Pharmacy Case Studies Samples For Students

1. Problem Statement

-This case study is about the management of the Consumer Value Store (CVS) and its current problems it’s facing. The study also touches on the options and alternatives opened for CVS management.

2. Background Facts

The history of this company began in 1963 where it was established in Lowell, Massachusetts by two brothers, namely Sidney and Stanley Goldstein and a business partner by the name Ralph Hoagland. The company began its first operation with the pharmacy operation department in 1967 where, in Cumberland and Warwick in Rhode Island. As the company grew, it got interested ...

Recommendations for AbbVie’s Overdependence on Humira

Patent Cliff and AbbVie
Patent Cliff, referred as drop in sales after the patent expires, is a global revenue threat to major pharmaceutical companies. Around 45% revenue dependence on a single medicine, Humira, by AbbVie is quite high in comparison with the industry, and the company can face major drop in revenue after the year 2016. As this product is currently a hit in the market, there are already many companies who have developed a biosimiliar of this medicine. These biosimiliars will be launched in the market after the patent expiry in 2016. Apart from major drop in revenue, the company is ...

[Institution Title]

Care Plan Template

Patient Initials: Not Applicable Age: 60 y/o Sex: Male
Subjective Data:
HPI (History of Present Illness): Patient said that the abdominal pain started the day before. Although patient admitted to experiencing similar discomfort in the past, patient did not experience this kind of pain which he rated as 10 from last night. In the past, the pain would only last for a couple of hours unlike this time which has not been relieved despite 24 hours had already passed. Patient also admits to experiencing nausea but has not vomited despite feeling nauseous. For the past ...

[Institution Title]

Care Plan Template

Patient Initials: N/A Age: 60 yrs. old Sex: MAle
Subjective Data:
HPI (History of Present Illness): Patient has been experiencing heartburn during the past 2 weeks. Patient said to experience heartburn after eating. It is relieved after a few hour or after taking over the counter antacid. According to patient, the pain seems to progress. It started in the umbilical region and is now diffused. Patient said that he was partly relieved after sitting down. However, the pain has become unbearable that he rated it 10 during the actual attack.
PMH (Past Medical History— ...

Langley Mason Health is an example of a hospital struggling to achieve it growth agenda amid financial constraints, need to provide quality services, and implementation challenges. The hospital is undertaking expansion projects that are estimated to cost $1 billion. Already, the hospital has sourced a half of this capital and is expected to raise the remaining amount through operations and other sources. LMH is left with $10 million per year to finance other expenditure that include maintenance and technology. The nursing staff and the pharmacy need $4.9 to buy smart pumps aimed at reducing medication errors. The computerized provider order entry ( ...

Short-Answer Questions1. Which DSM-5 disorder matches the symptoms Abby is reporting?

Abby matches the anxiety disorder symptoms.2. Which theoretical model does the homework assigned by Dr. Smith match?
Dr. Smith matched the cognitive theoretical model.3. If Dr. Smith recommended medications only, which theoretical model would this match?
If he had recommended medications, then it would be referred to as pharmacological treatment.4. If Dr. Smith recommended medications in addition to therapy, which theoretical model would this match?
If he had mixed the two, then the therapy would be pharmacotherapy.5. If Dr. Smith completed a free association exercise with Abby, which theoretical model would this match?
Then this would ...

Answer to Q. 1

- “Cost minimisation analysis - outcomes equivalent”: Maximizing health outcomes is the important goal as per the economists. But, keeping the costs of public health interventions, programs, and policies and from an economist’s perspective, low is an important goal. The 1st type deals with problem identification. Economic impact analyses are sometimes called “cost of illness estimates,” or “impact analyses.” Normally annual total costs for a group, or cohort, of people with the disease, regardless of when the disease first occurred. This is called prevalence-based approach.
- cost effectiveness analysis : Cost-effectiveness analysis (CEA) describes consequences in clinical ...

When working on an antiparasitic drug for animals, a senior research scientist at Merck determined there might be a way to develop the drug to cure River Blindness in people. This condition was caused by parasitic worms in many third world countries. This condition can lead to uncontrollable itching which leads to skin disfigurement and other skin relate problems, blindness and some cases suicide. Millions in Africa and other third world nations are affected.
While a treatment or cure for the disease would ease the suffering of a large number of people, the research and development necessary to come up with a formula ...

Discharge Planning Case Study

Discharge planning is an essential activity in the preparation of consumers for the transition from hospital to home settings. The efficiency of the process for patients living with mental health problems can influence the number of future rehospitalizations in acute-care facilities as well as their quality of life in the community (Nurjannah et al., 2014). This paper will address the discharge planning process for a 48-year old patient called Margaret who had been treated for an anxiety disorder at a local hospital. According to the history, she had been referred for assessment by her general physician due to a history of withdrawal ...

Clinical case formulation

Annie described her childhood as being chaotic. Her description included night terrors that commenced when she was approximately aged four-years, reoccurring again at ages eight and twelve.
Annie stated she began having panic attacks when she was about fifteen years old. She said it was “ about the time her hormones started kicking in” She began self-analyzing he abuse and familial discord in her life and began seeing a psychiatrist. Her initial feelings were those of relief. Her counselors began a course of treatment that included private counseling, family counseling and medication. She followed a course of medication for approximately six or ...

Describing the Current Situation, Major Issues in the Case

Information technology has been integrated in health centers in improving patients’ safety and condition. In the recent times, nursing and pharmacy fraternity has employed advanced technological strategies in ensuring operations in health institutions are running smoothly. According to Langley Mason Health (LMH), nursing and pharmacy employees are considering an information technology that could be implemented to help patients’ safety and treatment in the health institution. Marilyn Moore, the chief information officer, acknowledges the importance of such improvement from the aging pumps into smart IV pumps. On the contrary, there are various views within the institution that have resulted into ...

Introduction

Pharmaceutical industry has existed for many years and plays an integral role in the economic development. The industry develops, process, manufactures, and markets various drugs and other pharmaceutical products, which are used for medication purposes. In essence, the industry does not only deal with processing, marketing, and development of drugs and pharmaceutical products, but renders quality medical services and champions the discovery of generic and brand drugs. In most cases, pharmaceutical industries are subjected to stringent laws, policies, and regulations, which provide an elaborate and effective framework of operation in and within the industry (Tharp, 2003). Pharmaceutical companies are ...

Torts Exercise—Fall 2013

1.) Issue: Is Dr. Intenzio liable for selecting Madison Outpatient Pharmacy?
Rule: Under the principle of negligence, the law requires evidence that must show that there was a specific duty on the part of Dr. Intenzio to provide care for Adam and that he breached the duty of care, which resulted to actual and the proximate cause of Adam’s death. As a result, it entitled the estate of the deceased to recover for damages for failure of the parties to present an adequate defense.
Application: In the case of Dr. Intenzio, he has the duty to provide care ...

- Pharmacy Benefit Managers (PBMs) provide services such as review of prescriptions, processing prescription drug claims for pharmaceutical manufacturers and helping in the design of pharmacy benefit plans. The PBMs operations are based on the reasoning that leveraging financial and medical information could help in cost management of drug benefit, by bolstering correct use of prescription drugs and the overall healthcare quality for beneficiaries.
- Medco fits well with Merck’s strategy of embracing health management to eliminate information gaps in the drug delivery systems, enhance appropriate use of prescriptions and bolster coordinated pharmaceutical care in general. Medco ...

Introduction

Biovail is a Canadian pharmaceutical company. It is recognized as one of the largest companies dealing with pharmaceutical products within Canada. It commercializes its products in Canada directly and through Strategic partners internationally. Its reputation as a recognized company in pharmaceutical products is due to its excellence in innovations and the .
The focus of this study is based on financial matters relating to the company. Biovail is a company with a strong base and with policies that have enabled it to be a leader on the pharmaceutical manufacturing front. Some of those strengths include:
- Including production of enhanced formulations of existing drugs
...

Q. 1 Assess Mrs Daps’ medication chart. Discuss three (3) significant risks involved with Mrs Dap’ home and/or inpatient use of medicines.

Based on Mrs Dap’s medication chart, it shows that the patient is being administered with regular, variable dose and PRN medications. The patient requires several medications that are specific to her condition. However, the number of medications scheduled for Mrs Dap could potentially cause a medication interaction, even though each targets specific condition. For example, the patient is being administered with 10mg of Felodipine daily, which is a CCB type of medication. However, calcium channel blockers tend to ...

1. State how this adverse event could have been prevented.
Adherence to protocols, policies and standards regarding medication administration prevents medication errors (Breeding et al., 2013). Prior to administering any medication, the six rights of medication administration must be fulfilled: right drug, right dose, right route, right time, right patient and right documentation. Upon procurement of the medication, drug label information must be compared with the prescription on the chart to ensure that they match. Visual comparison prevents errors from drugs that sound and look the same. To avoid confusion, studies show that it is best to check ...

Summary of the movie

The movie provides a comprehensive analysis of the effect of unhealthy eating, use of pharmaceutical drugs and pesticides in growing of food and environmental pollution on human health. Food is essential for human survival, but the world is experiencing food insecurity because of population increase coupled with environmental pollution. The movie articulates that the world has failed to produce adequate food for its people thus compelling people change and adapt unhealthy eating habits. In order to address the problem of food insecurity, nations across the globe have embraced consumption of genetically modified food. Billions of people consume genetically modified foods ...

Introduction

Corporate responsibility assumes many other names based on context. Whatever the name one gives the concept, corporate responsibility aims to encourage businesses and corporations to assume the responsibility for its actions an enhancing positive impact by way of its activities towards its consumers, communities, employees, stakeholders and the environment. The concept has been the subject of scholarly debate for a while now. From the debate, scholars have postulated three perspectives of the concept of corporate responsibility. These are the social economic, the classic economic perspective and broader social perspective. This paper will review the implications of the three perspectives on ...

Human beings are prone to make errors and mistakes. It is vital, therefore, to put in place the requisite measures to ensure that these errors are detected early and corrected. Therefore, it is not only desirable, but rather mandatory that all organization adopt a program, which will help it correct mistakes. Hospitals are not an exception. In fact, it should be a mandatory requirement that all physicians and nurses have a computerized entry that will serve to avoid fatal medical mistakes and errors. This paper will analyze the implementation of the Computerized Physician Order Entry (CPOE) program in all community hospitals within ...

Abstract

In this essay, it is done a description of the Bacteria species Lactobacillus casei and Clostridium botulinum about what regards their common features and similarities about their roles in the ecological niches they are found in.
They have similar pH levels to be able to grow; they both are found in various ecological niches and also have therapeutic uses. In opposition to such, as for the characteristics in terms of oxygen levels of their environments, Clostridium botulinum is more demanding, requiring always low-oxygen levels to be present in the bacteria form and to be able to grow, while Lactobacillus ...

The south Florida Jewish gastric center is a medical institution that already has presence in four foreign countries. In addition, the medical institution plan to open another 25 oncology centers outside the united states of America. This report directed to the CEO aims unfolding some of the issues which needs to be resolved before the program can be implemented to import new patients and residence. Some of the issues to consider before the program is implemented to import new patients include:
Accommodation; accommodation is very important factor which should be considered before a medical program is implemented to import new ...

Psychiatry in the Film Industry

Introduction
Cinema is a medium used to entertain people. It portrays many issues about the society, science and various myths. It depicts different psychiatric disorders such as suicide and drug abuse to schizophrenia and personality disorders. Gone are the days when films were used to negatively portray psychiatric conditions. Nowadays films are used for educational purposes as well as to change the negative attitude towards people with psychiatric conditions. Film portrays that even psychiatric people are geniuses and that they can solve complex problems. Mental conditions are portrayed in different ways in the film industry. Film is used to ...

Across the globe millions of people suffer from diabetes; this population of people requires insulin which they have to access on a frequent basis. Regardless of their access to the medication, they require a proper way in which the medication is provided to them. In adults diabetes is less sensitive as compared to children. Adults have the ability to administer drugs and keep up with the medication timetable with great ease (Mertig, 2012). However, researches have shown that adults also have shortcomings when it comes to administer of diabetes medication. For diabetes patients, they must access an injection of insulin in ...

Formulated question

Question: If adults with schizophrenia received atypical antipsychotic medication verses conventional neuroleptics, which one will result in lower incidence of violent behavior.

Description of the practice setting

My practice setting is a group therapist. The role of a group therapist extends beyond that of a family therapist to address complications facing several individuals with schizophrenia in the entire community. The aim of this practice is to ensure that the patients do not end up feeling alone with their complications. The treatment involves encouraging these patients to share their problems with others suffering from similar problems. This way, they eventually end up understanding that they are not the ...

The use of trained sales representatives to convey the merits of the relevant pharmaceutical therapy is a big debate. This, many health professionals believe, should not be the case since the sales representatives are bound to be profit oriented and may overlook the key regulations, which guard the medical practice.
Manipulation of patients and doctors to ascribe to the drugs of these pharmaceutical firms through gifts and exaggerated adverts exposes the deep underlying issues of ethics in Big Pharma. This case exposes the many insidious ways that illness is used, manipulated, and in some instances created, for capital gain. ...

This article has exclusively explored the adversities that are faced by the pharmaceutical industries in the world today. These destitutions vary from political, ethical to legal dilemmas. Putting up a pharmaceutical industry is not only very costly but also time consuming. In the world, there are only about ten firms, with five in Europe and five in USA. Despite the fact that pharmaceutical industries are hard to put up, the industry has over the years been confronted with many challenges.
First, the industry has faced high cost in the research and development of drugs. They engage in intensive, large-scale ...

Jerry McCall case study

According to “Ethics Case Study”, Jerry McCall was an office assistant for Dr. Williams. The case argues that Jerry has been trained as a LPN (Licensed practical nurse) and a medical assistant. Jerry is asked to cover for the receptionist who is out for lunch. As usual, he is faced with a health care problem that is common in the in the field today. In this case, Jerry has been requested by a patient to a fill-up for Valium drugs from the pharmacy. In this paper, I will first address if Jerry is qualified to refill prescription medication. Secondly, I will examine if Jerry ...

Medicare is available in various categories depending on the patients need. For instance in the united states we have Medicare part A which is a type of hospital insurance that gives inpatients cover and care during their stay in hospitals, hospice, home health care and even in skilled nursing facilities like in Mrs. Zwick’s case. Despite the fact that many people don’t buy part a premiums since it is catered for in the Medicare taxation whist working, one can still purchase the premium if they are more than sixty five years of age; posses part B and are citizens ...

1. Did Giant violate HIPAA? Did Elensys? Why/why not?
According to HIPAA Health privacy rule, an individual’s private information can be disclosed to a business associate (a third party that provides services on behalf of the entity on contractual basis) and only needs customer approval in case of marketing communications. Given the fact that the partnership with Elensys was solely focused on prescription compliance and avoided any sort of DTP marketing communications, neither Giant Food nor Elensys blatantly violated the HIPAA. Elensys in this case does not represent an outside party but a qualified inside agent, therefore limiting further the ...

Central serous retinopathy (CSR), also known as central serous chorioretinopathy, is characterized by separation of the two major layers of the retina (the innermost layer of the eye): the inner neurosensory layer (which contains cells that transmit electrical impulses to the occipital lobe) and the retinal pigment epithelium (RPE) (the outer layer of the retina that contains the photoreceptor [light-receiving] cells). The mechanism of this condition is leakage of serous (serum-like) fluid from a portion of the choroid (the layer of the eye just outside the retina) called the choriocapillaris (a network of small blood vessels located in that portion ...

Managing the adverse drug events can be as important as the life of an individual because we are in the same manner, talking about safety and any healthcare provider or hospital administration staff could not afford to miss this thing.
There are a lot of ways that could have been used in the case to reduce the adverse drug events and other conditions that could importantly affect the level of safety for not only the hospital clients but for the whole hospital as well. Having a low degree of safety, when publicized and reviewed could have a large impact on the ...

This paper gives an in depth analysis of the Johnson and Johnson, commonly referred to as J&J. Johnson and Johnson is an international, diversified pharmaceutical and medicinal producer. Besides, it is one of the largest health care related service providers and has drastically reformed people’s perception towards health care. It is indeed a top achiever in the health care industry as well as in general human health and happiness. In fact, its success is attributed to a well defined vision, mission, objectives and core strategies. Its existing vision, mission, objectives and core strategies are discussed as under.

Johnson and Johnson ...

Strategic challenge #1

How will the EVP Foulkes choose which ailment to target initially in the Pharmacy Advisor Program? (John, Quelch, & Huckman, 2015, p.6)
Non-adherence has caused the U.S. healthcare system an estimated $290 billion in annual cost on unnecessary medical treatment. It involves chronic disease such as high cholesterol, diabetes, and depression (John, Quelch, & Huckman, 2015, p.4).
A CVS Health study showed a reduction in the total annual healthcare spending due to medication adherence (Exhibit 4, John, Quelch, & Huckman, 2015, p.10; cf. p.4).
Consumers are attentive to the $290 billion expense reduction associated with patient medication adherence (John, Quelch, & Huckman, 2015, ...

Karen appears to have a very positive attitude about her future. She seems to have realized that the end of her relationship wasn’t about her but was about the lack of commitment on her partner’s part.
Karen’s strengths lie in the fact that she is positive about her future and that she is making plans for that future. She has an optimistic outlook on her dating future and is committing herself to a gym membership. This indicates that she is moving in a forward direction.
Karen could be afraid of the stigma that can be attached ...

Meadowbank TAFE

HLTAP501A/B/C Analyze Health Information
HLTCOM510B Provide Services to Clients with Chronic Disease or Conditions
PATHOLOGY ASSIGNMENT
–ASTHMA–
Abstract
Asthma is a chronic problem that influences lung function. Clinically asthma is identified by the variation in expiratory airflow and abnormal respiratory symptoms such as wheezing, chest congestion, cough, and shortness of breath. The aetiology of asthma is linked to a mixture of genetic and environmental factors, though; heredity or atopy also plays a role in asthma. Asthma is categorized into two types: extrinsic (allergic) and intrinsic (nonallergic). Allergic asthma is an outcome of the reaction of an antibody ...

PharmaCare – Assignment 3

Introduction
The aim of this research study is to evaluate the ethical issues related to the marketing and advertisement, intellectual property, and regulations of product safety. Drug companies have been consistently using direct-to-customers approach for marketing of their products. This aspect is also taken into consideration in the research study. In addition, this study extends to find information regarding the current regulatory scheme along with what should have been done by FDA to overcome the issues. The approaches used by PharmaCare to protect its intellectual property in US are also studies in detail within this study. This has ...

Process Map

The analysis of the difficulties HMO’s pharmacy experiences is based on the step by step analysis of the processes that take place in the company. The analysis enables identification of the sources of errors that lead to the inaccurate prescriptions. The process flow diagram is presented in Figure 1.
Figure 1. HMO’s pharmacy process flow diagram (by Hopper, 2012).

HMO’s Pharmacy Key Problems

The analysis is performed by stages.
1. Receive a prescription. The source of inaccuracy here is the wrong prescription. Here, two cases are possible. The customer provides with the wrong prescription or the technician takes the wrong prescription ( ...

The case, whose decision is it, describes the ethical decision making scenario for case of Benito Agrela, a 15 year old boy who voluntarily decided for a painless death and was judicially granted the same (Munson 108). This case analysis is further focused on looking at various ethical health care imperatives from the discussed scenario. Also, there will be critical analysis of the rendered judgement and ethical derivatives from them. Finally, we will take a conclusive stand, either for or against the posed ethical dilemma in the case and justify the rationale behind our stand.

The given case describes a scenario in Florida, ...

Patient information

The patient under review is a 42 year old female Indian who is admitted into the emergency room presenting with acute gastrointestinal bleeding. Prior patient diagnosis reveals the patient had suffered from dental abscess and also a fractured tooth, which was subsequently treated with antibiotics. However, a tooth extraction procedure was carried out for the extraction of the tooth. Ensuing dental ache was treated with drugs purchased over the counter (OTC) including ibuprofen and acetaminophen before the medical prescription of Vicoprofen. The patient complains of nausea and headache in addition to vomiting copious amounts of a dark brown liquid ...

Question 1: Uses the correct term for chronically recurring seizures.

Answer: Epilepsy
Question 2: Determines if the patient in the scenario has epilepsy.
Answer: J.G. does not have epilepsy. She has only had three previous cases of seizures prior to which she had not experienced any seizures. The current cases were triggered by the cesarean section thus too early to refer to the condition as epilepsy (Ko, 2016).

Question 3: Identifies possible conditions, besides brain injury, that contributes to the lowered seizure threshold for the patient in the scenario.

Answer: Apart from brain injury, lowered seizure threshold can occur as a result of infectious illnesses such as AIDS, meningitis as well as developmental disorders such as neurofibromatosis and autism (Ko, 2016).

Question 4: Describes the pathophysiology of a seizure.

The brain and the nervous systems functions within a ...

Explain how you would prioritize care of these clients in order of importance, and why

I will triage these patients with regard to their needs. The one with the immediate and most pressing needs is Mr. Richard. He takes first priority since he is in severe pain and nursing care dictates that the nurse should ensure that the patient is comfortable and one way to achieve is this is through pain relief. I would administer moderate analgesia such as morphine or pethidine. The fact that Mr. Richards was experiencing difficulty in breathing affirms me making him my first priority. Dyspnea translates to the fact that there is inadequate tissue perfusion. This in itself is ...

Material Safety Data Sheet for five Household products

(Household Products Database, 1)
Dr. Doe’s performance against the rest of staff could be considered relatively high. For example, his staff meeting attendance record was 93% in his evaluation report. With respect to diagnostic test ordering again he was exemplary only tests that are useful to make a diagnosis. His successful surgery rates also are very high in comparison to other obstetricians.
In relation to whether he must be must be reappointed to the medical staff in my opinion is has not been guilty of any wrong doing. Even though his performance index many not meet the hospital’ ...

Executive summary p.3

Introduction p.4
Generic drugs vs drug discovery businesses pp.4-6
Specific constraints in high-risk R&D, being faced by emerging markets pp.6-7
Glenmark business model pp.7-8
R&D action plan pp.8-9
Conclusion p.9

References pp.10-11

Executive summary
The following case study analysis is aimed at getting an insight into a wide range of issues, being associated with the activities of Glenmark Pharmaceuticals, one of most well-known pharmaceutical companies in the world, headquartered in Mumbai, India. Ckenmark business is currently being divided between two enterprises, namely Glenmark Pharmaceuticals Limited and Glenmark Generics Limited. Aligned managerial teams of both enterprises pursue ...

Executive summary

On the basement of the information obtained a new strategy was proposed. Strategy formulation, implementation and contingency plan were outlined. Perspectives of further development of the company were proposed.

Introduction

Health care institutions started endure severe trials since new Medicare’s payment system was implemented in 1983. Actually, they proceed operating in confusing and threatening environment because of legislation, demographic and lifestyle changes, economic forces and technological advances (Swayne, L., Duncan, J., & Ginter, P., 2009).
Salix Pharmaceuticals’ concern is tied to the company strategy and development of products. This case study is to analyze the situation and make proposals ...

Every organization has to work on the principles of ethics and responsibility. Ethics make the foundation of every business and if ethics are not followed as such, then the functioning of the business suffers and it loses it image and reputation at a gradual pace. Sometimes, managers face ethical dilemmas where they are not able to decide whether to stick to the values of the company or opt for decisions which are better for the organization in the long run (Ford & Richardson, 2013). The given case is about the ethical dilemma being faced by George Cosgrove who is serving ...

Part 1

Notably, childhood asthma is one of the diseases responsible for deaths of children in the United States. A major point to note in this scenario is that without the proper medical care to children, possibilities of comorbidities from this infection are likely to be high (Lenney, 2012). In most cases, families that have got weak financial muscle power usually find challenges accessing the required medical care for their children who are struggling with the condition. As such, there is the need for state and federal programs to be put in place in order to address this condition with the ...

PHYSICAL EXAM:

You will be expected to write up your response as follows:
List of Differential Diagnoses [rank ordered]
A. Congestive Heart Failure
B. Angina
C. Hypercholesterolemia
D. Myocardial Infarction

E. Diabetes Mellitus

F. with Grade II diastolic heart failure.

G. Hypertriglyceridemia

H. GERD
I.

J. Hypertension

Leading hypothesis : Congestive Heart Failure
Active Alternative hypotheses
Must not miss diagnoses [critical rule outs]
Congestive Heart Failure
Angina
Hypertriglyceridemia
Hypercholesterolemia
Most common diagnoses [reasonable alternatives]
GERD
Hypertension
Diabetes Mellitus
Presumptive Diagnosis [assumption]
Congestive Heart Failure

Treatment Plan

Non-pharmacologic / lifestyle interventions (provide rationale)
• Modify Diet.
- Advance to a low-sodium, low-cholesterol, low-fat, solid diet as tolerated R: to minimize metabolic demands ...

Biology of Disease

Mode of action of;-
Dexamethasone
The Glucocorticoid receptors are discovered intracellularly in all tissues. They enter cells through inactive dispersion and structure a complex with a receptor protein (Rhodes & Hartnoll, 2002, P.10). This intricate then experiences an irreversible enactment and enters the cell core, where it ties to the DNA, hence prompting organic impacts instigated by these hormones, which include expanded hepatic gluconeogenesis, as well as expanded lipolysis (Ahmed, 2007, P.13).
Dexamethasone is utilized to treat numerous provocative and immune system conditions, for example, rheumatoid joint pain and bronchospasm. Idiopathic thrombocytopenic purpura, an abatement in quantities of ...

Introduction to the case

Northern Timber Company works wood cutting locales in province remote zones. Workers are reached there for 14 working days and after that come back for 14 days off. They are lived in trailers gave by the organization. They are secured by an aggregate understanding between the organization and the Timber Workers Union. The organization recruit timber cutter in 2005 named with Hank Bradford. Throughout his work, Bradford works a cutting apparatus and other conceivably dangerous equipment. Preceding being procured, Bradford was prompted that no alcohol and drugs were allowed on organization property, including the living arrangements possessed by representatives. The ...

Introduction

The aim of this paper is to present a comprehensive report on a case study conducted on an individual who is displaying symptoms of hypertension. The paper explicitly explores as a chronic disease and some of the aspects that will be touched on include its epidemiology, Pathophysiology, differential diagnosis, treatment plan, drug analysis and follow up care.
Hypertension, also commonly referred to as high blood pressure is a body condition in which blood vessels, specifically the arteries high and persistent pressure. This high pressure makes it hard for the heart to pump blood to all the other parts of the body. Hypertension ...

45 years old Hispanic male patient, who works for a constructions company, complains that two days ago while at work he experienced difficulty in breathing accompanied by coughing and short of breath. The difficulty in breathing and chest tightness increases at night when it gets cold. The patients state that he is allergic to cockroach droppings dust and grass pollen. Recently, he received a letter from management warning him of being laid off if he does not improve his work output. This has caused his stress levels to rise and in an effort to cope with the pressure of ...

Subjective Data:

Patient’s demographic and social information
Jnr. is a 10 year old African American Male patient brought into clinic by his mother who reports that Jnr. was recently discharged from hospital for acute asthma exacerbation. The boy presented with cough and difficulty in breathing combined with a running nose and elevated temperature which has now been resolved with over the counter Tylenol. The mother also says that her son has a history of multiple admissions to the hospital for acute asthma exacerbation. His mother reports child repeatedly loses inhalers. She also states that she does not check for inhaler ...

Asthma is a chronic airway disease that is difficult to manage because of numerous risk factors and complicated by poor self-management. This is a case study of acute severe asthma triggered by viral respiratory infection and exercise in an Aboriginal female with chronic asthma. The discussion will include the diagnostic tests, patient assessment, care and interventions, medications, and nursing care performed or should have been performed. The expected outcomes will also be described.

An arterial blood gas (ABG) analysis was performed showing respiratory acidosis and mild hypoxaemia. Above normal PaCO2 and below normal pH meant the lungs could not eliminate carbon ...

Nutrition is an indispensable component of care. It is from food intake that the body obtains the micro and macro nutrients needed to maintain and improve health. Diet is also an area of regulation for the management of chronic diseases such as diabetes. Care plans focused on nutrition necessarily must be individualized to take into account unique needs arising from specific medical conditions, the client’s developmental stage, and cultural preferences. Developing a care plan entails evaluating for nutritional risk, defining the goals of nutrition therapy, identifying interventions and expected outcomes, implementing the interventions, providing education, and promoting safety.

Evaluation of Nutritional Risk

The ...

Abstract

In this paper, I will describe the case of Mr. Henry Spirk. He is a a 72-year-old man who has recently broken his hip and does not have the ability to take care of himself. In addition, he was diagnosed diabetes, hypertension, and partial hearing loss. However, Mr. Spirk refuses to believe in his current condition and claims that he is able to take care of himself. I will describe the discharge planning and identify which obstacles prevent us from discharging Mr. Spirk without additional home care. I will identify which health conditions need to be addressed and discussed with the ...

Hyperlipidemia

Hyperlipidemia

Introduction

Patients diagnosed with hyperlipidemia have inherited or developed elevated fat or lipid levels in their blood. The condition increases the patient’s risk of blood vessel disease leading to stroke as well as heart disease. Patient Lori is a 44-year-old Caucasian female and during her well-woman-exam voiced no medical complaints. Lori is a telephone operator for a busy law firm. Her Vital signs: BP 128/84; wt; 133 lbs; Ht 64 inches; eyes have yellow-orange raised lesions on eyelids; remainder of exam is unremarkable.

Literature Review

According to Rosenson (2015), Nelson (2012), Chanoine (2008), Jones et al (2013), Bays et al ( ...

Summary

Merck is an organization that operates within the pharmaceutical industry. The pharmaceutical industry is considered to be one of the most lucrative industries in the universe. This is largely attributable to the comparatively low number of organizations that operate within this industry. The pharmaceutical industry is one which demands that all of the organizations operating within this industry should be capital intensive. This is mainly due to the nature of equipments which are used for the manufacturing of medicine. The medicine is usually manufactured through the use of highly sophisticated equipment which are normally very expensive. In addition to ...

Quintiles is a Pharmaceutical company. It is the largest biopharmaceutical development service provider with over 30 years’ experience in the industry. Its global headquarters is located in Durham, North Carolina in The United States of America. It has a global footprint with 110 sites spread across 62 countries. Being the largest biopharmaceutical development service provider, quintiles employs approximately 27000 employees. The company also majors in commercial outsourcing services such as overseeing clinical, consulting, commercial and capital services around the globe. Quintiles prides itself in either developing or marketing all of the top 50 best-selling drugs currently in the market.
During ...

Abstract

President Obama in his inaugural speech, has been quoted to say that bringing smart, young students especially engineers and enlisting them in America’s workforce will complete the journey of welcoming immigrants who want to live the American Dream. (Sandra Lilley, 2013)
This has always been many a president’s speech, but the difference is that in the is day and time the context is very relevant as we see the influx of many countries who send their youth to study abroad. The reason that many foreign students come to the U.S to study is because of the many ...