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.

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

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?

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).

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.

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

Q.N.1 Discuss the key elements of Step 1 of the CRC and why it is important by:

Q.N.2 developing and presenting a concept map of Ms Abimbola and her situation

Q.N.3 Including evidence to support the content of your concept map.

Read the case study, then answer the questions that follow.

Lee’s parents remember first noticing that Lee had some behavioural problems when he was only six years old. Although Lee was obviously an intelligent child he had developed various rituals that he needed to perform before undertaking routine daily tasks. He also found it difficult to interact in social situations. He maintained one close friendship since childhood but otherwise tends to be quite isolated from his peers.

When he was 14, Lee experienced a breakdown during a period of family stress. During this time Lee became quite violent towards both his parents and his sister. Lee regularly threatens self-harm. He has no social contact with anyone outside of his immediate family.

Lee spent six months in hospital following his breakdown and was subsequently diagnosed with bipolar disorder.

His parents are concerned about the way Lee is becoming increasingly violent and non-communicative. They worry that he is at risk of self-harm. Barbara is his support worker and is also noticing an escalation in violent behaviour in Lee. Barbara feels that the services Lee is currently accessing are not meeting his current needs and additional health professionals need to be involved in the support and care of Lee.

1. List appropriate referral services that may now need to be considered for Lee.

2. If Barbara was present at the time of Lee’s violent behaviour, what prompt actions could she take to support Lee? (Approx. 65 words that you can present in a bullet point list if you wish).

3.

what kind of leadership do you now think might be a best fit for the microsystem level, and why?

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.

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.

Question

Q.N.1 Q.N.1 Discuss the key elements of Step 1 of the CRC and why it is important by

Q.N.2 Discuss the key elements of Step 2 of the CRC and why it is important.

Q.N.2 Discuss the pathophysiology of COPD and how Ms Abimbola's S&S reflect the underlying pathophysiology of the condition.

Complete a 1 page reflection. Include the following-

a. Are outcomes from similar simulation or real-life experiences that demonstrated effective teamwork and collaboration.

b. Discuss various roles and responsibilities of healthcare team members during a crisis.

c. Consider potential difficult communication situations and role-play new ways to best address these for positive client outcomes

• Why is scholarship important(not money you get for school)?

How can you disseminate scholarship in your practice (not money you get for school)?

A client who had mitral valve replacement surgery receives a prescription for dextrose 5% in water with 0.5 grams of dobutamine in 250 ml for IV infusion at a rate of 5 mcg/kg/minute. The client weighs 75 kg. The nurse should program the infusion pump to deliver how many ml/hr? (Enter numeric value only. If rounding is required, round to the nearest tenth.)

Explain one way that your workplace and the healthcare field in general promote or hinder the practice of compassion for patients.

• Describe what herd immunity is.
• Find and describe Phase 3 of COVID-19 vaccine testing.
• Based on your knowledge of your family, or friends, or members of your community, describe what people think about receiving the COVID-19 vaccine. What should they see or hear be more convinced to get vaccinated?