Ruba is a 39 years old, pregnant woman at 8 weeks gestation, and her husband, Ali, is 50 years old, arrives at antenatal clinic for follow-up. The couples have been married for 12 years. Ruba completes the initial paperwork, and the nurse notes the following obstetric history: G6 T0 P0 A5 L0 M0. Ruba and Ali asked the nurse many questions regarding Down syndrome as Ali’s sister, recently, has a boy with Down syndrome.
1. What are the questions in the history taking are the highest priority for the nurse to ask, given Ruba’s obstetric history?
2.What are the initial prenatal assessment and screening tests would the nurse anticipate for Ruba at this antenatal visit?
3.What are the fetal screening and diagnostic procedures would the nurse anticipate for Ruba?
4.What are the possible screening tests can be performed to reassure Ruba and Ali regarding the possibility of having a child with Down syndrome?
5.As Ruba has many questions regarding her pregnancy, including
the physiological and psychological changes, labor process and
postpartum period. The nurse advice Ruba and Ali to attend
antenatal classes.
List six topics should be covered in the childbirth preparation
program that may help to answer Ruba’s inquiries.
6.After 7 months, Ruba is approximately 37 weeks gestation. She comes for antenatal follow-up visit complaining of backache, leg cramps, heartburn, constipation, and difficulty sleeping at night. Describe three nursing management for each Ruba’s complain (minor discomfort).
In: Nursing
In: Nursing
Why does the culture of the “receiver” matter when you encode a message? (4-5 paragraph)
Why is theory important for health promotion efforts? (4-5 Paragraph)
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Women fought hard for many rights, such as the right
to vote, right to
be educated, etc. They also fought for “bodily integrity and
autonomy”. Explain what this means, and provide a
specific scenario where a woman did not have
the right to bodily integrity and autonomy. How is having this
right, beneficial
to men?
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List the stages set out in the Transtheoretical Model (TTM) – known as “stages of change”. Describe each one in brief
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A patient has been diagnosed with type II diabetes. Discuss the differences in terms of dietary and pharmacologic management between type I and type II diabetes.
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(7 pts)
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Explain what a residential school is, who it was meant for, and it’s purpose/goal.
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Consider Computer Assisted Coding as an emerging technology.
Discuss how to verify the accuracy of the computer-generated codes?
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Using the following case study answer the questions,
A 76 year old male presents to the emergency department with shortness of breath and difficulty sleeping lying down.
Physical examination reveals a well nourished obese male with SOB with speaking and any exertion. Blood pressure is 160/90 and pulse is 90. Lungs- diminished in bilateral bases. Cardiovascular examination reveals a swooshing sound heard best over the 2nd ICS, RSB. The patient complains that SOB became much worse when he was asked to lie flat on the examination table. States a 71bs. weight gain in one week. Productive cough that is clear to pink foamy sputum.
10 pertinent health history questions you would ask.
10 pertinent physical assessments would you perform.
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john Graut
Information
Over the course of history, there have been key
figures who have contributed to healthcare delivery around the
world. We will now take a moment and explore some of those
significant figures in medicine.
Instructions
Part 1: John Graunt
1. Under Week 3 Module, locate the John Graunt
material
2. For your own knowledge, identify why he is noted as
a significant figure in the history of medicine along with the
purpose of the Bills of Mortality?
3. Review the interesting statistics of how persons
died during that time. Some of this information may be difficult to
understand due to the "Old English" format.
What stood out to you? Was there any diseases that are
still present today?
Part 2: Other Significant Figure
Locate a significant figure from the
1900s-2000; cut off year is 2000, who has contributed to the
delivery of health care.
Name the significant figure - Please refrain from
noting John Grant, John Snow, or other significant figure noted in
Chapter 3 or the lecture notes.
Cite your source - provide the appropriate
link(s)
Describe in 5-6 sentences why this figure is
"significant" and the contributions made to health care
delivery.
Beyond the contributions made by this figure, identify
any other "interesting" item you found inspiring.
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A 64-year-old male patient diagnosed with atrial fibrillation is started on anticoagulant therapy with warfarin to lower his risk of stroke due to fibrin clots. Despite calculating initial warfarin dosing based on the patient’s age, weight, and sex, laboratory monitoring of anticoagulant activity after the first week of therapy shows that the patient is receiving too much warfarin (his INR was too high indicating he is “over anti-coagulated”). After several weeks of dose adjustment, the patient’s anticoagulant therapy is optimized at a warfarin concentration that is 10-fold lower than the initial dose.
a. What is INR? What is normal INR? What does low INR mean? High INR?
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Mr. King is 75 years old and lives alone. He has been slowly losing weight since his wife died a year ago. His height is 5’8” and he currently weighs 124 lbs. His previous weight was 150 lbs. prior to his wife’s death. In talking to Mr. King, you realize he doesn’t even like to talk about food, let alone eat it. “My wife always did the cooking before, and I ate well. Now I just don’t feel like eating.” He states he skips breakfast, eats soup and bread for lunch. For dinner, he eats a frozen dinner entrée or a cold-cut sandwich and a cup of coffee. He seldom sees relatives or friends. Mr. King has lost several teeth and doesn’t eat any raw fruits or vegetables because he finds them hard to chew.
1. Refer to the BMI table in your textbook. Is Mr. King at a healthy weight? Is his weight loss significant?
2. Discuss factors that contributed to Mr. King’s poor food intake. What nutrients are probably lacking in his diet?
3. What recommendations would you suggest to Mr. King to improve both his diet and lifestyle?
In: Nursing
Mrs. Paula Johnson is a 65-year-old white woman with a previous history of a sedentary lifestyle, hypertension, hypercholesterolemia, and diabetes mellitus type II. She is a heavy smoker since she was 20 years old. She was brought to the emergency room because her family found her unresponsive on the floor. She was diaphoretic. Her family thought she had her diabetes decompensated. Mrs. Johnson’s daughter indicated her mother was complaining of nausea and epigastric pain the day before. Also, her blood pressure was high.
On the physical we found:
Remarkable Signs on Physical by Regions
Remarkable Signs on Physical by Systems
Lab Tests
Diagnosis
Other Diagnoses
In at least 375 words, or 1.5 double-spaced pages, prepare a case report that addresses the following:
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