Reference no: EM132602128
Assignment: Charlie Berger, a 58-year-old obese man, comes to a nurse practitioner because he has difficulty swallowing, heartburn, and occasional regurgitation. Answering his nurse practitioner's questions, Mr. Berger says that his symptoms worsen when he drinks coffee or alcohol.
Endoscopy reveals inflammation in his lower esophagus and poor closure of the lower esophageal sphincter. There is no evidence of esophageal narrowing or movement of the proximal stomach into the thorax.
The nurse practitioner diagnoses gastroesophageal reflux disease (GERD) and tells Mr. Berger to do the following:
Take proton-pump inhibitor drugs to reduce gastric acid.
Elevate the head of his bed.
Avoid eating large meals, especially near bedtime.
Enter a weight-loss program.
Reduce his use of caffeine and alcohol.
Answer the following questions about Mr. Berger and gastroesophageal reflux disease.
1. Why did his nurse practitioner tell Mr. Berger to elevate the head of his bed?
2. Why did his nurse practitioner suggest that Mr. Berger avoid eating large meals, especially near bedtime?
3. Why did his nurse practitioner check to see if Mr. Berger had movement of the proximal stomach into the thorax?
4. Are Mr. Berger's symptoms of dysphagia, heartburn, and regurgitation specific to GERD?
5. In addition to discomfort, what is a danger of untreated GERD?
6. What is the mechanism by which obesity contributes to GERD?
|
What amount of liability for coupon redemptions be recorded
: If the cereal bowls cost the company $3 each, what amount of liability for coupon redemptions must be recorded by the company
|
|
Calculate liverpool cash conversion cycle
: Assuming Liverpool holds negligible amounts of cash and marketable securities; calculate its total asset turnover and return on assets.
|
|
Mutually beneficial to both employer-prospective employee
: How could it be mutually beneficial to both an employer and a prospective employee when one approaches a job search in the same way as Bob?
|
|
Find the amount of interest expense that should be reported
: Assuming that Coral Equipment maintains its books on a calendar year basis, find the amount of interest expense that should be reported
|
|
What is the mechanism by which obesity contributes to gerd
: Charlie Berger, a 58-year-old obese man, comes to a nurse practitioner because he has difficulty swallowing, heartburn, and occasional regurgitation.
|
|
What are the expected npv and the standard deviation
: As a financial analyst, Other variables are unchanged. What are the expected NPV, the standard deviation, and the coefficient of variation?
|
|
Explain how you would handle the scenario in the future
: Reflecting on this experience, explain how you would handle this scenario in the future. Think about the challenges associated with communicating with patients.
|
|
Compute the income tax payable by Param
: Compute the income tax payable by Param for the year of assessment 2016, clearly indicating the reliefs (if any) to which he is entitled
|
|
Describe the impact of the policy or regulation you selected
: With evolving technology and continuous changes to regulations designed to keep up these changes, there is usually a need to share information and expertise to.
|