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.

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?