promoting Health by increasing client motivation

explain the rationale behind the nursing diagnosis of Tina jones

Pretend you are the coordinator in a brand new daycare center for three to six-year-old children. Each age group will be in its own classroom. How would you set the classrooms up so that the students are getting their physical, cognitive, and psychosocial needs met? What would the structure of the daycare be like? What kinds of activities would you implement? Are there specific tools that you would use (Legos, finger paint, etc.). What kinds of social interactions would you promote? What would you want to make sure to emphasize? What might some of your concerns be?

Bruce is a 47-year-old man who decides he needs to visit his doctor due to some gastrointestinal symptoms. At first it just started out as a bit of abdominal pain and cramping, followed by diarrhea so at first Bruce just thought he had a stomach bug. But weeks went by and the diarrhea just increased in frequency and instead of feeling better he started to feel really fatigued. This has been going on for 8 months before his wife finally convinced him to make an appointment with a doctor, who then referred him to a gastroenterologist. A couple of months later when he finally goes to his specialist appointment, Bruce admits after questioning that he has had bleeding with his stool but he didn’t want to tell the doctor as he was embarrassed and didn’t want to get checked for hemorrhoids. The gastroenterologist also asks many questions about Bruce’s diet and his weight and discovers that Bruce has lost 15kg in the past year despite eating a lot of hot chips and mashed potatoes – the only thing Bruce feels doesn’t make his diarrhea worse. The gastroenterologist then tells Bruce he would like to perform a colonoscopy to investigate further.

After the colonoscopy the surgeon tells Bruce that they found a number of polyps in his bowel which is not necessarily a cause for concern as many polyps are benign, but they will have to wait on the results of the biopsies to make sure none of them were malignant. A week later the surgeon calls Bruce, unfortunately it is bad news – the biopsy shows evidence that the growth is malignant and anaplastic and that they can’t rule out metastatic growths. Bruce is called back in for follow up tests and they find that there is an abnormal growth in his liver also.

Bruce is now sent to an oncologist, who recommends that he has surgery to remove any remaining polyps, a small portion of his bowel, and the abnormal growth from his liver. Based on the advice from his oncologist, Bruce also decides to undergo chemotherapy treatment. Whilst doing some routine checks after his treatment, Bruce is informed he has neutropenia.

Question 9

Bruce doesn’t understand what the surgeon and oncologist are saying after the results because he doesn’t understand the terminology being used. Explain in terms a patient could understand what is meant by malignant, anaplastic and metastatic and what does this then mean for his prognosis. In order to help explain these terms compare Bruce’s growth with a benign, differentiated and localised growth.

Question 10

Describe two cancer cell characteristics or properties that allow them to become invasive and

metastatic.

Question 11
Explain why Bruce experiences the clinical manifestations of increased risk of infection and fatigue,

both before and after treatment for his cancer.

Question 12

Discuss two measures that may minimize Bruce’s chances of contracting coronavirus. In your answer, identify two different links in the chain of infection that can be broken and explain how they are broken.

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.