Client Profile

Betty, a 50-year-old woman, came to this country with her parents when she was 7 years old. The family members worked as migrant farmworkers until they
had enough money to open a restaurant. Betty married young. She and her husband worked in the family restaurant and eventually bought it from the parents.
They raised seven children, all grown and living on their own. Betty and her husband live in a mobile home close to the restaurant. She does not work in the family
restaurant anymore because she worries excessively about doing a poor job. Betty no longer goes out if she can help it. She stays at home worrying about how she
looks, what people think or say, the weather or road conditions, and many other things. Betty is not sleeping at night and keeps her husband awake when she roams
the house. She keeps her clothing and belongings in perfect order while claiming she is doing a poor job of it. She does not prepare large family dinners anymore,
though she still cooks the daily meals; one daughter has taken over the family dinners. This daughter has become concerned about Betty being isolated at home and
worrying excessively and calls the community mental health center for an appointment for Betty.

Case Study

Betty presents at the community mental health center accompanied by her husband, her children and their spouses, several grandchildren, and a few cousins.
When Betty's name is called and she is told that the nurse is ready to see her, she frowns and says: "What will I say? I don't know what to say. I think my slip is showing. My hem isn 't straight." Betty says she wants her whole family to go in to see the nurse with her. The nurse notices that Betty is extremely well-groomed and dressed in spite of concerns she has been voicing about her appearance. Before the psychiatric nurse interviews Betty alone, she hears from the daughter that Betty "worries all the time" and although she has always been known to be a worrier, the worrying has become worse over the past six or eight months. The husband shares that his wife is keeping him awake at night with her inability to get to sleep or stay asleep. The nurse interviews Betty alone. The nurse notices that Betty casts her eyes downward, speaks in a soft voice, does not smile, and seems restless as she taps her foot on the floor, drums her fingers on the table, and seems on the verge of getting out of her chair. Themes in tl1e interview include: being tired, getting tired easily, not being able to concentrate, not getting work done, trouble sleeping, worrying about whether her husband loves her anymore and whether she and her husband have enough money, and not having the energy to attend to the housework or her clothing. The nurse has the impression that Betty's anxiety floats from one worry to another. There is no convincing Betty that she looks all right. Any attempt to convince her that she need not worry about something, in particular, leads to a different worry before coming back to tl1e earlier worry. The community mental health psychiatrist examines Betty and, after a thorough physical examination and lab studies, finds nothing to explain her fatigue and difficulty sleeping other than anxiety. Betty produces her medicine bottles and says she is currently taking only vitamins, hormone replacement, and calcium. The psychiatrist asks the nurse to contact Betty's family health care provider to get information on any medical or psychiatric conditions he is treating her for; the report comes back that she has no medical diagnoses and the family health care provider thinks she suffers from anxiety. The psychiatrist prescribes buspirone (BuSpar) for Betty. Two weeks later, during a home visit to Belly, the nurse learns, with some probing, that Betty is upset with her husband for loaning all their savings to the daughter and her husband to build a new home, while they continue to live in an older mobile home. At the end of the n nurse's home visit, Betty's daughter arrives and tells the nurse that she wonders iI Betty is making any progress. Betty also worries she is not getting better and asks the nurse about taking some herbal medicines containing Kava and Passaflora that her sister got from a curandara (folk healer); her sister wants to take her to see the curandara and have her do a ritual to cure the evil eye
that was placed on Betty and made her sick.

Can You help me write an SBAR for this case study Thank You

1. Discuss how factors relating to biological and age-related risks, environmental risks, and behavioral risks contribute to family health and the achievement of healthy outcomes.

2. Discuss activities that the nurse practicing in the community can implement to assist families to decrease health risks.

please type and write not more than 6 sentences. on each question.

Research to find what is happening in your home state regarding the development of the HIE and the NHIN.

At each stage of development, culture can have a distinct impact on basic aspects of life. Based on your reading thus far, describe how cultural influences impact development throughout the lifespan. Include the following aspects of life:

• Cognition-

• Acceptance of cultural traditions-

• Biological health-

• Personality-

• Relationships -

Locate the websites of two (2) different providers of assisted living facilities, adult day care services, or a CCRC. No nursing homes. You should have three websites for the same type of provider/facility:

1. Compare and contrast the relevant aspects of the websites.

2.Discuss how well or how poorly the facility has done with its web-based marketing tactics. What should they add or remove from their website?

3. If you were the decision-maker tasked with choosing one of these providers based solely on their website, which one would you choose? Why?

Be sure to include a link for each websites in your post.

What are some of the benefits and risks of taking vitamin, mineral and amino acid supplements? (please provide at least one benefit and one risk for each listed)

4. Summarize the links between antigen recognition, the major biochemical signaling pathways in T cells, and the production of transcription factors

. 5. What is the principle growth factor for T cells? Why do antigen-specific T cells expand more than other (bystander) T cells on exposure to an antigen?

case study : A pregnant woman who weighs 140 kgs, recently diagnosed with gestational diabetics has been advised that she cannot have her baby at the local hospital. She lives in Bacchus Marsh( regional melbourne ) with her husband with no other immediate family close by.

1. Define the health issues for the person or the target group involved as they access primary care.

2. What are the primary health services available to this target group in the local area? What is the philosophy of their care?

3. Who is employed within this service?

4. What elements of this primary health service are involved in health promotion, prevention, cure and rehabilitation?

5. What publication, web services and other methods are used by this primary health service to communicate their services to their target groups?

6. Using the key social determinants of health as guides consider which of these: Socioeconomic position, Early life, Social exclusion, Social capital, Employment and work, Housing, and Residential environment could contribute to health inequalities for this target person or group.

7. Are there any other specific areas of health challenges facing this community?

a.) Siphokazi, a 50-year old post-menopausal female, has been admitted to the emergency room after tripping over a step. She broke a few toes, but the doctor believes it will heal well. He does investigate and ultimately diagnoses her with osteoporosis, which contributed to her fall. Suggest a drug which would be appropriate to treat her osteoporosis, and explain how it would facilitate this. (3)

b.) Siphokazi has been compliant with her treatment for several months, though has started to experience pain in her leg with localised swelling. Her doctor fears that she has developed a deep vein thrombosis. Discuss the way in which her anti-osteoporosis treatment may contribute to the development of deep vein thrombosis. (4)

c. )Siphokazi’s physician prescribes her rivaroxaban as treatment for the deep vein thrombosis in combination with aspirin. The treatment proceeds well, and she experiences few side effects. During a gym detox challenge, she is requested to drink at least two glasses of grapefruit juice daily. Grapefruit juice is a potent CYP3A4 inhibitor, with effects that may last for up to three days after ingestion. Regarding her deep vein thrombosis, i) explain how rivaroxaban will treat her condition, and ii) discuss the potential consequences of drinking grapefruit juice while treating her condition.

1. Why should a lungfish be able to meet nearly all its carbon dioxide exchange through the skin while it must use its lungs to handle oxygen exchange?

2. Give an example of (a) a peristaltic heart, (b) a chamber heart, (c) an open circulatory system, and (d) a closed circulatory system.

1. What is the difference between ionoconformity and osmoconformity?

2. Mention and briefly describe two countercurrent mechanisms operating in cardiovascular and/or osmoregulatory physiology.

What   are the roles of the nurses in the promotion of cardiovascular and respiratory health towards the family, community and society? 250 words essay

A patient is upset because he has been placed on a special therapeutic diet because of his high b/p. He is concerned that he will not be successful with his diet change. How can you encourage him to follow the physicians orders to improve his health?

Propose an evidence-based idea for a change in practice using an EBP approach to decision making in my organization.