Identify at least one barrier that relates to challenges with population health. Consider how you could employ translational research to potentially overcome this barrier. Identify the best type of translational research to address this barrier, and provide rationale for the type you have chosen. What would be the challenges of using this type? What strategies would you employ to provide an understanding of your chosen type of translational research and to gather collaborative support?

1. Describe the difference between drug dependence and drug tolerance; 2. Describe how withdrawal symptoms can be avoided; 3. What assessment findings would be expected in a patient who has stimulation of the sympathetic nervous system or who uses sympathomimetic (adrenergic) drugs? 4. Order: loxapine (Loxitane) 75 mg, IM, daily Available: loxapine (Loxitane) 50 mg/1 ML How many milliliters (ML) will the patient receive?

“How have you changed something in order to provide individualized patient care?”

Read the case study, then answer the questions that follow.

Nerelee works as a support worker in a home and community care setting. As part of her role, Nerelee assists with showering, grooming and dressing people in their own home.

Nerelee’s workplace has WHS policies and procedures that aim to ensure a person’s home is as safe as possible, for both the support workers, and the people receiving care.

Nerelee is aware that there are specific safety requirements that apply to working in a home and community care setting.

Question:

1)Outline what you see as some of the rights and responsibilities of Nerelee and the clients she supports. (Approx. 120 – 150 words).

2) What actions can Nerelee take to help reduce the risk of fire in her clients’ homes? (Approx. 70 words).

How did you manage the stress associated with change in technology and innovation within the hospital?

Nutritional factors that may be linked to cancer include:

Group of answer choices

1.phytochemicals.

2.mega-supplements of antioxidants

3.nitrogen.

4.ephedra

5. PreviousNext

Vitamin E:

Group of answer choices

1.assists in the production of thyroid hormone.

2.reduces formation of nitrosamines in the stomach.

3.protects cell membranes from oxidation.

4.protects skin from the suns ultraviolet rays.

water lost through urination

Group of answer choices

1.an individual with kidney disease

2.a newborn

3.a marathon runner

4.an individual who has a diet rich in processed foods

Which of the following stimulates the thirst mechanism?

Group of answer choices

1.elevated blood volume and pressure

2.Truedecreased blood volume and pressure

3.lubrication of the mouth and throat tissues

4.decreased concentration of solutes in the blood

Prepare a teaching plan for your client who is receiving levothyroxine therapy. Be sure to include how to prevent myxedema coma and outline the expected outcomes of successful hypothyroid therapy.

Based off the scenario below list the following:

1)subjective data

2)objective data

3) cue clusters

4) inferences

5)defining characteristics

6)possible nursing diagnosis

7)actual diagnosis

8)collaborative problems

Patient Introduction Location: Medical unit Time: 0730 Report from the midnight shift nurse: Situation: Mr. Rashid Ahmed was admitted 2 days ago with a diagnosis of gastroenteritis secondary to E. coli with dehydration and hypokalemia. He has responded well to treatment and his condition has stabilized, so he is ready to be discharged this afternoon. Background: Mr. Ahmed is a 50-year-old Middle Eastern male. Five days ago, he ate lunch at a local restaurant and subsequently developed abdominal cramping, vomiting, and severe diarrhea. He was admitted 2 days ago with signs and symptoms of dehydration and hypokalemia. Assessment: Mr. Ahmed is alert and oriented to person, place, and time. He stated he is feeling much better this morning. He denies nausea and abdominal pain and reports sleeping well last night. Daily orthostatic blood pressure (BP) readings performed at 0600 were 118/76 lying, pulse 72, 114/74 sitting, pulse 76, and 110/68 standing, pulse 78. He has been afebrile for 24 hours. His skin is tan and dry, and skin turgor shows immediate return. His heart rate is regular. Bowel sounds are active in all quadrants, and his abdomen is soft. He is now tolerating oral fluids and needs encouragement to increase intake as tolerated. He had a small amount of soft-formed stool at 2200 last night. His diet order is advance to regular as tolerated, and he was able to eat some dry toast last evening without nausea, vomiting, or loose stools. He has been voiding without difficulty. He has an IV catheter in place with a saline lock. Recommendation: Plans are for discharge home this afternoon. continue to monitor his intake and output and fluid status, and he needs encouragement to increase the oral intake. He will need a head-to-toe physical assessment this morning.

Building a Medical Vocabulary

HCP 224

Complete each statement:

3.   Receptors that detect light are _______________.
9.   An agent that dilates the eye is called _______________.
10.   The _______________ forms the communication system between the central nervous system and the rest of the body.
39.   Removal of a nail is known as ____________________.

40.   Through or across the skin is termed ____________________.

Discuss the indications for use of each medication(Nitroprusside, and Dobutamine)  the parameters/titration of each medication, and the expected patient response for the medication

1. What topics in continuing education do you think your caregiving staff will need in 10 years that are not typically covered today? Name at least 5 topics. Why will these topics be so important? Where would you obtain this education for your staff?

2. Given that there is a shortage of front-line caregivers in our country, what are some innovative ways to recruit and retain top caregiving talent, particularly for the assisted/senior living environment? Include at least 5 creative ways to recruit, and at least 5 creative ways to retain.

Medical Terminology: ( Case Study)

Building a Medical Vocabulary:

Pick 100 medical terms (NOT 100 words) that you learned in class and create a case study ( I got some information about my case study and I need your help to complete: Lessons Learned), in the end, I put an example for what I want.

these my first points of case study, and I need the other point (Lessons Learned):

Introduction

A 59 year of Male patient reported to the XYL clinic with a complaint of pain in the right ear region. The pain is a Throbbing kind which increases on changing position to supine. There has also been a restriction in mandibular movement which has lead to a decrease in appetite of the patient. Swelling along with tenderness on percussion seen in the right side of the face, in the ear region, on touching. The patient also experienced mild Hyperthermia in the morning, for which he took an anti-pyretic and an analgesic for the pain, which is Tab Paracetamol and Tab Diclofenac Sodium.

Patient history/Medical history

The patient has a history of type 2 Diabetes mellitus, for which he was diagnosed 15 years ago.He has been taking Tab Metformin twice daily before food, per orally. Patient also suffers from occational migraineattacks for which he takes, Tab Tramadol, which has been prescribed to him by his neurologist.His Body Mass Index is lower than normal, at 17.5, for which he has been consulting a Nutritionalist, for the treatment for muscular atrophy. Patient has recently taken retirement from work, which has lead him to depression due to lack of company, work and boredom.

Family History-

Patients mother passed away two years ago due to celebral haemorrhage and his father passed away a year ago due to a long standing diabetic foot ulcer, eventually succumbing to stroke. Bother mother and father also have a history of Hypertension.

ASSESSMENT RESULTS

Based on GCS,the patient remained conscious and oriented and cooperative. He sits by the side of his bed during examination but has difficulty talking due to pain, but no trismus. He is lean and undernourished probably due chronic diabetes, there are signs of muscle atrophy. Mild pallor seen on examination of bulbar conjunctiva and mucosa of oral cavity. Pulse - 78 per minute, normal rhythm, volume in radial artery and normal character in carotid artery . Blood pressure normal and temperature normal at the time of examination. On oral examination, the oral hygiene is poor, oral ulcers on the right mucosa. Third molar partially impacted, other teeth in place and no caries. Patient on regular follow up for diabetes and on regular medication. No foot ulcers and he is taking good foot care. He complains of floaters and blurred vision. He sits alone for long hours and has panic attacks and this has aggravated his head ache during the past month. Also complains of photophobia.

ACTIONS TAKEN

Dental x- ray taken intraorally and confirmed the findings of oral examination. Right third molar partially impacted with peri-apical abscess. Blood taken for routine and HbA1c(glycated hemoglobin)- the value came out as 8- slightly higher than the normal(6.5g%). Hyperglycemia in fasting blood glucose test , poor glycemic control Diabetic neuropathy and nephropathy ruled out. Renal function test came out normal. Ophthalmologicexamination reveals diabetic retinopathy. He is referred to ophthalmologist for further check up. He is referred to a psychiatrist for his panic attacks and depression.

RESULTS

Diagnosis of partial impaction of third molar seen on the right side along with peri-apical abscess leading to pain and swelling, was made by oral and radiologic examination. Followed up after a week and his symptoms subsided, pain reduced and swelling gone. The impacted tooth was removed by the dentist. Followed up monthly for diabetes and after ophthalmologic consultation, he has improvement in vision. Followed up monthly by psychiatrist and his wife admits that he has become more socially active and has joined the story teller's club in his town to make active use of his time. This is an example of a case study: Lessons Learned: Teachings from this case study presented information of medications that are typically prescribed for diabetics. Additionally, it was helpful to understand appropriate ranges of glycosylated hemoglobin for diabetics and that patients need critical exams. Two main ones are annual eye and foot exams. Uncontrolled 13. diabetes compromises nerves in the eyes and lower extremities first. If patients dismiss annual examinations, they can have eye complications and 36. necrosis of the feet if wounds are left unchecked. Psychological well-being also carries weight when working with patients and their families. Complex information is thrown around and the time to process is different from medical professionals, so giving them time to formulate thoughts and questions will ease confusion, misunderstanding, or even misdiagnosis and treatment (Tx) routes needed. The likelihood of developing psychological disorders or symptoms are common. Overall, maintaining good practices for boundaries as well as compassion is always a big take away.

This is an example of a case study:

Lessons Learned:

Teachings from this case study presented information of medications that are typically prescribed for diabetics. Additionally, it was helpful to understand appropriate ranges of glycosylated hemoglobin for diabetics and that patients need critical exams. Two main ones are annual eye and foot exams. Uncontrolled 13. diabetes compromises nerves in the eyes and lower extremities first. If patients dismiss annual examinations, they can have eye complications and 36. necrosis of the feet if wounds are left unchecked.

Psychological well-being also carries weight when working with patients and their families. Complex information is thrown around and the time to process is different from medical professionals, so giving them time to formulate thoughts and questions will ease confusion, misunderstanding, or even misdiagnosis and treatment (Tx) routes needed. The likelihood of developing psychological disorders or symptoms are common. Overall, maintaining good practices for boundaries as well as compassion is always a big take away.

Assume you are a nurse manager on a unit where a new nursing documentation system is to be implemented. You want to ensure that the system will be usable and acceptable for the nurses impacted. You realize a nurse leader must be on the implementation team.

The role description should be based on the SDLC stages and tasks and should clearly define how this individual will participate in and impact each of the following steps:

• Planning and requirements definition
• Analysis
• Design of the new system
• Implementation
• Post-implementation support

What are the challenges in achieving HIT interoperability and how to overcome them.