HHS awarded $15 million dollars to support telehealth activities in the wake of the Coronavirus. (HHS Announcement). In addition, the FCC and others have provided grants and other sources of funding to support the shift to telehealth. There are conflicting reports from Medicare regarding how much they will reimburse for telehealth visits during the pandemic, and what providers say they are actually receiving. In light of the explosion of telehealth right now, discuss the following:

What are some of the issues that providers are experiencing with regard to getting paid for telehealth services vs face-to-face services?

What are some unforeseen obstacles that can occur when we switch to telehealth services from the provider, payer and patient perspective?

How has this aspect of the pandemic changed the delivery of healthcare for the future?

1. define the term oxygen saturation.(1mark)

2.list 2 causes that can contribute to a low 02sat reading.(2marks)

3.define the term"continuous oxygen therapy" and explain why it is beneficial for people with chronic breathing difficulties.(2marks)

4.why is humidity added to the oxygen source before it is breathed by the client?(1mark)

5.you are assigned to Mr.Cy Hendriks to provide assistance with ADLs. This client has emphysema and there is oxygen equipment in the home.while preparing to assist him with his morning bath,you notice that he smells of cigarette smoke,although you don't notice any cigarettes or ashtrays nearby.How would you proceed with this situation?(3marks)

6.List two(2) possible hazards that occur when clients/family members smoke near oxygen.Describe two(2) actions the PSW could take to avoid these hazards in the workplace and ensure their safety as well as the client's.(4marks)

7.What is the PSW's role regarding the client's use of oxygen therapy?(1mark)

8.During your home visit with Mrs.Emma Rock,she complains that the nasal cannula she has been wearing is irritating her cheeks and behind her ears.What are two(2) ways the PSW could assist her?(2marks)

9.Name two(2) products that should be avoided when a client is using oxygen.For each product name a safer alternative.(4marks)

10.List three(3) ways that oxygen may be supplied to the client.(3marks)

11.When clients have dyspnea(difficult or painful breathing),they are often anxious and upset.What are two(2) interventions the PSW could do to help reduce their anxiety?(2marks)

12.Name three(3) breathing illnesses that may require the client to use oxygen on either a temporary or continuous basis.(3marks)

13.Your client complains he is SOB and asks you,his PSW, to turn their oxygen up"just a bit."The oxygen is currently running at the prescribed amount of 3L per minute.How do you respond to your client?(2marks)

NUR219 MRSA

A nursing home resident K.W., had a hip replacement 6 months ago and consequently developed an infection with methicillin resistant Staphylococcus aureus and then osteomyelitis. He has a history of diabetes.

Medication Questions

K.W. receives vancomycin IVPB ordered at 15 mg/kg/day. K.W. weighs 220 lb. What daily dose would the patient receive?

What nursing considerations are essential when giving this medication?

What are the signs and symptoms and treatment the nurse would be alert for if K.W. developed the red man syndrome?

What healthcare data sets available from the US Government? What data do they contain? How could these data sets be useful during a hospital system? Pls, mention  details accordingly and include the reference page.

How do you think your aerobic exercise efficiency would be affected if heavy leg resistance exercises were added to your routine? Is there a relationship between aerobic fitness and leg strength?

Should the government have the ability to kill in order to prevent potential future crimes?

Evidence-based Practice and Informatics Integration in Nursing Practice

The patient has been in the U.S. for 7 months now for Africa and knows some of the English languages. The patient is postpartum and her husband just sat there on his phone while his wife is bleeding! Her vital signs are 90/50 temp. 99 F, O2 94%. resp. 24. Her risk factors in Fatime Sanogo’s case that could have led to postpartum hemorrhage are A large baby, large 2nd-degree laceration, use of Oxytocin, prolonged labor Think through the scenario with Fatime Sanogo and consider the communication gaps in relation to technology, evidence-based practices that were implemented, and the application of technology and information. There is no specific quantity of words or pages for the assignment; be sure to comprehensively address each component. Steps to decrease bleeding, and preventing shock. Bolusing of fluids as well as contacting the physician for additional medications. If there is large blood loss and the patient is showing signs of shock a rapid response should be called and the patient transferred.

Describe various communication techniques that involve technology, that could be initiated in the scenario, to provide culturally sensitive care, and Identify the importance of protecting the confidentiality of electronic health record data in the case of Fatime Sanogo.

Evidence-based Practice and Informatics Integration in Nursing Practice

The patient has been in the U.S. for 7 months now for Africa and knows some of the English languages. The patient is postpartum and her husband just sat there on his phone while his wife is bleeding! Her vital signs are 90/50 temp. 99 F, O2 94%. resp. 24. Her risk factors in Fatime Sanogo's case that could have led to postpartum hemorrhage are A large baby, large 2nd-degree laceration, use of Oxytocin, prolonged labor Think through the scenario with Fatime Sanogo and consider the communication gaps in relation to technology, evidence-based practices that were implemented, and the application of technology and information. There is no specific quantity of words or pages for the assignment; be sure to comprehensively address each component. Steps to decrease bleeding, and preventing shock. Bolusing of fluids as well as contacting the physician for additional medications. If there is large blood loss and the patient is showing signs of shock a rapid response should be called and the patient transferred. The physician's order is to check for bleeding every 4 hours and lochia, Give Butorphanol tartrate 2mg IV PRN for pain. Put her in a Trendelenburg position when checking Assess perineum. Administer bolus of 500ml LR over 30min for low blood pressure. Perform a straight cath if the patient having trouble urinating. Palpate the fundus. Assess bladder status. Give oxytocin 60 units in 500 mL. If pain is over 5 give 5 mg of Morphine IV. Give patient non-rebreather mask 10L.

Temp. greater 99, Heart rate below 50 and over 100, Resp. lower then 12 and higher 24, 02 is below 94%. and heavy bleeding in lochia. Call a physician if condition worsens

List the assessment findings and actions that should or should not have been initiated in the care of Fatime, and using evidence-based practice guidelines and describe reliable sources for locating evidence reports and clinical practice guidelines?

Endocrine pathophysiology

Diabetes case study

A 21-year old female (A.M) presents to the urgent care clinic with symptoms of nausea, vomiting, diarrhea, and a fever for 3 days. She states that she has Type I diabetes and has not been managing her blood sugars since she’s been ill and unable to keep any food down. She’s only tolerated sips of water and juices. Since she’s also been unable to eat, she hasn’t taken any insulin as directed. While helping A.M. from the lobby to the examining room you note that she’s unsteady, note that her skin in warm and flushed and that she’s drowsy. You also note that she’s breathing rapidly and smell a slight sweet/fruity odor. A.M. has a challenge answering questions but keeps asking for water to drink.

You get more information from A.M. and learn

• She had some readings on her glucometer which were reading ‘high’
• She vomits almost every time she takes in fluid
• She hasn’t voided for a day but voided a great deal the day before
• She’s been sleeping long hours and finally woke up this morning and decided to seek care

Current labs and vital signs:

1. What is the pathophysiology for the condition you believe A.M. has?
2. Relate the etiology and clinical manifestations for the condition you identified for A.M.

As a health care manager, what steps can you take to apply the above Human Resources Management functions to create and advance an organizational community of physicians, managers, and staff that is unified in and committed to achieving the mission and living the values of the organization?

Above mentioned HRM functions: job analysis, workforce planning, retention, employee performance assessment, and recruitment

How much it cost to join Local or State or National Professional Organizations in the Nursing field. Professional journals with address and cost. Are Continuing Educational Units (CEUs) required for Registered Nurse? If so how many and how often.