Questions
John J. is a school nurse at Jackson Elementary School, which was built in 1960. Nurse...

John J. is a school nurse at Jackson Elementary School, which was built in 1960. Nurse John hasnoticed that many students from Ms. Zee’s second grade class have come to the clinic
complaining about coughing, sneezing, runny nose, and watery eyes. Nurse John has also observed that Steven Tea, the only asthmatic student in Ms. Zee’s class, has had more asthma
attacks this year than he did last year. Because the rest of the school is not experiencing the same respiratory problems, Nurse John is concerned that something in Ms. Zee’s classroom is
causing students to feel ill.
Nurse John decides to visit Ms. Zee’s classroom. Upon entering the classroom, one of the few located in the school’s basement, John is struck by the powerful musty smell that inhabits the
room. While talking to Ms. Zee, John learns that the classroom has “smelled bad for years,” and that students from previous years have complained about respiratory problems. Nurse John notes that Ms. Zee has stuffed a blanket at the base of the classroom’s small rectangular window near the ceiling because the window does not close completely. John suspects that Ms. Zee’s classroom walls are contaminated with mold. Upon further research, Nurse John learns that if water gets between the exterior and the interior of a building’s wall, mold can grow in the moist environment. This situation can occur as the result of construction defects in the building (e.g., leaky windows). Nurse John also learns that people who are exposed to extensive mold growth may experience allergic reactions, such as hay fever-like allergy symptoms, and that people who already have a chronic respiratory disease, such as asthma, may experience difficulty breathing when exposed to mold. Nurse John is concerned about the possible mold contamination effect on his asthmatic student, Steven.

DIRECTION: Using Nursing process you are assign to make a Community Care Plan, your main focus Of your nursing care plan is to facilitate standardized, evidence-based and holistic care.

Format

Introduction
- Introduction about the problem


Body
- Assessment
- Community Diagnosis or statement of the problem:

Recommendation:

Specific
objective (at
least two)
Intervention Resources
needed
Time Table Outcome
Criteria
Use SMART as
your guide in
creating a good
objective
Independent
Dependent
Management
Link with
available
resources
Achieve within
specified time
frame
Determine if
objective had
met.

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What is a rough estimate of how much Epic Systems( EHR systems) is going to cost...

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Coursepoint Plus Video Case: Community Case: Teen Maternal-Child Health CASE INTRODUCTION Violet Berry, a 16-year-old pregnant...

Coursepoint Plus Video Case: Community Case: Teen Maternal-Child Health

CASE INTRODUCTION

Violet Berry, a 16-year-old pregnant with her first child, and her boyfriend, Cory Peterson, make a visit to the school nurse’s office.

BRIEF SUMMARY OF CASE

Case Part 1 (text): Violet Berry is a 16-year-old Black female who is 28 weeks pregnant. She is gravida 1. She lives at home with her mother, grandmother, grandfather, and younger brother. Violet is in 10th grade at the local high school. She is 63 inches tall. Her prepregnancy weight was 110 pounds, and she currently weighs 118 pounds. She has generally been feeling well. The father of the baby, Cory Peterson, is also in 10th grade and tells Violet he wants to be a part of the life of her and the baby after the delivery. Violet went for her first visit to the prenatal clinic last week. She waited as long as she could because she did not want to tell her family that she was pregnant.

Current data reveal a reversal in the increase of teen pregnancy in the United States (Daley, 2012; www.cdc.gov); however, even with this lower rate, the United States continues to have the highest of teen birth rates of all industrialized nations. Most teens still report pregnancies as unintended. Early parenthood frequently influences the educational, developmental, social, mental health, and financial outcomes especially for the teen mother, but also for her child, family, and community. Additionally, teen pregnancy influences the rate of sexually transmitted infections among the teen population, which is among some of the highest.

Case Part 2 (video): Violet and her boyfriend, Cory, visit the school nurse to discuss her pregnancy. Violet is 28 weeks pregnant and is well supported by her boyfriend. In this scene, the school nurse discusses priorities for Violet during her pregnancy and commends her boyfriend for his support.


5. In anticipation of the delivery of Violet’s baby and her return to her home, what type of teaching should the nurse provide to Violet?


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E. H. states she doesn’t understand how her taking steroids has caused her body to lose...

  1. E. H. states she doesn’t understand how her taking steroids has caused her body to lose it’s ability to produce the “the real thing.” How would you explain this paradox in terms she can understand?
  2. People receiving steroid replacement should be taught sign/symptoms that signal the dosage is too low. What are the signs/symptoms of inadequate steroid replacement?
  3. What would you teach someone like E. H. about the nutritional implications of adrenal insufficiency?
  4. Explain why the AM dosage of prednisone is higher.
  5. E. H. confides in you that she is afraid of taking steroids any longer because she has read about the deleterious effects of steroid abuse by athletes. How would you counter this misconception and alleviate E. H.’s concern?
  6. How would teaching differ for this patient (on replacement therapy) as compared with teaching required for the patient taking therapeutic doses of glucocorticoids?
  7. The patient states she is under a lot of stress because of her son’s recent diagnosis of cancer and her husband’s upcoming retirement. What are the teaching implications of this information?
  8. You realize that taking exogenous cortisol can result in a variety of pathophysiologic alterations often described as Cushing’s syndrome. Since E. H. will be taking lifelong steroids, would you expect to see the signs/symptoms associated with Cushing’s syndrome in this individual? Explain your answer.
  9. What signs/symptoms should you teach E. H. to monitor that would indicate excessive drug therapy?
  10. You instruct E. H. on administration of a parenteral form of hydrocortisone. Under what circumstances should she take the parenteral form of the drug?
  11. What measures should E. H. take to prevent an acute episode of adrenal insufficiency?
  12. E. H. tells you she never used to take pills at all. She says she hates to be “addicted to a drug.” What will you tell her?

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Instructions:

  • The 6 Essential Questions (who, what, where, when, why, how)
  • An article summary with Critical Analysis
    • The credibility of the authors
    • Key points related to the research study (who, what, where, when, why, how)
    • A brief description of the research findings and recommendations.
    • Evaluation of the research and article.
    • Any missing information from the article

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Describe two diseases that occur as a result of cytoskeletal defects and explain how the protein...

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2. Give the responsibility and function of stakeholders.


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