There is much confusion on the meaning and interactions of theories, frameworks and models. What do each of these concepts mean and how do they provide a framework for nursing practice?

DIRECTION: Create an NCP in relation to the case scenario. (With Assessment, Nursing Diagnosis, Planning, Intervention, Rationale, and Evaluation)

Case Scenario: This is a case of a patient referred to a specialty memory clinic at the age of 62 with a 2-year history of repetitiveness, memory loss, and executive function loss. Magnetic resonance imaging scan at age 58 revealed mild generalized cortical atrophy. He is white with 2 years of postsecondary education. Retirement at age 57 from employment as a manager in telecommunications company was because family finances allowed and not because of cognitive challenges with work. Progressive cognitive decline was evident by the report of deficits in instrumental activities of daily living performance over the past 9 months before his initial consultation in the memory clinic. Word finding and literacy skills were noted to have deteriorated in the preceding 6 months according to his spouse. Examples of functional losses were being slower in processing and carrying out instructions, not knowing how to turn off the stove, and becoming unable to assist in boat docking which was the couple’s pastime. He stopped driving a motor vehicle about 6 months before his memory clinic consultation. His past medical history was relevant for hypercholesterolemia and vitamin D deficiency. He had no surgical history. He had no history of smoking, alcohol, or other drug misuse. Laboratory screening was normal. There was no first-degree family history of presenile dementia. Neurocognitive assessment at the first clinic visit revealed a poor verbal fluency (patient was able to produce only 5 animal names and 1 F-word in 1 min) as well as poor visuospatial and executive skills. He had fluent speech without semantic deficits. His neurological examination was pertinent for normal muscle tone and power, mild ideomotor apraxia on performing commands for motor tasks with no suggestion of cerebellar dysfunction, normal gait, no frontal release signs. His speech was fluent with obvious word finding difficulties but with no phonemic or semantic paraphrasic errors. His general physical examination was unremarkable without evidence of presenile cataracts. He had normal hearing. There was no evidence of depression or psychotic symptoms.

Explain the management of Over The Counter medication for acute cough in children and adults?

Explain the prevention of Over The Counter medication for acute cough in children and adults?

Explain the control of Over The Counter medication for acute cough in children and adults?

Explain the protocol application in disease prevention of Over The Counter medication for acute cough in children and adults?

You have recently been hired by a state health department to direct surveillance activities for notifiable diseases, among other tasks. All notifiable disease surveillance data are entered and stored in computer files at the state and transmitted to CDC once each week. CDC publishes these data for all states in the MMWR each week, but health department staff do not routinely review these data in the MMWR. The state has never generated its own set of tables for analysis and dissemination, and you believe that it would be valuable to do so to educate and increase interest among health department staff.

What three tables might you want to generate by the computer each week for use by health department staff?

Write a persuasive outline including the

topic :

General purpose:

specific purpose:

central idea:

4 main bullet points:

On the topic - Using genetically modified foods is bad for our health

use 2 sources

How does the aging of the population, health insurance reimbursement, and consumer demand impact the practice patterns of health care clinicians? What new strategies do rural hospitals need to implement to successfully attract and retain physicians in their markets? What is the primary barrier for physicians to locate and practice long-term in a rural setting?

• Ms. Rand is a 65-year-old woman who spends most of her day sitting on her porch and recovering from a recent surgery involving the removal of suspected cancerous lymph glands in the inguinal area. She is now complaining that her shoes are fitting too tightly, and she has developed poorly healing sores on her legs and ankles. A closer examination also shows distention in her varicose veins. Blood tests reveal a low level of proteins in the plasma.

1. Based on the patient's history and the signs and symptoms, identify the fluid imbalance the patient is experiencing, and state the rationale for your answer.

2. Discuss the four general causes of edema and how they apply in the case of this patient.

3. Discuss the swelling, sores, varicose vein distention, and other effects that edema can have on a patient.

you are a supervisor of a medical office and your employee showed up for work in an inappropriate outfit how would you handle the situation

Mrs. J. (age 42) has been married for 20 years to a TV newscaster. She has two 16-year-old twins who are in high school. She's coming in for a routine physical because she said over the phone that she has no energy and has lost some weight. She also thinks she has had a temperature for several days.

CC: "I can't stand sweating at night and think I'm too young for menopause. Besides, I still get my period."

Physical exam:

·        Temperature, 101°F    

·        Weight loss of 10 lbs. since her previous visit last year

·        Flu-like symptoms     

·        Nonproductive cough       

·        Bilateral lymphadenopathy in cervical and supraclavicular nodes    

·        Decreased breath sounds in bilateral bases  

·        White hair-like growth on tongue

Questions:

5. What are the differential diagnoses and your primary diagnosis with rationales?

6. Are there any legal/ethical considerations?

7. What is your plan of care? Always include pharmaceutical and nonpharmaceutical treatments, diagnostic tests, patient/family education, and follow-up plan.

8. Are there any Healthy People 2020 objectives that you should consider?