Provide an example, related to healthcare, for each ethical principle.

1. Explain the difference between an acute and chronic wound.
2. Explain the difference between healing by primary and secondary intention.
3. List the signs and symptoms of surgical wound infection in a client.
4. Explain 2 factors that affect wound healing.
5. Define serous, serosanguineous, sanguineous and purulent.

Jason is a 5-year-old child who went with his mother to the pediatrician. The doctor measured Jason’s weight and length, and informed his mother that Jason has a BMI in the 95th percentile. This means that Jason has obesity. When asked to describe their family history, his mother provided the following information: 1) his mother had a pre-pregnancy BMI of 33 kg/m2; 2) his mother was diagnosed with gestational diabetes; and 3) Jason was born large-for-gestational-age. When asked to describe Jason’s diet and physical activity, his mother explained that Jason prefers dinosaur chicken nuggets and French fries, which he washes down with apple juice, over fruits and vegetables. She does not know how to introduce more nutritious meals. In addition, Jason’s father rewards him with chocolates, and often gives him cookies to convince him to stop crying. He also spends many hours in front of the television, consuming cartoons and commercials.

Describe both the biological determinants that may be contributing to Jason’s high weight status, as well as the environmental determinants. What advice would you give to Jason’s mother to improve his diet and physical activity patterns?

Answer in complete sentences, should be approximately 2 paragraphs.

Write a brief case study on an ABO discrepency.

Fatima is 86 years old female admitted to emergency room complains of skin tear of her right leg. She states she fell down and cut her leg. You use a septic technique to clean the skin tear and remove the clotted blood. You positioned the skin flap to approximate the edges of the wound. And then you covered the entire wound bed with a sterile non-stick dressing and bandage. You asked Fatima to come back in one week for reassessment of the wound. You instruct her on how to protect the area, the importance of keeping it clean and dry and signs of infection she needs to be aware of. She demonstrates a reasonable understanding of your instructions. Four days after Fatia has attended the hospital, she re admitted to ER complaining of throbbing pain in her leg at the location of skin tear but radiating up and down whole leg. She rates her pain as 8 out of 10. When you examine leg wound you found it is inflamed in the surrounding tissue and moderate amount of thick yellow exudate being discharged from the wound. Fatima vital signs taken were

BP – 189/92 mmHg

HR – 92 beats/minute

RR – 24 breaths/minute

T – 39.2°C

SpO2 – 95% on room air

She was admitted to the hospital for more active treatment of the wound, including antibiotics.

Questions :

1. Develop a nursing care plan for Fatima taking in consideration nursing process steps ( assessment, diagnosis, planning, implementation, and evaluation)

Research supports the idea that

- 30 minutes of activity is optimal for weight loss

- lifestyle activity works just as well structured activity for weight loss

- more calories can be burned by exercising in a long session than in multiple short sessions

- more exercise is always better

- both a and b

Exercise is important for preventing disease but is not integral to weight loss.

True

False

Morning exercisers burn more calories than afternoon or evening exercisers

True

False

The best way to boost metabolism is to perform more cardio.

True

False

The number one reason that most people say they do not exercise is because they do not have the time.

True

False

People who suffer from arthritis or joint pain should avoid strength training.

True

False

Since muscle takes up less room than fat in the body, seeing that someone is visually lean is usually a good indicator that he/she is physically fit.

True

False

According to research, good self-monitoring is the number one predictor of success for weight loss.

True

False

Instructions: Complete the following case study and upload it to the assignment section prior to the due date. This will contribute towards the case study portion of a student’s grade. Case study answers must be typed. Point values are assigned per question.

Patient Profile

M.W. is a 65-year-old female. She is a retired auto worker who lives in a condo with her golden retriever, Charlie. She has a history of diabetes type II diagnosed 3 years ago. She had a myocardial infarction in 2012. She does not exercise. She denies smoking or alcohol use. She was feeling fine until yesterday.

Basic Assessment Data

A&O x4, shortness of breath on exertion, fine crackles in bilateral lower lobes, O₂ saturation 89% on RA. S₁ and S₂audible without murmur, cap refill >2 secs lower extremities, <2 secs in upper extremities. Vitals: BP 100/60, HR 84, RR 28, Temp 36.1C

Ht: 5’ 5” Wt: 200 lbs.

Question #1:

(10 points) Based on these findings, what type of HF does MW have? Why?

Question #2:

(5 points) What risk factors for HF does MW have?

Question #3:

(5 points) What other manifestations of HF will you assess for?

Question #3:

(10 points) Do you believe her HF is acute or chronic? Why?

Question #4:

(15 points) What nursing diagnoses are most appropriate for MW? Name 3.

Question #5:

(10 points) What nursing diagnosis takes priority? Why?

Question #6:

(10 points) What goals do you have for MW’s care? Name 2.

Question #7:

(25 points) What interventions would you recommend for MW’s priority diagnosis? Name 5 and provide rationale for each.

Question #8:

(10 points) What would you teach MW?

Site for the significance of vitamins in the body

1. Analyze all components of the ecological model: microsystem, mesosystem, exosystem, macrosystem, chronosystem, global system.

2. Use biosocial, cognitive, psychosocial. and terminology learned in the course to describe and analyze the factors that influenced the development of your personality and the creation of the unique individual you are now.

3. Describe how historic events, political events, technology influenced your development.

4. Write a strong conclusion about all influencing factors of your development.

FOR QUESTIONS 1-5 INVOLVING PROFESSIONAL SERVICES, ASSUME A REPORT WAS PRODUCED UNLESS THE QUESTION STATES OTHERWISE. ALSO, FOR ALL SERVICES FURNISHED IN A HOSPITAL SETTING, ASSUME THAT THE HOSPITAL (AND NOT THE PHYSICIAN) FURNISHED THE TECHNICAL COMPONENT (EX. EQUIPMENT, NON-PHYSICIAN PERSONNEL, ETC.)

1. A primary care physician took a two view chest x-ray (frontal and lateral views) in his office. The films were sent to a radiologist (who was not affiliated with the primary care physician) to be interpreted. The radiologist billed separately for her services. How should the radiology-related services provided by the primary care physician’s office be reported?

2. How should the radiologist in the above questions report her professional services?

3. A radiologist interpreted a head CT scan taken by the hospital. The study included both films taken without contrast and films taken with IV contrast material. How should the radiologist’s professional services be reported?

4. A mammography was performed for a patient with a suspicious breast lump. Only one breast was studied. The service was provided in a freestanding women’s imaging center owned by a large radiology practice. The study confirmed a neoplasm. A copy of the radiology report was sent to the patient’s primary care physician. How would the radiology practice’s services be reported?

5. A radiologist interpreted a MRI without contrast of the orbit, face, and neck taken by the hospital. The radiologist also interpreted a soft tissue x-ray of the neck taken by the hospital. The interpretations of both studies were included in a single radiology report under separate headings. How should the radiologist’s professional services be reported? **Per CPT Assistant, the -51 modifier is generally not reported with Radiology codes**

6. Supervision and interpretation of an aortography, thoracic, by serialography

7. Uterine ultrasound in real time with image documentation of a 32-week pregnant female with twins

8. Therapeutic radiology treatment planning; simple

9. Teletherapy, isodose plan, to one area, simple, for cancer of the prostate, primary malignant

10. Five radiation treatments

11. Simple application of a radioactive source, interstitial

12. Which category in the Nuclear Medicine subsection would you reference to locate codes for the following?

a. Liver - ______________________________

b. Thyroid - ____________________________

c. Spleen - _____________________________

d. Bone - ______________________________

e. Brain - ______________________________

Please Use your keyboard (Don't use handwriting) Thank you..

I need new and unique answers, please. (Use your own words, don't copy and paste)

HCI 314

Write a page and a half (400-600 words) in an essay style answer to respond to the following question:

Disruptive innovation is a driver for change in public health informatics. As a Health Informatics professional which innovation do you think has the greatest impact during COVID-19 pandemic and why?

_____

please re -write my answer to be unique answer..  I need new and unique answers, please. (Use your own words, don't copy and paste)

Protect yourself and others from COVID-19.it is spreading in your community, stay safe by taking some simple precautions, such as physical distancing, wearing a mask, keeping rooms well ventilated, avoiding crowds, cleaning your hands, and coughing into a bent elbow or tissue. Check local advice where you live and work.

How to prevent covid 19

• Maintain at least a 1-metre distance between yourself and others to reduce your risk of infection when they cough, sneeze or speak. Maintain an even greater distance between yourself and others when indoors. The further away, the better.
• Make wearing a mask a normal part of being around other people.
• Clean your hands before you put your mask on, as well as before and after you take it off.
• Make sure it covers both your nose, mouth and chin.
• Avoid the 3Cs: spaces that are closed, crowded or involve close contact.
  • Outbreaks have been reported in restaurants, choir practices, fitness classes, nightclubs, offices and places of worship where people have gathered, often in crowded indoor settings where they talk loudly, shout, breathe heavily or sing.
  • The risks of getting COVID-19 are higher in crowded and inadequately ventilated spaces where infected people spend long periods of time together in close proximity. These environments are where the virus appears to spreads by respiratory droplets or aerosols more efficiently, so taking precautions is even more important.
• Meet people outside. Outdoor gatherings are safer than indoor ones, particularly if indoor spaces are small and without outdoor air coming in.
  • For more information on how to hold events like family gatherings, children’s football games and family occasions, read our Q&A on small public gatherings.
• Avoid crowded or indoor settings but if you can’t, then take precautions:
  • Open a window. Increase the amount of ‘natural ventilation’ when indoors.
  • WHO has published Q&As on ventilation and air conditioning for both the general public and people who manage public spaces and buildings

Scenario question.

You are assigned to care for Mr. A, 85, who has Alzheimer's disease. He often wanders from room to room and tries to open the outside doors. He frequently becomes agitated and restless, especially in the evening. Most of the time, Mr. A is unable to feed himself and is often incontinent. He keeps repeating, "Help me, help me," all day long.

a. What methods could you use to make sure Mr. A receives the care needed to maintain good personal hygiene? How could you get him to cooperate or participate in his care?

b. What parts of Mr. A behaviour would be most difficult for you to tolerate?

c. What would you do if you found yourself becoming irritated and angry with Mr. A?

d. What information in this chapter has helped you to understand people like Mr. A better? How will this information help you to give better care to these people and to maintain their quality of life?

e. How do you feel about caring for a person like this? Frightened? Angry? Impatient?

f. How do you deal with your feelings so that you can give care to the person?

g. At what stage of Alzheimer's disease is Mr. A? What signs and symptoms support your answer?

h. Why would it be ineffective to remind Mr. A of the date and time during your shift?

i. Why is reminding the person of the date and time a good technique with some people who are confused and not with others?

j. Why does Mr. A become more agitated toward evening? What is this called?

1. Summarize the nutrient needs of an infant up to the first year of life. When are solid foods introduced?