Identify some of the basic global, cultural, inclusion/equity and/or ethical issues with in a healthcare setting with a diverse client population?
In: Nursing
this is the question
In: Nursing
J is a 64 year old male with R CVA ( cerebrovascular accident or stroke) with L hemiparesis(complete paralysis of half of the body can be caused by stroke) . and neglect(not having any sensory loss to that side of the body) . The patient is currently hospitalized in the acute wing of the hospital. To return home to live with their spouse, J must be S with transfers and ADL
Utilize universal precautions.
Precautions: cardiac, fall, IV antibiotics delivered in R forearm
PMH(Past medical history): osteoarthritis, depression, afib
Prior level of function ( PLOF): J was independent and living with their spouse in their ranch style home. The patient is a retired mechanical engineer. They were driving and taking care of all yard work and gardening. The patient enjoyed riding their bike with their adult children. The week prior to the CVA J and one of their children enjoyed a 10 mile trail ride. Since retiring, they spend a lot of time with their 5 grandchildren who all live in the same small town.
Current Level of Function (CLOF):
ADL & Functional Mobility:
Dressing UB with Max A (GG 2)
Dressing LB with Mod A (GG 3)
Toilet transfer with Mod A (GG 3)
Toilet hygiene with Min A (GG 4)
Functional Mobility with Quad Cane with Mod A (GG 3)
Balance:
Standing balance is 1 on KU scale
Sitting balance is 1+ on KU scale
MMT:
RUE - grossly 4 / 5
LUE - grossly 2+ /5
Pain:
J reports pain of 4/10 with the movement of L UE
Orientation:
J is A & O X 3
Identify words/terms that you do not understand.
Determine what those words/terms mean via textbooks, OTPF document, peer discussion, google, etc.
Complete Occupational Profile Using the questions below. You may freehand the profile or use the blank Occupational Profile template. You will need to be creative in order to answer some of the questions.
AOTA OCCUPATIONAL PROFILE TEMPLATE
“The occupational profile is a summary of a client’s occupational history and experiences, patterns of daily living, interests, values, and needs” (AOTA, 2014, p. S13). The information is obtained from the client’s perspective through both formal interview techniques and casual conversation and leads to an individualized, client-centered approach to intervention.
Each item below should be addressed to complete the occupational profile. Page numbers are provided to reference a description in the Occupational Therapy Practice Framework: Domain and Process, 3rd Edition (AOTA, 2014).
Client /Date:
Client Report |
Reason the client is seeking service and concerns related to engagement in occupations |
Why is the client seeking service, and what are the client’s current concerns relative to engaging in occupations and in daily life activities? (This may include the client’s general health status.)
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Occupations in which the client is successful (p. S5) |
In what occupations does the client feel successful, and what barriers are affecting his or her success?
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Personal interests and values (p. S7) |
What are the client’s values and interests?
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Occupational history (i.e., life experiences) |
What is the client’s occupational history (i.e., life experiences)?
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Performance patterns (routines, roles, habits, & rituals) (p. S8) |
What are the client’s patterns of engagement in occupations, and how have they changed over time? What are the client’s daily life roles? (Patterns can support or hinder occupational performance.)
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What aspects of the client’s environments or contexts does he or she see as: Supports to Occupational Engagement Barriers to Occupational Engagement |
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Environment |
Physical (p. S28) (e.g., buildings, furniture, pets) |
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Social (p. S28) (e.g., spouse, friends, caregivers) |
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Context |
Cultural (p. S28) (e.g., customs, beliefs) |
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Personal (p. S28) (e.g., age, gender, SES, education) |
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Temporal (p. S28) (e.g., stage of life, time, year) |
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Virtual (p. S28) (e.g., chat, email, remote monitoring) |
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Client Goals |
Client’s priorities and desired targeted outcomes: (p. S34) |
Consider: occupational performance—improvement and enhancement, prevention, participation, role competence, health and wellness, quality of life, well-being, and/or occupational justice.
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In: Nursing
Develop a narrative regarding mental health in the US bearing in mind initiatives already implemented by the Trump, Obama and Bush administrations that one could use to communicate with a policymaker/legislator or a member of their staff of the importance of mental health addressing the importance of mental health and why it should be included in the agenda for legislation. Justify the role of the nurse in agenda setting for healthcare issues.
In: Nursing
.Includes a summary of the conditions with definition, signs and symptoms and treatment
Musculoskeletal
1. Fractures
2. Arthritis
3. Rheumatoid Arthritis (RA)
In: Nursing
.Includes a summary of the conditions with definition, signs and symptoms and treatment
Cardio
1. Anemia
2. Hypertension
3. Dysrhythmias
4. Congestive Heart Failure (CHF)
5. Coronary Artery Disease (CAD)
6. Myocardial Infarction
In: Nursing
A 55 year old male shortly after finishing a marathon became confused, dizzy, extremely weak and began to cramp. He immediately began to drink water but did not improve, instead he suddenly collapsed without becoming unconscious. The nurse on the scene assessed the patient’s condition and concluded that he was severely dehydrated. She proceeded to give him 1000 mL of D5W intravenously. The patient did not improve, instead he began to have a seizure so he was immediately taken to the hospital. At the hospital a blood panel was ran and it revealed that he was severely hyponatremic. Medical history also revealed that the patient suffers from chronic hyperglycemia (diabetes), adrenal insufficiency, lactose intolerance and high blood cholesterol. He was treated with hypertonic saline (3% NaCl) and a diuretic. He recovered within 24 hours.
In: Nursing
How can health care administrators and policy makers use the various measures of health status and service utilization? Please use examples to illustrate your answer.
In: Nursing
In: Nursing
In: Nursing
write a summary on the evolution of nursing: the history of nursing and nursing education, changes in nursing during the 20th century,significant changes,development of practical and vocational,factors that influenced practical and vocational nursing,licensure for practical and vocational,health care delivery systems,delivery of patient care,nursing care models and roles and responsibilities of vocational nursing education
In: Nursing
Surgical Instruments: insert an image and use of each
of the following types of surgical instruments. Identify any of the
following parts present on each instrument by labeling the
instrument: box lock, spring handle, ratchets, serrations, cutting
edge, and teeth.
Needle holder:
Splinter forceps:
Standard hemostatic forceps:
Suture scissors:
Operating scissors:
Thumb forceps:
Scalpel:
Bandage scissors:
Sponge forceps: Used to hold sponges.
Tissue forceps:
Mosquito hemostatic forceps
In: Nursing
4.) Nutrition has been shown to play a minor role in which two diseases:
a. some cancers and osteoporosis
b. iron-deficiency anemia and obesity
c. pellagra and heart disease
d. obesity and scurvy
32.) Total energy expenditure is the energy our bodies expend to maintain basic functions.
a. True
b. False
36.) The macronutrient composition of the diet influences the storage of body fat.
a. True
b. False
37.) What are some risks associated with being underweight?
a. increased risk of infections and illness
b. impairs the body's ability to recover
c. lack of appetite
d. a and b
In: Nursing
What client assessments are imperative for an individual taking corticotropin therapy who is also taking digitalis and an oral Glucophage?
In: Nursing