Mr. Jones is 92 years old black male lives alone at home. He ambulates slowly, with the use of a cane and has no help at home for his ADL’s. He drinks occasionally and has a poor eating habit;

a.What safety concerns do you anticipate for this patient?

b. What would be an actual nanda-1 diagnosis?

c.Risk nanda-1 diagnosis?

2. What are some of the factors that influence patient safety? explain

3. Explain the infectious process?

4. What are the different types of isolation precautions? explain each

5. How does immobility affect the following systems?

-Cardiovascular

Respiratory

Integumentary

musculoskeletal

imagine you have been reduced to the size of an enzyme and delivered via a capsule by mouth into 82-year old Mary to find out why she has a loss of appetite. The goal is for the capsule to begin dissolving in the upper GI tract and for you to use your ship to explore Mary’s GI system for signs of disease. In a 500-word paper, describe what you see as you move through the GI tract and be sure to explore each organ and any enzymes you come across. When you are eliminated via feces, you will bring your notes to the physician for diagnosis and treatment options.

A patient diagnosed with multiple sclerosis is admitted to the hospital for an acute exacerbation. The patient’s baclofen dose has been increased to 60mg daily by mouth divided into three doses. The order is entered on the medication administration record as 60mg three times a day. On the third day, the patient is noted to confused and complaining of paresthesia. No follow up action is documented by the nurse.   On the fourth day at 8 AM, the nurse finds the patient to be more confused and hypotensive with a blood pressure of 90/50 mm Hg. The nurse informs the physician about the hypotension and the patient is given a liter of normal saline per MD order.   At 3 pm, the UAP is performing hourly rounding and finds the patient unconscious, with a respiratory rate of 6, pulse of 120 bpm and a blood pressure of 60/40 mm Hg. A rapid response is initiated, the patient is intubated and transported to the Intensive Care Unit for supportive therapy. Due to the patient's overall compromised condition, he is unable to be weaned from the ventilator and will require long term ventilator support.   He requires placement in a long-term care facility.

After reading the article, craft a response to your assigned patient scenario as indicated below. Your initial response should include:

1. Describe the medication error. Include possible reasons the medication error occurred, and which medication administration right was violated.
2. Identify the changes in patient condition the nurse should have acted upon and what interventions should have been performed by the nurse that could have prevented the patient outcome.

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

influenza outbreak :

medication errors

Tell if each measure of association is statistically significant and briefly explain why or why not.

- RR=1.69; p=0.52

- OR=0.95; (95% CI: 0.85-1.05)

-OR=2.10; p=.003

-RR= 2.56; (95% CI: 1.90-3.24)

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?