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Deaconess Glover Hospital A Case Solution

Solution Id Length Case Author Case Publisher
2864 2126 Words (9 Pages) Steven J. Spear, John Kenagy Harvard Business School : 601022
This solution includes: A Word File A Word File

David Bentley, a Kiwanis member, visits the doctor in the case study after exhibiting signs of heat exhaustion or heat stroke. He got hot and sweaty from wearing a bunny costume on a warm day, which made him feel queasy and lightheaded. A trapped zipper keeps him from taking off the outfit, so he's hoping the doctor can repair him without breaking it. The paper discusses the lower esophageal sphincter (LES) and explains how it keeps stomach acid from flowing backward into the esophagus. Any weakening or improper relaxation of the LES can lead to gastroesophageal reflux disease (GERD). Alcohol and nonsteroidal anti-inflammatory drug (NSAID) use are known to raise the risk of peptic ulcer disease and impede the healing process of ulcers. Bulk-forming laxatives have been suggested as a potential treatment for constipation or diarrhea associated with irritable bowel syndrome (IBS) due to their ability to give stool more volume. To reduce the symptoms of IBS, lifestyle changes like a balanced diet, consistent exercise, stress reduction, and enough hydration are advised.

Following questions are answered in this case study solution

  1. David Bentley has come to the medical office. He is a member of Kiwanis, and this year it was his turn to deliver Easter candy and flowers to patients at the local hospital and nursing home while wearing a bunny costume. It is a very warm day, and David says that he got really hot and sweaty in his costume and then started feeling dizzy and nauseous. He got a little worried and decided to drive himself to the medical office. David says he cannot get his costume off because the zipper is stuck. He does not want to cut it off because that would ruin it and Kiwanis would not be able to use it next year. He is hoping the physician can fix him up well enough so that he can drive home. David says he is sure his wife can get the costume off without damaging it.

  2. Describe the function of the lower esophageal sphincter and how it is affected by gastroesophageal reflux disease.

  3. Consumption of which twa products increases the risk for peptic ulcer disease and can aggravate existing disease? How does it interfere with the healing of an ulcer?

  4. Why might bulk-forming laxatives be useful for treating IBS with diarrhea or constipation?

  5. Which lifestyle modifications might lessen the symptoms of irritable bowel syndrome?

Case Analysis for Deaconess Glover Hospital A

1. David Bentley has come to the medical office. He is a member of Kiwanis, and this year, it was his turn to deliver Easter candy and flowers to patients at the local hospital and nursing home while wearing a bunny costume. It is a very warm day, and David says that he got really hot and sweaty in his costume and then started feeling dizzy and nauseous. He got a little worried and decided to drive himself to the medical office. David says he cannot get his costume off because the zipper is stuck. He does not want to cut it off because that would ruin it, and Kiwanis would not be able to use it next year. He is hoping the physician can fix him up well enough so that he can drive home. David says he is sure his wife can get the costume off without damaging it.

A heat-related illness like dehydration or heat exhaustion could cause David Bentley's symptoms, which include feeling hot and sticky in his bunny costume on a warm day. Physician responses to these illnesses vary, as do the symptoms. Dehydration is a condition when the body loses more fluids than it takes in. Symptoms including exhaustion, dizziness, dark yellow urine, dry mouth, and thirst commonly accompany it. The doctor would evaluate David's vital indicators, such as blood pressure, temperature, and heart rate. Elevated heart rate, low blood pressure, and possibly hemoconcentration (an increase in blood concentration due to water loss) indicate one is dehydration. The doctor can recommend an intravenous (IV) fluid infusion to replace lost fluids if dehydration is confirmed rapidly. IV fluids are effective in quickly replenishing lost hydration. David's exercise level, fluid consumption, and any underlying medical disorders that may be causing him to become dehydrated can all be questions the doctor may pursue.

Moreover, Heat Exhaustion is also one of the most severe forms of heat-related sickness, and heat exhaustion can cause symptoms such as profuse perspiration, weakness, nausea, vomiting, dizziness, and confusion. The doctor would be on the lookout for symptoms of heat exhaustion, such as a fever, clammy, chilly skin from excessive perspiration, a weak pulse, and possibly even signs of dehydration. The doctor can implement cooling methods if there are indications of heat exhaustion. David could need to be moved to a colder location, remove extra clothing, and use cool compresses or fans. It is imperative to rehydrate, and the doctor may decide to administer IV fluids in order to correct the electrolyte imbalance. Observing any signs of heat stroke or a more severe ailment is also critical.

Furthermore, discomfort from heat, dehydration, and other underlying medical disorders can also manifest as sensations of nausea and dizziness. The doctor would have to investigate possible reasons, considering things like David's general health, recent activities, and any previous medical issues. They may take a complete medical history in addition to looking for symptoms of heat-related stress, such as variations in heart rate and blood pressure. Addressing the underlying issue may be necessary to alleviate the nausea and vertigo. The earlier indicated cooling techniques and rehydration would be crucial if heat-related stress is the main contributing factor. When treating nausea, the doctor may also think about using antiemetic drugs as additional supportive measures. Other diagnostic procedures or expert referrals may be necessary if different medical conditions are detected.

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