As a team investigate 5 new careers in health sciences that you did not know before.
You will need to find out:
In: Nursing
Cristina is a 28 year old woman who identifies herself as Latina, of Puerto Rican descent, raised on the West Side and currently lives with her grandmother at Elliot House in Chelsea. At intake she reveals that she is transgender and has been living as female since she graduated from high school but her parents could not accept her gender transition so she left home and has been living with her grandmother ever since. She works full time as a clerk at a local dollar store but the pay is very minimal and she tells you she needs money to complete her transition so she started doing sex work. She came in today because when she went to a free mobile clinic in the Bronx , where she often sees her clients, to get condoms and a rapid HIV test, she did a screening for blood pressure and diabetes and her blood pressure was 160/90 and she was told she was pre-diabetic. She is very anxious about her health but has never had a regular PCP because she was afraid of insensitivity to her gender status. She is also anxious taking medications that might interfere with her transition or impact upon her appearance. She reveals that she is often depressed, when she worries about her future and now even more so now that she might have diabetes and because of her past experiences, she sometimes has nightmares. She came to your health center because some friends told her it was a good place for the LGBT community.
How do you handle her concerns about treatment?
What potential referrals might you make and where?
In: Nursing
A 77-year-old man is admitted to the intensive care unit (ICU) of a university hospital from the operating room. Earlier the same day, he had presented to the emergency department with abdominal pain. His medical history included treated hypertension and hypercholesterolemia, previous heavy alcohol intake, and mild cognitive impairment. In the emergency department, he was drowsy and confused when roused and was peripherally cold with cyanosis. The systemic arterial blood pressure was 75/50 mm Hg, and the heart rate was 125 beats per minute. The abdomen was tense and distended. After the administration of 1 liter of intravenous crystalloid to restore the blood pressure, a computed tomographic scan of the abdomen showed extraluminal gas and suspected extraluminal feces consistent with a perforated sigmoid colon. He was treated with intravenous antibiotics and taken to the operating room for laparotomy. During this procedure, gross fecal peritonitis from a perforated sigmoid colon was confirmed; resection of the sigmoid colon with the closure of the rectal stump and creation of an end colostomy (Hartmann’s procedure) was performed with extensive peritoneal toilet and washout. On arrival in the ICU, he is still anesthetized and remains intubated. the arterial blood pressure is supported with a norepinephrine infusion. When the patient was in the operating room, he received a total of 4 liters of crystalloid. On his arrival in the ICU, the vital signs are a blood pressure of 88/52 mm Hg, heart rate of 120 beats per minute in sinus rhythm, central venous pressure of 6 mm Hg, and temperature of 35.6°C. An analysis of arterial blood shows a pH of 7.32, the partial pressure of carbon dioxide of 28 mm Hg, partial pressure of oxygen of 85 mm Hg, and a lactate level of 3.0 mmol per liter. Please use the following questions to help you formulate a response to this case study:
1. What is your suspected diagnosis of the patient (other than the listed surgical diagnosis)
2. What are the treatment options for this diagnosis?
3. What are the risks to the patient?
4. What nursing interventions and orders would you expect to be a part of this patient's care?
In: Nursing
The nurse is caring for a minority client. When assessing for social inequities, which social determinants would be most appropriate for the nurse to consider? Select all that apply.
1. Age
2. Gender
3. Living condition
4. Work condition
5. Access to health care
In: Nursing
What is an authority structure and why do organizations create these structures? How does this concept relate to organizational behavior, and do you believe authority structures have value in health care environments? Explain your answer in detail.
2. Briefly describe the importance of authority and at least two factors that restrict authority. Explain why you chose the factors you selected.
3. There are six styles of leadership. Provide an example for three of the six styles
In: Nursing
Describe some instance of social interaction in which you have realized that someone from a different culture or with different social standing held a socially constructed reality was quite different from your own. How did you know such a difference existed? How did the difference affect what happened in that situation?
In: Nursing
this question is related to pharmacology, you can answer in your own opinion
What are the similarities and differences between full agonists, partial agonists, antagonists and inverse agonists?
In: Nursing
this question is related to pharmacology you can answer in your own opinion
Most stimulus-response curves follow Michaelis-Menton kinetics. Two key parameters are Vmax and Km. What is the significance of each of these? What is meant by the “coupling efficiency factor” in relation to the stimulus response cascade?
In: Nursing
what's your take on animal being kept in zoos?
In: Nursing
-What are the most common medication errors?
-What are risk factors for medication errors?
-When can medication errors occur?
-Why must each error be thoroughly investigated and documented?
-What are the advantages of documenting medication errors?
You will need to cite your resources.
In: Nursing
In: Nursing
Who opposed health maintenance organizations and what were their reasons? Describe the roles of government and the insurance industry in promoting managed care plans.
In: Nursing
A patient who has been on a high protriptyline HCl imipramine for several years is now discontinuing the drug. To avoid discontinuation symptoms, her prescriber has given the following taper instruction: “Decrease by 10 mg/day each week until discontinued”. The patient’s current dosage is 60 mg/day. How many 10-mg tablets will be required for the patient to complete the taper?
(Will thumbs up)
In: Nursing
Why do you think photographer joel sartore started the National Geographic photo Ark project? what do you think is the purpose of the project? what do you think of his work?
In: Nursing