Questions
the difference between confidentiality and privacy is that privacy is the right of an individual to...

the difference between confidentiality and privacy is that privacy is the right of an individual to keep his or her information private while confidentiality is a client's right to a privacy that clients must give consent to disclose any informations about them with other professionals or anyone entrusted. give your opinion

In: Nursing

How is PAGE (Polyacrylamide Gel Electrophoresis) different from other protein purification techniques?

How is PAGE (Polyacrylamide Gel Electrophoresis) different from other protein purification techniques?

In: Nursing

What are your thoughts on Hofstede’s feminine and masculine cultural dimensions. Be honest and share your...

What are your thoughts on Hofstede’s feminine and masculine cultural dimensions. Be honest and share your cultural prospective. How does your culture see the role of men and women? Do you disagree or agree. As healthcare professionals, how can we continue to promote gender identity. Keeping in mind that people prefer the correct gender pronoun how can we ensure that we don’t make mistakes in the field.

In: Nursing

Leyla Ansari, 30, a recent immigrant from Afghanistan who is 22 weeks pregnant, is admitted to...

Leyla Ansari, 30, a recent immigrant from Afghanistan who is 22 weeks pregnant, is admitted to East Valley Hospital-a large, suburban, non-teaching --with severe cramping. A preliminary ultrasound indicates brain abnormalities with her fetus. She is accompanied by her husband of eight years (also an immigrant) and her mother, who speaks no English and lives with the couple. Mrs. Ansari (Leyla) also speaks very little English, though she does understand some; her husband speaks English better than his wife and mother in law. Their primary language is Dari. Mrs. Ansari is stabilized, and further scans are conducted on the fetus. The physicians soon discern that the fetus is afflicted with a relatively severe encephalocele; its size and location make survival outside the womb extremely unlikely. The attending physician, Dr. Fox, is not previously acquainted with the patient, since any earlier prenatal care she obtained was inconsistent and not at this facility.
Dr. Fox enters Mrs. Ansari's hospital room, where he noticed instantly that she was nervous. Before Dr. Fox begins to speak, Mr. Ansari, noticing a look of deep concern on the doctor's face, asserts that his wife is sick with fear and anxiety and that she herself would prefer that her husband handle any news of the situation. He requests that Dr. Fox meet separately with him first, outside of his wife's room. Moreover, it is the traditional time for Muslims to offer prayers, and, since he and his family are devout Muslims, they would prefer to do so before any difficult conversations are had with the doctor. Mrs. Ansari, obviously upset but remaining silent, makes no visible objection to her husband's wishes. The friend also is silent. Mr. Ansari repeats his request that the doctor meet separately with him. Dr. Fox, unsure of how to proceed but not wanting to stress Mrs. Ansari further, agrees to meet the husband separately across the hall, in an empty office; but he also informs Mr. Ansari that they must talk now, for he does not have time to wait for him to complete his prayers. Mr. Ansari silently follows the doctor to the empty office, where Dr. Fox discloses the most recent scan results to Mr. Ansari. Dr. Fox recommends termination of the pregnancy. Stunned, Mr. Ansari sits in silence for several minutes.
After speaking with the doctor, Mr. Ansari turns to his mother in law letting her know the information the doctor told him. She believes that the medical information from the scans may be faulty, and it would be bad luck for her daughter to learn the scan results at this point. In fact, she asserts, her daughter may "lose the baby" from stress over the results. She wishes for the hospital to keep her stable and let the fetus continue to grow inside her uterus in order to see "what God intends." She herself firmly believes (though there has been no information in this regard) that this baby is the long-anticipated boy that the entire family has been hoping for, and that God would not visit such an unhappy result on such a devout family.
Mr. Ansari then turns back to Dr. Fox and insists that the doctor refrain from telling Mrs. Ansari the scan results, assuring him that he will tell his wife himself once she is emotionally ready for the news. The doctor, increasingly frustrated with the direction of the conversation, informs the husband that such a choice is not his to make. He gets up and proceeds back across the hall, where he walks in on Mrs. Ansari awkwardly performing her prayers. Dr. Fox interrupts her and asks the friend (who is still present) to help him translate his news for Mrs. Ansari. He then gently but firmly informs Mrs. Ansari of the scan results, as the friend awkwardly translates for her. Mr. Ansari has stayed across the hall, and Mrs. Ansari's mother retreats, wailing, to the waiting room. Mrs. Ansari struggles to keep her tears at bay as she listens to the doctor.

Discussion Questions: Answer each question in 1 paragraph (6 sentences).

1. Was it right for Dr. Fox to agree to meet with the husband alone? Did he handle this case in the right way? Why or why not.

2. What is your recommendation as a health care provider?

3. What role does religion play in this case?

In: Nursing

PCMA Chapter (critical thinking) 13-"Pearson Physicians Group is considering making the change from paper to electronic...

PCMA Chapter (critical thinking) 13-"Pearson Physicians Group is considering making the change from paper to electronic health records. The physicians have assembled a team consisting of Lewis Jordan and Tania Washington to gather information relating to this possible change."

  1. While gathering information, Lewis and Tania developed a list of pros and cons for converting to electronic health records. What might have been included on their list?
  2. The office has decided to make the conversion to EHRs. Once all records have been converted, what should be done with the original paper charts?
  3. The office has recently received in the mail a typed consultation report from a local oncologist regarding a mutual patient, Yun-qi Yeung. What should be done with this report now that the office has converted to EHRs?

In: Nursing

PCMA Chapter 15-"Sophia DiStefano, a 5-year-old female, is seen by Dr. Salpega. He diagnoses Sophia with...

PCMA Chapter 15-"Sophia DiStefano, a 5-year-old female, is seen by Dr. Salpega. He diagnoses Sophia with bilateral chronic serous otitis media because this visit is the third bout of otitis media she has had within the past seven months. Dr. Salpega asks that David Dolan, a Registered Medical Assistant, conduct an audiometry screening on Sophia. He also suggests that Edvige, Sophia's mother, consider having Sophia undergo a bilateral tympanostomy and tube placement for a more permanent treatment of the chronic otitis media."

  1. Why is it necessary for David to code for the specific condition chronic serous otitis media rather than a nonspecific condition such as otitis media?
  2. Why must David be sure to code for the bilateral nature of the condition?
  3. What are the benefits of having over 70,000 diagnosis codes?

In: Nursing

PCMA Chapter (On the Job) 16-"Sophia DiStefano, a five-year-old female, experienced three bouts of otitis media...

PCMA Chapter (On the Job) 16-"Sophia DiStefano, a five-year-old female, experienced three bouts of otitis media within the past seven months and was diagnosed with chronic otitis media. Following an audiometry screen two weeks ago, Dr. Salpega recommended surgery to correct the underlying problem. Sophia's mother signed an informed consent for the procedure. Today, Dr. Salpega performs a bilateral tympanostomy (tube placement) for a more permanent treatment of the condition. David Dolan, a Registered Medical Assistant, needs to code for the procedure."

  1. Should David code and bill for the audiometry screening? Why or why not?
  2. What is the diagnosis related to Sophia's procedure? How can David ensure that the diagnosis is correct?
  3. What procedure code should be assigned for a bilateral tympanostomy with local anesthesia? Is a modifier necessary?

In: Nursing

For each of the following forward reactions state the significance of the result. For example, a...

  1. For each of the following forward reactions state the significance of the result.

For example, a patient cell is tested with anti-B and gives a positive reaction. The significance is that this indicates the presence of the B antigen on the unknown red cell.

Typing serum reaction

Significance                                                                                                                      

anti-A

4+

anti-B

0

anti- A

0

                 

anti-B

3+ mf

In: Nursing

your patient is undergoing surgery to remove a lump from her breast. list Six areas of...

your patient is undergoing surgery to remove a lump from her breast. list Six areas of information that should be given to the patient when securing informed consent

In: Nursing

What complications might you see in a post-partum woman? What are the likely caused of these...

  1. What complications might you see in a post-partum woman?
  2. What are the likely caused of these complications?
  3. What clinical data would you need that is relevant and needs to be monitored in order to prevent/catch the complication(s) to decrease the risk?
  4. Which complication takes priority?
  5. What nursing interventions will you initiate if the priority complication occurs?

In: Nursing

A 56-year-old male patient is brought in by ambulance after vomiting bright red blood for the...

A 56-year-old male patient is brought in by ambulance after vomiting bright red blood for the last 30 minutes. On examination the patient has a swollen abdomen and gynaecomastia. His partner, when questioned, mentions that the patient has been a chronic drinker for the last 15 years.

  1. What is the likely cause of the patient vomiting blood?   (1 mark)

  1. What is the underlining cause of all the symptoms the patient has presented with? (1 mark)

  1. Explain the pathophysiology of each of the symptoms the patient has presented with in relation to the diagnosis in (b).                                                                                                                 

       1   

  1. What is your first priority for the nursing care of this patient? Why?                          

                                               

In: Nursing

1. Outline ways to assist a home care cancer patient to increase calorie and protein intake....

1. Outline ways to assist a home care cancer patient to increase calorie and protein intake.

6. Indicate the correct order for actions in administering a feeding via feeding tube.

______ Unclamp the tube.

______ Flush the tube with water.

______ Check the placement of the tube.

______ Elevate the patient’s head and upper body.

______ Prepare the feeding bag.

______ Check for residual feeding in the stomach.

______ Start the feeding.

______ Reclamp the tube.

16. Identify foods that are allowed on a clear liquid and full liquid diet. Mark the foods allowed on a clear liquid diet with a “C.” Mark the foods only allowed on a full liquid diet with an “F” and foods that are allowed on both diets with a “B.” Mark foods not included in either diet with an “N” for not allowed.

  1. ______ orange juice
  2. ______ tea
  3. ______ cream of potato soup (strained)
  4. ______ decaffeinated coffee
  5. ______ Cream of Wheat cereal
  6. ______ mashed potatoes
  7. ______ Jell-O
  8. ______ popsicles
  9. ______ custard
  10. ______ margarine
  11. ______ lemonade
  12. ______ ice cream

In: Nursing

How are the two practices (professionalism in medicine and the practice of animal experimentation) related? How...

How are the two practices (professionalism in medicine and the practice of animal experimentation) related? How might professionalism inform you duties and obligations towards animals? Towards your need to research? When the need for research and your obligations to animals intersect, how do you plan to make a decision? What philosophy informs that decision?

In: Nursing

1,Identify nursing priorities/standards of care for these interventions Insert Peripheral IV/Standards of Care: Nursing Standards of...

1,Identify nursing priorities/standards of care for these interventions

Insert Peripheral IV/Standards of Care:

Nursing Standards of Care:          

Rationale:

2,Identify nursing priorities/standards of care for these interventions

Ventilator Management Standards of Care

Nursing Standards of Care:          

Rationale:

3,Identify nursing priorities/standards of care for these interventions

Arterial Line Standards of Care

Nursing Standards of Care:          

Rationale:

               

               

In: Nursing

A 65-year-old man is seen in the preoperative clinic 1 week before a scheduled radical prostatectomy....

A 65-year-old man is seen in the preoperative clinic 1 week before a scheduled radical prostatectomy. He has been diagnosed with femoral deep vein thrombosis (DVT) following a complaint of calf soreness.


What is a radical prostatectomy?


What would be a reason for this procedure (i.e. diagnostic, curative, restorative, etc.)


What is the level of urgency, degree of risk, and extent of urgency for this procedure? (i.e. emergency)


What possible treatment would you anticipate being ordered for the treatment of DVT? (Discuss 2)


What are risk factors that contribute to the development of DVT? (Name 3)


In: Nursing