Please type the answer, thanks.

P.W. Is a 40-year old disabled man who recently lost his wife to metastatic breast cancer. His brother has taken him into his home. P.W. has a 22-year history of insulin-dependent diabetes mellitus (Type-1). Until recently, he has taken responsibility for the management of his disease and has been actively involved in the local chapter of the American Diabetic Association. PMH includes 2 amputated toes on his R foot, retinopathy and visual impairment in both eyes, and angina on exertion from coronary artery disease that severely restricts his activity. Since he began treatment with an Ace-inhibitor 2 years ago, his blood pressure has gone from 182/128 to 126/78 mm Hg. Currently, he is 71” tall and weighs 135 lb. P.W.’s sister-in-law, who is an LPN says P.W. has lost about 12 lbs in the past 3 weeks. Over the past few years, P.W. has been administering a multidose (3 injections) regimen of regular Humulin insulin to himself before meals and at night. Recently his BG levels have been increasingly inconsistent and labile, and he has been labeled “noncompliant.” It is Monday. You are the home care nurse assigned to visit P.W. 3 times per week for teaching and evaluation. P.W.’s brother and sister-in-law express concern that P.W. seems to be indifferent about his nutritional and pharmacologic regimens.

1. List the measures you normally would address in teaching for both hypoglycemia and hyperglycemia (6 each).

· Hyperglycemia

· Hypoglycemia

3. Project variables: Each project is constrained by the variables of schedule, budget, and scope. As part of the change management process, a change to the scope of the project is requested. How does this change in scope affect the project schedule and budget?

4. Project management competencies: If an organization hires an experienced project management contractor to lead a project, which project management competencies must this individual develop to become an effective project manager in the organization?

Lung cancer is the second most common cancer among men and women in the USA. You are hired as a manager-planner by one of the hospitals. The organization is interested in establishing a community outreach program promoting smoking cessation and lung cancer screening. The Board of Directors requested your services in processing the data collected through the prospective cohort study among male and female population visiting local gym. The data set is attached. Please use Excel or Epi Info to process the data. Chose the correct epi tool, provide a graphic representation of the processed data set and offer a conclusion as to the causative relationship between smoking and death. List the potential biases and provide a recommendation as to the study validity and reliability. Inform the Board of Directors (and your peers) about your findings.

Briefly describe 3 topics for a health promotion program.

You have an opportunity to advocate for services that you judge should be included or excluded in your state's healthcare plan for allocating healthcare resources to Medicaid recipients. You take this task seriously for many reasons, but one is that the federal government has given your state the opportunity to develop an allocation plan for Medicaid reform nationally. now the real crisis has come because several important services that the members of this inter-professional task force hoped could be included are not. You now have to decide among yourselves how to make the final cuts but not tinker with the list created by the first part of the process that has received approval. The task force has six possible services that could be added for the state's 20,000 Medicaid recipients (all estimated costs are annual, and the task force has $46,136,000 to adjudicate).

a. preventive dental care for children ages 2 to 6 years. Includes a yearly check-up and teeth cleaning. Does not include fillings, orthodontics, or other acute dental or surgical services. Estimated cost: $3,760,000.

b. Outpatient mental health services (initial evaluation and up to 12 visits) for children and adolescents (ages 4 to 19 years). Does not include medications or hospitalization. Estimated cost: $8,000,000.

c. Smoking-related asthma treatments. Estimated cost: $8,860,000.

d. Liver transplantation and follow-up. Estimated cost: $12,200,000.

e. Mammograms for women younger than 50 years. Estimated cost: $6,900,000.

f. Coverage for pain management for patients with chronic back pain, including medications, rehabilitation, and pain centers, but not including surgery, which could be covered in another surgical category that ranked higher on the list of services. Estimated cost: $21,040,000.

Rank order, with highest priority number 1 and lowest 6, and write your rationale below each one. When you have reached $46,136,000 you have exhausted the remaining available funds.  

Address items that did not make the cut and justify your position other than you ran out of money.

Macrolides, tetracyclines, oxazolidinones (e.g., linezolid), and aminoglycosides all produce their antibacterial effects by inhibiting bacterial protein synthesis; however, each drug class has distinct uses.

• Why is azithromycin, but not doxycycline, most commonly used for treating community acquired pneumonia?

• If gentamicin is a bactericidal drug and linezolid is only bacteriostatic, why is linezolid generally considered the more restricted-use antibiotic and more “powerful” for treating Gram-positive infections?

A 37-year-old male with a history of anxiety presents to urgent care hyperventilating and experiencing chest pain. The symptoms started in response to an unexpected increase in his job responsibilities to begin on Monday. The patient is a single father and is fearful about not being able to perform, losing his job, and being unable to support his children. After an examination and ECG are performed, the symptoms are diagnosed as a panic attack. Patient is prescribed Sertraline daily and alprazolam PRN.

• Describe the assessment process for this patient.
• Identify at least one effective and one non-effective nursing intervention. Why did they work? What didn't work?
• Name and describe two stress reduction techniques you have used and whether they were helpful or not in reducing stress.

Culutral Awareness in healthcare topic reflection paragraphes

what they do ?

How Important is Cultural Awareness to Healthcare?

CULTURAL AWARENESS CHECKLIST?

How it impact patients

What is there cares ?

How they support patients

1. Many European governments have implemented innovative approaches to address the employment, health, and legal costs associated with heroin injection. List these countries and thoroughly describe the type of programs these counties have created to address the concerns.

Needs to be a page long response

Summarize the physical development, cognitive development and psychosocial development from birth to 3 years.

For Information Cards Part 3, create an information card for each of the following medications (8 total):

1. Insulin
2. Pitressin
3. Absorbable gelatin
4. Oxidized cellulose
5. Absorbable collagen sponge
6. Thrombin
7. Silver nitrate
8. Monsel’s solution

Each Pharmacology Information Card should focus on a single medication used in the surgical environment and must contain the following information:

• Generic name/Brand name(s)
• Indications and usage
• Classification schedule
• Dosage forms
• Adverse reactions/side effects
• APA formatted credible source(s)

Discussed the UK healthcare system, Including areas that need to improve in healthcare services, The different types of healthcare access to services, The cost of healthcare provided, government influences, Alternative healthcare options (if any), and How might policy affect the types of care provided to patients?

Nursing/Microbiology Question:

1. How could you differentiate between the common childhood skin rashes?
2. Why are the multidrug resistant strains of Staphylococcus aureus a major concern for health care facilities?
3. How can health care workers contribute to good antibiotic stewardship?
4. What features of Pseudomonas aeruginosa make it a major concern for health care facilities?
5. How are primary Gram smears used to assess skin infections?

Bill is a 56-year-old, overweight truck driver. Due to the nature of his job, Bill is quite sedentary and eats from fast food chains for 80% of his meals. Although Bill has not been diagnosed with hypertension, he is conscious of the fact that his parents and siblings have hypertension. Bill smokes ½ pack of cigarettes per day and drinks 3 beers daily.

What risk factors does Bill have for hypertension?

Do you think Bill is likely to have hypertension?

Would Bill be more likely to have primary or secondary hypertension?

What lifestyle changes would you recommend for Bill?

Why would weight management and sodium restriction be beneficial for Bill?

Would the DASH diet be appropriate for Bill to follow? If so, indicate your recommendations.