An upper body Appendicular skeleton injury

For this discussion please describe an upper body appendicular skeleton injury in a sport of your choosing. The upper body segment of the appendicular skeleton includes from the fingers to the sternoclavicular joint, the joints between those segments, and the muscles that control those segments.

You must write your post on a unique injury. Put the name of the injury in your post title.

You must use an outside resource as support for your post; this can be a journal article, website, or other public video.

A Gambling problem with the Pokies

Jo presented to the service. She appeared very distressed.  She disclosed having  a gambling problem with the Pokies. he disclosed having  a gambling problem with the Pokies.

She said she was very worried and anxious, feeling depressed and did not know where to turn.

She disclosed having  a gambling problem with the Pokies. She said she started gambling 9 years ago. She stated she had developed the gambling problem, when she started to feel depressed after her daughter, 6 years old at the time, was hit by a car.

The daughter, Chloe, 15y/o now, has an ABI as a result of the accident.  Jo had assistance from Gambler’s Help (GH) previously and had been self- excluded. She started playing again during the last year, while worrying more about her daughter. She worried about Chloe falling behind in school (she was at the end of year 9), saying that she hated school, she was truanting; friends had seen Chloe in town while she was supposed to be at school, and she found Chloe was not being honest.

 

She worried about Chloe’s new boyfriend who she did not approve off, her vulnerability with the technology of internet and mobile phones. She had ‘caught’  Chloe on a dating site making arrangements to meet a man. With the worrying, their relationship is deteriorating:

Jo expressed she felt powerless and inadequate and tended to get stricter and angrier, and Chloe was responding by shouting back and withdrawing. The home environment has become stressful because of this conflict. Jo finds she is staying more and more in bed and is also finding it hard to control her eating

 

Counsellor self-reflection:

  1. Please read through the observation form.  If there is a skill not identified as having been demonstrated in the session, specify where could you have demonstrated it and how.
  2. What were some of your observations of the client requirements?
  3. What didn’t work so well in this session, and what will you do differently next time?
  4. How did you manage your own values so they do not impede effective work?
  5. What were some of the boundary issues you experienced or may experience with this client and how did you manage these?
  6. How was person centred therapy useful to you in understanding and working with this client?
  7. How will you plan for and prepare the client for termination of counselling?

Please answer all 7 questions

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Skill/Knowledge Observations/ Specific Examples/ Strengths/Areas for improvement
Counselling Theory 

  • Empathy
  • Genuineness
  • Congruency
  • UPR
Note down whether any of the counselling theory skills, using/describing the specific example.

 

 

 

 

 

 

 

 

Conditions, professionalism and boundaries

  • Contracting with client
  • Informed consent
  • Boundaries
  • Values conflicts
  • Integrity
  • Non-judgement
  • Building trust
  • Alleviating fear
  • Building rapport
  • Attending
Note how the worker attempted to create rge conditions of the counselling session Eg: Was there an attempt to establish engagement or rapport? How?
Micros skills

  • Questions (Open & Closed)
  • Minimal responses/encouragers
  • Restatement/ Paraphrasing
  • Reflecting of feelings
  • Owned statements
  • Open ended statements
  • Body language(SOLER)
  • Summarising
  • Listening
Note down whether any micro-skills were utilised, using/describing the specific example. Eg: Were open and closed questions used appropriately?  Explain. What sorts of minimal encouragers/responses were used? How?  Where they effective? How do you know?

 

 

 

 

 

 

 

Meta Skills/Use of Self

  • Humour,
  • Compassion,
  • Creativity,
  • Recycling,
  • Fishing,
  • Fluidity and Stillness
Note down whether any meta-skills were utilised, using/describing the specific example. Eg: Was any humour used? Effectively? What indicated that the worker demonstrated compassion?

 

 

 

 

 

Stages of Session

  • Preparation
  • Joining
  • Active Listening
  • Closure
Note down the relevant steps in the structure of the session.

Eg: Was the purpose of session introduced? How? How was session terminated?  Was it appropriate?

Occupational therapist

What specific skill might you work with a client to learn or improve their performance in this skill. Describe your professional role as an occupational therapist and the situation where this skill might be utilized. How would you use the specific characteristics (speed-accuracy, vision, prehension, bimanual coordination, locomotion, catching, striking) associated with this skill as you develop strategies to help the people you are working with? List a minimum of three strategies you would implement in this performance situation to facilitate the learning and progression of the client and describe in detail.

Bipolar disorder

A female (35 years old) with bipolar disorder has been stable for the past 6 months on a dose of lithium 600 mg bid. She comes in for an office visit and states that she is planning a 3-month camping trip to a remote location in the Southwest. She wants to be sure she has sufficient supply of medication because she will not have access to healthcare facilities.

What concerns might there be regarding this trip?

What nutritional advice would you want to give this client?

What signs and symptoms of adverse effects should the client watch for and be prepared to address?

What other teaching should be included, for example foods to avoid, daily water intake etc.?

The effective functioning of The interprofessional team

Open and clear communication is critical for the effective functioning of the interprofessional team and the delivery of safe patient care. Discuss the way communication technologies can enhance coordination of care by interprofessional teams.

Be sure to discuss a specific communication technology in your response.

Generic medicines

If you’re the dispensing Pharmacist would you also recommend the patient who is undergoing Dialysis Treatment and taking multiple medications to use the generic medicines? Explain Why? or why not.

Brain injury

Brain injury can be divided into different levels. Give a definition of mild, moderate, severe brain injury ,outlining the criteria for determining the difference in how severe they are.

Nasal congestion

Richard is a 50-year-old male with nasal congestion, sneezing, rhinorrhea, and postnasal drainage. Richard has struggled with an itchy nose, eyes, palate, and ears for 5 days. As you check his ears and throat for redness and inflammation, you notice him touch his fingers to the bridge of his nose to press and rub there. He says he’s taken Mucinex OTC the past two nights to help him breathe while he sleeps. When you ask if the Mucinex has helped at all, he sneers slightly and gestures that the improvement is only minimal. Richard is alert and oriented. He has pale, boggy nasal mucosa with clear thin secretions and enlarged nasal turbinates, which obstruct airway flow but his lungs are clear. His tonsils are not enlarged but his throat is mildly erythematous. How do you diagnose this.

Verification of consent

Verification of consent

What is a nurse’s obligation to verify consent? Gina is an licensed practitioner nurse on a busy surgical unit. As she prepares her client, Mr. Saara, for surgery, she notices he hasn’t signed the consent form. Clients usually sign these forms in advance in the surgeon’s office or pre-admission clinic. Gina tries to confirm that Mr. Saara has consented but has difficulty communicating with him. Mr. Saara smiles and nods at Gina’s questions, but speaks little English so it’s not clear if he understands. No one is available to help Gina communicate with him.

When the OR calls for Mr. Saara, Gina explains the situation. She is told, “don’t worry about it, the surgeon explained everything to him, all you need to do is to get him to sign the form and witness his signature.” When Gina questions this, she is asked, “Why are you making such a big deal out of this? Clerks witness signatures all the time! Our hospital policy says any staff member can witness a signature.”

  1. What does the term consent mean to you?
  2. What is the importance of consent to the patient? What is the importance to the assigned Licensed practitioner nurse?
  3. Which British Columbia College of Nursing Professionals(BCCNP) Professional Standard indicators apply to this case study?
  4. Which British Columbia College of Nursing Professionals(BCCNP) Practice Standard applies to consent?

What is chemiluminescence?

What is chemiluminescence? How is Luminol used to detect blood? What molecular biology discoveries helped forensics investigations?