example of ) a generalization. b) discrimination. O c) a stereotype. O d) tolerance

‏Naomi is a sales associate at an electronics store . Recently , she has been distracted at work because she's moving . She has been leaving work early to look for apartments and making move - related calls at work . Her coworkers have been staying later than they're scheduled for to cover for her . Which adjective would best describe Naomi's behavior ? a ) Unreliable b ) Reasonable Punctual c ) d ) Ethical

isthe practice teast test on the ati website similar to real test?​

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Guess Fallacy: and explain why
1. Wife: You need to stop spending money on PS4 games.
Husband: You spend the money on clothes and make-up, and you don't hear me complaining.
2. People died of cancer before cigarettes were invented... So, smoking doesn't cause cancer."

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1) True
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Anh, chị nhận định thế nào khi nói "Công tác hỗ trợ tâm lý ở cấp tiểu học không nên chỉ dừng lại ở việc tham vấn tâm lý cho học sinh mà cần phải là tư vấn tâm lý giáo dục mới hiệu quả?"

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knowledge about foodborne illness
knowledge and execution of food safety
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Nutritious diet that follows My Plate guidance
Drink caffeine
Avoid Alcohol
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Get regular, moderate levels of exercise
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D. All of the above

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A) ranges from 30 minutes to about four hours
B) between 20-45 minutes only
C) between 3-4 hours only
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Prior to trying a medication as part of an
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O a. Has the medication been verified by the
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O
b. What is the likelihood of success?
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I'm so sorry I know this is long but can someone please help me with this?
John is a 35-year-old male (he/him) administrative assistant who enjoys playing baseball on weekends. During one of their games, John began running from first to second base. As he pushed off to start running, John heard a pop and felt a sharp pain in his right calf as though he had just been kicked in the back of his leg. John fell to the ground and experienced significant pain when putting weight on his right leg. John tried to walk but had to be carried off the field and was taken to the emergency department. At the hospital, it was noted that John had significant swelling at the back of his right leg, had a palpable and visible deformity in the distal calf, and was only able to put small amounts of weight on his right leg. The emergency doctor squeezed the back of John’s right calf and noticed that the ankle would not plantarflex. An x-ray and blood work were ordered which came back without any significant findings.”


Case Study Questions:
1. Explain the possible anatomical structures that were affected by the injury and how each relates to John’s presenting symptoms and test results (250 word maximum).


2. Identify and explain three differential diagnoses (diseases or conditions that present similar signs and symptoms that could possibly account for the patient's symptoms) with appropriate justifications. After describing your three differential diagnoses, indicate the most likely diagnosis based on your analysis and provide rationale and support for your selection.

3. From an anatomy point of view:

a) Propose a management plan for the most likely diagnosis. This should include the treatment options you would implement given your patient's presenting symptoms. You should provide short- and long-term goals for the patient and a timeline on when you would implement each treatment. There may be several possible treatments you could prescribe to your patient. Include support, justification, and evidence for your prescribed treatment(s) and management plan.

b) Explain the effects of your management plan for your patient's condition. From the management plan you've proposed, what effects will each treatment have on the patient's anatomy? Include any positive and negative effects this plan may have on the patient.

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Good evening, I need help answering this question, please and thank you evryone

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