explain why and how these potentia risks should be managed in residential facility

swallowing difficulties

Chapter 9, Ethical Aspects of Gerontological Nursing B. Scotty Story is 69 years old. Scotty is currently suffering from end-stage kidney failure. Scotty has been living at home with his wife of 36 years. He has been receiving dialysis for the past 2 years, three times a week. Scotty has obtained an infection in his dialysis port, and his vitals are steadily decreasing. His family is at his bedside around the clock. 1. What if…You are struggling with letting Scotty pass? You want the physician to do whatever is possible to help Scotty survive. How can you look past this and accept Scotty’s wishes? 2. What if…The physician you are dealing with gives you an order to give 1 mg of morphine every 15 minutes for pain? While assessing your patient, you count Scotty’s respirations; the count is only 5. Morphine should be held for respirations less than 12. The physician states to give the morphine, regardless of the respirations. What should you do to protect yourself and the patient?

Develop a presentation sharing how the data collected in the tool is driven by physiological and psychological concepts

Write a discussion thread where you voice your opinions, values, support, or oppositions about controversial programs that allow mothers convicted in prison to keep their babies with them.

How have the social determinants of health inequities in primary care impacted the spread and treatment of the COVID-19 pandemic? Support your claims with two professional, published sources.

Discuss examples of nurse advocacy as is relates to policy advocacy such as it relates with a professional organization.

A. Kelly Biermann is 91 years old. She is currently living in a long-term health community. Kelly has lived her life on a farm. She is very particular about eating everything natural and home grown. Her family researched nursing homes because they wanted to make sure that the facility they chose respected and followed Kelly’s life plan. Kelly has been declining in her health gradually. 1. What if…Kelly’s family wants to make sure Kelly is getting proper holistic care? What types of things can you, as the nurse, tell the family that the facilities provide to ensure the patient is having holistic care?

What are the key barriers in addressing social determinants of health? Provide some recommendations to address these barriers.

Answer the questions below

1)What are normal vital signs for an elderly client? 2)What are normal heart sounds? 3)Where do you listen for heart sounds? 4)Where would you listen for an apical heart rate and why would you listen for an apical heart rate? 5)What nursing interventions may be used to correct fever in the elderly client? 6)What can a client have while on a 2-gram sodium, low-cholesterol diet? Develop a meal plan: breakfast, lunch, and dinner with snacks and beverages.

Case Narrative

Case details given to participants (can be given freely or must be asked for by participants)

Patient Description& Chief complaint:

A 68-year-old woman is admitted with fever, nausea, vomiting, and abdominal pain. She informs you that she is a “borderline diabetic” and “only has to watch what she eats.” She tells you that she has not eaten for 3 days and has had difficulty “keeping liquids down.” While doing the nursing history, she describes her urine as dark and foul smelling. Upon further questions, she states she does have some burning upon urination. She describes her abdominal pain as constant, generalized, and rates it as a 5 or 6 on a scale of 0 to 10.

Weight: 75

Height: 183

History of Current Illness: 3 days

Pertinent Past Medical History: Diabetes Mellitus

Past surgical History: Free

Family/Social History: Free

Medication History Profile and Allergies: Nothing known about

Lifestyle: (occupation, diet, income, educational level, marital statues): Nothing known about

Critical thinking questions: -

Pre starting any scenario the student will prepare to answer the following questions: -

1. Doctor orders IV fluids and an antibiotic with first dose to be given STAT. You have not obtained urine specimen yet. Which has priority (e.g., starting IV, administrating antibiotic, or obtaining urine specimen) and why?

2. Three days later, client has following laboratory results: Hct = 39.2 and WBC = 10.8 × 103/mL3. What do those results indicate to you?

3. Abdominal x-ray shows a possible mass. An MRI of abdomen is ordered. Client is quite anxious because she has heard from her friend that procedure is difficult for people who are claustrophobic. How will you respond?

Scavenger Hunt
Think about the three domains of development: biosocial or physical, cognitive and psychosocial and how they propel growth throughout our lives.
Choose only ONE stage of development: Infancy/Toddler (birth to 2 years); Early Childhood (3 to 6 years) or School Age (6 to 12 years).
Hunt for 2 items that promote the growth and development in each of the three domains: Biosocial, Cognitive and Psychosocial.
Justify/explain why you chose each item. Specify how it fosters development in the domain you have identified it is compatible to. Use small cards and type at least 3 skills that each item help to develop.
It is important that each chosen item it is age appropriate for the stage of development you identified and it is also appropriate for the domain of development.
Materials

• 6 safe, age and domain appropriate items.
• 6 index cards . Write at least 3 skills for each item that it will help to develop.
• 3 zip lock bags (optional) to keep items organized for each domain.
• 1 grocery bag (optional) to keep all items organized for this assignment.  
  
  Once you have identified your items, think critically about why they complement that stage of development and how they further development in the domain you have chosen.
  Write at least 3 skills that they promote for each domain: for example markers help development of the fine motor skills and eye and hand coordination, as well as writing.

Choose items in good repair and in a working condition. The standard is:" what would you like to receive as a gift on your birthday ?"

Take clear pictures of each item. Identify the age group and the 2 items for each domain.

Write clear skills appropriate for each item.

This are the biophysical profile. How they scored by Assessment,Instrument and criteria?

1.Fetal heart rate
Assessment :
instrument:
criteria:

2.Fetal breathing
Assessment:
instrument:
criteria:

3.Fetal movement
assessment:
instrument:
criteria:

4.Fetal tone
assessment:
instrument:
criteria:

5.Amniotic fluid volume
assessment:
instrument:
criteria:

Which of the following may be employed to treat NCS? Select all that apply.

a)Mineralocorticoids

b)Disopryramide

c)Beta-adrenergic blockers

d)ACE inhibitors

e)Alpha agonists

f)Alpha antagonists

g)Compression stocking

h)counter-maneuvers

view the National Culturally and Linguistically Appropriate Services Standards (CLAS) categories aimed at equity and quality care (HHS, n.d.). Notice how these standards overlap with many of the expectations and standards in professional nursing practice!

• In what ways are you and your peers using these standards in your areas of nursing practice?
• Discuss one nursing action you might incorporate to improve cultural competence in your organizatio