EXPLAIN/DISCUSS THE FOLLOWING CONCEPTS THOROUGHLY.

1. Give the different concepts of nursing according to the Theory of Interpersonal Relations. Discuss.
2. Give the four (4) phases of therapeutic nurse-patient relationship. Discuss each.
3. A theorist believes that the “mind and body are inseparable and are interrelated”. What do you mean by that concept? Explain.
4. What do you mean by patient care theory? Give its significance to environmental health. Explain.

1. List five factors that are related to the high rate of obesity and diabetes in school aged children.

2. What are five characteristics of the types of food and meals typically consumed by teenagers?
3. What are three factors that affect teenagers’ eating behaviors?

4. In general, how do the nutritional requirements for older adults compare with those of younger adults?

You encounter a client, 32 y.o., with an early diagnosis of Huntington's Disease. What are some pressing issues and suggested services? Is an employment goal feasible or do you need to concentrate only on Independent Living needs? What about services for his family or support system?\

EXPLAIN/DISCUSS THE FOLLOWING CONCEPTS THOROUGHLY.

1. What is the meaning of holistic approach to health care? Give its relevance to nursing.
2. How can nursing theories help to promotion of nursing practice? Discuss.
3. Does caring for patient differ in multi - generations of nurses? Do they exist? How?

Explain.

4. Does caring (nurse caring) deteriorate with time? How? Explain.

Neurology Assignment 4

A previously well 16-year-old African-American young man presented to the Emergency Department (ED) with persistent vomiting, severe headaches, and decreased energy of 5 weeks duration. Five weeks earlier, the patient had presented to his pediatrician with headache and vomiting. He was treated with oral amoxicillin for presumed streptococcal pharyngitis, but the group A Streptococcus antigen test was negative. Three weeks later, he presented to a local ED with worsening nausea, vomiting, dizziness, poor oral intake, worsening headaches, neck stiffness and fever. He has a strange affect and belligerent behaviour he is also complaining of neck stiffness.

1. Outline the medical treatment of Meningitis
2. Briefly describe three (3) classes of medications used in the treatment of patients suffering from Meningitis
3. What are the nursing considerations/management
4. Develop a plan of care for this patient. Two (2) actual problems and One (1) potential problem.

EXPLAIN/DISCUSS THE FOLLOWING CONCEPTS THOROUGHLY.

1. What do nurses think about nursing theories? Explain.
2. How can we promote ethics in nursing? Explain.
3. For you, how can we develop communication in nursing practice? Explain.
4. What reference can you use to define "novice nurse" or "new nurse" and "experienced nurse"? Support your answer.

EXPLAIN/DISCUSS THE FOLLOWING CONCEPTS THOROUGHLY.

1. What are the similarities and differences of Orem's self care model and Roy's adaptation model? Discuss briefly.
2. What is comfort according to the theorist Katharine Kolkaba? Explain.
3. What is/are the importance of culture care theory in the nursing profession? Support your answer.
4. What are the major concepts of the Roy Adaptation Model? What are its aims and scope? Discuss.

Orthopedic Nursing

Patient Scenario

Mary Jane is an 81-year-old woman was admitted to hospital after a simple fall, complaining of hip pain and inability to walk. The affected right leg appeared internally rotated. Passive motion was painful, and active movement was impossible secondary to pain. The patient has several chronic medical problems including as DM, Hypertension and Ischemic Heart Disease. Treatment in the Accident and Emergency Department was centered around her diagnosis of a fractured right femur. She lives in a nursing home, although she was independently ambulant. She has now been admitted to your Orthopedic Unit for further management.

Chief Concern:

• Severe, sharp pain on movement 9/10
• Inability to bear weight, sit-up or ambulate

PHH (Past Health History):

• appendectomy age 15, fractured clavicle age 19.
• laminectomy (L4‐5) 17 years ago due to a work-related injury.

Medications History:

• acetaminophen 500 mg PO q6h
• Insulin 70/30 12units SC, AM and PM
• Enalapril 10mg PO BD
• Atenolol 25mg PO OD
• Aspirin 81mg PO OD
• Calcium 600mg PO OD

Physical Exam:

• BP 160/94 P 103 regular R 24 T 37.2
• Conscious and alert but appears anxious, GCS 13/15
• Height 188 cm, weight 118 kg
• IVF in progress, 0.9% Nacl to left anti-cubital fossa
• Skeletal Traction to right leg with 15 pounds weights in place
• Urinary catheter in situ, on free drainage
• TED stocking in place to left lower limb

Social History:

• Trinidadian born, graduated form 5 high school
• worked on an assembly line in manufacturing company; is physically demanding
• smokes 1pk/day x 18 years, occasional marijuana use; drinks beer ~ 2/week.
• recently lost a long‐time friend at the nursing home to cancer
• spouse died 8 years ago (MI)
• no children, 1 sister alive she lives abroad

Family History

• Mother died of heart disease
• Father died of prostate cancer

Assignment

1. What are the patient priorities?
2. Identify and involve an inter-professional team that will be required to provide holistic care for Mrs. Jane.

Orthopedic Nursing

Patient Scenario

Mary Jane is an 81-year-old woman was admitted to hospital after a simple fall, complaining of hip pain and inability to walk. The affected right leg appeared internally rotated. Passive motion was painful, and active movement was impossible secondary to pain. The patient has several chronic medical problems including as DM, Hypertension and Ischemic Heart Disease. Treatment in the Accident and Emergency Department was centered around her diagnosis of a fractured right femur. She lives in a nursing home, although she was independently ambulant. She has now been admitted to your Orthopedic Unit for further management.

Chief Concern:

• Severe, sharp pain on movement 9/10
• Inability to bear weight, sit-up or ambulate

PHH (Past Health History):

• appendectomy age 15, fractured clavicle age 19.
• laminectomy (L4‐5) 17 years ago due to a work-related injury.

Medications History:

• acetaminophen 500 mg PO q6h
• Insulin 70/30 12units SC, AM and PM
• Enalapril 10mg PO BD
• Atenolol 25mg PO OD
• Aspirin 81mg PO OD
• Calcium 600mg PO OD

Physical Exam:

• BP 160/94 P 103 regular R 24 T 37.2
• Conscious and alert but appears anxious, GCS 13/15
• Height 188 cm, weight 118 kg
• IVF in progress, 0.9% Nacl to left anti-cubital fossa
• Skeletal Traction to right leg with 15 pounds weights in place
• Urinary catheter in situ, on free drainage
• TED stocking in place to left lower limb

Social History:

• Trinidadian born, graduated form 5 high school
• worked on an assembly line in manufacturing company; is physically demanding
• smokes 1pk/day x 18 years, occasional marijuana use; drinks beer ~ 2/week.
• recently lost a long‐time friend at the nursing home to cancer
• spouse died 8 years ago (MI)
• no children, 1 sister alive she lives abroad

Family History

• Mother died of heart disease
• Father died of prostate cancer

Assignment

1. Briefly explain how a femur fracture is diagnosed.
2. Describe the pathophysiology of bone fractures and complications
3. Are the signs and symptoms associated with a femur fracture, consistent with the presentation by Mrs. Jane?

A home care patient is experiencing pain secondary to surgery for head and neck cancer. She takes a liquid narcotic in suspension form. Her doctor ordered 2 teaspoons q. 4 hours, PRN for pain and gave orders to the home health nurse to titrate the dose to the patient’s pain level. The nurse is to report on the patient’s pain level and response to the analgesics every week. Given the patient’s condition and level of pain and previous response to analgesics, there is no fear of addiction in this patient. The nurse has explained the treatment plan to the patient, and she concurs with the analgesia plan. However, the patient will not measure the amount of medication she takes each time. Every time the nurse visits, the patient reports that she takes a “couple of swigs” and that it relieves the pain. She does not see the need to make a detailed record of her use of medication because the system she is using works. Design a program that will be agreeable to this patient and still meet the nursing need of documenting episodes of pain and how much medication was needed for relief of pain. You must consider your legal and ethical role as a nurse and the ideal of patient autonomy.

What are nursing care issues around racism and LGBTQ? What are nurse's professional or personal boundaries as it relates to nursing therapeutics.?

Orthopedic Nursing

Patient Scenario

Mary Jane is an 81-year-old woman was admitted to hospital after a simple fall, complaining of hip pain and inability to walk. The affected right leg appeared internally rotated. Passive motion was painful, and active movement was impossible secondary to pain. The patient has several chronic medical problems including as DM, Hypertension and Ischemic Heart Disease. Treatment in the Accident and Emergency Department was centered around her diagnosis of a fractured right femur. She lives in a nursing home, although she was independently ambulant. She has now been admitted to your Orthopedic Unit for further management.

Chief Concern:

• Severe, sharp pain on movement 9/10
• Inability to bear weight, sit-up or ambulate

PHH (Past Health History):

• appendectomy age 15, fractured clavicle age 19.
• laminectomy (L4‐5) 17 years ago due to a work-related injury.

Medications History:

• acetaminophen 500 mg PO q6h
• Insulin 70/30 12units SC, AM and PM
• Enalapril 10mg PO BD
• Atenolol 25mg PO OD
• Aspirin 81mg PO OD
• Calcium 600mg PO OD

Physical Exam:

• BP 160/94 P 103 regular R 24 T 37.2
• Conscious and alert but appears anxious, GCS 13/15
• Height 188 cm, weight 118 kg
• IVF in progress, 0.9% Nacl to left anti-cubital fossa
• Skeletal Traction to right leg with 15 pounds weights in place
• Urinary catheter in situ, on free drainage
• TED stocking in place to left lower limb

Social History:

• Trinidadian born, graduated form 5 high school
• worked on an assembly line in manufacturing company; is physically demanding
• smokes 1pk/day x 18 years, occasional marijuana use; drinks beer ~ 2/week.
• recently lost a long‐time friend at the nursing home to cancer
• spouse died 8 years ago (MI)
• no children, 1 sister alive she lives abroad

Family History

• Mother died of heart disease
• Father died of prostate cancer

Assignment Question

1. prepare a nursing care plan for Mrs. Jane, including (utilize 2 actual and 1 potential nursing diagnosis, assessment, 2 actual and 1 potential nursing diagnosis, desired outcome, nursing interventions, and evacuation).

Explain the significance of CLIA waved testing. DISCUSS CLIA waived microbiology tests that are done in a healthcare setting. Provide examples

Question:

For each area below, discuss the legal aspects (surrounding both the legislation or assessment tools) and its relevance to the aged care sector.

1.Aged Care Funding Instrument (ACFI)

2. Aged care risk classification system

3. Code of Ethics for Nurses in Australia

4. Code of Conduct for Nurses (NMBA)

5.Residential care quality assessment (RESCAREQA)

Your textbook explains the three major explanations for the continuing wage gap between men and women in the paid labor force: human capital theory, the dual labor market, and gender segregation.

In your discussion post, answer the following questions:

• Find an example of a successful effort to narrow the wage gap — either a government policy or a private company that addressed the issue with its own internal policies. Summarize the strategies or methods involved and the effects those strategies or methods produced.
• Could these same strategies or methods be effective across all areas of the labor force?
• What is one possible reason the wage gap has not narrowed across all jobs?