What resources do you use to improve your awareness of your communication skills in the professional setting? What are the most effective communication skills that nurses bring to collaborative interactions? Why are those so important in your own practice?
In: Nursing
In: Nursing
In: Nursing
If the goal is how to develop reliability and resilience in health care systems while embedding a vision of zero avoidable harm into the culture of health care is it possible to reach "zero harm".
Describe what achieving this goal requires(what does an organization have to do).
In: Nursing
In: Nursing
describe how a closed circulatory system delivers oxygen and nutrients and picks up waste and carbon dioxide. What types of organisms use a closed circulatory system?
In: Nursing
History of Present Illness
MDJ is a 50-year-old woman whose routine mammogram showed a 2.3 - 4.5 cm lobulated mass at the 3:00 position in her left breast. Sheunderwent a stereotactic needle biopsy and was diagnosed with infiltrating ductal carcinoma that was both estrogen and progesterone receptor positive. The staging workup was negative for distant metastasis. Her final staging was stage IIB. She had a modified radical mastectomy with lymph node dissection. The sentinel lymph node and 11 of 16 lymph nodes were positive for tumor cells.
Past Medical History
Her medical history is significant only for starting menstruation early, at age 10, and being chronically 20 to 30 pounds over- weight since high school.
Family History
She decided to have a mammogram after learning that her maternal aunt and grandmother were diagnosed with breast cancer in the past few months. Her mother was diagnosed with breast cancer ,8 years ago at age 50.
Personal and Social History
Her home exercise program includes walking and gardening, and she describes her diet as healthy. She works part-time from home as a research editor, which involves to a lot of time on the computer.
Admission Order
She has now completed three cycles of CAF. Her height is 5 feet, 7 inches, and her weight is 155 pounds.
She comes to the emergency department with a 2-day history of fever, chills, and shortness of breath. On arrival, she is disoriented and agitated. Vital signs are BP =86/43, PR =119, RR= 28, T=39.8° C, O2Sat 85% on room air. Chest x-ray demonstrates diffuse infiltrates in the left lower lung. Her chem 14 is within normal limits, with the exception of BUN 28 mg/dL, creatinine 1.6 mg/dL, and lactic acid 2.4 mg/dL. requires endotracheal intubation and spends 3 days in the ICU receiving antibiotics and respiratory support. She is able to be extubated and returns to the oncology unit, where she remains for a few more days before being discharged to home.
Complete Blood Count
WBC |
1200/mm3 |
Neutrophils |
34% |
Segmented (Polys) |
30% |
Bands |
4% |
Lymphocytes |
60% |
Monocytes |
3% |
Eosinophils and basophils |
2% |
Hct |
24.9% |
Hgb |
8.7 g/dL |
Platelets |
85,000/mm |
In: Nursing
Case study 2 – disorders of haemopoietic system
Louise is a 57-year-old lady that has presented to her GP with •fatigue, weight loss, sweating, easy bruising, discrete ecchymosis, feeling of abdominal fullness’ and re recurrent mild upper respiratory tract infections (URTI) On examination she was found to have an enlarged spleen and small diffuse petechiae.
Lab test show the following results
2a. Explain the possible causes of the abnormalities. 3 marks (1 mark for each abnormality)
2b. What history or clinical presentation can be linked to the abnormal haematological findings, support with rationale / explanation. 3 marks (0.5 per CM 0.5 for explanation)
2c. Describe and discuss the differentiation between Acute Myeloid Leukaemia and Acute Lymphocytic Leukaemia
In: Nursing
Tiffany, 36-year-old woman who has been experiencing of pain and swelling in her hands and feet. On examination by her General Practitioner (GP) her hands and feet display evidence of inflammation; rubra, heat and swelling and decreased function. On palpation and movement, they cause considerable pain which she rates as 5 - 7 on pain scale of 0 -10. When questioned on when this pain and inflammation first started, she is unable to say, but it has gradually worsened over the past 4 weeks. She states she has been taking Ibuprofen which initially provided relief but is no longer as effective. It is worse in the morning and she is now unable to carry out her many aspects of her normal routine. Her GP suspect’s Rheumatoid Arthritis (RA).
Questions:
3a. Discuss the pathogenesis of Rheumatoid arthritis and link it to the clinical manifestations that Tiffany is experiencing. 4 marks
3b. Discuss the diagnostic tests that may be used in the diagnosis of RA
3 marks
3c. Disease Modifying Anti Rheumatic Drugs (DMARD) are often the first line of pharmacological therapy despite the significant side effects. Name two non-biological DMARD’s, describe how they work and why they are prescribed despite the significant adverse drug reactions (ADR’s) 3 marks ( 1 mark for drug names, 2 marks for discussion)
In: Nursing
During your Community Health Nursing posting, you discover that many parents and grandparents are at risk for heart disease due to high blood cholesterol, high blood pressure and obesity or being overweight. Also, the school nurse reports that a number of students have some of these same risk factors for heart disease.
Discuss the four main Dietary Reference Intake categories.
Make recommendations, according to dietary guidelines, that could reduce the risk of heart disease among the students and their families.
In: Nursing
In: Nursing
Read the following case study and answer the questions that follow:
Grace Speak is a fourth-year student at Best University. She and her fellow classmates are working hard in their final courses and preparing for exams. Inspired by the teamwork that the healthcare profession espouses, Grace gets an idea for a study group. She thinks it will really help to share case experiences, course notes, and study tips. Unfortunately, several members of her peer group live out of town, which makes it difficult for them to participate fully. Grace is torn, as she does not want to exclude them from the study group. When she voices her concerns to a classmate, her friend suggests using social media tools as the primary medium for sharing information.
Questions
Selected Social Media Tool (and website)
[Write your response here.]
Rationale
[Write your response here.]
[Write your response here.]
Ground Rules
[Write your response here.]
Rationale
[Write your response here.]
[Write your response here.]
In: Nursing
Subject Hypertension patient: Please make to have it as a actual scernio of a patient going into to the hopstial and for section B give rationales. A.Health History – age, gender, ethnicity, past and current medical history, chief complaint, and history of present illness on admission.B.Laboratory/Diagnostic Testing – describe the diagnostic tests ordered/completed, pertinent results (including normal and abnormal ranges), and rationales for the use of each diagnostic test.
In: Nursing
The Federal government has classified controlled substances into different schedules. What are the variables the government considered to establish the scheduling method (e.g. how are the schedules determined?) and some major differences between each schedule?
Also what is Forensic Toxicology and the roles and responsibilities of the Forensic Toxicologist?
In: Nursing
In: Nursing