• Discuss why it is important for the APRN to explore the individual stage of development of each family member when analyzing a family’s response to an illness event. Consider your population of interest or study. Please add references APA citation style. Thanks

You are the nurse caring for Mr. Jones, a 61-year-old male, in the Neurological Intensive Care Unit. Mr. Jones was found to have a benign brain tumor and is scheduled to go in for surgery to resect (remove) the tumor in a few days. Over the next few days you develop a therapeutic relationship with Mr. Jones. He tells you that he lives a very active life, engaged in multiple organizations, sports groups, and works as a coach for young children. Before going into surgery, you discuss his advanced directive and living will wishes. He states that he lives such an active lifestyle that he can’t imagine being in a debilitated state. He becomes emotional but confides in you and says “I would rather die if I would not be able to live the kind of lifestyle I have today. I would never want to be on a ventilator.” He tells you that he loves his family, but they would not understand so he has never had this conversation with them. He fears it would make them sad. Before going into surgery Mr. Jones completes an advanced directive form that states, “Do Not Resuscitate” and “Do not Intubate.” Upon returning from surgery, Mr. Jones seems to be stable. However, just before change of shift, Mr. Jones has a change in mental status. The physician believes he may have suffered from brain damage, likely permanent, during tumor resection. Mr. Jones is continuing to decline, with unstable respiratory and cardiovascular status and the physician is preparing to intubate this patient using mechanical ventilation. The family has been notified and states they want every heroic measure in order to keep Mr. Jones alive. You remember, however, the conversation you previously had with Mr. Jones and the advanced directive that he signed. What would you do as the nurse in this situation? How would you respond?

Discuss the effects of loneliness and isolation in the older adult according to the NIH.GOV publication.

The text must be no shorter than 6 sentences and no longer than 10.

JJ is a 50 y.o. woman who works as an accountant. She presents to her family physician with elevated blood pressure and obesity. JJ has struggled with her weight since childhood and indicates that her weight problems worsened 5 years ago when she returned to work as an accountant.

Nutrition Assessment

Client History:

Age- 50 years old

Gender- Female

Married with three children-ages 20, 15, and 10

Medical/Health History- elevated blood pressure (145/90 mm Hg)

Family History: Mother history of hypertension and T2DM at age of 60

Medical Diagnosis: Metabolic Syndrome

Food/Nutrition-Related History:

Total energy intake- Diet history indicated estimated energy intake of 2800-3000 kcal/day from a usual meal pattern of three meals and two snacks

Physical Activity History- sedentary lifestyle

Biochemical Data, Medical Tests, and Procedures:

Glucose, fasting- 122 mg/dL

Cholesterol, serum- 236 mg/dL

Triglycerides, serum- 179 mg/dL

Cholesterol, HDL- 39 mg/dL

Cholesterol, LDL- 153 mg/dL

Anthropometric Measurements:

Height- 5' 5"

Weight- 220#

Body Mass Index- 36.6

Waist Circumference- 40

Weight History- Lowest weight of 150 pounds (age of 25). Highest weight is current weight of 220 pounds. Gained approximately 50 pounds since returning to work as an accountant.

Comparative Standards

MyPlate recommendations of 1800-2200 kcal/day

BMI 36.6- Obese Class II

case study about medical nutrition

case study about medical nutrition

Coding the hospital’s Emergency Department (ED) visits was Melissa’s favorite type of coding. She was the department expert whenever a fellow coder had ED coding questions for her. She felt very sure of her level of expertise and knowledge until Jamie started to work in her department.

Jamie was a new graduate with her RHIT credential. Melissa was excited to have Jamie join the team,but after two weeks of working with Jamie, Melissa's excitement quickly waned. In fact, Melissa felt defensive whenever Jamie asked her questions about basic coding rules. She never had this problem with other staff before. Melissa decided to talk with her manager, Maria, to see what could be done.

1. What is the best way for Melissa to address her concerns?

2. How might you solve this apparent conflict?

3. How might such conflicts be avoided with new staff?

What type of management style do you feel most comfortable working under as a student? Are there situations when you feel co mfortable with a different type of management style?

The patient tested with Nerresira Gonorrhea.

The patient's urine appeared clear, and urine culture was negative, although urinalysis was positive for leukocyte esterase, and multiple white cells were seen on microscopic c examination of urine. He gave a history of being sexually active with five or six partners in the past 6 months. He claimed that he and his partners had not had any sexually transmitted infections. His physical exam was significant for a yellow urethral discharge and tenderness at the tip of the penis.

1) Are his urinalysis and urine culture findings consistent with his illness? Explain

2) What virulence factor(s) made by this organism is responsible for his symptoms?

Listen to the following conversation by Paul Farmer. Do you agree or disagree with his argument that health care is a human right? Why/Why not?

Share at least one outside resource to support your argument.

Paul Farmer: I Believe in Health Care as a Human Right.

Listen to the following conversation by Paul Farmer. Do you agree or disagree with his argument that health care is a human right? Why/Why not?

Share at least one outside resource to support your argument.

Paul Farmer: I Believe in Health Care as a Human Right.

Do you think the mental health system in our country today functions well, or is it broken? Why or why not?

Support your choice with at least two examples and one credible resource.

Que 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.

What is the impact of a diagnosis based on the labelling of a patient?

How do normal changes of ageing increase the risk of Edith developing a pressure injury in this scenario?

Que 2, You are a RN working in community care, visiting Amita, a 76-year-old with a chronic and painful venous ulcer on her lower leg. She takes multiple medications for chronic illness, and a codeine-based medication for pain. Amita lives alone in her own home.

How would Amita’s chronic pain impact on her ability to maintain a safe environment?

Why is Amita, as an older adult, more vulnerable to adverse drug events?

Que 3, You are a RN working on an acute medical ward, looking after Oliver, an 80-year-old with painful cellulitis from hand to shoulder resulting from a small left hand scratch sustained while gardening. He is admitted for 7 days of QID IVABs via a right cubital fossa PIVC. Because of the cellulitis, PIVC and IVAB regime, Oliver’s mobility is limited.

Outline the normal changes of ageing on the respiratory system in predisposing Oliver to pneumonia during his hospital admission.

What are the benefits of increasing the mobility of an older adult during hospitalisation? How should the RN encourage incidental exercise during Oliver’s admission?

Examine the Strength and weakness if nightingles theory using the criteria from chinn and karmmer