Case Study Scenario: Ms. Amal is a 22-year-old female student with a history of type 1 diabetes mellitus, diagnosed when she was 5 years old. She has been brought into the emergency department this morning by her father, Mr. Seed, as she is lethargic and unable to make any sense. Mr. Seed reports she has been unwell with a flu-like illness for the past week, with nausea, vomiting, and productive cough over the past two days. Amal had decided not to take her usual insulin dose last night as she had not been eating and her blood sugar was low 8.1 mmol/L. Ms. Amal stated that she so much worries about her status as she always feels tired and unable to concentrate on her study and most often sleep in class. On examination, the nurse finds Amal has deep, rapid respirations, acetone smell on her breath, and her skin is flushed and dry. Her Father, Mr. Seed, reports she had gone to the toilet several times during the night. Her blood glucose level (BGL) is 42.1 mmol/L and her ketone levels are 7.1 mmol/L. Urinalysis shows large amounts of glucose. Her vital signs are: • BP= 102/54 mmHg • HR= 112 beats/minute • RR= 36 breaths/minute, rapid and shallow • T= 36.2°C • SpO2= 96% with no supplemental oxygen. The health care provider suspect Amal has diabetic ketoacidosis (DKA) and order two large-bore intravenous (IV) cannula inserted for fluid resuscitation and IV insulin administration.

Q1. Make a shortlist of Ms. Amal symptoms?

Q2. Distinguish between the subjective and objective signs and symptoms

Q3. Identify potential problems for Ms. Amal?

- Q4:

a. Identify two top priorities health problems for Ms. Amal?

b. Determine two target goals for the selected health problems?

Q5. Determine a nursing diagnosis using the PES format for each selected priority health problem.

- Q6. Develop a care plan that includes A, B, and C for one priority health problem:

a. Identify two of Amal’s need

b. Plan two goals/outcomes

c. Identify six nursing interventions

- Q7:

a. List least 5 different, relevant sources specific to nursing process and NANDA diagnosis to be mentioned for full 5 marks.

b. Follow APA- American Psychological Association style reference format

When I consider the practice situation in which I was the most concerned about issues related to the social determinants of health, what did I think? What did I believe? How did I act? What might that situation have been like for the individual patient/client, family members or group I was working with?

Why does the diencephalon play a vitally important role in the coordination of body functions? Explain and give an example.

The dose of ofatumumab (Arzerra) for a patient is 300 mg. In preparing an IV infusion, a pharmacist draws the calculated volume of drug from a 50-mL vial containing 1 g of the drug. This quantity is then added to a 1-L bag of normal saline. The infusion is programmed to flow at a rate of drug of 3.6 mg per hour.

(a) What volume (in mL) of the drug from the vial is needed for the patient's dose?

(b) What is the rate of flow needed (in mL/min) to administer the dose to the patient? Express to the nearest thousandth (3 decimal places)

(c) How many hours are needed to administer the dose to this patient? Express to nearest tenth of an hour.

1. Bill McDonald, 65 years of age, is a male patient diagnosed with chronic obstructive pulmonary disease (COPD). He is going to be discharged with home oxygen at 2 L/min per nasal cannula. According to Medicare guidelines, the patient falls into the group 1 patient category, the patient’s O2 saturation on room air was less than 88% and his PaO2 was less than 55 mm Hg, which was obtained from an arterial blood gas (ABG) at room air. The physician completed the script for the home oxygen therapy according to Medicare guidelines. The information that needed to be included on the script was the documented diagnosis, the prescribed liter flow, the frequency of use in hours per day, and the number of months in duration. The results of the pulse oximetry and the ABG were also included in the script to justify the need for the home oxygen therapy. The nurse needs to make arrangements with the social worker to obtain an agency to supply the oxygen equipment needed and to provide follow-up on a regular basis. The supplier makes arrangements to deliver an oxygen concentrator and portable tanks or concentrated oxygen and oxygen regulators, and needed supplies, including 50 feet of tubing, and nasal cannulas. (Learning Objectives 1 and 2)

What home care considerations need to be made before the patient is discharged and what considerations need to be made once the patient arrives home?

What patient and family education must the nurse provide in regard to home oxygen therapy?

When I reflect upon a specific situation where a social determinant of health constrained my nursing practice, what did I think? What did I believe? How did I act? How might the individual, family or group I was working with have experienced that situation?

analyzing malnutrition and how it impact the health of the aging population in worldwide.

please not handwriting

The health care team at your agency used the grassroots approach of emancipatory knowing to determine that using telehealth would best meet the healthcare needs of patients who cannot access health care or who have chronic illnesses. Your agency has implemented home telehealth care. You have been assigned to develop a creative brochure describing home telehealth care including the NURSING services that can be provided using this technology. As you consider your project, Identify the telehealth services you will use and what that will provide for your patients. Also, identify a resource they can use to find more helpful information and cite it in APA format. Be sure to review the links below on assessing credible websites. (*It is not necessary for you to develop the actual brochure, just speak to it. )

Conduct research to identify an existing or developing public health care program in Saudi Arabia’s healthcare system, or another country’s healthcare system. Make sure you find reputable sources of information on the public health care program. The sources could be government reports, news reports, academic or professional journal articles, or online sources. Select a program for which you can find research or reporting on the program’s:

• goals
• design
• target audience
• results to date

In a Word document, prepare a response to the following items to submit to your professor.(please not handwriting)

Case Study, Chapter 1, Bess Gaskell: Immediate Postpartum Hemorrhage Morgan Logan is a 37-year-old single mother of five who just delivered her sixth baby. She did not know she was pregnant because she was busy working and caring for her five young children at home. Additionally, she is moderately obese and thought she was just putting on more weight. Morgan did not seek medical care until her last trimester. Her labor was uneventful, but at delivery, the doctor was concerned that there may have been a small piece of the placenta that retained. He encouraged the nurses in the postpartum unit to keep a close eye on Morgan and alert him of any significant issues regarding her postpartum stay. Four hours after arriving on the maternity floor, Morgan felt “a huge gush of blood when she stood up.” She passed a clot the size of an orange. The nurse massaged her fundus and called the doctor immediately. The hemorrhage was controlled, and no further issues were noted. The day after delivery, Morgan remained perplexed as to why she began to hemorrhage. She blames herself and her busy lifestyle and is feeling terrible about putting herself, the family, and—most importantly—her newborn at risk. (Learning Objectives #1 and #6)

1. Morgan asks the nurse what she could have done differently, or what she could do in the future, to prevent a postpartum hemorrhage. How should the nurse answer Morgan’s questions about postpartum hemorrhage and preventative measures?

2.Identify some ways that the postpartum nurse can help Morgan most effectively cope with her current hospital experience.

How does Grading and Ranking works in healthcare

1. Do nursing homes follow a safety management as traditional (safety programs), or is it taking a systems approach?

2. Which do you think is better, the traditional or systems approach?

3. Discuss a particular part(s) of each plan and which part you think will work, and what do you not like or you think will not work?

Question

Nurse is working as a nurse in an outpatient clinic as the diabetic educator. The patient has recently been diagnosed with type 2 diabetes, and the nurse will be developing a teaching plan. Your patient is a 50-year-old man with a history of hypertension. His vital signs are stable, hemoglobin A1C is 7.5%, and the patient has a body mass index (BMI) of 28.

1. What are the main goals of therapy for all patients with diabetes in terms of both symptom control and quantitative targets for fasting blood glucose levels and for the hemoglobin A1c?
2. The nurse is preparing a teaching plan to include glargine (Lantus) for your patient. What information will the nurse include in the teaching plan?