Baxter, 39 with unexplained weight loss, treated for hyperthyroidism.

Recently married with 1 child. Lives with family in a private home. Employed as a night worker in a factory. Pays out of packet for health services. Resides in zip code 11233

A client scheduled for discharge back to their community New York, Brooklyn, Zip code 11233 from the acute care setting. As the Community Health Nurse assigned to be the Case Manager for this client, you will be required to prepare a discharge plan of care for the client (template provided). Plan of care must focus on Primary, Secondary and Tertiary levels of prevention for management of the client while in the community, resources and knowledge of the resources available within the community. Students provided with a discharge plan template.

Points allotted as follows:

• Identification of 3 Priority Nursing Diagnoses for care in the community – 12%
• Identification of Primary, Secondary and Tertiary levels of prevention appropriate for age, gender and diagnosis – 6%
• Setting S.M.A.R.T objectives for continuity of care in the community setting – 2.0%
• Using the Function Health Status Approach to Community Health Assessment (Chapters 11 and 13), identify the health care agencies within the community ( 11226) that you would most likely collaborate with to ensure that your client receives optimal care in the community setting – 5.0%

As the Community Health Nurse for this client, use the Functional Health Status Approach method for Community Assessment list the agencies available in the zip-code area to facilitate partnering for care of the individual in their community:

Alcohol intervention scripts are based on motivational interviewing principles and are often designed to assist the at-risk or problem drinker in cutting down on alcohol use.

True

False

Can you describe the health seeking behaviors of Filipinos and how they relate to vaccination?

. Have you been a member of a group in which there was conflict? Describe the group, what occurred, your role in the situation, and the resolution, how did you feel about the experience, could something have been done to prevent the conflict,  were you satisfied with the resolution.  If not, what could have been done to reach a better resolution.

discuss how the Affordable Care Act changed the staffing needs of health care organizations. Give specific attention to hospitals and primary care services. Also, include human resources concepts related to fulfilling those staffing needs.

Are the programs of DOH successful in promoting immunization in the Philippines? Why or why not?

List the anatomic alterations of the lungs associated with pneumothorax

Describe the causes of pneumothorax

List the cardiopulmonary clinical manifestations associated with pneumothorax

Describe the general management of pneumothorax

Cloning

What are the potential outcomes of this innovation for patients, the health care system, the costs of health care, and health providers?

What is the relationship between vaccination rates and disease rates? And How did vaccination become a widespread practice?

J.H. is a 5-week-old infant brought to the emergency department (ED) by his mother, who speaks little English. Her husband is at work. She is young and appears frightened and anxious. Through a translator, Mrs. H. reports that J.H. has not been eating, sleeps all of the time, and is “not normal.”

J.H. is admitted to the medical unit with the diagnoses of meningitis and rule out sepsis. The ED physician
gives the orders shown in the chart.
Chart View
Emergency Department Orders
CBC with differential
Blood culture
CMP
UA
Cerebrospinal fluid (CSF) for culture, glucose, protein, cell count (following lumbar
puncture)
Ceftriaxone (Rocephin) 260 mg IV now (loading dose)
Acetaminophen (Tylenol) 50 mg suppository per rectum for irritability

J.H. is diagnosed with Escherichia coli meningitis. His medical care plan will include 14 to 21 days of antibiotic
therapy. You are developing his nursing plan of care. Mrs. H., through her translator, asks you what could have caused her baby to be sick, given that he had an immunization when he was born. She asks whether he should get “more shots” so this won't happen again. You reinforce to Mrs. H. that infants have immature immune systems, and they are vulnerable to infections until they have been fully immunized.

Write a end of shift SBAR report.

Since the primary care clinic is just starting to measure performance, you don’t want to overwhelm them with too many different measures. So you decide to select one structure measure, two process measures, and two outcome measures. Do some research on the Internet if you are unfamiliar with the types of patients and conditions seen in a primary care clinic.

Post your measures organized as a table (see below) and explain why you chose these measures

Working as a member of an interprofessional team is an important aspect of the Registered Nurse. Teamwork and collaboration have been proven to have a positive impact on safe, quality, and client care. Effective communication helps to decrease risk of client injury and increase continuity of care.

Give an example of experience(s) with practices that include health care teamwork and communication, and how working together made a positive impact.

• What areas are nurses strong in their knowledge and/or experience?
• What explain what are the most common weakest knowledge and/or experience of nurses today?

Evaluate a reaction that uses multiple water-soluble vitamins and their derivatives. While you are evaluating include which part of the reaction mechanism that these vitamins or vitamin derivatives mechanistically contribute.

Create a possible ethical dilemma relating to your chosen field. For example: You are a Medical Assistant and your supervising physician consistently asks you to perform procedures that you are not trained for. Or, you are a Medical Biller and your supervisor has asked you to overbill certain procedures because the clinic that you work for is in financial trouble. Using the 7 Step Decision Making Model, apply the facts of your dilemma.