Questions
Post a description of the national healthcare issue/stressor you selected for analysis, and explain how the...

Post a description of the national healthcare issue/stressor you selected for analysis, and explain how the healthcare issue/stressor may impact your work setting. Then, describe how your health system work setting has responded to the healthcare issue/stressor, including a description of what changes may have been implemented. Be specific and provide examples.

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It is impossible to discuss the needs of elders without discussing the role informal caregivers play...

It is impossible to discuss the needs of elders without discussing the role informal caregivers play in helping elders with their Activities of Daily Living and general wellbeing. If you are a caregiver, you know that caregiving not only takes on an emotional toll but also physical and financial. What services are available for caregivers? Can case management services help? Please define case management and describe the core elements of the care management process. Based on findings from the PACE program and other national demonstration projects, how successful are case management programs in helping informal caregivers?

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Do you believe that a nursing care facility can enhance a patient’s quality of life? Why...

Do you believe that a nursing care facility can enhance a patient’s quality of life? Why or why not? If you believe it can, how do you think it can be done?

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You are working at a local hospital working a medical social work case manager with your...

You are working at a local hospital working a medical social work case manager with your newest client on discharge planning. Your hospital allows you to work with clients to provide case management services and support for up to 60 days following their discharge from the hospital. You have been assigned to work with your latest client, Larry. Larry is a 35 year old single father of 3 children, ages 5, 6, 14. He was admitted to the hospital 19 days ago with moderate respiratory distress and a positive diagnosis of Corona C19. All 3 of Larry’s children were tested for Corona C19 and all 3 tested negative. Larry’s children have been placed temporarily in the care of a local foster family as Larry has no relatives able and willing to care for the children, but are expected to return home with him within a week of discharge from the hospital. Larry has made significant progress in his recovery, however, will be unable to return to work at the warehouse where he was employed due to limitations in his physical abilities related to ongoing problems with his breathing, physical strength, and stamina. It is unknown when/if he will be able to return to his employment, depending on his long term health prognosis.

1. What are the major concerns present with Larry? What would you identify as the most pressing concern? Develop a minimum of 3 intervention strategies based upon this scenario that you might employ in your work with him.

2. In regard to Larry’s children, in what ways might you be able to provide services to support them moving forward? What services will be needed for Larry’s family even following your involvement with the case past the next 90 days.

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How genes do affects the ageing of the brain?

How genes do affects the ageing of the brain?

In: Nursing

In this Discussion, you examine a national healthcare issue and consider how that issue may impact...

In this Discussion, you examine a national healthcare issue and consider how that issue may impact your work setting. You also analyze how your organization has responded to this issue.

In: Nursing

national healthcare issue and consider how that issue may impact your work setting

national healthcare issue and consider how that issue may impact your work setting

In: Nursing

1. Explain what toxins and chemical agents are in the food supply. 2. Discuss how the...

1. Explain what toxins and chemical agents are in the food supply.

2. Discuss how the food supply is protected in the United States.

In: Nursing

Who agencies are responsible to create national health days, in the world? Explain.

Who agencies are responsible to create national health days, in the world? Explain.

In: Nursing

Mindbender Anti-hypertensive-Diuretic Case Study An African-American 65-year old man has a history of diabetes and chronic...

Mindbender Anti-hypertensive-Diuretic Case Study

An African-American 65-year old man has a history of diabetes and chronic kidney disease with baseline creatinine of 2.8 mg/dL.  Despite five different antihypertensives, his clinic blood pressure is 176/92 mm Hg and he has 2-3+ edema on exam.  He has been taking furosemide 80mg twice a day for one year now.  He has mild dyspnea on exertion.  At the clinic visit, hydrochlorothiazide 25mg daily is added for better blood pressure control and symptoms/signs of fluid overload.  Two weeks later, the patient presents to the emergency department with symptoms of weakness, anorexia, and generalized malaise.  His blood pressure is now 91/58 mm Hg and he has lost 15kg in two weeks.  His laboratory test are significant for a serum creatinine of 10.8.  

1.      What has led to the acute kidney injury? 5pt

2.      What is the reason for the weight loss?  5pt

3.      What precautions could have been taken to avoid this hospitalization? 5pt

4.      The 65-year old man (J.J) brings his adopted-son, also African-American, a 35- year old man (M.J) to Roosevelt General emergency room due to having a blood pressure of 150/95 mm Hg.  He has been generally healthy, is sedentary, drinks several cocktails per day, and does not smoke cigarettes.  M.J has a family history of hypertension, and his biological father died of a myocardial infarction at age 55.  Physical examination is remarkable only for moderate obesity.  Total cholesterol is 220, and high-density lipoprotein (HDL) cholesterol level is 40 mg/dL.  Fasting glucose is 105 mg/dL.  Chest x-ray is normal.  Electrocardiogram shows left ventricular enlargement.  How would you treat this patient?  5pt

5.      A grad student taking Prof A.J pharmacology course is on grand-rounds at Roosevelt General and overhears some M3 and P4 students discussing the 35-year old man (M.J) case.  Both students mentioned M.J had a history of angioedema which caused his face and tongue to swell.  Unfortunately, they couldn’t figure out which drug caused this adverse effect and he had no home meds listed in his patient profile.  So, they went to ask M.J, but he couldn’t remember the name of the drug.  Not wanting to ask their preceptor, both students decided to ask the grad student (You)!!

a.      What drug did Prof A.J discussed in class known for causes angioedema? 2.5pt

b.      What is the next best option You would recommend to the M3 and P4 students that does NOT cause angioedema? 2.5pt

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Controversy surrounds the safety of GMO foods. For example, two of the questions surround long-term health...

  • Controversy surrounds the safety of GMO foods. For example, two of the questions surround long-term health and environmental disruption. Present your views on genetically modified foods and include credible resources to back up your opinions.

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Explain the use of individualised plan(care plan) for minimium of 3 different ocassions of support activities.

Explain the use of individualised plan(care plan) for minimium of 3 different ocassions of support activities.

In: Nursing

Is the EPA has done a good job monitoring the safety of public water systems?

Is the EPA has done a good job monitoring the safety of public water systems?

In: Nursing

Chapter 10, The Interview and Assessment Process 1.You have been asked to conduct an interview for...

Chapter 10, The Interview and Assessment Process

1.You have been asked to conduct an interview for a psychiatric–mental health client.

a} What part of conducting an interview to obtain psychosocial data on a client is most difficult for you?`

b} What part of conducting an interview to obtain psychosocial data on a client is relatively easy for you?

What are your strengths as an interviewer and what skills do you need to develop?

You are working at a psychiatric–mental health facility that uses the PERSONS acronym for collecting data in the initial patient assessment.

c} Choose one of the letters of this acronym and explain the data that would be collected under that letter.

d} For your chosen area, list five questions that you would ask to elicit information from a psychiatric–mental health client.

The nurse is caring for a 39-year-old American Indian psychiatric mental health client.

e} What is the importance of assessing cultural needs in a psychiatric–mental health client?

f} What is the importance of assessing spiritual needs in a psychiatric–mental health client?

Your nursing instructor lectured on standardized tools in class today. You took good notes and you are attempting to explain these tools for a fellow nursing student who was sick and missed class.

g} What are some of the standardized tools your instructor discussed? Which healthcare professional would use the tools discussed? What are the tools used for?

h} Why do healthcare professionals use standardized tools?

In: Nursing

Exercise Prescription Assignment Demographic Data Client: 35 year old femaleResting BP: 132/84 mmHg Resting HR: 83...

Exercise Prescription Assignment

Demographic Data

Client: 35 year old femaleResting BP: 132/84 mmHg

Resting HR: 83 bpmTotal cholesterol: 203 mg/dl

Max HR: 185 bpmHDL-cholesterol: 62 mg/dl

Height: 67 in. (170.8 cm)LDL-cholesterol: 110 mg/dl

Body Weight: 143 lbs (65 kg)Daily Caloric Intake: 2000 kcals

Body Fat: 23%Activity Level: lightly active

Desired Body Fat: 20%Job: office work (sitting, standing)

Muscular Fitness Data (1 RM’s)

Bench Press: 90 lbsArm Curl: 45 lbsLat Pull-down: 85 lbs

Leg Press: 230 lbsLeg Extension: 80 lbsLeg Curl: 40 lbs

Cardiorespiratory Fitness Data (Treadmill Test)

Stage

Speed

(mph)

% Grade METs

Time

(min)

HR

(bpm)

RPE
1 3 1 % :45 90 0
1:45 92 1
2 6.0 2.5 % 2:45 105 3
3:45 107 3
3 6.0 5.0 % 4:45 128 6
5:45 132 6
4 6.0 7.5 % 6:45 145 7
7:45 146 7
5 6.0 10 % 8:45 160 9
9:45 168 10

Data Analysis *{SHOW WORK FOR ALL CALCULATIONS}

  1. *Using data from Stage 5, calculate the client's VO2max (in METs AND ml/kg/min) using the ACSM running formula (Table 4.3). {Hint: convert mph to mmin when using formula}. Complete the METs column in the table above for each stage.
  1. What is the client’s CR fitness classification based on their VO2max

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