Do you think the ethnographic method/ethnography is the best method to use when collecting observational research data related to healthcare and health informatics?

A. Terrible method

B. Not too bad

C. Good method

D. Best method

What is your reasoning for selecting the previous question's answer?

Consider the following situations. What is the appropriate response for each and what would you do to calm the sitatuion?

1. The patient’s chest tube comes out

2. The amount of drainage from the chest tube has suddenly decreased

3. While performing the chest tube dressing change, the nurse notes a crackling sensation on palpation.

4. The nurse notices fluctuation in the connection tubing with inhalation and exhalation.

Jenny, a twenty-two year old college graduate, has recently decided to spend two years as a missionary in a coastal African village. As part of her duties, she will work in the missionary clinic that has recently been established in the village. This clinic will provide routine medical care and a travelling physician and nurse will visit once each week. Jenny feels fortunate to have the opportunity to use the information that was presented to her in various classes she completed while in college. After completing a 4-month intensive training period (language classes, medical preparation for work in the clinic, and cultural enrichment), she departed for Africa. Upon her arrival, Jenny found that she would be spending most of her time in the clinic since the village had been without routine medical care for the past 2 years. The previous clinic was closed due to flooding and insufficient funds to rebuild. Initially, Jenny found that she was very dependent upon the physician’s weekly visits since her training was limited. Gradually, she found that she was beginning to call upon her training (both clinical and classroom) and she felt comfortable diagnosing and treating some of the more routine cases. One morning, a mother came in with her five-year-old child. The mother reported that the child had been unable to eat or drink anything for the past day because of vomiting. In addition, her child was experiencing severe diarrhea. Jenny asked the mother if any other family members were exhibiting similar symptoms, to which the mother replied that a few other members of the family had similar symptoms, however, not as severe. Jenny’s first thought was that the symptoms were very similar to those she had exhibited following a bout of food poisoning while in college. Since the villagers had no refrigeration and poor sanitation, Jenny gave the mother an electrolyte solution containing glucose similar to Gatorade® and told the mother to have the affected children consume this solution and nothing else for the next 24 hours. After that time, if the children were no longer vomiting, she could start feeding them tea and broth. Jenny also cautioned the mother that if the children did not seem to be getting better after 24 hours to bring the children back to the clinic. The next morning Jenny opened the clinic to find the mother, and not just the child she had seen the previous day, but three more of the woman’s children. All of the children were exhibiting similar symptoms that now included muscle cramping and excessive thirst in addition to diarrhea and vomiting. When checking the vital signs of the children, Jenny noticed increases in both the pulse and respiratory rates accompanied by decreased blood pressures. Uncertain as to the appropriate course of action, Jenny contacted the physician by radio. Upon conveying the histories and information to the physician, Jenny received instructions to keep the children at the clinic, start intravenous (IV) infusion with lactated Ringer’s solution, and allow the children to drink as much of the electrolyte solution with glucose as they would like. The physician also gave Jenny a list of laboratory tests to run on the blood, urine and stool samples that she should collect. Jenny started the IV infusions and gave each child some of the electrolyte solution. After this, she obtained stool, blood and urine samples from each child and asked the mother to leave the children with her for care and observation. The mother agreed and said she would return later that night to help with the children. The results of the tests run indicated severe metabolic acidosis, an increased hematocrit, hypokalemia, and the presence of Vibrio cholerae bacteria in the stool samples. Based on the results of these tests, the physician and Jenny diagnosed the children with cholera and obtained a more detailed history in an attempt to determine whether these individuals were the only ones exposed or whether these cases were the first of a possible epidemic. Jenny and the physician found that the family had recently visited relatives in a distant village where similar symptoms had been present in a number of families that had all celebrated a recent shellfish harvest. The physician prescribed continued IV infusions with lactated Ringer’s solution and electrolyte fluid replacement by mouth. The children were not allowed to consume other foods or drinks, especially coffee or any other beverages containing caffeine. The children were also told that once the vomiting stopped they could start consuming solid foods. The children were all treated with antibiotics and stool samples were taken from other family members to determine whether or not they were infected with Vibrio cholerae. Infected, asymptomatic individuals were treated with antibiotics. The physician later explained to Jenny that caffeine was prohibited because the toxin produced by the bacteria (termed choleragen) binds to the surface of the epithelial cells of the small intestine and activates adenylate cyclase. In addition, the toxin interferes with the active transport of sodium ions in the intestinal lumen. Using the medical terms you learned this week answer the following questions about this case

Why did Jenny initially suspect that the child and other family members were experiencing food poisoning? Upon further evaluation on the second day why would the child present an increased pulse and respiratory rate but decreased blood pressure?

Managnment Principles for HIM

Reflecting on job titles: Using the Internet, research a current job opening which you might be interested in after graduation and the job description or summary that is provided within the advertisement of the job. Include the following components within your initial post or discussion: Is the job title reflective of what is described within the job summary? I

f it is not reflective of the tasks, create a new title that would be more interesting and more closely related to the job tasks. If it is reflective of the tasks, describe what makes the title unique for this position. Explain whether or not you would be interested in applying for this job based on the job title and job summary provided. Provide a working link to the job advertisement

Public health measures have often led to conflict and controversy in past. One current example of a controversial public health measure involves requirements for wearing masks in public to minimize the spread of COVID-19. Part of the controversy has been attributed to politics, as well as the public’s trust in health agencies. Think about what you learned from the podcast “There’s Something About Mary” and about the current COVID-19 pandemic. 1)What do you think contributed to Mary Mallon’s reluctance to follow public health measures/recommendations? 2)As the pandemic goes on, do you think that we are likely to see similar tensions between individual decisions and the public good? Why or why not? • What can public health officials do to gain the public’s trust in health information . write 250 words

The Affordable Care Act allow states to expand Medicaid services by raising the income eligibility guidelines. The federal government will pay for 90% of the costs of the program expansion and the state is required to pay the remaining 10%. Many states (including Oklahoma) have opted not to particiapte in the program expansion. Do you feel that our state should or should not participate in Medicaid expansion and why?

Mr. Vincent is a 45-year old salesman; he is overweight and has a sedentary lifestyle. At work he suddenly develops severe chest pain and is nauseous. A coworker takes him to the nearby hospital. The ER doctor orders an immediate EKG. A diagnosis of acute myocardial infarct (MI) is made and Mr. Vincent is scheduled for a balloon angioplasty. The following day the surgery is done, and Mr. Vincent recovers with no complications. Tom, the nurse clinician, is assigned to educate Mr. Vincent regarding his procedure and the follow-up medications.

1) If Mr. Vincent’s stroke volume is decreased how would his heart compensate for the decrease thus “trying” to maintain the cardiac output? Please describe the mechanism of the compensation.

Below are two types of medications the physician could prescribe for Mr. Vincent. Please explain why these drugs could be useful to Mr. Vincent.

1. An antiplatelet drug: please write down one drug and explain its mechanism of action.
2. Beta blocker: please write down one drug and explain its mechanism of action.

What are the core concepts of Self-care deficit nursing theory of nursing by Dorothea Orem?

1. What regulatory authority will implement or enforce the AZ H.B. 2582 legislation?
2. What are the differences between federal, state, and local health care regulatory responsibilities in the AZ H.B. 2582 legislation?

Sarah Getts, 77 yr-old, Dx- Chronic Renal Failure, admitted with hyperkalemia (5.9, Eq/L)/hyponatremia (128mEq/L). No known allergies (NKA). Vital signs -Temp 98.8, BP 102/76, P 102- irregular, RR 22, SaO2 90%, cardiovascular on telemetry with Sinus irregular rhythm. Disoriented to time and place, speech slurred. Pupils PERRLA, eyes clear. 20 ga. Hep-Lock in right forearm, skin warm and dry, generalized weakness with recent weight loss. 50% intake. High fall risk. Renal diet. Family in room with patient very concerned.

Diagnosis: _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Pathophysiology: _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Etiology and Risk Factors: _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Manifestations: _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Diagnostic Tests and Rationale (labs, radiology, etc) _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Treatment: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Expected Outcomes: _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Possible Complications: _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Possible Nursing Diagnoses: _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

John Duncan, 56yr-old male, Dx- Gastroenteritis, returned yesterday from Cancun, c/o intractable diarrhea, weak, pale, and refusing to eat. No known allergies (NKA). Non-significant past medical Hx. Vital signs Temp 99.4, BP 106/72, P 96, RR 20, SaO2 91%. Neuro WNL's, alert and cooperative. IV maintenance fluids with D5 1/2 NS at 125ml per hour in left forearm. c/o headache- medicated with Lortab 5mg PO at 0900, takes Lomotil 10ml PRN q 4 hours last dose at 0834. Stools are decreasing but patient remains very weak. Wife at bedside. Diet as tolerated.

Diagnosis: _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Pathophysiology: _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Etiology and Risk Factors: _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Manifestations: _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Diagnostic Tests and Rationale (labs, radiology, etc) _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Treatment: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Expected Outcomes: _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Possible Complications: _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Possible Nursing Diagnoses: _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

The following is just a suggestion of what your presentation outline should at least have: I. Introduction. Description of the Country – map of location; brief history of the country; flag and currency of the country; principal languages spoken. II. Selected Demographic, Health and income-inequality indicators; Human Development Index – These topics are covered in Section 2 of the course. You should read up what these indicators mean. This is where you learn something new. Be sure to visit www.cia.gov; www.who.int; www.unicef.org; www.undp.org; www.fao.org. If you choose a country in the Caribbean, you should also check out the website of www.paho.org. III. Non-Profit Organization and Micro-credit Financing. Look up or describe a nonprofit organization (NPO) doing microcredit financing work in that country – get info on History of the organization and micro-credit activities, how their system works, how it benefit the borrowers, how many borrowers benefit from the program, what kind of enterprises (give examples) were developed as a result of the micro-credit financing. IV. Major National Issues, epidemics, public health concerns or Humanitarian Crisis the Country is facing - Describe briefly. This section can be presented in the beginning, before micro-credit financing and right after the Health, income inequality, and Human Development section of your report. It does not have to come at the end. But sometimes, it may fit better at the end. Again, this thinking process is your group’s decision. V. Challenges and Prospects – What are some of the problems encountered in this type of loan program and how would you improve the situation. This is where you show your ability to analyze, and creativity in making changes or improvements to other people’s lives.  

I only need the answer for partV about challenges and prospects and showing some of health indicator about 250 words thank you

What are 5 cultures that are associated with high risk nutritional behavior?