Mr. Prichep, 67, and his wife have come to the clinic for a consultation. "It's her idea, not mine," he says. He glares at you like it's your fault too, this meeting. As Mrs. Prichep begins to talk, you learn that Mr. Prichep recently suffered a myocardial infarction one day in his antiques shop and missed work for about 2 weeks. He was eager to get back to work, but his wife, who runs the shop with him, and their two employees have both seen some changes that concern them since he's come back. "It's true, he likes his cocktails," his wife says. She smiles at him and takes his hand. He stares at her but stays quiet. "He usually insists that we have a little 'happy hour' in the shop after closing, just the two of us, after everyone else has gone. But that's all. He really doesn't drink much more than that, but now sometimes he acts like he's drunk. Our employees see it too. Something's different." When pressed for more details, Mr. Prichep gets angry and defensive, arguing with his wife's perceptions. She shares that Mr. Prichep has trouble sleeping at night. At work he has lapses in judgment, which has caused a few breakages, and forgets things he's just been told. Used to doing his own bookkeeping, Mr. Prichep now seems to lose his concentration. "I walked in while he was supposedly doing the books one afternoon, to find he was just staring. I said, 'Honey, what are you doing?' And he looked at me, bewildered, and said, 'What am I supposed to do now? I just can't think.' He becomes discouraged easily and seems sad," she says. "And his sadness is the hardest part for me. I wouldn't mind the rest."
1. Identify at least three possible causes, besides aging, that may be contributing to Mr. Prichep's symptoms.
2. Mr. Prichep is diagnosed with depression, but with new signs of cognitive impairment. Mr. Prichep asks, "I'm depressed because of the heart attack and how vulnerable it's made me feel. Plus I feel old and fumbling. If my depression is cured, do you think I can get rid of my 'mind problems'?" How will you answer Mr. Prichep?
3. It is believed, at this point, that Mr. Prichep's dementia is related more to depression, brought on by altered physical condition as a result of the myocardial infarction, rather than being caused by any physical damage to the brain from the infarction itself. Nor is it caused by alcohol abuse. As you begin collaborating with Mr. Prichep's doctor on a treatment plan, what will you include in an education plan for Mrs. Prichep, who is his primary caretaker.
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8. Select a specialized cell type of the integumentary system and describe the appearance, function and location of the cell. Additionally, select a specialized cell type of the skeletal system and describe the appearance, function and location of the cell 9. Describe three ways in which aging impacts the skin and three ways in which aging impacts the skeletal system 10. Select one disorder of the integumentary system and briefly describe the disorder in terms of cause, symptoms, treatments and who is impacted by this disorder. Additionally, select one disorder of the skeletal system and briefly describe the disorder in terms of cause, symptoms, treatments and who is impacted by this disorder.
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The nurse is providing care to several patients in the emergency department. In which order should the nurse assess and provide care to the patients? (Enter the number of each step in the proper sequence)
1) A patient with a leg laceration requiring sutures
2) A patient with abdominal pain rated as a 7 on a numeric pain
scale
3) A patient who has multiple trauma due to a motor vehicle
accident
4) A patient who took an overdose of opioids with a respiratory
rate of eight breaths per minute
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concerns/obstacles hospitals are facing at present, along with solutions on the effect of health insurance or health policy on the delivery of health care like
financing and reimbursment affect delivery of care
reimbursement differ in the delivery of outpatient vs inpatient care
Managed Care and Integrated Systems impact the cost, access, and quality of health care delivery
Legislative Health Policy impacted the delivery of care
future of health services delivery
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5. K.R. is a 50-year-old patient has been admitted with abdominal pain, and states that she has not had a bowel movement for 4 days. Her abdomen is distended and slightly tender. Which laxative would be appropriate for this patient? Please include your rationale and reference in APA format next to your selected answer (1.5 points)
a. Milk of Magnesia
b. A bulk-forming laxative
c. Mineral oil
d. No laxative should be given at this time
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what patient education is needed for this patient discharge ?
opioid overdose client teaching
In: Nursing
Your supervisor needs to make sure that each of the in-service topics will be covered by someone, so she is asking the staff to communicate their topic preference. Below is the list of problems your supervisor wants the nursing staff to be able to teach older adult clients (and/or their family members) about.
In-service Topic Options:
Your supervisor has asked you to submit a 1-page proposal, written using proper spelling, grammar, and APA, which addresses the following:
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The average risk of transmission of the human immunodeficiency virus (HIV) to a health care worker after percutaneous exposure to HIV-infected blood has been estimated as 0.3 percent. However, the factors that influence this risk have not been determined, and the efficacy of postexposure prophylaxis with antiretroviral drugs have not been clinically evaluated. If postexposure prophylaxis is effective, it would offer an entirely new strategy for preventing HIV transmission in nonoccupational settings as a supplement to the preferred strategy of preventing exposure. Study of occupational exposure to HIV presents an important opportunity to evaluate postexposure prophylaxis, because the source, time, and many details of the exposure are known. A nationwide, prospective, placebo-controlled trial of prophylaxis with zidovudine after percutaneous exposure to HIV among health care workers was discontinued when only 84 health care workers enrolled after one year since many thousands would be needed to assess the reduction of a 0.3 percent risk of transmission. Nevertheless, occupational exposure to HIV and infection continue to occur, and there is a compelling public health need for data on the efficacy of postexposure prophylaxis.
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The other request is for an enhancement to implement a patient health portal for the EHR. Meaningful Use requires health organizations to provide patients a method to view personal health data and securely submit messages to the healthcare team. The types of patient health information to be included in a portal are health encounter records, clinical summaries, lab test results, preventative reminders, patient education, and secure messaging with the healthcare team. Review the PDF slides, How to successfully implement a patient portal for Meaningful Use and beyond (found under 1: Overview & Resources along with this activity document) and answer the following questions.
23. Review the Overview tab in the EHR. What components of the Overview should be included on the personal health portal dashboard?
24. Make a list of five pre-implementation questions the General Hospital needs to address prior to moving forward with a patient health portal implementation.
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1. Why is this study important to nursing practice (in general)?
2. Why is this study important to YOUR nursing practice or personal life?
Montgomery, S., Brouwer, W. A., Everett, P. C., Hassen, E., Lowe, T., McGreal, S. B., ...Eggert, J. (2017). Genetics in the clinical setting: What nurses need to know to provide best patient care, American Nurse Today, 12(10), 10-16. https://www.myamericannurse.com/wp-content/uploads/2017/10/ant10-CE-Genetics-918.pdf
https://www.myamericannurse.com/wp-content/uploads/2017/10/ant10-CE-Genetics-918.pdf
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Design a nutrition and exercise program for an elderly person. Complete the following:
1. Describe the person for whom you will write this program. List their age and physical limitations.
2. Describe the motivational challenges this person has and how you will get this person excited about following your program.
3. Describe the exercise program. What exercises will be involved and for what duration, intensity, and frequency? Be very specific in your answer (e.g., walk at a moderate pace for 30 minutes three times per week). List at least three exercises.
4. Describe your nutritional program. Describe the types of foods the person should eat, the amount, and frequency, along with the types of foods they should avoid. Be very specific.
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Introduction
Healthcare organizations have an option, to some extent, to
determine how connected they will be. With this in mind, please
expand upon your answer to this week’s discussion by providing
greater detail on how a move to big data for planning and
decision-making would affect organizational internal and external
policies. Specifically include privacy and security concerns, as
well as the influence of accountable care in your response.
please provide 3 page answer for this question.
Thank you so much in advance
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1) Explain the similarities and differences between the RBC and Dicty lanes.?
2) Explain how the Dicty-5 and Dicty-10 samples differ from each other and discuss whether this was what you expected to see.?
NOTE:
combine 5 ?l of your Dictyostelium sample and 95 ?l of 0.15N NaCl.
Dicty-5 is Dictyostelium discoideum cells.
Dicty-10 is Dictyostelium discoideum cells. ?just the value is change
In: Nursing
The Summary Open Quiz is an opportunity for you to prepare for class and assess the knowledge and skills gained at the conclusion of class. These areas will be covered by your instructor. Use your reading and knowledge and skills to answer these questions and bring your written answers to class. Describe the regulatory requirements for discharge planning. Briefly discuss three important considerations in discharge planning. Explain how discharge planning provides continuity/transition of care and positive health outcomes. Identify the role nurses must play in discharge planning. What specific skills do nurses need to provide appropriate and effective discharge planning?
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A. Please list and describe the FIVE neurotransmitters, according to this template:
Neurotransmitter #: ___________________________________
Description: _________________________________
B.Fill in the Blank
Please identify two neurotransmitters that are involved in
both learning and memory.
Neurotransmitter 1: __________________________
Neurotransmitter 2: __________________________
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