Please write down your opinions on Square Stepping Exercise.

CASE STUDY PARKINSON’S DISEASE

Miss Rose is a 74 year old female, who is a retired widow and lives with her son for the past five years. Both enjoy planting seedlings and own a community agriculture store. She does not suffer with hypertension or diabetes and has an active lifestyle. She is also not known to have any psychiatric illnesses. Over the past six months Miss Rose’s son and herself noticed physical changes and decided to visit her General Practitioner. At her visit she mentioned to the doctor that she was having difficulty rising up from a sitting position after grooming her plants or turning from one table to another when she has customers. Documentation on her clinic file noted that she previously complained of difficulty walking and falling when coming out of bed. She was sent for an X-ray but there were no clinical findings. The physician asked her to describe what happened when she fell. Miss Rose verbalized that when she got up from bed and starting walking she started moving forward and backward then stooped forward with small fast steps and then she fell. Her son mentioned to the doctor that he has noticed that when she is pruning her plants she has abnormal rhythmic movement of the upper and lower limbs. She occasionally has a slight limp and her handwriting has become smaller over the past months. This has stopped her from doing her daily yoga exercises and she has been very disturbed about it. Miss Rose then further explained that the movement started on the distal part of both upper limbs at the same time. She also expressed that during rest she noticed the movement in her limbs and as she started her tasks the movements became more aggravated. Urinary incontinence is also a problem for Miss Rose and she is having difficulty in her swift movements to her bathroom. The patient was later diagnosed with Parkinson’s disease. After the assessment and interview of Miss Rose the Physician documented the following: Physical Assessment Vital Signs: BP- 130/74 mmHg Temperature - 36.7 C, Pulse- 78 bpm regular and bounding Respiration- 20 bpm Height- 5ft 7 in Weight- 70 kg Facial expression- Masklike Gait- Shuffling gait with tendency to fall forward and backward CNS Examination Alert and oriented to time, person and place Level of consciousness GCS- 15/15 Sleeping patterns- normal Swallowing gag reflex- normal Cogwheel rigidity present Tremor present Bradykinesia present Dysphonia present

Instructions:Answer the question below.

a) Discuss the nursing management of the patient using a care plan. Three actual and two (2) potential

A women is brought to the ER where you are working triage. She has an extremely swollen right lower leg. You see what appears to be an old surgical wound in the mid-calf, with rough scar tissue surrounded by purplish-red skin. She is in a lot of pain and her husband speaks for her. He tells you that three weeks ago she had a group of moles removed from that area. It had appeared to heal initially, but three days ago the incision area started looking bigger rather than smaller. She did not return to the physician, hoping the condition would resolve itself. In the past three days the area has begun to swell and become very hot. You call the attending physician immediately because you know that this is a serious condition.

The patient is sent straight to surgery where the wound is debrided. Gram-positive cocci growing in chains are recovered from the wound. She is transferred to intensive care and put on high-dose intravenous antibiotics for the next 18 hours, but the next evening her leg is amputated below the knee. She remains in the hospital for two months following surgery and requires long-term antibiotic therapy and multiple skin grafts on her upper leg.

1. What condition did this patient have? What organism caused it? Provide your rationale. (5 pts)
2. Why was amputation the best solution for the infection in this case? (3 pts)
3. How is the organism transmitted? How might the patient have contracted it? (2 pts)
4. If the organism gets into blood, what other condition would doctors become concerned about? What virulence factors contribute to this condition – explain their mechanism of action and how it contributes to the disease condition. (4 pts)

You are an EMT and are called to the home of Kevin, a 13 week old boy who has become listless and is having trouble breathing. The parents reported that Kevin used to smile, but lately he has not smiled, nor has he had other noticeable facial expressions in the last two days. Kevin’s eyes are open when you arrive, but he does not seem to be focusing. You place your outstretched finger under his fingers and he fails to grasp it. You lift his foot and it drops back to the mattress. The parents report that he has not had a bowel movement in three to four days.

1. What is your diagnosis (disease name and causative agent), based on Kevin’s symptoms and why? (5 pts)
2. If this is indeed the case, do you start treatment here at Kevin’s home, or should you transport him to the local hospital? Why? (2 pts)
3. What should be administered to Kevin at the earliest opportunity and why? (2 pts)
4. How do babies acquire this condition? (2 pts)
5. Although the diagnosis should be confirmed with laboratory tests, the tests should probably not be performed in the local hospital lab. Why not? (2 pts)
6. What virulence factor is solely responsible for the symptoms Kevin is experiencing? Explain in specific detail the mechanism of action of this virulence factor. (4 pts)
7. What is a related virulence factor, made by a related organism, which causes the exact opposite symptoms? Explain in specific detail the mechanism of action of this virulence factor and explain how it causes the opposite symptoms. Name the disease caused by this factor and the organism that makes this virulence factor. (5 pts

An order of 875mL of R/L was to infuse in 7hours at 125mL per hour. After 5 hours, 300mL of fluid was left in the IV. What would be the recalculated IV Flow rate for the remaining solution and percentage of change variation?

A client's whose BSA is 0.45m2 is to receive DRUG-M 5mg/m2 once per week. The supply dosage available is 5mg/mL. how many mL of the DRUG-M should be received per administration?

A medication, 500mg in 250mL R/L, to be infused at 10mL/hr for a patient weighing 110lbs. How many mcg/Kg/min should be infused?

A child weighs 18kg and has an order. For a drug 10mg/Kg PO stat (single dose). The oral suspension is dispensed as 200mg in 6mL. How much should be administered for one dose?

A patient needs IV 500mL of 0.9% NS over 4hr. The drop factor is 20gtt/mL. What is the Flow rate in get/min?

I NEED THIS ASAP!!!!!!!!! PLEASE

root cause analysis of  pressure ulcer. identify the factors involved that is; the system, equipment, material ,management, etc

60 years old ,male , DM Type 2 , HTN since 20 years ,smoker ,family history of IHD ,
Pt said i have shortness of breath increasing by supine position and decreased with sitting position ,like heaviness,intermittent ,started yesterday at 6pm,associated with dry cough ,sleep at night using 4 pillow to sleep
Pt said ihave swelling in my rt and lft foot,ankle worsen when stand or dangling the leg ,decrease with elevate the leg since one month and increase in wt over time
General appearance pale ,pt wt. 90 kg ,ht 180cm cooperative good hygiene ,sitting position,oriented to time place person
VS
Heart rate 110 b/m 2 in right radial pulse irregular
Bp 95/60 mmhg in sitting position
R.R 24 cycle /minute shallow ,with effort using accessory muscle
Temperature 36.5 c orally
Medication
O2 support
Lasix 60mg iv 1*1
Spironolactone 25 mg tab 1*1
Aspirin 100mg 1*1
Physical exam :
Pitting oedema 2 over both foot
Auscultation crepitation lateral right and left lung
Skin cool pale
Abnormal lab result
O2 sat 89%
Hb 9mg /dl
Na 131
ECG SINUS TACHYCARDIA
CX RAY congested both lungs

Read and answer the following questions about the case:

1. Mention two subjective data and two objective data.

2. Mention two nursing diagnoses with problem statement, etiology and manifestations

3. For the above nursing diagnosis continue the nursing care plan including planning, interventions with rationales and the expected evaluations

4. What’s classification of Lasix?

5. interpret 02 sat 89%

you are in the middle of discussing a patient chief complaint and reviewing the patient history with a new patient who seems to be a little uncomfortable talking with you, when another medical assistant knocks on the door and tells you that you have a call. what do you think that you should do? why

A phlebotomist goes to the ER to draw blood from an unconscious, badly injured accident victim. The anxious RN tells the phlebotomist to draw a "rainbow" and a blood alcohol level and adds that she will send the doctor's orders to the lab as soon as she gets them. The injured man does not yet have an ID band on his wrist because the phlebotomist was right there when he arrived. How should the phlebotomist identify the patient in order to meet NPSG's? Should the phlebotomist collect one of every color of the tubes on her tray (the "rainbow") or should the phlebotomist wait for the doctor's orders?

1. State and explain the 3 main components of the 5-Star Rating.

1.Explain employers’ and employees’ legal responsibilities for health and safety in the workplace

2.Explain the difference between ‘hazard’, ‘risk’ and ‘control’

3.Describe the types of information available from reports and records covering the workplace

4.Explain the importance of evaluating information from reports and records covering the workplace

1.Explain how to prepare, use and maintain tools and materials for the UV gel nail enhancements

2.Compare the different methods of disinfecting and sterilising tools and equipment

3.Explain the importance of, and reasons for, using the correct UV wattage and curing

4.Explain the questioning and listening skills required to find out information

1.Explain how to give effective advice and recommendations to clients

2.Explain how to use effective consultation techniques

3.Explain how to effectively and safely position tools and materials for the nail service

4.Explain how to conduct nail and skin analysis

In what way are the following topics significant and relevant to YOU as student and as human person. (200 words per number and firts person point of view)

1. on Health Education
2. on HIV/AIDS
3. on COVID19
4. on drug addiction
5. on smoking and alcohism