Questions
What is the difference between prevalence rate and incidence rate?

What is the difference between prevalence rate and incidence rate?

In: Nursing

Describe leadership and followership methods to motivates towards accomplishing a health informatics vision. What are the...

Describe leadership and followership methods to motivates towards accomplishing a health informatics vision. What are the specific health informatics vision statement?

In: Nursing

Scenario 1: You see a skateboarder going down a hill and suddenly lose control, crashing into...

Scenario 1: You see a skateboarder going down a hill and suddenly lose control, crashing into the gravel on the side of the bike path. The skateboarder was wearing a helmet and did not hit their head on the ground when they fell. You walk over to the skateboarder to see if you can help them and notice them struggling to sit up and moaning in pain. You notice blood on the pavement and look to find a large deep gash on the skateboarder’s thigh that is spurting blood. You are first aid certified and want to help. (1) What are the initial steps you should take when responding to this emergency? (2) How would you determine what your plan of care would be, and how would you care for the victim? Describe in detail.

Scenario 1 Continued: You have been applying pressure to the thigh with gauze pads, but the bleeding still continues and is still spurting. (1) With this new information how would you change your care? Describe in detail.

Scenario 2: You are playing a pickup game of basketball with your friends. During the game, one of the players trips over an untied shoelace and falls forward. As they are falling, they put their hands out in front of them to break their fall. They fall to the ground then yell in pain. You look over at them and they are sitting on the ground holding their arm close to their body. When you look at the arm you can see that their elbow is pointed at a weird angle and there is an obvious bump on the back of it. The athlete says that they felt a pop and they are unwilling to move their arm. (1) Describe in detail the initial steps you would take in this situation. (2) Explain how you would determine what your plan of care for the athlete should be.

Scenario 2 Continued: You have determined that the athlete has dislocated their elbow and they need more medical attention. (1) Explain what steps you would take when giving care for the athlete. (2) When would you stop providing care for the athlete?

In: Nursing

When you consider the response to Ebola in West Africa, and what you know about the...

When you consider the response to Ebola in West Africa, and what you know about the response to COVID-19 in the United States is, how do you compare them?

Were there any lessons learned that should have been applied?

Were there any mistakes in the COVID-19 response? Could the US have learned from other countries? How can community building contribute to a successful COVID response?

In: Nursing

What are barriers of successfully working to solve the issues of the Ebola outbreak i. the...

What are barriers of successfully working to solve the issues of the Ebola outbreak i. the community of Sierra Leone?

In: Nursing

CASE STUDY DETAILS Case Scenario: A 30-year-old female patient was brought by her husband to Accident...

CASE STUDY DETAILS

Case Scenario:

A 30-year-old female patient was brought by her husband to Accident & Emergency in Nizwa Hospital. Upon interview, the patient stated, “I am experiencing difficulty in breathing this past 2 days”. Upon assessment you noted the following: patient is restless with productive cough, crackles heard during auscultation, presence of nasal flaring and chest retractions with the following vital signs: BP 110/80, PR 110 bpm, RR 25 bpm, Temp. 37.1 0C and SPO2 88.

  1. Based from the above scenario identify ASSESSMENT DATA relevant to the care of the patient. Group the data gathered either subjective or objective data.
  2. Applying the concepts learned about the nursing process and based on your assessment of the patient, what PRIORITY NURSING DIAGNOSIS?
  3. Based on the given nursing diagnosis, identify the PLAN OF CARE applicable for the patient. Indicate the Goal and 3 outcome criteria.

In: Nursing

List all the casual factors that might contribute to Preschoolers' normal growth and development. Also, describe...

List all the casual factors that might contribute to Preschoolers' normal growth and development. Also, describe the natural history of preschoolers' normal growth and development, outlining its four stages. Identify three preventing nursing interventions, one of each level of prevention that could apply to this condition.

In: Nursing

Most nursing schools have adopted four key concepts to serve as a metaparadigm of professional nursing....

Most nursing schools have adopted four key concepts to serve as a metaparadigm of professional nursing. What are those four concepts that we should consider as we provide patient care.

In: Nursing

briefly discuss the importance of dose in pharmacology. 30marks

briefly discuss the importance of dose in pharmacology.

30marks

In: Nursing

1. What is the difference between the blood that circulates in the veins and that circulating...

1. What is the difference between the blood that circulates in the veins and that circulating in the arteries?
2. What is the definition of phlebotomy?

In: Nursing

Develop a comprehensive patient education plan for a health behavior or disease of your choice. The...

Develop a comprehensive patient education plan for a health behavior or disease of your choice. The plan should be in a format for your entire patient population. Examples of behaviors or diseases might include but are not limited to smoking, heart disease, high blood pressure. Examples of patient education tools might include but are not limited to brochures, Powerpoint presentation, etc. You will choose one topic (health behavior/disease) and use as many education types as you choose. The goal is to provide excellent patient education and have compliance from your audience. Consider how the audience will understand your educational materials and if they will be able to implement the change presented to them.

In: Nursing

Read the case study, then answer the questions that follow. Tim has schizophrenia and lives in...

Read the case study, then answer the questions that follow.

Tim has schizophrenia and lives in a supported house with three others. Tim enjoys living in the house and gets on well with his other housemates. Tim wants to attend the local community centre for woodworking classes offered once a week on a weekday. Tim’s father taught him some carpentry skills when he was growing up and they used to make furniture together in the family shed. Tim feels he would like to attend the classes with the aim of one day doing an apprenticeship in cabinet making. Marg is Tim’s support worker. Marg accompanies Tim when he visits the community centre to look at the room and equipment where the classes are held and to meet the woodwork instructor. Tim is enthusiastic after the tour and explains to the instructor that he has schizophrenia. Marg notices that the instructor’s manner changes towards Tim after he tells him about his mental health needs. Tim is still keen to attend and hopes to begin classes next week.

QUESTIONS:

1. What are three myths the instructor might hold about mental illness? Correct these myths with a fact. (Approx. 80 words that you can present in a bullet point list if you wish).

2. Why is it important to allow a person with a mental illness to express their own identity and preferences and avoid imposing own values and attitudes? (Approx. 70 words).

3. There is a certain level of risk involved in using the tools at the woodworking classes. What is dignity of risk and why is it important that Tim be involved in any discussions? (Approx. 70 words).

In: Nursing

differntial clinical manifestation seen in attention deficit hyperactivity disorder and austim spectrum disorder.

differntial clinical manifestation seen in attention deficit hyperactivity disorder and austim spectrum disorder.

In: Nursing

Scenario Y.L., a 34-year-old Southern Asian woman, comes to the clinic with chronic fatigue, increased thirst,...

Scenario

Y.L., a 34-year-old Southern Asian woman, comes to the clinic with chronic fatigue, increased thirst, constant hunger, and frequent urination. She denies any pain, burning, or low-back pain on urination. She tells you she has a vaginal yeast infection that she has treated many times with over-the-counter medication. She works full time as a clerk in a loan company and states she has difficulty reading numbers and reports, resulting in her making frequent mistakes. She says, “By the time I get home and make supper for my family, then put my child to bed, I am too tired to exercise.” She reports her feet hurt; they often “burn or feel like there are pins in them.” She has a history of gestational diabetes and reports following a traditional eating pattern, which is high in carbohydrates.

In reviewing Y.L.’s chart, you note she last saw the provider 6 years ago after the delivery of her last child. She has gained considerable weight; her current weight is 173 pounds (78.5 kg). Today her BP is 152/97 mm Hg, and a random plasma glucose level is 291 mg/dL (16.2 mmol/L). The provider suspects she has developed type 2 diabetes mellitus (DM) and orders the laboratory studies shown in the chart.

Chart View

Laboratory Test Results

Fasting glucose

184 mg/dL (10.2 mmol/L)

Hemoglobin A1c (A1C)

8.8%

Total cholesterol

256 mg/dL (6.6 mmol/L)

Triglycer1ides

346 mg/dL (3.91 mmol/L)

Low-density lipoprotein (LDL)

155 mg/dL (4.01 mmol/L)

High-density lipoprotein (HDL)

32 mg/dL (0.83 mmol/L)

Urinalysis (UA)

+ glucose, − ketones

1. Interpret Y.L.’s laboratory results.


2. Identify 3 methods used to diagnose DM.


3. Describe the major pathophysiologic difference between type 1 and type 2 DM.


4. Name 6 risk factors for type 2 DM. Underline those that Y.L. has.

CASE STUDY PROGRESS

Y.L. is diagnosed with type 2 DM. The provider starts her on metformin (Glucophage) 500 mg, glipizide (Glucotrol) 5 mg, orally each day at breakfast and atorvastatin 20 mg orally at bedtime. She is referred to the dietitian for instructions on starting a 1200-calorie diet using an exchange system to facilitate weight loss and lower blood glucose, cholesterol, and triglyceride levels. You are to provide teaching about pharmacotherapy and exercise.

5. How can you incorporate Y.L.’s cultural preferences as you develop her teaching plan?


6. What is the reason for starting Y.L. on metformin and glipizide?


7. Outline the teaching you need to provide to Y.L. about oral hypoglycemic therapy.


8. What do you teach Y.L. to do if she becomes ill with the flu or viral illness?


9. You determine she understands your teaching about treating hypoglycemia if she states, “If my blood sugar is low, I should first have:

an apple with milk.”
peanut butter sandwich.”
fruit juice or regular soda.”
crackers with cheese slices.”

10. What benefits should Y.L. receive from exercising?


11. What do you need to teach Y.L. about exercise?


12. Besides the dietitian, what interprofessional and community referrals may be appropriate for Y.L.?


CASE STUDY PROGRESS

Y.L. comments, “I’ve heard many people with diabetes lose their toes or even their feet.” You take this opportunity to teach her about neuropathy and foot care.

13. Which symptoms that Y.L. reported today led you to believe she has some form of neuropathy?


14. What other findings in Y.L.’s history increased her risk for developing neuropathy?


15. What would you teach Y.L. about neuropathy?


16. Because Y.L. has symptoms of neuropathy, placing her at risk for foot complications, you realize you need to instruct her on proper foot care. Outline what you will include when teaching her about proper diabetic foot care.


17. What monitoring will Y.L. need for nephropathy and retinopathy?


CASE STUDY OUTCOME

Y.L. returns to the clinic 6 weeks later. Her BP is 130/78 mm Hg and fasting glucose level is 153 mg/dL (8.5 mmol/L). She says she has not had any episodes of tingling in her toes or blurred vision lately. She did meet with the diabetic educator. She is making changes to her eating, has started walking, and is happy to have lost 6 pounds (2.7 kg).

In: Nursing

how to write a thesis statement for a research project?

how to write a thesis statement for a research project?

In: Nursing