Describe independent and collaborative procedures for creating a course syllabus.
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graphic organizer of 13 patients bill of right with description and example
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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?
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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.
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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.
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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
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Topic: why parents shouldn't refuse vaccine for their children.
1. what are the ethical principles-
Autonomy:
Beneficence:
Nonmaleficience:
Justice:
Fidelity:
Veracity
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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:
|
Chemistry |
Patient Value |
Normal Values |
ABG & CXR |
|
Sodium |
148 |
136-146 mmol/L |
pH 7.25 PaO2 49mm Hg PaCo2 58mm Hg HCO3 27mEq/L |
|
Potassium |
4.4 |
3.5-5.3 mmol/L |
|
|
Chloride |
106 |
98-108 mmol/L |
|
|
BUN |
68 |
7-22 mg/dl |
|
|
Creatinine |
1.66 |
0.7-1.5 mg/dl |
|
|
Blood culture and sensitivity |
streptococcus pneumoniae |
CXR: opacity of right lower loop with consolidation and pleural effusions with cardiomegaly |
|
|
Calcium |
7.8 |
8.9-10.3 mg/dl |
|
|
Phosphorus |
10.4 |
2.6-6.4 mg/dl |
|
|
Alkaline Phosphatase |
321 |
30-110 IU/L |
|
|
Hemoglobin |
14.5 |
14-17 gm/dl |
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?
In: Nursing
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:
|
Chemistry |
Patient Value |
Normal Values |
ABG & CXR |
|
Sodium |
148 |
136-146 mmol/L |
pH 7.25 PaO2 49mm Hg PaCo2 58mm Hg HCO3 27mEq/L |
|
Potassium |
4.4 |
3.5-5.3 mmol/L |
|
|
Chloride |
106 |
98-108 mmol/L |
|
|
BUN |
68 |
7-22 mg/dl |
|
|
Creatinine |
1.66 |
0.7-1.5 mg/dl |
|
|
Blood culture and sensitivity |
streptococcus pneumoniae |
CXR: opacity of right lower loop with consolidation and pleural effusions with cardiomegaly |
|
|
Calcium |
7.8 |
8.9-10.3 mg/dl |
|
|
Phosphorus |
10.4 |
2.6-6.4 mg/dl |
|
|
Alkaline Phosphatase |
321 |
30-110 IU/L |
|
|
Hemoglobin |
14.5 |
14-17 gm/dl |
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?
In: Nursing
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:
|
Chemistry |
Patient Value |
Normal Values |
ABG & CXR |
|
Sodium |
148 |
136-146 mmol/L |
pH 7.25 PaO2 49mm Hg PaCo2 58mm Hg HCO3 27mEq/L |
|
Potassium |
4.4 |
3.5-5.3 mmol/L |
|
|
Chloride |
106 |
98-108 mmol/L |
|
|
BUN |
68 |
7-22 mg/dl |
|
|
Creatinine |
1.66 |
0.7-1.5 mg/dl |
|
|
Blood culture and sensitivity |
streptococcus pneumoniae |
CXR: opacity of right lower loop with consolidation and pleural effusions with cardiomegaly |
|
|
Calcium |
7.8 |
8.9-10.3 mg/dl |
|
|
Phosphorus |
10.4 |
2.6-6.4 mg/dl |
|
|
Alkaline Phosphatase |
321 |
30-110 IU/L |
|
|
Hemoglobin |
14.5 |
14-17 gm/dl |
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?
1.
2.
3.
4.
5.
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Part 1.
Write a Reflection Paper about "Fluid Imbalances".
Part 2.
Make plan of care or interventions to address the following
possible nursing diagnoses associated with AKI and ESRD.
a. Fluid volume excess
b. Decreased cardiac output
c. Impaired tissue integrity: renal
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