What are come funding resources and partnerships Brooklyn, New York has for their community

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Question Answered step-by-step What are come funding resources and partnerships Brooklyn, New York has for their community Health Science Science Nursing NRS 427VN Share QuestionEmailCopy link Comments (0)

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CHAPTER1Introduction to Maternity and Pediatric Compare the roles of the licensed practical/vocational nurse (LPN/ LVN), registered nurse (RN), nurse...
Question Answered step-by-step It's Just Stress, Right? A Case Study on the Endocrine System Ellie... It's Just Stress, Right? A Case Study on the Endocrine System Ellie dropped her backpack beside the chair in Dr. Kern's office and sat down with a sigh. Her hands trembled   as she glanced again at the graded exam in her hand. "It's no better than the last one," she mumbled. "I really, really tried this time, Dr. Kern. I did all the reading assignments before and again after class. I completed all of the study guide questions and rewrote my notes and made flash cards and studied with straight-A Cassie every week. But it didn't make any difference. I still failed it." She sniffled loudly and reached for the box of tissues on Dr. Kern's desk.  Dr. Kern sat back and thought for a moment while Ellie made use of several tissues. Ellie was a junior in Dr. Kern's physiology course and had struggled from the start of the semester. One-on-one help sessions and different study strategies hadn't seemed to help. "I know how discouraged you must be, Ellie. Tell me again  what you do when you sit down to study." "I read and review my class notes and reread the assigned sections in the book. But for some reason I can't concentrate on much of anything for very long and, even when I can, I don't remember what I've studied by the next day. It's so frustrating to spend so much time studying and not retain anything. If I fail this class, my GPA might drop enough that I'll lose my scholarships. I'm so stressed that I can't sleep, even when I try." Ellie broke off, and Dr. Kern gently tried to encourage her. "Let's not give up hope yet. Sometimes you have  to use new study methods for a while until you start to see some benefits. Let's also take a look at your exam  and see if there's a pattern in the questions you missed." Ellie sniffled again. "OK, but I'm not very hopeful. I've been thinking about changing my major. All these   upper-level courses seem so hard ... there's so much to learn in such a short time and I just don't seem to get it even though everyone else does. I can't stand the stress anymore." "Perhaps talking this over with your parents or a trusted friend would help," Dr. Kern suggested. She noted Ellie's strikingly large blue eyes that gave her a permanent look of surprise. Ellie was also quite thin, almost to the point of being too thin. Dr. Kern paused and chose her words with care. "I also know there are terrific folks over at the health center who are experts in how to deal with stress." Ellie gave a small, noncommittal smile and pushed a shaking hand through her hair. "Tanks, I'll think  about it. See you in class on Monday." However, Ellie didn't come to class on Monday or Wednesday. She emailed Dr. Kern that she most likely had a sinus infection and would miss class on Friday to see a doctor. Dr. Kern shook her head at Ellie's misfortune; missing a week of class was not going to make it any easier for Ellie to pull up her grade.   Questions . Note anything unusual about Ellie's behavior or appearance.  . What do you think might be going on with Ellie that could cause her difficulties? Consider both physical and psychological causes.   Page  Part II - Health Center Ellie sat in a small exam room of the student health center, feverish and with a throbbing headache. A sinus infection right before midterms was not what she needed. Dr. Simmons entered in a rush and took a quick look at her chart. "Hmm ... fever, headache, green nasal discharge that you've had for two weeks. Sounds like your sinuses have been invaded by something nasty. Does this hurt?" He pressed his thumbs on Ellie's cheeks, which nearly sent her through the ceiling. "Yep. Let's try some antibiotics to clear that up." He reached for his prescription pad, but stopped and glanced at Ellie's face again. "Your eyes protrude a bit. Have they always been that way?" He turned her face to look at her profile and frowned slightly.  Ellie had no idea what her eyes had to do with her sinus infection. "I haven't noticed. But I've been so stressed lately that I don't notice a lot of things." She paused and then continued, "My little brother did start calling me 'Bug Eyes' this summer, but he's just an annoying -year-old." Dr. Simmons nodded and then gently palpated her neck. He looked at her chart again. "Your blood pressure and pulse are elevated. Your fever might account for that, but there could be something else going on here." Ellie felt a small knot form in her stomach. Tis was supposed to be a simple sinus infection, nothing more.  Dr. Simmons began to fire questions at her. Did she have trouble sleeping? Did she often feel nervous or  "jittery"? Had she lost weight recently? Did she often feel like the room was too warm? Did she have frequent bowel movements or diarrhea? Ellie's head spun. "Uh, y-yeah, but I'm just stressed, you know, with classes. Aren't all those things just signs of stress?" "Tey certainly can result from stress, and I see a lot of students where that is the case. However, there is a  slight swelling in the front of your neck. Tat combined with your other symptoms suggests that perhaps  your thyroid gland isn't functioning quite the way it should. I'd like to take a look before we assume your symptoms are all due to stress. Let's start with some simple blood tests and see what we fi nd."He scribbled a lab order and smiled kindly. Ellie grabbed the papers and left, feeling worse than when she first came in.    Questions . Where is the thyroid gland located? . List the hormones secreted by the thyroid and describe their general actions. . Protrusion of the eyes is called exophthalmos. How is it related to thyroid dysfunction? What causes it? . What is the significance of the slight swelling in Ellie's neck?  . Based on the information you have at this point, do you think Ellie's thyroid gland is hyperactive or hypoactive? Explain your answer. . Dr. Simmons ordered blood tests to measure Ellie's levels of thyroid hormone and thyroid-stimulating hormone (TSH or thyrotropin). If Ellie has a hyperactive thyroid, what are the expected results? What are the anticipated results if she has a hypoactive thyroid?     Health Science Science Nursing BIO MISC Share QuestionEmailCopy link Comments (0)
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