Review various definitions of “ethnocentrism” as provided by other internet resources.
Create your own definition for this term.
Give an example of how ethnocentrism has had an affect (positive or negative) on a patient you have come into contact with in the delivery of healthcare services. Describe how ethnocentrism may have impacted the health and well-being of the patient and their future encounters with the healthcare system.
In: Nursing
Allergy: No allergy to food and medication
Accommodation: Ward with Philhealth
Initial Diagnosis:
Measles, Pregnancy Uterine 33 5/7 weeks AOG G1P0 with Intestinal
Complications (AGE)
Chief complaint:
Fever and productive cough
History of Present Illness:
The client was admitted to the San Lazaro Hospital last August 4,
2020. 2 weeks prior to
consultation: (+) undocumented fever, intermittent, no other
associated symptoms no
consultation done, no medications taken. 1 week PTC: (+) onset of
productive cough (yellow
mucus), colds, no fever or rashes, no consult done, no meds taken.
Interval history revealed
persistence of cough and colds until 1 day (+) rashes, non-pruritic
on abdomen which spread
to the trunk and face. Sought consult and was prescribed vitamins
and sent home.
Past Medical/ Personal and Social History:
No previous hospitalizations and surgeries.
Past Medical History:
(-) PTB
(-) Diabetes Mellitus
(-) Asthma
(-) Hypertension
(-) Cancer
(-) allergy
Family History:
(-) Hypertension
(-) Diabetes
(-) Cancer
(-) PTB
(-) Asthma
Admission Order
The patient was admitted on August 19, 2020 at 7:00 am with a chief
complaint of fever and
productive cough. Client was admitted to Emergency Room. Consent
was secured for
admission. Client was the transferred to Adult Female Ward. Patient
received with IVF D5LR
1L regulated at 150cc/hr. Client’s vital signs are (BP - 100/70 RR
- 25 T - 38.3 HR - 116 O2
saturation - 95%) There is a presence of fever with macula-papular
rash on the patient with
productive cough (whitish to yellowish mucus secretion). The
patient also showed sign of body
weakness, poor appetite, abdominal pain and defecates a mushy
consistency stool. Physician
ordered for CBC, BT, Measles IgG, IgM, CXR-PA view, Serum
Creatinine, Na, K, SGPT, SGOT, and Stool exam. Paracetamol 1 tab
PRN for fever >37.8, Hexetidine 10 ml for oral
gargle was given. Performed tepid sponge bath. Encouraged to
increase fluid intake.
Maintained high back rest. Advised the watcher not to leave the
client unattended. Kept
monitored the safety of the client by maintaining side rails up.
Vital signs monitored q4 and
recorded. Intake and Output monitored. Watched out for (WOF) any
signs of respiratory
distress such as dyspnea or increased respiratory rate. The
following day, client was seen
awake and lying in bed. Client’s vital sign are (BP- 90/60 RR-23 T-
36.7 HR-97 O2 sat- 97%).
Client still manifested maculopapular rash with body malaise. Cough
still productive with
crackles heard on both upper lung area. IVF D5LR 1L regulated at
150cc/hr was started.
Noted and referred Physician’s order for Isoxsuprine 10mg/tab,
2tabs PO TID and
Dexamethasone 6mg/amp TIV q6 x4 doses. . IVF PNSS 1L at 110cc/hr to
follow. Advised not
to scratch the skin to prevent skin integrity impairment.
Maintained HOB elevation at 30-40
degrees. Provided a quiet and calm environment. Instructed the
watcher not to leave the
patient alone. Kept monitored the safety of the client by
maintaining side rails up. Instructed
dietary intake as tolerated. Vital signs monitored q4 and recorded.
Intake and Output
monitored. WOF vaginal bleeding and refer to the staff nurse
immediately. Client was seen
awake and lying in bed. Client’s vital sign are (BP 100/60 RR-22
T-36 HR-85 O2 sat95%).
Client manifested conjunctivitis and still showed presence of rash
in the skin. Cough still
productive. Acetylcysteine 600mg 1-tab dissolve in 50cc water ODHS
were given. Patient was
ordered for discharge. Noted and instructed the patient regarding
the following home
medications ordered by the Physician, Co-amoxiclav 625 mg 1tab TID
for 7 days, Hexetidine
gargle 10ml TID, Multivitamins 1tab OD and B-Complex 1tab OD.
Encouraged client to
increase oral fluid intake. Advised to follow-up to OPD after 1
week. Vital signs monitored and
recorded.
1 Conceptualize the pathophysiological alterations
distinct to the case. (FLOW CHART)
* Establish the pathophysiological triad of Host – Agent –
Environment specific to the
case.
* Trace the pathophysiological changes and highlight problems that
are
experienced by the client.
* Connect the pertinent nursing care and medical – surgical
management to the
various signs and symptoms presented by the client
In: Nursing
Develop a training plan for new HIM employees that will ensure that they understand the HIPAA regulations and what their role is in maintaining them.
The plan should include:
Content (What will the content of the training include?)
Classes for employees - How will you break the students into different types of classes based on their role within the department (coder, ROI staff, etc.) ?
The skills that the trainers need
Amount of time needed for the course
Format of class
Resources needed
In: Nursing
What is the main issue for your organization in addressing a solution to evidence-based nursing practice? Discuss what might be the first step in addressing and resolving this issue
In: Nursing
Question: What is the difference between leading and managing a projector? Some feel that the conductor of an orchestra is an appropriate metaphor for being a project manager. What is another metaphor? Support your answers with a quote or two from your textbook and cite your source of information.
In: Nursing
What is targeted drug delivery? Discuss some strategies in targeted drug delivery
In: Nursing
A 25-year-old Arab American man is one day post-operative following vascular surgery. There have been no post-surgical complications. He tells his family that he is “in terrible pain,” and he reports ratings of 2 to 3 on 0-10 numeric rating scale to the nursing staff. He requests pain medication every two to three hours, and will not get out of bed or ambulate.
Identify factors that affect your assigned patient’s pain/discomfort perception.
Identify the actual and potential physiological and psychological responses to the pain/discomfort, for your assigned client.
Base your initial post on your readings and research on this topic.Your initial post must contain a minimum of 250 words. References, citations, and repeating the question do not count towards the 250-word minimum.
In: Nursing
In: Nursing
Chapter 14: Nutrition for Athletes with Illness or Injury Case 2 - Susan, the Middle-Age Overweight Hiker Susan is a 55-year-old overweight teacher who has struggled with obesity since childhood. After her best friend suffered a debilitating heart attack, she decided to change her lifestyle and achieve a healthier weight. She has been following her training program and doing very well. Recently, another friend was diagnosed with type 2 diabetes. Susan has become very anxious about her health and even more committed to achieving her weight loss goals.
1. Susan says that she recently visited her physician for her annual exam. He ordered a series of blood tests and told her she had high cholesterol, prediabetes, and increased risk for heart disease. What further information would you like to know to understand her risk?
In: Nursing
The United States accused the Soviet Union of breaking all its wartime pledges and holding Eastern Europe hostage while trying to subvert governments in the west. The Soviet Union accused the US and its allies of trying surround and ultimately destroy it. War of words? Or was somebody telling the truth? And where do our 'Isms' fit in? In particular nationalism?
In: Nursing
Matt is 14 years old and has completed the diagnostic phase for corrective orthodontics. After discussion with his parents and the orthodontist, Matt is anxious to get his braces on to correct crowding in the anterior area and a cross-bite on his left side. He is scheduled today for his first appointment.
1. What diagnostic tools were used to evaluate Matt’s case?
2. Discuss the importance of having Matt, his parents, and the orthodontist together when the final decision about having braces is made.
3. What procedure will be completed on Matt today?
4. He should be scheduled for which procedure next time? How long should the appointment last?
5. What is your role in the fitting and cementation of orthodontic bands?
6. After banding, what would be the next procedure to be scheduled?
7. What is the common answer when a patient asks how long he or she will have braces?
8. Once the braces are removed, what will Matt wear to make sure everything remains aligned?
In: Nursing
Compare and contrast cyclic trends, secular trends, point epidemics, and clustering.
In: Nursing
1. An adult is to receive 1000 ml of Dextrose 5% in water with 40 mEq of KCl in eight hours. The drop factor is 12 gtts/ml. At what rate should the nurse set the IV? 1. 125 gtts/minute. 2. 83 gtts/minute. 3. 25 gtts/minute. 4. 10 gtts/minute. Answer: __________________________________________________________
2. The patient consumes the following: 4 oz water 6 oz orange juice 10 oz ginger ale 300 ml apple juice 5 oz water How many ml should the nurse record on the intake sheet? Answer: ___________________________________________________________
3. The order is for 50 mg of meperidine IM. Available on the unit is meperidine 75 mg/ml. How much should the nurse administer? 1. 0.67 ml. 2. 0.75 ml. 3. 1.33 ml. 4. 1.5 ml. Answer: ____________________________________________________________
In: Nursing
In: Nursing
Describe factors that influence the financial viability of a healthcare organization.
In: Nursing