Discussion Board 3.1: Communicating with Patient's Records

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Discussion:

Communication is the key to a successful interaction with a patient. However, there can be challenges along the way. Age, culture, and education all play an important role in how people respond to your care.  

Objectives:

• To understand how to communicate with people in the medical environment under unusual circumstances.

Instructions:

Respond to the following: Choose one of the communication issues below and explain what issues you may have with communicating with this patient and how you can overcome these issues. Make sure you cite at least 2 outside sources for your solution to the issue

• You are working with a family of a young autistic child
• You are working with an elderly person who has comprehension issues/dementia
• You are working in the inner city with a person who has an 8th-grade education
• You are working with an Orthodox Jewish woman/man ( opposite sex)
• You have a 3-year-old child and both her parents
• You have a 16-year-old boy with his mother in the lab

Provide a summary discussion about how you will apply the tools of Medical Sociology, including epidemiology, medical education and socialization related to analyzing illness and disease

Why is it important for Respiratory therapists to know about Neonates and Pediatrics, even if you only work with adults?

1. A 9-month old female Great Dane is admitted for routine ovariohysterectomy. She weighs 65 pounds. The anesthetic protocol is as follows:

Acepromazine (10mg/mL): Dosage 0.05mg/kg IM

Butorphanol (10mg/mL): Dosage 0.2mg/kg IM

Atropine (0.02% solution): Dosage 0.02mg/kg SC

How much of each drug in mL should be administered?

please show all your work. trying to learn

How does “minimum staffing” impact your ability to meet your nursing budgeted numbers?

What role should the nurse leader play and how should the leader interact with the finance department for a standard definition of measurement for the nursing workload requirement?

Overview: “Personal Philosophy of Nursing”

In this module’s Assignment, you will draft a formal paper expressing your personal philosophy of nursing paper. In this paper, you will provide a framework for your personal practice of nursing and reflect on why you chose nursing as a profession. Your paper will define how you interact with patients, family members, other nurses, and other health care professionals.

Apply the critical thinking skill of interpretation to thispatient situation by–underliningtherelevant information and circling or bolding the medical terminology.

Situation: Sara Lin is an 18-year-old female patient who had an emergency appendectomy. It is day 2 postoperative, and Sara is expected to be discharged late this afternoon. We have discontinued her IV antibiotics after her morning dose. She will be getting oral meds today.

Background: Sara presented in the ED 2 days ago with a 2-day history of nausea, vomiting, and increasing pain. She was taken to surgery that day and had an open appendectomy for a ruptured appendix. She has been stable since arriving to the unit. Her parents have been here with her most of the time and are very helpful and supportive.

Assessment: Sara is alert and oriented, appropriate for age. She needs to be reminded to use her incentive spirometer. Abdomen is soft, tender to touch. Bowel sounds active. She has progressed to regular diet, and she's eating small amounts. No nausea reported since postoperative day 1. The abdominal dressing was changed by the surgery team early this a.m. The incision is closed with staples; the edges are well-approximate and only slightly reddened with minimal serosanguinous drainage. Her sequential compression devices were discontinued, and her Jackson-Pratt drain was pulled this morning. A small amount of bleeding was present; no further bleeding is noted. This morning, she had her first small soft brown stool since surgery.

Recommendation: You will have to transition Sara to oral antibiotics and pain medication. She last had pain medication 4 hours ago. You will need to provide discharge patient education on incision care, pain medication and antibiotics, signs of postoperative infection, activity restrictions, and surgical follow-up.

Differentiate between primary and secondary acquired immunodeficiencies and describe them using the following words:   

Hereditary

Primary

Secondary

Opportunistic infections

Severe Combined immunodeficiencies

Phagocytic

Acute infection

AIDS

Latent phase

Complement components deficiency

In your own words what is telemedicine? Discuss different uses for telemedicine? Have you ever used telemedicine and if you did what was it and was it successful? If you have never used telemedicine, would you – why or why not?(300+words please)

1. Summarize the growth and development in the Infant

2- Summarize the growth and development in Early Childhood

3- Compare and contrast 2 theories/theorists of Growth & Development

4- Discuss Prenatal Influences on Healthy Development and any public or social program available to pregnant women

Write a paragraph for each question no less than 4 sentences, and no more than 10 sentences.

1. Why is responsibility retained by nurses when tasks are delegated?
2. What are the five individual power sources? Provide an example of each. Why is positive reinforcement such a powerful motivator?
3. How does leadership differ from power? Can a leader be effective without power?

Congestive Heart Failure

Identify pharmacologic agents for diuresis to reduce preload. Identify positive inotropes.   Identify phosphodiesterase inhibitors. Describe the mechanism of action of ACE inhibitors. Describe the mechanism of action of Human B-type natriuretic peptide. Describe the mechanism of action of Angiotensin II-receptor blockers.   Which of these agents is the most commonly used for left sided heart failure? Right sided heart failure?   You may use narrative writing or a table to answer these questions.