Use the scenario below (Stephanie) to complete the following Antecedent Behaviour Consequence (ABC) form to record what happened before, during and after the behaviour of concern in 10 – 40 words.

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.

Describe independent and collaborative procedures for creating a course syllabus.

graphic organizer of 13 patients bill of right with description and example

Discuss the role of ethics in regulating the provision of complementary medicine treatments and products and their place in the regulatory environment surrounding complementary medicine?

Consider the following hypothetical scenario:

Mary has been using the bark from the weeping willow tree in her garden for many years to treat aches and pains. When she was very young, she had heard from someone that willow bark could be a useful anti-inflammatory and decided to experiment with the bark herself. Over many years, she came up with a method of steeping the bark to produce a tea that tastes good, and in her view, is very effective. She now provides people in her neighborhood with her special tea upon request. At their encouragement, Mary decides to sell her tea in a dried form online. With the help of a friend she sets up a website and markets her ‘Mellow Willow’ tea as a ‘Gentle, miracle cure for sports injuries and arthritis’.

Provide an analysis of whether there are any legal or ethical limitations on Mary’s ability to sell her product in this manner.

Interview and make assessment of an one older adult and identify if there will be possible impairment problem regarding sensory and explain your findings, give at least 4 nsg. diagnosis and 10 nsg. interventions with rationale.

Topic: why parents shouldn't refuse vaccine for their children.

1. what is the ethical dilemma
2. conflict in ethical principles? (autonomy, beneficence, nonmaleficience, justice, fidelity, and veracity)
3. possible outcomes
4. resolving the dilemma

Topic: why parents shouldn't refuse vaccine for their children.

1. what are the ethical principles-
Autonomy:
Beneficence:
Nonmaleficience:
Justice:
Fidelity:
Veracity

1. Define 5-character features of hydrogel that could affect either their performance to be used in stenting systems, their delivery to the tissue, and their ability to enable controlled drug delivery.
2. Define a specific hydrogel matrix and drug target for a metallic stent system. Provide the relevant rationale for the selections.

1. How does evidence-based practice influence and improve nursing care? (Not more than 150 words)

1. What steps are used to evaluate the evidence within clinical practice guidelines?

Case Study

Amnah is a 55-year-old female patient who has been admitted to the medical ward with acute shortness of breath, chesty cough, wheezing and chest discomfort. Amnah’s vital signs were: SpO2 82% on room air, BP 150/90 mmHg, Pulse 110 beats/min, RR 28 breaths/min, and Temperature 38.7 °C. Amnah has a history of COPD and hypertension for 15 years. She was also diagnosed with heart failure 2 years ago. While doing the physical examination, the patient seemed to use her accessory muscles and have cyanosis in the lips and nose. She also started to get mixed up during the nursing assessment as she could not figure out that she was in the hospital. Amnah also complaint of weakness and fatigue and her lower limbs were very edematous. After a medical review, ABG was taken, CXR was done and venous blood samples were sent for complete blood count, chemistry and culture and sensitivity. Amnah’s lab results were as follows:

Based on the medical review and the diagnostic tests results, Amnah was mainly diagnosed with impaired respiratory functions. She was also found to have some cardiac and renal abnormalities. The doctor ordered immediate treatment and requested very close monitoring of Amnah.

1. Amnah’s doctor has commenced her on immediate treatments. Give five types of the medical treatments that could benefit Amnah?

Case Study

Amnah is a 55-year-old female patient who has been admitted to the medical ward with acute shortness of breath, chesty cough, wheezing and chest discomfort. Amnah’s vital signs were: SpO2 82% on room air, BP 150/90 mmHg, Pulse 110 beats/min, RR 28 breaths/min, and Temperature 38.7 °C. Amnah has a history of COPD and hypertension for 15 years. She was also diagnosed with heart failure 2 years ago. While doing the physical examination, the patient seemed to use her accessory muscles and have cyanosis in the lips and nose. She also started to get mixed up during the nursing assessment as she could not figure out that she was in the hospital. Amnah also complaint of weakness and fatigue and her lower limbs were very edematous. After a medical review, ABG was taken, CXR was done and venous blood samples were sent for complete blood count, chemistry and culture and sensitivity. Amnah’s lab results were as follows:

Based on the medical review and the diagnostic tests results, Amnah was mainly diagnosed with impaired respiratory functions. She was also found to have some cardiac and renal abnormalities. The doctor ordered immediate treatment and requested very close monitoring of Amnah.

1. Amnah was diagnosed with health issues other than respiratory. Identify two of these issues and give one diagnostic finding for each?

Case Study

Amnah is a 55-year-old female patient who has been admitted to the medical ward with acute shortness of breath, chesty cough, wheezing and chest discomfort. Amnah’s vital signs were: SpO2 82% on room air, BP 150/90 mmHg, Pulse 110 beats/min, RR 28 breaths/min, and Temperature 38.7 °C. Amnah has a history of COPD and hypertension for 15 years. She was also diagnosed with heart failure 2 years ago. While doing the physical examination, the patient seemed to use her accessory muscles and have cyanosis in the lips and nose. She also started to get mixed up during the nursing assessment as she could not figure out that she was in the hospital. Amnah also complaint of weakness and fatigue and her lower limbs were very edematous. After a medical review, ABG was taken, CXR was done and venous blood samples were sent for complete blood count, chemistry and culture and sensitivity. Amnah’s lab results were as follows:

Based on the medical review and the diagnostic tests results, Amnah was mainly diagnosed with impaired respiratory functions. She was also found to have some cardiac and renal abnormalities. The doctor ordered immediate treatment and requested very close monitoring of Amnah.

1-You are the nurse looking after Amnah. Explain five immediate nursing interventions?

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