Case study 1. Rebecca Brown (Child Study)

Rebecca Brow is 8 years old and is a wheelchair user, following a road traffic accident when she was five years old. Rebecca requires one-to-one personal care due to her physical disabilities, as she sustained a fractured spine in the accident, meaning that she has no movement below her cervical spine (tetraplegia)

Rebecca attends a school for children with additional needs, where she has a designated teaching assistant and also a carer who provides her with personal care during the school day.

Rebecca lives with her parents Sue and David and her older sibling Michael who is 12 years of age. The family lives in an upstairs apartment provided by a housing association, which is small and not ‘wheelchair friendly’.

Sue has a part-time job at a local day nursery but has to stay at home during the school holidays, in order to care for Rebecca and Michael, reducing the family income. David works full-time at a local factory, working long hours for a low wage.

The neighborhood where the Brown family lives is not tolerant of Rebecca’s ‘differences’, and the family has received unpleasant comments as they pass neighbors in the street, causing them to avoid going out whenever possible.

 

Case study 2. Ben Grace (Adult Study)

Ben Grace is fifty-two and has Down’s syndrome and type 2 diabetes. Ben has a learning age of 8 and requires support with all aspects of daily living. Ben lives in a group setting with five other adults who have learning difficulties and who also require additional support. Ben previously lived with his mother, but following her death last year, Ben moved to the residential setting.

Ben has always enjoyed going shopping, but since he has moved into the residence, he prefers to stay in his room which is a concern for the staff, following an incident with some local youths who shouted at Ben when he went shopping with the residents and carers. Recently Ben was refused entry to a local funfair by the manager who stated that Ben’s appearance could prevent other people from wanting to attend.

Ben is refusing to keep to the special diet required to control his type 2 diabetes and staff have found bags of sweets under his pillow when making his bed. His blood glucose levels are unstable, resulting in Ben feeling unwell. Ben has become withdrawn.

 

 

 

 

In your initial response, define what person-centered care means to you. Describe how you will apply principles of holistic nursing, cultural humility, and self-reflection in your future role as a nurse practitioner.

Contains references (APA) for sources cited Written by a professional or scholar in the field and indicates credentials of the author(s) Is no more than 5 years old for clinical or research article?

Discuss how geopolitical and phenomenological places influence the context of a population or community assessment and intervention. Describe how the nursing process is utilized to assist in identifying health issues (local or global in nature) and in creating an appropriate intervention, including screenings and referrals, for the community or population. please reply with 2 or more recent references less than 5 years old.

Describe how the Lempel Ziv text compression algorithm works, illustrating your answer by deriving the sequence of numbers and corresponding bit patterns it would generate when applied to a string starting with the following 24 characters: ABCDABCDABCDABCDABCDABCD … You may assume that the initial table is of size 256 (containing bytes 0 to 255) and that the codes for “A”, “B”, “C” and “D” are 65, 66, 67 and 68, respectively. [12 marks] (b) Estimate how many bits the algorithm would use to encode a string consisting of 1000 repetitions of the character “A”. [8 marks] 4 Comparative

A 79 yr old woman comes into a walk-in clinic you are working as an NP with a chief complaint of increased urinary frequency and dysuria. Urinalysis reveals pyuria and positive nitrites. She mentions she has a “bit of kidney trouble-not too bad”. A recent evaluation of renal status is unavailable. What would you consider for therapy? Explain the rationale for therapy as well as considerations that you would include while prescribing this medication. Considerations should also include drug resistance and how you would assess this patient for the possibility of drug resistance.