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According to the paper, DKA is an acute metabolic disorder characterized by elevated ketone levels in the blood, metabolic acidosis and hyperglycemia. Coupled with hypertension, it explains why the patient appears disoriented with impaired renal clearance. DKA is a complication seen among patients with Type 1 Diabetes Mellitus.
Failing students may respond in numerous ways and this should be a matter of thoughtfulness for mentors. Although it is not likely to foresee students’ retorts, the necessity to plan additional time for these circumstances is clear. Gomez et al (1998) suggested students may need time to suffer for the cost of a particular dream.
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Anemia is a condition that is characterized by the abnormal reduction in the number of blood cells in the body mass. Anemia is one of the diseases mostly encountered by medical practitioners despite being poorly understood by a majority of people in the society. Uthman argues that the condition also give doctors and nurses a lot of problems.
Scholars Lundy and Janes in their research argued that the main objective of healthcare administration is to ensure that the delivery of healthcare reaches residents in the efficient ways, to the required standards. Governments ensure that the provision in healthcare ensures continued support in the growth of the economies.
This is a continuation of the previous papers that mentioned how a character from the movie Devdas could be diagnosed with drug abuse (Devdas is a movie character who gets addicted to alcohol after a bad breakup in love) and after that the imaginary patient by the name of Cynthia who had chronic depression.
The author suggests that the Clinical Depression has two core features, which form essential symptoms. The patient typically has lowered moods accompanied by disinterest and or displeasure in usual activities. Hattie possesses both signs, which call for diagnosis. The first stage of the author’s diagnosis will be to find out the extent of her depression.
Consequently, they tend to be sometimes inaccurate and thoroughly optimistic about the future prospects, in effect holding up the vital sharing of information and referral to appropriate palliative care services (Christakis et al 2000). As a full-time carer for a patient suffering from a debilitating mental health problem i.e depression I believe I am in a position to present the scenario of primary care available to such patients.
The main thing that will be altered due to the patient’s pathologies will be the absorption – how the substance enters circulating blood (Birkett, 2002). If the treatment for PVD were to be administered orally, then dissolution and ionization of the treatment may be affected (Dreyer, 2005). However, it is impossible to make conclusions.
The objective of conducting a case study is to acquire more information after carrying out a thorough analysis (Nath, 2005). Many times, case studies are accompanied by detailed reports on suggestions or recommendations. Before embarking on conducting a case study, a person has to carry out extensive research on the subject of interest so as to be well acquainted with all factors concerning the subject.
Hernandez does the household chores and lost her balance and fell, sustaining a mild bruise. Her daughter insisted on taking her to the hospital where Hernandez was diagnosed with hypertension and diabetes mellitus. Her physician recommended medication, a diet, and regular exercise but Hernandez instead preferred herbs from Botanica.
The approach towards establishing the above is by creating a good rapport that will enable the patient to freely interact while being examined will create rapport by introducing me to the Mrs Smith and trying to inquire the patient’s name in return. While doing that it is vital to ensure all the necessary apparatus are within reach.
A family assessment, also known as a home study, is a tool used to gather important and necessary background information on the patient and his immediate relatives. The information that is gathered is essential in determining what has affected the patient and therefore is very important in determining what steps to take in order to provide a care plan and intervention.
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The author states that nurses are involved in end of life care and its withdrawal or administration of lethal drugs internationally and so their position in this ethical debate is very important and brings them into the front stage. End of life care poses ethical dilemmas for nurses because it is hard for them to witness suffering.
According to the paper, degenerative diseases of the joints directly or indirectly affecting the neuro-musculoskeletal component of breathing can be very complicated because it can mimic several other pathologies. For instance, dextroscoliosis prevents optimum lung expansion, thus causing decreased oxygenation of the blood in the pulmonary circuit.
As the paper declares smoking may cause High Blood Pressure and heart disease, giving up smoking should be her first priority. There are a variety of methods to achieve this and she should be made aware of them. This is usually caused by a build of Cholesterol on the artery walls causing a narrowing of the arteries and an increased blood pressure.
Swelling of eyes indicates the likelihood of the patient being diagnosed with Graves’s disease, an autoimmune disease, which causes hyperthyroidism (“Clinical Case,”2001). Graves’s disease is caused by the production of autoantibodies that blocks thyroid-stimulating hormone receptors, responsible for the regulation synthesis of thyroid hormones.
For the purpose of this case study, I have chosen to cluster the risk factors into four domains – psychiatric or psychological, biophysical, social and environmental factors. Studies have shown that mental health problems are consistently associated with suicide. Some 90% of people who take their own life are believed to have some kind of psychiatric disorder.
This paper illustrates that nurses are accountable for promoting, advocating for, as well as striving to ensure complete protection of a patient’s health, rights, and safety. The nurse is also liable for his/her nursing practice and the appropriate performance of assigned and expected roles that entail the provision of quality care to the patients.
This research will begin with the statement that Ryan has already been in a political and leadership position before which is simply what the shared governance structure will offer him and hence he has the experience. He should use this experience as his resource to gain support. The other resource is a recommendation from his former hospital where he served on the practice council.
According to the research findings, the stent was also placed in the left frontal descending artery of the patient. It shows that the post angiogram was to be carried out to the patient in order for the cardiologists to examine what was the problem. Popliteral was placed unique position such as lying on the table in order to promote appropriate inhalation.
This essay describes Reddix Hospital, that is a trust hospital under national health services (NHS) in the United Kingdom. It is located between Leicester and Birmingham and has a population of over 900,000 patients. The hospital has entirely integrated faculties for medical tests that are related to cancer and cardiovascular prognosis and diagnosis.
The two priority problems in Mrs. Brown’s case are; the acute pain on the patient’s chest which she rates it at 9 in a scale of 10 that relates to Angina and the patient’s lack of tolerance to activity which emanates from various factors like Mrs. Brown’s weight which indicates that she is obese, stress, lack of physical activity and the cardiac responses.
My grandmother currently lives in Washington D.C she moved to the state shortly after her college level where she got married. She lives with her son, and his family who has been helping her gets by during her aging process. Being at the middle child among the seven siblings, she had a lot of responsibility of taking care of the little siblings.
United Healthcare is an organization whose aim is to create efficient healthcare systems to enhance the well-being of the society. The organization began operations in 1977 and it is a member of a group of organizations known as united healthcare group.
Although it might upset the mother, at this point, to do the ethical thing I would need to know what steps social services want to take. I would want to know their response at this point of the situation. However, because they have not responded, I would have to find a way to calm the mother down and keep her from holding the baby.
In as much as the BDI is very efficient, convenient and boasts good sensitivities, reliability, and specificity, its use can only be truly useful when the respondent gives accurate answers. The environment in which the individual is taking the test has to be free from any external pressures and influence that may prompt inaccurate replies.
I selected the career of nursing based on experiences I’ve had with my own family. My son was born prematurely and weighed only two pounds. The doctors made no guarantees as to his survival, and I was told to wait 72 hours before they could tell me anything. My son’s lungs collapsed and two tubes had to be placed in his bronchus to help him breathe.
This paper gives information that asthma is a heterogeneous disease process referring to a symptom, an exacerbation or attack, or underlying diseases of the airway characterized by episodic airways inflammation, airways hyperresponsiveness, and mucus hypersecretion (Harver& Kotses, 2010, 19).
The paper tells that patients having trouble eating and swallowing due to a neuromuscular disorder need to be cautioned in taking oral medications. Oral medications are usually small in size, thus increasing the risk of aspiration. If possible, the prescriber and the pharmacist need to be consulted to prescribe medications in their alternative forms other than oral administration.
This essay discusses that a licensed professional nurse who is responsible for ensuring that all critically ill patients and their families receive optimal care is known as a critical care nurse. The 3 main injuries which will be specifically discussed are the sharp pain in the back of the neck, unequal chest movement and injury to the pelvis.
Ebersole (2008) argues that while children below the age of 10 years are mostly touched when cuddling them, touching is much limited above the age 66 years. Touching is also remarkable in post-adolescent age when people declare their affections to one another by holding hands, or by maintaining closeness
The paper has brought out Guidelines for the diagnosis and treatment of chronic heart failure. The objective of the study was to evaluate the clinical benefits of cardiac resynchronization achieved through atrial-synchronized biventricular pacing in patients with heart failure who have an intraventricular conduction delay.
Comparison: The doctors not helping the patient lose weight after the mastectomy. Outcome: When the doctor helps the teenager lose weight after the mastectomy, the girl has a better chance of losing weight as well as reducing chances of cancer spreading to other parts of the body
The authors of this article carried out a research on the need for provision and awareness in the palliative care. The study aimed at evaluation of the palliative care link and identifying the influence the nurses have on palliative care practice in an NHS acute hospital. It is a qualitative study that uses semi-structured interviews and a focus group.
In summary, this study aimed at re-examining the accuracy of the E2 in predicting the success of the NCLEX-RN, exploring the worth of conducting the HESI Specialty Exams in terms of students’ E2 scores. This study majorly relied on classical test theory and critical thinking theory as the underlying theoretical framework.
The mother of the infant has confessed to using crack cocaine as a means of inducing labor and has come back from smoke break to see and hold the baby. As a nurse, working in the neo-natal intensive care unit, she is at a dilemma because she knows that it is morally wrong to deprive the mother of even looking and holding her baby.
The author says that practically, a diagnosis of respiratory failure is made in clinical presentation and arterial blood gas analysis. A fall arterial oxygen tension (Pa, O2) of <8.0 kPa (60 mmHg) and an arterial carbon dioxide tension (Pa, CO2) of >6.0 kPa (45 mmHg) or both, is indicative of respiratory failure.
Bladder catheter is attached to the patient’s bladder with an urometer to assist in urine measurement. Uterine packing medical procedure is implemented in severe hemorrhage cases that involve gauze firmed in vagina to absorb the blood and put on pressure on uterine arteries. The impact is to slow or stop bleeding due to vaginal lacerations or uterine bleeding.
The author explains that CBT focuses on changing thoughts and behavior patterns that have become rigid and non-productive for the sufferers of psychiatric disorders. A variant of CBT is dialectical behavior therapy, that Dr. Banks specializes in, which helps reduce destructive behaviors by teaching healthy ways to adapt to.
According to the paper, deafness leads to serious consequences on literacy, educational achievement as well as the socio-emotional development of children. This child was enrolled in a school for children with hearing impairment. Children with a cochlear implant may face minor difficulties in developing abilities to listen or speak properly.
Master's Bradley Jackson situation got stable after the stabilizing procedure followed in the intensive care unit. After the patient got stabilized, he was shifted to the pediatric intensive care unit (ICU) and finally to the neurological department where he is being treated presently. In this regard, the case is selected for its criticality.
Depressed patients commonly develop an array of diabetes-related complications such as acute diabetes. Patients with prolonged hypoglycemia possess increased depressive symptomatology. Similarly, patients suffering from depressive symptomatology subsequently express risks of developing type 2 diabetes.
The author says that the nurses visited schools explaining the importance of washing hands after visiting the toilet and before handling food. The nurses do vaccination of measles on people under the age of 30 before getting in the camp, in addition to undertaking prenatal care and delivery of babies in the camp.
Qualitative and quantitative research approaches both forms an integral part of the research methodology. Qualitative method deals with the inquest into the facts of nature and evaluates them without doing any numerical handling. On the other hand, quantitative research is more of a statistical one and deals with facts and figures.
The author’s implication for the practice is that people who suffer from stroke do not get the nursing care they deserve because people lack the understanding of the effects of the disease on the individuals social and psychological effects.The authors concluded that Demographic profiling indicated the prevalence of stroke.
Nursing-sensitive indicators are projected to draw the correlations between resulting health status and nursing interventions that patients have received. They are meant to be an attempt for measuring the effectiveness of care of nursing through measuring patient outcomes. It becomes easier to see linkages after diagnosis, intervention as well as outcomes are identified.
The health care of homeless families and individuals poses a distressing challenge to our traditional models of health care delivery. The undying urgency of striving daily for warm meals and safe shelter relegates health care to a less-immediate priority. Injuries fester and common illnesses progress resulting to increased cases of emergency unit visit and acute care hospitalization.
In accordance with the Hippocratic Oath and Nightingale pledge, the fundamental duties of a nurse can be apparently observed as adopting along with executing various preventives measures for eliminating any sort of risk that arise during the treatment procedure or at the time of conducting clinical works and delivering positive outcomes in future.
Implementing a change in clinical practice requires considerable changes in protocols within all involved institutions. Contractual policies that affect health care services through the evaluation of the needs of particular demographics make up the most significant factor in this implementation process.
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Communication is an essential element during emergency response scenarios, as it is the mode through which information becomes relayed, between different individuals. Effective communications involve having working communication infrastructure to support communication and ensuring the messages reach the target individuals.