She is nervous about the procedure. What is the nurse's best response?

a. “The whole team will be monitoring you very closely for the entire procedure.”

b. “This is basically a risk-free procedure.”

c. “Remember that this is a step that will bring you closer to enjoying good health.”

d. “Thousands of patients undergo EP every year.”

What spiritual considerations surrounding a disaster can arise for individuals, communities, and health care providers? Explain your answer in the context of a natural or manmade disaster. How can a community health nurse assist in the spiritual care of the individual, community, self, and colleagues?

Complete drug card-

Generic /brand name

Category class

expected Pharmacological Action

Complications

Contraindications/Precautions

Interactions

Medication Administration

Evaluation of Medication Effectiveness

Therapeutic Use

Nursing Interventions

Client Education

Complete medication form for the following medications

1. Cyclopentolate hydrochloride

2. Timolol

3. Pilocarpine

1. Describe the difference between cold sores and canker sores.

2. Describe the causes and symptoms of plaque formation, halitosis, and xerostomia and review ways to prevent or control these conditions.

3. Describe the best treatment option a patient can use to combat halitosis.

4. What are treatment goals for mouth disorders such as providing comfort, allowing healing, and preventing the spread of the disease?

basic concepts of quality improvement in the Healthcare industry

Health care professionals should take a patient’s religion and spirituality into consideration, but to what extent should a health care professional’s beliefs be taken into consideration?
In the case of the parents choosing faith over medicine, what is the responsibility of the health care professional and/or health center/hospital? Provide examples to support your response.

pharm ch 32

Describe the three of secretory cells in the stomach: cheif, parietal, and mucous cells. Review the role of pepsinogen, hydrochloric acid, intrinsic factor, and prostaglandins and digestion.

6. Describe the three types of secretory cells in the stomach: chief, parietal, and mucous cells. Review the role of pepsinogen, hydrochloric acid, intrinsic factor, and prostaglandins in digestion.

7. Describe the effect of stress on the GI diseases GERD and PUD.

8. Describe the signs and symptoms of GI disorders seen in older patients and young adult patients.
9. Describe the difference between GERD and PUD
10. Describe the body’s natural mechanisms for protecting the stomach walls from injury. Include a description of the three types of secretory cells that line portions of the stomach and the role of prostaglandins.

(IN YOUR OWN WORDS-PEASE DO NOT COPY AND PASTE ) In each statement are two questions. Please determine in each statement which questions is biased and which is unbiased. How their examples do or do not create a bias.

1) Do you think obesity is the cause of cardiovascular diseases (CVD)?According to the CDC, obesity is the independent risk factor for heart diseases and the leading cause of death among men and women in the US. More than 600 hundred thousand Americans die from the diseases every year, more than all forms of cancers combined.

Why people don’t lose weight to decrease risk factors for cardiovascular diseases (CVD)? One of these questions persuade an individual to learn more about CVD, make their health a top priority and the other put a blame on the unfortunate people who are suffering from the diseases. It is of utmost importance to have an unbiased sample and survey question to ensure the accuracy of the studies, regardless of the opinion of people, and influencing survey takers will cause bias and untrue results.

2)Do you think High Blood Pressure is caused by stress? Our body produces hormones, which triggers your fight or flight response. When our hearts beat faster and harder, our blood vessels start to get small, which can lead to high blood pressure.

Why should people exercise to decrese blood pressure? Exerecise is good for our heart. It helps to reduce stress and also lower blood pressure. Exercise 20-30 minutes a day and at least 3-4 times a day. If not being able to exercise to walk will also help.

In M5 Exercise—The Path of Care, you traced a uveitis procedure through the health care system. Consider all the different markets with which you as the patient have interacted. Respond to the following:

1- How would the market change if a single organization were employing all the physicians involved?

2 -What if the organization employed the physicians and owned all the diagnostic equipment?

3 - What if a single organization employed all physicians and insured the patients?

4 - How would the structure, conduct, and performance of the health system change?

5 - How would accountability change?

6 - How would quality change?

Think of a patient making a choice about which physician to see or which hospital to choose for treatment. In one paragraph, please address the following:

1 - Who is the consumer:

When it comes to the physician market?

When it comes to the hospital market?

2 - Does the timeframe of the care matter?

3 - Does the severity of the illness matter?

4 - Who is accountable for negative patient outcomes in these markets? Explain at least one way in which sanctions can occur.

CATARACT CASE STUDY-

Scenario
Mr. Mee is a 78-year-old retired artist. He lives alone with his wife; they have eight grown children. After doing a routine eye exam the doctor determines he has cataracts.

Phacoemulsification is a modern cataract surgery method in which the eye's internal lens is emulsified with an ultrasonic handpiece and aspirated from the eye. Aspirated fluids are replaced with irrigation of balanced salt solution to maintain the anterior chamber.
Scenario continues
Mr. Mee is sent home following an uneventful cataract removal and lens implant of the right eye. His wife brings him to the ER two days postop, and Mr. Mee states his eyesight has changed and he feels like he is "looking through a veil, seeing flashing lights and floaters in his right eye". He denies any eye pain. In examining his peripheral vision, you find no peripheral vision present in his right eye. His left eye is normal.

1.   What do you expect is happening to Mr. Mee and why? Are these normal findings following cataract surgery?

2.   What do you expect will be the intervention for Mr. Mee?

Based on the above diagnosis complete all the items below

3.   ASSESSMENT

4.   MEDICAL/SURGICAL MANAGEMENT

5.   PHARMACOLOGIC INTERVENTION

6.   NURSING INTERVENTION

7.   DOCUMENTATION GUIDELINES

8.   DISCHARGE AND HOME HEALTHCARE GUIDELINES

Application:
Practice motivational interview (MI) with someone that you know is struggling with inadequate sleep. Write-up your experiences to include what your efforts entailed (use MI terminology), how your efforts went, and how the individual responded. Briefly discuss your thoughts regarding MI and its value or lack of value when working with individuals to change behavior.

Exercise: Preparing Your Business Plan

You are considering the possibility of operating a small business or practice in some activity related to health care, as either a provider or as a service intended to support various provider organizations in their care-delivery activities.

First, describe the kind of entity you would be establishing by stating the service or services you propose to deliver and the kinds of clients or customers you would be serving.

Next, write a paragraph offering compelling reasons for your proposed venture, explaining why you believe it is needed and for whom it is needed. Incorporate in this narrative a description of the kind and extent of competition you might face in your intended service area and how your services would be sufficiently different to enable you to compete successfully.