Discuss the needs of, and the changes facing, later adults to a potential client.

Discuss the needs of, and the changes facing, later adults to a potential client.

BSHS/325 WEEK 4 INDIVIDUAL LATER ADULTHOOD DEVELOPMENT REPORT

Imagine that you are a director at a nursing home facility. You are discussing the needs of, and the changes facing, later adults to a potential client’s family.


 

... .

get-your-custom-paper






The post Discuss the needs of, and the changes facing, later adults to a potential client. appeared first on My Nursing Writer.

DEFICIENCIES, AND IN GENERAL TO BE SURE THAT RECORDS ARE KEPT ACCURATELY AND UP TO DATE. IN THIS FACILITY THE COPYING OF MEDICATION ORDERS IS DONE ONLY BY CREDENTIALED NURSING PERSONNEL, AND YOU ARE NOT CREDENTIALED FOR THIS DUTY.

DEFICIENCIES, AND IN GENERAL TO BE SURE THAT RECORDS ARE KEPT ACCURATELY AND UP TO DATE. IN THIS FACILITY THE COPYING OF MEDICATION ORDERS IS DONE ONLY BY CREDENTIALED NURSING PERSONNEL, AND YOU ARE NOT CREDENTIALED FOR THIS DUTY.

You work as a health information clerk on an acute care wing of a hospital. Your duties are to post reports to patient records, to flag records for deficiencies, and in general to be sure that records are kept accurately and up to date. In this facility the copying of medication orders is done only by credentialed nursing personnel, and you are not credentialed for this duty. One afternoon the nurse in charge of the wing asks you to copy medication orders onto a group of charts. She has had an extremely busy day, and your doing this would help her to end her shift on time. You feel you know how to do the copying, but you also know this is not a duty you are allowed to perform. What do you do? Discuss your options and how you would handle the situation.


 

... .

get-your-custom-paper






The post DEFICIENCIES, AND IN GENERAL TO BE SURE THAT RECORDS ARE KEPT ACCURATELY AND UP TO DATE. IN THIS FACILITY THE COPYING OF MEDICATION ORDERS IS DONE ONLY BY CREDENTIALED NURSING PERSONNEL, AND YOU ARE NOT CREDENTIALED FOR THIS DUTY. appeared first on My Nursing Writer.

Is There a Case for Mandating Influenza Vaccination in Healthcare Workers?

Is There a Case for Mandating Influenza Vaccination in Healthcare Workers?

A vaccine is the most effective form of prevention. In the case of influenza, a vaccine can cut your risk of developing the disease by up to 90 percent, depending on a variety of factors, including the effectiveness of the vaccine that year. The Centers for Disease Control and Prevention (CDC), the Advisory Committee on Immunization Practices (ACIP), and the Healthcare Infection Control Practices Advisory Committee (HICPAC) recommend that all U.S. health care professionals get vaccinated annually against influenza.

Mandatory vaccination is a controversial strategy that pits health care professional and personal autonomy against patient/public safety and employee relations. Administrators planning to implement mandatory influenza vaccination policies for health care professionals must understand the implications involved in these policies.

To prepare for this Discussion, review the peer-reviewed, professional journal articles and news article in this week’s Learning Resources, describing a dispute involving a health care facility’s mandatory vaccination or mask for seasonal flu. Select one of these articles for the Discussion, or find one of your own in a peer-reviewed journal or on the Internet. This dispute may involve an individual health care provider or facility.


 

... .

get-your-custom-paper






The post Is There a Case for Mandating Influenza Vaccination in Healthcare Workers? appeared first on My Nursing Writer.

Is the physician ethical in reducing her anxiety about her apparent refusal of treatment when the physician believes treatment is medically indicated?

Is the physician ethical in reducing her anxiety about her apparent refusal of treatment when the physician believes treatment is medically indicated?

In each case, answer the questions at the end of the case and give researched references to support your assertions; also, explain what would be the ethical course of action and the legal requirements for action in the case.

Case One

Mrs. G. has an aneurysm in her brain that, if untreated by surgery, will lead to blindness and probably death. The surgery recommended leads to death in 75% of all cases. Of those who survive the operation, nearly 75% are crippled. Mrs. G has three small children. Her husband has a modest job, and his health insurance will cover the operation, but not the expenses that will result if she is crippled.

When informed of this, Mrs. G. is in great emotional turmoil for a week or so until she makes her decision. She refuses treatment, because she does not like the odds. There was, after all, only a one chance out of sixteen for a real recovery. In addition, she could not come to grips with exposing her family to the risk of having a mother who would be a burden and not a help.

Can a patient with serious obligations, such as a family, refuse treatment? What odds of recovery would be good odds?

Case Two

Mrs. S., an 85-year-old housewife, becomes aware of breathlessness and is easily fatigued. She is known to have had a heart murmur for 2 years. She consents to come to a research hospital for cardiac cauterization, which confirms the presence of severe, calcify aortic stenosis with secondary congestive heart failure.

Because of the unfavorable prospect for survival without surgical intervention, the recommendation at the combined cardiac medical-surgical conference is for an operation. The physician explains the situation to Mr. and Mrs. S. and recommends aortic valve replacement. It is noted that the risk of surgery is not well known for Mrs. S,’s age group, and that early mortality is usually around 10 percent, with 80 percent achieving good functional results after 3 years. Her lack of an obvious disease makes her a relatively good candidate for a successful surgical outcome, despite her age.

Mrs. S. appears to understand the discussion and recommendation, but requests deferral of the decision and shows signs of denial of the problem. She has no other medical problems, her husband is in good health, and their marriage appears to be happy. They are financially secure and enjoy a full set of social and recreational activities. She returns on three subsequent occasions for simple, supportive attention. The physician decides not to employ psychiatric assistance or other measures to reduce her denial and begins to use conversation to reduce her anxiety associated with her decision.


 

... .

get-your-custom-paper






The post Is the physician ethical in reducing her anxiety about her apparent refusal of treatment when the physician believes treatment is medically indicated? appeared first on My Nursing Writer.

In preparation for the Personal Worldview Inventory assignment, identify the key components that make up a worldview.

In preparation for the Personal Worldview Inventory assignment, identify the key components that make up a worldview.

please write 6 discussion posts based on this topic- Discovering Relationships and Building Models . Each most include minimum 4 substantial sentences with proper citations.

The Role of Spirituality in Health Care

Read “The Role of Spirituality in Health Care,” by Puchalski, from Proceedings (Baylor University Medical Center) (October 2001).

Called to Care: A Christian Worldview for Nursing

Can use for reference, chapters 1-2 and the Worldviews in Nursing Theories section of chapter 3 in Called to Care: A Christian Worldview for Nursing.


 

... .

get-your-custom-paper






The post In preparation for the Personal Worldview Inventory assignment, identify the key components that make up a worldview. appeared first on My Nursing Writer.

Describe the process by which HIV is able to insert its RNA genome into the host cell’s DNA and form a provirus.

Describe the process by which HIV is able to insert its RNA genome into the host cell’s DNA and form a provirus.

4 Short Answer (2-3 Sentences), 6 Short Essays (3-6 sentences). File called Part B.docx has questions. The rest are attached sources of information that may be used but don’t have to be.

Document Preview:
Part B. Short Answer (5 points each) Answer the questions below as completely and as thoroughly as possible and where appropriate include a specific example to illustrate. Answer the questions using complete sentences. Cite outside sources of information. (2-3 Sentences) 21. An electron micrograph of a cell shows a rigid cell wall, a cytoplasmic membrane, a nonmembrane bound nuclear area, and no endoplasmic reticulum or mitochondria. Explain why the cell is or is not each of the following: a human T cell, a virus, a bacterial cell, a yeast cell. 22. The genome of human immunodeficiency virus (HIV) is comprised entirely of RNA. Describe the process by which HIV is able to insert its RNA genome into the host cell’s DNA and form a provirus. 23. State and describe three (3) different functions of macrophages in the body’s defense against a bacterial or viral infection. 24. Read the following Science Daily article and answer the questions. University of Medicine and Dentistry of New Jersey (UMDNJ) (12 April 2012). Possible connection between air pollution and tuberculosis susceptibility. ScienceDaily. Retrieved 05 May 2013 from http://www.sciencedaily.com/releases/2012/04/120413162343.htmhttp://www.sciencedaily.com/releases/2012/04/120413162343.htm a. What was the purpose of Dr. Schwander’s experiments? b. What were the independent and dependent variables? c. What were the results of the experiments? d. Did the studies demonstrate a connection between exposure to air pollution and the development of tuberculosis? Why or why not? Part C. Short Essay (10 points each) Answer the questions below as completely and as thoroughly as possible and where appropriate include a specific example to illustrated. Answer the question in essay form (not as an outline or as bullets) using complete sentences. You may use diagrams to supplement your answers, but a diagram alone without appropriate discussion will not be adequate for full credit. (3-6 sentences) 25. Describe…


 

... .

get-your-custom-paper






The post Describe the process by which HIV is able to insert its RNA genome into the host cell’s DNA and form a provirus. appeared first on My Nursing Writer.

Determine three reasons why you should evaluate the facilities and equipment aspects of a healthcare organization in order to implement value-added support strategies.

Determine three reasons why you should evaluate the facilities and equipment aspects of a healthcare organization in order to implement value-added support strategies.

Support Strategies”

Select a specific type of healthcare organization (hospital, clinic, nursing home, etc.), and provide one example of a value-added service applicable to the type of organization that you have selected. Recommend two value-added support strategies necessary to implement this service for the type of organization you selected.

Determine three reasons why you should evaluate the facilities and equipment aspects of a healthcare organization in order to implement value-added support strategies. Provide a rationale for your response.


 

... .

get-your-custom-paper






The post Determine three reasons why you should evaluate the facilities and equipment aspects of a healthcare organization in order to implement value-added support strategies. appeared first on My Nursing Writer.

Analyze pathophysiologic mechanisms associated with selected disease states.Hello Class, Congratulations on completing Week 5! The course outcomes for this week were:

Analyze pathophysiologic mechanisms associated with selected disease states.Hello Class, Congratulations on completing Week 5! The course outcomes for this week were:
Course Outcomes Program Outcomes
No unread replies. No replies.

Week 5 Summary
Hello Class, Congratulations on completing Week 5! The course outcomes for this week were:
Course Outcomes Program Outcomes
1 Analyze pathophysiologic mechanisms associated with selected disease states. (PO 1)
2 Differentiate the epidemiology, etiology, developmental characteristics, pathogenesis and clinical and laboratory manifestations of specific disease processes. (PO 1)
3 Examine the way in which homeostatic, adaptive, and compensatory physiological mechanisms can be supported and/or altered through specific therapeutic interventions. (PO 1,7)
4 Distinguish risk factors associated with selected disease states. (PO 1)
5 Describe outcomes of disruptive or alterations in specific physiologic processes. (PO 1)
6 Distinguish risk factors associated with selected disease states. (PO 1)
7 Explore age-specific and developmental alterations in physiologic and disease states. (PO 1, 4)
Case Study Summary
Discussion Part 1 (graded)
Ms. Blake is an older adult with diabetes and has been too ill to get out of bed for 2 days. She has had a severe cough and has been unable to eat or drink during this time. She has a history of Type I diabetes. On admission her laboratory values show:
Sodium (Na+) 156 mEq/L
Potassium (K+) 4.0 mEq/L
Chloride (Cl–) 115 mEq/L
Arterial blood gases (ABGs) pH- 7.30; Pco2-40; Po2-70; HCO3-20
Normal values
Sodium (Na+) 136-146 mEq/L
Potassium (K+) 3.5-5.1 mEq/L
Chloride (Cl–) 98-106 mEq/L
Arterial blood gases (ABGs) pH- 7.35-7.45 Pco2- 35-45 mmHg Po2-80-100 mmHg HCO3–22-28 mEq/L
List five (3) reasons on why she may have become bed ridden?
Based on these reasons what tests would you order?
Describe the molecular mechanism of the development of ketoacidosis.
What is the general differential?
1. Diabetic Ketoacidosis
2. Hyperglycemic hyperosmolarity
3. Dehydration
4. Sepsis
5. Acute kidney damage
Assuming that DKA is likely, what could have caused her sudden decline?
1. Respiratory infection
2. Dehydration
3. Medication non-compliance


 

... .

get-your-custom-paper






The post Analyze pathophysiologic mechanisms associated with selected disease states.Hello Class, Congratulations on completing Week 5! The course outcomes for this week were: appeared first on My Nursing Writer.

YOU ARE THE NURSE MANAGER OF AN AMBULATORY SURGERY UNIT. RECENTLY, YOU HAVE SEEN A SUDDEN RISE IN THE NUMBER OF SURGICAL PATIENTS COMING THROUGH THE UNIT.

YOU ARE THE NURSE MANAGER OF AN AMBULATORY SURGERY UNIT. RECENTLY, YOU HAVE SEEN A SUDDEN RISE IN THE NUMBER OF SURGICAL PATIENTS COMING THROUGH THE UNIT.

SIMULTANEOUSLY, PATIENTS, PHYSICIANS, AND OTHER PROVIDERS HAVE STARTED TO COMPLAIN ABOUT LONG DELAYS DURING PRETESTING. IN A TWO TO THREE-PAGE PAPER, ANSWER THE FOLLOWING QUESTIONS. WOULD YOU ATTEMPT TO FIX THIS PROBLEM BY ADDRESSING IT DURING A STAFF MEETING? WHY OR WHY NOT? (2 PT) COMPARE HOW TO ADDRESS THIS PROBLEM USING A PROCESS TEAM VERSUS USING THE STAFF-MEETING APPROACH. (4PTS) DESCRIBE HOW YOU WOULD ANALYZE THE PROCESS. (4PTS) EXPLAIN WHICH TOOLS ARE APPROPRIATE TO USE FOR THE ANALYSIS. (3PTS) PAPER IS PROFESSIONALLY WRITTEN WITH TWO OR MORE REFERENCES. (2PTS)

You are the nurse manager of an ambulatory surgery unit. Recently, you have seen a sudden rise in the number of surgical patients coming through the unit. Simultaneously, patients, physicians, and other providers have started to complain about long delays during pretesting. In a two to three-page paper, answer the following questions. Would you attempt to fix this problem by addressing it during a staff meeting? Why or why not? (2 pt) Compare how to address this problem using a process team versus using the staff-meeting approach. (4pts) Describe how you would analyze the process. (4pts) Explain which tools are appropriate to use for the analysis. (3pts) Paper is professionally written with two or more references. (2pts)


 

... .

get-your-custom-paper






The post YOU ARE THE NURSE MANAGER OF AN AMBULATORY SURGERY UNIT. RECENTLY, YOU HAVE SEEN A SUDDEN RISE IN THE NUMBER OF SURGICAL PATIENTS COMING THROUGH THE UNIT. appeared first on My Nursing Writer.

Discuss some examples of primary healthcare, like vaccinations, safe drinking water, and basic hygiene.Evaluate the merit of primary vs. tertiary health services related to a population’s health in a country of your choice.

Discuss some examples of primary healthcare, like vaccinations, safe drinking water, and basic hygiene.Evaluate the merit of primary vs. tertiary health services related to a population’s health in a country of your choice.

Discuss some examples of primary healthcare, like vaccinations, safe drinking water, and basic hygiene.Evaluate the merit of primary vs. tertiary health services related to a population’s health in a country of your choice. Discuss some examples of primary healthcare, like vaccinations, safe drinking water, and basic hygiene. Also provide examples of tertiary healthcare, such as hip replacement, kidney dialysis, and heart surgery. Your paper should be at least 1 page in length.

Discuss some examples of primary healthcare, like vaccinations, safe drinking water, and basic hygiene.
Evaluate the merit of primary vs. tertiary health services related to a population’s health in a country of your choice. Discuss some examples of primary healthcare, like vaccinations, safe drinking water, and basic hygiene. Also provide examples of tertiary healthcare, such as hip replacement, kidney dialysis, and heart surgery. Your paper should be at least 1 page in length.


 

... .

get-your-custom-paper






The post Discuss some examples of primary healthcare, like vaccinations, safe drinking water, and basic hygiene.Evaluate the merit of primary vs. tertiary health services related to a population’s health in a country of your choice. appeared first on My Nursing Writer.