What causes type 2 diabetes? What risk factors make type 2 diabetes more likely to happen? Explain how those causes and risk factors operate for individuals, families, communities and the society at large?
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Case Study: Ellen is a 55-year-old African American woman with multiple medical problems, including chronic back pain. She is 66 inches tall (5’6”) and weighs 286 pounds. She takes medications for high blood pressure and hypercholesterolemia, both of which are currently under control, and she is a non-smoker. She also takes pain medications every day and has difficulty walking but attends a water exercise class at the local sports center one day a week. She states that she has been overweight most of her life and confesses that foods, especially sweet foods, are a comfort to her when she experiences physical or emotional pain. Her diet history reveals an intake of two or three cans of regular soft drinks each day. Her usual meals with her husband include meat or chicken (she does not like fish) and starchy vegetables, such as corn and potatoes. She snacks on several types of frozen desserts between meals. A recent visit to her doctor reveals a weight gain of 15 pounds over the past 6 months and an increase in her fasting blood glucose level into the “pre-diabetes” range. She has a family history of diabetes. Her doctor has recommended she lose weight and make lifestyle changes to prevent her from developing type 2 diabetes. 4. What are 5 heath behaviors that need to be changed? 5. Describe 5 specific dietary recommendations you would encourage Ellen to implement in order to plan healthy meals to manage her multiple health concerns? (5pts) 6. Based on your reading and research, what specific meal plans or diets would benefit Ellen based on her multiple diagnoses? What are they, why should she consider them, how may they improve her condition? (5pts)
In: Nursing
Case Study: Ellen is a 55-year-old African American woman with multiple medical problems, including chronic back pain. She is 66 inches tall (5’6”) and weighs 286 pounds. She takes medications for high blood pressure and hypercholesterolemia, both of which are currently under control, and she is a non-smoker. She also takes pain medications every day and has difficulty walking but attends a water exercise class at the local sports center one day a week. She states that she has been overweight most of her life and confesses that foods, especially sweet foods, are a comfort to her when she experiences physical or emotional pain. Her diet history reveals an intake of two or three cans of regular soft drinks each day. Her usual meals with her husband include meat or chicken (she does not like fish) and starchy vegetables, such as corn and potatoes. She snacks on several types of frozen desserts between meals. A recent visit to her doctor reveals a weight gain of 15 pounds over the past 6 months and an increase in her fasting blood glucose level into the “pre-diabetes” range. She has a family history of diabetes. Her doctor has recommended she lose weight and make lifestyle changes to prevent her from developing type 2 diabetes. 7. What factors should be considered in developing a fitness plan for Ellen? (5pts) 8. Develop an appropriate/individualized comprehensive fitness routine including all four components of fitness that would help Ellen achieve her goals. (10pts) 9. How will the diet and physical activity recommendations you made impact Ellen’s health status? Describe all factors that will be influenced.
In: Nursing
In: Nursing
Use active learning template system disorder for personality disorder
In: Nursing
Use active learning template system disorder for schizophrenia
In: Nursing
Please explain the devices listed below in detail and how they operate.
1. Ultrasound (Diagnostic)
2. Patient Monitor
In: Nursing
Please explain the device listed below in detail and how it operates.
1. Capnography Equipment
In: Nursing
Pain Assessments and Interventions:
Assessment: The patient was alert and orientated X 3/ X 2 and reported left hand pain at the IV site as a 5 on a scale from 0-10 at 0900 d/t potassium infusion; heat pack was placed at the site and IV rate was lowered, reassessment at 0930 was a 0. The patient demonstrated facial grimacing during movement and appeared to be discomfort through out clinical shift. She stated pain level as 0 at 0730 and 1430 when vitals were recorded.
Interventions:
Neurosensory Assessments and Interventions:
Assessment: Patient is alert and orientated X3, sometimes X2. Easily arousal. PEERLA present. No use of corrective lenses/glasses. Patient has slowed, comprehendible speech. Verbal and able to follow two-step commands. Purposeful responses and purposeful movements. Generalized muscle weakness and fatigue.
Interventions:
Respiratory Assessment and Intervention:
Assessment: Patient on room air. Frequent, nonproductive, dry cough noted after an increase in activity. Patient appears to be in no distress. Barrel chest. Normal lung sounds auscultated in all lung fields. HOB is elevated to 30 degrees. No use of axillary muscles. No signs of pallor or air hunger.
Interventions:
Cardiovascular Assessments and Interventions:
Assessment: Patient’s HR 75 at 0730 and 79 at 1130. BP 108/60 at 0730 and 107/52. Patient is placed on remote telemetry. S1 and S2 sounds present. All four extremities are warm and dry. Skin turgor immediate recoil. No signs of clubbing/splitting. Dorsalis Pedi +1 weak pulses. Radial pulses +1 weak. Capillary refill less then 3 seconds. Patient’s color is WNL. No peripheral edema. Abdominal ascites present. SCD’s present. Patient has a hx of HTN, coagulopathy and anemia.
Interventions:
Musculoskeletal Assessments and Interventions: (include activity)
Assessment: Patient has limited ROM in all four extremities and needs partial assistance with ADL’s. Decreased ROM in all four extremities: RUE-mild LUE- mild, RLE- moderate, LLE- moderate. Decreased tone in all four extremities. No muscle contractures present. No peripheral edema or tenderness present. No traction or casts present. No abdominal binder. Able to transfer to bedside commode with one assist. Patient is on high fall risk and a bed alarm is set.
Interventions:
In: Nursing
In: Nursing
1. Discuss the breadth of the sport industry and the related
career opportunities with
specific reference to the industry segments discussed in this
chapter.
2. Explain how each of the following would help an individual
succeed in the sport
industry: (a) communication skills, (b) leadership skills, (c)
practical experience, (d) a
mentor.
3. What type of course work and related academic content are
provided by a good sport
management program?
4. Identify three functional areas in the sport industry and
elaborate on the types of jobs
that might be specific to those professional roles.
5. Identify two existing sport organizations for each segment of
the sport industry.
In: Nursing
How do nurses use genomic science in caring for patients?
Using the skills, tools, concepts, and vocabulary you have learned in this class, discuss the professional nursing implications of COVID-19 and future pandemics. You may focus on any aspect that feels meaningful and interesting to you. Use your nursing imagination to do this!
Link what you have learned in this course with current news and events about the COVID-19 pandemic.
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Create a proposed statistical analysis for the research proposal of "The benefits physical activity has on stress"
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Use active learning template system disorder for personality disorder
In: Nursing
A pharmacist needs to prepare 250-mg aspirin suppositories for a patient, and the dosage regimen is “1 q4-6h prn”. How many grams of aspirin would be needed for a 8-day supply of these suppositories according to this regimen?
In: Nursing