hello I need help with the following question, it must be answered in essay format, must include a quote along with reference and must be original work. it will be checked on turn it in.

Fred is an 83-year-old male who is being admitted to the medical-surgical unit status post fall. He is alert and oriented and reports that while visiting a local casino with his wife Margaret earlier this evening, he tripped over a curb and fell landing on his right side. After receiving morphine in the emergency room prior to transfer to your unit, Fred is rating his pain at 6/10. He has multiple bruises from his jawbone to his knee as well as a slight rotation of his right leg.

Past medical history includes: myocardial infarction (MI) x 2, peripheral vascular disease (PVD) with bilateral iliac stents, non-insulin-dependent diabetes mellitus (NIDDM), sleep apnea, and degenerative joint disease.

Medications include: aspirin, Plavix, Lopressor, Lisinopril, and Metformin.

After reviewing the above scenario please answer the following questions.

1. Based on the information provided, how will you prioritize your care, what assessments will you include and in what order? Please provide rationale for your response.
2. Considering this patient’s age, injury, past medical history, and list of current medications, what, if any, concerns do you have related to his potential need for surgery?
3. Should surgery to repair his right femur be required; what type of clearance and pre-op orders would you anticipate receiving related to his diet, meds, lab work, and so on?

Running head: FRED MEDICAL CASE 1 Fred Medical Case(Student Name)(Course Name)April 13, 2017 FRED MEDICAL CASE 2Fred Medical Case 1) I will prioritize my care as I think healthcare give me best…

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It was suggested in the 1960s that quasars might be compact objects ejected at high speeds from the centers of nearby ordinary galaxies. Explain why the absence of blueshifted quasars disproves this hypothesis

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It was discovered that, on the average, 6% of the population of Wisconsin visit State parks each year. Since each person is random and the likely hood of any one person visiting is the same, this fits the form of a binomial experiment situation. Develop a 95% confidence statement. Show all of the steps. How do you do this?

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It was a spectacular failure. The failure was not due to extraordinarily strong winds, but rather it was the matching of natural vibration frequency that took it down. Resonance Questions: Discuss in class why and how the following items represent resonances. Where does the energy come from? What is the frequency of the input energy? Is the input energy imposed at a single frequency, or at a whole range of frequencies? How is the resonance exhibited? Does the resonance have some useful result? Does the resonance have some undesirable result? How could you stop it from resonating? Pre-recitation question 1: Musical instruments rely on resonance to make their sound loud. The vibrations that drive this resonance come from a number of sources, and some part of the instrument typically acts as a resonator. List the driving vibration and the resonator for the following instruments: violin, trumpet, piano, drums, flute. Does the driving vibration match the emitted sound frequency

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It was 4:56 P.M. on the surgical floor of Collins Memorial Hospital. Nurse Rhoda Fleming, an efficient head nurse with 15 years of experience, was in charge of the floor that afternoon. As is the case in many hospitals, she had responsibility for several patients herself as well as assuming supervisory responsibilities over other floor nurses. Making a final room check of her own patients prior to the arrival of her 5:00 P.M. relief, in Room 406 she found that Mr. Henry Youstra, who had undergone surgery the week before and not done well, had died. She pulled the sheet over the face of the body and made a mental note to tell her relief to empty the room for a new patient, bed space being especially important at this time in the hospital. After finishing her check she returned to the floor desk. The evening shift supervisor, Anne Simmons, had already arrived, and was waiting at the desk. “Hi, Anne. 406 just died, so that room’s all set to go again. Too bad. We can certainly use the space, though.” “That’s for sure. Has 411 had her shot yet? Dr. Alpers really climbed on me yesterday about it. You know how he is.” “No, not yet. You’d better do that right away.” “Does the office know that 406 is ready?” “No, you’ll need to call them after you get things taken care of.” Nurse Supervisor Fleming then left, and Simmons gave 411 her shot and went about other duties, dropping in on her own patients, and chatting with nurses on the shift. At 5:45 P.M. she called the office and told them that room 406 was ready for occupancy, though she had not checked the room herself. She was told that a patient would be moved from recovery and would ultimately occupy 406. Visitors’hours began at 7:00 P.M. at the hospital. As she had been doing three times daily throughout the week, as the fourth floor elevator doors opened, Mrs. Henry Youstra walked out and went down the hall to visit her husband. At 8:00 P.M., the end of visiting hours, Nurse Supervisor Simmons checked each of her assigned patient rooms to see that visitors had left. In room 406 she found Mrs. Youstra dead on the floor beside the bed containing her husband’s body.

Question 1-3

1.Explain how “noise” impeded an accurate communication between shift supervisors Fleming and Simmons in this incident.

2.What barriers to communication existed in the situation?

3.How might this miscommunication have been avoided?

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