A 52-year-old woman presented to a gastroenterologist with a 3-month history of progressive left lower quadrant abdominal pain, weight loss, and fatigue. In the last few days she had noted bloody stool. A colonoscopic examination with biopsy revealed an obstructing adenocarcinoma of the sigmoid colon. The patient underwent a partial colectomy and colostomy placement. Past medical history was noteworthy for ulcerative colitis, which was diagnosed when the patient was 24 years old but which had not required extensive medical care. The patient's previous clinical encounters had been limited to preventive visits to her gynecologist, who had never discussed her ulcerative colitis and had not recommended periodic colonoscopy or sigmoidoscopy.
1) What are the patient's risk factors and
(2 What are the gaps in healthcare/risk assessment
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In: Nursing
After reading the journal (Civility Starts with You By Judith "Ski" Lowe r, MSN, RN, CCRN (Alumnus)
Define civility, designate why it is needed in the professional nursing workforce and describe three strategies to promote civility.
APA CITATION PLEASE.
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Close your eyes. Picture yourself as an 85-year-old.Note your appearance, sights, sounds, and surroundings. Open your eyes and describe yourself at 85 to your partner. Then discuss how your mental image of yourself as an older person might have been influenced by your family history, grandparents, and perceptions about aging.
In: Nursing
How do you feel about aging? Do you dread getting older, or look forward to it?
In: Nursing
Discuss the importance of collaboration, negotiation and conflict management in public health work.
In: Nursing
identify the environmental factors related to influenza
In: Nursing
what are the delimination of occupational stress
In: Nursing
In: Nursing
Using short essay format and in your own words, answer the following questions. These do not need to be lengthy. Turn it as a word document via the View/Complete Assignment link below.
1. What is a nutrient? Name the six classes of nutrients found in foods. What is an essential nutrient?
2. Which nutrients are inorganic, and which are organic? Discuss the significance of that distinction.
3. Which nutrients yield energy, and how much energy do they yield per gram? How is energy measured? Explain how variables might be correlational but not causal.
4. What happens when people get either too little or too much energy or nutrients? Define malnutrition, undernutrition, and overnutrition.
In: Nursing
In: Nursing
Congratulations you are now a Registered Nurse.
Today you are getting handover from Jack.
Jack has been looking after 16-year-old James. James is a newly diagnosed diabetic.
During handover Jack tells you he forgot to give James insulin at 9 am, but he signed for it
anyway because he planned on asking you to provide James with a double dose before tea
Jack said he told James’ Mum, he gave the insulin when she asked as she’s really anxious
and he didn’t want to cause her any stress.
In: Nursing
56-year-old male client received an open cholecystectomy three days earlier. He is recovering on the surgical unit. During the morning assessment, the nurse auscultated diminished lung sounds anteriorly in the right lung base and the client complained of a cough. Vital signs are: blood pressure 138/89, pulse 126, respirations 26, temperature 101.1oF, and an oxygen saturation of 88%. The surgeon ordered a STAT chest x-ray, complete blood count (CBC), a basic metabolic panel (BMP), arterial blood gases (ABGs). Arterial blood gas results are pH of 7.3, PCO2 of 55, and HCO3 of 26. The nurse completed the assessment. The client has refused to get out of bed due to unrelieved pain.
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How will you become comfortable discussing sexuality with patients who have a different sexual orientation than you?
In: Nursing
Physicians make up a primary external stakeholder group in your health care organization. You need to approach them about a decreasing patient satisfaction score, and their impact on this score. How would you approach this group? What would be the challenges? Have you experienced this before in your workplace? What was the outcome?
In: Nursing