3. A phlebotomist is attempting a venipuncture on a patient with difficult veins. As the phlebotomist is redirecting and “digging” around the patient’s arm to get the blood to flow, a better vein is noted adjacent to the one they are currently attempting. Thinking that the patient will not notice, the phlebotomist quickly withdraws the needle from the vein and moves it to the other vein only centimeters away without changing needles or explaining the situation to the patient. Fortunately, the blood comes quickly and the phlebotomist finishes with the patient who appears satisfied and unaware of what happened. What are the safety issues and legal ramifications of what the phlebotomist did?

MAST (Michigan Alcohol Screening Test) is one of the screening instruments used for alcohol/drug assessments. Can you explain me WELL about MAST? because want to understand perfectly about MAST. I also need references for it.

Does any one know anything about assisted living facilities background information on the Long term care organization, types of services provided by the LTC organization, individuals who receive services from the LTC organization, and reimbursement for services for the LTC.   (in one page essay need more information for study)

CAGE (Cutdown, Annoyed, Guilt, Eyeopener) is one of the screening instruments used for alcohol/drug assessments. Can you explain me WELL about CAGE? I want to understand perfectly about CAGE. I also need references for it.

1. Management for the following problems in musculoskeletal system.

a. Osteoporosis

b. Rheumatoid arthritis

c. Gout

d. Osteoarthritis

Describe how can the needs of different learning styles (auditory learners, visual learners, tactile learners, kinesthetic learners) be addressed when teaching a one hour session or group?

Mr. B is a 45-year-old man who has been in a drug treatment program for history of heroin use. He has been clean for 8 months. He has been taking methadone 10 mg twice daily. He has a history of degenerative disk disease, which causes low back pain and peripheral neuropathy in his bilateral lower extremities. In addition to the methadone, he also takes Percocet 5 mg/325 mg two tablets every 4 hours around the clock and gabapentin (Neurontin) 300 mg four times per day. He describes his baseline pain rating as 7 of 10.

Clinical Assessment

Mr. B is status post lumbar fusion and is admitted to the intensive care unit for pain management issues. Upon admission to the ICU, Mr. B is awake, alert, and oriented to person, place, time, and situation. He complains of incisional low back pain. His skin is moist and warm. Mr. B is able to move his lower extremities bilaterally but states that his feet have decreased sensation.

Diagnostic Procedures

Mr. B reports his pain as 10 on the Numeric Rating Scale (NRS). The Critical Care Pain Observation Tool (CPOT) score is 7.

Medical Diagnosis

Lumbar fusion secondary to degenerative disk disease.

1. What type(s) of pain is Mr. B experiencing during this postoperative period?

2. What medications could be used to manage Mr. B’s acute surgical pain while in the critical care setting?

3. What medications could be used to manage Mr. B’s neuropathic pain?

4. Considering Mr. B’s home pain management, what is he at risk for developing postoperatively?

5. Mr. B has been receiving opioids to manage his pain postoperatively. His respiratory rate is 6 breaths/min. What is Mr. B experiencing and how should it be managed? Explain.

6. What other alternatives are available to help Mr. B manage his pain? (Consider pharmacologic and nonpharmacologic methods.)

Given the biomedical ethical mandate to do good and not to harm, how do clinicians measure the good they’ve done or whether they’ve done good at all? Is such measurement a responsibility of the clinician? Why or why not?

Answer the following.

1.a) Are you surprised by all the different jobs you can get as an AT? Which one surprised you the most?

1.b) What are the requirements to be an AT in the state of Texas? Just an LAT (State Licensed) not an ATC (Nationally Certified).

1.c). Can you see this as an alternative to PT school?

Talk with other healthcare providers about EBP, including other providers in other disciplines. Ask about their perception about the use of research evidence to solve practice problems. Include at least three other disciplines besides nursing. Also, look at publications about EBP from other disciplines. Is their perspective of EBP the same as that of nursing? How does it differ?

Probiotics: Do You Need Them?

What do you think?

1. Do you think you should add probiotics to your diet? Why or why not?
2. Do you think we know enough about probiotics to recommend them to the public?

Site your source

Meet the Client: John Mathis
John Mathis, a 73-year-old male, is treated in the emergency department (ED) for an infected wound on his right foot. John states he was walking barefoot and stepped on something sharp that cut his foot. He treated it with topical antibiotics, but it appears red and inflamed, with purulent drainage. John is admitted to the medical-surgical unit for inpatient wound care treatment.

As part of the admission interview, the nurse asks Mr. Mathis and his wife how they would like to be addressed by the staff. They reply that until they are more comfortable, they prefer to be called “Mr. and Mrs. Mathis.” As the interview continues, Mr. Mathis tells the nurse he has never been hospitalized. He appears anxious and frequently turns to his wife for reassurance.
Mr. Mathis states his pain level is 8/10 and that he has been staying in bed due to his foot pain.

1. What is your patient’s primary (priority) nursing diagnosis? (Must place all three components of a nursing diagnosis for full points.) Why does this take priority?
2. What nursing actions will you take in providing care to your patient? (Please think about the patient holistically. This should be a fairly comprehensive list. Include all necessary interventions related to the primary diagnosis, must be measurable and specific.)
3. What interventions can the nurse implement to prevent venous thromboembolism in Mr. Mathis' legs?
4. What action should the nurse implement to reduce Mr. Mathis' anxiety during the admission process?

How to measure cultural competence when evaluating patient-centered care?

What health problems cause the most disability in Saudi Arabia? Also, describe the involvement of mental diseases in causing such disability. (250 words)

As we research, evaluate, and ultimately diagnose a child for a potential developmental disability; why is the family history so important? Do you view areas when a parent may not be totally honest with the evaluation team? If so, what impact could the lack of honesty or information have on the ultimate diagnosis?