Assigmnent 11

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1-What are some environmental factors that  contribute to health problems.
2-find solution for these health problems
3-in conclusion  what nurses can do to address  these health problems
references : www.campus.ecochallenge.org
 http://www.nwei.org/
http://www.sehn.org/
 www.silentspring.org

Virus-free. www.avast.com

 
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Assigmnent 18925365

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Several years ago, researchers discovered a part of the nuclear chromosome called a telomere.  The telomere is found at the end of chromosomes and they fall off at regular intervals of a year or two. Since they are just a segment of chromosomes of 4-6 base pairs it appears to be insignificant except for their reliability over time of the organism or person’s life.  Researchers were fascinated by these small segments and the apparent correlation with the aging of the person.  In addition, these segments accelerated their action of dropping off when the person was diagnosed with cancer or a disease that was categorized as eventually fatal.  Review the Telomeres video below.

Watch VideoTelomeres and Aging | IsagenixDuration: 3:13
User: n/a – Added: 10/22/13YouTube URL: http://www.youtube.com/watch?v=de0aSMxeYmg

Instructions:

  1. Reread Chapter 3 and answer the following questions.
    1. Would you classify telomere-based aging as stochastic or non-stochastic?
    2. What theory would you classify this under considering those listed in the chapter?
    3. How would you, if you were a gerontological researcher, manipulate the telomeres through telomerase to assist persons to live longer? Be specific about each step. 
  2. Your paper should be:
    • One (1) page or more.
    • Use factual information from the textbook and/or appropriate articles and websites.
    • Cite your sources – type references according to the APA Style Guide.
 
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Assigmnent 18925395

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T.J. is a 76-year-old man that recently lost his wife.  He lives alone now in an ALF where he has some friends that he associates with.  They are “good for his overall well-being” claims the administrators of the facility who befriended T.J. when he lost his wife six months ago.  The facility that T.J. lives in is convenient for many aspects of his life, including entertainment and even some of the healthcare associates from neighboring clinics that have partnered with the facility to allow visits with the residents.  

Over the years, the associates from the neighboring clinic have grown close to some residents and have followed them during some of their crisis, both emotional and physical.  Christine, a nurse practitioner from a neighboring clinic, has followed T.J. for many years and is now assessing his fall risk through a tool called the “Hendrick Fall Risk Tool II” a popular means of assessing the fall risk that may exist for an elderly person. 

An entry by the ARNP recently on T.J. demonstrated that there was enough information, recognizing previous and present knowledge to utilize the tool to give T.J. a score representing his fall risk.  the entry reads: “T.J. is a 76-year-old that is evaluated today for his fall risk. He has a MedHx of BPH, COPD, seizures, eczema, and anxiety.  He has been seen monthly and he described some episodes of nocturia that still persists.  A list of his recent mediation includes Alprazolam, Phenytoin, Dutasteride, and ibuprofen prn.  By administering the Get Up and Go Test, we find that he only had a brief episode of not being able to rise but he performed well after that completing it in 12 seconds.  He demonstrates an improvement in his depression experienced in the past exhibited for several months after the loss of his spouse.  His friends at the facility keep him busy and he is much improved in his outlook for the future.”  C. Miller ARNP

Instructions:

  1. Read the Fall Risk Assessment for Older Adults article. 
  2. Complete the Hendrich II Fall Risk Model tool form completely.
    • Assign the correct scores for the Fall Risk Tool.
    • Summarize the scores derived as per fall risk.
  3. Develop a summary of the risks for T.J., so that the facility can respond to those risks and provide a safe environment.
  4. Describe the level of safety that the facility should plan to give T.J.
  5. Finally, explain whether you feel like the score from the Fall Risk Tool is accurate and if the tool is worth the effort to develop.
  6. Your paper should be:
    • One (1) page or more.
    • Use factual information from the textbook and/or appropriate articles and websites.
    • Cite your sources – type references according to the APA Style Guide.
  7. Upload your file by clicking “Browse My Computer” for Attach File.
 
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Assigmnent 18925403

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  1. Ms. B was told that she had a brain aneurysm.  She made an advance statement of wishes saying that she did not want surgery if the aneurysm burst.  However, shortly after she made this statement of wishes, the aneurysm burst and a team of surgeons took her to surgery believing that if not treated with surgery she would surely die.  The hospital (Hospital #1) backed the decision of the surgeons thinking if there was no intervention the hospital would be liable for her death. This all happened as the family were alerted to the emergency and were making travel arrangements as they were all from out-of-town.  

    Unfortunately, the outcome of the surgery was that she became ventilator-dependent paralyzed from the neck down and needing 24-hour care.  Once the family was in the hospital, they held a family conference agreeing that Ms. B would not want to continue on in this state, and they petitioned the hospital to remove her from the ventilator. The hospital refused still believing the potential for legal ramifications.  The family was distraught; but eventually, with the guidance of a lawyer they retained, they were able to have her transferred to another facility (Hospital #2) that was willing to take her off the ventilator knowing that the chances of her making it were slim.  The felt that they were honoring her wishes along with her families’ wishes.
    A day later Ms. B was taken off the ventilator and she expired within the hour.  The family felt like they had done the right thing and they retained the lawyer to sue the initial hospital stating that they had not honored the wishes of their loved ones.  In the trial, the hospital claimed that there was not enough evidence that Ms. B wished to not be placed on machines as the family claimed, even though it was witnessed by a nurse that the anesthesiologist for the care engaged her in a conversation about this very topic before her aneurysm burst.  The hospital maintained that without documentation to that claim, they could not honor her wishes. 

    In a surprising turn of events, the family filed suit in the Court of Appeals and won.  The appellate court agreed with the family stating that any conversation, whether it be personal or professional could be used to reach a conclusion about one’s desire about the nature of their own death. 

    Instructions:

    1. Read the Ms. B’s case study above. 
    2. Answer the following questions:
      1. Do you agree with the original court or the court of appeals?  Why?
      2. What kind of ethical theories was hospital #1 acting upon (beneficence, malfeasance, etc.)?
      3. What kind of ethical theories was hospital #2 acting upon (beneficence, malfeasance, etc.)?
      4. How did the family act in this ethical realm?
      5. Did you find that the result of this case was fair to Mrs. B and her family?
      6. Why is it so important that one put in writing their exact wishes to the nature of their death and how they envision it should be? 
    3. Your paper should be:
      • One (1) page or more.
      • Use factual information from the textbook and/or appropriate articles and websites.
      • Cite your sources – type references according to the APA Style Guide.
    4. Upload your file by clicking “Browse My Computer” for Attach File.
    5. View rubric for grading. 
    6. Need help with Blackboard Learn?Review the How to Submit An Assignment tutorial.
  2. By submitting this paper, you agree: (1) that you are submitting your paper to be used and stored as part of the SafeAssign™ services in accordance with the Blackboard Privacy Policy; (2) that your institution may use your paper in accordance with your institution’s policies; and (3) that your use of SafeAssign will be without recourse against Blackboard Inc. and its affiliates.

  

 
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Assigmnent 18925411

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  1. Elder Abuse and Neglect
    You are a charge nurse in the emergency department. An elderly woman arrives with bruises all over the upper torso of her body and down her left arm. She was brought in by her grandson who resides with her, and the grandson shares that he brought her in to be checked out because he thinks she may have fractured her wrist when she fell on the last step going down in the cellar to do laundry. He appears extremely stressed and states that his grandmother suffers from Alzheimer disease. When you put the patient’s name and demographic information into the electronic medical record it indicates that this patient was in 2 weeks prior with a concussion. 

    Instructions:

    1. Read the scenario above and answer the following question:
      1. How would you assess the situation?
      2. What nursing interventions would you utilize to help both the elderly woman and the grandson?
    2. Your paper should be:
      • One (1) page or more.
      • Use factual information from the textbook and/or appropriate articles and websites.
      • Cite your sources – type references according to the APA Style Guide.

 
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Assigmnent 18925425

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nstructions:

  1. Read the Case Study 11-2: Go to the Hospital and Come Back with Four More Medications in Chapter 11 of the textbook. 
  2. Once you have read the Case Study thoroughly, answer the following questions:
    1. What does the administration of antibiotics have to do with a Clostridium difficile (C. diff infection) infection?
    2. List all the inappropriate medications prescribed for K.L. and describe the reason why they are inappropriate.
    3. What kind of treatment regimen is utilized for a patient with a C. diff infection?
    4. Do any of these treatments regimens raise suspicion as being inappropriate for K.L.?
    5. List the therapy and if contraindicated, give a reason why it is inappropriate.  
  3. Your paper should be:
    • One (1) page or more.
    • Use factual information from the textbook and/or appropriate articles and websites.
    • Cite your sources – type references according to the APA Style Guide.
  4. Upload your file by clicking “Browse My Computer” for Attach File.
  5. View rubric for grading. 
 
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Assigmnent 18929283

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structions:

  1. Review the five (5) Greeting Cards PowerPoint and answer the following questions.
    1. Do you think that those greeting cards showed how ageism is at work in our society? Why or why not?
    2. Select one of the cards and discuss how it demonstrates ageism.
    3. Are there other examples of advertising, either television or radio that is also an example of ageism that you have heard or viewed?
    4. How do you think that ageism passes from one generation to the next, or is this unique to each generation?
  2. Your paper should be:
    • One (1) page or more.
    • Use factual information from the textbook and/or appropriate articles and websites.
    • Cite your sources – type references according to the APA Style Guide.

 
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Assigmnent 18929299

/in /by

 

Several years ago, researchers discovered a part of the nuclear chromosome called a telomere.  The telomere is found at the end of chromosomes and they fall off at regular intervals of a year or two. Since they are just a segment of chromosomes of 4-6 base pairs it appears to be insignificant except for their reliability over time of the organism or person’s life.  Researchers were fascinated by these small segments and the apparent correlation with the aging of the person.  In addition, these segments accelerated their action of dropping off when the person was diagnosed with cancer or a disease that was categorized as eventually fatal.  Review the Telomeres video below.

Watch VideoTelomeres and Aging | IsagenixDuration: 3:13
User: n/a – Added: 10/22/13YouTube URL: http://www.youtube.com/watch?v=de0aSMxeYmg

Instructions:

  1. Reread Chapter 3 and answer the following questions.
    1. Would you classify telomere-based aging as stochastic or non-stochastic?
    2. What theory would you classify this under considering those listed in the chapter?
    3. How would you, if you were a gerontological researcher, manipulate the telomeres through telomerase to assist persons to live longer? Be specific about each step. 
  2. Your paper should be:
    • One (1) page or more.
    • Use factual information from the textbook and/or appropriate articles and websites.
    • Cite your sources – type references according to the APA Style Guide.

 
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Assigmnent 4

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After reading the article presented in the lesson, try to answer the following questions regarding the article:

1. What does the term “self-efficacy” mean and how is it beneficial for the management of pain?

2. What role does postoperative anxiety level have in the control, or, lack of control in                        

          postoperative control of pain?

3. Are there any cultural considerations in taking care of oriental clients, and, their response to

          pain that is suggested in the article due to the country of origin of the article?

4. Since you have read this article, are there any changes you might consider in utilizing

         alternatives in treating pain for orthopedic clients, either pre- or post-surgically?

 
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Assigmnent 5

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  •  abd_assess.pdf (310.787 KB)

Abdominal Assessment Article

1. What six (6) factors independently predicted GI complications?

2. What were the nine (9) variables that independently predicted major GI complications?

3. Name three (3) ways in which mechanical ventilation affects splanchnic perfusion?

4. Name at least twelve (12) reasons given for hypomotility of the gut?

5. Etiologies of diarrhea include these six (6) items.

6. What is the pathophysiology of diarrhea that starts between the 5th and 10th day of treatment?

7. What are the three (3) broad categories of abdominal pain? Give an example of each…

8. What are the three (3) clinical signs that are indicative of active bleeding?

 
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