A dental hygienist is reviewing the medical history of a ped…

A dental hygienist is reviewing the medical history of a pediatric patient who has a history of recurrent infections, a congenital heart defect, and developmental delays. The patient also presents with abnormalities involving the palate. The healthcare provider explains that the patient’s condition is associated with a chromosomal deletion. Which chromosomal defect is most closely associated with this patient’s condition?

Kayla is a L hand dominant 68yo F who you are evaluating in…

Kayla is a L hand dominant 68yo F who you are evaluating in acute care after an elective L TSA. She reports she was independent at PLOF without AE and was very active, still swimming 3-4 days/wk. She lives in a one-story home with one step to enter and has a walk-in shower with a shower seat and a grab bar. She states her wife has taken off work for 2 weeks to be with her 24/7 as needed. Her wife can complete all IADLs and then work from home for up to a month during which time her work schedule can be flexible. During the evaluation, Kayla requires CGA for functional transfers (to a recliner chair and to/from a toilet) and min cues for NWB LUE. She is able to walk with a cane with SBA and can complete up to three stairs with CGA. She requires maxA for UB dressing but her wife was present for training and was able to complete UB dressing for Kayla with occasional verbal cues after practicing. Kayla also has difficulty with thorough pericare as she is L handed, but her wife ok assisting until Kayla is able to learn how to complete pericare with her L hand. Of the following options, what is the most appropriate discharge setting recommendation based on this information?

You receive an order in acute care to evaluate James, a 78yo…

You receive an order in acute care to evaluate James, a 78yo M who just had an elective L THA. He states he lives with his wife who can complete IADLs. However she is 76yo and unable to provide much physical assistance. James reports his adult children can alternate helping 24/7 with ADLs and IADLs for at least two weeks and then he can afford to pay for assistance as needed for a few more weeks. James has a two-story home (main bed and bath on 2nd floor, half bath and guest bedroom on ground level, no steps to enter — just a threshold). He was independent without AE at PLOF with all ADLs and IADLs. During the evaluation he requires CGA + RW for balance for functional mobility. James could climb one step with minA and assistance to manage the RW but managing stairs multiple times a day would be extremely tiring. James requires CGA for sit to stand and or a toilet transfer. He has difficulty managing clothing so he requires minA for toileting. For LB dressing he requires minA for pulling up pants/underwear over hips and mod cues for use of AE. He is able to maintain balance with RW while someone else pulls his underwear/pants up over his hips. Of the following options, what is the most appropriate discharge setting recommendation?