UTICA Sherman Yoder Nursing Case Study Questions

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Each student is responsible for completing the case study below. Answers may be in bullet or short answer format, but follow APA guidelines for writing mechanics including grammar, and syntax. Students must provide citations in APA for 2 references used to help answer the questions. A reference list in APA format should be included in the assignment submission as well.

Case Study

For this case study you will use the case study listed below and answer all of the questions. Please keep in mind that while these questions do not need to be answered in paper format, they should be written in a professional manner that fully answers the questions, and provides citations and references in APA where appropriate.

Sherman “Red” Yoder

I understand you want to hear my story; well I’m not much for talking, but I can give you the highlights. There’s a lot that’s happened over my 80 years. From the top. My name is Sherman Yoder, but I answer to “Red.” No one around here even remembers my real name. I was born in this house in the downstairs bedroom. Mom had already delivered six kids and there was no way I was waiting for Dad to finish feeding the hogs and get Mom to town before I come out. Mom used to love to tell that story.

Dad bought this farmhouse and the first hundred acres right before he went off to WWI. The folks saw good times and bad in this ol’ place and so have I. All my brothers and sisters left the land as soon as they could. I was the only one of the lot to care about this place and want to carry on what Dad started. I really haven’t gone far from this spot in my entire life. The one time I got it in my head to try something different; I wound up in Korea with an Army uniform on. I was glad to get back to this place after that stint and here I’ve been ever since.

Married the neighbor girl Bessie when I got back. Her dad wasn’t so sure that it would work out since she was 8 years younger than me and she intended to go off to the state college. We sure did prove him wrong; we celebrated our 50th anniversary the week before Bessie died. The ladies at the church had the hall all decorated up and we brought Bessie home from the hospital for the afternoon. She was bound and determined to live for that day; no way did she want her friends to go to that much work for her to not show up. I couldn’t believe it when the ladies had to prepare for the reception after we buried Bessie in that same hall one week later. We had such a good life together. That was 10 years ago.

I don’t do much of the farm work anymore. Our son Jon takes care of the crops and the few animals we have. I still go out to the hen house every morning to collect the eggs. I’m a little stiff in the morning, but I get loosened up enough to walk out to gather some fresh eggs to go with my bacon for breakfast. I get in to town at least once a week; on Monday morning me and my buddies meet at the VFW for our coffee and donut break. I get caught up on all the town gossip and we laugh and bellyache about what’s going on in the world.

Three weeks ago I celebrated my 80th birthday. My daughter in law, Judy, organized a big “to do” at the church after the Sunday service with cake and ice cream and all the fixins’ for my party. I had a big piece of cake but skipped the ice cream. Doc Baker was there and I knew he would scold me about too much sugar. Six months ago he told me I had diabetes and I started taking a pill for it, but a few weeks ago he put me on insulin. I figure I should be able to eat what I want; come on, I’m not going to live forever, and it was my favorite cake, German chocolate. I ate it in the kitchen so the Doc wouldn’t see me; wouldn’t you know, his office nurse Helen came in the kitchen with a load of dishes just as I was putting the last bite in my mouth. She just winked at me and smiled.

After the party I went out to the mall with Jon and the grandkids. I’m not one for shopping much, but I needed a new ink cartridge for my printer and the computer store is the one place I like to look around in. Too bad we parked clear on the other end of the mall so the kids could go by their favorite stores for Grandpa to buy them a little something. Jon got real mad at me when I asked if I could sit and rest for a while, so I just kept walking. I guess my new shoes were a little tight; I didn’t feel anything but when I got home there was some blood on my sock, and then I saw a sore on my big toe. It must not be too bad since it’s not hurting except when I try to put my shoes on.

I showed the sore to Jon and Judy the other day and Judy said she would call the doctor to see what she should put on it. Jon gets so irritated when I need extra help; I hope I can just continue to soak my foot in hot water to clean it out. Judy was a nursing assistant out at the old folk’s home for many years; I’m hoping she will be able to help me with this. I like the idea of the home nurses coming out here as long as my VA benefits pay for it. That way they can see that I’m doing just fine living here on my own.

I was searching on the Internet for the best way to treat this sore; there are so many sites that talk about foot sores if you’re a diabetic. Some of those pictures are pretty scary; I can’t sleep at night thinking about what could happen if this doesn’t heal. Of course I haven’t slept through the night for years. Even the couple of beers I have at night when I’m on the computer don’t seem to be helping anymore. Judy sometimes gives the kids Benadryl to help them sleep so I’ve been taking a couple when I go to bed; they seem to help me sleep a little better.

As a matter of fact, I need to wrap this up now. I promised Jack, my grandson in college, that I’d Skype him in a few minutes. He just started the agronomy program at the university. I love to hear about what he’s learning and give him encouragement to come back to the farm.

Case Study Questions:

  1. How might his diagnoses impact his current quality of life?
  2. What is the pertinent medical history for this client?
  3. Discuss what you know about access to health care in the aging population. Describe how this patient compares to the information you listed.
  4. For the main medical concern, what are special considerations for the geriatric population regarding treatment of this illness or condition?
  5. What do you think would be the top priority nursing diagnosis related to his physical health for the care of this individual? Please write out the whole diagnosis and provide rationale as to why it is a priority.
  6. Describe the client’s current living situation. What about this situation is pertinent to the client’s current state of health?
  7. What is the social support system of this client? Does it seem to be sufficient, or would additional resources be needed? Provide your rationale for either answer.
  8. What psychosocial nursing diagnosis would you consider to be the top priority for this patient? Write out the entire diagnosis and provide your rationale for why this is the top priority.
  9. State one social concern this client is facing. Is this a common social concern among the aging population?
  10. What community resources would you recommend to help meet the needs of this client?

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Week 2: Discussion 1 and 2 04/06/2017

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This assignment must be complete by April 06, 2017 at 8 PM PST. I have attached three files to enable you to complete it correctly on time. 

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Delta Company purchased all of the voting stock of Alpha Company on January 1, 19×2, for $400,000.Delta Company uses the cost method of accounting…

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Delta Company purchased all of the voting stock of Alpha Company on January 1, 19×2, for $400,000.Delta Company uses the cost method of accounting for its investment in Alpha Company. At the date of acquisition, the book values of all Alpha Company assets and liabilities were exactly equal to their fair market values, with the exception of Plant Assets which were undervalued $40,000. Any goodwill is to be amortized over the maximum period permissible. All depreciable assets on both sets of records are being depreciated uniformly over a 20-year period beginning on January 1, 19×2, with noestimated salvage value.During 19×2 Alpha Company had a loss of $20,000 and paid no dividends. During 19×2 and 19×3, Alpha Company sold merchandise to Delta Company at a markup of 25% of cost. The amounts charged Delta Company by Alpha Company were $60,000 and $80,000, respectively. At the end of 19×2, Delta Company’s ending inventory, all sold in 19×3, included goods valued at $25,000 which were aquired
 from Alpha Company, and at the end of 19×3 the corresponding figure was $20,000.Delta Company acquired $100,000, 8%, Alpha Company bonds on January 1, 19×2, shortly after the stock was purchased.At that time the market value of the bonds was equal to par. Interest is paid annually on December 31.
Complete the accompanying consolidating work sheet,using trial balances for 19×3. Include notes to explain the entries.
DELTA COMPANY
Consolidating Work Sheet
December 31, 19×3
Account Title Delta Company Alpha Company
Inventory $ 200,000 $ 50,000
Other Current Assets 400,000 200,000
Plant Assets (Net) 1,000,000 400,000
Investment in Alpha
Company 400,000
Investment in Alpha Bonds 100,000
Cost of Goods Sold 4,000,000 800,000
Depreciation Expense 200,000 50,000
Interest Expense 40,000
Other Expense 600,000 80,000
Current Liabilities (300,000)
Bonds Payable (500,000)
Sales (5,500,000) (980,000)
Interest Income (8,000)
Paid-in Capital-Delta (100,000)
Paid-in Capital-Alpha ( 40,000)
Retained Earnings-Delta (992,000)
Retained Earnings-Alpha (100,000)
0 0
2. (10 points) If a parent company uses the equity method
of accounting for its investment in a subsidiary rather
than the cost method, what effect will this have on the final
figures of the consolidated financial statements?
Why?
2

 

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Response to the Discussion Questions

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provide an original response to the discussions, just four to five sentences each discussions questions.

1- Kinesio tape – what’s up with that? – Kinesiology tape has been around for more than 4 decades, but its use has grown since the 2008 Beijing Olympics, perhaps thanks to its application to American beach volleyball athletes utilizing the tape. What do the several manufacturers of this tape claim are the benefits of the tape? How strong is the evidence to support these claims?

2- Concussion in sport – Concussions have become a topic of great interest in recent years, especially in the context of amateur and professional sports. Do some research so that you can discuss the following:

What exactly IS a concussion? What are the symptoms of a concussion?

What are the short- and long-term health concerns for a patient who has suffered a concussion?

Do the symptoms or effects vary with the age of the patient (children vs. adolescents vs. adults)?

Do some sports have higher incidence rates of concussion in participants?

Finally, given your informed opinion, what advice would you give a parent who was concerned about their daughter or son playing popular American sports like football, soccer, or hockey?

3- Hearing loss – There are two general types of hearing loss: sensory neural and obstructive (e.g., ear-wax build up). What simple clinical tests can be done to differentiate between these types? Furthermore, how can the results be explained anatomically and physiologically?

And After that I need you to write reflection on this discussions statement.

1- I am an athletic training student and we use tapes like this on our athletes. The form of tape that is most common is KT Tape. On their website they claim that their tape lifts the skin, allowing greater movement of fluid throughout the body. Its meant to relieve pain while supporting muscles, tendons, and ligaments. Another form of tape is Kinesio Tape, and they claim that it supports muscles and rehabilitation. The evidence behind the taping is sort of lacking. There is no scientific proof to it actually working. It differs by case and peoples opinion.

2- A muscular dystrophy is a group of diseases that cause progressive weakness and loss of muscle mass. In muscular dystrophy, abnormal genes (mutations) interfere with the production of proteins needed to form healthy muscle, There are many different kinds of muscular dystrophy. Symptoms of the most common variety begin in childhood, mostly in boys. Other types don’t surface until adulthood, There’s no cure for muscular dystrophy. But medications and therapy can help manage symptoms and slow the course of the disease, Symptoms

The main sign of muscular dystrophy is progressive muscle weakness Specific signs and symptoms begin at different ages and in different muscle groups, depending on the type of muscular dystrophy, Duchenne type muscular dystrophy This is the most common form of muscular dystrophy. Although girls can be carriers and mildly affected, it’s much more common in boys About one-third of boys with Duchenne muscular dystrophy (DMD) don’t have a family history of the disease, possibly because the gene involved may be subject to sudden abnormal change (spontaneous mutation) Signs and symptoms typically appear in early childhood and may include:

Frequent falls Difficulty rising from a lying or sitting up position

Trouble running and jumping, Waddling gait, Walking on the toes

Large calf muscles, Muscle pain, and stiffness, Learning disabilities

Becker muscular dystrophy, Signs and symptoms are similar to those of Duchenne muscular dystrophy but tend to be milder and progress more slowly. Symptoms generally begin in the teens but may not occur until the mid-20s or even later.

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