Diagnosis of epilepsy

Diagnosis of epilepsy Assignment Questions.

Answer all questions in complete sentences.
Following her diagnosis of epilepsy, Lia Lee (before she is in a vegetative state) is referred to you, the dietitian, for medical nutrition therapy. As outlined in the handouts on blackboard, there are two primary approaches to the dietary treatment of epilepsy: Ketogenic Diet and a Low Glycemic Index Diet.
Using an interpreter, what are at least two things that you would ask during your cultural assessment? In your answer, explain why you want to know these two things. (15 points)
During your cultural assessment and throughout your medical care of Lia, to whom would you direct your questions? Why? (5 points)
Which diet would be the most appropriate for Lia? Why? (5 points)
What are three strategies to help Lia and her family follow the diet you prescribed? For each strategy, provide an explanation of how this strategy is appropriate for Lia’s social identities (i.e. age, income level, education level, or ethnicity). (15 points)
What can you do to ensure that you provide culturally competent care to Lia (mention at least 2 things)? (10 points)
The novel illustrates the importance of cultural competency.
Why is it important that care be culturally competent? Use specific examples (at least 3) from the book to explain why cultural competence is important. (10 points)
What are two downsides to culturally competent care? Provide an example from the book for each. (10 points)
In your own words (do not provide the specific definition given in lecture or readings), what is the Campinha-Bacote Model of Cultural Competency (5 points)? Use examples from the novel to explain each of the model’s constructs. (25 points)

Diagnosis of epilepsy

Sample Solution

 

This page of the exposition has 6251 words. Download the full form above. 1.1 Background Malignant growth is definitely not a solitary sickness, it is a pool of a few afflictions and confusion at the cell and atomic level, and makes typical cells act unusually causing uncontrolled division. The uncontrolled and unchecked development of the phones some time attacks other neighboring tissues and can likewise spread to another piece of the body by various methods, for example, lymphatic liquid and blood flow; this is known as metastasis. The program cell demise/program cell evacuation is the principle forms by which the harmed cell expelled from the body in a composed manner. When the cells become old they are crushed and disposed of in a well-customized route known as apoptosis. At times a transformation in genomic material all the more explicitly hits the qualities which are responsi Diagnosis of epilepsy ble for hindrance of apoptosis. Because of this exorbitant cell division and diminished cell passing, a mass of tissue is framed which is named as a tumor. A few tumors are epitomized and don’t spread through the container; be that as it may, some are not capsulated and effectively spread to the encompassing tissue just as the remainder of the body where they separate consistently and structure ‘auxiliary tumors’– a procedure named as metastasis. The last is named metastatic tumors or secondaries. The cell in malignant growth has six particular characters as an outcome of an adjustment in cell physiology. The significant characters of malignant cells are: (an) A malignant growth cell has their very own phone development sign and they additionally a reaction to those powerless sign which are regularly disregarded by the sound cell. (b) They may have a component, which makes them nonresponding to the counter proliferative sign. (c) Cancerous cells are resistant to modified cell demise that ordinarily makes strange cells pass on and be evacuated by the strategy of apoptosis. (d) They have the capacity for boundless replication. (e) They have the ability to start fresh recruits vessel development which can help the tumor development. (f) A malignancy cell has the limit by which they can attack tissue locally or any piece of the body (Hanahan and Weinberg, 2000). Malignant growth Statistics in India (Nandakumar A. 2009), evaluated that around 25,00,000 people living with malignant growth in India. Consistently around 7,00,000 crisp malignant growth patients are enlisted in India and disease includes 5,56,400 passings consistently. Metastatic tumors can emerge in any piece of the body at any age, however around 71% of passings because of malignant growth are in the age bunch  Diagnosis of epilepsy between 30-69 years (Dikshit R, et al; 2012). As per the figures of national malignant growth library program, around 50 % of every metastatic tumor related passings in India are because of diseases of the oral cavity and lung malignant growth in guys and bosom and cervix disease in females. Beginning period identification and the board could diminish the demise rate identified with various kind of malignant growths (Sarnath D, Khanna A; 2014). Albeit, significant advances in restorative innovations for malignant growth conclusion and the executives, it is maybe the most developed and complex ailment and it offers a major test to the oncologists and scientists for treating this infection. One of the significant treatment techniques of malignant growth is chemotherapy, a treatment utilizing anticancer medications. It very well may be offered alone and furthermore in conjugation with other restorative methodologies like radiation treatment and medical procedure. These days, a colossal gathering of chemotherapeutic medications is accessible because of broad research in malignant growth treatment. Among which, cisplatin is viewed as a ground-breaking chemotherapeutic operator widely utilized in the treatment of different strong tumors. This cytostatic operator has been in clinical use for three decades in the treatment of a wide range of tumors. This platinum-containing drug act and slaughters cells fundamentally by repressing DNA combination and chromosomal harming (Basu and Krishnamurthy 2010). The malignant growth restraint property of cisplatin is expected due to cisplatin and chromosomal cooperation. (Liu et al. 2013). Upon treatment, it increments receptive oxygen Diagnosis of epilepsy  species (ROS) development and along these lines causes an irregular change in the redox status of malignant growth cells. Apoptosis in cisplatin-treated cells is practiced by changes in ROS levels, changes in redox status, DNA harm, change in layer potential in mitochondrial and inclusion of flagging pathways. Cisplatin-prompted DNA harming and oxidative anxieties remain the center wellspring of apoptotic pathways in the dangerous cell. Different cisplatin-actuated sign can trigger individual pathway through exact translation factors that go about as the essential medication targets. Flagging pathways that control apoptosis importantly affect basic cell affectability to cisplatin (Torigoe et al. 2005; Kelland 2007). Despite the fact that its advantages, the cisplatin treatment is undermined because of, various toxicities, and immunosuppression. These three variables (cisplatin obstruction, immunosuppression, and harmfulness) stay to be the significant impediment to fruitful chemotherapy, yet cisplatin is as yet utilized with corrective aim, principally for the administration of different malignancies, for example, ovarian, testicular, head and neck, bladder, esophageal and lung disease. Thusly, investigating elective helpful prescription is required to lessen sedate poisonous quality and give immunomodulation in cisplatin treatment. Numerous new approaches have been built up to diminish the appearance or the extension of tumors through chemo-sharpening and chemo-insurance. Co-organization of plant items with great anticancer exercises would help in fixing the issue of cisplatin-have poisonous quality, and immunosuppression. Since the fundamental objective for cisplatin in the cell is accepted to be chromosome and DNA, an upgraded cytoprotective impact is normal from another blend of cisplatin with a home grown item which shields the cell from the harming reactions of it (Marcu et al. 2003). In the ongoing past, herbs and home grown item are developing as potential competitors among, elective medication which can go abo Diagnosis of epilepsy ut as immunomodulatory and chemoprotective against different actuated toxicities and they are financially savvy. 1.2.1 Cause of malignant growth There are two principle classes of qualities that assume a central job in ordinary cell cycle. The proto-oncogenes, which animate the development of the disease cell, and the tumor silencer qualities which repress the development and extension of the malignant growth cells. In the run of the mill cell, both the qualities facilitate and forestall pointless cell division. A change in tumor silencer qualities neglects to direct the cell division, while, a modification in proto-oncogene begins exorbitant cell division; because of non-coordination between these qualities a tumor may frame. The transformations of these two qualities alongside a change in DNA fix qualities assume a generous job in tumorigenesis (Lewin, 2004). The different atoms at the cell level have a generous job in hindrance of cell division, for example, protein 53 (p53), pBR and intracellular controller of the cell division cycle (cdc), cycle cyclin-subordinate kinases (cdk), have likewise demonstrated its significant job in cell replication and disease arrangement (Meijer et al., 1997). At the point when these inhibitors are hereditarily changed by any variables, they cause disease. A few atoms are now and then changed via cancer-causing agents, for example, radiation, irresistible specialists, tobacco, and certain synthetic concoctions. By and large, malignant growth of the lung is started by the activity of synthetic establishes in tobacco smoke. Polycyclic sweet-smelling hydrocarbons (PAH) and Nitrosamines are the essential cancer-causing agents in tobacco, other than fifty other recognized cancer-causing agents in it. Bright (UV) long time introduction causes melanoma and different classifications of malignancies related with the skin. 1.2.2 Mechanism of Cancer Development: The human body has an entrenched component to control the cell and dispose of them when required. Any deviation in this framework begins aggregating anomalous cell in the body w Diagnosis of epilepsy hich transformed into malignant growth. The blunder in this instrument prompts the harms in one or numerous qualities in the cell causes hereditary precariousness. On account of these hereditary hazards, the cell can’t direct cell division, bringing about malignant growth, if the phones are not disposed of by the invulnerable framework. Malignancy cells isolate a lot quicker rate than the normal cells, because of persistent cell division a heap of cell start amassing in close by cells shaping a mass of tissue which is later known as a tumor. Histopathologically, malignant growth is portrayed by numerous morphological changes, for example, tissue design, cytological inconsistencies in the core and cytoplasm and the occurrence of surprising mitoses. The increasing tissues in the body are helpless against the development of malignant growth, there is an extraordinary test in disease counteractive action and its fix. Figure 1. The component of malignancy development. There are numerous changes important to emerge in the DNA of an individual cell for malignancy to create. The tissues perhaps will create transformations in their common cell (light blue), that enable the typical cell to become quicker. These changed cells (light green) are not considerate tumor cells yet, they should have another period of transformation to shape tumor cell. The hereditary fluctuation makes the transformed cells develop quickly and grew quickly developing tumor cell (Dark blue). The untreated tumor cell built up a change which thusly cause the improvement of the threatening cell (dull red) or will spread to different organs through the circulation system causes metastasis ( light red). 1.3.1 Treatment of disease Because of the headway of medicinal science alongside biomedical research, presently the vast majority of the malignancies can be dealt wDiagnosis of epilepsy ith and some can be restored whenever identified early. Different methodologies for the treatment of malignancy are promptly accessible nowadays, for example, medical procedure (Liatsikos et al., 2012), immunotherapy (Rosenberg, 1986), hormonal treatment (Byar and Corle, 1988), chemotherapy (Blackburn, 1991) and radiation thera>

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