You are caring for a client who has had COPD exacerbation and is feeling out of sorts. You find among other things, they are dealing with respiratory acidosis. How would you assist the client to manage their discomfort associated with the symptoms of this type of acid-base imbalance? And how will you enhance the care you recommend in your answer to the first question using client-centered care strategies?
In: Nursing
The family of a patient about to remove the patient from life support. What would be appropriate interventions ?
In: Nursing
What is the importance of Anthropology in nursing
In: Nursing
In: Nursing
medical terminology)
case study for patient case
find all medical terms, add more medical termes uo to 100 and defined them. ( underline each term)
Introduction:
The patient Mr. J, a 58 years old African-American, admitted in the Emergency Department with complaints of loss of balance followed by the altered level of consciousness (ALOC), left-sided hemiparesis, dysarthria, and facial droop. He denied chest pain, visual disturbances, cephalalgia, trauma, bowel incontinence, urinary incontinence, etc. He had stable vital signs except blood pressure of 150/90 mm of Hg, indicating hypertension. After necessary diagnostic tests, the physician diagnosed the case as a cerebrovascular accident (CVA).
Past Medical History:
Mr. J was diagnosed with diabetes mellitus (DM) type 2 at the age of 40 years. He was taking some herbal remedies at first, but is on antidiabetic agents as per physician's prescription for eight years. He is also on antihypertensives for three years. He also has a history of hypercholesterolemia and gouty arthritis, an inflammatory condition of joints, especially the hallux joint, due to deposition of urate crystals, but he is not on any medications for that. He is having a poor compliance with the medication regimen. Currently, he is taking ACE (angiotensin-converting enzymes) inhibitors, beta-blockers for his hypertension, and an antihyperglycemic agent, Metformin, for diabetes mellitus.
Family History:
Mr. J's father died from myocardial infarction (MI). He had a history of hypertension (HTN), coronary artery disease (CAD), and benign prostatic hyperplasia (BPH). Mother is suffering from diabetes mellitus (DM) and is on insulin. She also has a history of inflammatory bowel disease (IBD).
Assessment results:
revealed diagnostic evaluation with head CT scan showed ischemic stroke. Blood samples taken revealed hypercholesterolemia with cholesterol level 300 mg/ dL (milligrams per deciliter), high-density lipoprotein (HDL) 40 mg/dL, and low-density lipoprotein (LDL) 150 mg/dL. His fasting blood sugar (FBS), random blood sugar (RBS), or glycosylated hemoglobin were not obtained. He is on Metformin for hyperglycemia.
Results revealed that the patient is having an attack of right-hemisphere ischemic cerebrovascular accident.
Consent: Patient consent was obtained for a detailed eye examination referral.
****Disease condition:
Stroke (cerebrovascular accident): The loss of brain function arising from the sudden interruption of cerebral blood supply. It might be of two types; hemorrhagic CVA and ischemic CVA. Hypertension and hyperlipidemia are the two main risk factors of CVA. Other risk factors are smoking, obesity, family history, etc.
The main causative factors are:
1. Thrombosis (clot formation) due to atherosclerotic plaques.
2. Embolism or cardiogenic emboli.
Actions taken:
1. Intravenous (IV) injection of TPA (recombinant tissue plasminogen activator).
2. Administration of antiplatelet blood thinners, aspirin.
3. Vital signs monitoring q.4 hours.
4. Management of intracranial hypertension (IH) with diuretics.
Nursing assessment:
1. Assessment of neurological status to know the severity of CVA.
2. Altered level of consciousness (ALOC).
3. Nuchal rigidity.
4. Assessment for any dysarthria (difficulty in articulating words) and dysphagia (difficulty in swallowing).
5. Skin color of face and extremities.
Results:
The wife said, he has now changed towards the better by incorporating healthier meals and less junk food items. She mentions that he has had a difficult time in the past few years with diabetes, hypertension, gouty arthritis, etc. Change in lifestyle along with therapies and the addition of a service dog aided improvements along with his family support system. The patient spends lots of time outside with his dog and has started working on small projects, which keeps him active. She also states that the patient’s HbA1c (glycosylated hemoglobin) has not been tested for almost three months and that it needs to be tested as his RBS (random blood sugar) is high. The patient visits his podiatrist regularly for peripheral neuropathy and is on B vitamins q. daily; however, his neuropathy is on remission since undergoing transcutaneous electrical nerve stimulation (TENS). The patient’s wife is also doubtful about his mental status with increasing forgetfulness pointing towards dementia. She also remembered that he once complained of visual aura while doing gardening and after that he had photophobia for a while. She says he needs to undergo a dilated eye examination to diagnose retinopathy as he is complaining of blurred vision and floaters occasionally with some dry eyes. She says he uses over-the-counter Visine eye drops as a remedy, which she understood is for keratoconjunctivitis sicca.
In: Nursing
When working in a hospital, there are many risks/hazards that
you will be confronted with on a daily basis. The following table
identifies four (4) infection risks/hazards that may be present in
a hospital environment. These hazards always need to be to be
reported to a senior staff member or manager, documented correctly
and control measures initiated.
Build on this table by identifying the likelihood and severity of
harm from each hazard/risk by using the risk ranking matrix below,
immediate steps that will need to be taken to manage the situation
and possible procedures that will need to be put in place (minimum
one point in each section).
Infection/Hazard
Risk rating
Severity of harm
Likelihood
Immediate actions
Risk Management Procedures
3.1) Needle stick injury
Feedback
3.2) Blood spill on the corridor
Feedback
3.3) Exposure to blood/body fluids
Feedback
3.4) Contamination of materials, equipment and instruments by aerosols and splatter in an active TB client's hospital room
In: Nursing
What is Cultural Competence? And how can it affect these evaluation steps: 1. engaging stakeholders, 2. describe the program, 3. focus the evaluation (Self Writing please)
In: Nursing
In: Nursing
When working in a hospital, there are many risks/hazards that
you will be confronted with on a daily basis. The following table
identifies four (4) infection risks/hazards that may be present in
a hospital environment. These hazards always need to be to be
reported to a senior staff member or manager, documented correctly
and control measures initiated.
Build on this table by identifying the likelihood and severity of
harm from each hazard/risk by using the risk ranking matrix below,
immediate steps that will need to be taken to manage the situation
and possible procedures that will need to be put in place (minimum
one point in each section).
Infection/Hazard. Risk rating. Severity of harm. Likelihood. Immediate actions. Risk Management Procedures
3.1) Needle stick injury
3.2) Blood spill on the corridor
3.3) Exposure to blood/body fluids
3.4) Contamination of materials, equipment and instruments by aerosols and splatter in an active TB client's hospital room
In: Nursing
When working in a hospital, there are many risks/hazards that
you will be confronted with on a daily basis. The following table
identifies four (4) infection risks/hazards that may be present in
a hospital environment. These hazards always need to be to be
reported to a senior staff member or manager, documented correctly
and control measures initiated.
Build on this table by identifying the likelihood and severity of
harm from each hazard/risk by using the risk ranking matrix below,
immediate steps that will need to be taken to manage the situation
and possible procedures that will need to be put in place (minimum
one point in each section).
Infection/Hazard. Risk rating. Severity of harm. Likelihood. Immediate actions. Risk Management Procedures
3.1) Needle stick injury
3.2) Blood spill on the corridor
3.3) Exposure to blood/body fluids
3.4) Contamination of materials, equipment and instruments by aerosols and splatter in an active TB client's hospital room
In: Nursing
Describe the key features of the following agents/factors causing diseases (hint: what do they actually do to human beings?) (in 30-50 words each):
question 1 Nutritional factors:
question 2 The loss of normal control mechanisms such as the uncontrolled growth of cancer cells:
In: Nursing
The interpretation of research in health care is essential to decision making. By understanding research, health care providers can identify risk factors, trends, outcomes for treatment, health care costs and best practices. To be effective in evaluating and interpreting research, the reader must first understand how to interpret the findings. You will practice article analysis in Topics 2, 3, and 5.
For this assignment:
Search the Library and find three different health care articles that use quantitative research. Do not use articles that appear in the Topic Materials or textbook. C an article analysis for each using the "Article Analysis 1" template.
Refer to the "Patient Preference and Satisfaction in Hospital-at-Home and Usual Hospital Care for : Results of a Controlled Trial," in conjunction with the "Article Analysis Example 1," for an example of an article analysis.
While is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented , which can be found in the Guide, located in the Student Success Center.
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When thinking about the process of actually constructing a logic model, what are the different forms that one could take?
How might logic models differ visually from program or project?
In: Nursing
develop three medication cart for mental health including side effect, drug type, indication, nursing consideration
In: Nursing