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Roger works in a rural emergency department and on night shift him and another RN are the only nurses within department. One night his bestfriend was brought in with a minor trauma. Unfortunately,his partner for the night was busy with another client and the Roger did not know what to do as he recognized that nursing his best friend could be a conflict of interest .How should rogers handles this situation ?
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Description:
John Miller, a 65-year-old male, arrives at the clinic complaining of his shoes not fitting and feeling like he cannot take a deep breath. During the patient interview, he also states that he is having intermittent pain in his chest. He is taking glyburide 2.5 mg daily, captopril 25 mg twice a day, and HCTZ 25 mg daily. He has not taken the HCTZ for 2 weeks and is hoping to get this medication refilled. The physician wants to evaluate his congestive heart failure. He orders an ECG and a stress echocardiogram. The patient has not previously had a stress echocardiogram and you need to explain it to him before the test begins.
Discussion Questions:
1. Explain to John the difference between an ECG and an echocardiogram.
2. John expresses concern about having a heart attack during the procedure. How can you alleviate his fear?
3. You must perform an ECG on this patient. Describe the steps in the procedure.
Please answer all 3 questions separately. Thanks.
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Select a prevalent health issue (Obesity) discussed in the lecture or required reading for this unit. Using this health issue, provide one example for each of the six building blocks of the health belief model (HBM).
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In: Nursing
Cardiovascular Case Study
Scenario
Joan is a 78 year old female who is scheduled with you today because she needs refills for her blood pressure medication. When you look at her record you notice that she has not been in for 14 months. You notice that there are a number of missed appointments on record, but that she has been calling in for refills for her meds. During the last call the office nurse told her she would need to come in for a visit to obtain the refills. Her record indicates that her medications at her last visit included lisinopril/hctz 10/12.5 and simvastatin 20mg daily.
She reports that she takes her blood pressure medication “most of the time” but doesn’t take the simvastatin regularly because her neighbor developed liver problems from it. She remembers in the past that she was told she has a “touch of sugar”. She feels good but she wants to get checked out and wants to “get her act together” and start taking care of herself because her brother, who is 48, just found out that he has “clogged arteries.” She would like some help with quitting smoking as well. She also tells you that she had a “little heart attack” when she was 72.
Her vital signs are: BP: 168/94, pulse: 84 and regular, resp: 18
Remember that the case study needs to include a minimum of two evidence-based practice articles to support your work. All papers must conform to the most recent APA standards.
Address these questions as well:
You conduct the visit. The review of systems and physical exam, with the exception of her blood pressure and weight, are normal.
The diagnostic tests and laboratory test you ordered were normal with the exception of the following:
During the follow up visit, you discuss the labs above and their implications.
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Situation
Levels of children and young people diagnosed with type 1, type 2, and other variants of diabetes are increasing and this has become a priority issue for commissioners in the area where Na’ema works as a diabetic nurse. As one part of a local strategic response to this issue, Na’ema has been asked to come up with some interventions that could help improve health and well-being outcomes for young people with a diagnosis of diabetes. Na’ema is aware that improved diabetes control in young people can reduce the incidence of microvascular complications and delay their progression. She also understands that a diagnosis can affect a young person's mental health, emotional well-being, and even attendance at school and engagement in extra-curricular and social activities.
1. Different perspectives of health exist, within which Na’ema might consider this issue. How would adopting different perspectives/approach influence Na’ema thinking? (Think physical, social, socio-environmental perspective (structural issues)).
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2. Refer to the role of community Health nurses and suggest six possible interventions that Na’ema might come up with to promote the health and well-being of young people diagnosed with diabetes?
3. What is the level of intervention possible in this case?
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4. Based on the above scenario, Prioritize two appropriate interventions Na’ema will be able to implement at the primary level.
5. If case fatality for diabetes type 1 in the area under study was found to be 1 in 500 cases. How do you interpret this? What is the difference between mortality and morbidity rate of diabetes in this scenario?
6. If a surveillance survey was used in the community where Na’ema works. Explain six purposes of carrying out this comprehensive survey.
7. Na’ema wants to make sure that equality is a consideration in diabetic care available to all.
1. Discuss four approaches to establish equality for diabetic patients in the community .
2. How equality is linked to vulnerable groups?
In: Nursing
Michael Wolverton, a 55-year-old patient and a pipefitter, has arrived at the emergency department, where you practice nursing, with a leg ulcer. Upon assessment, Mr. Wolverton reports medial left thigh pain (8 on 0-to-10 scale), bilateral lower extremity edema and hyperpigmentation, and shortness of breath. (Learning Objectives 5 and 10)
a. What are your priorities in care?
b. What could be causing his symptoms?
c. Why is Mr. Wolverton’s shortness of breath problematic?
d. What is anticoagulant therapy? Give examples of two medicaitons used as anticoagulant medicatons
a.
b.
In: Nursing
Case Study 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. Case Study 1. The implication in this scenario is that a diagnosis of 'acopia' is a diagnosis based on functional abilities and is a form of labelling.
1. What is the impact of a diagnosis based on the labelling of a patient? Answer this using online learning materials provided and other peer reviewed evidence. Acopia itself is more of a symptom of underlying changes than a diagnosis. 'Acopia' refers to decreased ability to cope/ manage activities of everyday life and is a symptom of increasing frailty. Edith is 87 years of age. Normal ageing process eventually leads to frailty. We studied frail aged in week 8 tutorial (review recording if you have forgotten) and in week 6 online material. Nurses role - Include an analysis of how this labelling impact the care Edith receives.
2. How do normal changes of ageing increase the risk of Edith developing a pressure injury in this scenario? Here you need to consider normal physiological changes that occur as part of ageing to body systems that increase the risk of developing pressure injury. We covered this in week 6 and week 10 online learning and in additional readings. You could easily relate at least 3 systems to this answer. Nurses role - Also analyse the role of the nurse to prevent pressure injury for Edith. Remember the scenario context.
The nursing role is important in this answer
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Discuss the mental health impacts of COVID 19 and two potential strategies to reduce poor health outcomes.
If you share a detailed answer would be amazing and if you don't mind sharing your resources
thanks
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i want you to focus your discussion around one particular chronic health issue this week obesity. so as the administrator of a community health center, your board chair would like for you to create a new low cost health initiative that will improve the health of the county's residents, who are under the age of 18 who are dealing with obesity. describe the program you would like to create.
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why is it essential to have a good understanding to what dementia patients face when working as a nurse or medical staff member?
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Describe an environmental health problem and apply one of the models of environmental health to it. Supply a link for the environmental health problem you discuss.
Models of Environmental Health:
1.Sanitary-Environmental Model
2.Biomedical Model
3.Social-Behavioral Model
4.Techno-Economic Model
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70kg 250mg dose to infused on 250ml at 6mcg/kg/min. what will it be set per ml/hr
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