Case Study 4

Chris is a nursing student and a self-proclaimed procrastinator. She describes herself as waiting until the last minute to complete projects and study for exams. She is currently taking one online course and three courses in a classroom. Chris tells her academic advisor that she tried color-coding her files, making out schedules for studying, and blocking out time, but she was afraid she'd get caught up in the act of doing those tasks and then wouldn't have time to study. She describes having difficulties finding time to complete her online course work and staying current with the discussions. Chris is already feeling the consequences of her actions, as reflected by her falling grades.

1. What strategies could Chris's advisor explain to her that might help her overcome procrastination?
   
   
2. Chris explains to her advisor that although she procrastinates, she is also a perfectionist, always wanting to earn A' on all her work. What guidance should her advisor give her?
   
   
3. Chris's advisor tells her to try positive affirmations to boost her self-esteem. What is a positive affirmation, and how would it help Chris in this situation?
   
   
4. Chris explains how the online course is a lot harder than what she expected and she is having trouble keeping up with the class. She tells her advisor that she often forgets about the assignments because the course is more self-directed than her other classes. How should her advisor help her?
   
   

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Ethan is an orderly in a skilled nursing care facility. He is charged  with supervising patients in the dining room on a day when  two of his coworkers have called in sick, leaving  the facility shorthanded. On this day, several patients seem more irritable than usual, and  Ethan is kept busy  preventing outbursts and calming them. He also worries about  patients prone  to choking episodes, and finds himself feeling harried and stressed.

Wallace, an 80-year-old confined to a wheelchair, demands that Ethan help him back to his room. "It's a mad­ house in here today,"  he shouts. Ethan  knows  he cannot  leave his post,  and panics when Wallace heads for the door.

Ethan runs ahead  of Wallace, shuts the double doors to the dining room, and locks them.

1. Has Ethan acted ethically?  Explain  your answer.
2. What would you do in a similar situation?  Use steps one through five for ethical decision  making to reach a solution. Describe how each step was used.
3. Do you believe your solution is more ethical  than Ethan's? Why or why not?

Principle problemas- Ischemic disease of the gut

active problems - ARF, mesenteric venous thrombosis, Anemia, blood thrombosis, blood loss, acute respiratory failure with hypoxia

concept map?

1. Main medical diagnosis and related concept (example: Concept of Gas Exchange, a medical diagnosis of pneumonia).

2. Pathophysiology of all medical diagnoses

3. Etiology of all medical diagnosies (what causes the diagnosis)

4. Epidemiology of all medical diagnoses (how common is it, who has it or who does it happen to, what is the prevalence, etc)

5. Treatments and therapies (relevant to the three medical diagnoses; must include nursing interventions)

I need a response for the statement below. Anything to add to the statement, corrections or questions about the statement?

The history of eugenics can be dated back to the 19th c (Wilson,2019). Eugenics is a practice that aids in filtering out good and bad genes in one's genetic makeup. Ideally, for some, this practice would focus primarily on ruling out disease processes rather than for aesthetics. However, sometimes in eugenics, it also includes the concept of trying to create a "superior" or "elite" class. Vitro fertilization is an example of a scientific technique used to study health and disease processes in the body. Vitro fertilization has helped researchers make advances in artificial implantation, which has helped many begin families. Vitro fertilization is ethically controversial since some embryos never get fertilized and waste away (American Pregnancy Association, 2020). I'm afraid I have to disagree with the process of this research. According to the natural law theory of ethics, it would be unnatural to try to advance medical research through the extraction or deterioration of an embryo.

I need a response for the statement below. Anything to add to the statement, corrections or questions about the statement?

Eugenics, broken down, means good genes (Pence, 2017). There are positive and negative eugenics. Some contemporary developments in eugenics is “designer babies.” A designer baby is a baby whose genetic makeup has been designed prior to its birth to ensure desired characteristics or to prevent undesired ones (Pence, 2017). This reminds me of people wanting to have Olympic athletes as children, so they try to seek someone with the characteristics that they want their child to have, or go ‘shopping’ at a sperm bank to have the genes they are looking for. Genetics is simply heredity, or the genes passed on from parent to child. I do not necessarily believe in altering genes or genetics. I can understand the prevention of disease, but still believe that things should happen the way they’re supposed to happen. I can see the aspect of medicine to prevent disease, or the genetic testing and treatment options, but I do not believe it should be used to create a ‘super baby’ to where they are built to be superior and be the best athlete, or the best musician.

1. Discuss the mission, vision, and values of your current health care organization Penn Medicine and how you personally feel about these components

Discuss the importance of advocating for the patient.
Why is treating patients with dignity and respect important
Why is trust a key to preventing lawsuits
How is HIPAA Privacy rule different from the security rule..

Use ATI active learning template system disorder for Influenza

Medical Terminology

Article Review Assignment

The article review is an article that pertains to healthcare. The content of the article is described

in more detail later in this page. However, in general there should be about a one page summary

of the article and a one page commentary. The summary is a brief abstract or review of what the

article was about.

This should not include personal pronouns, just information about the

article. Points will be deducted for poorly written summaries. The commentary should be

about your personal experience, your field of study, or how the content will affect your

decisions

. There will be an Assignment tab opened (formerly called Dropbox) in which you can

submit the review.

Article 1:

Medical information, medical errors, documentation, or miscommunication

–

This article should be about documentation in healthcare or how medical information is

important. Current trends in research has uncovered the prevalence in medical errors that lead to

patient injury or death.

Article 2: Financial aspects in healthcare –

This article should be in regards to financial issues

in healthcare. This could include financial burdens on the healthcare system, data about

insurance systems, or ideas on future healthcare financial plans.

Use ATI learning template System Disorder for Allergic Rhinitis

Anne Chovy, a 57 year-old female, comes to the office with c/o of blood-tinged sputum; she reports having a productive cough for “about a month”.  Upon further questioning, Anne mentions that she has been having “really bad night sweats but thought it was probably due to menopause”.  She tells you she has lost 15 pounds since her annual check-up, which was 6 months ago.  She lives in a rural home with her spouse and is the volunteer coordinator at the county homeless shelter.  She is given a PPD test and the result is positive.  

PMH:  optic neuritis

1. List the manifestations that helped you make Anne’s diagnosis.   

2. What additional tests may be done next to diagnose/confirm her diagnosis?

3. Anne is hospitalized and placed on special precautions to prevent the spread of illness to others.  What type of precautions do you think will be initiated?

4. Anne is started on 4 different medications:  Isoniazid, Rifampin, pyrazinamide & ethambutol.  Anne asked why she is taking so many medications.  What is the nurse’s best response?

5. What labs will be assessed before initiating drug therapy?  Any special exams?  What labs do you anticipate will be monitored during therapy?  How will you monitor for therapeutic response?

6. Anne is discharged home with prescriptions for a isoniazid/rifampin combo drug and instructions to take pyridoxine (vitamin B6) daily.  Her husband, Bon Chovy, is prescribed isoniazid.  Why is Anne being told to take vitamin B6? Why is her husband Bon also prescribed medication?  What patient teaching will you provide to Anne and Bon?  (Be thorough!)

Describe the problems associated with housing for the aged. When you become elderly where do you want to be housed and why?

Identify 2 medications affected by nicotine.

What changes can it cause?

How would you address this with your clients?