A 28 years old man who was exposed to weed killer in the basement of his apartment 3 weeks ago now came to a hospital complaining of having rashes, and experiencing shortness of breath, chest tightness, and coughing heavily. He is self employed, work seven days a week. He came because he had not been able to go to his primary clinic because of Covid-19. He does not have medical history that linked to what he is experiencing now. Because he works seven days a week on a homemade weed killer recipe that he made for living, he never thought of any side effect that could occur. The understanding of his work means so much to him.
After his checkup, The nurse followed up with him. He learned that he had asthma. The nurse warned him that he could be at very high risk of having complex issues of developing other illnesses if not treated on time. The nurse referred him back to his primary clinic to do a follow-up appointments to do more testing and offer some education on exercise that could lead to a healthier life.
I created this case scenario for practice. And need help developing (a) assessment (b) analyses (c) planning (d) implementation (e) Evaluation. I want to compare note and know my strength or weakness.
In: Nursing
In: Nursing
A 26-year-old woman in graduate school visits the family physician because for the past 3–4 months she has been experiencing gnawing pains in her upper-middle abdomen. When you ask her what seems to precipitate the pain, she is unable to say for sure. She says she feels the best in the early morning before eating. As the day progresses, she usually feels worse and takes Mylanta or Milk of Magnesia to relieve the pain. Sometimes, her pain is accompanied by severe diarrhea, and she has been tired, weak, and nauseous. In response to your question about stress, she tells you she is under extreme stress because she is preparing to defend her thesis for her Ph.D. She has been smoking more cigarettes than usual and drinking 6–8 cups of coffee each morning. In the evening, she often has a few glasses of wine to help her relax.
Critical thinking Questions
1. Based on this patient’s complaints, lifestyle, and use of OTC medications, what do you expect may be the cause of her initial complaint of upper-middle abdomen pain and her symptoms of fatigue, weakness, and nausea?
2. What diagnostic tests do you anticipate the physician ordering and for what possible diagnoses?
3. Instead of OTC antacids, what are the other choices for this patient to relieve her symptoms? Is there a class of medications you think might be the better choice for her? If so, what and why?
4. What type of teaching would you give the patient to better manage her problems?
In: Nursing
Provide complete answers to the following items
In: Nursing
Tony has been referred to a mental health provider to assess for depression. Tony shows a mental health provider assessing Tony for depression and suicidality. The provider must find a way to get beyond female--oriented ways of asking about depression to help Tony talk about his feelings. Adolescent males often do not endorse sadness, depression, crying, or hopelessness. They may experience frustration, anxiety, irritability, and anger, and may have somatic concerns. Asking about these symptoms often provides a pathway for boys to talk more about their feelings, or to at least indicate their level of distress. Being able to assess adolescent boys for depression and suicidality is vital, given the rate of completed suicides among males.
Identify things that the patient said that would be of concern regarding depression and anxiety. What more questions would you ask the patient to gather additional information?
In: Nursing
In: Nursing
In: Nursing
What are the signs of mental health or developmental or developmental issues and the risk and protective factors?
Word limit 220 to 260
In: Nursing
Service delivery models and standards. (with empowerment, person-centred approach, age standards and so on)
Word limit 400
In: Nursing
In: Nursing
Health care fraud is deliberate misrepresentation with the intent to benefit a person or group. Health care abuse are practices that are inconsistent with accepted standards of health care. Specifically related to health care billing fraud, abuse or errors can be very costly to society, insurance companies, as well as the patient. Choose a related topic and discuss the impact your topic has on healthcare. (examples are financial considerations, legal considerations, policies intended to impact you topic, lack of consumer understanding "the system", complexity of the billing system to name a few)
In: Nursing
evaluation of medication effectiveness of ANTIMICOBACTERIALS
In: Nursing
Reflection paper will include the topic of Criminal Aspects of Healthcare. (Charles Cullen videos). What new things have you learned about the topic? How has your learning affected preconceptions or misconceptions you brought with you into class about Criminal Aspects of Healthcare? How does your learning affect your view of Criminal Aspects of Healthcare? Will what you have learned change your professional behavior or attitudes in the future?
Charles Edmund Cullen is a former nurse who is the most prolific serial killer in New Jersey history and is suspected to be the most prolific serial killer in American history. He confessed to authorities that he killed up to 40 patients during the course of his 16-year nursing career. But in subsequent interviews with police, psychiatric professionals, and journalists Charles Graeber and Steve Kroft, it became clear that he had killed many more, whom he could not specifically remember by name, though he could often remember details of their case. Experts have estimated that Charles Cullen may ultimately be responsible for over 300 deaths, which would make him the most prolific serial killer in American history. Charles Cullen was to look after the sickest of the sick. People recovering from burns and life-threatening illnesses. But he betrayed their trust in the most egregious way imaginable murdering his patients.
In: Nursing
Match the following principles to their meanings:
| Accountability | a. truthfulness |
| Responsibility | b. Provision of guidance and oversight of a delegated nursing task |
| Veracity | c. Doing good |
| Beneficence | d. to be answerable, or to give an account or defense to oneself and others for one's own choices, decisions, and actions |
| Nonmaleficence | e. Distribution of work that each staff member is responsible for during and given work period, which falls under the person's scope of practice |
| Authority | f. Doing no harm |
| Autonomy | g. The idea that the registered nurse has the competency, accountability, and responsibility to practice independently and determine appropriate task delegation. |
| Delegation | h. The idea that the registered nurse has the accountability and responsibility to exercise competent, independent judgment. |
| Assignment | i. Apportions praiseworthiness or blameworthiness (liability) and can be shared amongst individuals or groups |
| Supervision | j. Process for a nurse to direct another person to perform nursing tasks and activities that they normally would not be allowed to perform |
A:
B:
C:
D:
E:
F:
G:
H:
I:
J:
In: Nursing