AMISH CASE STUDY Elmer and Mary Miller, both 35 years old, live with their five children in the main house on the family farmstead in one of the largest Amish settlements in Indiana. Aaron and Annie Schlabach, aged 68 and 70, live in the attached grandparents’ cottage. Mary is the youngest of their eight children, and when she married, she and Elmer moved into the grandparents’ cottage with the intention that Elmer would take over the farm when Aaron wanted to retire. Eight years ago, they traded living space. Now, Aaron continues to help with the farm work, despite increasing pain in his hip, which the doctor advises should be replaced. Most of Mary’s and Elmer’s siblings live in the area, though not in the same church district or settlement. Two of Elmer’s brothers and their families recently moved to Tennessee, where farms are less expensive and where they are helping to start a new church district. Mary and Elmer’s fifth child, Melvin, was born 6 weeks prematurely and is 1 month old. Sarah, aged 13, Martin, aged 12, and Wayne, aged 8, attend the Amish elementary school located 1 mile from their home. Lucille, aged 4, is staying with Mary’s sister and her family for a week because baby Melvin has been having respiratory problems and their physician told the family he will need to be hospitalized if he does not get better within 2 days. At the doctor’s office, Mary suggested to one nurse, who often talks with Mary about “Amish ways,” that Menno Martin, an Amish man who “gives treatments,” may be able to help. He uses “warm hands” to treat people and is especially good with babies because he can feel what is wrong. The nurse noticed that Mary carefully placed the baby on a pillow as she prepared to leave. Elmer and Mary do not carry any health insurance and are concerned about paying the doctor and hospital bills associated with this complicated pregnancy. In addition, they have an appointment for Wayne to be seen at Riley Children’s Hospital, 3 hours away at the University Medical Center in Indianapolis, for a recurring cyst located behind his left ear. Plans are being made for a driver to take Mary, Elmer, Wayne, Aaron, Annie, and two of Mary’s sisters to Indianapolis for the appointment. Because it is on the way, they plan to stop in Fort Wayne to see an Amish healer who gives nutritional advice and does “treatments.” Aaron, Annie, and Elmer have been there before, and the other women are considering having treatments, too. Many Amish and non-Amish go there and tell others how much better they feel after the treatments. They know their medical expenses seem minor in comparison to the family who last week lost their barn in a fire and to the young couple whose 10-year-old child had brain surgery after a fall from the hayloft. Elmer gave money to help with the expenses of the child and will go to the barn raising to help rebuild the barn. Mary’s sisters will help to cook for the barn raising, but Mary will not help this time because of the need to care for her newborn. The state health department is concerned about the low immunization rates in the Amish communities. One community-health nurse, who works in the area where Elmer and Mary live, has volunteered to talk with Elmer, who is on the Amish school board. The nurse wants to learn how the health department can work more closely with the Amish and also learn more about what the people know about immunizations. The county health commissioner thinks this is a waste of time and that what they need to do is let the Amish know that they are creating a health hazard by neglecting or refusing to have their children immunized.
Study Questions
1. Develop three open-ended questions or statements to guide you in your understanding of Mary and Elmer and what health and caring mean to them and to the Amish culture.
2. List four or five areas of perinatal care that you would want to discuss with Mary.
3. Why do you think Mary placed the baby on a pillow as she was leaving the doctor’s office?
4. If you were the nurse to whom Mrs. Miller confided her interest in taking the baby to the folk healer, what would you do to learn more about their simultaneous use of folk and professional health services?
5. List three items to discuss with the Millers to prepare them for their consultation at the medical center.
6. If you were preparing the reference for consultation, what would you mention about the Millers that would help to promote culturally congruent care at the medical center?
7. Imagine yourself participating in a meeting with state and local health department officials and several local physicians and nurses to develop a plan to increase the immunization rates in the counties with large Amish populations. What would you suggest as ways to accomplish this goal?
8. Discuss two reasons why many Old Order Amish choose not to carry health insurance.
9. Name three health problems with genetic links that are prevalent in some Amish communities.
10. How might health-care providers use the Amish values of the three-generational family and their visiting patterns in promoting health in the Amish community?
11. List three Amish values to consider in prenatal education classes.
12. Develop a nutritional guide for Amish women who are interested in losing weight. Consider Amish values, daily lifestyle, and food production and preparation patterns.
13. List three ways in which Amish express caring.
JEWISH CASE STUDY #1 Selecting a “typical” Jewish client is difficult. An ultra-Orthodox Jew has a particular set of special needs. Yet, it is more common to see a Jew who is a middle-of-the-road Conservative. Sarah is an 80-year-old woman who is a first-generation American. She was raised in a traditional Conservative home. Her husband died after 50 years of a strong marriage. She has three children. Although her home is not kosher, she practices a variation of kosher-style eating, avoiding pork and not making dishes that combine meat and milk. Two months ago, she was diagnosed with pancreatic cancer. Surgery was attempted, but the cancer was already in an advanced stage. Chemotherapy was started, but the cancer has progressed and is not responding to the medications. She is having difficulty eating because of the pressure of the tumor on the gastrointestinal tract. Discussions are being held to determine whether or not treatments should be stopped and whether hospice care should be initiated. Her hospital room is always filled with visitors.
Study Questions
1. What must you anticipate in discussing with Sarah her wishes regarding the continuation of medical care?
2. How would you respond to her initial decision to have surgery and initiate chemotherapy?
3. What questions do you need to ask in the initial patient interview to assess her degree of religious practice? How will you determine her spirituality needs?
4. What is your understanding of the reason she has so many visitors in her room?
5. Is hospice care appropriate for this patient?
6. Sarah dies with her family at her bedside. What interventions can you take at the time of death to demonstrate religious sensitivity to the family? What questions do you need to ask the family?
7. Describe three genetic or hereditary diseases common with Ashkenazi Jews.
8. Describe Jewish burial rituals and grieving process.
9. Discuss the laws of Kashrut in regard to food practices for observant Jewish clients.
10. What should the health-care provider keep in mind when entering a Jewish home to provide care?
11. Distinguish between the terms Sephardic and Ashkenazi.
12. How might a non-Jewish and a Jewish coworker share holidays in the workforce?
13. What is the official language the Jewish people use for prayer?
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Case Study 9 19305109
/in Uncategorized /by developerCase Study, Chapter 9, Chronic Illness and Disability
1. Mr. Edwards is 20-year-old male patient who is admitted for treatment of recurring pyelonephritis (kidney infection) and surgical treatment of a urinary stricture, which has decreased the urinary stream. Mr. Edwards has paraplegia; he is paralyzed from the waist down secondary to an automobile accident when he was 16. He came by ambulance to the hospital, leaving his wheelchair and wheelchair pressure-relieving cushion at home. According to the nursing history, the patient is a nonsmoker and he does not drink alcohol or take any illegal drugs.
2. Ms. Fulton is a 38-year-old mother who was recently diagnosed with myasthenia gravis, a chronic disease of the neuromuscular system. Management of this disease process requires strict adherence to a medication regimen. The disease also affects ADLs for the patient and her family. Additionally, because myasthenia gravis is characterized by exacerbations that may require hospitalizations, Ms. Fulton has had to resign from her position as president of a marketing firm. She has remained as an employee of the same company, but now serves as a consultant with more flexible work hours.
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Case Study A 60 Year Old Woman With A 10 Year History Of Type Ii Diabetes Presents With Multiple Complications Including Retinopathy Peripheral Neuropathy And Declining Renal Function She Has Not Had The Urge To Eat
/in Uncategorized /by developerCase Study
A 60 year old woman with a 10 year history of Type II diabetes presents with multiple complications including retinopathy, peripheral neuropathy and declining renal function.
She has not had the urge to eat as of recently she feels “full” after a few bites. The incidence of nausea and feeling bloated occurs at least twice a day and even after a glass of water she feels bloated. She also complains of fatigue and not been able to keep up with daily chores.
A radiographic gastric emptying study shows a prolonged gastric emptying time.
Assignment Questions
Instructions
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Case Study A System Approach Review The Case Study In The Article Texas Health Harris Methodist Cleburne A System Approach To Surgical Improvement
/in Uncategorized /by developerCase Study: A System Approach Review the case study in the article, Texas Health Harris Methodist-Cleburne: A System Approach to Surgical Improvement (Links to an external site.)Links to an external site.. After reviewing the case study, construct a written paper that addresses the following: •Explain organizational theories evidenced in this case study. •Analyze how Texas Health Harris Methodist-Cleburne is a learning organization. •Explain the organizational structure displayed in this case study. •Describe the leaders involved in this case study. •Discusses the role of the leaders in this case study. Including an introduction and conclusion paragraph, your paper must be three to five double-spaced pages (excluding title and reference pages) and formatted according to APA style as outlined in the Ashford Writing Center (Links to an external site.)Links to an external site.. Including the textbook, utilize a minimum of three (one of which is the case study article used for review) scholarly and/or peer-reviewed sources from the Ashford University Library that were published within the last five years. Document all references in APA style as outlined in the Ashford Writing Center APA Checklist (Links to an external site.)Links to an external site.. it is do tomorrow at midnight. Can you please let me know. I will appreciate your help.
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Case Study Abdomenkub
/in Uncategorized /by developerCase Study: Abdomen (KUB)
PowerPoint Format (minimum of 10 slides)
Procedure (Patient History, Views, Technique, Positioning, breathing instructions, CR to anatomy, orientation of IR/Cassette, SID, pathology, knowledge of anatomy, discharge instructions)
Last slide should include meaning of ALARA and why it is important in this field.
A = AS
L = LOW
A = AS
R = REASONABLE
A = ACHIEVABLE
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Case Study Advanced Pharmacology
/in Uncategorized /by developerPurposeProblem-based learning is a methodology designed to help students develop the reasoning process used in clinical practice through problem-solving actual patient problems in the same manner as they occur in practice. The purpose of this activity is to develop students’ clinical reasoning skills using a case-based learning exercise. Through participation in an online discussion forum, students identify learning issues in a self-directed manner which facilitates learning for the entire group. Activity Learning Outcomes Through this discussion, the student will demonstrate the ability to:
Case Study & Discussion QuestionsClaudia (G2P2) is a 36-year-old mother who recently delivered a child 9 months ago. She has been using condoms for birth control for the last 7 months. Today she is requesting a more convenient method of birth control. She is not sure of her current pregnancy plans, however, she does not wish to discuss sterilization or an IUD. She has no religious contraindications for treatment.PMH: positive for mild hypertension with first pregnancy, seasonal allergies.Surgeries: Left inguinal hernia and tonsillectomy.Family history: Mother-HTN; Father-Colon CA (both deceased)Social History: Denies tobacco use, wine one to two glasses a week, denies recreational drugs, exercises twice a week.Drug allergies-Sulfa causes a rash.Current medications-MVI with Fe, Calcium chews, Allegra 10mg daily prn for allergies.Vitals: Height 67 inches, weight 157 pounds, BP 110/75, P 70, R 16. PAP collected today, breast exam WNL, urine pregnancy negative.A physical exam is normal.
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Case Study Amish And Jewish
/in Uncategorized /by developerAMISH CASE STUDY Elmer and Mary Miller, both 35 years old, live with their five children in the main house on the family farmstead in one of the largest Amish settlements in Indiana. Aaron and Annie Schlabach, aged 68 and 70, live in the attached grandparents’ cottage. Mary is the youngest of their eight children, and when she married, she and Elmer moved into the grandparents’ cottage with the intention that Elmer would take over the farm when Aaron wanted to retire. Eight years ago, they traded living space. Now, Aaron continues to help with the farm work, despite increasing pain in his hip, which the doctor advises should be replaced. Most of Mary’s and Elmer’s siblings live in the area, though not in the same church district or settlement. Two of Elmer’s brothers and their families recently moved to Tennessee, where farms are less expensive and where they are helping to start a new church district. Mary and Elmer’s fifth child, Melvin, was born 6 weeks prematurely and is 1 month old. Sarah, aged 13, Martin, aged 12, and Wayne, aged 8, attend the Amish elementary school located 1 mile from their home. Lucille, aged 4, is staying with Mary’s sister and her family for a week because baby Melvin has been having respiratory problems and their physician told the family he will need to be hospitalized if he does not get better within 2 days. At the doctor’s office, Mary suggested to one nurse, who often talks with Mary about “Amish ways,” that Menno Martin, an Amish man who “gives treatments,” may be able to help. He uses “warm hands” to treat people and is especially good with babies because he can feel what is wrong. The nurse noticed that Mary carefully placed the baby on a pillow as she prepared to leave. Elmer and Mary do not carry any health insurance and are concerned about paying the doctor and hospital bills associated with this complicated pregnancy. In addition, they have an appointment for Wayne to be seen at Riley Children’s Hospital, 3 hours away at the University Medical Center in Indianapolis, for a recurring cyst located behind his left ear. Plans are being made for a driver to take Mary, Elmer, Wayne, Aaron, Annie, and two of Mary’s sisters to Indianapolis for the appointment. Because it is on the way, they plan to stop in Fort Wayne to see an Amish healer who gives nutritional advice and does “treatments.” Aaron, Annie, and Elmer have been there before, and the other women are considering having treatments, too. Many Amish and non-Amish go there and tell others how much better they feel after the treatments. They know their medical expenses seem minor in comparison to the family who last week lost their barn in a fire and to the young couple whose 10-year-old child had brain surgery after a fall from the hayloft. Elmer gave money to help with the expenses of the child and will go to the barn raising to help rebuild the barn. Mary’s sisters will help to cook for the barn raising, but Mary will not help this time because of the need to care for her newborn. The state health department is concerned about the low immunization rates in the Amish communities. One community-health nurse, who works in the area where Elmer and Mary live, has volunteered to talk with Elmer, who is on the Amish school board. The nurse wants to learn how the health department can work more closely with the Amish and also learn more about what the people know about immunizations. The county health commissioner thinks this is a waste of time and that what they need to do is let the Amish know that they are creating a health hazard by neglecting or refusing to have their children immunized.
Study Questions
1. Develop three open-ended questions or statements to guide you in your understanding of Mary and Elmer and what health and caring mean to them and to the Amish culture.
2. List four or five areas of perinatal care that you would want to discuss with Mary.
3. Why do you think Mary placed the baby on a pillow as she was leaving the doctor’s office?
4. If you were the nurse to whom Mrs. Miller confided her interest in taking the baby to the folk healer, what would you do to learn more about their simultaneous use of folk and professional health services?
5. List three items to discuss with the Millers to prepare them for their consultation at the medical center.
6. If you were preparing the reference for consultation, what would you mention about the Millers that would help to promote culturally congruent care at the medical center?
7. Imagine yourself participating in a meeting with state and local health department officials and several local physicians and nurses to develop a plan to increase the immunization rates in the counties with large Amish populations. What would you suggest as ways to accomplish this goal?
8. Discuss two reasons why many Old Order Amish choose not to carry health insurance.
9. Name three health problems with genetic links that are prevalent in some Amish communities.
10. How might health-care providers use the Amish values of the three-generational family and their visiting patterns in promoting health in the Amish community?
11. List three Amish values to consider in prenatal education classes.
12. Develop a nutritional guide for Amish women who are interested in losing weight. Consider Amish values, daily lifestyle, and food production and preparation patterns.
13. List three ways in which Amish express caring.
JEWISH CASE STUDY #1 Selecting a “typical” Jewish client is difficult. An ultra-Orthodox Jew has a particular set of special needs. Yet, it is more common to see a Jew who is a middle-of-the-road Conservative. Sarah is an 80-year-old woman who is a first-generation American. She was raised in a traditional Conservative home. Her husband died after 50 years of a strong marriage. She has three children. Although her home is not kosher, she practices a variation of kosher-style eating, avoiding pork and not making dishes that combine meat and milk. Two months ago, she was diagnosed with pancreatic cancer. Surgery was attempted, but the cancer was already in an advanced stage. Chemotherapy was started, but the cancer has progressed and is not responding to the medications. She is having difficulty eating because of the pressure of the tumor on the gastrointestinal tract. Discussions are being held to determine whether or not treatments should be stopped and whether hospice care should be initiated. Her hospital room is always filled with visitors.
Study Questions
1. What must you anticipate in discussing with Sarah her wishes regarding the continuation of medical care?
2. How would you respond to her initial decision to have surgery and initiate chemotherapy?
3. What questions do you need to ask in the initial patient interview to assess her degree of religious practice? How will you determine her spirituality needs?
4. What is your understanding of the reason she has so many visitors in her room?
5. Is hospice care appropriate for this patient?
6. Sarah dies with her family at her bedside. What interventions can you take at the time of death to demonstrate religious sensitivity to the family? What questions do you need to ask the family?
7. Describe three genetic or hereditary diseases common with Ashkenazi Jews.
8. Describe Jewish burial rituals and grieving process.
9. Discuss the laws of Kashrut in regard to food practices for observant Jewish clients.
10. What should the health-care provider keep in mind when entering a Jewish home to provide care?
11. Distinguish between the terms Sephardic and Ashkenazi.
12. How might a non-Jewish and a Jewish coworker share holidays in the workforce?
13. What is the official language the Jewish people use for prayer?
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Case Study And Careplan
/in Uncategorized /by developerDevelop a case study and a plan of care, incorporating current mobile App technology:
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Case Study And Moral Status
/in Uncategorized /by developerBased on “Case Study: Fetal Abnormality” and other required topic study materials, write a 750-1,000-word reflection that answers the following questions:
Remember to support your responses with the topic study materials.
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric.
You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.
Rubric
Explanation of the Christian view of the nature of human persons and the theory of moral status that it is compatible is clear, thorough, and explained with a deep understanding of the connection between them. Explanation is supported by topic study materials. 30%
The theory or theories that are used by each person to determine the moral status of the fetus is explained clearly and draws insightful relevant conclusions. Rationale for choices made is clearly supported by topic study materials and case study examples. 15%
Explanation of how the theory determines or influences each of their recommendations for action is clear, insightful, and demonstrates a deep understanding of the theory and its impact on recommendation for action. Explanation is supported by topic study materials. 15%
Evaluation of which theory is preferable within personal practice along with how that theory would influence personal recommendations for action is clear, relevant, and insightful. 10%
Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.
Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.
Writer is clearly in command of standard, written, academic English.
All format elements are correct.
Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.
Here is a link to the Khan video on Moral Status. It will help explain the five theories discussed in the lecture:
https://www.khanacademy.org/partner-content/wi-phi/wiphi-value-theory/wiphi-ethics/v/moral-status
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Case Study And Page Journal Two Assignments
/in Uncategorized /by developerCLINICAL CASE: # 3
Carrie Williams has been admitted to the Psychiatric Unit at Bayshores Treatment Facility. She is eight-and-one-half months pregnant and in a manic state. She has not slept for three days, is hyperactive and hypervoluble. When you come on duty, she is running all over the Day Room, jumping from chairs and standing on tables saying to everyone: “I am Cicely Tyson and I will perform for you. My agent wants you to listen to me and come to see my movies. I’m going to Hollywood and if you treat me right I will take you along.”
Along with several other nurses, you decide the patient must be placed in seclusion for her protection and the safety of the fetus. Also, she is disrupting the Unit and upsetting the other patients. Tension in the Day Room is very high as Mrs. Williams climbs over the back of a sofa and almost falls over a table.
After being placed in seclusion, the patient rolls on the floor and bounces herself off the walls with her protruding stomach. The psychiatrist is notified and orders that liquid Haldol (an appropriate dosage for the patient) be injected into the patient’s sealed juice containers and that she be encouraged to drink the juice. As the nurse working with this patient what would you do?
Select one of the following actions and write a 200 – 300 word answer to explain your actions. Refer to your textbook and the syllabus to obtain information on psychiatric patient rights. This is not an opinion paper, your answer should be backed up with information you have obtained from your textbook ( USE OUTSIDE SOURCE ).
QUESTIONS:
CHOOSE ONE, WHICH EVER YOU CHOOSE
NEXTTTTT!!!!!!!!!
For this assignment, please write a journal/discussion post about substance abuse/addiction.
Choose ONE of the following options and write a one page
1. Research online (AA, Narcotics Anonymous, or similar addiction type of meeting)
2. Select a nursing journal article on addiction. This MUST be from a journal article.
Summarize the meeting or journal article.
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Case Study Apa 6 4 References Similarities Less 5
/in Uncategorized /by developerCase Study
Use APA 6th Edition Format and support your work with at least 3 peer-reviewed references within 5 years of publication. Remember that you need a cover page and a reference page. All paragraphs need to be cited properly. All responses must be in a narrative format and each paragraph must have at least 4 sentences. Lastly, you must have at least 2 pages of content, no greater than 3 pages, excluding cover page and reference page.
Case Study
L.L. is a 67-year-old male who has been diagnosed with BPH. He is having difficulty with urination. He is currently on Cozaar 100 mg for HTN and his BP is well controlled. He is taking no other medications. The doctor has recommended medication for his BPH, but he would like to try a herbal supplement before taking a prescription medication.
1. Would you recommend a herbal supplement in L.L’s case?
2. If so, what herbal supplement would he take?
3. What is the recommended dosage?
4. What are possible side effects of the herbal supplement?
5. What warnings should you give L.L. before he starts the herbal supplement.
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