State the Etiology, Prognosis, and Complications for Spinal Cord Injury, Dementia and Acquired Brain Injury.

Case Narrative

Case details given to participants (can be given freely or must be asked for by participants)

Patient Description& Chief complaint:

A 68-year-old woman is admitted with fever, nausea, vomiting, and abdominal pain. She informs you that she is a “borderline diabetic” and “only has to watch what she eats.” She tells you that she has not eaten for 3 days and has had difficulty “keeping liquids down.” While doing the nursing history, she describes her urine as dark and foul smelling. Upon further questions, she states she does have some burning upon urination. She describes her abdominal pain as constant, generalized, and rates it as a 5 or 6 on a scale of 0 to 10.

Weight: 75

Height: 183

History of Current Illness: 3 days

Pertinent Past Medical History: Diabetes Mellitus

Past surgical History: Free

Family/Social History: Free

Medication History Profile and Allergies: Nothing known about

Lifestyle: (occupation, diet, income, educational level, marital statues): Nothing known about

Critical thinking questions: -

Pre starting any scenario the student will prepare to answer the following questions: -

1. What was your initial assessment?

2. When measuring client’s capillary blood glucose, you do not obtain enough blood to cover indicator square on reagent strip. What could be possible reasons and what should you do

3.Laboratory work returns with following results: WBC =17 × 103/mL3 with neutrophils = 80%; Hct = 43.2. Based on these results, what are your nursing interventions?

4. Doctor orders IV fluids and an antibiotic with first dose to be given STAT. You have not obtained urine specimen yet. Which has priority (e.g., starting IV, administrating antibiotic, or obtaining urine specimen) and why?

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One of the most predictable effects of the expansion of technology is that healthcare costs have increased tremendously. Select one disease case and discuss the cost of this disease in a chronic management system. Add references to support your selection.

WRITE seven NANDA nursing diagnoses AND DEVELOP 3 NANDA PRIORITY NURSING DIAGNOSES FOR POLYCYSTIC OVARIAN SYNDROME

At the end of each unit, DB participation is assessed based on level of engagement and the quality of the contribution to the discussion. DBs allow learners to learn through sharing ideas and experiences as they relate to course content. Because it is not possible to engage in two-way dialogue after a conversation has ended, no posts to the DB are accepted after the end of the unit. Learners must demonstrate an appropriate depth of understanding of course content to receive credit for having submitted substantive posts. Typically, this is achieved with 3–4 strong paragraphs for Main Posts and 2–3 strong paragraphs for Response Posts.

Part of successfully implementing a strategic plan is involving everyone in the organization in the plan. You work as an admission coordinator for an assisted living facility that just enacted its 5-year strategic plan. However, no one has communicated any of the components of the plan to any departments, including yours. Instead, management has chosen to include only senior-level management.

• What do you think of this implementation approach?

• Do you think it will be an effective strategy? Why or why not?

• What would you do differently to ensure the successful implementation of the assisted living facility's strategic plan?

• Direct your comments specifically to an assisted living facility's characteristics and how a strategic plan might be implemented in such an organization.

In your own words, post a substantive response to the Discussion Board question(s) and comment on other postings. Your response should address the DB question(s) and move the conversation forward. You will be graded on the quality of your postings, including mastery of the concept as well as critical thinking. If asked for your opinion, do not simply state that it is a good or bad idea; elaborate on your reasons and argument. Include enough detail to substantiate your thinking as well as your position on the questions or comments.

Gentamicin 1,390 mg IV once a week for 7 weeks is ordered, to infuse in 100 mL over 30 minutes. The patient is 155 cm tall and weighs 45 kg. The recommended dose is 1,000 mg/m2 once weekly for up to 7 weeks.

a). Is the prescribed dose safe?

b). At what rate will you set the pump in mL/h?

How would you employ longitudinal data on fecundity, health and longevity in a large cohort of humans to test the antagonistic pleiotropy hypothesis of senescence? Specify your hypothesis and how you would test it in 200 words or less

A 49 year-old Hispanic female came into your 24-hr Emergency care clinic complaining of purpuric lesions on her left and right ankles. She stated that she was being treated for rheumatoid arthritis with leflunomide and steroids.

1.What is your initial differential diagnosis? Give at least three. You begin to take a patient history and review of symptoms. She is originally from Venezuela but moved to the United States before Hugo Chavez and Nicolas Maduro came to power, and she has not returned in over nine years. She has lived in South Texas for eight years with her husband and two children. She is not on blood thinners such as warfarin (Coumadin). She denies use of alcohol, tobacco, or illicit drugs. She lives in near the bay but states she has not gone to the beach or been on the water for over five weeks. She has not eaten raw seafood in the last four weeks. She denies any known drug allergies

2a. What conditions might you now exclude?

2 b. Why can you exclude these? The patient had rhinorrhea and myalgia. She stated she had no sore throat, shortness of breath but a sporadic cough, felt no fever or chills, no nausea, vomiting or diarrhea, no abdominal pain, no leg swelling or pain in the extremities. Examination revealed temperature of 38.1°C, heart rate 106 beats per min, BP 126/68 mm Hg, respiratory rate 16 breaths per min, and oxygen saturation of 98%. Lungs were clear on auscultation. Her White blood cell count was 4600/microliter (normal 4500-11,000) lymphocyte count was 700/microliter (normal 1000-4800). Her electrolytes, kidney and liver function tests were within normal range.

3a. Do these findings allow exclusion of some of the differential diagnosis possibilities, and suggest some other possibilities?

3b. What other tests would you perform? The patient was given nucleic acid amplification tests for COVID-19, influenza A, and respiratory syncytial virus—all were negative. She was sent home with fluticasone nasal spray, with the diagnosis of sinusitis. She returned two days later, complaining of shortness of breath. Her oxygen saturation had decreased to 94% .

4. What possibilities must now be considered? List at least four. Radiography of the chest revealed a 5 cm mass in the left lower lobe. A CT scan revealed ground-glass opacity, and some left hilar lymphadenopathy.

5. What conditions from question 4 should be included? Patient now had a temperature of 39oC, complained of a productive cough with green sputum, weakness, nausea and vomiting. The heart rate now increased to 115 beats per minute, BP was 138/85 mm Hg. Auscultation revealed crackles in the left lower lobe. Oxygen saturation dropped to 92% within the two hour wait in the emergency room.

6.a. What are the most likely conditions the patient could have?

b. What should your next steps be with this patient? 2 pts c. What is your final diagnosis?

List the stages of prevention in clinical practice and the stages in public health. Define each and explain the similarities and differences between each level of prevention in public health and its similar stage in clinical treatment. Why are there differences between public health prevention and prevention in clinical treatment?