1. In your own words, explain the concept of “educare”.
2. Describe the main principles, caregiving strategies, and benefits for children, families, and educarers. Provide specific examples from the videos to support your comments.
3. Do you agree with this approach, why or why not? How does this approach connect to developmentally appropriate practice?

The Case of Nancy Cruzan

First, identify the ethical dilemma. Then respond to Steps 1, 3, 4, and 5 of the Framework for Ethical Decision Making. You may wish to use the worksheet that includes prompts for what to include at each step. The steps to evaluate are:

STEP 1: Identify ethical issue(s)

STEP 3: Consider at least two options to address the dilemma

STEP 4: Weigh and evaluate the potential options (do not need to do 4a).

STEP 5: Decide and act. What is your decision, and why?

A 15 year old girl in a coma was brought to the emergency room by her parents. She has been an insulin dependent diabetic for 7 years. Her parents stated that there have been several episodes of hypoglycemia and ketoacidosis in the past, and that their daughter has often been “too busy” to take her insulin injections. The laboratory results obtained on admission are shown in Case study Table 14-5.1

1. Calculate the osmolal gap.

2. What method was used to measure Na+?

3. Are these results valid? Explain why?

Venous Blood                   Result                                   Reference Range

Sodium                                 145 mmol/L                        136-145 mmol/L

Potassium                           5.8 mmol/L                         3.4-5.0 mmol/L

Chloride                               87 mmol/L                           98-107 mmol/L

Bicarbonate                        8 mmol/L                             22-29 mmol/L

Glucose                                1,050 mg/dL                       70-110 mg/dL

Urea nitrogen                    35 mg/dL                             7-18 mg/dL

Creatinine                           1.3 mg/dL                            0.5-1.3 mg/dL

Lactate                                 5 mmol/L                             0.5-2.2 mmol/L

Osmolality                           385 mOsmol/kg                275-295 mOsmol/kg

Child Refugee Crisis

Vulnerable population (Children displaced as refugees)

Evaluate the child refugee crisis for effectiveness, focusing on access, equity, and health.

Has the child refugee crisis served its purpose or caused unintended consequences?

How could the child refugee crisis be improved?

What barriers might exist for improving the child refugee crisis ?

What are the consequences of not improving the child refugee crisis?

What are your thoughts on the importance of managing torts and lawsuits?

Your pediatric patient (or parent) presents to your office today with a concern involving one of the health promotion topics that we discussed this week (nutrition, breastfeeding, elimination, physical activity or sleep and rest). Describe your pediatric patient, their concern, three recommendations and 2-3 barriers. Include at least one resource that they can utilize to promote success. Note that the health concern you choose for this assignment should not be the same as your discussion topic.

25 y/o presents to Labor and Delivery with complaints of uterine cramping and lower back pain. Denies any vaginal bleeding at this time. Has related history of a preterm birth at 32 weeks gestation with her last pregnancy. The baby is 3 years old now and has no developmental issues. Her current gestational age is 30 weeks. She is O+ and all other lab values are normal. No noted STI's. 1. Group Beta Strep is missing from the labs - most often is obtained at 35 - 37 weeks gestation. 2. Without this information it is often determined to treat the patient anyway - presumptively to protect a premature baby from the risk. 3. What other information would you like to ask her? 4. What nursing intervention will you provide? 5. What screening tests are often obtained to help determine her risk for preterm labor. 6. And if it is determined she is in preterm labor what medications may you want to use with a doctors order? 7. Please also give dose, side effects and possible result of the medication.

How can we as healthcare professionals prepare ourselves better for emergencies and or disasters in a healthcare and none-healthcare setting?          What preparations should we have in place?             And what type of education should we have in place for our patients and or loved ones?

Case Scenario: A patient has been brought to the ED with the following symptoms: (a) reports feeling sick, (b) weak, (c) cold at times and hot others, (d) nauseated, (e) confused and at times afraid, without a specific reason why, (f) thirsty, and (g) short of breath. Nothing in his history gives clear direction of what might be happening. His blood gases reveal respiratory alkalosis. Vital signs are HR 95 RR 40 BP 100/60. The doctor states the patient exhibits shock symptoms.

1. Question: What history would you see as beneficial to treating this patient? You will need to defend your answer using specific facts, data, and other information drawn from the textbook and at least one other supplemental source.

A 67-year-old man presents to the HCP with chief complaint of tremors in his arms. He also has noticed some tremors in his leg as well. The patient is accompanied by his son, who says that his father has become “stiff” and it takes him much longer to perform simple tasks. The son also relates that his father needs help rising from his chair. Physical assessment demonstrates tremors in the hands at rest and fingers exhibit “pill rolling” movement. The patient’s face is not mobile and exhibits a mask-like appearance. His gait is uneven, and he shuffles when he walks and his head/neck, hips, and knees are flexed forward. He exhibits jerky or cogwheeling movement. The patient states that he has episodes of extreme sweating and flushing not associated with activity. Laboratory data unremarkable and the HCP has diagnosed the patient with Parkinson’s Disease.

Explain both the neurological and musculoskeletal pathophysiologic processes of why the patient presents these symptoms. Explain how the highlighted processes interact to affect the patient. Explain any racial/ethnic variables that may impact physiological functioning.

Mr. Cinder is a 55-year old man admitted to the burn unit 48 hours ago with a diagnosis of third degree burns. He was burning leaves in his yard when his clothes caught fire. The RN is going to care for Mr. Cinder, what will he/she expect to find related to: Skin involvement, clinical manifestations, and wound appearance. What are the pathophysiological changes associated with severe burns? When Mr. Cinder enters the rehabilitative phase of his recovery what are three possible complications? For one of the complications what nursing diagnosis would you identify as a priority and why? Must contain a minimum of 250 words

For this discussion, in three to four paragraphs, contrast two nursing models and theories found in your reading. Discuss how they are similar or different in the way the define/discuss health and wellness, illness, the client, the environment, and nursing. Summarize by selecting the one model or theory that aligns best with your beliefs and then describe how this would affect the way in which you would practice nursing. ( include your references)

Please provide a description of “cultural competence” and describe what a culture encompasses. Then describe two examples of a culture of which you are a member.

Please read the scenarios and answer the questions based on the nursing code of ethics.

A). You are a home health nurse caring for patient who was discharged home after a fall. The patient sustained a hip fracture and is in significant pain. You review the chart of the nurse who has seen him for the past two weeks, and they have charted the patient has taken prescribed oxycodone several times per day. During ambulation the patient states they need to stop due to pain. You ask if they need more of their pain medication. They state, “All I have to take is Tylenol because the nurse the last few weeks told me I don’t need my prescription anymore. The Tylenol doesn’t seem to help.” Upon assessment, the patient is alert, oriented, not forgetful. You examine the cabinet of medications and find there is not bottle for the prescription pain medication being documented, only Tylenol.

1. What guidance does the Code provide?
2. What other policies or procedures need to be followed?
3. What do you do?

B.) You are a nurse working on a medical surgical unit at the hospital. You check your patient assignments in the morning, and see that you have been assigned to care for your girlfriend’s grandmother as she has been admitted post-op after a hip replacement.

1. Do you think this is a conflict of interest? Why or why not?
2. How does the Code of Ethics guide you?