What are two ways in which Human Resource Managers can ensure social distancing among employees to limit the transmission of COVID-19?
In: Nursing
What's the importance of medical necessity when a diagnostic or ancillary test is ordered?
In: Nursing
Imagine you are a psychiatrist in the late 1970s. You have heard about the upcoming DSM-III and seen drafts of the final copy. In at least 200 words discuss what you think are the benefits and/or problems with the way that this new manual approaches psychiatric disorders. You can discuss the upcoming DSM-III as a proponent of either the psychoanalytic or the descriptive psychology schools of psychiatry.
In: Nursing
Ms Aaliyah Abimbola is a 56-year-old female who emigrated from African 20 years ago. Ms. Abimbola is a single parent with three female children (ages 14, 17, and 18 ) living in the inner-west of Melbourne. You are working on the respiratory ward and have been allocated to Ms. Abimbola who has been admitted with an exacerbation of COPD. Ms. Abimbola presented to A&E via ambulance at 8 AM after experiencing acute shortness of breath while preparing breakfast this morning. Ms. Abimbola went to her local health care clinic 2 weeks ago complaining of increasing shortness of breath and lack of energy. She says she was given some breathing medication (inhalers) by the doctor and told to take it easy for a few days. She has been struggling to get from the ground floor living area to the upstairs bedrooms without resting half-way to catch her breath. She says the medication helps her catch her breath sometimes but she still has to rest halfway even with the medication. Ms. Abimbola has been working at the local flour mill since she arrived in Melbourne from Africa 20 years ago. She has never smoked but says the dust at the flour mill often makes her cough. Her job for the first 3 years was filling bags with flour until that process became fully automated. She then got promoted to running one of the flour grinding machines. 2 years later she got another promotion to shift supervisor in the milling and packaging section. She says her clothes were always covered in white dust at the end of every shift. "I used to look like a ghost at the end of my shift. We all did!" The flour mill made it mandatory to wear a mask and other protective equipment when you're working in the factory about eight years ago. However, Ms. Abimbola has been working in the office for the last 6 years and no-one wears protective equipment in the office as it's not necessary. She says there's always a fine layer of dust on the paperwork in the office because the 'flour just gets everywhere no matter how often you clean or how careful you are." Ms. Abimbola is currently averaging 50 hours/week which means she needs to work on most weekends. Since the COVID 19 lockdown the factory has increased production to 24 hours a day 7 days a week. That means the office is also extremely busy. Ms. Abimbola has always accepted any overtime on offer to help pay the rent for their house and cover the school fees for the Catholic school her children attend. She is adamant that she wants them to get a good education so they can make the most of the opportunities she never had in Africa. She has always been socially active within her church community, but due to her increased working hours, this has restricted her ability to attend mass and contribute to her community. She states that she needs to “prioritize any free time I have so I can spend it with the kids, especially my oldest who is doing VCE this year”. She has two close friends at church who help with looking after her children when she has to work late or on weekends. Ms. Abimbola states that she tries to exercise when she has time and walks to the train station every day to get to work. It used to take 8 minutes each way but lately, it takes at least 20 minutes including rest stops to catch her breath. She also does a lot of walking at the flour mill taking paperwork to the production supervisors and picking up reports for processing. However, she has had to ask one of the younger staff to get the reports and deliver the orders more and moreover the last year or so as she gets too short of breath when she walks too far too quickly. Ms. Abimbola has not spoken to her husband since she and the children left him 6 years ago. She says he used to work at the flour mill but was sacked for being drunk at work eight years ago. He had a hard time finding work so drank heavily and became violent. She took the children and left him after he hit the middle child for spilling his coffee. She doesn't know where he lives and has had no contact with him for over 4 years. Ms. Abimbola has a history of moderate Obstructive Sleep Apnoea (OSA) and requires CPAP for overnight sleep. She was diagnosed with Hypertension and Type 2 Diabetes 3 years ago. Family history Her father died from a stroke in 2005. Medications Metoprolol 100mg daily Aspirin 100mg daily Atorvastatin 20mg mane Glibenclamide (Daonil) 5mg orally daily before breakfast Salbutamol sulfate (Ventolin) 100mcg inhaler as required for symptom relief (1-2 puffs as required) Fluticasone propionate/salmeterol xinafoate (Seretide) 50/25 inhaler (2 puffs BD) Current vital observations: BP 142/96mmHg HR 96bpm RR 24 bpm SpO2 93% on RA T 36.7C Health assessment findings: Height 158cm, Weight 93kg, Total cholesterol level - 5.2mmol/L Fasting BGL - 9.6mmol/L Inspiratory and expiratory wheeze. speaking in short phrases taking 2-3 breaths between each phrase before continuing to speak. Alert and orientated to time, place, and person. Could you please answer the below question for above case study..
Interpret the information you have been given about her condition (Step 3 of the CRC) and identify three priority nursing issues you must address for Ms Abimbola (Step 4 of the CRC). Justify why they are priorities and support your discussion with evidence.
In: Nursing
True or False: As nurses are active players in handling age discrimination, it is important for one to develop a better understanding of society and use appropriate advocate actions.
True
False
In: Nursing
write a pinpoint essay about a community in America
In: Nursing
5. Briefly outline the rationale for reducing the dosage interval rather than
increasing the dosage.
6. The on/off syndrome and end-of-dose deterioration are both features of treated
Parkinson’s disease. What are they, and are there any risk factors?
7. In addition to levodopa therapy, what other options are available to treat Parkinson’s disease and what is their place in therapy?
8. Mr. DM is concerned that he is likely to forget the five times daily dosage regimen and/or find it difficult to maintain a regular dosage interval. Is there anything you could do to help him?
In: Nursing
Culture and Conflict – Cultural Messages
Definition:
Cultural messages, simply, are what everyone in a group knows that outsiders do not know. They are a series of lenses that shape our perceptions, interpretations, boundaries, and values.
Users:
Anyone involved in a cross-cultural conflict. This includes not only people from different countries, but also people from different gender, age, ethnic, religious, regional, even different professional groups. (One might speak of the engineering culture or the business culture, for example.)
Description:
Culture is an essential part of conflict and conflict resolution. Culture is a powerful and often unconscious influence on our perceptions and our behavior.
How Cultures Work
Cultures are a shifting, dynamic set of starting points that orient us in particular ways. Everyone has multiple cultures that dictate what is considered "normal." When others do not meet our expectations, it is often a cue that their culture is different. We may mistake differences for evidence of bad faith or lack of common sense, without realizing that "common sense" is cultural. What is common sense to one group may be counterintuitive (or even stupid or evil) to another.
Some implications of the cultural dimensions of conflict include the following:
Culture and Conflict: Connections
For any conflict that touches us where we're vulnerable, where we make meaning or influence our identities, there is always a cultural component. The Israeli-Palestinian conflict, for example, is not just about land - it's also about identity. Conflicts between teenagers and parents are shaped by generational culture and conflicts between spouses are influenced by gender culture. Cultures shared by dominant groups often seem to be "normal" -- "the way things are done" to the dominant group, but are less obvious to other minority groups. We only notice the effect of cultures that are different from our own.
Answer all parts of the question for full credit on first post.
Questions:
A) What conflicts have you had in your life that can be placed in the definitions above? Were they resolved? How? If not, why do you think there was no resolution?
In: Nursing
Discuss in depth at least one example in healthcare where there is a disconnect between law and ethics.
In: Nursing
how CPT category 2 may have an impact on a physician's practice, and how you may discuss/educate the provider about the new changes
In: Nursing
What is the most urgent health issue facing teens in the US? Explain your answer.
In: Nursing
In: Nursing
Drug Cards for the following medications that describe the Drug class, Prototype Name, MOA, Major Adverse Effects, Drug Interactions and Contraindications, and Nursing Implications
Estrogen
Tamoxifen
Oral Contraceptives as a group
Clomiphene
In: Nursing
what is the etiology and pathogenesis of cystic fibrosis
In: Nursing
what are some initiatives to lower drug costs
In: Nursing