At 22/6/2020, Fatma is 31 years old, case of SCD with VOC during pregnandes (scd on Aspirin /peniclin prophylaxis /follc add), currently pregenant at 33 weeks, cames with rt knee joint pain since last night, bothg legs lookes normal, no swelling , no redness, took paracetmol with no improvement, no traum, no bites or Injuries.No SOB, no breathing difficulty, gdm on metformin 500 mgs bid, good fetal movement.
She admission at 7.6.2020 with severe aneamia ,hb was 5.6g/dl pt redeved 2pints of blood discharge on hb 9.
Pregnancy History...
Gravida 3
Surgical History...
Operated on 23/08/16 for g3 p2 preg 36 5 week with previous 2 cs (Lower segment caesarean section). Operated on 13/10/12 for 37 wks   k/c/o scd with (Lower segment caesarean section). Operated on 16/03/10 for primi 37ws scd Iscs for npol LS.CS (Primary}.
Plan:
Invistigation, rehyderation,analgesia, admission at gyne ward
thromboprophylaxis ,antibiotic, vitals monitoring, Intermittent ctg,
physian reffereal (1031) Informed, bsp inform, If needed

Part- 1
1. Analyze and specify the physical and psychological needs for this client? 2. Address the subjective and objective data included in the scenario? 3. Discuss the therapeutic management modalities provided to this client? 4. List the prognosis of this lady and possible complications and how to prevent it? 5. Write one priority nursing care plan and specify the appropriate nursing care should be provided for this client? 6. Specify health education instruction to be conveyed to this lady prior discharge?

Part-2
Discuss the following pharmacological management and justify if it is safe administration for a client suffers from GDM & SCD antenatally and postnatally (information should include the following information, classification, mode of action, indication, pregnancy category, nursing responsibility and a justification for its usage or not to the giving client)

1. Tramadol    2. Metformin 3. Heparin 4. Acetyl salicylic acid 5. Phenoxymethyl penicillin

Make 3 predictions about US healthcare and how it will look in 10 years.

Which nursing theory relates to RN delegation to an Unlicensed Assistive Personnel?

In 75-100 words, explain: how does trauma impacts physical health?

True or False. Athletes will gain no physiologic advantage by breathing pure oxygen.

True or False. Gradually increasing frequency, intensity, and duration of physical activity is a safe way to improve physical fitness.

True or False. It is possible to be physically fit but in poor health.                         

True or False. Scientific studies have found that gravity inversion equipment offers significant therapeutic benefits.                

True or False. The health food industry traditionally opposes consumer protection laws.  

True or False. Energy bars and sports drinks offer an easy and inexpensive way to provide energy during physical activity.                  

True or False. Experts now advise obese people to emphasize physical fitness rather than "dieting."                       

True or False. The terms natural, organic, and health food are often used interchangeably.                             

True or False. Glucose is the basic form of food energy for life.

True or False. Fat substitutes have not been proven effective for the treatment of obesity

True or False. Weight loss of more than one to two pounds a week can be hazardous to health.         

True or False. Calcium supplements may be advisable for postmenopausal women.

True or False. Supplements may be appropriate for individuals who are unable or unwilling to eat a balanced diet.

In healthcare, issues involving patient care can be complex and the 'right' answer to a problem may either be difficult to discern or may simply be the 'least bad' choice of possible alternatives. For this assignment, you will identify and present an ethical dilemma. You will conduct research and present both sides of the issue in a point/counterpoint format to demonstrate that both sides of some ethical issues can be defended based on ethical theories or principles.

1. Identify an area in healthcare management that presents an ethical dilemmas.

2. Research perspectives on the dilemma identified.

3. Provide a counter-point argument; explain the conflicting perspectives on the identified dilemmas.

4. Once you have completed the point/counter-point, determine which ethical theory or principle is the best ethical choice for the dilemma. Defend your answer with supporting evidence, relevance of understanding your personal values framework, and sound logic.

1. A child with cerebral palsy is discharged from the hospital, where he has been receiving treatment for pneumonia. Home health care nurses through a local agency are to help the family administer intravenous antibiotic therapy and to monitor the child’s health status.
   1. As the home health nurse assigned to the child what should your nursing assessment include.
   2. In this situation what are some nursing interventions that will help ensure family centered care?
   3. When this child is stable and can go back to school what will be the role of the school nurse in caring for this child?

Ms. Espinoza is a 90-year-old Hispanic female admitted to the hospital from her assisted living facility. She has a history of hypertension and dementia and had a stroke and a myocardial infarction 3 years ago. She has also had insomnia for the past month. Ms. Espinoza is admitted due to an alteration in her mental status. She has had a cold and a cough for a week, for which she took Coricidin (acetaminophen and chlorpheniramine) and Tylenol PM (acetaminophen and diphenhydramine). Her home medications
include monthly Nascobal (vitamin B12) injections; Toprol-XL (metoprolol succinate), 100 mg daily; Plendil (felodipine), 10 mg daily; Allegra (fexofenadine), 180 mg daily; Ecotrin (aspirin EC), 325
mg daily; and Colace (docusate sodium), 100 mg daily. She also has a very unsteady gait.
Ms. Espinoza’s admitting diagnosis is pneumonia. The physicians order the following medications: Lasix (furosemide), 20 mg IV push, x1; Pepcid (famotidine), 20 mg bid; Ecotrin (aspirin EC), 325 mg daily; Toprol-XL (metoprolol succinate), 100 mg daily; Colace (docusate sodium), 100 mg daily; Allegra (fexofenadine), 180 mg daily; Levoquin (levofloxacin), 250 mg daily IVPB; Plendil (felodipine), 10 mg
po daily; and Ambien (zolpidem), 5 mg at bedtime as needed.

Questions

1. Which medication(s) may have contributed to Ms. Espinoza’s altered mental status? Make a drug study of all the medications taken by Ms. Espinoza.

2. In addition to the drug regimen, does Ms. Espinoza have other risk factors for altered mental status?

3. Would you alter her drug regimen? Does Ms. Espinoza have any risk factors for altered mental status?

Make up a holistic alter-ego "Ideal" alter-ego

give him or her a name, and then describe his or her qualities,looks,strenghts, and how he or she goes about living a healthy, well-balanced life.

. A 5-month-old infant who was born at 24 weeks gestation is ready to be discharged from the NICU. She will be going home on oxygen, gastrostomy tube feedings, and eight medications. Develop a teaching plan for the family

1. Why do individual and household level livelihoods matter when considering social vulnerability and capacity?

Twins Silvia and Lynette are now 6 years old. Time has flown for parents Brett and Brenna. Raising twins is an adventure for sure. While identical in appearance at birth, the twins have always had unique personalities, and now they're developing into their own little people. Silvia, who seemed to grow on air for a good chunk of her toddler years, is now the taller of the two, while Lynette is the one with the smaller appetite at the moment. Both girls have thinned out in the last few years, which Brenna and Brett attribute to their nonstop playing.

1. Silvia begins to put on a little more weight and, about a month later, Lynette follows the same trend. Their bodies are increasing in body fat percentage. It is not drastic, neither parent is alarmed, and they feel it is normal and want to support a healthy body image for both girls. The increase in body fat that occurs around 6 years of age and prepares the body for the changes of adolescence is known as ____________.

a. BMI rebound

b. weight rebound

c. structural maturation

d. adipose restructuring

e. developmental stores

2. Brenna and Brett are amazed at how fast the girls have grown. Since both parents work full time, they feel like sometimes they are not doing enough to provide proper nutrition for the girls. Brenna has the girls drink a cup of milk with dinner to ensure they are at least getting some calcium. However, a cup of milk has only about 300 mg of calcium, which Brenna feels is below the recommendation. What is the recommendation of dietary calcium per day?

a. 100 mg/day

b. 1000 mg/day

c. 1300 mg/day

d. 10 mg/day

3. Brenna comes home after a long shift at work. Not only did she have an employee quit unexpectedly, she also had to deal with stressors from her boss wanting her to get ahead of another project. At home, she walks in the front door to yet another unforeseen stressor: the girls run up to her asking to go out to lunch. Brett informs Brenna that the girls have seen multiple commercials for pizza and now are dying to go out and eat pizza.

True or False: Advertisements to children can have an impact on food preference.

a. True

b. False

4. At first, Brenna and Brett were happy to see that the girls had gained weight to be within a healthy weight range. Over the past year, however, they have noticed that the girls have been especially picky in foods that they will eat, mostly gravitating towards fast foods and processed foods.

True or False: Based on their recent weight gain, Sylvia and Lynette are exceeding total calories, which is common for children ages 6 to 11.

a. True

b. False

5. Oh no! Lynette has proven the statistic that one in two children ages 6 to 9 will develop dental decay in their primary or permanent teeth. She has a cavity at their latest dental appointment that requires a filling. Fortunately, it's not in a permanent tooth. What can Brett and Brenna do to help ensure that neither of the girls get any more cavities?

a. Brush teeth immediately after having gummy or sticky foods.

b. Choose snacks that are a combination of carbohydrates, proteins, and fats.

c. Have regular meal and snacks times instead of continual snacking throughout the day.

d. Rinse or brush teeth after eating.

e. All of these are correct.

6. While neither parent is worried about the girls' recent weight gains, they are being mindful to watch for any signs that the girls are gaining too much weight. While healthy food is the norm in their household, the girls are in control of their own intake while eating out, such as at school events and at their grandparents' house.

True or False: Beyond consumption of healthy and unhealthy foods, the American Academy of Pediatrics recommends that children have no more than 2 hours of screen time daily to reduce their amount of sedentary time.

a. True b. False