MODULE 07 CASE STUDY
S.is a 48-year-old divorced woman with one adult daughter and three grandchildren. She is currently working as an LPN part-time in a nursing home and also works at a convenience store one or two days per week. She has had many jobs over the last 22 years, usually changing every one or two years. S notes that she has been called less often to work in the convenience store and worries that they don’t like her anymore. She reports being written up several times for arguing with customers. She also reports that her supervisor at the nursing home “is a bitch”; although she really liked her supervisor at first, she says “Now I hate her; she’s trying to get me fired.” S. reports that she has tried to get fulltime jobs five times in the last four years, was hired for three, but only lasted one or two weeks at each one.
S. reports that she is currently not talking to her daughter because “she is horribly mean to me and she needs to apologize or I won’t talk to her again”. She is upset that she hasn’t seen her three small grandchildren in about a year. She sends them presents and cards frequently that says “I still love you! Grandma”, but hasn’t called them since she stopped talking to her daughter. She is considering reporting to the county that her daughter is keeping her grandchildren from her.
S. is very unhappy that she isn’t in a relationship. She was abused by her ex-husband and has a pattern of meeting and dating men who eventually abuse her. She states that her last relationship was very good, however; the man was not abusive and “I loved him very much”. The relationship ended for reasons that S. doesn’t understand, although she does report many arguments that ended in “scenes” such as her throwing chairs, stomping out of the house, making crank phone calls to his family, and calling the police with false reports. But S. also reports that she “couldn’t have loved him more and I showed it”. She gives examples of going to her boyfriend’s place of work with flowers, buying him expensive presents, surprising him with tickets to Mexico at the last minute – she was very upset that he wasn’t willing to drop everything and go with her. S. reports asking him why he didn’t love her and what she was doing wrong on a regular basis. When the boyfriend asked to break up, S. reports sitting outside his house for weeks, crying; she called his mother, called his boss, and called and texted him until he filed a restraining order. This occurred about 4 months ago.
S. admitted herself to the mental health unit when she felt suicidal. She reports that she had stopped her individual psychotherapy 3 months ago and stopped going to DBT. She also stopped her anti-depressant at that time, as she felt it wasn’t working, and missed her last two psychiatrist appointments.
Questions:
Read the case study about Borderline Personality Disorder and answer the following questions in your initial posting:
1. How would you use therapeutic communication and the principles of cognitive-behavioral therapy with the client?
2. Describe your assessment process. What are some likely co-morbid conditions? List one nursing diagnosis and appropriate nursing intervention.
3. What interdisciplinary referrals might be appropriate?
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Module 5 Written Assignment Nurse E Portfolio Mid Course Entry
/in Uncategorized /by developern this mid-course entry into your Nurse E-Portfolio for this course, you will be examining your perceptions of the nurse in the role of collecting and assessing information. Using the e-portfolio format, answer the following questions. Make sure you spend some time thinking about the answers to these questions before writing.
Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.
Save your assignment as a Microsoft Word document. (Mac users, please remember to append the “.docx” extension to the filename.) The name of the file should be your first initial and last name, followed by an underscore and the name of the assignment, and an underscore and the date. An example is shown below:
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Module 6 Da 1 And Dq 2
/in Uncategorized /by developerModule 6 DQ 1 and DQ 2
Tutor MUST have a good command of the English language
These are two discussion questions
Your DQ1 and DQ2 posts must be at least 150 words and have at least one reference cited for each question. In-text citation, please
Tutor MUST have a good command of the English language
These are two discussion questions
Your DQ 1 and DQ 2 posts must be at least 150 words and have at least one reference cited for each question. In-text citation, please
DQ 1
Discuss “Envisioning Recovery” as an overarching framework for practice development and focus for all health care treatment.
DQ 2
How can the knowledge of economic theory be utilized by advanced practice nurses? How can economic theory be applied in analysis of interventions?
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Module 6 Discussion Schizophrenia From Patients Point Of View
/in Uncategorized /by developerModule 6 discussion. Schizophrenia from patient’s point of view.
Think about a client with schizophrenia that you know about from personal, work or clinical experience, or from news media or other sources. Describe the individual.
What are the positive and/or negative symptoms?
What are the person’s struggles? What treatments have been tried and failed? What works?
If you were that person, what would you like to tell your nurse about yourself, your needs, and your fears?
Please provide evidence from professional sources to support your information. Include examples of your prior experience with a client who was having a problem with delusions and/or hallucinations.
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Module 7 Case Study Discussion
/in Uncategorized /by developerMODULE 07 CASE STUDY
S.is a 48-year-old divorced woman with one adult daughter and three grandchildren. She is currently working as an LPN part-time in a nursing home and also works at a convenience store one or two days per week. She has had many jobs over the last 22 years, usually changing every one or two years. S notes that she has been called less often to work in the convenience store and worries that they don’t like her anymore. She reports being written up several times for arguing with customers. She also reports that her supervisor at the nursing home “is a bitch”; although she really liked her supervisor at first, she says “Now I hate her; she’s trying to get me fired.” S. reports that she has tried to get fulltime jobs five times in the last four years, was hired for three, but only lasted one or two weeks at each one.
S. reports that she is currently not talking to her daughter because “she is horribly mean to me and she needs to apologize or I won’t talk to her again”. She is upset that she hasn’t seen her three small grandchildren in about a year. She sends them presents and cards frequently that says “I still love you! Grandma”, but hasn’t called them since she stopped talking to her daughter. She is considering reporting to the county that her daughter is keeping her grandchildren from her.
S. is very unhappy that she isn’t in a relationship. She was abused by her ex-husband and has a pattern of meeting and dating men who eventually abuse her. She states that her last relationship was very good, however; the man was not abusive and “I loved him very much”. The relationship ended for reasons that S. doesn’t understand, although she does report many arguments that ended in “scenes” such as her throwing chairs, stomping out of the house, making crank phone calls to his family, and calling the police with false reports. But S. also reports that she “couldn’t have loved him more and I showed it”. She gives examples of going to her boyfriend’s place of work with flowers, buying him expensive presents, surprising him with tickets to Mexico at the last minute – she was very upset that he wasn’t willing to drop everything and go with her. S. reports asking him why he didn’t love her and what she was doing wrong on a regular basis. When the boyfriend asked to break up, S. reports sitting outside his house for weeks, crying; she called his mother, called his boss, and called and texted him until he filed a restraining order. This occurred about 4 months ago.
S. admitted herself to the mental health unit when she felt suicidal. She reports that she had stopped her individual psychotherapy 3 months ago and stopped going to DBT. She also stopped her anti-depressant at that time, as she felt it wasn’t working, and missed her last two psychiatrist appointments.
Questions:
Read the case study about Borderline Personality Disorder and answer the following questions in your initial posting:
1. How would you use therapeutic communication and the principles of cognitive-behavioral therapy with the client?
2. Describe your assessment process. What are some likely co-morbid conditions? List one nursing diagnosis and appropriate nursing intervention.
3. What interdisciplinary referrals might be appropriate?
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Module 7 Discussion 19422103
/in Uncategorized /by developerYour patient is a 42-year-old female that arrives in the ED with complaints of fever and not feeling well. She is currently undergoing chemotherapy for bladder cancer. She has an indwelling urinary catheter with scant amount of dark, foul smelling urine. She has a temperature of 102.2F, HR 136, BP 110/50 and RR 28. She is allergic to penicillin and Sulfa.
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Module 7 Discussion 19427379
/in Uncategorized /by developert is very important to differentiate between the different types of shock since treatment may depend on this. Complete the Comparison Table on the different types of shock.
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Module 7 Dq 1 And Dq 2
/in Uncategorized /by developerModule 7 DQ 1 and DQ 2
Tutor MUST have a good command of the English language
These are two discussion questions
Your DQ1 and DQ2 posts must be at least 150 words and have at least one reference cited for each question. In-text citation, please
Tutor MUST have a good command of the English language
These are two discussion questions
Your DQ 1 and DQ 2 posts must be at least 150 words and have at least one reference cited for each question. In-text citation, please
Topic 7 DQ 1
How can the DNP-prepared nurse apply the concepts of a complex adaptive system to individual patient care? Provide examples.
Topic 7 DQ 2
Research change theories in scholarly literature and on the Internet. Develop a scenario and describe application of a change theory from the perspective of an advanced practice nurse leader.
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Module 7 Homework Uti
/in Uncategorized /by developer· Use the information presented in the module folder along with your readings from the textbook to answer the following questions.
5. Describe and explain the primary, secondary, latent, and tertiary stages of syphilis:
6. Explain why a person with AIDS is more susceptible to opportunistic infections. What diseases or conditions might a person with HIV or AIDS be more susceptible to?
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Module 8 19328753
/in Uncategorized /by developerThe Department of Health and Human Services has created a website called Hospital Compare, a powerful online tool to enable consumers to learn about the quality of specific hospitals and compare them to other hospitals. You can find the site at Hospital Compare
Find information on the hospital closest to your home.
List strengths and weaknesses of each.
What does this website tell you about the quality of care?
Hospital:
Strengths:
Weaknesses:
What does this tell you about the quality at this facility?
Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.
Save your assignment as a Microsoft Word document. (Mac users, please remember to append the “.docx” extension to the filename.) The name of the file should be your first initial and last name, followed by an underscore and the name of the assignment, and an underscore and the date. An example is shown below:
Jstudent_exampleproblem_101504
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Module 8 Fluid Imbalances 19437777
/in Uncategorized /by developerModule 8 written paper. Fluid Imbalances
Your written assignment for this module should be a 1-2 page paper (not including title page and reference page) that describes the following:
Describe what a fluid and electrolyte imbalance is and how this is important to the function of the body?
Pick a fluid or electrolyte imbalance and describe how the patient would present, in addition to the treatment (nursing and expected medical)?
You should include a minimum of 3 scholarly references. Include a title page, in-text citations, and a reference page in APA format.
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