Setting: large urban cityFamily practice clinic which employs physicia

Setting: large urban cityFamily practice clinic which employs physicians and nurse practitioners.Today is another busy in your family practice clinic. You note your next visit is a 2fer. This means you have two patients to see in this visit. You ask your medical assistant to tell you why they are here. Your medical assistant tells you the patients are daughter and father. The daughter has burning with urination and the dad came along for the visit because he has some back pain. You review the chart before entering the room to familiarize yourself with these patients.When you enter the room you note a Caucasian woman who appears to be about 40 years old. She is well groomed and appropriately dressed for the weather. She is sitting in the chair. The man is well groomed, appears to be about 70 years old, and is sitting on the exam table leaning forward. You introduce yourself as you always do and ask what brings them to the clinic today.MaryHPIReports burning with urination and feeling very itchy and uncomfortable in that area.PMHAge 44. No chronic illness or injuries. Recently treated for strep throat with a 10 day course of penicillin. Completed 1 day ago. Hospitalized x 2 for childbirth, no surgeries. NKDA. Drinks alcohol socially, denies tobacco or illicit drug use. Sleeps 6-7 hours/night. No current medications. Takes a daily multivitamin and a B complex vitamin.Social historyMary is married with four children ages 4-9. She works full time. Marys parents Katie and John also live in the home. Both are retired and help with childcare and household needs since both parents work full time. Her husband and father both smoke but not in the house.Family historyMary has 2 siblings who are in good health. Mother has a history of HTN, hyperlipidemia and osteopenia. Father has HTN and hyperlipidemia. They share their home with 2 dogs and a cat.JohnHPIStates he has had some back pain for three days that has not gotten better. He has taken Tylenol three times per day and though it takes the edge off it has not helped much and the pain is still there.PMHAge 75. Has HTN and hyperlipidemia. No previous injuries. No hospitalizations or surgeries. Takes Lipitor 40 mg daily and Lisinopril/HCTZ 20, 12.5 daily. Allergic to Bactrim. Sleeps 6-7 hours a night.SocialBorn in Ireland, has lived in America for 45 years. Lives with his wife in his daughter and son in laws home. Retired carpenter. Helps with the kids by taking them to school and after school activities. Enjoys gardening and fixing things around the house. Drinks ETOH on the weekends and smokes 1 pack a day. Denies other drug use.FMHParents lived until their 80s. Has 13 siblings, most are alive. One brother died suddenly of a heart attack age 45 and lost a sister at age 4 to consumption. No family health problems except for high blood pressure when they get older.Discussion part one:What further questions do you have forMary at this visit? Use OLDCARTS to guide your questions. Link the questions to your differential diagnoses.What is your differential diagnosis list with ICD 10 for this visit thus far? Each differential diagnosis should include a one sentence pathophysiology statement supported by the literature. List the patients signs and symptoms and include a rationale statement that explains how the diagnosis is appropriate for your patient.Based on your differential diagnoses list, what focused PE would you perform? What labs or diagnostic tests, if any, would you order?What further questions do you have forJohn at this visit? Use OLDCARTS to guide your questions. Link the questions to your differential diagnoses.What is your differential diagnosis list with ICD 10 for this visit thus far? Each differential diagnosis should include a one sentence pathophysiology statement supported by the literature. List the patients signs and symptoms and include a rationale statement that explains how the diagnosis is appropriate for your patient.Based on your differential diagnoses list, what focused PE would you perform? What labs or diagnostic tests, if any, would you order?Week 5: Discussion Part Two77 unread replies.3434 replies.Before proceeding with some delicate questioning about Marys condition you ask if she is comfortable discussing her condition in front of her father. Mary states she does not mind and continues the interview.MaryInterview: Her last menstrual period (LMP) was two weeks ago.No reports of headache or vision changes. No fever, chills, nausea or vomiting. No ear pain. No reports of nasal congestion, or discharge No report of wheezing or shortness of breath. No reports of chest pain, palpitation, dizziness or enlarged lymph nodes. No reports of heartburn, or indigestion. Reports vulvar itching and burning with urination x 2 days. No reports of incontinence. No back pain. Feels not right. Is sexually active, denies dyspareunia. Has tried drinking more water, Monistat cream and cranberry pills. Nothing has really seemed to work, nothing makes it feel better.VSHeight: 64 inches, weight 149 pounds BP 128/72, T 101.2, P 100, regular and R 14.Focused examGeneral: Alert, oriented and cooperative. Cardiopulmonary: Heart S1 and S2 noted, RRR, no murmurs, noted. Lungs clear to auscultation bilaterally. Respirations unlabored. Abdomen soft, slight tenderness noted over suprapubic region, bowel sounds auscultated in all four quadrants fields. No organomegaly noted. No CVAT.Labs: Urine dip: + leukocyte esterase. Small. Positive nitrites. Small blood. Trace protein, pH 7.0 specific gravity 1.020, negative ketones, and negative glucose. Urine HCG negative. Based on reports of vulvar itching you perform a pelvic exam. Vulva with erythema and excoriation noted, most likely due to scratching. Urethra without swelling or discharge noted. Bartholin glands nontender, no enlargement bilaterally. Thick white curdy discharge noted in vagina, vaginal walls, erythema noted. Cervix pink, midline, smooth without excoriation, parous os, secretions cloudy, thick, stringy without odor. Bimanual exam: no pain with cervical palpation, uterus and ovaries not enlarged. Wet prep: negative clue cells, positive hyphae. pH 4.0 Whiff negativeJohnNo fever, chills, nausea or vomiting. No ear pain. No reports of nasal congestion, or discharge No report of wheezing or shortness of breath. No reports of chest pain, palpitation, dizziness or enlarged lymph nodes. No reports of heartburn, or indigestion. Stated he has not had this back pain problem in the past, he does not remember an injury. It is difficult to stand up straight. Pain is in left lower back, no radiation. Pain is worse with standing and bending over. Pain is less when sitting. No reports of trouble with his bladder or bowels.VSHeight 5 feet 7 inches weight 195 pounds T 98.4, BP 150/84, P 90, R 20.Focused examGeneral: Alert, oriented and cooperative. Cardiopulmonary: Heart S1 and S2 noted, RRR, no murmurs, noted. Lungs clear to auscultation bilaterally. Respirations unlabored. Back: skin intact, warm and dry, no petecchiae, lesions or masses noted. Patellar reflexes brisk bilaterally. Normal spinal curvature. Tenderness noted upon palpation of left side lateral to lumbar spine. Straight leg raise is negative bilaterally. ROM: Unable to touch his toes, flexion is about 45 degrees. Gait is slow and appears unable to stand up straight, he is leaning forward slightly when walking.Discussion Part TwoSummarize the history and results of the physical exam for each patient in a separate SOAP note for each case study patient.Calculate the BMI for each patient.List the primary diagnosis with ICD10 code. Include your rationale for choosing the primary diagnosis. The diagnostic rationale in the assessment section should include your patients symptoms, exam findings and the interpretation of all presented lab findings. Include one evidence-based journal article or clinical guideline that supports your rationale for each patient. Develop a complete evidence-based treatment (EBP) plan for each patient that includes medications, any additional diagnostic tests, patient education, possible referrals, and a plan for follow up with you, the PCP. Each step of the plan must include an in-text citation to an approved reference as listed on the Reference Guidelines document. The guidelines for SOAP note documentation is located under Course Resources and can assist you in writing this post and your SOAP note.

Setting: large urban city family practice clinic which employs physici

Setting: large urban city family practice clinic which employs physicians and nurse practitioners.Your next room has 2 charts in the box. It is the mother and son of a family that you know well. You review the chart before entering the room to familiarize yourself with these patients. Both present today with complaints of fatigue.When you enter the room you see a woman who appears her stated age sitting in the chair and a boy who looks about 10 years old sitting on the exam table. You introduce yourself as you always do and ask what brings them both in to see you today.Mary states, We have both been usually tired. I have noticed Michael has not been himself for a few weeks, maybe more. He had a cold like rest of the family had but he just seemed to have it worse. He seems to have no energy, is never hungry anymore and has lost some weight. He seems to be always thirsty and he actually wet the bed last week. He has been sleeping more but I thought maybe he was growingMary states I have not felt like I had any energy since I got that cold about 6 weeks ago. I am always tired and my eyes are always puffy. I know I have a really busy life but I am more tired than usual. I come home from work and I just want to go to bed. Im cold all the time and I seem to be having more headaches tooMichael:PMHMother reports general health as good: no childhood or chronic illnesses. Surgeries: none. Hospitalizations: none. Immunizations: UTD: allergies: Penicillin, gets a rash no ETOH, tobacco, illicit drugs. Sleeping 8-10 hours a night. Medications: daily multivitaminSocial HistoryGood student, oldest of four children. Lives with parents, grandparents and siblings. Have 2 dogs and a cat.Family HistoryParents and siblings are in good health,MGM: HTN and hyperlipidemia. MGF: HTN and hyperlipidemia. Paternal grandparents deceased: PGM: brain Ca, PGF: leukemiaMaryPMHReports overall good health. Denied past illness or injuries. Hospitalized x 2 for childbirth, no surgeries. NKDA. Drinks alcohol socially, denies tobacco or illicit drug use. Sleeps 6-7 hours/night. No current medications. Takes a daily multivitamin and a B complex vitamin.SocialMarried, high school graduate, works full time at a local business in the ordering department. Lives with husband, children and parents. Husband and father both smoke but not in the house.FamilyMary has 2 siblings who are in good health.&; Mother has HTN and hyperlipidemia. Father has HTN and hyperlipidemia.Discussion Part One:What further questions do you have forMichael or his mother at this visit? Use OLDCARTS to guide your questions. Link the questions to your differential diagnoses.What is your differential diagnosis list with ICD 10 for this visit thus far? Each differential diagnosis should include a one sentence pathophysiology statement supported by the literature. List the patients signs and symptoms and include a rationale statement that explains how the diagnosis is appropriate for your patient.Based on your differential diagnoses list, what focused PE would you perform? What labs or diagnostic tests, if any, would you order?What further questions do you have forMary at this visit?&; Use OLDCARTS to guide your questions. Link the questions to your differential diagnoses.What is your differential diagnosis list with ICD 10 for this visit thus far? Each differential diagnosis should include a one sentence pathophysiology statement supported by the literature. List the patients signs and symptoms and include a rationale statement that explains how the diagnosis is appropriate for your patient.Based on your differential diagnoses list, what focused PE would you perform? What labs or diagnostic tests, if any, would you order?

Michael:With furthering questioning of Mom you find that Michael has n

Michael:With furthering questioning of Mom you find that Michael has not wanted to play outdoors. He says he cant keep up with the other kids in gym class. He says he gets dizzy sometimes too.PEVSHeight: 48 inches weight 78 pounds BP 110/70 T 98.2 P 65 R 16.GeneralCaucasian male child, appears stated age, Alert and cooperative, appears tired and distracted. Skin: color is pale pink, no cyanosis or pallor. Skin cool, dry and intact. Poor turgor. No moles or skin changes. HEENT: head normocephalic. Hair thick and distribution even throughout scalp. Eyes: Sclera clear. Conjunctiva: white, PERRLA, EOMs intact. Ears: Tympanic membranes gray and intact with light reflex noted. Pinna and tragus nontender Nose: Nares patent without exudate. Sinuses nontender to palpation.Throat: Oropharynx dry, no lesions or exudate. Tonsils bilaterally. Teeth in good repair, no cavities noted. Neck supple. No cervical lymphadenopathy or tenderness noted. Thyroid midline, small and firm without palpable masses. Lungs: Lungs clear to auscultation bilaterally. Respirations unlabored.CV: Heart S1 and S2 noted, RRR, no murmurs, noted. PMI at 5th ICS. Peripheral pulses equally bilaterally. Abdomen: Abdomen round, soft, with hypoactive bowel sounds noted. No organomegaly noted. MS: reflexes WNL. Gait steady.LabsCBC:WBC 7, Hgb 14 Hct 40 RBC 4.3 MCV 78 MCHC 34 RDW 11.5Fasting glucose 136 mg/dLTSH: 2.6 mIU/L free T4 15 pmol/LMaryWith further questioning Mary reports feeling more short of breath when doing regular activities, finding it harder to keep up with the kids. Her appetite is less and she is finding it harder to concentrate. At times she feels lightheaded. She says her periods have been heavier since she had her twins but there has been no increased flow or irregular bleeding. LMP was one week ago and lasted four days.VSHeight: 64 inches, weight 155 pounds BP 115/86 T 99.0 P 62 R 16GeneralCaucasian female, appears stated age. Alert, oriented and cooperative. Gait normal. Skin: Skin warm, dry and intact, color is pale pink, no cyanosis or pallor. HEENT: head normocephalic. Hair thick and distribution even throughout scalp. Eyes: .Sclera clear. Conjunctiva: white, PERRLA, EOMs intact. Slight periorbital edema noted. Ears: Tympanic membranes gray and intact with light reflex noted. Pinna and tragus nontender Nose: Nares patent without exudate. Sinuses nontender to palpation. Throat: Oropharynx moist, no lesions or exudate. Tonsils bilaterally. Teeth in good repair, no cavities noted. Tongue noted to have teeth indentations around the edges. Neck supple. No cervical lymphadenopathy or tenderness noted. Thyroid midline, small and firm without palpable masses. Lungs: Lungs clear to auscultation bilaterally. Respirations unlabored.CV: Heart S1 and S2 noted, RRR, no murmurs, noted. Peripheral pulses equally bilaterally. Abdomen: Abdomen round, soft, with bowel sounds noted in all four quadrants. No organomegaly noted.Labs:CBC:WBC 8 Hgb 10.1 Hct33 RBC 3.2 MCV 74 MCHC 27.8 RDW 18.1TSH:6.5mIU/L antithyroid antibodies:1:1,800 Discussion part two:Summarize the history and results of the physical exam for each patient in a SOAP note for each case study patient. List the primary diagnosis with ICD 10 code. Include your rationale for choosing the primary diagnosis. The diagnostic rationale in the assessment section should include your patients symptoms, exam findings and the interpretation of all presented lab findings. Include one evidence-based journal article or clinical guideline that supports your rationale for each patient. Develop a complete evidence-based treatment plan for each patient that includes medications, any additional diagnostic tests, patient education, possible referrals, and a plan for follow up with you, the PCP. Each step of the plan must include an EBP citation. The guidelines for SOAP note documentation is located under Course Resources and can assist you in writing this post and your SOAP note.

Setting: large urban city family practice clinic which employs physici

Setting: large urban city family practice clinic which employs physicians and nurse practitioners.It is the end of a long day and you are ready to go home. Your last patient of the day is here with chief complaint of fatigue. You review the chart, you know this patient. You saw her last month. You wonder could fatigue be related her previous illness?You enter the room and see Katie sitting in the chair. She looks up at you as you enter the room and responds quietly to your greeting. You ask Katie what brings her in today.Katie states I had pneumonia last month and I have not gotten my energy back. I feel like I got somewhat better, my cough is gone but I didnt get my energy back. I just dont feel like doing anything now. Its hard to get up and get moving in the morning and I dont sleep very well now. I keep waking up about 4 AM every day and I cant get back to sleep. I try to go back to sleep but then I start thinking about all the things I need to do and being so tired and wanting to go back to sleep and then I cant get back to sleep. I have not been to Curves since I had pneumoniaPMHHad chicken pox, measles and rubella as a child. Katie has a history of osteopenia, HTN and hyperlipidemia. Takes a multivitamin, Evista 60 mg daily and HCTZ 25 mg daily. No reports of past injuries. Previous surgeries include a tonsillectomy and cholecystectomy. Hospitalized for surgeries and childbirth. Has seasonal allergies to pollen and reports hayfever in the fall. Takes Allegra when needed. NKDA. No alcohol or tobacco use. Up to date on vaccines. Received the pneumonia vaccine last week.SocialMarried to John for 45 years, they live with married daughter and her family. Takes care of the kids and home as Mary and her husband work. Her husband and son both smoke but not in the house.FamilyHer parents died of old age. Siblings are well with same HTN problems she has.Discussion part one:What further questions do you have for Katie at this visit??Use OLDCARTS to guide your questions. Link the questions to your differential diagnoses.What is your differential diagnosis list with ICD 10 for this visit thus far? Each differential diagnosis should include a one sentence pathophysiology statement supported by the literature. List the patients signs and symptoms and include a rationale statement that explains how the diagnosis is appropriate for your patient.Based on your differential diagnoses list, what focused PE would you perform? What labs or diagnostic tests would you order?

Week 8: Reflection on Achievement of OutcomesNo unread replies.1414 re

Week 8: Reflection on Achievement of OutcomesNo unread replies.1414 replies.Reflect back over the past eight weeks and describe how the achievement of the course outcomes in this course have prepared you to meet the MSN program outcome # 7 and the MSN Essential III and the NP Core Competency #4.Program Outcome # 7:Design Patient Centered care models and delivery systems using the best available scientific evidence. MSN Essential III: Quality Improvement and SafetyRecognizes that a masters-prepared nurse must be articulate in the methods, tools, performance measures, and standards related to quality, as well as prepared to apply quality principles within an organization.Nurse Practitioner Core Competencies#4Practice Inquiry Competencies 1. Provides leadership in the translation of new knowledge into practice.2. Generates knowledge from clinical practice to improve practice and patient outcomes.3. Applies clinical investigative skills to improve health outcomes.4. Leads practice inquiry, individually or in partnership with others.5. Disseminates evidence from inquiry to diverse audiences using multiple modalities.6. Analyzes clinical guidelines for individualized application into practice

BackgroundL.J. is a 65-year-old Hispanic male who presents to the offi

BackgroundL.J. is a 65-year-old Hispanic male who presents to the office with increased shortness of breath that has gotten worse over the last few months. He reports that having shortness of breath is nothing new, but he has recently started to feel shortness of breath when he is performing his daily activities. He denies any fever, contact with any sick individuals or any weight loss. Other than the shortness of breath, he indicates that he has a chronic cough that is occasionally productive of whitish sputum. He has a 65-pack-year history of cigarette smoking. He is in the clinic today because of his concern about his worsening shortness of breath.PMHL.J. has a history of hypertension, cataracts, and osteoarthritisCurrent MedicationsIbuprofen 600 mg po TIDLisinopril 20 mg po QDHydrochlorthiazide 25 mg po QDSimvastatin 20 mg po QDMeloxicam 7.5 mg QDSurgeriesLeft knee arthroplasty in 2013Allergies: No know allergiesSocial History: 65 pack year history of cigarette smoking; denies alcohol intake or illicit drug use; is married and recently retiredFamily history: Father has history of HTN; Mother has history of mild stroke; Brother has a history of hyperlipidemia.Discussion Questions Part One: Describe the patient symptoms that concern you on today’s visit. What other aspects of the patient history also concern you? Provide OLDCARTS and ROS questions needed to develop the differential diagnosis (DD) list. Provide a minimum of three differential diagnoses (DD) with rationale for each. Based on the patient data provided, choose two geriatric assessment tools that would be appropriate to use in conducting a thorough geriatric assessment. NOTE: one of the assessment tools must focus on assessing the patient’s respiratory status. Provide a rationale for why you are choosing these tools.

Physical ExamVital signs: BP 138/88; HR 88 (regular), RR 18, T 98.8 he

Physical ExamVital signs: BP 138/88; HR 88 (regular), RR 18, T 98.8 height 5’7 , weight 175 pounds General appearance: Thin and mildly dyspneicLungs: Mild end-expiratory wheezing. Pursed-lip breathing noted and has a prolonged expiratory phase. Heart: S1 and S2 RRR with distant heart tones. No murmursAbdomen: Soft, non-tender with positive bowel sounds. No abdominal bruitsExtremities: Full ROM of all extremities. No edema. All pulses 2+Labs/diagnostics: Chest x-ray shows pulmonary hyperinflation, flattening of the diaphragm; Pulmonary function test: Prebronchodilation: FEV1/FVC ratio 53%, FEV1 50% of predicted valuePostbronchodilation with 2 puffs albuterolFEV1/FVC ratio 0.60, FEV1 60% of predicted valueDiscussion Questions Part Two:Post your SOAP note for this patient’s encounter.Review the SOAP note format for the course. Summarize the history and results of the physical exam. Include one evidence-based journal article that supports your rationale for all diagnoses with ICD 10 codes and include a complete treatment plan that include medications, further diagnostics, patient education, referral and plan for follow-up. Each step of the plan must include an in-text citation to a scholarly source. Review the Reference Guidelines document in Course Resources.

B.J., a 70-year-old black female has been seen in the clinic several t

B.J., a 70-year-old black female has been seen in the clinic several times. The last time she was in for a check-up was 6 months ago to get her prescriptions refilled. She has returned to the clinic today because she ran out of blood pressure medicine and would like to get her prescriptions renewed. She has not taken any prescription medicine in approximately 6 monthsBackground:The patient indicates that she has noticed shortness of breath, especially when she is playing with her grandchildren. But, it goes away once she sits down to rest. She reports that she is also bothered by shortness of breath that wakes her up at night, but it resolves after sitting upright on 3 pillows. She also tells you that I noticed over the last week that my legs and ankles have been swollen. She also indicates that she often feels light headed and faint while going up the stairs, but it subsides after sitting down to rest.PMH:HypertensionPrevious history of MI in 2010Current medications: Coreg 6.25 mg PO BID Colace 100 mg PO BID K-dur 20 mEq PO QD Furosemide 40 mg PO QDSurgeries: 2010-Left Anterior Descending (LAD) cardiac stent placementAllergies: AmoxicillinVaccination History:She receives an annual flu shot. Last flu shot was this yearHas never had a Pneumovax Has not had a Td in over 20 yearsHas not had the herpes zoster vaccineOther:Last colorectal screening was 11 years agoLast mammogram was 5 years agoHas never had a DEXA/Bone Density TestLast dilated eye exam was 4 years agoLabs from last years visit: Hgb 12.2, Hct 37%, K+ 4.2,Na+140 Cholesterol 186, Triglycerides 188, HDL 37, LDL 190, TSH 3.7Blood pressure on day of visit: 150/90Social history:She graduated from high school, and thought about college, but got married right away and then had kids a short time later. Her son lives in another state,Family history:Both parents are deceased. Father died of a heart attack; mother died of natural causes. She had one brother who died of a heart attack 20 years ago at the age of 52.Habits:She drinks one 4-ounce glass of red wine daily. She is a former smoker that stopped 20 years ago.Discussion Part One: Summarize the important data from the patient’s history and reason for the visit today. Provide a minimum of three differential diagnoses (DD) with rationale for the chief complaint. Include OLDCARTS and additional ROS questions needed to develop DD. Based on the LDL level above, indicate if you need to order a statin for this patient? Provide a rationale for your decision based on evidence based clinical guidelines. What other patient risk factors put the patient at risk for arteriosclerotic coronary vascular disease (ASCVD)? Reference the guidelines in your response. Based on the patient data provided, choose two geriatric assessment tools that would be appropriate to use in conducting a thorough geriatric assessment. Provide a rationale on why you are choosing these particular tools.

Week 2: Discussion Part Two8 8 unread replies. 34 34 replies.Physical

Week 2: Discussion Part Two8 8 unread replies. 34 34 replies.Physical examination:Vital SignsHeight: 5 feet 2 inches Weight: 163 pounds BMI: 29.8 BP 150/86 T 98.0 po P 100 R 22, non-laboredHEENT: normocephalic, symmetric. Bilateral cataracts; PERRLA, EOMI; Upper and lower dentures in place a fitting well. No tinnitusNECK: Neck supple; non-palpable lymph nodes; no carotid bruits. Thyroid non-palpableLUNGS: inspiratory cracklesHEART: Normal S1 with S2 split during expiration. An S4 is noted at the apex; systolic murmur noted at the right upper sternal border without radiation to the carotids.ABDOMEN: Normal contour; active bowel sounds all four quadrants; no palpable masses.PV: Pulses are 2+ in upper extremities and 1+ in pedal pulses bilaterally. 2+ pitting edema to her knees noted bilaterallyGENITOURINARY: no CVA tenderness; not examinedMUSCULOSKELETAL: Heberdens nodes at the DIP joints of all fingers and crepitus of the bilateral knees on flexion and extension with tenderness to palpation medially at both knees. Kyphosis and gait slow, but steady.PSYCH: normal affect; her Mini-Cog Score is 3. Her PHQ-9 score is 22.SKIN: Sparse hair noted on lower legs and feet bilaterally with dry skin on her ankles and feet.Discussion Questions Part Two:Post your SOAP note for this patient’s encounter.Review the SOAP note format for the course. Summarize the history and results of the physical exam. Include one evidence-based journal article that supports your rationale for all diagnoses with ICD 10 codes and include a complete treatment plan that include medications, further diagnostics, patient education, referral and plan for follow-up. Each step of the plan must include an in-text citation to a scholarly source. Review the Reference Guidelines document in Course Resources.

QUESTIONSWatch online video clips from the documentary Unnatural Caus

QUESTIONSWatch online video clips from the documentary Unnatural Causes: Is Inequity Making Us Sick? Go to http://www.unnaturalcauses.org/video_clips.php use the dropdown next to Select Filter in the center of the page in order to watch the clips associated with each episode.Episode 5: Three ClipsEpisode 6: Three ClipsEpisode 7: Two ClipsBased upon ALL of the video clips you have watched over the last few weeks thoroughly answer each part of the following questions. Number your responses to correspond with each question e.g. 1a 1b 1c 2a 2b 3a 3b 4a 4b 4c.1. (a) Why do we typically think of health only in terms of health care and personal behaviors? (b) What are the sources of these messages? (c) Who benefits from them? Explain.2. (a) What social and economic conditions support and encourage healthy choices? (b) What social and economic structures affect health that have nothing to do with individual choices?3. When confronted with evidence of health inequities many people from United States respond that the outcomes are unfortunate but not necessarily unjust. (a) Define the term just . (b) Do you agree or disagree that the outcomes are not necessarily unjust? Explain why or why not.4. (a) What policies at the local state or federal level (e.g. education transportation employment etc.) might reduce social and economic inequities? (b) What would a more equitable society look like? (c) Who can make it happen?*Utilizing and citing at least two new academic sources investigate and expand upon all four questions. Your class textbook WILL NOT count as a new academic source; Use APA style; See Rubric.