Home

Please respond to Each post with one citation                    
Dina post 1 
Gretchen (11 years old) – Treatment is not always needed. It depends upon the thyroid hormone levels. Her endocrinologist may want to just monitor her. If medication is warranted, levothyroxine (generic for Synthroid) is a synthetic version of the hormone thyroxine (T4) and it’s used to help balance the thyroid levels. She may need to take this medicine (or a derivative of it) for life and she’ll have regular lab work to monitor her thyroid levels. There aren’t any dietary restrictions for Hashimoto’s, just a healthy diet and active lifestyle.  
post 2 samantha
The second patient being discussed is Anna, a 31-year-old female who reports weight loss, restlessness and increased sweating. Similar to the diagnostic testing for Ember, Anna will have blood tests completed as well as a radioactive iodine uptake test, ultrasound and further imaging such as an MRI or CT scan. Treatment would also be similar to that of Ember’s including anti-thyroid medication. However, Anna may also undergo radioactive iodine therapy. The thyroid requires iodine to produce hormones, during radioactive iodine therapy Anna will take oral radioiodine, over time the radiation destroys the overactive thyroid cells. Anna should be educated on the increased risk of developing symptoms of Graves ophathalmopathy associated with radioactive iodine therapy. Other side effects include neck tenderness and a temporary increase of thyroid hormone. Furthermore, Anna should be aware that this therapy is not used for woman who are pregnant or breastfeeding as she is of childbearing age. (Papadakis MA, et. al., 2020). 
Pos

You are a nursing student. You are also HIV positive because of some high-risk behaviors you engaged in a decade ago. (It seems like a lifetime ago.) You are now in a committed, monogamous relationship, and your partner is aware of your HIV status. You have experienced relatively few side effects from the antiretroviral drugs you take, and you appear to be healthy. You have not shared your sexual preferences, past sexual history, or HIV status with any of your classmates, primarily because you do not feel that it is their business and because you fear being ostracized in the local community, which is fairly conservative.
Today, in the clinical setting, one of the students accidentally stuck herself with a needle right before she injected it into a patient. Laboratory follow-up was ordered to ensure that the patient was not exposed to any blood-borne disease from the student. Tonight, for the first time, you recognize that no matter how careful you are, there is at least a small risk that you could inadvertently expose patients to your bodily fluids and thus to some risk.
DQ: Decide what you will do. Is there a need to share your HIV status with the school? With future employers? With patients? What determines whether there is “a need to tell” and a “need to know”? What objective weighted most heavily in your decision?
Discussion Protocol. Please observe the following 3 x 3 rule: when writing your weekly discussions: – A minimum of three paragraphs per DQ. Each paragraph should have a minimum of three sentences.
All answers or discussions comments submitted must be in APA format according to Publication Manual American Psychological Association (APA) (7th ed.)