4. Discuss specific synovial joints.

5. Discuss developmental disorders, traumatic disorders, and age-related disorders.

6. Explain therapeutic recreation and orthopedic impairments. Include symptoms in common, impact on quality of life, and secondary disabilities.

7. Discuss exercise programs as they relate to the skeletal and joint systems. Include Murphy's three-phase treatment plan goals.

8. Discuss the benefits of aquatic therapy.

9. Discuss new or adapted skills for individuals with disabilities.

10. Define and discuss adherence.  

Chapter 28 An 87-year-old white woman is diagnosed with end-stage liver disease and is requesting to be discharged to her home to die. The gerontological nurse consults with the health care provider to arrange a referral for hospice care. 1. The gerontological nurse’s decision is based on the knowledge that hospice care is indicated when A. preparation for death with palliative care and comfort are the goals of care. B. clients and families are having difficulty coping with grief reactions. C. clients have unmanageable pain and suffering as a result of a physical condition. D. family members can no longer care for dying loved ones at home.

2. Identify and describe the types of grief that the older adult may experience.

3. Explain the Patient Self-Determination Act (PSDA).

What are examples of Primary, Secondary, and Tertiary Prevention of Obesity in non-Hispanic black populations and communities?

What is a COVID-19 Diagnostic Test and how is it performed?

What is a COVID-19 Antibody Test and how is it performed?

What is the major difference between the two tests?

JC looks at the prescription for Flexeril and States I'm glad you didn't give me that Valium. they gave me Valium last time and that stuff knocked me out how would you respond to JC

1. Explain how 2 determinants of health influence hygiene practices.

2.The nurse is instructed to wash a patient’s arms and legs from distal to proximal. What does this mean and what is the rationale for this?

3. When providing perineal care for a female why do we wash from front to back?

4. Why should people with diabetes or peripheral vascular disease not soak their feet for long periods of time?

5. Describe 3 age related changes that will impact a person’s hygiene.

what is the CPT Code?

LOCATION:Inpatient Hospital

PATIENT: Madonna Miller

PHYSICIAN: Alma Naraquist, M.D.

REASON FOR ADMISSION: Severe right groin pain.

HISTORY OF PRESENT ILLNESS/PHYSICAL EXAMINATION: As noted in the admission H&P.

LABORATORY DATA: Metabolic panel showed a sodium of 132, chloride 93, potassium 3.2, BUN 24, and creatinine 3.1. May 2, 200X: Comprehensive panel shows a sodium 133, chloride 95, potassium 3.2, BUN 24, creatinine 3.1, alkaline phosphatase 190. Sugars on the day of admission 90 and 203, and on the day of discharge 162 and 181. CPK was normal. CBC showed hemoglobin 11.9 and white count of 16.6: Pro-time was 1.8. Urinalysis showed a moderate amount of glucose and trace bilirubin, otherwise negative. Protein electrophoresis showed a total protein low at 5.1 and albumin low at 2.4.

X-RAY of the right hip and pelvis done showed some demineralization, otherwise no specific fracture. Bone scan showed increased activity in the right hemi-pelvis consistent with fractures in the superior and inferior pubic rami.

HOSPITAL COURSE AND TREATMENT: Madonna was admitted with the right groin pain; severe, persistent. She was continued on her medications, placed at bed rest, and bone scan was ordered. Her nephrologist saw her and managed her fluids. With the return of the bone scan showing a fracture, PT/OT was consulted. She was given codeine for pain and consultation with the orthopedic surgeon. He recommended conservative management with use of a walker. Because of her current living situation, arrangements were made for her to be transferred to the nursing home and recuperate there. With availability, she was transferred to the nursing home.

TRANSFER MEDICATIONS:

1. Calcitrol 0.25 daily.

2. Digoxin 0.125 daily.

3. Epogen 1000 units every Thursday.

4. Nifedipine XL 30 mg daily.

5. Potassium 10 mEq t.i.d.

6. Pravachol 20 mg at bedtime.

7. Renagel 800 t.i.d.

8. Coumadin 3 mg daily.

9. Reglan 10 mg q.i.d.

10. Acetaminophen 500 mg daily.

11. Calcium carbonate p.r.n.

12. Codeine 30 to 60 mg p.o. q.i.d. p.r.n.

DISCHARGE RECOMMENDATION AND FOLLOWUP: She is to continue on her diabetic diet, checking sugars at the nursing home. She is to gradually increase her weight bearing depending upon the pain level in her pelvis. She will be seen by OT and PT.

FINAL DIAGNOSES:

1. Atraumatic right pelvic fracture.

2. Diabetes mellitus type II

3. End-stage renal disease, on dialysis

4. Coronary artery disease.

5. Peripheral vascular disease.

6. Chronic and continuous tobacco abuse.

7. Long-Term anticoagulation therapy.

8. Chronic leukocytosis.

Previous

A 47-year-old patient has smoked for 25 years. The patient has a history of cardiovascular disease and now he has noticed his lower legs have been aching and are pale, hairless, and diminished or absent pulses.

• Develop assessment questions you would ask this patient to learn more about his problem.
• Explain the most likely pathophysiology.
• Describe the structures of the circulatory system most likely impacted by the patient’s symptoms.
• Describe key considerations regarding the education for the patient and his significant others regarding the patient’s symptoms
• Use at least 2 scholarly sources to support your initial post.

1. What affect does Asthma have on compliance, resistance and work of breathing?
2. What is the physiology of Asthma that causes these affects?
3. How do the therapies for Asthma described in this lesson address these physiological consequences of Asthma?
4. What are the differences between Asthma and pneumonia?
5. How does pneumonia affect compliance, resistance to airflow and work of breathing

1, Write a definition of respiratory failure in your own words

2, What is the difference between Type I respiratory failure and Type II respiratory failure?

3, What is pursed-lip breathing?

4,How does pursed-lip breathing improve ventilation in a patient with COPD?

5,List the key elements included in the 'GOLD' and Lung Foundation Australia guidelines for a long-term COPD management plan.

Following a series of complaints from the Emergency Department about the length of turnaround time (TAT) for STAT testing, your manager asks that you investigate the complaints. Following a series of complaints from the Emergency Department about the length of turnaround time (TAT) for STAT testing, your manager asks that you investigate the complaints.

1. List the areas where there may be concerns? Is there a quality tool/activity to help with this step?

2. What data would you collect and how would you collect it?

How will you create a nutritional plan for a young, pregnant client named Anna. Teenage mothers-to-be during pregnancy require special nutritional care for themselves as well as the developing fetus. Using the internet to identify the risks of the teen as well as the risks of the infant's development.

This scenario is intended to explore differences between macronutrient and micronutrient concepts and describe their physiological functioning. Additionally, you will apply human nutritional theories and relevant research to formulate nutritional assessments and describe nutritional requirements corresponding to stages in the life span.

·        Nutritionally, what is the cause for many low birth weight babies? Discuss.

·        How might the mother's environment affect food choices for Anna?

·        Are prenatal vitamins suggested for teen mothers and why?

·        What foods, or dietary suggestions could you make to Anna to ensure that the baby gets a healthy start?

·        Can prematurity at birth be caused by inadequate nutrition of the teen mother? Explain.