Discuss the functional relationship between the Respiratory System and the other body systems. How does medical terminology help you make sense of this?  

PS: reponse should be at least 200 words

Case Study #3:

Mr. Wilson, a 51 y.o. male patient, is admitted to the Intensive Care Unit in critical condition after a Case motor vehicle accident. He presented unconscious and is therefore unable to make his own medical decisions. The family of this patient provided a detailed formal advance directive which indicated that in the event of a traumatic injury such as this one, where the outcome is uncertain, the patient would consent to aggressive medical intervention in an attempt to stabilize and determine the severity of his injury. Life-sustaining interventions were therefore pursued.

After a myriad of test and a set of neurologic assessments were performed, it was determined that an anoxic brain injury occurred, and it was not clear whether the patient would ever regain consciousness. The team needed some time to clearly establish a diagnosis, and the family members were kept informed of any progress that was made.

Several weeks passed as the patient stabilized, and the health care team was finally confident that the patient had met the criteria for being in a Persistent Vegetative State, a diagnosis that was presented to the family. According to the advance directive, if the patient were ever in a situation where their continued existence would be in such a state, he would want all life-sustaining intervention withdrawn, and be allowed to die. The family (spouse is no longer in the picture, 18 y.o. daughter, 20 y.o daughter, and 14 y.o. son) are presented with this formal diagnosis of PVS and are willing to continue to assume the responsibility of SDMs. The 14 y.o. son is adamant that his father is a ‘fighter’ and demands the team continue to ‘do everything possible’ and provide the most aggressive care they can. The 18 y.o. daughter agrees with the son, but the 20 y.o. daughter wants to respect her father’s wishes and refuse further life-sustaining measures.

Questions:

• What are some of the ethical issues in this case?
• Who is(are) the designated SDM(s)?
• Who do we listen to when they disagree?
• Can the SDM(s) consent to a decision that would mean the death of the patient?

Case Study #1:

A 75-year-old healthy male was working on the roof of his house when he slipped and fell 10 ft. to the ground. He was knocked unconscious. When the paramedics arrived, he was awake but confused. His vital signs were stable (e.g., Glasgow Coma Scale [GCS] score of 14). He was immobilized with a C-collar and backboard and taken to the ED. Shortly after arrival in the ED he became more confused, then sleepy. His GCS score decreased from 14 to 10. The attending emergency physician was concerned that perhaps the patient had a significant head injury and was in the process of arranging for a CT scan when the patient’s wife arrived. The patient’s condition continued to deteriorate, to a GCS score of 8. The emergency physician prepared to intubate him, but when she discussed this with the patient’s wife, the wife became upset and stated that her husband had a “living will,” which specifies that, if he became critically ill, he would not want any resuscitative interventions, including intubation.

Questions:

• What are some of the ethical issues in this case?
• Was the patient adequately informed when they declared their wishes?
• Did they put these wishes into a particular context?
• That is, were they intended for reversible, or irreversible illness?
• Is the patient’s wife required to make a decision in the best interests of the patient, who decides what is ‘best’?

Q3 Case study: Peter Smith, a 19 year old university student, was suffering from influenza and visited his local GP. He said he began to feel unwell two days earlier and his condition had worsened since with an acute onset of a sore throat(pharyngitis). On examination the following observations were made: Fever of 38.9 degrees C, Runny nose, Sneezing, Enlarged anterior cervical lymph nodes (lymphadenopathy) Peter’s throat was observed to have the following signs: Redness, Swollen, Having a patchy covering of yellow-white exudate over his tonsils The doctor prescribed phenoxymethylpenicillin 500 mg twice per day for ten days.

Question: Given that influenza is caused by a virus, why was Peter prescribed an antibiotic?

Q5. Case study: Peter Smith, a 19 year old university student, was suffering from influenza and visited his local GP. He said he began to feel unwell two days earlier and his condition had worsened since with an acute onset of a sore throat(pharyngitis). On examination the following observations were made: Fever of 38.9 degrees C, Runny nose, Sneezing, Enlarged anterior cervical lymph nodes (lymphadenopathy) Peter’s throat was observed to have the following signs: Redness, Swollen, Having a patchy covering of yellow-white exudate over his tonsils The doctor prescribed phenoxymethylpenicillin 500 mg twice per day for ten days.

Question: Explain why antibiotics are not effective against viruses.

1.1) When will you review and measure outcomes of the cultural safety strategies you implemented for the information session? 30-50 words

1. Share your opinion about DNR. Would you grant it to yourself? Why? Why not?

2. Explain why the doctor suggest DNR to immediate family?

3. Do you think it is irrational to provide CPR if it is futile?

4. If CPR is deemed "futile," should a DNR order be written?

5. What if CPR is not futile, but the patient wants a DNR order?

Describe the following aspects of leisure.

1. Physical aspects of leisure-

2.       Emotional aspects of leisure-

3.       Psychological benefits of leisure and recreation-

4.       Social benefits of leisure-

nursing community reflection

If a patient’s apical and peripheral pulse remains irregular, what would be the best plan of care?

1. Explain the roles of Gerontological Nurse as:

a. Provider of care

b. Teacher/Educator

c. Manager

d. Advocate

e. Research Consumer

2. What are different components of health promotion for the elderly?

3. Choose one competency guidelines for geriatric nursing care and explain.

what is acute lymphoblastic leukemia (ALL),and what is the prognosis?