Case Study 18983861

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Case Study.  

APA 6th ed format.

Work supported by at least 3 peer reviewed references.

One document is the case study, the other is an example.

 
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Case Study 19

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Case Study, Chapter 19, Postoperative Nursing Management

1. Rita Schmidt, 74 years of age, is a female patient who was admitted to the surgical unit after undergoing removal of a section of the colon for colorectal cancer. The patient does not have a colostomy. The patient has several small abdominal incisions and a clear dressing over each site. The incisions are well approximated and the staples are dry and intact. There is a Jackson-Pratt drain intact with minimal serous sanguineous drainage present. The patient has a Salem sump tube connected to low continuous wall suction that is draining a small amount of brown liquid. The patient has no bowel sounds. The Foley catheter has a small amount of dark amber-colored urine without sediments. The patient has sequential compression device (SCD) in place. The nurse performs an assessment and notes that the patient’s breath sounds are decreased bilaterally in the bases and the patient has inspiratory crackles. The patient’s cardiac assessment is within normal limits. The patient is receiving O2 at 2 L per nasal cannula with a pulse oximetry reading of 95%. The vital signs include: blood pressure, 100/50 mm Hg; heart rate 110 bpm; respiratory rate 16 breaths/min; and the patient is afebrile. The patient is confused as to place and time. 

  1. Explain the assessment parameters used to provide clues to detect postoperative problems early and the interventions needed.
  2. What gerontological postoperative considerations should the nurse make?

2. Mr. John Smith is admitted to the hospital for surgical incision and drainage (I&D) of an abscess on his right calf, which resulted from a farm machinery accident. The right calf has an area 3 cm × 2.5 cm, which is red, warm and hard to touch, and edematous. 

  1. Explain the wound healing process according to the phase of Mr. Smith’s wound?
  2. The surgeon orders for wet-to-dry sterile saline dressing twice a day with iodoform gauze to the wound, covered with the wet-to-dry dressing. Explain how to perform this dressing change.

 

 
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Case Study 19024103

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AB is a 72-year-old female who the nurse is admitting to a telemetry hospital bed.  She stated: “I was feeling terrible—I had trouble breathing for a few days, but thought it would go away in awhile. But, I couldn’t sleep at night.   I haven’t eaten much of anything for days, but I gained 10 pounds! We were going to church this morning, but I just couldn’t catch my breath, so my husband brought me to the hospital to get help.”  

Physical assessment revealed an elderly woman with average body habitus, but an enlarged waist. She is alert, oriented x 4 and denies chest pain.  Her facial expression is slightly anxious and she is breathing with some difficulty, although she can finish a complete sentence in one breath. The telemetry monitor reveals sinus tachycardia with no ectopic beats.  The client is tachypneic. The nurse inspects the client’s chest, which reveals symmetric chest movement and  intact skin.  Lung sounds on the anterior chest reveal no adventitious sounds on the apices or the 2nd through 4th ICS on either sternal border. Abdomen is soft and slightly distended.  Radial, brachial, post tibial pulses are 2+.  Patient denies chest pain, but endorses feeling short of breath with a persistent nonproductive cough.

Assignment:

  1. Organize the information by subjective and objective data.  (10%)
     
  2. List five priority questions the nurse should ask to obtain a more complete history focused on this client’s thorax and lungs, heart and great vessels, peripheral vascular and lymphatic system, and abdomen.   (15%)
     
  3. What additional assessments should the nurse do to complete a focused physical assessment of this client’s thorax and lungs, heart and great vessels, peripheral vascular and lymphatic system, and abdomen? (60%)
     
  4. List three priority health problems the nurse should help this client with. (Use NANDA terminology)  (15%)
     
 
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Case Study 19040477

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Assignment Instructions

Ethical Standards of Practice

This assignment will assess knowing of the following CAHIIM Competencies:

Domain VI. Leadership

                VI.H. Ethics

  1. Comply with ethical standards of practice.   3. Assess how cultural issues affect health, healthcare quality, cost and HIM

Assignment Instructions

Part 1:

Review the case study at the end of chapter 5.  Which ethical standards in this chapter apply to this case and how?  What impact would the implementation of the system have on the facility if it is implemented without proper privacy and security controls?  Can policies and procedures be established to help ensure compliance?

Part 2:

Locate the website of two medical billing and coding companies that use staff based in other countries. Describe their training practices on topics such as ICD-10-CM coding, and English language and culture, comparing similarities and differences. What impact could using these companies have on ethical standards of practice? The following are suggested sites to begin with; you may find others as well:

Supporting Materials

  • HIMA200 Assignment – Ethical Standards of Practice.docx (16 KB)

  You are a health information manager in a hospital setting. Your facility has purchased an electronic health record (EHR) system. During the testing period, you and your staff discover that the EHR system does not comply with applicable federal privacy and security standards. Pressure is mounting to deploy the system in the near future. What ethical issues should you consider? How should you proceed?

 

 
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Case Study 19070311

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Careers in the Health and Wellness field often expose you to situations and human experiences that require you to think critically about them. This project is intended to help you do just that.For this project, you will choose 1 of the 3 case studies presented below. Once you have selected, you will:Explain the individual’s behaviors that have influenced their physical and psychological well-being.Evaluate the individual’s behavioral health according to the theories proposed in this Behavioral Health course.Explain the symptoms associated with the specific mental health diagnosis that has been identified within the case study (you do not have to diagnose, you simply explain what the individual with that diagnosis may experience).Devise 3 goals and objectives to help the individual in terms of physical and mental well-being. Identify behavioral health programs that may help the individual and provide them as resources.Finally, consider any ethical or cultural issues that may be involved in the case. Due DateYour final project is due in Module 06. There will be individual assignments along the way. The module they are due is noted in the time line below.Time LineModuleAssignment01Introduction02Part A Due04Part B Due06Part C and Final Submission Due
RequirementsReview the 3 case study options provided below and decide which you will examine for your project.Case Study Option 1: JannaCase Study Option 2: ThomasCase Study Option 3: BarbaraWhen considering which case study to choose, think about how you might help guide the individual to improve their psychological wellness as well as their physical health and wellness.Topic Areas to be AddressedYour Course Project will be completed in 3 parts (A-C) and should address the topic areas outlined below. Your submissions should be written in APA format and not simply be presented as answers to the guiding-questions.Part AProvide a brief overview of the case study you have chosen. What are the individual behaviors that have influenced this person’s physical and psychological well-being? Examine these and provide an explanation of each of those behaviors.

Evaluate the individual’s behavioral health according to one of the following theories:      Behavioral TheoryBiopsychosocial ModelSelf-efficacy TheoryTheory of Planned BehaviorHealth Belief ModelTranstheoretical Model
Part BExplain the symptoms of the diagnosis provided in the case study. Then explain how this diagnosis will affect the individual in the case study. This is simply an application of what you learned about mental health disorders in Module 02. What are the symptoms of the disorder? Good advocacy requires that education of the client is indicated. Educate your client about the diagnosis. What does the client need to know about this disorder?

Design 3 goals and 3 objectives that would support health and wellness as well as overall good behavioral health functioning.
Part CIdentify at least 3 behavioral health programs and/or services that would support the overall wellness of this individual (these can be national programs/services or they can be local program/services). Indicate the service and then provide an explanation relative to how this program or service would indicate advocacy.

Finally, consider and discuss any ethical issues with regard to the promotion of behavioral health and wellness; and/or current laws that may apply to the case study. Consider cultural issues that may affect the behavioral health plan.
Final Submission
Your final project should 5-8 pages long, written in APA format, and use proper spelling/grammar. In-text citations should be used and they should be supported by an APA formatted References page. Your final deliverable should include revisions based on faculty-feedback provided for earlier project assignments.EvaluationEach assignment leading up to the final assignment is evaluated and graded independently. Your instructor will provide specific grading criteria for each step of the project prior to its due date.For Further Questions

 
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Case Study 19070721

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Case Study:

Mr. Smith, a 60 year-old man with coronary heart disease, experienced frequent bouts of angina pectoris. One day while moving a piece of heavy furniture, he experienced excruciating pain over his left chest. He began sweating heavily, became short of breath, and then collapsed. He was transferred to the emergency room at a nearby hospital. Mr. Smith’s EKG was diagnostic of myocardial infarction. A coronary angiography was performed and an occlusion was found in a in the descending branch of the left coronary artery. Intravenous drugs were administered to dissolve the clot that was causing the obstruction. His cardiologist informed him that some of his heart muscle had died as a result of the myocardial infarction.

Discussion Questions:

1. Discuss the risk factors for a myocardial infarction.

2. As per your analysis, what type of cell injury did Mr. Smith sustain and why?

3. Differentiate between reversible and non-reversible cell injury.

4. Discuss the pathophysiological changes that occur during a myocardial infarction.

5. Correlate the subjective and objective findings of a myocardial infarction with the disease

Requirement is one page.

Provide references and use APA format.

 
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Case Study 19073047

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Case Study

A 17-year-old female presents to your ER with her boyfriend. She has a disheveled appearance and poor hygiene. She reports “Please help, I can’t pee”. The health history reveals that this young patient last urinated about 8 hours ago and is now feeling very uncomfortable. You ordered an indwelling catheter and the nurse reports an output of 1500 ml of cloudy urine. Urinalysis is positive for nitrites, large ketones, trace blood, and large number of bacteria. Glucose is negative.

Vital signs: BP 160/90, HR 120, R 22, Weight 107 lbs., Height 5’6”, BMI 17.

What additional history would you obtain from this patient?

What are your treatment goals for this patient?

If you plan to start drug treatment today, what is your choice, dose, and duration of treatment.

Provide patient education regarding your choice of treatment, as well as non-pharmacologic aspect of treatment.

(references peer reviewed, less than 5 years old, APA 6th edition)

Limit to 4 pages double space:

Cover: 1st page

Content: 2nd and 3rd page

References: 4th page (references peer reviewed, less than 5 years old, APA 6th edition)

 
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Case Study 19078627

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Mr. C., a 32-year-old single man, is seeking information at the outpatient center regarding possible bariatric surgery for his obesity. He reports that he has always been heavy, even as a small child, but he has gained about 100 pounds in the last 2–3 years. Previous medical evaluations have not indicated any metabolic diseases, but he says he has sleep apnea and high blood pressure, which he tries to control with sodium restriction. He current works at a catalog telephone center.

Objective Data

  1. Height: 68 inches; Weight 134.5 kg
  2. BP: 172/96, HR 88, RR 26
  3. Fasting Blood Glucose: 146/mg/dL
  4. Total Cholesterol: 250mg/dL
  5. Triglycerides: 312 mg/dL
  6. HDL: 30 mg/dL

Critical Thinking Questions

What health risks associated with obesity does Mr. C. have? Is bariatric surgery an appropriate intervention? Why or why not?

Mr. C. has been diagnosed with peptic ulcer disease and the following medications have been ordered:

  1. Magnesium hydroxide/aluminum hydroxide (Mylanta) 15 mL PO 1 hour before bedtime and 3 hours after mealtime and at bedtime.
  2. Ranitidine (Zantac) 300 mg PO at bedtime.
  3. Sucralfate/Carafate 1 g or 10ml suspension (500mg / 5mL) 1 hour before meals and at bedtime.

The patient reports eating meals at 7 a.m., noon, and 6 p.m., and a bedtime snack at 10 p.m. Plan an administration schedule that will be most therapeutic and acceptable to the patient.

  1. Assess each of Mr. C.’s functional health patterns using the information given. (Hint: Functional health patterns include health-perception – health management, nutritional – metabolic, elimination, activity-exercise, sleep-rest, cognitive-perceptual, self-perception – self-concept, role-relationship, sexuality – reproductive, coping – stress tolerance.)
  2. What actual or potential problems can you identify? Describe at least five problems and provide the rationale for each.
 
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Case Study 19104367

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CASE STUDY 1- Reflecting on week 2’s lessons in the syllabus,select a patient population (pediatric, young adult, adult or geriatric), and briefly analyze a common/acute EENT condition(Sinusitis, Pharyngitis, Epiglottitis, Infectious Mono, Epistaxis, Allergy rhinitis, Hearing loss, common eye conditions etc.…there are several to choose from), that may affect this population. Briefly tell how it impacts the patient’s quality of life and analyze the current research evidence on this topic and gold standard of care if any for your chosen population. (You may use an example from your clinical rotation (past or present) that you have encountered). Describe how you, the FNP, can/or have made a difference in the care of patients with this specific disease and tell of one specific patient care teaching that he/she may do to help minimize disease symptoms. (Due 01/29/19. Worth 5 points)

 
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Case Study 19118541

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Assignment:

Please create a Power Point to answer the following:

Case study

Ann, a community nurse, made an afternoon home visit with Susan and her father. After the death of her mother, Susan had growing concerns about her father living alone. “I worry about my father all the time. He is becoming more forgetful and he has trouble seeing. Mom used to take care of him. I am not sleeping and I am irritable around him. Yesterday I shouted at him because he wouldn’t let me help him with his laundry. I felt terrible! I am at my wits’ end! My brothers and sisters do not want to put dad in a nursing home but they are not willing to help out. As usual, they have left me with all the responsibility. I work part time and have two small children to care for.” Susan’s father, Sam, sat quietly with tears filling his eyes. He was well nourished and well-groomed but would not make eye contact. Nurse Ann noticed that the house was clean and orderly. A tray in front of the TV had the remains of a ham sandwich and glass of ice tea. Mail was piled up, unopened on a small table near the front door. There was only one car in the driveway and the yard was in need of attention.

  1. What questions does Orlando’s theory guide the nurse to consider in caring for Susan and Sam?
  2. Develop a family plan of care from the perspective of Orlando.

Explore the 1950 and 60’s in the United States:

  1. Explore was happening in the United States during this time (culture, social, economics, struggles)
  2. What did nursing look like during this time (what were their jobs like, responsibilities, dress, autonomy, respect)
  3. What is the most influential accomplishment in nursing theory from the 1950’s and 1960’s?

Power Point should include at least 4 outside references and the textbook. It should include title and reference slides and be 14-20 slides.

 
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