A male client with cirrhosis has jaundice and pruritus disfunction. He tells the nurse that he has been soaking in hot baths at night with no relief from his discomfort what steps should the nurse take?

The slated closure of Hillside Hospital is just Shutting Hillside’s doors means that more people will be a greater distance from acute medical care. So far the government is refusing to re-think its decision, but it is still not too late to put up a good fight.

Closing this hospital violates common sense at a number of levels. The oldest hospital in the city, The Hillside has been serving the need of our citizens for over a century.

The last decade has already seen too many other venerable medical institutions close their doors – the demise of Mercy Clinic, last year’s closure of Mount Mary, and the loss of the specialized services at Women’s Hospital.

Let’s not allow the Hillside to be another victim of drive-by budget cuts. Provincial authorities claim that the medical system is in desperate need of a structural overhaul for greater efficiency.

They point to the duplication of services at Hillside and Newton Hospital. They point to changes in the delivery of medical care in the new millennium, which requires more outpatient surgical units and fewer hospital beds.

They point to the age of the Hillside facility, seemingly forgetting about the extensive renovations within the last ten years to modernize the Emergency Service Unit, the state-of-the- art Ear, Nose, and Throat Clinic, the Birthing Unit, and the Rehabilitation Centre. Even if streamlining is necessary, why close the Hillside, in the heart of our city? It is the closest medical care for almost a third of the population of the metropolitan area.

Shutting the Hillside’s doors means that more people will be a greater distance from acute medical care. More ambulances will travel farther distances. As we all know, minutes make a difference when there’s a medical emergency.

Provincial penny pinchers are also ignoring the impressive record of excellence from Hillside. Not once but twice it has been awarded a Commonwealth Prize for Excellence for its community outreach programs.

Programs that target those often in need of medical and social services, namely senior citizens, new Canadians, and the homeless. The decision is a short-sighted attempt at placating the angry taxpayers who voted in the current government.

Promises to cut provincial spending should not be honoured with thoughtless slash-and-burn policies. The city continues to grow, and tired old neighborhoods Your Future Looks Bright With DRAKE MEDOX COLLEGE

Case Scenario Scenario Description: Vanessa is an HCA who works in a Special Care Unit with clients who have dementia. She loves her work but often feels tired with low energy.

She is a smoker and finds little time for exercise besides walking to and from the bus stop and the walking she does at work.

One day Vanessa’s supervisor mentions to her that he has noticed her lack of energy and what seems like a lack of interest in her work.

He has also noticed that she has had more illness in the past year than anyone else on the unit. He suggests that since she is unhappy with her job, she should consider working somewhere else.

Instructions: Write two paragraphs using these questions to help focus your paragraphs.

Paragraph One: In the situation above, what was Vanessa doing at work which caused concern? How should Vanessa respond to her supervisor’s suggestion to look for other work? Since Vanessa loves her work, what can she do to be a better worker? Why do you think this is a good plan of action? Who can support her with this plan? How can she evaluate if her goal to be a better worker is achieved?

Paragraph Two: How did Vanessa’s supervisor handle his concern with her work? What do you think about his actions? If you were Vanessa’s supervisor, how would you communicate with her about her poor work performance?

How will this approach support Vanessa? In what way will this plan result in better client care?

What would you do to track and evaluate changes in Vanessa’s performance? Your Future Looks Bright With DRAKE MEDOX COLLEGE

Rheumatoid Arthritis and Osteoarthritis

Compare and contrast the similarities and differences between Rheumatoid Arthritis and Osteoarthritis