CALUMS Diseases Affecting a High Population in The United States Case Study
It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes …
CALUMS Diseases Affecting a High Population in The United States Case Study
It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span. Evaluate the Health History and Medical Information for Mr. C., presented below. Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below. Health History and Medical Information Health History Mr. C., a 32-year-old single male, is seeking information at the outpatient center regarding possible bariatric surgery for his obesity. He currently works at a catalog telephone center. He reports that he has always been heavy, even as a small child, gaining approximately 100 pounds in the last 2-3 years. Previous medical evaluations have not indicated any metabolic diseases, but he says he has sleep apnea and high blood pressure, which he tries to control by restricting dietary sodium. Mr. C. reports increasing shortness of breath with activity, swollen ankles, and pruritus over the last 6 months. Objective Data: Height: 68 inches; weight 134.5 kg BP: 172/98, HR 88, RR 26 3+ pitting edema bilateral feet and ankles Fasting blood glucose: 146 mg/dL Total cholesterol: 250 mg/dL Triglycerides: 312 mg/dL HDL: 30 mg/dL Serum creatinine 1.8 mg/dL BUN 32 mg/dl Critical Thinking Essay In 750-1,000 words, critically evaluate Mr. C.’s potential diagnosis and intervention(s). Include the following: Describe the clinical manifestations present in Mr. C. Describe the potential health risks for obesity that are of concern for Mr. C. Discuss whether bariatric surgery is an appropriate intervention. Assess each of Mr. C.’s functional health patterns using the information given. Discuss at least five actual or potential problems can you identify from the functional health patterns and provide the rationale for each. (Functional health patterns include health-perception, health-management, nutritional, metabolic, elimination, activity-exercise, sleep-rest, cognitive-perceptual, self-perception/self-concept, role-relationship, sexuality/reproductive, coping-stress tolerance.) Explain the staging of end-stage renal disease (ESRD) and contributing factors to consider. Consider ESRD prevention and health promotion opportunities. Describe what type of patient education should be provided to Mr. C. for prevention of future events, health restoration, and avoidance of deterioration of renal status. Explain the type of resources available for ESRD patients for nonacute care and the type of multidisciplinary approach that would be beneficial for these patients. Consider aspects such as devices, transportation, living conditions, return-to-employment issues. You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. _________________________________________________________________________________________________ Topic: Reflection Paper The IOM published report, “Future of Nursing: Leading Change, Advancing Health,” makes recommendations for lifelong learning and achieving higher levels of education. In 1,000-1,250 words, examine the importance of nursing education and discuss your overall educational goals. Include the following: Discuss your options in the job market based on your educational level. Review the IOM Future of Nursing Recommendations for achieving higher levels of education. Describe what professional certification and advanced degrees (MSN, DNP, etc.) you want to pursue and explain your reasons for wanting to attain the education. Discuss your timeline for accomplishing these goals. Discuss how increasing your level of education would affect how your competitiveness in the current job market and your role in the future of nursing. Discuss the relationship of continuing nursing education to competency, attitudes, knowledge, and the ANA Scope and Standards for Practice and Code of Ethics. Discuss whether continuing nursing education should be mandatory. Provide support for your response.
A Family Divided, health and medicine homework help
Case Studies – A Family Divided Case Studies:A Family DividedA Case Study by Robert L. Potter
Discussion Questions …
A Family Divided, health and medicine homework help
Case Studies – A Family Divided Case Studies:A Family DividedA Case Study by Robert L. Potter
Discussion Questions by Rosemary Flanigan A forty-five-year-old man with a three-year history of cardiovascular disease has entered the hospital with a stroke that has paralyzed his right side and caused him to aspirate food of any consistency. His mental status is clouded and there is disagreement as to whether or not he has decisional capacity. His language capacity is only “yes” and “no,” and his responses are inconsistent. The attending physician is convinced that the patient has lost decisional capacity while two family members are equally convinced that he has decisional capacity. The patient’s wife and two other children are ambivalent about his competency to make decisions. The prognosis for recovery of safe swallowing and speech approaches zero because of the dense damage to the cerebral cortex visible on brain imaging. Two neurological consultants have verified that recovery is likely to be minimal and that permanent, severe disability will be the outcome.
The patient does not have an advance directive. The patient’s wife says that they never did discuss his preferences about life-sustaining treatment. She is convinced that he would not want to live in this disabled condition, but is uncertain whether to request the placement of a feeding tube. Two of her four adult children are strongly opposed to the tube placement, while the other two insist that not to do so would be to “kill our father.” The patient’s wife is torn between these two positions, but finally requests that the tube be placed.
The attending physician and the rest of the treatment team are opposed to placing the feeding tube. Their argument is that the patient has “minimal consciousness” and will not improve. They define this as a futile situation with no reasonable expectation of recovery. Furthermore, two nurses claim that during previous hospitalizations for episodes of cardiovascular events the patient told them that he would not want to be sustained by artificial means — not by ventilators, renal dialysis, or tube feeding. It is their position that the patient has expressed his preference to not be kept alive in a futile situation.
The family requests an ethics consultation.Questions for discussion1. The judgment of futility should be a conclusion of a communications process, not a beginning. How would you propose beginning the communication?
• Who should be present?
• What information should be shared?
• What alternatives are on the table?
• What is your goal in participating in the discussion?
2. The family is divided over whether or not their husband/father should be placed on a feeding tube. Consider and discuss the following statements:
• The effectiveness of the feeding tube is a clinical matter.• The benefits of the feeding tube for the patient depend on the patient’s wishes and quality of life, which the patient or the patient’s surrogate and family must determine.• The burdens the treatment (feeding tube) imposes are a consideration for both parties.
3. Role play the discussion. Express your assumptions and loyalties and listen attentively to the other speakers.
4. Evaluate the role playing experience. Did it affect your view of the case?If yes, how will you advise the family and the healthcare providers?
If not, what is to be done now?
5. How would this case have been different if the attending physician had been the one asking for a consultation?
IITK Mod 5 Neurological and Musculoskeletal Pathophysiologic Processes Discussion
Patient is a 24-year-old female administrative assistant who comes to the emergency department with a chief complaint of s …
IITK Mod 5 Neurological and Musculoskeletal Pathophysiologic Processes Discussion
Patient is a 24-year-old female administrative assistant who comes to the emergency department with a chief complaint of severe right-sided headache. She states that this is the sixth time in the last 2 months she has had this headache. She says the headaches last 2–3 days and have impacted her ability to concentrate at work. She complains of nausea and has vomited three times in the last 3 hours. She states, “the light hurts my eyes.” She rates her pain as a 10/10 at this time. Ibuprofen and acetaminophen ease her symptoms somewhat but do not totally relieve them. No other current complaints.Module 5 Assignment: Case Study AnalysisAn understanding of the neurological and musculoskeletal systems is a critically important component of disease and disorder diagnosis and treatment. This importance is magnified by the impact that that these two systems can have on each other. A variety of factors and circumstances affecting the emergence and severity of issues in one system can also have a role in the performance of the other.Effective analysis often requires an understanding that goes beyond these systems and their mutual impact. For example, patient characteristics such as, racial and ethnic variables can play a role.Photo Credit: jijomathai – stock.adobe.comAn understanding of the symptoms of alterations in neurological and musculoskeletal systems is a critical step in diagnosis and treatment. For APRNs this understanding can also help educate patients and guide them through their treatment plans.In this Assignment, you examine a case study and analyze the symptoms presented. You identify the elements that may be factors in the diagnosis, and you explain the implications to patient health.To prepare:By Day 1 of this week, you will be assigned to a specific case study scenario for this Case Study Assignment. Please see the “Course Announcements” section of the classroom for your assignment from your Instructor.Assignment (1- to 2-page case study analysis)In your Case Study Analysis related to the scenario provided, explain the following:Both the neurological and musculoskeletal pathophysiologic processes that would account for the patient presenting these symptoms.Any racial/ethnic variables that may impact physiological functioning.How these processes interact to affect the patient.
HLTH 4530 Walden University Healthcare Economics & Business Discussion
Discussion: The Business of Healthcare “I went to school to take care of patients. Why do I care about economics?” � …
HLTH 4530 Walden University Healthcare Economics & Business Discussion
Discussion: The Business of Healthcare “I went to school to take care of patients. Why do I care about economics?” “The hospital I work for is constantly looking at ways to reduce costs, that shouldn’t be my problem. I need to care for my patients and do it in the best way possible.” Whether you like it or not, if you are a health professional, you are an active participant in the healthcare economic system. It is going to be important for you to understand how your organization operates and why some decisions are made that can affect your daily routine, work, and patient care. To fully understand, it is helpful to look at general business economic principles and how those are similar to and different from healthcare economic principles. As you will read this week’s Learning Resources, while the terms and general meanings are the same, it will help you understand the economic forces and relationships that impact the decisions that you make, the hospital makes or the insurance companies make as everyone tries to balance quality patient care with making a profit and staying open in a competitive healthcare market. To Prepare: Review the Learning Resources for this week.Consider the following concepts related to economics:Supply & DemandElasticity & SurplusMarket Equilibrium & DisequilibriumCompetitive Markets & Economies of ScaleCost ShiftingSelect two concepts related to economics from the list provided to focus on for this Discussion. (Note: Each bullet in the list is considered one concept)Reflect on how these concepts may differ for the economics of healthcare compared to the economics of a typical business. By Day 4 Post an explanation of the economics of healthcare. In your post, please be sure to address the following for the two concepts related to economics that you selected: Describe how the two concepts you selected are related to a typical business market with a tangible products (e.g., applesauce, refrigerators, and cars).Explain how these same concepts may be different for the business of healthcare which is an intangible product (for example, consider a sudden illness or accident, elective surgical procedures, or management of chronic illness). Be specific, and provide examples.Be sure to support your Discussion with a reference to course materials or a reference within the last three years.
central line associated illness, health and medicine homework help
central line associated illness.
central line associated illness, health and medicine homework help
central line associated illness.
Rasmussen College Legal Resource for Nursing Staff Paper
APA FORMAT ACTIVE VOICE TIMES ROMAN 12 FREE OF GRAMMATICAL SPELLING SENTENCE STRUCTURE ERRORS FIRM GRASP OF ENGLISH LANGUA …
Rasmussen College Legal Resource for Nursing Staff Paper
APA FORMAT ACTIVE VOICE TIMES ROMAN 12 FREE OF GRAMMATICAL SPELLING SENTENCE STRUCTURE ERRORS FIRM GRASP OF ENGLISH LANGUAGE ZERO USE OF CONVERSATIONAL ENGLISH IN TEXT CITATIONS REFERENCE PAGE Grading Rubric A=4=Mastery Exemplary examination of the definition of standards of care and scope of practice with comprehensive supporting details. Exemplary determination the essential elements of nursing malpractice with comprehensive supporting examples. Exemplary appraisal of best practices for legal compliance with comprehensive supporting examples. Provided stated ideas with professional language and attribution for credible sources with correct APA citation, spelling, and grammar in the legal resource.CompetencyAnalyze legal components related to nursing practice.ScenarioYour nurse manager has asked you to identify some key points from best practices in guarding against malpractice and to develop a small reminder resource for the staff nurses. The resource could be designed to attach to the back of a name badge or put into a small notebook that reminds them of the key steps for best practice and the standards of care for legal responsibility and malpractice.InstructionsCreate a legal resource for nursing staff that:Examines the definition of standards of care and scope of practice within your state.Determines the essential elements of nursing malpractice.Appraises best practices for legal compliance.Provides stated ideas with professional language and attribution for credible sources with correct APA citation, spelling, and grammar in the legal resource.
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