How you could improve a nursing issue that is a manual process in your work environment (hospital) with technology?

A 62-year-old Caucasian female presents for a return visit for monitoring of arthritic pain in her knees. She has informed the medical assistant taking her vital signs that she wants to make sure that the nurse practitioner also checks out her arms and chest because she has noticed blood-like spots under the skin on her body that she has not had before. She notes having bruising in her past not related to injury that she attributes to taking quinine for leg cramps;

when she discontinued the quinine, the bruising went away. She states that her knee pain has gotten better now that she is taking her prescribed naproxen twice a day. Just this morning, she noticed some dried blood on her pillow, and she thinks she may have had a nosebleed. Past medical history includes osteoarthritis and no previous surgeries.

She has two adult children who are away at college, and she is divorced.

Social History: She drinks two to three glasses of wine each night because she does not like being in the house alone, now that she is an empty-nester. She prefers to drink rather than taking sleeping pills. She was a two-pack-a-day smoker for 20 years until the age of 50.

Vitals Signs: Temperature 98.5°F, Pulse 88, Respirations 20, Blood pressure 128/80, BMI 24

Chief Complaint: I noticed small red blood spots on my arms and chest for a few weeks. I noticed blood on my pillow in the morning; I think I had a nosebleed.

Address the following:

1. Additional subjective information you would like to ask the patient
2. Objective signs you will be looking for
3. The differential diagnoses that you will be looking at for this patient
4. Your plan of care for the patient—include the information that should be provided to the patient.

Music Therapy In Cancer Patients, as a form of Alternative Medicine (CAM). Use the attached article and any additional sources, if needed. What the CAM practice actually is. Who are its practitioners? How it is typically used. Why do people use this type of CAM? Its current status in the Medical world. What evidence is there that supports its use?

As a nurse, you are caring for a 62-year-old married Muslim woman who is 2 days post-op for extensive breast cancer surgery. She has complicated dressing changes three times daily, which require at least two staff to complete. Her husband and/or two grown sons are by her bedside continually. The work schedule for tomorrow indicates that the LPN and nursing assistant on your team will be male. What are your actions to ensure culturally competent care?

 

a.​ What patient information is pertinent to foster culturally competent care?

 

b.​ What questions should you ask yourself when caring for this patient?

 

c.​ What steps would you take to provide culturally competent care?