The patient underwent treatment from Dr.Zabrecky, a Chiropractor, for back pain. The pain was unresolved and subsequently diagnosed as a tumor. After undergoing surgery and radiation, chemotherapy was recommended as cancer had spread to the lung. The patient was given a 50% + chance of remission. Dr. Zabrecky recommended a German experimental treatment that he acquired for the patient who then self-treated. Cancer continued to spread and additional radiation treatment was given. The patient continued to self-treat. He subsequently died of liver necrosis (not Cancer) due to the nephrotoxic effect of the German compounds
Analyze the four-element of Tort
1.Duty to care
2. Breach of Duty
3. Injury
4. Causation
In: Nursing
In this case study, an elderly patient has kidney cancer that has metastasized to her brain, making her permanently unconscious. Dialysis could help keep her alive for 6-9 months and an experimental drug might help her cancer. Her insurance does not cover the drug and it will deplete her savings. what should she do?
- biblical back up
-200 words
In: Nursing
in this case study, a mother is malnourished and it is her life or her unborns life. she is contrmplating abortion. You want to defend life, but whose life is most important? Can you justify abortion to save the mother's life? What roles does faith in God play? Should this mother just trust God or take things into her hands or both?
-biblical backup
-200 words
In: Nursing
Answer the following questions. Provide a cited rationale.
1. What are the steps of the nursing process?
2. Define each step, What happens during each step?
In: Nursing
Questions: look for 7 articles about this PICO below.
- Please keep in mind that the topic must deal with an independent nursing action.
- A good way to get started is to think about independent actions that nurses do in this setting.
- must imperical, EBP
PICO question is:
P(Population): Women in labor
I(intervention): music therapy
C(comparison): standard care
O(outcome): postpartum C-sections and pain
In: Nursing
In: Nursing
Question 1 What 3 method would you use to review and measure outcomes of the cultural safety strategies you implemented for the information session?
In: Nursing
Mrs. Smith is an 88- year-old female who lives alone in her home. She walks with a walker. Last night Mrs. Smith needed to go to the bathroom. She got out of her bed and walked to the bathroom without using her walker. In the morning her daughter came to the house to check up on her. She found her mom on the bathroom floor. She called the ambulance and her mom was taken to the emergency room. In the emergency room, the patient states, “she lost her balance in the bathroom when she was washing her hands and fell to the floor.” According to the daughter, her mom has lost her balance many times but never fell. She doesn’t always use her walker in the house. Her daughter also states, “She needs help getting dressed, taking a shower and making her meals.” Mrs. Smith states her pain is an 8 out of 10 on numeric scale of 0 to 10. She also states the pain constant, worse with movement, and radiates down her leg. Her legs feel weak. The nurse performs an assessment on the patient. She is unable to stand in and apply weight to her legs. The patient is weak in the upper extremities and lower extremities. She is unable to lift her legs off the bed. She is unable to turn from on her side without assistance. She is unable to pull her body up in the bed. What subjective data and objective data do you notice in this case study? Please list the subjective and objective data. Cluster the data together that is similar and explain the significance of the data. Analyze the data by applying Maslow’s Hierarchy of Need? Why is this data significant? Create three nursing diagnoses for this patient. Problem- focused nursing diagnosis has three components: Problem, Etiology and Symptoms). What are some reasons you choose each nursing diagnosis? List three outcomes for each nursing diagnosis. Outcomes must be specific, measurable, attainable, realistic and timed. What nursing actions are you going to choose for each nursing diagnosis? Please think about the patient holistically. This should be a fairly comprehensive list. Include all necessary interventions related to each nursing diagnosis, must be measurable and specific. Provide rationales for each intervention.
In: Nursing
Explain the two Classes of Nutrients and their examples ?
In: Nursing
Please read the following scenario and respond to the question below in the form of essay
Claudia, a CMA, is working with Mr. Harrington in the examination room. Mr. Harrington is 73 years old and does not have any living immediate family members. His closest relative is a cousin who lives more than five hours away. Within the medicalpractice, Mr. Harrington has the reputation of being grouchy at times and has been known to lose his temper easily. Claudia is completing his vital signs and measurements, a required component of the physical examination document that must be returned to his life insurance company. Since his last visit five months ago, Mr. Harrington has gained 16 pounds. As Claudia is exiting the room, Mr. Harrington calls out, "Be sure to mark my weight on my physical form the same as it was on my last visit. They don't need to know I've gained any weight." Claudia replies,
"I'm not sure I can do that, Mr. Harrington. I'll see what I can do."
Mr. Harrington responds by saying, "Nurse, I'm asking you politely. I don't want to get upset. Who cares about a mere 16pounds? Just make that change, okay?"
Feeling pressured, Claudia exclaims,
"First of all, I am a medical assistant and not a nurse. And secondly, I am not going to lie on your medical records. If you're concerned about your weight, you will need to talk with the doctor when he comes in to see you." Withthat, she turns out of the examination room and closes the door behind her.
Review the boldface statements. Was Claudia's responses to Mr. Harrington appropriate?
In: Nursing
Coding Evaluation and Management Services
Supply the correct EM/ CPT Codes for the following procedure and services.
18. Liver biopsy; needle; percutaneous. Code: ___________
19. Open excision to remove gallbladder (cholecystectomy). Code:
_________________
20. Drainage of deep periurethral abscess. Code:
__________________
21. Aspiration of bladder by needle. Code: _______________
22. Removal of IUD. Code: _______________
23. Cesarean delivery including obstetric/antepartum/postpartum
care. Code: _________________
24. Complete thyroidectomy. Code: _______________
25. Cervical laminoplasty with decompression of spinal cord; two
segments. Code: ______________
26. Subconjunctival injection. Code: _______________
27. Removal of temporal bone tumor. Code:
_________________
28. X-rays of hand, four views. Code: ______________
29. Bilateral renal angiography. Code: _______________
30. Lipid panel. Code: _______________
31. Bacterial culture quantitative, urine. Code:
_______________
32. Immune globulin injection, botulism, intravenous. Code the
medication and the injection.
Code: ______________, ____________________
33. Influenza virus vaccine (split virus) intramuscular
injection (IM), to a 62-year-old patient. Code the medication and
the injection. Code: _______________, ________________
34. Replacement of contact lens. Code: _________________
35. Cardiovascular stress test (treadmill) with continuous
electrocardiographic monitoring with physician supervision,
interpretation, and report. Code: __________________
36. Handling of specimen for transfer from the physician’s office
to a laboratory. Code: ____________
37. What is the correct HCPCS Level II code for one sterile eye
pad? Code: _____________
38. What is the correct HCPCS Level II code for underarm crutches?
Code: ____________
39. What is the correct HCPCS Level II code for 2cc gamma globulin
inj. IM. Code: ___________
40. What is the correct HCPCS Level II code for the physician
interpretation of a screening Pap smear? Code: ____________
In: Nursing
describe the proceedures involved in providing nutrition via gavage, gastrostomy, and parenteral route
In: Nursing
Mrs. Smith is a 75 year old widow who is very active and healthy. She was brought in to the ED after collapsing at the grocery store. Mrs. Smith explains to the nurse practitioner she doesn't know what happened but she has been feeling exhausted and no energy for the last month. She tells the nurse practitioner, " I must be getting old, I am slowing down." The nurse practitioner is suspecting there is more going on than just age.
Answer questions in full detail and narrative form.
1. What type of examinations would you expect the nurse practitioner to perform?
2. What would you, as the nurse, educate to Mrs. Smith about the plan of care? Include lab tests, possible medications, and nutritional needs.
3. What questions would you ask Mrs. Smith before the testing?
In: Nursing
Jaron Baker is a 10-year-old boy who is admitted to the health care facility with a fractured tibia after falling from his bicycle on the way home from a friend’s house. He is scheduled for surgery to repair the fracture. During the interview, Jaron offers little information, allowing his parents to answer most of the questions. When the nurse asks Jaron questions, he uses few words, often limiting the answers to yes, no, or I don’t know. (Learning Objectives 14, 15)
a. What factors may be contributing to Jaron’s participation in the interview?
b. How might the nurse approach Jaron to gather additional information?
c. Based on Jaron’s developmental level, which interventions in preparation for surgery would be most appropriate?
In: Nursing
write using your own words or based on a resource sited about Racial and Ethnic Disparities in Health Care Access
In: Nursing