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Assignment 2: Discussion Assignment

The discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered.

For this assignment, make sure you post your initial response to the Discussion Area by Saturday, June 24, 2017.

To support your work, use your course and text readings and also use outside sources. As in all assignments, cite your sources in your work and provide references for the citations in APA format.

Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Complete your participation for this assignment by Wednesday, June 28, 2017.

Determinants of Health

Although inequalities in income and education underlie many health disparities, the poor are sometimes held responsible for their health status. For instance, Dr. Ichiro Kawachi, a Harvard University professor and social epidemiologist, reports that the ability to avoid negative health behaviors like smoking and eating unhealthy foods depends on access to “income, education, and the social determinants of health.” On the basis of your knowledge of the health of the poor, answer the following questions:

Should the poor be held responsible for their health disparities? Why or why not?
What are some common stereotypes of the poor? How do these stereotypes contribute to the poor being held responsible for their health status?
What conditions in your community promote or hinder healthy choices?
In addition to the above, consider the input that research on women has lagged behind research on men. Many health treatments that address health risks for women are based on research conducted on men. With reference to your understanding of the healthcare system, mention the factors that determine whether the health treatments based on research on men will be successful with women.

Select a patient who you examined during the last 3 weeks. With this patient in mind, address the following in a SOAP Note:

Subjective: What details did the patient or parent provide regarding the personal and medical history? Include any discrepancies between the details provided by the child and details provided by the parent, as well as possible reasons for these discrepancies.
Objective: What observations did you make during the physical assessment? Include pertinent positive and negative physical exam findings. Describe whether the patient presented with any growth and development or psychosocial issues.
Assessment: What were your differential diagnoses? Provide a minimum of three possible diagnoses. List them from highest priority to lowest priority. What was your primary diagnosis and why?
Plan: What was your plan for diagnostics and primary diagnosis? What was your plan for treatment and management? Include pharmacologic and non-pharmacologic treatments, alternative therapies, and follow-up parameters, as well as a rationale for this treatment and management plan.
Reflection notes: What was your “aha” moment? What would you do differently in a similar patient evaluation?

Compare the pathophysiology of chronic venous insufficiency and deep venous thrombosis. Describe how venous thrombosis is different from arterial thrombosis.
Explain how patient’s age might impact the pathophysiology of CVI and DVT. Describe how you would diagnose and prescribe treatment of these disorders for a patient based on the factor you selected.

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Physiological and Psychological Healing through CAM

Acupuncture is a traditional Chinese technique for curing various chronic pains. It has also been used as anesthesia for surgery and for curing postoperative nausea.

Using South University Online Library, search the article, “A randomized trial comparing acupuncture, simulated acupuncture, and usual care for chronic low back pain.”

On the basis of your research and understanding of the topic, summarize your thoughts and answer to the following questions:

The study concludes that both real acupuncture and sham acupuncture are more effective than usual care for chronic back pain. This could be due to either the physiological stimulus provided by acupuncture needling or certain nonspecific effects, such as the therapist’s conviction and the patient’s enthusiasm for the treatment. Do you think that this study supports a combined model of treatment where both physical and psychological stimuli are used to cure chronic back pain? Why or why not?
What are the shortcomings of this study? Would conducting more studies, such as the current investigation, add to your understanding and the efficacy of acupuncture for chronic back pain?
Even in the absence of support for acupuncture, how does this article contribute to the study of CAM and our understanding of CAM research practices?
What is your opinion on the modality discussed in the article? Do you see any outstanding benefits or detractions from the therapy’s use in contemporary wellness environments?
Combine your responses in a Microsoft Word document. Your responses should be 4- to 5-pages long.

Support your responses with reasoning and examples.