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.

Self-assessment helps us determine who we are as seen by ourselves and by others.
1) True
2) False

Medicare part D is a

Is an embryo the same as a fetus? True or false?

Prior to trying a medication as part of an
individual's treatment, which of these is an
important question to ask?
Select one:
O a. Has the medication been verified by the
FDA?
O
b. What is the likelihood of success?
O
c. What other physicians have evaluated the
use of this medication?
d. All of these

Dylan has a coworker who is always showing up late and then not finishing his work on time. It's frustrating the other members of the team. What can he do that might help the situation? a) Complain about the coworker to other team members O b) Ask his coworker if he understands his job responsibilities c) Tell his boss that the coworker is slacking off O d) Complete his coworker's work for him

A subcutaneous injection is one type of injection. Describe this type of injection.

What can help reduce problems during pregnancy? (check all that apply)
Nutritious diet that follows My Plate guidance
Drink caffeine
Avoid Alcohol
Avoid multivitamins
Get regular, moderate levels of exercise
Visit doctor on a regular basis throughout pregnancy

Each time a patient comes to the clinic, the medical assistant must verify:

A. whether the patient has had a change in address or phone number.
B. which insurance plan the patient has.
C. whether a co-pay is required.
D. All of the above

Why is developing partnerships to improve global health such an important effort?

a. Because countries with high resources should keep them

b. Because global health is a global public good

c. Because even though there is no MDG specific to global partnerships, cooperation is still a good thing

d. Because transational issues require solely domestic action

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.

Two employees quit during the restaurant's busiest season. Dennis would like to be considered for the position of Assistant Director. What behavior would help her best earn her supervisor's respect and demonstrate that she would be well suited for a promotion? telling her supervisor that more employees should be hired to prevent more people from quitting b) expressing disapproval towards employees who have just left O c) trying to do all the work herself d) offering to do some extra shifts

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

the process by which fecal contents enters the rectum is known as

What should you do if the initial 2 breaths you give to an unconscious victim, who has a pulse but is not breathing, do not make the victim's chest rise?

‏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

How long does a baby sleep after birth?

A) ranges from 30 minutes to about four hours
B) between 20-45 minutes only
C) between 3-4 hours only
D) ranges from 2-3 hours only

3. How fast can an impulse travel if the pathway is covered with myelin?

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?"

Which of the following information is necessary to obtain a precertification for an outpatient procedure?

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

The Diagnostic and Statistical Manual of Mental Disorders (DSM) listed homosexuality as an abnormal behavior until 1986, when the American Psychiatric Association (APA) removed it from the manual. Based on changing social perceptions and attitudes, discuss a currently-listed disorder that you believe may soon achieve declassification. Alternatively, you may discuss a condition not currently listed in the DSM that you believe the APA may soon include in the manual. Explain your reasons for this conclusion.

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

Karen is listening to a colleague's idea for reducing customer wait time at the stora Which behavior can Karen exhibit to best demonstrate that she agrees with her colleague's idea? O a) Nod her head Cross her arms in front of her chest b) C) Rest her chin in one hand O d) Rub her hands together

Which of the following statements is generally true about change in the workplace ? a ) Most people accept change easily . b) Smart companies can avoid change altogether. c) Change in the workplace fairly infrequently d Individuals can learn to manage the change
this is d or what?

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."

the best way identified by the CDC to prevent sickness is
knowledge about foodborne illness
knowledge and execution of food safety
knowledge of illness prevention
knowledge of the food code

Which of the following statements is generally true about people who are "flexible" ? a ) They're easily overwhelmed . b ) They're open to trying new things . Oc ) They prefer working with people who are similar to themselves . d ) They prefer focusing on many tasks at a time .

2. Within the cortex, the brain's six outer layers are approximately
% of the infant's neurons. *

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