Normal age Cardiovascular changes

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Normal age Cardiovascular changes

Mr. Amar is a 73-year-old, Muslim man, who has just been admitted to your residential facility for long-term nursing care. Mr. Amar has been diagnosed with early dementia and he and his family have found it increasingly difficult to manage at home, as Mr. Amar has had numerous falls in the past few months and is forgetting to attend to his own self-care needs, including bathing and eating.

You have been asked by the RN to complete a health assessment on Mr. Amar and complete a nursing care plan, in collaboration with Mr. Amar and his family. You will need to report the findings of your assessment and discuss the plan of care for Mr. Amar with the RN.

 

Question:

Verbally discusses and can identify normal age related changes to the following systems;

  •  Cardiovascular
  •  Respiratory
  •  Integumentary
  •  Gastrointestinal
  •  Musculoskeletal
  •  sensory

 

Discusses with the client and their loved ones how age related changes can affect the abilities to provide self-care

 

Identifies possible areas of limitation or concerns for the client and can discuss preventative measures with the client and their loved ones, for example high falls or pressure are risks

National Patient Safety Goals

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National Patient Safety Goals -Joint Commission on
Accreditation of Health Organizations

The goal I- Identify patients correctly
• Use at least two ways to identify patients.

Goal 2 – Improve personal communication

Goal 3 – Use security alarms
• Before a procedure, label medications that are not
marked.
• Take special care with patients taking medications
• Record correct information about a patient’s medications.

Goal 6 – Use security alarms
• Make improvements to ensure medical equipment alarms are cleared.
listen and respond on time. NPSG.06.01.01

Goal 7 – Prevention of infection
• Using hand cleaning instructions from the Centers for Control
and Disease Prevention or the World Health Organization.
• Set goals to improve hand cleanliness. NPSG.07.01.01
• Use proven guidelines to prevent infections that are difficult to treat.

Goal 15 – Identify patient safety risks

Question: How the goals of the National Patient Safety Goals explained above impact patients living with diabetes and how they related in to health promotion and prevention of type 2 diabetes?

 

History of Present illness questions

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History of present illness questions. Nathan, a 2-year-old male is brought in by the mother with c/o a left earache, runny nose with green drainage, cough, and low-grade fever x 4 days.

  • What focused history (HPI) questions would you ask the parent/child with regard to the CC of the earache? Use OLDCARTS.
  • What specific questions would you ask in the ROS?
  • What components of the physical exam are pertinent to perform on this patient?  Be specific and explain why you are performing the exam.
  • In a child with an earache, what subjective and objective findings would be considered “red flags”?
  • What is the differential diagnosis of earache in this 2-year-old male?  Explain what these potential diagnoses are and how you would rule them in or out during your evaluation of this child.

Pathophysiology Assessment Data

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How to fill out a basic concept map for Fluid Overload Pathophysiology Assessment Data. No reference given. I just have to fill out a basic concept map for a condition, disorder, or disease process for fluid overload

 

Control of Brain micrograph cortical layers

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In the control brain micrograph below (Panels C and A), the left image shows different cortical layers in different colors. The right image shows “barrels” formed by thalamocortical axons in pink.   Describe your observations of panels D and B (with the same colors) below, from the reeler mutant brain. (Hint: when referring to a specific panel – put the letter in your answer)   Observations of left image (Panel D) Observations of right image (Panel B)   Overall conclusion:

 

The Role of nursing clinical practice

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Present a situation related to the role of nursing (education, research, legislation, clinical practice, etc.) and you will identify and describe the ethical, legal, and social principles that should be integrated into the nursing profession related to the situation.

Historical events and Nursing leaders

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Describe how historical events and nursing leaders have influenced the practice of nursing.

Thinking skills in psychopathology

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Purpose: Analyze and apply critical thinking skills  in the psychopathology of mental health patients and provide treatment and health promotion while applying evidence-based research.
Scenario:Thinking skills in psychopathology. J.T.  is a 20-year-old who reports to you that he feels depressed and is experiencing a significant amount of stress about school, noting that he’ll “probably flunk out.” He spends much of his day in his dorm room playing video games and has a hard time identifying what, if anything, is enjoyable in a typical day.

He rarely attends class and has avoided reaching out to his professors to try to salvage his grades this semester. J.T. has always been a self-described shy person and has had a very small and cohesive group of friends from elementary through high school.

Notably, his level of stress significantly amplified when he began college. 

You learn that when meeting new people, he has a hard time concentrating on the interaction because he is busy worrying about what they will think of him – he assumes they will find him “dumb,” “boring,” or a “loser.” When he loses his concentration, he stutters, is at a loss for words, and starts to sweat, which only serves to make him feel more uneasy.

After the interaction, he replays the conversation over and over again, focusing on the “stupid” things he said. Similarly, he has a long-standing history of being uncomfortable with authority figures and has had a hard time raising his hand in class and approaching teachers.

Since starting college, he has been isolating more, turning down invitations from his roommate to go eat or hang out, ignoring his cell phone when it rings, and habitually skipping class. His concerns about how others view him are what drives him to engage in these avoidance behaviors. 

After conducting your assessment, you give the patient feedback that you believe he has a social anxiety disorder, which should be the primary treatment target. You explain that you see his fear of negative evaluation, and his thoughts and behaviors surrounding social situations, as driving his increasing sense of hopelessness, isolation, and worthlessness.

Questions:Remember to answer these questions from your textbooks and current US clinical guidelines. At all times, explain your answers.

  1. Compare and contrast fear, worry, anxiety, and panic.
  2. Generate a primary and differential diagnosis using the DSM-5 criteria.
  3. Develop a biopsychosocial plan of care for this client.

Submission Instructions:

  • Your initial post should be at least, formatted, and cited in the current with support from at least 2 academic sources.  Your initial post is worth 8 points.
  • You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.)
  • All replies must be constructive and use literature where possible.

 

  • Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday.
  • Late work policies, expectations regarding proper citations, acceptable means of responding to peer feedback, and other expectations are at the discretion of the instructor.

 

  • You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.

Risk of impaired Gas exchange

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Risk of impaired gas exchange. Develop a care plan:

– 1 goal

– 3 interventions

– 3 rationales and 3 references (one rational and one reference for each intervention)

– One evaluation

Suggestions for overcoming Writer’s block

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Please provide two suggestions, from the assigned reading materials and/or outside sources, for overcoming writer’s block. Also, provide three suggestions that you use to handle writer’s block.  Which of these has been most successful for you?