Identify 3 specific ways that complementary and alternative medicine (CAM) is used to treat medical problems?

Kristen, who was active in competitive sports throughout high school, has decided to run a marathon with some of her college friends. She has started training and monitors her miles, time, and calories using a wrist band and training app. She is 25 years old, 5 ft, 8 in. tall, and weighs 135 lb. She eats all sorts of foods, likes fruits and vegetables, but tries to avoid greasy foods. She says coffee is her downfall—she drinks 4–6 cups a day. She doesn't like sweets, although she keeps ice cream in her freezer. A family history notes that her mother needed angioplasty to treat occluded arteries shortly after menopause and that her father is not at risk for any chronic conditions. Although she would eventually like to have children, Kristen is not pregnant now. An analysis of a 24-hour dietary recall shows the following:

2090 cal

352 g carbohydrate (67% of calories)

41 g total fiber

34 mg iron

958 g calcium

690 mcg RAE vitamin A

98 g protein (19% of calories)

33 g fat (14% of calories) (7 g saturated fat, 1 g trans fat, 1.5 g omega-3 fatty acid, 99 mg cholesterol)

3343 mg sodium

158 mg vitamin C

5.0 mcg vitamin D

8.7 mg TE vitamin E

586 mcg DFE folic acid

283 mg choline

1. How many calories does Kristen need to maintain her weight?

2. Is she eating enough to support daily workouts?

3. Describe three health-promoting aspects of Kristen's diet?

4. Make three suggestions that could improve Kristen's diet.

Brenna and her lifelong friend Megan are catching up on the latest in each other's lives, and they are discussing how shocked they were to hear about the deaths of two of their high school classmates. Now in their late forties, Brenna and Megan have both had families and their own personal share of health issues, but no one they know in their age group has had cancer before. They feel like they're still "too young" to know people their age who pass away, let alone from cancer.

1. Megan expresses her fears about developing cancer. She tells Brenna how cancer runs in her family, with family members on both sides having had a cancer diagnosis before. Megan is paranoid that this fear is starting to take over her life because she is constantly reading about ways to prevent cancer. One of the topics that keeps getting brought up in her readings is healthy eating and foods that may cause cancer.

Which of the following is considered to be part of a "carcinogenic diet"?

2. Reflecting on what has happened to many of their classmates, Megan and Brenna realize how healthy they are compared to the majority of their graduating class. Both struggled with celiac disease and endometriosis in their twenties and early thirties, but through diet and lifestyle, they were able to manage and minimize their conditions. Neither has had a major health problem in over 16 years.

Brenna and Megan's nutritional health could be defined as what according to the Continuum of Nutritional Health?

3. Brenna and Brett's girls are now in high school. Their parents have always taught them to "choose the rainbow" in order to consume a variety of nutrients in their diet. One day, Silvia asks her mom, "Why do we even have to do this? I hate fruit." Brenna explains that certain compounds in many plant-based foods have been shown to reduce chronic disease risk.

Which of the following compounds is she talking about?

5. Brenna says that she has been keeping up with her vitamin D supplements and, after reading a recent article online, she has also been eating foods with lots of vitamins A and E, as they are both rich in antioxidants. Brenna rattles off several awesome health benefits of getting these nutrients from food. Then she lets Megan know that the real promoting factor in eating foods rich in these nutrients is that they "help keep you looking pretty longer. Why give that up a day sooner than need be?"

Which of the following are roles of vitamin E?

6. Brenna and Megan have been very busy for the past decade taking care of their growing children. They are now hoping to look after themselves a bit more. They decide to partner up and make New Year's resolutions about living a healthier lifestyle, in particular regarding the Physical Activity Guidelines.

Which goal matches the Physical Activity Guidelines?

Challenges are associated with expansion of access to priority health care. What are these challenges and what evidence supports and/or refutes the efficacy of expanding the role of nurses in primary care settings?

CHCLEG001-Work legally and ethically

1. Name an ethical issue or dilemma you have been involved in at the workplace. How did you deal with this, in terms of who you discussed it with?
2. For the ethical dilemma you identified in question no 1, what are your own personal values and attitudes on the ethical dilemma?
3. How do you contribute to the review and development of policies and protocols?
4. When completing documentation, list 3 things you should comply with?

CHCPAL001-Deliver care services using a palliative approach

1. Give one example of support that the family and/or carer may require from a palliative care worker.
2. Communication strategies can empower the person, family, carers and/or significant others. Explain how you can empower these people.
3. Describe the legal and ethical considerations for duty of care when caring for a person at end-of-life.
4. Identify three members of the palliative care team and briefly outline their role.
5. Following the death of a person a support worker has cared for, give two examples of behaviour that may demonstrate a need for further support.

The Musculoskeletal System

1. A community nurse is managing the care of an older adult. In an attempt to maximize the patient’s musculoskeletal health and minimize the risk of physical injury, the nurse is preparing educational information to be delivered at the next home visit.

1. What areas of concern should the nurse include in the patient’s information regarding osteoporosis?
2. What areas should be discussed to best address risk reduction and health promotion strategies to reduce musculoskeletal injuries and disease?

2. A worker comes to the pain clinic following a back injury at work while lifting a heavy object. He is complaining of low back pain and leg pain. The nurse practitioner is suspecting a herniated disc.

1. What are the possible causes of low back and leg pain?
2. What assessment findings would confirm the possibility of a herniated disc?

Assessing Older Adults

1. A nurse is about to create a teaching plan for an older adult patient that focuses on health promotion and risk reduction.

a. Which areas of health promotion and counseling are specific to the older adult?

b. Which screening tools are appropriate in the assessment of older adults?

The Musculoskeletal System

1. A community nurse is managing the care of an older adult. In an attempt to maximize the patient’s musculoskeletal health and minimize the risk of physical injury, the nurse is preparing educational information to be delivered at the next home visit.

1. What areas of concern should the nurse include in the patient’s information regarding osteoporosis?
2. What areas should be discussed to best address risk reduction and health promotion strategies to reduce musculoskeletal injuries and disease?

2. A worker comes to the pain clinic following a back injury at work while lifting a heavy object. He is complaining of low back pain and leg pain. The nurse practitioner is suspecting a herniated disc.

1. What are possible causes of low back and leg pain?
2. What assessment findings would confirm the possibility of a herniated disc?

_{Cranial Nerves:}

1. A nurse is about to conduct a physical assessment of an 82-year-old patient.  

What questions should the nurse ask to determine the best approach to this examination based on the patient’s physical and emotional needs?

2.Assessment of the eyes will primarily focus on which cranial nerves?

Assessing Older Adults

1. A nurse is about to create a teaching plan for an older adult patient that focuses on health promotion and risk reduction.

a. Which areas of health promotion and counseling are specific to the older adult?

b. Which screening tools are appropriate in the assessment of older adults?

Cranial Nerves

1. A nurse is about to conduct a physical assessment of an 82-year-old patient. What questions should the nurse ask to determine the best approach to this examination based on the patient’s physical and emotional needs?

2. Assessment of the eyes will primarily focus on which cranial nerves?

You are the nurse working in a cancer center. You have been asked to take a position to help counsel patients about their choices once they are diagnosed with cancer. Your position is not to persuade them one way or the other, but rather to give them the factual information regarding their choices, provide resources to them, and be there for any support.  

provide feedback on areas that you will identify as important to make the patient aware of when they are making the choice, such as:

• cost
• involvement
• time
• side effects
• complications
• prognosis
• quality of life
• family effect
• etc.

Central-venous-catheter-related bloodstream infections (CRBSIs)

what is CRBSIs , causes, signs and symptoms, management

(pharmacological), dressing changes, impact on health care, prevention

Provide one nursing intervention for each risk factor below that would mitigate delirium.

-Dementia

-Polypharmacy

-Infection/dehydration

-Recent surgery

_{Cranial Nerves:}

1. A nurse is about to conduct a physical assessment of an 82-year-old patient.  

What questions should the nurse ask to determine the best approach to this examination based on the patient’s physical and emotional needs?

2.Assessment of the eyes will primarily focus on which cranial nerves?

Assessing Older Adults

1. A nurse is about to create a teaching plan for an older adult patient that focuses on health promotion and risk reduction.

a. Which areas of health promotion and counseling are specific to the older adult?

b. Which screening tools are appropriate in the assessment of older adults?

_{Cranial Nerves:}

1. A nurse is about to conduct a physical assessment of an 82-year-old patient.  

What questions should the nurse ask to determine the best approach to this examination based on the patient’s physical and emotional needs?

2.Assessment of the eyes will primarily focus on which cranial nerves?

Assessing Older Adults

1. A nurse is about to create a teaching plan for an older adult patient that focuses on health promotion and risk reduction.

a. Which areas of health promotion and counseling are specific to the older adult?

b. Which screening tools are appropriate in the assessment of older adults?