The following drug has been shown to reduce the progression of kidney disease: Explain

A SGLT-2 Inhibitors
B DPP-4 inhibitors
C Meglitinides
D Amiline analogs
E Sulfonilureas

A patient has been in the hospital for 31 days and being treated for depression. She was given various medications, including sedatives. During her time in the hospital, she was described as lethargic, tired, and drowsy. On the morning of her discharge, nursing staff woke her on four occasions, but each time she fell asleep again. When woken at lunchtime the patient was told the bed was needed for another patient. Whilst in the shower her bags were packed by staff and the bed stripped. Her car was brought to the door and her belongings packed into it. While driving home the patient ‘blacked out’ and had a car accident. The patient claimed that she should not have been allowed to drive home 1. What ethical principle(s) would apply in this case? Were some ethical principles breached in this scenario? 2. What ethical theories would be applicable in this case? Discuss how and why. 3. Which health care professionals are responsible? Why are they responsible? 4. What legal consequences would there be in this scenario? What action can the patient take?

What are some collaborative roles that can provide safe care in a health care setting?

In 400 words write about communicating end-of-life wishes. That is what will you want your surrogate or family members or power of attorney to do for you in a situation where you can no more decide for yourself?

CASE STUDY #1

You are working Monday to Friday in Mrs. Farley’s home from 0700 to 1100 and then you go to Mr. Brown’s home from 1230 to 1530.

Over the last couple of weeks, the PSW (Sharon) who is assigned to Mrs. Farley’s home from 1100 to 1500 has been arriving consistently late by half an hour.

It takes you approximately 45 minutes (on a good day) to travel by bus to Mr. Brown’s house. This has caused you to arrive there with little time to get yourself organized and on two occasions, you even arrived late to Mr. Brown’s house!

At first, you said nothing, assuming it was just a bad week but now a definite pattern has developed. You have since made mention of the problem to Sharon on several occasions. The last time she apologized, saying “This will be the last time, it won’t happen again, please don’t report me to the Agency.” Thinking this was the end of it, you did not report it.

Today again, it is now past 1100 and you have Mrs. Farley drinking tea and chatting with you in the kitchen as you are preparing her lunch. Sharon finally arrives 15 minutes late and she says to you “oh good you’ve started lunch. I’ll let you finish up while I make a few phone calls outside on the front porch.”

a) List three effective steps to take to resolve this problem.

b) Looking back and reflecting upon what happened explain how you should have handled this situation initially (the very first time).

Case #2

Mr. Hedgegrove is 79 years old and he has just been discharged from the hospital. You have been assigned to be the PSW visiting him in his home. Your main task is to ensure Mr. Hedgegrove is eating balanced meals, but the task is difficult because of his failing memory. On the first day, he would not eat any food saying, “I don’t like this!” For the next few days despite changing the selection of foods, he repeated the same complaint but with increasing anger, stating, “You keep giving me the same meal! How many times do I have to tell you, I DON’T LIKE THIS!!!”

a) Describe six effective therapeutic communication methods you could use for this situation.

Case #3

You are working within a community agency and a client’s family approaches you with the following complaint: “You have lost my father’s glasses again!” Shouting in a high-pitched voice pointing her index finger at you. “This is the second pair of glasses that we have bought in the last three months. You have to pay for this and arrange to get him a new pair. We simply cannot afford to keep buying glasses because of bad staff.”

a) How would you respond using your Therapeutic Communication Skills to the client’s family as a PSW? List four actions you as a PSW would be able to do as an effective member of the team. These actions should help correct the problem in the future.

Module 7B: Autonomy Case B (Jennifer)

Autonomy essentially means “self-rule,” and it is a patient's most basic right. As such, it is a health care worker's responsibility to respect the autonomy of her patients. However, at times this can be difficult because it can conflict with the paternalistic attitude of many health care professionals. The following two cases address patient autonomy. The first involves the rights of an individual to decide her own fate, even against her physicians' judgments. The second case involves the rights of a parent to care for her child in the manner that she sees fit.

You are a nurse and Jennifer, a mother, comes into the room with her child who is complaining of flu-like symptoms. Upon entering the room, you ask the boy to remove his shirt and you notice a pattern of very distinct bruises on the boy's torso. You ask the mother where the bruises came from, and she tells you that they are from a procedure she performed on him known as "cao gio," which is also known as "coining." The procedure involves rubbing warm oils or gels on a person's skin with a coin or other flat metal object. The mother explains that cao gio is used to raise out bad blood and improve circulation and healing. When you touch the boy's back, he winces in pain from the bruises. You debate whether or not you should call Child Protective Services and report the mother.

Questions for Case B:

1. Should we completely discount this treatment as useless, or could there be something gained from it?

2. When should a health care professional step in to stop a cultural practice? (If you are tempted to answer "when it harms the child" remember there is some pain in many of our medical procedures, for example, having one's tonsils removed.)

3. Should the nurse be concerned about alienating the mother and other people of her ethnicity from modern medicine?

4. Do you think that the nurse should report the mother?

What are the major causes of burns in children? Explain the differences between superficial (first degree), partial thickness (second degree), and full thickness (third degree) burns?

How do I explain/connect the abnormal lab values to the patien's medical problems? The patient is a  77 year - old male who is admitted 2 days ago for Osteomyelitis of the great toe on the right foot and Gangrene of the great toe on the right foot. with a history of Type 2 diabetes mellitus with skin complications and coronary artery disease (CAD)

• WBC: 12.99 (H)
• Sodium: 134 (L)                  
• Potassium: 3.9                                
• Chloride: 104
• Calcium: 8.3(L)
• CO2: 25       
• Glucose: 95
• Hgb 8.4(L)
• Hct 25.6 (L)
• PLT 284

Julia is a 18 year-old student at a local community college. On several occasions in the past 6 months she has experienced sudden, absolute, overwhelming anxiety. During these episodes, her heart pounds, she trembles, her mouth gets dry, and it feels as if the walls are caving in. The feelings only last a few minutes but, when they occur, the only thing that seems to relieve her fear is walking around her apartment and reminding herself that she is in control. She won't ride in cars now, unless she is driving, so she is sure that she can stop if necessary. She will only go to class if she can find an aisle seat in the back row so that she can leave quietly should she have another attack.

1. How do these symptoms impair the client’s functioning?

2. What nursing interventions would be helpful?

1. What are causes of strokes in younger women?
2. Describe your neurological assessment of a patient who just experienced a stroke.
3. What education needs to be provided regarding signs and symptoms of stroke, and when to call 911?

Athena Washington

Your patient is a 48-year-old female brought to the emergency department for stroke-like symptoms.

1. What are your primary concerns for this patient and what assessments and interventions would be associated with your concerns, and why?

2. What do you anticipate the patient’s home medications prior to admission might be, and why?

3. What medications do you anticipate the health care provider would prescribe while the patient is in the hospital, and why?

4. What medications do you anticipate the health care provider prescribing for the patient’s discharge, and why?

The topic is Jehovah’s Witness RELATE THE TOPIC TO THE FOLLOWING . If a question is not clear to u dont answer and let someone else who understands answer. •Illness and medications (eg. Depression, Pain)

•Wellness and disease prevention

A minimum of one nursing intervention must be included for each of the above

A minimum of one academic research articles, one peer reviewed, from nursing journals.

A community resource that could assist individuals related to your topic.

A potential nursing intervention for each of the practices listed above.

Case Study: You are a nurse in the Intensive Care Unit at Plessy Hospital in Chicago, IL where several of your patients are mechanically ventilated. You are made aware that many of the units’ patients have developed high fever and their leukocyte count is higher than normal, thus you fear a widespread nosocomial pneumonia infection. You must determine what bacteria your patients are infected with, how they should be treated, and describe what preventive measures should be implemented, if any.

Use these number 1-4 to answer the case study with at least 250 words

1. Introduction: Introduce your particular case study and explain what it is. Please hypothesize which microorganism you believe may be involved, backing your rationale using primary literature.

2. Methods: Please refer to the provided dichotomous key and identify a minimum of five techniques that can be used to identify the unknown microorganism. Briefly indicate the significance of each technique and what it tells us on a biochemical or molecular level (You will go into more detail about the significance of each test in the discussion section). Also be sure to include practical details of how you would perform this test in a laboratory.

3. Results: List the tests in the order that you would perform them. Be sure to indicate the expected result for the bacteria that you hypothesized. For example, if you choose E. coli, you would start by indicating that a Gram stain was performed and that you were able to identify Gram negative rods. Use a photo of Gram stained E. coli obtained online and cite your source. Do this with each of the 5+ tests that you believe will help you identify the unknown.

4. Discussion: You will want to go into detail about the significance of each test performed and how it helped you arrive at your conclusion. For example, if you chose a fermentation test, talk about the significance of a microbe being able to metabolize X compound and what caused the indicator dye to change colors.  You will also want to discuss possible treatments for your scenario. When writing, remember that we want you to demonstrate that your rationale is based on science and not a lucky guess. Remember to add plenty primary sources and include many in-text citations.