Morrissey v Brewer- inmates have the right to an institutional disciplinary hearing, written advance notice of the hearing and its purpose (habeas corpus right), to present evidence/witnesses/testify in their own behalf at the hearing, and a formal ruling is to be placed in their file.
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Which president was responsible for the War on Drugs?
Which president was responsible for the War on Drugs?
Define sentence enhancements? Should be short, concise, and…
Define sentence enhancements? Should be short, concise, and to the point answer.
You are asked to evaluate a 76-year-old male patient who pre…
You are asked to evaluate a 76-year-old male patient who presents complaining of urinary incontinence. The patient states that he is experiencing urinary frequency, nocturia, decreased force of the urinary stream, and urinary dribbling after voiding. A post-void residual (PVR) determination reveals that approximately 240cc of urine remains in the bladder after voiding. Based on this information, which of the following conditions is the most likely underlying cause for this patient’s symptoms?
While working on a short-term rehabilitation unit, you are a…
While working on a short-term rehabilitation unit, you are asked to evaluate an 82-year-old female who was recently hospitalized for pneumonia. PMH is significant for HTN, Type II DM, coronary artery disease, and heart failure. The patient is admitted to the rehabilitation unit with evidence of functional decline, weight loss, difficulty swallowing, and depression. Recent mini nutritional assessment (MNA) score is consistent with malnourishment. Which of the following antidepressant medications has proven effective in treating geriatric depression accompanied by weight loss and would be reasonable to initiate in this patient?
Patient is an 84-year-old female who presents with a three-w…
Patient is an 84-year-old female who presents with a three-week history of memory disturbances. She has a history of HTN and hydrochlorothiazide was recently prescribed. Otherwise, she is healthy and does not take any other medications. She also reports no nausea, vomiting, or diarrhea, and the rest of her review of symptoms is negative. HR: 100/min; BP (supine): 110/70; BP (standing) decreases to 90/60; RR: 12/min The physical examination reveals an elderly female in no acute distress. She is fully alert and oriented. The patient has dry mucous membranes and poor skin turgor. The rest of her examination is unremarkable. Lab data reveal Na 125 mEq/L (↓), K of 3.4 mEq/L (↓), serum osmolality of 270 mOsm/kg (↓), urine Na 23 mEq/L (↑), BUN 48 mg/dL (↑), and creatinine 1.2mg/dL (BUN/cr ratio = 40). Which of the following conditions is the most likely cause of the hyponatremia?
An 82-year-old woman with PMH of dementia, currently residin…
An 82-year-old woman with PMH of dementia, currently residing in a skilled nursing facility, presents for evaluation of recent-onset fatigue, loss of interest in daily activities, lack of motivation, worsening short-term memory loss, and crying episodes, which have been noted over the past month. The nursing home staff have documented that the patient has also recently stopped wanting to eat, and has even been found trying to leave the dining room early and return to her room during meal times. When questioned by the staff, she indicates that she finished eating, but she clearly has eaten very little. The nursing home staff is not aware of any recent significant psychosocial stressors that could be contributing to these symptoms. Based on this information, which of the following conditions is the most likely diagnosis for this patient?
A Medical Order for Life Sustaining Treatment (MOLST) form i…
A Medical Order for Life Sustaining Treatment (MOLST) form is intended to convey the patient’s wishes regarding cardiopulmonary resuscitation (CPR) and other life-sustaining treatment in which of the following situations?
A 76-year-old female present for evaluation of excessive fat…
A 76-year-old female present for evaluation of excessive fatigue during the day, and the need for frequent afternoon naps. She has a long history of insomnia symptoms and admits to taking “sleeping medicine” for fifty years. Her daytime fatigue is a new symptom. An age-related increase in which of the following parameters may account for a prolongation in the metabolism of the sleep medication prescribed for this patient?
An 80-year-old male is a current patient of yours and comes…
An 80-year-old male is a current patient of yours and comes to the clinic for evaluation of depressed mood, insomnia, and difficulty dealing with the loss of his daughter who died of cancer. You already have him on antidepressant medication and now you want to consider an adjunct treatment that will address this patient’s specific situation. Which of the following interventions would be most appropriate for this patient?