Identify 3 constituents of integrated health care delivery systems (IDS) and describe its development. What benefits directly apply to the provision of allied health care services? What limitations exist at present that could be improved, and how so?
Describe what you would do for Mr. Miller, a 75-year-old male with a recent unintentional weight loss of 15 pounds in the last month.
Include in your discussion: subjective history, objective history, differential diagnosis, diagnostics, and treatment plan; prioritize your diagnosis and your differential diagnosis
A new nurse is working with a client with Chronic obstructive pulmonary disease to increase activities. The client states, “what’s
the point? I don’t really have to do anything. The nurse would use which negotiation strategy to
best help the patient?
. Accommodating
. Collaborating
. Smoothing
. Compromising
As a case manager, you are responsible for assisting with care transitions. Outline a discharge plan from the hospital to home care services for the following client: Mr. Perez is a 72-year-old Puerto Rican male being discharged from your hospital with an exacerbation of Congestive Heart Failure. He has been hospitalized three times in the past 90 days. He lives alone and has limited family support. He understands English; however, he prefers to communicate in Spanish. This is his first referral to home care services. Medicare is his primary payor source. As you develop your discharge plan, identify areas that you will focus on with the home health agency to decrease the likelihood of readmission to the hospital.
Select two different types of fats or oils you use at home (do not select butter). Using the Nutrition Facts panel, compare the nutritional attributes of each one compared to butter. The fats you select may be margarine, spreads, oils, or blends. Complete the chart below and answer the questions based on your product analysis. Remember to compare equal serving sizes!!
Describe how the reporting of a doctor in nursing practice through the use and implementation of the Institute of Medicine Nursing Reports, will influence and direct your leadership role doctor of nursing practice,
Explain how a dose of dopamine works to help treat Mr. P’s heart failure. Mr. P., 82 years of age, is receiving dopamine at a dose of 5 mcg/kg/min for heart failure. Mr. P’s vital signs are as follows:
Blood pressure:150/88 mm Hg, the Pulse rate: 92 beats/min, Respiration rate:16 breaths/min. While at rest, he has no shortness of breath but has had some dyspnea when getting up to the bedside commode. He has edema in his lower legs rated as 2+ edema.
What is dopamine’s duration of action and half-life?
How does knowing the information about dopamine affect your plan of care?
Discuss: How to handle an unsafe assignment? You show up on time for your shift and the charge nurse gives you an assignment that you are uncomfortable taking. What do you do?
Scenario Description: Kathy is a support worker who has been working at the same care facility planning wing for over 20 years. If asked if she likes her job, she would say; It pays the bills;
She is usually a few minutes late every day and takes longer breaks than the other employees do. You do not enjoy working with Kathy because she is opinionated and occasionally rude to you when you ask her questions.
You have also seen her being abrupt with some of the more challenging residents. Kathy rarely smiles and only speaks to other senior staff. One day, at the change-of-shift report, the nurse reports that Mrs. a client you liked very much- has died. Kathy says loudly, Good.
One less person I’ve got to the toilet. You have been thinking about doing something to address Kathy’s attitude but do not know where to begin. You don’t want to quit because the facility is located near your home and you like your work.
Instructions: Write 2-3 paragraphs about what you will do.
The questions below will help you to focus your response. How will you address your concern about Kathy’s attitude?
– Who will you talk to?
Why do you choose to talk with this person? What will you share? What do you hope to gain from your approach?
How will you evaluate the success of your actions?
Would you suggest your plan of action to a friend who has a similar problem? Why or why not?
What is included in the treatment plan for a patient with mild hemorrhoids? The treatment plan for a patient with acute diarrhea would include:
| increased fluid intake, low fiber, opioid pain medications, and warm sitz baths | ||
| decreased fluid intake, low fiber diet, topical analgesics, warm sitz baths | ||
| oral analgesics, warm sitz baths, decreased fluid intake, and Bacitracin cream | ||
| increased fluid intake, high-fiber diet, topical analgesics, warm sitz baths |
1 points
Question 10
The treatment plan for a patient with acute diarrhea would include:
| Docusate tablets once a day | ||
| fluid replacement | ||
| Sodium chloride tablets | ||
| restricted electrolyte solutions |
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