Select one of the case studies below, and include discussion of your strategy for winning the patients cooperation while teaching concepts concerning pathological states to them and their families.

Requirements

1. Make sure all of the topics in the case study have been addressed.
2. Cite at least three sources; journal articles, textbooks or evidenced-based websites to support the content.
3. All sources must be within five years.
4. Do not use .com, Wikipedia, or up-to-date, etc., for your sources.

Case Study 1

Concepts of Altered Health in Older Adults

Joseph P. is an 82-year-old male living at home. He is in overall good health and enjoys taking long walks as often as possible. During his walks, he likes to stop for a cold glass of fruit juice at the local cafeteria. On cold or rainy days, he rides a stationary bicycle at home for 30 minutes to “stay in good shape.”

1. What physiological factors would typically increase Joseph’s risk of falling while walking outdoors?
2. What are the common changes in blood pressure regulation that occurs with aging?
3. Joseph enjoys fruit juice when he walks. Considering the renal system in the older adult, why would dehydration be a particular concern?

Case Study 2

Structure and Function of the Kidney

Rivka is an active 21-year-old who decided to take a day off from her university classes. The weather was hot and the sun bright, so she decided to go down to the beach. When she arrived, she found a few people playing beach volleyball, and they asked if she wanted to join in. She put down her school bag and began to play. The others were well prepared for their day out and stopped throughout the game to have their power drinks and soda pop. Several hours after they began to play, however, Rivka was not feeling so good. She stopped sweating and was feeling dizzy. One player noted she had not taken a washroom break at all during the day. They found a shaded area for her, and one of the players shared his power drink with her. Rivka was thirstier than she realized and quickly finished the drink.

1. In pronounced dehydration, hypotension can occur. How would this affect the glomerular filtration rate of the kidney? What actions by the juxtaglomerular apparatus would occur to restore GFR?
2. What is the effect aldosterone has on the distal convoluted tubule? Why would the actions of aldosterone be useful to Rivka in her situation?
3. What does a specific gravity test measure? If someone tested the specific gravity of Rivka’s urine, what might it indicate?

4 pages not including title and reference page.

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

 A PICOT starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care. The intervention should be an independent, specified nursing change intervention. The intervention cannot require a provider prescription. Include a comparison to a patient population not currently receiving the intervention, and specify the time-frame needed to implement the change process.

Formulate a PICOT statement using the PICOT format provided in the assigned readings. The PICOT statement will provide a framework for your capstone project.

In a paper of 500-750 words APA, clearly identify the clinical problem and how it can result in a positive patient outcome.

Make sure to address the following on the PICOT statement:

1. Evidence-Based Solution
2. Nursing Intervention
3. Patient Care
4. Health Care Agency
5. Nursing Practice

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

EJ is a 28-year-old female. She is being admitted for Gastric Bypass Surgery. She is 5’6” and 265 pounds. She has a history of Diabetes and hypertension, she is not on medications at the time.

• What client education topics are important to reinforce for this client?
• How will this client’s diet be advanced?
• What complications can occur after this surgery?
• What is Dumping Syndrome and what are some interventions to help prevent its development?
• 300 WORDS

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

 

It is 10 pm and you make assessment rounds and find Bobby crying. You ask him what his pain level is. What pain scale are you using?

He says he misses his family and wonders when they are going to come to get him and take him home? He relates his dad told him to be brave but he couldn’t stay with him since

Bobby was going to be in the hospital for such a long time and his dad had to work. He has 2 other brothers older than him. You also notice that his tray is untouched.

In addition to Erikson’s theory of development, children have fear of loss. What is Bobby’s fear?
(do not forget the interdisciplinary team members)

Video: Pre-operative teaching

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

Describe the rationals for the following nursing intervention for a 75 year old lady/man. Use a minimum 2 complete sentences for each intervention.

Oxygenation: O2 therapy and breathing treatments.

Dehydration: Encourage fluid intake.

Safety:Instruct how to be safe at home.

Polypharmacy: Educate pt on reasons why knowing their meds and proper dosages.

Give the rationales behind these 4 nursing interventions 

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"