Reye’s syndrome in children

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Discuss the developmental conditions of meningitis, encephalitis, spina bifida, and reye’s syndrome, and its effect on children.

Hydrocephalus disorder

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Explain the signs and symptoms a nurse should expect to see in a patient with hydrocephalus disorder. Discuss the nursing considerations of a patient with hydrocephalus disorder.

Sensory disorders in children

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Young children may develop complications due to some dangerous exposure or some are born with them. Describe four neurological or sensory disorders that affect children.

Failed bone marrow transplant

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Robbie, a 14-year-old boy, is hospitalized for leukemia after a failed bone marrow transplant. The family has been told his condition is terminal; there is nothing more to be done except keep him comfortable. His mother is distant, uncommunicative, and rarely visits.

When she does, she doesn’t touch Robbie or speak to him. She sits in a recliner by the window, reading novels and requesting cokes multiple times per visit. The staff calls a family meeting, but the mother is conspicuously absent. Robbie’s father is frantic, demanding further treatments, regardless of the low likelihood of efficacy. During the family meeting, he directs the team NOT to tell Robbie he might die, as he would lose hope. He states: “In our culture, we keep this news from patients to avoid upsetting them.” You are the nurse. When you are alone caring for Robbie, he asks you, “Am I dying?”

Critical Thinking Questions

  1. How should you respond?
  2. What are three options you could select? Cite the advantages and disadvantages of each.
  3. How does the Code of Ethics for Nurses guide you in the virtue of truth-telling?
  4. Who is the authorized decision maker in this case?
  5. What other considerations play a part in your response?

First-generation antipsychotics

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John Yang, 42, dually diagnosed with schizophrenia and cannabis (marijuana) use disorder, is brought to the clinic by his mother, Mrs. Yang. Because they are new in town, she does not know what is available in the community. John takes haloperidol (Haldol), but Mrs. Yang says he often refuses it because of muscle rigidity and sexual side effects. They have tried several first-generation antipsychotic drugs without success.

a) As a patient advocate, how might you respond to John’s medication nonadherence with first-generation antipsychotics?

b) What obstacles to adherence exist for a dually diagnosed patient? What approach or change in treatment would offer John the best chance of success?

c) Which resources mentioned in this chapter might be appropriate for John?

6. Compare and contrast the roles of the forensic psychiatric nurse and the correctional nurse. How do their roles differ regarding their relationship with the patient?

Landscape of population health

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Explain how clinical public information has fundamentally changed the landscape of population health through use of the electronic health records and information technology?

Discuss the role of the immune system and the use of immunotherapy in the treatment of Cancer

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Discuss the role of the immune system and the use of immunotherapy in the treatment of Cancer. Your answer must include: An overview of immune system regulation of Cancer development and progression (30%) and at least one application of immunotherapy in Cancer treatment (70%).

 What is the importance of clinical integration in the strategic planning process?

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What is the importance of clinical integration in the strategic planning process? Support your answer with academic resources/references.

Describe the purpose of an electronic health record

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Describe the purpose of an electronic health record (EHR) and a computerized provider order entry (CPOE). Discuss 2 errors that could occur in using either an EHR or a CPOE.

  • Differentiate the IT tools being used today and the emerging trends in healthcare IT.
  • History and Emerging Health Care IT Tools.

Describe some of the negative consequences of anabolic steroid use

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Describe some of the negative consequences of anabolic steroid use. How do “andro” and creatine differ?