Constipation problem and causes. Constipation is an elimination problem that often occurs in both adults and children. What are the causes? What measures can be done to help with constipation–either pharmacological or non-pharmacological?
Health disparity issue. Despite advances in health research and the implementation of the Affordable Care Act, health disparities still persist in our society. The readings below about the process of health policy and how to formulate policy, and the readings on disparities, and the social determinants of health address the discussion question for this week. Remember that health policy is broader than nursing care policy alone.
https://www.icn.ch/nursing-policy#main-content
https://www.aacnnursing.org/News-Information/Position-Statements-White-Papers/Nursing-Research
https://www.aacnnursing.org/Policy-Advocacy
https://www.ncbi.nlm.nih.gov/books/NBK425845/
A. Choose one health disparity issue and discuss the significance of it while identifying what you believe to be the underlying major social determinant of health related to your issue.
B. State one policy change you would propose to positively influence the health disparity you have identified.
PLEASE USE IN TEXT CITATIONS FOR THE ABOVE
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Case Study 2: Focused Throat Exam
Jason, a 13-year-old male comes in with Mom complaining of painful swallowing. Started yesterday as a “really bad sore throat” made worse with swallowing. He reports feeling very tired. His Mom gave him over-the-counter Children’s Motrin which made his fever better but did not help his sore throat. He reports his symptoms are especially, worse during nighttime. His tonsils are 2+ and erythematous, tonsil stones are present on the right side. He has white patches on his tongue.
Case Study: Appropriate nursing interventions.
D.G. is a 56-year-old Caucasian woman. She has just returned to the medical-surgical floor following abdominal surgery. She has had a total abdominal hysterectomy with removal of both ovaries and fallopian tubes. D.G. has a history of ovarian cancer, chronic nausea, and an appendectomy. Her vital signs are HR 107 BP 145/83 O2Sat 92% RR 33 Temperature 38.1 Celsius. Pain 8/10.
ADPIE Guidelines:
A = Assess: what will you assess? (List four.)
D = Diagnose: choose one priority nursing diagnosis.
P = Plan: plan two goals and four appropriate nursing interventions (two for each goal).
I = Implement: implement two interventions and describe how.
E = Evaluate: how will you determine if the goal was met?
Unintentional drug overdose effects. 1. What is an overdose? Why is it more common for this to happen unintentionally with children?
2. What are some medications used to combat an overdose once it has been determined? What are some protocols in Ontario or hospitals you have been to? (Look up Ontario Poison Control Centre).
3. What lab values need to be assessed? Does it matter what medication was ingested?
4. What are some priority nursing interventions to do once an overdose has been suspected?
5. What is a nasogastric tube? What can it be used for in terms of an overdose?
6. What methods would you use to insert a nasogastric tube into a two-year-old, refer to the semester three checklist and modify it for the patient’s age.
7. What are some health teachings to give to parents/guardians of an unintentional drug overdose?
Making any notations in the patient’s chart.
Refer to the case study at the beginning of chapter 17 in your Pearson’s Comprehensive Medical Assisting PowerPoint and use the information you have learned to answer the following questions.
How should Samra handle the situation with Ms. McConnley?. When Ms. McConnley is ready to check out, she informs Samra that she does not have any cash to pay her $25 copayment. How should Samra respond?
When Ms. McConnley is ready to check out, she informs Samra that she does not have any cash to pay her $25 copayment. How should Samra respond?
Is it necessary for Samra to make any notations in the patient’s chart?
Inferential statistics analysis. Which one of these inferential statistics was used to examine the data obtained from the participants?
Group of answer choices
Factor Analysis
Paired samples t-test
Cox regression analysis
Spearman’s Correlation Coefficient
independent-samples t test
Logistic regression analysis
z score
None of the above inferential statistics were used in this study.
What is the difference between hyperglycemia and hypoglycemia? What clinical findings are you expected to see for both? (Signs and symptoms, blood sugars)
2. What is the difference between type one and type two diabetes? How would a patient present?
3. Why might it be difficult for an adolescent to be diagnosed with diabetes? Who is responsible for ensuring medication and nutrition are being adhered to?
4. What are three nursing diagnoses for an adolescent being diagnosed with Type one diabetes. Based on the nursing diagnoses you select, what are three nursing interventions?
5. An adolescent is trying to lose weight and skips taking their insulin as a means of doing so. Explain from a pathophysiological perspective what is occurring in the body and what is the risk of doing this.
6. If An adolescent is resistant to the diagnosis of type one diabetes, what do you do? What are some health teachings that are needed? Who can you involve?
7. How is wound healing for those with diabetes? If poor or well, why? Please explain from a pathological perspective and be able to simply the language to explain to an adolescent and parent.
8. What is sliding scale? How do you explain this to an adolescent as well as parent?
9. What is ondansetron? What is the classification? Why might it be used for a diabetic patient?
10. What is DKA? What type of insulin would be needed for a patient with high blood glucose?
Changing culture in a hospital environment. why is difficult to change a culture in an organization like a hospital team environment.
Validity of a Perceived Stress Scale. How do the authors describe the validity of the Perceived Stress Scale (PSS) used in this study?
Group of answer choices
The scale was reviewed by six experts prior to being used in this study.
The Perceived Stress Scale (PSS) was examined by face, construct, and discriminant validity methods.
The Perceived Stress Scale (PSS) was described as having well-established evidence of validity from previous studies.
The readability levels were identified prior to being used in this study.
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