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56 y/o Caucasian male presents to the primary care clinic with complaints of dizziness and nausea x 4 days. The patient reports he has not been able to get out of bed since the symptoms started. The patient reports symptoms are worse when he tries to get out of bed to stand. He denies any headaches or blurry vision. He states he is urinating more over the last few days and he has noticed an increase in thirst. He reports he just drank a large sweet tea before he came into the clinic.

The patient reports that he is out of his Lantus and metformin because he cannot afford the refill until he gets his disability check. He is disabled after his second CVA that left him with generalized weakness. His medical history includes DM, HTN, CAD.

Upon arrival at the clinic, the patient’s vital signs are as follows- Blood sugar 405, B/P 190/101, HR 102, R-20, T- 98.5.

Using Evidence Based practice, answer the following questions thoroughly. Be sure to use APA formatting.

What are the pertinent positive and negative findings in this patient assessment?
Create a list of differentials with rationales for this patient?
Discuss a medication regimen for this patient considering his financial status?
What is the priority concern for this patient?
How does this patient’s comorbid diagnosis impact his current symptoms?
Discuss how the patient’s health beliefs, culture and behaviors impact the potential outcomes for the patient.

Sample Solution

provide the best information for assessments of the amounts, timing and uncertainty of cash flows to the business from each alternative course of action available to the business.

The purpose of management accounting involves identifying the types of decision needed in management accounting in order to provide useful information for managers.

The main types of decision include:

  • Output decision-These are decisions on what types of goods or services should be supplied, at what prices and in what quantities.
  • Input decision-These are decisions on how the outputs should be produced, i.e. the allocation of quantities used in raw materials, labour etc.

I think that these two types of decisions are inter-connected, because the cost of resources to produce goods and provide services is relevant to decisions on the best production output and best pricing strategy required.

The framework for managerial planning, decision-making and control process incorporates seven stages, and this is illustrated by a flow chart.

Stage 1 Identify goals of organization

Stage 2 Collect and analyse data about Alternative courses of action

Stage 3 Choose decision rules

Stage 4 Rank alternative courses of action

Stage 5 Make a decision and state expected outcome

Stage 6 Report actual outcome of decision

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