Diabetes

R.M. is a 17-year-old African-American girl with new-onset diabetes, presumed to be type 2 diabetes. She presented to her pediatrician during the winter months with the classic symptoms of polyuria and polydipsia. She reported weight loss over the preceding weeks, but was otherwise well. Her family history was positive for type 2 diabetes in grandparents and some distant relatives and negative for autoimmune diseases.

Physical examination revealed a blood pressure of 103/53 mmHg, pulse of 79, and temperature of 38°C. Her weight was 60 kg (132 lb, 50–75th percentile), height was 155 cm (61 inches, 10th percentile), and body mass index (BMI) was 25 kg/m2 (85th percentile). She had acanthosis nigricans and was at Tanner V stage of sexual development.

Urinalysis revealed a glucose level of >1,000 mg/dl and ketones of 40 mg/dl. Her initial laboratory studies included a blood glucose measurement of 726 mg/dl, bicarbonate of 21 mmol/l (normal range 23–32 mmol/l), venous pH of 7.37, hemoglobin A1c (A1C) of 8.6%, and C-peptide of 1.0 ng/ml (normal range 0.6–3.2 ng/ml).

Discussion Questions: Review the case above and answer these questions.

1.What is the significant differences between type 1 and 2 diabetes.
2. Discuss 4 priority nursing diagnoses?

Discuss the emerging health care quality model based on current trends in the United States. What makes an organization “high performance”? Is your agency high performance? Why or why not?

Describe the concept of human rights . In your answer refer to the foundation document developed by the united nations that outlines our basic rights and freedom

identify three ways in which a client in age care could have their human rights ignored

A.briefly describe the concept of confidentiality. Assume that you are on your work placement and experience something that you want to tell your friends and family. Telling your friends and family means that you would need to talk about a client’s situation and potential give identifying information about them.

B .Should you share your experiences?v) You are completing your assessments for this course and need to document your experiences with three older people. Two of your clients are more than happy for you to write about them. The third client is concerned about their privacy and how the information is going to be used.List five things you could tell your client to reassure them their privacy will be maintained.

C.Identify the legislation you must adhere to in relation to privacy and confidentiality. Provide a brief description of its requirements.
D.Briefly describe the concept of disclosure. In your answer, list two situations where you would need to disclose/report information a client tells you? List three examples of when workers may be required to disclose information.

During interphase of the cell cycle, genomic DNA is:

Dispersed (sphagetti-like)

Disintergrated

circular in form

Highly coiled to a thick structure with fat chromatids that look like twinkies

When should the discharge teaching begin for Jordan and his family?

What is the best way to approach Jordan regarding the intravenous (IV) line that has been ordered?

What would be good distractions for a child of Jordan’s age?

When should Susan’s nurse explain the procedure to her?

To give Susan some control over this situation, what choices could be given to her?

What actions should the nurse take in this clinical situation? Prioritize the actions.

1.f you suspect a colleague is impaired at work what steps will you take? What would you do if you suspect that the colleague has a drug or alcohol addiction?

2.What are the three basic types of crisis?

Serum amylase (2,152 mmol/L)

Lipase (39,346 mmol/L)

Serum triglyceride (38 mmol?L)

AST (1265 U/L)

ALT (1232 U/L)

Alkaline phosphatase (185mmol/L)

What is the normal range for each of these values?

Assume that you are a medical assistant working in a private practice or clinic and the clinic has decided to consider moving to an electronic system. You are highly in favor of moving to an EHR system.

Provide a rationale with supporting documentation for a recommendation to move to an EHR. Outline a plan for how you would transition the practice from manual to electronic records. Include in your plan how an EHR will provide a foundation for more accurate and secure medical records of the clinic’s patients. Also include any processes and procedures that will need to be adjusted and any security protocols that will be required. (20 points)

ways to incorporate language, literature and literacy (listening, speaking, reading, writing) using DAP for two year old.

Please provide your souce :)

1. Discuss a minimum of 3 teaching methods to promote nutrition in the elderly.

2. Discuss documentation of patient dietary intake

3. Describe a community agency for the elderly.

4. Discuss a nursing care plan for bladder/bowel training and for impaired communication.

1. Discuss a minimum of 6 nursing measures to promote nutrition in the elderly.

Topic: staphylococcus Aureus

The structure of the project report should have at least 7 paragraphs but no more than 1500 words.

Make sure you have more than one sentence for a paragraph and ideas within one paragraph should have the same theme.

Some suggestions for inclusions:

First Paragraph: Introduction (compulsory). This could include a description of the burden of disease.

Middle paragraphs: The following are just suggestions but make sure you are using section headings to help identify the aspects you have included in your report.
Biological characteristics of the organism , Clinical characteristics of disease (this may include genetic predisposition), Laboratory diagnosis of the disease, Current treatment and control strategies including vaccination strategies , Impact of the organism on society (this may include development of drug resistance). You may come up with alternative ideas for this middle section.

Final Paragraph : Conclusion (compulsory) including future control strategies.

At least two illustrations (these could be figures, tables or graphs) should be present in the report

but illustrations must be relevant and referred to in the body of the report.

Please note : used your own words

1. Describe a safe environment for the elderly.

2. State 3 nursing measures used to meet communication needs of the elderly.

3. Describe an exercise to maintain circulation, muscle tone and prevent disease deformities.

4. Discuss walking aids for the elderly.