Alice is an aged care support worker. She has visited Stella, an older person who is 83, on numerous occasions. She has built trust and rapport with both Stella and her carer who is on a full time basis. On the last two visits Alice noticed Stella becoming unsteady on her feet and sitting for long periods of time. Alice suggests that an assessment may provide Stella with strategies to improve her strength and mobility. Stella becomes agitated and anxious that this may result in her being unable to go for walks with her carer. The carer confides to Alice that Stella insists on going for a walk but lately has not been able to go past the front door. The carer is concerned that their walks will have to discontinue. Alice empathises with the carer as this is a concern for her. Alice sits with Stella and her carer to explain the assessment process and her duty of care to provide the best care possible to minimise the risk of harm. With Stella’s consent, Alice agrees to talk to her supervisor and other health professionals providing care to Stella to decide which assessment would be the most suitable. She then discusses the physical impacts of falling with Stella. She explains in plain language how strong muscles can help a person stay upright and can help them stabilise themselves more effectively. Stella says, ‘So that’s why you want me to exercise?’ Alice patiently takes the time to provide information that suggests other options and looks at alternative exercise strategies. Alice explains the role of a physiotherapist in developing a suitable exercise program for Stella. She asks Stella and the carer to think about the strengths and weaknesses of the options and the consequences of Stella’s decisions. Alice tells the carer she has an important role to play and that she can encourage Stella in the strategies to improve her strength. Stella seems to be comfortable with the support she will be getting from her carer and convinced that being assessed will provide strategies to strengthen her ability to walk and increase her confidence. Stella is satisfied with the process and agrees to an assessment.
1.How should Alice confirm Stella’s assessment requirements with a relevant health professional
2.How has Alice managed Stella’s individual rights and the organisation’s responsibility to her?
In what way did Alice include the carer in the discussions?
3. How has Alice encouraged Stella’s participation in the assessment?
4. How has Alice communicated in a way that respects Stella’s rights, level of understanding and cultural background?
5. How has Alice helped maximise Stella’s participation and minimise unnecessary discomfort?
In: Nursing
Powerpoint presentation of the given Patient on COPD by usingCRC.
Ms Aaliyah Abimbola
Background information for the assignment.
You are the RN on a morning shift on the respiratory ward of a large inner-city hospital. At 10:30 AM you receive a patient from the Emergency Department.
This is the hand-over you receive.
|
I |
My name is Catriona and I am the A&E RN who has been caring for Ms Aaliyah Abimbola. Thank you so much for taking this patient so quickly. We’re so busy we haven’t time to do much for her apart from get her ready to bring up here. |
|
S |
Ms Abimbola is a 56-year-old woman with a past history of COPD who was admitted to A&E via ambulance at 8am today in acute respiratory distress. She became acutely short of breath this morning while making breakfast and called an ambulance. |
|
B |
I only got the chance to ask her a few admission questions before I was told to bring her up here. She was able to tell me: She saw her GP two weeks ago due to increasing shortness of breath and fatigue and he gave her ‘some breathing medication’ (inhalers). She has had to use these with increasing frequency since then. Ms Abimbola has been working at the flour mill 50 hours per week recently. This has made it tough to look after her three daughters because she’s a single parent. She has a medical past history of moderate sleep apnoea for which she uses CPAP to sleep overnight, Type 2 Diabetes and hypertension diagnosed 3 years ago. She has never smoked but has a long history of severe exposure to industrial dust. Her children are at school but the oldest one knows she’s in hospital. |
|
A |
On arrival in A&E she was acutely short of breath with an expiratory and inspiratory wheeze. Her Sat’s were 93% on room air & her GCS was 15. We haven’t had time to do much for her apart from give her a couple of nebulisers. She has an interim medical diagnosis of acute exacerbation of COPD |
|
R |
Medical orders:
O2 therapy to maintain SpO2 > 92%.
review her.
|
Your initial assessment findings on the ward for Ms Abimbola are as follows:
Medications
Metoprolol 100mg daily, Aspirin 100mg daily, Atorvastatin 20mg mane, Glibenclamide (Daonil) 5mg orally daily before breakfast, Salbutamol sulphate (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.
Further information you gather from her medical history and as part of her admission questions:
Ms Aaliyah Abimbola is a 56 year old female who emigrated from Africa 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.
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 sometimes the medication helps her catch her breath but she still has to rest half way 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 on 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 “prioritise 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 more over the last year or so as she get's 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.
Family history
Her father died from a stroke in 2005.
In: Nursing
choose 5 nursing care interventions and than give the
similarities and differences between them for OA and RA disorder.
Explain in details.
OA vs. RA
( please give the 5 intereventions and compare and contrast bween OA & RA for those interventions)
In: Nursing
1. Identify vision assessments that an OT practitioner might choose to use with a patient with low vision. Describe each assessment and what information is gathered from each assessment.
2. identify assessments (that do not measure vision) that an OT practitioner might choose to use with a patient with low vision. What information would the OT practitioner gain about the patient? Provide a rationale for using these assessment
In: Nursing
Description:
Sylvia Gonzales, a 51-year-old female, is at the office for a 3-month return check for her newly diagnosed Type 2 diabetes. She states that she has taken the medication she received for her “sugar” and she knows the doctor wants to a do a special “sugar test” this time. Her medication list includes Januvia®100 mg daily. The physician has ordered a fasting blood sugar (FBS), electrolytes, and a CBC. You will need to collect a venipuncture blood specimen to send the lab. During the esam Sylvia states, she is feeling lightheaded, so the licensed practitioner asks you to perform a waived blood sugar and hemoglobin A1C immediately.
Discussion Questions:
In: Nursing
In: Nursing
Ms Aaliyah Abimbola; a 56-year old female who emigrated from Africa 20 years ago. Ms Abimbola is a single parent with three female children, ages 14, 17 and 18. You are working on the respiratory ward and have been allocated to Ms Abimbola who has been admitted with exacerbation of COPD. Ms Abimbola presented to A&E via ambulance at 8AM after experiencing acute shortness of breath while preparing breakfast this morning.
Background information for the assignment.
You are the RN on a morning shift on the respiratory ward of a large inner-city hospital. At 10:30 AM you receive a patient from the Emergency Department.
This is the hand-over you receive.
|
I |
My name is Catriona and I am the A&E RN who has been caring for Ms Aaliyah Abimbola. Thank you so much for taking this patient so quickly. We’re so busy we haven’t time to do much for her apart from get her ready to bring up here. |
|
S |
Ms Abimbola is a 56-year-old woman with a past history of COPD who was admitted to A&E via ambulance at 8am today in acute respiratory distress. She became acutely short of breath this morning while making breakfast and called an ambulance. |
|
B |
I only got the chance to ask her a few admission questions before I was told to bring her up here. She was able to tell me: She saw her GP two weeks ago due to increasing shortness of breath and fatigue and he gave her ‘some breathing medication’ (inhalers). She has had to use these with increasing frequency since then. Ms Abimbola has been working at the flour mill 50 hours per week recently. This has made it tough to look after her three daughters because she’s a single parent. She has a medical past history of moderate sleep apnoea for which she uses CPAP to sleep overnight, Type 2 Diabetes and hypertension diagnosed 3 years ago. She has never smoked but has a long history of severe exposure to industrial dust. Her children are at school but the oldest one knows she’s in hospital. |
|
A |
On arrival in A&E she was acutely short of breath with an expiratory and inspiratory wheeze. Her Sat’s were 93% on room air & her GCS was 15. We haven’t had time to do much for her apart from give her a couple of nebulisers. She has an interim medical diagnosis of acute exacerbation of COPD |
|
R |
Medical orders:
|
Your initial assessment findings on the ward for Ms Abimbola are as follows:
Medications
Metoprolol 100mg daily, Aspirin 100mg daily, Atorvastatin 20mg mane, Glibenclamide (Daonil) 5mg orally daily before breakfast, Salbutamol sulphate (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.
Further information you gather from her medical history and as part of her admission questions:
Ms Aaliyah Abimbola is a 56 year old female who emigrated from Africa 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.
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 sometimes the medication helps her catch her breath but she still has to rest half way 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 on 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 “prioritise 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 more over the last year or so as she get's 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.
Family history
Her father died from a stroke in 2005.
With the given case study of Ms Aaliyah Abimbola can you please Discuss the key elements of Step 1 of the CRC and why it is important by:
Q.N.1 developing and presenting a concept map of Ms Abimbola and her situation
Q.N.2 Including evidence to support the content of your concept map.
In: Nursing
In: Nursing
When defining healthcare data standards for computer systems one of the following methods could be used: • Text based specific formats • XML based formats • JSON based formats a. Give one (1) example for each of the above methods used in defining healthcare standards. b. Discuss the advantages and disadvantages of each of the above methods.
In: Nursing
3HS is an integrated system that spans multiple levels of care across many states. System leadership is growing frustrated with seemingly contradictory feedback from the field. Some staff complain of having to use multiple systems that often do the same thing, while others express concerns that one hospital can see another hospital’s data. As input to the 3HS C-Suite, briefly describe the state of health interoperability, the different levels of interoperability (https://www.himss.org/library/interoperability-standards/what-is-interoperability), and ONC efforts (https://www.healthit.gov/topic/interoperability) to improve HIT interoperability.
In: Nursing
Imagine that you work in a medical facility the provides medical laboratory/pathology and medical Imaging services. In computerising this facility to share collected patient information with other facilities, what standards are likely to be used? Your answer should provide an explanation of why and how these standards would be used. Try to limit your answer to 300 words.
In: Nursing
In: Nursing
1.How does caring for a child with a chronic condition look in the clinical setting during COVID-19 pandemic? What needs to be considered and why?
Please write two paragraphs answering the above question. Include credible citations.Thank you
In: Nursing
CASE STUDY:
A 42-year-old premenopausal woman has emphysema. This lung disease impairs the ability to oxygenate the blood, so patients experience significant fatigue and tiredness. To alleviate these symptoms, oxygen is typically prescribed, and this patient has a portable oxygen tank she carries with her at all times, breathing through nasal cannula. Before she began using oxygen, a complete blood count showed her red blood cell (RBC) count to be 5.8 × 1012/L. After she has received oxygen for several months, her RBC count is 5.0 × 1012/L.
1. What explains the elevation of the first RBC
count?
2. What hormone is responsible? How is its production
stimulated? What is the major way in which it acts?
3. What explains the decline in RBC count with oxygen
therapy for this patient?
In: Nursing
Read the case study, then answer the questions that follow.
Tim has schizophrenia and lives in a supported house with three others. Tim enjoys living in the house and gets on well with his other housemates. Tim wants to attend the local community centre for woodworking classes offered once a week on a weekday. Tim’s father taught him some carpentry skills when he was growing up and they used to make furniture together in the family shed. Tim feels he would like to attend the classes with the aim of one day doing an apprenticeship in cabinet making.
Marg is Tim’s support worker. Marg accompanies Tim when he visits the community centre to look at the room and equipment where the classes are held and to meet the woodwork instructor. Tim is enthusiastic after the tour and explains to the instructor that he has schizophrenia. Marg notices that the instructor’s manner changes towards Tim after he tells him about his mental health needs. Tim is still keen to attend and hopes to begin classes next week.
1. Why is it important to allow a person with a mental illness to express their own identity and preferences and avoid imposing own values and attitudes?
2. There is a certain level of risk involved in using the tools at the woodworking classes. What is dignity of risk and why is it important that Tim be involved in any discussions? (Approx. 70 words).
In: Nursing