How conflict management can be a very challenging aspect of leadership today in healthcare
In: Nursing
Discuss:
Voluntary Euthanasia
Involuntary Euthanasia
Voluntary termination of a pregnancy (Abortion)
Comment on why you do or do not believe one or the other should be legal.
Include in your discussion:
Comments on the ethical dilemmas faced in such considerations
The type of ethical theory involved
Should health care providers be required to participate in one or all of the procedures
Discuss how moral distress could occur in the health care providers
In: Nursing
A) Provide two examples of a Support Worker’s obligation in regards to duty of care in relation to Stephanie’s behaviour with food.
1.
2.
B) Provide two examples of Stephanie’s dignity of risk in relation to her behaviour with food.
1.
2.
(Below I have included Stephanie's care plan)
Stephanie Peterson is 45 years old and lives at Harbourside Haven, a specialist disability unit that is close to the ocean. She has been there only four months after living in an aged care facility that cared for three other younger people with disability. She likes the water and the smell of the ocean and can often be seen watching the water.
Steph, as she likes to be known, has a severe intellectual disability and limited communication skills but has good receptive language skills when spoken to quietly. She can make herself understood and uses some basic pictorial communication aids. Staff are really working hard with Steph and her family to put in place an individualised behaviour support plan that aims to increase her quality of life and decrease the frequency and severity of her challenging behaviours that were noted on the plan she brought with her. These include pilfering, hoarding and gorging on food, becoming very vocal and screaming uncontrollably if she cannot be understood and if she is having difficulty walking she will grab at the nearest person for support.
Stephanie loves music and she enjoys watching the music channel on TV, she gets excited when her favourite songs are played and among her favourite performers is Jimmy Barnes. Staff have also introduced “quiet evening music” after tea to help Steph settle down at night. She really enjoys listening to the harp and now three or four other residents join Steph to enjoy the music.
There is some concern about emerging medical issues for Steph. She is considered medically obese, has some cardiac (heart) issues and is at risk of developing type 2 diabetes. Staff have discussed this with Steph and her family and Steph has decided to take on a more active lifestyle and has met with her dietitian to understand which foods might improve her medical conditions. She is now going to the pool three mornings a week and goes for a walk every afternoon. This is hard work for her but with encouragement, new joggers, a new beach towel and support from her brother she is beginning to enjoy it and isn’t as breathless as she was before.
Steph used to store food from the fridge and pantry in her room as she was worried she would get hungry. Sometimes this caused health issues, as the food was not stored correctly, and the foods she kept in her room were not helping her to meet her new health goals. Steph is now choosing to keep a selection of healthy snacks in her room, and she chooses to eat smaller, more frequent meals throughout the day. Steph enjoys her independence.
Yesterday at midday the support workers were late in starting lunch preparations. Whilst one (1) support worker assisted another resident, Stephanie took the bread needed for everyone’s lunch from the kitchen to her room. When the other support worker found her in the room with the bread and asked her to return it so that everyone would be able to enjoy lunch together, she offered Steph one of her snacks and Steph returned the bread. The worker smiled and thanked Steph very much. Previously Steph would have become upset, pushed the staff member away, yelled and slammed the door.
Steph’s behaviour support plan identifies her strengths, needs, capabilities and preferences intending to actively involve Steph to help resolve her own problems and there is growing recognition by staff and others of her skills and competence. If staff listen carefully and talk quietly Steph can understand most things and they can understand her. By following her plan and using proactive strategies that have been developed, Steph no longer needs to use behaviours of concern to get her needs met.
In: Nursing
1. When engaging with and motivating Nick, problems might arise that require assistance. Provide an example of the type of problem that might occur that could be attributed to the impact of social devaluation and the social model of disability.
2. If a critical incident relating to adverse behaviour was to occur with Nick, how would you respond in accordance with his behavioural support plan and organisational policies and procedures?
3. In consultation with the supervisor, it has been agreed a referral is needed. Describe the referral procedures you will need to follow in regards to Nick’s ongoing support with specialist services. (maximum 40 words)
(Below is Nick's Information)
Nick is a 28yr old man who lives at home with his parents. Nick enjoys physical activity and is an avid supporter of many professional sporting teams including NRL, AFL and Basketball. Seven years ago Nick sustained a spinal cord injury seven years ago which resulted in his decision to return to his parents’ home. Prior to the accident, Nick was a promising footballer with an offer to play in the NRL, was enrolled at university studying physiotherapy and shared a house with two friends. Nick’s parents have extensively renovated their home and Nick has undergone rehabilitation since the accident.
Lately, Nick has become angry and aggressive when people come near him. Nick is witnessing his mates get married, complete their university degrees and a couple have become parents. Nick has lost his motivation; he states all the activities he participates in like bowling and gaming are meaningless. Nick says he has no value in society and often appears stressed. Nick’s mother is concerned about him as when he is not angry he is withdrawn and non-communicative. Nick is resisting assistance with his personal hygiene, is barely eating, has stopped taking his anti-depressants and is isolating himself from his friends by refusing to see them or to go out.
A support worker comes in each morning to assist Nick with showering, dressing, some exercises and to lift him into his chair. At night the same worker helps him prepare for bed and Nick is lifted into bed. During the day his mother is his principal carer and takes him on outings in a modified vehicle.
The worker is concerned for Nick and has suggested to him that he asks his supervisor to meet with him and review his individual behaviour support plan.
In: Nursing
Giving one nursing diagnosis each for an elder patient with vision and hearing problems and give 10 nursing intervention for each with 10 rationales.
In: Nursing
Give 10 nursing intervention with rationale.
Nursing Diagnosis: Disturbed sensory perception related to changes in the eyes due to aging as evidenced by blurring of vision
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NURSING INTERVENTION |
RATIONALE |
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1. 2. 3. 4. 5. 6. 7. 8. 9. 10. |
In: Nursing
1.Teratogens and its effect to pregnancy
2.Danger signs of pregnancy
In: Nursing
Every patient who comes to the medical office deserves to be provided professional, respectful care. They may express concern with the validity of the store bought machines and seek reassurance their testing is correct and reflecting true results. Think about what the patient would need to bring to the office for a complete and accurate comparison. Write a summary of the answer of this scenario;
Scenario: The patient questions the accuracy of the glucose readings obtained using their glucometer. The medical assistant requests that the patient bring their glucometer to the office so the results can be compared with the glucometer used by the clinic.
In: Nursing
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What are Drug-drug or drug-food interactions of Amlodipine? |
In: Nursing
What are all Contraindications and Precautions of the Amlodipine and reasons for the same?
In: Nursing
Part 1
B.W. is a 44-year-old man who presents to the family
practice with complaints of sore throat, hoarseness, and a dry
cough that worsens at night. He states that the cough started 6
days ago, and the sore throat and hoarseness began 3 days ago and
appear to be getting worse The patient has a history of
prediabetes, which is controlled through diet and exercise. Vital
signs are T 99.5, P 58, R 16, and BP 110/55.
1. What subjective information should the nurse
obtain?
2. The nurse is assessing the structures of the oral
cavity. What are the physical features?
The nurse notes that the patient’s teeth are stained
yellow and asks the patient about tobacco use. The patient states
that he chews one bag of tobacco every other day.
3. What health promotion concepts should the nurse
include in the teaching plan?
4.What is the most likely cause of this patient’s
cough, sore throat, and hoarseness?
Part 2
P.A. is a 72-year-old female who presents to the
family practice with her 40-year-old daughter. The daughter states
that her mother has been confused lately, complaining of a
headache, shortness of breath, and coughing. The cough has been
persistent for 6 days, and a fever developed 2 days ago. The
patient states that she is bringing up yellow-green mucus and has a
cough, which gets worse at night. Vital signs are T 100.5, P 88, R
16, and BP 110/55. Lungs are positive bilaterally for wheezing,
positive egophony. A chest x-ray reveals consolidation indicative
of bacterial pneumonia. Labs and culture are pending for specific
antigen. The nurse proceeds with the physical exam of the head,
face, neck, and associated lymphatic system.
1. When performing a review of systems, the nurse
obtains subjective data concerning the patient’s headache. What
specific questions will assist the nurse in determining the cause
of the headache?
The nurse proceeds to palpate the lymph
nodes.
2. Which lymph nodes are located in the
neck?
3. When performing the physical examination, what
objective data should the nurse inspect and palpate for the head
and neck?
4. How might the physical examination vary given the
patient’s age?
Part 3
P.P. is a 4-year-old boy who presents to the
pediatrician’s office with pain in his right ear.
Subjective Data
Mom states that her son woke up in the middle of the
night, crying, 2 nights ago. She gave the child ibuprofen, and he
went back to sleep. Last night he woke up in pain, and he was
inconsolable. She felt the physician should see him.
Attends preschool program
Lives with mother
Father estranged
Objective Data
TM appears inflamed—it is red and may be bulging and
immobile
T = 100.3
Last ibuprofen 3 hours ago
Questions
What other assessments should be included for this
patient?
What questions are appropriate for a patient
presenting with earache?
What risk factors are associated with earaches for
this age group?
From the readings, what is the difference between
otitis media and otitis externa?
From the readings, what is the most probable cause of
the earache in this patient?
What are three nursing diagnoses?
What interventions should be included in the nursing
care plan?
In: Nursing
Age: 85 years
Gender: male
diagnosis: HTN+CHF
Rx
Indapamide 2.5 mg daily
Bisoprolol 5 mg bid
Digoxin 0.25 mg bid
Aspirin 81 mg od
Nifedipine 10 mg od
Note: if bisoprolol not available in your pharmacy , what in the alternative?
according to this prescription find the mistakes, the interaction, dose , the toxicity level , antidotes , the counselling and what the suitable medication for this patient ?
In: Nursing
hypervolemia
a patient was admitted in the medical ward with chief complaints of shortness of breath. Further assessment reveals the following findings
bp 140/90
hr 111bpm
rr 24cpm
plus bipedal edema
bibasilar crackles upon auscultation
the doctor initially ordered furosemide 20mg ampule tiv every 8 hours and the following laboratory test,complete blood count,serum,sodium,serum potassium,blood urea nitrogen
write down 3 priority nursing diagnosis for the patient and create a hypothetical fdar.
what laboratory test may give the hint to the doctor about the oncotic pressure of the patient
In: Nursing
1.Identify a culture and its impact on a healthcare issue.
2. Can nurses administer Oxygen without an MD order? Yes, how much and under what circumstance?
In: Nursing
Please 200 words thanks
Why is calculating tank duration important? In what areas of the hospital or medical care do you think this equation would come in handy?
Please give one example where you think as a respiratory therapist you will use this in your career?
In: Nursing