Case study to discuss
Eleanor has always loved working with patients at a large cancer center in her city. Recently, however, you have noticed that the loss of one particular patient, Maria, has really been quite a blow for Eleanor. This is not the usual response Eleanor has to a patient’s death, and having worked at the center for 8 years, she has experienced her share of patient deaths.
After Maria’s death, Eleanor wrote a brief post on her Facebook page saying, “Lost a very special person today,” and posting a funny little traditional Irish poem Maria liked to recite. She has also, by invitation, joined a special page Maria’s family has set up to celebrate Maria’s life and share memories.
One day, a few of Eleanor’s colleague’s criticize her for this while you are having lunch with Eleanor in the center’s cafeteria.
“Sharing anything about a former patient is inappropriate,” one nurse tells her.
The other nurse nods. “Even participating or joining the page at all is inappropriate.”
After they leave, Eleanor looks at you, and then buries her face in her hands. “Do you think I was wrong?” she says. “Maria was my patient, I know, but we grew so close over the last months. She and her sisters and I became actual friends. I just thought my happy memories of some of Maria’s good moments might help other people celebrate her life too. In fact, I got very positive feedback from Maria’s family, and even friends of hers that I didn’t know, on the anecdote I shared.”
She lowers her hands and looks at you. “I don’t know. I know, I know, she was a patient, yes, and I was the nurse. But I loved her anyway. Am I unprofessional for grieving like this? Do you think maybe I’m depressed or having some kind of breakdown? What should I do?”
In: Nursing
Write a short introduction about the global impact of COVID-19.
In: Nursing
1. essay on what your personal value and beliefs are
on the nursing profession.
2. An outline of your plan for professional development with
supporting documentation of activities and learning outcomes.
In: Nursing
A 25 year old female visits her general practitioner because she has been losing a lot of weight without trying, and has also noticed that she has been getting repeated sinus infections, as well as a fungal infection in her mouth, over the past several months. Her doctor runs a blood test and determines that the patient is HIV positive.
In: Nursing
Please select (1) disease/condition of either body system (Cardiovascular or Respiratory) and summarize the condition. This includes defining the disease, discussing signs and symptoms and also discussing how it is properly diagnosed in a patient. Then, state (1) treatment option for this condition such as a pharmacological treatment (prescription), surgical intervention, or other option.
In: Nursing
Mrs. Mason has complained of left-hand pain, numbness, and a tingling sensation. Tinel’s and Phalen’s signs have been positive on serial examinations, and an EMG has confirmed the diagnosis. Mrs. Mason presents today for the release of left carpal tunnel.
Under general anesthesia, the procedure was successfully completed and the patient was awakened and taken to the recovery room in stable condition. Upon discharge to home later this afternoon, we will review postoperative instructions and things to watch out for
What is the CPT code (s)? Modifier if appropriate?
In: Nursing
A 65 year old patient enter the ER with exaggerated coldlike symptoms including headache, chills, high fever, sore throat, myalgia, and a cough. Answer the following questions related to this patient case:
In: Nursing
Explain public health practitioners' use of the capacity building to support community health and development.
In: Nursing
explain the social determinants of health relevant to schizophrenia in canada.
In: Nursing
Shelly is a 4-year-old preschooler who lives with her parents and younger brother. She and her brother attend a local daycare center during the week while their parents are at work. In the evenings she and her brother take a bath and then their parents read to them before bedtime at 8:00 P.M. Shelly's daycare class includes many children her age and she enjoys playing outside with them, Although snack times are planned, Shelly would rather play and does not always finish her beverages,
Shelly's mother calls the pediatric clinic in town and tells the nurse that Shelly has been "running a fever of 101 0 F for the past 2 days' and although her temperature decreases to 37.20 C (990 F) with acetaminophen, it returns to 38.4 C, (1010 F) within 4 hours of each dose. Further, her mother says that Shelly complains that hurts when “I pee-pee." Shelly's mother also has noticed that her daughter seems to be in the bathroom every hour" She makes an appointment to see the pediatrician this afternoon
5. Discuss how Shelly's level of growth and development places her at risk for developing a UTI.
6. Shelly's urine culture returns positive for Escherichia coli. 'What is the significance of this finding?
7. What are the priorities for Shelly's care?
8. Shelly is prescribed trimethoprim-sulfumethoxazole 60 mg every 12 hours for 10 days. What is this drug and is her prescribed dose safe? Shelly weighs 33 lb.
9. What are the teaching priorities for Shelly and her mother prior to her discharge from the clinic?
10. Shelly is scheduled for a return visit to the clinic in 2 weeks. What is the purpose of this appointment?
In: Nursing
Tina Swenson is a 33-year-old attorney who has had a persistent cough and dyspnea for a few weeks. She noted the onset soon after exerting herself in very cold temperatures. She underwent a bronchoscopy during which no endobronchial lesions were noted. Slight erythema was noted in the left upper lobe and bronchial brushings were obtained. These were sent to pathology and were returned as negative for malignant cells. She was discharged to home with a diagnosis of probable bronchitis. She was given instructions for care and follow-up.
What is the CPT code (s)?
Modifiers if appropriate?
In: Nursing
In: Nursing
Jeremy Crilly is a 7-year-old boy who has just been diagnosed with attention-deficit hyperactivity disorder (ADHD). The provider prescribes methylphenidate as part of his treatment. Jeremy’s mother, Rita, asks, “I want to help him but sometimes, I just get so frustrated with his behavior.”
What is the underlying rationale for the use of methylphenidate?
How might the medication therapy affect Jeremy’s growth? What follow-up would be appropriate to monitor for this effect?
What suggestions can the nurse provide to Jeremy’s mother to help her cope with this disorder?
In: Nursing
This 47-year-old female was taken to surgery for treatment of fibroids. She underwent a vaginal hysterectomy with salpingo-oophorectomy. The uterus weighed 250 grams; ovaries and tubes were normal in appearance. The patient is discharged to home in good condition and given instructions on postoperative care and follow-up. She will be seen in the clinic in one week and will call the office for any problems in the meantime.
What is the CPT code(s)?
Modifiers if appropriate?
In: Nursing
In: Nursing