****500 Word Discussion*****According to a recent World Health Organization report excessive drinking causes more than four percent of deaths worldwide more than AIDS tuberculosis or violence. Due to increasing incomes in heavily populated countries in Africa and Asia including India and South Africa binge drinking has become a problem in many developed countries as more money is being spent on alcoholic beverages.Moreover policies which control alcohol are weak and remain a low priority for most governments despite drinking’s heavy toll on society causing road accidents violence disease child neglect and job absenteeism.WHOs Global Status Report on Alcohol and Health states that approximately 2.5 million people die each year from alcohol related causes. It further reports that the harmful use of alcohol is especially fatal for younger age groups and is the world’s leading risk factor for death among males aged 15-59. Worldwide statistics accounts for about 11 percent of drinkers who have weekly heavy episodic drinking occasions with men outnumbering women by four to one. Men consistently engage in hazardous drinking at much higher levels than women in all regions investigated.In the WHO’s first report on alcohol since 2004 alcohol has been a causal factor in 60 types of diseases and injuries. Increasing consumptions has been linked to cirrhosis of the liver epilepsy poisonings road traffic accidents violence and several types of cancer including cancers of the colorectum breast larynx and liver.Despite repeated health warnings from doctors and public health professionals the global health burden of alcohol consumption continues to rise and it shows there are no signs of it slowing. The economic and health implications posed by alcohol are often overlooked in favor of its social benefits and it is precisely this fact that makes alcohol such a dangerous commodity.Question: Discuss the social complexity (ies) of alcohol as a strong risk factor for disease transmission such as HIV/AIDS in the context of global health.

With the powerpoint slides please include narrative notes.

Case Study: Prescribed Drugs with CAMs

Mr. X, a 42-year-old male presents to your primary care practice today complaining of low back pain.

History – Mr. X states that he has had chronic low back pain since he had a skiing accident about 10 years ago. Three days ago, he felt a pulling sensation in his lower back after moving some boxes. The pain intensity increased over the subsequent 24 hours and is now steady, aching in nature, at 3-4 out of 10. Mr. X also has Type2 diabetes, which is well controlled on metformin with a HGA1c of 5.6. He has a history of DVT 4 months ago for which he takes Coumadin, INR is WNL. He is followed by a specialist for this problem. He recently started taking two OTC products; kava kava for what he describes as “anxiety” and CoEnzyme Q10 on the advice of a friend.

Social – Mr. X is a smoker, 1 pack per week for 15 years. No alcohol or drug use. He is employed as an accountant and has medical insurance. He is divorced.PE/ROS – Complains of low back stiffness and pain on movement with occasional spasms related to moving in certain directions. You note he has mild difficulty getting onto the exam table but gait is normal. He denies weakness/numbness/tingling of legs, no radiation, no change in bowel or bladder habits. BMI 27. All range of motion of the back is decreased by 25%. Straight leg lift is negative bilaterally, DTR intact. All other systems WNL.

Medications:

Metformin 1000mg ER one tab daily – Type II Diabetes controlled

Coumadin 5 mg. daily – Hx of DVT – Controlled

Kava Kava 50 mg. tid – Self-medication for anxiety

CoQ10 – 200 mg. daily. – Self-medication for unknown reason

1. Provide a diagnosis for the patient and your rationale for the diagnosis
2. Provide a treatment plan specifically for this patient, pharmacologic and non-pharmacologic.
3. Comment on the use of OTC products in relation to Mr. X’s current chronic and acute disease diagnoses and medications. Include drug-drug interactions and side effect profiles.
4. Provide an education plan for Mr. X
5. Present this Assignment as a PowerPoint presentation with between 12 and 16 slides (not including opening slide and resource slide).
6. You will use the Narrative notes section of the presentation to include the majority of your evidentiary support of your treatment choices and education of family complete with in-text citations using APA formatting,

Due by the last day of Unit 9 at 11:59 p.m.

Assignment Requirements:

Before finalizing your work, you should:

• be sure to read the Assignment description carefully (as displayed above);
• consult the Grading Rubric (under Course Resources) to make sure you have included everything necessary; and
• utilize spelling and grammar check to minimize errors.
• Submit to and review results of Turnitin. Purdue University Global Student Conduct policy as it relates to plagiarism will be adhered to in this course.

Your writing Assignment should:

• follow the conventions of Standard English (correct grammar, punctuation, etc.);
• be well ordered, logical, and unified, as well as original and insightful;
• display superior content, organization, style, and mechanics; and
• utilize APA 7th edition formatting.