Hadley, a thirty-five-year-old physician, has worked at Princeton Plainsboro Hospital for six years. She recently received a promotion to the head of oncology and is looking forward to spending the remainder of her medical career at the hospital.

Unfortunately, Hadley has a family history of Huntington’s disease, a condition that causes movement, cognitive and psychiatric disorders. Hadley’s mother suffered and eventually passed away from the disease, as there is no cure. Huntington’s is an autosomal dominant condition, meaning that Hadley has a fifty-percent chance of inheriting the condition from her mother.

For years, she has put the thought of inheriting the condition out of her mind, but she is quickly approaching her thirty-sixth birthday, and that is when her mother began to show symptoms of the disease. Hadley decides that now is the time to go ahead and have the genetic testing done to see if she will inherit the disease from her mother.

Hadley has the testing done at Princeton Plainsboro, and two weeks later receives her results – she is positive for Huntington’s. Hadley is devastated, but decides that she will continue with her oncology practice until she is mentally and physically unable to perform her duties.

Additionally, she speaks to her friend, Cameron about a clinical trial for a new medication to treat Huntington’s that has recently begun at the hospital. Because she is too late to enter the study and does not want anyone to know she has the condition, Cameron agrees to allow her to take the experimental medication and participate in the trial without signing any documents.

Three weeks later, a lab tech speaks to Hadley’s superior regarding her unfortunate diagnosis. Because hospital management knows that Hadley likely only has a few more years to work in oncology, they terminate her employment to hire a new head of oncology that can run the unit for the foreseeable future.

Please read the scenario carefully, and discuss the following:

• What, if any regulations were violated when Hadley entered into the clinical trial in this manner?
• Did she commit any ethical violations by entering into the clinical trial this way?
• Did Cameron commit any ethical or legal violations by allowing Hadley into the clinical trial?
• What ethical and legal issues arise with the type of genetic testing that Hadley underwent? Do you think this type of testing is beneficial or harmful to the individual being tested?

25-year-old female client is being admitted to the postanesthesia care unit (PACU)
following a thyroidectomy for hyperthyroidism. The client had undergone three
months of preoperative treatment with antithyroid medications and iodine
preparations to establish euthyroid status prior to her surgery. At the client's bedside
the nurse has set up a tracheostomy set, endotracheal tube, laryngoscope, and suction
equipment. There are ampules of calcium gluconate on hand. The nurse places the
client in a semi-Fowler's position, and is supporting her head and neck with pillows
and sandbags. The nurse frequently checks the client's vital signs, and assesses her
suture line for strain or bleeding. Once the immediate postoperative period has passed,
the client will be transferred to the surgical ward where she will recuperate and learn
about lifelong thyroid replacement therapy.
a. Why is it important to support the client's head and neck with sandbags and
pillows?
b. Develop a plan of care for this patient including 2 actual and 2 potential

Learning reflections about alcoholism in the Philippines. Make it comprehensive and minimum of 10 sentences.

how can i find proposition of postpartum depression theory ?

how can i find proposition of any nursing theory ?

Tegan Bailey is a 28-year-old woman with a past medical history of generalised Tonic Clonic seizures following a traumatic brain injury 6 years ago. The seizures have been well controlled up until now with Carbamazepine (Tegretol) 500 mg daily. After participating in a fitness class at her local gym she was found in the change rooms lying on the ground unconscious.  

5b.       You are doing a set of observations on Tegan when you notice that her body starts to stiffen and she becomes unresponsive, you suspect she is having another seizure. Outline the nursing interventions that you would perform during and post seizure.                                                                                       3 marks

5c.       As a consequence of this latest seizure activity Tegan is to be commenced on Sodium Valproate 200mg three times a day in addition to her Carbamazepine. Discuss and compare how each drug works.                         4 marks ( 2 marks per drug)

Get into pairs. One of you is the worker; the other is the client. Create a hypothetical situation in which the worker has been supporting the client. You need to demonstrate that you can discuss how the worker is meeting the needs of the client. You should also work together to identify and requirements for change.

Explain how you would monitor your own work to ensure the required standard of support is maintained.

proposition of postpartum depression theory ?

1. Define the following:

a. Premenstrual syndrome and premenstrual dysphoric disorder.

b. Amenorrhea.

c. Menorrhagia.

d. Dysmenorrhea

2. Medical and surgical management for menstrual disorders.

Subpoena Policy and Procedure

From time to time, medical records will be subpoenaed for court cases. Therefore, it is important to know the policy that details how to respond to a subpoena for a patient’s medical records. Please answer the following: (please refer to Chapter 5 – Legal Aspects of Health Insurance and Reimbursement)

• How do you handle legal documents?

I have looked through my textbook and can not find anything on Subpoena Policy and Procedures... Help :(

What data could you use to support changes in a nursing program?

Patient Introduction Location: Medical-Surgical Unit 2315 Report from day shift nurse: Situation: Christopher Parrish is an 18-year-old male who was admitted at 1900 today. His mother visited him at his college dormitory and was very concerned with his health; he seemed weak and had lost weight since she last saw him. She took him to see his primary care provider, and the provider admitted him and has ordered a tube feeding. I placed an 8-Fr, 42-inch feeding tube in his right nares about an hour ago, and x-ray just called and confirmed placement in the stomach. The pump is in his room. He is up to the bathroom prn; otherwise bed rest. Background: Christopher was diagnosed with cystic fibrosis as a child and has had frequent hospitalizations previously. He reports fatigue and has recently lost 6 kg (13.2 lb) after he registered at the local college and moved to live in a dormitory. Chris's mom was here earlier, but she is a single parent and has two younger boys, so she had to go home. Assessment: Christopher is awake and alert. His heart rate and rhythm are regular at 80–85/min. Breath sounds are fine with a respiratory rate at 18/min. His color is a bit pale. Blood pressure is 118/78 mm Hg. He reports no pain and states he's not had much appetite the past few weeks. His belly is flat and nontender. Bowel sounds are normoactive. Recommendation: Christopher is due for vital signs and assessment. The tube feeding just arrived, and you will need to start it on the pump. He needs 720 kilocalories over 8 hours overnight. His regular diet is high calorie, high fat, but he wasn't too hungry this evening; just had a bit of his chocolate shake. You will need to give his pancreatic enzymes orally before you start the tube feeding. You should also assess his diet and reinforce patient education on nutrition. what are the assessment objective and subjective. Expected outcomes . Interventions nurse does . Rationale (because). Evaluation (did EO happen?).

what do we learn from ethics class and what is the most surprising thing that you learned from the ethics class?