What are the symptoms

Section: (integumentary, musculoskeletal, cardiovascular, endocrine, or nervous) Choose ONE

Body system:

 

1) Condition/disease/etc :

 

 

2) How does the condition/disease/etc present (i.e., what are the symptoms)? :

 

 

3) How is it diagnosed by medical professionals? :

 

 

4) Categorize the condition/disease/etc based on the following :

  • Is it chronic or acute?

 

 

  • How common or rare is it? (provide statistics when available)

 

 

  • Can it be cured/treated or just managed?

 

 

  • How fatal is it (if at all)?

 

 

  • Is it due mostly to environmental or genetic factors (or both)?

 

 

5) Using terms and topics discussed in class, explain the cause of the condition/disease/etc and how it affects the body. Tip: pretend you are trying to explain this to a peer in your class 

 

 

6) List ALL the sources where you found your information :

Frank-Starling law of the heart

-What is the relationship between an individual who is exercising strenuously, causing his or her heart rate to exceed 160 beats/minute, and the Frank-Starling law of the heart?

Plan of care

Explain the plan of care for a patient with UTI, hypotensive, baseline

mental status WNL, tachycardic. Identify the source of sepsis, choose the appropriate antibiotic(s), and label the state of shock on presentation.

Type 2 diabetes

Red is an 80-year-old farmer and war veteran who lives by himself, 20 miles from the nearest city. He has been a widower for 10 years but his son and daughter-in-law, Jon and Judy, live nearby. He was diagnosed with type 2 diabetes about six months ago and recently began taking insulin. We (nurses from the home health agency) have been asked to see him to evaluate a wound caused by wearing shoes that were too tight. The toe was injured about three weeks ago. Red has been treating it by soaking his foot in water. His daughter-in-law, Judy, expressed concerns about his ability to manage diabetes self-care, and he has agreed that she can be present for the conversation. We know he is very independent, alert, and oriented. He drives himself into town at least once a week and spends a lot of time on his computer.

Patient Details

Patient Data: Male- Age: 80 years. Weight: 109 kg (240 lbs). Height: 183 cm (72 in).

Allergies: No known

Past Medical History: Diabetes type 2, diagnosed six months ago. Initially treated with oral antidiabetics, but a few weeks ago shifted to insulin.

History of Present Illness: The patient developed an ulcer on his big toe three weeks ago. He has been soaking his foot to heal the wound. Recently, he revealed the wound to his family, who called Dr. Baker.

Social History: Widower, his son Jon and daughter-in-law Judy live nearby.

Primary Medical Diagnosis: Pressure ulcer, right great toe. Type 2 diabetes.

Surgeries/Procedures & Dates: L4-5 laminectomy 25 years ago, transurethral resection of the prostate six years ago.

 

 

Questions

 

Pathophysiology review. Review the pathophysiology that is the focus of the vSim. Be brief using bullet points to highlight main points of pathophysiology.

Describe 5 statements re this health problem here

 

Medications review: Complete the table for each of the medications listed as preparation for the simulation following the example provided. Add rows as needed.

Drug Name/Drug Class

How the drug works/ is this a safe dose?

Indication

(For what specific reason is this drug ordered for your resident?

Nursing assessments

What nursing actions must be done when administering this medication?

Side effects/ adverse reactions/ lab monitoring

 

 

 

 

Lab Tests (blood, urine, sputum, cultures, etc): Please complete the table for laboratory tests listed in the preparation for vSim. Add rows as needed.

TEST

 

Normal Range Purpose Why ordered for this health problem Nursing actions that require assessment or follow up (npo, diet changes, med change)

 

PROCEDURES and DIAGNOSTIC TESTS (oxygen, O2 Sat level, radiography, etc.). Please complete the table for procedures listed in the preparation for vSim. Add rows as needed.

TEST/DATE

 

What is the purpose of this test (text reference) Why ordered for this patient (related to primary dx?) Plan of care implications? Nursing actions that require assess or follow up (npo, diet changes, med change)

 

GERO ASSESSMENT TOOLS.

Describe the purpose of each assessment tool and what the scoring means for care planning.

1.

2.

 

Based on your review of pathophysiology, medications, procedures and assessment tools, list at least two problems (apply 3 step process:  problem, R/T, AEB) (Nursing Process)

1.

2.

Consolidated indicative of bacterial pneumonia

Review the case study and answer the following questions:

A 72-year-old female who presents to the family practice with her 40-year-old daughter. The daughter states that her mother has been confused lately and is complaining of a headache, shortness of breath, and a cough. The cough has been persistent for 6 days, and a fever had developed 2 days ago. The patient states that she is bringing up yellow-green mucus and has a cough, which gets worse at night. Vital signs are T 38°C, P 88, R 16, and BP 110/55. Lungs are positive bilaterally for wheezing, positive egophony. Chest radiography reveals consolidation indicative of bacterial pneumonia. Labs and culture are pending for specific antigen. The nurse proceeds with the physical examination of the head, face, neck, and associated lymphatic system.

1. What specific questions should the nurse obtain when performing a review of systems on this patient?

2. The nurse proceeds to palpate the lymph nodes. Which lymph nodes are located in the neck?

3. When performing the physical examination, what objective data should the nurse obtain while inspecting and palpating the head and neck region?

4. How might the physical examination vary depending on the patient’s age?

Subjective DataWidower

Review the case study and answer the following questions: Subjective DataWidower

 

A 82-year-old man who presents to the outpatient office for his 6-month check-up.

 

 

Lives in assisted living apartment

 

One meal a day in dining room, has light meals for breakfast and lunch

Nonsmoker, never smoked

Retired police officer

Has three grown children who live nearby

Walks with cane

Objective Data

Vital signs: T 37.7°C, BP 108/62, HR 62, R 14

Height and weight = Within normal limits

Immunizations = Up-to-date

Allergy to sulpha medications = Hives

 

Questions

1.    What special considerations should the nurse keep in mind regarding the physical examination of individuals in this patient’s age group?

2.     What are the expected findings in the older adult for skin, hair and nails?

3.     What are some abnormal findings in the older adult for skin?

Nursing Process and the Policy Process

1. Describe the similarities in between the Nursing Process and the Policy Process.

 

2. Describe the differences among the Nursing Process and the Policy Process.

 

3. How could the knowledge of this comparison and contrast impact your participation in healthcare policy?

ADVANCED FUNCTIONS ASSIGNMENT

PLEASE HELP ASAP WITH MY ADVANCED FUNCTIONS ASSIGNMENT. I DID IT WRONG AND NEED FULL ANSWERS PLEASE FROM 5-7!!

 

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5. Given f(x) – log(x) and g(x) – cos(x), sketch these graphs, Explain your reasoning and be clear about domains. (Tip: If stuck, try subbing in some x-values) a) (f+2)(x) b) (fog)(x) 6. Given f(x) – 2", g(x) = x3+ 1, h(x) – logzx, determine how they were combined to create the following graphs. Explain your reasoning. b) 7. Approximate the IROC for the following (three decimals as needed, radian mode). a) f(x) = – atx = 2 x-1 b) g(x) = sin(x) + 2 at x = 7/6

Tapering a psychotropic medication

What would happen if they suddenly stopped taking it?

Explain the rationale for tapering a psychotropic medication.

American Association of Colleges of Nursing

1.According to the American Association of Colleges of Nursing, what

is a research expectation for a baccalaureate prepared nurse? (Select all that apply)
a) Collaborate on research teams
b) Translate scientific knowledge into complex clinical interventions
c) Plan and carry out an independent program of research
d) Determine the applicability of research in clinical practice