Tegan Bailey is a 28-year-old woman with a past medical history of generalised Tonic Clonic seizures following a traumatic brain injury 6 years ago. The seizures have been well controlled up until now with Carbamazepine (Tegretol) 500 mg daily. After participating in a fitness class at her local gym she was found in the change rooms lying on the ground unconscious.  

5b.       You are doing a set of observations on Tegan when you notice that her body starts to stiffen and she becomes unresponsive, you suspect she is having another seizure. Outline the nursing interventions that you would perform during and post seizure.                                                                                       3 marks

5c.       As a consequence of this latest seizure activity Tegan is to be commenced on Sodium Valproate 200mg three times a day in addition to her Carbamazepine. Discuss and compare how each drug works.                         4 marks ( 2 marks per drug)

Get into pairs. One of you is the worker; the other is the client. Create a hypothetical situation in which the worker has been supporting the client. You need to demonstrate that you can discuss how the worker is meeting the needs of the client. You should also work together to identify and requirements for change.

Explain how you would monitor your own work to ensure the required standard of support is maintained.

proposition of postpartum depression theory ?

1. Define the following:

a. Premenstrual syndrome and premenstrual dysphoric disorder.

b. Amenorrhea.

c. Menorrhagia.

d. Dysmenorrhea

2. Medical and surgical management for menstrual disorders.

Subpoena Policy and Procedure

From time to time, medical records will be subpoenaed for court cases. Therefore, it is important to know the policy that details how to respond to a subpoena for a patient’s medical records. Please answer the following: (please refer to Chapter 5 – Legal Aspects of Health Insurance and Reimbursement)

• How do you handle legal documents?

I have looked through my textbook and can not find anything on Subpoena Policy and Procedures... Help :(

What data could you use to support changes in a nursing program?

Patient Introduction Location: Medical-Surgical Unit 2315 Report from day shift nurse: Situation: Christopher Parrish is an 18-year-old male who was admitted at 1900 today. His mother visited him at his college dormitory and was very concerned with his health; he seemed weak and had lost weight since she last saw him. She took him to see his primary care provider, and the provider admitted him and has ordered a tube feeding. I placed an 8-Fr, 42-inch feeding tube in his right nares about an hour ago, and x-ray just called and confirmed placement in the stomach. The pump is in his room. He is up to the bathroom prn; otherwise bed rest. Background: Christopher was diagnosed with cystic fibrosis as a child and has had frequent hospitalizations previously. He reports fatigue and has recently lost 6 kg (13.2 lb) after he registered at the local college and moved to live in a dormitory. Chris's mom was here earlier, but she is a single parent and has two younger boys, so she had to go home. Assessment: Christopher is awake and alert. His heart rate and rhythm are regular at 80–85/min. Breath sounds are fine with a respiratory rate at 18/min. His color is a bit pale. Blood pressure is 118/78 mm Hg. He reports no pain and states he's not had much appetite the past few weeks. His belly is flat and nontender. Bowel sounds are normoactive. Recommendation: Christopher is due for vital signs and assessment. The tube feeding just arrived, and you will need to start it on the pump. He needs 720 kilocalories over 8 hours overnight. His regular diet is high calorie, high fat, but he wasn't too hungry this evening; just had a bit of his chocolate shake. You will need to give his pancreatic enzymes orally before you start the tube feeding. You should also assess his diet and reinforce patient education on nutrition. what are the assessment objective and subjective. Expected outcomes . Interventions nurse does . Rationale (because). Evaluation (did EO happen?).

what do we learn from ethics class and what is the most surprising thing that you learned from the ethics class?

As a nurse explain the importance of these.

1.Health promotion and maintenance, including early detection

2.Illness prevention

3.Diagnosis and treatment

4.Rehabilitation and long-term care

5. Secondary care services

6. Tertiary care service

7. Quaternary care

This week as we explore cultural diversity it is important to realize the impact culture plays in health promotion. It is essential that we become culturally competent to ensure we provide the best possible care and services to all of the patients we serve regardless of cultural and ethnic backgrounds. Culture is embedded in one’s worldview and perception about health yet we often overlook how culture plays a role in an individual’s health outcomes. In this week’s discussion, you will choose a vulnerable population (based on a cultural group, race, ethnicity, gender, etc), find a journal article (less than five years old) that pertains to the chosen cultural group, and answer the following questions:

1. From the vulnerable population, you selected, please describe in paragraph form including how their belief systems and view of health are impacted. Be sure to include a minimum of one socioeconomic factor and one regional and ethnic factor that should be considered when evaluating the health promotion needs of this population.
2. Define health disparity in your own words and describe one health disparity that affects or can affect the culture you have selected?
3. From the health disparities, you identified in prompt two, which of these would be of the highest priority to screen for in your assessment of this individual?

The topic for the final exam is, "Describe How the HMO's shifted and pivoted their services during the current COVID-19 Pandemic".  Some of the services included, telehealth, virtual visits, COVID testing, patient care, patient education, crisis hotlines, case management outreach services, relaxed HIPPA rules, etc.

Title Page:  Title of your project, your name, course information and completion date

Table of Content:  Outline of the project with page numbers

Executive Summary: A brief overview of your project/topic, explaining the business problem, research questions, literature search, methodology, analysis of data, findings, lessons learned, conclusions, and recommendations (1 page).

Introduction: Describe background information around your business problem, why you choose the topic, any literature search and findings of other research studies similar to the one you have selected (2 pages).

Methodology: Describe the statistical methodology used to analyze the proposed business problem. Explain how each research question/s guided the development of the survey instrument, sampling plan, collection of data and analysis. Explain how you intend to analyze the data and how your findings help you to answer your research questions (2 pages).

Findings: Explain what you have explored in analyzing the data. In this section you analyze the findings that lead to possible solutions to your proposed business problem/s (4 to 6 pages).

Lessons Learned: What are some lessons you learned while you were engaged in this project that you were not aware at the beginning of the project. Please be candid about mistakes you made that lead you to a different result than you were expecting. Areas that you would not repeat or you would enhance if you engage in another project. What advice and recommendation/s you would propose to readers and to future researchers.

Conclusion and Recommendation:  After the completion of your research, what conclusions did you arrive at? What recommendations would you make to others regarding this subject? What is the main point that you want the reader to take away and how should the reader use the information going forward? (1 – 2 pages)

References: Use APA style format for references.

Case 1:
A 45-year-old man with a history of depression presented to the ED with the complaint of feeling suicidal. The patient had cut himself after an argument with his wife. His family called 911; the police and EMS responded and transported him to the ED. The initial suicide screening revealed that the patient did not want to live and intended to kill himself. Because of this initial screening, the ED nurse initiated “high risk behavioral health precautions.” The physician ordered labs, suicide precautions with one-on-one observation, and evaluation by the on-call mental health counselor. Everyone agreed that the patient was at high risk of suicide and would require inpatient psychiatric admission.

The medical record showed that the patient was “placed in a gown and a safe ED room” and that suicide precautions were initiated. The ED nurse charting — performed at 15-minute intervals — indicated that security was at the patient’s bedside. While awaiting psychiatric admission and after several hours of observation, security briefly left the patient’s room; they returned to find the patient unresponsive, cyanotic, and hanging from the cardiac monitor with the monitor wires wrapped around his neck. The patient did not survive despite a code blue resuscitation.

Question 1. What went wrong?

Question 2: What should have happened?

Case 2:
Before a thorough evaluation could take place, a suicidal patient in the ED started screaming at the nurses that she wanted to leave. The patient was restrained supine by all four limbs. The 2 beds in the ED designated for behavioral health patients were full, so they put the patient in a procedure room, away from the nurse’s station. Since the patient was screaming and yelling, the ED staff was happy to isolate the patient in a room. The staff allowed her to keep her clothes on so as not to agitate her any further. They did not find weapons on her, but they also did not perform a diligent search for other objects that could be used to inflict harm.

Question 3. What went wrong?
Question 4: Review TJC National Patient Safety Goal
A.   Identify the specific goals that addresses suicide
B.   Research and review the elements of performance for the standard