Situation

Levels of children and young people diagnosed with type 1, type 2, and other variants of diabetes are increasing and this has become a priority issue for commissioners in the area where Na’ema works as a diabetic nurse. As one part of a local strategic response to this issue, Na’ema has been asked to come up with some interventions that could help improve health and well-being outcomes for young people with a diagnosis of diabetes. Na’ema is aware that improved diabetes control in young people can reduce the incidence of microvascular complications and delay their progression. She also understands that a diagnosis can affect a young person's mental health, emotional well-being, and even attendance at school and engagement in extra-curricular and social activities.

1. Different perspectives of health exist, within which Na’ema might consider this issue. How would adopting different perspectives/approach influence Na’ema thinking? (Think physical, social, socio-environmental perspective (structural issues)).                     

1. Preventative- perspective

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2. Behavioral perspective

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3. socio-environmental perspective ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

2. Refer to the role of community Health nurses and suggest six possible interventions that Na’ema might come up with to promote the health and well-being of young people diagnosed with diabetes?                                                                                                               

1. ________________________________________________________________________________________________________________________________________________
2. ________________________________________________________________________________________________________________________________________________
3. ________________________________________________________________________________________________________________________________________________
4. ________________________________________________________________________________________________________________________________________________
5. ________________________________________________________________________________________________________________________________________________
6. ________________________________________________________________________________________________________________________________________________

3. What is the level of intervention possible in this case?                                            

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4. Based on the above scenario, Prioritize two appropriate interventions Na’ema will be able to implement at the primary level.                                                                                      

1. ________________________________________________________________________________________________________________________________________________
2. ________________________________________________________________________________________________________________________________________________

5. If case fatality for diabetes type 1 in the area under study was found to be 1 in 500 cases. How do you interpret this? What is the difference between mortality and morbidity rate of diabetes in this scenario?                                                                                                      

1. ________________________________________________________________________________________________________________________________________________
2. ________________________________________________________________________________________________________________________________________________

6. If a surveillance survey was used in the community where Na’ema works. Explain six purposes of carrying out this comprehensive survey.                                                        

1. _______________________________________________________________________________________________________________________________________________________________________________________________________________________
2. ________________________________________________________________________________________________________________________________________________________________________________________________________________________
3. ________________________________________________________________________________________________________________________________________________________________________________________________________________________
4. ________________________________________________________________________________________________________________________________________________________________________________________________________________________
5. ________________________________________________________________________________________________________________________________________________________________________________________________________________________
6. ________________________________________________________________________________________________________________________________________________________________________________________________________________________

7. Na’ema wants to make sure that equality is a consideration in diabetic care available to all.                                                                                                                                                 

1. Discuss four approaches to establish equality for diabetic patients in the community                                                                                                                               .                                                                                                                                                            

1. ______________________________________________________________________________________________________________________________________________________________________________________________________________________
2. _______________________________________________________________________________________________________________________________________________________________________________________________________________________
3. _______________________________________________________________________________________________________________________________________________________________________________________________________________________
4. _______________________________________________________________________________________________________________________________________________________________________________________________________________________

2. How equality is linked to vulnerable groups?                                                             

1. _______________________________________________________________________________________________________________________________________________________________________________________________________________________

2. _____________________________________________________________________________________________________________________________________________________________________________________________________________________

Michael Wolverton, a 55-year-old patient and a pipefitter, has arrived at the emergency department, where you practice nursing, with a leg ulcer. Upon assessment, Mr. Wolverton reports medial left thigh pain (8 on 0-to-10 scale), bilateral lower extremity edema and hyperpigmentation, and shortness of breath. (Learning Objectives 5 and 10)

a. What are your priorities in care?

b. What could be causing his symptoms?

c. Why is Mr. Wolverton’s shortness of breath problematic?

d. What is anticoagulant therapy? Give examples of two medicaitons used as anticoagulant medicatons

a.

b.

Case Study 1 You are a RN working in ED, looking after Edith, an 87-year-old with an admitting diagnosis of Acopia. All acute interventions have been completed for Edith, but the wards are full, so she will spend the next 8 hours (+) on an ED trolley in a corridor. Case Study 1. The implication in this scenario is that a diagnosis of 'acopia' is a diagnosis based on functional abilities and is a form of labelling.

1. What is the impact of a diagnosis based on the labelling of a patient? Answer this using online learning materials provided and other peer reviewed evidence. Acopia itself is more of a symptom of underlying changes than a diagnosis. 'Acopia' refers to decreased ability to cope/ manage activities of everyday life and is a symptom of increasing frailty. Edith is 87 years of age. Normal ageing process eventually leads to frailty. We studied frail aged in week 8 tutorial (review recording if you have forgotten) and in week 6 online material. Nurses role - Include an analysis of how this labelling impact the care Edith receives.

2. How do normal changes of ageing increase the risk of Edith developing a pressure injury in this scenario? Here you need to consider normal physiological changes that occur as part of ageing to body systems that increase the risk of developing pressure injury. We covered this in week 6 and week 10 online learning and in additional readings. You could easily relate at least 3 systems to this answer. Nurses role - Also analyse the role of the nurse to prevent pressure injury for Edith. Remember the scenario context.

The nursing role is important in this answer

Discuss the mental health impacts of COVID 19 and two potential strategies to reduce poor health outcomes.

If you share a detailed answer would be amazing and if you don't mind sharing your resources

thanks

i want you to focus your discussion around one particular chronic health issue this week obesity. so as the administrator of a community health center, your board chair would like for you to create a new low cost health initiative that will improve the health of the county's residents, who are under the age of 18 who are dealing with obesity. describe the program you would like to create.

why is it essential to have a good understanding to what dementia patients face when working as a nurse or medical staff member?

Describe an environmental health problem and apply one of the models of environmental health to it. Supply a link for the environmental health problem you discuss.

Models of Environmental Health:

1.Sanitary-Environmental Model

2.Biomedical Model

3.Social-Behavioral Model

4.Techno-Economic Model

70kg 250mg dose to infused on 250ml at 6mcg/kg/min. what will it be set per ml/hr

Mr. Lee is a 27 y/o patient who has been found loitering on the streets, he seems to
not have had a bath or anything to eat in days. His feet are covered in sores and he
has also been reported as violent and has tried to wrestle with the police. How would
you, as his nurse, use both the art and science of nursing to care for him?
Please explain what type of admission would be suitable for him and give the reasons
why from this scenario. During his care, he has threatened to kill his neighbor when
he gets home because he believes that he stole his money. What action does the
nurse need to take at this time? Mr. Lee is then discharged after 3 days, with a
diagnosis of schizophrenia. How was that diagnosis determined? What type of setting
would be appropriate for his care after discharge? Please cite your sources.

• J.P. is a 15-year-old African American adolescent who was diagnosed with sickle cell disease 3 years ago. J.P. presents to the emergency department with pain related to a sickle cell crisis.

Subjective Data
Pain level is an 8/10 location = bilateral legs, described as deep muscle pain
A student in 10th grade, honor roll student
On the track team
Lives with mother and father

Objective Data
Vital signs: T 37 P 80 R 18 BP 140/68
Weight: 140
HT: 5 feet, 6 inches

Questions

1. What other assessments should be included for this patient? Explain your answers.
2. Discuss the various types of pain that a patient can experience. Explain your answers.
3. What type of pain does this patient describe? Explain your answers.
4. What standards of assessing pain will be applied to this patient’s plan of care? Explain your answers.
5. Discuss three (3) patient education/teachings that should the nurse consider from the problems list. Explain your answer.
6. Provide four (4) interventions that should be included in the plan of care for this patient. Explain your answers.

PHC 131

PHC 131

subject-personal support worker

Essay on professional collaboration 750 words.

Registered practical nurses personal su[[ort workers collaborate in setting such as long term care in the community within assisted living facilities. in your opinion what are both the personal and professional benefits of effective collaboration? think about this statement from the point of view of hoe registered practical nurses and personal support workers work together to achieve a goal. how does effective collaboration enhance client care, safety, and quality outcomes? using the OVID database chose one peer-reviewed article which supports your statement.