Case study:

Miranda Miles is a 35-year-old white female. She has a 10-year history of cigarette smoking and refuses to quit after several educational teachings from health care providers and family members. There is no history of alcohol consumption. She has been married for five years and lives with her husband and son. Miranda works at a factory and her husband is a truck driver. She was admitted on August 7th, 2020 at 1700 with complaints of joint and back pain, difficulty performing ADL’s especially in the mornings, difficulty falling asleep due to chest pain, and a fever. Upon admission, the patient’s vitals were taken and blood was drawn. Diagnostic and laboratory testing resulted in a medical diagnosis of rheumatoid arthritis exacerbation.

Lab/Diagnostic Testing

Upon admission, the patient's joints were inspected and palpated to find any swelling. Findings in this patient’s case, spongy swelling has been found in knees and ankles and deformities in both hands and feet. Also, a complete blood count (CBC) was taken and white blood cells were found to be mildly elevated in response to inflammation. A synovial fluid culture will be taken as well. The synovial fluid was cloudy with elevated white blood cells. A rheumatoid factor test was also taken and results were positive. An MRI on her knee was ordered and findings include erosion of bone and destruction of cartilage which results in the patient's problem with limited range of motion and pain in knee.

Medication:

QUESTION: Come up with a......

-psychosocial Nursing diagnosis,

-Short term goal,

-Long term goal

-5 nursing interventions,

-5 Evaluated statement

-Patient education teaching

please add references.

Module 06 Assignment – Designing a Care Map

Purpose of Assignment

Assist students to develop a care plan that includes safe discharge information for a client with musculoskeletal trauma.

Course Competency

• Explain components of multidimensional nursing care for clients with musculoskeletal disorders.

Instructions

Mr. Harry Roost is a 78-year old male being discharge after a fracture of his right tibia and fibula. He has a long leg cast that he will need to wear for the next 8 weeks. The nurses have observed him using a hanger to scratch the skin under the cast. The nurse have reminded him each time that he is not to put anything down his cast. He also sits on the side of the bed for long periods with his leg in a dependent position. He also gets up to go to the bathroom without calling for help. The staff have observed him hopping to the bathroom without using his crutches.

Develop a care map for Mr. Roost using the template directly after these instructions. Include information important for his discharge home. For this assignment, you will need to include three nursing diagnoses, outcomes, and nursing interventions with rationale.

You are preparing to pitch a funding proposal for a grant from a national foundation. The goal is to acquire $1 million to create an innovative initiative to provide caregiver training for assisted and senior living. You are aiming to teach and hire people from underprivileged backgrounds. How will you pitch your proposal?  Be sure to include:

• What the idea is
• How the money will be spent
• Whom you will teach and hire
• Why you chose this group of potential caregivers
• How you will ensure that you'll retain these employees for at least 5 years
• How you will identify and attract potential caregivers
• How many caregivers you expect to create
• Any obstacles that you might encounter, and how you would overcome them
• Include a reference page with at least 5 references.  

With the Atkins diet, are you deficient or in excess of carbohydrates, proteins, and fat? Why?

What are your views about the use of CAM therapies? Do you only practice Conventional medicine, please explain? What events or information has shaped those views? Would you consider using complementary or alternative medicines, if so which ones would you consider? If not, why? Do you use them now? Please share with the class.

(post your opinion in 200 words)

1. Explain how the antimicrobial bacteria are made

2. Medication to kill bacteria are produced to target a component in the bacterial cell.

List these targets

3. List 5 different classes of medication in microbials (bacterial, fungus and/or viruses) and explain the mechanism of action.

4. Find if these 5 medication are effective or not on these 3 bacteria. Please give a yay or nay.

1- Ecoli.

2- Mycobacterium smegmatis.

3- Staphylociccus Saprophyticus.

Medication

1- Chloramphenicol

2- Ethromycin

3-Penicillin G

4-Streptomycin

5- Tetracycline

Does Protein Really Curb Your Appetite? ( PLEASE TYPE OUT NOT HAND WRITE)

1. An 8-year-old boy has been brought to the orthopedic clinic by his caregiver after falling from a tree. The child has a broken arm that has been x-rayed and is now being cast.
A. What should this child and the caregivers be taught regarding care of the cast?
B. What instructions should the nurse give the caregiver regarding things to report to the care provider?

discuss the role of insulin in energy storage and glucose regulation

The medical practitioner providing the patient's care is ultimately responsible for the decision to restrain a patient. However, the decision to use restraints should not occur in isolation. It involves a process of request, assessment, team involvement and consent within an ethical and legal framework. A restraint is a device or medication that is administered for the purpose of restricting the movement and/or behaviour of a person.
Determine the limitations and legal ramifications of the following forms of restraint (in 40-60 words each):

11.1)   Physical

he medical practitioner providing the patient's care is ultimately responsible for the decision to restrain a patient. However, the decision to use restraints should not occur in isolation. It involves a process of request, assessment, team involvement and consent within an ethical and legal framework. A restraint is a device or medication that is administered for the purpose of restricting the movement and/or behaviour of a person. Determine the limitations and legal ramifications of the following forms of restraint (in 40-60 words each):

Psychological

36-year-old male had a traffic accident a few hours earlier which resulted in several open transverse and crush fractures of his right tibia and fibula. casualty suffered massive blood loss due to the open nature of his fractures

(a) What is the possible complication of massive blood loss in this casualty? Justify your answer.

(b) Explain the first aid management for this casualty.

(a) You found an unconscious casualty on the street. Discuss on how you can assess breathing and circulation of an unconscious casualty.

(b) Explain in details on how to perform resuscitation technique on the casualty.

(c) Based on your knowledge, explain the FIVE (5) possible complications of cardiopulmonary resuscitation.