The herbicide glyphosate kills plants by inhibiting an enzyme needed for synthesis of phenylalanine. Deprived of phenylalanine, the plant cannot make the proteins it needs, and it gradually weakens and dies. Although a small amount of glyphosate is deadly to a plant, its human toxicity is quite low.

(a) Suggest why this powerful herbicide has little effect on humans.

(b) Discuss the chemical properties of Glyphosate as an herbicide.

Describe negligence-related risks when providing laboratory, nutritional, pharmacy, physical therapy, podiatry, radiology, respiratory, chiropractic, dentistry, and podiatric services.

What are your thoughts on the use of alcohol as a self-prescribed treatment to aid with anxiety?

Can this affect the general health or interfere with the prescription drugs of a patient

Basic Pharmacology

Discuss considerations and strategies to manage conflicts. Discuss win-win conflict responses. Elaborate why these responses are considered “win-win” for both parties.

CRITICAL THINKING:

When Robert Powell brings in his very tall 6‑year‑old son, Allen, for an office visit, he says he’s concerned because Allen’s blood pressure recently read in the “high” range when it was measured at a local pharmacy. His wife assures him that their son’s blood pressure is fine, based on past measurements at his yearly physical exams. Robert wants to know if Allen does indeed receive regular blood pressure tests and if he can be rechecked today. What should you tell Robert?

1. Identify risk factors related to alterations in psychosocial integrity.
2. Utilize the nursing process when caring for a client with alterations in psychosocial integrity. To meet the emotional, behavioral and social demands of life.
3. Reinforce teaching using evidence-based resources related to alterations in psychosocial integrity.

How conflict management can be a very challenging aspect of leadership today in healthcare

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

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.

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.

Giving one nursing diagnosis each for an elder patient with vision and hearing problems and give 10 nursing intervention for each with 10 rationales.

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

1.Teratogens and its effect to pregnancy

2.Danger signs of pregnancy

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.