Your home health agency has received an order from a local hospital to evaluate and treat an elderly woman being discharged from its medical surgical unit.
Millie Gardner, an 83-year-old female patient, is being discharged home today to the care of her husband Fred (87 years old) following a 9-day hospitalization for pneumonia, dehydration, and failure to thrive. She has a history of hypertension (HTN), Type II Diabetes, and cerebral vascular accident (CVA) with left-sided weakness. Patient is alert and oriented but does have periods of forgetfulness during the overnight hours. Patient has intermittent incontinence of bowel and bladder and requires assistance with all activities of daily living (ADLs).
Medications:
Lopressor
Lisinopril
Plavix
Metformin
Novolin R per sliding scale *NEW*
Multivitamin
Colace
Zithromax *NEW*
Upon arrival you are greeted by Champ, the couple’s rambunctious miniature Doberman pinscher dog. Millie is in her wheelchair staring blankly out the window, and Fred is busy in the kitchen preparing the couple’s lunch.
Based on the scenario above, please use the general survey process to describe the areas that you would be observing immediately upon entry to the home.
What, if any, concerns related to Millie’s skin and nutritional status do you have?
What nursing interventions will you include in the plan of care to address these concerns?
What teaching strategies will you use to educate Millie and Fred on the new medications?
Using the SBAR, please include the information that you will communicate to the physician’s office at the completion of the visit.
2.
During a follow up visit, a strong smell of urine is apparent when assessing Millie and you notice that she seems a bit more restless than usual. When questioned, Millie reports feeling discomfort in her tailbone area. You suspect that Millie may be experiencing some skin breakdown.
What would you do next?
What additions/revisions would you anticipate making to your plan of care?
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Nursing 18906689
/in Uncategorized /by developerBy Day 3 Post:
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Nursing 18913585
/in Uncategorized /by developerAs the school nurse working in a college health clinic, you see many opportunities to promote health. Maria is a 40-year-old Hispanic who is in her second year of nursing school. She complains of a 14-pound weight gain since starting school and is afraid of what this will do to both her appearance and health if the trend continues. After conducting her history, you learn that she is an excellent cook and she and her family love to eat foods that reflect their Hispanic heritage. She is married with two school-age children. She attends class a total of 15 hours per week, plus she must be present for 12 hours of labs and clinical. She maintains the household essentially by herself and does all the shopping, cooking, cleaning, and chauffeuring of the children. She states that she is lucky to get 6 hours of sleep per night, but that is okay with her. She lives 1 hour from campus and commutes each day. Using Healthy People 2020
(Links to an external site.)
Links to an external site.
and your text as a guide, answer the following questions.
What additional information would you like to gather from Maria?
What are Maria’s real and potential health risks?
Why is Maria’s culture important when obtaining the health assessment?
Pick one of Maria’s health risks. What would be one reasonable short-term goal for this risk?
What nursing interventions would you incorporate into Maria’s plan of care to assist her with meeting your chosen goal? Please provide rationale for your selections.
Jarvis, C. (2016). Physical examination & health assessment (7 th ed.) Philadelphia, PA: Saunders.
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Nursing 18914621
/in Uncategorized /by developerSee attachment
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Nursing 18915069
/in Uncategorized /by developerYou have to create an E-Poster on what you see as the future of nursing practice and the role of nursing in the emerging health-care environment. You need to predict the future based on present evidence.
The E-Poster needs to include the following:
1. Introduction
2. Statement of the issue
3. Evidence supporting the issue
4. Prediction of the future role of the nurse
5. Conclusion
6. References: minimum of three references from peer-reviewed nursing journals (encourage the use of international journals). Articles need to be within the last 3 years unless historical.
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Nursing 18915073
/in Uncategorized /by developerYou have to create an E-Poster on what you see as the future of nursing practice and the role of nursing in the emerging health-care environment. You need to predict the future based on present evidence.
The E-Poster needs to include the following:
1. Introduction
2. Statement of the issue
3. Evidence supporting the issue
4. Prediction of the future role of the nurse
5. Conclusion
6. References: minimum of three references from peer-reviewed nursing journals (encourage the use of international journals). Articles need to be within the last 3 years unless historical.
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Nursing 18916521
/in Uncategorized /by developerFor this Assignment, as you examine the client case study in this week’s Learning Resources, consider how you might assess and treat adult and older adult clients presenting symptoms of a mental health disorder.
Learning Objectives
Students will:
Examine Case 2: You will be asked to make three decisions concerning the diagnosis and treatment for this client. Be sure to consider co-morbid physical, as well as mental factors that might impact the client’s diagnosis and treatment.
At each Decision Point stop to complete the following:
Also include how ethical considerations might impact your treatment plan and communication with clients and their family. ( please see attachment).
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Nursing 18919035
/in Uncategorized /by developerYour home health agency has received an order from a local hospital to evaluate and treat an elderly woman being discharged from its medical surgical unit.
Millie Gardner, an 83-year-old female patient, is being discharged home today to the care of her husband Fred (87 years old) following a 9-day hospitalization for pneumonia, dehydration, and failure to thrive. She has a history of hypertension (HTN), Type II Diabetes, and cerebral vascular accident (CVA) with left-sided weakness. Patient is alert and oriented but does have periods of forgetfulness during the overnight hours. Patient has intermittent incontinence of bowel and bladder and requires assistance with all activities of daily living (ADLs).
Medications:
Lopressor
Lisinopril
Plavix
Metformin
Novolin R per sliding scale *NEW*
Multivitamin
Colace
Zithromax *NEW*
Upon arrival you are greeted by Champ, the couple’s rambunctious miniature Doberman pinscher dog. Millie is in her wheelchair staring blankly out the window, and Fred is busy in the kitchen preparing the couple’s lunch.
Based on the scenario above, please use the general survey process to describe the areas that you would be observing immediately upon entry to the home.
What, if any, concerns related to Millie’s skin and nutritional status do you have?
What nursing interventions will you include in the plan of care to address these concerns?
What teaching strategies will you use to educate Millie and Fred on the new medications?
Using the SBAR, please include the information that you will communicate to the physician’s office at the completion of the visit.
2.
During a follow up visit, a strong smell of urine is apparent when assessing Millie and you notice that she seems a bit more restless than usual. When questioned, Millie reports feeling discomfort in her tailbone area. You suspect that Millie may be experiencing some skin breakdown.
What would you do next?
What additions/revisions would you anticipate making to your plan of care?
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Nursing 18920083
/in Uncategorized /by developer1-Do you think it is important for nurses to be involved in their professional organizations? Why or why not?
2. The Affordable Care Act (“ObamaCare”) has been both praised and vilified. Debate the pros and cons of this legislation and of health-care reform in general.
3. What is your vision of nursing’s future? How will you contribute to shaping it?
4. Interview a nurse educated in a diploma program at least 20 years ago.
a-How did that nurse’s education differ from your education today?
5. Locate the website of a professional organization related to nursing. Bring a copy of the organization’s mission, membership criteria, and standards of practice.
6. Ask five people of different ages and gender who do not work in the health-care field what they think most nurses do. Compile their answers with the answers your classmates collected and summarize them. Compare the summary to what you know nurses actually do.
a-Were the answers realistic?
b-Did they over- or underestimate the responsibilities most nurses have?
c-Did they recognize the wide variety of things nurses do?
d-Was there a difference by age or gender of the person answering the question?
e-What do the results tell you about the public’s image of nursing?
f-What do you think influences their image the most? Explain your answer.
7. Describe the nurse of the future.
a-What does he or she do?
b-Do you think nursing will become a more powerful force in health care?
c-Why or why not?
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Nursing 18921209
/in Uncategorized /by developerTreatment of Neurocognitive Disorders
Neurocognitive disorders (NCD) such as delirium, dementia, and amnestic disorders are more prevalent in older adults. As the population ages and as life expectancy in the United States continues to increase, the incidence of these disorders will continue to increase. Cognitive functioning such as memory, language, orientation, judgment, and problem solving are affected in clients with NCDs. Caring for someone with a neurocognitive disorder is not only challenging for the clinician, but also stressful for the family. The PMHNP needs to consider not only the client but also the “family as client.” Collaboration with primary care providers and specialty providers is essential. Anticipatory guidance also becomes extremely important.
In this Discussion, you will integrate several sources of knowledge specific to NCDs as you discuss evidenced-based therapies used to treat these disorders.
Learning Objectives
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Nursing 18923165
/in Uncategorized /by developerReport Issue
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Prompt: What is a concept? What is the relationship between theory, research, and practice?We are going to reflect for one moment-Consider Chapter 3 in your McEwen and Willis (2014) text: Answer the following questions:1) What is a concept? Please provide provide an overview in your own words. (review the content page 50-57) (5 sentences)2) Identify a concept that you believe needs to be more explicitly defined for nursing and give the rational for your thoughts. (5 sentences)3) Which method of concept analysis appears to be the easiest to use. Provide support for your answer. (5 sentences)This discussion board will be presented in the following format: 3 paragraphs of 5 sentences each; start each paragraph with a thesis statement, close each paragraph with a conclusion; provide three content sentences in the body of the paragraph.Use proper apa, use citations where appropriate.This post will be submitted to Turnitin prior to grading
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