Discuss the clinical manifestations and management regarding the Celiac disease.

Make sure to focus on malabsorption, nutritional needs, and food choices.

The main challenges being the standardized nursing terminology and benefits?

what is this contraction strip called?

how has state law quantified racial identity and describe the impact??

Describe all three characters, Louise Mallard( The Story of an Hour). Emily Grierson (A Rose for Emily). and Tessie Hutchinson (The Lottery).

There are numerous challenges in healthcare. One of the biggest issues right now is lack of talented/qualified staff. For example, in the dental field, hygienists were fairly plentiful and assistants were in short supply. Now, hygienists are critically low - why? - COVID - hygienists are leaving the field because of the additional stress, they don't want to have to wear all of the Personal Protective Equipment required by the Board of Dentistry and the additional patient screening, etc. Some of it is fear based, comfort level or just the unknown. In any case, the reality is a shortage of hygienists.

Now we must get on the solution end and figure out how to recruit, how to keep our current employees content and look to the future with optimism.

Thoughts?

If you were a nutritionist and worked in a hospital in the cardiac unit and discovered that many 30 day readmissions were from Long Term Care Facilities where liberalized sodium diets are considered quality of life for these patients what would you do?

Stephanie, age 7, was brought to the hospital with fever, fatigue, bone pain, sore throat, and bruising apparent in many places in her body. On examination, there was an enlargement of the spleen and liver. She is diagnosed with an Innate Immune defect.

1. What lab tests would you ask to be done?

2. What are the possible results that you expect to see in these lab results (if needed provide numbers)?

3. How would Melody be treated according to your diagnosis?

4. Could this illness have been prevented?

Create a diagram that maps the complexities of a health care issue and the many variables that influence it like the national issue of the COVID in the hospital environment.

case study :

Mr. Green, is 79 years of age and lives at home with his wife Ruby. Mr. Green has been finding daily living activities difficult; Mr. Greens’ General Practitioner has recently diagnosed him with Rheumatoid Arthritis and Sjorgren’s syndrome.

Mr. Green, in his working life was a carpenter and still tries to make his own home repairs around the family home for the last 50 years and at the local elderly citizens club which Ruby and he attend. Up until recently, he was making dolls houses for underprivileged girls; lifting the power tools has become hard on his hands and he cannot stand for long periods of time. Mr. Green states that most of the time he has some degree of pain in his hands, shoulders, hips and knees. He has noticed Ulnar deviation is observed in both hands. The joints of the hands, knees, and feet are oedemateous. Morning stiffness lasts about an hour. His doctor has prescribed him Osteo panadol which he takes 4 times a day which he now believes is not holding the pain to a level he can cope with. He is also taking other medications such as Caltrate 600mg daily and Vitamin D 25mcg daily, Indomethacin 50mg daily. Isopto Carpine 2 drops in both eyes BD. He has admitted to his community nurse who visits them both once a week that at times he cannot open his Webster pack of medications and squeezing the eye drops for his Sjorgens; due to the pain in his finger joints and often misses doses for himself and his wife’s medications as he manages her medications too.

Mr. Green cannot manage his showering or making the bed till at least 10.00am. He is finding as the months go on, the less he manages to do and the longer it takes.

Mr. Green is also concerned for his wife’s health as Mrs. Green is becoming more confused, leaving him to prepare and cook their meals, clean and vacuum and do the washing. Mr. Green, witnessed Ruby put their electric kettle onto the gas stove, where he had to intervene to avoid a fire. Mr. Green does not drive his beloved Commodore anymore and has relinquished his licence due to his slowness and pain. He cannot always get to his Doctor, Pharmacy or supermarket to get the necessary supplies they both need and thinks he could not carry anything anyway with his hands.

The Greens have two adult sons who have left home and established their own families, neither of whom lives within the area.

He wants to ask his sons, but they live too far away and the grandchildren keep the sons busy at the weekends with their sporting activities.

Ruby

Ruby will need to undergo a series of screening tests

The GP may ask you to complete the General Practitioner Assessment of Cognition (GPCOG) tool with either Mr. Green or Ruby or both of them. This test can be done online apart from the clock drawing test.

The results of this testing indicate that further tests are warranted before a diagnosis. The GP refers Ruby to the local Cognitive Dementia and Memory Service (CDAMS) clinic.

AT cognitive dementia and memory services ( CDAMS ) patient is introduced to dementia pathways tool .

As a part of the referral the CDAMS requires a range of tests and investigations to be completed and compiled. As practice nurse you are required to follow up and collate this information for the referral.

1. List the information requirement for the referral

1. Why has this pathway been developed?

2. How useful is this tool for you as a practice nurse?

3. Although this tool has been developed with the Grampians Region in mind how useful is it for guiding practice nurses in other regions of Victoria and Australia? Discuss how you could use this tool when working in Primary Health settings with people undergoing the process of being diagnosed with dementia?

Your GP’s use the MMSE( mini mental )  examination. As a practice Nurse you have been asked to evaluate the two instruments available the MMSE and GPCOG( general practitioner assessment of recognition )   how would you go about this?

Create an essay about

"Should you be checking your own oxygen levels if you have coronavirus symptoms?"

Explain and give further details about this timely issue, at least 300 words.