to the adhesion receptors located in the epithelium of the tonsils. The invasion of these organisms creates an inflammatory response, the body’s response to the disease process. These adaptive responses are fever, swelling of the lymph nodes, erythema, and exudate. Tonsillitis treatment requires antibiotic for bacterial ones, NSAIDs for pain and fever, rest and fluid hydration. Recurrent tonsillitis in some cases entails tonsillectomy. The complications of tonsillitis may lead to apnea or airway obstruction (Huether and McCance, 2012). Contact Dermatitis The second scenario is a twenty-seven-year-old adult male with an inflammatory response to chemical irritants and abrasive irritants he used for his work. According to Hammer & McPhee, 2014), the skin basic function is to protect the body by keeping moisture in and pathogen out (p.187). Jack did not wear gloves to protect his skin against the harsh solvent and chemicals. Contact dermatitis is an inflammation/reaction of the skin related to its contact with chemical. Jack said that two weeks before, his hands were exposed to the chemical and he felt hot, then they were fine. The first time the skin is exposed to a chemical, a sensitized antigen is formed on the surface by the chemical binding to a protein carrier. The redness of the skin is an adaptive response, which are vasodilation that increases blood flow to the affected site, vascular permeability that delivers leucocytes, plasma proteins, and other biochemical mediators to the injury site (Huether and McCance, 2012, p.121). Dermatitis then occur when the chemical binds to a protein carrier. Jack said that he washed the chemical soon after exposure and this lessened with the harshness of the cell-mediated reaction. Discontinuing the chemical cleaner and use topical steroid cream for the treatment would help (Huether and McCance, 2012). Stress Response The third scenario presents a 65-year-old female Martha who has a well-controlled hypertension, she complaints of insomnia, and racing heartbeat. For five years, she has been caring for her mother of 87-year-old recovering from a hip fracture sustained on the stairs. Her
mother has some loss of mobility, making her dependent on her daughter. The diagnosis of
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- Fall '13