What changes in liver function can Mr. Wilko expect if he continues to drink large amounts of alcohol?

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Alcohol Abuse

Mr. Wilko is a 40-year-old salesperson with a wife and three teenage children. He has recently begun to have a beer at lunch and a few drinks after work to reduce his work-related stress. An economic downturn in the housing industry has reduced the need for new home appliances and his income and sales record has been affected. Several other salespeople have been laid off at his firm. He has been told that if his sales and attendance records do not improve he will be fired. He and his wife are constantly arguing about finances and the children’s increasing demands for money. His drinking has increased to several beers at lunch and continued drinking after dinner. When he returns to work with alcohol on his breath, he is dismissed from his job. He continues to consume alcohol during the day as he attempts a job search. His wife is very concerned, as are his teenage children.

  • Mr. Wilko states he is a social drinker and “can stop at any time.” How accurate is his self-assessment?
  • What stressors are present in Mr. Wilko’s case?
  • Why does Mr. Wilko continue to increase his alcohol intake?
  • What changes in liver function can Mr. Wilko expect if he continues to drink large amounts of alcohol?
  • Mr. Wilko complains to his wife that all the stress is causing “indigestion.” How do stress and alcohol consumption affect GI function?
  • Why is Mr. Wilko at greater risk of trauma?

What are the access-to-care issues in the given situations? Suggest at least two solutions to address the access-to-care issues in these scenarios.

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Access-to-Care in Different Situations

For this assignment you are provided with four scenarios. For each scenario, you are required to answer the following question:

  • What are the access-to-care issues in the given situations? Suggest at least two solutions to address the access-to-care issues in these scenarios.

Scenarios:

  • Mr. A is a 30-year-old African American male. His employer provides for his health insurance, which covers emergency room visits, hospitalization, and some preventive-care services such as yearly physicals. Whenever he schedules appointments for preventive-care services, he has to spend one to three hours at the doctor’s office. Additionally, he has to schedule follow-up appointments for laboratory tests after each office visit.
  • Mrs. B is a 30-year-old African American woman with two children. She is employed at a workplace that does not provide the employees with health insurance. Mrs. B and her children make frequent visits to the emergency room for healthcare services.
  • Mr. C is an unemployed 52-year-old Asian male who has not seen a doctor in at least eight years. He speaks limited English. He has been experiencing some health problems. He was recently told about a free clinic located within a couple of miles of his apartment. There are no Asian healthcare providers at the local health clinic. He has some concerns about healthcare provided by anyone other than Asian healthcare providers.
  • Mrs. D and her husband, a middle-aged Caucasian couple, recently moved to a rural community. They are both on medications for chronic health conditions, which require them to go for bimonthly doctor visits. Their car recently broke down and there is limited bus service in their community. They are having a difficult time going for their appointments and obtaining their medications. They are also less motivated to seek care because they have some major disagreements with the primary care doctor who is a young woman in her early thirties.

Discuss factors that specifically influenced women's vulnerability to Hurricane Katrina. While answering, consider the primary dimensions mentioned in the lectures as well as the secondary dimensions such as parental and marital status, income, educational level, military experience, geographic location, work background, and religious beliefs.

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The Diversity Movement The diversity movement suggests that there is strength in our differences and that our differences enhance each other. At the same time, the movement insists that our differences should not have economic, social, or political consequences. We are entitled to the same access to resources and opportunities regardless of our differences. The human suffering from Hurricane Katrina and the images of victims has stimulated the debate about differential access to resources. Read the report Women in the Wake of the Storm: Examining the Post-Katrina Realities of the Women of New Orleans and the Gulf Coast. On the basis of your reading, create a report, answering the following:
  • Discuss the prominent dimensions of diversity revealed as a result of the Hurricane Katrina disaster.
  • Discuss factors that specifically influenced women’s vulnerability to Hurricane Katrina. While answering, consider the primary dimensions mentioned in the lectures as well as the secondary dimensions such as parental and marital status, income, educational level, military experience, geographic location, work background, and religious beliefs.
  • Describe the implications for healthcare organizations as a result of the disaster.
  • Discuss at least of two of the policy implications that are outlined in the report. If you were given the task to add another policy recommendation what would it be and why?
Make your report in a 4- to 5-page Microsoft Word document. Support your responses with examples. Cite any sources in APA format.
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