Jabari an 84-year-old man is hospitalized for a course of intravenous clindamycin to treat an infected tooth following a root canal procedure. A week later the patient develops profuse diarrhea: no blood is visible in the stool, but lab test was positive for blood. He is running fever with temperature of 101.9⁰ F. Physical examination reveals substantial abdominal tenderness and distension. White Blood Cells are elevated (Neutrophils 91%, monocytes 7%, lymphocytes 2%).

1. What is the microbial agent? Describe the morphology (shape, arrangement, gram reaction) and cultural properties (O2 requirement, biochemical requirements, motility, etc.) for this microbe.
2. Explain the spread or the occurrence for this infection (cause and transmission) and pathogenicity (virulent factors) of this agent relevant to this case study.
3. Describe the diagnoses (source of specimen, lab tests, and results that confirm your microbe) and treatment (name of Rx, what it targets, why/how does it work against this microbe) also include the general management of this patient.

The Spirit Catches You and You Fall Down

Would you assign blame for Lia's tragedy? If so, to whom? How do you think Anne Fadiman would respond to this question?

1. What is hemodynamic monitoring and why is it needed?
2. Noninvasive versus Invasive monitoring?
3. Define pre-load( what is a pre-load reducer and increaser?) CVP=RAP
4. Define what is after load? Patients who have too much afterload and treatment? Do we want to decrease resistance and what type of patients? SVR(invasive hemodynamic monitoring)
5. What is cardiac output? When do we need to increase/decrease it? Normal CO is what and how do we get that number ( what is stroke volume?). What is cardiac index and normal value?
6. What is MAP and the normal value?
7. What is contractility? Positive or negative inotrope? Give examples and explain their purpose.
8. Pulmonary Artery wedge pressure( Swan Ganz Catheter or pulmonary artery catheter). Normal measure and types of clients we would use this with. Left or right side of the heart measuring?

Evaluate one or more of the agency-specific policies and the impact on the provision of care for this patient.

Was policy a barrier or facilitator for care?

How does nursing leadership advocate for safe, quality care?

Analyze ethical and legal standards that impacted the care of the patient and family. Possible discussion topics include ethical standards for professional nursing practice, end-of-life decisions and advanced directives, respect for ethical rights of patients (autonomy, beneficence, etc.)

Identify the best practices that will form the basis of service delivery.

Provide at least two examples of evidence-based practice that can be referred to for the program.

Analyze and explain which of the summative evaluation methods is the most effective in accessing a research program's outcomes or effects. Describe the pros and cons of using each method.

Written Assignment

What are some characteristics of spiritual fitness?

Why are alternative health methods considered unconventional?

Why are some patients turning to alternative medicine for wellness care?

Why should patients exercise caution when relying on alternative care?

What are the benefits of good nutrition?

What are the pathophysiologic changes in COPD and how does it differ from asthma

Describe the services and resources provided by a carer support organisation. (100–150 words)

Explain why the ability to increase stroke volume is important in determining maximal oxygen consumption.

1. Identify one automated dispensing system used either in inpatient hospital pharmacy or in outpatient community pharmacy (ex. Pyxis, ScriptPro, Parata, etc). Describe the characteristics (ex. prescription volume) of that automated dispensing system. Describe the benefits of having it. Describe possible limitations.

2. What information technology applications in pharmacy practice do you envision in the coming decade?

Eliot Masterson, a 41-year-old business owner, was seen by Dr. Salpega for a routine physical. During the office visit, Eliot informed Dr. Salpega that he has had some episodes of chest pain over the past few months that have occurred after exercising. Dr. Salpega decides to have his medical assistant, David Dolan, perform an ECG on Mr. Masterson.

1. When the medical assistant asks Mr. Masterson to lie down on the examination table for the ECG, the patient informs the MA that he has a back problem and is unable to lie down on his back. If you are the medical assistant, how would you handle this situation? What would you specifically tell the patient and ask him to do?

2. When the ECG tracing begins, the medical assistant notices that the baseline is wandering on the paper. What is probably causing this? What should the medical assistant do to correct the problem?

3. When the ECG is complete, the patient asks the medical assistant if it looks alright. What should the medical assistant tell the patient? Be specific about what the patient should be told.

RCW 69.51A Medical Cannabis defines health conditions which qualify patients for a Medical Marijuana card for the lawful use, possession, and manufacture of cannabis products. This law also protects health care professionals who authorize cannabis to their patients from criminal charges as long as the practitioner practices along the guidelines of legislation. RCW 69.51A.005 states that “Humanitarian compassion necessitates that the decision to use marijuana by patients with terminal or debilitating medical conditions is a personal, individual decision, based upon their health care professional's professional medical judgment and discretion.” Working on an oncology floor, we have some patients who use cannabis products to help with their condition. However, my director announced during the huddle that staff cannot administer THC-containing products because it is a federally controlled substance and we are a federally-funded hospital. On the other hand, we can administer CBD products (such as a salve) because it is non-psychoactive. Only the patient or their family can administer THC products. The patient’s provider needs to be aware of and give approval for the patient to use cannabinoids as part of their treatment plan. When caring for patients who self-medicate with cannabis, nurses are still required to assess the patient and educate them on the effects of cannabis consumption--as protocol with any medication or medical procedure.

please write a response for the passages

A susceptible host may be elderly, have HIV, or be undergoing chemotherapy, but we can still reduce host susceptibility by focusing on employee health and chemoprophylasis. List five vaccinations that might help you decrease the risk of transmitting an HAI.

You work in the surgical intensive care unit (ICU) of a large urban hospital. Over the past 2 days, a number of patients in the unit have developed serious Staphylococcus aureus infections. Why do postoperative patients have an increased risk of infection?