GERONTOLOGY CLINICAL CARE PLAN Case Study Mr. M, a 76 year old Hispanic woman has just been admitted to the Dumfries Rehab Nursing Center after undergoing right hip replacement surgery 5 days ago. She has a history of Osteoarthritis, DM II, GERD, Rt Knee replacement surgery 5 years ago. She speaks little English.NKDAMeds--Januvia 100mg daily, Glucophage 1000mg BID, ASA 81mg daily, Calcium 600mg Three times/week, MVI 1 tablet daily, Prilosec 20mg daily.Social--Widow with 10 children, 5 of them in the United states and many grandchildren and great grandchildren, never smoked nor used illicit drugs, occasional alcohol on special occasions; retired housekeeper at age 72, with no pension. Family has raised money for her to be able to able to be in rehab. Patient is on limited social security income. Her husband, who died last year has been the supporting his wife with his own business and had been able to provide health insurance while he was alive. But the business is not doing well at the moment and the children are thinking of closing it down, since no one wants to run it. Design a nursing care plan for the above patient --DO NOT USE PAIN AS YOUR NSG DX --THIS IS INDIVIDUAL WORK; STUDENTS WITH SIMILAR WORK WILL RECEIVE A GRADE OF 0. --PLEASE TAKE YOUR TIME TO USE YOUR CRITICAL THINKING SKILL TO COMPLETE THIS CARE PLAN

An outline of nursing responses that promote culturally safe practice for people with disabilities.

How does communicable disease relate to HIV?

Use keywords: complement, antigen, macrophage, neutrophil and rolling adhesion to describe the process of inflammation at the site of an infection.

What is freedom mean to you ? essay 5 pages

When are gloves considered sterile?

A. When hand sanitizer is used on them

B. When they are disposable

C. When they are removed from sterile packaging

D. When they are white instead of blue

ALSO

What would be the maximum beyond use date of a sterile product that will be stored under refrigeration which was compounded in a PEC located in a USP 797 compliant cleanroom suite (assuming aseptic ingredients and no terminal sterilization)?

A. 3 days

B. 7 days

C. 10 days

D. 14 days

A nurse is caring for an 80-year-old patient who was admitted to the hospital with a diagnosis of dehydration. The patient stated he had been vomiting for 2 days and had been unable to take food or fluids. He has been healthy and currently takes only a diuretic for his blood pressure. On physical examination, the nurse notes that the patient’s skin is dry with decreased turgor, oral mucous membranes are dry, heart rate is 100, and blood pressure is 90/60. The patient’ urine is dark amber with a specific gravity of 1.028. His urine output was 30cc/hr for the past 4 hours since admission.

1. What type of renal failure is most often seen with dehydration? What signs and symptoms noted by the nurse are characteristic of renal failure?

2. If the blood pressure continued to drop in this patient and the patient developed acute tubular necrosis, what would happen to the kidney tubule?

3. What are the three phases of acute tubular necrosis? Identify two important nursing interventions for each phase.

ANSWER 5-7

1. John is a 10-week-old male who was born at 28 weeks gestation and weighed 0.8 kg (1 pounds, 12.2 ounces) at birth. His Neonatal ICU stay was essentially uneventful. John has an older sister, Jane, who just started preschool. Last week Jane was ill with a respiratory infection, and now John is starting to seem ill as well. He initially became ill with a runny nose, sneezing, coughing, and wheezing, and he has not been breastfeeding well. He has since been admitted to the pediatric floor with worsening respiratory symptoms that include consistent tachypnea, moderate retractions, circumoral cyanosis, and periods of apnea. Based on John’s medical history and clinical manifestations, the nurse suspects that his most likely medical diagnosis is: 2. How is this illness diagnosed? 3. John now weighs 6 pounds. The provider orders D10 1/2 NS maintenance fluids. Using the “4-2-1 Rule,” what is the correct hourly infusion rate? 4. As John’s nurse, what are some interventions that you would expect may be included in his plan of care? 5. What type of isolation do you expect that John will be placed in? What personal protective equipment (PPE) should be used when entering his room? 6. What medication therapy do you expect John to receive if his illness becomes very severe (i.e. he requires intubation)? Who should not handle this medication? 7. What product is given to certain infants in the NICU prior to discharge to prevent contraction of this illness? What are the criteria that makes an infant eligible to receive this product?

You are preparing an 81 year old woman for discharge following a stroke. her husband will be the caregiver. what teaching might you to provide to prepare him for the caregiver role

Metabolic Encephalopathy

What are the alteration in health diagnosis on Metabolic Encephalopathy?

Health promotion and disease prevention on Metabolic Encephalopathy?

Risk factors on Metabolic Encephalopathy

expected findings?

Lab test?

Safety consideration?

Therapeutic procedures

Interprofessional care?

• What is a time when you or someone you know of experienced a conflict between duty to self and loyalty to the community? What would logical reasoning say should be done in that case? Why that? What would an Ethical Egoist say to do? Why would they say to do that? Note what you feel is the best course of action.
• What is a time when you or someone you know experienced a clash between professional duties and familial duties? Reference a professional code such as that of the American Nurses Association or American Bar Association in explaining the clash. What moral values should have been used in that case? Why those values? What would social contract ethics have said to have done? Why would social contract ethics say that? Note what you feel is the best course of action.

In your own words, describe what is the Universal Declaration of Human Rights.

In your own words, list and describe at least three implications on health as a result of migration.

please.don't copy and paste

how do you see George encouraging assimilation ? how does assimilation change throughout the book in the raisin in the sun?

What are some psychosocial nursing diagnosis for a COPD patient?