A 74 year old male suffered a burn to his lower leg 15 years ago which was treated with debridement and skin graft. Past medical history of non-insulin dependent diabetes for 30 years, hypertension, and coronary artery disease. His leg wound has always required some dressings and has never completely healed. It has recently changed and become more open and friable, and has increased drainage. What is the most the most appropriate next step in his management is

This gentleman has worsening bilateral hydronephrosis. he did not have much of a post void residual on his bladder scan. he is taken to the operating room to have a bilateral cystoscopy and retrograde pyelogram. cpt code: icd10-cm code: icd10-cm code: icd10-cm code

A10-year-old girl suffered from a rare malignancy in her brain and around her spinal cord. she had surgery, and most of the tumor mass was removed, but residual tumor remained in the brain and around the spinal cord. the girl's doctors informed her parents that chemotherapy and radiation were possible treatment options but could cause serious problems such as sepsis, a permanent loss of iq and stature, and even death. the parents wished to proceed with the therapy. while their child was undergoing aggressive chemotherapy and radiation, the parents did independent research and read of several drugs being administered for cancer in other states that were unapproved by the federal drug administration (fda) and were illegal in their home state but were touted by physicians using them as miracle cures." furthermore, one of the girl's doctors released the girl's medical records to another physician to get a "second opinion" without informing the parents. this particular physician is a member of the same country club as the parents. he happens to share facts from the medical records with other members who end up telling the girl's parents. the couple sued their child's physician for failure to disclose alternative treatments, thus depriving them of informed consent. the couples also sued the child's physician for sharing their daughter's records in violation of the girl's privacy. how should the court rule in both cases? did the child's physician involved follow the law? did he act ethically in either situation? explain your answer. under the doctrine of informed consent, should a physician be responsible for informing patients of all treatment options, even if some of the treatments are illegal or not yet proven effective?

You are caring for a 52-year- old woman who has been prescribed a major antipsychotic (neuroleptic) agent. after explaining the potential side effect, the client refuses to take the medication. how would you feel about taking a major antipsychotic (neuroleptic) agent, realizing the many side effects that these medications can cause? for psychoactive medications to be effective, client adherence is essential. how would you respond to a client who continually fails to follow his or her medication regimen?