A comfortable environment will be individual to the particular client that you are providing care and support for. Give details of a specific time that you altered an environment for a client in order to make them feel comfortable.

It is essential to respect clients’ individual differences. Give examples of the different ways that you can do this to maintain their dignity and privacy whilst providing them with support.

Managing Change

Jennifer Kowal, a family nurse practitioner, moves to a small rural community in Michigan. There is no primary health care office within a 50-mile radius. She decides that she will open a community health center and provide primary care services. Nurse Kowal has never managed or owned a business. She has negotiated a collaborative agreement with a family practice physician in a major urban area. Nurse Kowal begins to review the literature on best practices in primary care settings.

1. What activities should Nurse Kowal undertake before opening the health center?
2. Nurse Kowal’s dad is a prominent business owner in the city she grew up in. When she tells him what she is trying to do, he asks what her mission statement and business vision are. When she tells him, he warns her, “That’s all very well, but make sure you build in a way to be flexible, too.” If Nurse Kowal’s core purpose and core values will be unchanging, how can she keep her organization flexible as well? Is it possible her father is wrong because he does not understand how health care must work?

Goes to hemodialysis 3 days a week

Oxygen saturation 86% on 15 LPM via mask

Oriented to name only

Crackles in bilateral lower lobes

2+ edema bilateral lower extremities and hands

Abdomen is distended with hypoactive bowel sounds x4 quadrants

Chemistry Panel: Serum sodium 132 mEq/L, serum potassium 6.0 mEq/L, calcium 9.3 mg/dL, phosphorus 6.0 mg/dL, glucose 197 mg/dL, albumin 2.4 U/L, serum blood urea nitrogen 77 mg/dL, serum creatinine 7.30 mg/dL, eGFR African American 10, BNP 182 pg/mL

Urinalysis: Dark yellow and cloudy, protein 28 mg/dL, positive for casts, positive for red blood cells and white blood cells, positive for glucose and ketones

Blood cultures pending

What is MODS? After reviewing W.A.’s presentation, what organ systems do you suspect are involved and why?

What do you think is the origin of W.A.’s septicemia?

What additional tests would you anticipate for W.A.?

What are the interprofessional care goals for W.A.?

Describe interprofessional care that would be appropriate for W.A.

A 32 hispanic female has come to the clinic today for a comprehensive assessment

What are your primary concerns for this patient and what assessment would be associated with your concerns and why ?

1. what are your thoughts concerning the use of popular children's television character for advertisement of snack? share your own experience with this is applicable.(100+words)
2. How would you redesign food and snack marketing to reflect a healthier approach for young children? ( 100+words)

are we exploiting our children ( minimum of 400word)

An employee of the nursing home left a facility laptop in a vehicle. The vehicle was stolen. The facility does not know who took the vehicle or where it is. The laptop included files of resident information on the hard drive. It allowed remote access to the facility’s system and health records, but was password protected. The computer itself also required a password to utilize and access anything. Breach analysis? Write up your analysis in 250-500 words.

Hadley, a thirty-five-year-old physician, has worked at Princeton Plainsboro Hospital for six years. She recently received a promotion to the head of oncology and is looking forward to spending the remainder of her medical career at the hospital.

Unfortunately, Hadley has a family history of Huntington’s disease, a condition that causes movement, cognitive and psychiatric disorders. Hadley’s mother suffered and eventually passed away from the disease, as there is no cure. Huntington’s is an autosomal dominant condition, meaning that Hadley has a fifty-percent chance of inheriting the condition from her mother.

For years, she has put the thought of inheriting the condition out of her mind, but she is quickly approaching her thirty-sixth birthday, and that is when her mother began to show symptoms of the disease. Hadley decides that now is the time to go ahead and have the genetic testing done to see if she will inherit the disease from her mother.

Hadley has the testing done at Princeton Plainsboro, and two weeks later receives her results – she is positive for Huntington’s. Hadley is devastated, but decides that she will continue with her oncology practice until she is mentally and physically unable to perform her duties.

Additionally, she speaks to her friend, Cameron about a clinical trial for a new medication to treat Huntington’s that has recently begun at the hospital. Because she is too late to enter the study and does not want anyone to know she has the condition, Cameron agrees to allow her to take the experimental medication and participate in the trial without signing any documents.

Three weeks later, a lab tech speaks to Hadley’s superior regarding her unfortunate diagnosis. Because hospital management knows that Hadley likely only has a few more years to work in oncology, they terminate her employment to hire a new head of oncology that can run the unit for the foreseeable future.

Please read the scenario carefully, and discuss the following:

• What, if any regulations were violated when Hadley entered into the clinical trial in this manner?
• Did she commit any ethical violations by entering into the clinical trial this way?
• Did Cameron commit any ethical or legal violations by allowing Hadley into the clinical trial?
• What ethical and legal issues arise with the type of genetic testing that Hadley underwent? Do you think this type of testing is beneficial or harmful to the individual being tested?

25-year-old female client is being admitted to the postanesthesia care unit (PACU)
following a thyroidectomy for hyperthyroidism. The client had undergone three
months of preoperative treatment with antithyroid medications and iodine
preparations to establish euthyroid status prior to her surgery. At the client's bedside
the nurse has set up a tracheostomy set, endotracheal tube, laryngoscope, and suction
equipment. There are ampules of calcium gluconate on hand. The nurse places the
client in a semi-Fowler's position, and is supporting her head and neck with pillows
and sandbags. The nurse frequently checks the client's vital signs, and assesses her
suture line for strain or bleeding. Once the immediate postoperative period has passed,
the client will be transferred to the surgical ward where she will recuperate and learn
about lifelong thyroid replacement therapy.
a. Why is it important to support the client's head and neck with sandbags and
pillows?
b. Develop a plan of care for this patient including 2 actual and 2 potential

Learning reflections about alcoholism in the Philippines. Make it comprehensive and minimum of 10 sentences.

how can i find proposition of postpartum depression theory ?

how can i find proposition of any nursing theory ?