1. Commuinty health care for paramedic
Topic: Commuinty health care for paramedicOrder DescriptionAssignment questions:Please
answer all questions Part A to EUse an APA 6th ed style to cite sourcesReferences
shouldn’ t be older than 5 years12 sized font in Arial or New romanIn total word count
should be no more than 4000 words not inclusive of referencesAssignment
questions:Please answer all questions Part A to EUse an appropriate referencing style to
cite sources12 sized font in Arial or New romanIn total word count should be no more than
5000 words not inclusive of referencesPart A:Abdominal Pain1. What are the common
causes of abdominal pain?2. What causes of abdominal pain, if missed, are potentially
serious or even lethal?3. What are the important historical questions to ask when
assessing abdominal pain? Discuss the purpose of asking each one.4. What are the
important elements of the physical exam when assessing abdominal pain? Discuss the
purpose for examining each one.5. What is the pathophysiology of esophageal reflux
(heartburn).6. List possible complications associated with esophageal reflux.7. What are
the key H&P findings associated with esophageal reflux?8. What is the pathophysiology of
peptic ulcer disease.9. List possible complications associated with peptic ulcer
disease.10. What are the key H&P findings associated with peptic ulcer
disease?11. Describe the pathophysiology and presentation of cholelithiasis
(gallstones).12. What are the key H&P findings associated with gallblaIDer
disease?13. Describe the signs/symptoms and screening tests that can aid in the
recognition of gastrointestinal malignancy.14. Discuss the listings and their significance
for each of the triage categories for abdominal pain?15. What is the field treatment plan
for abdominal pain?16. What are the important patient education issues in respect to
abdominal pain?Part B:Vomiting and Diarrhea1. What are the common causes of vomiting
and/or diarrhea?2. What causes of vomiting and/or diarrhea, if missed, are potentially
serious or even lethal?3. What are the important historical questions to ask when
assessing vomiting and/or diarrhea? Discuss the purpose of asking each one.4. What are
the important elements of the physical exam when assessing vomiting and/or
diarrhea? Discuss the purpose for examining each one.5. What is the
pathophysiology/presentation of gastroenteritis.6. List possible complications associated
with gastroenteritis7. What is the pathophysiology/presentation of serious
diarrhea?8. List possible complications associated with serious diarrhea.9. What is the
pathophysiology/presentation of acute gastritis?10. List possible complications associated
with gastroenteritis.11. List possible complications associated with serious

2. diarrhea.12. List possible complications associated with gastritis.13. Discuss the listings
and their significance for each of the triage categories for vomiting and/or
diarrhea?14. What is the field treatment plan for vomiting and/or diarrhea?15. What are
the important patient education issues in respect to vomiting and/or diarrhea?Part
C:Urinary Tract Infection/Sexually Transmitted DiseasesURINARY TRACT INFECTION
(UTI)1. What are the common causes of problems with urination?2. What causes of
problems with urination, if missed, are potentially serious or even lethal?3. What is the
pathophysiology/presentation of urinary tract infections? Include difference in men and
women.Women:Men:4. Describe the changes in the urinary tract during pregnancy and
why this may lead to infection.5. Describe the following three common renal disorders in
pregnancy and why they are a concern.Asymptomatic bacteriuria:Acute Cystitis:Acute
Pyelonephritis:6. What are the signs and symptoms of lower urinary tract infection
(cystitis).7. What are the signs and symptoms of an upper urinary tract
infection,(pyelonephritis).8. What are the important historical questions to ask when
assessing problems with urination? Discuss the purpose of asking each one.9. What are
the important elements of the physical exam when assessing problems with
urination? Discuss the purpose for examining each one.10. Identify the technique and
results of the field chemstrip that are used to diagnose a urinary tract
infection.11. Describe other non-field lab tests that can be done on collected urine that are
used to diagnose a urinary tract infection.12. Describe when a urine culture is
recommended.13. Discuss the listings and their significance for each of the triage
categories for problems with urination?14. What is the field treatment plan for problems
with urination?15. What are the important patient education issues in respect to problems
with urination?SEXUALLY TRANSMITTED DISEASES:16. Define STD and the common
signs and symptoms of STDsDefinition:Signs and symptoms:17. List at least 10 sexually
transmitted diseases.18. What are the important historical questions to ask when
assessing STDs? Discuss the purpose of asking each one.Does the patient have problems in
the genital or urinary system including:Sexual historyGeneral historyMenstrual history of
the female19. Discuss the listings and their significance for each of the triage categories for
STDs?20. List the common STD’ s (Sexually Transmitted Diseases) and discuss the role the
Paramedic-CHS can play in their management.Part D:BEHAVIORAL DISORDERS:1. Define
somatoform disorder and explain why these patients need transport for initial
evaluation.2. What causes of behavioral disorders, if missed, are potentially serious or
even lethal?3. What is the pathophysiology of behavioral disorders?4. Define the
following terms:Anxiety:Depression:Bipolar disorder:Schizophrenia:Delusional
disorders:Personality problems:5. What are the important historical questions to ask
when assessing mental health disorders? Discuss the purpose of asking each one.6. What
are the important elements of the physical exam when assessing mental health
disorders? Discuss the purpose for examining each one.7. List some of the clues that
suggest an organic cause for behavioral disorders.8. Discuss the listings and their
significance for each of the triage categories for mental health disorders?9. What is the
field treatment plan for mental health disorders?10. What are the important patient
education issues in respect to mental health disorders?COUNSELING

3. TECHNIQUES:11. Describe the value of counseling (talk therapy) and medication in the
patient with a behavioral problem.12. Describe the general goals to remember when
counseling a patient with a behavioral problem.13. Describe what should be accomplished
during a counseling session.14. Describe the value of the following attitudes and
techniques used in counseling.Trusting yourself.Being interested.Using positive
reinforcement.Silence.Being patient.Trusting the patient.15. Describe attitudes and
techniques which are not helpful in the counseling session.Part E:DIABETES1. When
receiving a request from a primary care provider to visit a diabetic patient, what
information is important to obtain?2. What complications of diabetes, if missed, are
potentially serious or even lethal?3. What is the pathophysiology of diabetes?4. What are
the end organ damages caused by diabetes?5. What are the important historical questions
to ask when assessing diabetes? Discuss the purpose of asking each one.6. What are the
important elements of the physical exam when assessing diabetes? Discuss the purpose for
examing each one.7. In what situations would you want to transport a chronic diabetic
patient?8. In what situations would you want to consult with the primary care provider or
emergency physician while assessing a chronic diabetic patient?9. What areas of
information would you report back to the primary care provider?10. What are the
cornerstones of treatment?Education.Diet modifications.Self monitoring of glucoseOral
hypoglycemic agents.Insulin.11. Describe insulin and oral hypoglycemic agents: their
mechanism of action, duration of action, and side effects.Oral Agents (glucotrol, glyburide,
glipizide)Mechanism of action..Duration of action.InsulinMechanism of action.Duration of
action.Complications involved with hypoglycemic episodes.12. Patient understanding
about their disease is critical for compliance. What are the major issues you feel should be
told to a diabetic?