Read the case scenario and apply the FIVE STEPS OF THE NURSING PROCESS.

Identify:

-Three appropriate nursing diagnoses (Problem related to Etiology as manifested by Signs and Symptoms, problem related to Etiology, problem)

-For each nursing diagnosis provide one goal/expected outcome (goal should be SMART)

-Three nursing interventions each diagnosis with scientific rationale (independent, dependent, collaborative)

-One evaluative statement (goal met, goal partially met, goal not met)

Follow the standard format of a nursing care plan.

Levi Yosh is a 36-y/o police officer assigned to a high crime police precinct. One week ago he received a surface bullet wound to his arm. Today he arrives at the outpatient clinic to have the wound redressed. While speaking with the nurse, Mr. Yosh mentions that he has been promoted to the rank of detective and has assumed new responsibilities. He states that since his promotion, he has experienced increasing difficulty falling asleep and sometimes staying asleep. He expresses concern over the danger of his occupation and his desire to do well in his new position. He complains of waking up feeling tired and irritable. During interview the nurse notes that he is pale, drawn with dark circles under his eyes. Temp: 37.0 C Pulse: 80 bpm, Resp: 18cpm, BP: 140/90mmHg

Create a Pathophysiology (concept map) based on the case Scenario

A 56-year-old man with a history of smoking rush to ER with shortness of breath and cough for several days. His symptoms began 3 days ago with runny nose. He reports a chronic morning cough productive of white sputum, which has increased over the past 2 days

Past Medical History
He has had similar episodes each time of raining season for the past 4 years. He always experiences fatigue, worsening cough, increased breathlessness and waking up in the morning with headache.

Family History
(+) Tuberculosis
(+) Hypertension
(-) Cancer
Personal and Social History
He has smoked 1 to 2 packs of cigarettes per day for 40 years and continues tosmoke. He denies hemoptysis, chills, or weight loss and has not received any relief from over-the-counter cough preparations.

Chest x-ray shows hyperinflation and right lobe pneumonia. ABGresults wasPh7.24,PO2-35 mmHg, PCO2 60mmHg, HCO3 30, O2 sat - 85%. Spirometry with FEVI 35%predictedthat does not change significantly after inhaled bronchodilators. ECG was ordered.

Physical Examination:
Took vital signs which are: BP: 130/80, T: 37.5 Celsius, PR:89, RR:30. Examinationdisplayedtachypnea, respiratory distress, use of accessory muscles, and intercostal retraction. Barrel chest is a common observation.

In the video LDI Louise Batz, her daughter mentions 3 reasons preventable medical errors occur and her conviction about the importance of patients and families being an integral part of the healthcare team.

1. As mentioned in the LDI Louise Batz video, how does lack of teamwork, lack of knowledge and lack of technology impact the occurrence of preventable medical errors?
2. How do Human Factors influence healthcare errors? Describe what you have seen in either your professional or personal life.
3. How can patients and their families be included in the healthcare team and how would this impact healthcare?

2. a) Name a relevant POLICY and PROCEDURE to refer to if an intervention was to be included in Tim’s behavioural support plan.

b) Provide an example of an intervention that might be appropriate.

(Below I have included Tim's information for further help)

Tim is a 25-year-old man and is an enthusiastic music festival fan. Every opportunity Tim has to attend a festival he will do so. Tim sustained an acquired brain injury (ABI) when he was 18. He lives in supported accommodation with Indigo Supported Living Services (ISLS) and has four workers who assist him with tasks of daily living (showering, dressing, simple meal preparation, his medication and going on outings).

Tim has an individual support plan that was discussed, agreed and implemented with Tim, his advocate and the service’s supervisor. It is reviewed as needed or every six months as agreed. He lives with epilepsy and when overstimulated is susceptible to having a tonic-clonic seizure. Tim’s support staff are fully trained and competent in the management of Tim’s seizures should they occur.

Tim has limitations to his speech due to his ABI which can be worsened by environmental factors (such as a hot day) resulting in Tim yelling loudly. Staff usually address this by reminding Tim to use his ‘Proloquo2Go’ app on his smartphone as being able to express himself reduces his anxiety. He gets upset if hears someone speaking to him in a patronising manner. Staff are aware of the triggers for Tim and engage appropriate interventions to assist him to manage them.

Tim is looking forward to attending the Falls Festival at Byron Bay. In accordance with the service’s policies and procedures and work health and safety staff have done a risk assessment prior to the visit.

You are attending the Falls Festival with Tim and he is thoroughly enjoying the festival and all the interactive experiences. It is a hot day and there has been a lot of walking around and queuing for the toilet and drinks. Whilst lining up for a snow cone a fellow festival-goer bumps into Tim. Tim is clearly upset by this however you realise quickly what is happening and manage to defuse further escalation by reminding Tim to express himself using the ‘Proloquo2Go’ app, talk to Tim about the next act and remind him about what a great day it has been so far.

After the final act, you realise that Tim’s medication is almost due and whilst you have time you are mindful of getting to the car as quickly as possible to support Tim with it. As you are leaving the tent Tim suddenly drops to the ground and experiences what you recognise to be a tonic-clonic seizure. He has hit his head on the side of the tent pole as he falls and his scalp is bleeding. You note the time and after the seizure has finished (90 seconds) you roll Tim in the recovery position and check his breathing. The security officer witnesses Tim’s seizure and radios for the paramedics who are on-site to come straight to the tent. The Paramedic (Reece Lansdown) commences treatment after it becomes evident Tim is having a second seizure (lasting 45 seconds). After checking with you about allergies and telling Tim what he is doing Reece gives him 30 mg of Diazepam (Valium) intravenously and applies a dressing around his head to stop the bleeding). Reece tells Tim that he will be transporting him to the local hospital for further treatment and asks if he would like you to ride with him.

At the hospital, Tim is seen by Dr Clare van Rooy who stitches Tim’s scalp. Tim is discharged after six (6) hours observation with instructions for dressing changes, a letter for his GP and a referral to Dr Denise Crimmins, Neurologist. All of this is explained to Tim and you check that he understands.

You let Tim know that you have contacted your supervisor Elizabeth Brown at Indigo Community Services and Health Hub and Susan Smith at Indigo SLS as required by Indigo Critical Incident Management policy and procedures.

Elizabeth checks that Tim is not at risk and is ready to return home, praises your responses, asks you to complete an incident report and to tell Tim that she will call to see him in the morning.

In 400 words, make an ethical argument either in support in surrogacy or against surrogacy. Make sure that you support your argument by both ethical principles?

Discuss the ambiguity and conflict in nursing roles required in critical care areas, balancing the biomedical model of care with holistic nursing of patients and families. What societal trends have increased family caregiver stress and burden? All sources must be referenced and cited using correct APA (including a link to the source).

1. Discuss in detail the interrelationship of dietitians with other health professionals in nutritional management of diseases.

2. Discuss food taboos and cultural issues which affect food consumption and how they can be circumvented. (20mks

A 56-year-old man with a history of smoking rush to ER at FUMC with shortness of breathandcough for several days. His symptoms began 3 days ago with runny nose. He reports a chronic morning cough productive of white sputum, which has increased over the past 2 days

Past Medical History
He has had similar episodes each time of raining season for the past 4 years. He always experiences fatigue, worsening cough, increased breathlessness and waking up in the morning with headache.
Family History
(+) Tuberculosis
(+) Hypertension
(-) Cancer
Personal and Social History
He has smoked 1 to 2 packs of cigarettes per day for 40 years and continues tosmoke. He denies hemoptysis, chills, or weight loss and has not received any relief fromover-the-countercough preparations.

Chest x-ray shows hyperinflation and right lobe pneumonia.
ABG results wasPh7.24,PO2-35 mmHg, PCO2 60mmHg, HCO3 30, O2 sat - 85%.
Spirometry with FEVI 35% predicted that does not change significantly after inhaled bronchodilators. ECG was ordered.
Physical Examination:
Took vital signs which are: BP: 130/80, T: 37.5 Celsius, PR:89, RR:30.
Examination displayed tachypnea, respiratory distress, use of accessory muscles, and intercostal retraction. Barrel chest is a common observation
1.Conceptualize the pathophysiological alterations distinct to the case (flow chart) and explanation.

Read about a number of health care delivery systems throughout the world. Using research with three evidence-based, peer-reviewed resources, the final step in understanding each health care system is evaluating its effectiveness for the population it serves. In this 2–3-page evaluative essay, excluding the title page and reference page, you will discuss:

1. An introduction to the health care system you have chosen to evaluate (any country excluding the U.S.’s healthcare system) (1 paragraph)
2. The population’s access to health care (1 paragraph)
3. The type of health care delivery system (i.e., publicly funded, private, single payer, etc.) (2–3 paragraphs)
4. The effectiveness of the healthcare system for the population (3–4 paragraphs)
5. A brief comparison to the U.S. healthcare system (may use a simple chart or table)
6. Conclusion (1 paragraph)

Note: The number of paragraphs is a suggestion, not a requirement, and the evaluative essay should be continuous writing with a sustained point of view. Learner autonomy can be used to develop the amount of content you include within the page limitations of the Assessment.

You must include at least three evidence-based, peer-reviewed resources to support your ideas. These include .gov and .org professional websites, journal articles, and your textbook(s).

Read about a number of health care delivery systems throughout the world. Using research with three evidence-based, peer-reviewed resources. IN A 3-4 PAGE PAPER,CHOOSE ONE COUNTRY (EXCLUDING UNITED STATES OF AMERICA) AND ANSWER THE QUESTIONS THAT FOLLOW.

PLEASE INCLUDE INTEXT CITATIONS AS WELL AS REFERENCE LIST

1. An introduction to the COUNTRY health care system you have chosen to evaluate (any country BUT the U.S.’s healthcare system) (3 paragraphS MINIMUM)
2. The COUNTRY'S population’s access to health care ( 2 paragraphs MINIMUM)
3. The type of health care delivery system THE COUNTRY HAS (i.e., publicly funded, private, single payer, etc.) (3–4 paragraphs)
4. The effectiveness of the COUNTRY'S healthcare system for the population (4–5 paragraphs)
5. A brief comparison OF THE COUNTRY'S HEALTHCARE SYSTEM to the U.S. healthcare system (may use a simple chart or table)
6. Conclusion (1 paragraph)

Questions are applied for the following drugs: prazosin, atenolol, labetalol, celiprolol. clonidine

Molecular target(s) of the drug?

Is the drug a receptor agonist? If yes, what receptor(s)?

Is the drug a receptor antagonist? If yes, what receptor(s)

Does the drug cause vascular smooth muscle contraction or relaxation?

Will the drug inhibit a vascular smooth muscle contraction induced by phenylephrine?

If yes, the action via which one of the following three mechanisms:

(1) the drug inhibits the binding of phenylephrine to its receptor; OR

(2) the drug inhibits the signal transduction induced by phenylephrine; OR

(3) the drug causes vasodilation.

Will the drug inhibit a vascular smooth muscle contraction induced by angiotensin II?

If yes, the action via which one of the following three mechanisms:

(1) the drug inhibits the binding of angiotensin II to its receptor; OR

(2) the drug inhibits the signal transduction induced by angiotensin II; OR

(3) the drug causes vasodilation.

Hello can you healp me with this question and provide the references also:

2. Despite increases in funding, explain why in Australian Indigenous health outcomes are still an issue? Provide examples to illustrate your points.

A high level response should identify where there has been increase s in funding to Australian Indigenous health, before discussing how and why this remains an issue. A high level response will draw on examples to support your claims.

Answer and explain the choice of your answer.

James 28-year-old has a history of multiple unprotected sexual partners comes to clinic because of low-grade fever and rash. He also complained of recurrent fatigue, headache, malaise and sore throat for almost two years. Physical examination reveals 38.9 grade fever, mucosal ulceration, inflamed tonsils and mild lymphadenopathy. Rashes on his face, lower and upper trunk is also present.

            Laboratory results showed anemia (hematrocrit 37%) with marked decrease in total white blood cell count and absolute lymphocyte count.

Which of the following is most likely the diagnosis?
a) acute HIV
b) latent HIV
c) HIV infection
d) AIDS

If James is suspected of retroviral infection, which of the following is the most appropriate laboratory test to aid in the diagnosis?
a) Cell culture
b) Enzyme Immunoassay
c) Western Blot
d) Nucleic Acid Test

Marked decrease in total white blood cell count in this disease is a result of which of the following mechanisms?
a) defective cell-mediated immunity
b) leukopenia
c) helper T cell destruction
d) apoptosis

1. A 9-year old female presents with her mother complaining of a dry cough that “wakes up everyone in the house” each night for the last 2 weeks. Denies prior hx of the same.

What could be the review of system (ROS) in soap charting.?