Discussion Board Week 4 Day 1

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A. Explain what it means to serve as the patient’s advocate.

B. Discuss the importance of advocating for the patient.

C. Why is treating patients with dignity and respect important?

D. Why is trust a key to preventing lawsuits?

E. What may you write about your clinical assigned patient on Facebook?

F. How is the HIPAA Privacy Rule different from the Security Rule?

What are the adverse health effects to having low folate in the body. please type , at least 20 sentences

INFORMED CONSENT It has been maintained that patients have a right to complete information about their conditions. But... What happens when the diagnosis reveals a genetic disorder that can have known harmful effects on their children? Should the spouse automatically be told about this result? Should the children be told? Do other relatives have the right to know this information? Who is the "patient" in these situations? Is it the one who has been tested? Is it the one who will be affected if they don't have the information?

What guidelines do you think should guide healthcare providers when it comes to such information being disclosed?

MY ANSWER:

Patients have a right to full disclosure of their medical conditions, even if that disorder could potentially have harmful effects on their children. In that case, I believe it is the healthcare provider's responsibility to thoroughly explain the situation. Including providing statistics for the patient and any tests that can be done to tell if the children have the disorder. I believe the spouse should be aware of the potential for a genetic disorder but feel that it should be the responsibility of the patient to tell the spouse. The provider should ask the patient if the patient wants the spouse to attend the visit to learn more about the disorder. Some couples knowing that there is a high potential for a genetic disorder may change their mind about having children. If the children are old enough to understand the scope of the genetic disease they should be informed of the situation as it could potentially have negative effects on their health. However, a child may not fully understand the potential for a genetic disorder and knowing could cause further fear and issues. Again, I believe it is the responsibility of the parents to discuss concerns with their children when the child is old enough to understand. I don’t think relatives need to know unless this is something that the patient wants to disclose to a relative. The patient is the person that came into the office with the issue. The children could choose to be patients at some point. Guidelines for information disclosure is providing accurate up to date info along with statistics and ways to get more answers for the patient.

PLEASE GIVE THOUGHTS TO THE FOLLOWING:

• Do you agree with these suggested guidelines? Why or why not?
• Which ethical principles are at play here?
• Were those principles incorporated in your peer's posts?

Mrs. Shaw is a 54-year-old client who has been admitted with hypertensive crisis and tachycardia. She was diagnosed with hypertension 2 years ago and until now has been controlling her blood pressure with a thiazide diuretic. In taking Mrs. Shaw’s health history, you learn that Mrs. Shaw has recently started taking pseudoephedrine in oral form for sinus congestion, along with a phenylephrine nasal spray for nasal congestion. Mrs. Shaw tells you, “I don’t understand it; I have been taking my blood pressure medication regularly, as always. It has kept my blood pressure under control for 2 years. Why am I having these problems now?”

1. Explain the relationship between the pseudoephedrine and phenylephrine and Mrs. Shaw’s hypertension. What should the nurse teach Mrs. Shaw regarding the use of these drugs?
2. What additional adverse effects related to the pseudoephedrine and phenylephrine might the nurse expect to see in Mrs. Shaw?
3. Mrs. Shaw suddenly develops pulseless ventricular tachycardia, and resuscitation is begun. The physician orders vasopressin 40 units instead of epinephrine during the resuscitation. What rationale would the physician have for ordering the vasopressin?

A nurse is discussing culturally competent care at a nursing staff in-service. Which of the following information should the nurse include when discussing clients' cultures?

A. Nurses should focus on clients cultures, rather than their ethnicity when providing care

B. Nonverbal communication is important in a few cultures

C. Nurses should expect clients to adapt to the care provided regardless of culture

D. Culture plays no role in determining when a client will seek medical care

What is health care coverage convergence? What evidence of convergence can be found in the histories of health care in Great Britain and China?

In 300 words clearly state what the ethical course of action would be based on the information from this case study. Support that stance by using at least 3 different ethical concepts and or principles for example Autonomy, Deontology and Consequentialism. Remember to use objectively (no personal opinions) and impartiality ( each person's needs and interests are given equal weight) when making and supporting your stance. Case study: Dr. Yee is a cardiologist. A 75-year-old patient in need of heart surgery has recently been referred to his practice. The patient is overweight and has known he was at risk for heart disease for years. Still, he never modified his diet or exercise despite his doctor’s recommendations. His poor health makes the surgery riskier and less likely to extend his life for long. Regardless, the patient would like Dr. Yee to perform the surgery. Dr. Yee needs to decide if he will operate or refuse the surgery to this patient. What should Dr. Yee do and why?

What is the pathophysiology of osteogenesis imperfecta (OI)?

What is the pathophysiology of pituitary dwarfism?

What is the pathophysiology of hemolytic uremic syndrome (HUS)?  

What is thought to be the pathophysiology of idiopathic scoliosis?

What is the reason people with cystic fibrosis (CF) are often malnourished?

What is cystic fibrosis and discuss the pathophysiology.

What is the underlying pathophysiology of asthma?

How does Kawasaki Disease cause coronary aneurysms?

What is Kawasaki Disease and what is the pathophysiology?

What is thought to be the underlying pathophysiology of Sudden Infant Death Syndrome (SIDS)?

How does lead poisoning account for the child’s symptoms?

Discuss the hemodynamic consequences of a patent ductus arteriosus (PDA).

Describe the pathophysiology of hydrocephalus in infants with myelomeningocele.

What is the underlying pathophysiology of myelomeningocele?

Briefly describe the pathophysiology of Hemophilia.

Explain the genetics of hemophilia.

Discuss the genetic basis for sickle cell disease (SCD).

What is the pathophysiology of acute sickle cell disease (SCD) crisis and why is pain the predominate feature of acute crises?  

How does renal failure occur in some patients with acute lymphoblastic leukemia (ALL)?

What is acute lymphoblastic leukemia (ALL)?  

Regulation of healthcare has been subject to many rules, laws and requirements. Requirements continually change based on client outcomes, scientific evidence and political inputs. Discuss one law or regulation that directly impact the practice of the RN? How can an RN keep up their practice with the ever changing requirements?

1-Please write the difference and examples between coccus, bacillus, and vibrio.

2-Staphylococccus, Streptococcus, and Diplococcus. Please write examples.

3-Please define virus, parasite, and fungus. Please write examples of them.

4-What were the contributions of Dr. Joseph Lister?

5-Antigen and Antibody: Please write examples of them.

6-What is the difference between a Primary Infectious Disease and a Secondary Infectious Disease? Please write examples of them.

7-Why is it necessary to understand Gram stain?

8-What were the contributions of Ms. Florence Nightingale for the Nursing activities?

9-Acute Infection, Chronic Infection, and Latent Infection. Please write examples of them.

10-Nosocomial Disease, latrogenic Disease, and Idiopathic Disease. Please write examples of them.

11-Please define the difference between Incidence and Prevalence.

12-Please define the difference between Morbidity and Mortality.

13-What is Microbiota? What are the main important in our body?

14-What is a Biofilm? Please write examples of them.

15-What is Herd Immunity?

Discussion: Leadership & Prioritization 22 unread replies.22 replies. You are the RN working on a surgical unit, and you are assigned the following four clients: A 62-year old male with a history of COPD and CHF, who had a cholecystectomy A 28-year old female with a head injury from a motorcycle accident who had burr hole surgery A 43-year old female with controlled AFib who has a broken right leg from falling off a horse A 62-year old college professor who had a stroke while playing tennis Their surgeries were all unremarkable, and they are all 1-day postoperative. You heard the following updates in change-of-shift report this morning: 02 sat 92% on 2L, lung sounds diminished bilaterally, non-productive cough Persistent confusion and slight restlessness, moves all extremities Pain level is 8/10, up from 5/10 last night. Right pedal pulses weak, right foot swollen. Complaining of headache at 10/10, unrelieved by pain medication. Questions:

1.Which of these clients should the nurse see first? Explain your answer.

2 What other information is needed (if any) to make your decision.

3 Use the Nightingale library and the CINAHL search system to find an article from a peer-reviewed journal published in the last 5 that supports the priorities of nursing care you identified.

I. Read the following hypotheses and identify the dependent, independent and population variables under study.

1. There is a relationship between auditory and tactile stimulation and heart rate response in premature infants.

Independent:
Dependent:
Population:

2. Young adolescent girls are better informed about the risks of sexually transmitted diseases than young adolescent girls.

Independent:
Dependent:
Population:

3. Patients who receive a copy of the Patient Bill of Rights will ask more about their treatment and diagnosis than those who do not receive the document.

Independent:
Dependent:
Population:

4. Leg amputee patients who practice the prone position will develop fewer contractures than leg amputee patients who do not rest in the prone position.

Independent:
Dependent:
Population:

5. Nursing students who are exposed to experiences with dying patients during their study years exhibit less anxiety in the management of terminal patients when working as professionals.

Independent:
Dependent:
Population:

II. Indicate which of the following hypotheses is one of type: statistical / investigative; and if it is directional / non-directional.

1. Widows with children under 19 years of age will experience more social dysfunction in their mourning process than those who have children over 19 years of age when they are widowed.

a.
b.

2. Parents who communicate with their children from the conception process exhibit greater attachment and fewer problems when they go through the adolescent period.

a.
b.

3. There is no significant relationship between blood alkaline phosphatase levels and the development of pressure ulcers in comatose patients.

a.
b.

4. There is a linear relationship between alcohol use in college students and their level of self-esteem.

a.
b.

5. There is no curvilinear relationship between breastfeeding and the newborn's attachment to its mother.

a.
b.

Please select the Case Studies presented below and provide a minimum 4-page paper (not including title and reference page) answering the eleven questions listed. This assignment must be in APA 6th ed. format. A minimum of two academic and/or professional references is required. If you are unfamiliar with how to properly format an APA paper (title page, introduction, conclusion, margins, etc.) please schedule an appointment with a Writing Coach prior to submitting your paper. The questions are as followed (100 pts):

1. What are the facts of the case?

2. Are all the elements required in a negligence suit present?

3. What standard of care is required?

4. Who would you consider to be the potential plaintiff and defendant?

5. How would you argue for the plaintiff?

6. What evidence would you present?

7. How would you defend the defendant?

8. What are your defense options?

9. If you were on the jury, what would your finding be, based on only the facts as presented?

10. If you find the defendant responsible, what damages would you award, and for what reasons?

11. What are your options if you, as plaintiff or defendant, are unhappy with the jury’s decision?

Case Study One:

A patient died after her third cerebral hemorrhage. When the patient was admitted to the hospital following a cerebral hemorrhage, her physician determined that she should be given a specific drug to reduce her blood pressure and make her condition operable, and he directed its administration. For an unexplained reason, the drug was not administered. The patient’s blood pressure rose, and after another hemorrhage the patient died.

1. Health workers who regularly care for patients who have conditions that may cause those patients to be aggressive, violent or dangerous are given training on how to avoid and handle these situations. The article De-escalating the Aggressive Patient describes how to use the “Third Person” approach in de-escalating a situation. Your boss has asked you to create a key points handout about this approach that you could use as part of a training session. Write it.